Fundamental Executive and Leadership Team

June, 2026

Leadership Overview

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

Driven by a commitment to comprehensive care, Fundamental operates nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled nationwide, impacting patient well-being across diverse healthcare settings.

Leadership Roles at Fundamental

  • Chief Executive Officer - Scott Hillegass
  • Chief Financial Officer - William Scott
  • 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 strategy and operational framework for the nationwide health care services company. Overseeing all business units, including nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled, Hillegass ensures alignment with the company's mission of providing comprehensive care. This leadership role involves driving growth initiatives and maintaining the highest standards of patient service across all operations. By focusing on strategic expansion and operational efficiency, Scott Hillegass solidifies Fundamental's market position and commitment to community health. The Chief Executive Officer's vision guides the organization's response to evolving healthcare demands and regulatory landscapes, ensuring sustained impact and quality delivery.

    William Scott - Chief Financial Officer

    William Scott, the Chief Financial Officer at Fundamental, manages all financial operations and fiscal strategy for the health care services company. Overseeing budgeting, financial planning, and resource allocation, Scott ensures the economic stability and profitability of nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled. This critical role involves managing investments, optimizing financial performance, and ensuring compliance with all relevant financial regulations across the United States. By implementing robust financial controls and driving fiscal discipline, William Scott supports the organization's mission to deliver quality care. The Chief Financial Officer's expertise is essential for navigating the complex financial environment of the healthcare sector and securing the company's long-term viability.

    Harry Lenderman - President

    Harry Lenderman, the President at Fundamental, drives the operational execution and service delivery across the company's nationwide health care facilities. Overseeing the day-to-day management of nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled, Lenderman ensures the highest standards of patient care and operational excellence. This executive position involves fostering a culture of quality and efficiency, managing inter-departmental collaboration, and implementing strategic initiatives to enhance service offerings. By focusing on operational optimization and staff development, Harry Lenderman directly contributes to the company's mission of providing comprehensive health care solutions. The President's leadership is key to maintaining the integrity and effectiveness of Fundamental's extensive service network.

    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 strategy across its diverse health care services. Overseeing all information systems, digital infrastructure, and data management for nursing facilities, long-term acute care hospitals, hospice agencies, and centers for the developmentally disabled, Metcalfe ensures seamless technological integration and robust cybersecurity. This leadership position involves driving innovation in health informatics and enhancing operational efficiency through advanced IT solutions nationwide. By championing digital transformation, Russell Metcalfe supports improved patient care delivery and operational effectiveness. The Chief Information Officer's focus on scalable technology infrastructure is vital for the company's continued expansion and commitment to data integrity.

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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 William Scott (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), William Scott (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.