2025-10-20T17:35:21+00:00 2024-12-31 350921680 CROWE LLP 575 Market Street Suite 3300 San Francisco CA 941055829 990 2024-01-01 880161009 Nathan Adelson Hospice Inc NATH 7027330320 4131 University Center Dr Las Vegas NV 89119 Lori Townsend Executive Director 2025-10-20 true Diane Kirmaci P01578407 4155761100 2025-10-20 2024 2025-03-06 01:10:19Z Lori Townsend 4131 University Center Dr Las Vegas NV 89119 32269980 false X WWW.NAH.ORG X 1978 NV Nathan Adelson Hospice, Inc. (NAH) provides hospice services which consist of end-of-life care for our patients using an interdisciplinary team approach. NAH provides care to patients regardless of their ability to pay. Uncompensated Hospice Care and Patient Assistance provided during 2024 = $632,068 21 19 423 101 0 2436918 3265388 32593448 28898839 1302 1933 41211 103820 35072879 32269980 0 0 0 28591039 27164866 0 1835 9629288 8751685 38220327 35916551 -3147448 -3646571 28512459 27468289 4062033 3886062 24450426 23582227 NAH provides comprehensive end-of-life care and influences better care for all in our community. We honor the importance of choice and control for those who are ill, so they may define for themselves the most comfortable and dignified manner in which to live. Hospice and palliative care services are provided in Clark County and Nye County to both insured & non-insured patients. Charity Care provided during 2024 = $632,068. false false 29519156 28898893 HOSPICE AND PALLIATIVE CARE SERVICES: SINCE 1978, NATHAN ADELSON HOSPICE, INC. (NAH) HAS PROVIDED HOSPICE AND PALLIATIVE CARE SERVICES TO SOUTHERN NEVADA. IN 2024, NAH PROVIDED 96,748 DAYS OF COMPREHENSIVE HOSPICE SERVICES, INCLUDING PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE, TO 3,607 PATIENTS AND THEIR LOVED ONES. NATHAN ADELSON HOSPICE, INC. PROVIDES A FULL CONTINUUM OF HOSPICE AND PALLIATIVE CARE, BOTH IN OUR TWO IN-PATIENT UNITS AND AT THE PATIENTS PLACE OF RESIDENCE, WHETHER THAT BE A PERSONAL RESIDENCE, GROUP HOME, ASSISTED LIVING FACILITY OR SKILLED NURSING FACILITY. OUR HOSPICE CARE IS PROVIDED BY A TEAM OF PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, CERTIFIED HOSPICE AIDES, MEDICAL SOCIAL WORKERS, CHAPLAINS/CLERGY, COMPLEMENTARY THERAPIST AND TRAINED VOLUNTEERS. THIS TEAM, KNOWN AS THE IDG (INTER-DISCIPLINARY GROUP), MEETS WEEKLY TO IMPLEMENT AND MONITOR A SPECIFIC PLAN OF CARE DESIGNED TO MEET THE NEEDS OF THE PATIENT AND THEIR FAMILY. OUR PATIENTS AND THEIR FAMILIES ARE CARED FOR BY NINETEEN (19) FULL-TIME AND PART-TIME PHYSICIANS AND NURSE PRACTITIONERS, TWO HUNDRED EIGHTY SIX (286) CLINICAL AND ADMINISTRATIVE STAFF AND EIGHTY ONE (81) VOLUNTEERS. OUR CLINICIANS UTILIZE THE NETSMART and pMD ELECTRONIC MEDICAL RECORD SYSTEM TO DOCUMENT THE PATIENT'S CONDITION AND CARE. DOCUMENTATION IS DONE AT THE PATIENT'S BEDSIDE THROUGH THE UTILIZATION OF POINT OF SERVICE ELECTRONIC HARDWARE. AS ONE OF THE HOSPICES IN SOUTHERN NEVADA ACCREDITED BY THE JOINT COMMISSION OF ACCREDITATION OF HEALTH CARE ORGANIZATIONS, NAH ASPIRES TO MAINTAIN A MODEL PROGRAM FOR OTHER HOSPICES AND HEALTHCARE ORGANIZATIONS IN OUR AREA. IN 2024, NAH WAS RECOGNIZED BY MODERN HEALTHCARE AS A BEST PLACE TO WORK AND RECEIVED MULTIPLE TOP WORKPLACES HONORS AT THE NATIONAL, STATE, AND INDUSTRY LEVELS, INCLUDING AWARDS FOR LEADERSHIP, INNOVATION, EMPLOYEE WELL-BEING, AND ORGANIZATIONAL CULTURE. THESE RECOGNITIONS REFLECT OUR STRONG COMMUNITY ENGAGEMENT, OUR WORK IN ADDRESSING ETHNIC AND RACIAL CARE DISPARITIES, PARTNERSHIPS WITH LOCAL HOSPITALS, AN OUTSTANDING COMPLEMENTARY THERAPY PROGRAM, AND OUR CONTINUED COMMITMENT TO STAFF DEVELOPMENT. AS THE LARGEST NON-PROFIT HOSPICE PROVIDER IN SOUTHERN NEVADA, WE ARE PROUD TO CARE FOR THOSE IN OUR COMMUNITY WHO WOULD OTHERWISE NOT HAVE ACCESS TO HOSPICE SERVICES BECAUSE OF A LACK OF FINANCIAL RESOURCES. THROUGH THE GENEROSITY OF OUR SUPPORTERS, NAH WAS ABLE TO PROVIDE $632,068 OF UNCOMPENSATED CARE TO THE UNINSURED AND UNDERINSURED IN 2024. THROUGH COOPERATIVE EFFORTS WITH OUR SISTER ORGANIZATION, THE CENTER FOR COMPASSIONATE CARE, NAH PROVIDES BEREAVEMENT AND GRIEF LOSS SUPPORT SERVICES TO GRIEVING FAMILY MEMBERS WHETHER OR NOT THE LOVED ONE RECEIVED HOSPICE SERVICES FROM OUR ORGANIZATION. FOR 33 YEARS, OUR BEREAVEMENT PROGRAM HAS HOSTED CAMP ERIN FOR CHILDREN, AGES 0-12. THE CAMP IS A NO COST WEEKEND EVENT THAT PROVIDES YOUTHS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE THE OPPORTUNITY TO SHARE THEIR GRIEF EXPERIENCES WITH PEERS WHO HAVE EXPERIENCED A SIMILAR LOSS. IN ADDITION TO THE CORE HOSPICE SERVICES, NATHAN ADELSON HOSPICE PROVIDES MASSAGE THERAPY, PET THERAPY, AROMATHERAPY AND ART THROUGH THE BONNIE SCHRECK MEMORIAL COMPLEMENTARY THERAPIES PROGRAM. NATHAN ADELSON HOSPICE PROVIDES CAREGIVER SUPPORT THROUGH SUPPORT GROUPS AND MEAL DELIVERY PROGRAMS. THE ORGANIZATION, IN CONJUNCTION WITH SEVERAL LOCAL HOSPITALS, PROVIDES INPATIENT PALLIATIVE CONSULTATIONS TO NON-HOSPICE PATIENTS WITH LIFE THREATENING ILLNESSES. PAIN MANAGEMENT, NON-PAIN SYMPTOM MANAGEMENT, ADVANCE CARE PLANNING, SOCIAL SERVICES AND DISCHARGE PLANNING ARE SOME OF THE SERVICES PROVIDED IN CONJUNCTION WITH THE PALLIATIVE CONSULTATION. IN 2024, 8,588 PALLIATIVE CONSULTATIONS WERE PROVIDED IN HOSPITALS AND 745 PATIENTS RECEIVED PALLIATIVE CARE AT HOME. OVERALL, 4,025 PATIENTS RECEIVED PALLIATIVE CARE. 29519156 true true false true false false false false false true true false true false true true false true false false false false false false false false false false false true false false false false false false false true true true false false false false true true true true false false true 74 0 true 423 true false false false false false false false false false false false false X 21 19 true false false false false false false true true false false false true true true true true true true true false false X Marian Guerra 7027963180 4131 University Center Dr LAS VEGAS NV 89119 DENNIS L KENNEDY ESQ NAH Board Chair 1.0 2.0 X X 0 0 0 ELLIS LANDAU Vice Chair / Investment Committee Chair 1.0 2.0 X X 0 0 0 JEANNE R JONES NAH Board Secretary 1.0 2.0 X X 0 0 0 KAREN S RUBEL President & CEO 39.0 2.0 X X 354156 0 27680 ALAN DUNCAN Board Member 1.0 2.0 X 0 0 0 ALAN MOLASKY Board Member 1.0 2.0 X 0 0 0 CELENA L DILULLO Board Member as of Feb 2024 1.0 1.0 X 0 0 0 CHRISTIAN HAASE Board Member 1.0 2.0 X 0 0 0 CYNTHIA ELLIS Board Member as of Oct 2024 1.0 1.0 X 0 0 0 EDWIN C KINGSLEY MD Board Member / NAHF Board Secretary 1.0 2.0 X 0 0 0 FRANK SCHRECK Board Member 1.0 2.0 X 0 0 0 JERI CRAWFORD Board Member 1.0 2.0 X 0 0 0 KARLA PEREZ Board Member 1.0 2.0 X 0 0 0 LOUIS SILVESTRI Board Member 1.0 2.0 X 0 0 0 LYNN BILLINGSLEY Board Member 1.0 2.0 X 0 0 0 MICHAEL E LUCE Board Member 1.0 2.0 X 0 0 0 MICHAEL RUMBOLZ Board Member 1.0 2.0 X 0 0 0 REED RADOSEVICH Board Member / Finance and Compensation Committee Chair 1.0 2.0 X 0 0 0 RICHARD S WORTHINGTON Board Member 1.0 2.0 X 0 0 0 SCOTT MACTAGGART Board Member 1.0 2.0 X 0 0 0 STEVE PETERSON Board Member 1.0 2.0 X 0 0 0 ROSAMARI MCNULTY VP of Human Resources and Volunteer Solutions 40.0 1.0 X 179134 0 10180 ALEXANDER MYLAVARAPU Hospice And Palliative Care Team Physician 40.0 0 X 276940 0 25405 CATRISHA CABANILLA-DEL MUNDO Hospice and Palliative Care Team Physician 40.0 0 X 268115 0 40349 LORI TOWNSEND Chief Nursing Officer 40.0 0 X 176128 0 25016 MADHURI RAMANATH Hospice And Palliative Care Team Physician 40.0 0 X 258736 0 19168 WARREN WHEELER Hospice and Palliative Care Team Physician 30.0 0 X 200047 0 8194 1713256 0 155992 42 false true false Epstein Becker & Green PC 1227 25th Street NW Suite 700 Washington DC 200371175 Legal Services 303537 Marksman Security Corporation 3230 W Commercial Blvd Suite 100 Fort Lauderdale FL 33309 Security Services 287117 GMTCARE LLC 3645 W Oquendo Rd Suite 400 Las Vegas NV 89118 Patient Transportation 153123 Crowe LLP 330 East Jefferson Blvd South Bend ID 46601 Professional Services 136094 4 2147199 19074 1099115 3265388 HOSPICE SERVICE REVENUE 623000 28898839 28898839 0 0 0 0 28898839 1933 1933 0 0 0 0 0 Other Revenue 900099 51935 51935 COFFEE SHOP REVENUE 900099 51831 51831 MEDICAL RECORDS 900099 54 54 0 0 0 0 103820 32269980 28898893 0 105699 571151 571151 139027 139027 21764838 19085706 2679132 773007 670840 102167 2266691 1980721 285970 1650152 1418270 231882 321214 321214 90430 90430 36422 36422 722305 281085 441220 0 676259 2904 673355 583848 487371 96477 668550 568662 99888 815815 787916 27899 479484 464461 15023 51009 7918 43091 1810 1810 603048 366549 236499 722378 533975 186568 1835 MEDICAL DRUGS 688203 688203 MEDICAL SUPPLIES 592910 592896 14 DURABLE MEDICAL EQUIPMENT 513049 513049 LICENSES, DUES AND SUBSCRIPTIONS 238879 107141 131738 946072 822462 123610 0 35916551 29519156 6395560 1835 1685147 1662401 3256626 3104067 0 0 0 0 57392 58256 419122 424552 13164444 12170626 1106048 993818 132986 118350 15370309 18163327 1577000 1577000 4907829 1366518 28512459 27468289 2706243 2937303 85996 0 0 0 1269794 948759 4062033 3886062 X 17444345 15520814 7006081 8061413 24450426 23582227 28512459 27468289 X -3646571 2778372 X false true true false X 4556764 10854148 2396031 2436918 3265388 23509249 36767326 34831666 33203407 32599633 28898893 166300925 0 0 0 41324090 45685814 35599438 35036551 32164281 189810174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 189810174 81 191 538 1302 1933 4045 0 81 191 538 1302 1933 4045 0 23302 34679 38550 35026 103766 235323 41347473 45720684 35638526 35072879 32269980 190049542 0.99874 0.99907 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - COFFEE SHOP REVENUE, COLUMN A - 23302.0, COLUMN B - 34679.0, COLUMN C - 38550.0, COLUMN D - 35026.0, COLUMN E - 51831.0, COLUMN F - 183388.0; DESCRIPTION - OTHER REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 51935.0, COLUMN F - 51935.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 36422 36422 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY DURING THE YEAR, THE ORGANIZATION UTILIZED A CONSULTING FIRM AND A CONSULTANT THAT SPECIALIZED IN GOVERNMENT ADVOCACY IN NEVADA. 3646734 346784 16217 3977301 3182157 478536 13959 3646734 3690494 -494824 13513 3182157 3417775 288620 15901 3690494 3086456 350981 19662 3417775 1.0 0.0 0.0 false true true 2625333 2604956 20377 6515912 6381347 134565 3581309 2742634 838675 441890 441689 201 993818 Interest in NAH Foundation 18163327 C 18163327 Federal Income Taxes Right of use liability 920496 Due to affiliates 28263 948759 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds The organization's Endowment funds are used to support the cost of uncompensated care provided to patients as well as other hospice exempt functions. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization (except Monarch) is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code (IRC) and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. Additionally, the Organization has been determined not to be a private foundation under Section 509(a) of the IRC. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Organization's Forms 990 have not been subject to examination by the Internal Revenue Service or the state of Nevada for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2024 and 2023. X X X X false false false false false false false true false KAREN S RUBEL President & CEO 333320 0 20320 0 516 0 13553 0 14127 0 381836 0 0 0 ROSAMARI MCNULTY VP of Human Resources and Volunteer Solutions 171706 0 7152 0 276 0 7250 0 2930 0 189314 0 0 0 CATRISHA CABANILLA-DEL MUNDO Hospice and Palliative Care Team Physician 268007 0 0 0 108 0 8465 0 31884 0 308464 0 0 0 ALEXANDER MYLAVARAPU Hospice And Palliative Care Team Physician 276832 0 0 0 108 0 11288 0 14117 0 302345 0 0 0 MADHURI RAMANATH Hospice And Palliative Care Team Physician 258616 0 0 0 120 0 10349 0 8819 0 277904 0 0 0 WARREN WHEELER Hospice and Palliative Care Team Physician 199429 0 0 0 618 0 7972 0 222 0 208241 0 0 0 LORI TOWNSEND Chief Nursing Officer 168293 0 7043 0 792 0 7374 0 17642 0 201144 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments NAH SENIOR LEADERS' ANNUAL INCENTIVE PLAN IS BASED ON ACHIEVEMENT OF THREE GOALS. GOAL 1 IS NAH NET SURPLUS, GOAL 2 IS NAH FOUNDATION REVENUE BUDGET AND GOAL 3 IS EMPLOYEE ENGAGEMENT AVERAGE SCORE. *PERFORMANCE BETWEEN THRESHOLD AND TARGET AND BETWEEN TARGET AND MAXIMUM WILL BE PRORATED TO REFLECT THE APPROPRIATE PERCENTAGE ACHIEVEMENT BETWEEN THE TWO LEVELS. *THE HIGHEST AWARD TO BE PAID IS MAXIMUM, REGARDLESS OF ACHIEVEMENT ABOVE THAT LEVEL. *PERFORMANCE BELOW THRESHOLDS WILL RESULT IN NO AWARD. AWARD LEVELS FOR EACH GOAL ARE ADJUSTED FOR ITS WEIGHT. *PAYMENTS UNDER THE INCENTIVE COMPENSATION PLAN WILL BE MADE NO LATER THAN MARCH 1ST OF THE YEAR FOLLOWING THE PERFORMANCE PERIOD. JOHN FOJTIK Family member of Dennis Kennedy, officer 139027 EMPLOYEE OF NAH false Form 990, Part VI, Line 1a Delegate broad authority to a committee The executive/governance committee is comprised of the Chairman of the Board of Trustees, the Vice Chairman of the Board of Trustees, and the President of the Corporation. When the Board of Trustees is not in session, the Executive/Governance Committee shall have the power and authority of the Board of Trustees to transact all regular business of the Corporation, subject to any limitation imposed by law or by the Board of Trustees. The Executive/Governance Committee shall subsequently report to the Board of Trustees at its next regular meeting all action it has taken. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Alan Molasky & Rich Worthington - Business relationship, KAREN S. RUBEL, ROSAMARI MCNULTY, SCOTT MACTAGGART, MICHAEL RUMBOLZ, ELLIS LANDAU, ALAN MOLASKY, LOUIS SILVESTRI, DENNIS L. KENNEDY, EDWIN C. KINGSLEY, KARLA PEREZ, ALAN DUNCAN, LYNN BILLINGSLEY, CHRISTIAN HAASE, MICHAEL E. LUCE, JERI CRAWFORD, JEANNE R. JONES, FRANK SCHRECK, RICHARD S. WORTHINGTON, STEVE PETERSON, REED RADOSEVICH - Business relationship Form 990, Part VI, Line 11b Review of form 990 by governing body THE EXECUTIVE DIRECTOR AND A REPRESENTATIVE FROM THE ORGANIZATION'S TAX PREPARATION FIRM REVIEW THE COMPLETED FORM 990 WITH THE FULL BOARD OF TRUSTEES AND RECOMMENDS APPROVAL FOR FILING. ALL MEMBERS OF THE BOARD OF TRUSTEES RECEIVE COPIES OF THE FORM 990 FOR REVIEW PRIOR TO FILING WITH THE IRS. ALL ACTIONS TAKEN BY THE BOARD OF TRUSTEES RELATED TO THE REVIEW AND APPROVAL OF THE FORM 990 ARE DOCUMENTED IN THE MEETING MINUTES. Form 990, Part VI, Line 12c Conflict of interest policy ALL BOARD OF TRUSTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES (INTERESTED PERSONS) ARE REQUIRED TO FILE A DISCLOSURE OF POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WITH THE ORGANIZATION. DISCLOSURES ARE REVIEWED BY THE BOARD PRESIDENT AND COPIES ARE PROVIDED TO OUR INDEPENDENT AUDITORS WHEN REQUESTED. INTERESTED PERSONS WITH A CONFLICT OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN DELIBERATIONS/VOTING RELATED TO A TRANSACTION WHERE A CONFLICT EXISTS. Form 990, Part VI, Line 15a Process to establish compensation of top management official The compensation arrangements for the organization's President and Chief Executive Officer (CEO) and other senior leaders are subject to the review and approval of the organization's Board of Trustees. A Board of Trustee appointed Compensation Committee comprised of the Vice President of Employee & Volunteer Solutions and three independent Board of Trustee members, ensures the organization's pay structure and benefits programs are fair, competitive (based on market data), and aligned with the organization's business strategy and mission. Additionally, the committee responsibilities include the following: 1) Overseeing all aspects of compensation provided to senior leadership of the organization, including the President/CEO, in order to reward performance while ensuring fiscal responsibility; 2) Establishing overall total compensation philosophy for the organization; 3) Assuring that the hospice's compensation practices are in compliance with applicable laws and regulations; 4) Analyzing state and national survey data; and 5) Retaining advisers to include compensation experts, as it may deem necessary. The Compensation Committee provides an annual salary analysis, including the compensation package for the CEO and other senior leaders, to the Finance Committee. The Finance Committee reviews the compensation package for the Chief Executive Officer and Senior Leadership, in an annual executive session. Once approved by the committee, it is included in the following year's budget which is ultimately approved by the full Board of Trustees. Formal approval of the annual compensation package is documented in the minutes of the Board of Trustees' meeting. NAH engaged an independent group, CBIZ Human Capital Services Group, to perform an organization wide compensation analysis, including a review of current compensation practices and development of a Market Based Compensation Plan. This plan was approved by the Compensation Committee, Finance Committee and Board of Trustees and adopted by NAH in accordance with the organization's compensation policies. This organization wide compensation analysis was last done in 2018. A top down analysis is recommended periodically as a best practice. For the five years following a compensation study, CBIZ provides a report of actual and projected salary adjustments for all organizations in the Western US including specific healthcare industry compensation. CBIZ will continue to provide updated information annually through 2024. This data is then utilized by the Compensation Committee to make recommendations and adjustments to the organization's salary structure for all employees; including the President and CEO and other senior leaders for the following fiscal year. In 2018, NAH also engaged CBIZ to analyze the compensation for the Senior Leadership members. The report included an intermediate sanctions overview, compensation study methodology and findings and recommendations for compensation. Form 990, Part VI, Line 15b Process to establish compensation of other employees PLEASE SEE THE NARRATIVE FOR FORM 990, SECTION B, PART VI, LINE 15A. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflicts of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. As such, the organization's financial statements, governing documents, and Conflict of Interest Policy are not available to the public at this time. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Loss from Subsidiary - -6489; Change in interest in NAH Foundation - 2793008; Change in interest of affiliates - -8147; BONNIE'S COMFORT LLC 4131 University Center Dr LAS VEGAS NV 89119 320388748 Wellness Products NV 0 0 Nathan Adelson Hospice NATHAN ADELSON HOSPICE FOUNDATION INC 4131 University Center Dr LAS VEGAS NV 89119 880197147 FUNDRAISING NV 501(c)(3) 7 NAH true THE CENTER FOR COMPASSIONATE CARE 4131 University Center Dr LAS VEGAS NV 89119 450473026 COUNSELING NV 501(c)(3) 10 NAH true MONARCH HEALTHCARE SOLUTIONS 4131 University Center Dr LAS VEGAS NV 89119 455165668 HEALTHCARE NV NATHAN ADELSON HOSPICE C Corporation 1 true false false true false false false false false false false false false true true true true true true true NATHAN ADELSON HOSPICE FOUNDATION C 2147199 Cost NATHAN ADELSON HOSPICE FOUNDATION O 501954 Cost NATHAN ADELSON HOSPICE FOUNDATION Q 714465 Cost