In today’s episode, we’re diving headfirst into the world of failure—why it’s not the end, but the beginning. I’ve failed more times in business than I can count, and honestly, that’s been the foundation of my growth. I grew up in a household where failure wasn’t tolerated for long—if you screwed up, you got up and did it again, but better. That mindset carried over into my business life, where failure isn’t something I fear—it’s something I’ve learned to expect, embrace, and learn from. Whether it’s a failed marketing campaign, bad hiring decision, or blowing through $50k in ad spend with zero return, each moment taught me lessons I couldn't have learned any other way.

Failure has a way of exposing your weaknesses and forcing you to become better. It sharpens your strategy, builds resilience, and gives you the grit you need to win. I talk about the “dumb tax”—those expensive lessons you pay when things don’t work out—but as long as you pivot, adapt, and use that failure to grow, you’ll always come out stronger. It’s a philosophy we carry through every level of our team and culture. We don’t punish smart mistakes—we use them to refine our processes, train better, and create systems that evolve with our business. And yeah, sometimes it means tough conversations, and sometimes it means letting people go, but it’s all rooted in growth.

So if you’re in the middle of the mess—overdrafted accounts, doubting yourself, trying to figure out how to make payroll—just know you’re not alone. Every successful entrepreneur has walked through that fire. You’re not failing—you’re building your story. The gritty, raw, no-sugar-coated version that will define your success later. Keep failing forward—because the only people who truly lose are the ones who never try.

Welcome to The Spinoso Podcast hosted by CEO, doctor, comic book geek, and car guy, Alex Spinoso. I help people and companies grow - especially in the medical business. While my experience and expertise is in scaling all types of medical businesses to 7, 8, 9-figures or more, I can be a mentor to anyone who wants to take ownership of their lives, become a better leader at home and at work, and overcome any obstacle that stands in their way.

(0:00) - Intro

(1:40) - Personal Experiences with Failure

(3:50) - Business Failures and Lessons Learned

(7:30) - Specific Business Failures and Lessons

(8:50) - Building Resilience and Mental Toughness

(12:30) - The Role of Passion and Ego in Entrepreneurship

(18:40) - Cultivating Resilience in Teams

(22:40) - The Importance of SWOT Analysis

(32:10) - Innovation and Proactive Problem-Solving

(58:10) - Final Thoughts on Failure and Success

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In this episode, I’m diving into exactly how we keep our medical clinics compliant so we never have to worry about getting shut down by the FDA or any other governing body. It all starts before we ever open our doors. Whether it’s our first or fifth location, we always involve our legal team to make sure everything is legit—from business licenses and LLCs to registration and legal documentation. No shortcuts. We go through every requirement city by city to avoid surprises down the line. Once everything is cleared, our legal team signs off, and only then do we move forward.

Compliance doesn’t stop at opening—we maintain it through constant communication and accountability. We hold monthly team meetings to go over any concerns, questions, or treatment issues so nothing gets swept under the rug. We’ve vetted all our medications and partner pharmacies to ensure they’re LegitScript certified, and we conduct regular internal audits, even sending in undercover patients to evaluate compliance. If we ever spot a problem, we fix it immediately, update our SOPs, and retrain our staff on the spot. This process protects everyone involved—our staff, our patients, and our business.

I also cover the biggest legal mistakes I see clinics make—like using imported meds, reselling 503A prescriptions, or making unfounded medical claims. These shortcuts might seem profitable in the short term, but they’ll always catch up with you. The truth is, real success comes from doing things the right way: solving real problems faster than anyone else and staying compliant every step of the way.

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

(1:00) - Risk Management and Liability in Scaling a Medical Business

(4:40) - Ensuring Compliance and Legal Adherence

(8:07) - Preventing Legal Troubles and Maintaining Integrity

(9:15) - Final Thoughts and Key Takeaways

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In today’s episode, I’m diving into something most people don’t see coming until it’s too late—the trap of success. It sounds counterintuitive, but the more successful you become, the more at risk you are. When you’ve built a life of comfort, wealth, and security, it’s easy to fall into the illusion that you’ve “made it.” But that comfort? It’s dangerous. It dulls your edge, kills your drive, and slowly pulls you away from the very mindset that got you there in the first place. That’s why I believe the number one way to avoid this is to keep scaling your business. Not just for growth’s sake, but because scaling keeps you sharp, forces you to solve new problems, and keeps your life complex enough to stay hungry.

I also talk about living and working in crisis mode—intentionally. I know it sounds crazy, but I believe in putting yourself in a position where you have to perform. That means not hoarding cash, but reinvesting aggressively, keeping your back against the wall. When you feel safe, you get soft. But when you’re stretched, you hustle. You grind. You innovate. And one of the biggest accelerators of that mindset? Believe it or not, it’s starting a family. There’s this myth in entrepreneurship that family slows you down, but I’m living proof that’s not true. My family hasn’t derailed me—they’ve been rocket fuel. Having people who count on you makes you dig deeper. It keeps you grounded, focused, and connected to something bigger than yourself.

Lastly, I want to challenge you to find motivation beyond money. Because if dollars are the only thing driving you, eventually you’ll hit a ceiling—and coast. And coasting is the first step to decline. You need something deeper. Whether it’s legacy, impact, or proving something to yourself, you’ve got to find your “why” and let that be the fire that keeps you moving forward. Success isn’t a destination—it’s a setup for the next level. So stay uncomfortable. Keep pushing. The journey doesn’t end when your bank account is full. The journey ends when you stop fighting. And if you’re really in this to build something legendary, then you’ve got to stay in the ring.

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

(2:00) - The Paradox of Success and Comfort

(4:10) - Living and Working in Crisis Mode

(5:48) - Starting a Family for Motivation

(7:40) - Finding Motivation Beyond Money

(9:05) - Final Thoughts and Key Takeaways

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In this episode, we’re diving into the power of being deliberate in every aspect of your life. Success isn’t an accident—it’s built through clarity, discipline, and execution. We’re breaking down what it means to be 100% intentional in your decisions, from business and leadership to personal development and relationships.

We discuss how the most successful people operate, from how they structure their days, set priorities, and eliminate distractions to how they take ownership of their choices and stay hyper-focused on their goals. We also dig into the dangers of overthinking, procrastination, and fear of failure, and why action—no matter how imperfect—is always better than hesitation. You’ll learn about the power list method, the importance of writing down your goals, and how creating a system for accountability can keep you on track.

This episode is packed with real-world strategies on how to be intentional in your business, your mindset, and your daily habits. We also cover leading by example, creating a culture of initiative, and surrounding yourself with people who push you to be better. If you’re ready to stop reacting to life and start creating the life you want, hit play and 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.

(0:00) - Intro

(0:25) - Intentionality and Its Impact on Success

(5:33) - The Role of Clarity and Visualization

(12:40) - Practical Steps to Becoming More Intentional

(27:31) - Overcoming Procrastination and Self-Sabotage

(28:00) - The Importance of Surrounding Yourself with the Right People

(52:40) - Leading with Intentionality

(54:10) - The Role of Failure in Success

(59:23) - Creating a Culture of Intentionality

(45:56) - Final Thoughts

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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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