The AVEM Leadership Team

Guy W. Adams leads AVEM Health Partners with a focus on strategic oversight, governance, and long-term sustainability for rural hospitals and the communities they serve. Under his leadership, AVEM has grown into a recognized national leader in critical access hospital management.

Dr. Rakesh Shrivastava oversees clinical services across all AVEM-managed hospitals, with a career-long commitment to rural and underserved communities. He ensures that clinical programs are evidence-based, outcome-focused, and built for the realities of rural care environments.

Thom Biby brings strategic healthcare leadership and deep operational expertise to AVEM. He is focused on strengthening the operational infrastructure of rural hospital systems and building high-performing teams that deliver sustained results.

Jason McArthur oversees financial operations and administrative functions that support the organization and our managed hospitals. He is committed to responsible stewardship and operational efficiency ensuring sustainable, high-quality care in the communities AVEM serves.

Mike Wood leads technology strategy and information systems that support efficient operations and high-quality patient care across managed hospitals. He is dedicated to leveraging innovative solutions that strengthen connectivity, security, and performance throughout the organization.

With more than 20 years of clinical and executive experience, Valerie Austin is passionate about advancing evidence-based care and expanding access to quality healthcare in rural communities. She oversees nursing operations and clinical quality across AVEM’s hospital network.