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.

One of the most honest parts of this spring season is the mixed feeling of wanting to move forward while also wanting to hunker down. There can be excitement about what is possible alongside a very real desire for stability. Both belong.

Too many group practice owners I talk to feel like they’re scraping by on “humidity.” They’re holding everything together with sheer determination but never feel fully nourished or resourced.