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
HOME HEALTH VNA INC
 
Employer identification number

04-2435675
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)MELROSEWAKEFIELD HEALTHCARE INC
170 GOVERNORS AVE

MEDFORD,MA02155
04-2767880 		HOSPITAL MA 501(C)(3) LINE 3 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
 
Yes
 
(2)HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVE

MEDFORD,MA02155
04-3140938 		MD OFFICES MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
 
Yes
 
(3)LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVE

MEDFORD,MA02155
04-2938772 		LONG-TERM CARE MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
 
Yes
 
(4)SAVIN LONG TERM CARE CORPORATION
170 GOVERNORS AVE

MEDFORD,MA02155
04-3012616 		LONG-TERM CARE MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
 
Yes
 
(5)HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
178 SAVIN ST SUITE 300

MALDEN,MA02148
04-2437064 		VISITING NURSE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC
 
Yes
 
(6)HALLMARK HEALTH PROPERTIES
170 GOVERNORS AVE

MEDFORD,MA02155
22-2580542 		PROPERTY MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
 
Yes
 
(7)MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
170 GOVERNORS AVE

MEDFORD,MA02155
04-2103587 		PARENT MA 501(C)(3) LINE 12A, I WELLFORCE INC
 
Yes
 
(8)THE LOWELL GENERAL HOSPITAL
295 VARNUM AVENUE

LOWELL,MA01854
04-2103590 		HEALTH CARE MA 501(C)(3) LINE 3 CIRCLE HEALTH INC
 
Yes
 
(9)CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUE

LOWELL,MA01854
27-3902914 		MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH INC
 
Yes
 
(10)LGH PHYSICIAN ASSOCIATES INC
ONE HOSPITAL DRIVE

LOWELL,MA01852
04-3190747 		MEDICAL SERVICES MA 501(C)(3) PF CIRCLE HEALTH PHYSICIANS INC
 
Yes
 
(11)CIRCLE HEALTH INC
295 VARNUM AVENUE

LOWELL,MA01854
22-2579798 		PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II WELLFORCE INC
 
Yes
 
(12)WELLFORCE INC
1600 DISTRICT AVE SUITE 125

BURLINGTON,MA01803
45-2250732 		PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A
 
No
(13)CNS NURSING HOME CARE INC
847 ROGERS STREET SUITE 201

LOWELL,MA01852
37-1836433 		HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC
 
Yes
 
(14)CIRCLE HOME INC
847 ROGERS STREET SUITE 201

LOWELL,MA01852
04-2103812 		HOME CARE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC
 
Yes
 
(15)TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREET

BOSTON,MA02111
04-2810022 		FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIES MA 501(C)(3) LINE 12B, II WELLFORCE INC
 
Yes
 
(16)TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3400617 		HOSPITAL SERVICES MA 501(C)(3) LINE 3 TUFTS MEDICAL CENTER PARENT INC
 
Yes
 
(17)NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREET

BOSTON,MA02111
04-2912578 		PEDIATRIC LONG-TERM CARE FACILITY MA 501(C)(3) LINE 3 TUFTS MEDICAL CENTER PARENT INC
 
Yes
 
(18)NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3040427 		MEDICAL PROGRAMS & SERVICES MA 501(C)(3) LINE 12B, II TUFTS MEDICAL CENTER PARENT INC
 
Yes
 
(19)NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210

BRAINTREE,MA02184
80-0824142 		ACO MA 501(C)(3) LINE 7 NEW ENGLAND QUALITY CARE ALLIANCE INC
 
Yes
 
(20)TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210

BRAINTREE,MA02184
47-3046563 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(21)THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREET

BOSTON,MA02111
04-3265628 		CHARITABLE MA 501(C)(3) LINE 7 TUFTS MEDICAL CENTER PARENT INC
 
Yes
 
(22)HEART CENTER OF METROWEST INC
99 LINCOLN STREET

FRAMINGHAM,MA01702
03-0390670 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(23)PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3418395 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(24)PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148397 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(25)PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148384 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(26)PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148385 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(27)PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148392 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(28)PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
20-5129051 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(29)PRATT OTOLARYNGOLOGY
800 WASHINGTON STREET

BOSTON,MA02111
04-3148381 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(30)PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148393 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(31)PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148394 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(32)PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148387 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(33)PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148388 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(34)PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148389 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(35)PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREET

BOSTON,MA02111
04-3148378 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(36)PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148376 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(37)PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3148379 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(38)NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREET

BOSTON,MA02111
04-3096445 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(39)PRATT MEDICAL GROUP INC
800 WASHINGTON STREET

BOSTON,MA02111
04-2743894 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(40)TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREET

BOSTON,MA02111
04-3044706 		ADMIN. MA 501(C)(3) LINE 12B, II TUFTS MEDICAL CENTER PARENT INC
 
Yes
 
(41)CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET

BOSTON,MA02111
82-3315703 		MEDICAL SERVICES MA 501(C)(3) LINE 10 TUFTS MEDICAL CENTER PHYSICIANS ORG INC
 
Yes
 
(42)HOME HEALTH FOUNDATION INC
360 MERRMIACK STREET

LAWRENCE,MA01843
22-2587225 		MANAGEMENT SERVICES MA 501(C)(3) LINE 12B, II WELLFORCE INC
 
Yes
 
(43)HOME HEALTH VNA INC
360 MERRMIACK STREET

LAWRENCE,MA01843
04-2435675 		HOME HEALTH CARE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC
 
Yes
 
(44)MERRIMACK VALLEY HOSPICE INC
360 MERRMIACK STREET

LAWRENCE,MA01843
04-3024278 		HOSPICE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC
 
Yes
 
(45)HOME CARE INC
360 MERRMIACK STREET

LAWRENCE,MA01843
04-2854358 		HOME HEALTH SUPPORTIVE SERIVCES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC
 
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) HALLMARK HEALTH INVESTMENTS LLC

170 GOVERNORS AVE
MEDFORD,MA02155
02-0657666 		INVESTMENT MA MELROSEWAKEFIELD HEALTHCARE INC
  		EXCLUDED       No     No  
(2) MONTVALE PETCT LLC

100 BAYVIEW CIRCLE SUITE 400
NEWPORT BEACH,CA92660
27-0325022 		CAT SCAN DE MELROSEWAKEFIELD HEALTHCARE INC
  		RELATED       No     No  
(3) CIRCLE HEALTH ALLIANCE LLC

295 VARNUM AVE
LOWELL,MA01854
80-0782682 		ACCOUNTABLE CARE ORGANIZATION MA CIRCLE HEALTH INC
  		RELATED       No     No  
(4) SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC

800 WASHINGTON STREET
BOSTON,MA02111
32-0558307 		MEDICAL SERVICES (MRI) MA TUFTS MEDICAL CENTER INC
  		RELATED       No     No  
(5) MEDFORD LAWRENCE REAL ESTATE LLC

55 CHRISTYS DRIVE
BROCKTON,MA02301
32-0553759 		MEDICAL OFFICE BUILDING MA MELROSEWAKEFIELD HEALTHCARE INC
  		RELATED       No     No  




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) WELLFORCE INDEMNITY COMPANY LTD

800 WASHINGTON STREET
BOSTON,MA02111
98-0444573 		CAPTIVE INSURANCE CJ TUFTS MEDICAL CENTER INC
  		C       Yes  
(2) HALLMARK HEALTH ENTERPRISES INC

585 LEBANON STREET
MELROSE,MA02176
04-2475660 		OTHER HEALTH SERVICES MA MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
  		C       Yes  
(3) LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC

170 GOVERNORS AVE
MEDFORD,MA02155
42-1685777 		ELECTRONIC MEDICAL RECORDS MA MELROSEWAKEFIELD HEALTHCARE INC
  		C         No
(4) HALLMARK HEALTH PHO INC

170 GOVERNORS AVE
MEDFORD,MA02155
46-1134759 		PHYSICIAN HOSPITAL ORGANIZATION MA MELROSEWAKEFIELD HEALTHCARE INC
  		C         No
(5) LGH SERVICES INC

295 VARNUM AVENUE
LOWELL,MA01854
04-2854673 		MEDICAL SERVICES MA CIRCLE HEALTH INC
  		C       Yes  
(6) LGH MEDICAL BUILDING SERVICES INC

295 VARNUM AVENUE
LOWELL,MA01854
04-3058954 		MEDICAL OFFICE BUILDING MA LGH SERVICES INC
  		C       Yes  
(7) LGH MANAGEMENT SERVICES INC

295 VARNUM AVENUE
LOWELL,MA01854
04-2919244 		MEDICAL SERVICES MA LGH SERVICES INC
  		C       Yes  
(8) LGH MEDICAL SERVICES INC

295 VARNUM AVENUE
LOWELL,MA01854
26-1889904 		MEDICAL SERVICES MA LGH SERVICES INC
  		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
 
No
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
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
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
Yes
 
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
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
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) MERRIMACK VALLEY HOSPICE INC

 M 480,623 BOOK VALUE
(2) CIRCLE HOME INC

 M 900,000 BOOK VALUE
(3) HOME HEALTH FOUNDATION INC

 L 1,891,894 BOOK VALUE
(4) MERRIMACK VALLEY HOSPICE INC

 L 75,971 BOOK VALUE
(5) CIRCLE HOME INC

 D 1,017,483 BOOK VALUE
(6) HALLMARK HEALTH VNA INC

 D 218,300 BOOK VALUE
(7) HOME HEALTH FOUNDATION INC

 E 9,310,892 BOOK VALUE
(8) MERRIMACK VALLEY HOSPICE INC

 E 5,060,695 BOOK VALUE
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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