The Crag Business Group

What The Crag Business Group does

The Crag Business Group, Inc. is a privately held, Christian-ethos professional services firm headquartered in Montrose, Colorado (with a secondary governmental affairs office in Eagle, Colorado via Ellen Caruso Public Affairs), serving small and mid-sized U.S. healthcare providers — principally home health agencies, hospices, private duty agencies, adult day care providers, and durable medical equipment (DME) companies. The firm is operated by three named principals: Robert Floyd (MBA, CPHRM; 35-year healthcare management veteran in home health since 1995), Donna Floyd (BSN, RN; 30+ years nursing and home health management), and Ellen Caruso (independent government affairs consultant and registered lobbyist). Core deliverables span four service lines: Training Services (executive, managerial, and Colorado state-approved Administrator/Agency Manager courses delivered on-site or via webinar), Consulting Services (organizational development, CMS/Medicare certification preparation, licensure support, human resources, risk management, due diligence for acquisitions and divestitures, and Christian-based small business support), Governmental Affairs (Colorado and Washington D.C. lobbying and regulatory advocacy), and a subscription-style Retainer Program ($2,400/year or $3,240 month-to-month, up to 3 hours/month, with discounts on additional services for retainer clients).

The underlying technology is intentionally minimal: no proprietary software platform, API, or app is offered, and core delivery is human advisory supplemented by web-based course delivery (Wix-hosted site, monthly web-based Administrator/Manager courses, webinars, and internet-conducted seminars). The firm's defensible technical credentials are regulatory rather than technological — CHAP Certified Consultant, ACHC Certified Consultant, and Colorado Department of Public Health & Environment-approved training provider status — combined with Ellen Caruso's embedded lobbying and legislative advocacy capability.

The business model is multi-stream: (1) subscription recurring revenue from the Retainer Program; (2) project-based professional services revenue from consulting engagements (CMS certification prep, licensure, HR, risk management, due diligence); (3) training and seminar revenue (in-house, half-day/full-day, webinars, Colorado-approved courses); and (4) governmental affairs and lobbying fees, all quote-based and not publicly disclosed. Customer acquisition is sales-led and event-driven: direct phone and website contact (1-888-428-CRAG), heavy conference participation (15+ U.S. and international events in 2019 across NAHC, ASHRM, MedTrade, HCLA/HCAC, UKHCA, ISfTEH, and others), an opt-in quarterly email newsletter, organic social (Facebook, Twitter, LinkedIn), and the partner-published blog "Colorado Home Care: Things You Need to Know Today." The firm is bootstrapped with no disclosed external funding, parent company, or institutional ownership.

Name

The Crag Business Group

Legal name

The Crag Business Group, Inc.

Website

https://cragconsulting.org

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

1–10 employees

Short description

The Crag Business Group is a private, Christian-ethos healthcare consulting firm in Montrose, Colorado, providing training, CMS/ACHC certification preparation, HR/risk management, due diligence, and governmental affairs/lobbying services to small and mid-sized U.S. home health, hospice, private duty, adult day care, and DME providers.

Ownership category

akta.pro rank

Product category

Healthcare Consulting Services

NAICS

Other Management Consulting Services (541618)

akta.pro primary industry

Customer, Marketing & Sales Consulting (BPAHACAG)

Keywords

• Healthcare consulting services
• Home health consulting
• CMS certification preparation
• Administrator training programs
• Governmental affairs lobbying

Headquarters

HQ city

Montrose

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Others

Revenue model

1. Retainer Program (Subscription Recurring): 12-month retainer ($2,400 paid annually, $200/month) and a month-to-month retainer ($3,240, $270/month) providing up to 3 hours/month of policy review/revision, telephonic support during surveys, general consulting questions, and standing access to a known consultant. Excess work billed at a discounted rate; current retainer clients also receive automatic discounts on training/consulting.
2. Project-based Consulting (Professional Services): Engagement-based consulting including business development assessments, organizational development, CMS certification preparation (policy & forms review, staff interviews, mock surveys, home visits), licensure support, due diligence for acquisitions or divestitures, human resources policy/review, and risk management — billed per project.
3. Training Programs & Courses (Professional Services): Fee-based training delivered as in-house seminars, half-day/full-day seminars, webinars, and approved Colorado Administrator/Manager courses; retainer clients receive automatic discounts on training.
4. Governmental Affairs / Lobbying Services (Professional Services): Ellen Caruso-led political and government affairs consultation covering contacts with elected/regulatory officials, lobbying, delegation visits to D.C., legislative reviews, and reimbursement advocacy for home care, hospice, PT/therapy practices, and other Colorado healthcare providers.

Pricing tiers

Go-to-market motion3 records

Distribution channels1 record

Marketing channels7 records

Core offering

The Crag Business Group provides business consulting, training, and governmental affairs services to healthcare providers (home health, hospice, private duty, adult day care, and DME) as well as Christian-based small businesses. Core offerings include CMS/ACHC certification preparation, state licensure support, HR and risk management consulting, leadership and administrator training, lobbying/legislative advocacy, and a recurring retainer program for ongoing consulting access.

Product overview

The Crag Business Group operates as a unified professional services firm delivering Training, Consulting, and Governmental Affairs support to healthcare organizations (home health, hospice, private duty, adult day care, and DME providers). Its portfolio is structured around three core service lines — Training Services, Consulting Services, and Governmental Affairs — supplemented by a recurring Retainer Program that gives clients ongoing on-call consultant access and automatic discounts on additional training/consulting. Training is delivered through scheduled Course Schedules and an Approved Courses catalog that satisfies Colorado Department of Public Health & Environment Administrator/Manager training requirements. Endorsements page confirms successful delivery of CMS certification, ACHC accreditation, and licensure projects across multiple agencies.

Differentiator

Problem solved

Functional benefit

Products and services

• Training Services Training programs designed and presented for Executives, Board Members, Department Heads, Managers, and those responsible for developing new employees or coordinating new program implementation. Covers individual leadership coaching, state-approved Administrator/Manager training, corporate staff training, group/experiential indoor/outdoor training, and seminars delivered in person or via webinar.
• Consulting Services Business consulting focused on the healthcare industry (medical and non-medical home health, hospice, DME, adult day care) and Christian-based small business support. Service areas include business development assessments, healthcare organization development, CMS certification preparation (policy and forms review, staff interviews, mock surveys with home visits), HR consulting, risk management, and due diligence for acquisitions or sales.
• Governmental Affairs Government affairs consultation led by registered lobbyist Ellen Caruso for home care agencies, hospices, PT/therapy practices, and other Colorado healthcare providers. Covers introductions to elected/regulatory officials, education, ongoing connections, delegation visits to Washington D.C. and Colorado state legislators, and legislative/political-activity reviews.
• Retainer Program Subscription-style retainer offering ongoing access to a Crag consultant for policy review/revision, telephonic support during surveys, and general questions. Available as a 12-month annual program at $2,400 ($200/month, up to 3 hours/month) or month-to-month at $3,240 ($270/month, up to 3 hours/month). Retainer clients receive automatic discounts on additional training and consulting.
• Available Courses (Administrator & Agency Manager Training) Colorado Department of Public Health & Environment-approved web-based courses for new and annual Administrator, Agency Manager, and Alternate Administrator/Manager training. Catalog includes Class A and Class B Licensure Rules, Applicable Laws and Regulations, Occurrence Reporting, Quality Management Plan, Keys to Survey Success, The Power of Positive Supervision, staff training on engaging learners, Special Populations considerations, Behavior Management, and Non-Compliance management.

Quantifiable outcome

• Successful Home Care Agency licensure in Colorado (2009) and Medicare/ACHC certification (2012) for Solace Healthcare, Inc.
• +2 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered flagship / core, minor (industry network) and minor (background).

• Ellen Caruso / Ellen Caruso Public Affairsflagship / coreStrategic or Co-development PartnerRegistered lobbyist and government affairs consultant who, as part of the Crag Consulting team, provides political and government affairs consultation to Crag clients — home care agencies, hospices, PT/therapy practices, and other Colorado healthcare providers. Ellen Caruso publishes the "Colorado Home Care: Things You Need to Know Today" blog in conjunction with The Crag Business Group and coordinates Congressional lobby missions to Washington, D.C. The Ellen Caruso Public Affairs office is located at 50 Eagle Ranch Road, P.O. Box 1450, Eagle, Colorado 81631 (720-530-3034, [email protected]).
• Colorado Chapter of the American Physical Therapy Association (formerly served as executive director and director of government affairs)minor (industry network)OthersIndustry association Ellen Caruso previously led as executive director and director of government affairs; shepherded major healthcare bills through the Colorado legislative process — licensure of physical therapists, home care agencies and naturopathic doctors; confirmation of wound debridement, Grade V joint mobilization and dry needling in the PT scope of practice; and increased reimbursement rates for home care and therapy. Crag leverages this network for advocacy on behalf of home health clients.
• Home Care Association of Colorado (formerly served as executive director)minor (industry network)OthersIndustry association Ellen Caruso previously led, providing Crag clients with deep relationships into Colorado home care regulatory and reimbursement policy and connections to elected/regulatory officials at the state level.
• Caruso Group International (Ellen's prior firm)minor (background)OthersFull-service association management / government affairs / meeting planning firm Ellen Caruso founded and headquartered in Centennial, Colorado, which she sold in 2010 to focus full-time on government affairs — predecessor entity informing the lobbying capability Crag now leverages for clients.
• Association Management Services (Helena, Montana)minor (background)OthersFirm where Ellen Caruso began her career as executive director for trade and professional societies (Montana Bar Association, Montana Association of Life Underwriters, Montana Water Development Association, Montana Legal Services Association); represented several as a registered lobbyist before the Montana Legislature.

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• The Corridor Group: Specializes in operations, clinical and financial consulting for home health, hospice and skilled nursing operators — closely aligned with Crag's core verticals of licensure, CMS/ACHC preparation, and operational development for SMB providers.
• McBee Associates: Healthcare consulting firm serving hospitals, physician groups and post-acute providers with operational, clinical and revenue cycle services — competes with Crag for the same small/mid-market home health and hospice client engagements, with broader capabilities.
• Healthcare Provider Solutions: Boutique consultancy focused on home health and hospice agencies offering coding, OASIS, PDGM and survey readiness support — overlapping directly with Crag's CMS certification preparation and training services for small/mid-market agencies.
• Simione Healthcare Consultants: One of the largest U.S. consulting firms focused on home health, hospice and post-acute care, offering operational, clinical, financial and revenue cycle services — directly comparable to Crag's home health/hospice consulting practice but at substantially greater scale.

Others

• Hall Render Killian Heath & Lyman: Largest U.S. law firm dedicated to healthcare, with a deep regulatory and government affairs practice — directly comparable to Crag's governmental affairs/lobbying service line for healthcare providers, though operating at far greater scale and across legal as well as advisory services.
• National Association for Home Care & Hospice (NAHC): Industry association Crag actively participates in for thought leadership and demand generation — not a direct competitor, but its member education, policy advocacy and training resources shape the demand environment for Crag's paid advisory services.
• Home Care Pulse: Provider of benchmarking, satisfaction measurement and educational resources for home care and hospice agencies — overlaps thematically with Crag's training and survey-readiness services and targets the same SMB operator audience.

Broad incumbents

• FORVIS (formerly BKD): Top-10 U.S. accounting and advisory firm with a sizable healthcare consulting practice including post-acute and home health clients — competes for compliance, reimbursement and due diligence work at greater scale and brand reach than Crag.
• BerryDunn: National accounting and consulting firm with a dedicated Healthcare Practice serving home health, hospice and senior living clients — a larger incumbent competing for the same SMB regulatory and operational advisory work that Crag performs.

Emerging players

• Pinnacle Quality Insight: Customer and employee satisfaction measurement, quality improvement and post-acute compliance tools — an emerging player adjacent to Crag's survey readiness and CMS/ACHC preparation services, with a tech-enabled rather than pure-consulting model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xtwitter.com/CragConsulting
• Facebookfacebook.com/CragConsulting
• LinkedInlinkedin.com/company/the-crag-business-group

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The Crag Business Group