Alex Spinoso

The Spinoso Podcast

Business EN ↓ 300 episodes

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.

Author

Alex Spinoso

Category

Business

Podcast website

www.dralexspinoso.com

Latest episode

Jul 10, 2026

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Episodes

How do you hire and train for new locations? - EP 176 14.04.2025

When we first started building Genesis, we didn't have formal onboarding systems, training platforms, or structured processes—and honestly, that was okay. If you're in the early stages and still figuring it out, don't sweat it. But at some point, if you want to scale fast and with less stress, you've got to go back and build the infrastructure. We didn't truly start creating these systems until we...

Don't Get Stuck Chasing Ghosts - EP 175 11.04.2025

The other day I was hanging out with my good friend Vaughn Kohler—co-founder of Charismatics, our medical mastermind, and also a literary nerd, former pastor, and co-host of the MFCEO Project. We got to talking about something that really stuck with me: The Great Gatsby. Yeah, the book you probably faked your way through in high school. Vaughn recently reread it and actually enjoyed it this time,...

The 24/7 Customer Service Mindset (Part 1) - EP 174 09.04.2025

Today, Amanda May and I dive into one of the most important core values at Genesis: customer service. This isn't just a department—it's a mindset. Whether you're in the medical space, running a service-based business, or just trying to improve the way people experience your brand, customer service is something that has to be baked into everything you do. It shows up in how you greet people, how yo...

Customer Expectations & Complaints - EP 173 07.04.2025

Let's talk about the dreaded one-star review. If you've been in business long enough, you're bound to get one. It's not always fair, and it's not always rational, but it's part of the game. In today's episode, I break down why one-star reviews aren't the end of the world—in fact, they can actually be a golden opportunity. I share how we handle them in our companies, how we turn unhappy customers i...

Overcome Imaginary Suffering - EP 172 04.04.2025

Today's episode starts with a heavy-hitting quote from Seneca: "We suffer more in imagination than in reality." And man, that couldn't be more accurate. If you've ever lost sleep over a made-up problem that never actually happened, this one's for you. As entrepreneurs and high-achievers, we live in our heads—we plan, we stress, we analyze every possible disaster before it even has a shot at happen...

Trust: The Coin of the Realm in Business and Life - EP 171 02.04.2025

In this episode, we're talking about one of the most important currencies in business: trust. I share how trust has played a massive role in scaling from a single location to over 80 clinics—starting with handshake deals, growing into multimillion-dollar contracts, and the shift in how I approach trust as we've scaled. We dive into the difference between getting people to trust you and actually be...

How do you approach community engagement and outreach? EP - 170 31.03.2025

In this episode, I'm diving into why community outreach is one of the most powerful tools for growing your business—especially in the early stages. A lot of us assume that once we open our doors and run a few ads, people will just show up. But the truth is, "if you build it, they will come" is complete nonsense in business. You have to actively go out, connect, and bring people into your clinic. I...

What Batman Said Is Right - EP 169 28.03.2025

Alright, guys, today we're diving into one of the greatest superhero movies ever made— Batman Begins . Now look, if you know me, you know I'm a Superman guy through and through. I mean, c'mon—he flies, he's got the moral compass of a saint, and he could bench-press a planet. But I've gotta give Batman credit. The dude is a billionaire who willingly trades silk sheets for cracked ribs every night,...

Embracing the Fortunate Results of Failure - EP 168 26.03.2025

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 fa...

How do you approach risk management and liability issues? - EP 167 24.03.2025

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. N...

The Trap of Success - EP 166 21.03.2025

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...

The Power Of Intentionality: Being Proactive In Business and Life - EP 165 19.03.2025

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 t...

How Do You Approach Patient Feedback and Satisfaction? - EP 164 17.03.2025

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 putt...

Ancient Myths For Modern Overachievers 4: The Odyssey - EP 163 14.03.2025

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 co...

Velvet Covered Steel - EP 162 12.03.2025

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 r...

How Do You Approach Grassroots Marketing? - EP 161 10.03.2025

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 t...

Learn Selectively Win Consistently - EP 160 07.03.2025

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,...

What Soccer Taught Me About Business, Leadership, and Life - EP 159 05.03.2025

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...

Why Clear Communication is the Key to Growth -EP 158 03.03.2025

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 struct...

Free Yourself By Working For Free - EP 157 28.02.2025

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 confi...

AI & You: How We Use Artificial Intelligence to Be More Efficient, Effective & Excellent - EP 156 27.02.2025

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, convi...

What role do partnerships play in your scaling strategy? - EP 155 24.02.2025

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 o...

Domino's Pizza Hero - EP 154 21.02.2025

Today, we're diving into creativity and the power of sneaky strategies in business. Being clever isn't just a nice-to-have—it's a necessity. I'm breaking down how Domino's turned things around with their Pizza Hero app, transforming it into a rebranding tool, a customer engagement game, and a recruitment platform all at once. The app let people virtually make their own pizza, but here's the genius...

Changes In Marketing and Referrals With Jenessa - EP 153 19.02.2025

Today, we're diving into the real-world challenges business owners face when it comes to marketing, referrals, and lead generation. I sat down with an entrepreneur who's working hard to scale her medical business, and like many of you, she's navigating the complicated world of digital ads, lead nurturing, and return on investment. We explored how her Google ads were producing a 12x ROI—massive ret...

What Role Does Customer Segmentation Play In Your Marketing and Growth Strategy? - EP 152 17.02.2025

When it comes to marketing and scaling a cash-pay service-based business, customer segmentation is everything. In today's episode, I break down the importance of targeting the right demographic, especially in industries like medical aesthetics and wellness, where insurance isn't an option. Geo-targeting is key—focusing on upper-middle and high-income areas ensures that your marketing dollars are s...

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