About Chris Cain, Clear Fork Group

Chris Cain has dedicated nearly thirty years to long-term care and hospice services. As a healthcare executive with wide-ranging experience, he has held senior positions in several organizations. His work has included hiring, training, developing teams, overseeing patient and resident care quality, managing finances, handling sales and marketing, maintaining regulatory compliance, and supporting business stability.

Throughout his career, he has played a leading role in developing assisted living facilities, hospice agencies, and a hospital.

As the owner of St. Gabriel’s Hospice & Palliative Care and Texas Hospice, he has created over twelve hospice agencies across Texas. He and his team have built a culture guided by the idea of “People Caring for People.” The staff focuses on meeting the symptom management needs of patients while also addressing their spiritual and emotional well-being. Support is extended to families during these times.

Since 2012, his leadership has helped St. Gabriel’s grow into an agency serving 300 patients and employing over 200 people. Services are offered in Fort Worth, Dallas, Austin, San Antonio, Lubbock, Houston, San Angelo, Corpus Christi, and Tyler. He oversees the budget, manages HR activities, leads recruiting, interviewing, hiring, and terminations, develops operational and strategic plans, and directs accounting and sales management.

Before starting St. Gabriel’s Hospice and The Clear Fork Group, he served as Regional Director of Operations for an organization managing Alzheimer’s care communities in North Texas. He was responsible for financial results, HR, sales, regulatory issues, and daily operations. During this period, the census increased by 14% in the first quarter, NOI surpassed 90% in three out of four locations, and staffing and cost management improved.

For five years, he was CEO of Texas Hospice, a Medicare-certified hospice agency. He led all startup efforts, overseeing financial management, sales development, HR, regulatory functions, and operations. Under his leadership, the agency reached profit margins averaging in the 20% range, achieved break-even within eight months, expanded from zero to 100 patients, and opened new locations in San Antonio and Austin.

Chris Cain Hospice also worked as Executive Director at a hospice organization and as Area Director of Sales and Marketing at a long-term care company. In these roles, he provided management for 40 facilities across Indiana and Kentucky, directing 50 salespeople supported by five regional sales managers.

Earlier in his career, he held roles at a healthcare company, first as a Marketing Representative and later as a Hospital Administrator. As Hospital Administrator, he led the construction, setup, and opening of a 34-bed acute care hospital. He guided the facility through the CMS survey process for licensure, maintained census levels 100% over budget every month, and surpassed EBITDARM goals.

As a Marketing Representative, he developed referral networks by building relationships and providing education. He established connections with hospitals, assisted living communities, nursing facilities, home health agencies, physicians, and case managers. Through this work, he added two new referring hospitals in one year, increased referrals by 15% over the previous year, and developed strong ties with physicians in internal medicine, pulmonology, nephrology, surgery, and wound care. He was recognized as the top sales producer for more than two quarters.