Texas Health Resources

The faith-based, nonprofit health system responded to a pandemic staffing shortage by devoting $160 million to pay adjustments, sacrificing 2022 operating profits in favor of granting employee raises. Despite having over 28,000 employees across North Texas, THR makes an effort to listen to its workers: When a Black nurse emailed CEO Barclay Berdan in 2021, saying she didn’t feel that Black nurses were being promoted at the same rate as other colleagues, THR revamped its charge-nurse selection policy, and today, 42% of senior charge nurses are people of color. The firm climbed 37 spots on this year’s list.
 

Not far from THR’s Arlington, Texas, headquarters, in the town of Sanger, 39% of children live in poverty, so THR awarded the local school system a $300,000 grant to support food insecurity programming. To date, THR has allocated nearly $25 million in grants to 25 organizations.
 

A unique employee governance system means THR staff are involved in decision-making at the highest levels of the organization; the nonprofit hosts a nursing congress, whose members, nominated by their peers, offer recommendations for improvements to policy companywide.