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.

If you’re an accidental group practice owner, it’s okay—you started from a place of care and connection.

But your next chapter requires intention, leadership, and structure.