Cook County, Illinois General Obligation Refunding Bonds
Cook County Health and Hospital System Update
The County annually provides an Operating Tax Allocation to CCHHS to cover annual operating shortfalls and a separate Indirect Tax
Allocation consisting of debt service and pension payments
Decreased Operating Tax Allocations in recent years have been driven by reduction in uninsured patients under the Affordable Care
Act; budgeted increases are COVID-19 related
Includes funding for Correctional Health
In FY 2021, County Care increased membership to an average of 390,689; the County expects an average of 390,000 members in FY
2022
Health Fund Statement of Revenues, Expenditures, and Change in Fund Balance¹
REVENUES
Operating Revenues
Non-Operating Revenues
Total Revenues
EXPENDITURES
Salaries and wages
Employee benefits
Pension & OPEB
Supplies
Purchased services, rental and other
Foreign claims
Insurance, Depreciation, and Utilities
Services contributed by other County offices
Total operating expenses
Total Operating Gain (Loss)
Capital Contributions
Transfers
Change in net position (deficit)
FUND BALANCE - Beginning
FUND BALANCE - Ending
See p. 12-13 of the Preliminary Official Statement dated August 3, 2022.
1. Cook County 2021 ACFR, Exhibit 8 (including GASB 68 adjustments).
$ 3,369,630,386
176,515,402
$ 3,546,145,788
611,204,055
108,410,529
371,045,880
158,228,865
410,339,838
2,100,497,165
51,473,295
18,343,404
$ 3,858,824,085
22,430,759
187,559,281
(102,688,257)
$ (4,735,992,479)
$ (4,838,680,736)
CO
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