COOK COUNTY FY2019 EXECUTIVE BUDGET RECOMMENDATION: Analysis and Recommendations October 26, 2018 TABLE OF CONTENTS EXECUTIVE SUMMARY ......................................................................................................................................... 4 CIVIC FEDERATION POSITION ........................................................................................................................... 7 ISSUES THE CIVIC FEDERATION SUPPORTS ................................................................................................................ 7 Supplemental Pension Contributions ................................................................................................................... 7 Establishment of a Pension Stabilization Account within the Annuity and Benefit Fund .................................... 7 Strong Level of Fund Balance Reserves ............................................................................................................... 8 Strategic Planning ................................................................................................................................................ 8 Metrics Reported through Performance-Based Budgeting System ...................................................................... 9 Transparency and Access to Board Meetings and Budget Information ............................................................. 10 Mid-Year Hearings on the FY2019 Preliminary Forecast ................................................................................. 10 CIVIC FEDERATION CONCERNS ................................................................................................................................ 11 Risks Related to CountyCare ............................................................................................................................. 11 Personnel Costs Driven by Collective Bargaining Agreements ......................................................................... 12 CIVIC FEDERATION RECOMMENDATIONS ................................................................................................................ 13 Obtain Statutory Authority for Supplemental Pension Contributions ................................................................ 13 Enact Multiple Year Intergovernmental Agreement with the Pension Fund for Supplemental Contributions in the Absence of State Legislation......................................................................................................................... 14 Expand Independent Revenue Forecasting Commission to Include Expenditure Forecasting .......................... 14 Move Forward with Plans to Relocate the Oak Forest Health Center .............................................................. 15 Develop a Clearer Vision for the Future of Provident Hospital ........................................................................ 16 Achieve Savings through Criminal Justice System Reforms at the Jail and the Courts ..................................... 18 Collective Bargaining Agreement Transparency Improvements ........................................................................ 18 Require Public Fiscal Impact Analysis Prior to Contract Approvals ................................................................ 19 Make All Collective Bargaining Agreements Available Online ......................................................................... 19 Connect the Collective Bargaining Process to Revenue and Expenditure Forecasting ..................................... 19 Streamline Property Tax Functions Through a Unified Property Tax Administration Office ........................... 19 Hold a Public Hearing on Recent Changes Made to the Cook County Assessor’s Office Property Assessment Model ................................................................................................................................................................. 20 Live-Stream Health System Meetings ................................................................................................................. 21 Make Health System Procurement Contracts Available Online ........................................................................ 22 Enhance Information Available in Budget Documents: ..................................................................................... 22 Aggregated Personnel Counts and Spending for All Funds ............................................................................... 22 Continue to Include Discussion of Closing the Preliminary Budget Gap .......................................................... 22 Description of Fixed Charges ............................................................................................................................ 23 Provide Health System Revenue Detail by Category in Preliminary Forecast .................................................. 23 ACKNOWLEDGEMENTS ...................................................................................................................................... 24 FY2019 BUDGET DEFICIT & GAP-CLOSING MEASURES ............................................................................ 25 APPROPRIATIONS ................................................................................................................................................. 26 ALL FUNDS APPROPRIATIONS BY FUND................................................................................................................... 27 OPERATING FUNDS APPROPRIATIONS BY OBJECT .................................................................................................... 29 ALL FUNDS APPROPRIATIONS BY CONTROL OFFICER AS A PERCENTAGE OF TOTAL APPROPRIATIONS ................... 30 General and Health Funds ................................................................................................................................. 31 Special Purpose Funds ....................................................................................................................................... 31 GRANT FUNDS AS A PERCENTAGE OF TOTAL APPROPRIATIONS............................................................................... 33 RESOURCES ............................................................................................................................................................. 35 PROPOSED FY2019 GENERAL AND HEALTH FUND RESOURCES .............................................................................. 35 GENERAL AND HEALTH FUND RESOURCE TRENDS .................................................................................................. 37 Property Taxes ................................................................................................................................................... 38 Sales Tax ............................................................................................................................................................ 38 Other Non-Property Taxes ................................................................................................................................. 38 2 Fee Revenues...................................................................................................................................................... 40 Miscellaneous, Intergovernmental and Other Revenue Sources ........................................................................ 41 PROPERTY TAX LEVY FOR ALL FUNDS .................................................................................................................... 42 PERSONNEL TRENDS ............................................................................................................................................ 45 FULL-TIME EQUIVALENT POSITIONS BY FUND ........................................................................................................ 45 FULL-TIME EQUIVALENT POSITIONS BY CONTROL OFFICER ................................................................................... 46 SALARIES BY CONTROL OFFICER ............................................................................................................................. 46 PERSONAL SERVICES APPROPRIATIONS ................................................................................................................... 47 PUBLIC SAFETY ..................................................................................................................................................... 50 PUBLIC SAFETY BUDGET OVERVIEW ....................................................................................................................... 51 PUBLIC SAFETY FUND APPROPRIATIONS ................................................................................................................. 53 PUBLIC SAFETY PERSONNEL .................................................................................................................................... 56 CRIMINAL JUSTICE REFORMS .................................................................................................................................. 57 COOK COUNTY HEALTH AND HOSPITALS SYSTEM .................................................................................. 59 OVERVIEW OF THE HEALTH SYSTEM ....................................................................................................................... 59 HEALTH SYSTEM FY2019 BUDGET ASSUMPTIONS 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