County Healthcare Employment: What the Data Shows
| County by the Numbers
Healthcare is the largest employer in many American counties. It’s also one of the most consequential sectors for county government because counties often run hospitals, health departments, and behavioral health…
Read More County Executive vs. Commissioner: Key Differences Explained
| Governance Evolution
Two county officials walk into the same room to decide how the local government responds to a flooding emergency. One has full executive authority to direct resources, sign contracts, and…
Read More Behind the Streak: San Bernardino County Wins 257 NACo Awards
| Innovation in Action
This is what consistent, county-wide commitment to innovation looks like when it shows up in the data. 257 national awards in a single year. That number belongs to San Bernardino…
Read More How County Leaders Use Census Data for Budget Decisions
| County by the Numbers
Most counties make budget decisions with one major data gap: a reliable, annually updated picture of what’s actually happening in the local economy. The Census Bureau’s County Business Patterns program…
Read More Innovative County Programs: How Maricopa County Earned 85 NACo Awards
| Innovation in Action
Eighty-five awards in a single year. That’s not a typo. Maricopa County, Arizona set a new record in 2025 by earning more NACo Achievement Awards than it ever had before,…
Read More Albany County Demonstrates the Power of Smarter Healthcare Savings
| County News
The County Executives of America (CEA) is proud to highlight another real-world example of how counties can deliver meaningful savings for taxpayers while continuing to provide high-quality healthcare benefits for…
Read More County Economic Data: A Guide to Business Patterns
| County by the Numbers
When a site selector calls your county economic development office with questions about local workforce size, they expect a data-backed answer. When a state legislator asks how county payroll has…
Read More What the County Executive Form of Government Delivers
| Governance Evolution
In 1998, voters in Allegheny County, Pennsylvania, did something most counties never dare to attempt. They scrapped their entire governing structure. The three-commissioner system that had governed the county since…
Read More Policy, Partners, and Progress: The CEA University of Maryland Summit
| CEA Events
The County Executives of America (CEA) recently convened at the University of Maryland for a robust leadership summit, blending strategic policy discussions with high-level networking. The event commenced with a…
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