Ms. Gamble leads the strategic direction and operations of the Pender Community Hospital District, which includes the hospital, four rural health clinics, three pharmacies, Prairie Breeze Assisted Living and Little Sprouts Child Development Center. Under her guidance, the hospital earned a 5-star rating from the National Rural Rating System in 2024 and 2025, the 2025 “Outstanding Rural Health Achievement Award” from the Nebraska Rural Health Association and the Chartis Center for Rural Health 2025 “Performance Leadership Award” for quality. It has also been named a Chartis “Top 100 Critical Access Hospital” for multiple years. In June 2025, she guided Pender into an affiliation with Bryan Health in in Lincoln, Neb., which preserves local decision-making while adding operational support, leadership guidance and expanded staff training. In May 2025, she launched a partnership with Pioneer Ambulance to streamline patient transfers and ease the burden on local emergency medical services teams. She directed a strategic plan focused on workforce development, financial sustainability with targeted operating margin growth, service enhancement, thoughtful growth and quality improvement. Ms. Gamble also helped secure a $35,000 grant from the 2023 Cattlemen’s Ball of Nebraska for health and wellness initiatives. She was named a 2026 American Hospital Association “Most Valuable PAC Player” after achieving 275% of the hospital’s political action committee goal, which was the highest percentage among critical access hospitals in Nebraska. She currently serves on the services board of the Nebraska Hospital Association.
