Montgomery Hospice CEO Ann Mitchell greets the visiting executives. Consistent with Japanese custom, the visit starts by exchanging cards and gifts.

The visitors' tour of Casey House includes the Spa, a vacant patient room, and the Meditation Room.

A lengthy Q&A session follows the tour, then the group poses in front of the Christmas tree. Ann Mitchell and John Kenney, Chief of Aging & Disability Services for Montgomery County, sit in front at our guests' insistence.