CHARISMEDX
MEDICAL AND AESTHETIC CLINIC OWNERS
YOU BUILT A
7-FIGURE CLINIC.
YOU BUILT A 7-FIGURE CLINIC.
YOU'RE STILL THE MOST IMPORTANT
PERSON IN EVERY ROOM.
That's not a compliment. That's your next problem.
The market is down 22%. Your team exhausts you. Somewhere in your clinic there's revenue you're not capturing — and no bandwidth to find it alone.
100+
CLINICS SCALED
$250M+
REVENUE GENERATED
$250M+
REVENUE GENERATED
80+
LOCATIONS BUILT
THE REAL PROBLEM
"It's not your competition. It's not the person across the street. It's in here."
The biggest threat to your clinic is not the market correction. It is not the competitor charging half your rate. It is your own mental state. Your ability to keep calm. Your ability to lead your team through the hard months.
You know the clinical side cold. What you're navigating now is the leadership side. The culture side. The side nobody trained you for — and nobody warned you about.
Culture follows the worst behavior that is allowed. Whatever you've let slide is now your standard.
Your marketing isn't the problem. Evaluating it on 30-day ROI is. Every channel needs 90 days minimum.
You are not the bottleneck. Your absence of systems is. Fix the system. Get your life back.
You don't need another certification. You need a room full of operators who've already solved what you're carrying.
This isn't more education.
It's a different room entirely.
Two mentors who have built at scale. A community of operators in the same market you are. Real conversations about what is actually happening — not a highlight reel, not a seminar.
From the Community
They said it better than we could.
This community really is like nothing else out there. The combination of business mentorship and personal development is one-of-a-kind. Whether you need expert help with your clinic or just someone in this industry to care about you as a person, I really encourage you to join up as soon as possible."
Jenessa McKray
Owner, Frisco Body Contouring
"Other masterminds focus only on business tactics. But with Charismedx, you get everything. Strategy to grow your clinic. Coaching to strengthen your mindset. And a community to celebrate your wins and support you when things are rough."
"Other masterminds focus only on business tactics. But with Charismedx, you get everything. Strategy to grow your clinic. Coaching to strengthen your mindset. And a community to celebrate your wins and support you when things are rough."
Danielle Wilderman
Revive Aesthetics and Wellness
THE REAL PROBLEM
The four problems on every clinic owner's list.
We work through all of them.
01
Staff That Runs Without You
Core values are not a plaque on the wall. They are the operating system of your business. When they are operational — built into how you hire, fire, reward, and reprimand — your staff holds the line when you're not in the building. Culture will feel strict at first. Then it will feel peaceful.
02
Marketing You Can Actually Measure
What is one patient worth over 12 months? That number changes every decision you will ever make about ad spend. Any channel needs 90 days minimum before you draw conclusions. Instagram attracts deal-seekers. Google attracts buyers who are already looking for exactly what you offer.
03
Revenue That Reflects What You're Worth
Recommending a service because a patient needs it is not selling. If a diabetic patient needs insulin, recommending it is not an upsell — it is care. That reframe alone unlocks revenue most clinic owners leave on the table every single month.
04
The Freedom to Actually Step Back
Anxiety gets snuffed out by preparation. The more you can prepare — SOPs, core values, a real system — the less your clinic depends on your presence. Culture becomes the authority. Not you. You get your life back. This is the whole point.
"I was crying and ready to close my clinic two weeks before I heard Dr. Alex speak and joined the group. Now look at us. We've recently had our best week ever."
Robin Christian, FNP — Restore Health and Wellness, Louisiana and Mississippi
From the Community
Hear from the people already in the room.
result
"Get Off Your Ass and Do It — You're Not Alone in This"
Amy shares how Charismedx transformed her clinic journey — from emotional breakthroughs to SOPs and core value alignment. Real talk that helped her see her own value and push through the hard stuff.
Amy Flynn
Founder, YouGo WeGo Health and Wellness
result
"Believe in Yourself and Just Go Forward"
Danielle talks about mindset shifts, KPI tracking, and leveling up her leadership. No longer second-guessing herself — growing with confidence and clarity.
Danielle Wilderman
Owner, Revive Aesthetics and Wellness, Waxahachie TX
result
"We All Go Through the Same Sh*t — And That's Empowering"
Jenessa shares how Charismedx changed the game for her business and personal growth. With Alex on operations and Vaughn on clarity, she found more than coaching — she found a sisterhood.
Jenessa McKray
Owner, Frisco Body Contouring
result
"I Was Drowning — Now I Feel Like Family"
Robin, FNP and owner of Restore Health and Wellness in Louisiana and Mississippi, shares how Charismedx became more than coaching. She found the confidence to lead as a true entrepreneur.
Robin Christian, FNP
Owner, Restore Health and Wellness (LA and MS)
Monthly Q&A Call
Your most pressing questions.
Answered live every month.
Every month, Dr. Alex and Vaughn take member questions directly. Real problems, real answers — not a pre-recorded FAQ. Here's what real members have asked, and what they got back:
How do I decrease my no-show rate from new leads?
Answer: Track first visit vs. booked appointment separately. Automate a same-day confirmation sequence. The problem is usually lack of confirmation, not lead quality.
My Instagram marketing spent $3,000 and showed nothing in 30 days.
Answer: Instagram attracts deal-seekers. Google attracts buyers. No channel converts in 30 days. Give it 90 days minimum before drawing conclusions.
How do I find clients who don't object on price every single time?
Answer: Your ad is targeting the wrong zip codes. Geotarget upper-middle to high income earners. If you're running cash-pay services, your ad should reflect that — not value-seekers.
Should I be charging for consultations or offering them free?
Answer: Charging filters tire-kickers and raises perceived value. Free consults work only if your conversion rate justifies the time cost. Run the math on your close rate first.
I have a great staff member who also hates everything. What do I do?
Answer: You cannot motivate someone who has decided not to be motivated. The Eeyore problem is a culture drag that costs more than their salary. Core values make this decision easier.
What's the best way to introduce a membership model into my clinic?
Answer: Start with your highest-retention services. Price it so the patient saves money and you get predictable revenue. Introduce it as a benefit, not a subscription. Test with 10 patients first.
Every Elite member brings their own questions. Every answer is specific to your situation.
Why Charismedx
It sure ain't because we're as talented as Hugh Jackman or as good-looking as Chris Hemsworth.
Our members describe the same four shifts. Every time.
01
You Stop Doing This Alone
The isolation tax is real. Being the only one who sees the problem, the only one who stays late, the only one who cares — that takes something from you that revenue cannot replace.
"The Charismedx community is growth-minded. They are so supportive. It's absolutely incredible."
— Danielle, Revive Aesthetics and Wellness
02
Your Specific Problem Gets Worked On
Not generic scaling advice. You bring your actual situation into the room and it gets worked on. Hot seat format. Real Q&A. Real answers from people who have run clinics like yours.
Vaughn's coaching has allowed me to see more of my value, not just in my company, but in myself."
— Amy, YouGo WeGo Health and Wellness
01
You Stop Doing This Alone
The isolation tax is real. Being the only one who sees the problem, the only one who stays late, the only one who cares -- that takes something from you that revenue cannot replace.
"The Charismedx community is growth-minded. They are so supportive. It's absolutely incredible."
-- Danielle, Revive Aesthetics and Wellness
02
Your Specific Problem Gets Worked On
Not generic scaling advice. You bring your actual situation into the room and it gets worked on. Hot seat format. Real Q&A. Real answers from people who have run clinics like yours.
Vaughn's coaching has allowed me to see more of my value, not just in my company, but in myself."
-- Amy, YouGo WeGo Health and Wellness
03
Your Identity Gets Rebuilt, Not Just Your Revenue
Your calling to help people cannot be taken from you by a bad month, a board complaint, or a market correction. That is what you lead from. Vaughn builds the identity that sustains the work.
"Build not just a business that is successful, but a life that is worth living."
— Vaughn Kohler
04
The Math Gets Honest
Alex does not motivate. He does the math. CAC, LTV, 90-day marketing timelines, what it actually costs to defend a board complaint. Every emotional decision has a number behind it.
Alex does not motivate. He does the math. CAC, LTV, 90-day marketing timelines, what it actually costs to defend a board complaint. Every emotional decision has a number behind it.
— Robin, Restore Health and Wellness
03
Your Identity Gets Rebuilt, Not Just Your Revenue
Your calling to help people cannot be taken from you by a bad month, a board complaint, or a market correction. That is what you lead from. Vaughn builds the identity that sustains the work.
"Build not just a business that is successful, but a life that is worth living."
-- Vaughn Kohler
04
The Math Gets Honest
Alex does not motivate. He does the math. CAC, LTV, 90-day marketing timelines, what it actually costs to defend a board complaint. Every emotional decision has a number behind it.
Alex does not motivate. He does the math. CAC, LTV, 90-day marketing timelines, what it actually costs to defend a board complaint. Every emotional decision has a number behind it.
-- Robin, Restore Health and Wellness
MEMBERSHIP
Elite isn't a starting point.
It's a full program.
Two mentors who have built at scale. A community of operators figuring it out in real time. Monthly teaching, live Q&A, and the frameworks to actually move the needle.
MEMBERSHIP
$2,189
/year
or $199/month billed monthly
Less than $6 per day. Cancel anytime.
Best for clinic owners who are actively building. You have revenue, you're generating results, but you're still flying without instruments. You need structure, pricing confidence, and a peer group of people who are running the same kind of business you are. The providers who waited until they were "ready" in 2023 are the ones struggling in 2025.
Dr. Alex's monthly teaching call
Monthly Q&A — your questions answered live
Private community on Circle
Vaughn's monthly teaching call
Resource library: SOPs, templates, frameworks
Charismedx gear
Dr. Alex's monthly teaching call
Monthly Q&A -- your questions answered live
Private community on Circle
Vaughn's monthly teaching call
Resource library: SOPs, templates, frameworks
Charismedx gear
or start monthly at $199 → • Cancel anytime
Already at Scale?
Elite is the foundation.
Empire is the room.
If you're already generating serious revenue and have hit the ceiling that comes with it — these are the conversations Elite members don't have access to:
"I'm managing multiple providers and my culture is falling apart."
"I'm doing $X/month but I still can't step back from clinical work."
"I need a room full of operators at my level — not people still figuring out basics."
"I've hit the ceiling. More patients won't solve this. Better operations will."
Empire is by application only. $3,500/month. Intentionally small.
What Happens Every Month
Inside the membership
DR. ALEX'S MEETING
DR. ALEX SPINOSO
Founder, Genesis Lifestyle Medicine
"I built and currently run $200 million a year in companies. If you don't like that we're here to make money -- this isn't the group for you."
The X's and O's of Running a Clinic That Runs Without You
After scaling over 80 separate clinics to over $1M/year in revenue with high profit margins, Dr. Alex brings the real numbers — not theory. Every session is built from what is actually happening in the market right now.
Create a clinic that thrives without running yourself into the ground
Attract premium clients who never haggle on price
Scale to multiple locations or prepare for a high-value exit
Build a culture that holds the line when you're not there
Make the marketing math work: CAC, LTV, 90-day timelines
MakeStay compliant in a market where the DOJ is active and the board is watching
DR. ALEX SPINOSO
Founder, Genesis Lifestyle Medicine
"I built and currently run $200 million a year in companies. If you don't like that we're here to make money — this isn't the group for you."
VAUGHN'S MEETING
Vaughn Kohler
Co-Host, The MFCEO Project
"Be relentless as a freight train and as flexible as a dune buggy. Put your square in. And then tomorrow, put another square in."
Fulfillment and Purpose While Building Something Real
Former pastor. Five years co-hosting The MFCEO Project. Vaughn helps you stay centered through the intense, bloody battle that building a successful clinic actually is.
Stop feeling like an imposter and lead from what you actually know
Build a leadership identity that doesn't collapse when outcomes disappoint
Lead from your calling — not from your fear of losing what you've built
Stop being the fixer. Empower your team to solve their own problems.
Balance ambition and actual life — success should feel as good as it looks
Build not just a business that is successful, but a life that is worth living
Vaughn Kohler
Co-Host, The MFCEO Project
"Be relentless as a freight train and as flexible as a dune buggy. Put your square in. And then tomorrow, put another square in."
COMMUNITY
If you're facing something, someone in this community has already been through it -- and they'll tell you exactly what they did.
A Community of Operators Who Are Actually In It
The private Charismedx community on Circle is where you go when you need someone who gets it. Not sympathy — someone who has already been through exactly what you're carrying.
Real conversations with clinic owners who understand your specific challenges
Someone has already solved what you're stuck on right now
Resource library: actual SOPs, templates, and working documents — not slides
Available on mobile and desktop via Circle
If you're facing something, someone in this community has already been through it — and they'll tell you exactly what they did.
Monthly Topics
What we're talking about
We don't run a scripted curriculum. We run real conversations about what clinic owners actually need right now. Every month looks different because the market looks different.
⚙️
Operations and Scale
Build it, delegate it, step back without it falling apart.
📈
Marketing and the Math
CAC, LTV, 90-day timelines. What the numbers actually say.
🧠
Mindset and Identity
The ceiling you keep hitting is almost always an inside job.
👤
Leadership and Culture
Core values that are operational, not decorative. Culture that holds the line.
⚙️
Revenue and Compliance
Know your numbers. Stay legal. Stop guessing and start deciding.
Your Guides
Meet Dr. Alex and Vaughn, your (mostly) fearless leaders.
DR. ALEX SPINOSO
BS, Dartmouth — MD, St. George's — Founder, Genesis Lifestyle Medicine
Dr. Alex runs $200M/year across multiple healthcare companies. He has personally scaled over 80 separate clinics to over $1M/year in revenue. He teaches from the field, not the whiteboard. A fan of comic books, Broadway musicals, and poking fun at extreme alpha male culture. Lives in Dallas with his wife and four children, including triplets. He is not going to tell you what you want to hear. He is going to tell you what actually works.
vaughn kohler
BA, Wheaton — MA, Kansas State — MDiv, Southern Seminary — Co-Host, The MFCEO Project
For five years, Vaughn co-hosted one of the most-listened-to business podcasts in the world. Before that, he spent a decade as a pastor. He has coached clinic owners through cancer diagnoses, career reinventions, board complaints, and economic downturns. He does not tell you what to do. He works with you on who you are — because that determines how far your business goes. Lives in Manhattan, Kansas with his wife and five kids.
Industry Recognition
More praise for Dr. Alex and Vaughn
"Dr. Spinoso has been a guiding light, offering advice that is not only insightful but immediately actionable, leading to tangible improvements in both volume and revenue."
Hillary Mitchell
Founder, NewYou Weight and 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 Mylett
NYT Best-Selling Author and Host, The Ed Mylett Show
"Dr. Alex is incredibly successful in business — healthcare business in particular. If you want to improve the offerings to your patients as well as your bottom line, listen to what he has to say."
Dr. Elliot Hirshorn
Founder and CEO, Newlife Health
"Vaughn leads and coaches with passion and intention. If you have the chance to work with him, don't hesitate. Get ready to win in every area of your life."
Ben Newman
No. 1 WSJ Best-Selling Author, Uncommon Leadership
BUILD. BECOME. BELONG.
Your calling to help people cannot be taken from you by a bad month, a board complaint, or a market correction. That is what you lead from. Everything else is noise.
© 2026 Charismedx • dralexspinoso.com • vaughnkohler.com