STRATEGY STUDIO / PUBLIC DATA EXPLORER

MASSACHUSETTS E-HEALTH COLLABORATIVE: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MASSACHUSETTS E-HEALTH COLLABORATIVE (EIN 20-1913059)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-11
IRS object ID
201212559349100111
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-09-11T16:10:14-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042887211EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KATZ NANNIS SOLOMON PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 FIRST AVENUE SUITE 101AddressLine1
CityNEEDHAMCity
StateMAState
ZIP Code024942805ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201913059EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS EHEALTH COLLABORATIVEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMASSNameControl
Phone7814347908Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1
CityWALTHAMCity
StateMAState
ZIP Code02451ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICKY TRIPATHIName
TitleCEOTitle
Phone7814347908Phone
Date Signed2012-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY D SOLOMON CPA CVAName
PTINP00039505PTIN
Phone7814538700Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY2224599FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss106472ContriReceivedRevAndExpnss
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss91InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm91InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm91InterestOnSavingsAdjNetIncm
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm0NetSTCGAdjNetIncm
Other Income Rev And Expnss7671821OtherIncomeRevAndExpnss
Other Income Net Invst Incm0OtherIncomeNetInvstIncm
Other Income Adj Net Incm7671821OtherIncomeAdjNetIncm
Total Revenue And Expenses7778384TotalRevenueAndExpenses
Total Net Investment Income91TotalNetInvestmentIncome
Total Adjusted Net Income7671912TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss743916CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps743916CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Rev And Expnss3061809OthEmplSlrsWgsRevAndExpnss
Oth Empl Slrs Wgs Net Invst Incm0OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Adj Net Incm1410926OthEmplSlrsWgsAdjNetIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps1650883OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Rev And Expnss516123PensionEmplBnftRevAndExpnss
Pension Empl Bnft Net Invst Incm0PensionEmplBnftNetInvstIncm
Pension Empl Bnft Adj Net Incm386555PensionEmplBnftAdjNetIncm
Pension Empl Bnft Dsbrs Chrtbl Prps129568PensionEmplBnftDsbrsChrtblPrps
Legal Fees Rev And Expnss78512LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Adj Net Incm0LegalFeesAdjNetIncm
Legal Fees Dsbrs Chrtbl Prps78512LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss67494AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps70213AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss2024202OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm0OtherProfFeesNetInvstIncm
Other Prof Fees Adj Net Incm0OtherProfFeesAdjNetIncm
Other Prof Fees Dsbrs Chrtbl Prps2034910OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss249542TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Adj Net Incm135294TaxesAdjNetIncm
Taxes Dsbrs Chrtbl Prps114247TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss35579DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Deprec And Depletion Adj Net Incm10565DeprecAndDepletionAdjNetIncm
Occupancy Rev And Expnss17821OccupancyRevAndExpnss
Occupancy Net Invst Incm0OccupancyNetInvstIncm
Occupancy Adj Net Incm0OccupancyAdjNetIncm
Occupancy Dsbrs Chrtbl Prps17276OccupancyDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss169112TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Adj Net Incm0TravConfMeetingAdjNetIncm
Trav Conf Meeting Dsbrs Chrtbl Prps168109TravConfMeetingDsbrsChrtblPrps
Printing And Pub Rev And Expnss1225PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm0PrintingAndPubNetInvstIncm
Printing And Pub Adj Net Incm0PrintingAndPubAdjNetIncm
Printing And Pub Dsbrs Chrtbl Prps1567PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss730536OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm80532OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps581216OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss7695871TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm2023872TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps5590417TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss0ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps0ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss7695871TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm2023872TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps5590417TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses82513ExcessOfRevenueOverExpenses
Net Investment Income91NetInvestmentIncome
Adjusted Net Income5648040AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY146838CashBOY
Cash EOY470587CashEOY
Cash EOYFMV470587CashEOYFMV
Accounts Receivable1143254AccountsReceivable
Accounts Receivable BOY705289AccountsReceivableBOY
Accounts Receivable EOY1143254AccountsReceivableEOY
Accounts Receivable EOYFMV1143254AccountsReceivableEOYFMV
Prepaid Expenses BOY85141PrepaidExpensesBOY
Prepaid Expenses EOY92900PrepaidExpensesEOY
Prepaid Expenses EOYFMV92900PrepaidExpensesEOYFMV
Investments Other BOY325439InvestmentsOtherBOY
Investments Other EOY325439InvestmentsOtherEOY
Investments Other EOYFMV325439InvestmentsOtherEOYFMV
Land Building And Equipment Basis226892LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip172986AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY66430LandBuildingAndEquipmentBOY
Land Building And Equipment EOY53906LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV53906LandBuildingAndEquipmentEOYFMV
Other Assets BOY138513OtherAssetsBOY
Other Assets EOY138513OtherAssetsEOY
Other Assets EOYFMV138513OtherAssetsEOYFMV
Total Assets BOY1467650TotalAssetsBOY
Total Assets EOY2224599TotalAssetsEOY
Total Assets EOYFMV2224599TotalAssetsEOYFMV
Accounts Payable BOY794131AccountsPayableBOY
Accounts Payable EOY1468567AccountsPayableEOY
Total Liabilities BOY794131TotalLiabilitiesBOY
Total Liabilities EOY1468567TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY673519UnrestrictedBOY
Unrestricted EOY756032UnrestrictedEOY
Total Net Assets BOY673519TotalNetAssetsBOY
Total Net Assets EOY756032TotalNetAssetsEOY
Total Liabilities Net Assets BOY1467650TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY2224599TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY673519TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses82513ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal756032Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY756032TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year13001785QualifyingDistributionsYear1
Noncharitable Assets Year11620273NoncharitableAssetsYear1
Distribution Ratio Year11.852641DistributionRatioYear1
Qualifying Distributions Year23030023QualifyingDistributionsYear2
Noncharitable Assets Year22922225NoncharitableAssetsYear2
Distribution Ratio Year21.036889DistributionRatioYear2
Total Distribution Ratio2.889530TotalDistributionRatio
Average Distribution Ratio1.444765AverageDistributionRatio
Net Noncharitable Assets1964724NetNoncharitableAssets
Adjusted Noncharitable Assets2838564AdjustedNoncharitableAssets
One Percent Net Investment Income1OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One2838565AdjNonchrtblAssetsAndOnePct
Qualifying Distributions5590417QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax1InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal1Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income1TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due1TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithMAStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation1PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity1InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressWWW.MAEHC.ORGWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTOPHER MATARAZZOBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number7814347908BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1
CityWALTHAMCity
StateMAState
ZIP Code02451ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person1PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Acts Fail To Qualify As Exceptions0ActsFailToQualifyAsExceptions
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings1BusinessHoldings
Excess Business Holdings0ExcessBusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
SUHAS TRIPATHI
860 WINTER STREETWALTHAMMA02451PRESIDENT & CEO40.00534440370200
CHRISTOPHER MATARAZZO
860 WINTER STREETWALTHAMMA02451VP OF OPERATIONS40.00229476294910

Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl (5 entries)

NameNameAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAverage Hours Per WeekAverageHoursPerWeekCompensationCompensationEmployee BenefitsEmployeeBenefitsExpense AccountExpenseAccount
MARK BELANGER860 WINTER STREETWALTHAMMA02451PRACTICE CONSULTANT40.00168165265580
JEFFREY LOUGHLIN860 WINTER STREETWALTHAMMA02451SENIOR PILOT EXECUTI40.00165228263800
JAMES BUSH860 WINTER STREETWALTHAMMA02451PRACTICE CONSULTANT40.00154098245800
BARBARA LUND860 WINTER STREETWALTHAMMA02451SENIOR PILOT EXECUTI40.00155088226620
NAEL HAFEZ860 WINTER STREETWALTHAMMA02451PRACTICE CONSULTANT40.00147770242140
FieldValueIRS element (for citing)
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k

Compensation Of Hghst Paid Cntrct CompensationOfHghstPaidCntrct (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeType Of ServiceTypeOfServiceCompensationCompensation
NEW HAMPSHIRE REC SUB
ONE MEDICAL CENTER DRIVELEBANONNH03756CONTRACT LABOR1715800
GENNIUS INC
204 SECOND AVEWALTHAMMA02451QUALITY DATA CENTER DEVELOPMENT & MAINTENANCE217000
BRIGHAM AND WOMEN'S HOSPITAL
PO BOX 3887BOSTONMA02241EVALUATION SERVICES126750
ANTERIS SOLUTIONS INC
449 PITTSFIELD ROADLENOXMA01240QUALITY DATA CENTER116456
MCDERMOTT WILL & EMERY
28 STATE STREETBOSTONMA02109LEGAL74820
FieldValueIRS element (for citing)
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1GREATER 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
Expenses11872988Expenses1

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances240632AvgMonthlyCashBalances
FMV All Other Noncharitable Assets1754012FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets1994644TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets1994644AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable29920CashDeemedCharitable
Net Noncharitable Assets1964724NetNoncharitableAssets
Minimum Investment Return98236MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgXSect4942j3j5FndtnAndFrgnOrg

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions5590417ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions5590417QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm1OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions5590416AdjQualifyingDistributions

Private Operating Foundations PrivateOperatingFoundations

FieldValueIRS element (for citing)
Section4942j3XSection4942j3

Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn

FieldValueIRS element (for citing)
Current Year98236CurrentYear
Year181014Year1
Year2146111Year2
Year30Year3
Total325361Total

Percent85 Of Lessor Percent85OfLessor

FieldValueIRS element (for citing)
Current Year83501CurrentYear
Year168862Year1
Year2124194Year2
Year30Year3
Total276557Total

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Current Year5590417CurrentYear
Year13001790Year1
Year23030023Year2
Year30Year3
Total11622230Total

Qlfy Distri Not Used Directly QlfyDistriNotUsedDirectly

FieldValueIRS element (for citing)
Current Year0CurrentYear
Year10Year1
Year20Year2
Year30Year3
Total0Total

Qlfy Distri Made Directly QlfyDistriMadeDirectly

FieldValueIRS element (for citing)
Current Year5590417CurrentYear
Year13001790Year1
Year23030023Year2
Year30Year3
Total11622230Total

Total Assets TotalAssets

FieldValueIRS element (for citing)
Current Year2224599CurrentYear
Year11467650Year1
Year21849304Year2
Total5541553Total

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3Bi

FieldValueIRS element (for citing)
Current Year2224599CurrentYear
Year11467650Year1
Year21849304Year2
Total5541553Total

Two Thirds Min Invst Return TwoThirdsMinInvstReturn

FieldValueIRS element (for citing)
Total0Total

Total Support TotalSupport

FieldValueIRS element (for citing)
Total0Total

Public Support PublicSupport

FieldValueIRS element (for citing)
Total0Total

Largest Support From EO LargestSupportFromEO

FieldValueIRS element (for citing)
Total0Total

Gross Investment Income GrossInvestmentIncome

FieldValueIRS element (for citing)
Total0Total

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected
Tot Grant Or Contri Paid During Year0TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Program Service Revenue Part VII ProgramServiceRevenuePartVII (2 entries)

DescriptionDescriptionRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COSTS & FEES BILLED TO SUBSIDIARY7670574
HONORARIUM INCOME1247

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$91ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$91ExclusionAmount
Related Or Exempt Function Income7671821RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA7671912TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

FieldValueIRS element (for citing)
Line Number1LineNumber
Relationship StatementEXPENSES DIRECTLY RELATED TO THE PILOT PROGRAMSRelationshipStatement

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategory
Amount$67,494Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps70213DisbursementsCharitablePrps

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (25 entries)

Description Of PropertyDescriptionOfPropertyDate AcquiredDateAcquiredCost Or Other BasisCostOrOtherBasisPrior Years DepreciationPriorYearsDepreciationComputation MethodComputationMethodLifeLifeCurrent Year ExpenseCurrentYearExpenseNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncome
QUALITY DATA WAREHOUSE HARDWARE AND SOFTWARE2004-10-26181933639SL5.000000000000000
COMPUTERS2004-10-267807163512SL5.000000000000000
SOFTWARE2004-10-266640766407SL5.000000000000000
FURNITURE AND FIXTURES2010-01-061082216SL5.0000000000002160216
FURNITURE AND FIXTURES2010-02-121214223SL5.0000000000002430243
HP ELITEBOOK2010-02-083114571SL5.0000000000006230623
2 LIFEBOOKS2010-05-274368510SL5.0000000000008740874
LIFEBOOK2010-07-262005167SL5.0000000000004010401
LIFEBOOK2010-09-131999133SL5.0000000000004000400
2 LIFEBOOKS2010-09-234342217SL5.0000000000008680868
POWER ADAPTER2010-10-121889SL5.00000000000038038
LAPTOP SYS2010-10-153663183SL5.0000000000007330733
LIFEBOOK2010-11-29243841SL5.0000000000004880488
KEYBOARD AND MOUSE, POWER ADAPTER2010-10-26160554SL5.0000000000003210321
HP COMPAQ COMPUTER2010-10-26127643SL5.0000000000002550255
LIFEBOOK2010-11-29480580SL5.0000000000009610961
PROJECTOR2010-12-03132522SL5.0000000000002650265
QDC HARDWARE AND RELATED2010-01-112742548SL5.0000000000005480548
QDC HARDWARE AND RELATED2010-03-095000833SL5.000000000000100001000
UPGRADES TO QDC INFRASTRUCTURE2011-08-117944SL5.0000000000006620662
HP PRO 3000 AND MONITOR2011-02-16833SL5.0000000000001390139
COMPUTER AND HARDWARE2011-03-301619SL5.0000000000002430243
2 LIFEBOOKS2011-05-243532SL5.0000000000004120412
CAMERA2011-03-071368SL5.0000000000002280228
EHRRI ACQUIRED EQUIPMENT2011-08-017759SL5.0000000000006470647

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

FieldValueIRS element (for citing)
Category Or ItemINVESTMENT IN SUBSIDIARYCategoryOrItem
Listed At Cost Or FMVAT COSTListedAtCostOrFMV
Book Value325439BookValue
EOYFMV325439EOYFMV

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtc (25 entries)

Category Or ItemCategoryOrItemCost Or Other BasisCostOrOtherBasisAccumulated DepreciationAccumulatedDepreciationBook ValueBookValue
QUALITY DATA WAREHOUSE HARDWARE AND SOFTWARE18193363914554
COMPUTERS780716351214559
SOFTWARE66407664070
FURNITURE AND FIXTURES1082432650
FURNITURE AND FIXTURES1214466748
HP ELITEBOOK311411941920
2 LIFEBOOKS436813842984
LIFEBOOK20055681437
LIFEBOOK19995331466
2 LIFEBOOKS434210853257
POWER ADAPTER18847141
LAPTOP SYS36639162747
LIFEBOOK24385291909
KEYBOARD AND MOUSE, POWER ADAPTER16053751230
HP COMPAQ COMPUTER1276298978
LIFEBOOK480510413764
PROJECTOR13252871038
QDC HARDWARE AND RELATED274210961646
QDC HARDWARE AND RELATED500018333167
UPGRADES TO QDC INFRASTRUCTURE79446627282
HP PRO 3000 AND MONITOR833139694
COMPUTER AND HARDWARE16192431376
2 LIFEBOOKS35324123120
CAMERA13682281140
EHRRI ACQUIRED EQUIPMENT77596477112

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategory
Amount$78,512Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps78512DisbursementsCharitablePrps

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEPOSITSDescription
BOY Book Value138513BOYBookValue
EOY Book Value138513EOYBookValue
EOYFMV138513EOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (12 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
OVERHEAD0080532-80532
PAYROLL PROCESSING FEES449670044967
INSURANCE329330032933
TELECOMMUNICATIONS11211900113115
CONTRACT LABOR1064001064
DUES & SUBSCRIPTIONS5979005979
LICENSES390780039078
POSTAGE AND SHIPPING1425001425
OFFICE SUPPLIES111550011371
EVALUATION EXPENSE25350000253500
RECRUITING1066001066
SOFTWARE SUPPORT & MAINTENANCE22725000157250

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAdjusted Net IncomeAdjustedNetIncome
COSTS & FEES BILLED TO SUBSIDIARY76705747670574
HONORARIUM INCOME12471247

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategoryPROFESSIONAL CONSULTINGCategory
Amount$2,024,202Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps2034910DisbursementsCharitablePrps

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryPAYROLL TAXCategory
Amount$249,542Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income135294AdjustedNetIncome
Disbursements Charitable Prps114247DisbursementsCharitablePrps

Transfers Frm Controlled Entities TransfersFrmControlledEntities

From Controlled Entity FromControlledEntity

Name Name

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS E-HEALTH COLLABORATIVE PROFESSIONAL SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1
CityWALTHAMCity
StateMAState
ZIP Code02451ZIPCode
FieldValueIRS element (for citing)
EIN800326294EIN
DescriptionPAYMENTS FOR SERVICES PROVIDED BY THE ORGANIZATION TO THE SUBSIDIARYDescription
Amount$2,566,214Amount
FieldValueIRS element (for citing)
Total2566214Total