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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.
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
By Jimmy McKay, PT, DPT | Physical Therapy Podcast4.8
193193 ratings
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.
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

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