Professional Documents
Culture Documents
Toni Preckwinkle
President, Cook County Board of Commissioners
FY2019 Overview
Offices Under
the President, State's Attorney,
$151.2, 8.1% $126.9, 6.8%
Chief Judge, $256.3, 13.7%
Public Defender,
$77.3, 4.1%
CC Board of Commissioners,
$8.6, 0.5%
Sheriff, $585.4, 31.3%
in millions
**Embargoed until 12:01 a.m. June 20** 4
General Fund
$1,870
$1,860
$1,850
$1,840
Revenue Expenditures
FY2019 Adopted $1,867 $1,867
FY2019 YE Projection $1,872 $1,857
Salaries and Wages expenses down $6.8M/0.5% due to many Offices not
Expense hiring as expected
Drivers
Contractual Services down $4.7M/2.4% due to slowed contracting for
$10.8M planned projects
$1,880
$1,870
$1,860
$1,850
Revenue Expenditures
FY2019 Adopted $1,867 $1,867
FY 2020 Forecast $1,872 $1,884
Cigarette Tax decrease $13M/10.8% “Tobacco 21” which raised the age to
Revenue purchase tobacco products from 18 to 21
Drivers
New State Revenue: $9.8M
$4.7M Cannabis Regulation and Tax Act - $3.3 million
Illinois Gaming Act – $3.2 million
Sports Wagering Act – $3.3 million
Expense
Employee Health Benefits up $11.7M/5.7%
Drivers PPO rates increased by 8%
HMO rates increased by 5.9%
$16.6M PPO membership increased 1.9%
*Estimate is limited to County Ordinance revenue collected from expanded terminals in Cook County for existing gambling 10
entities e.g. Rivers Casino and race tracks)
Health Enterprise Fund
Ambulatory &
Community Health
Network , $152.9, 6%
Provident Hospital,
$53.6, 2%
Other, 104022021, 3%
in millions
**Embargoed until 12:01 a.m. June 20** 12
Medicaid MCO Enrollment Attrition
2019 Q1 | Illinois MCO Enrollment 2019 Q1 | Cook County MCO Enrollment
-113,200
1,200,000 1,186M
members
1,150,000
1,117M 1,112M 1,108M 1,107M
1,097M 1,097M 1,101M
1,100,000 1,093M
1,083M
1,077M 1,072M
1,050,000
1,032M
1,014M
999K
1,000,000
950,000
900,000
Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19
$2,700
$2,650
$2,600
$2,550
$2,500
$2,450
$2,400
$2,350
Revenue Expenditures
FY2019 Adopted $2,690 $2,690
FY2019 YE Projection $2,495 $2,598
Expense Salaries and Wages expenses down $35.9M/43% due to unfilled positions
Drivers
Managed Care Claims cost down $28.9M/2% due to lower CountyCare
membership
$92.2M
Professional Services expenses down $25.7M/22% due to shift in
operational focus
GME = Graduate Medical Education **Embargoed until 12:01 a.m. June 20** 17
**Embargoed until 12:01 a.m. June 20**
FY2020 Preliminary Forecast
The outlook for FY2020 includes a Health Fund deficit projected at $6.8 million
$2,700
$2,650
$2,600
$2,550
$2,500
$2,450
Revenue Expenditures
FY2019 Adopted $2,690 $2,690
FY 2020 Forecast $2,541 $2,548
-600.0
-500.0
-487.0
-400.0
-300.0
-315.2
-267.5
-200.0
-152.1 -168.9 -198.75 -174.2
-100.0 -97.7
-81.8
-18.7
0.0
100.0
200.0
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
$1,200.0
FY16 FY17 FY18 FY19 FY20 FY21 FY22 FY23 FY24
General Fund Revenue General Fund Expenses
$1,900.0