Laura Ann Wagner
President and CEO

Wagner knows how to balance quality patient care with effective, productive business practices. Her more than 30 years of experience in providing health care services to patients and their families, while successfully managing operations for growing organizations, is a testament to her expertise.   more

Patricia Schmidt, DO, FACOI
Medical Director

As the Medical Director for In-House Hospice & Palliative Care, Patricia Schmidt brings a wealth of understanding and compassion to caring for the organization's patients and their families. With more than 15 years of experience in the industry, she is well-versed on the challenges facing the health care industry, yet is also adept at creating solutions to those challenges.   more

Jennifer Winegarden, DO
Associate Medical Director

As Associate Medical Director at In-House Hospice & Palliative Care, Jennifer Winegarden, D.O. assists patients, their families, and their caregivers in promoting dignity and independence at the end of life. She is responsible for medical oversight and consultation to physicians who refer patients to In-House Hospice & Palliative Care, which provides end-of-life services for approximately 500 patients each day in 44 counties in Michigan and Ohio.   more

Donald Rutherford, DO
Associate Medical Director

As Associate Medical Director at In-House Hospice & Palliative Care, Donald Rutherford, D.O. works with the patients and their families to create individualized care plans. He is a certified geriatrician and an integral part of the interdisciplinary team of In-House caregivers who all participate in bringing quality life experiences to the patient in the final stages of the disease process.   more

Joan M. Gumbel, RN
Executive Director of Michigan

Joan M. Gumbel is Executive Director of Michigan for Southfield, Michigan-based In-House Hospice & Palliative Care. In this position, Gumbel provides administrative leadership for the hospice care organization, focusing on quality improvement strategies and initiatives. Her work has resulted in the implementation of successful outcomes management and family satisfaction programs.   more

Matthew Smith, RN, BSN, CHA
Executive Director of Ohio

As Executive Director of In-House Hospice & Palliative Care's Ohio region, Matthew Smith oversees patient care processes, program operations and staff recruitment and management in Ohio's Cuyahoga, Medina, Stark and Summit counties. As In-House continues to grow and expand, Smith will draw upon his experience and expertise to help guide In-House efforts to serve patients and manage staff, developing a strong presence in Ohio.   more

Deborah Lang, RN
Regional Director, Southeast Michigan

As Regional Director, Lang is in charge of the Southeast Michigan region and oversees clinical services for the company's northwest, northeast, and Southfield offices. Her background in nursing, management, and organization has been effectively translated to the benefit of In-House Hospice & Palliative Care staff, patients, and families.   more

Connie Miyao, RN
Quality Improvement Director

Connie L. Miyao is Quality Improvement Director for In-House Hospice & Palliative Care, where she oversees the implementation of quality improvement programs and maintenance of care standards. With more than two decades of experience in the patient care setting, Miyao is well-versed in the intricacies of providing top quality patient services.   more