He is the director of Alchemilla Hospital located in Central Silent Hill. While he refers to himself as someone who works at the hospital, Dr. Michael Kaufmann is the director of the medical staff at Alchemilla Hospital.
While at first seeming like a mere civilian, he is a close associate of Dahlia Gillespie and the Order. Kaufmann has an alliance with her centered around drugs. Kaufmann arranged Alessa Gillespie's medical care after her immolation at the age of seven and oversaw her nursing.