In just about a month, the 2026 Leadership Fellows Cohort will walk through the THA doors and start their first module out of four. But every year since 2014, a select group of established and emerging hospital leaders step into a room together for the first time. By the end of their year in the THA Leadership Fellows program, those same individuals have become confident advocates – for their hospitals, for their teams and for Texas health care.
The 2025 cohort is no exception except for one. This particular class convened in Austin during a roller coaster of a legislative session that ended with two special sessions alongside capping off their last module – which usually lands during the second module of a four-module series – right before THA’s first ever fall annual conference.
Over the course of the year, they’ve built connections, gained insight into how policy shapes hospital operations, acquired the skills needed to effectively utilize this knew knowledge and discovered their own capacity to lead beyond their own titles or job descriptions. The program brings together diverse professionals from across the state – from rural administrators to large-system directors – and gives them the tools to turn ideas into action.
“Over the past 11 years of this program, I’ve had the privilege of working with hospital leaders from across Texas – representing hospitals of all sizes, types, geographies and resources,” said Lindsay Thompson, vice president of education and governance programs at THA. “Bringing these diverse perspectives together in one room to analyze and workshop ideas and policies is just as valuable as the subject matter experts who teach our curriculum. Sending each cohort back to their communities as champions for positive change helps THA fulfill its mission and extend its impact across the state.”
Finding Their Voice
From the very beginning, the Fellows are immersed in the “why” behind hospital advocacy – not just the legislative process, but the human side of influencing policy. Early modules introduce the heartbeat of THA’s work: advancing hospital care through education, engagement and storytelling.
As the modules progress, the group evolves from listeners to leaders. They practice communicating complex hospital issues in plain language, role-play conversations with legislators, and learn how to frame hospital stories that resonate beyond boardrooms and budgets. By midyear, many describe feeling more confident stepping into spaces where policy decisions are made.
A large part of this confidence building can be contributed to the hands-on exercises and workshops that are included in the program to offer practical application of the skills the cohort is learning. As an example, this class had the opportunity to participate in the first THA created board game relating to hospital finance. The game was a fun, fictitious exercise in managing a hospital budget and deciding financial challenges and policy opportunities.

The exercise brought to life the real challenges hospitals face daily and served as a valuable opportunity to collaborate, strategize and problem-solve.
“This program has been an eye opener into everything that goes on beyond our hospital walls,” said Lee Prater, MHA, BA and senior director clinical operations at Scottish Rite Hospital for Children Frisco. “Before the program, [advocacy and policy] were a little bit of a blind spot. We all know it goes on, but don’t really know what it all is about. It was impactful to learn about things that you wouldn’t normally tackle on a day-to-day basis.”
Turning Insight into Action
The program’s centerpiece – and its most transformative element – is the capstone project. Fellows work in small groups to identify a current gap in policy or initiatives under a policy priority area facing Texas hospitals, develop solutions and craft an advocacy plan grounded in data and collaboration. Along the way, they receive coaching from THA staff and mentors who help them refine their message and connect ideas to policy opportunities that could carry their work beyond the walls of the classroom and scope of the program.
Each conversation, presentation and brainstorming session builds toward the moment when their ideas take center stage.
The Culmination: Presenting at the THA Annual Conference
At the 2025 THA Annual Conference, the Fellows’ year of hard work comes full circle. Two groups from the five-group cohort were selected to present their projects in front of hospital executives, peers and policymakers. Each project is set to present a clear, actionable proposal to improve care, operations or access across Texas and gain buy-in from their peers in the room. For many, it’s both a graduation and a launchpad: a chance to showcase the power of informed, collaborative advocacy.
The result isn’t just a certificate – it’s a community. The relationships built through the Fellows program often continue for years, connecting leaders across the state who share a passion for doing what’s right for Texas hospitals and patients.
“One of the best parts has been the relationships that have been made during my time in the THA Leadership Fellows program,” said Krista Baty, BSN, RN and chief administrative officer at Hendrick Medical Center Brownwood. “I know that if there is anything that comes up that I can count on anyone in my class to lean on. It’s nice to know that you have those relationships and contacts in different parts of the state that you can reach out to.”
Class of 2025 Leadership Fellows Cohort
This year’s THA Leadership Fellows Class of 2025 represents hospitals and systems across Texas, united by a commitment to serve their communities and strengthen hospital advocacy.
2025 Cohort:
Elizabeth (Ellie) Adamson | DNP, DNI, MSN, RN | Director of Clinical Operations | HCA Rio Grande Regional Hospital | McAllen |
Mitchell Akers | BS Animal Science, Doctor Physical Therapy | Director of Rehabilitation | Eastland Memorial Hospital District | Eastland |
Krista Baty | BSN, RN | Chief Administrative Officer | Hendrick Medical Center Brownwood | Brownwood |
Parker Beasley | BSBA (Finance) MBA, MSHA | Director of Operations | Baylor Scott & White The Heart Hospital McKinney | McKinney |
Nathan Cintron | MBA | Associate Administrator | El Paso Children’s Hospital | El Paso |
Wilson Dingmore | MHA, BS Economics | Director of Clinical Operations | Baylor Scott & White | Waco |
Ashley Dowler | MBA, MS, BS | Chief Operating Officer | Doctors Hospital of Laredo | Laredo |
Hannah Gelbs-Gadd | MA Hospital Administration | Chief Operating Officer | HCA The Woman’s Hospital of Texas | Houston |
Mariam Hammad | RN | Chief Nursing Officer | DHR Health | McAllen |
Heather Johnston | BS HR Development, MA Business Administration | Vice President of Human Resources | Medina Healthcare System | Hondo |
Ray Porter Long | MBA | Director of Performance Improvement | University Medical Center | Lubbock |
Juan Navarro | BBA, BA | Assistant CFO | DHR Health | Edinburg |
Barbara Obert | BA, MHA | Vice President, Pauline Allen Gill Center for Cancer & Blood Disorders | Children’s Health | Dallas |
Karen Orozco | MBA BA-OMT Associates of Applied Science | Outpatient Imaging Operations Manager | Midland Memorial Hospital | Midland |
Elizabeth (Lee) Prater | MHA, BA | Senior Director Clinical Operations | Scottish Rite Hospital for Children | Frisco |
Shonda Roberts | BSN, RN | Infection Control Nurse | Eastland Memorial Hospital District | Eastland |
Candice Smith | MSN | Chief Executive Officer | Hereford Regional Officer | Hereford |
Ann Varghese | MBA, MHA, BS | Administrator, UTMB Clear Lake & League City Campus | University of Texas Medical Branch | League City |
Alex Wanee | MBA | Chief Executive Officer | Red River Hospital | Wichita Falls |
Anthony Williams | BA | Vice President, Corporate Compliance / Deputy Compliance Officer | Harris Health System | Bellaire |
Nikoma Wolf | MBA | Chief Operating Officer | Baylor Scott & White Medical Center – Irving | Irving |
Kelly Wright | MBA | Director Radiology | Midland Memorial Hospital | Midland |
Nori Zapata | MBA Science in Nursing Education | Senior Vice President of Education and Career Development | DHR Health | Alton |
These leaders now join a growing network of Fellows alumni who continue to shape hospital policy, strengthen community partnerships and elevate the collective voice of Texas health care.
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