AGUSTIN V.

ARBULU

891 Gordon Lane, Birmingham, MI 48009

C 248-953-1614 AArbulu@aol.com H 248-594-6262
Senior level management in For-Profit, Non-Profit organizations & Post Acute Care
Experienced in building, developing and implementing strategic, marketing and
organizational alignment across various settings including the healthcare delivery
in the community setting
Planned and developed new businesses or expanding lines of businesses including
house call primary medical care, skilled home health, palliative care and hospice
care alignment
Created and implemented integrated, coordinated and complementary networks
across the continuum of care to reduce costs, improve quality of care and enhance
the patient experience
Experience in growing revenue, profitability, service offerings and turnaround low
performing organizations
Expertise in building partnerships or collaborations among and between
community based services, physician practices, health systems, ACOs, and post
acute care practices to create cost savings while improving the quality and delivery
of care
PROFESSIONAL AND BUSINESS EXPERIENCE
ELDER LAW/CARE AND HEALTH CARE CONSULTANT, Birmingham, MI
September 2015 through present
Presently serving as consultant and attorney on delivery of post acute care services and
developing new lines of health related services.
Designing shared savings programs for Accountable Care Organizations aimed at
reducing Medicare costs attributable with short term rehabilitation in SNFs and skilled
home health.
Designing visiting housecall physician component for lower income Spanish speaking
senior residents residing in SW Detroit unable to access primary care.
Working with FQHCs on developing a visiting housecall physician practice along with
skilled home health services.
Serving as advisor to families, caregivers and individuals on developing an elder care
plan as it relates to housing and caregiver services, Medicaid/VA aid and attendant
benefit planning, etc.
METRO CARE SERVICES, Farmington Hills, MI
Metro Home Care / Palliative Care/ Hospice Care/ Personal Care
March 2009 through August 2015
Served as President until the end of August 2015, overseeing the business and strategic
development of post acute care programs, such as skilled home health, personal care (nonmedical), palliative care and hospice care.
Launched hospice and achieved Medicare accreditation, developed and implemented
clinical, financial, P&L, operations and marketing plans, and policies/procedures.
Developed key partnerships in the community with local area agencies on aging, SNFs,
ALFs, ILFs, visiting physician groups, etc.
Implemented palliative care component for both home health and hospice.
Leads strategic and business relationships, mergers and acquisition, new lines of
businesses and new site development.

Currently developing housecall physician program with an in home palliative care

component offering ancillary and care transition services, partnerships with PACE
centers, MPRO and geriatric care managers.

Previously served as CEO to the predecessor of Metro Care Services, Metro Home Health
Care, leading and managing four business units: skilled home care (certified), skilled home
care (non-certified), private duty (home care) and case management of auto injury cases
with combined annual revenue in excess of $9.0 Million with a work force of over 175 and
multi-offices.
Grew and exceeded the business and financial (P&L) objectives of the organization
while providing strategic direction and focus.
Successfully grew organization by 45% over three (3) year period.
Streamlined internal operations, added and expanded its referral base, improved
clinical outcomes while achieving cost efficiencies, reduced readmission rates and
expanded its service areas throughout lower Michigan.
Achieved Home Care Elite agency status and repeatedly achieved Top Workplace
designation, three (3) consecutive years, 2008 2011.
Successful in having organization selected as preferred home health provider to the
Michigan Pioneer ACO (DMC).
Secured selection as participant in two (2) CMS (Medicare) Bundled Payment Initiatives
(knees and hips).
Negotiated and completed CHF study for major health system that successful reduced
30-day readmission by over 30%.
Negotiated and selected as back up home care provider of skilled clinical services (RNs,
therapists, etc.) to a number of large health systems and hospital based home health
agencies throughout southeastern Michigan.
Developed strategic and business relationships, negotiated reorganization through
while adding new lines of businesses and new site development.
NORTHWOOD UNIVERSITY/Devos Graduate School of Management Midland, MI
Associate Professor, Domestic and Europe, 2004 2009
Full time faculty member; taught executive and managerial MBA level courses.
MBA courses included International Business, International Trade and Economics,
Financial Management, Process Analysis, Corporate and Business Strategy,
Organizations and Individual Behavior, Leadership, Influence, and Motivation and
Organizational Behavior, Change Management.
Selected and recipient of Outstanding Professor Award.
Certified as EQ-1 facilitator on emotional intelligence.
HORIZON HEALTHCARE, INC., Detroit, MI
CEO and Chairman of the Board of Directors, 2001 2004
Oversight of day-to-day operation and strategic direction of a 140-bed psychiatric hospital
and 6 outpatient clinics with annual revenues of $32 million and a workforce of 300.
Led organizational performance, P&L, and management issues of the hospital including
addressing quality of care issues, and financial and operational issues.
Spearheaded reorganizing of the hospital and all its clinics for sale, completed in 2003.
Provided litigation support and overseeing the winding down and spin off the
organization.
TAG MANUFACTURING COMPANY, Farmington Hills, MI
President/CEO, 1997 2001
Chief Executive Officer of Hispanic (MBE certified) precision machining supplier, ISO-

9002/QS-9000 registered.
Oversight of P&L responsibility and providing leadership, direction and control for all
aspects of the company on a day-to-day basis including sales, marketing,
manufacturing, finance and operations.
Developed and implemented strategic plan for diversification and growth.
During tenure, company expanded customer base from an in-house machine operation
for 2 customers to 7 customers including Ford Motor, Teksid, BorgWarner,
CooperStandard, Tooldex, Citation and Walbro. Company awarded over $5 million
annual business in 2001 and increased sales by 300% during a 4-year period.
Worked effectively to develop an autonomous organization, as well as developing
numerous strategic alliances, joint ventures and mentorship initiatives.
DETROIT NEIGHBORHOOD AND FAMILY INITIATIVE (NFI), Detroit, MI
Executive Director/CEO, 1995 - 1998
Oversaw the start-up and day-to-day management of non-profit organization funded via
Ford Foundation.
Developed and implemented strategic and budget plans for growth including strategic
alliances, networks, partnerships, and collaboration with other institutions.
Successful in securing over $4 million funding from sponsors and funders to support
urban initiatives in the lower Woodward Corridor of Detroit.
Led and developed Initiatives and strategic alliances between non profit organizations
and for profit businesses creating and building jobs (health care, etc.) and attracting
both manufacturing and non-manufacturing operations to the Federal Empowerment
Zone and State Renaissance Zone.
Developed Board Agenda and working with the Board to effectively engage and utilize
the various experiences and talents of the members of the Board to increase
organizations presence and effectiveness in mid-town Detroit.
BUSINESS & TAX LAW PRACTICE, Detroit, MI
Principal in various law firms, 1980 - 1995
Practiced law before federal and state courts litigating business related matters.
Supervised support personnel and managed corporate and tax clients on litigation, tax,
health care, M&A, international and related business matters.
Represented mid size domestic and international businesses including banks, health
care providers, manufacturing suppliers, trading companies, telecommunication firms.
Provided international and strategic management consulting (competitive and strategic
analysis, cross border negotiation and expansion strategies), organizational
development and performance support, and executive coaching services to diverse for
profit and not for profit client base including healthcare, professional services,
manufacturing related, financial institutions and other related concerns with annual
revenue ranging between $3 million and in excess of $1 billion.
Engagements included Arvin-Meritor, Oakland County, National City Bank, KCK Tool &
Die, DCX, Ford Motor also Taiwanese, Chinese, Peruvian and Mexican based firms.
EDUCATION
Doctorate in Management, 2002, Case Western Reserve University,
Weatherhead School of Management, Cleveland, OH
MBA, Operations Management, 1998, Lawrence Technological University, Southfield, MI
MBA, International Management, 1971 American (Thunderbird) Graduate School of
Global Management, Glendale, AZ
LL.M. (in Taxation), 1977, New York University Law School, New York, NY

Juris Doctor, 1974, University of Detroit School of Law, Detroit, MI

Certificate - Mexican Business Law, 1998, Universidad de Monterrey, Monterrey, Mexico,
B.A., 1970, Michigan State University, East Lansing, MI
NCRP certification (Nationally Certified Readmission Professional), 2015, issued by
the National Readmission Prevention Collaborative demonstrating expertise in hospital
readmissions, care transition/coordination, Medicare Shared Savings Program for ACOs,
and the Affordable Care Act (ACA), California
LANGUAGES
Fluent English and Spanish.

AGUSTIN V. ARBULU
891 Gordon Lane, Birmingham, MI 48009
C 248-953-1614 AArbulu@aol.com H 248-594-6262
PUBLICATIONS:
Case Study: Proposal to an ACO to Control Post Acute Costs and Reduce Readmissions,
(2015), http://www.nationalreadmissionprevention.com.
Doctoral Dissertation: Workforce Development in a Small Manufacturing Organization
(2001). Case Western Reserve University, Weatherhead School of Management.
Authored 250-page resource Manual entitled Going Into Mexico After the Collapse of the Peso
(1995).
Authored Chapter 7 of the four volume set Doing Business in Mexico, A U.S. Perspective on the
Mexican Automotive Parts Industry, (1996).
Authored various legal related articles on taxation, doing business in Mexico, international business,
structuring of international joint ventures and strategic alliances, organizational and international
culture and minority supplier programs in the U.S. (1978-2004).
Also authored various related business and management articles on organizational behavior,
international culture, international business, organizational performance and emotional intelligence.
SPEAKING ENGAGEMENTS:
Various conferences on international cultural communication, leadership, organizational and
marketing performance, change management, health care, palliative care, aging and Medicare,
international joint ventures and negotiations. 1995 thru present: NorthStar Conferences, Summer
Institute, State Bar of Michigan, HCI, IIR, Automotive PR Council, Hispanic Bar, National Society
of Hispanic MBAs, DCX, Michigan Association for Home Care, General Motors, etc.
Various appearances to discuss civil rights, inequality, and disparity in Michigan and the role of the
Michigan Civil Rights Commission, Michigan Department of Civil Rights including discussion of
ELCRA on public TV, local high schools and civic organizations.
PROFESSIONAL AND CIVIC ACTIVITIES:
Current Member - State of Bar of Michigan
Current Member and Secretary Michigan Civil Rights Commission (appointed by Governor
Snyder)
Current Fellow Detroit Equity Action Lab (Damon J. Keith Center for Civil Rights)
Current Member Board of Trustees of St. Joseph Mercy Hospital Oakland (Trinity Health
System)
Current Member Finance Committee, Board of Trustees of St. Joseph Mercy Hospital

Oakland (Trinity Health System)

Current Member LGBT Older Adult Coalition
Current Member National Home Care Marketing Society
Current Member National Association for Home Care & Hospice
Current Member Michigan Association for Home Care and Public Policy Committee of
Michigan Association for Home Care
Current Member National Readmission Prevention Collaborative
Current Member Senor Coordinating Aging Network (SCAN) Macomb County
Current Member Senior Coordinating Aging Network (SCAN) Wayne County
Current Member Extended Care Collaborative, Ann Arbor, MI
Current Member Care Transitions Improvement Coalition (CTIC), Livonia, MI
Current Member STARForUM (Safe Transition of All Residents for U & Me), St. Joseph
Mercy, Livonia, MI
Current Member Chronic Illness Coalition
Current Member - Beta Gamma Sigma (honorary PhD fraternity)
Current Member National Association for Home Care & Hospice
Current Member National Forum for Latino Healthcare Executives and Program Committee
of National Forum for Latino Healthcare Executives
Current Member BCBS Latino Health Talk Roundtable
Life Long Member Leadership Detroit (Greater Detroit Chamber of Commerce)
Board Member - Michigan Chapter National Private Duty Association (NPDA, 2010-2013)
President, Institute of Gerontology (WSU), Chairperson, Board of Visitors (2004-2005)
President, Village Athletic Club (2005-2007)
Michigan Manufacturers Association
Association for Corporate Growth
Academy of Management
The Optimist Club
PhD Project for Minority Doctoral Students
The Hundred Club (Past)
Leadership Detroit Board of Trustees (Past)
Detroit Athletic Club (Past)
Detroit Chamber of Commerce (Past)
Lyric Chamber Ensemble (Past)
Association for Corporate Growth, Southeastern Michigan Chapter
Michigan Hispanic Chamber of Commerce
Detroit Chapter National Society of Hispanic MBAs
Diplomat, American College of Healthcare Executives
Michigan Minority Business Development Council
Japan Society (Past)
Past President and board member of a number of civic, community, chamber, and
professional organizations
ADDITIONAL TRAINING/CERTIFICATIONS:
Certified Coach A Matter of Balance Managing Concerns about Falls: Volunteer Lay
Leader Model developed for older adults by Boston University
Certified Instructor by Michigan Virtual University for teaching on line courses
Certified Instructor on 360 degree/emotional intelligence and organizational climate by Hay
Group (emotional competency inventory-ECI)