Executive Team
Our Experts
Experience, insight, diligence and perspective define our principals and our executive team.
We consistently navigate regulatory, financial and operational hurdles to successfully complete projects on time and on budget.
Our Principals
James R. Smith
,founder of Smith/Packett
With over 40 years of experience in the development and operation of long-term care facilities, Jim has successfully directed his company’s work with municipalities to replace elderly care facilities operated by local governments. He has also focused his company on partnerships with management companies and other healthcare providers to provide long-term care facilities in many underserved areas.
An acclaimed subject matter expert on Medicare, Medicaid and other long-term care issues, Jim also possesses invaluable experience in reimbursement payer systems. His sought-after opinions on reimbursement reform explain his service to numerous national and state committees including multiple terms on the Board of the Division of Medical Assistance for the Commonwealth of Virginia. Jim is also currently the Chairman of the Virginia Tech Carilion School of Medicine in Roanoke, Virginia.
HUNTER D. SMITH
,President and Principal
Hunter possesses an MBA from the prestigious University of Virginia’s Darden School of Business. Hunter obtained his undergraduate degree from Hampden-Sydney in History and Economics, where he graduated Summa Cum Laude and as a member of Phi Beta Kappa.
A licensed real estate broker in Virginia and West Virginia, in 2001, Hunter founded Integra Realty, which has become a leader in marketing luxury condos in Roanoke. Hunter has served as a board member of the Western Virginia Science Museum, the Council of Community Services Board and Virginia’s Healthcare Association on Assisted Living as well as on Virginia’s Healthcare Association Rules and Regulations Committee.
Executive Team
WINN BISHOP
,Senior Vice President of Development and Construction
Winn is a seasoned commercial real estate executive with specialized knowledge in the development of medical facilities and senior living facilities as well as shopping centers, office buildings, hotels, restaurants, and multi- and single-family projects. His 40 years of diverse experience has seen him responsible for directing all aspects of real estate development, leasing, and management. His skill set includes land and building acquisitions and dispositions, site selection, rezoning, planning, construction, renovation, redevelopment, financing, architectural and engineering coordination, marketing, staff hiring, opening and daily operations.
Winn is a graduate of Averett University, with concentrated graduate level MBA course work at Liberty University.
Bruce Hedrick
,Vice President of Development and Construction
Bruce’s 35+ year career has solely been focused on developing and operating senior living and long term care facilities with proven expertise in new business management, market and financial feasibility, site selection and entitlements, project design, financing, construction management, and regional operations. His experience spans both the private and the not-for-profit sectors with personal involvement in all phases of development as well as building renovation, acquisition and disposition management.
Bruce holds a Masters in Business with a concentration in Real Estate and Urban Planning from Virginia Commonwealth University and a Bachelor of Arts in Economics and Psychology from the University of Virginia. He has also served on the Healthcare Planning Board for the Virginia Health Care Association and on the Executive Board for the Virginia Assisted Living Association.
John McCarthy
,Chief Technology Officer
John has over 35 years of experience and is a seasoned business leader in building and leading technology organizations. He has previously served in the roles of Chief Information Officer and Vice President of IT at both public and private companies. His diverse background includes business strategy, process re-engineering, project management, mergers and acquisitions, digital transformation, eCommerce, software development, systems and technology implementations, infrastructure, and cyber security.
John graduated from The University of Rhode Island and holds both a Master of Business Administration and Bachelor of Science in Computer Electrical Engineering.
Andy Miller
,Chief Financial Officer
Andy brings over 20 years of healthcare operations experience gain via a diverse career with HCA Healthcare, one of the nation’s leading providers of healthcare services, comprising 182 hospitals and more than 2,300 sites of care in 20 states and in the United Kingdom with approximately 283,000 employees and over 35 million patient encounters generating $58 billion in annual revenue and ranking #62 on the Forbes Fortune 500. Andy started his career as an internal auditor where he supervised 34 financial and controls audit engagements across the company spectrum from large hospitals to physician practices. He also served as department subject-matter-expert for supply chain operations, inventory, pharmacy operations, governmental reimbursement, charge capturing and charge related Sarbanes-Oxley key controls. He later spent 10 years serving as Chief Financial Officer for three different hospital systems, most recently at Trident Health a 445 bed multi-campus health system with consolidated annual cash revenue of $644 million. During his time leading hospital operations Andy gained expertise in creating business plans and pro formas to analyze multiple potential construction projects to ensure maximum return on investment. At Trident Health he secured funding and managed spending of over $300M in capital and construction projects including most recently a $45M sixty bed free-standing behavioral health hospital.
Andy is a graduate of Louisiana State University with a Bachelor’s of Science in Accounting and was a Certified Public Accountant in the State of Tennessee.
John Oakes
,Chief Legal Officer
John joined Smith Packett in January of 2024. After graduating from Michigan State University College of Law in 2000, John has accumulated over 20 years of legal experience during his time employed a real estate and capital markets associate with such international firms as Troutman Pepper, Bryan Cave Leighton Paisner, LLP, and Allston & Bird, LLP; and during his time as General Counsel for such development companies as River Rock Capital Partners, LLC and Premier Land Liquidators, LLC. John gained an extensive background in the build-to-rent asset class and pioneered numerous build-to-rent acquisition, disposition, land development, and construction contracts for multiple $3-to-$60 million-dollar projects. During the acquisitions and disposition of build-to-rent projects John’s skills were instrumental in negotiations for closings of multiple million-dollar debt facilities and construction loans necessary for financing projects and organizing, drafting, and facilitating operating and subscription agreements to procure respective equity partners and investors.
Kelli Reale
,Chief Human Resources Officer
Kelli joined Smith Packett in 2024, bringing over 25 years of experience in human resources within the healthcare sector. Before joining Smith Packett, Kelli served as the Chief HR Strategic Partner at Roper St. Francis Healthcare. In this role, she was responsible for employee relations, engagement & retention, talent acquisition, organizational development, and learning.
Throughout her career, Kelli has been dedicated to delivering comprehensive HR solutions, including human capital strategy, culture design and change management, team effectiveness, workforce planning, performance, succession management, diversity and inclusion, and employee relations. Her expertise extends to senior living communities, gained during her tenure at UPMC, where she provided HR oversight for 19 communities.
Kelli holds a Bachelor of Arts Degree from Fordham University and a Master of Public Policy & Management in Personnel Management and Labor Relations from the University of Pittsburgh.
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