Cook County Board President Toni Preckwinkle said the 2021 budget, which covers the fiscal year starting Dec. 1, was made possible through “years of hard work, hard votes and fiscally responsible steps” her administration has taken to “reshape” the county.

Typically a no vote on proposed budgets, Commissioner Sean Morrison, R-Palos Park, voted yes Tuesday but warned his colleagues to be “mindful and vigilant” in determining how the county operates moving forward.

“The enormous challenges that lie ahead for Cook County will actually be next year, in budget year 2022,” Morrison said. “The obvious questions that lie ahead will be will we receive any federal assistance in the name of COVID … or will we be reckoning with deficits on our own, through our own means? That is a question that lies ahead for us, and that’s what we need to be vigilant on.”

The 2022 fiscal year budget will take affect a year from now on Dec. 1, 2021.

Preckwinkle acknowledged in a news conference following the virtual meeting that the county could have its work cut out for it fiscally as the pandemic rages on.

“The pandemic will be with us into 2021 and, of course, that will have a financial impact as the economy is restricted to try to mitigate the spread of the disease,” Preckwinkle said. “So, I anticipate another tough budget year in 2021, and we won’t have the reserves that we were able to use this year to help meet some of the budget challenges, so, as some of the commissioners predicted there’s a tough year ahead.”

Preckwinkle pointed to the county’s Stroger Hospital as an example of the pandemic’s effect on county resources.

With the hospital required to reserve many of its beds for coronavirus cases, elective surgeries, which are an important source of revenue for the county, are off the table.

Preckwinkle and others, including Evanston Commissioner Larry Suffredin, still lauded their decades of work and the “pretty impressive shape” the county now finds itself in.

The county’s health apparatus had slated over 130 employees for layoffs but officials said Tuesday the actual number of layoffs will likely be in the single digits due to retirements and attrition, though they couldn’t immediately offer a final number.

Preckwinkle unveiled her $6.9 billion budget last month, laying out her proposal to close a $409.2 million shortfall through a mix of layoffs, cutting vacant positions and tapping into reserves for the county’s 2021 fiscal year that begins Dec. 1.

Ammar Rizki, the county’s chief financial officer, said at the time he and others on the county’s financial team are “projecting, basically a square root recovery” though the effect of the pandemic on the county’s budget is still in flux.