DAYTONA BEACH, Fla. — A woman accused of shooting and killing her terminally ill husband inside AdventHealth Hospital in Daytona Beach was denied bond after her first court appearance Sunday. 

Records show that 76-year-old Ellen Gilland is being held at the Volusia County jail facing a first-degree murder charge and three counts of aggravated assault with a deadly weapon.

On Saturday, Daytona Beach Police said that units arrived on scene to find Gilland, confined in her husband's, 77-year old Jerry Gilland, hospital room.

Staff and patients were evacuated and faced no further threat. Police say negotiations began just before 12:30 Saturday afternoon and Gilland surrendered just before 3 p.m. 

During a press conference Daytona Beach Police Chief Jakari Young said the couple had actually planned the shooting for weeks.

"They had a conversation about it and they actually planned this approximately three weeks ago that if he took a turn for the worse that he wanted her to end this," said Chief Young. "Obviously, we're unsure how she brought the gun into the hospital, but this was planned."

Gilland told police the inital plan was a murder-suicide, but decided she couldn't go through with it.

Everything was contained to the one hospital room, but the surrounding rooms on the 11th floor of AdventHealth were evacuated.

“This was somewhat of a logistical nightmare which is again why I am very, very proud of my team," said Chief Young. "That 11th floor is made up of terminally ill patients. Pretty much all of the patients on that floor are on ventilators. They didn’t have the room to evacuate that entire floor, so they evacuated the rooms where it was most important to get them out of the way.”

AdventHealth is not commenting on the ongoing investigation, but released a statement late Saturday:

“We are devastated by the tragedy that unfolded at the AdventHealth Daytona Beach campus today, and our prayers are with those impacted. We are grateful for the Daytona Beach Police Department in helping ensure the safety of our patients, team members and visitors.”

The hospital has since resumed normal operations.