The current Chicago Outfit is split into two factions--Cicero and Elmwood Park. Salvatore Cautadella and Jimmy I run Cicero for Michael Sarno...with Frank Caruso's 26th Street Crew reporting into them along with a small crew in Chicago Heights and NW Indiana. Their rackets tend to focus more on the street crimes--juice, extortion, burglary, etc.
Elmwood Park is run by John and Pete DiFronzo with Alby Vena's Grand Avenue crew reporting into them along with Solly DeLaurentis' lake county crew. Joe Calato who is frequently referred to as "Joe Kong Cullotta" is out of the rackets. this faction is far more into white collar things like zoning scams, bid rigging, etc. Most of these guys have legitimate businesses and restaurants.
There certainly have been ceremonies since the 1980s. There are rumors that Sarno made a new crop before he headed to prison. I don't think anyone is doing a ceremony anymore--that started in Chicago with Aiuppa and ended with him.