Medical Empires

Today, I'm breaking down our optimized system for client feedback at Genesis—and trust me, this is a game-changer. First things first, we don't call them patients; we call them clients because they're professionals investing in a better lifestyle, not just sick people needing treatment. Just like the Ritz-Carlton mindset, we believe in exceptional service, top-tier professionalism, and always putting the client experience first. And that's exactly why we've built a fully automated review system that ensures we're getting feedback from every single client—after every single visit.

Here's how it works: Our EMR system automatically sends follow-ups via text and email, requesting reviews. If it's a five-star review, they're directed to Google, Yelp, or Facebook to share it publicly. If it's lower? We fix it, immediately. And let's be real—if you're worried that asking for feedback will bring in a flood of one-star reviews, that's a you problem. If you provide exceptional service, you'll get exceptional feedback. And if not? Then you've got gaps in your business that need fixing—fast. At Genesis, we maintain a 4.9-star rating across 80 locations, not by luck, but by owning our feedback, solving problems, and consistently improving.

The bottom line? Client feedback is your greatest tool for growth. If you're not asking for it, you're leaving money on the table. Whether it's addressing a bad review, training your team, or finding hidden weaknesses in your system, every review is an opportunity. So take the time to set up a system that works, make feedback a priority, and most importantly—act on 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.

(0:00) - Intro

(0:25) - Optimized System for Patient Feedback in Genesis

(2:45) - Importance of Asking for Reviews

(7:41) - Handling Negative Feedback

(8:35) - Examples of Excellent Customer Service

(11:50) - Legal Considerations and Review Strategies

(13:37) - Outro

Today, I've got something truly special for you. This is the fourth episode in my series, Ancient Myths for Modern Overachievers, and we're diving into one of the greatest epics of all time—The Odyssey. Now, before you roll your eyes thinking this is some dull history lecture, let me stop you right there. This isn't about old stories for the sake of storytelling. This is about what the ultimate comeback journey of a Greek hero can teach you—an entrepreneur, an overachiever—about dominating your goals and getting back to what truly matters. Because, let's be real, being an entrepreneur is its own epic adventure.

Odysseus didn't just battle monsters, defy gods, and resist temptations—he had to outthink, outlast, and outmaneuver every obstacle in his way. Sound familiar? Business isn't a straight path to success. You'll face setbacks, competition, and distractions that threaten to throw you off course. But Odysseus didn't power through with brute force alone—he used strategy, discipline, and an unshakable drive to get home. And that's exactly what you need to do if you want to navigate the storms of entrepreneurship and come out on top.

At the heart of it all, Odysseus was driven by love—for his family, his home, and his purpose. And that's the biggest lesson of all. Success isn't just about money or status; it's about fighting for what truly matters to you. Whether it's your family, your community, or your vision for the future, you need a "why" strong enough to pull you through every challenge. So, buckle up—this episode is going to push you to think differently, fight smarter, and stay relentless on your own odyssey.

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

(1:25) - The Odyssey: Background and Initial Challenges

(3:31) - Lesson 1: Entrepreneurship is an Epic Journey

(6:48) - Lesson 2: Driven by a Great Love

(9:20) - Final Thoughts and Key Takeaways

In this episode, we're diving into a topic that doesn't get nearly enough attention—women in leadership. And joining me today is a powerhouse leader, CEO, and all-around badass, Amanda May. We're tackling the real struggles women face in leadership, from balancing strength with grace to overcoming the outdated stereotypes that come with being a female boss. Whether you're a woman navigating your role in business or a leader looking to better support the women on your team, this episode will give you real, no-BS insights into what it takes to lead with confidence and authenticity.

We'll break down the fine line between being assertive and being labeled as "too much," the power of leading with both warmth and strength, and why mentorship is one of the most underrated game changers in leadership. Amanda shares her personal journey—what she's learned, the mistakes she's made, and the lessons that have helped her grow into the leader she is today. Plus, we'll talk about the role of strong male allies in elevating female leadership and how having the right support system can make all the difference.

If you're a woman in business, you don't have to compete with men—you can complement the team, stand in your power, and lead in a way that's true to who you are. And if you're leading a company, knowing how to create an environment where both men and women can thrive is key to long-term success. We're getting into the mindset shifts, the practical strategies, and the leadership principles that actually work. This is a must-listen for anyone serious about building a stronger, more dynamic team.

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

(0:35) - Women in Leadership: Introduction and Context

(2:27) - Balancing Strength and Authenticity in Leadership

(4:45) - Examples of Velvet Covered Steel in Leadership

(14:21) - Mentorship and Overcoming Self-Imposed Barriers

(21:23) - Creating Commitment and Inspiring Team Members

(30:09) - Freedom of Expression and Professionalism

(37:25) - Balancing Individuality and Team Culture

(42:23) - Overcoming Past Trauma and Embracing Femininity

(45:56) - Final Thoughts

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If you're serious about growing your business, you need to master grassroots marketing. I'm not just talking about running Facebook ads or throwing money at Google. I mean real, face-to-face, boots on the ground marketing going out into your community, shaking hands, making connections, and building relationships with other local businesses. When you're just starting out, this is actually easier than when you're massive because you're surrounded by other small businesses that are also looking to grow. So why not work together? Go to gyms, bridal shops, primary care offices—places where your ideal clients already are—and start forming partnerships that create a win-win for everyone involved. The more people who know about you, the more referrals you'll get, and trust me, your competition isn't doing this.

One of the best ways to build your brand is by getting involved in local events. Health fairs, 5K runs, bridal shows—these are all high-ROI opportunities where you can meet potential clients face-to-face and showcase your business. And let's talk about the power of PR. You ever wonder how businesses get featured on those local morning news segments? They pay for it. Reaching out to your local news station and investing in media packages can put you in front of thousands of potential clients in your area. It's a strategy that's worth testing, and if done right, it can give your business massive credibility. Your goal is to be everywhere—on the news, at events, in the community—so people start seeing you as the go-to expert in your industry.

But don't just show up unprepared. Make sure your team looks professional, your booth is set up with eye-catching signage, and you're giving away branded swag that keeps your business top of mind. Grassroots marketing is the foundation of your growth because it's personal, effective, and—most importantly—it's cost-efficient. The businesses that dominate their market aren't the ones that sit back and hope clients find them. They're the ones who put in the work, build real connections, and create relationships that lead to long-term success. So get out there, put in the effort, and watch your business thrive.

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) - Grassroots Marketing for Scaling Medical Businesses

(2:32) - Building Local Business Relationships

(4:15) - Leveraging Media and Community Events

(6:21) - Event Strategy and Preparation

(7:56) - Final Thoughts

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In today's episode, I want to talk about something we all deal with: learning. But not in the generic "lifelong learning is important" kind of way. I mean the real struggle of balancing growth with the overwhelming tidal wave of advice, feedback, and opinions thrown at us every single day. We live in a world where everyone's got a 30-second life-changing nugget of wisdom. Podcasts, books, TikToks, Instagram Reels, Facebook ads. Some of it is valuable, sure, but most of it? Just noise. And if you've ever felt completely exhausted by all the conflicting advice, you're not alone. There's even a name for it: virtue fatigue. It's that moment when you just want to scream, "Would everyone please just shut the hell up?" But here's the thing. Shutting down your hunger for growth isn't the answer. Filtering what you learn is.

As an entrepreneur, learning is essential. If you're not growing, you're dying. But that doesn't mean you should take advice from every self-proclaimed guru with a ring light and a Canva template. When you're just starting out, it makes sense to take in as much as possible, but as you grow, you need to narrow your focus. You need to learn from people whose success has stood the test of time, not just the latest influencer on a hot streak. Some of the best wisdom out there comes from books written decades or even centuries ago. People like Marcus Aurelius, Dale Carnegie, and Jim Collins. These aren't trendy voices chasing clicks. These are people who built empires, shaped industries, and changed the way we think about business and leadership. Real wisdom isn't the loudest. It's the most consistent.

So how do you protect yourself from virtue fatigue? You filter ruthlessly. Ask yourself: Has this person consistently succeeded in what they're teaching? Is their advice rooted in real-world experience, or is it just fluff? Is this timeless knowledge, or just a passing trend? The more selective you are about where you get your information, the less overwhelmed you'll feel and the faster you'll grow. Learning isn't just about taking in information. It's about filtering it, understanding it, and applying it. Trust the people who have stood the test of time, focus on depth over noise, and most importantly, never lose your hunger to learn.

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) - Balancing Advice and Growth as an Entrepreneur

(3:00) - Filtering Information Sources

(5:15) - Personal Learning Strategies

(5:55) - Protecting Against Virtue Fatigue

(6:50) - Closing Remarks and Call to Action

(7:10) - Final Thoughts

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I grew up in a household where soccer wasn't just a game but a way of life. Coming from an Italian-Puerto Rican family, every World Cup was a massive celebration, and I played the sport from the time I could walk. Soccer took me through high school championships, Division 1 college play at Dartmouth, and even overseas to England, where I balanced school and semi-professional soccer. But after six knee surgeries and the realization that I needed a long-term career, I pivoted to medicine. Yet, the lessons I learned on the field, discipline, teamwork, and relentless drive became the foundation for my success in business.

This podcast is about more than just soccer or medicine—it's about the mindset that drives high achievers. The same mental toughness that wins championships is what builds thriving businesses. Whether you're leading a team, running a company, or striving for the next level in your career, the principles of elite athletes—resilience, adaptability, and relentless execution—apply to every aspect of life. I dive into stories of personal growth, leadership, and what it really takes to win, both on and off the field.

Success isn't about luck. It's about showing up, even when you want to quit. It's about failing fast, adjusting, and pushing forward with everything you've got. In this podcast, I'll share lessons from my journey, conversations with high-performing leaders, and insights that will challenge you to level up. Whether you're an entrepreneur, an athlete, or just someone looking to dominate your industry, this is where you sharpen your competitive edge and develop the mindset to win.

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

(0:35) - Background and Early Soccer Career

(25:10) - Transition to Professional Soccer and Medical School

(25:40) - Lessons from Soccer Applied to Business

(26:20) - Mindset and Leadership in Business

(29:30) - Endurance and Consistency in Business

(41:00) - The Role of Teamwork in Business Success

(46:10) - Leadership and Decision-Making in Business

(52:30) - The Importance of Adaptability and Flexibility

(54:40) - Final Thoughts

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One of the most critical aspects of running and scaling a successful business is communication. At Genesis, we've built our company on clear, structured, and consistent communication through the Entrepreneurial Operating System (EOS). We hold quarterly corporate meetings where we bring in 20 to 40 of our executives and managers to discuss everything from past successes to future goals. This structure ensures that everyone is aligned, from our top executives to our clinic staff. But as we scale past 40 locations, we're evolving our approach—taking inspiration from companies like NVIDIA—to implement monthly all-hands meetings and making communication even more transparent across all levels of the company.

To keep our team connected daily, we rely on Workplace for Meta, which functions as our internal communication hub. This platform allows for real-time collaboration among staff, sharing best practices, troubleshooting issues, and reinforcing our core values. We also use Genesis University, our Learning Management System, to streamline training and onboarding, making it easier for new hires to get up to speed. By centralizing all training resources, from treatment protocols to sales techniques, we ensure consistency across all clinics, making growth scalable and repeatable. Additionally, we invest in hands-on training by sending new hires to our training clinics and deploying top-performing clinic directors to underperforming locations to elevate standards across the board.

At the core of all of this is culture and collaboration. We don't just communicate for the sake of talking; we foster an environment of shared knowledge and mutual growth. By continuously reinforcing our seven core values, encouraging team members to solve problems together, and breaking down silos between clinics, we create a thriving company culture. Whether it's through texting virtual assistants across the world or training staff to uplift each other's strengths, we make sure everyone is working toward a common goal. If you want to scale a business the right way, communication, collaboration, and culture are non-negotiable. If this podcast has helped you, check out DrAlexPinoso.com for free resources that can take your business to the next level.

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

(0:35) - Communication and EOS System in Business

(2:40) - Quarterly Corporate Meetings and Communication Tools

(3:40) - Workplace for Meta and Training Platforms

(6:20) - Scaling and Supporting New Locations

(8:01) - Core Values and Communication Strategies

(10:55) - Encouraging Collaboration and Knowledge Sharing

(12:00) - Final Thoughts

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Today, I want to tackle a topic that makes people flinch—working for free. The common advice is know your worth, charge what you're worth, but when you're just starting out, it's not about lowering your value—it's about creating it. In the early days of building a business, working for free isn't a sign of desperation; it's a strategic move to gain experience, build a reputation, and develop confidence. But just like anything in business, there's a shelf life to working for free. Do it too long, and it starts working against you.

Working for free opens doors—just ask Mike Martz, who started as an unpaid assistant before becoming an NFL coach who led a team to the Super Bowl. When you don't have proof of concept yet, those free projects serve as your portfolio, your case studies, your stepping stones. Your reputation is built on results, not price tags—the people you help early on will become walking testimonials, spreading the word about your work. And beyond that, working for free builds confidence. The more reps you put in, the more you believe in your own ability. But—and this is a big but—it's not a forever strategy. At some point, you have to start charging or people will assume you're desperate, undervalue your work, and take you for granted.

The key is knowing when to stop. Think of it like buying drinks at a bar—do it once, and it's generous. Do it all night, and it looks desperate. People value what they pay for, and money creates accountability on both sides. If you're shooting free weddings, do it with the goal of charging $10,000 a wedding. If you're coaching for free, use that experience to build case studies that justify premium rates. Be strategic, set boundaries, and charge what you're worth—at the right time. Working for free is an investment, but eventually, the free drinks need to stop.

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

(0:50) - The Benefits of Working for Free

(3:10) - Building Experience and Reputation

(4:30) - The Limitations of Working for Free

(6:00) - The Limitations of Working for Free

(7:36) - Final Thoughts

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Artificial intelligence is one of the biggest game-changers in business and life right now, and today, we're diving deep into how we actually use it. AI is a buzzword that everyone loves to throw around, but let's be real—what we're using today isn't some sci-fi, all-knowing entity. It's more like Google 2.0, an incredibly powerful research and productivity tool. Some people are freaked out, convinced it's going to take over the world, while others are leveraging it to work smarter and scale their businesses faster than ever. Amanda and I are breaking down exactly what's working, what's not, and how you can start using AI to be more efficient, creative, and strategic in your day-to-day life.

The reality is, AI is evolving at lightning speed. What was clunky and robotic just six months ago now sounds almost human. If you're not using AI, you're choosing to work harder than necessary while others are streamlining their processes. From automating tasks to analyzing complex data, AI is a tool that can help you make better decisions, improve communication, and even enhance your creativity. It's not about replacing human effort—it's about multiplying your time and optimizing your workflow. We'll also touch on the concept of co-intelligence, a powerful idea that reframes AI as a collaborator rather than a replacement, helping you think more critically and strategically in business and beyond.

At Genesis, we use AI for content creation, data analysis, legal contract reviews, and even marketing strategies. It saves hours of manual work and helps us stay ahead of the game. But here's the key—you can't just copy and paste AI-generated content and expect to win. You still have to refine it, put your voice into it, and apply your judgment. AI isn't a crutch; it's a tool that, when used correctly, makes you sharper, faster, and more effective. Whether you're in business, medicine, or any other field, leveraging AI properly will separate you from the competition. If you're serious about scaling your business and want access to the tools and strategies we use, check out DrAlexSpinoso.com/courses for free medical business resources. Let's embrace the future and use AI to enhance—not replace—our ability to lead, innovate, and grow.

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) - Efficiency and Productivity Enhancement with AI

(16:50) - AI in Business Operations and Personal Development

(19:20) - Future of AI and Human Collaboration

(24:20) - AI in Medical Clinics and Personal Growth

(27:00) - Final Thoughts

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In this episode of the podcast, I dive into one of the most essential lessons for scaling your business: If you want to go far, go together. I've seen business partnerships flourish—and I've seen them fail. The biggest reason for failure? Lack of clarity from the start. When Brent and I built Genesis, we were crystal clear on our roles—he handled marketing and backend operations, while I focused on the medical side and patient care. That clarity allowed us to grow without stepping on each other's toes. On top of that, having solid contracts in place is non-negotiable. Good contracts make good friends, setting expectations for both the highs and lows. At Genesis, we've also implemented profit sharing and equity opportunities for long-term employees who live and breathe our core values, rewarding them for their dedication. When people feel ownership—whether literal or emotional—they work harder, stay loyal, and help propel the business forward.

Scaling a business isn't just about internal partnerships—it's about seeing every connection as a potential ally in your growth. Many entrepreneurs overlook their vendors, but the truth is, every vendor you pay is a partner in your business. Your cost of goods sold represents a percentage of your business that your vendors are essentially part of. Treat them like partners—because when you grow, they grow. Don't be afraid to ask them about complementary services that can help you boost revenue. Beyond vendors, local businesses and providers can be invaluable allies. If you run a hormone therapy or weight loss clinic, connect with local gyms, primary care providers, or wellness studios. Offer free treatments to gym owners or trainers—if they see results, they'll refer clients. Strategic alliances create a win-win situation. Clients get better results, you get more referrals, and partnering businesses retain happier clients. These connections build a powerful network that supports growth for everyone involved.

But here's the hard truth—if you're still working in your business every day without a team to back you up, you don't own a business—you have a job. You need a clinic director or operations manager who can handle day-to-day tasks so you can step back and scale. Without that, you're stuck trading hours for dollars, and when it comes time to sell, your business won't fetch the multiple it should. Building strategic partnerships internally (through team leadership) and externally (through local collaborations) is how you free yourself to work on the business, not in it. Remember, if you want to go fast, you can go alone—but if you want to go far, you need to go together.

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 Clear Roles in Business Partnerships

(2:35) - Strategic Partnerships and Profit Sharing at Genesis

(4:00) - The Role of a Clinic Director

(5:36) - Viewing Vendors as Business Partners

(7:34) - Building Strategic Alliances with Local Businesses

(9:36) - Final Thoughts

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