Fundamental Executive and Leadership Team

July, 2026

Leadership Overview

Fundamental has 4 executives leading key functions including strategy, finance, technology, and operations.

Driven by a commitment to patient well-being, Fundamental operates a nationwide network of health care services, including nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled, impacting countless lives through dedicated care.

Leadership Roles at Fundamental

  • Chief Executive Officer - Scott Hillegass
  • Chief Financial Officer - Elizabeth Shaker
  • President - Harry Lenderman
  • Senior Vice President and Chief Information Officer - Russell Metcalfe
  • Scott Hillegass - Chief Executive Officer

    Scott Hillegass, the Chief Executive Officer at Fundamental, directs the overarching corporate strategy and operational framework for the company's diverse healthcare services. This leadership role involves guiding the expansion and refinement of nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled across the nation. Hillegass ensures that all operational units adhere to the highest standards of patient care and regulatory compliance, driving initiatives that enhance service delivery and patient outcomes. By fostering a culture of excellence and innovation, Scott Hillegass champions the company's mission to provide comprehensive and compassionate healthcare solutions, solidifying Fundamental's position as a nationwide leader in health services.

    Elizabeth Shaker - Chief Financial Officer

    Elizabeth Shaker, the Chief Financial Officer at Fundamental, manages all financial operations and fiscal strategy for the organization's extensive healthcare network. This critical position involves overseeing budgeting, financial planning, investment strategies, and resource allocation across nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled. Shaker ensures robust financial health and sustainability, enabling the company to continue its vital services nationwide. By implementing stringent financial controls and identifying opportunities for fiscal optimization, Elizabeth Shaker supports the company's growth and operational efficiency. This leadership ensures that financial resources are effectively deployed to maximize patient care and organizational impact.

    Harry Lenderman - President

    Harry Lenderman, the President at Fundamental, oversees the day-to-day operational execution and strategic implementation across the company's broad spectrum of healthcare services. This leadership position involves direct management of the various divisions, including nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled, ensuring cohesive and effective service delivery nationwide. Lenderman focuses on optimizing operational workflows, enhancing patient experience, and driving performance improvements throughout the organization. By collaborating closely with other executive leaders, Harry Lenderman ensures that the company's strategic objectives are translated into tangible operational successes, reinforcing Fundamental's commitment to quality care and service excellence.

    Russell Metcalfe - Senior Vice President and Chief Information Officer

    Russell Metcalfe, the Senior Vice President and Chief Information Officer at Fundamental, architects and executes the company's technology vision and digital infrastructure. This role is pivotal in managing the information systems that support Fundamental's nationwide operations, including nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled. Metcalfe drives innovation in healthcare technology, ensuring seamless data management, cybersecurity, and the implementation of advanced digital solutions to enhance patient care and operational efficiency. By overseeing all IT departments and strategic technology investments, Russell Metcalfe ensures that the company remains at the forefront of technological advancement in the healthcare sector, supporting both clinical and administrative functions.

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    Frequently Asked Questions Regarding Fundamental Top Executives and Leadership Team

    Who leads Fundamental?
    Fundamental is led by Scott Hillegass (Chief Executive Officer), along with executives such as Elizabeth Shaker (Chief Financial Officer) and Harry Lenderman (President).
    Who is part of Fundamental’s executive team?
    The executive team of Fundamental includes leaders such as Scott Hillegass (Chief Executive Officer), Elizabeth Shaker (Chief Financial Officer), Harry Lenderman (President) and other senior executives.
    How many executives does Fundamental have?
    Fundamental has 4 executives leading key business areas.
    What roles are included in Fundamental’s leadership team?
    The leadership team of Fundamental includes roles such as Chief Executive Officer, Chief Financial Officer, President, Senior Vice President and Chief Information Officer.