Medical Empires20 Jun 2025

When Money Doesn't Motivate - EP 202

In this episode, I'm pulling back the curtain. I've built the businesses, hit the numbers, bought the cars, the house, the watch—and I'm on pace for eight figures in personal income. But here's the part no one tells you: sometimes I wake up and feel nothing. Not because I don't love the game, but because once you've "made it," the hunger changes. You're not chasing anymore—you're maintaining. And that gets dangerous.

Success without purpose becomes pressure. You stop being driven by vision and start being driven by fear—fear of losing what you built. That's not freedom. That's a golden cage. I had to ask myself real questions: What do I actually care about? What's worth suffering for? Because if you don't know, you'll burn out doing too much of what doesn't matter.

If your fire is flickering, don't ignore it. Dig in. Get honest. Because the real win isn't just building something big—it's building something that means something. Otherwise, you'll look back and realize you climbed the wrong mountain, with no one to celebrate with at the top.

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.

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Episoder(300)

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 fram...

30 Okt 7min

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 ...

28 Okt 42min

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 gr...

23 Okt 7min

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...

21 Okt 1h 46min

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...

16 Okt 6min

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 loca...

14 Okt 57min

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 str...

9 Okt 5min

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 w...

7 Okt 34min