
Areas of Expertise
MEDICAL GROUPS
Physician Compensation, Incentive Alignment, Strategy, Practice Management, Real Estate, Revenue Cycle, M&A
REVENUE
CDI, Coding & Revenue Integrity, Managed Care Negotiations, Patient Access, EMR Optimization, Complex Claims, Grant Writing
PBM & PHARMACY
PBM: Evaluation and Contracting, Implementation, Rebate Optimization
Pharmacy: 340B, Specialty, Retail, Automation, Service Line Development
EXPENSE
Non-Labor Expense, Supply Chain, Pharmacy Formulary (GLP-1, Generics, Biosimilars), Energy as a Service & Facilities
HR & BENEFITS
Public Servant Loan Forgiveness (PSLF) Programs, Tax-Advantaged Tuition Benefits, Pharmacy Benefit Advisory
OPERATIONS
Interim Executive Leadership, Labor Productivity, Succession Planning, Care Management, Clinical Operations, Compliance
IT & DIGITAL
EMR Selection and Optimization, Patient Navigation, IT Staffing, IT Procurement

Areas of Expertise
REVENUE
Pharmacy (Strategy, Ops, 340B, PBM), Patient Access, EMR Optimization, Perioperative Services, Supplemental Medicaid & GME/IME Payments, Utilization Management, Revenue Integrity & Workflow Automation (CAC, CDI, Coding using AI, NLP & ML), Grant Writing & Advisory
CLINICAL TRANSFORMATION
Quality, Care Operations & Delivery (ED, LOS, Throughput, Perioperative Services), Clinical Decision Support (AI), Interim Executives & Fractional Advisory Services, Care Management & Navigation
OPERATIONS
Interim Leadership, Digital Transformation, Clinical & Revenue Cycle Workflow, Non-Labor Expense (IT, Purchased Services, Non-GPO Supply Chain), Workforce Productivity, Public Servant Loan Forgiveness (PSLF), Enterprise Analytics, Pharmacy
STRATEGY
Service Line Development, Hospital & Faculty/Physician Alignment, Funds Flow, Network Optimization, Mergers & Acquisitions
Our Mission
Ratio Health Solutions assists health system leaders ensure long term viability and service to their communities by improving margins, increasing access to and reimbursement for high quality care.
Our Mission
Ratio Health Solutions assists health system leaders ensure long term viability and service to their communities by improving margins, increasing access to and reimbursement for high quality care.

Why Ratio?
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- High-impact, tailored solutions: consulting, technology, and professional services.
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- Independent, arm's length resource.
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- Niche-focused firms without "land-and-expand" mandates or conflicts of interest.
Leadership You Can Trust
Ratio Health Solutions (RHS) collaborates with health system leaders to identify and implement impactful solutions, often with an ROI of 20x or greater.
RHS is directed by Tim Grubb, who leverages a 30-year career focused on Finance, Strategy, Analytics, and Margin Improvement. Tim began his healthcare career with Cambio Health Solutions, a boutique firm that specialized in turnarounds for distressed hospitals. Cambio was acquired by FTI Consulting (NYSE: FCN) where he worked from 2005 to 2010 and again from 2017 to 2020.
Tim is a lifelong learner committed to personal and community advancement. He earned an MBA from Vanderbilt University with a dual concentration in Finance & Strategy.

Tim Grubb
Managing Partner
Ratio Health Solutions
Leadership You Can Trust
Ratio Health Solutions (RHS) collaborates with health system leaders to identify and implement impactful solutions, often with an ROI of 20x or greater.
RHS is directed by Tim Grubb, who leverages a 30-year career focused on Finance, Strategy, Analytics, and Margin Improvement. Tim began his healthcare career with Cambio Health Solutions, a boutique firm that specialized in turnarounds for distressed hospitals. Cambio was acquired by FTI Consulting (NYSE: FCN) where he worked from 2005 to 2010 and again from 2017 to 2020.
Tim is a lifelong learner committed to personal and community advancement. He earned an MBA from Vanderbilt University with a dual concentration in Finance & Strategy.

Tim Grubb
Managing Partner
Ratio Health Solutions
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