Cook County Board OIG Update and Budget Presentation - July 22, 2026
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Cook County Board OIG Update and Budget Presentation - July 22, 2026
The Cook County Board of Commissioners received a quarterly update from Inspector General Twell Paxton on the Office of the Independent Inspector General (OIG). The presentation covered budget status, staffing, rising complaint volumes, key investigations, and a new public report on Cook County Health's revenue cycle. Commissioners discussed contractor oversight, the need for improved coordination, and the challenges of managing large projects across multiple elected offices.
Consent Calendar
- No consent calendar items were discussed.
Public Comments & Testimony
- No public comments were provided.
Discussion Items
- OIG Staffing & Budget: Inspector General Paxton reported that the OIG is budgeted for 25 full-time employees, with 20 positions currently filled (up from 14 last year). The office is under budget by $468,350 (27.3%) for the six-month period and fiscal year 2026, primarily due to open positions and unspent costs related to an upcoming office relocation. The OIG seeks five additional staff for fiscal year 2027 to address personnel shortages in areas such as unlawful political discrimination, sexual harassment, contract compliance, property tax fraud, and waste.
- Complaint & Investigation Volume: Complaints increased by 25% in the first two quarters; 60 investigations were completed, exceeding the total for all of 2025. The OIG noted a troubling spike in property tax issues and an increase in sexual harassment and workplace misconduct complaints, though most are non-sustained.
- Case Management System Update: Jennifer Fother, OIG Office Manager, reported that after delays, the office decided to stay on-premise for its case management system (hosted on county servers). The system is on track to be fully updated by September, with no additional cost.
- Contractor A Report & Procurement Communication: Commissioner Laura discussed the findings of the recent contractor report (released July 21, 2026), highlighting failures in oversight, planning, and vendor efficiency. Inspector General Paxton emphasized the need for a single primary authority for large projects, stronger support from the Bureau of Technology (BOT), and early involvement of the OIG to prevent issues. Commissioner Trevor Burrus Jr. noted that managing without authority is a recognized challenge in large organizations and urged the board to address this systemic problem.
- Law Enforcement Referrals: Inspector General Paxton stated that all completed investigation reports are referred to law enforcement; 136 reports have been issued, totaling over $3 million in federal fraud identified. No action has been taken on these referrals to date.
Key Outcomes
- The OIG released a public report on Cook County Health's revenue cycle, showing that claim denials have dropped significantly since 2020, with projected cost savings exceeding $500 million. Inspector General Paxton commended CCH staff for the turnaround.
- The committee recessed to 9:00 AM the following day for separate presentations by the Treasurer and Assessor's offices.
- No formal votes were taken during this presentation.
Meeting Transcript
Hello? Twell Paxton, Inspector General. Ready. Okay. Good afternoon. Or early evening. Chairman Daly and members of the Board of Commissioners. Pursuant to Cook County ordinance, the mission of the Office of the Independent Inspector General is to detect, deter, and prevent public corruption, fraud, waste, mismanagement, unlawful political discrimination, and other forms of misconduct in the operation of Cook County government. The jurisdiction of the OIG includes all offices under the Cook County Board President, the Cook County Board of Commissioners, Cook County Health and Forest Preserves, and the separately elected Cook County officials, such as the Assessor, Treasurer, Clerk, Sheriff, and Board of Review. Pursuant to State Statute, our office also has jurisdiction over other government officials who are appointed by the Cook County Board or the President, such as trustees of local sanitary districts and mosquito abatement districts. The OIG is budgeted for 25 full-time employees, which includes the Inspector General, two Deputy Inspectors General, one General Counsel, one Assistant Inspector General, one office manager, one administrative assistant, and 18 investigators. Last year we had 14 positions filled. Currently, we have 20 positions filled. As you may recall, we were budgeted for five new positions last year. However, we could not fill them until mid-year. We have started the hiring process and plan to fill the remaining positions by the end of August. Based on May figures, we are under budget by 468,350, or 27.3 percent for the six-month period and fiscal year 2026. We are under budget primarily due to open positions not related to the additional five positions. There are also unspent costs associated with the upcoming office relocation in the fourth quarter. We expect to stay within our budget for the remaining portion of fiscal year 2026. Looking forward, we seek to further expand our office during fiscal year 2027 to include five additional staff to address the long-standing personnel shortages. These new positions will assist in unlawful political discrimination, sexual harassment and workplace misconduct, contract compliance and performance, property tax fraud and wrong assessments, and waste and mismanagement. The OIG still believes an OIG budgetary floor should be considered and eventually implemented. As you know, we have proposed an amendment to the Office of the Independent Inspector General ordinance to address issues related to staffing and independence from political influence. This year has already demonstrated the growing demand for our oversight. In the first two quarters, complaints have increased by 25 percent, and we have completed 60 investigations, more than the total number completed in all of 2025. This pace reflects rising public trust and productivity in the Inspector General's office. Unfortunately, we are seeing troubling spikes in property tax issues. These trends underscore the need for vigilant, timely intervention. Additionally, we reviewed the property tax system implementation project and found breakdowns in oversight planning and vendor efficiency. With the appropriate staffing levels, we can curb errors, omissions, fraud, waste, and mismanagement earlier and more effectively. We are also experiencing an increase in the volume of complaints related to sexual harassment and workplace misconduct. Although most of these complaints are non-sustained and closed, it takes a considerable amount of time and effort to triage, assign, and determine whether there is any merit to the allegations. Today, we released a public report on Cook County Health's revenue cycle. As you may recall, our prior reviews found that CCH lost more than $115 million in 2018 alone due to claim denials from waste and mismanagement. Following our recommendations, CCH strengthened its processes and added staff to address the underlying issues. As a result, claim denials have dropped significantly in the cost savings generated since 2020, are now projected to exceed $500 million. I want to publicly commend CCH's staff for this remarkable turnaround. They exemplify how dedicated county employees can resolve complex challenges and deliver meaningful results for county stakeholders. Lastly, I want to thank those who continue to support our office and assist us in reaching our mission. At this time, I can take any questions you may have for me. Commissioner Laura. Thank you, Chairman, and thank you, General. First, I'd like to also say thanks for uh the CCH revenue cycle report. Thank you for shining a light on that. And you're absolutely right. It shows that um with communication and collaboration, we can do a whole lot. And uh I really appreciate your leadership and the leadership of your office. Public trust is a pillar of democracy. And you more than anyone that I've seen within these walls, you maintain that and you make sure that all of us do the same.
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