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UNITEDSTATES
SECURITIESANDEXCHANGECOMMISSION
Washington,D.C.20549

FORM N-Q

QUARTERLY SCHEDULE OF PORTFOLIO HOLDINGS OF REGISTERED
MANAGEMENT INVESTMENT COMPANY

Investment Company Act file number 811-07660

Name of Fund: The Massachusetts Health & Education Tax-Exempt Trust (MHE)

Fund Address: 100 Bellevue Parkway, Wilmington, DE 19809

Name and address of agent for service: Anne F. Ackerley, Chief Executive Officer, The
Massachusetts Health & Education Tax-Exempt Trust, 55 East 52nd Street, New York, NY
10055.

Registrant’s telephone number, including area code: (800) 882-0052, Option 4

Date of fiscal year end: 08/31/2010

Date of reporting period: 05/31/2010

Item 1 – Schedule of Investments


Schedule of Investments May 31, 2010 (Unaudited)

The Massachusetts Health & Education Tax-Exempt Trust (MHE)

(Percentages shown are based on Net Assets)

     Par   
Municipal Bonds    (000)  Value 
Massachusetts — 144.4%       
Corporate — 4.7%       
Massachusetts Development Finance     
Agency, RB, Ogden Haverhill Project,     
   Series A, AMT, 6.70%, 12/01/14  $ 410 $  414,453 
Massachusetts Health & Educational       
   Facilities Authority, RB, Cape Cod       
   Healthcare Obligor (AGC), 5.00%,       
   11/15/31    1,000  1,002,970 
    1,417,423
Education — 86.6%       
Massachusetts Development Finance     
   Agency, ERB, Belmont Hill School,       
   5.00%, 9/01/11 (a)    1,100  1,171,863 
Massachusetts Development Finance     
   Agency, RB:       
       Boston University, Series T-1       
       (AMBAC), 5.00%, 10/01/39    1,000  1,005,050 
       College Issue, Series B (Syncora),       
       5.25%, 7/01/33    860  872,186 
       College of Pharmacy & Allied       
       Health, Series D (AGC), 5.00%,       
       7/01/27    500  522,340 
       Educational Facilities, Academy of     
       the Pacific Rim, Series A (ACA),       
       5.13%, 6/01/31    1,000  761,100 
       Smith College, 5.00%, 7/01/35    2,000  2,044,980 
       WGBH Educational Foundation,       
       Series A (AMBAC), 5.75%, 1/01/42  1,100  1,222,738 
       Wheeler School Issue, 6.50%,       
       12/01/29    540  542,452 
Massachusetts Development Finance     
   Agency, Refunding RB:       
       Boston University, Series P, 5.45%,     
       5/15/59    1,500  1,582,395 
       Clark University (Syncora), 5.13%,     
       10/01/35    500  509,430 
       Western New England, Series A,       
       (AGC), 5.00%, 9/01/33    250  252,860 
       Wheelock College, Series C, 5.25%,     
       10/01/37    1,000  937,950 
       Williston Northampton School       
       Project (Syncora), 5.00%, 10/01/25  500  495,740 
       Worcester Polytechnic Institute       
       (NPFGC), 5.00%, 9/01/27    1,985  2,074,504 

     Par   
Municipal Bonds    (000)  Value 
Massachusetts (continued)       
Education (concluded)       
Massachusetts Health & Educational       
   Facilities Authority, RB:       
       Harvard University, Series B, 5.00%,     
       10/01/38  $ 400 $  424,424 
       Harvard University, Series FF,       
       5.13%, 7/15/37    850  869,184 
       Northeastern University, Series R,     
       5.00%, 10/01/33    225  228,668 
       Simmons College, Series F (FGIC),     
       5.00%, 10/01/13 (a)    1,000  1,127,600 
       Springfield College, 5.63%,       
       10/15/40    500  515,210 
       Tufts University, 5.38%, 8/15/38    1,000  1,085,190 
       University of Massachusetts,       
       Series C (NPFGC), 5.13%,       
       10/01/34    230  231,621 
Massachusetts Health & Educational       
   Facilities Authority, Refunding RB:       
       Berklee College of Music, Series A,     
       5.00%, 10/01/37    1,000  1,006,650 
       Boston College, Series N, 5.13%,       
       6/01/37    1,000  1,047,340 
       Harvard University, Series A, 5.50%,     
       11/15/36    100  113,858 
       Tufts University, Series M, 5.50%,     
       2/15/27    1,000  1,196,440 
       Wellesley College, 5.00%, 7/01/33  1,500  1,543,155 
Massachusetts Health & Educational       
Facilities Authority, Wheaton College,     
   Series D, 6.00%, 1/01/18    950  950,076 
Massachusetts State College Building     
   Authority, RB, Series A (AMBAC),       
   5.00%, 5/01/31    1,000  1,039,950 
Massachusetts State College Building     
   Authority, Refunding RB, Series B       
   (Syncora), 5.50%, 5/01/39    825  933,017 
    26,307,971 
Health — 45.4%       
Massachusetts Development Finance     
   Agency, RB:       
       First Mortgage, Edgecombe Project,     
       Series A, 6.75%, 7/01/21    855  870,142 
       First Mortgage, Overlook       
       Communities, Series A, 6.13%,       
       7/01/24    850  754,171 
       Seven Hills Foundation & Affiliates     
       (Radian), 5.00%, 9/01/35    500  416,115 

Portfolio Abbreviations

To simplify the listings of portfolio holdings in the Schedule of Investments, the names and descriptions of many of the securities have been abbreviated
according to the following list:

ACA  American Capital Access Corp.  FGIC  Financial Guaranty Insurance Co. 
AGC  Assured Guaranty Corp.  GO  General Obligation Bonds 
AGM  Assured Guaranty Municipal Corp.  HFA  Housing Finance Agency 
AMBAC  American Municipal Bond Assurance Corp.  HRB  Housing Revenue Bonds 
AMT  Alternative Minimum Tax (subject to)  NPFGC  National Public Finance Guarantee Corp. 
BHAC  Berkshire Hathaway Assurance Corp.  RB  Revenue Bonds 
ERB  Education Revenue Bonds  VRDN  Variable Rate Demand Notes 

THE MASSACHUSETTS HEALTH & EDUCATION TAX-EXEMPT TRUST

MAY 31, 2010

1


Schedule of Investments (continued)

The Massachusetts Health & Education Tax-Exempt Trust (MHE)

(Percentages shown are based on Net Assets)

     Par   
Municipal Bonds    (000)  Value 
Massachusetts (continued)       
Health (concluded)       
Massachusetts Development Finance     
   Agency, Refunding RB:       
       Carleton-Willard Village, 5.63%,       
       12/01/30  $ 500 $  501,605 
       First Mortgage, Brookhaven,       
       Series A (Radian), 5.00%, 3/01/35  1,250  1,059,900 
Massachusetts Health & Educational       
   Facilities Authority, RB:       
       Baystate Medical Center, Series F,     
       5.75%, 7/01/33    1,000  1,011,900 
       Berkshire Health System, Series E,     
       6.25%, 10/01/31    350  354,371 
       Berkshire Health System, Series F     
       (AGC), 5.00%, 10/01/19    1,000  1,042,970 
       Children's Hospital, Series M,       
       5.25%, 12/01/39    600  623,202 
       Children's Hospital, Series M,       
       5.50%, 12/01/39    500  528,815 
       Lahey Clinic Medical Center,       
       Series D, 5.25%, 8/15/37    1,000  1,001,110 
       Milford-Whitinsville Hospital,       
       Series D, 6.35%, 7/15/12 (a)    750  845,040 
       Southcoast Health Obligation,       
       Series D, 5.00%, 7/01/39    500  489,470 
Massachusetts Health & Educational       
   Facilities Authority, Refunding RB:       
       Caregroup, Series E-1, 5.00%,       
       7/01/28    500  490,065 
       Christopher House, Series A,       
       6.88%, 1/01/29    470  461,507 
       Healthcare System, Covenant,       
       6.00%, 1/01/12 (a)    170  186,060 
       Healthcare System, Covenant,       
       6.00%, 1/01/12 (a)    85  93,030 
       Healthcare System, Covenant,       
       6.00%, 7/01/22    630  649,511 
       Healthcare System, Covenant,       
       6.00%, 7/01/31    315  321,010 
       Partners Healthcare System,       
       Series B, 5.25%, 7/01/29    1,000  1,007,750 
       Valley Regional Health System,       
       Series C (AMBAC), 5.75%, 7/01/18  395  392,962 
Massachusetts Industrial Finance       
   Agency, RB, Age Institute of       
   Massachusetts Project, 8.05%,       
   11/01/25    675  675,648 
    13,776,354
Housing — 4.6%       
Massachusetts HFA, Refunding HRB,       
   Series F, AMT, 5.70%, 6/01/40    980  999,169 
Massachusetts HFA, Refunding RB,       
Series 132, AMT, 5.38%, 12/01/27        400  413,068 
      1,412,237 

     Par   
Municipal Bonds    (000)  Value 
Massachusetts (concluded)       
State — 3.1%       
Massachusetts Development Finance     
   Agency, ERB, Middlesex School       
   Project, 5.00%, 9/01/33  $ 400  $ 404,764 
Massachusetts State College Building     
   Authority, RB, Series A, 5.50%,       
   5/01/39    500  541,370 
    946,134 
Total Municipal Bonds in Massachusetts    43,860,119 
Puerto Rico — 10.7%       
State — 5.4%       
Commonwealth of Puerto Rico, GO,       
   Refunding, Public Improvement,       
   Series A-4 (AGM), 5.00%, 7/01/31    575  584,913 
Puerto Rico Sales Tax Financing Corp.,     
   RB, First Sub-Series A, 5.75%,       
   8/01/37    1,000  1,063,650 
    1,648,563  
Utilities — 5.3%       
Puerto Rico Electric Power Authority, RB,     
   Series WW, 5.50%, 7/01/38    1,000  1,024,870 
Puerto Rico Electric Power Authority,       
   Refunding RB, Series VV (BHAC),       
   5.25%, 7/01/25    500  563,010 
    1,587,880 
Total Municipal Bonds in Puerto Rico                                           3,236,443
Total Municipal Bonds – 155.1%                                              47,096,562
Municipal Bonds Transferred to Tender     
Option Bond Trusts (b)       
Massachusetts — 6.9%       
State — 6.9%       
Massachusetts School Building       
   Authority, RB, Series A (AGM), 5.00%,     
8/15/30                                                                  2,010      2,109,974
Total Municipal Bonds Transferred to       
Tender Option Bond Trusts – 6.9%                                              2,109,974
Total Long-Term Investments       
(Cost – $48,369,411)  – 162.0%                                           49,206,536
Short-Term Securities       
Massachusetts — 1.0%       
Massachusetts Health & Educational       
   Facilities Authority, Refunding RB,       
   VRDN, Partners Healthcare System,     
   Series D-1, 0.18%, 6/01/10 (c)    300  300,000 

2

THE MASSACHUSETTS HEALTH & EDUCATION TAX-EXEMPT TRUST

MAY 31, 2010


Schedule of Investments (concluded)

The Massachusetts Health & Education Tax-Exempt Trust (MHE)

(Percentages shown are based on Net Assets)

Short-Term Securities                                         Shares                   Value
Money Market Fund — 0.4%   
CMA Massachusetts Municipal Money   
Fund, 0.00% (d)(e)                                             119,850               $ 119,850
Total Short-Term Securities   
(Cost – $419,850) – 1.4%                                                              419,850 
Total Investments   
(Cost – $48,789,261*) – 163.4%  49,626,386 
Other Assets Less Liabilities – 1.9%  587,246 
Liability for Trust Certificates, Including Interest   
Expense and Fees Payable – (4.4)%  (1,340,570) 
Preferred Shares, at Redemption Value – (60.9)%  (18,501,255) 
Net Assets Applicable to Common Shares – 100.0%   $ 30,371,807 

* The cost and unrealized appreciation (depreciation) of investments as of

May 31, 2010, as computed for federal income tax purposes, were as

Aggregate follows: cost  $ 47,461,011 
Gross unrealized appreciation  $ 1,605,923 
Gross unrealized depreciation  (780,143) 
Net unrealized appreciation  $ 825,780 

(a) US government securities, held in escrow, are used to pay interest on this
security as well as to retire the bond in full at the date indicated, typically
at a premium to par.
(b) Securities represent bonds transferred to a tender option bond trust in
exchange for which the Trust acquired residual interest certificates. These
securities serve as collateral in a financing transaction.
(c) Security may have a maturity of more than one year at time of issuance,
but has variable rate and demand features that qualify it as a short-term
security. The rate shown is as of report date and maturity shown is the
date the principal owed can be recovered through demand.

(d) Investments in companies considered to be an affiliate of the Trust during
the period, for purposes of Section 2(a)(3) of the Investment Company Act
of 1940, as amended, were as follows:

  Shares Held    Shares Held   
  at    at   
  August 31,  Net  May 31,   
Affiliate  2009  Activity  2010  Income 
CMA         
   Massachu-         
 setts         
   Municipal         
   Money         
   Fund  -  119,850  119,850  - 

(e) Represents the current yield as of report date.

• Fair Value Measurements - Various inputs are used in determining the fair

value of investments, which are as follows:

•Level 1 — price quotations in active markets/exchanges for identical
assets and liabilities

•Level 2 — other observable inputs (including, but not limited to: quoted
prices for similar assets or liabilities in markets that are active, quoted
prices for identical or similar assets or liabilities in markets that are not
active, inputs other than quoted prices that are observable for the
assets or liabilities (such as interest rates, yield curves, volatilities,
prepayment speeds, loss severities, credit risks and default rates) or
other market-corroborated inputs)

•Level 3 — unobservable inputs based on the best information available
in the circumstances, to the extent observable inputs are not available
(including the Trust's own assumptions used in determining the fair
value of investments)

The inputs or methodologies used for valuing securities are not necessarily
an indication of the risk associated with investing in those securities. For
information about the Trust's policy regarding valuation of investments and
other significant accounting policies, please refer to the Trust’s most recent
financial statements as contained in its semi-annual report.

The following table summarizes the inputs used as of May 31, 2010 in
determining the fair valuation of the Trust's investments:

Investments in Securities

Valuation Inputs  Level 1  Level 2  Level 3  Total 
Assets:         
Long-Term         
   Investments1                           —   $ 49,206,536           —   $ 49,206,536 
Short-Term         
   Securities  $ 119,850  300,000             419,850 
Total  $ 119,850   $ 49,506,536           —   $ 49,626,386 

1 See above Schedule of Investments for values in each sector.

THE MASSACHUSETTS HEALTH & EDUCATION TAX-EXEMPT TRUST

MAY 31, 2010

3


Item 2 – Controls and Procedures

2(a) – The registrant's principal executive and principal financial officers or persons performing similar
functions have concluded that the registrant's disclosure controls and procedures (as defined in Rule
30a-3(c) under the Investment Company Act of 1940, as amended (the “1940 Act”)) are effective as
of a date within 90 days of the filing of this report based on the evaluation of these controls and
procedures required by Rule 30a-3(b) under the 1940 Act and Rule 13(a)-15(b) under the Securities
Exchange Act of 1934, as amended.

2(b) – There were no changes in the registrant's internal control over financial reporting (as defined in Rule
30a-3(d) under the 1940 Act) that occurred during the registrant's last fiscal quarter that have
materially affected, or are reasonably likely to materially affect, the registrant's internal control over
financial reporting.

Item 3 – Exhibits

Certifications – Attached hereto

Pursuant to the requirements of the Securities Exchange Act of 1934 and the Investment Company
Act of 1940, the registrant has duly caused this report to be signed on its behalf by the undersigned,
thereunto duly authorized.

The Massachusetts Health & Education Tax-Exempt Trust

By: /s/ Anne F. Ackerley
Anne F. Ackerley
Chief Executive Officer of
The Massachusetts Health & Education Tax-Exempt Trust

Date: July 23, 2010

Pursuant to the requirements of the Securities Exchange Act of 1934 and the Investment Company
Act of 1940, this report has been signed below by the following persons on behalf of the registrant
and in the capacities and on the dates indicated.

By: /s/ Anne F. Ackerley
Anne F. Ackerley
Chief Executive Officer (principal executive officer) of
The Massachusetts Health & Education Tax-Exempt Trust

Date: July 23, 2010

By: /s/ Neal J. Andrews
Neal J. Andrews
Chief Financial Officer (principal financial officer) of
The Massachusetts Health & Education Tax-Exempt Trust

Date: July 23, 2010