Dr. John Richard Shepherd shares the background of his early life in southern Illinois, his father's and grandfather's occupations, and his educational journey through college and medical school. His army experiences in Chicago and Alabama convinced him and his wife to look for a warm dry climate in which to live, and they relocated to Las Vegas in 1968. Dr. Shepherd recalls the businesses and housing surrounding Sunrise Hospital, the difficulties getting his specialty listed in the phone book, and renting his first office space from Nate Adelson. He also describes taking out a loan to install ophthalmology equipment, hiring an office manager with medical accounting experience, and doing cataract surgery in a way that basically hadn't changed for decades. The passing of the Medicare bill back in 1966 caused Dr. Shepherd's practice to build up quickly. He details the many ways eye surgery changed, including the invention of the intraocular lens and the phacoemulsification procedure. He mentions his and Dr. Shearing's contributions to ophthalmology — better designed lenses and surgical techniques - which they taught to other doctors from all over the country. Dr. Shepherd discusses radial keratotomy, which was a precursor to laser and later LASIK surgery, and describes a lens implant technique he learned in Russia from Dr. Fyodorov. He goes on to share anecdotes and stories of his interactions with patients, his travels as a consultant and as a surgical teacher for Project Orbis, and meeting Fidel Castro. He speaks candidly about his successes and his failures as well. Dr. Shepherd retired in 2006 and immediately enrolled in a Master's program and earned a degree in military history. After a long and distinguished career, after receiving many accolades and awards, he and his wife are enjoying life, splitting their time between Sun Valley, Idaho, and Las Vegas.

This report provides the results of a study conducted by CITYWEST, Inc., to "determine whether the synagogue should remain in its current location and be renovated, remain in its current location and rebuild, or move." The report addresses leadership and staff development, as well as programming recommendations.