Nathan Adelson Hospice Inc

What it reported doing in 2024

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.

Financial Efficiency

• Mission deployment rate: 91.5%; rating input score 91
• Program expense ratio: 82.2%; rating input score 82
• Fundraising efficiency: $1,779.5 raised per $1 spent on fundraising; rating input score 98; 98th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 90.5%; rating input score 90; 23rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -11.3%; rating input score 9; 9th percentile among comparable filings
• Total-asset coverage ratio: 0.76; rating input score 27; 27th percentile among comparable filings
• Liabilities to assets ratio: 0.14; rating input score 67; 67th percentile among comparable filings
• Officer compensation ratio: 5.2%; rating input score 49; 49th percentile among comparable filings

Growth

• Program expense growth: 3.3% per year; rating input score 100; 28th percentile among comparable filings
• Revenue growth: 1.8% per year; rating input score 100; 17th percentile among comparable filings
• Asset growth: 2% per year; rating input score 100; 18th percentile among comparable filings