I do not teach theory. I teach what I run.
Dartmouth-trained physician. CEO of Genesis Lifestyle Medicine.
Operator Playbooks · 300+ Podcast Episodes · Spinoso Medical Empires Mastermind · Speaking
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. Multiple medical 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.
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.
After 150 to 200 hires, 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.
300+ episodes on the operator side of medical practice
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.
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.
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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