The Trust Team


Rebecca W. West, J.D.

Trustee and Chief Executive Officer

Rebecca is responsible for the overall day-to-day management of the Trust. She has been CEO since creating the Trust in 1989. Rebecca specializes in health care and corporate law and is available for advice and counsel on health care matters. Rebecca sets annual funding rates based on actuarial studies, manages cash flow on a month to month basis, oversees investments and the investment policy and assures that the Trust has a clean annual audit by an outside audit firm.

Bruce D. Gehle, J.D.

Chief Operating Officer and General Counsel

Bruce works with Rebecca to direct the Trust’s overall functions, including strategic planning, investment review, budgeting and funding requirements, premium assessments, cash flow, claims reserves and disposition, HIPAA compliance, supervision of Trust risk management, and oversight of legal service support to Trust Covered Persons.  Bruce directs Trust educational programming with an annual lecture series, and supports to the UVA School of Medicine’s Clinical Departments by providing focused medical/legal education to attendings and their house staff.

Skip White, J.D.

Associate General Counsel

Skip serves as Associate General Counsel for the Trust.  Skip is a member of the Trust’s management team and supports overall operational, financial, claims and legal operations of the Trust.  In addition to also regularly providing risk management and health law advice, Skip represents Covered Persons in Department of Health Professions investigations and regularly serves as legal counsel on behalf of providers in litigation matters.




Lance Frasier

Manager of Finance and Operations

Lance is responsible for managing the financial operations of the Trust, including accounting and reporting, audit, budget, and tax filings.   Lance is also in charge of the Trust’s Information Technology services.

Judy L. Fortineux, A.R.M.

Chief of Staff & Risk Manager

Judy oversees Trust administrative staff and ensures efficient and effective support services for all areas of Trust responsibility.  She also handles many of the Trust’s human resource responsibilities including payroll and benefits.  She manages all Trust Covered Person databases and underwriting processes.  In addition to her administrative responsibilities, Judy coordinates and provides risk management services to Trust Covered Persons.  She is certified as a risk manager by the American Association of Health Care Risk Managers. She works in conjunction with Trust attorneys to provide day-to-day advice and assistance to Trust clinicians in addition to maintaining risk management records and data. Judy also facilitates providing proof of coverage and claims history upon request.

Andrew G. H. Miller, J.D.

Trust Claims Counsel

Andrew oversees the Claims operations of the Trust. He represents Covered Persons in malpractice litigation as well as manages outside counsel who are defending Covered Persons.  Andrew also is involved in Trust risk management and educational activities.









Kirin Johnstone

Litigation Assistant

Kirin is responsible for assisting the Trust Claims attorneys with defense of malpractice claims and cases filed against Trust Covered Persons.


Tammy Tuthill

Educational Coordinator & Administrative Assistant

Tammy is responsible for matters related to Covered Person applications, rate classifications, and other Trust educational events and credits.  Tammy also provides administrative and technical support to the Trust.