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Nonprofiteer
← NATHAN ADELSON HOSPICE INC

Form 990 for tax year 2024

Filed by NATHAN ADELSON HOSPICE INC.

Totals

Total revenue
$32,269,980
Total expenses
$35,916,551
Contributions and grants received
$3,265,388
Grants paid
$0
Program service revenue
$28,898,839
Investment income
$1,933
Other revenue
$103,820
Total assets, end of year
$27,468,289
Total liabilities, end of year
$3,886,062
Net assets or fund balances, end of year
$23,582,227
Program services expenses (Part IX)
$29,519,156
Management and general expenses
$6,395,560
Fundraising expenses
$1,835
Program service expenses (Part III)
$29,519,156

Program services were 82.2% 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

    $2,147,199

  • 1e · Government grants (contributions)

    $19,074

  • 1f · All other contributions, gifts and grants

    $1,099,115

  • 2a · Program service revenue: HOSPICE SERVICE REVENUE

    total $28,898,839 · related or exempt $28,898,839

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $1,933 · excluded $1,933

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8c · Net income from fundraising events

    total $0

  • 11a · Other revenue: Other Revenue

    total $51,935 · excluded $51,935

  • 11b · Other revenue: COFFEE SHOP REVENUE

    total $51,831 · excluded $51,831

  • 11c · Other revenue: MEDICAL RECORDS

    total $54 · related or exempt $54

  • 11d · All other revenue

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

  • 11e · Other revenue, total

    $103,820

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $571,151 · management and general $571,151

  • 6 · Compensation of disqualified persons

    total $139,027 · program services $139,027

  • 7 · Other salaries and wages

    total $21,764,838 · program services $19,085,706 · management and general $2,679,132

  • 8 · Pension plan contributions

    total $773,007 · program services $670,840 · management and general $102,167

  • 9 · Other employee benefits

    total $2,266,691 · program services $1,980,721 · management and general $285,970

  • 10 · Payroll taxes

    total $1,650,152 · program services $1,418,270 · management and general $231,882

  • 11b · Fees: legal

    total $321,214 · management and general $321,214

  • 11c · Fees: accounting

    total $90,430 · management and general $90,430

  • 11d · Fees: lobbying

    total $36,422 · management and general $36,422

  • 11g · Fees: other

    total $722,305 · program services $281,085 · management and general $441,220 · fundraising $0

  • 12 · Advertising and promotion

    total $676,259 · program services $2,904 · management and general $673,355

  • 13 · Office expenses

    total $583,848 · program services $487,371 · management and general $96,477

  • 14 · Information technology

    total $668,550 · program services $568,662 · management and general $99,888

  • 16 · Occupancy

    total $815,815 · program services $787,916 · management and general $27,899

  • 17 · Travel

    total $479,484 · program services $464,461 · management and general $15,023

  • 19 · Conferences, conventions and meetings

    total $51,009 · program services $7,918 · management and general $43,091

  • 20 · Interest

    total $1,810 · management and general $1,810

  • 22 · Depreciation, depletion and amortization

    total $603,048 · program services $366,549 · management and general $236,499

  • 23 · Insurance

    total $722,378 · program services $533,975 · management and general $186,568 · fundraising $1,835

  • 24a · Other expenses: MEDICAL DRUGS

    total $688,203 · program services $688,203

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $592,910 · program services $592,896 · management and general $14

  • 24c · Other expenses: DURABLE MEDICAL EQUIPMENT

    total $513,049 · program services $513,049

  • 24d · Other expenses: LICENSES, DUES AND SUBSCRIPTIONS

    total $238,879 · program services $107,141 · management and general $131,738

  • 24e · All other expenses

    total $946,072 · program services $822,462 · management and general $123,610 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,685,147 · end of year $1,662,401

  • 4 · Accounts receivable

    beginning of year $3,256,626 · end of year $3,104,067

  • 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 $57,392 · end of year $58,256

  • 9 · Prepaid expenses and deferred charges

    beginning of year $419,122 · end of year $424,552

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

    $13,164,444

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

    $12,170,626

  • 10c · Land, buildings and equipment, net

    beginning of year $1,106,048 · end of year $993,818

  • 12 · Investments: other securities

    beginning of year $132,986 · end of year $118,350

  • 13 · Investments: program-related

    beginning of year $15,370,309 · end of year $18,163,327

  • 14 · Intangible assets

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

  • 15 · Other assets

    beginning of year $4,907,829 · end of year $1,366,518

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,706,243 · end of year $2,937,303

  • 19 · Deferred revenue

    beginning of year $85,996 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,269,794 · end of year $948,759

  • 27 · Net assets without donor restrictions

    beginning of year $17,444,345 · end of year $15,520,814

  • 28 · Net assets with donor restrictions

    beginning of year $7,006,081 · end of year $8,061,413

Mission and programs · 2024

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 2024 = $632,068.

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 2024 = $632,068

  • 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.

    Expenses $29,519,156 · Revenue $28,898,893

As filed on the 2024 return.

Listed in Part VII

  • DENNIS L KENNEDY ESQ

    NAH Board Chair

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ELLIS LANDAU

    Vice Chair / Investment Committee Chair

    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
    $381,836
    From this org
    $354,156
    From related orgs
    $0
    Other
    $27,680
    Hours/week
    39 + 2 related

    Schedule J breakdown matched by us

    Base
    $333,320
    Bonus
    $20,320
    Other
    $516
    Deferred
    $13,553
    Nontaxable benefits
    $14,127
    Filer's total
    $381,836

  • ALAN DUNCAN

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ALAN MOLASKY

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • CELENA L DILULLO

    Board Member as of Feb 2024

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CHRISTIAN HAASE

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • CYNTHIA ELLIS

    Board Member as of Oct 2024

    Total calculated
    $0
    Hours/week
    1 + 1 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 + 2 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 Chair

    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

  • ROSAMARI MCNULTY

    VP of Human Resources and Volunteer Solutions

    Total calculated
    $189,314
    From this org
    $179,134
    From related orgs
    $0
    Other
    $10,180
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $171,706
    Bonus
    $7,152
    Other
    $276
    Deferred
    $7,250
    Nontaxable benefits
    $2,930
    Filer's total
    $189,314

  • ALEXANDER MYLAVARAPU

    Hospice And Palliative Care Team Physician

    Total calculated
    $302,345
    From this org
    $276,940
    From related orgs
    $0
    Other
    $25,405
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $276,832
    Bonus
    $0
    Other
    $108
    Deferred
    $11,288
    Nontaxable benefits
    $14,117
    Filer's total
    $302,345

  • CATRISHA CABANILLA-DEL MUNDO

    Hospice and Palliative Care Team Physician

    Total calculated
    $308,464
    From this org
    $268,115
    From related orgs
    $0
    Other
    $40,349
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $268,007
    Bonus
    $0
    Other
    $108
    Deferred
    $8,465
    Nontaxable benefits
    $31,884
    Filer's total
    $308,464

  • LORI TOWNSEND

    Chief Nursing Officer

    Total calculated
    $201,144
    From this org
    $176,128
    From related orgs
    $0
    Other
    $25,016
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,293
    Bonus
    $7,043
    Other
    $792
    Deferred
    $7,374
    Nontaxable benefits
    $17,642
    Filer's total
    $201,144

  • MADHURI RAMANATH

    Hospice And Palliative Care Team Physician

    Total calculated
    $277,904
    From this org
    $258,736
    From related orgs
    $0
    Other
    $19,168
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $258,616
    Bonus
    $0
    Other
    $120
    Deferred
    $10,349
    Nontaxable benefits
    $8,819
    Filer's total
    $277,904

  • WARREN WHEELER

    Hospice and Palliative Care Team Physician

    Total calculated
    $208,241
    From this org
    $200,047
    From related orgs
    $0
    Other
    $8,194
    Hours/week
    30

    Schedule J breakdown matched by us

    Base
    $199,429
    Bonus
    $0
    Other
    $618
    Deferred
    $7,972
    Nontaxable benefits
    $222
    Filer's total
    $208,241

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
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
20 October 2025
IRS schema version
2024v5.1
Source object
202522939349301342

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