Creative Solutions Establishes Chief Strategy Officer Role to Prepare for the Next Era of Long-Term Care
Creative Solutions in Healthcare Names Chris Eamiguel Chief Strategy Officer Following $600M+ Revenue Expansion and Exponential Growth
Fort Worth, Texas — Creative Solutions in Healthcare today announced the promotion of Chris Eamiguel from Chief Financial Officer (CFO) to Chief Strategy Officer, formalizing a strategic leadership shift after the company more than doubled in size and grew patient revenue from under $500 million to over $1.1 billion in less than four years.
As Chief Strategy Officer (CSO), Eamiguel will focus on enterprise-wide strategic initiatives, capital markets relationships, public policy engagement, and real estate platform expansion.
“Chris has helped architect one of the most significant growth chapters in our company’s history,” said Gary Blake, CEO of Creative Solutions in Healthcare. “His ability to connect reimbursement strategy, financial discipline, acquisitions, and real estate growth has been instrumental in scaling this organization responsibly. Elevating him to Chief Strategy Officer allows us to leverage that vision at an enterprise level as we prepare for the next decade of long-term care.”
Eamiguel shared, “We’ve built something strong over the past several years, but I believe the most important work is still ahead of us. This role gives me the opportunity to think more long-term and help position the organization for sustained success.”
A Strategic Shift
The move comes as the Texas-based skilled nursing operator continues rapid expansion, having completed more than 130 ownership transitions (CHOWs and MTAs), and builds a real estate portfolio exceeding $350 million, within the 5 years of Eamiguel’s tenure as CFO. The transition is a positioning itself for what leadership calls “the next era of long-term care.”
A key priority under his leadership will be the formal bifurcation of property company (PropCo) entities from operating company (OpCo) functions to better align with the organization’s growing real estate footprint. A move leadership views as necessary given the scale of the organization’s expanding portfolio.
“In order to meet & exceed our goals, legitimizing our real estate holdings under a singular management entity is a crucial next step,” said Eamiguel.
Impact as CFO
The organization doubled the number of skilled nursing facilities under operation during Eamiguel’s tenure as CFO, dramatically expanding its footprint across Texas and strengthening its operational presence in an increasingly consolidating skilled nursing market.
Annual patient revenue grew from under $500 million to more than $1.1 billion in less than four years, representing an increase of over $600 million. The surge reflects both strategic acquisitions and optimized reimbursement performance, positioning the company among the fastest-growing operators in the sector while maintaining financial discipline during expansion.
Over the same period, the organization successfully navigated more than 130 CHOW (Change of Ownership) and MTA (Management Transfer Agreement) transactions. Executing this volume of complex regulatory and operational transitions demanded sophisticated capital planning, compliance coordination, and cash flow management, all while maintaining continuity of care across facilities.
Eamiguel overhauled the company’s Quality Improvement Payment Program (QIPP). By building partnerships with NSGO’s, CSNHC went from 58 facilities participating in the program to 161 SNF’s participating in the program. He also improved all the QIPP splits for every NSGO partnership that CSNHC had. These initiatives vastly improved the bottom line for the company and required robust cash flow management as the company navigated 130+ CHOWs and MTA’s in a 4-year period.
Industry Wide Impact- Beyond the Organization
Eamiguel’s impact has extended beyond Creative Solutions in Healthcare.
Last year, he developed an analytical model evaluating proposed Medicaid rate tables during the RUG-to-PDPM transition. His analysis indicated operators could face a $40 per patient per day shortfall under the proposed structure. Industry engagement and data analysis contributed to revisions that ultimately aligned the conversion with budget neutrality.
He has also been working with the U.S. Department of Housing and Urban Development to modernize valuation methodologies for Upper Payment Limit (UPL) programs such as QIPP — a priority he says could significantly benefit Texas providers seeking to leverage supplemental payment income in real estate financing.
“Any progress in modernizing valuation treatment of QIPP will be a major win for providers investing in nursing home real estate,” Eamiguel said.
From Intern to Architect of Growth
Eamiguel joined Creative Solutions in 2013 as a financial intern while finishing his senior year at the University of Texas at Arlington.
Since his employment, Eamiguel has worked in four different roles in the CSNHC finance department and one additional role as a Director in Operations. He also developed a software analytics company, formerly known as Data IQ, which was used by roughly 10% of every nursing homes nationwide before it was acquired.
“In 2013, I was hired as a financial intern. I was determined to make the most of the opportunity, but I could not have imagined what the future would hold — not just for my career, but for Creative Solutions,” Eamiguel said.
Eamiguel achieved these milestones before the age of 35, reflecting both his rapid professional ascent and Creative Solutions’ accelerated growth trajectory. By formalizing the Chief Strategy Officer role, the company signals a continued commitment to disciplined expansion, reimbursement innovation, and long-term structural alignment in an evolving skilled nursing landscape.
Future of Finance
Steve Post will succeed Eamiguel as he has been newly named as the company’s new Chief Financial Officer.
“The CFO role is critical, but it is a 24/7 responsibility,” Eamiguel said. “This transition allows me to be forward-thinking and entrepreneurial as we prepare for the new era of long-term care.”
Blake closed the announcement sharing, “Creative has never grown by accident. We grow because we develop strong leaders, we stay disciplined, and we plan for the future. Effective March 1, we are making leadership transitions that position us for the next chapter , strengthening both our financial foundation and our long-term strategy.”
About Creative Solutions in Healthcare
Founded in 2000 by Gary and Malisa Blake, Creative Solutions in Healthcare is a family-owned company headquartered in Fort Worth, TX. It started with the first acquisition of Granbury Care Center and has grown to operate more than 182 long-term care communities throughout the state of Texas. The company is now the largest largest skilled nursing operator in Texas, and the 5th largest in America, and the Each location still runs on the founding principle, ‘a life lived for others is a life worthwhile’. Its mission is to provide the highest quality of care to aging adults, by investing in cutting-edge technology and embodying core values of Compassionate Clinical Care, Nutritious Meals, Enriching Lives, Valued Employees, and Unparalleled Cleanliness.
Contacts
Leila Jones
817.734.4840
News@csnhc.com
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