MASSACHUSETTS E-HEALTH COLLABORATIVE: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MASSACHUSETTS E-HEALTH COLLABORATIVE (EIN 20-1913059)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-04
- IRS object ID
- 201322779349100207
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Depreciation Schedule
- General Explanation Attachment
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
- Transfers Frm Controlled Entities
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-04T14:26:52-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042887211 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATZ NANNIS SOLOMON PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 FIRST AVENUE SUITE 101 | AddressLine1 |
| City | NEEDHAM | City |
| State | MA | State |
| ZIP Code | 024942805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201913059 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASSACHUSETTS EHEALTH COLLABORATIVE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MASS | NameControl |
| Phone | 7814347908 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 WINTER STREET | AddressLine1 |
| City | WALTHAM | City |
| State | MA | State |
| ZIP Code | 02451 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SUHAS TRIPATHI | Name |
| Title | CEO | Title |
| Phone | 7814347908 | Phone |
| Date Signed | 2013-09-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY D SOLOMON CPA CVA | Name |
| PTIN | P00039505 | PTIN |
| Phone | 7814538700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 1621903 | FMVAssetsEOY |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 34 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 34 | InterestOnSavingsNetInvstIncm |
| Interest On Savings Adj Net Incm | 34 | InterestOnSavingsAdjNetIncm |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Net STCG Adj Net Incm | 0 | NetSTCGAdjNetIncm |
| Other Income Rev And Expnss | 5460265 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 0 | OtherIncomeNetInvstIncm |
| Other Income Adj Net Incm | 5460265 | OtherIncomeAdjNetIncm |
| Total Revenue And Expenses | 5460299 | TotalRevenueAndExpenses |
| Total Net Investment Income | 34 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 5460299 | TotalAdjustedNetIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 545882 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Adj Net Incm | 0 | CompOfcrDirTrstAdjNetIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 545882 | CompOfcrDirTrstDsbrsChrtblPrps |
| Oth Empl Slrs Wgs Rev And Expnss | 2849559 | OthEmplSlrsWgsRevAndExpnss |
| Oth Empl Slrs Wgs Net Invst Incm | 0 | OthEmplSlrsWgsNetInvstIncm |
| Oth Empl Slrs Wgs Adj Net Incm | 1410926 | OthEmplSlrsWgsAdjNetIncm |
| Oth Empl Slrs Wgs Dsbrs Chrtbl Prps | 1438633 | OthEmplSlrsWgsDsbrsChrtblPrps |
| Pension Empl Bnft Rev And Expnss | 541896 | PensionEmplBnftRevAndExpnss |
| Pension Empl Bnft Net Invst Incm | 0 | PensionEmplBnftNetInvstIncm |
| Pension Empl Bnft Adj Net Incm | 386555 | PensionEmplBnftAdjNetIncm |
| Pension Empl Bnft Dsbrs Chrtbl Prps | 155341 | PensionEmplBnftDsbrsChrtblPrps |
| Legal Fees Rev And Expnss | 75172 | LegalFeesRevAndExpnss |
| Legal Fees Net Invst Incm | 0 | LegalFeesNetInvstIncm |
| Legal Fees Adj Net Incm | 0 | LegalFeesAdjNetIncm |
| Legal Fees Dsbrs Chrtbl Prps | 75172 | LegalFeesDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 83444 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 0 | AccountingFeesNetInvstIncm |
| Accounting Fees Adj Net Incm | 0 | AccountingFeesAdjNetIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 74027 | AccountingFeesDsbrsChrtblPrps |
| Other Prof Fees Rev And Expnss | 762194 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 0 | OtherProfFeesNetInvstIncm |
| Other Prof Fees Adj Net Incm | 0 | OtherProfFeesAdjNetIncm |
| Other Prof Fees Dsbrs Chrtbl Prps | 703401 | OtherProfFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 246771 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 0 | TaxesNetInvstIncm |
| Taxes Adj Net Incm | 135294 | TaxesAdjNetIncm |
| Taxes Dsbrs Chrtbl Prps | 111477 | TaxesDsbrsChrtblPrps |
| Deprec And Depletion Rev And Expnss | 41890 | DeprecAndDepletionRevAndExpnss |
| Deprec And Depletion Net Invst Incm | 0 | DeprecAndDepletionNetInvstIncm |
| Deprec And Depletion Adj Net Incm | 16916 | DeprecAndDepletionAdjNetIncm |
| Occupancy Rev And Expnss | 31696 | OccupancyRevAndExpnss |
| Occupancy Net Invst Incm | 0 | OccupancyNetInvstIncm |
| Occupancy Adj Net Incm | 0 | OccupancyAdjNetIncm |
| Occupancy Dsbrs Chrtbl Prps | 31954 | OccupancyDsbrsChrtblPrps |
| Trav Conf Meeting Rev And Expnss | 125956 | TravConfMeetingRevAndExpnss |
| Trav Conf Meeting Net Invst Incm | 0 | TravConfMeetingNetInvstIncm |
| Trav Conf Meeting Adj Net Incm | 0 | TravConfMeetingAdjNetIncm |
| Trav Conf Meeting Dsbrs Chrtbl Prps | 123868 | TravConfMeetingDsbrsChrtblPrps |
| Printing And Pub Rev And Expnss | 1357 | PrintingAndPubRevAndExpnss |
| Printing And Pub Net Invst Incm | 0 | PrintingAndPubNetInvstIncm |
| Printing And Pub Adj Net Incm | 0 | PrintingAndPubAdjNetIncm |
| Printing And Pub Dsbrs Chrtbl Prps | 1357 | PrintingAndPubDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 711335 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 0 | OtherExpensesNetInvstIncm |
| Other Expenses Adj Net Incm | 80532 | OtherExpensesAdjNetIncm |
| Other Expenses Dsbrs Chrtbl Prps | 525925 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 6017152 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 0 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Adj Net Incm | 2030223 | TotOprExpensesAdjNetIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 3787037 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 0 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 0 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 6017152 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 0 | TotalExpensesNetInvstIncm |
| Total Expenses Adj Net Incm | 2030223 | TotalExpensesAdjNetIncm |
| Total Expenses Dsbrs Chrtbl Prps | 3787037 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -556853 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 34 | NetInvestmentIncome |
| Adjusted Net Income | 3430076 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | 470587 | CashBOY |
| Cash EOY | 365726 | CashEOY |
| Cash EOYFMV | 365726 | CashEOYFMV |
| Accounts Receivable | 666713 | AccountsReceivable |
| Accounts Receivable BOY | 1183053 | AccountsReceivableBOY |
| Accounts Receivable EOY | 666713 | AccountsReceivableEOY |
| Accounts Receivable EOYFMV | 666713 | AccountsReceivableEOYFMV |
| Prepaid Expenses BOY | 92900 | PrepaidExpensesBOY |
| Prepaid Expenses EOY | 89452 | PrepaidExpensesEOY |
| Prepaid Expenses EOYFMV | 89452 | PrepaidExpensesEOYFMV |
| Investments Other BOY | 325439 | InvestmentsOtherBOY |
| Investments Other EOY | 325439 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 325439 | InvestmentsOtherEOYFMV |
| Land Building And Equipment Basis | 250933 | LandBuildingAndEquipmentBasis |
| Accum Deprec Land Bldg And Equip | 214873 | AccumDeprecLandBldgAndEquip |
| Land Building And Equipment BOY | 53906 | LandBuildingAndEquipmentBOY |
| Land Building And Equipment EOY | 36060 | LandBuildingAndEquipmentEOY |
| Land Building And Equipment EOYFMV | 36060 | LandBuildingAndEquipmentEOYFMV |
| Other Assets BOY | 138513 | OtherAssetsBOY |
| Other Assets EOY | 138513 | OtherAssetsEOY |
| Other Assets EOYFMV | 138513 | OtherAssetsEOYFMV |
| Total Assets BOY | 2264398 | TotalAssetsBOY |
| Total Assets EOY | 1621903 | TotalAssetsEOY |
| Total Assets EOYFMV | 1621903 | TotalAssetsEOYFMV |
| Accounts Payable BOY | 1422299 | AccountsPayableBOY |
| Accounts Payable EOY | 1336657 | AccountsPayableEOY |
| Total Liabilities BOY | 1422299 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1336657 | TotalLiabilitiesEOY |
| Org That Follow SFAS117 | X | OrgThatFollowSFAS117 |
| Unrestricted BOY | 842099 | UnrestrictedBOY |
| Unrestricted EOY | 285246 | UnrestrictedEOY |
| Total Net Assets BOY | 842099 | TotalNetAssetsBOY |
| Total Net Assets EOY | 285246 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 2264398 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 1621903 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 842099 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -556853 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 285246 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 285246 | TotalNetAssetsFundBalancesEOY |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 5590416 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1964724 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 2.845395 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 3001785 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 1620273 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 1.852641 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 3030023 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 2922225 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 1.036889 | DistributionRatioYear3 |
| Total Distribution Ratio | 5.734925 | TotalDistributionRatio |
| Average Distribution Ratio | 1.911642 | AverageDistributionRatio |
| Net Noncharitable Assets | 1634050 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 3123719 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 0 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 3123719 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 3787037 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 0 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 0 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 0 | TaxBasedOnInvestmentIncome |
| Total Credits And Payments | 0 | TotalCreditsAndPayments |
| Tax Due | 0 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | MA | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 1 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 1 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | WWW.MAEHC.ORG | WebsiteAddress |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTOPHER MATARAZZO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 7814347908 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 WINTER STREET | AddressLine1 |
| City | WALTHAM | City |
| State | MA | State |
| ZIP Code | 02451 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 1 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Acts Fail To Qualify As Exceptions | 0 | ActsFailToQualifyAsExceptions |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| SUHAS TRIPATHI | ||||||||
| 860 WINTER STREET | WALTHAM | MA | 02451 | PRESIDENT & CEO | 40.00 | 327770 | 35745 | 0 |
| CHRISTOPHER MATARAZZO | ||||||||
| 860 WINTER STREET | WALTHAM | MA | 02451 | VP OF OPERATIONS | 40.00 | 218112 | 30117 | 0 |
Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl (5 entries)
| NameName | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Average Hours Per WeekAverageHoursPerWeek | CompensationCompensation | Employee BenefitsEmployeeBenefits | Expense AccountExpenseAccount |
|---|---|---|---|---|---|---|---|---|---|
| JEFFREY LOUGHLIN | 860 WINTER STREET | WALTHAM | MA | 02451 | SENIOR PILOT EXECUTI | 40.00 | 164829 | 27607 | 0 |
| MARK BELANGER | 860 WINTER STREET | WALTHAM | MA | 02451 | PRACTICE CONSULTANT | 40.00 | 163957 | 27612 | 0 |
| DAVID DELANO | 860 WINTER STREET | WALTHAM | MA | 02451 | PRACTICE CONSULTANT | 40.00 | 158049 | 25310 | 0 |
| JAMES BUSH | 860 WINTER STREET | WALTHAM | MA | 02451 | PRACTICE CONSULTANT | 40.00 | 156904 | 25712 | 0 |
| KEVIN MULLEN | 860 WINTER STREET | WALTHAM | MA | 02451 | PRACTICE CONSULTANT | 40.00 | 145864 | 28109 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Number Of Oth Empl Paid Over50k | 20 | TotNumberOfOthEmplPaidOver50k |
Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Type Of ServiceTypeOfService | CompensationCompensation |
|---|---|---|---|---|---|
| NEW HAMPSHIRE REC SUB | |||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | CONTRACT LABOR | 883900 |
| GENNIUS INC | |||||
| 204 SECOND AVE | WALTHAM | MA | 02451 | QUALITY DATA CENTER DEVELOPMENT & MAINTENANCE | 140000 |
| BRIGHAM AND WOMEN'S HOSPITAL | |||||
| PO BOX 3887 | BOSTON | MA | 02241 | EVALUATION SERVICES | 126750 |
| ARIA MARKETING INC | |||||
| ONE GATEWAY CENTER SUITE 601 | NEWTON | MA | 02458 | MARKETING FIRM | 77520 |
| THE BRIGHTON COMPANY | |||||
| 111 SOUTH BEDFORD STREET SUITE 108 | BURLINGTON | MA | 01803 | ACCOUNTING | 74276 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Number Of Cntrct Paid Over50k | 1 | TotNumberOfCntrctPaidOver50k |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | GREATER BROCKTON, GREATER NEWBURYPORT AND NORTHERN BERKSHIRE ARE THE THREE COMMUNITIES THAT HAVE BEEN SELECTED FOR THE MASSACHUSETTS EHEALTH COLLABORATIVE (MAEHC) FIRST DEMONSTRATION PROJECT TESTING COMMUNITY-WIDE IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS (EHRS) IN MASSACHUSETTS. | Description1 |
| Expenses1 | 1071039 | Expenses1 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 0 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 402757 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 1256177 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 1658934 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 1658934 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 24884 | CashDeemedCharitable |
| Net Noncharitable Assets | 1634050 | NetNoncharitableAssets |
| Minimum Investment Return | 81703 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | X | Sect4942j3j5FndtnAndFrgnOrg |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 3787037 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 3787037 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 3787037 | AdjQualifyingDistributions |
Private Operating Foundations PrivateOperatingFoundations
| Field | Value | IRS element (for citing) |
|---|---|---|
| Section4942j3 | X | Section4942j3 |
Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 81703 | CurrentYear |
| Year1 | 98236 | Year1 |
| Year2 | 81014 | Year2 |
| Year3 | 146111 | Year3 |
| Total | 407064 | Total |
Percent85 Of Lessor Percent85OfLessor
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 69448 | CurrentYear |
| Year1 | 83501 | Year1 |
| Year2 | 68862 | Year2 |
| Year3 | 124194 | Year3 |
| Total | 346004 | Total |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 3787037 | CurrentYear |
| Year1 | 5590417 | Year1 |
| Year2 | 3001790 | Year2 |
| Year3 | 3030023 | Year3 |
| Total | 15409267 | Total |
Qlfy Distri Not Used Directly QlfyDistriNotUsedDirectly
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 0 | CurrentYear |
| Year1 | 0 | Year1 |
| Year2 | 0 | Year2 |
| Year3 | 0 | Year3 |
| Total | 0 | Total |
Qlfy Distri Made Directly QlfyDistriMadeDirectly
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 3787037 | CurrentYear |
| Year1 | 5590417 | Year1 |
| Year2 | 3001790 | Year2 |
| Year3 | 3030023 | Year3 |
| Total | 15409267 | Total |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 1621905 | CurrentYear |
| Year1 | 2224599 | Year1 |
| Year2 | 1467650 | Year2 |
| Year3 | 1849304 | Year3 |
| Total | 7163458 | Total |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3Bi
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | 1621905 | CurrentYear |
| Year1 | 2224599 | Year1 |
| Year2 | 1467650 | Year2 |
| Year3 | 1849304 | Year3 |
| Total | 7163458 | Total |
Two Thirds Min Invst Return TwoThirdsMinInvstReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support TotalSupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Public Support PublicSupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Largest Support From EO LargestSupportFromEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Gross Investment Income GrossInvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
| Tot Grant Or Contri Paid During Year | 0 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Program Service Revenue Part VII ProgramServiceRevenuePartVII (3 entries)
| DescriptionDescription | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|
| COSTS & FEES BILLED TO SUBSIDIARY | 1633375 |
| HONORARIUM INCOME | 1108 |
| CONSULTING INCOME | 3825782 |
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $34 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $34 | ExclusionAmount |
| Related Or Exempt Function Income | 5460265 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 5460299 | TotalPartXVIA |
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 1 | LineNumber |
| Relationship Statement | EXPENSES DIRECTLY RELATED TO THE PILOT PROGRAMS | RelationshipStatement |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | Category |
| Amount | $83,444 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 74027 | DisbursementsCharitablePrps |
Depreciation Schedule DepreciationSchedule
Depreciation Depreciation (28 entries)
| Description Of PropertyDescriptionOfProperty | Date AcquiredDateAcquired | Cost Or Other BasisCostOrOtherBasis | Prior Years DepreciationPriorYearsDepreciation | Computation MethodComputationMethod | LifeLife | Current Year ExpenseCurrentYearExpense | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|---|---|---|---|---|---|
| QUALITY DATA WAREHOUSE HARDWARE AND SOFTWARE | 2004-10-26 | 18193 | 3639 | SL | 5.000000000000 | 0 | 0 | 0 |
| COMPUTERS | 2004-10-26 | 78071 | 63512 | SL | 5.000000000000 | 0 | 0 | 0 |
| SOFTWARE | 2004-10-26 | 66407 | 66407 | SL | 5.000000000000 | 0 | 0 | 0 |
| FURNITURE AND FIXTURES | 2010-01-06 | 1082 | 432 | SL | 5.000000000000 | 216 | 0 | 216 |
| FURNITURE AND FIXTURES | 2010-02-12 | 1214 | 466 | SL | 5.000000000000 | 243 | 0 | 243 |
| HP ELITEBOOK | 2010-02-08 | 3114 | 1194 | SL | 5.000000000000 | 623 | 0 | 623 |
| 2 LIFEBOOKS | 2010-05-27 | 4368 | 1384 | SL | 5.000000000000 | 874 | 0 | 874 |
| LIFEBOOK | 2010-07-26 | 2005 | 568 | SL | 5.000000000000 | 401 | 0 | 401 |
| LIFEBOOK | 2010-09-13 | 1999 | 533 | SL | 5.000000000000 | 400 | 0 | 400 |
| 2 LIFEBOOKS | 2010-09-23 | 4342 | 1085 | SL | 5.000000000000 | 868 | 0 | 868 |
| POWER ADAPTER | 2010-10-12 | 188 | 47 | SL | 5.000000000000 | 38 | 0 | 38 |
| LAPTOP SYS | 2010-10-15 | 3663 | 916 | SL | 5.000000000000 | 733 | 0 | 733 |
| LIFEBOOK | 2010-11-29 | 2438 | 529 | SL | 5.000000000000 | 488 | 0 | 488 |
| KEYBOARD AND MOUSE, POWER ADAPTER | 2010-10-26 | 1605 | 375 | SL | 5.000000000000 | 321 | 0 | 321 |
| HP COMPAQ COMPUTER | 2010-10-26 | 1276 | 298 | SL | 5.000000000000 | 255 | 0 | 255 |
| LIFEBOOK | 2010-11-29 | 4805 | 1041 | SL | 5.000000000000 | 961 | 0 | 961 |
| PROJECTOR | 2010-12-03 | 1325 | 287 | SL | 5.000000000000 | 265 | 0 | 265 |
| QDC HARDWARE AND RELATED | 2010-01-11 | 2742 | 1096 | SL | 5.000000000000 | 548 | 0 | 548 |
| QDC HARDWARE AND RELATED | 2010-03-09 | 5000 | 1833 | SL | 5.000000000000 | 1000 | 0 | 1000 |
| UPGRADES TO QDC INFRASTRUCTURE | 2011-08-11 | 7944 | 662 | SL | 5.000000000000 | 1589 | 0 | 1589 |
| HP PRO 3000 AND MONITOR | 2011-02-16 | 833 | 139 | SL | 5.000000000000 | 167 | 0 | 167 |
| COMPUTER AND HARDWARE | 2011-03-30 | 1619 | 243 | SL | 5.000000000000 | 324 | 0 | 324 |
| 2 LIFEBOOKS | 2011-05-24 | 3532 | 412 | SL | 5.000000000000 | 706 | 0 | 706 |
| CAMERA | 2011-03-07 | 1368 | 228 | SL | 5.000000000000 | 274 | 0 | 274 |
| EHRRI ACQUIRED EQUIPMENT | 2011-08-01 | 7759 | 647 | SL | 5.000000000000 | 1552 | 0 | 1552 |
| SOFTWARE | 2012-01-09 | 16053 | SL | 5.000000000000 | 3211 | 0 | 3211 | |
| COMPUTER EQUIPMENT | 2012-05-30 | 3618 | SL | 5.000000000000 | 422 | 0 | 422 | |
| QDC HARDWARE AND RELATED | 2012-06-30 | 4370 | SL | 5.000000000000 | 437 | 0 | 437 |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | REJECTED 2ND EXTENSION | Identifier |
| Return Reference | FORM 8868 PART II ADDITIONAL 3-MONTH EXTENSION OF TIME | ReturnReference |
| Explanation | THE FORM 8868 FILED FOR THE SECOND EXTENSION MISTAKENLY OMITTED THE EXPLANATION REQUIRED ON LINE 7. THIS FORM WAS FILED BY THE ACCOUNTANT ON BEHALF OF THE TAXPAYER, AND ANY OMISSION WAS DUE TO THE ACCOUNTANT'S ERROR. THE SECOND EXTENSION WAS REQUESTED BECAUSE THE AUDIT OF THE TAXPAYER'S FINANCIAL STATEMENTS WAS NOT COMPLETE AS OF AUGUST 15, 2013, AND ADDITIONAL TIME WAS NEEDED IN ORDER TO FILE A COMPLETE AND ACCURATE RETURN. | Explanation |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENT IN SUBSIDIARY | CategoryOrItem |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMV |
| Book Value | 325439 | BookValue |
| EOYFMV | 325439 | EOYFMV |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtc (28 entries)
| Category Or ItemCategoryOrItem | Cost Or Other BasisCostOrOtherBasis | Accumulated DepreciationAccumulatedDepreciation | Book ValueBookValue |
|---|---|---|---|
| QUALITY DATA WAREHOUSE HARDWARE AND SOFTWARE | 18193 | 3639 | 14554 |
| COMPUTERS | 78071 | 63512 | 14559 |
| SOFTWARE | 66407 | 66407 | 0 |
| FURNITURE AND FIXTURES | 1082 | 648 | 434 |
| FURNITURE AND FIXTURES | 1214 | 709 | 505 |
| HP ELITEBOOK | 3114 | 1817 | 1297 |
| 2 LIFEBOOKS | 4368 | 2258 | 2110 |
| LIFEBOOK | 2005 | 969 | 1036 |
| LIFEBOOK | 1999 | 933 | 1066 |
| 2 LIFEBOOKS | 4342 | 1953 | 2389 |
| POWER ADAPTER | 188 | 85 | 103 |
| LAPTOP SYS | 3663 | 1649 | 2014 |
| LIFEBOOK | 2438 | 1017 | 1421 |
| KEYBOARD AND MOUSE, POWER ADAPTER | 1605 | 696 | 909 |
| HP COMPAQ COMPUTER | 1276 | 553 | 723 |
| LIFEBOOK | 4805 | 2002 | 2803 |
| PROJECTOR | 1325 | 552 | 773 |
| QDC HARDWARE AND RELATED | 2742 | 1644 | 1098 |
| QDC HARDWARE AND RELATED | 5000 | 2833 | 2167 |
| UPGRADES TO QDC INFRASTRUCTURE | 7944 | 2251 | 5693 |
| HP PRO 3000 AND MONITOR | 833 | 306 | 527 |
| COMPUTER AND HARDWARE | 1619 | 567 | 1052 |
| 2 LIFEBOOKS | 3532 | 1118 | 2414 |
| CAMERA | 1368 | 502 | 866 |
| EHRRI ACQUIRED EQUIPMENT | 7759 | 2199 | 5560 |
| SOFTWARE | 16053 | 3211 | 12842 |
| COMPUTER EQUIPMENT | 3618 | 422 | 3196 |
| QDC HARDWARE AND RELATED | 4370 | 437 | 3933 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | Category |
| Amount | $75,172 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 75172 | DisbursementsCharitablePrps |
Other Assets Schedule OtherAssetsSchedule
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEPOSITS | Description |
| BOY Book Value | 138513 | BOYBookValue |
| EOY Book Value | 138513 | EOYBookValue |
| EOYFMV | 138513 | EOYFMV |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (12 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| OVERHEAD | 0 | 0 | 80532 | -80532 |
| PAYROLL PROCESSING FEES | 39838 | 0 | 0 | 39838 |
| INSURANCE | 36946 | 0 | 0 | 36946 |
| TELECOMMUNICATIONS | 86986 | 0 | 0 | 89675 |
| DUES & SUBSCRIPTIONS | 5150 | 0 | 0 | 5150 |
| LICENSES | 16072 | 0 | 0 | 16072 |
| POSTAGE AND SHIPPING | 702 | 0 | 0 | 599 |
| OFFICE SUPPLIES | 11484 | 0 | 0 | 10770 |
| EVALUATION EXPENSE | 126750 | 0 | 0 | 0 |
| RECRUITING | 728 | 0 | 0 | 728 |
| SOFTWARE SUPPORT & MAINTENANCE | 385596 | 0 | 0 | 405596 |
| UTILITIES | 1083 | 0 | 0 | 1083 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome (3 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Adjusted Net IncomeAdjustedNetIncome |
|---|---|---|
| COSTS & FEES BILLED TO SUBSIDIARY | 1633375 | 1633375 |
| HONORARIUM INCOME | 1108 | 1108 |
| CONSULTING INCOME | 3825782 | 3825782 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL CONSULTING | Category |
| Amount | $762,194 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 703401 | DisbursementsCharitablePrps |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PAYROLL TAX | Category |
| Amount | $246,771 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 135294 | AdjustedNetIncome |
| Disbursements Charitable Prps | 111477 | DisbursementsCharitablePrps |
Transfers Frm Controlled Entities TransfersFrmControlledEntities
From Controlled Entity FromControlledEntity
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASSACHUSETTS E-HEALTH COLLABORATIVE PROFESSIONAL SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 WINTER STREET | AddressLine1 |
| City | WALTHAM | City |
| State | MA | State |
| ZIP Code | 02451 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800326294 | EIN |
| Description | PAYMENTS FOR SERVICES PROVIDED BY THE ORGANIZATION TO THE SUBSIDIARY | Description |
| Amount | $1,885,176 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1885176 | Total |