Margin + Mission

We wrote the book on cost.

The goal of Margin + Mission: A Prescription for Curing Healthcare’s Cost Crisis is to share ideas to help solve the cost crisis in healthcare.  Now in its second printing Margin + Mission is helping to fuel conversation. All stakeholders agree that in order for healthcare to be healthy, the time is now to find the prescription and without margin, there is no mission.

Download the introduction of the book:



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Achieving Success with Bundled Payments: A Case Study with The Ohio State University Wexner Medical Center

Elizabeth Lipinski, MS - Associate Director of Analytics, Anne Stockton - Financial Analysis Consultant & Adam Kowalski - VP Product Management

The Ohio State University Wexner Medical Center, The James Cancer Center Hospital and Solove Research Institute & Strata Decision Technology

Activity Based Budgeting: An Implementation Update with Nebraska Medicine

Kristi Atkinson - Manager, Budget & Cost Accounting

Nebraska Medicine

Advancing Decision Support at Wake Forest Baptist Health

Joseph Hilburn - Manager Decision Support

Wake Forest Baptist Health

Best Practices in Budgeting at a Multi Site Health System

Jennifer Ulrich - Director, Financial Planning & Management Reporting

OSF Healthcare

Best Practices in Staffing and Productivity Monitoring

David Moldawer - Implementation Manager Continuous Improvement

Strata Decision Technology

Capital Planning for the Future

Lynette Jasuta - Director, Capital Planning

Strata Decision Technology

Whitepaper: The Journey to Time-Driven Costing

When it comes to cost accounting in healthcare, most organizations have managed with simple, manual workflows and estimations. Many calculate costs using ratios or averages rather than actual data, a practice that has come to represent but not fully depict the reality of the hospital’s operatio...