Medical Empires14 Apr 2025

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

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 had 12–15 locations, and now with over 70, we've launched a full three-week and three-month onboarding process. Every team member learns who we are, what we stand for, and what their role demands—MA training for MAs, NP training for NPs, and so on. The biggest piece? Reinforcing our core values constantly.

I walk you through how we train teams at regional headquarters, how we staff new locations by pulling from our best existing people, and how we embed a culture of ownership without micromanaging. The "I'm dead method" is one of our favorite tools—where a leader steps fully away from a clinic to test if the systems and staff can operate without them. You'd be surprised how capable people are when they've been built up with the right values and structure. That's the whole game: build the systems, then build the people to run them. The faster you can do that, the faster your business will grow without you being in the room.

We also get into our clinic growth model, which is based on partnerships—especially with nurse practitioners. We've seen massive success by offering profit sharing or graduating equity to leaders who've proven themselves internally. But here's the key: don't shove people into ownership roles they're not built for. Not everyone is wired to be an entrepreneur, and forcing it will backfire. Instead, pour into your people, identify leaders, and reward them with aligned opportunities that fit their strengths. Because when your staff loves their work and believes in your mission, they'll take care of the clients—and the business will take care of itself.

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) - Onboarding and Training Systems

(2:42) - Individualized Training and Core Values

(4:28) - Staff Exchange and Support

(5:19) - Partnering with Nurse Practitioners

(6:40) - Equity and Profit Sharing

(9:10) - Core Values and Staff Development

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(300)

I'm Old Enough to Buy Eggs (Stop Shrinking Yourself to Fit In) - EP 311

Every Halloween growing up, my dad didn't just take us trick or treating. He dressed up too, in full costumes he hand sewed himself. And this grown man would walk right up to the door next to us and s...

4 Sep 7min

How to Structure, Scale and Protect a Business From Scratch | Operator Standard Q&A - EP 310

I sat down with a room full of operators from East Tennessee and told them to throw every business question they had at me. No script, no filter. Just real questions from people actually building and ...

2 Sep 1h 19min

Your ADHD Isn't a Disorder. It's a Ferrari Engine With No Track - EP 309

When I was a kid I got diagnosed with ADD. Back then they called it something else but the story was the same. I couldn't sit still. I couldn't shut it off. My brain was going a hundred miles an hour ...

28 Aug 7min

The Warm Body Trap That's Quietly Killing Your Clinic - EP 308

Picture the Trojans, ten years into the war. Ten years of dead sons, food running low, hope running lower. Then one morning the Greek camp is gone, the ships are gone and standing at the gates is a gi...

26 Aug 20min

The One Broken Detail That Defines Your Whole Business - EP 307

I was driving with a buddy a while back and we pulled up next to a Nissan Versa. Out of nowhere he goes, how much you want to bet the rear passenger hubcap is off? I said what are you talking about. H...

14 Aug 8min

You Become What You Tolerate in Yourself - EP 306

It's 11:14 at night. You're in bed, phone in your hand. You told yourself two hours ago you'd be asleep by 10:30. You're not. You scroll one more reel, then one more. You check email even though nothi...

7 Aug 7min

My Mom Has Dementia, What It's Teaching Me About Life - EP 305

With dementia you don't lose someone all at once. You lose them a little bit at a time. Some days my mom knows exactly who I am. Some days I'm just a kind face sitting next to her. And that has forced...

31 Jul 9min

The Membership Mistakes Costing Your Clinic Six Figures a Year - EP 304

Can you say out loud right now exactly how much money is going to hit your account next month? Not a guess. Not "it depends on how busy we are." An actual number. Most clinic owners can't. And that on...

28 Jul 19min