Without margin, there is no mission. I'm not a betting man, but I'd wager this isn't the first time you've come across that particular expression.Shopworn or not, it's stuck around this long because it neatly describes one of the key challenges of healthcare financial management. The mission of healthcare is to deliver high-quality care to patients in need. But that principle can only be met if the bottom line is healthy enough to keep the doors open and lights on. No margin, no mission.