An open letter to Dare County residents

By on April 13, 2021

Help save Dare Home Health and Hospice

(Editor’s Note: From time to time, the Voice publishes open letters from members of the community on a subject of public interest. This letter is written by an employee of the Dare County Home Health and Hospice Agency)

The debate of keeping things small & local vs. big & profitable is no stranger to the Outer Banks. The residents of this sandbar face these questions every day. What stores should we support? What kind of jobs do we want to work? How do we want our tax dollars spent?  Unfortunately, this debate has come a little too close to home for many. The fight for the future of Dare County’s Home Health and Hospice (HH&H) agency is currently in full swing.  And there is a public hearing scheduled on the matter on April 19 at 5 p.m.

We’ve heard that the agency has been losing money in past years and have had trouble hiring and retaining staff, but no one is talking about or even asked, why?. If the agency isn’t making the money they think it should be, then why hasn’t anyone tried to make changes before now? The numbers that are brought up in meetings do not have any of the nuances for the struggle this agency has been dealing with for years.

As one HH&H nurse put it: “If some of the changes that have been openly expressed by the staff had been made sooner, more of the good nurses we had could have been saved.”

We who currently work at HH&H agree that structural changes need to be made. It can not continue running as it has been, and no one thinks that it should. Employees have been asking for the same changes again and again. Where was the sentiment — “we care about our employees” — when nurse after nurse left for the same reasons? If the needed changes to the agency can be made, and the staffing brought back to a functioning level, then there should be no doubt in anyone’s mind that this agency can thrive again.

The HH&H agency works because we are the county. Our patients are our neighbors, friends, and family. No for-profit corporation is going to take a patient who doesn’t have insurance, or any other method of payment, just because they know how badly the patient needs help, but a county agency will. That is why it is vital it be kept in the county, to serve all the residents of the county.

COVID has hit everyone hard. When everyone was shutting down, stopping services, and closing doors, HH&H kept working. Our nurses have risked their lives and the lives of their loved ones at home throughout this entire pandemic. They have put themselves in danger every single day that they’ve worked. While others worked from the safety of their own homes, the HH&H nurses walked straight into the uncertainty of other peoples homes and continued services even without being able to properly protect themselves. They’ve lacked PPE (Personal Protective Equipment) and other protective gear for the majority of last year. Coming out now and saying that this agency will be sold to the highest bidder is a complete disservice to everyone involved — employee and county resident alike.

The talks to look into the agency started back in December. Originally it was presented as either the board agreeing to increase the funding so that new nurses could be hired (and kept) and needed changes could be made, or they would look into the possible sale of the agency. However, as we have seen in the board meeting on April 7, the talks have completely been taken over and dominated by selling off the agency. It is now entirely a debate over which buyer they want to sell to. There was no talk anywhere about the option of keeping HH&H within the county and increasing the budget to get where we need to be. That wasn’t even suggested. Only squabbling over which bid to accept. In the commissioners minds, the decision seems to have already been made. The public deserves to know this is happening.

The 2.9 million dollar bid was a game changer. The board members have dollar signs in their eyes, and that leaves room for little else. Mr. Outten has said that they can’t ask, or expect, taxpayers to pay for an agency that isn’t making money. That statement is hollow to any Dare County resident who has been paying attention to where their tax dollars are being spent. How many taxpayers have spoken up that they do not want the county to spend 99 million taxpayer dollars on beach nourishment? A process that needs to be done year, after year. How many taxpayers have spoken against their tax dollars going to nourish the beaches in Duck, when they can’t even walk to those beaches without the fear of being arrested? How many taxpayers questioned the purchase of Mako Mike’s restaurant for 1.95 million dollars? How many times have the taxpayers said they don’t want more tourist attractions, but instead want affordable housing? Something that is desperately wanted and needed so that year round residents can afford to live here, and families who have been on the beach for generations don’t get priced out of their homes. So I do not believe that the board can’t go to the taxpayers and ask if they’d be willing to let their tax dollars be spent on a healthcare agency who helps the sick and dying.

The end of the county’s fiscal year is coming up quickly. I’m sure they would like to have this issue over and done with before then. The Letter of Intent with BrightSpring is non-binding. Meaning that either party can back out of the deal. However, the board has made little-to-no indications that they intend to reject their offer. Only a strong outcry from the public, from the residents of Dare County, could be impactful enough to change this current course of action. There are those of us trying to raise that outcry for the upcoming public hearing. I pray that we succeed. Home Health and Hospice is an important asset to the people who live on the Outer Banks. Whether for your family, your friends, or for yourself. Everyone at one point will need a service like this. What kind of service do you hope it will be?

Give the Home Health and Hospice agency the chance it deserves. Help us to show that the employees and the residents of Dare County are more important than the money being offered. The board of commissioners have put a price tag on our jobs and on this county’s elderly care. What a loss for the county it will be if this is allowed to happen.                                                                                     

An employee of the Dare County Home Health and Hospice Agency

Email the Board of Commissioner members at: Email the County Manager Mr. Robert Outten at: Email the Clerk for the board:

Share and sign the online petition:


Barnhill Building Group has been selected as the Construction Manager @ Risk by the College of the Albemarle and is seeking to pre-qualify construction trade contractors to submit bids for the furnishing labor, materials, equipment, and tools for the new College of The Albemarle – Allied Health Sciences Simulation Lab (COA Health Sciences) located in Elizabeth City, NC. Please note: Only subcontractors who have been prequalified by Barnhill will be able to submit a Bid.

The project consists of the new construction of a 38,000-sf, 2-story expansion to the existing Owens Health Sciences Center and will house classrooms, labs, and a simulation lab. The site is just over just over 4.5 acres and is located on an active campus. This new construction will be a steel structure with a brick and metal panel veneer, curtainwall, and storefront glazing with a PVC roof membrane.

Principal trade and specialty contractors are solicited for the following Bid Packages:

BP0100: General Trades

BP0105: Final Cleaning

BP0390: Turnkey Concrete

BP0400: Turnkey Masonry

BP0500: Structural Steel & Misc. Steel

BP0740: Roofing

BP0750: Metal Panels

BP0790: Caulking / Caulking

BP0800: Turnkey Doors/Frames/Hardware

BP0840: Glass & Glazing

BP0925: Drywall

BP0960: Resilient Flooring

BP0980: Acoustical Ceilings

BP0990: Painting & Wallcovering

BP1005: Toilet Specialties / Accessories / Division 10

BP1010: Signage

BP1098: Demountable Partitions

BP1230: Finish Carpentry and Casework

BP1250: Window Treatment

BP1400: Elevators

BP2100: Fire Protection

BP2200: Plumbing

BP2300: HVAC

BP2600: Turnkey Electrical

BP3100: Turnkey Sitework

BP3290: Landscaping

Packages may be added and/or deleted at the discretion of the Construction Manager. Historically underutilized business firms are encouraged to complete participation submittals.

HUB/MWBE OUTREACH MEETING: Barnhill Building Group will be conducting a HUB/MWBE Informational Session. You are encouraged to attend the following session to learn more about project participation opportunities available to you. These seminars will help to: Learn about project and scope; Inform and train Minority/HUB contractors in preparation for bidding this project; Assist in registration on the State of North Carolina Vendor link; Stimulate opportunities for Networking with other firms. Location and time TBD. Please visit our planroom at for more information.

Interested contractors should submit their completed prequalification submittals, by July 22, 2024, to Meredith Terrell at or hardcopies can be mailed to Barnhill Contracting Company PO Box 31765 Raleigh, NC 27622 (4325 Pleasant Valley Road, NC 27612).



  • obx-joe

    Thank you sincerely for your service to our community during these trying times. Also, thanks for pointing out an important choice that could be made now based on dollars only to live with in regret when this out of state corporation leaves us high and dry in a few years if THEY cannot turn a profit at our expense

    Wednesday, Apr 14 @ 7:55 am
  • obx-joe

    Comments often do not post for some reason it seems. I tried to say before:

    Thank you sincerely for your dedication and that of all the staff at this important facility in our community. You have given us a lot to think about when the choice is $$ from a company totally divorced from any service here vs. other offers that may be less lucrative but have a more realistic chance of acceptance and success.

    Wednesday, Apr 14 @ 8:02 am
  • Mark Jurkowitz | Outer Banks Voice

    Joe, I have mentioned this before, but should again. When comments are originally sent in, they post to the site and then automatically come down until I can read them. Obviously, I can’t spend all my time reading comments, but I do check on them a number of times during the day. So I ask folks who post comments to be patient and give me time to read them.

    Wednesday, Apr 14 @ 5:00 pm
  • J Reg

    It would be irresponsible of the Board of Commissioners to allow Dare County to continue to self-manage a service (HH&H) that has been proven cannot be done effectively this way, as shown by having to subsidize it. Just like with the nursing home in Nags Head, upgrading to having services managed by a company that is experienced and specialized in a particular field can provide better results for us.

    It would be negligent to turn away a $2+ Million infusion of cash into the pockets of Dare County residents by accepting a substantially lesser bid of $250,000 based on an assumption that a ‘local’ organization (Chesapeake Regional) would provide us better care solely on that basis. The County, should it choose to do so, could put money from a sale towards providing other health/personal care programs for the community. $2Million buys a lot. Even if the $2 Million was not spent in a lump sum but put into an investment fund that earns 5% annually on average, the county would be able draw out $100,000 each year to put towards some other program(s). Plus the money it would be saving by no longer having the subsidy burden. I’m sure the B of C will do its due diligence in checking out the quality and reliability of the bidders. The Board of Commissioners is charged with overseeing that the taxes received from county residents is put to its best use. Continuing to subsidize an endeavor that is just not working out, for whatever reason, if fiscally irresponsible. To walk away from a $2M infusion of cash into the budget is also fiscally irresponsible in my opinion.

    Wednesday, Apr 14 @ 11:34 pm
  • obx-joe

    Thank you Mark because I missed your earlier explanation of the delay. Because most post appeared imediately (probably because of your dedication to this site) I assumed there was a problem.
    Will be much more patient in the future.

    Thursday, Apr 15 @ 7:40 am
  • Wanda Jones

    It seems that the DCBOC make most decisions based on tourism and money. I understand that is really the only industry we have. We as locals are being pushed out due to the increasing cost of living. We are being priced out of the housing market. Whether you are looking to buy or rent it’s getting harder to reach. We are limited to medical care and specialist already. Our residents work really hard and to lose these essential services are cruel. Please take better care of our locals who are here to make tourism successful.

    Friday, Apr 16 @ 8:34 pm
  • charlie

    in response to J Reg… According to your logic every department of Dare County is mismanaged because they are subsidized… I sincerely hope is is long in the future when your family will need hospice. And I suggest you talk with friends about their interaction with hospice. At a family’s worst nightmare these angels arrive and console and assist patients and families through these most trying times… As a wonderfully mature young aide spake at the Commissioners Meeting on April19th..”It is not about us. It is about them.”
    You might see this in dollars and cents I see it as the soul of Dare County where we show compassion to our neighbors… This is priceless…..

    Wednesday, Apr 21 @ 10:48 am