@Teri, it sounds like you own a practice that is primarily you.  I applaud your steller work-ethic.  I think I'm a lot like you when I started my first business.  Unfortunately, working hard can get in the way of being a great business leader.  My work ethic got in the way of me delegating to others and figuring out how to empower and lead; instead of DO.  Because hard-workers tend to devalue good leadership; and value DOING.  Hope you are doing well!