Community. - Carson Tahoe Health

unity.
Comm
2008
ANNUAL
REPORT
Here’s to your health .
We care about your community.
Because it’s our community too.
Here’s to your health .
Last year proved to be a challenging one for all of us, to say the least. In the midst of a
recession, state budget cuts, and some of the highest unemployment rates in the country,
Carson Tahoe was able to stay the course and weather the storm. Keeping afloat during these
turbulent economic times is a testament to any organization, and thanks to the skills and
dedication of Carson Tahoe’s more than 1,200 healthcare professionals, we have not only
maintained our standards of healthcare excellence, but we’ve actually improved upon them.
Carson Tahoe continued to provide significant funding towards the overall health of our
community while again focusing on promoting prevention and good health. Our contributions
to community health totaled more than $30 million in 2008 for indigent and charitable care.
And, through programs and partnerships like “Move it! For your health,” physician symposiums
and our “Here’s to Your Health” magazine, we were able to provide valuable information
encouraging our region to adopt a healthier lifestyle.
Additionally, Carson Tahoe’s dedication to providing exceptional healthcare allowed us to
remain in the forefront of medical innovations. Our commitment to provide superior
leading-edge technology opened the door to the region’s first minimally invasive procedures in
vascular surgery, cardiovascular surgery and neurosurgery. And our determination to introduce
new services allowed us to maintain comprehensive healthcare throughout our region.
Some of our other many accomplishments this past year include receiving Nevada’s only
5-star rating by HealthGrades® for excellence in heart bypass surgery, our cancer center was
honored with the 2007 Commission on Cancer New Program Outstanding Achievement
Award, and we launched the only multi-county EKG in the field program, which enables
ambulances in the surrounding rural areas to transmit a 12-lead image of the heart to our
emergency department staff before the patient arrives, saving valuable minutes and lives.
When faced with challenges, the true colors of any organization are revealed. At Carson
Tahoe, we are proud of our over 240 board-certified physicians who continually advance their
knowledge and training and our experienced clinical and support staff who persistently
demonstrate their skill and compassion. Creating a positive, healing environment is at the
heart of everything we do.
Carson Tahoe is grateful to be your healthcare provider of choice and humbled to stand as an
anchor for the greater Carson City region. And, with great enthusiasm, we look forward to
providing exceptional comprehensive medical care with renewed optimism in the coming year.
Sincerely,
Ed Epperson
President & CEO
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2008 CTRH ANNUAL REPORT
Carson Tahoe Regional Healthcare Board of Hospital Trustees
Ed Epperson - CTRH president & CEO
Basil E. Chryssos, MD - Chairman
Andrea Weed, DO - Chief of Staff
Peter Livermore - Vice-Chairman
Jo Saulisberry - Secretary
Don Hataway - Assistant Secretary
Clifton C. Maclin, Jr. - Assistant Secretary
James Gibson - Treasurer
Rex T. Baggett, MD
Jonathan Miller
Caleb R. Mills
Jeffrey D. Upton, MD
Carson Tahoe Cancer Center
Year in Review
After achieving the American College of Surgeons Commission on Cancer Three Year
Accreditation with commendation, Carson Tahoe was notified in April 2008 that we were the
recipient of a CoC New Program Outstanding Achievement Award (OAA). A facility receives the
New Program OAA following the on-site evaluation by a surveyor during which the facility
demonstrates a Commendation level of compliance with seven standards that represent the full
scope of the cancer program: cancer committee leadership, cancer data management, clinical
services, research, community outreach, and quality improvement. In addition a facility must have
received a compliance rating for the remaining 29 standards. These achievements recognize the
commitment of our cancer program in providing high-quality cancer care.
In 2008 we continued to offer a wide array of cancer services: medical oncology, radiation therapy,
clinical trials, community outreach programs, an ambulatory infusion center, a cancer registry, the
Merriner Cottages, and our award-winning Cancer Resource Center. Our cancer committee,
comprised of dedicated physicians, nurses, administrators and others, continues to offer many of
the varied supportive services to patients and family members. These services provide comfort and
assurance that they are receiving the best treatment possible for cancer care.
Carson Tahoe’s Institutional Review Board (IRB) is charged with reviewing all proposed research
and clinical trials conducted by our institution with adherence to strict federal mandates. A clinical
trials nurse is available to assist medical staff with the regulations as well as help patients
understand the trial and the informed consent, which is necessary in order to participate.
Our community outreach nurse participates in local and regional health fairs and is available to
church, school and service groups to answer questions and provide education regarding cancer
prevention and other timely cancer-related topics. She also hosts monthly “Cancer 101” programs
featuring a guest speaker on cancer-specific topics. These mini-seminars are free to the general
public. The Community Outreach Nurse also acts as the oncology nursing liaison for our hospital
nursing staff and provides those nurses with current cancer nursing education.
The specially trained oncology nurses staffing the ambulatory infusion center (AIC) provide a
welcoming environment for cancer patients receiving chemotherapy, blood transfusions, injection
treatments, and all other cancer-related infusion therapies. In 2008 our nurses became Association
of Pediatric Hematology/Oncology Nurses certified (APHON) in preparation for the opening of our
pediatric cancer treatment program. Carson Tahoe is now fully qualified to treat pediatric cancer
patients in our ambulatory infusion center, and the AIC nurses continue to provide expert oncology
care to patients treated in our outpatient setting.
2008 CTRH ANNUAL REPORT
p3
Carson Tahoe Cancer Center Year in Review (cont’d)
Tracking all cancer cases treated in our system is the responsibility of our cancer registry. Staffed with
a Certified Tumor Registrar and a data assistant, the registry collects and manages all data on our
cancer cases and then submits that data to the Nevada State Cancer Registry, which shares this
information with data collection systems on a national level. All this data benefits cancer research. The
cancer registry is also responsible for organizing and presenting weekly tumor conferences, which are
a valuable educational tool for the multi-disciplinary team of physicians and other healthcare providers
who treat cancer patients. These conferences provide a forum through which these providers can
discuss the best possible treatment options for their patients.
One unique feature of our cancer program is the Merriner Cottages, located adjacent to the cancer
center. A generous gift by the Merriner Family Trust made these cottages a reality for our community
and those we serve. Comprised of 15 separate “home-away-from-home” bungalows, the Merriner
Cottages are available to patients traveling long distances for cancer treatment. Beautifully furnished
and containing many amenities, these cottages have had a positive impact on the lives of many cancer
patients and their families.
Newly diagnosed cancer patients are encouraged to visit the Carson Tahoe Cancer Resource Center.
Here they can receive information about the diagnosis as well as the support they need through all
phases of their cancer journey. The resource center hosts many support groups and offers a variety of
programs that benefit patients as they move from diagnosis to recovery and on to survivorship.
Massage therapy and yoga classes are offered as well as Healthy Healing, taught by a personal trainer
to those who have completed treatment. Each participant has their program tailored to his/her specific
needs. One-on-one classes addressing Chemo Brain, Nutrition While on Cancer Treatment, and Care
Giving are offered as well. The cancer resource center can provide financial assistance through local
charitable organizations and offer help in navigating the complex issues often encountered when one
is diagnosed with cancer.
The future of cancer care is exciting with new technologies and treatments being developed at a rapid
rate. More than ever, we can offer new hope to those diagnosed with cancer. At the Carson Tahoe
Cancer Center we are dedicated to providing the best quality cancer care in a setting where natural
light and nature combine to create an atmosphere of peaceful healing.
Cancer Committee Members 2008
Administration
Cathy Dinauer, RN, MSN
Cancer Services
Carla Brutico, RN, OCN
Cancer Resource Center
Ann Proffitt
Diagnostic Radiology
Gregg McAninch, MD
General Surgery
Kraig Knoll, MD
Integrated Care
Christina Mercado, LCSW
Medical Oncology
John Kelly, MD
Nursing
Debbie Klipp, RN
Outreach/Clinical Trials/AIC Michelle Thomas, RN, OCN
Pathology
Elizabeth Jack, MD
Carson Tahoe Cancer Center Statistics
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2008 CTRH ANNUAL REPORT
Pharmacy
Quality Management
Radiation Oncology
Rehabilitation
Sierra Surgery
Tumor Registry
Wayne Mitchell, Pharm.D
Kelly Schott, Pharm.D
Stephanie Hoyle, BA, CPHQ, PSO
Roger Miercort, MD
Sandy Shirley, PA
Steve Yasmer, PT
Karyn Grow, RN, BSN, CCM
Larraine Tooker, CTR
Jude Greytak
Patients Treated in the AIC
Visits to the Resource Center
Patient Visits to the Cancer Center
1,312
2,255
22,36 1
FoundationYear in Review
Since 1998, the Carson Tahoe Regional Healthcare Foundation, a Nevada non-profit corporation, has
been encouraging and accepting gifts of all types. These gifts assist in the fulfillment of Carson
Tahoe’s commitment to heal, comfort and care for the people of our community by providing advanced
and compassionate healthcare of superior quality.
For the Foundation, 2008 marks the 10th anniversary of providing charitable giving opportunities to our
community. Thanks to the generosity of our donors, since 1998, the Foundation has raised
$7,575,166. With dedicated and experienced leadership guiding operations, the Foundation is poised
to accomplish even more as we prepare for our next ten years of success.
$2,550,000
$2,050,000
$1,550,000
$1,050,000
$550,000
$50,000
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Philanthropy allows the Foundation to partner with the community and support the entire
healthcare system in fulfillment of CTRH’s vision.
Foundation Board Members
Officers
Jan McCauley - President
Soraya Aguirre - Vice President
Carolyn Knutson - Secretary
Rachel Fletcher - Treasurer
Directors
Tom Baker
Mary Caporale
Paul Chelew
Susuan Crowell
Genevieve Frederick
Nicola Neilon
Vicki O'Shaughnessy
Pia Parapid
Bob Sewell
Steve Tackes
Ex Officio Members
Ed Epperson
Jo Saulisberry
Donna Moormann
2008 CTRH ANNUAL REPORT
p5
Development
Efforts
Carson Tahoe’s vision of providing excellence in healthcare is what motivates us every single day. In 2008, the
Foundation focused its development efforts on four key activities:
1. To steward our existing donor base of 4,000 gracious individuals, families, organizations, businesses and
foundations who have contributed to the CTRH Foundation over our 10-year history
2. To continue capital campaign fundraising by securing gifts for the Carson Tahoe Cancer Center
3. To raise funds through major gifts and grants to support new Carson Tahoe programs and projects such
as the “EKG in the Field” initiative
4. To produce special events and partner with businesses and service clubs for third party fundraisers
2008 Foundation Revenue by Account
21%
6%
1%
7%
20%
7%
2%
10%
26%
Special Events
Annual Fund
Unrestricted Contributions
Memorials & Honors
Dividends & Interest
Merriner Cottages
Merriner Endowment
Special Purpose
Capital Campaign
In 2008, Foundation development efforts and our Friends of the Foundation enabled us to secure a
total of $743,837 in income. 461 first-time donors contributed a total of $180,000 in gifts and
event revenue and 108 individuals donated in-kind (non-cash) gifts.
Foundation Achievements
Charitable contributions from Friends of the Foundation allow the Foundation to fund and support traditional
healthcare programs and services. Because of resources secured from our donors, last year were able to:
• Expand cancer, nursing and emergency department programs
• Offset ongoing operating costs of the Merriner Cottages
• Purchase equipment not included in the hospital budget
• Provide professional development for clinical staff
• Care for the truly indigent in our community
• Produce wellness, prevention and education programs
p6
2008 CTRH ANNUAL REPORT
2008
Giving
We wish to thank the hundreds of Carson Tahoe Friends and Employees who
supported the Foundation in 2008 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) 445-7371.
Gifts, Memorials & Grants
Abbott Laboratories Incorporated
ABD Insurance
Eric and Nicole Abowd
Karen Accornero
Diane Adams
Adele's Employees
Jose and Soraya Aguirre
Tammy Albertsen
All Clear Fire Training and Consulting
Ed Allison
Allison, MacKenzie Law Offices
Mario Antoci
Lorna Arcularius
Alice Molasky Arman
Kelly A. Arnold
Edward and Ann Arteaga
Veronica Astle
AstraZeneca Pharmaceuticals, LP
Michelle Austin
Rod and Linda Ayers
Rex and Karen Baggett
Jennifer Bahret
Jack and Sandy Bailes
Tom and Elaine Baker
Susan Baldwin
Julius and Joanne Ballardini
Doran Barcus
Judy Barlow
Tim and Diane Barndt
Robert and Agnes Barnes
Barton Memorial Hospital Foundation
Cameron Batjer
Bayer Corporation, Diagnostics Div.
Ann T. Beck
Donald and Diane Becker
John and Colleen Begovich
Behavioral Health Concepts, Inc.
Richard and Suzanne Berube
Rick and Debbie Bessette
Darlyne Best
Bryan and Cara Bibee
Nancy Boardman
George and Sue Bohl
William and Karen Bowman
Walter Boysen
Ronald and Sylvia Branstiter
Bob and Roberta Brickell
Jim and Lorraine Brinton
Dick and Hazel Broderick
Tom and Manya Brooks
Steven and Suzan Brophy
Maureen Brower
Scott Brown
Patrick and Ruth Brown
Vennie Lee Brown
Tom and Lila Brown
Richard O. Brown
Frances Brown
Mark and Susan Brune
Barbara Buck
Dorothy Burch
Janice Burgman
Mike and Mary Burgoon
Laurie M. Burt
Donald Busey
Jerry and Dorothy Buttner
Gene Buuck
Ca. Advanced Imaging Med. Assoc.
Vince and Mary Caporale
Rita Carman
Bette Rae Carro
Carson Cardiology
Carson City Rotary
Carson City Sheriff's Aerosquadron
Carson Dermatology
Carson Douglas Med. Society Alliance
Carson Medical Group
CTRH Auxiliary
Carson Valley Literary Club
Carson-Tahoe Emergency Physicians
Joan Cash
Carlos and Delfina Castillo
Cecille Hanson
Patricia Centofante
Ronald Centric
Colleen Chambers
Brenda Chapman
Charles T. Stout Foundation
Paul G. Chelew and Shirley McKenzie
Pete Cino
Celine Cinq
Co-Dependents Anonymous
Coldwell Banker Best Sellers
Amy Cole
Jim and Elaine Colgan
Colonial Bank
Joseph Conti
ContinueCARE Hospital
Copper Inn Motel
Jim Costa
Louis Cote
Frank and Susan Countner
Cox Broadcasting
Cracker Box
Jocara Crane
Bill and Carmen Creekbaum
Michelle Cribbins
Tom and Bonnie Cribbs
Bud and Corinne Crockett
Duane Cross
Ardith Cross
Bob and Susan Crowell
Billie Cutler
Paul and Bernice Dahl
Dale Record Johnstone
Fred and Renate Daniels
Carol Danihel
Betty Dastrup
Michelle Davis
James and Donna Davis
Richard Davis
Sharon De Luce
Marie-France de Sibert
Johnette Deane
John Degenkolb
John Deitrick
Donna Del Porto
Arlene Depaoli
Henry and Gladys Dieckman
Cathy Dinauer
Jean Dock
Lou and Jan Doescher
Theresa Antoci Domitrovich
Valerie Douglas
Timothy and Carena Doyle
Sandra Dupuis
John and Eileen Edgcomb
Joseph Eiben
Mabyn Elicegui
Employees of CTRH
Helen English
Ed and Denise Epperson
Vickie Estes
G.P. Etcheverry
Janet Eyre
Carol Eyre
Lillian and Donna Fahey
Donna Fahey-Pringle
Fairweather Foundation
Frances Fannerella
Richard and Dolores Farrar
Gordon Felice
Mary Fesenmaier
Tony and Sharon Field
Evelyn Finch
Wendell and Pamela Forrester
Valerie Forte
Guy and Julie Foster
Mary Fowler
Betty Franklin
George and Barbara Frederic
Ray and Genevieve Frederick
Bob and Sharon Fredlund
CK and Adrienne Freeman
Freeman & Williams, LLP
John and Cynthia Frincke
Michael and Deborah Fry
Paul Fry II
Ron and Ann Funk
G.E. Bunco for Breast Cancer
JR Gamble
Marcos Garcia
Sharon Gardiner
Dan and Darla Geary
Genentech BioOncology
Gesture, LLC
Kyle Geyer
Jim and Marilyn Gibson
David Gissen and Maud Narroll
Glen Eagles Restaurant
Jim and Cheri Glockner
Valerie Godsey
Matt and Judy Goorabian
Douglas and Suzann Gordon
Maria Gordon
Pam Graber
Joy Graber
Becky Gray
Robert Grayson
Chuck Greene
Bobby and Phyllis Gregory
Tom and Sherry Grundy
James and Eileen Hacker
Carl Halsey
Franklin and Dana Ham
Cecilia Hamlin
Ronni Hannaman
Hard Rock Cafe - Lake Tahoe
Claudia Harris
Steve and Nancy Hartman
Rhonda Harvitt
Don and Donna Hataway
Wm. Alston Hayne
Thomas and Kathi Haynie
Pamela Henderson
Tom and Mary Anne Hendricks
William & Patricia Henshaw
Ralph Herbig and Tammy Force
Debra Herman
Laura Hewson
Henry and Mary Hodges
Daisy Hoffert
Michael and Annette Holland
Howard and Wenda Holland
Dan and Donna Holland
Holland and Allred, CPAs
George and Margaret Hollington
Barry Hollis
Gerry and Susan Holsclaw
Teresa Hook
Susan Hooper
Lisa Hoopes
A.L. Hunter
Bill and Jody Hutt
Lou and Marlene Ianni
Imperial Bank
Incline Village Gen. Improvement Dist.
Industrial Plastic Valves
Intramed
Irwin Union Bank
Jessica Jensen
John Procaccini
John Anderson Construction, Inc.
Harvey and Carol Johnson
Lynn Johnson
Kahlil Johnson
Shane Johnson
Frederick P. Johnston
David and MJ Jones
Robert A. Jones
William and Jackie Kapczynski
Kimberly Katafias
John P. Kelly
Gregory and Amy Kenney
Charles and Jo Kilpatrick
Tim and Jenn King
Laurie King
Mort and Inez Kirson
Greg and Mindy Klick
Kraig and Dena Knoll
Carolyn Knutson
Betty Kopfhammer
Debra Kotter-Taylor
Cynthia Koulax
Peter and Laurie Krueger
John and Joan Lagios
Lake Tahoe Regional Hospitalists
Dave and Kathy Landis
Clifford Lange
Jenny Lau
Allen and Carla Law
Richard and Cheryl Lawley
Mary Ann Lawson
Timothy Leiston
Ricardo Lepe
Gale Levenson
Patsy Lewis
Lisa Lewis-Davis
Damon and Lottie Lindall
Myrle and Lois Linville
Lionel Sawyer & Collins
Lionshare Marketing
John and Mary Liveratti
Don and Vera Logie
Mario and Clarice Lommori
Delia Lommori
Richard and Terry Long
Jerry and Phyllis Longero
Pamela Loutzenheiser
Manuel Lozano-Cadena
Hank and Apryl Lucas
Colleen Lyons
Douglas and Janet MacDonald
Anne Macias
Barbara Mackey
Vijay Maiya
Mallory Foundation
Paul and Becky Manoukian
Tony and Diane Marangi
Katherine Marquardt
Ralph and Linda Marrone
Dina Marshal
Jerrie Marson
Thomas Martin
Mrs. Pierre E. Martin
Maria Alma Martinez
Kevin Martinson
2008 CTRH ANNUAL REPORT
p7
Mary Kay Cosmetics
Lorraine Masterson
Jerry and Glenda Matsumura
Barbara Matthews
Sara Maul
Jan McCauley
Mrs. David Jamison McDaniel
Corrie McLaren
Shawn and Rebecca McLaughlin
Robert L. McLean
Tiffany McQuinn
Karen McRae
Medtronic
Robert Mehrhof
Barbara Mello
Edgar and Marlys Mellum
Spencer and Kelly Mellum
Samantha Mendoza
Richard Merriner
Ruth Merriner
Larry and Susie Messina
Tom and Rhonda Metcalf
Michael Sweig Foundation
Michelle Middleton
Roger and Sandy Miercort
Jay Miller
Raelene Miller
Jonathan & Laurie Miller
Sandra J. Miller
John B. Miller
John and Christie Miller
Gary and Linda Miller
Caleb and Delsye Mills
Michael and Elizabeth Milyko
Mini Pharmacy Enterprises, Inc.
Rick and Michele Mixon
Mary Jo Mongelli
Dolores Morgan
Robin Morning
Sue Morrison
Carol B. Mortensen
Annette Mortimer
Leticia Moser
Jennifer Moss
Robert and Nancy Murray
Gary and Susan Neighbors
Nevada Appeal
NV Office of the Attorney General
Nevada Quarter Horse Association
Scott and Leahdawn Newton
Norman and Merrilyn Noble
Mary Lou Noel
Normandy Apartments, LLC
Glenna and Don Norris
True North
Freya Oberer-Brown
Robert and Sandi Oglesby
Jacqueline Ohler
Michael Olaerts
Naomi D. Oligney
Erik and Jackie Olsen
Christie Olson
Craig and Elizabeth Olson
William and Ann O'Neill
Teresita Orio
Bill and Vicki O'Shaughnessy
Michael Ottersback
Fred and Alice Ottoboni
Owens & Minor
Valerie Page
Ruth Page and Greg Walsh
Peggy Park
Karen Parmenter
George and Barbara Parmenter
Douglas and Teresa Patterson
Paul Paulidas
Mike and Karen Pavlakis
Roland and Evelyn Peachee
Michael Pegram
M. Christine Penn
Jorge Perez
Jerry and Mary Perkins
Bruce Pfeiffer
Henry and Marjorie Phillips
Ed and Mary Pierczynski
Gary and Marilyn Pingel
Mike and Ruth Pintar
Ron and Kathleen Pinto
Jennifer Pitcairn
Carol Pitts
Platinum Plus, Ltd.
Dan and Mary Powell
George and Laura Powell
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2008 CTRH ANNUAL REPORT
Karl Pretsch
Adrienne Priewe
Project One
P.M. Pugliese
Patrice Purkey
Harriet Meyer Quarre
Sharron Quinn
Karen Raleigh
Theodore and Yvonne Rempp
E.J. Rendell
Reno-Fernley Raceway
Andrew and Janice Rice
Garth and Joanie Richards
Kevin and Catherine Riley
Robert Z. Hawkins Foundation
Betty Roberts
Victoria Roberts
Lester and Mary Robertson
Bruce and Gayle Robertson
Roche Diagnostics
Doug and Penny Rodrick
John and Virginia Roop
Jack and Patsy Roop
Barbara Roop
Ed and Dee Rose
Riglio Roselli and Paula Kelly
Marianne Rosenfeld
Tom and Mary Rosenthal
Eugene and Gayle Ross
Holly K. Rossi
Todd and Jeanne Russell
Leonard Sabourin
Safeway Foundation
Saint Mary's Regional Medical Center
Saint Teresa of Avila Catholic Comm
sanofi aventis U.S. INC.
Chuck and Jo Saulisberry
George and Pam Schiffilea
Phil Schlager
Michelle Schmitter
Allen and Diane Schnaser
Dorlene Schoonover
Russ and Vicki Schultz
Bob and Patricia Schulz
Martin and Katherine Schwedhelm
Len Semas
David and Susan Semas
Beverly Sevcik
Dan and Gia Shaheen
Roger and Julie Shaheen
Shaheen Beauchamp Builders
Derrick Sheetz
Vicki and Steve Shell
Dick and Janet Shepard
Kathleen Sherbon
Alan and Martha Shethar
Diana Shiroyan
Sierra Financial Advisors, LLC
Sierra Nevada Cardiology Associates
Sierra Oxygen
Silver Oak Development
Silver State Ladies Red Hats
Mary Sitts
Gary Sloan
Dennis and Nina Small
Wayne and Jane Smith
Christopher and Bonnie Smith
Cheryl Smith
Robert and Charlotte Smith
Tona and Mary Smith
Martin and Barbara Snodgrass
Gene and Florence Snyder
Brian and Laurie Sonderegger
Michael and Holly Song
Colin and Nancy Soong
Soroptimist Intl. of Carson City
Jim Sorrentino
S. NV Cancer Research Foundation, Inc.
SW Gas Corporation Foundation
Eleanor Sowma
Belinda Spear
Neal and Donna Spelts
Sperry Van Ness/ Gold Dust
Mark and Patricia Sprague
Marjorie Stensen
Barbara Stewart
Suzanna Stigar
Stillwater Foundation
Robert and Virginia Stockman
George and Marilyn Stoffel
Stuart and Marty Stoloff
Garry and Susan Stone
Joan V. Stratton
Cassey Ann Strohmaier
Audrey Stroub
David and Ilona Strull
JD Sullivan
Susan G. Komen for the Cure N. NV
Steve Tackes
Stephen Tann
Roger and Gail Teig
Charles and Joyce Thompson
Judith Thran
“Tickets & Topics”
Carol Tierney
Timeline Recruiting
Doris Tom
Jay and Jean Tomlinson
Gary and Patricia Turner
Unilever United States Foundation, Inc.
Thomas Unruh
Jeff Upton
Christie Upton
US Bank
Linda Vail
Andrew Van Sickle
Bill and Laura Vance
Jo Vanderdoes
Debrah Vaughn
Stephen and Karen Von Schmittou
Irene Vrabel
Patricia Wachsman
Dan Wagner
Paul and Vonna Wallace
Joe and Ellen Walls
Debbie Warzynski
Nadine Watkins
Nancy Watkins
Lisa Watson
Marvin D. Weitz
Bob and Verne Wellman
Barton and Olivia Welsh
Western Nevada College Foundation
Western Nevada Supply Company
Dana Whaley
Bob and Twyila Whear
H.E. Wheeler
Martha Wicksall
Melanie Wilhelm
Peggy Wilkinson
Lewis Williams
John Williams
James Williams
Lorraine Williams
Mrs. Syd Winkel
Bill and Theresa Witt
Robert Wolaver
Nina Wood
Brenda Woods
Ralph and Maryanne Worthing
Lillian Wresh
William and Judith Wright
Jack and Mary Yaeger
Gilbert and Annette Yanuck
Sandra Zboinsky
Walter and Sheila Zimmerer
Gina Zink
In-Kind Support
2223 Restaurant
5th Quadrant Services
Allison, MacKenzie Law Office
Amy Sue Hayes
Appellation Wine and Spirits
Aracelia Darnell
Aradicals Hair & Nail Studio
Bank of America
Bill and Michelle Freeman
Bill and Vicki O'Shaughnessy
Billie Shea
Bliss Bungalow
Bob Herman
Camellia Cellars
Capitol Urology, Inc.
Carol Shelton Wines
Carson City Toyota
Carson City Sheriff's Aerosquadron
Carson Medical Group
Carson Nugget
CTRH Auxiliary
Cassey Ann Strohmaier
Castle Valley Inn Bed & Breakfast
Cavallero Heating and Air Cond.
Charlie and Karen Abowd
Charter Communication
Chris and Sharon Kassity
Chuck Byrne
Cleavage Creek
Concours Parts and Accessories
Cracker Box
Craig and Sandi Mullet
David and Karen Tillitt
Dee McGee
Don and Toni Langson
DW and MT Carsburg
Eagle Fitness
Eagle Valley Golf Course
Ed and Dee Rose
Ed and Denise Epperson
Embassy Suites Hotel
Empire Ranch Golf Club
Encinitas Golf Ranch
Erin Menath
Ernst Goehrig
Forchini Vineyards & Winery
Galaxy Theater
Garibaldi's Ristorante
Gary Robison Photographic Studio
Getnufit
Glen Eagles Restaurant
Greg and Mindy Klick
Grove Street Wine Brokers
Hilton San Francisco
Hilton Sonoma Wine Country
Historian Inn
Hollywood Video
Hoofbeats & Carriages
J.T. Basque Bar & Dining Room
James and Kathryn Pincock
Jim and Cheri Glockner
Joe Hillbrick
June Towill Brown
Kawasaki Arctic Cat-Reno
Kearney and Diana Davis
Kim Hunt
Kimberly Morris
Kirkwood Mountain Resort
Lake Tahoe Cruises
Larry and Susie Messina
Laura McKinney
Laurie M. Burt
Leki USA, Inc.
Lemons, Grundy & Eisenberg
Madeline Bohanon
Marilyn Burke
Mark Bernstein
Mark Castro Band
Men Wielding Fire
Moab Adventure Center
Mont Bleu Resort
Nevada Property Mortgage, LLC
Normandy Apartments, LLC
Pamela Francis & Ray Fernsten
Patricia Danforth
Patrick Hardy
Peter and Laurie Krueger
Primary Image, Inc.
Ralph and Linda Marrone
Randall and Heather Nixon
Red Cliffs Lodge
Red's Old 395 Grill
Rick and Debbie Bessette
Robert Wolaver
Robin Graber, LMT
Rodney Strong Wine Estates
Ruth Page and Greg Walsh
Santa Teresa Golf
Senator Harry Reid
Shaheen Beauchamp Builders
Silver Oak Golf Course
Silver State Liquor & Wine
Skin Cancer & Dermatology Institute
Southern Wine and Spirits of Nevada
Station Grille & Rotisserie
Sugar Pine Cove
Sugarbowl
Sun-E Concepts
Suzanne Erdelt, LMT
Tahoe Rim Trail Association
Tammie Anderson, LMT
Thunder Canyon Golf & Country Club
Tito's
Tom and Elaine Baker
Tony and Judy Santos
Trader Joe's
Walker River Resort
Waste Management
Wolf Pack Sports Properties
Service Area
Highlights
ER
• Full service emergency department – open 24 hours
a day, 7 days a week
• Direct access to over 35 medical specialties available
around-the-clock
• Advanced triage process where patients are provided
the appropriate level of care upon arrival
• Six dedicated Fast Track bays for minor emergencies
• Care provided by board certified emergency physicians
• 33,339 visits to the ER in 2008
• 9,189 visits through Minden Emergent Care in 2008
Cardiology
• The only hospital in Northern Nevada to offer the
“CardioOne” open heart surgery program
• Diagnostic cardiology
• Interventional cardiology
• The only certified Cardiac Rehabilitation Center
in Nevada
• 131 open heart surgical patients in 2008
• Nevada’s only 5-Star rating by HealthGrades ®
for excellence in heart bypass surgery
Women & Children’s
• 8 private Labor, Delivery, Recovery, and
Postpartum Rooms
• Individualized care in a homelike setting
• MOM’s (Maternal Obstetrical Management)
Clinic prenatal program
• All-private pediatric rooms
• 1,001 babies born in 2008
2008 Official CTRH Membership
Tony Marangi
Robert McDonald, M.D.
Jonathan R. Miller
Caleb R. Mills
Richard T. Moore
Maud Naroll
William O’Shaughnessy, M.D.
Bernard T. Santos
Jo Saulisberry
Rosemary Smith
Leroy F. Snyder
Richard Staub
David Strull, M.D.
David H. Tillitt, M.D.
Kathy Triplett
Jeffrey D. Upton, M.D.
Ervin F. “Vic” Vicich
Roberta Waltemyer
Robert Wartgow
Andrea Weed, D.O.
Karen Wyman
Gilbert A. Yanuck
Gary Ailes, DVM
Sondra Amodei
Kathi Amrhein, D.O.
Rex T. Baggett, M.D.
Jeffrey Basa, M.D.
Gary Beverage
Todd Chapman, M.D.
Basil Chryssos, M.D.
Jim Costa
William Creekbaum
Jeffrey Creelman
Sharon DeLuce
Ed Epperson, President & CEO
Guy T. Foster, M.D.
James R. Gibson
Marianna Gillilan
Sandra L. Hartley
Don W. Hataway
Donna Kristaponis
Breezy Leary-Grba
Pete Livermore
Clifton C. Maclin, Jr.
2008 CTRH Statistics
Licensed Patient Bed Capacity
Patient Bed Admissions
Days of Care Provided
Surgeries Provided
Outpatient Visits
172
9,777
38,993
2,857
119,430
2008 CTRH ANNUAL REPORT
p9
Community
Benefits
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. Programs that support this include:
• Diabetes Education
• Physician Referral Line
• Asthma Screening
• Merriner Cottages
• Symposiums and Physician Lectures
• Cancer Resource Center
• Community HealthCheck
• Education Assistance through scholarships
and nursing and technician preceptorships
• Flu Shots
• Here’s to Your Health - Community Magazine
• Mom’s Clinic
• Think Pink
• Mental Health Screenings
• Charitable Care
• Sports Physicals
• Nurse Triage Line
Carson Tahoe Regional Healthcare
Contributions to Community Health
Uncompensated Care
Community Support
Total Contributions
$31,362,063
$1,978,071
$33,340,134
Carson Tahoe Regional Healthcare Financial Stewardship
Carson Tahoe recorded a loss from operations in 2008. The declining economic environment of
2008 affected all sectors of the economy including hospitals. Nationwide, the impact of this failing
economy resulted in foreclosures, businesses closing, and rising unemployment. At the same time,
hospitals were also plagued by a rise in uncompensated care, which reached unprecedented levels.
As a result, Carson Tahoe experienced a surge of uninsured patients whose illnesses were more
severe than had previously been the case.
Despite the losses experienced in 2008, the hospital remains in a strong financial position and
continues to meet or exceed all bond compliance requirements. This result is due, in large part, to
the early retirement of debt, cost containment efforts, conservative investment strategies, and a
healthy balance sheet.
Also in 2008, Carson Tahoe invested $5 million in capital equipment and information technology
infrastructure and an additional $3 million for expansion of healthcare services for our community.
At Carson Tahoe we are committed to continued responsible fiscal management to ensure our
ability to deliver high-tech, high quality healthcare in a nurturing environment.
p10
2008 CTRH ANNUAL REPORT
The Year
Ahead
As Carson Tahoe celebrates our 60th anniversary in 2009, it’s n atural to reflect on the past and what has
brought us to where we are today. We’re proud to look back on the history that has shaped us, but we’re even
more proud to be building a legacy of quality care that will continue for generations to come.
That legacy includes new services, new innovations and new additions to our team. For starters, we will be
enhancing the new Carson Tahoe Regional Healthcare Physician Clinics, which allows skilled physicians to
practice medicine in the community and provide quality care to local residents. The Physician Clinics offer internal
medicine, family practice, endocrinology and pediatric services, with plans to include a variety of specialists.
Beyond that, we are increasing our level of transparency related to finance, pricing, quality and charity care. In this
time of economic crisis, candor inspires confidence. That’s why, as a non-profit organization, it is vital that we
remain open to our corporate members, staff, supporters and the community at large regarding our operations
and healthcare practices.
Like any good doctor-patient relationship, communication, openness and trust are keys to success for our
healthcare system. As we move forward in these trying times, our pledge is to maintain accountability for all our
actions, including the implementation of proper procedures and policies to ensure we are on the right track every
step of the way. Taking this initiative translates to our best efforts – every hour, every day.
Looking To The Future — Foundation
The goal of becoming the Best Healthcare
System in Northern Nevada requires community
support for new facilities, state-of-the-art
equipment, and medical programs. Philanthropy
helps Carson Tahoe continue to deliver quality
healthcare 24 hours a day, 7 days a week.
While hospital fees-for-services contribute to
the overall cost of caring for patients, today,
additional support is essential and requires that
the Foundation seek financial assistance from a
variety of sources.
Planning for tomorrow, the Foundation will
continue to raise money and achieve fund
development goals through the following:
Grateful Patient “Shining Stars” Program – This program
provides an opportunity for patients and family members to
show their gratitude to staff members by expressing their
appreciation or making a donation to the Foundation in a
caregiver’s honor.
“Calling on Angels” Campaign – This campaign reaches out to
donors in an effort to raise $4 million toward the Carson Tahoe
Cancer Center.
Streamlining special events for increased net revenue – Event
revenue assists the Foundation in meeting our commitment to
Carson Tahoe. Scaling back on event expenses allows maxi mum funds to be raised.
Donor-focused planned giving– Planned gifts received by the
Foundation allow us to continue to deliver superior patient care
in perpetuity.
2008 CTRH ANNUAL REPORT
p11
Non-profit org.
U.S. Postage
PAID
Carson Tahoe Regional Healthcare
P.O. Box 2168
Carson City, NV 89702-2168
(775) 445-8000
Reno, NV
Permit #599
Service Centers
Carson Tahoe
Regional Medical Center
1600 Medical Parkway
Carson City, NV 89703
(775) 445-8000
Carson Tahoe Cancer Center
1535 Medical Parkway
Carson City, NV 89703
(775) 445-7500
Carson Tahoe
Specialty Medical Center
775 Fleischmann Way
Carson City, NV 89703
(775) 445-7450
Carson Tahoe
Minden Medical Center
925 Ironwood Drive
Minden, NV 89423
(775) 445-7800
Carson Tahoe
Dayton Professional Building
901 Medical Center Drive
Dayton, NV 89403
(775) 445-7605
Carson Tahoe
Emergent Care
925 Ironwood Drive
Minden, NV 89423
(775) 445-7800
Carson Tahoe
Behavioral Health Services
William St. at Minnesota St.
Carson City, NV
(775) 445-7350
Carson Douglas
Surgical Arts Building
973 Mica Drive
North Douglas County
(775) 445-7950
Holbrook Junction
1550 Highway 395 South
Gardnerville, NV
(775) 445-7842
Partnerships:
Sierra Surgery Hospital
Carson Tahoe Radiation
Oncology Associates, LLP
MedDirect Urgent Care
ContinueCARE Hospital
Carson Douglas
Ambulatory Surgery Center