The fear of success may be even more common than the fear of failure:
More employees – You'll need to hire the right people, train, manage and inspire them.
Leadership burden – With a larger team it will require constant attention to insure everyone is on the same page.
Larger tax bite – Mistakes can be expensive, so you'll be consulting your CPA and making sure you're compliant and making the necessary estimates.
Extra marketing – With more mouths to feed you'll be investing more heavily in practice promotion.
Divided attentions – Seeing patients while attending to the business will require discipline and presence.
Flat income – Greater income from the economies of scale don't automatically manifest by being bigger or busier.
Bigger target – More patients mean more opportunities for misunderstandings, poor reviews, lawsuits and all the rest.
Yes, a larger practice can produce greater impact. Just make sure you want it for the right reasons.
Bill Esteb has been a chiropractic patient and advocate since 1981. He is the creative director of Patient Media and the co-founder of Perfect Patients. He’s been a regular speaker at chiropractic gatherings since 1985. His 12 books explore the doctor/patient relationship from a patient's point of view. His chiropractic blog, in-office consultations, patient focus groups and consulting calls have helped hundreds of chiropractors around the world. Since 1999 Monday Morning Motivation has been emailed to over 10,000 subscribers each week.