2018-10-10T14:00:08-05:00 2017-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2017-01-01 880161009 Nathan Adelson Hospice Inc NATH 7027330320 4141 S Swenson Street Las Vegas NV 89119 Jon Wood CFO 2018-10-10 true Nicole Bencik P00756195 3128997000 2017 2018-06-14 16:35:46Z Carole A Fisher 4141 S Swenson Street Las Vegas NV 89119 31034521 false X WWW.NAH.ORG X 1978 NV Nathan Adelson Hospice, Inc. (NAH) provides hospice services which consist of end-of-life care for our patients using an interdisciplinary team approach. NAH provides care to patients regardless of their ability to pay. Uncompensated Hospice Care and Patient Assistance provided during 2017 = $655,000 17 15 402 333 0 0 1315946 1775440 24143306 29205059 2294 1926 51498 52096 25513044 31034521 0 0 0 0 17371611 20694651 0 0 0 8483277 8962102 25854888 29656753 -341844 1377768 22512832 25486284 6865912 4085708 15646920 21400576 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 2017 = $655,000. false false 23971206 0 29205059 HOSPICE 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. 23971206 true true false true false false false false false true true false true false false true false true false false false false false false false false false false false true false false false false false false true true false false false false true true true true false false true 98 0 true 402 true false false false false false false true false false false X 17 15 false true false false false false false true true false false true true true true true true true true false X Jon Wood 7027963121 4141 S SWENSON STREET LAS VEGAS NV 89119 CAROLE A FISHER PRESIDENT & CEO 38.0 2.0 X X 353758 0 20778 JEANNE R JONES NAH Board Secretary/ CCC Vice Chairman 1.0 2.0 X X 0 0 0 DENNIS L KENNEDY ESQ NAH Board Chairman 1.0 2.0 X X 0 0 0 DONALD D SNYDER NAH Vice Chairman 1.0 2.0 X X 0 0 0 ALAN DUNCAN Trustee 1.0 2.0 X 0 0 0 SHAUNA HUGHES Trustee 1.0 2.0 X 0 0 0 EDWIN C KINGSLEY MD Trustee 1.0 2.0 X 0 0 0 ELLIS LANDAU Trustee 1.0 2.0 X 0 0 0 MICHAEL E LUCE Trustee 1.0 2.0 X 0 0 0 SCOTT MACTAGGART Trustee 1.0 2.0 X 0 0 0 IRWIN A MOLASKY Trustee 1.0 2.0 X 0 0 0 STEVE PETERSON Trustee 1.0 2.0 X 0 0 0 REED RADOSEVICH Trustee 1.0 2.0 X 0 0 0 FRANK SCHRECK Trustee 1.0 2.0 X 0 0 0 LOUIS SILVESTRI Trustee 1.0 2.0 X 0 0 0 RICHARD S WORTHINGTON Trustee (Beginning 1/1/2017) 1.0 2.0 X 0 0 0 Michael Rumbolz Trustee 1.0 0 X 0 0 0 JON WOOD CFO (Teleios Contract CFO until 9/4/17)/ Treasurer 38.0 2.0 X 199271 0 3562 ROSAMARI MCNULTY VP Of Human Resources And Volunteer Solutions 40.0 0 X 138934 0 6969 KAREN RUBEL CHIEF OPERATING OFFICER 40.0 0 X 177719 0 17335 CATRISHA CABANILLA-DEL M Medical Director/Assistant Program Director 40.0 0 X 213666 0 16635 KARLEEN ADAMS Medical Director I 40.0 0 X 136946 0 0 CHRISTINE MARIE ESTRADA Execuitve Medical Director of Palliative Care Services (Till 9/1/17) 40.0 0 X 178845 0 13726 M DIANE KESEG RN I - Admissions 40.0 0 X 139189 0 10910 FEROZAN MALAL Medical Director I 40.0 0 X 242490 0 12604 WARREN WHEELER Senior Medical Director 40.0 0 X 253039 0 18035 2033857 0 120554 22 false true false Epstein Becker & Green PC 1227 25th Street NW Suite 700 Washington DC 200371175 Legal Services 207170 Bailey Kennedy LLP 8984 Spanish Ridge Ave Las Vegas NV 89148 Legal Services 163820 GMTCARE LLC 4340 S Valley View Blvd Suite 216 Las Vegas NV 89103 Patient Transportation 162375 Tijuana LLC dba Advance Medical Staffing 9670 Eagle Ranch Road NW Suite B Albuquerque NM 87114 Medical Staffing Agency/ Nurse Registry 112296 Healthsperien LLC 1299 Pennsylvania Ave NW Suite 1175 Washington DC 20004 Consulting Services 101680 5 1705605 69835 1775440 HOSPICE SERVICE REVENUE 623000 29205059 29205059 0 0 0 0 29205059 1926 1926 0 0 0 0 COFFEE SHOP REVENUE 900099 46517 46517 MEDICAL RECORDS/MISC 900099 5579 5579 0 0 0 0 52096 31034521 29205059 0 54022 0 0 918326 918326 90814 90814 14748661 14748661 0 530137 90398 439739 3302999 1058056 2244943 1103714 1092564 11150 24183 113902 -89719 74675 74675 695769 239680 456089 0 528659 210890 317769 724363 395495 328868 395582 356186 39396 567383 458250 109133 526146 448676 77470 56127 36436 19691 74088 74088 1015090 824600 190490 524214 415167 109047 Medical Drugs 980547 980547 Durable Medical Equipment 617673 617673 Medical Supplies 617785 617785 Program Expenses 803615 809344 -5729 736203 366082 370121 0 29656753 23971206 5685547 0 866485 602088 3853670 3935481 0 0 0 47334 46099 851937 331096 11219132 7547297 4331579 3671835 -315274 -359018 10693570 15765414 1475733 1444933 707798 48356 22512832 25486284 5365912 2810708 0 1500000 1275000 0 0 6865912 4085708 X 13129661 14516876 2517259 6883700 15646920 21400576 22512832 25486284 X 1377768 8076 4367812 X false true X true false X 3351243 5545201 2467220 1315946 1775440 14455050 27662707 23075072 21502711 24143306 29205059 125588855 0 0 0 31013950 28620273 23969931 25459252 30980499 140043905 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140043905 1150 493 1724 2294 1926 7587 0 1150 493 1724 2294 1926 7587 0 40923 32438 44716 51498 52096 221671 31056023 28653204 24016371 25513044 31034521 140273163 0.9984 0.9984 0.0001 0.0000 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - 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; false false false false false false false false true 1755 1755 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE 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 ACTIVITY THE 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. 2474229 330646 0 2804875 3216208 178021 920000 2474229 3998681 -82473 700000 3216208 3826395 172286 3998681 3312648 513747 3826395 1.0 0.0 0.0 false true true 2625333 2204242 421091 6086758 3428411 2658347 1937091 1379782 557309 569950 534862 35088 3671835 Interest in NAH Foundation 15765414 C 15765414 0 X Schedule D, Part V, Line 4 Intended uses of endowment funds The organization's Endowment funds are used to support the cost of uncompensated care provided to patients as well as other hospice exempt functions. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION (EXCEPT MONARCH) IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501 (C)(3) OF THE U.S. INTERNAL REVENUE CODE 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. X X X X false true false false false false false false false CAROLE A FISHER PRESIDENT & CEO 338758 0 15000 0 0 0 10600 0 10178 0 374536 0 0 0 JON WOOD CFO (Teleios Contract CFO until 9/4/17)/ Treasurer 191771 0 7500 0 0 0 873 0 2689 0 202833 0 0 0 KAREN RUBEL CHIEF OPERATING OFFICER 170219 0 7500 0 0 0 7006 0 10329 0 195053 0 0 0 CATRISHA CABANILLA-DEL M Medical Director/Assistant Program Director 213666 0 0 0 0 0 6643 0 9992 0 230301 0 0 0 CHRISTINE MARIE ESTRADA Execuitve Medical Director of Palliative Care Services (Till 9/1/17) 168845 0 10000 0 0 0 7277 0 6449 0 192571 0 0 0 M DIANE KESEG RN I - Admissions 139189 0 0 0 0 0 5570 0 5340 0 150099 0 0 0 FEROZAN MALAL Medical Director I 242490 0 0 0 0 0 8203 0 4401 0 255094 0 0 0 WARREN WHEELER Senior Medical Director 228039 0 25000 0 0 0 9258 0 8777 0 271074 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Carole 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. JOHN FOJTIK Family member of Dennis Kennedy, officer 85706 EMPLOYEE OF NAH false BAILEY KENNEDY LLP Entity 41.5% owned by Dennis Kennedy, officer 163820 PROFESSIONAL SERVICES false Form 990, Part VI, Line 3 Delegation of management duties The 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 body THE 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 policy ALL 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 official The 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 employees PLEASE SEE THE NARRATIVE FOR FORM 990, SECTION B, PART VI, LINE 15A. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflicts of interest policies are not required disclosures pursuant to Internal Revenue Code (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 balances Change in interest in NAH Foundation - 5071844; Net Gain from Subsidiary - -43744; Transfer to Affiliate - -660288; BONNIE'S COMFORT LLC 4141 SWENSON STREET LAS VEGAS NV 89119 320388748 WELLNESS PRODUCTS NV 1414 1109 MONARCH HEALTHCARE SOLUTIONS IREFER DR LLC 4141 SWENSON ST LAS VEGAS NV 89119 383886341 MOBILE APPS NV 61850 64740 MONARCH HEALTHCARE SOLUTIONS Care Companions LLC 4141 Swenson Street Las Vegas NV 89119 300856389 Personal Care NV 0 0 MONARCH HEALTHCARE SOLUTIONS NATHAN ADELSON HOSPICE FOUNDATION INC 4141 S SWENSON STREET LAS VEGAS NV 89119 880197147 FUNDRAISING NV 501(c)(3) 7 NAH true THE CENTER FOR COMPASSIONATE CARE 4141 S SWENSON STREET LAS VEGAS NV 89119 450473026 COUNSELING NV 501(c)(3) 9 NAH true MONARCH HEALTHCARE SOLUTIONS 4141 SWENSON STREET LAS VEGAS NV 89119 455165668 HEALTHCARE NV NATHAN ADELSON HOSPICE C Corporation 63264 151632 1 true false false true false false false false false false false false false true true true true true true true NATHAN ADELSON HOSPICE FOUNDATION C 1705605 Cost NATHAN ADELSON HOSPICE FOUNDATION O 471654 Cost NATHAN ADELSON HOSPICE FOUNDATION Q 363039 Cost