2 017 Annual Summary Hospice Is ... Hospice care is quality, compassionate care Who is on the Nathan Adelson Hospice for people facing a life-limiting illness or injury. care team? A team-oriented approach is tailored to the patient’s needs and wishes, delivering medical • Board Certified Physicians care, pain management, emotional and spiritual support, as well as addressing family needs. • Advanced Nurse Practitioners • Registered Nurses Nathan Adelson Hospice • Licensed Practical Nurses For four decades, Nathan Adelson Hospice has been the hospice of choice in Southern . • Social Workers We are considered an industry leader and are • Certified Nursing Assistants proud to be a best practices model for other • Spiritual Care Team hospices throughout the nation. • Complementary Therapists Nathan Adelson Hospice is Southern Nevada’s • Trained Volunteers oldest, largest and only nonprofit hospice. Consistent with our mission, we never turn • Hospice Medical Transport anyone away because of an inability to pay. We are proud to provide over half a million dollars in unreimbursed care each year. Our Work

Vision Statement No one should end the journey of life alone, afraid or in pain.

Mission Statement 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.

Community Care Hospice care to the uninsured and underinsured, as well as the unreimbursed services and programs that set Nathan Adelson Hospice apart: $1,700,000

Quality of Care

• New patient admissions — 3,989 • Total patients receiving hospice care — 4,196 From the CEO An Unwavering Commitment to Excellence

The 2017 Annual Summary details the accomplishments of our organization. Each measure of success achieved by Nathan Adelson Hospice can be attributed to the dedication of our Board of Trustees, employees and volunteers. I want to recognize our Senior Leadership team, which never fails to show outstanding dedication to our mission and those in our care.

Our employees and volunteers make a significant impact in the lives of our patients and families each day. This is a team which leads by example. I especially want to recognize those providing care at the bedside and their unwavering commitment to excellence.

We could not reflect on 2017 without mentioning the challenges this past year brought to our community. I am incredibly proud that the Nathan Adelson Hospice team was a leader in helping people begin the healing process. For us, the term Vegas Strong was a call to action; it was our privilege to be of service.

This is a team which It remains an honor to lead this organization.. leads by example.”

Carole A. Fisher President and Chief Executive Officer Board of Trustees Irwin Molasky Carole A. Fisher, MLAS NAH Founder Nathan Adelson Hospice The Molasky Group of Companies Ex-Officio President & CEO Dennis Kennedy NAH Board Chairman Clevis Parker, M.D. Bailey Kennedy Nathan Adelson Hospice Ex-Officio Alan Duncan Chief Medical Officer NAH Foundation Chairman and Finance Committee Chairman Emeritus Michael Rumbolz Center for Compassionate Care Board Chairman Al Benedict (1923 - 2014) Everi Holdings, Inc. Bob Barengo Chris Haase Burnett Haase Michael G. Fauci

Shauna Hughes Priscilla Schwartz Lynch Hopper

Jeanne Jones Senior Leadership Alpha Services Carole A. Fisher, MLAS Edwin Kingsley, M.D. President and CEO Comprehensive Cancer Centers of Nevada Karen Rubel Ellis Landau Chief Operating Officer

Michael Luce Jon Wood The Walters Group Chief Financial Officer

Scott MacTaggart Clevis Parker, M.D. Lewis Roca Rothgerber Christie Chief Medical Officer

Steve Peterson Kara Westerfield Chief Compliance Officer Reed Radosevich Northern Trust Rosamari McNulty, SPHR Vice President Employee and Frank Schreck Volunteer Solutions Brownstein Hyatt Farber Schreck, P.C. Diane Fearon Lou Silvestri Vice President Philanthropy and Strategic Partnerships Don Snyder

Rich Worthington The Molasky Group of Companies 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. 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.

In 2017 6,648 palliative consultations were provided in hospitals. 167 patients received palliative care at home. Elaine Wynn Palliative Care Program (EWPCP)

How EWPCP Impacts Lives

Mary* is a 78 year old woman, diagnosed with multiple sclerosis. She was referred to the Elaine Wynn Palliative Care Program for support with the progression of her illness and finding medical resources to enhance her quality of life. Mary had a hard time finding a doctor near her home and was unable to drive EWPCP found a medical equipment herself to these appointments. The company that donated these medical palliative care team located a medical items to her. provider near her home, as well as transportation to and from With the assistance of the EWPCP team, her appointments. Mary has been able to stay in her home, maintain her independence, learn about Mary has limited income, making it the changes her illness will bring and difficult for her to make co-payments for discuss adding resources to enhance her a hospital bed, wheelchair, and oxygen quality of life. concentrator. The social worker with the *Patient name changed for privacy Education

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 graduate is Karleen Adams, D.O. Osteopathic Fellowship in Hospice and Palliative Care Medicine Program In addition, we provide internal and community- based educational opportunities such as: 2017 Graduate Dr. Karleen Adams 54 Educational workshops/training INTERNAL for staff and volunteers WORKSHOPS

278 Health fairs, community workshops and OUTREACH healthcare provider education EVENTS

Rotations and practicums for nursing, 203 medical and social work students STUDENTS

12 Rotations for medical residents RESIDENTS Bonnie Schreck Memorial Education Complementary Therapies The 5,459 complementary therapies offered to Nathan Adelson Hospice patients and families in 2017 included: 1,692 Aromatherapy 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 1,506 Massage 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 927 Reiki 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 488 Pet Therapy 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

Reflexology 97

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

Art Therapy 24

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

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. Volunteer Services Over the last year, we’ve seen a 5.6% increase in volunteer hours.

Meal Delivery Program 10,370 meals delivered 598 deliveries Legacy Reflection Program 20 conversations recorded Pet Peace of Mind Program Assisted 36 families Patient Advocate Program 8,617 calls to patients and family members to ensure needs are being met

333 ACTIVE VOLUNTEERS

DOLLAR VALUE OF VOLUNTEER HOURS 8,767 INDIRECT PATIENT CARE HOURS $612,469

20,608 DIRECT PATIENT CARE HOURS

29,375 TOTAL VOLUNTEER HOURS

8 Communities In Schools Annual Report 2016 CommunitiesInSchools.org Employee Community Contributions Raised $190 for National Denim Day Raised $2,920 for the United Way Campaign Professional attire for women in need donated during the United Way Women’s Leadership Council Fall Suit Drive Education Angel Drive helped 33 families Holiday Angel Tree Drive supported 93 individuals NAH employees participated in the St. Rose Regatta Dragon Boat Festival - Nathan’s Nauticals received the 2017 Community Fundraising Award Hurricane Harvey Relief Fund—sent a total of $2,870 to the Texas Hospice Non-Profit Alliance. Employee Recruitment and Retention 1,003 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 96% engagement level – the highest level achieved in the past 8 years Quality Initiatives Recipient of the Category 5—Workforce Award for the 2017 Southwest Alliance for Excellence, Malcom Baldrige Regional Performance Excellence Program

Achieved Deemed Status by the Joint Commission

Implemented 9 Quality Assessment Performance Improvement projects Patient Demographics

Research continues to show that patients live longer and are more satisfied with their care when palliative and hospice care services are in place.

965 VETERANS

10.34% INCREASE IN ADMISSIONS FROM 2016

11.6% INCREASE IN REFERRALS FROM 2016

10 Communities In Schools Annual Report 2016 CommunitiesInSchools.org 2017 2017 Ethnicity Total Number Percentage African American 351 9%

Asian/Pacific Islander 234 6%

Caucasian 3,015 76%

Hispanic 349 9%

Native American Indian 8 <1%

Other 19 <1%

Unknown 13 <1%

Total 3,989 100%

AGE 2016 2017 0-17 6 6

18-40 45 42

41-64 601 677 The Hispanic/Latino Program, now in 65-80 1,345 1,693 its seventh year, provides culturally competent care to Latinos by offering:

81+ 1,258 1,571 • Trained interpreters • Bilingual staff and volunteers • Materials that are translated • Spanish grief support groups • Community partners to increase access Total 3,255 3,989 to hospice care.

CommunitiesInSchools.org Communities In Schools Annual Report 2016 11 NAH Foundation Events

Event

13th Annual Multicultural Luncheon $5,299 Butterfly Release ( and Pahrump) $19,378 Flair for Care Fashion Show and Luncheon $460,717 18th Annual Wine and Food Tasting Extravaganza $61,839

22nd Annual Serenades of Life – Doctors in Concert $114,981

Festival of Trees $10,898

Diversity In Action Award Southwest Gas

Brad Garrett Humanitarian Award Kelly LeGrow Brown and Brown of Nevada

2017 Flair For Care Fashion Show NAH Foundation Events Organizational Achievements

Named one of the Best Places to Work in Healthcare in the country. This marks the sixth time receiving this national recognition. NAH received an award as one of the Founding Members for the 15th Annual Women’s Chamber of Commerce Nevada. Carole Fisher received the Pioneer Award from the Women’s Chamber of Commerce. Warren Wheeler, MD, recognized as a Top Doctor by Healthcare Quarterly. BoardIrwin A. Molasky/Rich Worthington of • TheTrustees IRS Building in has Achievements been rebranded as Parkway Center and has • With a development partner, opened the new tenants, including Immigration Court Boston FBI Field Office which oversees law enforcement operations in Massachusetts, Dennis Kennedy Maine, New Hampshire and Vermont; 220,000 square foot building is a multi-story Class A • Recognized by Benchmark Litigation on its LEED Certified Silver and the sixth FBI building Litigation Stars List for the State of Nevada in completed by the Molasky Group the areas of General Commercial and Antitrust Litigation • Celebrated grand opening of Sky 3 - multifamily apartment building in downtown Portland • Bailey Kennedy received a Metropolitan Tier 1 ranking for Appellate Practice, • Took over construction of a mixed-use high-rise Commercial Litigation, Healthcare Law, and property in downtown Seattle, blocks from Real Estate Law in the U.S. News – Best Amazon’s headquarters - the 42-story property Lawyers® “Best Law Firms” © ® was rebranded and is currently under construction on its 30th floor • Listed in Best Lawyers in America by Best Lawyers® • The celebrated its tenth year in operation with renovations to the lobby and coffee shop Board of Trustees AchievementsEdwin C. Kingsley, M.D. Frank A. Schreck • Received a Governor’s Points of Light award for • Received the Jurisprudence Award from the his volunteer service Anti-Defamation League Scott MacTaggart • Recognized by Chambers and Partners as Top Gaming and Licensing Attorney nationwide and • Listed in Best Lawyers In America by Best honors in Nevada gaming and licensing areas Lawyers® • 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 Spiritual & Bereavement Department

Camp Erin® is in its 27th year and was held at Potosi Pines in All of our grief and bereavement June, 2017. groups are open to the entire Children and teens who have community. experienced the death of someone close to them participate in In 2017, we provided: traditional camp activities, combined with grief education and emotional Seven weekly support groups in support led by grief Las Vegas and Pahrump professionals and trained volunteers. One weekly support group Camp Erin provides a unique in Spanish opportunity for peer bonding for children facing Monthly Memorial Services to similar life circumstances. honor loved ones 1,143 visits to patients at NAH and 1,299 visits at home 4,504 phone calls to families to provide support Support to Sunrise Hospital in 50 response to October 1 incident YOUTH ATTENDED and specialized support groups.

35 VOLUNTEERS PARTICIPATED Founders - $25,000 + Albertini Family Charitable Designated Fund - Liatis Foundation Nevada Community Foundation Palm Mortuaries, Cemeteries and Crematories Anonymous The Park Foundation Phyllis C. Binion Donald W. Reynolds Foundation The Boyd Foundation Lynne Ruffin-Smith Charitable Foundation The Community Foundation of Middle The Carl D. Shayne Trust Tennessee/ Music City Cares Fund The Walters Group Louise and Paul Evers Wells Fargo Foundation Teresa and Lorenzo J. Fertitta Andrea Wynn Victoria K. Fertitta The Elaine P. Wynn & Family Foundation Hospice Education Institute, Inc. Wynn Resorts Benefactors $5,000 - $24,999 H. Gary Ackerman Yvette and Ellis Landau Madeleine and Don Andress Kelly LeGrow Alan J. Arnold, M.D. MGM Resorts Foundation Joe V. Audino Phronsie and Randy Markin Selma Bartlett Christy and Alan L. Molasky Robyne Brooks Townsend Irwin A. Molasky B.B.W.T., Inc. Susan Molasky Bailey Kennedy The Moyer Foundation Brown & Brown Insurance of Nevada, Inc. Nevada Construction Services Brownstein Hyatt Farber Schreck, P.C. NV Energy Charitable Foundation Heidi and Lawrence D. Canarelli P3 Health Group, LLC Casino Royale & Hotel Linda and William A. Richardson Donna Epstein Cloobeck Linda Rogers Angela and Peter Dal Pezzo Geri and Michael Rumbolz Desert Radiology Jane and Marc Schorr Desert Willow Women’s Golf Association Julietta Bauman and Frank A. Schreck Beverly and Alan Duncan Shulman Family Foundation Cynthia L. Ellis Signature Homes The Cosmopolitan Charley and John Socey Susan G. Fine Southwest Gas Corporation Abbie Friedman, Esq Speedway Children’s Charities Gaudin Porsche Station Casinos Arlyne D. Glickman Faye Steinberg Scott Gragson Susan Sullivan Myra and Brian Greenspun Clyde T. Turner Robin and Daniel Greenspun UnitedHealthcare Services, Inc. Nancy Houssels Universal Health Services Anna Chiu and Jack Hunter United Way of Southern Nevada Imperial Royal Sovereign Court of the Alvin Warsaw Desert Empire, LLC Beth and William Weinberger Sharon and Norm Jenkins Diane Boyle and Richard S. Worthington The Kara Foundation Barbara M. and James J. Wyza Family Judi Keltner Living Trust Kathy and Edwin C. Kingsley, M.D. William Hill US Ambassadors $500-$4,999 Nahed and Sherif Abdou, M.D. Community Spiritual Center Sharon Aigner Coronado Surgical Center Deanne Alterwitz-Stralser Margaret Cortez Anthem BlueCross BlueShield Shirley Coughlin Ken Archambault Harriet Cox Leigh and Phil Aurbach Cox Charities Workplace Giving - Mirit Avram, M.D. Nevada Community Foundation Robert R. Banks Foundation Alexia Crowley Lisa Bassewitz Marvin Crusch Kathleen Beatty Karen and Peter Cummings Mary Beausoleil Dan Curtin Millie Benavente Vicki and Dominic J. Del Grosso The Benevity Community Impact Fund Desert View Hospital Shelley Berkley Lourdes Dorilag William Bible Russell W. Dorn and Diane Mooney Shirley Biegger Irene S. Dunsheath Steven Bird Julee Ebert Othello Bland Employers EIG Services Jaret Blinn Corey Eschweiler Blossom Practice Management Kathie and Albert Faccinto Anthony J. Bonnici Diane Fearon and Mike Majewski Linda Borst Michael Fennell Eleanor Brenner Anthony Fernandez BrightStar Care of West Central Las Vegas Nilda Kunich Fernandez Huong M. Brignon Greg Ferraro Janice and Paul E. Buller The Ferraro Group Kimberly and David C. Burns Heather Fife Laura R. Burns Finance of America Mortgage Jeffrey Burr, LTD. Gloria and Mark Fine Caesars Entertainment Carole A. Fisher Caliendo-Savio Enterprises Richard Forbus Terry J. Care Family Trust Foundation for End of Life Care Jeff Carlson David Frankel Candace Carlyon Fran Friedman Lesly Y Ceballos Richard Frockt Century Healthcare Funeral Directors Life Insurance Company Terri Chapman Michael Gaughan Doris Charles Nicole and William Gazza Ande and Glenn C. Christenson Suzette Gehres Susan Ciadella GMTCARE Johanna Clift Cynthia and William R. Godfrey Sharon L. Cochran Applebaum and Sheryl D. and Robert G. Goldstein David Applebaum Anna M. Goodman Roni Cohen Lorraine Goodwin Robert Colbert Karen and Bert Green Laura Coleman Floyd L. Green Pauline Collins George Gregory Comprehensive Cancer Centers of Nevada Linda Rose Pierro Gresser Ambassadors $500-$4,999 Oliver Gruter Arnold Lee Irena Gunn Dana and Greg Lee Gunny’s Air Conditioning and Heating Corp. Doris and Theodore B. Lee Cathy and Christian D. Haase Eugene Lee M. Kent Hafen Irene and Duncan Lee Charitable Foundation Lewis Handelsman Kyung Lee Howard Hansen Legacy Funeral Holdings of Nevada, LLC Kimberly Parker Hansen Novelyn Lind Geri Hazelitt The Lionel Trust HealthInsight Lillian Lipka Healthcare Partners Nevada LLC Lawrence Loman Health Strategies, Inc. Sherry London Alex L. Heindl Jessie Loop Hugo Herrera Katherine Lord Anne Hipolito Lotus Broadcasting Corp. Troy Hitchcock John L. Lowenstein Sue C. Hollifield Catherine and Michael Luce Glenda Houghland Marilynn Mack Howard Hughes Corporation at Barbara Macknin Summerlin Georgina Major-Vendittelli Hutchison & Steffen Jamie F. Makaron Kathleen Hurley Steve T. Mann LeAnn Hurt Kim Marcolongo IBM Employee Services Center Nancy Marquez Inspirations Senior Living Kristin and Rick Marshall Intalere Vivica Marshall Anamari Irwin Vicki Martin and Preston Johnson Daniel J. Jacobs Gabriel Martinez Parvin Jacobs Jimena Martin-Moreno James Joseph Ford Foundation Denise Marzilli Joe’s Stone Crab - Las Vegas Flora Mason Jeanne R. Jones Lois Mathews Elizabeth Kaplan Ben B. Maze Daniel Keating Sean E. McClenahan and Connie and Dennis L. Kennedy Michael McGraw Kindred Healthcare Rosamari and Scott McNulty Kate Kinley and Rudy Sanchez MDS Builders Inc. Stacy Kleiner Medline Industries Inc. Mary M. Knight Anne and Brian D. Menzel Mary Kodweis Jean M. Miniaci Rose Kutilek Mia M. Miyagi William C. LaBorde Pia Morris The Lally Family Jerry Moss Charles Langjahr Mountainview Hospital Linda Larsen Scott Muelrath Liza and Mark Lauron Dorothy Murphy The Lawrence Foundation Susan E. Murphy Bonnie and Thomas Lawyer National Debt Relief Ambassadors $500-$4,999 Nellis Cab Co. Derry Ruth Nevada Comprehensive Pain Center Mona and Clemens Rybacki Nevada Donor Network, Inc. Saks Fifth Avenue Nevada State Bank Margaret J. Sanders Elaine M. Newton Suzanne Sanders-Krick Jackie Niesen Santa Fe Mining Company, L.L.C. Northern Trust Ellen and Morris W. Schaner Robert Nowak Samantha Schoenhaus Julie and Ken Obermeyer Simone and Jerry Schwartz, M.D. Margaret R. Oliver Sandra Sears OnePoint Patient Care Devin Seifer Bob Ostrovsky Cassandra Selbach Sharon and Robert H. Osur Serenity Funeral Home Pahrump Valley Dust Devils Sandra E. Settina Joanne and Dennis Paradise Nancy and John R. Shepherd Nancy Patrick Joseph Shortal Carol Pence Michelle Shuler Lynn and Robert Perlman Leonard A. Sider Nancy Z. Perry Dennis Silknitter Noriko Perry Sandra R. Silvers Timothy L. Perry The Simms Foundation Adam Petrasich Tiffany Skaggs Veronica Hummel and Steve Peterson Maynard Sloate Carolyn S. Petroff Linda Smith Susan and Stephen Philpott Dee and Donald D. Snyder Plaza Bank Shelly and Tim Soder Howard Pittle Solomon Dwiggins & Freer, Ltd. Teri Lee Pitts Debbi Somers Poet’s Walk Henderson Paul Sommers Connie Pollina Trust South Point Hotel & Casino Joy Prendergast Faye and Alex Spanos Property Concepts Associates Susan and Bob S. Spencer Vanetta and Raymer Pry Kelly and Jeffrey Stafford Reed Radosevich Faye Steinberg Carol and Leonard Raizin Steinberg Family Foundation Harriet Ramlo Lonnie Stephens Trust Beryl R. Ransom JoAnn and Richard A. Sturm Jennifer Rathburn Becky J. Sullivan Regina Burt Von Tobel Living Trust SWR Investments Republic Services of Southern Nevada Marty Teller Charles Richardson Craig Thornton Judy and Mike Roberts Tito and Sandra Tiberti Victoria Rodrigues Tiberti Family Foundation Rose Marie Rogers Andrea and Larry Tindall Bonnie and Enrique Rosselli Suzanne L. Tobin Robert Rouse Toll Brothers Karen Rubel Touro University Susan Russo Kathryn Trentacoste Ambassadors $500-$4,999 Truist Altruism, connected Betty L. Ulman United Way of Greater Philadelphia and Southern New Jersey U R First Mary and Marc Vallen Valley Electric Association Nancy Van Pelt Major Ret. Stephen Vance Yun T. Vandermeulen Randi and Hector A. Vazquez Vegas Service Pros Cecelia Ventura Toni Verducci Visiting Angels Victoria Wang Susan Peterson and Tom Warden Beverly Weaver Wells Fargo Community Support Campaign Gaylen B. While Don Whitaker Lori Wilkinson Mary and Kenneth A. Woloson Melvin Wolzinger Gail Wydra Renee and Michael Yackira Sandy and Bill Young Jamie Zimmerman Jeffrey P. Zucker

Thank you for your continued support! Nathan Adelson Hospice www.nah.org

Main Line: Swenson Facility Pahrump Office: Henderson Office: Tel: 702.733.0320 (Main): Nathan Adelson Hospice 1201 Nevada State Drive Nathan Adelson Hospice 2270 E. Commercial Rd., Henderson, NV 89002 Foundation: 4141 Swenson Street Suite A/B Tel: 702.947.6972 Tel: 702.796.3132 Las Vegas, NV 89119 Pahrump, NV 89048 Tel: 702.733.0320 Tel: 775.751.6700 Center for Compassionate Care: Tenaya Facility: Tel: 702.796.3167 Nathan Adelson Hospice 3150 N. Tenaya Way, Suite 350 Las Vegas, NV 89128 Tel: 702.733.0320

@nahlv @NAHlasvegas @nahlasvegas