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MASSACHUSETTS E-HEALTH COLLABORATIVE: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MASSACHUSETTS E-HEALTH COLLABORATIVE (EIN 20-1913059)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-12
IRS object ID
201122559349100407
Schema version
2010v3.4
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)
Timestamp2011-09-12T19:42:15-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-09-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEFFREY D SOLOMON CPA CVAName
Phone7814538700Phone
Date Prepared2011-08-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY1467650FMVAssetsEOY
Method Of Accounting AccrualXMethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss0ContriReceivedRevAndExpnss
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss478InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm478InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm478InterestOnSavingsAdjNetIncm
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Net STCG Adj Net Incm0NetSTCGAdjNetIncm
Other Income Rev And Expnss5064048OtherIncomeRevAndExpnss
Other Income Net Invst Incm0OtherIncomeNetInvstIncm
Other Income Adj Net Incm5064048OtherIncomeAdjNetIncm
Total Revenue And Expenses5064526TotalRevenueAndExpenses
Total Net Investment Income478TotalNetInvestmentIncome
Total Adjusted Net Income5064526TotalAdjustedNetIncome
Comp Ofcr Dir Trst Rev And Expnss635099CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Adj Net Incm0CompOfcrDirTrstAdjNetIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps635099CompOfcrDirTrstDsbrsChrtblPrps
Oth Empl Slrs Wgs Rev And Expnss2939803OthEmplSlrsWgsRevAndExpnss
Oth Empl Slrs Wgs Net Invst Incm0OthEmplSlrsWgsNetInvstIncm
Oth Empl Slrs Wgs Adj Net Incm1774354OthEmplSlrsWgsAdjNetIncm
Oth Empl Slrs Wgs Dsbrs Chrtbl Prps1165449OthEmplSlrsWgsDsbrsChrtblPrps
Pension Empl Bnft Rev And Expnss483910PensionEmplBnftRevAndExpnss
Pension Empl Bnft Net Invst Incm0PensionEmplBnftNetInvstIncm
Pension Empl Bnft Adj Net Incm486124PensionEmplBnftAdjNetIncm
Pension Empl Bnft Dsbrs Chrtbl Prps-2214PensionEmplBnftDsbrsChrtblPrps
Legal Fees Rev And Expnss93867LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Adj Net Incm0LegalFeesAdjNetIncm
Legal Fees Dsbrs Chrtbl Prps93867LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss30276AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Adj Net Incm0AccountingFeesAdjNetIncm
Accounting Fees Dsbrs Chrtbl Prps28934AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss368526OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm0OtherProfFeesNetInvstIncm
Other Prof Fees Adj Net Incm0OtherProfFeesAdjNetIncm
Other Prof Fees Dsbrs Chrtbl Prps347023OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss215427TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Adj Net Incm170144TaxesAdjNetIncm
Taxes Dsbrs Chrtbl Prps45283TaxesDsbrsChrtblPrps
Deprec And Depletion Rev And Expnss27171DeprecAndDepletionRevAndExpnss
Deprec And Depletion Net Invst Incm0DeprecAndDepletionNetInvstIncm
Deprec And Depletion Adj Net Incm27171DeprecAndDepletionAdjNetIncm
Occupancy Rev And Expnss770OccupancyRevAndExpnss
Occupancy Net Invst Incm0OccupancyNetInvstIncm
Occupancy Adj Net Incm0OccupancyAdjNetIncm
Occupancy Dsbrs Chrtbl Prps-4653OccupancyDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss128553TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm0TravConfMeetingNetInvstIncm
Trav Conf Meeting Adj Net Incm0TravConfMeetingAdjNetIncm
Trav Conf Meeting Dsbrs Chrtbl Prps119054TravConfMeetingDsbrsChrtblPrps
Printing And Pub Rev And Expnss2094PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm0PrintingAndPubNetInvstIncm
Printing And Pub Adj Net Incm0PrintingAndPubAdjNetIncm
Printing And Pub Dsbrs Chrtbl Prps1752PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss611149OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Adj Net Incm101276OtherExpensesAdjNetIncm
Other Expenses Dsbrs Chrtbl Prps572196OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss5536645TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Adj Net Incm2559069TotOprExpensesAdjNetIncm
Tot Opr Expenses Dsbrs Chrtbl Prps3001790TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss0ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps0ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss5536645TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Adj Net Incm2559069TotalExpensesAdjNetIncm
Total Expenses Dsbrs Chrtbl Prps3001790TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-472119ExcessOfRevenueOverExpenses
Net Investment Income478NetInvestmentIncome
Adjusted Net Income2505457AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY496405CashBOY
Cash EOY146838CashEOY
Cash EOYFMV146838CashEOYFMV
Accounts Receivable705289AccountsReceivable
Accounts Receivable BOY701255AccountsReceivableBOY
Accounts Receivable EOY705289AccountsReceivableEOY
Accounts Receivable EOYFMV705289AccountsReceivableEOYFMV
Prepaid Expenses BOY135396PrepaidExpensesBOY
Prepaid Expenses EOY85141PrepaidExpensesEOY
Prepaid Expenses EOYFMV85141PrepaidExpensesEOYFMV
Investments Other BOY325439InvestmentsOtherBOY
Investments Other EOY325439InvestmentsOtherEOY
Investments Other EOYFMV325439InvestmentsOtherEOYFMV
Land Building And Equipment Basis203837LandBuildingAndEquipmentBasis
Accum Deprec Land Bldg And Equip137407AccumDeprecLandBldgAndEquip
Land Building And Equipment BOY52434LandBuildingAndEquipmentBOY
Land Building And Equipment EOY66430LandBuildingAndEquipmentEOY
Land Building And Equipment EOYFMV66430LandBuildingAndEquipmentEOYFMV
Other Assets BOY138375OtherAssetsBOY
Other Assets EOY138513OtherAssetsEOY
Other Assets EOYFMV138513OtherAssetsEOYFMV
Total Assets BOY1849304TotalAssetsBOY
Total Assets EOY1467650TotalAssetsEOY
Total Assets EOYFMV1467650TotalAssetsEOYFMV
Accounts Payable BOY703666AccountsPayableBOY
Accounts Payable EOY794131AccountsPayableEOY
Total Liabilities BOY703666TotalLiabilitiesBOY
Total Liabilities EOY794131TotalLiabilitiesEOY
Org That Follow SFAS117XOrgThatFollowSFAS117
Unrestricted BOY1145638UnrestrictedBOY
Unrestricted EOY673519UnrestrictedEOY
Total Net Assets BOY1145638TotalNetAssetsBOY
Total Net Assets EOY673519TotalNetAssetsEOY
Total Liabilities Net Assets BOY1849304TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY1467650TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY1145638TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-472119ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal673519Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY673519TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year13030023QualifyingDistributionsYear1
Noncharitable Assets Year12922225NoncharitableAssetsYear1
Distribution Ratio Year11.036889DistributionRatioYear1
Total Distribution Ratio1.036889TotalDistributionRatio
Average Distribution Ratio1.036889AverageDistributionRatio
Net Noncharitable Assets1620273NetNoncharitableAssets
Adjusted Noncharitable Assets1680043AdjustedNoncharitableAssets
One Percent Net Investment Income5OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One1680048AdjNonchrtblAssetsAndOnePct
Qualifying Distributions3001790QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax5InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal5Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income5TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due5TaxDue

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 & CEO40.00425729292990
CHRISTOPHER MATARAZZO
860 WINTER STREETWALTHAMMA02451VP OF OPERATIONS40.00209370267010

Compensation Of Highest Paid Empl CompensationOfHighestPaidEmpl (5 entries)

NameNameAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAverage Hours Per WeekAverageHoursPerWeekCompensationCompensationEmployee BenefitsEmployeeBenefitsExpense AccountExpenseAccount
JAMES BUSH860 WINTER STREETWALTHAMMA02451PRACTICE CONSULTANT40.00158332227160
BARBARA LUND860 WINTER STREETWALTHAMMA02451SENIOR PILOT EXECUTI40.00158332205470
JEFFREY LOUGHLIN860 WINTER STREETWALTHAMMA02451SENIOR PILOT EXECUTI40.00145621236350
KEVIN MULLEN860 WINTER STREETWALTHAMMA02451PRACTICE CONSULTANT40.00143768248470
NAEL HAFEZ860 WINTER STREETWALTHAMMA02451PRACTICE CONSULTANT40.00147922170220
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
GENNIUS INC
204 SECOND AVEWALTHAMMA02451QUALITY DATA CENTER DEVELOPMENT & MAINTENANCE249000
BRIGHAM AND WOMEN'S HOSPITAL
PO BOX 3887BOSTONMA02241EVALUATION SERVICES126750
EHS - EHEALTH SOLUTIONS
64 ROSNER AVENUENO PROVIDENCERI02904CONTRACTOR118451
MCDERMOTT WILL & EMERY
28 STATE STREETBOSTONMA02109LEGAL105961
MASSACHUSETTS MEDICAL SOCIETY
860 WINTER STREETWALTHAMMA02451RENT100157
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
Expenses1392337Expenses1

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 Balances324135AvgMonthlyCashBalances
FMV All Other Noncharitable Assets1320812FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets1644947TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets1644947AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable24674CashDeemedCharitable
Net Noncharitable Assets1620273NetNoncharitableAssets
Minimum Investment Return81014MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgXSect4942j3j5FndtnAndFrgnOrg

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions3001790ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions3001790QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm5OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions3001785AdjQualifyingDistributions

Private Operating Foundations PrivateOperatingFoundations

FieldValueIRS element (for citing)
Section4942j3XSection4942j3

Lessor Adj Net Incm Min Invst Return LessorAdjNetIncmMinInvstReturn

FieldValueIRS element (for citing)
Current Year81014CurrentYear
Year1146111Year1
Year20Year2
Year30Year3
Total227125Total

Percent85 Of Lessor Percent85OfLessor

FieldValueIRS element (for citing)
Current Year68862CurrentYear
Year1124194Year1
Year20Year2
Year30Year3
Total193056Total

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Current Year3001790CurrentYear
Year13030023Year1
Year20Year2
Year30Year3
Total6031813Total

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 Year3001790CurrentYear
Year13030023Year1
Year20Year2
Year30Year3
Total6031813Total

Total Assets TotalAssets

FieldValueIRS element (for citing)
Current Year1467650CurrentYear
Year11849304Year1
Total3316954Total

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3Bi

FieldValueIRS element (for citing)
Current Year1467650CurrentYear
Year11849304Year1
Total3316954Total

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

FieldValueIRS element (for citing)
DescriptionCOSTS & FEES BILLED TO SUBSIDIARYDescription
Related Or Exempt Function Income5064048RelatedOrExemptFunctionIncome

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$478ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$478ExclusionAmount
Related Or Exempt Function Income5064048RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA5064526TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps (2 entries)

Line NumberLineNumberRelationship StatementRelationshipStatement
1EXPENSES DIRECTLY RELATED TO THE PILOT PROGRAMS
8PILOT PROG EQUIP CAN BE BOUGHT BY PHYSCIANS AT CONCLUSION OF PILOT

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$30,276Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps28934DisbursementsCharitablePrps

Depreciation Schedule DepreciationSchedule

Depreciation Depreciation (20 entries)

Description Of PropertyDescriptionOfPropertyDate AcquiredDateAcquiredCost Or Other BasisCostOrOtherBasisPrior Years DepreciationPriorYearsDepreciationComputation MethodComputationMethodLifeLifeCurrent Year ExpenseCurrentYearExpenseNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncome
PILOT PROGRAM INFRASTRUCTURE2004-10-261391007313910073SL5.000000000000000
QUALITY DATA WAREHOUSE HARDWARE AND SOFTWARE2004-10-2618193SL5.000000000000363903639
COMPUTERS2004-10-267807146551SL5.00000000000016961016961
SOFTWARE2004-10-266640763686SL5.000000000000272102721
FURNITURE AND FIXTURES2010-01-061082SL5.0000000000002160216
FURNITURE AND FIXTURES2010-02-121214SL5.0000000000002230223
HP ELITEBOOK2010-02-083114SL5.0000000000005710571
2 LIFEBOOKS2010-05-274368SL5.0000000000005100510
LIFEBOOK2010-07-262005SL5.0000000000001670167
LIFEBOOK2010-09-131999SL5.0000000000001330133
2 LIFEBOOKS2010-09-234342SL5.0000000000002170217
POWER ADAPTER2010-10-12188SL5.000000000000909
LAPTOP SYS2010-10-153663SL5.0000000000001830183
LIFEBOOK2010-11-292438SL5.00000000000041041
KEYBOARD AND MOUSE, POWER ADAPTER2010-10-261605SL5.00000000000054054
HP COMPAQ COMPUTER2010-10-261276SL5.00000000000043043
LIFEBOOK2010-11-294805SL5.00000000000080080
PROJECTOR2010-12-031325SL5.00000000000022022
QDC HARDWARE AND RELATED2010-01-112742SL5.0000000000005480548
QDC HARDWARE AND RELATED2010-03-095000SL5.0000000000008330833

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 (19 entries)

Category Or ItemCategoryOrItemCost Or Other BasisCostOrOtherBasisAccumulated DepreciationAccumulatedDepreciationBook ValueBookValueEOYFMVEOYFMV
QUALITY DATA WAREHOUSE HARDWARE AND SOFTWARE181933639145540
COMPUTERS7807163512145590
SOFTWARE66407664070
FURNITURE AND FIXTURES10822168660
FURNITURE AND FIXTURES12142239910
HP ELITEBOOK311457125430
2 LIFEBOOKS436851038580
LIFEBOOK200516718380
LIFEBOOK199913318660
2 LIFEBOOKS434221741250
POWER ADAPTER18891790
LAPTOP SYS366318334800
LIFEBOOK24384123970
KEYBOARD AND MOUSE, POWER ADAPTER16055415510
HP COMPAQ COMPUTER12764312330
LIFEBOOK48058047250
PROJECTOR13252213030
QDC HARDWARE AND RELATED274254821940
QDC HARDWARE AND RELATED500083341670

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategory
Amount$93,867Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps93867DisbursementsCharitablePrps

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEPOSITSDescription
BOY Book Value138375BOYBookValue
EOY Book Value138513EOYBookValue
EOYFMV138513EOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (14 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
OVERHEAD00101276-101276
PAYROLL PROCESSING FEES378050037805
INSURANCE314240031424
TELECOMMUNICATIONS994480091088
CONTRACT LABOR1000001000
DUES & SUBSCRIPTIONS5719005719
LICENSES15180900151809
POSTAGE AND SHIPPING95800958
OFFICE SUPPLIES77510011850
EQUIPMENT EXPENSE48300483
EVALUATION EXPENSE16392800230512
HIE SOFTWARE236730023673
RECRUITING267750026775
SOFTWARE SUPPORT & MAINTENANCE603760060376

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

FieldValueIRS element (for citing)
DescriptionCOSTS & FEES BILLED TO SUBSIDIARYDescription
Revenue And Expenses Per Books5064048RevenueAndExpensesPerBooks
Adjusted Net Income5064048AdjustedNetIncome

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategoryPROFESSIONAL CONSULTINGCategory
Amount$368,526Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps347023DisbursementsCharitablePrps

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryPAYROLL TAXCategory
Amount$215,427Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income170144AdjustedNetIncome
Disbursements Charitable Prps45283DisbursementsCharitablePrps

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$3,448,372Amount
FieldValueIRS element (for citing)
Total3448372Total

Transfers To Controlled Entities TransfersToControlledEntities

To Controlled Entity ToControlledEntity

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)
EIN800326298EIN
DescriptionINVESTMENT IN COMMON STOCKDescription
Amount$325,439Amount
FieldValueIRS element (for citing)
Total325439Total