Dare Home Health & Hospice sale is topic of impassioned public hearing

By on April 20, 2021

Alfreda Shelton emphasized the quality of care from the county agency.

About a dozen local residents made impassioned pleas to the Dare County Board of Commissioners during an April 19 public hearing, asking it to reconsider its plan to sell Dare Home Health & Hospice (HH&H). The speakers contended that the county should invest and make changes within the agency that provides in-home care to Dare County residents suffering from terminal illness or recovering from a recent illness, injury or surgery.

The speakers, more than half of them employees of the HH&H, waited for nearly two hours to offer their view after the public hearing opened with a presentation by representatives of prospective buyer, Kentucky-based BrightSpring Health Services, and with lengthy exchanges between the national health care provider and the county commissioners.

In a comment at the hearing that summed up the argument by opponents of the sale, HH&H’s lead aide Alfreda Shelton told the commissioners that, “We always did whatever was necessary to make sure that our patients received the best care. They’re not just our patients. The more we care for them, those patients actually become a part of our family, those are our families.”

Late last year, the county began exploring the sale of the agency – stating that it could not financially sustain itself and had difficulty retaining employees. In March, the county commissioners entered into a contract with a Raleigh law firm to identify private entities interested in purchasing the agency. Earlier this month, they approved a non-binding Letter of Intent with BrightSpring, a for-profit agency and one of four entities that submitted offers to the county that ranged from $250,000 to the high bid of $2.9 million by BrightSpring.

That move sparked a social media and email campaign urging commissioners to keep the agency under the county’s umbrella, arguing that the care offered to patients will suffer under the control of an outside agency. A petition to that effect had collected 424 signatures as of April 20. (The Voice also published an open letter written by an HH&H employee that was critical of the commissioners’ decision to pursue a sale with BrightSpring.)

At times, it seems as if that pushback against the sale created tensions between the board and advocates for keeping HH&H under county control. At a previous meeting, several commissioners devoted their closing remarks to pointedly refuting allegations that they were making the decision because of the $2.9 million sales price.  And the April 19 public hearing was divided into two distinct segments — the lengthy session involving the commissioners and BrightSpring followed by the public statements opposing the sale.

After BrightSpring representatives made their presentation to the board, Commissioner Rob Ross noted that, “From listening to you, it sounds like you wake up in the morning and pretty much every day, you focus on home health, home health patients, and home health. I don’t know BrightSpring, so my question is not a loaded one. I’m trying to make sure I do understand the nature of your business.”

During that part of the meeting, Woodard responded to a number of emails he received asserting that the county doesn’t take care of its employees and is not paying them well.

“People have short memories,” he said.  “The emails I get – ‘We don’t care about our employees, we’re not paying ‘em.’ Well, let me remind the public. Two years ago, this board spent $4.5 million to bring our employees up to standards where they should be competitive in the industry.”

Commissioner Ervin Bateman looked for assurances from BrightSpring representatives. “I need you telling me that we’re never going to not go to Hatteras,” he said. “I need you to tell me and these people sitting out there that you never not going to go to Stumpy Point or Manns Harbor because the business model all of a sudden is not working for you.”

Six employees of Dare Home Health & Hospice spoke, as well as a few former employees of the agency, arguing that the sale will have a negative impact on both the patients and the employees – and will not solve the problems facing the agency.

Courtney Gallop, owner of Gallop Funeral Services in Nags Head, asserted that BrightSpring charges significantly more for home visits than the current county rate, as well as the other entities that made proposals

“BrightSpring currently has no – zero – hospice operations in the state of North Carolina, and no direct prior experience working with the needs of families in coastal North Carolina…Local families and businesses are just starting to recover physically and economically from the COVID catastrophe,” Gallop asserted. “Is this really a reasonable time to make such a drastic and potentially disruptive change to the fragile local healthcare infrastructure?”

Kill Devil Hills resident Alexy Martellos argued that, “I do not feel proud to be a part of a community that is willing to sell their home health and hospice agency to a corporation that is focused on making a profit off of people’s worst days.”

Amanda Myers, a physical therapist with HH&H, challenged the argument offered by county officials that residents are not getting the services due to staffing shortages, noting that there are two other home health and hospice agencies that also serve Dare County.

“If Dare Home Health cannot see them due to staffing shortages, then this referral is sent to another agency to ensure that services are provided,” she said. “If this referral is in an area of the county that another agency will not serve, Dare Home Health takes it no matter what. Our residents receive the services they need.”

Explaining that the board would not make a decision that evening, Woodard added, “When it’s all said and done and we talked to you, we’ve evaluated this and we’ve listened to the public, I’m gonna be confident that this board is doing the right thing for Dare County.”

BrightSpring Vice President of Population Health & Post-Acute Strategy Jody Moore attempted to alleviate some concerns brought up by commissioners regarding the future of current Dare HH&H employees.

“The standard that y’all have set, people want to be a part of that,” Moore noted. “So we want to continue that, making sure our staff have a pride of affiliation of who they work for and what they do. Hospice, and home health is very much [a] calling, so [we’re] making sure our folks are rewarded for that.”


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BP0750: Metal Panels

BP0790: Caulking / Caulking

BP0800: Turnkey Doors/Frames/Hardware

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BP0980: Acoustical Ceilings

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  • Sarah

    Absolutely disgusting that the commissioners are considering outsourcing our home health and hospice services. That is a crucial and imperative service to provide for our community. Our existing program is phenomenal and the staff and providers truly care for each patient and their family because they are our neighbors, friends and community members. Sickening that the commissioners are actively considering compromising the standard of care for a buck considering the amount of income our county already generates. These commissioners are so greedy they can’t even consider continuing to invest in our own community…hope they realize this when they’re the ones who need to depend on this service and are completely ignored, mistreated and overcharged by the private company they sell out to. There are some things that outweigh the almighty dollar, and caring for our sick and elderly in the end stages of life with dignity and respect is certainly one of those things. The last thing a person or family who is in need of home health or hospice services needs to worry about is that the organization providing those services only see their patients as a dollar sign. This county is going in SUCH the wrong direction.

    Tuesday, Apr 20 @ 10:35 pm
  • Ann Maratellos

    Why did you choose to leave out the part regarding the FACT the DARE COUNTY sent an email on 4/15/21 to 3 of the 4 bidders saying Dare County has selected another bidder for the PURCHASE OF Dare HH and Hospice. I’m happy to provide you with the email since you didn’t bother to ask me for it.

    Wednesday, Apr 21 @ 9:03 am
  • Mark Jurkowitz | Outer Banks Voice

    Ann, we have devoted a great deal of coverage to this issue, including the public hearing.

    Wednesday, Apr 21 @ 1:35 pm
  • james

    to quote from Woodard: “The emails I get – ‘We don’t care about our employees, we’re not paying ‘em.’ Well, let me remind the public. Two years ago, this board spent $4.5 million to bring our employees up to standards where they should be competitive in the industry.”

    I guess an $89,000 desk job, full insurance, benefits to the T, and a lifetime pension is not quite enough so they need to outsource the health care and well being of County residents to wall street. Wall street is really great at taking care of people as long as the CEO knocks back $50 million a year and can play golf most of the day while the nurses and care providers can make $18 bucks an hour in sometimes dangerous and difficult conditions. Like they say for the rich it is called a tax incentive / break, but when it comes to helping the poor or god forbid helping local residents they call it socialism.

    Wednesday, Apr 21 @ 11:16 am
  • thomas

    it does not seem moral to gamble (stocks, bonds, wall street) on the lives of people in their most dire need. However, if the County can’t swing it, then it seems reasonable to have (as an example) Chesapeake or the Outer Banks Hospital take over the service for the residents, but not a wall street stock fund i.e. BrightSpring that answers first and foremost to shareholders who have invested and is in effect gambling on their stock price to increase which in my view disgraceful. why do you think they are willing to pay almost 10 times the price of the service as their competitor? ..because it is a long term gain, you monopolize the service over time, cut the operation to the bone, and you deduct the cost of the purchase price with a few tax tricks.

    Wednesday, Apr 21 @ 4:43 pm
  • Runnerguy

    From the tone of the quotes, the commissioners have decided to take the money and let the locals squeal.
    The Voice should use the information act law to get all phone calls and emails between Brightspring and the commissioners released to the public.

    Wednesday, Apr 21 @ 8:36 pm
  • Craig Saunders

    An investment in our own people is always the right investment. I’ve heard some incredible things about Dare Hospice quite recently. First hand accounts from several families.

    Our local homegrown folks are more than capable of running a first class Hospice program, and as I understand, already are.

    As for governance, the outsourcing of line items can have far reaching impacts as you assuredly know. Look beyond the line items,……into the eyes of your people.

    Thank you,

    Saturday, Apr 24 @ 10:00 am
  • Gloria Pinto

    I want Dare county to know that I have first hand experience with Dare County Home
    Health and Hospice. When my husband was terminally ill and died in 2010 they were truly a Godsend. The nurses and aids were very caring and proficient. They helped me to get through
    a very difficult period. Hospice nurses are very special and taking care of end of life patients is a calling. I am sure if we had been served by a for profit agency Our experience would not have been the same. I am also a retired RN and I have worked for a for profit agency as well as a non profit. There is a big difference. The for profit is all about seeing as many patients as possible within your allotted time. They are very stingy with supplies and many times have a large turnover with staff.

    Tuesday, Apr 27 @ 9:59 pm
  • Anna

    Have the commissioners been presented with the research and data on for-profit hospice? Plenty out there and plenty of negative reasons why to not go this route: https://pnhp.org/news/for-profit-hospice-industry-raises-worries/

    Why is the county trying to sell it? What will the additional budget savings be utilized for? I’d like to see this ‘EMAIL.’ Sounds like the county already made up its mind. That’s how it usually goes.

    Limiting services to your constituents doesn’t make sense. Saving a buck to alter someone’s quality of life-your, local residents’ quality of life, is disgusting.

    May I remind the commissioners, you were voted in by the people. You are there to do what is best for the community.

    Friday, Apr 30 @ 1:14 pm