This summer, I sat down with four group practice owners across the country on the Empowered to Lead podcast and asked each of them the same question: how did you decide whether to grow or stay where you are. Not one of them answered with a number. Not one said "once your team’s caseload hits this," or "once you can afford that." What they gave me instead was harder to put in a framework, and more useful because of it.

Wondering if you're too late to grow your group practice, add systems, or restructure your associate splits? You're not. Here's what doing the work actually looks like, from a coach who has walked dozens of owners through it.