Suffredin- Changing County Government  
 

Accountability
Forest Preserves
Public Safety
Cook County Budget
Forest Pres. Budget
Property Tax Appeal
Health & Hospitals
Land Bank Authority
Policy Resolutions
Unsung Heroine

 

   
 
   
   
 
   
     
  Office phone numbers:  
   
 
 

The Cook County Code of Ordinances are the current laws of Cook County.

   
 

Search current and proposed Cook County Legislation in Larry's exclusive legislative library.

   
  Cook County is the second most populous county in the nation. It is the 19th largest government in the U.S.
   
     
     
     



Cook County Health finance chief departs
The system has hired a consultancy to review its fiscal 2020 budget and develop financial strategies, according to an internal memo obtained by Crain’s.

Monday, February 24, 2020
Crain's Chicago Business
by A.D. Quig Stephanie Goldberg

Cook County Health interim CEO Debra Carey is making changes amid financial pressures and a proposal that would shift health system control from its independent board back to the Cook County Board of Commissioners.

Chief Financial Officer Ekerete Akpan has left after about five years in the role, and the health system has hired consultancy AArete to review its fiscal 2020 budget and develop financial strategies, according to an internal memo obtained by Crain’s.

 

In the memo, Carey said Akpan’s responsibilities have been delegated to other Cook County Health leaders and that the health system is considering retaining a full-time interim chief financial officer.

Nick Shields, a spokesman for Cook County Board President Toni Preckwinkle, said of Akpan's departure, "This is a Cook County Health personnel matter and we’ll have nothing further to add."

Carey said developing the fiscal 2020 budget was “the most challenging in recent years for CCH,” noting that the “unanticipated and continued growth in uncompensated care over the last few years has created a financial challenge for CCH as a provider of health care that is unsustainable.”

With a $2.8 billion budget, Cook County Health, one of the largest public health systems in the nation, operates Stroger and Provident hospitals as well as clinics across the county. It also runs its own Medicaid managed care plan, CountyCare, which leaders say has contributed more than $1 billion to the health system over the past five years.

Akpan’s exit comes after CEO Dr. John Jay Shannon’s departure and Preckwinkle’s proposal to claw back some of the county’s oversight of the health system, which has been governed by an independent board since 2008.

Preckwinkle said the changes would “continue to provide for independent governance,” but would give the county “enhanced collaboration on various operational initiatives that impact county policy and appropriations,” like performance benchmarking, uncompensated care policy, and the health system’s legislative agenda.

The Cook County Board is scheduled to vote Wednesday on the major reorganization that would give Preckwinkle's administration more say in the choice of the next CEO and health system finances.

One of the health system’s most vocal critics, Commissioner Sean Morrison, said Akpan had been more forthright recently about the system’s budget challenges. He also said the timing of Akpan’s exit was “not a prudent move” without a deputy CFO ready to take on the role.

“You have complete chaos over there in management,” Morrison said.

Meanwhile, Chicago-based AArete was hired to assess the revenue cycle processes and uncompensated care; the system expects to spend roughly $590 million in fiscal 2020 on such care, which comprises charity care and bed debt.

 

 



Recent Headlines

Daywatch: Virus crisis looms for Cook County’s incarcerated, the brave new world of pandemic shopping and what Mayor Lori Lightfoot thinks of your memes
Tuesday, March 31, 2020
Chicago Tribune

Another nurse claims retaliation after voicing concerns about PPE access (LIVE UPDATES)
Tuesday, March 31, 2020
Chicago Sun-Times

$7.5M in payouts to go to former Cook County Jail detainees denied prescription drugs
Monday, March 30, 2020
Chicago Sun-Times

Postponement of most criminal, civil cases in Cook County Circuit Court extended through May
Monday, March 30, 2020
Chicago Sun-Times

Cook County medical examiner confirms 8 more coronavirus deaths, bringing total to 48
Monday, March 30, 2020
Chicago Sun-Times

Niles Township COVID-19 UPDATES
Monday, March 30, 2020
Special to suffredin.org

Rent coming due for many who’ve lost jobs or seen their hours cut
Sunday, March 29, 2020
Chicago Sun-Times

Community health centers face shutdowns as the coronavirus drives patients, funding away
Sunday, March 29, 2020
Chicago Sun-Times

Coronavirus prompts crackdown on crowds in Cook County forest preserves, and more closures possible if public doesn’t comply
Sunday, March 29, 2020
Chicago Tribune

Illinois confirms more than 1,000 new coronavirus cases as testing capacity grows
Sunday, March 29, 2020
Chicago Sun-Times

Cook County medical examiner confirms 8 more coronavirus deaths, bringing total to 40
Sunday, March 29, 2020
Chicago Sun-Times

Weekly updates from the Village of Glenview
Sunday, March 29, 2020
Special to suffredin.org

Design Evanston Project Review of the 1900 Sherman Avenue Project
Saturday, March 28, 2020
Evanston RoundTable

Inside the city's dry run for a pandemic
Friday, March 27, 2020
Crain's Chicago Business

As coronavirus spreads at Cook County Jail, hundreds are released
Friday, March 27, 2020
Injustice Watch

Letter from the CEO of Cook County Health System
Friday, March 27, 2020
Special to suffredin.org

Cook County offering tax relief, too
Thursday, March 26, 2020
Crain's Chicago Business

Metropolitan Water Reclamation District of Greater Chicago
Wednesday, March 25, 2020
Metropolitan Water Reclamation District

More COVID-19 Cases Discovered in Cook County Jail
Wednesday, March 25, 2020
WTTW News

Safety concerns spark clashes between hospital staffers and execs
Wednesday, March 25, 2020
Crain's Chicago Business

all news items

Paid for by Larry Suffredin and not at taxpayer expense. A Haymarket Production.
^ TOP