Healthcare Fractional CFO Services

Fractional CFO services for healthcare businesses.

Most healthcare operators are running blind. We fix that. KRG Advisory provides CFO-level financial planning, cash flow visibility, and strategic support to U.S. healthcare services businesses, without the cost of a full-time hire.

$2M to $50M Revenue range we serve
U.S. only Healthcare services businesses
Miami, FL Headquarters
What We Do

CFO-level support across every dimension of healthcare finance.

Fractional CFO

Ongoing financial leadership across budgeting, forecasting, reporting, and decision support, without the overhead of a full-time executive.

Cash Flow & Forecasting

13-week rolling cash flow models, working capital analysis, and forward visibility into how your cash position will move.

Budgeting & Reporting

Annual operating budgets, monthly financial packages, and KPI dashboards built for how healthcare businesses actually run.

Capital & Transactions

Financing support, capital structure analysis, quality of earnings, and buy-side or sell-side financial preparation.

Investor Reporting

Board-ready financial packages, investor updates, and lender compliance reporting built to institutional standards.

Transaction Readiness

Financial clean-up, normalized EBITDA, proof of cash, and diligence preparation for businesses preparing for a sale or recapitalization.

Healthcare Services Expertise

Built around the complexity of healthcare finance.

Healthcare finances are more complex than any other industry. Between federal and state programs, insurance reimbursements, and the way payments flow through a healthcare business, the numbers tell a very different story than a standard P&L. We built KRG Advisory specifically around that complexity.

Payer Models

  • Commercial Insurance
  • Medicare & Medicaid
  • Value-Based Care / Capitation
  • Cash Pay & Hybrid Models
  • MSO / CPOM Structures

Sectors Served

  • Primary Care & Multi-Specialty
  • Specialty & Independent Pharmacy
  • Medicare Advantage Platforms
  • Medical Spas & Aesthetics
  • Home Health & Home Care
  • Urgent Care & Surgery Centers
  • Behavioral Health
  • Dental & Vision / Optical
Who We Help

Built for operators who need CFO-level thinking, not a bookkeeper.

01

Operators without a full-time CFO who need financial leadership, real cash flow visibility, and someone who understands how their business actually makes money.

02

Practices navigating payer complexity from Medicare Advantage and value-based contracts to commercial reimbursements, where the numbers require healthcare-specific context to interpret correctly.

03

Owners preparing for growth or a sale who need their financials in shape before approaching a lender, private equity firm, or strategic buyer.

04

Businesses that need CFO-level support without building a full internal finance team, typically $2M to $50M in revenue, where a fractional model provides institutional-quality support at a fraction of the cost.

About

About KRG Advisory

Healthcare strategic finance · Miami, FL

Institutional-quality healthcare finance support, applied pragmatically.

KRG Advisory was built by healthcare finance professionals with over a decade of experience across healthcare investing, M&A underwriting, financial modeling, and operating company finance, working across the full lifecycle of healthcare services businesses, from early stage platforms to public growth companies and private equity backed operators.

KRG Advisory was built on the belief that smaller healthcare businesses deserve the same quality of financial thinking that institutional investors apply when underwriting them. Most fractional CFO firms are generalists. KRG is not.

Based in Miami, KRG Advisory works exclusively with U.S. healthcare services businesses and brings deep familiarity with U.S. payer structures, reimbursement models, and the financial dynamics that drive enterprise value in healthcare.

KRG Advisory operates at the CFO level: strategy, capital, and financial decision-making. Not day-to-day bookkeeping or accounting. We work alongside your existing accounting team and can connect you with trusted partners if you need that support.

Common Questions

Fractional CFO services, explained.

What does a fractional CFO cost compared to a full-time hire?

A full-time CFO in healthcare typically costs $250,000 to $400,000 or more in total compensation. A fractional engagement delivers the same caliber of financial leadership for a fraction of that, on a monthly retainer scoped to what your business actually needs.

When does a healthcare business need a fractional CFO?

The common signals: no forward visibility into cash, financial reporting that arrives too late to act on, payer complexity that your current team cannot fully interpret, a lender or investor asking for reporting you cannot produce, or a sale or financing on the horizon. If any of those sound familiar, the conversation is worth having.

How is this different from my bookkeeper or accountant?

Bookkeeping and accounting record what already happened. CFO work is forward looking: cash flow forecasting, budgeting, capital decisions, pricing, payer strategy, and preparing the business for growth or a transaction. KRG works alongside your existing accounting team rather than replacing it.

Why does healthcare-specific experience matter?

Reimbursement timing, payer mix, federal and state programs, and value-based contracts change how healthcare financials should be read. A generalist CFO can misread a healthcare P&L badly. KRG works exclusively in healthcare services, so the numbers are interpreted in the context that actually drives them.

How do engagements work?

Engagements run on a monthly retainer with defined deliverables, typically a 13-week cash flow model, a monthly reporting package, an annual budget, and ongoing decision support. KRG works with a limited number of clients at a time so the quality of support matches the complexity of the work.

Do you work with businesses outside Florida?

Yes. KRG Advisory is based in Miami and works with healthcare services businesses across the United States. The work is delivered remotely, with in-person availability for South Florida clients.

Contact

Start the Conversation.

If your healthcare services business needs stronger cash flow visibility, better financial planning, or support preparing for growth, financing, or a future sale, reach out below.

Book an Intro Call

We typically respond within one business day.