title
PROPOSED TRANSFER OF FUNDS
Department: Cook County Health and Hospital Services
Request: FY26 CCH Transfer of Funds - July
Reason: Various Budget Transfers
From Account(s):
Department Budget Transfer Justification
Account Amount
Description
4896 - 521160 - $34,000,000 FY26 membership has exceeded budget
CountyCare Managed resulting in increased expenses
Care Claims
4897 - 521024 - $600,000 Derm/OB-GYN/Maternal Fetal/Gastro
Stroger Medical
Hospital Consultation
Services
To Account(s):
Department Budget Transfer Area of Justification
Account Amount Operations
Description
4896 - 520830 - $30,000,000 CountyCare FY26 membership has
CountyCare Professional (41222.4896.35790) exceeded budget resulting
Services in increased expenses.
Budget transfer is needed
to cover administrative
cost associated with
higher membership, such
as TPA fees, benefit
managers, etc.
4896 - 521120 - $4,000,000 CountyCare Budget transfer needed to
CountyCare Registry (41222.4896.35790) cover cost associated with
Services care management
functions that have
required staffing ratios
under state contract based
on membership
4897 - 521024 - $600,000 Stroger Finance Higher utilization of
Stroger Medical (41225.4897.10490) physician consultations
Hospital Consultation due to higher than
Services budgeted volumes, as
well as
physician/anesthesiologist
vacancies
Total Amount of Transfer: $34,600,000
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 report
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.
CountyCare mid-year appropriation increase of $300M as a result of increase claims expense. Department of Medicine vacancies requiring additional medical consultation expense.
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