Medical Empires

In this episode of the Spinoso Podcast, I'm diving into a question I got over the weekend at a BTL event: how do you know when you're ready to expand to new locations? Expansion can be a game-changer, but it can also be a major headache if you move too fast or choose the wrong areas. Reflecting on my own journey, if I could do it again, I'd focus on saturating one market completely before jumping to the next. By growing and maximizing one clinic to its full potential, you avoid spreading yourself too thin and set a strong foundation for future locations. Expanding too quickly across states, as I did, can spread resources thin and create unexpected challenges.

One of the key things to consider before expanding is demand. If your clinic has a waitlist of four to six weeks, that's a strong sign it might be time to open another location or extend your hours. But location matters. It's tempting to build in areas where you already have clients coming from nearby, but if they're willing to travel to your original clinic, building closer might not increase your client base; it could just split it. Instead, look for areas with the right demographics, strong local businesses like Whole Foods or Lifetime Fitness (who do heavy market research), and don't shy away from competition if you know you can out-market them.

Finally, as you grow, you must keep your core values at the center. Every new location needs a leader who lives and breathes those values, ensuring they guide every hire, every decision, and every interaction. I've learned the hard way that if a clinic or partner doesn't align with our core values, things fall apart. When expanding, make sure cash flow is solid, don't take on unnecessary debt, and focus on core services with minimal overhead. Hope you find these insights helpful. Thanks for listening, and as always, I'd love your feedback—please like, share, subscribe, and message me with any questions you'd like answered!

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

(0:20) - Expanding to New Locations: Lessons Learned

(2:36) - Choosing the Right Location

(5:40) - Strategic Partnerships and Expansion Goals

(7:11) - Acquisition vs. Building from Scratch

(9:35) - Core Values and Staff Management

(11:36) - Challenges and Closing Locations

(14:40) - Conclusion

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In this episode of the Spinoso Podcast, I dive into one of the most valuable lessons I've learned in business: carrying the big stick. This advice came from a billionaire mentor I met while living in Frisco, Texas, and it's stuck with me ever since. He told me that as I grew my company, I needed to get the best lawyers, keep them on retainer, and never hesitate to use legal action when necessary. At first, it didn't sit well with me because, like most people, I don't want to be a dick. But as I've grown in business, I've realized that sometimes you have to stand tall and protect what you've built.

The reality is, most of us want to be kind, decent, and good-hearted entrepreneurs. We want to build successful companies while treating our team and customers well. But there are plenty of people out there who don't share that mindset. Scammers, fraudsters, and unethical competitors are out there, and if you don't confront them head-on, they'll tear down everything you've worked for. It's not about being ruthless for the sake of it; it's about protecting your business and your people. If you back down or avoid confrontation, those problems grow like cancer, spreading and eventually overwhelming you.

Using the big stick isn't fun—it takes an emotional toll, and no one likes being the bad guy. But as entrepreneurs, it's our responsibility to ensure our companies survive and thrive, even if it means making hard decisions. The longer I'm in business, the more I see the benefits of standing my ground and enforcing the rules. And while I don't enjoy it, I know it has to be done. If you want to be successful, sometimes you've got to be willing to step up and take control, even if it means being the dick in the situation.

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

(1:30) - The Value of Relationships in Entrepreneurship

(3:04) - The Importance of Legal Protection

(4:50) - Dealing with Unethical Competitors

(6:40) - The Emotional Toll of Being a Successful Entrepreneur

(7:55) - Conclusion

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In this episode, I break down the key elements that have helped me and others elevate to new levels of success in business. First, I talk about the importance of knowledge and constantly learning. Whether you're an employee or a business owner, you need to understand how your business works from the inside out. Too often, people show up, do their 40 hours, and wonder why they're not getting raises or promotions. If you want to elevate yourself, start reading, studying, and understanding the different parts of the business so you can bring value beyond just your assigned role. The more you know, the more valuable you become, and that's how you move up.

Next, I dive into sacrifice and taking risks. Success doesn't come without sacrifice, and if you're in a role where there's no room for growth, you may need to find a new company or create your own path. At Genesis, we create opportunities for those who show they're ready to take on more, whether that's profit-sharing, becoming a clinic director, or even getting equity in a clinic. But if your company isn't providing growth opportunities, it's time to take control of your own future. It's also about taking chances. So many people are held back by the fear of "what if," but you can't let that stop you. Taking calculated risks is necessary to get to the next level, and as Warren Buffett says, sometimes you need to bet big on the opportunities that come your way.

Lastly, I emphasize the importance of continual growth and consistency. You can't just stop at learning one new skill or making one sacrifice. Success requires constant growth, learning new things, and being consistent. I've worn many hats at Genesis, from head of sales to head of branding, and each role required me to keep pushing myself and expanding my skills. Showing up consistently, taking on new challenges, and always being ready to improve are what set you apart in business and life.

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

(1:55) - Leadership Transitions and Elevating Employees

(4:20) - Core Values and Business Alignment

(10:40) - Entrepreneurial Knowledge and Sacrifice

(13:30) - Continual Growth and Consistency

(24:28) - Constructive Criticism and Accountability

(34:09) - Self-Assessment and Integrity

(39:00) - Training and Development

(53:00) - Emotional Intelligence and Team Building

(56:30) - Conclusion

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In this episode of the podcast, I'm diving into one of the most important aspects of scaling your business—building a strong online presence. Whether you're growing one clinic or expanding across the country, having an optimized online strategy is crucial. I walk through the three key pillars we focus on: SEO, paid ads, and organic social media. SEO is vital for making sure your clinic ranks at the top of local searches. It's a long-term investment, but with the right strategy, you'll eventually dominate your market, just like we did when opening locations across the country.

Next, I discuss the power of paid ads. We spend a significant amount on Google and Facebook ads each month to attract high-quality leads, but it's worth every penny. Being LegitScript certified is key to opening up more ad opportunities, especially in the medical field, where certain keywords like "semaglutide" are restricted. This certification allows us to run ads safely and at scale while reaching more potential patients across the country. I also break down the differences between Google Ads, which often have a higher cost per lead but better quality, and Facebook Ads, which bring in more volume at a lower cost per lead.

Finally, I dive into the importance of organic social media and community outreach. We focus on educating our audience across platforms like Instagram, YouTube, and our blog. By providing valuable content, we build trust and authority, which drives patients to us organically. Local outreach also plays a big role—sponsoring local events and forming relationships with businesses keeps our brand visible in the community. Combine these strategies with top-notch customer service, and you've got a recipe for success. Listen in to hear how you can implement these tactics and start scaling your business today!

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

(0:16) - Importance of Online Presence for Business Scaling

(2:10) - SEO Strategies and Success Stories

(4:00) - Advertising and Legit Script Certification

(6:00) - Google and Facebook Ads: Differences and Effectiveness

(8:15) - Organic Social Media and Content Creation

(10:43) - Local Outreach and Community Engagement

(11:52) - Conclusion

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In this episode of the podcast, I talk about one of my unlikely inspirations—Napoleon Bonaparte. Now, don't confuse him with Napoleon Dynamite, but the French general who left his mark on history. He was short, I'm short. He was a conqueror, and while I haven't conquered countries (yet), I am working on conquering the business world, especially in the medical and aesthetic space. One of his quotes has stuck with me: "The human race is governed by its imagination." This quote perfectly captures the power of imagination, not just for visualization and goal-setting, but for influencing your team, your clients, and ultimately shaping your success.

I've noticed that too many professionals, especially doctors, rely heavily on data and facts in their presentations. Don't get me wrong—data is important, but information alone doesn't move people. You have to connect with them emotionally, and that's where storytelling comes in. In my own presentations, I've made it a point to share stories from my entrepreneurial journey, whether it's working in a prison, living with crack addicts, or selling my old car to finally get a McLaren. These personal stories resonate with people in a way charts and numbers never could, and the feedback I've received has been overwhelmingly positive.

If you want to influence people, whether in business or life, start looking for your own stories. Think back to powerful or emotional moments that shaped you. These are the stories that will help you communicate your message and connect with others on a deeper level. As Napoleon said, "The human race is governed by its imagination," and those who tell the best stories really do rule the world.

(0:00) - Intro

(1:08) - Comparison with Napoleon Bonaparte

(3:18) - Critique of Doctor-Led Conferences

(5:30) - Personal Stories and Their Impact

(6:00) - Conclusion

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In this episode of the podcast, I dive deep into the importance of core values and how they serve as the backbone for making key decisions in our company. Whether it's about the services we offer, the people we hire, or those we have to let go, core values keep us grounded. They not only guide us as leaders but also help remove any ambiguity when tough decisions have to be made. By consistently hiring, reprimanding, and even letting people go based on these values, we ensure there's no room for personal biases or misunderstandings. It's not just about the CEO's preferences; it's about whether someone aligns with our values and mission.

I also touch on the challenges of balancing loyalty with efficiency. Sometimes, as much as we appreciate a loyal team member, they may not be able to perform at the level needed. This can be tough, but it's necessary for the greater good of the team. It's not about a lack of effort; it's about maintaining high standards and ensuring that every team member contributes effectively. I share my personal experiences with how difficult it is to let people go, even when it's the right thing for the business. Ultimately, it's about being direct, clear, and giving people the chance to improve, but if they can't meet the standard, we have to make the tough call.

As we scale, keeping these core values intact becomes even more critical. With over 80 locations and a growing team, I make it a point to weave our core values into every conversation, meeting, and decision. Repetition is key, and I ensure that no matter how often I talk about them, it resonates with the team. Whether it's through our internal communication channels or during corporate meetings, our core values are always front and center, and that's how we maintain our vision while growing exponentially.

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

(0:45) - Baby of the Year Contest and Childhood Antics

(7:30) - Maintaining Core Values in Business Growth

(44:20) - Scaling and Adapting Core Values

(60:00) - Building Trust and Professionalism

(71:00) - Conclusion

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In this episode of the Spinoso Podcast, I dive into how we handle hormone therapy pellet treatments and our subscription model. I walk you through the two options we offer: month-to-month payments or an all-in-one treatment where you pay upfront. Depending on geographic location and dosage, the prices for pellets range for both men and women. I explain that we include everything in the price — from the pellets themselves to the insertion procedure, follow-up labs, and additional medications like estrogen blockers or fertility treatments. It's all about making sure patients have a clear understanding of what they're getting and how we structure our pricing.

I also share how we've introduced this subscription model to our existing hormone therapy and weight loss patients. Communication is key, so we make sure to send out email blasts, text messages, and even discuss it during follow-up appointments. This helps our patients feel comfortable with the new billing method, and we explain why it's beneficial for them. By offering discounts to the first group who switch to the subscription model, we make the transition as seamless as possible while ensuring patients continue receiving the best care.

Lastly, I tackle how we manage no-shows and cancellations with the subscription model. Our contract outlines what happens if a patient doesn't show up, and we give them flexibility while making sure everything is clearly communicated. For non-controlled medications, we'll continue sending them throughout the year, but for controlled substances, we review every 90 days. The goal is to keep things running smoothly while making sure our patients are well taken care of. If you have any other questions, feel free to email me, and I'd be happy to answer them on the podcast!

(0:00) - Intro

(0:13) - Handling Hormone Therapy Pellets

(4:00) - Subscription Model Trust and Initial Payments

(4:30) - Communicating the New Subscription Model

(6:15) - Handling No Shows in a Subscription Model

(7:20) - Managing Medication and Rescheduling

(9:25) - Conclusion

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Today, I want to share a wild story about tornadoes—and no, not just the ones here in Texas. The other day, I found myself Googling whether anyone had survived being inside a tornado. Turns out, a couple of farmers have, one in Kansas and another in McKinney, Texas, which is just 24 minutes from where I live. Their experiences got me thinking about how life can feel like being inside a tornado, especially as a business owner. Right now, I feel like I'm in the eye of the storm, dealing with lawsuits, business struggles, and the everyday chaos that comes with scaling a company. It feels like everything's coming at me from all directions, and honestly, some days it's hard to even get out of bed.

The truth is, I don't have all the answers. I'm not here to sugarcoat things or pretend like I do. Just like in life, business can be brutal. I've faced unethical employees, financial challenges, and moments where everything seemed to be falling apart. But what I've realized is that being in the center of this tornado, as chaotic as it is, is exactly where I need to be. I caused the storm by taking action and building something from the ground up. So, yeah, the storm rages, but I'm the one who created it. That thought actually gives me some peace of mind—it reminds me that there's a purpose behind all this madness.

In the grand scheme of things, tornadoes don't last forever, and neither do the challenges we face in business. Sure, they can cause chaos and devastation, but eventually, the storm passes. You rebuild, and you move forward. If you're like me, battling through your own storms, know that this season will end. So, keep pushing, face the storm head-on, and when you come out on the other side, you'll be stronger for it. Thanks for tuning in to The Spinoso Podcast. Don't forget to like, share, subscribe, and leave a review!

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

(1:29) - Exploring the Concept of Surviving a Tornado

(2:40) - Details of Roy Hall's Tornado Experience

(5:10) - Personal Challenges and Business Struggles

(6:15) - Honesty and Transparency in Business and Life

(7:24) - Lessons from Surviving a Tornado

(9:09) - The Temporary Nature of Business Storms

(10:30) - Conclusion

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Welcome to The Spinoso Podcast. Today, I'm diving into the anxiety many entrepreneurs feel when it comes to pricing their products or services, especially in the medical field. When I first started Genesis Lifestyle Medicine, I struggled with asking clients to pay high prices, especially when I couldn't afford those services myself. It's natural to project your own financial concerns onto your clients, but that mindset can limit your business. You have to remove feelings from the equation and focus on the value your services provide. This is where data and analytics come into play—running a business based on facts, not feelings.

In the medical world, we're trained to operate within systems where patients rarely pay directly, making it even more challenging for providers to ask for cash payments. This is compounded by strict regulations like Stark laws, which prevent medical professionals from earning commissions on treatments they recommend. So, when you step into entrepreneurship and ask people to pay for your services, there's often a lingering sense of guilt or hesitation. But to scale a business, you need to understand the true value of what you offer and recognize that people will pay a premium for life-changing results, whether it's weight loss, improved health, or a higher quality of life.

The key to overcoming this anxiety is ensuring that you and your team believe in the products and services you're offering. At Genesis, we encourage our staff to try the treatments themselves if they qualify, so they can truly understand the value and speak from experience. When you believe in the life-changing potential of what you offer, it becomes much easier to confidently ask for a premium price. Ultimately, your service is not just a product—it's a solution that transforms people's lives. When you operate with that mindset, pricing becomes less about the number and more about the impact you're making.

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

(0:34) - Discussion on Personal Style and Family Anecdotes

(5:30) - Grandmother's Lifestyle and Family Dynamics

(8:00) - Transition to Business Topic: Asking for Higher Prices

(13:20) - Overcoming Anxiety and Imposter Syndrome

(27:40) - Creating a Premium Experience

(34:12) - Elevating the Business and Staff

(41:00) - The Impact of Premium Pricing on Customer Base

(43:40) - Tools for Staff to Ask for Higher Prices

(47:05) - Conclusion

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I'm Dr. Alex Spinoso, and today I want to dive into a lesson we learned the hard way—running a business based on data, not feelings. Years ago, we thought we were doing great with laser hair removal in our clinics. The machines were booked solid, and we even hired staff just to manage them. But when we crunched the numbers, factoring in the cost of the machines, the staff, and the room space we were losing, we realized we were losing about $14,000 per machine per year. That's when we learned that relying on feelings of success can actually hurt your business.

To truly scale your business, you have to break down every service you offer by its profitability. That means tracking how much you're making in each area—weight loss, hormones, esthetics, CoolSculpting—and subtracting the cost of goods, labor, and marketing expenses. Sometimes, services like Botox can serve as loss leaders, bringing people through the door and leading to upselling opportunities. But if you're offering a service that consistently loses money and there's no way to turn it around, it's time to cut it, no matter how much you might like it or feel it's important. Data-driven decisions are the only way to ensure long-term success.

If this podcast has taught you something valuable about scaling your medical business, I encourage you to visit DrAlexSpinoso.com/courses. I offer free resources, training, and research to help you grow your business to seven, eight, or even nine figures. Don't run your business on emotion—use the data, invest in a good CPA, and make informed decisions that will allow you to grow and scale with confidence. That's how you win in business.

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

(0:15) - Leveraging Data for Business Decisions

(0:47) - Analyzing Financial Data for Laser Hair Removal

(2:20) - Breaking Down Profitability with Data

(4:10) - Making Data-Driven Decisions

(5:23) - The Role of a CPA in Business Success

(5:54) - Conclusion

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