Design an organizational chart that depicts the entire management structure of several different healthcare organizations with all identified departments for each of the following types of hospitals:

• Small rural hospital with less than 25 inpatient beds and required inpatient and outpatient service lines to maintain "critical access" status
• Large urban hospital with over 400 inpatient beds with full outpatient and outreach service lines

Explain the structure and the vertical and horizontal integration of the management chain of command.