If you've worked inside a healthcare organization you've probably heard the question:

“What's the EBITDA impact?”

But what happens when a financial reporting metric slowly becomes the mission of the entire organization?

In this conversation, Jimmy McKay and Larry Benz unpack:

• What EBITDA actually measures
• How "Adjusted EBITDA" becomes a fiction contest
• Why chasing the metric can distort clinical care
• The Soviet nail factory problem in healthcare
• What a healthier dashboard for PT organizations should look like

Larry also explains the four pillars every physical therapy organization should measure instead of obsessing over EBITDA.

If you lead a healthcare organization, this conversation will challenge how you think about metrics, culture, and what actually drives sustainable performance.

YouTube Chapters

00:00 The phrase every healthcare leader hears
00:40 EBITDA explained simply
02:40 When the tool becomes the mission
03:20 The “Adjusted EBITDA fiction contest”
05:40 How metrics change behavior
07:40 Why clinicians are the real business
10:20 The Soviet nail factory story
13:30 What healthcare should measure instead
14:00 Larry’s four pillar dashboard
18:00 Culture is the engine of EBITDA