On the ground in Texas
Everything about Texas healthcare runs at scale. Houston is home to the Texas Medical Center, the largest medical complex in the world, while Dallas-Fort Worth, San Antonio, and Austin each anchor their own competitive systems. Between the metros sit hundreds of rural and community hospitals covering enormous distances, many fighting the same margin and workforce pressures that define rural America. Texas is also one of the hottest markets in the country for private-equity platform building in physician services and behavioral health. Leaders here need range: the sophistication to run an academic or big-metro system, and the grit to stabilize a critical-access hospital three hours from the nearest referral center.
Who we place
Why boards and PE partners choose us
- We reach the leaders who aren't looking. The best executive for your seat is running someone else's right now. We bring them to you, confidentially.
- A senior specialist runs your search. Your seat is handled by a senior consultant who focuses on exactly this specialty, under our US healthcare Sector Head. Not a junior associate and a database.
- Healthcare is all we do. We know the difference between a clinician with a title and a leader who can run a P&L and a medical staff.
- Retained means all-in. We commit the full team to one search and stay until the right person signs. Most of ours close in 30 to 90 days.
- A global bench behind a local search. ISG runs in 50-plus countries with 1,200-plus partners, so no leader is out of reach.
The Texas healthcare market
- Major systems include Baylor Scott & White, Texas Health Resources, Memorial Hermann, Houston Methodist, Ascension Texas, CHRISTUS, and HCA's Medical City
- Academic anchors include MD Anderson, UT Southwestern, and UTMB
- A fast-growing, fiercely competitive market with strong rural and community-hospital demand
- Active private-equity platform building across physician services and behavioral health
Representative engagements
Representative, anonymized examples. Details and locations changed to protect client and candidate confidentiality.
- Retained on a hospital CEO search for a system in the Texas Gulf Coast region.
- Working with a PE-backed platform on C-suite leadership across its Texas footprint.
Frequently asked questions
Do you cover the major metros and rural Texas?
Yes. From Houston, Dallas-Fort Worth, San Antonio, and Austin to rural and community hospitals across the state.
How long does a search take?
A retained search typically runs 30 to 90 days.
Do you recruit for academic medical centers in Texas?
Yes, including dual clinical and academic leadership roles at the state's academic systems.
Meet your search partner
Lee Fossey leads the US Healthcare Executive Search practice for ISG Americas, with a team of senior consultants each focused on a specialty, so your search is run by someone who lives in that corner of the market. Across nearly three decades in search, the practice has helped hospitals, health systems, and private-equity-backed platforms place the leaders who change their trajectory, and on the global ISG platform that reach extends to more than 50 countries. Lee would rather have one honest conversation about your search than send you a proposal.
Book a confidential call with Lee →Have a seat open?
Every week a leadership seat sits empty, it costs you momentum, money, and the board's confidence. One confidential call, and you will know quickly whether we are the firm for your search.
Book a confidential call