SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
The Charlotte Hungerford Hospital
 
Employer identification number

06-0646678
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Backus HealthCare Inc
326 Washington Street

Norwich,CT06360
22-2481794 		Supporting Organization CT 501(c)(3) 12 (a) Hartford HealthCare Corporation
 
Yes
 
(2)Caring for Colleagues Employee Crisis Fund
100 Grand Street

New Britian,CT06052
26-4469178 		Employee Fund CT 501(c)(3) 7 Hartford HealthCare Corporation
 
Yes
 
(3)Center for Hospice Care Southeast Connecticut Inc
227 Dunham Street

Norwich,CT06360
22-2667260 		Hospice CT 501(c)(3) 7 HHC Independence at Home
 
Yes
 
(4)Connecticut Health System Inc
80 Seymour Street

Hartford,CT06102
22-2779421 		Coordination of Health Care Delivery CT 501(c)(3) 12 (c) Hartford HealthCare Corporation
 
Yes
 
(5)Hartford HealthCare ACO Inc
1290 Silas Deane Hwy 2nd Floor

Wethersfield,CT06109
46-0886367 		Government Contracts CT 501(c)(3) 7 Hartford HealthCare Medical Group Inc
 
Yes
 
(6)Hartford HealthCare At Home Inc
1290 Silas Deane Hwy Suite 4B

Wethersfield,CT06109
06-0646938 		Home Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation
 
Yes
 
(7)Hartford HealthCare Corporation
One State Street Suite 19

Hartford,CT06102
22-2672834 		Support & Management Svcs. To HH and Affiliates CT 501(c)(3) 12 (c) N/A
 
No
(8)Hartford HealthCare Endowment LLC
80 Seymour Street

Hartford,CT06102
45-4181103 		Investment Management CT 501(c)(3) 12 (a) Hartford HealthCare Corporation
 
Yes
 
(9)Hartford HealthCare Independence At Home Inc
1290 Silas Deane Hwy Suite 4B

Wethersfield,CT06109
06-1161422 		Home Healthcare CT 501(c)(3) 10 Hartford HealthCare At Home Inc
 
Yes
 
(10)Hartford Healthcare Medical Group Specialists PLLC
1290 Silas Dean Highway 2nd Floor

Wethersfield,CT06109
37-1911194 		Medical Services CT 501(c)(3) 10 Hartford HealthCare Medical Group Inc
 
Yes
 
(11)Hartford HealthCare Medical Group Inc
1290 Silas Deane Highway 2nd Floor

Wethersfield,CT06109
45-4456939 		Medical Services CT 501(c)(3) 10 Hartford HealthCare Corporation
 
Yes
 
(12)Hartford HealthCare Senior Services Inc
45 Meriden Avenue

Southington,CT06489
22-2635676 		Sub-Acute & Long Term Healthcare CT 501(c)(3) 10 Hartford HealthCare Corporation
 
Yes
 
(13)Hartford Hospital
80 Seymour Street PO Box 5037

Hartford,CT06102
06-0646668 		Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(14)Hartford Hospital Auxiliary co Hartford Hospital
80 Seymour Street

Hartford,CT06102
06-6040747 		Fundraising CT 501(c)(3) 12 (a) Hartford Hospital
 
Yes
 
(15)Midstate Medical Center
435 Lewis Avenue

Meriden,CT06451
06-0646715 		Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(16)Midstate Medical Center Auxiliary
435 Lewis Avenue

Meriden,CT06451
06-6063082 		Fundraising CT 501(c)(3) 12 (a) Midstate Medical Center
 
Yes
 
(17)Mulberry Gardens of Southington LLC
58 Mulberry Street

Plantsville,CT06479
82-0586577 		Assisted Living & Adult Day Care Facility CT 501(c)(3) 10 Hartford HealthCare Senior Services Inc
 
Yes
 
(18)Natchaug Hospital Inc
189 Storrs Road

Mansfield Center,CT06226
06-0966963 		Behavioral Health CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(19)Rushford Center Inc
883 Paddock Avenue

Meriden,CT06450
06-0932875 		Substance Abuse Healthcare Services CT 501(c)(3) 7 Hartford HealthCare Corporation
 
Yes
 
(20)Rushford Foundation Inc
883 Paddock Avenue

Meriden,CT06450
06-1432692 		Supporting Organization CT 501(c)(3) 12 (a) Rushford Center Inc
 
Yes
 
(21)St Vincent's Development Inc
95 Merritt Boulevard

Trumbull,CT06611
22-2554128 		Holding Company CT 501(c)(25)   St Vincent's Health Services Corp
 
Yes
 
(22)St Vincent's Health Services Corp
2800 Main Street

Bridgeport,CT06606
22-2558134 		Supporting Organization CT 501(c)(3) 12 (a) SVMC Holdings Inc dba St Vincent's Medical Center
 
Yes
 
(23)St Vincent's Multispecialty Group Inc
2800 Main Street

Bridgeport,CT06606
80-0458769 		Healthcare Services CT 501(c)(3) 12 (a) SVMC Holdings Inc dba St Vincent's Medical Center
 
Yes
 
(24)St Vincent's Special Needs Center Inc
95 Merritt Boulevard

Trumbull,CT06611
06-0702617 		Residential Services for Handicapped CT 501(c)(3) 10 St Vincent's Health Services Corp
 
Yes
 
(25)SVMC Holdings Inc dba St Vincent's Medical Center
One State Street Suite 19

Hartford,CT06103
83-2550272 		Hospital CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(26)The Hospital of Central CT and Bradley Memorial
100 Grand Street

New Britian,CT06052
06-0646768 		Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(27)The Orchards of Southington
34 Hobart Street

Southington,CT06489
06-1490803 		Residential Services for Senior Citizens CT 501(c)(3) 10 Hartford HealthCare Senior Services Inc
 
Yes
 
(28)The William W Backus Hospital
326 Washington Street

Norwich,CT06360
06-0250773 		Hospital CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(29)Visiting Nurse Services of CT Inc
765 Fairfield Avenue

Bridgeport,CT06604
06-0665196 		Home Healthcare CT 501(c)(3) 10 Hartford HealthCare At Home Inc
 
Yes
 
(30)WCMH Women's Auxiliary Inc
112 Mansfield Avenue

Willimantic,CT06226
06-0677728 		Fundraising CT 501(c)(3) 12 (a) Windham Community Memorial Hospital
 
Yes
 
(31)Windham Community Memorial Hospital
112 Mansfield Avenue

Willimantic,CT06226
06-0646966 		Healthcare Services CT 501(c)(3) 3 Hartford HealthCare Corporation
 
Yes
 
(32)Windham Hospital Foundation Inc
112 Mansfield Avenue

Willimantic,CT06226
56-2546632 		Supporting Organization CT 501(c)(3) 12 (a) Windham Community Memorial Hospital
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Advanced Medical Imaging of NW CT LLC

57 Commercial Blvd
Torrington,CT06790
06-1594854 		Magnetic Resonance Imaging CT The Charlotte Hungerford Hospital
  		Related 357,974 213,404   No     No 50.000 %
(2) Ambulance Service of Manchester LLC

PO Box 300
Manchester,CT06450
06-1557358 		Ambulatory Service CT N/A
                  
(3) Central Connecticut Endoscopy Center

440 New Britain Avenue
Plainville,CT06062
14-1855010 		Endoscopy Svcs CT N/A
                  
(4) Connecticut Imaging Partners LLC

c/o Jefferson Radiology 1500 Concor
Sunrise,FL33323
13-4298940 		Imaging Services CT N/A
                  
(5) Connecticut Orthopaedic Surgery Center LLC

205 Sub Way
Milford,CT06461
13-4298940 		Surgery Svcs CT N/A
                  
(6) Constitution Surgery Center East LLC

174 Cross Road
Waterford,CT06385
06-1574704 		Surgery Svcs CT N/A
                  
(7) CT GI Endoscopy Center LLC ( Bloomfield)

4 Northwestern Drive
Bloomfield,CT06002
06-1573358 		GI Services CT N/A
                  
(8) Glastonbury Endoscopy Center LLC

300 Western Blvd Suite B
Glastonbury,CT06033
26-1721234 		Endoscopy Svcs CT N/A
                  
(9) Glastonbury Surgery Center LLC

195 Eastern Boulevard
Glastonbury,CT06033
26-2600828 		Surgery Svcs CT N/A
                  
(10) Hartford-Middlesex Clinical System LLC

80 Seymour Street
Hartford,CT06110
06-1543605 		Affiliate Support Services CT N/A
                  
(11) HHC Hartford Surgery Center LLC

100 Avon Meadow Lane
Avon,CT06001
81-2637261 		Surgery Svcs CT N/A
                  
(12) HHC Southington Surgery Center LLC

100 Avon Meadow Lane PO Box 1281
Avon,CT06001
46-5500829 		Surgery Svcs CT N/A
                  
(13) HHC Urgent Care Go Health LLC

2711 Centerville Road Suite 400
Avon,CT06001
81-5112698 		Urgent Care Services DE N/A
                  
(14) Med East Assoc LLC

1703 West Main Street
Willimantic,CT06226
06-1469575 		Outpatient Care Clinic CT N/A
                  
(15) MedConn Collection Agency

2049 Silas Deane Highway Suite 305
Rocky Hill,CT06067
06-1408854 		Collections Services CT The Charlotte Hungerford Hospital
  		Related 191,119 57,675   No     No 33.000 %
(16) New Britain MRI Limited Partnership

100 Grand Street
New Britain,CT06050
06-1271349 		Magnetic resonance imaging CT N/A
                  
(17) Rocky Hill Surgery Center LLC

1111 Cromwell Avenue Building 1
Rocky Hill,CT06067
83-3096156 		Surgery Svcs CT N/A
                  
(18) The Endoscopy Center of Northwest Connecticut LLC

245 Alvord Park Road
Torrington,CT06790
06-1609993 		Endoscopy Svcs CT The Charlotte Hungerford Hospital
  		Related 302,473 3,050,659   No     No 51.000 %
(19) Wallingford Endoscopy Center LLC

85 Seymour Street Suite 1000
Hartford,CT06106
82-4601730 		Endoscopy Svcs CT N/A
                  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Aetna Ambulance Service Inc

PO Box 1150
Manchester,CT06045
06-0795431 		Ambulance Services CT N/A
 C       Yes  
(2) Backus Medical Center Condo Assoc Inc

330 Washington Street
Norwich,CT06360
06-1542647 		Condo Association CT N/A
 C       Yes  
(3) CenConn Services Inc

100 Grand Street
New Britain,CT06050
22-2836001 		Billing Services CT N/A
 C       Yes  
(4) ConnCare Inc

326 Washington Street
Norwich,CT06360
06-1387598 		Health Care Services CT N/A
 C       Yes  
(5) HHMOB Corporation

80 Seymour Street PO Box 5037
Hartford,CT06102
06-1140244 		Real Estate & Parking CT N/A
 C       Yes  
(6) Hartford HealthCare Indemnity Services Ltd

FB Perry Bld 40 Church Street
  Hamilton  
BD
Captive Insurance BD N/A
 C       Yes  
(7) Hartford Physician Services PC

80 Seymour Street
Hartford,CT06102
06-1254082 		Medical Services CT N/A
 C       Yes  
(8) Litchfield County Healthcare Service Corporation

540 Litchfield Street
Torrington,CT06790
06-1227655 		Management Services CT N/A
 C       Yes  
(9) Meriden Imaging Center

101 North Plains Industrial Road
Meriden,CT06429
06-1541468 		Imaging CT N/A
 S       Yes  
(10) Metro Wheelchair Service Inc

PO Box 300
Manchester,CT06045
06-0878432 		Wheelchair Services CT N/A
 C       Yes  
(11) Midstate Medical Group PC

435 Lewis Avenue
Meriden,CT06450
20-4327968 		Medical Services CT N/A
 C       Yes  
(12) Windham Professional Office Condo Assoc

112 Mansfield Avenue
Willimantic,CT06226
06-1090041 		Condo Association CT N/A
 C       Yes  
Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Hartford Hospital

 A 726 FMV
(2) Hartford Hospital

 M 1,001,858 FMV
(3) Hartford Hospital

 O 187,516 FMV
(4) Hartford Hospital

 P 226,331 FMV
(5) Hartford Hospital

 R 191,999 FMV
(6) Hartford Hospital

 S 973,737 FMV
(7) HHC Medical Group Inc

 A 218,403 FMV
(8) HHC Medical Group Inc

 Q 80,064 FMV
(9) HHC Medical Group Inc

 R 460,468 FMV
(10) HHC Medical Group Inc

 S 155,763 FMV
(11) HHCMG Specialists PLLC

 M 12,433,006 FMV
(12) HHCMG Specialists PLLC

 O 595,718 FMV
(13) HHCMG Specialists PLLC

 R 504,339 FMV
(14) HHCMG Specialists PLLC

 S 9,095,178 FMV
(15) Hospital of Central Connecticut

 O 114,680 FMV
(16) Hospital of Central Connecticut

 S 113,521 FMV
(17) Endoscopy Center of Northwest Connecticut LLC

 S 339,398 FMV
(18) Advanced Medical Imaging of NW CT LLC

 S 425,000 FMV
Schedule R (Form 990) 2019
Page 4
Schedule R (Form 990) 2019
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2019
Page 5
Schedule R (Form 990) 2019
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2019

Additional Data


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