End-of-Life Guidance

Steady, personalized support through one of life’s most profound transitions.

This service offers compassionate, individualized guidance for people with a terminal diagnosis, families navigating end-of-life care, or anyone seeking grounded support in life’s final chapter. Whether you’re planning ahead or already in the midst of this journey, we walk alongside you with presence, clarity, and care.

Each person’s path is unique. We tailor our support to reflect your needs, energy, and deeply held values. We begin by listening—and shape our work from there. This comprehensive package draws from all our core offerings: Advance Care Planning, Vigil Planning, and Caregiver Respite.

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We provide non-medical support tailored to your needs, working in collaboration with your care team and loved ones. This service draws from all our core offerings—Advance Care Planning, Vigil Planning, and Caregiver Respite—and reflects your values, preferences, and priorities.

Support may include:

  • Emotional and practical support for you and your loved ones

  • Vigil and after-death planning

  • Advance Care Planning, including key documents and conversations

  • Life review and legacy projects (letters, recordings, keepsakes)

  • Respite for caregivers

  • Coordination with hospice, palliative care, or other providers

  • Flexible in-person and virtual visits (in-person in NYC; virtual care nationwide)

Please note - we do not provide medical treatment, medication administration, or personal care. Our role is to enhance—not replace—the care already in place.

What’s Included

What Support Looks Like

Our visits are shaped by your goals, energy, and what’s happening day to day. There’s no script—just steady presence, clear communication, and responsive care. Most clients begin with 1–2 visits per week, each lasting 2–3 hours. As needs shift, visits may increase to 4–5 times per week. We’ll work together to find a rhythm that feels supportive and sustainable.

Depending on your needs, support might include:

  • Exploring what a peaceful death looks like to you

  • Facilitating honest conversations with family or chosen loved ones

  • Creating legacy materials that reflect your life and values

  • Discussing vigil preferences—music, environment, comfort, rituals

  • Coordinating logistics and visitor schedules

  • Offering calm, grounded presence during difficult moments

  • Acting as a bridge between you and your care team

  • Giving caregivers space to rest or take a break

We’re here to reduce stress, ease uncertainty, and help everyone feel a little more prepared.

Our Approach to Pricing

We believe end-of-life planning should be accessible to everyone—regardless of income, background, or financial circumstances. Our sliding scale reflects the real differences in what people can afford while ensuring that everyone receives the same thoughtful, professional care.

This isn't about proving need. It's about trusting you to choose the tier that fits your current situation. If you're able to pay more, your generosity helps make this work accessible to others. If money is tight, we're here to support you at a lower cost.

We don't ask for documentation. We don't assign value based on what you pay. Every person receives the same care, attention, and respect.

Choose Your Tier

Everyone’s financial situation is different. Use the descriptions below to find the tier that best fits your current circumstances. Each one offers the same thoughtful care.

Tier 1

This tier is for those with significant financial resources, generational wealth, or who have benefited from systemic advantages.

  • If you identify with most of the following statements, this tier may be appropriate for you:

    • I can easily meet all my basic needs and afford luxuries without worry.

    • I have a high-paying job or significant income from investments.

    • I have substantial savings and could handle a major financial emergency with ease.

    • I have little to no debt, or my debt doesn't impact my lifestyle.

    • I can take multiple vacations per year, including international travel.

    • I have significant disposable income and can regularly make large purchases without concern.

    • My family or I own valuable assets like a home, multiple properties, or a diverse investment portfolio.

    • I've had access to elite education opportunities, either for myself or within my family.

    • I live in an affluent neighborhood with excellent amenities and top-rated schools.

    • I rarely, if ever, face discrimination that impacts my career prospects or daily life.

    • I have comprehensive health insurance and can afford any medical treatment without financial strain.

    • I may have inherited wealth or benefited significantly from family connections.


    Your contribution at this level helps subsidize services for those with less access to resources, supporting our mission to provide equitable care to all members of our community.

Tier 2

This tier is for individuals with stable incomes and some financial safety nets. While you may face occasional challenges, you generally have the means to meet your basic needs without constant worry.

  • If you identify with most of the following statements, this tier may be appropriate for you:

    • I can meet my basic needs (housing, food, healthcare) without constant worry, though I may occasionally feel financial stress.

    • I have a steady job or income source that allows me to live comfortably, if not luxuriously.

    • I have some savings, even if it's not as much as I'd like. I could handle a moderate financial emergency without it being catastrophic.

    • I have some debt (like student loans or a mortgage), but it's manageable and doesn't prevent me from meeting my needs.

    • I can afford to take a vacation most years, even if it's not extravagant.

    • I have some disposable income each month. I can occasionally buy new items and don't always have to opt for the cheapest option.

    • My family or I own some assets, like a home or investments, even if they're modest.

    • I've had access to higher education, either for myself or it was common in my family.

    • I live in a relatively safe neighborhood with decent amenities and schools.

    • I don't regularly face discrimination that significantly impacts my job prospects or daily life.

    • If I needed to see a doctor or dentist, I could do so without it causing severe financial strain.

Tier 3

Choose this tier if you have a steady income and can meet your basic needs but have little expendable income. You may have experienced some financial instability or obstacles related to your identity or background.

  • If you identify with most of the following statements, this tier may be appropriate for you:

    • I can usually meet my basic needs, but it often requires careful budgeting and I sometimes struggle.

    • I have a job or income source, but it's not always stable or sufficient.

    • I have little to no savings. An unexpected expense of a few hundred dollars would be very difficult to manage.

    • I have debt that sometimes makes it hard to meet my basic needs.

    • Vacations are rare luxuries for me. If I do take time off, it's usually a "staycation" or visiting family.

    • I have very little disposable income. Most of my purchases are necessities, and I often have to choose the cheapest option.

    • I don't own significant assets. If I own a home, it may be in an area with lower property values.

    • Higher education was a financial stretch for me or not accessible at all.

    • I live in a neighborhood that may have safety concerns or limited amenities.

    • I sometimes face discrimination that affects my job prospects or daily life.

    • Medical or dental issues often go untreated because I can't afford care, even with insurance.

    • I may rely on some form of public assistance or support from family/community to make ends meet.

Tier 4

This tier is for those who struggle to meet basic needs and have limited access to financial resources. You may have faced significant systemic barriers or discrimination that has impacted your economic situation. This tier is for those consistently struggling to meet basic needs. 

  • If you identify with most of the following statements, this tier may be appropriate for you:

    • I consistently struggle to meet my basic needs like housing, food, and healthcare.

    • My income is unreliable or insufficient. I may be unemployed or underemployed.

    • I have no savings. Any unexpected expense, even minor, can be a crisis.

    • I have significant debt that prevents me from meeting basic needs.

    • Vacations are not an option for me. Taking unpaid time off work could jeopardize my ability to pay bills.

    • I have no disposable income. Every purchase is carefully considered for necessity.

    • I don't own any significant assets. I likely rent and may have unstable housing situations.

    • Higher education felt out of reach for me due to cost or other barriers.

    • I live in an area that may be unsafe or lack basic amenities and services.

    • I frequently face discrimination that significantly impacts my job prospects and daily life.

    • I often have to forgo necessary medical or dental care because I can't afford it.

    • I rely heavily on public assistance programs or community support to survive.

    • I may have experienced or be at risk of homelessness.

How Our Packages Work

Our services are offered in time-based packages to meet your needs with clarity and flexibility. Most people begin with a 4-week package of up to 40 hours of support—roughly 10 hours per week. This allows time for planning, emotional support, and space to adjust as things evolve.

If more support is needed—especially during the final days—you can add hours week by week or opt into a larger package upfront.

More hours = lower hourly rate. If you know you’ll need ongoing support, purchasing additional hours up front reduces the overall cost.

Tier 40-Hour Package 80-Hour Package
(Discounted)
Approx. Hourly Rate
Tier 1 $4,000 $7,200 $100 / $90
Tier 2 $3,200 $5,600 $80 / $70
Tier 3 $2,400 $3,200 $60 / $40
Tier 4 $1,200 $1,600 $30 / $20

Take the First Step

Whether you're ready for full support or just exploring options, this work begins with a conversation.

We’ll meet you where you are—no pressure, no rush.

Want to explore individual services first? Explore Advance Care Planning or Learn about Vigil Planning