Episode summary
In this episode of Rehabbing Your Revenue Cycle, host Robert Kowalick speaks with Julie Herres, Founder & CEO of GreenOak Accounting, LLC, about helping healthcare practice owners build financially stable, profitable, and scalable businesses. They discuss specialty-focused CFO advisory, practice performance metrics, capacity planning, reimbursement and retention, compensation models, labor costs, profit margins, expansion readiness, and the role of AI in accounting. Julie Herres leads GreenOak Accounting, a firm focused on healthcare practice owners for more than 10 years.
Show notes
In this episode of Rehabbing Your Revenue Cycle, host Robert Kowalick speaks with Julie Herres, Founder & CEO of GreenOak Accounting, LLC, about helping healthcare practice owners build financially stable, profitable, and scalable businesses. They discuss specialty-focused CFO advisory, practice performance metrics, capacity planning, reimbursement and retention, compensation models, labor costs, profit margins, expansion readiness, and the role of AI in accounting.
Julie Herres leads GreenOak Accounting, a firm focused on healthcare practice owners for more than 10 years. Her team provides bookkeeping, tax, and fractional CFO advisory services, using financial and operational data to support decisions around hiring, space, compensation, cash flow, and growth.
Expect to Learn
- How specialty-focused financial advisory can help healthcare practice owners make decisions beyond year-end tax planning.
- How to use capacity, visit volume, and financial data to evaluate whether it is time to hire or expand.
- Why reimbursement per visit, retention, and cost per visit shape the financial value of a new patient.
- How compensation models can align provider incentives with visit volume, attendance, and practice sustainability.
- Why protecting profit margin before opening another location can help prevent cash-flow and debt problems.
- How regular financial reviews and clear operating metrics can turn practice goals into actionable plans.
Timestamps
- [00:00] - Teaser
- [00:26] - Guest Introduction and why GreenOak Accounting focuses on healthcare practice owners
- [05:11] - How Julie’s Accounting Approach Differs From Traditional Firms
- [08:36] - How practices can determine when to hire another PT.
- [12:20] - Revenue, retention, and the value of a new patient
- [17:12] - Provider compensation models and shared risk
- [20:08] - Labor costs and profit-margin targets
- [25:58] - Stability before scalability
- [29:57] - The value of having a trusted financial partner.
- [32:04] - The philosophy behind open-book management.
- [40:34] - Whether practices should focus more on cost management or increasing revenue
- [43:23] - How AI may impact physical therapy practices
- [45:44] - Actionable financial step practice owners can take immediately
Disclosure: Portions of this episode (such as the introduction or promotional segments) use AI-generated voice narration produced under human editorial review.
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