Medical Empires

Today's episode is short but important. This is the final Medical Monday on The Spinoso Podcast. Don't worry—we're not ending the podcast, just moving all future Medical Monday content over to our Charismedx community. If you've been following along for the medical and aesthetic business insights, this is your sign to join us there.

Charismedx is my mastermind for medical and aesthetic entrepreneurs who are serious about scaling, leading, and growing. I'm joined by my friend, mentor, and legendary business coach, Vaughn Kohler—formerly the co-host of the MFCEO Project, the number one business podcast in the nation for over five years. Inside Charismedx, we go deeper than ever before, covering everything from core values and scaling strategies to tough conversations about team leadership, hiring, and culture. It's real talk for real clinic owners.

If you own or operate any kind of medical or aesthetic business, this community will change the game for you. Head to joincharismatics.com or visit charismatics.com to learn more and join us on the Circle app. Thank you for tuning in to Medical Mondays here on The Spinoso Podcast. More great content is coming your way every week, just not on Mondays. See you inside the group.

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Today, I want to talk about something that every entrepreneur eventually runs into. When the plan falls apart. You mapped it out, lined up the right people, timed it perfectly, and then boom. It crumbles. And it feels personal. I've been there, and I used to think it meant I was losing.

But after building multiple businesses and leading large teams, I've learned this truth the hard way. Delays are not defeats. Closed doors are not failure. They are redirecting. If you've been in business long enough, you know that nothing ever goes exactly as planned. Deals collapse. People walk. The ad budget gets wasted. You get ghosted. But I promise you, what looks like rejection is often preparation. What looks like loss is sometimes positioning. And more often than not, it works out better than you could have imagined.

So if you're in the middle of a storm, if your launch flopped, your funding dried up, or you're questioning your next move, pause. Reframe it. Ask yourself, what might I be getting protected from? What opportunity could be on the other side of this? When you train your mind to respond with that kind of perspective, setbacks do not slow you down. They sharpen you.

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.

Mental Shifts for Entrepreneurial Success (0:00) The Reality of Entrepreneurial Setbacks (1:35) Adapting to Divine Detours (3:21) Encouragement and Closing Remarks (4:06)

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Welcome back to Part 2 of How to Open Doors for Opportunity. In this episode, I am joined again by Amanda May, and we go deep into how entrepreneurs can train themselves to see opportunities that are already right in front of them. We share real-life pivots, personal stories, and the mindset shifts that have helped us spot chances to grow, chances that most people overlook. If you have ever felt stuck or unsure of your next step, this conversation will help you reframe your environment and recognize the doors waiting to be kicked wide open.

We talk about the power of massive action, not just thinking, journaling, or manifesting, but actually doing. Whether it is enrolling in a program, walking into the right room, or saying yes before you are fully ready, action is the key that unlocks momentum. Amanda shares how her leap into virtual training started in the middle of a pandemic and how seizing one opportunity with us at Genesis led to something bigger than she could build alone. We talk real numbers, real setbacks, and real decisions that shape what success actually looks like.

The episode closes with one of the most important themes of entrepreneurship: grit. Not just motivation or inspiration, but the relentless refusal to quit. The difference between those who win and those who do not is not always talent or intelligence. It is staying in the game long enough to outlast everyone else. This one is for the builders, the grinders, the people who are too stubborn to give up. Let us go.

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.

Massive Action and Seizing Opportunities (0:00) Saying Yes to Opportunities (3:50) Pivoting to Virtual Training (7:25) Joining Genesis and Scaling Up (9:54) Proactive Action and Persistence (14:48) Innovative Thinking and Creativity (16:47) Building Self-Esteem and Resilience (37:15) Fresh Perspective and Mindfulness (37:29) Grit and Determination in Entrepreneurship (40:57)

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When people talk about success, they love to glamorize the end result—but rarely talk about the mess, the risks, the decisions made in silence. In this episode, I share the raw, unfiltered story of how I created the opportunities that built my companies from nothing. From listening to the MFCEO Project in between shifts at urgent care, to maxing out half my net worth to join a mastermind I barely understood, to sleeping on a mattress in a rented foyer—I didn't wait for the right time. I created the momentum myself.

Amanda May joins me to dig deeper into how opportunities show up in disguise—as hard choices, as sacrifices, as risks that don't make sense on paper. We talk about what it means to start with the end in mind, why most people fail before they begin, and how knowing what you really want changes everything. I share the exact moment I almost walked away from the Arte Syndicate application, and how a rock concert and a half-dead Jethro Tull pushed me to click submit.

We also unpack how relationships, the right rooms, and the willingness to pivot at the right time can redefine your entire trajectory. The urgent care plan didn't pan out, but it led me to Genesis. What seemed like a setback became the launchpad for everything. This is the real truth behind building something meaningful: you don't wait for doors to open. You build the damn door—and then you walk through it.

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.

Introduction and Participant Backgrounds (0:00) Weight Loss and Metabolic Health (2:59) Lifestyle Changes and Medical Tools (8:57) Challenges in Mainstream Medicine (13:51) Diabetes and Insulin Resistance (15:28) The Role of Peptides in Health (32:20) Future of Peptides and Regenerative Medicine (39:59) Mindset and Success in Health and Business (42:40) Core Values and Practical Systems (58:17) Conclusion and Future Collaboration (58:50)

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If 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 expertise, aesthetics can become a powerful upsell tool if you approach it strategically. I'll walk you through exactly what needs to be in place to make it work: the right provider, a clear upsell path, and a full facial assessment model that drives higher-ticket services like fillers, skin care, micro needling, and more.

I'll even share a real-world example of a $1.2 million/year clinic we bought that made $0 in profit, all because they relied solely on Botox. After stepping in, we had to completely restructure the service offering to include high-margin treatments that actually moved the needle. If you're serious about growth and long-term profitability, tune in. This is what most people won't tell you about the aesthetics game.

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.

Introduction to the Spinoso Podcast (0:15) Advice on Starting with Esthetics Services (0:47) Strategies for Profitable Esthetic Services (2:31) Real-World Example of a Successful Clinic (3:42) Conclusion and Call to Action (5:00)

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In today's episode, we're diving headfirst into the balance between facts and feelings—where to rely on cold, hard data, and where your gut might just save your ass. When it comes to business strategy, pricing, products, and systems. You need to operate on facts. Numbers don't lie. But when it comes to people? That's a different game entirely.

We're breaking down why instinct is often your best defense in relationships, partnerships, and hiring decisions. I'll share wisdom from some greats, like Warren Buffett and Charlie Munger, and we'll explore the science behind intuition. How evolution hardwired us to sense danger and read between the lines. From moms who "just know" something's wrong, to that strange vibe you get in a meeting, you'll learn to recognize red flags before they become regrets.

And yeah, I'll take it all the way there with a story that proves this isn't paranoia—it's protection. You'll walk away from this episode knowing when to trust data, and when to trust your gut, even if everything on paper looks perfect. Sometimes, the resume says "model citizen," but your instincts scream, "Run." Don't ignore them. Tune in, turn up the volume, and let's win at life—on facts and feelings.

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.

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Let's talk about something that most medical business owners either don't know about—or wait too long to deal with: LegitScript certification. This third-party approval is basically your golden ticket for digital advertising. Without it, Meta, Google, and Bing will shut down your ads the moment you mention a prescription drug or medical procedure. With it, you can speak directly and confidently in your marketing without dancing around compliance issues.

I break down everything you need to know—from the cost (around $2K–$5K per year) to what it actually allows you to do, like using drug names and discussing treatments openly online. If you're not certified, you're stuck playing defense: vague language, ad rejections, and constant risk of shutdown. But if you are certified, your ability to market becomes a strategic advantage over competitors who aren't.

I'll also share what it takes to get certified. You'll need a clean website, no unapproved claims, and all of your partner pharmacies must also be certified or accredited. It took us over a year to get approved—but it doesn't have to take that long. I'll walk you through how to prep your site and your business so you can get through the process much faster. If you want to scale your medical business the right way, this episode is a must-listen.

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.

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In this episode, I'm diving headfirst into something most people run from—interpersonal conflict. The truth is, average entrepreneurs avoid confrontation because they crave comfort more than growth. They don't want to be challenged or told they're wrong. But if you want to build something that lasts, you need to reframe conflict not as chaos, but as clarity. You need it to sharpen your thinking, refine your processes, and get the truth on the table.

I'll break down why an upset client or a frustrated team member isn't a threat—it's a gift. If they're still talking, you still have a shot at solving the problem. Silence is the real killer. I'm sharing why elite entrepreneurs welcome tough feedback, encourage uncomfortable conversations, and treat friction as fuel. Because if you're in business, you're in the Intel business—and feedback is your most valuable currency.

So here's your challenge: Stop being soft. Stop mistaking politeness for progress. If you've been dodging tough conversations just to keep the peace, you're not protecting your business—you're weakening it. Start creating a culture where truth is rewarded, where blowback is welcomed, and where you show up ready to solve. That's how real leaders operate. That's how real businesses are built.

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.

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In this episode, I'm a guest on the Empower Your Health podcast. We go deep into what it actually takes to achieve lasting health—not just physically, but metabolically, hormonally, and mentally. We cover topics like obesity, insulin resistance, testosterone, GLP-1s, gut health, and how traditional medicine is falling short for millions of Americans.

We also dive into why your provider probably isn't running the tests that matter—and what to do about it. I explain the Genesis approach to care, why we prioritize diagnostics, and how our model is built around truly healing people, not managing symptoms for life. We hit on common mistakes, industry roadblocks, and the massive need for a more integrative model of medicine.

Toward the end, I open up about mindset—how I grew Genesis into a quarter-billion-dollar business, and what I teach in my mastermind, Charismedx. We talk grit, speed of implementation, energy management, and what it really takes to win in business and life without losing your soul. This one's packed with hard truth, practical tools, and zero fluff.

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.

Introduction and Participant Backgrounds (0:00) Weight Loss and Metabolic Health (2:59) Lifestyle Changes and Medical Tools (8:57) Challenges in Mainstream Medicine (13:51) Diabetes and Insulin Resistance (15:28) The Role of Peptides in Health (32:20) Future of Peptides and Regenerative Medicine (39:59) Mindset and Success in Health and Business (42:40) Core Values and Practical Systems (58:17) Conclusion and Future Collaboration (58:50)

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In today's episode, I'm answering a powerful question that every medical clinic owner needs to be asking: What is your true net profit per patient visit? Understanding your gross profit isn't enough—you need clarity on your actual numbers, including staffing, supplies, overhead, and acquisition costs. Whether you're running weight loss, hormone therapy, sexual health, or aesthetics services, knowing the real cost per visit is critical to scaling profitably.

We'll break down how to approach this from both a high-level strategy and a tactical perspective. From calculating true cost per acquisition to estimating staffing time and drug costs per service line, I'll walk you through how to get precise numbers per business pillar. You'll also learn why a 30% net profit should be your gold standard, and how to boost it with the right add-ons and smart equipment choices—plus, how to use AI tools to do the math if you don't have a CFO in-house.

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.

Intro (0:00)

Calculating Net Profit for Medical Services (0:16) Breaking Down Costs Per Pillar (2:16) Setting Profit Goals and Increasing Profitability (3:10) Utilizing Technology for Financial Analysis (4:21)

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