Tahoe Forest Health System Board of Directors, May 28, 2026

The Tahoe Forest Health System Board of Directors held a special meeting on May 28, 2026, focusing on the presentation and approval of the True North 2030 strategic plan, the 2027 proposed fiscal year budget, and the three-year capital plan. The strategic plan emphasized community input, growth, and adaptability in response to changing healthcare demands and policy environments. The budget presentation detailed a projected gross revenue of $787 million for 2026, increasing to $800 million in 2027, with operating expenses rising due to wage increases, additional staffing, and inflationary pressures. Capital investments included $53.8 million projected spending in 2026, largely for the Gateway West project and Sierra Center. The board discussed financial assistance programs, outpatient volume growth, payer mix shifts favoring Medicare, and investments in workforce strategy, clinical AI, and climate action. The meeting concluded with public comments praising the comprehensive planning and emphasizing the importance of access, affordability, and staff well-being. The board was asked to approve the strategic plan, budget, and capital plan, reflecting a commitment to align financial resources with community health priorities and infrastructure expansion.