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Scaling from $1 million to $10 million requires five structural shifts that move founders out of day-to-day execution and into a CEO role built around systems, delegation, and strategic leadership.
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I remember a point in our growth when I was still treating patients most of the day, reviewing notes at night and telling myself I was “leading” the business. On paper, we had crossed the million-dollar mark. But in reality, I was still operating like a high-performing clinician who happened to own a company.
