1. Org Chart for Case study Reference HSM 4561 Spring 2010

3. CHIEF EXECUTIVE OFFICER Brian Tooney CHIEF ADMINISTRATIVE & CHIEF FINANCIAL OFFICER Larry Leman CHIEF OPERATING OFFICER Rajiv Kinara CHIEF NURSING OFFICER Kim Knight, RN FOUNDATION MARKETING PUBLIC RELATIONS VOLUNTEER SERVICES CHIEF MEDICAL OFFICER Joseph Smith, MD Medical Staff EXECUTIVE DIRECTOR HUMAN RESOURCES Heather Crowley KINGMAN HEATLTH INCORPORATED BOARD / EXECUTIVE BOARD EXECUTIVE DIRECTOR PHYSICIAN SERVICES Josh McKensey RN Interim Director

4. Kingman Staff CHIEF EXECUTIVE OFFICER Brian Tooney 20 Years Healthcare experience BS Business Management Master of Healthcare Administration 4 th Hospital leadership role, progressing from Assistant Administrator of smaller hospital, to administrator; then to larger hospital COO role, now Kingman CEO

5. CHIEF ADMINISTRATIVE / CHIEF FINANCIAL OFFICER Larry Leeman INFORMATION SYSTEMS HEALTH INFORMATION MANAGEMENT MATERIALS MANAGEMENT DIRECTOR OF FINANCE Kevin Kensit FINANCE / ACCOUNTING ADMITTING BUSINESS OFFICE

6. Kingman Staff CHIEF ADMINISTRATIVE / CHIEF FINANCIAL OFFICER Larry Leman BS Accounting Certified Public Accountant Master of Accountancy 15 years accounting experience in healthcare. Started at Kingman in Business Office Manager role; promoted to Director of Finance; now Chief Financial Officer

7. Kingman Staff  Function:  Select, purchase, install, train, maintain information systems in the organization.  Training required:  Information Systems associate degrees or bachelors degrees  IT Technicians associate degrees INFORMATION SYSTEMS

8. Kingman Staff  Function:  Organize, maintain and provide service for all patient medical records.  Process records by coding to provide information to Billing Office.  Training required:  Health Information Management associate degrees or bachelors degrees.  Coding certification.  File clerks and record release clerks are on the job trained. HEALTH INFORMATION MANAGEMENT

9. Kingman Staff  Function:  Select, purchase and inventory of all supplies used within health center.  Training required:  Managers often have nursing backgrounds especially from supply-intense areas such as surgery.  Staff are associate degree in various disciplines or high school diploma with on the job training. MATERIALS MANAGEMENT

10. Kingman Staff Director of Finance Kevin Kensit BS Accounting Certified Public Accountant Like Larry, started at Kingman in Business Office Manager role; promoted to Director of Finance. In charge of Accounting, Business Office and Admitting.

11. Kingman Staff  Function:  Perform all accounting and maintain financial records for all  Training required:  Bachelor of Science in Accounting. Managerial staff have Certified Public Accounting certification.  Staff are associate degree in accounting or bookkeeping, computer science, or on the job trained. ACCOUNTING

12. Kingman Staff  Function:  Prepare all bills for processing claims to insurance companies, governmental payors, or other payors.  Training required:  Managers often have accounting or business backgrounds.  Staff are associate degree in various disciplines or high school diploma with on the job training. BUSINESS OFFICE

13. Kingman Staff  Function:  Perform greeting and data entry of patient information into hospital registration computer system.  Training required:  Managers often have business or clinical backgrounds.  Staff are associate degree in various disciplines or high school diploma with on the job training. ADMITTING

14. EXECUTIVE DIRECTOR PHYSICIAN SERVICES Josh McKensey, Interim Director Family Practice Internal Medicine Pediatrics Neurology Hospitalists Golden Valley Clinic FP Residency Clinic Obstetrics/Gyne cology Urology General Surgery ENT Orthopedics Cardiovascular OUTPATIENT CLINICS OCCUPATIONAL HEALTH Pain Management Clinic MSO OFFICES

15. Kingman Staff EXECUTIVE DIRECTOR PHYSICIAN SERVICES Interim Director Josh McKensey BS Nursing Former clinic manager, now overseeing all clinic and outpatient operations. Position is posted, seeking candidate with clinical background with advanced degree in business management or healthcare administration.

16. Kingman Staff  Function:  Physicians who practice at hospital and See patients, perform procedures, tests, therapy.  Occupational Health Clinic: a specialty clinic which sees patients who are injured on the job.  Training required:  Physician, board certified in specialty.  Support staff in Occ Health Clinic include nurses, receptionists, Physical Therapists, Audiology technicians, lab technicians or assistants. MEDICAL SPECIALTIES

17. CHIEF MEDICAL OFFICER Joseph Smith, MD QUALITY MANAGEMENT SAFETY PERFORMANCE IMPROVEMENT PATIENT RELATIONS ACCREDITATION INFECTION CONTROL RISK MANAGEMENT GRADUATE MEDICAL EDUCATION Program Director ER Residency FP Residency Interns MEDICAL DIRECTORS Emergency Department Radiology Lab/Pathology Anesthesia Medical Oncology Radiation Oncology MEDICAL STAFF SERVICES

18. Kingman Staff CHIEF MEDICAL OFFICER Joseph Smith, MD Senior Internal Medicine Physician 35 years in practice Now on Hospital Administrative team, actively works with medical staff who staff Kingman. Oversees quality and safety committee activities.

19. Kingman Staff CHIEF MEDICAL OFFICER Joseph Smith, MD Senior Internal Medicine Physician 35 years in practice Now on Hospital Administrative team Oversees committee functions listed beside here; Oversees employed physicians who are residency program directors. Medical Staff Services includes credentialing committee. Medical Directors are physicians who oversee the departments listed. QUALITY MANAGEMENT SAFETY PERFORMANCE IMPROVEMENT PATIENT RELATIONS ACCREDITATION INFECTION CONTROL RISK MANAGEMENT GRADUATE MEDICAL EDUCATION Program Director ER Residency FP Residency Interns MEDICAL STAFF SERVICES MEDICAL DIRECTORS Emergency Department Radiology Lab/Pathology Anesthesia Medical Oncology Radiation Oncology

20. CHIEF NURSING OFFICER Kim Knight, RN NURSING ADMINISTRATI ON NURSE STAFFING NURSE EDUCATION EMERGENCY SERVICES SURGICAL SERVICES CARDIOVASCUL AR SERVICES CENTRAL STERILE HEMODIALYSIS HOME HEALTH CASE MANAGEMENT PROGRESSIVE CARE / INTENSIVE CARE UNITS MEDICAL / SURGICAL / PEDIATRIC UNIT HOSPICE PERINATAL SERVICES MEDICAL / SURGICAL / ORTHOPEDIC UNIT

21. Kingman Staff CHIEF NURSING OFFICER Kim Knight BS Nursing Master of Healthcare Administration Began in high school at Kingman as nursing assistant. Received Kingman Nursing Scholarship. Worked in Critical Care for 6 years, then attended full time MHA program. Awarded Administrative Fellowship, then promoted to Director of Nursing and later Chief Nursing Officer.

22. Kingman Staff  Function:  Provide nursing care and support across all areas.  Training required:  Bachelor, Associate Degree, Licenced Practical Nurse, or Certified Nurse assistant.  Advanced Nursing Training: Critical Care, Dialysis, specialty units. NURSING

23. CHIEF OPERATING OFFICER Rajiv Kinara PHYSICIAN RECRUITMENT FACILITIES DEVELOPMENT PLANT OPERATIONS CANCER CENTER IMAGING SERVICES KRMC Imaging Center Cardiac Cath Lab LABORATORY/ PATHOLOGY PHARMACY RESPIRATORY CARE EKG/EEG Services Sleep Lab WOUND CARE SECURITY BIOMEDICAL ENGINEERING PHYSICAL/OCCUPATIONAL & SPEECH THERAPY HYPERBARIC THERAPY NUTRITION SERVICES WELLNESS CENTER Cardiac Rehab Diabetes Education ACUTE REHABILITATION ENVIRONMENT AL SERVICES Laundry

24. Kingman Staff CHIEF OPERATING OFFICER Rajiv Kinara Bachelor of Science Chemistry & Biology Master of Physical Therapy Master of Healthcare Administration Numerous years of clinical and management experience. Known as excellent negotiator. When COO position at Kingman was created, applied for position competing against nationwide applicant pool.

25. Kingman Staff  Function:  Provide services to inpatient and outpatient clients within discipline.  Training required:  Bachelors or Associates degrees in discipline.  Physicians are board certified in discipline. Kingman Ancillary Services

26. EXECUTIVE DIRECTOR HUMAN RESOURCES Heather Crowley RECRUITMENT COMPENSATION BENEFITS MANAGEMENT DEVELOPMENT EMPLOYEE RELATIONS CHILD CARE CENTER

27. Kingman Staff Executive Director of Human Resources Heather Crowley AA Nursing BS Business Administration and Human Resources Management, Certification as Master of Arts in Organizational Leadership 35 years in healthcare. Originally Operating Room nurse for 20 years. Returned to school to complete business degree 10 years ago. Finished masters in leadership recently at online university.

28. Kingman Staff  Function:  Provide human resources support for all job classifications.  Training required:  Bachelor’s degree in Business Administration or Human Resources Management.  Additional certifications: Human Resources Specialist, Financial Planner, Benefits Planner. Kingman Human Resources

29. FOUNDATION MARKETING PUBLIC RELATIONS VOLUNTEER SERVICES  Foundation:  Fundraising and Philanthropy arm of KMHC.  Staffed by Foundation Director and assistant. Educational background: Bachelor degree in Non Profit Management.  Marketing & Public Relations:  Administers KMHC satisfaction surveys, gathers results, distributes to managers, gives training on improvement.  Staffed by Marketing Director and 4 staff. Educational background: Bachelors in Communications and Marketing.  Volunteer Services:  Recruits, trains and schedules all KMHC volunteers.  Staffed by Volunteer Services manager and assistant. Educational background: Registered Nurse with 35 years of service in patient care; clerical assistant.