What does it really take to grow from one practice to ten thriving locations without losing your mind or your margins? In this episode, Jason sits down with Dr. Hardik Chodavadia, co owner of a ten location group in Austin, Texas, to unpack the real story behind rapid but sustainable growth. From signing his very first lease sight unseen to leading a team of more than 80 people, Dr. Hardik shares what worked, what almost broke the business, and what he would do differently if he had to start again today. They dig into the messy middle of scaling: building from de novo instead of acquisition, bringing on partners, hiring a CEO, and learning how to lead when your role shifts from full time clinician to full time operator. You will hear how they structure their leadership team, use meetings to keep everyone aligned, centralize key functions like phones and billing, and protect culture across multiple locations. You will learn: How Dr. Hardik went from one six operatory startup to ten locations in under ten years The real role of office managers and doctors in leading each practice, and why not every associate should be a “leader of record” What their centralized model looks like for phones, claims, and billing, plus where they still keep things local How they think about mentors, partners, and specialists as they scale clinical services Why meetings, structure, and daily scorecard reviews are non negotiable in a multi location group The biggest risks that keep Dr. Hardik up at night, from marketing and new patient flow to over reliance on “rock star” employees without systems If you are serious about adding locations or turning your single site office into a true group, this conversation gives you a candid, behind the scenes look at what it actually takes.