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PROPOSED TRANSFER OF FUNDS
Department: Cook County Health and Hospital Services
Request: CCH Transfer of Funds - September
Reason: Various Budget Transfers
From
Account(s): Department Budget Account Transfer Justification
Account Description Amount
4240 Cermak 501010 Sal/Wag $5,750,000 Salaries/Wages Surplus
4890 Administration 501010 Sal/Wag of Reg Employees $2,000,000
4893a CHN 501010 Sal/Wag of Reg Employees $1,000,000
4897 Stroger Hospital 501010 Sal/Wag of Reg Employees $770,000
4890 Administration 501166 Planned Salary Adjustment $3,000,000
4897 Stroger Hospital 501166 Planned Salary Adjustment $7,000,000
4897 Stroger Hospital 501296 Sal/Wag of Per Diem Empl $3,800,000
4893 ACHN 501421 Sal/Wag of Empl Per Contract $750,000
4897 Stroger Hospital 501421 Sal/Wag of Empl Per Contract $2,800,000
4896 CountyCare 521160 Managed Care Claims $30,020,000 FY24 Membership Has Exceeded Budget Resulting Increased Administrative Cost Associated With Higher Membership, Such As TPA Fees, Benefit Managers, Marketing, Etc.
4899 Special Purpose
Approp 580380 - Appropr. Adjust $22,765,000 Appropriation Holdback Transfer
To
Account(s): Department Budget Description Transfer Justification
Account Amount
4890 Administration 520830 Professional Services $6,250,000 Deloitte contract to provide staffing and consultancy for Human Resources
4890 Administration 550130 Facility & Office Space Rental $200,000 Increase in lease expenses
4890 Administration 520830 Professional Services $1,500,000 Deloitte contract to provide staffing and consultancy for Supply Chain
4897 Stroger Hospital 520210 Food Services $4,500,000 Increased expense due to higher than budgeted volumes for in-patient care
4897 Stroger Hospital 521120 Registry Services $2,104,000 Increased expense due to higher than budgeted volumes & vacancies
4897 Stroger Hospital 521024 Medical Consultation Services $1,156,000 Higher utilization of physician consultations due to higher than budgeted volumes, as well as physician/radiologist vacancies
4891 Provident 521120 Registry Services $740,000 Increased expense due to higher than budgeted volumes & vacancies
4897 Stroger Hospital 521120 Registry Services $2,000,000 Increased expense due to higher than budgeted volumes for lab testing services & vacancies
4897 Stroger Hospital 521120 Registry Services $2,700,000 Increased expense due to higher than budgeted volumes for in-patient care
4897 Stroger Hospital 521120 Registry Services $1,000,000 Increased expense due to higher than budgeted volumes for in-patient care
4897 Stroger Hospital 521120 Registry Services $2,000,000 Expanded our language services across Cook County Health (CCH) and have ensured that all CCH staff understand their state and federal obligations when it comes to providing Interpreter Services for our Limited English Proficient (LEP) patients.
4897 Stroger Hospital 520390 Contract Maintenance Service $1,000,000 Increased expense due to increase in vacancies for EVS positions.
4897 Stroger Hospital 530790 Medical, Dental,Lab Supplies $6,000,000 Increased expense due to higher than budgeted volumes leading to increase supplies expense
4897 Stroger Hospital 540135 Wkg Cap-Main Of Data Pro Eq $16,000,000 Additional funds for CCH 5500+ PC refresh due increased configuration complexity; increased complexities of infrastructure and telecom upgrades for capital planning & new projects (e.g. Bronzeville, Provident expansion).
4896 - CountyCare 520830 Professional Services $30,000,000 FY24 membership has exceeded budget resulting increased administrative cost associated with higher membership, such as TPA fees, benefit managers, marketing, etc.
4896 - CountyCare 501836 Transp & Travel Expenses $20,000 FY24 membership has exceeded budget resulting increased administrative cost associated with higher membership, such as TPA fees, benefit managers, marketing, etc.
4897 - Stroger Hospital 521120 Registry Services $485,000 Increased expense due to higher than budgeted volumes & vacancies
4893 - ACHN 520010 Ambulance Service $2,000,000 Increase usage from New Arrivals
To
Account(s): Department Budget Description Transfer Justification
Account Amount
4890 Administration 520830 Professional Services $6,250,000 Deloitte contract to provide staffing and consultancy for Human Resources
4890 Administration 550130 Facility & Office Space Rental $200,000 Increase in lease expenses
4890 Administration 520830 Professional Services $1,500,000 Deloitte contract to provide staffing and consultancy for Supply Chain
4897 Stroger Hospital 520210 Food Services $4,500,000 Increased expense due to higher than budgeted volumes for in-patient care
4897 Stroger Hospital 521120 Registry Services $2,104,000 Increased expense due to higher than budgeted volumes & vacancies
4897 Stroger Hospital 521024 Medical Consultation Services $1,156,000 Higher utilization of physician consultations due to higher than budgeted volumes, as well as physician/radiologist vacancies
4891 Provident 521120 Registry Services $740,000 Increased expense due to higher than budgeted volumes & vacancies
4897 Stroger Hospital 521120 Registry Services $2,000,000 Increased expense due to higher than budgeted volumes for lab testing services & vacancies
4897 Stroger Hospital 521120 Registry Services $2,700,000 Increased expense due to higher than budgeted volumes for in-patient care
4897 Stroger Hospital 521120 Registry Services $1,000,000 Increased expense due to higher than budgeted volumes for in-patient care
4897 Stroger Hospital 521120 Registry Services $2,000,000 Expanded our language services across Cook County Health (CCH) and have ensured that all CCH staff understand their state and federal obligations when it comes to providing Interpreter Services for our Limited English Proficient (LEP) patients.
4897 Stroger Hospital 520390 Contract Maintenance Service $1,000,000 Increased expense due to increase in vacancies for EVS positions.
4897 Stroger Hospital 530790 Medical, Dental, Lab Supplies $6,000,000 Increased expense due to higher than budgeted volumes leading to increase supplies expense
4897 Stroger Hospital 540135 Wkg Cap-Main of Data Pro Eq- $16,000,000 Additional funds for CCH 5500+ PC refresh due increased configuration complexity; increased complexities of infrastructure and telecom upgrades for capital planning & new projects (e.g. Bronzeville, Provident expansion).
4896 CountyCare 520830 Professional Services $30,000,000 FY24 membership has exceeded budget resulting increased administrative cost associated with higher membership, such as TPA fees, benefit managers, marketing, etc.
4896 CountyCare 501836 Transp & Travel Expenses $20,000 FY24 membership has exceeded budget resulting increased administrative cost associated with higher membership, such as TPA fees, benefit managers, marketing, etc.
4897 Stroger Hospital 521120 Registry Services $485,000 Increased expense due to higher than budgeted volumes & vacancies
4893 ACHN 520010 Ambulance Service $2,000,000 Increase usage from New Arrivals
Total Amount of Transfer: $79,655,000
On what date did it become apparent that the receiving account would require an infusion of funds in order to meet current obligations? What was the balance in the account on that date, and what was the balance 30 days prior to that date?
See the tables above for justification of transfers
How was the account used for the source of transferred funds identified? List any other accounts that were also considered (but not used) as the source of the transferred funds.
CCH Budget to Actual & Oracle Fund Balance reports
Identify any projects, purchases, programs, contracts, or other obligations that will be deferred, delayed, or canceled as a result of the reduction in available spending authority that will result in the account that funds are transferred from.
None
If the answer to the above question is “none” then please explain why this account was originally budgeted in a manner that caused an unobligated surplus to develop at this point in the fiscal year.
High vacancy rates in the offices/programs are driving surplus of Salaries/Wages through Pay Period 20, as well as increased CountyCare membership
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