Carmen Cusack the standby, Jemma Rix, had been given the lead role. Cusack was with the company from June 10 to July 10, 2009. She left to begin rehearsals for "South Pacific". In 2009, Cusack played Nellie Forbush in the first national tour of "South Pacific". Based on the 2008 Broadway revival, performances began September 18, 2009 in San Francisco. For this role Cusack was nominated for the Helen Hayes Award for Outstanding Lead Actress in a Non Resident Production. In 2012, she played the role of Miss Gardner in the Off-Broadway revival of "Carrie - The Musical", which began performances at
Nellie the Elephant minute. Singing the chorus of the song twice, with a compression on each beat, results in exactly 30 compressions, which is the international standard for CPR. The use of "Nellie" resulted in correct timing for 42 out of 130 cases, as compared with 15 for no music and just 12 for "That's the Way (I Like It)". However the depth of compression was found to be inadequate in most of those cases, and the use of "Nellie" was found to increase this inadequacy slightly, as compared with the use of no music (56% too shallow with "Nellie" and 47% without).