The Central California VA Medical Center Chief of Staff (COS) serves as a member of the senior executive leadership team and provides administrative, clinical and programmatic leadership, ensuring the delivery of high-quality clinical care, professional education and medical research at the Medical Center. In addition to making clinical decisions, the Chief of Staff participates in organizational planning to achieve the mission and vision of the Medical Center. The VA Central California HCS, based in Fresno, proudly serves veterans throughout Central California. The medical center is situated on 18.5 acres, a 57-bed acute care, general medical and surgical center with state-of-the-art primary and secondary care in major diagnostic and treatment specializations, including a 12-bed