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~"~ Mr. Perkinson stated that concerning the financial aspect, he had talked with program directors regarding the monies in the district and how these funds might be handled and what might be available if Orange County withdrew from the district. He added that exact dollar figures were not available at this time. Should there be a separation from the district, there would be no lessening of revenues available to the five counties as a total. Orange County would continue to receive its pro rata share of what goes into the district. He added that the Health Aid to Counties monies which came through. his office amounted to $137,000 for the entire district. If Orange County withdrew from the district, $42,300 would remain with Orange County. These monies 'are available through a base allocation established prior to fiscal year 1970 and 1971. At that time,, monie~ were allocated on a Gounty basis. All counties in the State were allocated a flat $4,000 per county, regardless of size. Another $1,000 per county was allotted for the retirement system for employees in the Health Department. The. remainder of appropriation from the General Assembly was distributed on a per capita basis. In 1971, this was approximately 33 cents per capita. Orange County's share of the }case allocation would be a little more than $37,000. He added that since 1971, other monies have been allocated to the district. The population base used is the 1970 census and historically, this figure will be used until 1980. Tom Johnson from the Regional Office of Health Services in Fayetteville, stated that there was a limited amount of moves available on the formula quoted by Mr. Perkinson, and only a portion is determined by population. He added that the district had an excellent record for obtaining funds and that since Orange County had the N. C. Memorial Hospital and the School of Public Health, the health needs of some of the smaller counties helped to attacht funds to the entire district. He spoke of the funds for special programs and stated that it was an advantage to have a wide variety of population combined in one district when seeking funds. Mr. Perkinson informed the Board that program monies received in the district had almost tripled. There :is $327,000 of programatic monies going into this district. Commissianer Gustaveson asked what is the State's role related to problems in other counties in the district should Orange County decide to withdraw? Mr. Perkinson replied that the primary concern would be to continue operation of existing programs. He added that people were available on all levels within the State to help counties with problems. Chairman Whitted asked if the State contracted for specialized services within the different counties? Mr. Perkinson replied that all attempts would be made to continue services which are now available. Commissioner Gustaveson asked how much lead time is necessary to withdraw from the district for the upcoming budget year to enable the other counties to deal with the withdrawal in their budgets? Mz. Perkinson replied that from past experience, discussion would have begun six to nine months prior to the separation. He added that most separations had brought about problems such as inadequate budget preparation. He emphasized that all cast factors should be considered beforehand. Mr. Perkinson stated that many of the questions are not going to be answered until individual counties consult with representatives of the specific programs on an individual basis. Mr. Johnson added that many of the problems in the program area would have to be worked out by the health departments themselves. He urged the Board to decide what they wished to do and then work to accomplish that goal. Commissianer Willhoit asked Mr. Perkinson if he had said that there was $324,000 allocated to the district for programs, $137,000 is the base for funding, and that Orange County would be eligible for a pro rata share of the programs for which we have a need?