Business guidance built for veterinary practice owners.
Nationwide veterinary practice consulting for owners who want stronger financial clarity, profitability, operations, growth planning, and exit readiness.
Your practice is a medical business—and both sides have to work.
Veterinary owners often have to make major business decisions while also caring for patients, leading teams, managing staffing pressure, and keeping the practice moving.
Old Hickory Group helps owners step back, understand the numbers, identify the real issues, and build a healthier practice.
You don't need to know the name of the service. Start with what's not working.
“We're working harder, but the numbers don't reflect it.”
Pricing, costs, labor, capacity, and financial visibility may be working against each other.
“The practice has grown, but our systems haven't.”
Growth can expose gaps in processes, accountability, leadership, and decision-making.
“I want to retire someday, but I don't know where to start.”
Exit readiness begins well before a buyer appears. The stronger the practice becomes now, the more options the owner has later.
Support for the decisions that shape your practice.
Practice Health Assessment
Evaluate financial and operational performance to identify strengths, gaps, and priorities.
Learn more →Financial Performance & KPIs
Build visibility into the metrics that drive profitability, staffing, capacity, and decision-making.
Learn more →Growth & Operations
Improve systems, accountability, planning, and the operational side of a growing practice.
Learn more →Exit & Succession Planning
Prepare the practice, the owner, and the organization for a stronger future transition.
Learn more →The practice was about 200 yards from Phillip's back door.
Phillip grew up around his father's Middle Tennessee veterinary practice. His father began primarily as an equine veterinarian working with Tennessee Walking Horses, and Phillip eventually helped as the practice transitioned toward companion-animal medicine and grew from one veterinarian to roughly three-and-a-half veterinarians.
From an early age, Phillip did almost everything there was to do around the practice: cleaning kennels, working as a veterinary technician, answering phones, and eventually helping with software and accounting.
His father was an exceptional veterinarian—but, like many practice owners, he had gone to school to practice medicine, not to become a business expert. Phillip watched him work extraordinarily hard while becoming frustrated that the financial results did not always reflect the effort.
Phillip encouraged his father to hire a veterinary consultant and helped him choose one. He saw firsthand how the right advisor could improve the practice, support the team, and ultimately help his father prepare for a successful sale and retirement.
What veterinary owners often want help with.
Why isn't profitability matching revenue growth?
We help isolate the financial and operational drivers behind the gap.
Which KPIs actually matter?
We focus on a practical scorecard tied to decisions—not vanity metrics.
How do I get ready to sell someday?
We help strengthen the practice before the transaction becomes urgent.
Veterinary client perspective.
“Phillip Jackson has been an invaluable aid in helping me better understand the financial workings of my practice. Having more detailed knowledge of just how dollars flow through my practice allowed me to both improve my ongoing practice management procedures as well as position myself in the best way for practice sale.”
Adam A.Questions practice owners often ask before bringing in an advisor.
Bring us the problem. You don't need to know the service name.
Tell us what's happening in the practice and we'll help determine the right next step.
Discuss Your Practice →