You spend how much on vet school to get your license? Gotta pay it back--can't work for peanuts if you have a ton of debt over your head.
And they may be sitting on $500,000 of equipment, but is it paid for?
There are a lot of things you can't see that might be preventing them from expanding.
Sounds like an attitude adjustment might help them though. I suspect their lalaland attitude is what keeps them from hanging on to a decent receptionist