Fundamental Executive and Leadership Team

September, 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 wellness nationwide.

Leadership Roles at Fundamental

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

    Murray Mercier, the Chief Executive Officer at Fundamental, directs the overarching strategic vision for all nationwide health care operations. Overseeing the integration of nursing facilities and long-term acute care hospitals, the Chief Executive Officer ensures consistent quality standards across the entire enterprise. This leadership role involves constant collaboration with the Board to refine service delivery models for developmentally disabled populations. By prioritizing patient outcomes and operational efficiency, Murray Mercier drives the long-term growth of the organization. The Chief Executive Officer maintains a focus on expanding the reach of hospice agencies to meet rising demand in diverse markets. Through rigorous oversight of corporate governance, Mercier secures the stability of the company. This executive leadership position demands constant vigilance regarding regulatory compliance and health care policy shifts. Ultimately, the Chief Executive Officer fosters a culture of excellence that defines the reputation of the organization within the competitive health services sector.

    Elizabeth Shaker - Chief Financial Officer

    Elizabeth Shaker, the Chief Financial Officer at Fundamental, manages the fiscal health and capital allocation strategies for the entire health care network. Overseeing complex budgeting processes for nursing facilities and acute care hospitals, the Chief Financial Officer ensures optimal resource distribution across all regional operations. This role involves detailed financial modeling to support the expansion of hospice services and centers for the developmentally disabled. By analyzing market trends and revenue streams, Elizabeth Shaker drives the financial sustainability of the organization. The Chief Financial Officer collaborates with the executive team to mitigate fiscal risks while identifying new investment opportunities in the health care space. Shaker monitors cash flow and capital expenditures to maintain the robust financial position required for nationwide service delivery. Through precise financial reporting and strategic planning, the Chief Financial Officer provides the necessary data to guide corporate decision-making and long-term growth initiatives for the company.

    Harry Lenderman - President

    Harry Lenderman, the President at Fundamental, executes the daily operational strategies across the diverse portfolio of health care facilities. Overseeing the management of nursing homes, hospice agencies, and acute care hospitals, the President ensures that clinical excellence remains the primary focus of every center. This role involves coordinating with regional directors to maintain high standards of care for developmentally disabled individuals. By streamlining operational processes, Harry Lenderman drives productivity and service quality throughout the nationwide network. The President works closely with the executive team to translate high-level strategy into actionable facility-level improvements. Lenderman monitors performance metrics to identify areas for operational refinement and service expansion. Through consistent leadership and a focus on patient-centered care, the President supports the mission of the organization. This executive role requires deep engagement with facility operations to ensure that every location meets the rigorous demands of the health care industry.

    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 service delivery. Overseeing the implementation of secure electronic health records and data management systems, the Senior Vice President and Chief Information Officer ensures seamless connectivity across nursing facilities and acute care hospitals. This role involves protecting sensitive patient information through advanced cybersecurity protocols while optimizing operational workflows. By leveraging data analytics, Rusty Metcalfe drives improvements in patient care coordination and administrative efficiency. The Senior Vice President and Chief Information Officer collaborates with clinical leadership to integrate new technologies that enhance the quality of life for developmentally disabled patients. Metcalfe manages the technological roadmap to support nationwide expansion and digital transformation. Through the deployment of scalable software solutions, the Senior Vice President and Chief Information Officer maintains the technological edge necessary for the company to excel in the modern health care landscape.

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    Frequently Asked Questions Regarding Fundamental Top Executives and Leadership Team

    Who leads Fundamental?
    Fundamental is led by Murray Mercier (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 Murray Mercier (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.