Medical Empires

Today, I'm calling you out. If you're serious about winning in business and in life, there are three toxic habits you're probably doing on social media that are slowing you down—and it's time to cut the crap. I call them the Three P's: pouting about your private life, pissing on your competition, and posting political rants. If you're doing any of these, you're wasting time, draining your energy, and sabotaging your credibility. And yes—I'm coming in hot, because sugarcoating this won't help you grow.

Listen, I'm not saying you shouldn't have emotions or beliefs—but social media isn't your therapist, your battleground, or your soapbox. It's a tool. A weapon. A platform for building, not bleeding. In this episode, I break down why airing out personal drama, trash-talking competitors, or ranting about politics is killing your momentum and making you look weak. I'll even hit you with some science to back it all up.

By the end of this episode, you'll know exactly how to shift your mindset and start using social media like the power player you say you want to be. If you're ready to stop playing small, stop feeding the algorithm your insecurity, and actually build something that matters—this one's for 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.

Focus on Business, Not Social Media Distractions (0:00)

Avoid Pouting About Private Life (2:37)

Stop Talking About Competition (2:58)

Avoid Political Rants on Social Media (4:09)

Recap and Conclusion (5:46)

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In this episode, we dive into a real and often uncomfortable reality that high-achieving women face in the workplace—jealousy, competition, and sabotage, not from men, but often from other women. I walk through the dynamics of what happens when you shine brightly in your career and how, unfortunately, that can trigger insecurities in others. Amanda shares her own experiences navigating these challenges and why it's critical to recognize the difference between focusing on your growth versus wasting energy trying to win people over who have already decided not to like you.

We get real about the importance of staying professional, preserving your energy, and protecting your focus. We talk about building strong relationships with women who inspire and uplift you rather than trying to fit into environments where you're not valued. Amanda also shares a powerful story about bouncing back after major life changes and why continuing to shine your light unapologetically is essential—not just for yourself, but for inspiring others to do the same. If you ever needed a reminder that staying true to who you are will win in the long run, this conversation is it.

We also dig into the deeper mindset work it takes to stay confident when facing jealousy or criticism. We talk about how professionalism, integrity, and surrounding yourself with the right people will carry you further than any shortcut ever could. This is your permission to stop shrinking, stop second-guessing, and keep showing up fully in your life and career. Let's get into 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.

Navigating Workplace Dynamics as a High-Achieving Woman (0:00)

Recognizing and Addressing Workplace Bullying (3:54)

Dealing with Insecurities and Competitiveness (11:02)

Building Supportive Relationships (23:23)

Staying Professional and Focused (31:12)

Handling Negative Reactions and Maintaining Confidence (31:42)

Inspiring and Supporting Other Women (47:53)

Final Thoughts (48:11)

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In today's episode, I'm pulling back the curtain on the internal systems we use at Genesis Lifestyle Medicine to scale and manage dozens of clinics across the country. From team communication to training and HR, it all comes down to choosing the right platforms early and building around them. I talk about how we've used Workplace for Meta—essentially a business version of Facebook—to keep everyone connected, whether they're in the U.S., the Philippines, or Colombia, and how we're now transitioning over to Workvivo as Workplace phases out.

I also break down how critical our Learning Management System (LMS) is for onboarding and training. Everything from provider protocols to clinic director training to onboarding paperwork runs through our LMS. It's what ensures that no matter which clinic you walk into, you're getting the same Genesis experience. I can't stress enough how important it is to have these systems in place if you want to scale without losing your company's culture or standards. And when it comes to payroll and PTO tracking, I share why we rely on ADP—and why trying to manage payroll manually is a recipe for disaster as you grow.

The bottom line is this: the right systems will carry you from one location to dozens. We've scaled Workplace, our LMS, and our payroll systems from four clinics to dozens, and they're still serving us well today. In this episode, I'll walk you through why these platforms matter, how they help you avoid major headaches down the road, and why you should always be thinking about the next step in your growth. Let's dive in.

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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On 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 people aren't ready for. Entrepreneurship isn't about yachts, luxury, or flexing on Instagram; it's about missing events, pushing through exhaustion, carrying the weight of your dreams even when it feels unbearable. But sacrificing for your mission never excuses you from being an absent or selfish spouse, parent, or friend. If you're going to be away grinding, then the moments you're home better be undeniable. Your family didn't sign up for your business—you did.

At the end of the day, if entrepreneurship is going to cost you everything, you better be damn sure it's worth it. Money alone isn't enough. You need a bigger purpose—a "Rome"—something that outlives you. In this episode, I challenge you to ask yourself the real questions: What are you willing to pay? And when it's all said and done, will it have been worth 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.

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In today's episode, we're talking about something every business owner, entrepreneur, and leader needs to understand—how to manage strong-willed employees. These are the people who challenge you, question you, and push back hard—but they're also the ones with the potential to become your most valuable assets. I'm joined, as always, by Amanda May, and we're diving deep into what it really takes to lead high-performing, driven team members without shutting down their fire.

We break down five key strategies that help you lead these bold personalities the right way, starting with seeing strong will as a strength, not a liability. From there, we talk about how to channel that energy into ownership, how to create structure without stifling independence, and how to lead with clarity so they stay aligned with your mission. These aren't theoretical ideas. This is real-world, battle-tested leadership that we've applied inside Genesis and our growing companies.

This episode is also about the growth you have to go through as a leader. Strong-willed people don't follow weak direction. They need vision. They need clarity. And they need to believe in you. We talk about confidence, culture fit, how to handle disrespect versus directness, and why you want the people who challenge you—because they're often the ones who care the most. If you've ever been frustrated by a bold personality on your team, this episode will give you the clarity, tools, and mindset to lead them 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

(1:45) - Managing Strong-Willed Employees: Introduction and Purpose

(2:53) - Strategies for Managing Strong-Willed Employees

(10:38) - Directness vs. Disrespect

(18:24) - The Role of Culture Fit and Emotional Intelligence

(25:14) - Building a Strong Team and Core Values

(36:13) - The Impact of Strong-Willed Employees on Leadership

(38:14) - Conclusion

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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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Let's talk about something you probably didn't expect from me: Broadway musicals. I know, I'm the guy who's into Star Wars, comics, Superman, Batman, Wolverine—but I've got a soft spot for a good show tune. And recently, inside our Charismatics medical mastermind, I used One Day More from Les Misérables to teach a powerful concept to our group of entrepreneurs. It's the night before revolution in the story, and every character is singing about what's coming—love, fear, uncertainty, hope—and all their individual voices build into one powerful harmony. That one scene? It's a masterclass in leadership, momentum, and alignment. So yeah, we're diving into musicals today—and I promise it'll make you a better entrepreneur.

Here's the message behind One Day More that every business owner needs to hear: success comes to the ones who keep going. You don't need to be the smartest, the most creative, or the most resourced. You just need to outlast everyone else. That's it. There will be days where you're tired, stressed, ready to quit. But your mindset in those moments needs to be: one day more. Can I keep going one more day? And if you can, and you keep showing up over and over again, you'll win. Because that's what separates the ones who build legacies from the ones who burn out.

But the true magic of One Day More isn't just in its message—it's in its harmony. Every character is singing their own part, and yet it all fits together. That's exactly what happens when your business is built around core values. When your hiring, firing, decisions, and culture are all aligned with your values, everything starts to flow. Your team isn't just clocking in—they're building something with you. Your clients aren't just buying—they're aligning with what you believe. That's how you create harmony. That's how you build something that lasts. Not just a business, but a movement. A brand. A legacy.

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

(0:54) - The Power of "One Day More"

(4:03) - Building a Business with Core Values

(5:52) - The Benefits of Core Values in Business

(6:16) - Conclusion

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In this episode, we're diving deep into what it really means to have a 24/7 customer service mindset—and why it's the most powerful core value in our company. Customer service isn't a department or a job title—it's a way of life. It's how you treat every person who walks through your door, and how you respond when things go wrong. We talk about why listening is a superpower, why treating people like individuals and not numbers builds loyalty, and how every touchpoint is an opportunity to create a raving fan.

I share real stories from our clinics and beyond—like the one-star review that turned into a five-star because we listened, cared, and made it right. Or the time a prenatal vitamin company turned a stock issue into a lifelong customer with a handwritten note and thoughtful follow-up. These examples drive home the truth: when you go the extra mile, people remember it. They talk about it. They bring their friends. And that word of mouth? It's more powerful than any paid ad you'll ever run.

We also cover why this mindset has to start with your team. How you treat your people is exactly how they'll treat your clients. From personalizing team gifts to gathering anonymous feedback, we walk through what it takes to build a culture where exceptional service is the standard—internally and externally. Because at the end of the day, your reputation is your business. You can't scale without it, and you won't survive long if you neglect it. So if you're serious about growing, take care of your people, listen to your clients, and never stop showing up with excellence.

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

(0:30) - The Importance of a 24/7 Customer Service Mindset

(2:04) - Turning Problems into Opportunities

(3:54) - Building Loyalty Through Exceptional Customer Service

(10:57) - The Loyalty Circle and Customer Service Strategies

(20:30) - The Role of Core Values in Customer Service

(24:19) - Feedback and Continuous Improvement

(28:30) - Building a Strong Reputation

(33:17) - The Impact of Personalization in Customer Service

(33:57) - The Role of Leadership in Customer Service

(34:03) - Final Thoughts

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When we first started building Genesis, we didn't have formal onboarding systems, training platforms, or structured processes—and honestly, that was okay. If you're in the early stages and still figuring it out, don't sweat it. But at some point, if you want to scale fast and with less stress, you've got to go back and build the infrastructure. We didn't truly start creating these systems until we had 12–15 locations, and now with over 70, we've launched a full three-week and three-month onboarding process. Every team member learns who we are, what we stand for, and what their role demands—MA training for MAs, NP training for NPs, and so on. The biggest piece? Reinforcing our core values constantly.

I walk you through how we train teams at regional headquarters, how we staff new locations by pulling from our best existing people, and how we embed a culture of ownership without micromanaging. The "I'm dead method" is one of our favorite tools—where a leader steps fully away from a clinic to test if the systems and staff can operate without them. You'd be surprised how capable people are when they've been built up with the right values and structure. That's the whole game: build the systems, then build the people to run them. The faster you can do that, the faster your business will grow without you being in the room.

We also get into our clinic growth model, which is based on partnerships—especially with nurse practitioners. We've seen massive success by offering profit sharing or graduating equity to leaders who've proven themselves internally. But here's the key: don't shove people into ownership roles they're not built for. Not everyone is wired to be an entrepreneur, and forcing it will backfire. Instead, pour into your people, identify leaders, and reward them with aligned opportunities that fit their strengths. Because when your staff loves their work and believes in your mission, they'll take care of the clients—and the business will take care of itself.

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

(0:25) - Onboarding and Training Systems

(2:42) - Individualized Training and Core Values

(4:28) - Staff Exchange and Support

(5:19) - Partnering with Nurse Practitioners

(6:40) - Equity and Profit Sharing

(9:10) - Core Values and Staff Development

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The other day I was hanging out with my good friend Vaughn Kohler—co-founder of Charismatics, our medical mastermind, and also a literary nerd, former pastor, and co-host of the MFCEO Project. We got to talking about something that really stuck with me: The Great Gatsby. Yeah, the book you probably faked your way through in high school. Vaughn recently reread it and actually enjoyed it this time, which led us into a conversation about obsession, chasing dreams, and the brutal wake-up call that sometimes comes when you realize what you wanted… isn't what you want anymore.

Jay Gatsby spent years building a life to impress someone from his past. And when he finally gets her back, he learns she's not the woman he remembered. That fantasy he chased? It was a ghost. And it hit me—entrepreneurs fall into this same trap all the time. We build businesses, grind day and night, and chase a version of success we dreamed about years ago. But what happens when that dream changes? If we don't evolve our vision, we end up stuck—burned out, unfulfilled, wondering how we got there.

So this episode is about how to not be Gatsby. It's about checking in with yourself regularly. Asking: Do I still want this? It's about getting brutally honest about what matters to you now, not what mattered five years ago. And it's about refusing to let nostalgia or fantasy hijack your journey. As Yoda would say—stop looking to the horizon or clinging to the past. Focus on where you are, who you are, and what lights you up today. Because the worst thing you can do is spend years chasing something only to realize... it was never really yours to begin with.

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

(1:50) - Discussion on "The Great Gatsby"

(3:02) - The Dangers of Chasing Old Dreams

(3:54) - Practical Advice for Avoiding Burnout

(7:27) - Conclusion

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