Fletcher is a third generation Tucsonan, his grandfather Russell moved to Tucson from Indiana just after the depression. Russell worked for the WPA and laid many of the downtown and University area sidewalks for $1.00 a day and eventually went to work for the railroad. Fletcher’s mother was a Tucson High School grad and Fletcher attended John B Wright, Davidson and Amphi. He completed a BS in Rehabilitation at the University of Arizona in 1974 but left Tucson for greener pastures attending graduate school at ASU. Fletcher rose through the ranks in many health care companies in Oklahoma, Maryland and Texas and while in Texas in 1996 he conceived and launched the Providence Service Corporation, the first home based mental health company in America. His wife, Liz, actually suggested they base the company in Tucson and Providence was launched with $50,000 in January 1997. Fletcher followed a familiar route with Providence: his money, family and friends, venture capital, mezzanine financing and ultimate a very successful IPO. When he exited Providence in 2012 it was a billion dollar business located in 44 states and employing over 11,000 people. During the Providence run Fletcher became very involved with the University of Arizona and instrumental in the rebuilding of downtown Tucson. He relocated the company headquarters to downtown Tucson in May of 2010 remodeling a block of boarded up buildings that not only became the company headquarters but opened up restaurant, residential and commercial space. He became a big supporter of the University of Arizona, joined the Eller National board of Advisors, endowed an Eller Chair, helped launch the Institute for Civil Discourse, was named alumni of the year in 2010 and received an honorary Doctorate in 2015. His passion for downtown was a catalyst for many and in 2012 he was appointed to the Rio Nuevo board, responsible for the State funds designated to revitalize Tucson, and elected Chairman unanimously by his fellow board members. He was instrumental in the launch of Second Saturday, a downtown street festival with food and music that quickly became a Tucson tradition. Just weeks after his announced retirement from Providence Fletcher launched a new company called Sinfonía, also in a remodeled downtown warehouse. SinfoníaRx was the first major spin out launched by Tech Launch Arizona. Fletcher has served on the boards of the Metro Chamber, TREO, the YMCA and St. Gregory School and is a major benefactor of downtown arts organizations such as the Fox Theatre, Rialto Theatre, Railroad Museum, Museum of Art and the Museum of Contemporary Art. Sinfonia sold in October 2017 and McCusker immediately launched UAVenture Capital, a growth fund dedicated to UofA commercialization.

His wife Liz runs Tu Nidito Children and Family Services and his son Tyler is the Program Director for KX93.5 FM in Laguna Beach, CA.