Experienced Leadership

Upcoming Events


​August, 2015

MICAH Quality Network Planning Session

Kalkaska, MI

November 18, 2015

Wisconsin Division of Quality Assurance's (DQA)
Fourteenth Annual FOCUS Conference
Kalahari Convention Center
Wisconsin Dells, Wisconsin


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

He has been working in the Thumb of Michigan since May of 1997.  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 the Village of Port Sanilac, MI along the Lake Huron shoreline with his wife Robin. He has three children and five grandchildren.