Dallas, Texas — Creative Solutions in Healthcare, one of the country’s most active nursing home operators, has made a significant leadership move — and the shift says a lot about where the company is headed.
The Texas-based organization has promoted Chris Eamiguel from chief financial officer to chief strategy officer. In his new role, Eamiguel will focus on capital markets, public policy, enterprise strategy, and expanding the company’s real estate platform. To fill the CFO seat, Creative Solutions brought in Steve Post, a former Trinity Healthcare CFO with extensive long-term care finance experience.
Growth That Demands a New Structure
The move comes after a remarkable four-year run. Under Eamiguel’s tenure as CFO, Creative Solutions completed more than 130 ownership transitions — a pace that few operators in the country can match. Company revenue has doubled during that stretch.
“Chris has helped architect one of the most significant growth chapters in our company’s history,” CEO Gary Blake said in a statement. “His ability to connect reimbursement strategy, financial discipline, acquisitions, and real estate growth has been instrumental in scaling this organization responsibly.”
A central priority for Eamiguel in his new role: formally separating the company’s property holdings from its operating entities. It’s a structural move that reflects how large operators are increasingly treating real estate as its own business — not just a backdrop to caregiving.
“Legitimizing our real estate holdings under a singular management entity is a crucial next step,” Eamiguel said.
A CFO Who Knows the Terrain
Post isn’t new to the complexity of large-scale SNF finance. At Trinity, he oversaw 52 entities and led due diligence on the divestiture of 23 skilled nursing properties. He also served as CFO of MedStar Mobile Healthcare, where he managed cost-reduction strategies and financial operations.
He joined Creative Solutions in July and has been quietly strengthening financial reporting and supporting recent acquisitions before taking on the full CFO mantle.
What It Signals for the Industry
The Creative Solutions restructuring mirrors a broader trend in long-term care: the operators that have grown fastest over the past five years are now formalizing the infrastructure that sustained that growth. It’s no longer enough to acquire facilities — operators at this scale need distinct teams managing real estate, operations, and strategy separately.
That pattern is showing up across the sector. As industry reports have noted, large multi-site operators are increasingly treating their nursing home acquisitions as part of a long-term portfolio strategy, not one-off transactions.
For Creative Solutions, the C-suite changes are a bet that the next decade of long-term care will reward operators who can think like both healthcare companies and real estate firms at the same time.
