title
PROPOSED TRANSFER OF FUNDS
Department: Cook County Health and Hospital Services
Request: FY25 CCH Transfer of Funds - October
Reason: County Care Professional Services/Registry; Pharmaceuticals and Opioid Fund Transfers
From Account(s):
Department Budget Account - Description Transfer Justification
Amount
4890 - Health
System Admin 501166 - Planned Salary Adjustment $1,000,000 Surplus in HSA salary
accounts
4897 - Stroger Hospital 501166 - Planned Salary Adjustment $10,000,000 Surplus in Stroger salary
accounts
4240 - Cermak 501296 - Sal/Wag Of Per Diem Empl $1,000,000 Surplus in Cermak salary
accounts
4897 - Stroger Hospital 501296 - Sal/Wag Of Per Diem Empl $3,900,000 Surplus in Stroger salary
accounts
4897 - Stroger Hospital 501421 - Sal/Wag Of Empl Per Contract $3,000,000 Surplus in Stroger salary
accounts
4897 - Stroger Hospital 501010 - Sal/Wag Of Empl With Benefits $5,600,000 Surplus in Stroger salary
accounts
4240 - Cermak 501010 - Sal/Wag Of Empl With Benefits $1,000,000 Surplus in Cermak salary
accounts
4896 - CountyCare 521160 - Managed Care Claims $7,500,000 FY26 membership has
exceeded budget resulting in
increased claims and
capitation
11290 - Opioid Fund 530910 - Pharmaceuticals Supplies $16,835 Pharmaceuticals surplus
To Account(s):
Department Budget Account - Transfer Area of Justification
Description Amount Operations
4896 - County
Care 520830 - Professional Services $5,000,000 CountyCare FY26 membership has
exceeded budget resulting in
increased expenses. Budget
transfer is needed to cover
administrative cost
associated with higher
membership, such as TPA
fees, benefit managers, etc.
4896 - County
Care 521120 - Registry Services $2,500,000 CountyCare Budget transfer needed to
cover cost associated with
care management functions
that have required staffing
ratios under state contract
based on membership.
4240 - Cermak 530910 - Pharmaceuticals Supplies $890,000 Cermak Increase medication cost
Pharmacy and specialty medications
4891 - Provident
Hospital 530910 - Pharmaceuticals Supplies $1,220,000 Provident Increase in utilization
Pharmacy and expense for
(17630/17620) contract pharmacy
purchases, specialty
medication cost, and non
formulary medication
requests.
4893 - ACHN 530910 - Pharmaceuticals Supplies $600,000 Blue Island Increase in utilization and
Pharmacy expense for contract
pharmacy purchases,
specialty medication cost,
and non formulary
medication requests.
4897 - Stroger
Hospital 530910 - Pharmaceuticals Supplies $22,790,000 Stroger Increase in utilization and
Pharmacy expense for contract
(17630/17620) pharmacy
Central Fill purchases, specialty
(17635) medication cost, and non
formulary medication
requests.
11290 - Opioid
Fund 520830 - Professional Services $16,835 The Sanctuary-
for Substance Use Disorder
and Recovery Support
Services will begin in FY25
and continue in FY26
Total Amount of Transfer: $33,016,835
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 & Hyperion 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.
FY26 membership has exceeded budget resulting in increased expenses. Budget transfer is needed to cover administrative cost associated with higher membership, such as TPA fees, benefit managers, etc. Increase in utilization and expense for contract pharmacy purchases, specialty medication cost, and non formulary medication requests. The Sanctuary-for Substance Use Disorder and Recovery Support Services will begin in FY25 and continue in FY26
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