Look, I’m just gonna say it: the biggest mistake I see new clinic owners make is blowing their budget on looks. Marble floors, backlit signs, fancy front desks—all of it. And then? Crickets. No patients walking through the door because they forgot the most important thing: marketing. When I launched my first clinic, I focused on getting people in, not showing off. One of my most successful colleagues ran a multimillion-dollar stem cell clinic with folding chairs and yellow walls. What mattered was the service, not the setup.

In this episode, I walk you through exactly how to open and scale your clinic without wasting a dime on things that don’t matter. I’ll explain why second-generation spaces are a gold mine, how to negotiate tenant improvements in your lease, and how a clean, presentable space will get the job done until you’re actually generating revenue. I also break down how I build clinics for under $30K while others are drowning in debt before they even open their doors.

We also get into equipment. Buying used machines sounds smart—until it isn’t. I’ve been burned by used lasers and CoolSculpting devices more times than I can count. So I’ll tell you where to buy from, what fees to avoid, and how to get all the tax benefits of going new. Bottom line: this episode is your no-BS guide to building a lean, profitable clinic from day one.

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 experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

(0:00) - Intro

(2:45) - Essential Clinic Design and Equipment

(6:11) - Patient Flow and Accessibility

(8:38) - Signage and Branding

(11:50) - Conclusion

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