Fundamental Executive and Leadership Team

October, 2026

Leadership Overview

Fundamental has 4 executives leading key functions including strategy, financial oversight, information technology, and operational management.

Committed to excellence in patient care, Fundamental delivers comprehensive health services across nursing facilities, long-term acute care hospitals, and hospice agencies to improve community health outcomes nationwide.

Leadership Roles at Fundamental

  • Chief Executive Officer - Steven Baker
  • Chief Financial Officer - Elizabeth Shaker
  • President - Harry Lenderman
  • Senior Vice President and Chief Information Officer - Rusty Metcalfe
  • Steven Baker - Chief Executive Officer

    Steven Baker, the Chief Executive Officer at Fundamental, directs the overarching strategic vision for the entire organization. Baker manages the expansion of nursing facilities and long-term acute care hospitals across the United States. By aligning corporate goals with patient care standards, the Chief Executive Officer ensures consistent quality across all service lines. This leadership role involves constant collaboration with the Board to optimize resource allocation for hospice agencies and centers for the developmentally disabled. Steven Baker drives the long-term growth trajectory by identifying emerging market opportunities within the health care sector. Through rigorous oversight of operational performance, the Chief Executive Officer maintains high standards of clinical excellence. Baker fosters a culture of accountability, ensuring that every facility meets regulatory requirements while delivering superior care. Ultimately, the Chief Executive Officer secures the financial and operational health of the company through decisive leadership and strategic planning.

    Elizabeth Shaker - Chief Financial Officer

    Elizabeth Shaker, the Chief Financial Officer at Fundamental, governs the fiscal health and capital allocation strategies for the nationwide health care network. Shaker oversees financial reporting, budgeting, and risk management across all nursing facilities and acute care hospitals. By analyzing market trends, the Chief Financial Officer optimizes revenue cycles and cost structures to support sustainable growth. This role requires close coordination with executive leadership to fund infrastructure improvements for centers for the developmentally disabled. Elizabeth Shaker directs the financial planning processes that enable the expansion of hospice services into new regions. Through meticulous auditing and financial forecasting, the Chief Financial Officer mitigates operational risks and ensures compliance with industry regulations. Shaker maintains strong relationships with investors and financial institutions to secure necessary capital. Ultimately, the Chief Financial Officer provides the fiscal stability required to deliver high-quality health care services across the entire organization.

    Harry Lenderman - President

    Harry Lenderman, the President at Fundamental, executes the daily operational strategies across the diverse portfolio of health care facilities. Lenderman supervises the management teams within nursing facilities and long-term acute care hospitals to ensure consistent service delivery. By monitoring performance metrics, the President optimizes the workflow within hospice agencies and centers for the developmentally disabled. This leadership role involves coordinating with regional directors to maintain high clinical standards and operational efficiency. Harry Lenderman drives initiatives focused on staff retention and patient satisfaction to strengthen the market position of the company. Through the implementation of standardized operational procedures, the President ensures that every facility adheres to the mission of providing exceptional care. Lenderman facilitates cross-departmental collaboration to resolve operational bottlenecks and improve service quality. Ultimately, the President maintains the operational integrity of the organization while supporting the broader strategic goals established by the executive team.

    Rusty Metcalfe - Senior Vice President and Chief Information Officer

    Rusty Metcalfe, the Senior Vice President and Chief Information Officer at Fundamental, architects the digital infrastructure supporting all health care operations. Metcalfe manages the integration of electronic health records across nursing facilities and long-term acute care hospitals to streamline patient data management. By implementing advanced cybersecurity protocols, the Senior Vice President and Chief Information Officer protects sensitive information within hospice agencies and centers for the developmentally disabled. This leadership role involves deploying scalable technology solutions that enhance clinical efficiency and communication between regional facilities. Rusty Metcalfe drives digital transformation initiatives that improve diagnostic accuracy and patient monitoring capabilities. Through the oversight of enterprise software systems, the Senior Vice President and Chief Information Officer ensures seamless connectivity across the nationwide network. Metcalfe aligns technical investments with business objectives to maximize operational productivity. Ultimately, the Senior Vice President and Chief Information Officer enables data-driven decision-making to elevate the standard of care.

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    Frequently Asked Questions Regarding Fundamental Top Executives and Leadership Team

    Who leads Fundamental?
    Fundamental is led by Steven Baker (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 Steven Baker (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.