Big Hairy Audacious Goals: The Road to Build a $100M Practice - Ep: 01

Grow Your Practice Podcast

In this powerful solo episode, Chad dives deep into the concept of the Big Hairy Audacious Goal (BHAG)—a strategic visioning tool popularized by Jim Collins. Whether you're a solo practice owner or leading multiple locations, Chad explains why setting a bold, long-term goal can transform your business, align your team, and reignite your purpose. He shares personal stories from building his $20M+ practice, his challenges, and the exact framework you can use to craft your own BHAG. Plus, hear the pivotal moment that shaped the future of Breakthrough.

If you’re ready to stop playing small and start building a practice with real impact, this episode is for you.

If you're ready to grow your practice with clarity and purpose, schedule a free strategy demo at https://getbreakthrough.com/strategy/ to see how our platform can help you attract new patients, increase profitability, and stay focused on your long-term vision.

⏱️ Timestamps:

0:00 – Intro

Why we’re talking about BHAGs—and what makes them so powerful.

1:17 – What Is a BHAG?

Definition, key attributes, and why it's more than just a lofty goal.

2:33 – Vision-Driven Leadership

How BHAGs connect to core company vision and direction.

4:18 – From Theory to Practice

Chad shares his clinic’s BHAG and the competitive landscape in Central PA.

6:45 – How a BHAG Creates Alignment

Using a BHAG to guide hiring, marketing, operations, and focus.

8:14 – Beyond Survival: Inspiring a Mission-Driven Team

The power of getting your team aligned behind a bigger purpose.

10:12 – Filtering Out Shiny Objects

Using your BHAG as a North Star for strategic decisions.

11:32 – “Too Small to Think Big”? Think Again

Debunking the myth that BHAGs are only for big companies.

13:00 – Real-Life Example from Early Practice

Chad’s first vision as a 27-year-old and how it came true.

14:38 – The Fear of Failure & Uncertainty

Why you don’t need to know every step to think long-term.

16:45 – Building a Vision-Driven Team

Tips for attracting and retaining people aligned with your mission.

18:22 – Common Challenges with BHAGs

From team buy-in to feeling undeserving of success.

20:27 – The Framework to Craft Your Own BHAG

Step-by-step process to define purpose, impact, and time horizon.

25:45 – Business Math vs. Relationships

Why your BHAG should inspire people—not just hit revenue goals.

28:00 – The 20-Mile March

Jim Collins’ rule for sustainable long-term growth.

30:00 – Sharing and Aligning the Vision

How to make your BHAG part of everyday conversations and culture.

31:15 – Myths and Pitfalls to Avoid

Avoiding vague, boring, or unbalanced goals.

33:00 – A Personal Story That Changed Everything

The moment Chad decided to build something bigger than himself.

40:00 – Recap & Action Steps

Draft your BHAG, share it with your team, and start filtering decisions through it.