Dr. Alex Spinoso:
Medical Spa Consultant
and Operator of 18 Clinics

I do not teach theory. I teach what I run.

Dartmouth-trained physician. CEO of Genesis Lifestyle Medicine.

Operator Playbooks · 260+ Podcast Episodes · Charismedx Mastermind · Speaking

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Clinics Owned

Employees

0 +

Companies

Annual Revenue

$ 0 M+

From a 150 square
foot rented bedroom to 18
clinics across the US

First job out of residency was as a contract doctor inside the Nevada prison system. I lived in a 150 square foot rented bedroom, ate Aldi groceries, and drove a used car I had financed in residency. That is where the operator side of this started.

I co-founded what is now Genesis Lifestyle Medicine with Brent Messer, starting with one clinic in Las Vegas and a regenerative medicine company that almost went under when the FDA changed the rules on stem cells. 18 clinics later, with 100+ employees, eight 7-figure-plus companies, and over $200M in annual revenue, this site is the operator playbook from inside the businesses. Not a medical spa coach blog. The version you write when you are still running the thing.

Culture will always follow the worst behavior that is allowed.

What I Teach

Operator playbooks from 18 clinics and 8 companies

EOS for Medical Clinics

We run EOS across 18 clinics. The first implementation broke by week three. The second stuck and now connects directly to how we think about exit valuation. What we kept, what we cut, and what most clinics get wrong before they even start.

Most Profitable Medical Services

Busy and profitable are not the same. The three highest-margin verticals from real P&L across 18 locations, and the two services I would not open with again. Net profit per patient visit is the metric.

The Medical Entrepreneur Summit

Two working days on the business behind the practice. Scaling, tax, asset protection, and the way out. Taught by the people who run and structure real clinics right now, so you leave as the owner, not the bottleneck.

How to Hire for a Med Spa

After 100+ hires across 18 clinics, the mistakes founders make in the first five hires are the same every time. Owners go too senior, too full-time, too soon. The first employee, the medical director, the practice manager, and the leadership redundancy that decides your exit valuation. What I would change at hire one if I started today.

The Spinoso Podcast

260+ episodes on the operator side of medical practice

The Real Reason You Can't Focus: It's Not Discipline, It's Clarity - EP 295

Everyone keeps telling you the same thing. Social media is killing your focus.

Newton Invented Calculus During the Plague: What's Your Excuse - EP 294

Everybody keeps asking the same question. What if it gets worse.

How a $50,000 Bet on Himself Changed Everything: Dr. Alex Spinoso's Origin Story - EP 293

At 30 years old I had a government job a nice house in Palm Springs a view of the mountains and I wanted to walk into traffic.

Charismedx Mastermind

The room where 7, 8, and
9-figure clinic owners compare notes

Not a course. Not a Facebook group. A working mastermind for medical and aesthetic entrepreneurs who are past the startup phase and scaling hard. Marketing math that actually works. Replacing yourself without losing what made the business good. The operators in this room have opened the next location, crossed the next million, and planned the exit.

Three times a year we run the Conclave — invite-only, in person, no recordings.

Book Alex to speak at your conference

Real numbers from inside Genesis. Real failures. The compliance talk that keeps you out of trouble with the board. The culture framework that took us from $3M to $200M+. The marketing math most clinic owners get wrong in the first 30 days. No hype keynote.

The operator note

Notes from inside the companies. Numbers, decisions, and the mistakes. Sometimes a hire that worked. Sometimes a partnership that did not. No course pitch buried in the middle.

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Dr. Alex Spinoso: Medical Spa Consultant and Operator of 18 Clinics