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Alex Spinoso

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The Spinoso PodcastThe Spinoso PodcastCulture Is Driven By Mission - EP 201 In this episode of the Spinoso Podcast, Amanda and I kick things off with a little fun—trying to come up with a nickname for her that doesn’t sound like we’re in crisis mode (“Mayday” is definitely off the table). But from there, we get into something I was seriously fired up about: a conversation I had with a clinic owner in Houston who was struggling to get her team motivated. She said her biggest headache was “her people,” not because they were bad, but because she couldn’t get them to buy in. And I get it—it’s a proble...2025-06-1854 minThe Spinoso PodcastThe Spinoso PodcastEverything Connected Take Action - EP 196Welcome to The Spinoso Podcast. I’m Dr. Alex Spinoso, and while I’ve built multiple businesses into the eight- and nine-figure range, this podcast isn’t about theory or fluff. It’s about what I’ve actually done—what worked, what failed, and what it really takes to lead, scale, and live with purpose. If you’re in the arena—building something, leading something, or betting everything on yourself—then this space is for you. In this episode, I take you behind the scenes of how I got here. From med school and a failed scrub company to launchi...2025-05-3006 minThe Spinoso PodcastThe Spinoso PodcastWhy I Tell Clinics Not to Start with Aesthetics - EP 191If you're just starting in the medical clinic space and think Botox and fillers are your ticket to quick profits… pump the brakes. In this episode, I explain why I never recommend starting your clinic with aesthetics as your core service line. The competition is brutal, and the big players can undercut you on price all day long. You’ll be fighting uphill battles before you’ve even found your stride. But does that mean you should avoid aesthetics completely? Absolutely not. Once you’ve built a steady stream of clients who trust you and value your expertis...2025-05-1905 minThe Spinoso PodcastThe Spinoso PodcastWhat Does Entrepreneurship Cost? - EP 181On this episode of the Spinoso Podcast, I dive into a question that too many people overlook when they jump into entrepreneurship: what does it truly cost? I break it down through the lens of one of the greatest superhero movies ever made—Avengers: Infinity War—and the haunting moment when Thanos says it cost him “everything.” While we’re definitely not taking business advice from a villain, there’s a hard truth entrepreneurs need to hear: building something meaningful demands sacrifice—your time, your energy, and sometimes even the people you love. I share the brutal realities most...2025-04-2508 minThe Spinoso PodcastThe Spinoso PodcastLeading With Authenticity and Confidence ft. Vaughn Kohler - EP 150 Finding your purpose and direction in life starts with understanding who you are before deciding what you want to do. People often struggle with making decisions because they don’t have a clear sense of identity, values, or purpose. That’s why I believe identity comes before achievement—people who have a strong sense of who they are tend to accomplish incredible things. In today’s episode, we’re diving into the importance of self-awareness, authenticity, and developing a personal code that guides your actions, particularly as an entrepreneur or leader. For me, my sense of identity was instil...2025-02-121h 07The Spinoso PodcastThe Spinoso PodcastIntensity, Addiction, and the Entrepreneur - EP 141Setting boundaries and knowing yourself are essential skills for entrepreneurs, especially when dealing with addictive tendencies and the pressures of running a business. In this episode, I’ll share my personal journey of deciding to stop drinking alcohol, how it impacted my life, and the role self-awareness played in helping me prioritize my health and focus. From navigating social norms to addressing the challenges of an intense personality, I’ll explain how boundaries can protect your energy and keep you aligned with your goals. We’ll also discuss how addictive tendencies can manifest in entrepreneurship, from the drive...2025-01-2252 minThe Spinoso PodcastThe Spinoso PodcastHow to Build a Communication System That Scales - EP 131Communication is one of the most important factors in scaling your business. And I’m not just talking about internal communication within your team—I’m talking about clear, concise, and consistent communication with your clients. Your clients are busy people, juggling countless responsibilities, so wordy emails or cluttered messaging won’t cut it. That’s why having a reliable messaging platform is a game changer. For my business, we use a system we built with DEF CON 1 Marketing. It’s a powerful CRM that lets us text, email, and call clients seamlessly, ensuring no message falls through the cracks. Trus...2024-12-3006 minThe Spinoso PodcastThe Spinoso PodcastTrust the Damn Process: The Myth of Orpheus and Eurydice - EP 127Welcome to the Spinoso Podcast! Today, we’re diving into ancient myths for entrepreneurs and overachievers, with a focus on the Greek tale of Orpheus and Eurydice. This myth is packed with lessons about trust, focus, and sticking to the process. Orpheus, a legendary musician, ventured into the underworld to save his love, Eurydice. Despite his talent and determination, doubt crept in at the last moment, causing him to look back and lose her forever. It’s a powerful story about how losing focus at a critical moment can cost everything—a theme that resonates deeply in business and life.2024-12-2011 minThe Spinoso PodcastThe Spinoso PodcastBig Price, Big Payoff - EP 121In today’s episode, I want to revisit a topic that comes up time and time again when I talk to entrepreneurs—or anyone, really—who’s nervous about paying a big price. Whether it’s a financial investment, a major time commitment, or sheer effort, I see so many people hesitate when the stakes are high. Maybe it’s an entrepreneur unsure about spending money on equipment or marketing, someone hesitant to hire a personal trainer for their health, or a dreamer holding back on pursuing a career because of the cost of education. Here’s the truth: in life, nothi...2024-12-0609 minThe Spinoso PodcastThe Spinoso PodcastHow I Scaled Genesis Lifestyle Medicine - Ep 119 In this episode, I reflect on my journey from working in government and urgent care to becoming a thriving entrepreneur in the medical business space. After graduating from medical residency in 2016, I envisioned a straightforward path: 20 years in government, retire with a pension, then do it again with another employer. But two years in, I realized the monotony wasn’t for me. Inspired by entrepreneurship podcasts, books, and groups like the Arete Syndicate, I shifted my focus to building a business. This led me to meet my now-business partner, Brent Messer, who shared my vision for creating something groundbreaking in...2024-12-0206 minThe Spinoso PodcastThe Spinoso PodcastBuilding Confidence In Your Team - EP 117 In this episode of The Spinoso Podcast, we explore the critical connection between leadership success and team growth. Your ability to thrive as a leader hinges on creating an environment where your team can excel alongside you. I’ll share how we transformed the chaos of unstructured systems at Genesis into a cohesive framework that fosters confidence and competence across the board. From onboarding processes to talent management, discover the steps we took to empower our team and drive mutual success. We’ll dive into the importance of creating accessible training tools, like video tutorials, written guides, and...2024-11-2753 minThe Spinoso PodcastThe Spinoso PodcastDelusions Of Grandeur - EP 112 Today, we’re tackling a lesson in humility inspired by a name many Americans recognize—General Douglas MacArthur. MacArthur was a brilliant military leader during World War II, especially known for his role in the Pacific Theater. But while his strategic genius was undeniable, he had one fatal flaw: his ego was out of control. In war, that ego gave him the confidence and decisiveness he needed. But in peacetime, MacArthur forgot he wasn’t the ultimate authority, and that led him to disregard direct orders from President Harry Truman. The result? Truman fired him. MacArthur’s downfall serves as a rem...2024-11-1510 minThe Spinoso PodcastThe Spinoso PodcastHow Do You Prioritize Resources When Scaling? - EP 110 Today, I’m going to dive into the truth about scaling a medical clinic. When it comes to growth, there are two approaches: fast or slow. At Genesis, we chose the fast track, but that doesn’t mean you have to follow the same path. Building a company, especially in the healthcare field, requires a sense of urgency every single day. When you wake up, your feet should hit the ground running because, in business, you’re either predator or prey. Allocating resources wisely is critical to scaling effectively, and from day one, every extra dollar we made went straig...2024-11-1121 minThe Spinoso PodcastThe Spinoso PodcastDo You Need A Lawyer? | Medical Monday - Ep 107 Welcome to today’s episode of the Spinoso Podcast, where we dive deep into the legal and regulatory challenges of scaling a medical business. Building a clinic comes with a myriad of legal requirements, and one of the most crucial steps is ensuring you have a skilled and experienced lawyer, licensed in the state where you plan to operate or expand. Throughout the years, we’ve partnered with exceptional legal teams, such as Daikema and Bird Adou, run by Brad and Sam, who own AmSpa. Their expertise has been invaluable in helping us structure and prepare our business for long...2024-11-0414 minThe Spinoso PodcastThe Spinoso PodcastYou Always Have The Money - EP 106Today, I want to start with a little thought exercise that includes three different groups of people: drug addicts, people living in trailer homes, and college students. Now, on the surface, they might not seem to have a lot in common, but dig a little deeper, and you'll find they share a major trait: generally speaking, they're all cash-strapped. Sure, you might find exceptions—a wealthy addict or a college student with millionaire parents—but as a rule, these groups are not swimming in money. Still, they find ways to fund what they value most, whether it’s drugs, entert...2024-11-0109 minThe Spinoso PodcastThe Spinoso PodcastFear Or Love: Which Motivates Your Team More? - Ep 105 Today, we’re diving into a classic leadership question: is it better to lead with fear or love? It’s a topic that's both lighthearted and profound, as echoed in that famous line from The Office: "Would you rather be feared or loved? Easy, both. I want people to be afraid of how much they love me." That quote captures the tricky balance leaders often face. You want a supportive, encouraging environment where people feel valued, but you also need to hold a standard of excellence, which sometimes requires a bit of toughness. Today, we’ll unpack the merits and po...2024-10-3058 minThe Spinoso PodcastThe Spinoso PodcastHow Do You Manage Cash Flow When Expanding To New Locations? | Medical Monday - Ep 104 In this episode of the Spinoso Podcast, I’m diving into a question I got over the weekend at a BTL event: how do you know when you’re ready to expand to new locations? Expansion can be a game-changer, but it can also be a major headache if you move too fast or choose the wrong areas. Reflecting on my own journey, if I could do it again, I’d focus on saturating one market completely before jumping to the next. By growing and maximizing one clinic to its full potential, you avoid spreading yourself too thin and set a...2024-10-2815 minThe Spinoso PodcastThe Spinoso PodcastUse the Big Stick - Ep 103In this episode of the Spinoso Podcast, I dive into one of the most valuable lessons I’ve learned in business: carrying the big stick. This advice came from a billionaire mentor I met while living in Frisco, Texas, and it’s stuck with me ever since. He told me that as I grew my company, I needed to get the best lawyers, keep them on retainer, and never hesitate to use legal action when necessary. At first, it didn’t sit well with me because, like most people, I don’t want to be a dick. But as I’ve gro...2024-10-2508 minThe Spinoso PodcastThe Spinoso PodcastSearch Engine Secrets | Medical Monday - Ep 101 In this episode of the podcast, I’m diving into one of the most important aspects of scaling your business—building a strong online presence. Whether you’re growing one clinic or expanding across the country, having an optimized online strategy is crucial. I walk through the three key pillars we focus on: SEO, paid ads, and organic social media. SEO is vital for making sure your clinic ranks at the top of local searches. It’s a long-term investment, but with the right strategy, you’ll eventually dominate your market, just like we did when opening locations across the countr...2024-10-2113 minThe Spinoso PodcastThe Spinoso PodcastHow we grew huge without violating our core values - Ep 99 In this episode of the podcast, I dive deep into the importance of core values and how they serve as the backbone for making key decisions in our company. Whether it’s about the services we offer, the people we hire, or those we have to let go, core values keep us grounded. They not only guide us as leaders but also help remove any ambiguity when tough decisions have to be made. By consistently hiring, reprimanding, and even letting people go based on these values, we ensure there’s no room for personal biases or misunderstandings. It’s not ju...2024-10-161h 13The Spinoso PodcastThe Spinoso PodcastScaling a Business, Surviving a Tornado - Ep 97 Today, I want to share a wild story about tornadoes—and no, not just the ones here in Texas. The other day, I found myself Googling whether anyone had survived being inside a tornado. Turns out, a couple of farmers have, one in Kansas and another in McKinney, Texas, which is just 24 minutes from where I live. Their experiences got me thinking about how life can feel like being inside a tornado, especially as a business owner. Right now, I feel like I'm in the eye of the storm, dealing with lawsuits, business struggles, and the everyday chaos that co...2024-10-1111 minThe Spinoso PodcastThe Spinoso PodcastShould You Ask For Higher Pricing? Ep - 96 Welcome to The Spinoso Podcast. Today, I’m diving into the anxiety many entrepreneurs feel when it comes to pricing their products or services, especially in the medical field. When I first started Genesis Lifestyle Medicine, I struggled with asking clients to pay high prices, especially when I couldn’t afford those services myself. It’s natural to project your own financial concerns onto your clients, but that mindset can limit your business. You have to remove feelings from the equation and focus on the value your services provide. This is where data and analytics come into play—running a busine...2024-10-0949 minThe Spinoso PodcastThe Spinoso PodcastHow do you leverage data and analytics to make decisions? | Medical Monday - Ep 95 I'm Dr. Alex Spinoso, and today I want to dive into a lesson we learned the hard way—running a business based on data, not feelings. Years ago, we thought we were doing great with laser hair removal in our clinics. The machines were booked solid, and we even hired staff just to manage them. But when we crunched the numbers, factoring in the cost of the machines, the staff, and the room space we were losing, we realized we were losing about $14,000 per machine per year. That’s when we learned that relying on feelings of success can actu...2024-10-0706 minThe Spinoso PodcastThe Spinoso PodcastRuthlessness - Ep 94 Welcome to The Spinoso Podcast. Today, I want to talk about what it means to be ruthless in business. Now, the dictionary defines "ruthless" as having no pity, merciless, or cruel, but I don’t quite agree with that when it comes to business. If being ruthless means holding people accountable and enforcing the consequences of their actions based on facts rather than feelings, then yes, you absolutely need to be ruthless. As a leader, it’s essential to distinguish between a mistake and a breach of integrity. In the latter case, being ruthless isn’t about cruelty—it’s about pr...2024-10-0407 minThe Spinoso PodcastThe Spinoso PodcastInnovation Is Imperative: Helping Employees To Embrace Change - Ep 93 In this podcast, I delve into the importance of innovation, not as a means of inventing something entirely new but as a way to continuously improve systems, products, and services. We talk about how small changes can lead to big wins, both in the office and at home, and why embracing change is crucial for long-term success. I discuss how these principles apply not only to growing a business but also to creating a work environment where employees feel empowered to innovate, adapt, and thrive. At Genesis, the focus is on building a company culture that values...2024-10-0253 minThe Spinoso PodcastThe Spinoso PodcastMastering SEO, Ads, and Local Outreach for Explosive Growth | Medical Monday - Ep 92First up, we're tackling SEO (Search Engine Optimization). SEO isn't dead—far from it! In fact, if your clinic isn't showing up as the top search result when someone Googles a service you offer, you're missing out on a massive chunk of potential clients. I'll break down how local and global SEO strategies can help your clinic rank number one on Google and why you should invest in a high-quality website that pays off in the long run. Next, we'll move on to paid ads—Google and Facebook ads, to be specific. Yes, we spend over a quar...2024-09-3012 minThe Spinoso PodcastThe Spinoso PodcastGods Don't Care What Insects Think Of Them - Ep 91In today's episode, I’m tackling a question I occasionally get from young entrepreneurs: "How do I handle competitors talking trash?" Before we dive into that, let me set the stage with a thought experiment about Howard Isley, a decent but average NBA player, compared to the legendary Michael Jordan. The point is clear—winners like Jordan don’t care what losers think. They’re focused on their game, their vision, and their success. The reality is that when you build something undeniably great, the truth will speak louder than any petty trash talk. Those one-star reviews or compe...2024-09-2708 minThe Spinoso PodcastThe Spinoso Podcast4 Mistakes Medical Business Owners Make - Ep 90In this episode, I dive into the hard truth about the disconnect between being a great medical provider and being an effective business owner. The reality is, most doctors—and I include myself in this—think we know everything because of our rigorous medical training. That confidence, or even arrogance, can work in the clinic when it comes to diagnosing and treating patients, but it doesn't translate to running a business. Doctors, chiropractors, nurse practitioners, and dentists often assume they’ll figure it out because they’re smart, but smart doesn’t always mean savvy. The overthinking that helps us solve m...2024-09-2559 minThe Spinoso PodcastThe Spinoso PodcastHow We Grew Our Clinic Without Losing Control | Medical Monday - Ep 89In this episode, I tackle a great question I received while speaking at a BTL event: "How do you know you're ready to expand to new locations?" Brent and I learned the hard way that expanding too quickly across multiple states wasn't the best approach. If we could do it again, we would focus on saturating our first clinic, expanding only when it couldn’t grow any further. I share key insights on scaling efficiently, the risks of over-expansion, and how to strategically choose a second location. It’s not about just finding new patients, but about sele...2024-09-2315 minThe Spinoso PodcastThe Spinoso PodcastDo What You Love - Ep 88Look, I know. I get it. "Do what you love" is advice we've all heard before, and even though I've made some funny reels mocking it, hear me out. It’s not that the advice is totally wrong—because yeah, if you’re miserable doing what you do, it’s hard to succeed. But here’s the thing: it’s not just about doing what you love. In fact, that mindset can kill your business if you're not careful. Sure, I love parts of being a medical entrepreneur—changing lives at Genesis Lifestyle Medicine, getting those amazing messages from...2024-09-2010 minThe Spinoso PodcastThe Spinoso PodcastOur Quarterly Corporate Event Was Crazy - Ep 87On today's episode, we're diving into a topic that’s a blend of pure excitement and, let’s be real, a total headache—our quarterly events. But I have to say, I absolutely love them. Every time we do these, they completely fill our cup, and the energy from everyone who attends is incredible. We recently wrapped up our Q3 event, and let me tell you, the amount of time, energy, and resources that go into planning these is no joke. But it’s 100% worth it. Today, I want to share how these events have played a massive...2024-09-1857 minThe Spinoso PodcastThe Spinoso PodcastMastering Supply Chain Efficiency | Medical Monday - Ep 86In this episode, we'll dive into optimizing your supply chain across multiple locations—a crucial topic for any growing business. I share how we established standard operating procedures for ordering, which streamlined processes as our business expanded. One of the key steps was going directly to vendors and negotiating for a corporate representative, making the ordering process seamless across all locations. I provide an example of how we worked with Allergan to solve issues with multiple reps, leading to a unified system that improved efficiency and reduced errors. You'll also hear about the importance of inventory management, wi...2024-09-1605 minThe Spinoso PodcastThe Spinoso PodcastAncient Myths For Overachievers: Prometheus - Ep 85In this episode, I dive into my love for Greek and Roman mythology, following up on my earlier discussion of Arete and its relevance for modern entrepreneurs. If you haven’t listened to that yet, go check it out first! But if you're ready to jump in, today I’ll be breaking down the myth of Prometheus—one of my favorites. This story is packed with powerful lessons for anyone looking to succeed at a high level in business and life. Prometheus wasn’t just another Titan; he cared about humans and defied Zeus to bring fire to manki...2024-09-1311 minThe Spinoso PodcastThe Spinoso PodcastLessons Learned From Fiction - Ep 84In this episode, I dive into my lifelong connection with Superman and the profound life and business lessons I've learned from that connection. I’ll share the story of how my passion for Superman developed during a pivotal moment in high school when a devastating injury sidelined me from competitive soccer, and how my grandfather’s belief in me reignited my own self-belief. We'll talk about how Superman became a symbol of resilience and overcoming obstacles in my life. I'll also explore how those lessons translate into entrepreneurship—leading, inspiring others when they can't find belief in themselves, and the re...2024-09-1149 minThe Spinoso PodcastThe Spinoso PodcastSecrets to Building Repeat Business and Lifelong Customers | Medical Monday - Ep 83In this episode, I'm going to share with you the strategies that have truly transformed how we generate customer loyalty and repeat business across all of my businesses. These strategies are rooted in what I call the Loyalty Circle, a concept I learned from my good friend, Andy Frisella, who runs a $2 billion company. We use this framework in everything we do. The Loyalty Circle is simple, yet powerful. Imagine a circle split in half. On the right side, you have everything most businesses do up until the point when someone buys your service—things like marketing, co...2024-09-0906 minThe Spinoso PodcastThe Spinoso PodcastAncient Myths For Overachievers - Ep 82In this episode, I dive into one of my favorite topics: storytelling, with a focus on ancient myths and the killer lessons they offer for entrepreneurs. If you’ve listened to me before, you know I love stories, whether it’s from movies like Braveheart and Gladiator, comics like Superman and Batman, or even Broadway hits like West Side Story and Phantom of the Opera. But today, we’re diving into something different—ancient Greek and Roman myths, and the powerful lessons they hold for overachievers like you. The myth I want to focus on today is that of...2024-09-0611 minThe Spinoso PodcastThe Spinoso PodcastHow To Not Murder Your Business Partner - Ep 81In today’s episode, I want to dive into the complexities of managing different personality types in business, a topic I've had years of experience with. Whether you’ve been in business for five years or much longer, you’ve likely encountered a wide range of personalities that make up your team. Today, we’ll explore not just how to manage these diverse personalities effectively but also how to create an environment where each individual feels fulfilled and happy in their role. We’ll start by discussing the dynamic between my business partner, Brent Messer, and me, and how our contra...2024-09-0455 minThe Spinoso PodcastThe Spinoso PodcastTransitioning Patient Follow-Ups to Your Support Team Without Losing Quality Care | Medical Monday - Ep 80In this episode, I'm diving into a crucial aspect of scaling your medical practice: transitioning patient follow-ups from the provider to other staff, like RNs or support teams. One of the biggest bottlenecks clinics face is the belief that the provider needs to see every single patient, every single time. While the provider does need to see the patient initially and sign off on treatments, it's not necessary for them to handle every follow-up in person. I will walk you through how we set expectations from the start at Genesis Lifestyle Medicine. Patients interact with various team...2024-09-0210 minThe Spinoso PodcastThe Spinoso PodcastGood News For Struggling Young Men - EP 79In this podcast, I’m speaking directly to you, young men out there. Whether you’re in high school, college, or even junior high, I’m here to help you absolutely crush it. I know some of you might be struggling—you might feel like you’re too fat, too skinny, not athletic, or maybe your family life is a mess. Trust me, I get it. I grew up with great parents, but I had my own struggles too. I wasn’t born with a genius-level intellect or Olympic-level athletic skills. Everything I’ve achieved, from building million-dollar businesses to driving a M...2024-08-3009 minThe Spinoso PodcastThe Spinoso PodcastWhat I Learned From The Ritz-Carlton That Made Me Millions - Ep 78In today's episode, we dive into the incredible story of Horst Schulze, the creator behind the Ritz-Carlton brand, and the phenomenal book Excellence Wins. This book has been a game-changer for me, so much so that I've dog-eared nearly every page. We'll explore the "Ritz-Carlton mindset" and how Schulze built this iconic brand from the ground up, turning his vision into reality. From his humble beginnings in a small village to his relentless pursuit of excellence in the hospitality industry, Schulze's journey is nothing short of inspiring. We'll discuss how his approach to service, culture, and customer care redefined...2024-08-281h 08The Spinoso PodcastThe Spinoso PodcastBuilding 9-Figure Medical Businesses Together | Medical Monday - Ep 77Today, we're diving into the importance of partnerships and the vendors that help keep our businesses running efficiently. From pharmacies to marketing firms, each partner plays a crucial role in our success. I'll share the exact vendors we use and how we've built mutually beneficial relationships that drive growth. But here's the core message: If you want to go far, go together. It's not just about personal success—it's about lifting others up along the way. Stick to your core values, have integrity, and make those around you successful, and inevitably, you will be too. We...2024-08-2612 minThe Spinoso PodcastThe Spinoso PodcastEmbrace The Dark Drive - Ep 76In this episode, I dive deep into an unpopular opinion that I believe every high-achieving entrepreneur needs to hear. Here’s the deal—I’ve got a good life. A great wife, amazing kids, supportive parents, quality friendships, and a growing business. I’m healthy, living in a nice home, in a great town. Life is good, and I recognize that. I’m thankful. And no, I’m not secretly plotting to end it all—there’s no suicidal ideation here. But when a friend recently asked me if I could pinpoint a moment in the last six months where...2024-08-2309 minThe Spinoso PodcastThe Spinoso PodcastBeing A Mom Entrepreneur Vs. Dad Entrepreneur - Ep 75In this episode, I dive into the humor, challenges, and differences that come with preparing for a new baby. Join me as I share personal experiences, from the funny moments during pregnancy, like the unexpected challenges of nesting and navigating sleep changes, to the stark contrast between my first pregnancy with triplets and my most recent with Camilla. I'll talk about how my husband and I handled the preparations differently, from setting up the nursery to managing the emotional rollercoaster that pregnancy can bring. You'll hear about the funny—and sometimes frustrating—realities of getting ready for a ne...2024-08-221h 23The Spinoso PodcastThe Spinoso PodcastMastering Customer Service | Medical Monday - Ep 74Customer service is at the heart of everything we do, second only to integrity, which I believe should be a given in any company. In my experience, customers want three simple things: a flawless product or service, quick delivery, and friendly interactions with our staff. If we can consistently deliver on these, we'll not only meet but exceed expectations. That's why I emphasize the importance of core values and standard operating procedures (SOPs) in our business. SOPs ensure our team provides consistent, high-level service across all locations, helping us build strong relationships with our clients and elevate our brand.2024-08-1910 minThe Spinoso PodcastThe Spinoso PodcastThe 3 Principals Of Problem-Solving - Ep 73In today’s episode, I explore a key trait that distinguishes elite individuals from the average: their approach to problem-solving. I share a story from a recent conversation that made me realize how essential it is to have a problem-solving mentality. The woman I spoke with struggled to make progress in her fitness journey because she was stuck on a simple obstacle—taking progress pictures. Her reluctance to find a workaround for not having a camera stand highlighted a fundamental difference in how elite people think: they always find a way to solve the problem, no matter the circumstances. 2024-08-1608 minThe Spinoso PodcastThe Spinoso PodcastThe Ultimate Guide to Scaling A Medical Business - Ep 72In this episode, we dive into the world of medical entrepreneurship, drawing from my own experiences in the industry. For those who may not know, I run a successful medical business, and I've had the privilege of mentoring others who are considering or are already on this journey. We explore why now is an excellent time to venture into the medical field, especially post-COVID, and why entrepreneurship in general is always a worthwhile pursuit. We talk about the importance of providing exceptional service in the medical field, the challenges unique to medical entrepreneurship, and why having a...2024-08-1450 minThe Spinoso PodcastThe Spinoso PodcastTurn Criticism Into Business Growth | Medical Monday - Ep 71Today we're diving into a crucial topic for any business owner: the importance of customer feedback. Whether it's positive or negative, all feedback is valuable because it provides insight into what you're doing right and where there's room for improvement. I make it a point to ask every single person who walks through our doors for feedback. We’ve automated this process so that after a patient checks out, they receive a prompt to rate their experience. If it’s a five-star rating, they’re directed to leave a review on Google, helping us boost our online presence. We a...2024-08-1212 minThe Spinoso PodcastThe Spinoso PodcastRecruit Your Team Like Chuck And Nick - Ep 70If you've followed me for a while, you know I'm a comic book geek. Today, I want to dive into something from comic books that’s crucial for successfully scaling your business. Many entrepreneurs struggle with hiring quality candidates, feeling frustrated and overwhelmed. This reminds me of the X-Men and Avengers—heroes who were recruited, not just found. Professor X sought out young mutants, training them to be superheroes, just like Nick Fury assembled the Avengers. The lesson here is powerful: Don’t just wait for talent to come to you—go out, recruit, and train them to be th...2024-08-0905 minThe Spinoso PodcastThe Spinoso PodcastLiving Below Your Means To Achieve Your Dreams - Ep 69In this episode, we explore why many entrepreneurs plateau after covering their basic expenses, often siphoning off profits for personal luxuries instead of reinvesting in their business. We'll discuss the importance of channeling almost every dollar back into your business during the early years—and sometimes even a decade—to truly thrive and scale to eight figures. I'll share my personal experiences and the strategies Brent and I have employed in 2024 to expand Genesis, build new facilities, and forge strategic partnerships. We'll talk about the substantial investments we've made, from costly machinery to acquisitions, and why these bold...2024-08-0753 minThe Spinoso PodcastThe Spinoso PodcastHow To Price Your Services | Medical Monday - Ep 68Today, I want to talk about how we ensure our pricing is relevant and effective across our diverse range of clinic locations. Our clinics are spread out in very different areas, from high-end, expensive places like downtown LA, Nashville, and Dallas, to more rural locations like Fort Collins, Colorado, and Greenville, South Carolina. This wide range means we encounter vastly different income levels, making pricing a bit tricky. For example, our Frisco location in Texas is one of the most expensive neighborhoods in the country, while other locations might not be as wealthy. To stay profitable and competitive, we...2024-08-0504 minThe Spinoso PodcastThe Spinoso PodcastLet The Holy Grail Go - Ep 67Alright guys, I'm excited about today's topic because I know there's a hard-working entrepreneur out there who has built real businesses and is now at a painful crossroads. Maybe that's you, facing a tough decision that goes against every fiber of your being. A friend told me about one of his clients, a successful entrepreneur with seven businesses generating seven figures annually. He bought an electrical business, only to discover fraudulent financial data and severe personnel issues. Driven by core values, he realized his mistake—buying a company with people who didn’t share his mission. Now, his logic tell...2024-08-0109 minThe Spinoso PodcastThe Spinoso PodcastInvesting In Yourself - Ep 66Join us as we unpack the importance of being obsessed with making money, understanding what it means beyond the caricature of Scrooge McDuck, and the essential lessons of money management he surprisingly imparted. We'll also discuss the critical difference between mere financial gain and tying your work to a dream, emphasizing the necessity of investing in yourself and maintaining a flow of finances that supports continuous growth. Hear real-life examples of how living below your means and reinvesting in your personal and professional development can propel you towards success. We explain why following the proven...2024-07-3156 minThe Spinoso PodcastThe Spinoso PodcastSeamless Transitions To A Subscription Model | Medical Monday - Ep 65Communication is crucial when transitioning patients to the subscription model. We inform our patients of changes through email blasts, text messages, and phone calls, providing a 60-day, 45-day, and 30-day notice. This approach ensures that patients are well-informed about the transition and understand the benefits of the subscription model. No-shows are managed through clear contractual terms, requiring patients to confirm cancellations via email, ensuring proper documentation. We do not charge extra for rescheduling. However, if rescheduling becomes a chronic issue, we may pause the subscription and require payment for the next visit. This policy helps maintain accountability...2024-07-2910 minThe Spinoso PodcastThe Spinoso PodcastTrump Tactics - Ep 64If you've been following me, you might have caught my recent talk about Donald Trump and the business lessons we can learn from him. Regardless of your opinion on Trump, he’s a master at positioning himself as the lone hero fighting against corruption. This approach has garnered him a dedicated following and even raised $58 million overnight after a conviction for corporate corruption. In business, it's crucial to position yourself as the hero fighting against some form of injustice. Take, for example, a marketing company I worked with that guarantees results or you don’t pay, standing out...2024-07-2605 minThe Spinoso PodcastThe Spinoso PodcastHow To Become A Futurist Entrepreneur - Ep 63Today, we're diving into the future and exploring how we can capitalize on emerging trends. Whether you're an entrepreneur, medical professional, or just someone looking to stay ahead, this episode is for you. We'll discuss some intriguing questions that will spark ideas about what's to come. What's the most significant cultural change in America over the next 10 years that entrepreneurs can capitalize on? People are getting lazier. Not in a bad way, but in a way that they want things faster and easier. Think about how pizza delivery evolved from a 30-minute wait to just 5 minutes at...2024-07-241h 02The Spinoso PodcastThe Spinoso PodcastBuilding Clinics With Your Core Values | Medical Monday - Ep 62Today’s Medical Monday focuses on the crucial role of core values in your business. Beyond getting patients and providing excellent service, core values are the backbone of your organization. Initially, they reflect you or your co-founders, but as you grow, your executives should also embody and contribute to these values. Living your core values means hiring, firing, reprimanding, and bonusing based on them. At Genesis Lifestyle Medicine, we reinforce our values through daily reminders, bookmarks, and metal cards carried by our staff. Our mnemonic "DIG DEEP and ACT with Integrity" stands for Determination, Innovation, Growth, Accountability, Customer Service, Te...2024-07-2217 minThe Spinoso PodcastThe Spinoso PodcastMake Entrepreneurship Great Again - Ep 61In today's episode, I dive into two intertwined topics: entrepreneurship and Donald Trump. Whether you love or hate Trump, there's something to learn from him. Ignoring lessons from people you don't like is a missed opportunity. I discuss the genius behind Trump's 2016 motto, "Make America Great Again," which played a crucial role in his historic political victory. We'll break down what made this slogan so effective and how you can apply these lessons to your business. First, consider Hillary Clinton's campaign slogan—do you remember it? Probably not, because it wasn’t memorable. In contrast, "Make America Grea...2024-07-1905 minThe Spinoso PodcastThe Spinoso PodcastSpiderweb Scaling - Ep 60In today's podcast, we dive deep into how to maximize your earnings in the medical business. One key point that stood out and is relevant to all entrepreneurs is the importance of building your products and services in a vertically integrated manner, even if you have just one location. We'll discuss practical strategies for medical professionals, like the benefits of focusing on complementary services that enhance each other, such as combining weight loss with hormone therapy and sexual health treatments. We'll also talk about the importance of maintaining patient relationships and providing comprehensive care that addresses the...2024-07-1735 minThe Spinoso PodcastThe Spinoso PodcastHow To Stay Updated On Industry Trends In Your Clinics | Medical Monday - Ep 59Today, we're diving into industry trends and best practices for scaling medical companies. In the medical clinic and medical spa world, things move slowly. While new machines and products generate buzz, it's the tried-and-true ones that are always stable. We constantly look for new trends but only adopt those tested over time. Sticking with your business pillars and not getting caught up in every new trend is crucial. We focus on sustainable treatments like weight loss, which addresses the rising obesity rates. Always consult legal counsel and accountants to ensure compliance and sound financial practices. We stay...2024-07-1510 minThe Spinoso PodcastThe Spinoso PodcastFacts Are Friends - Ep 58In today's episode, we're going to talking about feelings and facts. People feel all sorts of things: they feel like the Earth is flat, they feel like everyone in America should get a standard minimum income, and they even feel like, despite having the body of a man or a woman, they're actually a dolphin. But as it's often said, facts don't care about your feelings. This is absolutely true in business. If you want to succeed, you have to operate on facts, not feelings. At Genesis Lifestyle Medicine, we thought we were thriving in laser hair...2024-07-1208 minThe Spinoso PodcastThe Spinoso Podcast200 Million Dollars (20 Minutes At a Time) - Ep 57In this episode, I'm zooming in on a crucial 20-minute segment that can significantly impact the success of your business: the consultation before a customer purchases any service from Genesis or any other company. We'll dive into the importance of these consultations, which are essentially conversations where we understand the customer's needs and explain how our products or services can address those needs. Every clinic, regardless of industry, has its version of a "consultation." This isn't just about selling; it's about building a foundation of trust with potential customers. People only buy from you if they trust...2024-07-1045 minThe Spinoso PodcastThe Spinoso PodcastThe Power Of Referrals And Customer Service | Medical Monday - Ep 56In this episode, I dive into one of the biggest questions I get from medical providers and clinics: "How to scale and where to spend marketing dollars?" My answer? Referrals and internal marketing. People buy from friends, not brands. Make sure your customer service is top-notch and educate your patients thoroughly. Always ask for referrals to grow your clinic. If this podcast has helped you scale your medical business or taught you something valuable, check out my free courses at DrAlexSpinoza.com/courses. I have tons of free medical courses, research, and training to help you scale...2024-07-0806 minThe Spinoso PodcastThe Spinoso PodcastTaste For Success - Ep 55 Today, I discuss the importance of doing things you may initially dislike for the sake of health and success. For many years, I hated avocados, despite their numerous health benefits. Over time, through repeated exposure, I went from hating them to actually enjoying them. This concept, known as training your taste buds, is backed by science. You can apply this principle not only to food but also to habits that contribute to success. Consistency and repeated exposure are key. Whether it’s eating healthy, exercising, or expanding your mind, you can cultivate new tastes and habits over ti...2024-07-0507 minThe Spinoso PodcastThe Spinoso PodcastNo Risk = No Progress - Ep 54In this episode, we dive deep into the most significant risk I've ever taken in my entrepreneurial journey: joining the Arete Syndicate. My wife and I had saved up $100,000 to start a business, inspired by Andy Frisella's MFCEO Project. When the opportunity to join the Arete Syndicate mastermind came up, it cost $50,000—half of our savings. Despite the hefty price tag, my wife supported my decision to invest in this opportunity. I share how taking that risk was a pivotal moment in my career, leading to the creation of Genesis, meeting my business partner Brent, and forming ot...2024-07-0336 minThe Spinoso PodcastThe Spinoso PodcastUnderstanding the Valuation of Your Medical Clinic | Medical Monday - Ep 53In this episode, I'll break down the key factors that determine your clinic's valuation, how to increase its value, and what can potentially devalue it. We'll explore the importance of your financials, whether based on EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization) or SDE (Seller's Discretionary Earnings), and how these metrics impact the worth of your clinic. I’ll also discuss the importance of building a brand, maintaining clean accounting records, and ensuring your services are scalable and marketable. We'll delve into understanding your clinic's worth. Many clinic owners often overestimate their clinic's value, so we’ll b...2024-07-0115 minThe Spinoso PodcastThe Spinoso PodcastInnovate - Ep 52In this episode, I want to discuss the crucial role of innovation in business. Innovation is about figuring out how to do things in new and better ways. It's a core value at my company, Genesis Lifestyle Medicine. We must constantly innovate, review, adjust, and evolve our practices to stay ahead. Being relentless about data gathering is essential. Adopting a note-taking mentality helps gather raw material for innovation. Use tools like the book "How to Take Smart Notes" and the app Obsidian to organize and connect your notes in a meaningful way. Vertical integration is...2024-06-2808 minThe Spinoso PodcastThe Spinoso PodcastBenefits Of Building A Personal Brand - Ep 51Welcome back! Today, I'm diving deep into the world of social media and the pitfalls of buying fake followers. Have you ever wondered why some accounts with massive followings get so little engagement? I’ll also touch on the importance of building a genuine following and creating long-term content. We’re playing the long game here, posting regularly, and slowly growing a dedicated audience. Whether it’s podcasts, YouTube videos, or social media posts, consistency and authenticity are key. We'll discuss practical tips for creating and repurposing content. You’ll hear about different tools and strategi...2024-06-271h 09The Spinoso PodcastThe Spinoso PodcastThe Ultimate Guide To Creating Culture In Your Medical Clinic | Medical Monday - Ep 50In this Medical Monday episode, we jump into the importance of core values in building a successful clinic. Your core values are the foundation for hiring, firing, rewarding, and growing your business. When my company started, it was just me, my partner, and one nurse. Our core values were based on who we are. Describe yourself with words like integrity, accountability, and growth to define your core values. As you grow, involve your staff using the Entrepreneurial Operating System (EOS). Ask your team to identify someone who could run the business and three qualities that make them...2024-06-2414 minThe Spinoso PodcastThe Spinoso PodcastKill For Women - Ep 49In today’s episode, I’m diving into how being a dad has improved my business mindset, teaching me patience and perseverance. Having kids is similar to managing employees—you have to teach them repeatedly and patiently. It’s crucial to consistently invest in them, both at home and in business, to help them grow and succeed. Recently, a significant event occurred in my life: the birth of my daughter, Camila Valentina Elisa Spinoso. She joins our triplets, Leo, Gio, and Bella, reinforcing my adoration for my little girls. This experience got me thinking about the vital role wom...2024-06-2109 minThe Spinoso PodcastThe Spinoso PodcastAbove And Beyond, Spending My Life Savings On a Mastermind, and Making Money Anywhere (with Mike Claudio) - April '22 | Ep 48In today’s episode, I get interviewed on The Big Stud Podcast. We talk about my entrepreneurial journey. I started working as a prison doctor, which was exciting at first but quickly became unfulfilling. I realized I wanted to do more, to build my own business. With the support of my amazing wife, we moved out of our house, rented it on Airbnb, and downsized to save money. It took a year and a half, but we saved enough to start our journey. Joining the Arte Syndicate was a game-changer. I invested half of our savings, and it...2024-06-1847 minThe Spinoso PodcastThe Spinoso PodcastFrom First Visit to Lifelong Loyalty: Mastering Patient Retention in Your Medical Practice - Ep 47 Hey everyone, welcome to the Spinoso Podcast. When you're just starting out in your medical practice, the number of new patients you get is crucial. But as you grow, the focus should shift from acquiring new patients to retaining existing ones. This transition is key to scaling your business. Today, I’ll walk you through the "loyalty circle," a concept that has significantly boosted our growth. The right side of the circle represents the customer journey up until they pay for your service, and the left side is everything that happens post-purchase. At the top of the circle, our pa...2024-06-1714 minThe Spinoso PodcastThe Spinoso PodcastFind Your Rome - Ep 46In this episode, I delve into the profound impact Andy Frisella has had on my life and entrepreneurial journey. The most transformative influence he's had on me is through his entrepreneurial group, the Arete Syndicate. Arete is a Greek word meaning excellence, and for the ancient Greeks, it was the ultimate value. Initially, Arete referred to excellence in war and physical combat, derived from Ares, the god of war. However, it evolved to encompass excellence in all areas, from battle prowess to communication skills. Despite their commitment to Arete, the Greek civilization fell due to internal conflicts, weakening them...2024-06-1411 minThe Spinoso PodcastThe Spinoso PodcastWorking For Free, Fake Entrepreneurs, Watches, and Cars ft. Pejman (PJ) Ghadimi - Ep 45This episode of The Spinoso Podcast is packed with value from my conversation with Pejman Ghadimi, aka PJ. I had the pleasure of sitting down with PJ to dive deep into his incredible journey from his immigrant family roots to his rise in the corporate world and beyond. PJ shares a resonant story from his days as a corporate banker, where he worked a full 40 hours while his colleagues were slacking off, echoing my own experience in the prison system where I was told to slow down my work as a physician to avoid making others look...2024-06-1254 minThe Spinoso PodcastThe Spinoso PodcastFrom 19 Locations to National Expansion and Beyond - Ep 44In this episode, I'll talk about why location matters, the importance of services you offer, and marketing strategies that work. Moving on to marketing, diversifying your marketing channels and budget allocation is key. Collaborating with multiple marketing companies specializing in specific niches ensures a well-rounded marketing strategy. Investing around 10% of your gross income in marketing, or adjusting based on ROI, maintains competitive marketing efforts and promotes business growth. Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the...2024-06-1025 minThe Spinoso PodcastThe Spinoso PodcastPreparation 1000, Talent 0 - Ep 43In this episode, I dive deep into the critical mindset shift necessary for true success. Drawing from my experience in scaling medical businesses and landing prestigious speaking engagements, I emphasize the power of preparation. Preparation isn't just about planning; it's about dedication, attention to detail, and relentless practice. I share personal anecdotes, including my recent keynote experience, to illustrate how thorough preparation leads to pride, confidence, and enjoyment in any endeavor. President Calvin Coolidge once said, "Nothing in the world can take the place of persistence." I agree but would tweak it slightly: "Nothing in...2024-06-0613 minThe Spinoso PodcastThe Spinoso PodcastHow To Scale Your Clinic (From a Zoom Call With a Chiropractor Business Group) - Ep 42In this episode, I explain how I have built scalability into my businesses, so that they always continue to flourish even when I'm not around anymore. I explain anything and everything from SOPS, problems you'll face when scaling, and accountability.  I’ll also share practical tips on how to effectively replace yourself, so that you can work on your business -- not in your business. Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my...2024-06-041h 03The Spinoso PodcastThe Spinoso PodcastTop 3 Lucrative Services To Skyrocket Your Medical Clinic's Profitability - Ep 41In this episode, I delve into the top three services that can make your medical clinic highly profitable. As a physician and medical entrepreneur, I’ve built multiple seven and eight-figure businesses and now I am a partner nine-figure medical ventures. I specialize in scaling medical companies and helping them maximize profits. I’ll also share practical tips on pricing your services, selecting the right compounding pharmacy, and leveraging Google Analytics for market research. Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and comp...2024-06-0322 minThe Spinoso PodcastThe Spinoso PodcastAce/Joker Killer Combination - Ep 40Hey everyone, welcome to the Spinoso Podcast! Today, I want to dive into a topic that’s often overlooked but incredibly important: the downside of being a good person in business. Now, don’t get me wrong—I believe you should always strive to be a good person in life. You should absolutely have ethics and always do the right thing, as my friend Andy Frisella often says. But here’s the catch: sometimes, what we think is the right thing in business is actually the wrong thing, and it can lead to a lot of frustration, stress, and grief.2024-05-3008 minThe Spinoso PodcastThe Spinoso PodcastMentors, Morons, And Making Money (ft. MY DAD) Part 2 - Ep 39Hey everyone, welcome back to the show! In today’s episode, we're going on a wild ride through my dad's journey of building a business under the ultimate pressure. It all started with my mom giving him an ultimatum: "You’ve got two years to make this business viable, or we're all moving back to Florida." No pressure, right? This wasn't just her saying she'd leave—he had to pack up and go too if he couldn't make it work. Talk about a wake-up call. So, my dad tried working for someone else. Let me tell you, it was...2024-05-281h 14The Spinoso PodcastThe Spinoso PodcastHow To Make Your Clinic Sellable | Medical Monday - Ep 38In this episode, I discuss a critical aspect for medical professionals and business owners: building a brand that's independent of your personal identity. I know it can be tough, especially if you’ve worked your entire life to earn your degree and establish your name. But here's the hard truth: if your brand is solely built around you, it becomes challenging to sell your business. When you go to sell, you won’t be there, and a buyer will hesitate to invest in a practice that relies entirely on your presence. The key is to replace yourself and...2024-05-2717 minThe Spinoso PodcastThe Spinoso PodcastCounter Intuitive Growth - Ep 37Hey everyone, welcome back to the Spinoso podcast! In today’s episode, I’m diving into a principle that’s counterintuitive but crucial for business success. It’s something I’ve experienced firsthand and seen work wonders: “Aim small, miss small.” This concept isn’t just about shooting accurately—it’s a business strategy that can transform how you grow your company. I'll share insights from my own journey, including how our crisis mode approach to cash flow, where we keep reinvesting rather than hoarding cash, has kept us agile and focused. This method might seem risky, but it works because...2024-05-2409 minThe Spinoso PodcastThe Spinoso PodcastMentors, Morons, And Making Money (Ft. My Dad) - Ep 36Today's conversation takes an unexpected turn as we navigate the murky waters of social media, entrepreneurship, and personal development. We start by dissecting the paradox of modern social media culture, where the pressure to speak up often outweighs the authenticity of our words. As our guest, Steven Spinoso, my dad, eloquently puts it, "If you don't say something, someone else will put words in your mouth." We then delve into the world of gurus, those loud voices on stage preaching about life when their own seems to be crumbling. Steven Spinoso shares his own journey of resilience...2024-05-2159 minThe Spinoso PodcastThe Spinoso PodcastHow To Implement Entrepreneurial Operating System (EOS) In Your Medical Clinic - Ep 35In this episode, I delve into how implementing EOS (Entrepreneurial Operating System) transformed my businesses over the past couple of years. It's been a game-changer, shaping the culture and success of every company I run. EOS provides a framework for building an amazing clinic: clear goals, a strong team, and checks and balances for productivity and happiness. I break down each EOS component, starting with vision - imagine your dream clinic and share it with your team. Then, focus on assembling the right team - people who fit your vision and work well together. Data is crucial...2024-05-2015 minThe Spinoso PodcastThe Spinoso PodcastThe Stupidity of Self-Doubt - Ep 34Self-doubt is merely an internal dialogue, and what truly matters is the action you take. You can have doubts and still choose to move forward towards your goals. Ignore the inner chatter and just get to work!   Moreover, self-doubt is egotistical. It often stems from a focus on oneself rather than recognizing the contributions of your team. Shift the focus away from yourself and onto serving others.   Lastly, self-doubt can be a positive trigger for growth. Use it as an opportunity to prove yourself wrong and show what you're truly capable of achieving. Embrace self-doubt as a catalyst for improvement an...2024-05-1710 minThe Spinoso PodcastThe Spinoso PodcastBreaking Down How We Scaled Our Medspas To $26 Million/Year (Part 2) - Ep 33 Today, we're exploring the ins and outs of business growth, from overcoming revenue hurdles to cultivating a robust team culture. We'll journey from the early stages, around $30k-$35k, to the coveted $70k-$100k milestone, with a key focus on the driving force behind it all: your team. I firmly believe that a strong team is the foundation of success. It starts with defining core values that shape your company's culture, just like industry giants Disney and The Ritz-Carlton do. Their secret? Living and breathing those values every day. But building a great...2024-05-1550 minThe Spinoso PodcastThe Spinoso PodcastHow To Scale Past Your First Medical Location Ep 32Scaling can be daunting, especially if you've never done it before. But fear not, I've been there too. Today, we'll dive into three crucial steps to take your clinic to the next level. First up: Standard Operating Procedures (SOPs). These are the backbone of scaling. SOPs document every aspect of your clinic's operations, ensuring consistency and efficiency. From front desk protocols to provider responsibilities, SOPs leave no room for ambiguity. Next, replace yourself or key staff members as soon as possible. I've seen many entrepreneurs struggle with relinquishing control, but trust me, it's essential for...2024-05-1322 minThe Spinoso PodcastThe Spinoso PodcastIncreasing your IDGAF Levels - EP 31Join me in this podcast, as I share personal anecdotes and insights into why cultivating a sense of detachment from others' opinions can be incredibly empowering.  From humorous text exchanges with my media team to reflections on core values and the importance of living them out, I explore three key principles that can revolutionize how you approach life and business. By knowing your core values, living them out consistently, and discerning whose opinions truly matter, you can unlock a newfound freedom and happiness.  So, whether you're navigating personal relationships or making business decisions, increasing your ID...2024-05-0911 minThe Spinoso PodcastThe Spinoso PodcastBreaking Down How We Scaled Our Medspas To $26 Million/Year (Part 1) - Ep 30 Join me on this episode as I delve into Genesis' journey of scaling a medical practice from 10,000 to 30,000 patients a month and beyond. We'll explore the nitty-gritty details of building a successful practice, from client retention to marketing. Learn how to navigate the crucial phases of growth, from 10,000 to 20,000 patients, and then from 20,000 to 30,000, without getting stuck in a rut. Discover the key strategies and mindset shifts needed to get through barriers and maintain momentum. Join me as we dive deep into the world of vertical expansion, adding complementary services to your practice without overwhelming...2024-05-0849 minThe Spinoso PodcastThe Spinoso PodcastMountains, Lions, and Massive G.I. Issues! - Ep 029 Join me on this episode of The Spinoso Podcsst as I recount one of the most challenging and unforgettable experiences of my life. Over 15 years ago, during medical school, my then-girlfriend and I embarked on a journey to Africa that would test our physical and mental limits. From exploring the ancient wonders of Egypt to immersing ourselves in the vibrant culture of Kenya, our adventure was filled with awe-inspiring moments and profound encounters with the people of Africa. But it was our decision to climb Mount Kilimanjaro that would push us to our limits in ways we...2024-05-0233 minThe Spinoso PodcastThe Spinoso PodcastHow To Disappear As A CEO (And Make Huge Profits Appear) - Ep 028In this episode, we delve into a crucial aspect of business growth: how CEOs can effectively disappear while making profits appear and the significance of aligning core values, mission, and vision to create a compelling narrative that inspires both employees and customers alike. Building upon previous discussions, we explore the necessity of replacing oneself as a business owner, even if it's a role you love. The key lies in building your business to sell, and creating systems and processes that allow it to thrive independently.   Welcome to The Spinoso Podcast hosted by CEO, doctor, comic b...2024-04-3045 minThe Spinoso PodcastThe Spinoso PodcastFeet, Butt, and Will - Ep 027In this episode of The Spinoso Podcast, I dive into the critical role of one’s environment in achieving success in business and life. I discuss the common pitfalls of relying solely on willpower and the profound impact that strategic surroundings can have on personal and professional growth. I also talk about the practical steps I have taken to optimize my own settings, from building a home office to minimize distractions to surrounding myself with high-performing individuals at places like the Cowboys Club in Dallas. This episode is a must-listen for medical entrepreneurs and anyone interested in enha...2024-04-2508 minThe Spinoso PodcastThe Spinoso PodcastHelping Overwhelmed Entrepreneurs (Part 2) - TSP026Easy, turbo! This is part DEUX of a two-part episode; and if you don’t listen to numero uno first, you’re going to be lost. That being said, in this episode, Amanda May and I CONTINUE our deep dive into the challenges of balancing the multifaceted life of an entrepreneur. We confront the constant barrage of "you need to" messages and offer real talk about our struggles with fitness, family, finances, and faith. From sharing our personal fitness journeys to practical money principles, we offer valuable insights and actionable tips to navigate the chaos of entrepreneurship while maintaining sani...2024-04-2344 minThe Spinoso PodcastThe Spinoso PodcastEfficiency Over Loyalty - TSP025In this episode of The Spinoso Podcast, I tackle a topic that's both classic and critical in the business world: the balance between loyalty and efficiency. Through my own journey of building multimillion-dollar medical businesses, I've learned invaluable lessons about what really drives success. I share a particularly powerful insight from a billionaire friend who says, "Successful people deal in the real, not in the ideal." I delve into the idealized concept of loyalty where teams and leaders are expected to stand by each other through thick and thin, supporting and forgiving each other's shortcomings. However, I...2024-04-1807 minThe Spinoso PodcastThe Spinoso PodcastHelping Overwhelmed Entrepreneurs (Part 1) - TSP024In part 1 of a long ass conversation that we decided to break into two episodes, Amanda May and I dive into the challenges of balancing the multifaceted life of an entrepreneur. We confront the constant barrage of "you need to" messages and offer real talk about our struggles with fitness, family, finances, and faith. From sharing our personal fitness journeys to practical money principles, we offer valuable insights and actionable tips to navigate the chaos of entrepreneurship while maintaining sanity and purpose. Tune in for a raw and honest conversation about juggling life's priorities…and make sure you listen to...2024-04-1645 minThe Spinoso PodcastThe Spinoso PodcastWhy You Should Want To Fail Gloriously - TSP023In this episode of The Spinoso Podcast, I confront the all-too-common fear of failure—a fear that has stifled dreams, aspirations, and actions across countless lives. I delve into personal anecdotes, thought-provoking insights, and real-life examples to explore the paradoxical truth: the greatest failure lies not in falling short, but in never really trying at all. Discover why the fear of failure should be reframed as a stepping stone towards achieving something truly remarkable. Learn about the importance of taking bold, massive action, even in the face of potential failure, and why embracing risk is essential for gr...2024-04-1111 minThe Spinoso PodcastThe Spinoso PodcastMarketing Mindset, Methods, and Mistakes - TSP022In this podcast episode, Amanda May and I discuss the vital role marketing plays in growing a business. I share my journey from starting small to turning my company into a seven-figure business within a year, and eventually scaling it to eight figures. Our focus is on entrepreneurship in the medical field, but we provide insights that can benefit businesses across various industries.   Amanda asks me seven important questions to understand my marketing strategies, the mistakes I've made, and how my approach to marketing has evolved over time. We delve into concepts from experts like Andy Frisella, d...2024-04-091h 00The Spinoso PodcastThe Spinoso PodcastThe How Is In The Who - TSP021In this episode, I unpack the age-old adage, "It’s not what you know, it’s who you know," This isn’t just a cliché; it’s a significant principle for success! I share a few stories from my life and offer commentary and insights, helping you discover how leveraging relationships can transform your life, open doors to opportunities, result in financial gain, and lead to more overall fulfillment. I also share some practical strategies to cultivate meaningful connections, regardless of your personality type. So, give this episode a listen and take this to the bank: the HOW of success l...2024-04-0411 minThe Spinoso PodcastThe Spinoso PodcastHow To Overcome The Peanut Gallery - TSP020You ever feel like people in our culture have forgotten the fine art of Mind Your Own Business? In this episode, we tackle the challenge of dealing with the "Peanut Gallery" - those folks who always have something to say. How do you stay true to yourself when everyone's got an opinion? Well, Amanda May and I share tips on being authentic, handling criticism, keeping a clear conscience, owning up to mistakes, and sticking to your core values. Get ready for some real talk and actionable advice for staying true to yourself in a world full of noise. 2024-04-021h 10The Spinoso PodcastThe Spinoso PodcastThe Anguish and Art of Holding Your Team Accountable - TSP019Join me and Amanda May in this episode as I delve into the essential topic of accountability. Drawing from our success story at Genesis Lifestyle Medicine, where it fueled rapid growth, we explore the delicate balance of accountability - how it’s both an “art” (something beautiful) and an “anguish” (something that will drive you crazy). From self-accountability to positive reinforcement, we offer insights into fostering a culture of accountability while maintaining a environment for your team that is fun, dynamic, and enjoyable. Through real-life examples and practical advice, we navigate the challenges and rewards of holding teams accountable in today's...2024-03-2848 minThe Spinoso PodcastThe Spinoso PodcastHow to Become Superman (Or Superwoman) In Business and Life - TSP 001Hey there, welcome to the first episode of The Alex Spinoso Podcast! I'm Alex Spinoso, medical doctor, 8-figure entrepreneur, car guy, and comic book geek; and I'm joined by my co-host Amanda May, CEO of Public Beauty. Together, we talk about what it takes to become a "superhero" in both business and life. I share a personal story that involves a devastating sports injury, my beloved Grandpa Giovanni, and…Superman; and we lay the groundwork principles for owning your life, operating at elite levels, and overcoming obstacles. We're here to guide, empower and, yes, entertain you with practical advice an...2024-01-2345 min