OhioDMD but don't you think you're losing money by slowing the growth of your practice? It amazes me the measures some dentists will go to in order to avoid dealing with the financial risks (regardless of the awards achieved) by hiring an associate. By hiring the appropriate number of associates (if more then one is required) you'd enjoy more passive income, take more time off, and still earn money while you're on vacation! A practice with 6000 active patients, for example, has enough patients to support four full time dentists and easily net an owner well over a million a year (or provide an income in the high hundreds of thousands for four equal owners) but most dentists will attempt to take on the patient base by themselves or higher one associate and lose out on hundreds of thousands if not millions.