Set in New York City's Memorial Sloan Kettering Cancer Center, which the second track is named after, Hospice tells the story of a relationship between a hospice worker and a female patient suffering from terminal bone cancer, their ensuing romance, and their slow downward spiral as a result of the woman's traumas, fears, and disease. The story of her deterioration also serves as a metaphor for an abusive relationship. Frontman Peter Silberman has been reluctant to divulge explicit details regarding the meaning of the record, and the extent to which it is autobiographical.
I'm not a very emotional person, but I feel the highs and lows quite profoundly. I think it's the music pairing perfectly with Pete's voice—which is almost acted/in-character at times—and the lyrics. Always appreicate a good concept album and this is a favourite.