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Health & Medical


Strength in numbers



How Doug Hawthorne merged 13 hospitals and 18,000 employees to build a new organization from scratch

By Robyn Davis Sekula


Smart Business Dallas | April 2008

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Ten years ago, Doug Hawthorne had to create a culture from scratch.

He had just presided over the creation of Texas Health Resources Inc. from 13 hospitals from three different organizations — Fort Worth-based Harris Methodist Health System, Dallas-based Presbyterian Healthcare Resources and Arlington Memorial Hospital.

The three organizations came together to create a large, faith-based, nonprofit health care system, and, as the CEO, Hawthorne’s challenge was to get the thousands of employees of this new system thinking about a common mission and goals.

“Initially, our effort, and mine particularly as the chief executive officer, was to help create a new culture,” Hawthorne says. “That certainly was the most significant initial challenge for me. In the past five years, once we made that turn of beginning to understand the importance of the consolidation, the challenge has been to sustain and build on that culture to improve our performance. ... Culture will trump anything else we do if we don’t have it.”

By relying on a strategy of getting everyone involved, fighting to retain top talent and striving to do more, Hawthorne now has the organization’s 18,000 employees all working together toward common goals. Here’s how he did it.

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