One hour with Vaughn.

A focused 55-minute coaching session on what’s weighing on you, live with Vaughn Kohler, lead coach for Spinoso Medical Empires. Bring one thing: a decision, a conflict, a fear, a pattern you’re stuck in. Leave with one clear next step.

$425 members · $475 non-members
One a month. No program, no contract.

Vaughn Kohler, lead coach for Spinoso Medical Empires

Nobody trained you for this part.

Vaughn Kohler speaking to Spinoso Medical Empires members

On paper, it's working.

You learned to diagnose and treat. Then you opened a practice, and somewhere along the way you became the person everyone leans on: patients, staff, partners, family. Underneath, you are carrying more than you let anyone see.

Most owners Vaughn coaches don’t have a knowledge problem. They know what they should do. They can’t make themselves raise the price, fire the friend, take the day off, or stop answering texts at ten at night. No software, no new hire and no weekend course reaches that far down.

Alex teaches the business.

Vaughn works on the person running it. He is the lead coach for Spinoso Medical Empires, and for years he and Dr. Alex Spinoso have worked side by side with clinic owners: Alex on the numbers, operations and growth, Vaughn on the leader behind them.

Bring what's actually going on.

Pick what sounds closest to where you are. Vaughn looks for the question underneath it, because the pricing guilt is often about identity and the overwhelm is often a fear dressed up as a time problem.

I'm carrying too much

It's about my worth

It's about my people

It's about direction

When you're carrying too much

  • Overwhelm, burnout, and the feeling that you are always on
  • Being available to everyone and present to no one
  • Not being able to delegate, or delegating and then taking it all back
  • Feeling guilty when you rest, or anxious when things are calm

What am I afraid of?

That is often the question underneath. Either way, you leave with one clear next step.

When it's about your worth

  • Feeling like an imposter in your own clinic
  • Guilt about charging what your work is worth
  • Needing approval from patients, staff, or peers
  • An inner critic that never lets a mistake go

Who am I?

That is often the question underneath. Either way, you leave with one clear next step.

When it's about your people

  • Avoiding hard conversations, or being “too nice” to lead
  • Letting go of an employee who is also a friend
  • Trusting again after a partner or hire burned you
  • Leading the team without losing your temper or yourself

What am I afraid of?

That is often the question underneath. Either way, you leave with one clear next step.

When it's about direction

  • Figuring out what you actually want, not what you think you’re allowed to want
  • A hard decision you keep putting off
  • Fear of being seen: putting yourself out there, on camera or on stage
  • Getting your fire back, or deciding what comes next

What do I want?

That is often the question underneath. Either way, you leave with one clear next step.

Not on the list? Bring it anyway. If it’s affecting how you lead or how you live, it belongs in the room.

One session. One issue. One next step.

You come with one specific thing and spend the full 55 minutes on it. This isn’t the start of a long program; it’s a concentrated hour on what matters most right now.

Naming the real issue is half the relief. The other half is a practical move you can make on Monday.

Book

Book

Choose your rate below and pay at checkout. Members sign in so the $425 rate applies.

Clinic owners at a Spinoso Medical Empires working session

Prepare

Prepare

A short form asks what you want to work on. Two sentences is plenty.

A Spinoso Medical Empires coaching session

Meet

Meet

Fifty-five minutes, live and one-on-one with Vaughn, on your agenda.

Vaughn speaking to a small room of practice owners

Act

Act

You leave with one clear next step, not a list of twelve. Book your next session the following month if you want one.

Vaughn Kohler and Dr. Alex Spinoso with clinic owners

The four questions behind every session

You won’t walk through all four in an hour. Vaughn uses them to find the root of what you bring.

  • Who am I?
  • What do I want?
  • What am I afraid of?
  • What’s my next step?

So you know what you're booking.

It's not therapy.

This is coaching: growth, clarity and action. If what you’re carrying needs a licensed counselor or physician, Vaughn will tell you plainly and help you take that step.

It's not consulting.

Vaughn won’t build your marketing plan or read your P&L line by line. Alex teaches the numbers. Vaughn works on the person making the decisions.

It's not a pep talk.

Vaughn is warm, and he is honest. If the story you’re telling yourself isn’t holding up, he’ll say so.

Meet Vaughn Kohler.

Vaughn has spent more than a thousand hours coaching physicians, PAs, nurse practitioners, nurses and clinic owners through burnout, imposter syndrome, hard decisions and the strain of building a practice. He works alongside Dr. Alex Spinoso and coaches Empire members one-on-one.

Before this work, Vaughn was a pastor for about a decade, then co-hosted The MFCEO Project with Andy Frisella for five years. He has taught speech communication and writing at the undergraduate and graduate level, and he wrote Overcoming Overwhelm and Over-Availability Syndrome and Sacred Drive.

A cancer diagnosis put Vaughn on the other side of the exam table. Marriage, raising four daughters and a son with special needs, failure, friendship and faith have all taught him things no credential could. He doesn’t coach from a mountaintop. He coaches from the same road you’re on.

1,000+coaching hours

5 yearsco-host, The MFCEO Project

2 bookson drive and overwhelm

In their words.

A Spinoso Medical Empires coaching session
“He doesn’t just encourage me. He tells me the truth, helps me see what I’ve been avoiding, and then gives me something concrete to do about it. The clarity has been the biggest win.”
Morgan Sims, PA-COwner, Revival Midland
“Vaughn really takes the time to understand who you are. He knows how to speak truth that encourages you, but also knows how to call you out when you are self-sabotaging.”
Amy FlynnEmpire member
“Prior to our in person meeting I was questioning the value of this group… NOW after the meeting, the leadership from Vaughn Kohler and Alex Spinoso along with the inspiring members have changed my entire mindset.”
Danielle WildermanRevive Aesthetics & Wellness
“Vaughn has a brilliant mind and an exceptional ability to convey a message like nobody I’ve ever met in my life. His genius is only exceeded by his beautiful spirit and his heart to serve.”
Ed MylettEntrepreneur, New York Times bestselling author and host of The Ed Mylett Show
“As his acting coach, I’ve seen skills in Vaughn that I’ve only seen in the best performers.”
Meg SteedleActress and producer, HBO’s Boardwalk Empire

One session. One price.

55 minutes, live with Vaughn. One focused issue, one clear next step. No program, no contract, up to one session a month.

Open to all

$475

  • 55 minutes, one-on-one
  • Live with Vaughn
  • No commitment

For anyone who owns or leads a medical practice.

Elite and Empire members

$425

You save $50 a session

  • 55 minutes, one-on-one
  • Live with Vaughn
  • No commitment
  • Elite: your direct line to one-on-one work
  • Empire: an extra session between your monthly calls

Sign in with the account that holds your membership. The member rate checks for an active Elite or Empire membership at checkout.

After checkout you’ll answer a few quick questions and pick a 55-minute time on Vaughn’s calendar.

Not a member yet? See Elite or see Empire, which includes monthly one-on-one with Vaughn.

Questions before you book.

Membership

Do I need to be a member?

No. Anyone who owns or leads a medical practice can book at $475. Current Elite and Empire members pay $425: sign in with your member account before you choose “Book as a member.”

Getting started

What if I don't know what to talk about?

That’s common, and it’s fine. Tell Vaughn what feels heavy right now, and you’ll find the real question together.

Privacy

Is it confidential?

Yes. What you share in a session stays between you and Vaughn. It does not go back to Alex or the mastermind.

Frequency

Can I book more than one?

Sessions booked through this page are limited to one per month. Some people book once for a single decision; others come back month after month through a hard season. For regular, ongoing coaching with Vaughn, ask him about Empire.

Fit

I'm not in healthcare. Can I still book?

Most of the people Vaughn coaches run clinics, but he has also coached contractors, real estate agents and founders. If you lead something, it’s likely a fit.

Caring for others shouldn't mean neglecting yourself.

One hour, one honest conversation, one clear next step. Let’s start there.

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