In 2006, a journalist recalled: "Elvis Presley had [in 1977] become a grotesque caricature of his sleek, energetic former self... he was barely able to pull himself through his abbreviated concerts." In Alexandria, Louisiana, the singer was on stage for less than an hour and "was impossible to understand." In Baton Rouge, Presley failed to appear: he was unable to get out of his hotel bed, and the rest of the tour was cancelled. In Knoxville, Tennessee on May 20, "there was no longer any pretence of keeping up appearances. The idea was simply to get Elvis out on stage and keep him upright..." Despite his obvious problems, shows in Omaha, Nebraska and Rapid City, South Dakota were recorded for an album and a CBS-TV special: Elvis In Concert.
Presley's final performance was in Indianapolis at the Market Square Arena, on June 26, 1977. According to many of his entourage who accompanied him on tour, it was the "best show he had given in a long time" with "some strong singing".
Another tour was scheduled to begin August 17, 1977, but at Graceland the day before, Presley was found unresponsive on the floor of his suite by fiancée, Ginger Alden, and attempts to revive the singer failed. Death was officially pronounced at 3:30 pm at the Baptist Memorial Hospital.