Dr. Osmel Villarreal

Strategic Leadership & Vision • Define and execute the long-term vision and growth strategy of Advantixx Pharmacy. • Identify expansion opportunities, including specialty pharmacy services, delivery models, and healthcare partnerships. Business & Administrative Oversight • Oversee non-clinical operations, including business development, vendor management, contracts, and administrative functions. • Ensure operational systems support scalability and efficiency. Regulatory & Corporate Compliance • Ensure the organization operates in full compliance with corporate, financial, and healthcare regulations. • Work in coordination with the Pharmacist-in-Charge (PIC) to ensure pharmacy operations meet Board of Pharmacy and DEA requirements. Financial Management • Lead budgeting, financial planning, and revenue optimization strategies. • Oversee billing systems, reimbursement strategies, and payer relationships (Medicare, Medicaid, commercial plans). Business Development & Partnerships • Establish and maintain strategic relationships with healthcare providers, home health agencies, clinics, and referral sources. • Expand the pharmacy’s integration within broader healthcare networks (including your home health and medical entities). Technology & Infrastructure • Implement and oversee pharmacy management systems, automation tools, and integrations with EHR platforms. • Drive innovation in delivery systems, adherence programs, and digital patient engagement. Leadership & Organizational Development • Recruit and lead executive and administrative teams. • Foster a culture of compliance, accountability, and performance. Separation of Clinical Authority • Ensure that all clinical decisions, medication dispensing, and pharmacy operations are exclusively managed by the licensed Pharmacist-in-Charge (PIC). • Maintain clear governance structures that comply with Nevada Board of Pharmacy regulations.

Strategic Leadership & Vision • Define and execute the long-term vision of Med-Care Providers, positioning the organization as a leader in home-based and value-driven healthcare. • Expand services in primary care, behavioral health, telemedicine, and specialty care aligned with patient needs and market demand. Clinical & Operational Oversight • Oversee daily operations, ensuring high standards of patient care, safety, and clinical quality. • Implement efficient workflows for home visits, telehealth, and care coordination. Growth & Market Expansion • Lead strategic partnerships with hospitals, SNFs, ALFs, home health agencies, and referral networks. • Drive patient acquisition, provider recruitment, and geographic expansion. • Develop innovative care models to increase access and reduce hospital readmissions. Financial Management & Performance • Oversee budgeting, revenue cycle management, and financial performance. • Ensure profitability while maintaining high-quality care delivery. • Optimize payer relationships, including Medicare and value-based care programs. Compliance & Regulatory Oversight • Maintain readiness for audits, accreditation, and licensing requirements. Technology & Innovation • Lead implementation of EHR systems, telehealth platforms, and digital tools to improve care delivery and operational efficiency. • Drive digital transformation initiatives aligned with modern healthcare demands. Leadership & Culture • Build and lead a multidisciplinary team of providers, clinicians, and administrative staff. • Foster a culture of compassion, accountability, and continuous improvement. • Prioritize employee wellbeing and retention in a high-demand healthcare environment. Patient Experience & Outcomes • Ensure a patient-centered approach focused on accessibility, continuity of care, and improved health outcomes. • Monitor performance metrics, patient satisfaction, and quality indicators.

Key Responsibilities and Achievements: - Led and completed the Nevada Department of Public Health license application and ownership transfer process. - Managed and secured Medicare initial certification and temporary credentials, positioning the agency for federal reimbursement eligibility. - Oversaw clinical operations including care of 10 test patients during the accreditation process with ACHC ensuring compliance with all regulatory standards. - Provided active administrative supervision of the Director of Nursing (DON) and interdisciplinary staff, ensuring policy compliance and high-quality care. - Managed all financial operations, including budget control and expense tracking, during the initial non-revenue phase while awaiting CMS billing approval. - Led recruitment and onboarding of personnel, building a new and compliant clinical and administrative team from the ground up. - Directed all marketing and outreach activities to establish the agency’s presence in the community and prepare for patient census growth post-accreditation. - Performed all duties of Director and Administrator, maintaining continuous operations and regulatory readiness with limited resources.

- Regulatory Compliance: Lead efforts for licensing with DHHS and credentialing with Nevada Medicaid and other payers, ensuring adherence to regulatory requirements. - Systems Management: Develop and optimize systems for scheduling, billing, and invoicing to enhance operational efficiency. - Caregiver Recruitment: Plan and execute projects for caregiver recruitment, training, and retention to meet client needs effectively. - Policy Development: Establish and update policies and procedures to guide staff in delivering consistent, high-quality care services. - Human Resources: Implement HR procedures for recruitment, onboarding, performance management, and employee relations, fostering a positive work environment. - Marketing and SEO: Develop and execute marketing strategies to promote our services and enhance online visibility, driving business growth. In my role, I am dedicated to driving Accent Home Care's success by effectively managing these critical tasks, ensuring compliance, and fostering a culture of excellence and innovation within the organization.

Investment Strategy & Portfolio Growth • Define and execute the company’s real estate investment strategy, including acquisition, renovation, disposition, and long-term holding of residential assets. • Identify high-value opportunities in target markets based on data, trends, and return potential. • Build and scale a diversified real estate portfolio focused on appreciation and cash flow. Acquisitions & Deal Structuring • Source, evaluate, and negotiate property acquisitions, including off-market deals and distressed assets. • Conduct financial analysis, due diligence, and risk assessment for all investments. • Structure deals to maximize returns while managing exposure and capital efficiency. Asset Management & Operations • Oversee the performance of all properties, including renovations, leasing, and ongoing asset management. • Ensure projects are completed on time, within budget, and aligned with investment goals. • Monitor rental performance, occupancy rates, and long-term asset value. Construction & Project Oversight • Manage contractors, vendors, and renovation teams to ensure quality execution of property improvements. • Implement value-add strategies that enhance property value and market positioning. Financial Management & Capital Allocation • Oversee budgeting, financial planning, and return-on-investment (ROI) performance. • Manage cash flow, capital deployment, and reinvestment strategies. Market Analysis & Expansion • Analyze market conditions, economic trends, and housing demand to guide investment decisions. • Expand into new markets and identify emerging opportunities for growth. Risk Management & Compliance • Ensure all investments comply with local, state, and federal real estate regulations. Brand & Strategic Positioning • Position Advantixx Holdings as a disciplined and growth-focused real estate investment company. • Build relationships with brokers, agents, developers, and industry professionals.

- Develop and execute strategic plans to achieve business objectives and ensure compliance with all state and federal regulations governing home care agencies. - Lead operational initiatives to improve efficiency, productivity, and quality of care delivery while overseeing the recruitment, training, and supervision of staff, including caregivers, nurses, and administrative personnel. - Analyze market trends, competitive landscape, and customer needs to identify growth opportunities and inform strategic decision-making, in addition to developing and implementing policies and procedures to ensure efficient and effective operations. - Establish key performance indicators (KPIs) and metrics to track business performance and drive continuous improvement, while coordinating client care services, including assessment, care planning, and ongoing monitoring. - Oversee financial operations, including budgeting, forecasting, financial analysis, and revenue cycle management, as well as maintaining accurate and up-to-date client records and documentation. - Manage payer contracts, negotiate reimbursement rates, and ensure timely and accurate billing and collections, collaborating with cross-functional teams, including clinical, administrative, and marketing departments, to align business goals and objectives. - Foster a culture of innovation, collaboration, and accountability to drive results and achieve organizational excellence, monitoring quality assurance and performance improvement activities to ensure compliance with agency standards and regulatory requirements. - Stay abreast of industry trends, regulatory changes, and best practices in home care and healthcare management, participating in strategic planning and business development initiatives to expand service offerings and grow the agency. - Provide leadership, mentorship, and development opportunities to staff to enhance skills and capabilities, while promoting a positive work environment and professional growth.

Strategic Leadership: Define and execute the overall vision, mission, and long-term strategy of The Villarreal Organization, ensuring alignment across all subsidiaries and service lines. • Business Development & Growth: Identify and pursue new business opportunities, partnerships, and market expansions in healthcare, consulting, and real estate sectors. Drive revenue growth and diversification of the organization’s portfolio. • Operational Oversight: Oversee day-to-day operations of all affiliated companies, ensuring efficiency, compliance, and high performance. Implement scalable systems, processes, and technologies to support growth. • Consulting Services Leadership: Lead and expand the organization’s business consulting division, providing strategic guidance to clients in areas such as operations, compliance, digital transformation, and organizational development. • Financial Stewardship: Manage financial performance, including budgeting, forecasting, investment strategies, and capital allocation. Ensure profitability and sustainable financial health across all business units. • Leadership & Culture Development: Build and lead high-performing executive teams. Foster a culture centered on accountability, innovation, employee wellbeing, and service excellence. • Compliance & Risk Management: Ensure all operations comply with federal, state, and industry regulations, particularly within healthcare services. Mitigate risks and maintain strong governance standards. • Brand & Market Positioning: Strengthen the organization’s brand presence and reputation across industries. Position The Villarreal Organization as a leader in operational excellence and strategic consulting. • Stakeholder Engagement: Maintain relationships with investors, partners, clients, and regulatory bodies. Represent the organization in high-level negotiations and public-facing opportunities.

- Develop, implement, and monitor day-to-day operational systems and processes to provide visibility into the goals, progress, and obstacles of key initiatives - Draw on relationships with department heads, external partners, and vendors to make decisions regarding operational activity and strategic goals - Plan, monitor, and analyze key metrics for day-to-day operations to ensure efficient and timely completion of tasks - Devise strategies for ensuring the growth of programs enterprise-wide, and implement process improvements to maximize output and minimize costs - Adhere to the company’s policies and standards, and ensure that laws and regulations are being followed - Work closely with Human Resources to lead the team with integrity and to establish and maintain a trusting, inclusive, and productive environment • Increased company revenue by 87% in a 2-year time period. • Increased overall client database by 85% during first and second year as manager.

- Responsible for overseeing and managing the Beverage and Cocktails team at a poolside venue, ensuring exceptional service delivery consistent with the MGM brand. - Direct and supervise a team of Assistant Beverage Managers and Beverage Staff to achieve operational and financial goals for each beverage venue. - Develop and implement standard operating procedures (SOPs) to maintain high-quality service, compliance with health and safety regulations, and inventory control of all beverage products. - Collaborate with the culinary team to create a diverse and appealing beverage menu that complements the food offerings. - Conduct training programs for beverage employees, focusing on product knowledge, service techniques, and upselling strategies. - Monitor beverage sales, costs, and profitability, making data-driven recommendations to optimize revenue generation. - Ensure the highest standards of beverage quality, presentation, and service consistency to enhance customer satisfaction. - Actively engage with guests to provide personalized and memorable beverage experiences. - Maintain the facility in accordance with MGM Resorts service standards, ensuring a clean and well-maintained environment.

I oversaw daily operations and effectively managed the service staff while adhering to the operating policies of the establishment. My primary focus was to ensure that every guest had an exceptional experience that exceeded their expectations. - Developed and executed comprehensive strategic plans for the beverage department aligned with the company's overall goals and objectives. Conducted market research to identify current trends and customer preferences, allowing for the development of innovative beverage programs. - Led a diverse team of professionals, including bartenders, mixologists, beverage servers, and support staff. Recruited, trained, and mentored team members to ensure exceptional service delivery and ongoing professional development. Fostered a positive work environment that promoted teamwork, collaboration, and a commitment to guest satisfaction. - Developed and managed the beverage department budget, forecasting revenue targets, and implementing cost control measures. Analyzed sales performance, identified areas for improvement, and implemented strategies to maximize profitability. Conducted regular inventory audits, managed stock levels, and optimized procurement processes to minimize waste and control costs effectively. - Ensured compliance with all relevant health, safety, and liquor licensing regulations. Maintained accurate records and documentation related to beverage inventory, sales, and licensing requirements. Implemented responsible service of alcohol policies and trained staff on compliance protocols to ensure a safe and legally compliant operating environment. - Set and maintained high standards for customer service, ensuring exceptional guest experiences and fostering customer loyalty. Monitored guest feedback, promptly addressed concerns, and implemented improvements to enhance guest satisfaction. Collaborated with other departments to ensure seamless operations and a cohesive guest experience.

The NSLS offers leadership education that focuses on inspiring members to think critically, develop a core purpose, build resiliency and collaborate with empathy to make an impact in the world.