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Nonprofiteer
← NATHAN ADELSON HOSPICE INC

Form 990 for tax year 2022

Filed by NATHAN ADELSON HOSPICE INC.

Totals

Total revenue
$35,638,526
Total expenses
$38,480,232
Contributions and grants received
$2,396,031
Grants paid
$0
Program service revenue
$33,184,533
Investment income
$538
Other revenue
$57,424
Total assets, end of year
$30,733,539
Total liabilities, end of year
$4,404,837
Net assets or fund balances, end of year
$26,328,702
Program services expenses (Part IX)
$31,822,201
Management and general expenses
$6,656,958
Fundraising expenses
$1,073
Program service expenses (Part III)
$31,822,201

Program services were 82.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $2,132,774

  • 1e · Government grants (contributions)

    $176,578

  • 1f · All other contributions, gifts and grants

    $86,679

  • 2a · Program service revenue: HOSPICE SERVICE REVENUE

    total $33,184,533 · related or exempt $33,184,533

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $538 · excluded $538

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: COFFEE SHOP REVENUE

    total $38,550 · excluded $38,550

  • 11b · Other revenue: MEDICAL RECORDS

    total $18,874 · related or exempt $18,874

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $57,424

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $837,070 · management and general $837,070

  • 6 · Compensation of disqualified persons

    total $125,291 · program services $125,291

  • 7 · Other salaries and wages

    total $23,171,476 · program services $20,400,188 · management and general $2,771,288

  • 8 · Pension plan contributions

    total $810,881 · program services $708,775 · management and general $102,106

  • 9 · Other employee benefits

    total $2,259,424 · program services $2,014,121 · management and general $245,303

  • 10 · Payroll taxes

    total $1,772,769 · program services $1,526,328 · management and general $246,441

  • 11b · Fees: legal

    total $54,399 · program services $250 · management and general $54,149

  • 11c · Fees: accounting

    total $98,175 · management and general $98,175

  • 11g · Fees: other

    total $688,954 · program services $267,772 · management and general $421,182 · fundraising $0

  • 12 · Advertising and promotion

    total $729,191 · program services $1,400 · management and general $727,791

  • 13 · Office expenses

    total $600,723 · program services $515,128 · management and general $85,595

  • 14 · Information technology

    total $678,728 · program services $613,805 · management and general $64,923

  • 16 · Occupancy

    total $698,330 · program services $668,748 · management and general $29,582

  • 17 · Travel

    total $582,469 · program services $557,128 · management and general $25,341

  • 19 · Conferences, conventions and meetings

    total $124,724 · program services $19,759 · management and general $104,965

  • 20 · Interest

    total $3,903 · management and general $3,903

  • 22 · Depreciation, depletion and amortization

    total $818,133 · program services $602,497 · management and general $215,636

  • 23 · Insurance

    total $657,164 · program services $448,522 · management and general $207,569 · fundraising $1,073

  • 24a · Other expenses: Medical Drugs

    total $886,747 · program services $886,747

  • 24b · Other expenses: Medical Supplies

    total $698,482 · program services $659,568 · management and general $38,914

  • 24c · Other expenses: Durable Medical Equipment

    total $578,599 · program services $578,599

  • 24d · Other expenses: Licenses, Dues & Subscriptions

    total $346,722 · program services $161,633 · management and general $185,089

  • 24e · All other expenses

    total $1,257,878 · program services $1,065,942 · management and general $191,936 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,856,864 · end of year $1,919,696

  • 4 · Accounts receivable

    beginning of year $3,298,981 · end of year $3,861,442

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $50,142 · end of year $52,924

  • 9 · Prepaid expenses and deferred charges

    beginning of year $400,698 · end of year $466,954

  • 10a · Land, buildings and equipment: cost or other basis

    $13,147,869

  • 10b · Land, buildings and equipment: accumulated depreciation

    $11,596,270

  • 10c · Land, buildings and equipment, net

    beginning of year $1,945,563 · end of year $1,551,599

  • 12 · Investments: other securities

    beginning of year $190,204 · end of year $146,826

  • 13 · Investments: program-related

    beginning of year $16,507,198 · end of year $14,087,297

  • 14 · Intangible assets

    beginning of year $1,577,000 · end of year $1,577,000

  • 15 · Other assets

    beginning of year $7,982,410 · end of year $7,069,801

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,174,648 · end of year $2,883,612

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,521,225

  • 27 · Net assets without donor restrictions

    beginning of year $23,267,029 · end of year $18,248,642

  • 28 · Net assets with donor restrictions

    beginning of year $8,367,383 · end of year $8,080,060

Mission and programs · 2022

Mission

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 2022 = $785,000.

Activities or mission (Part I)

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 2022 = $785,000

  • HOSPICE AND PALLIATIVE CARE SERVICES: SINCE 1978, NATHAN ADELSON HOSPICE, INC. (NAH) HAS PROVIDED HOSPICE AND PALLIATIVE CARE SERVICES TO SOUTHERN NEVADA. IN 2022, NAH PROVIDED 115,253 DAYS OF COMPREHENSIVE HOSPICE SERVICES, INCLUDING PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE TO 4,417 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 TWENTY-SIX (26) FULL-TIME AND PART-TIME PHYSICIANS AND NURSE PRACTITIONERS, THREE HUNDRED SEVEN (307) CLINICAL AND ADMINISTRATIVE STAFF AND TWO HUNDRED FORTY-TWO (242) VOLUNTEERS. OUR CLINICIANS UTILIZE THE NETSMART AND AVATAR 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. NAH WAS AWARDED A 2013 CIRCLE OF LIFE CITATION OF HONOR. THIS NATIONAL AWARD IS FROM THE AMERICAN HOSPITAL ASSOCIATION IN RECOGNITION OF OUR STRONG COMMUNITY ENGAGEMENT, OUR WORK IN CONFRONTING ETHNIC/RACIAL CARE DISPARITIES, THE STRONG PARTNERSHIPS WE HAVE WITH LOCAL HOSPITALS, OUR OUTSTANDING COMPLEMENTARY THERAPY PROGRAM AND OUR CONTINUED COMMITMENT TO STAFF DEVELOPMENT. THERE ARE ONLY THREE AWARDS AND FIVE CITATIONS PRESENTED NATIONALLY. 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 $785,000 OF UNCOMPENSATED CARE TO THE UNINSURED AND UNDERINSURED IN 2022. 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 32 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 2022, 8,632 PALLIATIVE CONSULTATIONS WERE PROVIDED IN HOSPITALS AND 719 PATIENTS RECEIVED PALLIATIVE CARE AT HOME. OVERALL, 3,697 PATIENTS RECEIVED PALLIATIVE CARE.

    Expenses $31,822,201 · Revenue $33,203,407

As filed on the 2022 return.

Listed in Part VII

  • Dennis L Kennedy Esq

    NAH Board Chairman

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Ellis Landau

    Vice Chairman / Investment Committee Chairman

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Jeanne R Jones

    NAH Board Secretary

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Karen S Rubel

    President & CEO

    Total calculated
    $364,240
    From this org
    $340,098
    From related orgs
    $0
    Other
    $24,142
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $311,746
    Bonus
    $27,836
    Other
    $516
    Deferred
    $12,200
    Nontaxable benefits
    $11,942
    Filer's total
    $364,240
  • Alan Duncan

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Alan Molasky

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Christian Haase

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Edwin C Kingsley MD

    Board Member / NAHF Board Secretary

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Frank Schreck

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Jeri Crawford

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Karla Perez

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Louis Silvestri

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Lynn Billingsley

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Michael E Luce

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Michael Rumbolz

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Reed Radosevich

    Board Member / Finance and Compensation Committee Chairman

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Richard S Worthington

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Scott Mactaggart

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Steve Peterson

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Angela Collins

    Chief Operating officer

    Total calculated
    $261,461
    From this org
    $234,540
    From related orgs
    $0
    Other
    $26,921
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $222,321
    Bonus
    $12,039
    Other
    $180
    Deferred
    $9,773
    Nontaxable benefits
    $17,148
    Filer's total
    $261,461
  • Liz Vandenberg

    Chief Financial Officer

    Total calculated
    $211,370
    From this org
    $191,080
    From related orgs
    $0
    Other
    $20,290
    Hours/week
    38 + 2 related

    Schedule J breakdown matched by us

    Base
    $179,181
    Bonus
    $11,899
    Other
    $0
    Deferred
    $7,421
    Nontaxable benefits
    $12,869
    Filer's total
    $211,370
  • Alexander Mylavarapu

    Hospice And Palliative Care Team Physician

    Total calculated
    $299,949
    From this org
    $276,839
    From related orgs
    $0
    Other
    $23,110
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $276,731
    Bonus
    $0
    Other
    $108
    Deferred
    $11,256
    Nontaxable benefits
    $11,854
    Filer's total
    $299,949
  • Catrisha CABANILLA-DEL MUNDO

    Fellowship Program Director

    Total calculated
    $289,484
    From this org
    $255,425
    From related orgs
    $0
    Other
    $34,059
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,522
    Bonus
    $11,795
    Other
    $108
    Deferred
    $7,562
    Nontaxable benefits
    $26,497
    Filer's total
    $289,484
  • Ferozan Malal

    Hospice and Palliative Care Team Physician

    Total calculated
    $318,336
    From this org
    $299,313
    From related orgs
    $0
    Other
    $19,023
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $299,133
    Bonus
    $0
    Other
    $180
    Deferred
    $11,965
    Nontaxable benefits
    $7,058
    Filer's total
    $318,336
  • Ijafeh Akpe

    Chief Compliance Officer

    Total calculated
    $292,792
    From this org
    $258,383
    From related orgs
    $0
    Other
    $34,409
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $174,651
    Bonus
    $125
    Other
    $83,607
    Deferred
    $7,818
    Nontaxable benefits
    $26,591
    Filer's total
    $292,792
  • Madhuri Ramanath

    Hospice And Palliative Care Team Physician

    Total calculated
    $261,052
    From this org
    $243,789
    From related orgs
    $0
    Other
    $17,263
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,669
    Bonus
    $0
    Other
    $120
    Deferred
    $9,758
    Nontaxable benefits
    $7,505
    Filer's total
    $261,052

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
The following employees received severance pay for involuntary separation from service due to reduction in force: Ijafeh Apke - $83,607
Schedule J, Part I, Line 5b Compensation contingent on revenues of a related organization
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.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization
see response on Line 5b

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • BONNIE'S COMFORT LLC

    Wellness Products · NV · income $0 · assets $0

    Directly controlled by Nathan Adelson Hospice

  • Care Companions LLC

    Personal Care · NV · income -$25,003 · assets $0

    Directly controlled by Nathan Adelson Hospice

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • MONARCH HEALTHCARE SOLUTIONS

    C Corporation · HEALTHCARE · NV · 100% owned · share of income -$11,356 · share of assets $120,641 · controlled entity

    Directly controlled by NATHAN ADELSON HOSPICE

Provenance

Return type
form_990
Tax year
2022
Filed
17 October 2023
IRS schema version
2022v5.0
Source object
202332899349303508

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