I talk to a lot of group practice owners at exactly this point, and the conversation almost always turns to hiring. Not because their hiring process failed. Because it was never designed for this stage. What got you your first five hires, often some combination of gut feeling, a casual conversation, and a good reference, is not enough once you're managing 12 people and trying to protect a culture you can no longer oversee by proximity.

You have done the work to bring clients in. Your marketing is performing reasonably well. And then your clinicians are not keeping those clients as long as they could. If you could help your team retain each client for even one more session, the ripple effect would be significant. Your marketing ROI would improve. Your clients would experience more meaningful clinical outcomes. And your associates would feel more grounded in their work.