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Tahoe Forest board approves 3-year employment agreement for Anna Roth; several routine items cleared 5-0
Summary
The Tahoe Forest Health System Board of Directors on a 5-0 vote approved a three-year employment agreement with Anna Roth, currently CEO of Contra Costa Health System, and also approved multiple routine consent and closed-session items unanimously.
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The Tahoe Forest Health System Board of Directors approved an employment agreement for Anna Roth, currently chief executive officer at Contra Costa Health System, in a 5-0 vote, the board announced during its open session.
The agreement as read into the record sets a three-year term beginning March 10, a base salary of $750,000 and an incentive compensation plan that allows additional pay of up to 30 percent of base salary with a target of 20 percent. Board members said the package was set to be within market ranges reviewed by a third party.
Board members and staff described the hire as the conclusion of a six-month national search led with support from WITKIFER (referred to in meeting as Whit Keefer). Board members said the search committee evaluated a competitive pool of candidates and negotiated terms that addressed relocation, travel and start-date communications for staff.
Votes at a glance
- Employment agreement for Anna Roth (start date March 10, three-year term; base salary $750,000; incentive up to 30% with 20% target): approved 5-0. Roll-call in open session recorded Directors Chamber, Brown, Wong, Dardison Kavich and the chair voting yes.
- Closed-session agenda item 6.1: denied by the board, vote 5-0 (transcript reference: closed session report; agenda item number cited by counsel). No additional public details were presented in open session.
- Closed-session minutes (item 6.2 — three sets of closed-session minutes): approved 5-0.
- Medical staff credentialing under Health and Safety Code 32155: credentialing recommendations approved 5-0 (reported out of closed session by counsel).
- Medical Executive Committee (MEC) consent agenda: approved 5-0 (motion made and seconded in open session; roll-call names not specified in the record).
- Consent calendar (general consent items): approved 5-0 (motion and second recorded; roll-call names not specified in the record).
Why it matters
The board’s action creates a formal leadership transition plan and sets compensation and incentive terms that will govern the incoming CEO’s first three years. The unanimous votes on routine business items and the credentialing report close several administrative items the board considered in closed session and open session.
Board discussion and background
Board members said the search committee considered both executive management experience and community-health engagement when selecting Roth. Meeting remarks noted Roth’s 15 years as chief executive at Contra Costa Health System and her background as a nurse. The board also noted use of an external market review (referred to in the meeting by Alliant) to set compensation within market ranges.
A staff speaker said the district planned to distribute a joint announcement to staff the morning after the meeting.
What the record shows
The employment agreement and the other listed votes were presented and approved during the meeting’s open session. The medical staff credentialing decisions and one closed-session substantive item (6.1) were reported by counsel as having been decided in closed session and disclosed to open session by the district’s counsel.
No new policies or budget appropriations tied directly to the employment agreement were adopted during the vote; the motion approved the employment contract terms as presented.

