The Department of Veterans’ Affairs fired three senior officials from the Phoenix VA health care system Wednesday, marking the first dismissals linked to the mismanagement in Arizona since the system’s director was ousted in November 2014.

Associate director Lance Robinson, chief of Health Administration Service Brad Curry, and hospital chief of staff Dr. Darren Deering were all removed for negligent performance and failure to provide effective oversight for properly scheduled appointments, according to a news release from the department.