I'm a solo practitioner. I am doing as much as I can by myself so I can keep most of the profit. There are a few reasons why I don't hire additional doctors: 1. I don't have enough rooms 2. I can still handle it myself. Why pay someone to do something I can do myself? 3. They might cannibalize my patients if they choose to setup near me in the future 4. I don't want to fix or correct anyone's work unless I'm getting paid for it. I'm sure there's a lot more reasons besides these, but these are my main points. This is why I don't want to open another office or hire additional doctors. Marginally incremental profit for more work. In a multiple provider office, I have to be HR to the other doctor, pay them a significant chunk that I can do on my own. I am looking into possibly hiring a traveling OS to do 3rd's for me, but I don't know if I want to do any post-ops for them. If I had 20 chairs or more that I could completely fill up, I would consider hiring an associate. Even paying at 30% collections, the profit isn't enough to justify the additional administrative work and risks, and that's why I haven't looked into expanding to 20 chairs. If I could find an associate that would want to work for the long term with me with minimal guidance and take on a similar workload, I'd definitely add another 13 chairs.