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.
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