Following the Russian Revolution, Rachmaninoff and his family left Russia. They settled in New York City in 1918. With his main source of income coming from piano and conducting performances, demanding tour schedules led to a reduction in his time for composition. Between 1918 and 1943, he completed just six works, including "Rhapsody on a Theme of Paganini", Symphony No. 3, and "Symphonic Dances". By 1942, his failing health led to his relocation to Beverly Hills, California. One month before his death from advanced melanoma, Rachmaninoff was granted American citizenship.