2017-02-06T18:45:39-06:00 2016-06-30 371335003 Eck Schafer & Punke LLP 227 South Seventh Street Springfield IL 62701 990 2015-07-01 364345660 CQuest America Inc CQUE 2175417460 500 South 9th Street Springfield IL 62701 H Kevin Davis President & CEO 2175417460 2017-02-01 1 Brent Leach P00331592 2175251111 2017-02-01 2015 2021-01-29 14:40:06Z H Kevin Davis 500 South 9th Street Springfield IL 62701 8463975 0 X www.cquest.us X 1999 IL CQuest is a unique not-for-profit organization, dedicated to delivering information technology and services for health care, human services, and education customers. Through its Foundation, CQuest supports the delivery of quality health care to the medically underserved. 9 8 54 9 0 0 0 0 8427135 8196750 551 921 252726 266304 8680412 8463975 456000 410000 0 0 3830871 3772559 0 0 0 4056268 4061637 8343139 8244196 337273 219779 1944439 2673231 667071 1176084 1277368 1497147 X CQuest is a unique not-for-profit organization, dedicated to delivering information technology and services for health care, human services, and education customers. Through its Foundation, CQuest supports the delivery of quality health care to the medically underserved. 0 0 3993459 4858276 WIC System Development and Support. CQuest provides system operations and maintenance services for the WIC programs in the states of Kansas and New Hampshire as well as in the Inter Tribal Council of Arizona. In addition, CQuest develops WIC system features/upgrades that improve the functionality of the system for these clients. In August 2015, CQuest begain transferring and implementing a new WIC MIS system for the State of Hawaii. Finally, CQuest hosts the WIC systems for the State of Kansas, State of New Hampshire, and State of Hawaii. The clients utilize this system to provide services to patients enrolled in their respective WIC programs. 2211652 3260942 Early Intervention/Centralized Billing Services Unit generates vouchers and payment records for claims on Illinois Early Intervention services. Illinois Early Intervention program is a statewide program administered by the Illinois Department of Human Services that provides early intervention services to children under 3 years of age who have developmental delays or disabilities. The Centralized Billing Services Unit also generates and processes recoupment payments to Medicaid, manages Family Participation Fees, and prints and distributes invoices, statements and reports to all the Early Intervention program stakeholders. From July 1, 2015 thru June 30, 2016, the Centralized Billing Services Unit processed approximately 1.3 million claims totaling over $100 million. There are over 5,000 service providers delivering early intervention services to more than 20,000 children across the state of Illinois at any given time. 25927 77532 CQuest supports and hosts a grants management system, known as Catalyst, for various programs within Kentucky's Department of Public Health. 410000 410000 This program relates to an annual contribution / grant to the Illinois Community Health Foundation, Inc. (Foundation) to help fulfill its mission, which is in alignment with CQuest's mission. The Foundation mission is listed in Schedule I, Part IV. 410000 410000 6641038 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 54 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Adam A Bruns CFO 2175417405 500 South 9th Street Springfield IL 62701 Bruce Johnson Board Chair 10.00 X X 0 0 0 Robert Klutts Vice-Chair 2.00 X X 0 0 0 Berneice Mills-Thomas Secretary 2.00 X X 0 0 0 Kim Mitroka Treasurer 2.00 X X 0 0 0 Dan Vicencio Director 2.00 X 0 0 0 Henry Taylor Director 2.00 X 0 0 0 Virgil Tolbert Director 2.00 X 0 0 0 James Nelson Director 2.00 X 0 0 0 Denise Rice Director 2.00 X 0 0 0 Kevin Davis President & CEO 40.00 X X 217821 0 33350 Adam Bruns CFO 40.00 X 141083 0 24147 Brian Rogers VP of Product Development 40.00 X 110068 0 11495 William Roth Sr. Dir. of System Development & Software Support 40.00 X 113297 0 7616 582269 0 76608 4 0 1 0 Ken Stanton Consulting 5010 Brassfield Drive SE Olympia WA 98501 IT Consulting Services 165437 PTSO of Washington 2101 Fourth Avenue Suite 850 Seattle WA 98121 IT Consulting Services 161500 Law Offices of Robert M Birndorf 225 W Washington St Ste 1600 Chicago IL 60606 Legal Services 110604 Capitol Strategies Consulting 2413 Heather Mills Court Springfield IL 62704 IT Consulting Services 108743 4 WIC System Dev. and Su 541519 4858276 4858276 Early Intervention/CBO 518210 3260942 3260942 Catalyst Grants Mgmt S 541519 77532 77532 8196750 921 921 Leased Employees 561000 262527 262527 Miscellaneous 900099 3777 3777 266304 8463975 8196750 0 267225 410000 410000 438051 276563 161488 2658849 2139432 519417 50622 37027 13595 370059 305961 64098 254978 202945 52033 132793 2925 129868 53511 43532 9979 26098 21481 4617 72799 64087 8712 829554 635272 194282 204072 89356 114716 14674 5274 9400 5228 3946 1282 136323 117923 18400 33047 25359 7688 Other Professional Serv 1879557 1665920 213637 Printing & Postage 263147 260515 2632 Equipment Maintenance 203051 184675 18376 Licenses & Fees 169442 147468 21974 38341 1377 36964 8244196 6641038 1603158 0 316876 208903 715508 936340 873328 171787 201669 836905 441313 381925 395592 137511 278231 1944439 2673231 501854 640511 69231 110072 95986 425501 667071 1176084 X 1277368 1497147 1277368 1497147 1944439 2673231 219779 0 X 0 1 X 1 0 10000 10000 10000 1 Community Health PAC Inc 3109 Markwood Lane Springfield IL 62712 463222053 10000 Part I-A, Line 1: Contribution to Community Health PAC 27411 27411 0 787323 391731 395592 22171 22171 0 395592 Unamortized Goodwill from the November 2007 purchase of Starling Systems 137511 Earned Contract Revenue Not Yet Billed 140720 278231 Deferred Rent Obligation 15622 Capital Lease Obligation 31243 Deferred Contract Revenue 378636 425501 X Part X, Line 2: CQuest follows accounting principles generally accepted in the United States of America which sets a minimum threshold for financial statement recognition of the benefit of a tax position taken or expected to be taken in a tax return. Tax positions for the open tax years as of June 30, 2016 were reviewed, and it was determined that no provision for uncertain tax positions is required. 1 Illinois Community Health Foundation Inc 500 South 9th Street Springfield IL 62701 463211226 501(c)(3) 410000 FMV N/A Support delivery of quality health care to the medically underserved. 1 Part I, Line 2: As part of CQuest's mission to suport the delivery of quality heatlh care to the medically underserved, a contribution to the Illinois Community Health Foundation, Inc. (Foundation) is approved by CQuest's Board of Directors during the annual budget process. The Foundation's purpose is to promote the health care welfare of medically underserved communities throughout the State of Illinois by providing funding opportunities to Illinois based state-wide Associations whose members are comprised of at least 90% federally qualified health centers or by providing funding opportunities directly to members of such Illinois based state-wide Associations. X X X X X 0 0 0 0 0 0 0 0 0 Kevin Davis President & CEO 196686 0 0 0 21135 0 19620 0 13730 0 251171 0 0 0 Adam Bruns CFO 135393 0 0 0 5690 0 12196 0 11951 0 165230 0 0 0 Form 990, Part VI, Section A, line 4 Bylaws were updated to reflect a board structure change. Form 990, Part VI, Section B, line 11 CQuest's tax returns are prepared by independent accountants. After completion, review is done by the President & CEO and the CFO. Following review by the President & CEO and the CFO, the returns are distributed to the organization's Board of Directors who are given time to review and comment on the returns. The final step is submission to the Internal Revenue Service. Form 990, Part VI, Section B, line 12c CQuest has a written conflict of interest policy for all of its employees, including the President & CEO. Employees are asked to confirm annually, at the time of their performance review, that they have read the organization's conflict of interest policy. CQuest's Board of Directors also annually disclose if they have interests that could give rise to conflicts. Form 990, Part VI, Section B, line 15 CQuest utilizes an outside independent consultant to assist in establishing its compensation for the President & CEO and CFO. The consultant uses industry data including compensation studies, 990 tax returns of other organizations, and all other applicable sources to determine appropriate compensation levels. Form 990, Part VI, Section C, line 19 CQuest files annual audited financial statements with Dun and Bradstreet, which are available to the public. Form 990's and all applicable schedules are made available to the public upon request. Organizational policies are not made available to the general public. Community Health PAC Inc 3109 Markwood Lane Springfield IL 62712 463222053 PAC-Healthcare IL 527 CQuest America 0 Illinois Community Health Foundation Inc 500 South 9th Street Springfield IL 62701 463211226 To help disadvantaged Illinois communities meet their healthcare needs. IL 501(c)(3) N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 Illinois Community Health Foundation Inc B 410000 Fair Market Value