08/18/2026
WHO DECIDED GROWTH ALWAYS MEANS HIRING MORE PEOPLE?
It’s one of those “rules” we rarely stop to question.
More clients = more clinicians.
More clinicians = more revenue.
More revenue = a more successful practice.
Right?
Not necessarily.
I’ve seen organizations grow in size while becoming less profitable, less efficient, and significantly more difficult to manage.
Sometimes the answer isn’t another clinician.
Sometimes it’s looking at:
* Are the clinicians you already have actually at capacity?
* Are schedules being utilized effectively?
* Are cancellations and no-shows quietly eating into revenue?
* Are administrative processes creating unnecessary work?
* Do you have the leadership structure to support another 5, 10, or 20 employees?
* And most importantly—does the math actually support the hire?
Growth shouldn’t simply mean more.
Sometimes growth means becoming better at what you’re already doing.
Before asking, “Who should we hire next?”
Maybe the better question is:
“What problem are we actually trying to solve?”
That’s the kind of “rule” worth questioning.
Question the assumption. Choose intentionally.
— Stark Advisory Group