WP192 | The Truth About Cutting Costs and Growing Your Practice in 2026 with Julie Herres

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Before you cut another expense in your practice, ask yourself this: what is it costing you not to have it?

In this episode of the Wise Practice Podcast, I’m joined by Julie Herres, founder of GreenOak Accounting, to talk about making wise money decisions in your private practice.

Y’all, this has been a challenging year for practice owners. So many of us are feeling the pressure around finances, growth, staffing, marketing, and knowing where to invest our money. It can be tempting to start cutting costs just to feel more in control, but not every expense is the problem.

Julie and I talk about how to look at your numbers with more clarity, how to know whether an expense is actually helping your practice grow, and why cutting something that saves you time or brings in revenue can sometimes cost you more in the long run.

We also get into the habits of successful practice owners, including tracking your data, reviewing your finances regularly, surrounding yourself with the right experts, and making sure your personal lifestyle does not put pressure on your business.

If you’ve been feeling nervous about money, unsure what to cut, or wondering where to invest next in your practice, this conversation will give you some practical things to think through.

In this episode, we cover:

* Why practice owners are feeling more cautious about money right now

* The difference between cutting costs and cutting growth

* How to think about ROI beyond just dollars

* Why tracking your numbers matters so much

* What successful practice owners are doing differently

* When it’s time to get professional help

* How to protect your practice from financial stress

Julie and the GreenOak Accounting team will also be joining us at the Wise Practice Summit in Nashville, Tennessee, October 8–10. If you want to be in the room with other faith-based practice owners and experts who can help you grow with wisdom and clarity, I would love to see you there.

Money Feels Different Right Now

Y’all, I keep hearing it from practice owners everywhere. Money feels different this year.

There is more hesitation. More fear. More uncertainty. Practice owners are looking at their expenses and wondering what they should cut, what they should keep, and what is actually helping their practice grow.

I get it. When things feel tight or uncertain, one of the first things we want to do is open up that expense list and start cutting. We want to feel like we are doing something. We want to feel more in control.

But not every expense is the problem.

Cutting Costs Is Not Always the Same as Making a Wise Financial Decision

In my conversation with Julie Herres of GreenOak Accounting, we talked about how easy it is to start cutting expenses without really thinking through the bigger picture.

There may absolutely be things in your practice that need to go. Maybe you are paying for software you do not use anymore. Maybe there are subscriptions that served a purpose in one season but are no longer needed. Reviewing expenses is a healthy thing to do.

But the question Julie brought up is one every practice owner needs to ask: what is it going to cost me not to have this?

That is such an important shift.

Because sometimes the expense you are cutting is not just an expense. It is saving you time. It is bringing in leads. It is helping you make better decisions. It is keeping you from being pulled into every single part of your business.

Time Has a Cost Too

As practice owners, we can get so focused on the money going out that we forget about the time we are spending when we try to take everything back on ourselves.

If you cut your admin support, those tasks do not magically disappear. Someone still has to answer the phone. Someone still has to respond to inquiries. Someone still has to follow up with clients, handle scheduling, and keep things moving.

And a lot of the time, that someone becomes you.

I shared with Julie that in my own practice, I recently found myself helping answer intake calls because of some staffing changes and vacation time. It was good for me in one sense because it reminded me of what that process feels like. I could see where things needed to be streamlined.

But it was also overwhelming. The phone was ringing. The needs were constant. And while I was doing that, there were other things in my business that only I could do that I was not getting to.

That is the part we often miss.

Opportunity Cost Is Real

When you are pulled into the day-to-day work of your practice, there is always something else you are not doing.

You might not be working on your leadership team. You might not be reviewing your numbers. You might not be building referral relationships. You might not be thinking about your next strategic move.

And then those things stack up.

That is what Julie called opportunity cost. It is not just the money you saved. It is what you lost by saving that money.

Sometimes saving money in one place creates a much bigger cost somewhere else.

The Value of Getting Help

Julie shared such a helpful example from her own business. She had content she knew would make a great course. She knew people wanted it, and she knew it could be valuable.

Could she have figured it all out herself? Probably.

But instead, she worked with someone who knew the process. That person helped her shorten the learning curve, choose the right tools, and actually get the course launched.

And now that course sells every week.

That is a perfect example of a wise investment. It cost money upfront, but it saved time, reduced frustration, and helped create something that continues to bring value into her business.

Not Every DIY Decision Saves You Money

Practice owners are smart people. Therapists are smart people. Could you figure out your own bookkeeping? Probably. Could you build your own website? Maybe. Could you manage your own HR questions, marketing analytics, intake systems, and hiring process? You might be able to figure out pieces of it.

But should you be the one doing all of it?

That is a different question.

There is a point in business where doing everything yourself is not saving you money anymore. It is slowing you down.

And y’all, I see this all the time.

If You Are Not Tracking It, You Cannot Make Wise Decisions

One of the biggest things Julie and I talked about is tracking your numbers.

If you do not know where your leads are coming from, how do you know which marketing is working?

If you do not know your conversion rate, how do you know whether you have a marketing problem or an intake problem?

If you do not look at your P&L, how do you know what is actually happening in your practice?

So many practice owners are tracking data but not actually looking at it. Or they are not tracking it at all.

And then they are making big decisions based on feelings.

Feelings Are Helpful, But They Are Not the Whole Picture

I am not saying feelings do not matter. I am a very emotional person. I care deeply about what I do. I know what it feels like to be pulled into something emotional in the business and then have a hard time switching back into strategy mode.

But when it comes to money, we need more than feelings.

We need numbers. We need reports. We need data. We need to know what is actually happening so we can make decisions with clarity.

That is why Julie reviews her numbers every Friday. It does not have to take hours. For her, it is a quick check-in to see what cash is coming in, what is going out, and whether things are where they need to be.

That kind of rhythm helps you catch problems before they become huge.

Your Marketing Might Not Be the Problem

I have had so many conversations with practice owners who say, “My marketing is not working.”

But then, when I ask about their analytics, they do not know what the numbers say.

Sometimes marketing is actually bringing in calls, but the practice is not converting those calls. That is not a marketing problem. That is an intake problem.

I worked with a practice owner who thought she needed to stop paying for a marketing service. But when we looked at the data, we realized the service was bringing in leads. The issue was that only about 30% of calls were converting.

Once she fixed the intake issue and hired the right person, she started getting more clients without spending more money on marketing.

That is why the numbers matter.

Look at the Whole Client Experience

Julie shared a really practical idea that I love. Have someone outside your practice go through your client experience.

Ask a friend, neighbor, or someone who does not know your system to go to your website and try to figure out what to do next. Do they know whether to call, email, text, or fill out a form? Is the process clear? How long does it take someone to get back to them? Is it easy to schedule?

We are in 2026. People expect things to move quickly.

If your process is confusing or slow, potential clients may move on before they ever become a client. That does not always mean your marketing is broken. It may mean your website, intake process, or follow-up system needs attention.

Successful Practices Are Not Accidental Anymore

Julie said something that really stuck with me. In 2020 and 2021, some people kind of accidentally grew big practices. The demand was high, and growth happened quickly.

But that is not the same environment we are in now.

In 2026, profitable practices are still possible. Growing practices are still possible. But it is not accidental anymore.

It has to be intentional.

You Can Delegate, But You Cannot Abdicate

As the owner, you do not have to do everything. In fact, you should not do everything.

But you do have to know what is going on.

You can delegate tasks, responsibilities, and systems. You can build a team. You can hire experts. But you cannot completely hand off responsibility and then be surprised when something goes wrong.

The buck still stops with you.

That means you need rhythms for checking in. You need meetings. You need reports. You need conversations. You need to understand the health of your practice, even if you are not the one doing every single task.

Stay in Your Zone of Genius

Successful practice owners know what their time is worth.

They are not spending hours trying to fix a website issue if they have someone who can do that faster and better. They are not getting stuck in every little operational problem. They are directing traffic.

That does not mean they are checked out. It means they know where their energy is most valuable.

As your practice grows, your job changes. You move from doing everything to leading the people and systems that keep the practice moving.

Your Personal Lifestyle Affects Your Business

This is such an important conversation, and I am so glad Julie brought it up.

As a practice grows, of course I want the owner to take home more money. I want practice owners to enjoy the fruit of their hard work. I want you to take the vacation, enjoy your family, and spend money on things that matter to you.

But your business can get into trouble if your personal lifestyle grows so much that you have to take every penny out of the practice.

There are seasons of growth, and there are seasons where things slow down. A key clinician leaves. Referrals shift. Expenses go up. Something unexpected happens.

If your personal expenses require the business to perform perfectly every single month, that puts a lot of pressure on your practice.

Profit Has a Job to Do

Julie said this so well. Profit is technically yours, but it has a lot of heavy lifting to do.

It has to pay you. It has to fund growth. It has to pay debt. It has to cover taxes. And some of it needs to stay in the business to protect the practice.

You cannot take every penny out and expect the business to stay healthy.

That does not mean you never enjoy your money. It means you are wise with it.

Choose What Matters to You

Not everyone cares about the same things, and that is okay.

Some people care about cars. Some people care about clothes. Some people care about travel. Some people care about experiences with their family.

There is no judgment in that.

The issue is when we start buying everything because we think that is what a successful practice owner is supposed to do. If you are making decisions based on comparison, that is going to get dangerous fast.

Know what actually matters to you. Spend intentionally. Save intentionally. Invest intentionally.

Stop Avoiding the Big Thing

Julie also talked about how practice owners sometimes spend their time on things that do not really move the needle.

They will spend an hour trying to save $20 on an internet bill while avoiding the bigger issue in the practice. Maybe it is compensation. Maybe it is conversion. Maybe it is leadership. Maybe it is a service that is not profitable.

That hit home for me because I see it all the time, and I do it too.

We all want to do the easier tasks when the bigger thing feels scary. But the bigger thing is usually what actually needs our attention.

Accountability Helps You Face What Matters

For me, accountability is huge.

I need someone who is going to ask me if I did the thing. I need a coach or consultant who will tell me what I need to hear and then expect me to follow through.

Sometimes I will push back in the moment. I will argue. I will say it is not worth my time. And then, when the call is over, I go do the thing and realize it was exactly what I needed.

That kind of accountability matters.

Julie shared that when she is avoiding something, she sets a timer for 30 minutes. She tells herself she only has to work on it for that amount of time. Most of the time, once she starts, she keeps going.

Sometimes we just need a way to break the cycle of avoidance.

What to Do If You Feel Scared About Money

If you are feeling nervous about money in your practice right now, start by looking at the numbers.

Look at what is actually happening in your practice. Look at how much you can reasonably take home based on where the practice is right now, not where you wish it were.

Look at what you are spending personally. A lot of people do not have a personal budget, and there is no shame in that. But if things feel tight, it is time to look.

Look at your business expenses. Let go of what you truly do not use. Combine tools where you can. Pay attention to software or services that no longer serve the practice.

But before you cut something that may be bringing in revenue, saving time, or supporting growth, slow down and ask what it will cost you not to have it.

Get Professional Help Before It Is Too Late

One of the biggest takeaways from this conversation is that you do not have to do this alone.

If you are in a difficult financial situation, get help. That might mean an accountant. It might mean a coach. It might mean an attorney, HR professional, billing expert, or marketing strategist.

You need people in your corner who can look at your situation objectively and help you make wise decisions.

And please do not wait until things are too far gone.

Get help before you are taking out loans with terrible interest rates. Get help before you are making decisions that are hard to reverse. Get help before the hole feels too deep.

There is wisdom in getting support early.

You Do Not Have to Carry It Alone

Being a practice owner can feel lonely.

There are decisions you cannot put on your team. There are financial realities you may not want to share with everyone. There are hard calls that are yours to make.

But that does not mean you have to carry it all by yourself.

Get the right people around you. Look at your numbers. Track your data. Protect your practice. Make decisions with wisdom instead of fear.

And remember, y’all, cutting expenses is not the goal.

Building a healthy, sustainable, profitable practice is the goal.

Meet Julie Herres

Julie Herres has helped hundreds of private practice owners gain financial freedom. Founder of GreenOak Accounting, the country’s largest firm serving healthcare private practices, Julie is an accountant, consultant, speaker, author of Profit First for Therapists and host of the Therapy for Your Money podcast.

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