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November 20, 2006 (Regular Meeting) Page 178 in Cabarrus County and when the Center is fully operational, it will serve approximately 7,400 people. Finally, he suggested the funding be appropriated through one of the County's existing programs such as the Health Alliance, DSS, or the Cabarrus County Community Care Plan. Mr. Cook responded to several questions pertaining to the relationship between the McGill Medical Center and the Health Alliance, the duplication of services already provided by the Health Alliance, etc. Commissioner Privette stated his concern that if the County funds this non-profit, then the County would be opening the door for other non-profits funding requests. Mr. Cook explained that their organization began as a community wide effort among partner agencies, which most are county agencies or programs, to gain access to federal and state funding to meet the serious needs in our community. By allocating funds to one of the partner agencies that were mentioned earlier, he said it will extend the capacity of local agencies to meet the needs in the community. Lamar Barrier, CCHC Board Chair, and Mr. Cook responded to additional questions from Commissioner Carpenter concerning the number of clients served per day by the medical center; the difference in services provided by the Community Free Clinic and the McGill Medical Center; a proposal from Gaston County to serve as the medical center's interim director; etc. Chairman Carruth reported Commissioner Freeman had asked to be recused from voting since he is a member of the CCHC Board of Directors. UPON MOTION of Commissioner Carpenter, seconded by Commissioner Privette with Chairman Carruth, Vice Chairman Juba and Commissioners Carpenter and Privette voting for and Commissioner Freeman abstaining, the Board recused Commissioner Freeman from the vote. Chairman Carruth made a MOTION to approve the $60,000.00 funding request as presented by the Cabarrus Community Health Center for renovations at the McGill Medical Center, with the appropriation to go through the Health Alliance and to adopt the following budget amendment: BUDGET REVISION/AMENDMENT REQUEST DEPARTMENT OF Finance AMOUNT: $60,000.00 TYPE OF ADJUSTMENT: Supplemental Request PURPOSE OF REQUEST: The Cabarrus Community Health Centers, Inc. has asked for a special appropriation of $60,000.00 for renovations to the McGill Avenue Medical Center to increase the number of exam rooms. They have received a $250,000.00 Cannon Grant, and are lacking $60,000.00 to complete the $310,000.00 project. This funding from the County would come from Fund Balance. Present Account No. Approved Budget Increase Decrease Revised Budget 001617110-6901 $1,873,814.00 $60,000.00 $1,933,814.00 Fund Balance Appropriated 00191980-9797 $100,000.00 $60,000.00 $160,000.00 CCC Clinic Commissioner Privette seconded the motion. There was discussion on CCHC leasing the Logan Center from the City of Concord for $1 per year and the number of medical professionals on serving on CCHC's Board of Directors. Further, Commissioner Carpenter reported on the possibility of the Health Alliance moving to the North Carolina Research Campus which may result in extra costs for the County. The motion unanimously carried. (G-3) Sheriff's Office and Detention Center - Change Order No. 4 & Related Budget Amendment (Item G-3 was moved to Old Business, Item E-3.) (a-d1 Cabarrus County Board of Education's Offer - First Right o£ Refusal