This number reflects what the lobbyist has personally given to candidates, parties, and political committees in Nevada — not what their clients have given. The two channels frequently overlap: a paid advocate who also writes a personal check to the legislator they're lobbying is using both kinds of access at once.
Paid
Cynthia Alejandre
11 clients represented in the 83rd Session
Each client below is a corporation, trade association, non-profit, or other organization that has registered this lobbyist as their advocate before the Nevada Legislature for the 2025 session. Click any client to see what they have spent on Nevada candidates and political committees.
BriovaRx Infusion Services 102, LLC
15529 College Blvd., Lenexa 66219
View political contributions →
Genoa Healthcare, Inc.
707 South Grady Way, Suite 400, Renton 98057
View political contributions →
Health Plan of Nevada, Inc.
2720 Tenaya Way, Las Vegas 89128
View political contributions →
MCNA Health Care Holdings, LLC.
7901 SW 6th Court, Suite 400, Plantation 33324
View political contributions →
Optum Care, Inc.
1 Optum Circle, Eden Prairie 55344
View political contributions →
Optum, Inc.
11000 Optum Circle, Eden Prairie 55344
View political contributions →
OptumRx, Inc.
11020 Optum Circle, Eden Prairie 55344
View political contributions →
Sierra Health and Life Insurance Company, Inc.
2720 N, Tenaya Way, Las Vegas 89128
View political contributions →
Sierra Nevada Administrators
2716 N. Tenaya Way, Las Vegas 89128
View political contributions →
Southwest Medical Associates
6720 Placid Street, Las Vegas 89119
View political contributions →
United HealthCare Services, Inc.
9700 Health Care Lane, Minnetonka 55343
View political contributions →
NVSOS records for 9 of this lobbyist's clients
Per-client business-entity records sourced from the Nevada Secretary of State's nvsos_corporations registry, joined to this lobbyist's client roster by tokenwise-normalised name match. Includes corporation status, registered agent, formation date, and the current officer/director list as filed with the state.
Match is name-based — a client may correspond to multiple business filings (parent + subsidiary, foreign + domestic) or none at all if it is a federal entity, a political committee filed elsewhere, or a non-NV organisation. Entries with status Active are currently in good standing; Permanently Revoked, Dissolved, or Merged indicates the entity is no longer operational under that NV ID. Officer rosters are public records as of the most recent filing.
Genoa Healthcare, Inc.
GENOA HEALTHCARE LLC
Registered agent: UNITED AGENT GROUP INC.
Officers on file (2):
- Todd Gustin — Manager · Renton, WA
- Christopher Stidman — Manager · Renton, WA
Health Plan of Nevada, Inc.
HEALTH PLAN OF NEVADA, INC.
Registered agent: UNITED AGENT GROUP INC.
Officers on file (7):
- Marc Briggs — Director · Las Vegas, NV
- Kyle Clingo — Director · Las Vegas, NV
- Joseph Fu — Secretary · Las Vegas, NV
- Marilyn Hirsch — Treasurer · Las Vegas, NV
- Shaun Schoener — Director · Las Vegas, NV
- Kimberly Sonerholm — President · Las Vegas, NV
- Kimberly Sonerholm — Director · Las Vegas, NV
Optum Care, Inc.
Optum Care, Inc.
Registered agent: UNITED AGENT GROUP INC.
Officers on file (5):
- Marilyn Victoria Hirsch — Treasurer · Eden Prairie, MN
- John George Liethen — Secretary · Eden Prairie, MN
- Rashmita Mistry — Director · Eden Prairie, MN
- Travis Justin Winkey — President · Eden Prairie, MN
- Travis Justin Winkey — Director · Eden Prairie, MN
Optum, Inc.
OPTUM HOLDINGS LLC
Registered agent: AR REGISTERED AGENTS
Officers on file (2):
- CORENE JOHNSON — Manager · LAS VEGAS, NV
- BENJAMIN JOHNSON — Manager · LAS VEGAS, NV
OptumRx, Inc.
OPTUMRX, INC.
Registered agent: UNITED AGENT GROUP INC.
Officers on file (5):
- Kevin Burr — Secretary · Eden Prairie, MN
- Kathryn Carey — Director · Eden Prairie, MN
- Marilyn Hirsch — Treasurer · Eden Prairie, MN
- Lisa Smith — President · Eden Prairie, MN
- Lisa Smith — Director · Eden Prairie, MN
Sierra Health and Life Insurance Company, Inc.
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
Registered agent: UNITED AGENT GROUP INC.
Officers on file (7):
- Kyle Edward Clingo — Director · Las Vegas, NV
- Marilyn Hirsch — Treasurer · Eden Prairie, MN
- Linda Jackson Jones — Director · Las Vegas, NV
- Daniel Louis Rogoff — Secretary · Las Vegas, NV
- Shaun Patrick Schoener — Director · Las Vegas, NV
- Kimberly Kathleen Sonerholm — Director · Las Vegas, NV
- Kimberly Kathleen Sonerholm — President · Las Vegas, NV
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
Registered agent: C T CORPORATION SYSTEM**
Officers on file (4):
- DONALD JAMES GIANCURSIO — President · LAS VEGAS, NV
- SCOTT GORDON CASSANO — Director · LAS VEGAS, NV
- SACHIN DHANENDRA SHAH — Treasurer · LAS VEGAS, NV
- GLEN WENDELL STEVENS — Secretary · LAS VEGAS, NV
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
Registered agent: .SECRETARY OF STATE
Officers on file (3):
- FRANK COLLINS — Secretary · LAS VEGAS, NV
- LARRY HOWARD — President · LAS VEGAS, NV
- ROBERT MAYER — Treasurer · LAS VEGAS, NV
Sierra Nevada Administrators
SIERRA NEVADA ADMINISTRATORS, INC.
Registered agent: C T CORPORATION SYSTEM**
Officers on file (4):
- Marilyn Victoria Hirsch — Treasurer · Las Vegas, NV
- Daniel Louis Rogoff — Secretary · Las Vegas, NV
- Dawn Wallace — President · Las Vegas, NV
- Dawn Wallace — Director · Las Vegas, NV
Southwest Medical Associates
SOUTHWEST MEDICAL ASSOCIATES, INC.
Registered agent: UNITED AGENT GROUP INC.
Officers on file (8):
- Carl Allen, M.D. — Director · Las Vegas, NV
- Toni Corbin — Director · Las Vegas, NV
- Conor Flynn — Secretary · Las Vegas, NV
- Nilesh Gokal, M.D. — Director · Las Vegas, NV
- Marilyn Hirsch — Treasurer · Las Vegas, NV
- Girisha Kaur, M.D. — Director · Las Vegas, NV
- John Rhodes, M.D. — President · Las Vegas, NV
- John Rhodes, M.D. — Director · Las Vegas, NV
United HealthCare Services, Inc.
UNITED HEALTHCARE SERVICES, INC.
Registered agent: UNITED AGENT GROUP INC.
Officers on file (5):
- Marilyn Victoria Hirsch — Treasurer · Minnetonka, MN
- Robert Alden Hunter — Director · Minnetonka, MN
- Payman [NMN] Pezhman — Secretary · Minnetonka, MN
- Peter William Rainey — Director · Minnetonka, MN
- Peter William Rainey — President · Minnetonka, MN
1 detector flag(s) on file for this lobbyist
The Nevada Political Establishment auditor cross-references this lobbyist against every Tier A/B/C/D/E1 detector. Each flag below is a research lead, not a published claim — verify against authoritative records before treating as evidence of wrongdoing. Most flags reflect structural patterns the public has a right to see, not necessarily violations.
Tier D
Donor-as-state-contractor — clients are state vendors who contribute politically
Direct submit correction
3 of this lobbyist's client(s) appear in Nevada state-vendor payment records (checkbook.nv.gov, FY 2019-2025) AND make political contributions. The pattern is the rent-seeking signal under Buchanan/Tullock 1962. Citation: NRS 333 / NRS 332 (state purchasing), NRS 294A.
| Client / vendor name | State payments | Political contributions | Years |
|---|---|---|---|
| Health Plan of Nevada, Inc. vendor: HEALTH PLAN OF NEVADA INC | $285,570,638 | $2,000 | 7 |
| Sierra Nevada Administrators vendor: SIERRA NEVADA ADMINISTRATORS | $2,491,947 | $0 | 7 |
| OptumRx, Inc. vendor: OPTUMRX INC | $8,212 | $0 | 2 |
Reported $0 in legislator gifts/benefits for the 83rd Session
The Nevada Legislature's official lobbyist-expenditure report shows this lobbyist filed monthly returns for the 83rd Session and reported no benefits provided to any legislator or staff member. Source: NV Legislature 83rd Session Lobbyist Expenditures Report.
U.S. Senate LDA filings for 1 of this lobbyist's clients
Federal Lobbying Disclosure Act (LDA) registrant + filing records sourced from lda.senate.gov, joined to this lobbyist's client roster by tokenwise-normalised name match. Shows the federal-side lobbying firms representing the same clients this lobbyist represents at the Nevada legislature.
United HealthCare Services, Inc. — 2 federal registrant(s)
| Federal registrant firm | Client name at LDA | Filings | Source |
|---|---|---|---|
| BALLARD PARTNERS, LLC | UNITED HEALTHCARE SERVICES, INC. | 1 | LDA filing |
| EDENS ADVISORY, LLC | UNITED HEALTHCARE SERVICES INC | 1 | LDA filing |
Their own giving
Contributions made personally under this lobbyist's first and last name in the Nevada Secretary of State campaign-finance dataset.
Total personally given
$100
All Nevada filings, 2016–2016.
Contributions
1
After dedup of superseded reports.
Recipients
1
Distinct candidates, parties, or committees.
Who received their personal checks
Up to ten recipients of this lobbyist's personal contributions, ranked by total amount. Amounts are cumulative across all reporting years on file. Recipients can be candidates, parties, or political committees.
| # | Recipient | Total | Contributions |
|---|---|---|---|
| 1 | DElliot AndersonState Assembly, District 15 · CLARK COUNTY | $100 | 1 |
Every contribution, newest first
1 individual contribution on file in the Nevada Secretary of State campaign-finance dataset, deduplicated.
| Date | Recipient | Type | Amount |
|---|---|---|---|
| 2016-08-05 | DElliot AndersonState Assembly, District 15 · CLARK COUNTY | Monetary Contribution | $100 |
Where this profile's information comes from
Every link below is a public record. Click through to verify any claim on this page.
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