Executive Team

Rakesh Patel, MD, MBA, FAAFP, CPE, Chief Executive Officer

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Dr. Patel assumed leadership as Neighborhood Healthcare’s new CEO on November 1, 2017 following the retirement of former CEO Tracy Ream who served as CEO for 31 years.

CEO Rakesh Patel, M.D., has worked at Neighborhood Healthcare for more than 15 years. When he first joined the medical staff at Neighborhood Healthcare in 2002, he served as a staff family physician. He was later promoted to Neighborhood Healthcare’s Executive Team serving as Medical Director of Operations.

In this role, he successfully bridged the gaps between operational and clinical staff working with clinical team leaders at each health center and worked closely with site managers to improve care delivery.  He has been an integral team member in working to achieve high clinical quality scores across the organization by mobilizing resources.

Dr. Patel is a board-certified family physician who completed his residency at Scripps Family Practice Residency in Chula Vista. He received his MD from the Medical College of Wisconsin and he recently became a Certified Physician Executive.

Dr. Patel is active in community advocacy. He is a CPCA board member. He is a delegate to the CMA as well as on the San Diego County Medical Society Board serving as the East County Region Director.

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 Integrated Health Partners 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 a diplomate in Wilderness Medicine  (Diploma in Mountain Medicine ) and  is working toward a Fellowship in the Academy of Wilderness Medicine.


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.

Jeff Glenn, Chief Operating Officer

Jeff Glenn is a senior health care executive with over 30 years of broad laboratory industry experience in clinical laboratory medicine and brings to Neighborhood Healthcare an established track record of leadership resulting in operational excellence and strategic growth. Jeff is responsible for site operations and ancillary services support, as well as participating in the development of several strategic initiatives for the company.

Prior to joining Neighborhood Healthcare as Chief Operating Officer, he enjoyed a 20- year career with Laboratory Corporation of America, advancing from an operations role in their Dallas facility to the Senior Vice President of both the Northeast and West Divisions. Counted amongst his most fulfilling achievements is the ability to attract talented professionals in the health care space, and to build and direct successful management teams. Most recently he served as the Chief Operating Officer of West Pacific Medical Laboratory in Los Angeles, and was instrumental in positioning the company for its’ successful sale to Sonic Healthcare.

Mr. Glenn holds a Bachelor of Science degree in Organizational Leadership from Penn State University, with an emphasis on Supply Chain Management. In addition, he currently serves on the board of the California Clinical Laboratory Association.

Lynn Graykowski, Chief Human Resources Officer

Lynn is responsible for preserving the health center’s unique culture of positive engagement with its more than 650 employees, overseeing talent management and development, HR service delivery, diversity and inclusion, HR policies and programs.

As part of Neighborhood Healthcare’s ongoing efforts to support its employees, she also oversees the Learning & Development department that works to support individual growth at both the professional and personal level.  The Learning and Development Department provides trainings for both new and existing employees through Neighborhood Healthcare University which is an online learning platform staff can access at any time to develop their skills in electronic medical records use, leadership, data analytics, medical procedures, people skills, and a host of other topics.

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.

With 20+ years of service to Neighborhood Healthcare, she has seen much growth in the organization as well as a commitment to staff development. She is well respected for her commitment to excellence and providing opportunities for staff to develop additional skills to ensure their career success.