Dr. David Gaus is the founder and CEO of AHD.

David grew up in Milwaukee, Wisconsin and attended Notre Dame where he received an accounting degree in 1984. After a soul-searching conversation with then University President, Rev. Theodore Hesburgh, David traveled to Ecuador where he spent two years volunteering at an orphanage. There he witnessed the marginalization of a population who lacked access to even basic health services.

He returned to the U.S. where, with the assistance of Fr. Hesburgh and the famous columnist Ann Landers, David re-enrolled at Notre Dame to complete his pre-med studies and then enrolled in Tulane Medical School.

In 1992, David earned his M.D. and Master’s in Public Health & Tropical Medicine from Tulane. Following a residency at the University of Wisconsin, he returned to Ecuador and soon discovered that rural hospital care was the country’s greatest need. In 1996, David and Fr. Hesburgh started AHD to provide self-sustaining, comprehensive health care to the rural poor. Their pilot project was a hospital in the underserved community of Pedro Vicente Maldonado (PVM). The hospital opened in 2000 and was financially self-sustaining in 2007. Hospital PVM provides high quality care to an extended community of 80,000 and is a training ground for physicians and other leaders in the local community. A second teaching hospital and clinic, Hesburgh Hospital, opened in Santo Domingo, Ecuador in 2014. Both hospitals have public-private partnerships with the government of Ecuador. AHD trains 15 Ecuadorian family physicians annually. Gaus and his team are also involved in research, the writing of medical manuals, and the creation of the online journal, Practica Familiar Rural.

Dr. Gaus is the focus of the book, Long Road from Quito, written by longtime New Yorker staff writer, Tony Hiss.


  • International Award for Exceptional Achievement from Tulane University, 2023

  • Catholic Doctor of the Year by the Mission Doctors Association, 2022

  • Global Humanitarian Award by the American College of Radiology, 2017

  • Humanitarian Award by the American Academy of Family Physicians, 2016

  • Nathan Davis International Award in Medicine by the American Medical Association, 2014

  • Social Entrepreneur for Latin America by the World Economic Forum, 2010

  • Thomas A. Dooley Award by the University of Notre Dame, 1999


Winter 2023 News

Having been “in the field” now for more than 25 years, Andean Health & Development (AHD) has seen a very interesting and positive evolution of the “small hospital” and how it connects with primary health care services in the community.

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