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Executive Team

Tracy Ream, Chief Executive Officer

Since 1987, Tracy Ream has been CEO of Neighborhood Healthcare. She has led the organization in its growth from a single health center in Escondido to a comprehensive multi-site organization with almost 600 employees, including 80 physicians, psychiatrists, nurse practitioners, dentists, and psychologists.

She has a Master’s in Public Health and is actively involved in leadership roles within the community health center movement in California, including the Council of Community Clinics, the statewide association of primary care clinics, CPCA,  Blue Shield Foundation’s Clinic Leadership Institute, and Clinic Mutual Insurance Company for health center professional liability insurance.

Lisa Daigle, Chief Financial Officer

Lisa Daigle is the Chief Financial Officer at Neighborhood Healthcare.  She has over 25 years experience working in healthcare and 20 years experience working with Federally Qualified Health Centers.  She provides financial consulting services to community health centers in Southern California and has been doing so for over 15 years.

Lisa is a member of the finance committee for the Council of Community Clinics in San Diego and was the 2013 Chair of California Primacy Care Association’s (CPCA) CFO work group.  She represents the San Diego region on many advisory and task force committees throughout California and provides guidance to CPCA staff on financial matters pertaining to Federally Qualified Health Centers.

Lynn Graykowski, Chief Human Resources Officer

Lynn has been instrumental in growing the human resources department over the past 20 years which now includes Learning and Development.

Lynn serves on the Personnel Board of Review at the City of Escondido and has served as President for Healthcare Human Resources Management Association (HHRMAC).  She studied Human Resources Management at San Diego State University and is a graduate of Leadership North County through California State University San Marcos.

She is well respected for her commitment to excellence and growing the employees of Neighborhood Healthcare.

Amparo Mahler, Chief Operating Officer

Amparo started as a patient services representative, an entry-level position, and through years of continuing education and experience has moved up to her current position as COO. She has been working for Neighborhood Healthcare for over 19 years and serving as the COO since 2008. Under her direction, Neighborhood Healthcare serves more than 68,000 individuals annually at ten clinic locations, providing comprehensive medical, dental and behavioral health services, as well as health education.

Amparo’s area of special interest is developing and implementing new programs and services to better meet the communities’ needs. She is well respected for her commitment to excellence, and in 2009 she was honored with the Health Care Champions award from the San Diego Business Journal. She currently serves as a Pod Advisor for the Clinic Leadership Institute at UCSF-Center for the Health Profession and is an active member of the Operation Council for Community Clinics Health Network.

Jim Schultz, MD, MBA, FAAFP, Chief Medical Officer

Dr. Jim Schultz has served as the Chief Medical Officer for Neighborhood Healthcare since 2001. Dr. Schultz is a Family Physician who splits time between active patient care and administrative duties. He sees patients in the office at Neighborhood Healthcare and as a very part-time hospitalist at Palomar Medical Center.

Dr. Schultz has been instrumental in growing clinic operations and improving patient access to specialty services. He most recently has led the move to an electronic health record and practice management system and has led and helped implement a robust population health improvement system. He also helped lead changes resulting in accreditation as Patient Centered Medical Homes by the National Committee for Quality Assurance (NCQA).

Dr. Schultz also serves as the Medical Director for the Council of Community Clinics and for Project Access San Diego. He is Volunteer Clinical Professor for the UCSD Department of Family and Preventive Medicine and is the co-lead faculty for the Family Medicine Residency Outpatient Gynecology Rotation.

Prior to joining Neighborhood Healthcare, Dr. Schultz served as the President and Medical Director of the Graybill Medical Group in Escondido and San Diego County.  Dr. Schultz completed his family practice residency at Tallahassee Memorial Regional Medical Center a very long time ago. There he served as Chief Resident and was a Resident Director at the Florida Academy of Family Physicians for two years. He received his MD from the University of California, Los Angeles, and his MBA from California State University, San Marcos. He is currently enrolled as a candidate for the international Diploma in Mountain Medicine and working toward a Fellowship in the Wilderness Medical Society.