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154 The Board of Commissioners for the County of Cabarrus met in recessed session in the Multipurpose Room at the Cabarrus County Governmental Center in Concord, North Carolina on Saturday, February 20, 1999, at 8:30 A.M. Present - Chairman: Jeffrey L. Barnhart Vice Chairman: Arne L. Fennel Commissioners: Carolyn B. Carpenter Sue B. Casper Coy C. Privette Also present were Mr. Frank W. Clifton, Jr., County Manager; Mr. Fletcher L. Hartsell, Jr., County Attorney; and Mrs. Frankie F. Bonds, Clerk to the Board. Other staff present for the meeting included Mr. Blair Bennett, Deputy County Manager for Administration; Mr. John Day, Deputy County Manager for Operations; Mr. Don Moorhead, Human Resources Director; and Mr. Stephen Lipscomb, Public Information Coordinator. Chairman Barnhart called the meeting to order at 8:30 A.M. Sale of Lake Concord Property - Request to Extend Closinq Date until July 30, 1999 Mr. Hartsell reviewed issues associated with Mr. Duane Bennett's request to extend the closing date on the Lake Concord property. He listed the following three options: (1) do nothing; (2) extend the closing date; or (3) bid the property again. Mr. Duane C. Bennett of Great Land Development Company reviewed plans for the development of the Lake Concord property, including single-family homes and a small apartment area. He discussed efforts to obtain Corps of Engineers and North Carolina State Environmental approvals. Stating that all environmental surveys had been completed on environmentally impacted areas, Mr. Bennett agreed that all environmental surveys for the property would come to the County in the event that closing fails to occur. UPON MOTION of Commissioner Fennel, seconded by Commissioner Carpenter and unanimously carried, the Board approved the extension for the closing of the contract with Duane Bennett for the sale of the Lake Concord property until July 30, 1999 with the understanding that in the event the sale does not close, Mr. Bennett will deliver to the County at no charge all environmental surveys and reports regarding the property. Status Report: Home Health/Health Alliance Mr. Charles Phillips, Chairman of the Cabarrus Health Alliance Board, reviewed the overall and financial status of the Cabarrus Health Alliance. He stated the Alliance has been in existence for 20 months and is operating efficiently and effectively. Mr. Phillips discussed current initiatives, key issues facing the Alliance and plans for expanded services in the future. Mr. Clifton explained the concept of per capita funding for the Cabarrus Health Alliance and plans to use the per capita formula for future funding. Ms. JoAnn Reed, Director of the Cabarrus County Home Health Agency, discussed issues affecting the Agency, including the Interim Pay System (IPS) effective July 1, 1998, reduction in force, added Medicare requirements and new Accreditation standards. The number of reimbursable visits decreased in late 1998, resulting in the elimination of 15 positions in January. Mr. Clifton outlined several options concerning the future of the Home Health Agency: (1) Sell the Agency; (2) Go out of business; (3) Continue operating as is and consider periodic subsidies; and (4) Transfer ownership to the Cabarrus Health Alliance. There was lengthy discussion regarding the various options. The Board discussed the issue of selling the agency to a competing agency such as the NorthEast Medical Center, the delivery of services to the indigent in Cabarrus County and the advantages of transferring the Agency to the Cabarrus Health Alliance. There was general consensus for staff to pursue issues relating to the future transfer of the Home Health Agency to the Cabarrus Health Alliance with the following provisions: (1) The Alliance cannot transfer the assets of the Home Health Agency to a third party without approval of the B6ard of Commissioners; and (2) If the Agency is sold, all funds would be used for the