Experienced Leadership


Ed Gamache:  Owner Fourth Aim Advisers has over 30 years in  healthcare administration.  His experience includes nearly 20 years in  rural healthcare leadership roles.

He has been working in the  Phoenix area since May of 2016.  He served as the Administrator of  Deckerville Community Hospital 1997-2011, President/CEO of Harbor Beach  Community Hospital 2006-2015, leading both facilities 2006-2010. 

He  served as the President Michigan Critical Access Hospital Quality  Network (MICAH) from its inception in 2003 until March 2015. During this  period of time MICAH achieved a national reputation as a leading  organization for small rural hospital quality improvement.   

He received the 2005 Michigan Center for Rural Health Loren O. Gettle Award for Outstanding Leadership and Commitment to Michigan’s rural residents and in September 2013 the Rural Hospital Champion Award from  the U.S. Office of National Coordinator for Health Information  Technology and in March 2015 recognized by Congresswoman Candice Miller  with a Certificate of Special Congressional Recognition. 

Mr. Gamache currently lives in Fountain Hills, AZ with his wife Robin. He has three children and five grandchildren.