The HFI Senior Management Team

Gerard A. Vitti - President & CEO
Thomas G. Gennis - Co-Founder & Attorney
Amy Ledwell - Vice President, Operations
Scott Sugarman - Senior Marketing Manager

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Gerard A. Vitti- President & CEO
Mr. Vitti is responsible for all strategic and business development activities at Healthcare Financial, Inc. (HFI), a company he co-founded that works with healthcare providers to connect low-income and disabled individuals, families, children and elderly with public health insurance benefits. Mr. Vitti brings to HFI twenty years of healthcare entrepreneurial and business operations experience in complex and ever-changing environments. His career path began as a Northeastern University senior when he submitted a business idea to a professor of small business finance. The plan was to assist healthcare providers in recovering Medicaid and other insurance receivables.

Immediately upon graduation from Northeastern University in 1986, Mr. Vitti operationalized his business idea by starting a company called Healthcare Financial Associates (HFA). HFA was the first company to offer accounts receivable assistance to long-term care providers and it grew to be a New England regional business.

For Mr. Vitti, the son of a social worker, it was natural to seek out an opportunity to directly help people in need. Anticipating that the national problem of the uninsured would largely be addressed through Medicaid expansion, HFA began programs to assist hospitals in enrolling uninsured patients into Medicaid. Healthcare Financial, Inc. was formed on January 1, 1999.

Mr. Vitti is a founding board member of the Long Term Care Finance Association and a current President of the Healthcare Financial Management Association Massachusetts-Rhode Island Chapter (President). He is also a board member of the Massachusetts Health Council and the Milton Parents Advisory Council . Mr. Vitti is a nationally recognized expert, speaker and author on healthcare reform, receivables management, Medicaid, free care enrollment and hospital revenue maximization.

Mr. Vitti is a resident of Milton Massachusetts with his wife and three children.

Thomas G. Gennis, Esq.- Attorney & Co-Founder
As an attorney, he is HFI's legal expert, responsible for government program regulations, appeals and HIPAA compliance. Mr. Gennis brings over thirty years' experience in Medicaid eligibility law and hospital reimbursement.

In 1976, after graduating from Harvard University with a degree in American History, Mr. Gennis took a position at the Department of Public Welfare Medicaid Ofiice to broaden coverage and facilitate the Medicaid application process for Boston's elderly and disabled populations. Pioneering work that he did in the Boston area was implemented statewide as the Medicaid spend-down program, bringing coverage to thousands of impoverished disabled and elderly Massachusetts residents.

Mr. Gennis graduated from Suffolk Law School in 1981 and opened a private practice to represent patients and Medicaid applicants. Mr. Gennis was soon retained by a number of eastern Massachusetts acute care facilities, maximizing Medicaid coverage for their needy patients.

Working with the Cambridge Hospital, Mr. Gennis developed a methodology for and implemented the first Medicaid payments for labor and delivery services for undocumented aliens. This program resulted in a $10 million annual benefit to hospitals.

Mr. Gennis has been admitted to the Massachusetts Bar, the Federal Bar and the Supreme Court of the United States of America. He is a member of the Massachusetts Society of Elder Law Attorneys, the Massachusetts Association of Patient Account Management, the Healthcare Financial Management Association and is a past president of St. Demetrios Greek Orthodox Church in Weston, MA.

Mr. Gennis is a nationally recognized expert, speaker and author on issues related to Long Term Care Medicaid Eligibility, Uncompensated Care Pool eligibility and compliance, HIPAA compliance, healthcare coverage for the undocumented and Medicaid eligibility advocacy.

Mr. Gennis, his wife and four children reside in Wayland, MA.

Amy Ledwell- Vice President, Operations
Amy Ledwell joined Healthcare Financial, Inc. (HFI) in 2004. Mrs. Ledwell has 20 years of experience in business management, technology, education and organizational development. Mrs. Ledwell was a founding member of a start-up company that produced educational materials for schools as well as business modeling software for supply chain management companies.

Mrs. Ledwell is an expert in providing outstanding technical and managerial leadership to small and mid-sized companies experiencing rapid change. In previous business environments, her vast knowledge of operational infrastructure has allowed her to manage remote teams as far away as Russia. At HFI, Amy leads strategic initiatives to support the activities of our Medicaid Eligibility, Medicare DSH and Managed Care Plan programs to ensure best practices across all business units.

Her commitment to delivering efficient, responsive and compassionate service to our patients, clients and employees is evident in her numerous accomplishments .

She earned a degree in English from the University of New Hampshire and another in Buying and Merchandising from the Fashion Institute of Technology.

Mrs. Ledwell and her husband currently reside in Quincy, MA.

Scott Sugarman - Senior Marketing Manager
Scott Sugarman joined Healthcare Financial, Inc. (HFI) in 2006. He has a degree in Marketing from Suffolk University and has more than a decade of experience in strategic and creative marketing. Mr. Sugarman's professional experience and influences range from branding, identity strategy, marketing design and advertising.

Mr. Sugarman was the founder and operations director of his own Marketing & Identity design firm in North Florida, specializaing in the branding of small, medium and large businesses, with client projects including but not limited to; web design, print design and advertising campaign design. His wide array of skills have been utlilized to develop and brand online mortgage training applications for Merrill Lynch, advertisements for Ernst & Young, and countless strategic branding and marketing initiatives for business in industries ranging from architectural firms to restaurant chains.

Mr. Sugarman manages all of HFI's marketing and business development functions. He works with the entire senior management team to develop and implement marketing strategies that expand awareness and recognition of the company, its areas of expertise and the advocacy services HFI provides for clients, future clients and their patients.

Mr. Sugarman and his wife and child currently reside in Holliston, MA.