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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: 11/30/2009

Item 1 – Schedule of Investments

The Massachusetts Health & Education Tax-Exempt Trust (MHE)       
Schedule of Investments November 30, 2009 (Unaudited)    (Percentages shown are based on Net Assets) 
            Par   
    Municipal Bonds        (000)       Value 
Massachusetts - 145.6%             
Corporate - 1.4%  Massachusetts Development Finance Agency, RB, Ogden       
    Haverhill Project, Series A, AMT, 6.70%, 12/01/14  $ 410  $ 413,682 
Education - 90.4%  Massachusetts Development Finance Agency, RB, Boston       
    University, Series T-1 (AMBAC), 5.00%, 10/01/39    1,000  955,210 
    Massachusetts Development Finance Agency, RB, College       
    Issue, Series B (Syncora), 5.25%, 7/01/33      860  865,255 
Massachusetts Development Finance Agency, RB, College of
    Pharmacy & Allied Health, Series D (AGC), 5.00%, 7/01/27    500  520,220 
Massachusetts Development Finance Agency, RB, Education,
    Belmont Hill School, 5.00%, 9/01/11 (a)      1,100  1,193,918 
    Massachusetts Development Finance Agency, RB,       
    Educational Facilities, Academy of the Pacific Rim,       
    Series A (ACA), 5.13%, 6/01/31        1,000  719,150 
Massachusetts Development Finance Agency, RB, Pharmacy &
    Allied Health Sciences, 5.75%, 7/01/13 (a)      1,000  1,169,580 
    Massachusetts Development Finance Agency, RB, Smith       
    College, 5.00%, 7/01/35        2,000  2,026,160 
    Massachusetts Development Finance Agency, RB, WGBH       
    Educational Foundation, Series A (AMBAC), 5.75%, 1/01/42    1,100  1,071,664 
    Massachusetts Development Finance Agency, RB, Wheeler       
    School Issue, 6.50%, 12/01/29        540  542,797 
Massachusetts Development Finance Agency, Refunding RB,
    Boston University, Series P, 5.45%, 5/15/59      1,500  1,511,700 
Massachusetts Development Finance Agency, Refunding RB,
    Clark University (Syncora), 5.13%, 10/01/35      500  502,090 
Massachusetts Development Finance Agency, Refunding RB,
    Western New England, Series A (AGC), 5.00%, 9/01/33    250  248,605 
Massachusetts Development Finance Agency, Refunding RB,
    Wheelock College, Series C, 5.25%, 10/01/37      1,000  883,090 
    Massachusetts Development Finance Agency, Refunding       
    RB, Williston Northampton School Project (Syncora),       
    5.00%, 10/01/25        500  484,545 
Massachusetts Development Finance Agency, Refunding RB,
    Worcester Polytechnic Institute (MBIA), 5.00%, 9/01/27    1,985  2,030,953 
Massachusetts Health & Educational Facilities Authority, RB,
    Harvard University, Series B, 5.00%, 10/01/38      400  419,796 
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.  GO  General Obligation     
AGC  Assured Guaranty Corp.  HFA  Housing Finance Agency   
AMBAC  American Municipal Bond Assurance Corp.  HRB  Housing Revenue Bonds   
AMT  Alternative Minimum Tax (subject to)  MBIA  Municipal Bond Investors Assurance (National 
BHAC  Berkshire Hathaway Assurance Corp.    Public Finance Guaranty Corp.)   
FGIC  Financial Guaranty Insurance Co.  RB  Revenue Bonds       
FSA  Financial Security Assurance Inc.  VRDN  Variable Rate Demand Notes   

1

The Massachusetts Health & Education Tax-Exempt Trust (MHE)     
Schedule of Investments November 30, 2009 (Unaudited)  (Percentages shown are based on Net Assets) 
      Par   
  Municipal Bonds    (000)       Value 
Massachusetts Health & Educational Facilities Authority, RB,
  Harvard University, Series FF, 5.13%, 7/15/37  $ 850  $ 867,229 
Massachusetts Health & Educational Facilities Authority, RB,
  Northeastern University, Series R, 5.00%, 10/01/33  225  225,304 
Massachusetts Health & Educational Facilities Authority, RB,
  Simmons College, Series F (FGIC), 5.00%, 10/01/13 (a)  1,000  1,142,840 
Massachusetts Health & Educational Facilities Authority, RB,
  Tufts University, 5.38%, 8/15/38    1,000  1,064,620 
  Massachusetts Health & Educational Facilities Authority,     
  RB, University of Massachusetts, Series C (MBIA),     
  5.13%, 10/01/34    230  231,157 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Berklee College of Music, Series A,     
  5.00%, 10/01/37    1,000  1,001,220 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Boston College, Series N, 5.13%, 6/01/37  1,000  1,012,930 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Harvard University, Series A,     
  5.50%, 11/15/36    100  110,881 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Tufts University, Series M, 5.50%, 2/15/27  1,000  1,193,560 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Wellesley College, 5.00%, 7/01/33  1,500  1,542,525 
  Massachusetts Health & Educational Facilities Authority,     
  Wheaton College, Series D, 6.00%, 1/01/18  1,040  1,022,975 
Massachusetts State College Building Authority, RB, Series A
  (AMBAC), 5.00%, 5/01/31    1,000  1,004,860 
Massachusetts State College Building Authority, Refunding
  RB, Series B (Syncora), 5.50%, 5/01/39    825  887,807 
        26,452,641 
Health - 45.9%  Massachusetts Development Finance Agency, RB, First     
  Mortgage, Edgecombe Project, Series A, 6.75%, 7/01/21  855  864,114 
  Massachusetts Development Finance Agency, RB, First     
  Mortgage, Overlook Communities, Series A, 6.13%, 7/01/24  850  735,964 
Massachusetts Development Finance Agency, RB, Seven Hills
  Foundation & Affiliates (Radian), 5.00%, 9/01/35  500  440,145 
Massachusetts Development Finance Agency, Refunding RB,
  First Mortgage, Brookhaven, Series A (Radian),     
  5.00%, 3/01/35    1,250  1,017,437 
Massachusetts Health & Educational Facilities Authority, RB,
  Baystate Medical Center, Series F, 5.75%, 7/01/33  1,000  1,008,530 
Massachusetts Health & Educational Facilities Authority, RB,
  Berkshire Health System, Series E, 6.25%, 10/01/31  350  352,566 
  Massachusetts Health & Educational Facilities Authority,     
  RB, Berkshire Health System, Series F (AGC),     
  5.00%, 10/01/19    1,000  1,029,390 

2

The Massachusetts Health & Education Tax-Exempt Trust (MHE)     
Schedule of Investments November 30, 2009 (Unaudited)  (Percentages shown are based on Net Assets) 
      Par   
  Municipal Bonds    (000)       Value 
Massachusetts Health & Educational Facilities Authority, RB,
  Children's Hospital, Series M, 5.25%, 12/01/39  $ 500  $ 500,385 
Massachusetts Health & Educational Facilities Authority, RB,
  Children's Hospital, Series M, 5.50%, 12/01/39  500  510,020 
Massachusetts Health & Educational Facilities Authority, RB,
  Lahey Clinic Medical Center, Series D, 5.25%, 8/15/37  1,000  931,030 
  Massachusetts Health & Educational Facilities Authority,     
  RB, Milford-Whitinsville Hospital, Series D,       
  6.35%, 7/15/12 (a)    750  856,687 
Massachusetts Health & Educational Facilities Authority, RB,
  Southcoast Health Obligation, Series D, 5.00%, 7/01/39  1,000  942,600 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Caregroup, Series E-1, 5.00%, 7/01/28  500  473,890 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Christopher House, Series A, 6.88%, 1/01/29  480  429,706 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Healthcare System, Covenant,     
  6.00%, 1/01/12 (a)    255  285,452 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Healthcare System, Covenant,     
  6.00%, 7/01/22    630  651,401 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Healthcare System, Covenant,     
  6.00%, 7/01/31    315  321,357 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Partners Healthcare System, Series B,     
  5.25%, 7/01/29    1,000  1,006,450 
  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, Valley Regional Health System, Series C     
  (AMBAC), 5.75%, 7/01/18    395  388,945 
Massachusetts Industrial Finance Agency, RB, Age Institute of
  Massachusetts Project, 8.05%, 11/01/25    675  675,472 
        13,421,541 
Housing - 4.8%  Massachusetts HFA, Refunding HRB, Series F, AMT,     
  5.70%, 6/01/40    990  988,574 
  Massachusetts HFA, Refunding RB, Series 132, AMT,     
  5.38%, 12/01/27    400  407,036 
        1,395,610 
State - 3.1%  Massachusetts Development Finance Agency, RB, Education,     
  Middlesex School Project, 5.00%, 9/01/33    400  400,920 
  Massachusetts State College Building Authority, RB,     
  Series A, 5.50%, 5/01/39    500  520,100 
        921,020 
  Total Municipal Bonds in Massachusetts      42,604,494 
Puerto Rico - 10.7%         
State - 5.5%  Commonwealth of Puerto Rico, GO, Refunding, Public     
  Improvement, Series A-4 (FSA), 5.00%, 7/01/31  575  576,432 

3

The Massachusetts Health & Education Tax-Exempt Trust (MHE)     
Schedule of Investments November 30, 2009 (Unaudited)  (Percentages shown are based on Net Assets) 
      Par   
  Municipal Bonds    (000)       Value 
Puerto Rico Sales Tax Financing Corp., RB, 1st Sub-Series A,
  5.75%, 8/01/37    $ 1,000  $ 1,011,740 
        1,588,172 
Utilities - 5.2%  Puerto Rico Electric Power Authority, RB, Series WW,     
  5.50%, 7/01/38    1,000  980,180 
Puerto Rico Electric Power Authority, Refunding RB, Series
  VV (BHAC), 5.25%, 7/01/25    500  550,830 
        1,531,010 
  Total Municipal Bonds in Puerto Rico      3,119,182 
  Total Municipal Bonds - 156.3%      45,723,676 
  Municipal Bonds Transferred to       
  Tender Option Bond Trusts (b)       
Massachusetts - 7.2%         
State - 7.2%  Massachusetts School Building Authority, RB,     
  Series A (FSA), 5.00%, 8/15/30    2,010  2,096,548 
  Total Municipal Bonds Transferred to       
  Tender Option Bond Trusts - 7.2%      2,096,548 
  Total Long-Term Investments       
  (Cost - $47,909,226) - 163.5%      47,820,224 
  Short-Term Securities       
Massachusetts - 1.7%  Massachusetts Health & Educational Facilities Authority,     
  Refunding RB, VRDN, Partners Healthcare System,     
  Series D-1, 0.16%, 12/01/09 (c)    500  500,000 
  Total Short-Term Securities       
  (Cost - $500,000) - 1.7%      500,000 
  Total Investments (Cost - $48,409,226*) - 165.2%    48,320,224 
  Other Assets Less Liabilities - 2.7%      774,701 
  Liability for Trust Certificates, Including Interest     
  Expense and Fees Payable - (4.6)%      (1,340,743) 
  Preferred Shares, at Redemption Value - (63.3)%    (18,501,143) 
  Net Assets Applicable to Common Shares - 100.0%    $ 29,253,039 

* The cost and unrealized appreciation (depreciation) of investments as of November 30, 2009, as
computed for federal income tax purposes, were as follows:

Aggregate cost  $ 47,082,507 
Gross unrealized appreciation  $ 1,352,002 
Gross unrealized depreciation  (1,453,880) 
Net unrealized depreciation  $ (101,878) 

(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.

4

The Massachusetts Health & Education Tax-Exempt Trust (MHE)
Schedule of Investments November 30, 2009 (Unaudited)

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

The following table summarizes the inputs used as of November 30, 2009 in determining the fair valuation of
the Trust's investments:

  Investments in 
Valuation Inputs  Securities 
  Assets 
Level 1 - Short-Term Securities  - 
Level 2 - Long-Term Investments1  $ 47,820,224 
                       Short-Term Securities  500,000 
Level 3  - 
Total  $ 48,320,224 

1See above Schedule of Investments for values in each state and political subdivision.

5

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: January 22, 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: January 22, 2010

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

Date: January 22, 2010