2023-07-13T10:41:23-05:00 2023-02-03 371335003 ECK SCHAFER & PUNKE LLP 227 S Seventh Street Springfield IL 62701 990 2022-07-01 364345660 CQuest America Inc CQUE 2174945185 1999 Wabash Avenue 200 Springfield IL 62704 H Kevin Davis President & CEO 2174945185 2023-07-07 1 H Kevin Davis 999009999 0 Brent Leach P00331592 2175251111 2023-07-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X H Kevin Davis 1999 Wabash Avenue 200 Springfield IL 62704 870970 0 X N/A X 1999 IL Developing technologies and delivering services that improve lives and communities. Primary activities are Early Intervention (EI) claims processing services and Women, Infants and Children (WIC) Management Information System (MIS) development and implementation, maintenance, support and hosting. CQuest also supports the delivery of quality health care to the medically underserved though contributions to the Illinois Community Health Foundation, Inc. X 7 6 54 5 0 0 140000 0 8751220 870970 -6169 -62380 127375 0 9012426 808590 0 252614 0 0 5117190 937923 0 0 0 4480527 991077 9597717 2181614 -585291 -1373024 2109931 0 736907 0 1373024 0 X CQuest is a unique not-for-profit organization, dedicated to devoloping technologies and delivering services that improve lives and communities. 0 1 23628 18000 Women, Infants, and Children (WIC) Operations. WIC is a special supplemental nutrition program that provides Federal grants to non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk. In carrying out its mission, CQuest supports this program by providing WIC Management Information System (MIS) support services for the Multi-State Consortium (MSC) and State of Tennessee. The MSC is a consortium of WIC Programs from the states of Hawaii, Kansas, and New Hampshire, and the Indian Tribal Organization (ITO) referred to as the Inter Tribal Council of Arizona (ITCA). Support services include operations and maintenance, network services, database administration, security management, ad hoc reporting services, and help desk services. In addition, CQuest develops WIC MIS features/upgrades that improve the functionality for these customers. CQuest also transfers, modifies, and implements MIS's for WIC Agencies, with the State of Oregon being a current customer. These WIC Agencies serve in excess of 250,000 participants.On July 1, 2022, MSC WIC MIS support services were no longer performed as the contract was awarded to Custom Data Processing (CDP) through a competetive Request for Proposal process. As part of the "wind down" activities noted in Part III, Line 3, CQuest negotiated with CDP on assigning them the ongoing Tennessee and Oregon WIC contracts, with both states involved in the process and approving. These contract assignments were finalized in early July 2022. 908638 852970 Early Intervention (EI) Operations. CQuest's EI Centralized Billing Office (CBO) generates vouchers and payment records for claims on Illinois EI services. Illinois' EI program is a statewide program administered by the Illinois Department of Human Services that provides EI services to children under 3 years of age who have developmental delays or disabilities. The CBO also generates and processes recoupment claims to Medicaid, manages Family Participation Fees, and prints and distributes invoices, statements and reports to all the EI program stakeholders. From July 1, 2022 thru September 30, 2022, the CBO processed several hundred thousand claims totaling millions of dollars. There are approximately 4,300 service providers delivering EI services to more than 25,000 children across the state of Illinois at any given time.On October 1, 2022, the Illinois EI contract was awarded to the Illinois Primary Health Care Association (IPHCA), a close business partner of CQuest, through an emergency procurement process. To ensure uninterrupted program services, all CQuest EI program staff, equipment, software licenses, and other revenues were transferred to IPHCA. 252614 252614 Charitable Contributions. CQuest made unrestricted contributions to four 501(c)(3) not-for-profit organizations to help each carry out their charitable mission. The following three organizations received $50,000: Illinois Children's Healthcare Foundation; Midwest Mission; Ronald McDonald House Charities of Central Illinois. The recipient of the final contribution (disposition of remaining assets) totaling $102,614 was the Illinois Primary Health Care Association, a close business partner who took over the administration of the Illinois Early Intervention contract as noted in Part III, Line 4b. 1184880 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 27 0 1 54 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X H Kevin Davis President & CEO 2174945185 1999 Wabash Avenue Suite 200 Springfield IL 62704 Daniel Vicencio Chair 2.00 X X 26250 0 0 James Nelson Vice Chair 2.00 X X 0 0 0 Kim Mitroka Secretary/Treasurer 2.00 X X 35000 0 0 Berneice Mills-Thomas Director 2.00 X 0 0 0 Henry Taylor Director 2.00 X 25000 0 0 Jordan Powell Director 2.00 X 18750 0 0 H Kevin Davis President & CEO 40.00 X X 291347 0 21098 Adam Bruns CFO 40.00 X 221071 0 26904 617418 0 48002 2 0 1 0 TEKsystems Inc PO Box 198568 Atlanta GA 30384 IT Consulting Services 506883 Levi Ray & Shoup Inc 2401 West Monroe St Springfield IL 62704 IT Consulting Services 362344 Law Offices of Robert M Birndorf 10 South LaSalle St Ste 3600 Chicago IL 60603 Legal Services 168675 3 Early Intervent./CBO S 518210 852970 852970 WIC System Dev./Suppor 541519 18000 18000 870970 62380 -62380 -62380 -62380 808590 870970 0 -62380 252614 252614 645566 328662 316904 203902 18924 184978 6981 6093 888 42344 31124 11220 39130 22408 16722 91836 91836 34289 18550 15739 5491 3690 1801 236866 169543 67323 181558 133003 48555 8094 2928 5166 191 143 48 15374 11530 3844 63171 11124 52047 Other Professional Serv 238660 93224 145436 Printing & Postage 58462 58142 320 Small Equip/Leases/Misc 35974 12541 23433 Licenses & Fees 21111 10637 10474 2181614 1184880 996734 0 290395 0 0 0 1524638 0 0 0 0 0 217144 0 0 0 77754 0 0 0 0 0 0 2109931 0 436907 0 300000 0 736907 0 X 1373024 0 1373024 0 2109931 0 -1373024 0 X 0 0 0 0 Midwest Mission 1001 Mission Dr Pawnee IL 62558 371391589 501(c)(3) 50000 0 Book Value N/A To assist not-for-profit organizations in carrying out its charitable mission. Ronald McDonald House Charities of Central IL 610 N 7th St Springfield IL 62702 371145155 501(c)(3) 50000 0 Book Value N/A Same as above Illinois Children's Healthcare Foundation 1200 Jorie Boulevard Ste 301 Oak Brook IL 60523 030503425 501(c)(3) 50000 0 Book Value N/A Same as above Illinois Primary Health Care Association 1999 Wabash Ave 200 Springfield IL 62704 363369241 501(c)(3) 102614 0 Book Value N/A Same as above (Final disbursement/contribution of assets upon dissolution) 4 0 Schedule I, Part II As part of CQuest's wind-down of operations, unrestricted cash contributions of $50,000 were made to three not-for-profit organizations to assist in carrying out their charitable mission, which included helping the underserved. Schedule I, Part II As part of CQuest's dissolvement, remaining cash assets totaling $102,614 were contributed to the Illinois Primary Health Care Association (IPHCA), whose primary mission is helping the underserved and who also took over the administration of CQuest's final contract (State of Illinois Early Intervention Contract). X X X X X 0 0 0 0 0 0 0 0 0 H Kevin Davis President & CEO 246217 0 0 0 45130 0 7420 0 13678 0 312445 0 0 0 Adam Bruns CFO 151854 0 32000 0 37217 0 3857 0 23047 0 247975 0 0 0 Cash Note: Also included on Schedule I 2023-06-07 102614 Book Value 363369241 Illinois Primary Health Care Association 1999 Wabash Ave Suite 200 Springfield IL 62704 501(c)(3) 0 0 0 0 1 1 1 1 0 Form 990, Part III, line 3 With the loss of four of our seven customers on July 1, 2022 through a competitive Request for Proposal process, CQuest's financial stability was significantly weakened, and the risk of not fullfilling remaining contract deliverables and providing adequate customer service was high. Leadership and the Board of Directors reviewed and assessed numerous financial projections and determined the necessary program and administrative resources (such as staff and IT tools/infrastructure) would no longer be affordable, negatively impacting the EI and WIC programs. Upon this determination, the Board of Directors approved CQuest to begin organizational "wind down" activities, which included CQuest's three remaining contracts being assigned/transferred to other highly qualified vendors to ensure uninterrupted program services to participants. Upon success of these contract assignments/transfers and other necessary "wind down" activities, the Board of Directors approved CQuest's voluntary dissolution. Articles of Dissolution were filed with the Illinois Secretary of State on February 3, 2023. Form 990, Part VI, Section B, line 11b 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, 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 C, line 19 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. 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) PF N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0