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 straight back into the business. We sacrificed a lot to make that happen, even relocating from Palm Springs to Las Vegas, where living and business costs were more manageable. This choice allowed us to build our dream from the ground up, debt-free, and keep our expenses low so we could reinvest and grow.

From the start, we prioritized essential services and minimized costs. We rented rooms in a chiropractor's office, used basic signage, and kept furniture to a minimum. When I left my high-paying jobs to go all-in on this business, it meant cutting back on everything else. For nearly three years, my wife and I only took out enough money to cover our basic living expenses. We avoided dining out, extra bills, and even gifts for the holidays, all to reinvest every dollar back into the business. It wasn't easy, but we were focused on keeping expenses low while ramping up our investment in marketing and clinic growth. As a result, our business grew exponentially, doubling or tripling in size every year. Today, with more than 23 locations and counting, that dedication to reinvestment has proven to be a key to our success.

Of course, not everything went smoothly. We made mistakes, especially early on, like offering services just because they seemed popular. We spent money on laser hair removal across all locations, thinking it would be profitable, only to realize we were losing money on it after diving into the numbers. Lesson learned: stay focused on your core strengths. For us, that meant weight loss, hormone therapy, and sexual health services, areas where we could truly excel. Another key lesson was the importance of hiring quality vendors, especially in marketing, and choosing partners who specialize in your field. We've also learned to avoid distractions like diversifying into unrelated businesses. Instead, we reinvest in the core areas we know best, building stronger partnerships and expanding our capabilities. That's what scaling smartly looks like, and for anyone serious about growth, these strategies will serve you well.

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

(1:40) - Early Sacrifices and Business Relocation

(3:10) - Initial Business Operations and Marketing Mistakes

(7:33) - Focusing on Core Services and Hiring Quality Marketing

(11:30) - Financial Management and Cash Reserves

(15:10) - Scaling Strategically and Avoiding Overextension

(18:10) - Building Relationships and Strategic Partnerships

(20:00) - Conclusion

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