2009-2010 Report to the Community

Here’s to your health. Mission Our mission at Carson Tahoe is to enhance the health and well-being of the communities we serve. Values Our core values include putting patients first and treating everyone with dignity and respect.

p2 2009-2010 REPORT TO THE COMMUNITY I am proud to represent exceptional care for our community.

Here’s to your health.

In years past, we presented the community with an Annual Report. This year, we have expanded our thinking to deliver what we call our “2009-2010 Report to the Community.” It is a change we felt the community deserved, in order to gain a better understanding of not only the facts and figures behind our healthcare system, but also to provide you with insight into what we do on a daily basis for the benefit of our community. To that end, we have included several success stories within this report…stories that inspire and motivate us to continue to provide the best possible care to every patient…every day. It’s this passion for what we do that has led to so many achievements and accomplishments. Last year marked our 60th anniversary, including over 50 years of being honored with Joint Commission accreditation. Also in 2009, we launched our Grateful Patient program, which we call “Shining Stars,” whose purpose is to honor those medical professionals that go above and beyond the call of duty, and allows patients and their families the opportunity to acknowledge superior care. We launched a new microsite – herestoyourhealth.net – dedicated to our community’s well-being, and loaded it with healthy tips, local activities, recipes, ­in-depth articles from Carson Tahoe physicians, interactive health tools, and much more. Other landmarks included the renewal of ADA Certification for Diabetes Education, the creation of a new Stroke Support group, the honor of receiving the “Extra Mile” award from Washoe County for maintaining a smoke-free campus, and the success of performing our 500th cardiac surgery. As a non-profit organization, we must always uphold our responsibility to keep a close watch on our operational expenses, contributions and allocations and report them to you. We’re happy to present this to you while also bringing you the personal stories of hope, joy and care behind these numbers.

Sincerely,

Carson Tahoe Regional Healthcare Board of Hospital Trustees Ed Epperson President & CEO Ed Epperson – CTRH President & CEO Rex T. Baggett, MD Peter Livermore - Chairman Basil E. Chryssos, MD Jack L. Davis, DO - Chief of Staff James Gibson Jeffrey D. Upton, MD - Vice-Chairman Caleb R. Mills Clifton C. Maclin, Jr. – Secretary Jo Saulisberry Don Hataway – Assistant Secretary Richard Staub Kathy Triplett - Assistant Secretary Andrea Weed, DO Jonathan Miller – Treasurer

2009-2010 REPORT TO THE COMMUNITY p3 Community Support & Education

Over 8,000 members, of our community accessed our wellness programs in 2009.

Carson Tahoe is committed to providing the best healthcare available to all community members, regardless of their ability to pay. We define community benefits as: improving access to health services; reducing geographic, financial or cultural barriers to health services; enhancing public health; advancing general knowledge; helping train future healthcare professionals; conducting research; maintaining negative margin inpatient service lines to prevent gaps in service; and supporting community organizations. Examples of Carson Tahoe’s Outstanding Community Service Programs

Treating patients is just one of our roles at Carson Tahoe. Beyond the care we provide within our hospital walls, we are also strongly dedicated to providing educational resources and wellness tips, programs and services to the entire community.

ADA certified Diabetes MOM’s clinic Education program Here’s to your health magazine Scholarships, nursing and Herestoyourhealth.net wellness- technician preceptorships based web site Community HealthCheck Breast cancer awareness Lab program & education Nutritional Services Nurse Triage/Physician Referral Support groups – Cancer, hot-line Stroke, Cardiac, Pulmonary, Flu Shots Diabetes Merriner Cottages Cancer Resource Center CEU’s & CME’s for medical staff CPR training Weekly “Move it!” for your health Partnerships with nursing wellness tips – partnering with schools/colleges FOX news to help fight the Symposiums and physician obesity epidemic. lectures Prostate cancer screenings Cancer 101

p4 2009-2010 REPORT TO THE COMMUNITY I am hope even in the darkest hour.

Jeremy Fisicaro, Physical Therapist & Danny Haesaerts

Dr. Michael Song, Neurosurgeon

When Gardnerville resident Danny Haesaerts shattered his vertebrae in an accident, he thought his life was over. Luckily, Dr. Song saw things differently.

It began like any other day. Danny and his wife Bonnie went about their normal routine. They had just come home from grocery shopping when Danny tripped, falling into a doorframe and breaking his neck – rendering him paralyzed from the shoulders down. Most in his situation would have become quadriplegic or may not have survived at all. But then, most didn’t have the comprehensive care of Carson Tahoe to turn to. Bonnie called 911, and they rushed him to Carson Tahoe Regional Medical Center, where Dr. Song performed a minimally-invasive six-hour surgery that miraculously helped Danny regain 70% of his feeling. And he’s still improving.

Here’s to your health.

Contributions to Community Health 2009 Carson Tahoe is dedicated to providing for the health and well-being of our community through our continued commitment toward charitable care. The ability to provide assistance to those who cannot pay for medical care is a direct result of Carson Tahoe’s sound business decisions and careful financial planning. Uncompensated Care $18,413,421 Community Health Improvement Services $2,243,457 Total Contributions $20,656,878 2009-2010 REPORT TO THE COMMUNITY p5 Financial Stewardship I am comfort In 2009 Carson Tahoe invested $6 million in capital during life’s biggest moments. equipment and Information Technology infrastructure. An additional $3 million was dedicated to expansion of healthcare services for our community. Despite the ongoing challenges of a struggling economy, Carson Tahoe maintained a strong financial position, closing the year with a positive operating margin. We also continued to meet or exceed all bond compliance requirements, improving our bond rating with Standard & Poors to a stable outlook. These accomplishments are quite impressive considering the norm for hospitals today trends toward a negative financial outlook. As Carson Tahoe looks ahead, we are committed to maintaining the fiscal responsibility necessary to continue our role as the strong healthcare provider our community deserves. Cassie Chesser with her twins Investing in Technology Great healthcare never rests. At Carson Tahoe, we strive to Dr. Amy Sue Hayes, provide the latest technology and procedures to ensure that Obstetrics and our patients are receiving the best possible care. Gynecology We are proud to announce that we have recently upgraded Bringing twins into the world should be a joyful our ER’s information system, complete with a new 52” occasion, not a stressful one. That’s why Cassie monitor that displays up-to-date patient information. The wall- made the decision to switch to Carson Tahoe. mounted monitor is in the center of the nurses’ station and improves visibility and emergency response time. Emergency Gardnerville Rancho residents, Cassie and her physicians, nurses and hospital staff communication has husband, were expecting twin boys. While an improved as a result, and minute-by-minute updates on a exciting time, decisions had to be made. Delivering patient’s location and status are now prominently displayed. at a California hospital in Lake Tahoe, especially New IV pumps have been installed throughout the Regional during the winter, was not an option. Fearing an Medical Center and are networked to a drug library to help icy trek up the mountain, they instead chose the ensure consistency, accuracy and safety for the patient. convenience of an obstetrician on staff at Carson Tahoe – and stayed close to home. With the push toward Electronic Health Records (EHR), Carson Tahoe is on the forefront of developing fully Thanks to Carson Tahoe’s 5-star Women and integrated health records for every patient. EHR is vital Children’s Center, private LDRP suites, and to future documentation within our healthcare system. comforting staff, their family is now larger by two. It will allow Carson Tahoe to accurately, efficiently and Three if you count their partner in healthcare. confidentially document every patient encounter throughout As the only accredited healthcare system serving the patient’s lifetime, ensuring a complete and thorough Carson Valley, Carson Tahoe is delivering a better medical history. This new EHR technology will allow choice in OB/GYN care. physicians, patients and healthcare providers to share access of current, comprehensive health information while adhering to all federal privacy regulations. Here’s to your health. Each year, Carson Tahoe invests capital to meet the growing demands for new healthcare technology, with over $4 million invested in technology in 2009.

p6 2009-2010 REPORT TO THE COMMUNITY Carson Tahoe on the Web Setting a new sustainability standard Keeping up with today’s demands for easy access to Last year, we reached several goals. Facility-wide, we information via the Internet, Carson Tahoe has revamped eliminated nearly all of our Styrofoam usage in our cafes its web site – carsontahoe.com. This online resource is and opted for compost-friendly to-go containers and paper designed to recruit, inform, educate and alert our plates. We also changed our napkins to a recycled variety ever-expanding community of users. In 2009, the site and implemented an institutional can recycling program at had 49,821 unique visits. the Regional Medical Center. In addition to our main site, Carson Tahoe maintains a In 2010 we invited our local growers to join us in educating Facebook account and health blog as additional resources patients and guests of eco-friendly practices we support. for getting information out to the public. Finally, with We met with experts and began implementing strategies to the development of our wellness-based microsite – expand and improve our healing gardens and have received herestoyourhealth.net – we are able to offer our community support from our State Public Health agency to grow an array of tips to stay healthy and thrive all year long. certified organic products.

Environmentally Friendly Helping hands. Compassionate hearts. Being a center of wellness means creating a healthy, healing The CTRH Auxiliary – a volunteer-based organization made environment. In addition to our stunning views, soothing up of over 250 caring members of our community – has aesthetics, and patient comforts throughout our facilities, always been a source of great strength for patients and their we have also made tremendous efforts to “go green” in the families. This tight-knit and hard-working group is dedicated following ways: to holding fundraising and service events to help improve the level of care Carson Tahoe provides. Through such financial •• Recycling program, including newspaper, plastic support efforts as the CTRH Gift Shop and the Wave of and glass Love Memorial Fund, the Auxiliary has been instrumental •• Low intensity light bulbs in bringing important projects to light, including the latest •• Low VOC paint Zimek machine for decontamination and infection control, •• Sustainable food procurement six flat screenT Vs in pre-op, the WNC Nursing Scholarship By being eco-conscious we are doing our part to show we program, and the TLC Hospital Cart. care about our patients, our community, and our planet. In 2009-2010, the organization helped convert pledge dollars into hospital improvements to the tune of $22,153.99. But for those whose lives were touched by these efforts, that number is immeasurable.

2009-2010 REPORT TO THE COMMUNITY p7 Foundation Year in Review

Philanthropy is important at Carson Tahoe Carson Tahoe Regional Healthcare Foundation achieved success in 2009 due to the overwhelming generosity of our donors. We hope you take pride in knowing that you have helped provide access to healthcare programs for your friends and neighbors. Restricted contributions represent the largest source of revenue secured by the Foundation each year. The Cancer Center, Merriner Cottages, and Cancer Resource Center funds received the greatest number of gifts in 2009. In total, 794 donors supported the Foundation through 1,505 gift transactions. We received 48 in-kind donations for our live and silent auctions and raffles. Event revenue brought in $181,832 in income. Interest and dividend earnings, while down from the prior year, provided just under $100,000 for Foundation activities such as marketing and promotion of our giving programs. In 2009 the Foundation received $170,519 in direct support from Carson Tahoe Regional Healthcare, which underwrites Foundation operating expenses. The funds received from Carson Tahoe, and the low overhead costs, allows 100% of donor dollars to directly support healthcare projects and programs.

2009 CTRH Foundation Revenue by Account

Total = $1,036,036

$170,519 $268,295 CTRH Support Capital Campaign

$99,971 Dividends & Interest $82,140 Memorials & Honors

$17, 081 Annual Fund $181,322 Special Events $46,601 Merriner Cottages

$7,673 $17,973 Other Contributions Merriner Endowment

$775 $17,600 Shining Stars Special Purpose Funds Program

$5,000 $65,706 Vrabel Scholarship Cancer Resource Center

$55,380 Foundation Endowment

p8 2009-2010 REPORT TO THE COMMUNITY Through your generosity, the Foundation has raised in excess of $8 million over the last 11 years in support of Carson Tahoe Regional Healthcare.

2009 Foundation Development Efforts “Calling on Angels” – In June, “Shining Stars” – The Shining Stars Donor Stewardship Activities – we introduced the final phase of program was launched in August Our existing donor base consists of the cancer center capital campaign 2009. This program allows grateful 4,500 gracious individuals who have with the Calling on Angels DVD and patients to make gifts in recognition contributed to the Foundation over collateral. Gifts to the cancer center of the outstanding service provided by the past decade. In October 2009 in 2009 totaled $425,316. a member of the Carson Tahoe team. we recongnized our top donors at the To date, 27 donors have contributed to Philanthropy Awards luncheon. this program.

Foundation Board of Directors

Officers Directors Vicki O’Shaughnessy Soraya Aguirre, President Mary Caporale Steve Tackes Genevieve Frederick, Paul Chelew Kathy Tatro Vice-President Susan Crowell Ex-Officio Members Carolyn Knutson, Secretary Craig Ganger Ed Epperson, CEO Bob Sewell, Treasurer Jenn King Jo Saulisberry, CTRH Trustee Janice McCauley Niki Neilon

2009-2010 REPORT TO THE COMMUNITY p9 2009 Giving

We wish to thank the hundreds of Carson Tahoe Friends who supported the Foundation in 2009 through donations and participation in our special events. Every effort has been made to include the names of all donors. The Foundation works diligently to keep our database accurate. If you see an omission, please accept our apologies and give us a call at (775) 445-5161. THANK YOU.

Gifts, Memorials & Grants 4-H Carson City Hot Shots Tom & Lila Brown Antoinette Cortese Guy Farmer Ralph Herbig & Tammy Force Eric & Nicole Abowd Paula Browne Jim Costa Gordon Felice Gilbert Hernandez Glenn & Karen Accornero Carla Brutico Arlene Couts William Fergus Girvin & Betty Herr Adele’s Employees John & Flo Bryan Suzanne Cowden Karen Ferreira Mike & Jan Hewitt Ernie & Sarah Adler Judy Bryant Cox Broadcasting Tony & Sharon Field Timothy & Patricia Higgins Christy Agorastos Tim & Nancy Bryant Aloma Crabtree Mary Field Dean & Patricia Higley Joaquin & Connie Aguilar Jean Buckley Joseph & Megan Crandall Renee Fink-Price Monie Hoag Jose & Soraya Aguirre Susanne Buffkin Diane Crawford-Ramsey Dorothy Finnell Howard & Wenda Holland Gary & Ruth Ailes David & Elinor Bugli CRC Health Group Rachel Fletcher Dan & Donna Holland Steve & Tammy Albertsen Diane Buice Bill & Carmen Creekbaum Steven Fletcher Holland & Hart LLP John & Kimberly Alfonso John Bullis Kenneth & LaRon Croft Hugh Fonzo Mary Jo Hollis George & Barb Allison Roberta Burkart Joe Crom Janet Ford Harold Holmes Ed Allison Dan Burns Kathryn Crosby Guy & Julie Foster Margaret Holsclaw Allison, MacKenzie, Law Offices Jim Burnside Ardith Cross Kelly & Betty Fraser Patricia & Raymond Hon Patricia Allman Laurie Burt Mike & Melanie Crossley Ray & Genevieve Frederick A.J. & Patricia Hooper Phyllis Almlie Robert & Ishbel Butler Bob & Susan Crowell Freeman & Williams, LLP Gene & Dolores Hornbeck Don & Joy Amodei William Butterfield Marcia Bernard Cuccaro Lynndell Frost Howard & Darcy Houghton Kathi Amrhein Jerry & Dorothy Buttner Jim & Catherine Cunningham Michael & Deborah Fry Patrick & Cindy Houlihan Harold Amstrup Brad Byington John & Juanita Cushing Paul Fry Stephanie Hoyle Amylin Pharmaceuticals, Inc. Lisa Bytheway Jerry or Billie Cutler Diane Fullenwider Philip & Carla Hudner Analytical Research Service, Inc. Jeff Callister Walden & Sharon Dahl April Fuller Penny Hughes Martin & Sara Anderson Camp Douglass Mining Co. Ernest Daniel G.E. Bunco for Breast Cancer James & Darlene Hull Kelly Anderson Jeff Campagni Kathleen Daniel G.E. Foundation Valerie Huyge Edward & Meredith Anderson Bill Campbell Sharon Daniels Dawn Gadwill William Isaacs Kelsey Anderson Scott & Nanci Campbell S.E. Daniels Yvonne Gandolfo Dennis & Maggie Iverson Brian & Janet Andraski Capitol Urology, Inc. Roy Davis Sharon Gardiner Catherine Jackson Bret & Dani Andreas Vince & Mary Caporale Michele Davis Gastroenterology Consultants Harold & Alice Jacobsen Pamela Andresen Jim & Carolyn Cappelletti John Degenkolb Genentech BioOncology Gayle Jacquet Gerald & Marsha Anthony Lou Cardenas Richard & Lisa Deloney Maryellen Gieger Jennifer Janes Lorna Arcularius Richard & Kathy Carlos Mark & Marissa DeMar Kay Gilder Cheryl Jeanblanc Kelly Arnold Thomas & Cynthia Carr Linda Demarco Robert Gillings Darlinda Jennings Arsenal Nancy Carr Reid & Peggy Dennis Kevin & Jodi Giurlani Robert & Launa Jensen Edward & Ann Arteaga Carson Auxiliary # 1006 Michael Derloshon John & Niki Gladys Jessica Jensen AstraZeneca Pharmaceuticals, LP Carson Cardiology Cynthia Detweiler Glen Eagles Restaurant Maizie Harris Jesse Debra Avina Carson City Rotary John & Jane Devaney Jim & Cheri Glockner Shane Johnson Richard Axmear Carson Dermatology Frank & Patsy Deverse Oscar Godinez Linda Johnson Rex & Karen Baggett Carson Douglas Medical Society Kenneth Dietrich & Joanne Denise Gomes Jami Johnson Jack & Sandy Bailes Carson Douglas Medical Society Simons Hector Gomez David & MJ Jones Tom & Elaine Baker Alliance Doris Dimmitt Maria Gordon Sara Jones Helen Jean Baker Carson Heart Physicians Cathy Dinauer Pam Graber Larry Josephson Julius & Joanne Ballardini Carson Medical Group Jeffrey & Mary Dinsmore Patrice Grant Cheryl Karstensen Jim Ballocanag Carson Nugget Juanita Dobbins Becky Gray Tom & Martha Keating Mary Lou Banta Carson Tahoe Regional Pamela Dodd Kay Gray Bruce & Brenda Keating Russ & Cassie Barajas Healthcare Auxiliary Lou & Jan Doescher Crystal Grayson Leanna Keith Tim & Diane Barndt Carson Valley Golf Course Duane Dooley Lydia Greil Raymond & Elsie Kelly Donald & Jeanne Barnes Carson Valley Literary Club William & Darlene Doss Diane Greshler Gregory & Amy Kenney Alma Barrios Carson-Tahoe Emergency Don & Valerie Douglas Timothy & Sheryl Grove Robert & Coralea Kiefer Grace Barton Physicians Shirley Drake Ross Grover Garry & Nancy Kiernan Marie Vick Bartucci Shawn & Darsi Casey Andy Drymalski Nancy Grundy Christine King Lisa Batzloff Krista Catero Rex Dugdale Robert & Linda Guernsey Vicki King Susan Baumrock Catholic Healthcare West Sarah Duin Guild Mortgage Tim & Jenn King Jerry & Karen Beattie Cavallero Heating & Air Earl & Lori Duncan Suzanne Gullett Cathie Kite Ann Beck Conditioning Neal & Amy Duncan Tommy & Jenifer Gunnell Anthony Kleinfieldt Kathleen Becker CCS Medical Pam Dunn Tim & Traci Gustafson Kraig & Dena Knoll Donald & Diane Becker Center for Advanced Eye Care Travis Dunn Dick & Jeannie Hadlock Carolyn Knutson Darlene Begovich Patricia Centofante Evan & Ginger Easley Joanne Hahn Sandra Koch & Tim McFarren Behavioral Health Concepts, Inc. Kitty Chamberlain Donna Easley Sylvia Halgrimson Shelly Koontz Kenneth Bender Brenda Chapman John & Eileen Edgcomb Nelson & Patsy Hall Betty Kopfhammer Annette Bennett Todd & Peggy Chapman Donald & Katherine Edwards Steve & Sheila Hall Nancy Kreher Marie Bensinger Debra Chappell Jack & Linda Edwards Carl Halsey Donna Kristaponis Ingrid Benson Paul Chelew & Shirley McKenzie Wilbur & Shirley Eick Leigh Halvorson Joe Kulikowski Roy & Deborah Berger Kathleen Cherry Brett & Daniela Eisenmesser Valerie Hamilton Ted & Barbara Kuper Lynn Berggren Debra Christeson El Charro Avitia Hammes Co. Healthcare, LLC Paul & Laverne La Fleur Bernard & Toby Berson Basil & Tina Chryssos Joy Elder John & Jane Hancock John & Joan Lagios James & Dixie Bess Janine Clark Elements United Greg & Lori Haney Paul Laird Rick & Debbie Bessette Amy Clemens Eli Lilly USA Hard Rock Cafe - Lake Tahoe Lake Tahoe Regional Hospitalists Kristi Best Richard & Kathryn Cloepfil Margaret Elliott Edmund & Mary Harm Christopher & Michelle Lambert Frank Bishop Scott Cochran Lori Elliott Gary & Chris Harper William & Gayle Larsen Edward & Dallas Block Steve & Arlene Cochran Helene English Peter & Kathy Harrington Raymond & Theresa Larson Gerhard & Gail Bock Co-Dependents Anonymous Ed & Denise Epperson Robert Hartman Tammy Latimer Kirk & Jennifer Bondelie Eileen Cohen George & Norma Esker Donald & Caroline Harton Richard & Cheryl Lawley Kenneth & Beatrice Borges John Coleman Leroy & Mary Jean Etchegaray Don & Donna Hataway Cliff & Nancy Leckliter Charles & Norma Boschma Colonial Bank Mary Evans Ernest & Barbara Heck Mary Lehrer Mark Bowers Joseph Conti Cheryl Evans Lila Heidemann Marci Leifson Ron & Linda Bowman Don & Diane Cooley Sherman & Claire Ewing Elizabeth Heimbigner Wayne Lenhares Gary & Janis Bradley John & Sue Coombs Carol Eyre Anne Henderson Don Leonard Shelly Brewster Christopher Coons Janet Eyre Tom & Mary Anne Hendricks Mark Lewis Susan Brooke Melvin Cooper & Denise Larsen Cathy Fairbanks Nicole Henington Wesley & Darlene Lewis Richard Brooks Carrie Cormany Fairweather Foundation William Henshaw Dawn Linaman p10 2009-2010 REPORT TO THE COMMUNITY Judith Lindberg Nevada Appeal Yoland Rono Joanne Stockman In-Kind Support Frances Linn NV Office of the Attorney Ed & Dee Rose Kent & Sharon Stoddard Abacus Home Appraisal Lionshare Marketing General Bruce Routt Stuart & Marty Stoloff Adele’s Restaraunt and Lounge Estate of George Litts Nevada State Bank Gene & Marianne Rowland David & Ilona Strull Alie’s Flowers Pete Livermore Richard Newbold Alan & Gail Ruff Frank & Patsy Stultz Antoinette Cortese Gerald & Pam Logan Mary Niederer Gordon & Annie Rupert Ronald & Cheryl Sturgeon Atlantis Casino Don & Vera Logie Northern Nevada Title Company Howard & Diane Rush Nicole Sturm Bank of America JoLan Long Northern Nevada Urgent Care Todd & Jeanne Russell Janice Sulesky Bella Salon Terry Long LLP Judith Ryals Terry Summer Bill & Vicki O’Shaughnessy Coral Lopez Northern Sierra CoDa Intergroup Saint Teresa of Avila Susan G. Komen for the Cure Bonanza Produce Anthony & Teresa Loren Audrey Nuckles Silveno & Paula Salgcedo Northern Nevada Capital Jewelers Charles & Paula Lorenz Arthur Nugent Jorge Sallaberry Tom & Konnie Susich Capitol Urology, Inc. Stephen & Susan Kay Lowe Ken & Jennifer Nystrom Mary Sanada Frank Susztar Carson City Fire Department Hank & Apryl Lucas Freya Oberer-Brown Jeff Sanders Garrett & Jennifer Sutton Carson Plaza Ellen Lucas Doug Odell Tamra Sanders John & Liz Sutton Carson Tahoe Regional Healthcare Stephanie Lucero Charles Odom Chuck & Jo Saulisberry John Sutton Auxiliary Harvey Ludington Chris & Joanne O’Higgins Save Mart Supermarkets T/TH Tickets & Topics AA Carson Valley Inn Timothy Lukas Bonnie Ohlin Carmen Sawyer Tahoe Fracture Casino Fandango Pam Lusby Naomi Oligney Joe Scamihorn Alice Tanksley Cavallero Heating and Air Colleen Lyons Roger & Gale Olin Scott Scherer John & Kathy Tatro Conditioning Douglas & Janet MacDonald David & Bessie Oliver Phil Schlager Shawn & Katherine Taylor Charter Communication Anne Macias Erik & Jackie Olsen John & Patsy Schley Roger & Gail Teig Chuck Byrne Mackena Bell Motor Edgar & Patricia Olsen Mike & Jenny Schmidt The Charles T. Stout Foundation Cleavage Creek Barbara Mackey William & Patricia Olson Fred & Brenda Schmidt The Polo Lounge Clete Wandler Clif Maclin & Dr. Karen Gedney Bob & Mary Orr Michelle Schmitter Hope Tingle Concours Parts and Accessories Peggy Madeira Kerian Ortiz Allen & Diane Schnaser Ruth & Robin Tomita Costco Mallory Foundation Allen Osborn Lorraine Scholes Topaz Sagehens D’Andrea Golf Club E.R. Mann & Betty Catt Bill & Vicki O’Shaughnessy Kelly Schott Richard & Kathy Triplett Dayton Valley Country Club, Inc Ralph & Linda Marrone Dawn Marie Ott George Schreiner Gary & Patricia Turner Deborah Yound Arthur Martinez Gary Ottersbach Sharon Schroeder Jon Tyler Debra McReynolds Horst Masch Fred & Alice Ottoboni Virginia Schroth Fred & Lela Uptergrove Diamond Peak Kim & Kim Mason Samantha Owens Donna Schultz Jeff & Nancy Upton Disneyland Teresa Lynn Matthews Brian & Lubia Oxhorn Garrett & Nita Schwartz Cynthia Van Cleemput East Fork Professional FireFighters Gregg & Carrie McAninch Kathryn Oxoby Bruce & Loretta Sellars Lee & Laurie Van Epps Ed & Denise Epperson Joe & Anne McCarthy Dorothy Page Diane Serpa Brian & Emiko Van Geel Gary Robison Photography Lori McCaskill Jessica Park Beverly Sevcik Bill & Laura Vance Genoa Lakes Golf Club Jan McCauley George & Barbara Parmenter Bob & Diane Sewell William & Kelli Vandenberg Gesture, LLC Faith McCauley & Anthony Lancieri Pevelino Pascual Lisa Shadden Paul & Judy Vanos Glen Eagles’ Girls David Jamison McDaniel Robert & Patti Pasetta Anita Shaul Robert & Maggie Vargas Glen Eagles Restaraunt Marie McGloin Patriot Printing Robert & Christine Shaw Mehdi & Ashley Vazeen Gold Dust West Ruth McGoldrick Laurie Pattison Billie Shea Elaine Vicich Heather Glen Glass Niki McGuire William & Kristi Pattison Shear Design Irene Vrabel Heidi’s Family Restaurant Andy McIntosh Phillip & Phyllis Patton Ryan Shearer Stephen & Zita Waclo Horseshoe Club Donald McIntosh Mike & Karen Pavlakis Donald Shearer Ron & Ellen Waicul Howard & Wenda Holland Katherine McKay Denise Peck Vicki & Steve Shell Steve & Mary Walker Ida Walker Bert & Roberta McKee Katrina Penman John Sherman David & Suzanne Walker Inovative Wine Earl Ray & Janice McKellar Barak Perahia Karen Shireman William & Suzanne Wallace Iverson Vineyards Gladys McKenzie Dale Perera Daniel & Leighanne Shirey Alan Wallace Jerrie Marson Shannon McKimmy John & Marilyn Peshek Sierra Nevada Cardiology Joe & Ellen Walls John Ascuaga’s Nugget John & Margitta McKinney Cynthia Peternell Associates Gregory Wambold Kenneth Dietrich & Joanne Simons Kim McLean Kathleen Peterson Sierra Oxygen R. Craig Warner Kimberly Carlson Debra McReynolds Bruce Pfeiffer Sierra Surgery Hospital/ Sierra Nancy Watkins Kirkwood Mountain Resort Spencer & Kelly Mellum Maria Phillips Imaging Wealth Strategies by Bayliss & Lake Tahoe Shakespeare Festival Edgar & Marlys Mellum Ed & Mary Pierczynski Silicon Valley Community McAninch Larry & Susie Messina Susanna Mendez Walter & Joyce Piest Foundation Harriett Webber Latcham Vineyards Teresa Menesini Mike & Ruth Pintar Silver Oak Properties Andrea Weed Little People Portraits Nicholas & Alba Mercado Carol Pitts Silver State Medical Billing Elsie Weil Lucas Wold Jean Merkelbach Donald & Hollie Pliske Donn Simons Don & Julie Weir Molly’s Gourmet Catering Ruth Merriner Terry Poulsen Judith Simpson Leonard & Suzie Weissman Mt. Rose Patti Merriner George & Laura Powell Darin & Syndi Skilling Barbara Welch Nevada Wolf Pack Larry & Susie Messina Michael & Teresa Price Mary Slavich Verne Wellman Nicola Neilon Gary & Birgitta Metz Delores Pringle Molly Smart Wells Fargo Advisors Pam Graber Roger & Marria Meyer Donna Proper Wayne & Jane Smith Wells Fargo Insurance Services Photography with Love Roger & Sandy Miercort Robert Pumphrey Joanna Smith Cindy Wendell Plaza Hotel John Miller Patrice Purkey Angie Smith Todd & Tammy Westergard Radtke Tile Jonathan Miller Harriet Meyer Quarre Margaret Smith Arnold Wetzstein Red’s Old 395 Grill Gary & Linda Miller Todd & Gail Radtke Janna Smith Dana Whaley Reno Aces James & Darlene Milligan Judy Ramthun Virginia Smith Dawn White Reno Tahoe Blues Fest Caleb & Delsye Mills Richard & Diane Randall Eugene & Phyllis Smith Martha Wicksall Rick & Debbie Bessette Michael & Elizabeth Milyko Ed & Diana Raschen James P. Smolenski Melanie Wilhelm Scott & Nanci Campbell Mini Pharmacy Enterprises, Inc. Craig & Jen Rau Ted & Mirna Sneed Carie Wilkens Shane Johnson Roxanne Mitchell Nancy Raymond Cindy Sorber John & Cassandra Williams Sierra Meat Company Alice Molasky Arman Belmont & Joan Reid Soroptimist Intl. of Carson City Phil & Robin Williamson Sierra Wine and Spirits Kathy Molina Robert Reid Soroptimist Intl. of Carson Valley Peter & Patsy Wilson Silver Oak Golf Course Jean Moltz Michael & Sheri Reif Soroptimist Intl. of the Comstock Douglas & Sharel Wilson Single Leaf Vineyards & Winery Mary Jo Mongelli REMSA Jim Sorrentino Kay Winters Skin Cancer and Dermatology Inst. Julie Moody Frank & Audrey Rich Paul & Ethel Sossamon Carole Wiseman Soar Minden Richard & Barbara Moore Roy & Susan Richey South Lake Tahoe Realtors Bill & Theresa Witt Somersett Golf Club S.J. Moore Ian Ricketts Denise Southern Mark & Angie Wolz Southern Wine and Spirits of Nevada Eric & Donna Moormann Paula Rickmann Southern Nevada Cancer Robert & Janet Wood Suzy Bootz Brynne Morgan Luke Rippee Research Foundation, Inc. Frank Woods Tahoe Ridge Winery, Marketplace David & Daisy Morgan Donna Rivers Southwest Gas Corp. Foundation Bob & Bessie Wooldridge & Bistro Molly Morrison Betty Roberts Jacquelyn Spacek Andrew Workman The National Automobile Museum Annette Mortimer Joe Roberts Darlene Sparks Hui Worthington The Polo Lounge Michael Mueller Jim & Nancylee Robertson Belinda Spear William & Judith Wright The Write Stuff Laurie Munson Bruce & Gayle Robertson Sperry Van Ness/ Gold Dust Mary Wright Thunder Canyon Golf Club Sylvia Nadel Natalie Rockstrom Commercial Associates George Wurster Todd & Peggy Chapman Maud Naroll Larry Rodriguez Spinenevada LTD Gilbert & Annette Yanuck Windwalker Vineyard Robin Neal Francisco Rodriguez Nina Spradlin Stephen Yasmer Wirtz Liquor and Wine Margaret Neighbors Marye Roeser Mark & Patricia Sprague Harley & Jaqueline Yates Nicola Neilon Virginia Rolf Mark & Jami St. Germaine Lauren Young Cynthia Nelms Janice Rombardo Robin Stading Alvin & Della Young Ingrid Nelson Angelita Romero-Wollnick Charles Stetler Gina Zink Nita Nettleton Ron Wood Family Resource Janet Stewart Mike & Sarah Zola William Neumann Center Stillwater Foundation

2009-2010 REPORT TO THE COMMUNITY p11 Carson Tahoe Cancer Center Outpatient Ambulatory Infusion Center An outpatient AIC is housed within the cancer center. The Carson Tahoe Cancer Center holds the distinction of This welcoming environment is staffed by specially being one of only 1,400-plus accredited cancer programs trained Registered Nurses who can administer all cancer- in the nation, and the only freestanding accredited cancer related infusion therapies. Chemotherapy, blood product center in Nevada. To earn accreditation from the American transfusions, injections, antibiotics and intravenous College of Surgeons Commission on Cancer’s (CoC), a hydration are some of the treatments that can be given in facility must meet their rigorous quality this outpatient setting. Since 2008 Carson Tahoe’s AIC standards. Criteria set by the CoC nurses have been certified by the Association of Pediatric include: providing access to the full Hematology/Oncology Nurses to provide services for scope of multidisciplinary services pediatric cancer patients. This expansion in service is greatly required to screen, diagnose, treat, rehabilitate and support appreciated by the patients and families who often have to patients with cancer and their families; provide prevention travel long distances for their specialized treatments. and early detection services to the community; provide services on site, by referral or through coordination with Tumor Registry other facilities or agencies; and submit data annually to the National Cancer Data Base. A CertifiedT umor Registrar and a data assistant collect data on all Carson Tahoe cancer cases. All information on These achievements demonstrate the commitment of our diagnosed cancer cases is submitted to the state cancer cancer program to provide the highest quality cancer care to registry, which in turn is shared with a national cancer the communities we serve. database. This data benefits cancer research and is the basis for the cancer statistics, which the American Cancer Cancer Care for the Entire Community Society compiles annually. The cancer registry is responsible For starters, Carson Tahoe provides a Community Outreach for organizing and presenting weekly tumor conferences Nurse as part of the cancer center staff. Her role includes in which newly diagnosed cancer cases are discussed by participation in local and regional health fairs, availability a multidisciplinary team of physicians and other healthcare for church, school and service groups to provide education professionals. These conferences provide a discussion forum regarding cancer prevention and other cancer topics, and for deciding which treatment will provide the best possible coordination of a “Cancer 101” program. These seminars outcome. are hosted each month – featuring a guest speaker on cancer-related topics – and are free to the community. Merriner Cottages The oncology-certified nurse acts as the nursing liaison for Just the name brings a smile to many of our patients and hospital nursing staff and provides them with current cancer families who travel long distances for their treatments here. nursing education. These 15 beautifully furnished home-like cottages were a Another important part of the cancer program is the generous gift from the Merriner Family Trust to the Carson Institutional Review Board (IRB). Members of this committee Tahoe Medical Campus. The cottages are a unique feature of review all proposed research and clinical trials conducted our cancer program and have positively impacted the lives of by Carson Tahoe Regional Healthcare. A clinical trials nurse many patients and their families. is available to assist medical staff and to help patients understand the process, the informed consent, and all Carson Tahoe Cancer Resource Center aspects of participation in a clinical trial. Newly diagnosed cancer patients are encouraged to visit the Carson Tahoe Cancer Resource Center. This is an award- Carson Tahoe Cancer Center 2009 Statistics winning program designed to educate and empower the cancer patient and their family with the diagnosis, treatment Resource Center Visits 1,790 decision-making and recovery. Several specific support Ambulatory Infusion Center Visits 1,645 groups are offered, as well as a variety of programs to help patients understand and cope with many challenges they Radiation Oncology Visits 16,500 face. Massage therapy, yoga sessions, and Healthy Healing Merriner Cottage Days 1,345 classes are popular with patients and survivors alike. All are offered free through our resource center. Patients may receive financial assistance as well as navigation through the local charitable organizations available. The cancer resource center staff and volunteers are all cancer survivors who can say to patients, “I know how you feel.” This is a powerful statement to those facing a cancer diagnosis. p12 2009-2010 REPORT TO THE COMMUNITY I am getting patients back into the race.

Mayor Bob Crowell wearing a marathon medal he won following his successful cancer treatment. Dr. Gary Campbell, Radiation Oncologist

Bob Crowell has taken on quite a few challenges in his day including his public service duties as Carson City Mayor. But when he was diagnosed with prostate cancer after a routine check up, he was suddenly faced with a new kind of challenge.

At first, he didn’t know where to turn.H e talked to friends and family members, and looked into cancer specialists across the entire country. Eventually, he came to realize that the care he needed wasn’t found halfway around the globe…it was right here in his own backyard. Thanks to successful surgery and radiation therapy at Northern Nevada’s first freestanding, accredited cancer center, Bob did what he does best…face the challenge of a lifetime, and rise above it. Carson Tahoe Cancer Center • Nationally acclaimed care • State-of-the-art treatment • Award-winning resources

Here’s to your health.

Cancer Committee Members

Discipline — Member General Surgery — Kraig Knoll, MD Pathology — Elizabeth Jack, MD Administration — Cathy Dinauer Integrated Care — Christina Mercado Pharmacy — Wayne Mitchell and Kelly Schott Cancer Registry — Larraine Tooker and Medical Oncology — John Kelly, MD Radiation Oncology — Roger Miercort, MD Jude Greytak Nursing — Debbie Klipp Quality Management — Stephanie Hoyle Cancer Resource Center — Ann Proffitt Outpatient Services — Paul Laird Radiation — Sandy Shirley Cancer Services — Carla Brutico Outreach/Clinical Trials/AIC — Michelle Rehabilitation — Steve Yasmer Diagnostic Radiology — Gregg Thomas Sierra Surgery Hospital — Karyn Grow McAninch, MD Pain Specialist — John DiMuro, DO

2009-2010 REPORT TO THE COMMUNITY p13 I am moving our community to better health – one step at a time.

Mary Jolly Dr. Timothy King, General Surgery

A nasty fall during a routine walk left Mary Jolly in bad shape. Luckily Carson Tahoe had the skills and responsive care to get her back on the path to wellness.

Normally, a brisk stroll through the neighborhood is a good thing for your health. But when southeast Carson resident Mary Jolly accidentally tripped on a raised portion of the sidewalk, she hit the ground so hard that she shattered her spleen. Mary didn’t know it at first; she just thought she was feeling sore and weak from the fall. However, when her husband Patrick noticed a change in her demeanor – dizzy, pallid and faint – he knew something more serious was happening. They rushed to Carson Tahoe’s ER, where it was quickly discovered that Mary was bleeding internally. Dr. King and the surgery staff jumped into action, performing an emergency spleenectomy to stop the bleeding and repair the damage. Everything went so smoothly that Mary is back on her feet and – with the help of Carson Tahoe – taking everything in stride.

Here’s to your health.

p14 2009-2010 REPORT TO THE COMMUNITY 2009 Annual Report Looking ahead to a brighter tomorrow.

2009 CTRH Statistics Having just celebrated our 60th Licensed Patient Bed Capacity 172 anniversary in 2009, we’re excited to continue building our legacy for the future. Patient Admissions 10,040 But there are many challenges we must Days of Care Provided 40,365 be prepared to take on. Surgeries Provided 2,995 It is unclear exactly how the healthcare reform law will affect the Carson Tahoe Outpatient Visits 120,397 community, but we can be sure that healthcare coverage, financing and Service Area Highlights delivery of care will dramatically change over the next few years. ER Even with uncertainty and financial tough •• Full service emergency department – open 24 hours a day, 7 days a week times, Carson Tahoe will continue to strive •• Direct access to over 35 medical specialties available around-the-clock to help patients maintain good health •• Advanced triage process where patients are provided the appropriate level by providing a higher level of healthcare of care upon arrival throughout our region. We will continue •• Six dedicated Fast Track bays for minor emergencies to evaluate our community’s health needs •• Care provided by board certified emergency physicians and uphold our commitment to provide •• 33,552 patients treated for emergencies in 2009 services and assistance to those under •• 9,089 visits through Minden Medical Center Emergent Care in 2009 financial hardship. Cardiology Carson Tahoe wants to encourage its •• The only hospital in Northern Nevada to offer the “CardioOne” open heart community to make good health a priority. surgery program Beyond this, we will continue to make •• Diagnostic cardiology physician recruitment a priority, exploring •• Interventional cardiology innovative ways to develop partnerships •• Certified Cardiac Rehabilitation Center in Nevada with physicians and help extend •• 153 open heart surgeries in 2009 healthcare services to our community, as •• Nevada’s only 5-Star rating by HealthGrades® for excellence in heart we have done through avenues like the bypass surgery Carson Tahoe Physician Clinics. Women & Children’s Finally, in the very near future, we will •• 8 private Labor, Delivery, Recovery, and Postpartum Rooms introduce the Women’s Health Institute, • Individualized care in a homelike setting dedicated to the well-being, education and • 931 babies born in 2009 care of women in our community. •• MOM’s (Maternal Obstetrical Management) We look forward to taking on the • 250 women accessed the MOM’s clinic in 2009 challenges as we build toward a brighter •• Clinic prenatal program tomorrow for our healthcare system and •• All-private pediatric rooms the entire community.

Official TC RH Membership

Soraya Aguirre Ed Epperson, CEO Janice McCauley Richard Staub Gary Ailes, DVM James R. Gibson Jonathan R. Miller David Strull, M.D. Sondra Amodei Marianna Gillilan Caleb R. Mills David H. Tillitt, M.D. Rex T. Baggett, M.D. Don W. Hataway Richard T. Moore Steve Tognoli Basil Chryssos, M.D. Freeman K. Johnson Maud Naroll Kathy Triplett Jim Costa Donna Kristaponis William O’Shaughnessy, M.D. Jeffrey D. Upton, M.D. William Creekbaum Breezy Leary-Grba Bernard T. Santos Erwin F. “Vic” Vicich Jeffrey Creelman Pete Livermore Jo Saulisberry Andrea Weed, D.O. Donna Curtis Clifton C. Maclin, Jr. Rosemary Smith Karen Wyman Sharon DeLuce Tony Marangi Leroy F. Snyder Gilbert A. Yanuck

2009-2010 REPORT TO THE COMMUNITY p15 Locations Carson Tahoe Carson Tahoe Carson Tahoe Holbrook Junction Partnerships: Regional Medical Center Specialty Medical Center Dayton Professional Building 1550 Highway 395 South Sierra Surgery Hospital 1600 Medical Parkway 775 Fleischmann Way 901 Medical Center Drive Gardnerville, NV Carson Tahoe Radiation Carson City, NV 89703 Carson City, NV 89703 Dayton, NV 89403 (775) 266-3035 Oncology Associates, LLP (775) 445-8000 (775) 885-4430 MedDirect Urgent Care

Carson Tahoe Cancer Center Carson Tahoe Carson Tahoe Behavioral Carson Douglas Surgical ContinueCare Hospital 1535 Medical Parkway Minden Medical Center Health Services Arts Building of Carson Tahoe Carson City, NV 89703 & Emergent Care William St., at Minnesota St. 973 Mica Drive, Carson Tahoe Physician (775) 445-7500 925 Ironwood Drive Carson City, NV North Douglas County Clinics Minden, NV 89423 (775) 885-4460 (775) 445-7950 Carson Douglas Ambulatory (775) 783-7800 Surgery Center

Non-profit org. U.S. Postage Carson Tahoe Regional Healthcare PAID P.O. Box 2168 Reno, NV Carson City, NV 89702-2168 Permit #599 (775) 445-8000