2018 Annual Summary

Hospice care is quality, compassionate care for people facing a life-limiting illness or injury. A team-oriented approach is tailored to the patient’s needs and wishes, delivering medical care, pain management, emotional and spiritual support, as well as addressing family needs.

Nathan Adelson HospiceFor over four decades, Nathan Adelson Hospice has been the hospice of choice in Southern Nevada. We are considered an industry leader and are proud to be a “best practices” model for other hospices throughout the nation.

Nathan Adelson Hospice is Southern Nevada’s oldest, largest and only nonprofit hospice. Consistent with our mission, we never turn anyone away because of an inability to pay. We were proud to provide over $2.2 million dollars in unreimbursed care, programs and servicesin 2018.

Who is on the Nathan Adelson Hospicecare team?

• Board-Certified Physicians• Advanced Practice Registered Nurses• Registered Nurses• Licensed Practical Nurses• Social Workers• Certified Nursing Assistants• Spiritual Care Team• Complementary Therapists• Trained Volunteers• Hospice Medical Transport

Hospice Is ...

Our WorkVision Statement No one should end the journey of

life alone, afraid or in pain.

Community Care Hospice and palliative care to the uninsured and underinsured, as well as the unreimbursed services and programs that set Nathan Adelson Hospice apart:

Nathan Adelson Hospice is the hospice of choice, employer of preference, training center of

excellence and the community’s trusted partner for comprehensive

end-of-life care.

Mission Statement

• New patient admissions — 3,875

• Total patients receiving hospice care — 4,183

Quality of Care

$2,200,703

A Milestone Year

From the CEO

The 2018 Annual Summary details the accomplishments of our organization as it celebrated its 40th anniversary this past year. The success achieved in this milestone year is a direct result of the dedication of our Board of Trustees, employees, volunteers and donors, past and present. Our Senior Leadership team continues to answer the call of our mission, showing outstanding commitment in every way.

This year we acquired Kindred Hospice, were recognized as one of Modern Healthcare’s Best Places to Work in Healthcare in the country for the seventh time, launched our new Digital Education and Outreach initiative and welcomed a new Chief Medical Officer. Our employees and volunteers continue to impact the patients in our care and their families significantly every day, ensuring we stay true to our vision – that no one ends the journey of life alone, afraid or in pain.

This has been a year of growth and promise on our journey to retain our standing as the hospice of choice, employer of preference, training center of excellence and the community’s trusted partner for comprehensive end-of-life care in Southern Nevada.

It remains an honor for me to lead this organization.

Carole A. Fisher President and Chief Executive Officer

This has been a year of growth and

promise.”

Irwin MolaskyNAH FounderThe Molasky Group of Companies

Dennis KennedyNAH Board ChairmanBailey Kennedy

Alan DuncanNAH Foundation Chairman andFinance Committee Chairman

Michael RumbolzCenter for Compassionate Care Board ChairmanEveri Holdings, Inc.

Chris HaaseBurnett Haase

Jeanne JonesAlpha Services

Edwin Kingsley, M.D.Comprehensive Cancer Centers of Nevada

Ellis Landau

Michael LuceThe Walters Group

Scott MacTaggartLewis Roca Rothgerber Christie

Alan MolaskyOvation Development

Steve Peterson

Reed RadosevichNorthern Trust

Frank SchreckBrownstein Hyatt Farber Schreck, P.C.

Lou Silvestri

Don Snyder

Rich Worthington The Molasky Group of Companies

Carole A. Fisher, MLASNathan Adelson HospiceEx-OfficioPresident & CEO

Clevis Parker, M.D.Nathan Adelson HospiceEx-OfficioChief Medical Officer

Emeritus

Al Benedict (1923 - 2014)

Bob Barengo

Michael G. Fauci

Priscilla Schwartz

Senior Leadership

Carole A. Fisher, MLASPresident and CEO

Karen RubelChief Operating Officer

Jon WoodChief Financial Officer

Clevis Parker, M.D.Chief Medical Officer

Jafeh AkpeChief Compliance Officer

Rosamari McNulty, SPHRVice President Employee and Volunteer Solutions

Diane FearonExecutive Director, Nathan Adelson Hospice Foundation

Board of Trustees

Elaine Wynn Palliative Care Program (EWPCP)

THE ELAINE WYNN PALLIATIVE CARE PROGRAM GOALS IMPROVE the quality of life of patients and their families facing the problems associated with advanced illness.

MAINTAIN the patient in a community-based setting and prevent unnecessary treatments and hospitalizations.

PROVIDE an interdisciplinary approach to care coordination including physical, emotional, spiritual and social service needs.

7,898 palliative consultations were provided in hospitals. 251 patients

received palliative care at home and overall, 2,810 patients received palliative care.

Palliative care is specialized medical care for people with advanced and serious illness. It is focused on providing patients with relief from the symptoms, pain and stress of a serious illness, whatever the diagnosis. The goal is to improve quality of life for both the patients and their families.

A team of doctors, nurses and other specialists work with patient care providers to deliver an extra layer of support. Palliative care is appropriate at any age and at any stage in a serious illness, and can be provided together with curative treatment.

Elaine Wynn Palliative Care Program (EWPCP)

Michael* was an 80-year-old man living alone with end-stage renal disease, and multiple myeloma. He was undergoing chemotherapy and dialysis and driving across town to appointments. His oncologist referred him to the Elaine Wynn Palliative Care Program for support in his complex healthcare journey.

The palliative care social worker addressed transportation concerns with Michael, but Michael wished to contin-ue driving himself to his appointments. His drive to seek treatments reflected his drive for living his life to the fullest.

As weeks passed, the fatigue from driving caught up to Michael. His disease was progressing, but he was still not ready to stop the curative treatments that were not adding to his quality of life.

The palliative care nurse gave recommendations to settle the symptoms Michael was experiencing. The palliative care team also educated Michael on the importance of having his wishes in writing, and helped him with that. With those in place, Michael continued to attend his treatments and regular follow-up visits.

One day, he expressed to the team that it was time to focus more on his quality of life. Michael decided to stop his treatments and chose to continue with Nathan Adelson Hospice, where he received compassionate care in the comfort of his home.

How EWPCP Impacts Lives

*Patient name changed for privacy

Educational workshops/training for staff and volunteers

Health fairs, community workshops and healthcare provider education

Rotations and practicums for nursing, medical and social work students

Rotations for medical residents

55 INTERNALWORKSHOPS

212 OUTREACH EVENTS

215 STUDENTS

36 RESIDENTS

Dr. John McKittrick2018 Fellow

Osteopathic Fellowship in Hospice and Palliative Care Medicine Program

Nathan Adelson Hospice prides itself on being a training center of excellence. We are home to

Nevada’s ONLY osteopathic fellowship, one of only eleven in the country. This year’s Fellow is

John McKittrick, D.O.

In addition, we provide internal and community-based educational opportunities such as:

Education

Complementary TherapiesThe 6,040 complementary therapies offered to 1,704 Nathan Adelson Hospice patients and families in 2018 included:

102

2,223

1,907

576

421

47

Aromatherapy

Massage Therapy

Reiki

Pet Therapy

Reflexology

Art Therapy

Massage is a therapeutic art that relieves stress, headaches, backaches, fatigue and restlessness. Specific techniques are used to meet the medical

needs of each patient

A series of specific techniques applied to the feet are used to improve circulation to organs and glands, and relieve

discomfort of acute symptoms

Certified therapy dogs and cats bring great joy to patients. Spending time with a loving animal can

reduce depression, lower blood pressure and bring comfort for patients, family and staff

Reiki is a form of energy work that complements traditional healthcare and seeks to restore harmony to

the body’s natural rhythms. The warmth generated by the practitioner’s energy is transferred to the patient and helps

him to relax, often lessening discomfort

Art Therapists work with patients and family members to explore unresolved emotional issues

Essential oils are distilled from selected plant materials and influence the body in many ways, offering

therapeutic value for muscle aches and pains, anxiety, nausea and respiratory difficulties

Bonnie Schreck passed away in February 1999 and her husband, Frank, established the program to keep her memory alive. Many complementary therapies reduce stress, anxiety and depression. Our staff is comprised of certified therapists and licensed practitioners who offer caring emotional support and

attention to the mind, body and spirit.

Bonnie Schreck Memorial

Volunteer Services

DOLLAR VALUE OF VOLUNTEER HOURS

$581,965

19,923DIRECT PATIENT CARE HOURS

27,912TOTAL VOLUNTEER HOURS

341 ACTIVE VOLUNTEERS

7,989INDIRECT PATIENT CARE HOURS

Meal Delivery Program10,400 meals delivered650 deliveries

Legacy Reflection Program16 conversations recorded

Patient Advocate Program

8,330 calls to patients and family members to ensure needs are being met

In 2018, we rebranded our Pet Therapy program as Paws for Paul. Paul Ames,

brother of actor and comedian Brad Garrett, was a passionate advocate for animals,

especially the dogs he cared for during his life. To honor his memory, Garrett and

Nathan Adelson Hospice created a program that enhances the services we provide to those in our care and their

furry friends.

Assisted 41 families

Provided pet food and supplies for 28 patients’ families and their pets

Collected over 1,000 individual items for our Annual Pet Shelter Supply Drive

Quality Initiatives

Employee Community Contributions• Raised $226 for National Denim Day

• Raised $3,757 for the United Way Campaign

• NAH employees participated in the St. Rose Regatta Dragon Boat Festival for the second year in a row, which supports free clinical breast exams and tests for those in need without the financial means to obtain them.

Employee Recruitment and Retention• 823 thank you notes for outstanding contributions were sent to

employees, volunteers, community partners and vendors

• Personal recognition by the CEO of all employee birthdays and employment anniversaries

• The employee engagement survey reported a 94% engagement level

• Held Joint Commission Fair

• Provided 173 days of electronic medical records training to clinical staff

• Provided advanced education on documentation best practices in medical records

• Implemented Lean Six Sigma practices as part of the Baldrige Journey of Excellence

Research continues to show that patients live longer and are more

satisfied with their care when palliative and/or hospice care services

are in place.

Patient Demographics

Achieved Level Four StatusOF THE WE HONOR VETERANS PROGRAM

1,102 VETERANS CARED FOR

The Hispanic/Latino Program, now in its eighth year, provides culturally competent care to Latinos by offering:

• Trained interpreters• Bilingual staff and volunteers • Materials that are translated • Spanish grief support groups• Community partners to increase access to hospice care

Patient DemographicsAge

Ethnicity

AGE 2017 2018

0-17 6 7

18-40 42 39

41-64 677 664

65-80 1,693 1,682

81+ 1,571 1,572

Total 3,989 3,964

EthnicityTotal

Number 2018

Percent 2018

African American 351 9%Asian/Pacific Islander 261 7%

Caucasian2,970 75%

Hispanic327 8%

Native American9 <1%

Other30 <1%

Unknown16 <1%

Grand Total3,964 100%

NAH Foundation Events

Diversity In Action AwardStation CasinosMulticultural Luncheon

Brad GarrettHumanitarian AwardSelma BartlettMeadows Bank

Serenades of Life - Doctors in Concert

14th Annual Multicultural Luncheon$9,335

Butterfly Release (Las Vegas and Pahrump)$22,648

Flair for Care Fashion Show and Luncheon$386,676

19th Annual Wine and Food Tasting Extravaganza$62,561 23rd Annual Serenades of Life – Doctors in Concert$48,573 Festival of Trees $5,088

Organizational And Staff Achievements • Named one of the Best Places to Work in Healthcare in the country. This marks the seventh time receiving this national recognition in a decade.

• NAH Honored as Legendary Leader by the Las Vegas Metro Chamber of Commerce.

• Carole Fisher named as one of Nevada Business Magazine’s Women to Watch 2018.

• Diane Fearon appointed as Chair of the Commission for Women for the State of Nevada.

• Cassandra Cotton elected Chair for The Aging Service Directors Organization and Nevada Office of Minority Health and Equality.

• Route 91 Remembrance Butterfly Release featured during Academy of Country Music Awards broadcast.

NAH Foundation Events

Board of Trustees AchievementsIrwin A. Molasky/Rich Worthington

• The new 121-unit North Hollow apartment community in the charming Goose Hollow neighborhood in Portland, Oregon achieved sustainability within its first eleven months of opening.

• In 2018, The Molasky Group of Companies won the contract to develop the new Las Vegas Municipal Courthouse in downtown Las Vegas. It is also the first project developed by the Molasky Group in the City of Las Vegas in quite some time. Groundbreaking will happen in 2019.

• At the end of 2018, a 43-story tower in the downtown Seattle market came on-line. The property includes 344 luxury apartments, a contemporary hotel, and dining venues. The grand opening for Arrive happens in the first quarter of 2019.

Dennis Kennedy• Recognized by Benchmark Litigation on its

Litigation Stars List for the State of Nevada in the areas of General Commercial and Antitrust Litigation.

• Bailey Kennedy received a Metropolitan Tier 1 ranking for Appellate Practice, Commercial Litigation, Healthcare Law, and Real Estate Law in the U.S. News – Best Lawyers® “Best Law Firms.” © ®

• Listed in Best Lawyers in America by Best Lawyers.®

• Named Mountain States “Super Lawyer” for each of the past 10 years (top 75 lawyers in Nevada, Utah, Montana, Idaho, and Wyoming); is currently ranked as one of the top 3 commercial litigators in Nevada by Chambers, U.S.A.; for more than 25 consecutive years has been named by Best

Board of Trustees AchievementsLawyers in America as one of the country’s top attorneys in Commercial Litigation and “Bet the Company” cases.

Edwin C. Kingsley, M.D.• Received a Governor’s Points of Light award for his volunteer service in 2017.

Scott MacTaggart• Listed in Best Lawyers In America by Best Lawyers.®

Frank A. Schreck• Received the Jurisprudence Award from the Anti-Defamation League.

• Recognized by Chambers and Partners as Top Gaming and Licensing Attorney nationwide and honors in Nevada gaming and licensing areas.

• Described as “top of anybody’s list,” and “a recognized subject matter expert in gaming” - Chambers USA, 2017. ©

• Listed in Best Lawyers in America by Best Lawyers.®

Camp Erin

60YOUTH ATTENDED

33 VOLUNTEERS PARTICIPATED

In June, NAH held its 28th annual Camp Erin,® a bereavement camp

for children, at Potosi Pines.Children and teens who have

experienced the death of someone close to them participate in traditional camp activities,

combined with grief education and emotional support led by grief

professionals and trained volunteers.

Camp Erin provides a unique opportunity for peer bonding for

children facing similar life circumstances.

Spiritual & Bereavement

Department

Seven weekly support groups in Las Vegas and Pahrump

One weekly support group in SpanishMonthly Memorial Services to honor loved ones

2,763 visits to patients at NAH and 1,765 visits at home

4,160 phone calls to families to provide support

All of our grief and bereavement groups are open to the entire community.

We provide:

Founders - $25,000 +

Albertini Family Charitable Designated FundSuzanne AltrecheSelma BartlettDiana L. BennettShelley BerkleyBrownstein Hyatt Farber Schreck, P.C.Mary BoganeThe Boyd FoundationHeidi and Lawrence D. CanarelliCasino Royale & HotelThe CosmopolitanShirley CoughlinDesert Willow Women’s Golf AssociationBeverly and Alan DuncanCynthia L. EllisDonna Epstein-CloobeckSusan G. FineAbbie G. FriedmanBrad GarrettGaudin PorschePaula GelmanScott GragsonMyra and Brian GreenspunRobin and Daniel GreenspunGVC HoldingMarianne Boyd JohnsonThe Kara FoundationSamuel H. KaufmanBailey Kennedy, LLPKathy and Edwin C. Kingsley, M.D.Yvette and Ellis LandauLeslie LongMarilynn MackGeorge MaloofPhronsie and Randy MarkinVicki Martin & Preston JohnsonMeadows BankFloyd Meldrum

MGM Resorts FoundationChristy and Alan L. MolaskyIrwin MolaskyHeather MountsThe Moyer FoundationNetwork for GoodOnePoint Patient CareP3 Health Group LLCLinda and William A. RichardsonGeri and Michael RumbolzMargaret J. SandersJane and Marc SchorrJulietta Bauman Schreck and Frank SchreckShulman Family FoundationDee and Donald D. SnyderSouthwest Gas CorporationSpeedway Children’s CharitiesStation CasinosSusan SullivanSandee and Tito TibertiRodney TownsendUHS of Delaware, Inc.United Way of Southern NevadaUnitedHealthcare Services, Inc.Christine VetterAlvin WarsawBeth and William WeinbergerWells Fargo FoundationWindsong TrustRichard WorthingtonArda and Alejandro YemenidjianRichard Yukes

Lovee ArumClaire Anderson TrustPhyllis BinionTeresa and Lorenzo FertittaVictoria K. FertittaJudi KeltnerMarshall Philanthropic Fund

Kristine O’BannonPalm Mortuaries, Cemeteries and CrematoriesMarc L. RosenbergLynne Ruffin-Smith Charitable FoundationBrad and Maria SouderThe Elaine P. Wynn & Family FoundationWynn Resorts

Benefactors $5,000 - $24,999

Glenn AbercrombieAging Service Directors OrganizationSharon AignerDeanne Alterwitz-StralserAnson, Edwards & Higgins Plastic Surgery AssociatesJames ArntzMirit Avram, M.D.Robert R. Banks FoundationLaura and Jay BarrettJohn BaxterThe Becker Ducharme Charitable FundJudy and Brad BealMary BeausoleilThe Benevity Community Impact FundBernie Buckley Charity Golf TournamentShirley BieggerLinn BillingsleySteve BirdEsther A. BlumDave BooneBottega VenetaCraig BourqueEleanor BrennerHuong M. BrignonBrightStar Care of West Central Las VegasDrew BurnettMary Ann BurnsMichael BurnsLaw Offices of Jeffrey BurrPhyllis A. ByreDenise CashmanGloria and Richard CherchioKatrina L. ClarkCaesars Enterprises Services LLCCarol Russell Charitable FundLinda S. CohenLaura ColemanComprehensive Cancer Centers of NevadaBryan S. ConnellRonald CoppenbargerCox Charities Workplace GivingHarriett CoxMatthew Cox and Jon JonesKathleen and Kenneth CoxKaren and Peter CummingsDan CurtinDr. Girish H. Daulat

Jenna DauntJames DavidsonDavis Funeral Home & Memorial ParkSusan DavilaSarah Decker NingDee Berkley JewelrySuzanne and Jack DenlingerDesert RadiologyJohn DevineLeslie DeVoreWhitney and Larry duBoefEnterprise Products Operating LLCCorey EschweilerRobert FagenholzRachel FarnamDiane Fearon and Mike Majewski Michael FennellThe Ferraro GroupFidelity Charitable Gift FundHeather FifeGloria and Mark FineCarole A. FisherFlower FairJodi FonfaMarie and Rich ForbusJames Joseph Ford FoundationFrias TransportationFrances FriedmanFuneral Directors Life Insurance CompanyDina and Don GiancursioGMTCAREBrigitte GoerkeGood Vibrations Tattoo & Piercing BoutiqueChris HaaseM. Kent HafenTami Hance and Ben LehrHerb F. HansenJoan and David HarperMary HarrisJennifer HayesVince HaywardHealth Services CoalitionHealthcare Partners Nevada LLCMamie HechterKay and Clyde M. HornerGlenda HoughlandThe Howard Hughes Corporation at SummerlinMary L. Humphrey

Ambassadors $500-$4,999

Ambassadors $500-$4,999 LeAnn HurtIntalereJonathan JaggersFlorence JamesonJoe’s Stone Crab - Las VegasLinda JohnsonJeanne R. JonesKemp, Jones, Coulthard, LLPDennis KennedyJane and John R. KileyKim KillianKate Kinley and Rudy SanchezVeronica KistnerMary KodweisMary KoonterMarla LagattutaZaaida Larrach-CallahanLiza and Mark LauronLAVOBonnie and Thomas LawyerDuncan and Irene Lee Charitable FoundationAnne C. Leonardles chateauxBrooke and Rob Lieberman, M.D. Novelyn LindVince LinkLexy and Samuel S. LionelRobert LittleEva LittmanKent J. LongleyNancy LordJohn L. LowensteinCatherine and Mike LuceBarbara MackninScott MacTaggartCarrie MadduxKatharine MahnkeJeannine MancinelliFlora MasonLois MathewsJennifer MauceriBen B. Maze, D.D.S.McCluer FamilyElena McArthurRosamari and Scott McNultyMedline Industries Inc.Brian MessingChristopher Miller

Susan S. MohrSusan MolaskyThe Molasky Group of CompaniesMontevista HospitalDiane Mooney and Russell W. DornMountainview HospitalNeiman MarcusNevada Donor Network, Inc.NV EnergyNorthern TrustOasis Reporting Services, LLCMargaret R. OliverBob OstrovskySharon and Robert H. OsurPacifica Cottages LLCPahrump Valley Dust DevilsParkway Vacation VillageSuzanne PashnickLynn and Robert PerlmanTimothy L. PerrySharon PeterSteven J. PetersonKimberly PhillipsSusan and Stephen PhilpottL. Rose Pierro GresserRichard J. Pollina TrustValarie PotterNancy PrinceFaye ProvenzaVanetta and Raymer PryPursiano Barry Bruce Lavelle LLPReed RadosevichCarol and Leonard RaizinCarmen RalphCarol J. RasmussenRepublic Services of Southern NevadaAmy ReynoldsRitholz Jarvis 1990 TrustShirley RitzJudith RobertsJoseph E. RobertsAnna RobinsVictoria J. RobinsonMary RodriguezSam and Myra Ross Institute FundMelina Roussel Gluck and George Gluck, M.D. Karen RubelSanta Fe Mining Company, L.L.C.

Ambassadors $500-$4,999

Thank you for your

continued support!

Schindler ElevatorCandace and Michael A. SchneiderMargaret and Hans SchwobJerry Schwartz MD & AssociatesSarah ScottSandra SearsSerenity Funeral HomeThe Simms FoundationMichelle ShulerHolly and Rob Silvestri Linda and Lou SilvestriCharley and John SoceySolomon Dwiggins & Freer, Ltd.Southwest AirlinesSusan and Dean SpanosSPI EntertainmentKelly StaffordGary StangeBetsi SteinbergSteinberg Family FoundationLonnie Stephens TrustMelaine StokelyMarvin StrusserSun City Anthem Womens ClubSunrise Hospital and Medical CenterHelene SyburraTD Ameritrade ClearingTeamsters Local 986 Charity Fund, INCMarty TellerThaemert Farms, L.L.C.Patricia ThomasTidwell-Reyes Family FundSuzanne L. TobinTouro UniversityCarolynn TowbinTruist Altruism, connectedJean F. UmlandValley Electric AssociationSteve VanceHector A. VazquezLisa and Keith VeltreToni VerducciMylene VicunaVisiting AngelsRegina Von TobelThe Walters GroupSusan Peterson and Tom WardenCathleen M. Wardlow

Lynn H. WeidnerJames R. WelshAlan WittigMary and Kenneth WolosonRenee and Michael YackiraYourCause, LLC Trustee for New York LifeKate Zhong, MDLeo Zuckerman

Nathan Adelson Hospice

@nahlv @nahlasvegas@NAHlasvegas

www.nah.org

Main Line: Tel: 702.733.0320

Foundation: Tel: 702.796.3141

Center for Compassionate Care:Tel: 702.796.3167

Swenson Facility (Main):Nathan Adelson Hospice 4141 Swenson Street Las Vegas, NV 89119 Tel: 702.733.0320

Tenaya Facility:Nathan Adelson Hospice 3150 N. Tenaya Way, Suite 350 Las Vegas, NV 89128Tel: 702.733.0320

Pahrump Office:Nathan Adelson Hospice 2270 E. Commercial Rd., Suite A/B Pahrump, NV 89048Tel: 775.751.6700

Henderson Office:1201 Nevada State DriveHenderson, NV 89002Tel: 702.947.6972