Walmart is also a family owned business, that term means nothing in regards to company size and org structure. In another comment OP says there are several leadership tiers including managers, directors, and VPs, those org charts don’t exist in mom&pop health clinics. If OP is a one man IT department then this company is grossly mismanaged and is being negligent with their data by hiring a singular kid straight of college to be their IT department, if he’s one of many like they should be then OP is just a new-hire that needs to pump the brakes and learn to follow direction