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MedSpa Money Matters

Scott Wisniewski and Jonny McMullen

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MedSpa Money Matters is your go-to resource for mastering the financial side of MedSpa ownership. Hosted by Scott Wisniewski and Jonny McMullen, this podcast is designed to bring clarity to your finances so you can focus on growing your business. From financial planning, bookkeeping and taxes to fractional CFO services, Scott and Jonny provide expert insights to help you navigate the unique challenges of running a MedSpa. Whether you want to improve profitability or simply make sense of your ...
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Join your host Scott Wisniewski and a thriving community of ER Doctors who are learning to simplify money and make smarter financial decisions. As a hardworking Emergency Physician, it’s important to know the vital signs of your financial health, and the profession simply comes with complexities others don’t understand. This podcast is created to be your go-to resource for straightforward advice uniquely tailored for ER Doctors. Join us every week for new episodes, and you can find more tool ...
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show series
 
We get asked all the time by MedSpa owners: “How much do I need to retire?” Surprisingly, the answer to that is actually, “You’re asking the wrong question.” The real question is: How do you build a business that doesn’t just pay you—but frees you? In the MedSpa world, profitability is only half the equation; the other half is designing a model tha…
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Every job offer looks different on the surface, but what really matters is buried in the fine print. Sometimes the details that don’t make it onto the headline page end up shaping your career more than the pay rate ever could. Today we’re going to pull back the curtain and talk about the hidden levers inside EM contracts that can determine whether …
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Dr. Eva-Maria Hempe, who leads NVIDIA's healthcare and life sciences business across Europe, the Middle East, and Africa, joins us to discuss her work at NVIDIA, the gaps that AI can fill in healthcare research, and the future of drug discovery. The Bioinformatics CRO is a fully distributed contract research company that serves the computational bi…
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Most MedSpa owners spend their careers building discipline — pouring profits back into the business, paying down equipment loans, maxing out retirement accounts when possible, and making sure the numbers always work. By the time they reach financial independence, the nest egg (and/or business equity) is there, but something unexpected happens: the …
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Most ER docs spend their careers building discipline — grinding through debt, maxing out retirement accounts, and making sure the numbers always work. By the time they reach financial independence, the nest egg is there, but something unexpected happens: the habits that carried them here don’t always translate into the next phase. Retirement brings…
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Running a MedSpa isn’t just about great treatments or the latest technology—it’s also about the conversations you’re having every single day. From the way you describe a service, to the tone of voice in a social media post, to the reassurance you give during a first consultation, your words shape how clients see and trust you. The most successful M…
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When ER doctors talk about building wealth, the stories often sound like night-and-day—one physician hits millionaire status by 40, while another is still digging out of debt. What explains the difference? It usually comes down to a handful of consistent choices around debt management, savings rates, and lifestyle creep. To see how those decisions …
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If you’re a business owner or high-income earner, the difference between a good year and a great one often comes down to what you keep — not just what you make. The tax code is filled with opportunities that go unnoticed by most, especially those who don't have time to dig deep or plan ahead. But when structured correctly, even small adjustments ca…
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If you’re a business owner or high-income earner, the difference between a good year and a great one often comes down to what you keep — not just what you make. The tax code is filled with opportunities that go unnoticed by most, especially those who don't have time to dig deep or plan ahead. But when structured correctly, even small adjustments ca…
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Jeff Bizzaro, founder and long-time president of bioinformatics.org, discusses the importance of open source tools and open access in the life sciences. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotechnology companies, with a focus on genomics. ht…
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When it comes to long-term success, nothing moves the needle quite like exposure to the equity markets. For most professionals, the sweet spot for taking on that market risk happens in their 30s and 40s—when income is steady, savings are growing, and there’s still plenty of time to ride out volatility. But for MedSpa owners, that window looks diffe…
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When it comes to long-term success, nothing moves the needle quite like exposure to the equity markets. For most professionals, the sweet spot for taking on that market risk happens in their 30s and 40s — when income is steady, savings are growing, and there’s still plenty of time to ride out volatility. But for ER doctors, that window looks differ…
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Imagine profiting $1.5 to $2 million a year… and still feeling like you want to walk away. On the outside, it looks like a dream business—clients love you, the brand is strong, and the numbers look great. But behind the scenes, the pressure, decisions, and constant demands tell a very different story. In this episode, we’ll unpack why that disconne…
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Sometimes the smallest changes in our environment can dramatically shift the way we think, choose, and live. One subtle adjustment to something we use every day can break old patterns, quiet distractions, and help us act with more intention. And the interesting thing is, these changes often go far beyond the original purpose—they can influence how …
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Most conversations around money focus on either how to make more or how to spend less — but what if we zoomed out and looked at the entire journey? Today, we’re breaking down a framework that maps out the stages of financial growth in a way that’s deeply relevant to MedSpa entrepreneurs. It’s not about formulas or hacks — it’s about clarity, perspe…
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Today’s episode offers a different lens on money — one that goes beyond income, account balances, or net worth. We’re exploring the stages of financial life that shape how we live, spend, save, and feel about money. It’s not just about how much you have, but what that money is doing for you — and what it’s freeing you from. Let’s get started.…
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Afshin Beheshti, director of the University of Pittsburgh's new Center for Space Biomedicine, discusses the importance of space biomedicine to understanding human health both in space and on earth. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotechn…
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Cancellations and no-shows: they may seem like occasional inconveniences, but their ripple effects can hit harder than you think — from revenue gaps to strained teams and chaotic schedules. Whether you're brand new or already established, how you handle these moments speaks volumes about your systems. So today, we’re unpacking the hidden cost of ca…
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If you're thinking about early retirement, there's one cost that tends to catch high earners off guard. The paycheck may stop, but your expenses certainly don’t — and one of the biggest line items is health insurance. What many don’t realize is that how you fund your lifestyle in retirement can dramatically affect what you pay for coverage. In toda…
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On today's episode, we are going over 12 vitals designed to take a pulse on both sides of the equation: how your MedSpa is performing and how that performance is showing up in your day-to-day life on the personal side. Some are financial, some operational, and a few might hit a little deeper. But taken together, they paint a clearer picture of whet…
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You’ve probably seen some student loan headlines recently. Pending your situation, you may be thinking this doesn’t affect you — and you could be right — but if you’ve got federal student loans, are in public service, are a parent considering college costs for children, or just trying to figure out your next money move, this change could impact you…
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Kenny Workman, co-founder and CTO of LatchBio, discusses his experience building a cloud platform for modern biology and how Latch has grown since our 2022 episode with his co-founder Alfredo Andere. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotec…
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The One Big Beautiful Bill has officially passed, and it’s packed with massive updates to your tax life — from permanent brackets and deductions to brand-new accounts and surprising repeals. We’re talking about a $6,000 deduction for seniors, big wins for business owners and 1099 earners, and a powerful SALT + PTE combo that high earners need to he…
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The One Big Beautiful Bill has officially passed, and it’s packed with massive updates to your tax life — from permanent brackets and deductions to brand-new accounts and surprising repeals. We’re talking about a $6,000 deduction for seniors, big wins for business owners and 1099 earners, and a powerful SALT + PTE combo that high earners need to he…
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Retirement plans might not be the first thing on your mind when running a MedSpa—but they might be one of the smartest investments you can make in your business. Beyond being a financial benefit, they can shape your culture, boost retention, and even unlock tax advantages you didn’t know you qualified for. If it feels overwhelming or like something…
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As retirement planning evolves, the old 60/40 rule is starting to feel outdated—especially for emergency physicians eyeing early retirement and facing decades of life beyond medicine. With longer life expectancies, volatile markets, and the growing relevance of crypto and international diversification, building a resilient portfolio requires new th…
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Don Alexander, founder and president of GeneCoda, discusses the current climate in hiring for life sciences, trends in remote and hybrid work, and the impact of AI on expectations for candidates. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotechnol…
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If you’re an ER doc, there’s a lot happening behind the scenes in healthcare finance that could directly impact your day-to-day. A recent story caught our attention that ties into some of the broader trends we’ve discussed in the past — and it’s worth unpacking. It involves ownership models, shifting priorities, and what it all means for the future…
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Emergency physicians often juggle multiple financial goals—from building wealth to eliminating debt—but choosing where to direct extra payments isn't always straightforward. Should you attack your student loans or put more toward the mortgage? Each path has trade-offs in risk, flexibility, and long-term impact. In this episode, we break down how to…
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Dr. Elizabeth Ruzzo, founder and CEO of Adyn, discusses precision medicine for personalized birth control and her commitment to using pioneering endogenomics to make scientific discovery more inclusive. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and bio…
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The MedSpa industry might look crowded at first glance, but the real competition isn’t in how many clinics surround you — it’s in how well you operate. While others focus on appearances and volume, long-term success comes down to delivering consistent results and exceptional client experiences. In a space where many businesses underperform, quality…
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Social Security might be the most universally recognized piece of the retirement puzzle, but that doesn’t make the decision around it any easier. Whether you’re planning to claim early or wait it out for a bigger monthly check, the debate is louder than ever—especially for high-income ER docs who might not “need” the benefit right away. Is there a …
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Running a MedSpa comes with plenty of visible expenses, but some of the biggest financial wins happen behind the scenes. One of the most overlooked drivers of profitability isn’t a fancy machine or a high-end service—it’s a strategy. And the best part? It’s entirely within your control. Let’s explore the kind of moves that don’t just treat symptoms…
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Ever wonder why some people obsess over every financial detail while others just want someone to handle it all for them? Money isn't just about math — it's deeply tied to how we're wired. In this episode, we're diving into how your personality shapes your financial decisions — and why knowing yourself might be the key to getting (and staying) ahead…
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Max Marchione, Co-Founder of Superpower, discusses his experience founding a health tech company, making concierge medicine accessible to all, and the future of healthcare. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotechnology companies, with a f…
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Every MedSpa owner reaches a moment where the next big decision isn't about treatments or clients — it's about capital. The equipment you choose (and how you pay for it) can quietly shape the trajectory of your entire practice. But what seems like a simple financial choice often hides deeper implications. Before you sign anything, there’s a convers…
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You ever scroll through the list of emergency department visits by sport? It’s more surprising than you’d expect. The activities racking up the most injuries aren’t necessarily the most extreme or dangerous—they're just the ones people do the most. Which got us thinking… what if we looked at ER doctor personal finance through the same lens? Not jus…
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The House officially passed the One Big Beautiful Bill Act—so today, we’re diving into what actually made it into the bill. If you listened to our earlier episode, you know we were taking some educated guesses, but now we’ve got real answers. This bill is packed with changes—some extensions, some brand-new provisions—and while it’s not law yet (it …
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The House officially passed the One Big Beautiful Bill Act—so today, we’re diving into what actually made it into the bill. If you listened to our earlier episode, you know we were taking some educated guesses, but now we’ve got real answers. This bill is packed with changes—some extensions, some brand-new provisions—and while it’s not law yet (it …
  continue reading
 
Owning a MedSpa is one of the most exciting—and complex—ventures in healthcare and aesthetics. It blends medical oversight with high-end consumer services, but navigating the legal structure, especially in CPOM-restricted states, is crucial. Understanding how to separate and structure the clinical (PC) and business (MSO) sides of the practice isn’t…
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Wolfgang Brysch, Co-Founder and CSO of MetrioPharm and iüLabs, discusses longevity, inflammation, and his dual path of research into natural and pharmaceutical remedies. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotechnology companies, with a focu…
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When it comes to passing on wealth, the traditional approach has been to wait—save everything, then hand it off through a will. But what if the most meaningful impact happens before that moment? Giving while you're still here—intentionally, strategically—lets you see the effect of your support, guide the outcomes, and build deeper alignment with yo…
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The MedSpas that win financially aren’t just the busiest ones — they’re the ones that evolve their financial systems and thinking along with their growth. Today, we're discussing 5 distinct stages MedSpas likely fall in — each phase with its own challenges and opportunities. Knowing where your business stands is the only way to clearly see where yo…
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We all know the Roth IRA is a powerful tool for setting our kids up financially, especially when they’re earning early and you can stash away a few thousand dollars for decades of tax-free growth. But what happens when your child hits that in-between stage—say, age 19 to 25—still on your health insurance but no longer a tax dependent? That’s where …
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If you've been hearing rumblings about tax changes in 2026, you're not imagining things — we’re heading toward one of the biggest tax shifts in decades. The Tax Cuts and Jobs Act of 2017, which shaped much of our current tax system, is set to expire unless Congress takes action. But right now, lawmakers are locked in a high-stakes budget battle, an…
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If you've been hearing rumblings about tax changes in 2026, you're not imagining things — we’re heading toward one of the biggest tax shifts in decades. The Tax Cuts and Jobs Act of 2017, which shaped much of our current tax system, is set to expire unless Congress takes action. But right now, lawmakers are locked in a high-stakes budget battle, an…
  continue reading
 
Running a MedSpa is no small feat — and if you’re feeling like you’re doing everything right but still not seeing the growth you hoped for, you’re not alone. Whether you’re in your first year and struggling to bring in a steady stream of new clients, or you’re more established and just feeling stuck, this is a common — and frustrating — place to be…
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Scott Fahrenkrug, founder of Forjazul, discusses his path toward seaweed research, the importance of genetic knowledge for agriculture, and how Kappaphycus alvarezii can help move us into the future. The Bioinformatics CRO is a fully distributed contract research company that serves the computational biology needs of academic researchers and biotec…
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Today, we're going to dive into a mindset shift that every high-earning professional needs to hear, especially our ER doc families making strong incomes. It's tempting to think that a $400K household is financially invincible. But the truth is: the system isn't designed to make you wealthy. It's designed to keep you comfortable. And comfortable, if…
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Today's episode topic is a bit technical, but it’s a critical conversation for any MedSpa owner, whether you're looking to sell, raise capital, or simply grow smarter. Understanding your business's true value is about more than just revenue or profit — it's about strategy, scalability, and risk. We’ll walk through why valuation matters, how it’s ca…
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