Access TeleCare’s Leadership Team
Our executive team is comprised of physician, business, and IT leaders committed to maximizing the power of technology to bring the country’s most esteemed specialists to every community.
Joshua DeTillio
Chief Executive Officer
Joshua DeTillio
Chief Executive Officer
Joshua DeTillio is a healthcare executive with over 22 years of leadership experience in Healthcare Administration in investor-owned, public, faith-based, and non-profit healthcare companies.
Josh entered healthcare with a passion for helping people on their path to health and wellness, with a particular interest in the emergency department, where timely, high-quality care saves lives.
Josh is a true believer in the power of telemedicine and has been for a long time. As a hospital COO in 2008, he was an early adopter when he contracted with Access TeleCare (known as Specialists on Call at the time) for teleNeurology. He witnessed firsthand through his teleStroke program how patient outcomes improved significantly through faster interventions. As a result he has brought telemedicine solutions into every subsequent hospital in which he has worked and is committed to advancing telemedicine adoption and enhancing access and efficiency in hospital settings.
Prior to Access TeleCare, Josh served as Chief Operating Officer of Nutex Health (NASDAQ: NUTX), where he helped lead a fivefold improvement in earnings and doubled the revenue for the company, which operates 24 micro-hospitals across 11 states.
Throughout his career, Josh has led multiple successful turnarounds as CEO of three Florida hospitals and held leadership roles at major hospital systems such as HCA, Tenet, and CHS, where he focused on operational efficiency, growth, and performance metrics. He has a proven ability to collaborate with boards and physicians, build effective leadership teams, and foster a culture of accountability and patient-centered care.
Josh holds a Bachelor of Science from the United States Military Academy at West Point, a Master of Business Administration from Vanderbilt University, and a Master of Public Health from Harvard University. He is a Fellow (FACHE) with the American College of Healthcare Executives. Before his healthcare career, Josh served five years as an Artillery Officer in the U.S. Army, serving in various units including time in Oklahoma, Georgia, California, and Tennessee.
Chris Gallagher, M.D.
Founder and Chief Strategy Officer
Chris Gallagher, M.D.
Founder and Chief Strategy Officer
As a cardiologist in rural Texas hospitals, Dr. Gallagher noticed that timely care was one of the most important variables in a favorable patient outcome. However, this was not happening consistently across hospitals.
So he started looking for a virtual solution that could ensure the delivery of high-quality, timely care.
When he didn’t find it, he built it.
As founder of Access TeleCare, the nation’s largest high-acuity telemedicine provider, Dr. Gallagher brought his experience in internal medicine and cardiology to pave the way for tech-enabled clinical networks. Today, Access TeleCare is the standard bearer of excellence in telemedicine, a 2024 Top Remote Workplace, operating virtual care programs in all 50 states across 8 medical specialties, with a virtual catchment area of over 216 million Americans (across 15,000+ zip codes) representing roughly 65% of the U.S. population.
In his role as chief strategy officer, Dr. Gallagher drives innovation, identifies strategic partnerships, and plans for the company’s strategic growth.
Dr. Gallagher trained at UT Southwestern for his Internal Medicine Residency and Cardiology Fellowship and earned his Doctor of Medicine from Texas Tech University School of Medicine.
Pritam Ghosh, M.D.
Chief Medical Officer, Medical Group President
Erica St. Angel
Chief Technology and Information Officer
Erica St. Angel
Chief Technology and Information Officer
Erica St. Angel expertly aligns information systems and AI with Access TeleCare’s care philosophy, business goals, and governance programs to support the company’s growth.
Her unique background includes more than two decades leading business transformation in the enterprise, startup, and public sector, with an emphasis on outcomes, productivity, and competitive advantage. As an executive for both publicly-traded companies and digital health startups, she has developed a proven and award-winning strategy for generating results. Erica also served as policy advisor on health, commerce and education in the administrations of Illinois Governor Jim Edgar and Wisconsin Governor and former HHS Secretary Tommy Thompson.
She has presented at more than 400 conferences and webinars and earned industry recognition for her work. Her accolades include the Oracle Award for Automation Excellence, Forrester Groundswell Award for Social Technology, and being named a Health IT Leader To Know by Becker’s Hospital Review.
Andy Garlington
Chief Financial Officer
Andy Garlington
Chief Financial Officer
Andy Garlington champions a forward-thinking approach to change, recognizing that healthcare’s reliance on past successes can stifle innovation. By peering through the windshield instead of the rearview mirror, he envisions a transformed industry—one where cutting-edge technology aligns with a bold commitment to delivering top-tier care to the broadest possible audience.
As Chief Financial Officer at Access TeleCare, Andy oversees every facet of the company’s financial operations, from revenue cycle and cash flow management to capital structure optimization, risk mitigation, strategic planning, and reporting. He also leads Human Resources & clinical recruiting efforts.
Prior to joining Access TeleCare, Andy served as CFO for Tenet Healthcare’s Carondelet St. Joseph’s Hospital in Tucson, Arizona, and as Division CFO for RCCH HealthCare Partners, a leading operator of regional healthcare systems. His career also includes key finance roles at Envision Healthcare and Community Health Systems.
Andy holds an MBA from the University of Alabama at Birmingham and a bachelor’s degree from Auburn University. He is certified in Six Sigma and as a Project Management Professional (PMP).
Wendi Hester
Senior Vice President, Human Resources
Wendi Hester
Senior Vice President, Human Resources
Wendi Hester’s dedication to the welfare and betterment of people is evident in her more than 25 years working in Human Resources. Whether it’s her relationships with Access TeleCare’s team members, hospital partners, or patients, she leads with integrity, respect, and above all, compassion.
Wendi leads the company’s recruitment (both clinical and non-clinical) and administration functions while constructing and directing the strategy that serves as the backbone of Access TeleCare’s HR operation, ensuring that all aspects of the department align with short and long-term strategies.
Prior to joining Access TeleCare, Wendi served as Chief Human Resources Officer for a boutique, value-based healthcare company. She developed and honed her strategic leadership style over more than a decade at LifePoint Health, where she began her professional career.
Wendi holds a dual degree in management and human relations.
Kris Kistler
Chief Information Security Officer
Kris Kistler
Chief Information Security Officer
Kris Kistler was compelled to choose a career involving virtual care after a family member’s life was extended by the excellent care they received via telemedicine. As chief information security officer, he draws on decades of studying cybercriminals, a deep interest in psychology, and a lifelong passion for technology.
Kris has more than 25 years’ experience in Information Technology (IT) and cybersecurity, having served as a senior leader at companies including Virgin Pulse, Cognizant, Centura Health, Cardinal Health, and Savvis Communications. Additionally, he brings experience across a variety of fields such as finance, telecommunications, managed security services, and law enforcement to his role at Access TeleCare.
Kris has a Master of Information Assurance and CyberSecurity with a specialty in Network Defense, post-graduate training in Risk Management from Harvard University, and a Bachelor of Science in psychology. He has also achieved more than a dozen multi-disciplinary technical IT specialty certifications in Systems, Network, and Security disciplines. (CISSP, HCISPP, HITRUST, GSEC, GLIT, ITIL, MCSE, CCA, CNA, CCNA, AMAT, A+).
He is co-author of the book “Configuring Citrix Metaframe for Windows 2000.”
Giulia Block
General Counsel
Giulia Block
General Counsel
Giulia Block serves as General Counsel, Corporate Secretary and Head of Government Affairs at Access TeleCare. Giulia has significant experience practicing healthcare corporate and regulatory law for various national high-growth private equity and venture capital backed healthcare organizations with a concentration on scaling for growth while focusing on M&A, corporate transactions, and regulatory compliance.
Giulia’s north star is driving accessibility of care and healthcare innovation. Prior to joining Access TeleCare in 2022, Giulia served in similar roles at Kindbody, Restorix Health, Healthcare Navigator, and other healthcare focused organizations.
Giulia is an active member of the American Telemedicine Association and was a member of the Go Red for Women Leadership Team through the American Heart Association, the American Health Lawyers Association, and the Women Business Leaders of the U.S. Health Care Industry Foundation (WBL).
John Henry
Chief Growth Officer
John Henry
Chief Growth Officer
A creator and connector by nature, John Henry has built new programs and initiatives throughout his career by nurturing strong, trust-based relationships in both the public and private sectors. What drives him most is the impact behind every new hospital partnership: the chance to help patients who may not otherwise receive the level of care they deserve.
A proud Fighting Texas Aggie, John received his Bachelor of Science at Texas A&M University prior to earning a Master’s Degree from the University of Texas.
Shawn Marchese, CHC
Senior Vice President, Compliance & Privacy
Shawn Marchese, CHC
Shawn Marchese is a compliance professional with over 20 years’ experience driving compliance results in an evolving landscape of healthcare regulations and risk management considerations. Prior to his role as Access TeleCare’s Compliance and Privacy Officer, he spearheaded the development and implementation of compliance programs at healthcare organizations of various sizes, from early-stage and high-growth startups to publicly traded industry leaders.
Shawn is a passionate advocate for the value of telemedicine in reducing barriers to care, and for the power of technology to improve outcomes and transform our industry while effectively managing risk. He has implemented customized compliance programs for telemedicine, health technology, and value-based care organizations with an emphasis on making compliance accessible and collaborative, empowering team members at all levels to do the right thing, and embedding compliant and ethical culture that goes beyond checking the boxes.
Shawn is an active member of the Health Care Compliance Association (HCCA) and has held a Certification in Healthcare Compliance (CHC) since 2017. He speaks regularly at conferences of the HCCA and the Society of Corporate Compliance and Ethics (SCCE) on topics such as AI governance and building and maintaining cultures of compliance. He has published several articles in Compliance Today magazine on AI governance and was featured in a cover story in the July 2025 issue.
Clinical Service Line Leadership
Each of our specialty service lines is led and managed by a board-certified specialist or sub-specialist committed to the highest standard of physician practice and clinical excellence in the service of patient outcomes.
Michael Genovese, M.D., J.D.
Chief Medical Officer, Behavioral Health
Michael Genovese, M.D., J.D.
Chief Medical Officer, Behavioral Health
Michael Genovese, M.D., J.D., is a physician and attorney specializing in psychiatry and addiction medicine. As Chief Medical Officer of Behavioral Health Dr. Genovese provides clinical leadership for Access TeleCare’s behavioral health services ensuring optimal health outcomes are achieved for patients through timely access to world-class telePsychiatry. He works closely with our hospital and health system partners to develop tech-enabled solutions that deliver dependable psychiatric care that they can count on. He previously served as Chief Medical Officer at Acadia Healthcare and co-founded Long Island Mind and Body in New York. Board-certified in psychiatry, Dr. Genovese completed his residency at the University of Connecticut and a fellowship at NYU/North Shore University Hospital. He holds a Juris Doctor from the University of Pittsburgh and is a member of the New York Bar.
Annie Tsui, D.O.
Chief Medical Officer, Neurology
Annie Tsui, D.O.
Chief Medical Officer, Neurology
Dr. Tsui is board certified in Neurology and completed residency training at UT Southwestern – Austin. She has a background in medical education and program building in academic medicine, with close engagement in Medical Ethics throughout her many years of experience as a neurohospitalist and teleneurologist.
Blake Porter, M.D.
Chief Medical Officer, Specialty Services and Chief of Maternal-Fetal Medicine
Blake Porter, M.D.
Chief Medical Officer, Specialty Services and Chief of Maternal-Fetal Medicine
Dr. Blake Porter joined Access TeleCare with a clear mission: to ensure that high-quality pregnancy care is available to every patient, regardless of their location. Driven by the potential of telehealth to eliminate barriers to care, Dr. Porter finds daily inspiration in blending his deep clinical expertise with cutting-edge technology to transform patient lives.
As the Chief of Maternal-Fetal Medicine (MFM), Dr. Porter bridges the gap between medicine and operations. He collaborates closely with partner hospitals to design efficient clinical workflows that keep Access TeleCare at the forefront of the digital health revolution. A dedicated advocate for evidence-based practice, he oversees the recruitment and mentorship of a premier team of MFM subspecialists, ensuring patients nationwide receive consistent, world-class care.
Dr. Porter’s leadership is backed by an extensive administrative and academic background. Board-certified in Obstetrics and Gynecology and licensed in over 20 states, he earned his medical degree from the University of Oklahoma College of Medicine before completing a residency at the University of University of Alabama – Birmingham and lastly a fellowship at the University of Missouri in Kansas City. Before transitioning to his current role, he served as a Medical Director and Associate Professor at the University of Oklahoma; today, he continues to shape the future of the field as an Associate Professor of MFM at the University of Missouri – Kansas City.
Saurin Patel, M.D.
Chief of Hospitalist Medicine and Emerging Service Lines
Saurin Patel, M.D.
Chief of Hospitalist Medicine and Emerging Service Lines
The adage ‘experience is the best teacher’ rings true for Dr. Saurin Patel. Raised in a small Texas town with roughly only 1,000 residents, and practiced in Dallas, he is intimately familiar with the influence environment has on the healthcare experience. Whether it’s rural Americans’ needs for high-quality care provided in their community, or the challenges a large city hospital faces in trying to stabilize and grow its hospital, he knows one truth that’s not geography-dependent: there is no future to healthcare in this country without quality telemedicine.
As an executive and his service line’s clinical leader, Dr. Patel ensures that Access TeleCare’s clinicians are equipped to deliver high-quality and timely care, that its customers experience the tangible and non-tangible impact of the care provided, and that clinicians’ compassion is felt by the recipients of care – patients.
Dr. Patel earned his Doctorate of Medicine from the University of Texas Southwestern, where he also completed his residency in Internal Medicine. He also holds a finance degree from the University of Texas Austin.
Binh-Minh “Jade” Le, M.D.
Chief of Infectious Disease
Binh-Minh “Jade” Le, M.D.
Chief of Infectious Disease
Dr. Le is board-certified in infectious diseases, and is a former Peace Corps volunteer who participated in Ebola containment efforts and vaccination drives in Gabon (1996-1998). She completed residency and chief residency at the University of Texas Southwestern Medical Center in Dallas, Texas and a fellowship in infectious diseases at Washington University in St. Louis, Missouri.
Lauren Ingram, MSN, MS, APRN, FNP-C
Chief of Advanced Practice Clinicians
Lauren Ingram, MSN, MS, APRN, FNP-C
Chief of Advanced Practice Clinicians
Lauren Ingram serves as the Chief of Advanced Practice Clinicians (APCs) at Access TeleCare, the nation’s largest provider of acute specialty telemedicine. In this role, she leads and manages Advanced Provider Clinician across all Access TeleCare service lines, providing strategic oversight and advancing clinical excellence in telehealth delivery nationwide.
A board-certified Family Nurse Practitioner specializing in Emergency Medicine, Hospital Medicine, and Telemedicine, Lauren has devoted nearly her entire career to serving rural populations. Her professional mission has centered on expanding access to high-quality specialty care for underserved communities.
Lauren began her career in medicine in wilderness medicine — an experience that profoundly shaped her clinical perspective and leadership philosophy. The wilderness continues to hold a very special place in her heart, reinforcing her deep commitment to service, resilience, and access to care in remote environments.
Over the course of her career, she has witnessed firsthand the transformative power of telemedicine in advancing healthcare access. From witnessing the launch of the first remote ICU in the state of Texas in 2013 in her home community, to expanding telemedicine-delivered specialty care across eight service lines, Lauren has been part of the evolution that has reshaped care delivery for rural hospitals and patients. Today, she remains an integral member of the team advancing telemedicine across the country.
In addition to her executive leadership at Access TeleCare, Lauren serves as an officer of the Texas E-Health Alliance Board. She is a member of the Medical Executive Committee at her local rural hospital and serves as President of the Sulphur Springs Education Foundation, reflecting her commitment to strengthening both healthcare systems and community infrastructure.
Lauren earned her nursing education from the University of Texas at Tyler.
