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Families that needed extended care may either be able to take advantage of district offerings or have to seek alternative care to cover school breaks and after-school hours.

We are facing either imminent relocation to a distant part of the city, a premature placement in an extended care facility — or homelessness.

“Because of the early delivery, medical bills, and extended care needed for baby Josephine, I am humbly pleading for any help for this little family.”

Dr. Audrey E. Evans, a pediatric oncologist in Philadelphia who, seeing that her out-of-town patients’ families sometimes struggled to find affordable accommodations when their children needed extended care helped create the first Ronald McDonald House, a concept that has blossomed into a worldwide network, died on Thursday at her home in Philadelphia.

While it is relatively easy to get treatment soon after an incident, setting up extended care has been more difficult, Mr. Zaid said.