Therapy For Your Money

There's a moment every growing practice hits: the admin work is piling up, someone's drowning, and the instinct is to do the thing you know how to do. Post a job. Hire another team member. But with costs in private practice climbing and insurance rates refusing to keep pace, that default deserves a second look. In this episode, Julie talks with Justin Ith, co-founder and CEO of Aria, who...

If you've ever wondered whether you have to offer health insurance in your practice, or which option makes the most sense, this episode is for you. Julie starts with something that surprises a lot of owners: you're probably not required to offer health insurance at all. From there, she walks through the four ways a practice can handle health benefits, what each one costs you, and how eac...

At some point, almost every practice owner daydreams about adding a new service line. A second offering, an adjacent specialty, a new revenue stream that isn't tied to your own hours in the room. It can be a genuinely great move. It can also go sideways fast if you skip the math. In this episode, Julie talks with Dr. Casey Mangnall, a licensed and forensic psychologist who founded the Utah Ce...

When most practice owners think about selling, they picture one thing: walking away completely. But that's just one point on a much wider spectrum, and understanding the rest of it can change how you think about your whole business. In this episode, Julie talks with Dan King, co-founder of Fireside Strategic (a firm that buys mental health practices and also represents sellers) and a former l...

Quick question: who can spend your practice's money right now, today? Not who's supposed to, but who actually could pick up a card with your name on it and buy something? In this episode, Julie gets a little intense (her words) about financial controls, because she's seen the same story play out a hundred times. A shared card, a mystery charge, no receipt, and an owner left quietly...

You want your revenue to grow. So you check the revenue number. Then you check it again. And somehow staring at it never seems to make it go up. That is the trap Julie and Dr. Adam Robin dig into in this conversation. Adam is a physical therapist, healthcare entrepreneur, and founder of Inbox Zero VA, and he thinks about revenue the way an accountant does: as an output , not a lever. If you want t...

Every practice owner has thought about it. You write the rent check, watch it disappear, and think: what if I owned this instead? In this episode, Julie pulls back the curtain on buying your practice building — the strategic case for it, the very specific financial conditions you need to meet first, and the situations where she'll tell you flat out not to do it. (There's one scenario she...

Part 2: Making It Work In Part 1, Ken Urie and Ernie Schmidt talked about the mindset of stepping back. In Part 2, they get into the how: what it actually takes to hand over the day-to-day and trust someone else to run your practice. They dig into letting a leader make calls you wouldn't have made, why the businesses they built are structured so a single decision can't quietly sink the s...

Part 1: The Decision to Step Back Most group practice owners hit a moment where they wonder: could this business run without me in the middle of everything? This week Julie sits down with two owners who actually did it. Ken Urie (Mill Creek Family Services) and Ernie Schmidt (Palo Alto Therapy) have each grown large group practices and stepped back from day-to-day operations, and they coach other...

Running a private practice means making a lot of decisions, some exciting, some uncomfortable, and some that just can’t wait. In this quarterly check-in, I’m joined by Jacquie Carter from our GreenOak team to talk about what we’re actually seeing behind the scenes right now. From tax planning mistakes (yes, we’re going there) to payroll realities, hiring challenges, and a few hard truths practice...

If you’ve crossed (or are approaching) that $1M mark in your practice, you’ve probably realized something… growth doesn’t get easier—it just gets different. In this episode, I’m joined by Joshua Brummel from Therapy Flow to talk about the hidden bottlenecks that show up as you scale from $1M to $3M and beyond. These aren’t the obvious problems you solved early on, they’re the behind-the-scenes iss...

If you’ve ever felt like you’re doing all the right things —taking time off, booking the massage, squeezing in a workout—but still feeling exhausted… this episode is going to hit home. Because what if the problem isn’t that you need more self-care? In this conversation, I sit down with Valarie Harris, author of The Capacity Code , to unpack a powerful idea: many practice owners aren’t dealing with...

What does it really take to scale a therapy practice to 7 figures, without burning out or creating chaos behind the scenes? In this episode, Julie sits down with returning guest Nicole McCance to break down her proven 5-step framework for scaling a group practice . From systemizing your operations and hiring the right first clinician to fixing your biggest conversion gaps, this conversation is pac...

If you’ve ever thought, “I’ve heard of Profit First… but I still have questions,” you’re not alone. In this episode, Julie is joined by Angelica Epps for a real, behind-the-scenes Q&A based on what practice owners are actually asking inside the Profit First Academy. From “Do I even make enough to start?” to “What’s the difference between profit and owner’s pay?”, nothing is off the table. This...

What does it actually take to grow from clinician to CEO? In this episode, Julie sits down with Brian Gallagher to unpack the financial leadership shifts required to scale a private practice—without burning out or building a business that runs you into the ground. They dive into why so many practice owners stay stuck in a “household money mindset,” how to think like a true CEO, and what it really...

You’re tracking your KPIs… but what do you actually do with them? In this episode, I’m walking you through how to move beyond just looking at your numbers and start using them to lead your practice. Because tracking KPIs isn’t leadership— using them to drive decisions, assign ownership, and take action is. We’ll talk about leading vs. lagging indicators, how to set up a simple system for reviewing...

How Much Financial Transparency Is Too Much in Private Practice? Transparency with your team can be a great leadership quality. But when it comes to your practice finances, sharing too much information can sometimes create confusion, pressure, and unintended consequences. In this episode of Therapy for Your Money, Julie explores a topic that can feel a little controversial for practice owners: how...

Many private practice owners assume their business will eventually fund their retirement. After all, you’ve spent years building it, surely it will be worth enough someday to carry you through your later years. But relying solely on your practice as your retirement strategy can be risky. In this episode, Julie sits down with financial planner Eric Miller, CEO of Econologics, to talk about why prac...

When inquiry volume slows down, every single call matters. In today’s private practice landscape, you can’t afford to miss opportunities simply because you didn’t respond fast enough. Research shows that the first practice to respond often wins the client — even if they weren’t the client’s first choice. In this episode of Therapy for Your Money , Julie sits down with Uriah Guilford of Productive...

The Rent Equation That Can Make or Break Your Profit Rent usually isn’t your biggest expense — payroll almost always takes that spot. But rent is one of the biggest long-term commitments you’ll ever make in your practice. When you sign a 5- or 10-year lease, that decision follows you. And I’ve seen it go both ways. I’ve seen beautiful spaces help practices grow efficiently and profitably. And I’ve...

Divorce is hard. It’s emotional. It’s overwhelming. And when you own a private practice, it can feel even more complicated. Your practice isn’t just a job—it’s an asset. It’s a cash flow machine. It’s how you pay your bills, support your family, and serve your clients. So what happens to it in a divorce? How is it valued? Could you lose it? What about taxes, debt, or access to your bank accounts?...

In this quarterly review episode, Julie and Jacquie reflect on what private practice owners experienced in 2025 and what to expect in 2026. From staffing challenges and rising expenses to burnout and big leadership transitions, they share what they are seeing behind the scenes with real practices. If you want clarity, stability, and a plan for navigating uncertainty, this conversation will help yo...

Common Tax Credits and Deductions for Practice Owners in 2026 Tax season doesn’t have to be a mystery, and you might be leaving money on the table without even realizing it. In this episode, Julie Herres sits down with Adam Rook from the GreenOak Accounting tax team to break down the most common tax credits and deductions practice owners may qualify for—both on the business and personal side. Whet...

A Profit First Journey: Confessions of a First-Year Practice Owner Starting a private practice can feel equal parts exciting and overwhelming—especially when it comes to money. In this episode of Therapy for Your Money , Julie sits down with Alex Antonucci, a first-year practice owner who isn’t afraid to share the honest, behind-the-scenes reality of building a financially sustainable practice fro...

Making the shift from independent contractors (1099s) to employees (W2s) can feel overwhelming for private practice owners—and let’s be honest, it can stir up a lot of big feelings for your team too! In this episode, Julie Herres sits down with Ginger Houghton, owner of Bright Spot Therapy, to unpack how Ginger’s “red carpet exit” approach turned what could have been a stressful transition into an...