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NATHAN ADELSON HOSPICE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NATHAN ADELSON HOSPICE INC (EIN 88-0161009)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-10
IRS object ID
201842839349300344
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-10-10T14:00:08-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN880161009EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nathan Adelson Hospice IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNATHBusinessNameControlTxt
Phone7027330320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14141 S Swenson StreetAddressLine1Txt
CityLas VegasCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89119ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJon WoodPersonNm
Person TitleCFOPersonTitleTxt
Signature2018-10-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole BencikPreparerPersonNm
PTINP00756195PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Carole A FisherBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14141 S Swenson StreetAddressLine1Txt
CityLas VegasCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89119ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,034,521GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NAH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionNathan 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 2017 = $655,000ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee402TotalEmployeeCnt
Total Volunteers333TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,315,946PYContributionsGrantsAmt
CY Contributions Grants$1,775,440CYContributionsGrantsAmt
PY Program Service Revenue$24,143,306PYProgramServiceRevenueAmt
CY Program Service Revenue$29,205,059CYProgramServiceRevenueAmt
PY Investment Income$2,294PYInvestmentIncomeAmt
CY Investment Income$1,926CYInvestmentIncomeAmt
PY Other Revenue$51,498PYOtherRevenueAmt
CY Other Revenue$52,096CYOtherRevenueAmt
PY Total Revenue$25,513,044PYTotalRevenueAmt
CY Total Revenue$31,034,521CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,371,611PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,694,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,483,277PYOtherExpensesAmt
CY Other Expenses$8,962,102CYOtherExpensesAmt
PY Total Expenses$25,854,888PYTotalExpensesAmt
CY Total Expenses$29,656,753CYTotalExpensesAmt
PY Revenues Less Expenses-$341,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,377,768CYRevenuesLessExpensesAmt
Total Assets BOY$22,512,832TotalAssetsBOYAmt
Total Assets EOY$25,486,284TotalAssetsEOYAmt
Total Liabilities BOY$6,865,912TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,085,708TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,646,920NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,400,576NetAssetsOrFundBalancesEOYAmt
MissionNAH 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 2017 = $655,000.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,971,206ExpenseAmt
Grant$0GrantAmt
Revenue$29,205,059RevenueAmt
DescHOSPICE AND PALLIATIVE CARE SERVICES: SINCE 1978, NATHAN ADELSON HOSPICE, INC. (NAH) HAS PROVIDED HOSPICE AND PALLIATIVE CARE SERVICES TO SOUTHERN NEVADA. IN 2017, NAH PROVIDED 115,978 DAYS OF COMPREHENSIVE HOSPICE SERVICES, INCLUDING PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE, TO 4,196 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 FIFTEEN (15) FULL-TIME AND PART-TIME PHYSICIANS AND NURSE PRACTITIONERS, TWO HUNDRED NINETY-NINE (299) CLINICAL AND ADMINISTRATIVE STAFF AND APPROXIMATELY THREE HUNDRED THIRTY-THREE (333) VOLUNTEERS. OUR CLINICIANS UTILIZE THE NETSMART 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 ONLY TWO 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 $655,000 OF UNCOMPENSATED CARE TO THE UNINSURED AND UNDERINSURED IN 2017. NATHAN ADELSON HOSPICE WAS THE ONLY COMPREHENSIVE PEDIATRIC HOSPICE IN SOUTHERN NEVADA, PROVIDING CARE IN THE INPATIENT UNIT AND IN RESIDENTIAL SETTINGS. THE PROGRAM STAFF INCLUDES A HOSPICE CERTIFIED PEDIATRIC MEDICAL DIRECTOR AND A CLINICAL TEAM WITH SPECIALIZED PEDIATRIC TRAINING. OUR PROGRAM CARED FOR (4) PEDIATRIC PATIENTS IN 2017. 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 28 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, REIKI, PET THERAPY, AROMATHERAPY, ART THERAPY AND MEMORY JOURNALS THOUGH 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 2017, 6,648 PALLIATIVE CONSULTATIONS WERE PROVIDED IN HOSPITALS AND 167 PATIENTS RECEIVED PALLIATIVE CARE AT HOME.Desc
Total Program Service Expenses$23,971,206TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document98IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee402EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OfYes (true)Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jon WoodBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7027963121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14141 S SWENSON STREETAddressLine1Txt
CityLAS VEGASCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89119ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CAROLE A FISHER
PRESIDENT & CEO38.02.0Yes (X)Yes (X)$353,758$0$20,778
JEANNE R JONES
NAH Board Secretary/ CCC Vice Chairman1.02.0Yes (X)Yes (X)$0$0$0
DENNIS L KENNEDY ESQ
NAH Board Chairman1.02.0Yes (X)Yes (X)$0$0$0
DONALD D SNYDER
NAH Vice Chairman1.02.0Yes (X)Yes (X)$0$0$0
ALAN DUNCAN
Trustee1.02.0Yes (X)$0$0$0
SHAUNA HUGHES
Trustee1.02.0Yes (X)$0$0$0
EDWIN C KINGSLEY MD
Trustee1.02.0Yes (X)$0$0$0
ELLIS LANDAU
Trustee1.02.0Yes (X)$0$0$0
MICHAEL E LUCE
Trustee1.02.0Yes (X)$0$0$0
SCOTT MACTAGGART
Trustee1.02.0Yes (X)$0$0$0
IRWIN A MOLASKY
Trustee1.02.0Yes (X)$0$0$0
STEVE PETERSON
Trustee1.02.0Yes (X)$0$0$0
REED RADOSEVICH
Trustee1.02.0Yes (X)$0$0$0
FRANK SCHRECK
Trustee1.02.0Yes (X)$0$0$0
LOUIS SILVESTRI
Trustee1.02.0Yes (X)$0$0$0
RICHARD S WORTHINGTON
Trustee (Beginning 1/1/2017)1.02.0Yes (X)$0$0$0
Michael Rumbolz
Trustee1.00Yes (X)$0$0$0
JON WOOD
CFO (Teleios Contract CFO until 9/4/17)/ Treasurer38.02.0Yes (X)$199,271$0$3,562
ROSAMARI MCNULTY
VP Of Human Resources And Volunteer Solutions40.00Yes (X)$138,934$0$6,969
KAREN RUBEL
CHIEF OPERATING OFFICER40.00Yes (X)$177,719$0$17,335
CATRISHA CABANILLA-DEL M
Medical Director/Assistant Program Director40.00$213,666$0$16,635Yes (X)
KARLEEN ADAMS
Medical Director I40.00$136,946$0$0Yes (X)
CHRISTINE MARIE ESTRADA
Execuitve Medical Director of Palliative Care Services (Till 9/1/17)40.00$178,845$0$13,726Yes (X)
M DIANE KESEG
RN I - Admissions40.00$139,189$0$10,910Yes (X)
FEROZAN MALAL
Medical Director I40.00$242,490$0$12,604Yes (X)
WARREN WHEELER
Senior Medical Director40.00$253,039$0$18,035Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,033,857TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$120,554TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Epstein Becker & Green PC
1227 25th Street NW Suite 700WashingtonDC200371175Legal Services$207,170
Bailey Kennedy LLP
8984 Spanish Ridge AveLas VegasNV89148Legal Services$163,820
GMTCARE LLC
4340 S Valley View Blvd Suite 216Las VegasNV89103Patient Transportation$162,375
Tijuana LLC dba Advance Medical Staffing
9670 Eagle Ranch Road NW Suite BAlbuquerqueNM87114Medical Staffing Agency/ Nurse Registry$112,296
Healthsperien LLC
1299 Pennsylvania Ave NW Suite 1175WashingtonDC20004Consulting Services$101,680
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$1,705,605RelatedOrganizationsAmt
All Other Contributions$69,835AllOtherContributionsAmt
Total Contributions$1,775,440TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOSPICE SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$29,205,059TotalRevenueColumnAmt
Related Or Exempt Func Income$29,205,059RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$29,205,059TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,926TotalRevenueColumnAmt
Exclusion$1,926ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
COFFEE SHOP REVENUE900099$46,517$46,517
MEDICAL RECORDS/MISC900099$5,579$5,579

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$52,096OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,034,521TotalRevenueColumnAmt
Related Or Exempt Func Income$29,205,059RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$54,022ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$918,326TotalAmt
Management And General$918,326ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$90,814TotalAmt
Program Services$90,814ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,748,661TotalAmt
Program Services$14,748,661ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$530,137TotalAmt
Program Services$90,398ProgramServicesAmt
Management And General$439,739ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,302,999TotalAmt
Program Services$1,058,056ProgramServicesAmt
Management And General$2,244,943ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,103,714TotalAmt
Program Services$1,092,564ProgramServicesAmt
Management And General$11,150ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$24,183TotalAmt
Program Services$113,902ProgramServicesAmt
Management And General-$89,719ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,675TotalAmt
Management And General$74,675ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$695,769TotalAmt
Program Services$239,680ProgramServicesAmt
Management And General$456,089ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$528,659TotalAmt
Program Services$210,890ProgramServicesAmt
Management And General$317,769ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$724,363TotalAmt
Program Services$395,495ProgramServicesAmt
Management And General$328,868ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$395,582TotalAmt
Program Services$356,186ProgramServicesAmt
Management And General$39,396ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$567,383TotalAmt
Program Services$458,250ProgramServicesAmt
Management And General$109,133ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$526,146TotalAmt
Program Services$448,676ProgramServicesAmt
Management And General$77,470ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$56,127TotalAmt
Program Services$36,436ProgramServicesAmt
Management And General$19,691ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$74,088TotalAmt
Management And General$74,088ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,015,090TotalAmt
Program Services$824,600ProgramServicesAmt
Management And General$190,490ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$524,214TotalAmt
Program Services$415,167ProgramServicesAmt
Management And General$109,047ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Drugs$980,547$980,547
Durable Medical Equipment$617,673$617,673
Medical Supplies$617,785$617,785
Program Expenses$803,615$809,344-$5,729

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$736,203TotalAmt
Program Services$366,082ProgramServicesAmt
Management And General$370,121ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,656,753TotalAmt
Program Services$23,971,206ProgramServicesAmt
Management And General$5,685,547ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$866,485BOYAmt
EOY$602,088EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,853,670BOYAmt
EOY$3,935,481EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$47,334BOYAmt
EOY$46,099EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$851,937BOYAmt
EOY$331,096EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,219,132LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,547,297LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,331,579BOYAmt
EOY$3,671,835EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY-$315,274BOYAmt
EOY-$359,018EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$10,693,570BOYAmt
EOY$15,765,414EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,475,733BOYAmt
EOY$1,444,933EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$707,798BOYAmt
EOY$48,356EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,512,832BOYAmt
EOY$25,486,284EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,365,912BOYAmt
EOY$2,810,708EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,500,000BOYAmt
EOY$1,275,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,865,912BOYAmt
EOY$4,085,708EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,129,661BOYAmt
EOY$14,516,876EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,517,259BOYAmt
EOY$6,883,700EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,646,920BOYAmt
EOY$21,400,576EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,512,832BOYAmt
EOY$25,486,284EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,377,768ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,076NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,367,812OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,351,243CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,545,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,467,220CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,315,946CurrentTaxYearMinus1YearAmt
Current Tax Year$1,775,440CurrentTaxYearAmt
Total$14,455,050TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,662,707CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,075,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,502,711CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,143,306CurrentTaxYearMinus1YearAmt
Current Tax Year$29,205,059CurrentTaxYearAmt
Total$125,588,855TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,013,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,620,273CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,969,931CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,459,252CurrentTaxYearMinus1YearAmt
Current Tax Year$30,980,499CurrentTaxYearAmt
Total$140,043,905TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$140,043,905PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$493CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,724CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,294CurrentTaxYearMinus1YearAmt
Current Tax Year$1,926CurrentTaxYearAmt
Total$7,587TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,150CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$493CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,724CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,294CurrentTaxYearMinus1YearAmt
Current Tax Year$1,926CurrentTaxYearAmt
Total$7,587TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,438CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,716CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,498CurrentTaxYearMinus1YearAmt
Current Tax Year$52,096CurrentTaxYearAmt
Total$221,671TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,056,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,653,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,016,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,513,044CurrentTaxYearMinus1YearAmt
Current Tax Year$31,034,521CurrentTaxYearAmt
Total$140,273,163TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9984PublicSupportCY509Pct
Public Support PY5090.9984PublicSupportPY509Pct
Investment Income CY0.0001InvestmentIncomeCYPct
Investment Income PY0.0000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - COFFEE SHOP REVENUE, COLUMN A - 34126.0, COLUMN B - 29335.0, COLUMN C - 44270.0, COLUMN D - 45807.0, COLUMN E - 46517.0, COLUMN F - 200055.0; DESCRIPTION - MEDICAL RECORDS/MISC, COLUMN A - 6797.0, COLUMN B - 3103.0, COLUMN C - 446.0, COLUMN D - 5691.0, COLUMN E - 5579.0, COLUMN F - 21616.0;ExplanationTxt

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,755OtherActivitiesAmt
Total Lobbying Expenditures$1,755TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYTHE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, (NHPCO) and NEVADA HOSPITAL ASSOCIATION, FOR THE YEAR ENDED DECEMBER 31, 2017. DURING THE YEAR MEMBERS OF THE ORGANIZATION'S MANAGEMENT ADVOCATED TO PROTECT ACCESS TO THE MEDICARE HOSPICE BENEFIT THROUGH CONTACT WITH LEGISLATORS AT THE NATIONAL HOSPICE AND PALLIATIVE CARE CONFERENCE IN WASHINGTON D.C.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYTHE ORGANIZATION INDIRECTLY INFLUENCED LEGISLATION THROUGH ITS DUES TO NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, (NHPCO) and NEVADA HOSPITAL ASSOCIATION, FOR THE YEAR ENDED DECEMBER 31, 2017. DURING THE YEAR MEMBERS OF THE ORGANIZATION'S MANAGEMENT ADVOCATED TO PROTECT ACCESS TO THE MEDICARE HOSPICE BENEFIT THROUGH CONTACT WITH LEGISLATORS AT THE NATIONAL HOSPICE AND PALLIATIVE CARE CONFERENCE IN WASHINGTON D.C.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,474,229BeginningYearBalanceAmt
Investment Earnings Or Losses$330,646InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$2,804,875EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,216,208BeginningYearBalanceAmt
Investment Earnings Or Losses$178,021InvestmentEarningsOrLossesAmt
Other Expenditures$920,000OtherExpendituresAmt
End Year Balance$2,474,229EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,998,681BeginningYearBalanceAmt
Investment Earnings Or Losses-$82,473InvestmentEarningsOrLossesAmt
Other Expenditures$700,000OtherExpendituresAmt
End Year Balance$3,216,208EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,826,395BeginningYearBalanceAmt
Investment Earnings Or Losses$172,286InvestmentEarningsOrLossesAmt
End Year Balance$3,998,681EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,312,648BeginningYearBalanceAmt
Investment Earnings Or Losses$513,747InvestmentEarningsOrLossesAmt
End Year Balance$3,826,395EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,625,333OtherCostOrOtherBasisAmt
Depreciation$2,204,242DepreciationAmt
Book Value$421,091BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,086,758OtherCostOrOtherBasisAmt
Depreciation$3,428,411DepreciationAmt
Book Value$2,658,347BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,937,091OtherCostOrOtherBasisAmt
Depreciation$1,379,782DepreciationAmt
Book Value$557,309BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$569,950OtherCostOrOtherBasisAmt
Depreciation$534,862DepreciationAmt
Book Value$35,088BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,671,835TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescInterest in NAH FoundationDesc
Book Value$15,765,414BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$15,765,414TotalBookValueProgramRltdAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe 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) footnoteTHE 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 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 INTERNAL REVENUE CODE. 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 FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF NEVADA FOR THE LAST THREE YEARS. THE ORGANIZATIONS 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, 2017 AND 2016.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CAROLE A FISHER
PRESIDENT & CEO$338,758$0$15,000$0$0$0$10,600$0$10,178$0$374,536$0$0$0
JON WOOD
CFO (Teleios Contract CFO until 9/4/17)/ Treasurer$191,771$0$7,500$0$0$0$873$0$2,689$0$202,833$0$0$0
KAREN RUBEL
CHIEF OPERATING OFFICER$170,219$0$7,500$0$0$0$7,006$0$10,329$0$195,053$0$0$0
CATRISHA CABANILLA-DEL M
Medical Director/Assistant Program Director$213,666$0$0$0$0$0$6,643$0$9,992$0$230,301$0$0$0
CHRISTINE MARIE ESTRADA
Execuitve Medical Director of Palliative Care Services (Till 9/1/17)$168,845$0$10,000$0$0$0$7,277$0$6,449$0$192,571$0$0$0
M DIANE KESEG
RN I - Admissions$139,189$0$0$0$0$0$5,570$0$5,340$0$150,099$0$0$0
FEROZAN MALAL
Medical Director I$242,490$0$0$0$0$0$8,203$0$4,401$0$255,094$0$0$0
WARREN WHEELER
Senior Medical Director$228,039$0$25,000$0$0$0$9,258$0$8,777$0$271,074$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 4b Supplemental nonqualified retirement planFormAndLineReferenceDesc
ExplanationCarole Fisher - In 2013, the Organization entered into a supplemental executive retirement plan with the Organization's Chief Executive Officer, under which the Organization has agreed to contribute an amount each year to one or more vehicles suitable for investments. $50,000 per year through July 2019.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JOHN FOJTIK
Family member of Dennis Kennedy, officer$85,706EMPLOYEE OF NAHfalse
BAILEY KENNEDY LLP
Entity 41.5% owned by Dennis Kennedy, officer$163,820PROFESSIONAL SERVICESfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3 Delegation of management dutiesThe Teleios Group, LLC provided CFO services to the organization during 2017. Jon Wood served as the organization's CFO in a contractor capacity through September 4, 2017. He received $122,000 from the Teleios Group for his services.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE CEO, CFO AND A REPRESENTATIVE FROM THE ORGANIZATION'S TAX PREPARATION FIRM REVIEW THE COMPLETED FORM 990 WITH THE ORGANIZATION'S FINANCE COMMITTEE. THE FINANCE COMMITTEE REPORTS ON ITS REVIEW OF THE FORM 990 TO 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 FINANCE COMMITTEE AND 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 policyALL BOARD OF TRUSTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES (INTERESTED PERSONS) ARE REQUIRED TO FILE AN ANNUAL 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. 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 officialThe compensation arrangements for the organization's President & 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, the compensation package for the Chief Executive Officer is submitted to the full Board of Trustees for review and approval. Formal approval of the annual compensation package is documented in the minutes of the Board of Trustees' meeting. In Q4 2012, 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. The compensation plan for 2013 was developed and approved by the Compensation Committee based on this analysis and presented to the Finance Committee/Board of Trustees in accordance with company compensation policies. This organization wide compensation analysis was re-done in Q1 of 2018. In Q3 2016, CBIZ provided a report of actual 2016 and projected 2017 salary adjustments for all organizations in the Western US including specific healthcare industry compensation information. In Q4 2016 and again in Q2 2018, NAH 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. The Compensation Committee will review and approve the organization's salary structure including that of the CEO and other senior leaders for the next fiscal year. Their final recommendations are presented to the Finance Committee and Board of Trustees for approval. CBIZ will continue to provide updated information annually through 2023.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesPLEASE SEE THE NARRATIVE FOR FORM 990, SECTION B, PART VI, LINE 15A.
Form 990, Part VI, Line 19 Required documents available to the publicFinancial statements, governing documents, and conflicts of interest policies are not required disclosures pursuant to Internal Revenue Code (IRS) 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 balancesChange in interest in NAH Foundation - 5071844; Net Gain from Subsidiary - -43744; Transfer to Affiliate - -660288;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BONNIE'S COMFORT LLC
4141 SWENSON STREETLAS VEGASNV89119320388748WELLNESS PRODUCTSNV$1,414$1,109MONARCH HEALTHCARE SOLUTIONS
IREFER DR LLC
4141 SWENSON STLAS VEGASNV89119383886341MOBILE APPSNV$61,850$64,740MONARCH HEALTHCARE SOLUTIONS
Care Companions LLC
4141 Swenson StreetLas VegasNV89119300856389Personal CareNV$0$0MONARCH HEALTHCARE SOLUTIONS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NATHAN ADELSON HOSPICE FOUNDATION INC
4141 S SWENSON STREETLAS VEGASNV89119880197147FUNDRAISINGNV501(c)(3)7NAHYes (true)
THE CENTER FOR COMPASSIONATE CARE
4141 S SWENSON STREETLAS VEGASNV89119450473026COUNSELINGNV501(c)(3)9NAHYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MONARCH HEALTHCARE SOLUTIONSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14141 SWENSON STREETAddressLine1Txt
CityLAS VEGASCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89119ZIPCd
FieldValueIRS element (for citing)
EIN455165668EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateNVLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NATHAN ADELSON HOSPICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Share Of Total Income$63,264ShareOfTotalIncomeAmt
Share Of EOY Assets$151,632ShareOfEOYAssetsAmt
Ownership1OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
NATHAN ADELSON HOSPICE FOUNDATION
C$1,705,605Cost
NATHAN ADELSON HOSPICE FOUNDATION
O$471,654Cost
NATHAN ADELSON HOSPICE FOUNDATION
Q$363,039Cost