Cook County Commissioners - Board and Committee Meetings
July 27, 29 and 30, 2020

Key items passed by the Board:

• “Justice for Black Lives” Resolution.  The substitute non-binding resolution calls on monies for policing and incarceration to be redirected to public services, not administered by law enforcement, which will promote community health and public safety, particularly in Black and Brown communities most impacted by violence and incarceration.  Such services to include housing, health care, mental health, restorative justice, job creation, public transport, eviction/foreclosure, and increasing opportunities for Minority-owned and Women-owned business enterprises.  Passed with 15 votes; Commissioner Aguilar voted present and Commissioner Sean Morrison voted no, both expressing concern with the idea that the resolution calls for defunding the police.  Commissioners voting in favor say that this lays out priorities for reducing crime and promoting opportunities through these other means.  The upcoming 2021 budget (which will be considered in October and November) will offer the first opportunity for the Commissioners to start to carry out the resolution. (Agenda Item 20-2867)
• Resolution to utilize $82 million of money County received under the CARES Act to aid economic recovery from COVID-19.  (Agenda Item 20-3229)  See the Observer Report for the Special Board Meeting on July 16 for details of the distribution.

Other Items of Interest Discussed in Committees:
Finance Committee:

• County’s Use of CARES Act funds:  CFO Ammar Rizki reported that the $429 million has been allocated for (1) County’s operational costs (46%), (2) County’s direct costs incurred  (23%), (3) spurs for economic development across the County (19%, the Resolution described above), and (4) $51 M for eligible costs incurred by suburban municipalities (12%, as described in the Observer Report for the July 16 Special Board Meeting).  New guidance comes out regularly from the U.S. Treasury as to how these monies can be spent.  Mr. Rizki said that with $300 M in lost revenues to the County, it is critical that now County can use the CARES money to cover some salary and benefit costs.  However, Mr. Rizki said that CARES Act money can only be used to cover hazard pay for those employees directly dealing with COVID positive people (health care workers and correctional officers in the Jail).  So hazard pay provided to other people will not be covered, based on current information.  Mr. Rizki stressed that with many people predicting a spike in COVID cases in the fall, the County needs to conserve some of these funds to cover future costs.
• To date, 439 staff members have tested positive for COVID-19.
• So far, no monies have been allocated to township governments, which have other options.
• Mr. Rizki receives a weekly report of which municipalities have requested monies under the $51 M allocation by the County and will share with the Commissioners so they can make sure municipalities in their districts are applying for that money.
• Cook County Health has received $59 million of CARES Act funding in May in addition to the above as a health care provider. 

Audit Committee:

• Clean audits received for both the County as a whole and Cook County Health (“CCH”) for fiscal year 2019.  County has a Fund Balance that would cover 2 months of expenses, which is considered what is necessary.  (Agenda Items 20-2685, 2687)
• Auditor stated that CCH’s receivables tend to be risky, but thinks there are sufficient reserves to cover delinquencies.  Liabilities include $477 M of claims to County Care for outside (“foreign”) providers, $236M which are identified and the rest based on management estimates of what claims will be submitted after the fiscal year for care provided during the fiscal year.  Comm. Miller asked for breakdown of these “foreign” claims so they will know where people are going for care outside of CCH’s facilities.  Comm. Morrison wants to know dollar amount not collected due to mistakes; this goes beyond scope of this audit.  Andrea Gibson, CCH interim chief business officer, will be setting up meetings with the Commissioners.  She said that CCH is now catching out-of-network people and so not providing service under County Care.  Also, CCH is making sure getting pre-authorizations required by other insurers.
• Clean audit for Clerk of the Circuit Court, except that fees not disbursed in timely manner as required under Illinois Clerks of the Courts Act. (Agenda Item 20-2653)

Legislation & Intergovernmental Relations Committee:

• Review of the Final Recommended Plan for consolidating the Recorder of Deeds functions into the Office of the County Clerk.  Estimated cost savings during 2021 is $1.1 M, and annual savings thereafter over next 3 years estimated at $6 M.  Expect reductions in positions down to 79 for recorder’s work due to streamlining and broadening of work done by an employee.  Savings also due to moving Clerk’s Vital Records area from Daley Center pedway to Recorder’s office on main floor and moving Clerk’s offices on 14th floor of 69 W. Washington to Recorder’s administrative offices in County building. (Agenda Item 20-2745)  Next review by Commissioners of this consolidation will be in the proposed budget submitted in October.

Items to watch for at next Committee meetings, likely during the week of Sept. 21:

• Agenda Item 20-3562: Proposed “Residential Tenant & Landlord Ordinance,” which was referred to the Finance Committee.  Co-sponsor Britton said that this is modeled on the Chicago and Evanston ordinances.  Would spell out tenant and landlord rights and obligations.
• Agenda Item 20-3482:  Proposed resolution requesting hearings every month of the Criminal Justice Committee with the Sheriff and senior staff to discuss the operation of the Jail and Police Department (responsible for unincorporated areas plus some suburban towns under inter-government agreements).  Referred to Criminal Justice Committee.
• Agenda Item 20-3435:  Proposed resolution supporting the Illinois NAACP State Conference and Illinois Association of Chiefs of Police Ten Shared Principles.  Referred to Law Enforcement Committee.
• Commissioners Deer and Moore each submitted separate proposals to add Juneteenth as a County holiday, which were withdrawn.  The Commissioners said they would work to add this holiday without putting an added expense to the budget.

Note:  The Cook County Board and most of the Board Committees are not scheduled to meet again until week of Sept. 21, though Commissioner Suffredin wanted the public to know that everyone is still working and Commissioners continue meeting virtually in small groups (so as not to violate the Open Meetings Act) each Sunday with key County personnel.

Observer - Priscilla Mims

Cook County Board Of Commissioners’ Finance Committee
       Midyear Budget Hearings - July 21, 2020

Cook County Health - Debra Cary
Revenues as of May 31, 2020: General information from report available on Legistar 

• Medicaid Expansion up 21% from $798 million budgeted to $965 million actual            
• Patient Fee Revenue down 21% from $332 budgeted to $262 actual

Expenses: 

• $1,665 billion actual versus $1,303 billion budget = 28% higher 

Holdback Target:  Reported as N/A 

Highlights of Presentation and Discussion::

• As of 7-21, $154 million Cares Act monies have been received plus another $40 million for COVID-19 contact tracing.
• 70 positions were eliminated and another 200 agency positions identified to bring in house as a cost savings.
• Charity and unpaid care continues at 42% to date but expected to rise.
• Commission Daley stressed that the System has to reverse the large percentage of County Care MCO patients using other providers.
• System is expanding use of Telehealth but it is not considered to be an expense saver.
• Stand alone, ambulatory dialysis services at Provident to open in late 2020.
• Patient numbers are slowly rising at the hospitals and community centers as accommodations are made for social distancing.
• Cary said System needs to be prepared for COVID-19 resurgence and continued extra services at the Jail.
• Artificial intelligence being used to reduce claims rejection by ensuring pre-approval is received.  This new approach is operational for radiology and underway for oncology.  Next 2-3 months will provide more information on success.
• It is expected that the County will use tax dollars in the amount of $82 million to help offset Jail and Public Health Expenses and will pick up another $30 million In pension costs.
• Commission Sean Morrison asked for value of denials and billing errors for years 2018-19.  Also wants capital funding expectations from Cook County CFO.
• Projecting a $187 million deficit for 2021 due to personnel, overtime, and pharmacy costs.
• The new Medicare enrollment plan, More Care, is expected to help increase Medicare revenues by $7.4 million.
• Provident Hospital rebuild on hold until new CEO in place.
• CCH Board President expects CEO search to produce 1-2 finalists in the next few weeks.

Independent Inspector General -– Patrick Blanchard
Revenues – N/A
Expenses - $1,043 million YTD budgeted vs $882,545 actual.  Down 15.3%
Holdback Target:   $120,824.  met.
FY 2021 Budget Target:    $1,726,849

Information of Interest

• Did not hire 2 investigators as part of his hold back target and another new hire will start in August.
• Provides services to Cook County, Forest Preserve, and the MWRD.  Exceptions: States Attorney, Chief Justice, and Clerk of the Court
• Used Micro-Soft Teams to good advantage and will incorporate in future operations.  May save on space.
• Noted that since its inception the IG office has consistently had its staff reduced from a high of 20 to the current number of 14 including 2 MWRD investigators.  Blanchard is now doing the complaint triage work previously handled by his deputy who left and has not been replaced.
• Complaints are up about 25% from 2019.  Projecting 800 for 2020 [includes MWRD].
• With the projected cuts in the 2021 budget, Blanchard does not expect his office can be prepared to provide the coverage needed.
• Produces 60 OIG summary reports a year and receives 350 inquires/complaints.
• The OIG has one full-time harassment investigator who is busy but not “crushed” with work.

Public Administrator -– Louis Apostol
Revenues – Up $539,328 or 82.9%.  YTD Budget $650,000 vs YTD Actual $1,189,328
Expenses -  Down $7,129 or 1.07%.  YTD Budget $666,922 vs YTD Actual $658,922
Holdback -   No.
Fiscal 2021 Budget Target:   $1,259,749.    2020 Budget is $1,344,605

Information of Interest

• In explanation of the holdback:  “The office will have generated over $2,865,112 in fees, interest, court costs, and funds for unknown heirs.  Our 2020 budget is $1,344,605.  At the close of Q3 2020, the fees alone will have generated $1,169,933 to the county treasurer.  This office estimates a year-end total of $1,827,331 in revenue which represents $527,331 over the expense amount appropriated for FY 2020.”
• The office assists the public in administering probate estates when a CC resident passes away without family to manage the liquidation and distribution of his/her assets.  It also aids the public and the Medical Examiner’s Office in location of family for unclaimed remains and homes that would otherwise be abandoned.
• The office has a staff of 15 plus the Public Administrator who is a 1099 employee.

Secretary to the Board of Commissioners - Matthew DeLeon       
Revenues:  N/A
Expenses:  Down $90,636 or 10%.   YTD Budget is $932,617 vs YTD Actual of $84,981
Holdback:   $112,707.  Met.
Fiscal 2021 Budget Target:  $1,745,747

Information of Interest​

• A new Manager of Archives has been hired, and the Secretary intends to bring an Ordinance governing the archives in the fall.
• January 2021 is the 190th Birthday of the County for which the board has instituted a flag design contest for the students of the county.  The contest deadline has been extended to September 2020, and the semi-finalists will be picked in October.  The presentation of the flag is projected for spring/summer 2021.
• The Secretary stated that the Board is not likely to be coming back to the conference room any time soon.
• Sims reminded the Board and the Secretary that the current board room needs to be made ADA accessible.  
• Secretary hopes to significantly expand the conference room in addition to making it ADA accessible when resources are available.

Cook County Sheriff - Tom Dart
Revenue: $6,797,999
Expenses:$284,937,121
Holdback:$25,413,144
Target Holdback;$38,884,424

Sheriff Dart appeared early and ran late at the Midyear Budget Hearings. Some Commissioners called it “extra innings” and other baseball analogies. But the Sheriff had much to say and the Commissioners had many questions. His session ran approximately 2 hours and 40 minutes. Although there was some repetition, the Sheriff and the Commissioners are very concerned as his department might be facing $90 million in cuts from his current $600 million budget.

Some Highlights from the Sheriff’s Remarks:

•  The Sheriff began his remarks by stating he was perfectly “on budget’ until March when Covid hit.
• In March, due to Covid, he had to hire new people  (he said about 200) to open up , clean and staff long closed divisions in order to spread out the population. He also tests each detainee upon entry and quarantines them for 2 weeks. All of this has increased his need for personnel costs, including overtime.
• He also has 1000 more people on Electronic Monitoring (EM) as judges are trying to not put more people in the jail.  His jail population is about 4900, and his EM population is about 3300, both are up from
• He also has about 500 Illinois Dept. of Corrections’ inmates who have been sentenced, but are not being placed in prisons, due to Covid. On the positive side he has freed up some sheriff’s deputies who have not been serving evictions. But as the courts reopen, these deputies may go back to those duties.
• The Sheriff also talked at length about the other duties he has taken on recently. He named 3 South Suburbs that his police have been working with in a supplemental capacity (Dolton, Harvey, and Riverdale). He has also been supplementing the CPD on the West and South sides of Chicago during the protests.
• In addition he runs many mental health programs, mentoring programs for youth, job training programs, and opioid addiction treatment programs both in and out of the jail. He has trained his officers in crisis intervention and in the use of naloxone treatments, he said. For these reasons he will be having trouble cutting his budget.

Some Highlights from the Commissioners’ Questions and Comments:

• Many Commissioners congratulated him and asked detailed questions about testing, distancing and tracing. He said that as of July 20 he had only 16 cases that were positive, 10 of which came in that way. All detainees are tested upon entry and isolated for 2 weeks, no matter what the test results may be.
• Commissioner Suffredin asked for a list of all of the programs that sheriff’s deputies are involved with and the costs of each. The Sheriff said he would get that information.
• Commissioner Anaya asked about how the Sheriff planned to cut $90 million from his budget. He mentioned 3 ways: 

1. He hoped to cut staff through attrition. But he warned the board not to be too generous in the next          union contract talks since he is not part of those negotiations.
2. Branch courts could be closed (like Bridgeview and Rolling Meadows). He would then need to staff less officers in the court houses.
3. He could cut all transportation from the jail to the outlying courts for simple hearings that take 1 or 2 minutes. These could be done remotely. He would save the transportation costs for trials, plea bargaining, sentencing, etc.

• Commissioner Johnson asked about administrative costs. The Sheriff said a full review took place a few years ago in order to cut these. It was unclear if more could be cut. The Commissioner also asked for a list of school related programs that the deputies are involved with and their costs, such as those at Proviso and Richards high schools.

Observers - Diane Edmundson and Jan Goldberg 

Cook County Board of Commissioners - Finance Committee
Departmental Budget Hearings
October 30, 2019, afternoon session

Cook County Sheriff

Overview of Proposed Budget for Sheriff's Office

• As outlined in the Proposed Budget Book, expenditures remain very near 2019 figures, including FTE count and salaries - no raises expected.
• Sheriff’s Office will continue to focus on reducing violent crime in areas most at risk.
• A Community Corrections Dept. has been created to increase transparency for Electronic Monitoring.
• RENEW AND SWAP Programs will be continued
• Non-Union job titles will be updated to clarify their duties and responsibilities.
• The $7M now available in the operating budget due to reductions in the Jail population and facilities has been used to replace high mileage marked and unmarked police vehicles ($5M) and $2M for various other programs.

Sheriff Dart stressed that he strongly believes in analyzing people’s needs and then implementing programs to meet them, rather than just incarcerating.  The goal should be on preparing offenders to successfully function in the community, he said.  After discussing the budget for 15-20 minutes, he focused on questions from the Commissioners and the numerous programs currently available at Cook County Jail.

PROGRAMS

• RENEW -formerly an unsuccessful “boot camp” program. It is now reconfigured to use inmates to do demolition work such as removing fixtures, tearing down walls in old buildings, etc.  Not only does program provide training, but receives money from sale of iron/copper/wiring and such. Workers can participate while in jail and up to 6 months after return home.
• FEMALE COOKING PROGRAM - Privately funded.  This was an idea suggested by the women residents and has proved very successful.
• FATHER & SON GET-TOGETHERS – Play chess and other board games while visiting.
• There are many other programs at the jail ranging from photography to art to yoga.    A Pilot Program is being considered to utilize these programs for offenders on electronic monitoring while living at home, making use of time to prepare for life after release.

ELECTRONIC MONITORING

• The question of cost for electronic monitors was discussed. There are currently approximately 2,300 offenders on electronic monitoring.  700 alarms go off every day, and these have to be investigated.  Taking out the garbage, being late in returning home from work due to transportation issues, faulty wiring can set off the alarms.  Phone calls and home visits are sometimes required.  This is a labor intensive and costly procedure. 
• Another issue discussed was solitary confinement. THERE IS NO SOLITARY CONFINEMENT AT COOK COUNTY.  Offenders are out of cells at least 4 hours a day, outside if possible.  They are ankle chained to a table with other inmates to enable conversation and group interaction, board games and such.  Dart emphasized, this is a jail, not a prison.
• RECIDIVISM- Sheriff Dart stated 3,000 of the jail population require mental health care.  While incarcerated, they receive these services; however, when released into the community, mental health services are scarce, and unfortunately, after 3-6 months, many former residents return.  

THE FUTURE –

• The Sheriff intends to increase focus on domestic violence, affordable housing, and services for the LGBT communities.  Asked if the legalization of marijuana will have an impact on incarceration, he did not think so, except possibly an increase in DUI.
• The hearing ended after 2 hours when Sheriff’s staff brought in 2 therapy dogs.  

​Observer: Carole Cotter