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Medical Empires: Daily Summaries Delivered
by Alex Spinoso
In 2017, I was living in 150 square foot bedroom in a house that was rented out to five other people and I was serving as a doctor to inmates in Nevada. Today, I live in suburban, Dallas and run multiple 7 and 8 figure businesses. I'm here to tell you – what I have done, you can do. The purpose of my podcast is to motivate you to take ownership of your life, to show you how to operate on elite levels in business and life, and to embrace the mindset that you can overcome anything that stands in your way. It's time to go after what you want - and get it.
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- 1 weeks ago7 min
Life Happens For You, Not To You (And I Can Prove It) - EP327
Life happens for you, not to you, is the one belief Dr. Alex Spinoso would keep if he lost every other framework. Here's why he means it in his bones. If he had to throw out every book, quote and framework he's ever taught and keep a single idea to carry through the rest of his life, this is the one. But this isn't bumper-sticker positivity. In this episode of Medical Empires, Dr. Alex Spinoso earns the phrase the hard way, walking through the surgeries he rehabbed alone as a kid when his whole identity as an athlete hung by a thread, the years he and his wife struggled to have their children, watching his mom slip away to dementia and the business seasons that gut you: lawsuits from giant companies, betrayal by employees he trusted and fed, compliance rules changing overnight and months without real sleep with everything on fire at once. The point isn't to fake gratitude or smile through the pain. It's tougher than that. It's refusing to let the suffering be wasted, taking the injury, the loss, the betrayal, the year that nearly broke you and deciding on purpose that it will mean something. Because the people who believe life happens to them stay stuck, waiting for a world that never stops being unfair. The people who force themselves to believe it's happening for them take the same raw material and build a life on it. Same broken knee, same lawsuit, same sleepless year, completely different outcome. The only variable is what you decide the suffering was for. KEY TAKEAWAYS - Why "life happens for you, not to you" is a choice you make on purpose, not a feeling you wait for - How the worst injury of Dr. Alex Spinoso's childhood became the reason he became a doctor - Why faking positivity and burying your pain is not the same as reframing adversity - The real difference between people who stay stuck and people who build something from hard times - What to say to yourself when you're in the hard part and don't believe it yet CHAPTERS 00:00 Why most personal development advice is just noise 00:50 The one idea I'd keep: life happens for you not to you 01:12 The pain behind the belief: surgeries, family, and business 04:06 How my worst injury led me to become a doctor 04:41 This is not fake positivity or burying your pain 05:41 Why some people stay stuck and others build 06:18 What to do with whatever life handed you right now LINKS Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso ABOUT DR. ALEX SPINOSO Dr. Alex Spinoso is a physician and host of the Medical Empires podcast, where he helps medical entrepreneurs build world-class businesses and world-class lives. He teaches the mindset and medical business strategy behind building, scaling, and living a life that actually means something. #MedicalEmpires #mindset #resilience
- 1 weeks ago42 min
How to Stop Your Clinic From Running Your Life - EP326
You started your practice for freedom, more money, your own schedule, a higher standard of care. Then somewhere along the way it flipped and now you're the provider, the biller, the HR department and the janitor, doing notes until 10pm and starting it all over the next day. In this keynote to a room of nurse practitioners and clinic owners, I break down how to take your life back and build a practice that actually works for you instead of the other way around. I get real about the part nobody puts on the highlight reel. I've put myself in the hospital six times from anxiety building this thing and I share the simple method I use to shut that anxiety off instead of letting a worst-case scenario that will probably never happen run my life every single day. If you've ever thought about quitting, you're not broken, you're normal and this part is for you. Then I get into what actually fixed it. I took my company from 1 to 80 locations in six years and it nearly destroyed me, so we burned it down and rebuilt leaner and I walk through the four things we put in place to run it better. Why your culture and core values start with you and quietly lead to more money. How to hire on core values instead of resumes and why one A-player you overpay beats two B-players or five C-players. Why systems, not your own two hands, are what finally set you free. And the people decisions most owners avoid for way too long, including the hardest advice a billionaire ever gave me about loyalty. If you own a med spa, a practice, or any clinic that's slowly taking over your life, this one is the playbook for getting your time, your money and your sanity back. CHAPTERS 00:00 Why you really started your practice 02:30 What it actually turned into 04:00 The anxiety nobody warns you about 06:30 The method I use to shut anxiety off 14:00 From 1 to 80 locations, and why we burned it down 16:00 The four things we did to run it better 17:30 Live your core values, culture starts with you 24:30 Hire on core values, not resumes 29:30 Get the right people on the bus, A-players only 31:00 When you have to fire loyalty for efficiency 32:00 Systems will set you free Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso DISCLAIMER This talk is for general education only and is not medical, financial, or business advice for your specific situation. If you're struggling with anxiety or your mental health, please reach out to a qualified professional.
- 2 weeks ago7 min
Dolly Parton Said No to Elvis: The Business Lesson That Made Her Rich - EP325
Everyone remembers the wigs, the rhinestones, the big laugh, the "dumb blonde from the mountains." Almost nobody realizes that was the strategy. Dolly Parton pulled off what I'd argue is the single greatest magic trick in business and in this one I break down how she did it and why it quietly made her one of the wealthiest self-made women alive. The centerpiece is a story that should be taught in every business school in America. Early in her career, Elvis Presley, the biggest star on the planet, wanted to record one of her songs. His manager slid one condition across the table. What this young woman from a one-room cabin in the Smoky Mountains did in that room broke her heart that night and made her a generational fortune almost twenty years later. I tell the whole thing and what it should teach you about the deals you'll be offered. From there I pull out the lessons her life hands anyone who's building something, about ownership, about why raw talent is actually the cheap part and about a truth most people get completely wrong when they watch someone succeed while being loved by absolutely everyone. She left behind a line I can't stop thinking about and I close on it. This is a tribute. It's also a blueprint. If you've ever been underestimated, you're going to want to hear how she turned that into her single biggest advantage. CHAPTERS 00:00 The greatest magic trick in business 00:48 Her persona was camouflage, not weakness 02:10 Why being underestimated is an advantage 02:24 The Elvis story they should teach in business school 03:58 Own your name, your brand, your song 04:44 Talent is cheap, operators build machines 05:49 You can be a killer and still be a good person 06:37 Find out who you are and do it on purpose Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso #dollyparton #business #entrepreneurship #ownership #mindset #success #leadership #motivation #elvis #DrAlexSpinoso
- 2 weeks ago1h 46m
Why I Walked Away From a Nearly $500M Offer for My Medical Business - EP324
We had a 10x offer on the table for Genesis Lifestyle Medicine, almost half a billion dollars and we walked away from it. I sat down with Josh Ponton on ASHER Health's Standing in the Gap and told the full story: why the math didn't make sense, the multi million dollar stupid tax I paid learning how to sell a company and the month Brent and I spent wallowing in self pity asking ourselves if we even wanted to keep doing Genesis at all. We decided to burn it down and start over, go back to the core values we forgot while we were focused on the sale and build Genesis 2.0 the way we should have built it the first time. The rest of this conversation is about what it actually takes to build a medical business and most of it has nothing to do with tactics. I talk about convincing my wife to rent out our Palm Springs home so we could live in the foyer of a house where every bedroom was rented, saving up $100,000 and then spending $50,000 of it on a mastermind and carrying a bag of laundry and a bag of quarters across a highway to get to the laundromat. Josh asked me whether I remember my wins or my losses more. I remember the losses. I let them eat at me and that dark energy is still a big part of what drives me. I'm honest in here about whether that's healthy because it probably isn't and why I tell people to document their worst moments anyway. We also get into why 98% of people who own a business shouldn't, why success leaves clues and your first real step is finding a mentor, my grandfather's truck Big Blue and why the cars were never about the cars, what Antoni Gaudí and the Sagrada Familia taught me about building something bigger than your own lifetime and why life isn't short, death just takes a really long time. If you're a clinic owner, med spa owner, or medical entrepreneur who has ever looked at your business and wondered if it's worth it, this one is for you. Big thanks to Josh Ponton and ASHER Health for having me on Standing in the Gap. CHAPTERS 00:00 Burn it down and start over 00:25 Why the cars were never about the cars 13:32 Why 98% of business owners shouldn't own a business 19:15 The sacrifice nobody warns you about 26:06 Find a mentor, success leaves clues 34:56 The $50,000 mastermind that changed everything 49:48 Do you remember your wins or your losses 01:08:27 Walking away from a nearly half billion dollar offer 01:21:49 Life isn't short, death just takes a really long time 01:30:16 Gaudí and building beyond your lifetime Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso TikTok: https://www.tiktok.com/@dralexspinoso #medicalentrepreneur #clinicowner #medspaowner #entrepreneurship #businessmindset #successmindset #resilience #StandingInTheGap #GenesisLifestyleMedicine #DrAlexSpinoso
- 3 weeks ago6 min
The $360,000 Decision That Made Sylvester Stallone - EP 323
In 1975 there was a broke, 29 year old actor with about a hundred dollars to his name, no car and a face partially paralyzed from birth that gave him a slurred way of talking every casting director in Hollywood used as a reason to say no. He was so broke he had to stand outside a liquor store and sell his own dog because he couldn't afford to feed it. That man was Sylvester Stallone and what he did next is one of the greatest bet-on-yourself stories ever told. I tell this whole story in this episode because the numbers are the entire point. After watching a nobody club fighter go the distance with Muhammad Ali, Stallone went home and wrote the screenplay for Rocky in about three days. Producers loved it and wanted to buy it and the offer climbed to around $360,000, generational, life-changing, get-out-of-poverty-forever money for a guy who'd just sold his dog. But there was a catch and what he did when he saw that catch is the reason you know his name today. This one is about vision, self-belief and the kind of decision that quietly determines whether you build something that matters or stay a trivia answer. Because you are going to be offered your own version of that $360,000, the safe check, the comfortable exit, the deal that pays you today but quietly asks you to hand over the thing you actually believe in. Most people take it. The ones who change their lives are the ones who cannot be bought out of their own vision. There's even a new movie about this exact moment, I Play Rocky, coming out 50 years later because one decision was that important. So the question I want to leave you with is simple: what's your $360,000 and when they slide it across the table, what are you going to say? CHAPTERS 00:00 A broke actor with a hundred dollars to his name 01:00 So broke he had to sell his own dog 01:20 The fight that lit something up in him 02:00 He writes Rocky in three days 02:30 The $360,000 offer with one catch 03:00 Why he pushed the money back across the table 04:30 He bought his dog back and put him in the movie 05:00 What's your version of the $360,000 Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso #sylvesterstallone #rocky #motivation #mindset #betonyourself #entrepreneurship #success #selfbelief #iplayrocky #DrAlexSpinoso
- 3 weeks ago57 min
The Smartest Way to Grow Your Med Spa (Most Owners Get This Wrong) - EP 322
I joined Neal Karski on the Aesthetics Millionaires Show for a conversation every med spa and clinic owner needs to hear, especially the ones who think the path to wealth is opening more and more locations. Because that's the exact mistake that nearly cost me everything. Most owners believe scaling means expansion: more clinics, more states, more rooms. I did too. I grew fast and found myself running a sprawling operation across multiple states and it was a nightmare, licensing differences, staffing spread thin, culture falling apart, overhead stacking up, problems with more zeros on the end. So I did the opposite of what everyone expects. I pulled back, cut way down and got focused. Fewer locations, run better, is worth far more than a pile of locations barely holding together. In this one I break down the scaling philosophy I coach owners on now: stay small and nimble, which does not mean small money, it means you dominate your area and become the undeniable best clinic in your market before you ever think about expanding. I explain why one clinic doing serious volume is worth more than ten clinics splitting the same revenue, how packing one or two locations full lowers your overhead and strengthens your culture and the real intangibles that quietly destroy multi-location operators. We also get into the entrepreneur's origin and mindset, how a hatred of bad bosses and a prison-yard job pushed me into building my own thing, why you have to surround yourself with other driven people to survive the hard seasons and a goal-setting exercise I give my mentees that most people have never actually done. You close your eyes, write out your perfect day in full detail, the house, the schedule, the life and then you work backwards from that to the exact numbers your business has to hit. Your business becomes the vehicle to a specific life, instead of a treadmill with no finish line. If you own a med spa, aesthetics practice or any clinic and you want to grow the smart way instead of the exhausting way, this conversation will save you years. Big thanks to Neal Karski and the Aesthetics Millionaires Show for having me on. CHAPTERS 00:00 The breaking point that pushed me out of medicine 02:40 Meeting my business partner in a mastermind 10:00 The real lessons behind building the company 27:30 Why scaling too fast almost destroyed everything 29:30 Stay small and nimble, dominate your area 31:00 Why one great clinic beats ten average ones 38:00 Surround yourself with other driven people 39:30 Set your own goals, not borrowed ones 40:30 Write out your perfect day, then work backwards Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso
- Oct 9, 20265 min
Genghis Khan Killed So Many People It Cooled the Planet - EP 321
Here's a fact that sounds made up but isn't: the Mongol Empire killed on such a massive scale that scientists say it measurably cooled the entire planet. I open this one with that because it's the strangest doorway I've ever found into a conversation about anxiety, gratitude and perspective. Almost everyone I talk to is quietly drowning in it right now. AI taking their job, the economy, the political circus, the phone that's always listening, disaster after disaster absorbed at two in the morning. I'm not going to tell you none of that matters. I'm going to do something more useful, give you the kind of perspective that actually shuts the anxiety up. Because once you really sit with what almost every other human who ever lived had to survive, something shifts. Your nervous system starts to understand what I think most of us have completely forgotten about the lives we're living and how rare they actually are. In this episode I break down why you might be the single luckiest human being who has ever drawn breath, why your anxiety and your gratitude are the exact same energy pointed in opposite directions and the simple thing you can say to yourself that drains the panic almost on contact. You're not a victim of this era. Once you see why, it's hard to feel the same way about your problems again. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso
- Oct 7, 202634 min
How I Built a Medical Empire From One Rented Room - EP 320
I sat down with Chris Kille on the Building Great Companies podcast and told him the whole story, including the part most people skip. Before Genesis Lifestyle Medicine was a nine figure company, my wife and I rented out our nice Palm Springs house with the pool and the mountain view and moved into a single rented room in a five bedroom house we shared with strangers so we could save every dollar to build the business. That's where it actually started. We get into the moment that pushed me out of my job: I saw 126 patients in a single urgent care shift, made about two thousand dollars for it and realized the company cleared twenty to thirty thousand off my work that day. That was my f-you moment. If I was going to do the work, I was going to own the upside. Then Chris and I get into the real business lessons. Why I grew through vertical integration, buying up my highest cost of goods (the pharmacy, the PRP company, the skincare, the marketing) instead of chasing shiny objects and the garage door company analogy I use to explain which verticals are smart and which ones will sink you. Why shiny object syndrome is a trap when your core business is already making money and growing. How you can scale almost any company toward $100 million by acquiring or partnering with your competition, and the red flags I look for before I buy a business, starting with zero culture and no core values. And I don't skip the hard part. We walk through the near half-billion-dollar sale that fell apart, why 2024 was the best time to sell and 2025 became the worst and how walking away led us to tear the company down to the studs, cut around 60 locations almost overnight and rebuild leaner to reach that nine figure position ten times faster. It was the worst I ever felt as a business owner and my bank account had never been healthier. If you want to build, scale or sell a real company, this is the honest version, sacrifice included. Big thanks to Chris Kille and the Building Great Companies podcast for having me on. Want to join my group of medical entrepreneurs building world-class businesses and world-class lives? Join Charismedx at joincharismedx.com Website: https://www.dralexspinoso.com/ Instagram: https://www.instagram.com/dralexspinoso/ YouTube: https://www.youtube.com/channel/UC2YAyl_kDyo-JP2VBuru5aw Facebook: https://www.facebook.com/aspinoso/ LinkedIn: https://www.linkedin.com/in/alexspinoso
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About Medical Empires
In 2017, I was living in 150 square foot bedroom in a house that was rented out to five other people and I was serving as a doctor to inmates in Nevada. Today, I live in suburban, Dallas and run multiple 7 and 8 figure businesses. I'm here to tell you – what I have done, you can do. The purpose of my podcast is to motivate you to take ownership of your life, to show you how to operate on elite levels in business and life, and to embrace the mindset that you can overcome anything that stands in your way. It's time to go after what you want - and get it.
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Frequently Asked Questions
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It's a free AI-powered email that summarizes new episodes of Medical Empires as soon as they're published. You get the key takeaways, notable quotes, and links & mentions — all in a quick read.
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Medical Empires publishes every few days. Our AI generates a summary within hours of each new episode.
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