Next Level Executive

Whether you're at one location, a dozen locations, or anywhere in between, you're going to LOVE this conversation with Dr. Jason Tanoory, Founder of Finger Lakes Dental Group. Jason is a longtime friend who I have seen grow and evolve through the years. For someone so accomplished, he's both humble and transparent. Listen for yourself! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

I learned early on that being a leader meant getting comfortable with the weight of the world constantly on your shoulders. It's a truly lonely row to hoe, but there's a critical difference in feeling lonely versus feeling like you're alone. You're not - and you should never be. I'll talk you through it and tell you who is on my Personal Board of Advisors. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

In the last episode, I discussed the state of the market relative to consolidation and shared why I think we're at a unique window in time. In part two of this though process, I share how I would actually go about capitalizing on that opportunity. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

We find ourselves at a pretty unique point in time as it relates to consolidation. I have some pretty strong opinions as to both why that is as well as the competitive opportunity therein. Listen for yourself and tell me where I'm wrong. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Read directly from my Freshly Brewed, this is my essay on being the hero of your own journey. Are you building your own dream? Or are you starring in someone else's? You chose the life of an entrepreneur, so you get to write your own script. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Mick Janness is the CEO of Oakpoint - a mid-Atlantic, PE-backed DSO. He joins me on the show to dive VERY deep into "the Operator Mentality" that is so effective for him from both a business development standpoint as well as from an executive standpoint. This episode is highly actionable, so get ready to take notes! And if you want two days' worth of insights, guidance, and wisdom like you hear on this episode, join me and Mick in Los Angeles for the CEO Working Group session on September 13&14. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

2025 has been one Hell of a year already - and I'm not even half way through it! At the behest of several members in the program, I decided to launch a "version 3.0" to focus on building and leading a business that is congruent with your family and your very self as a person. I'm calling it "Entrepreneurial Leadership" and it will be a complement to both the Foundations program and the Working Group sessions. Curious? Tune in! And if it sounds like "the right next step" in your own journey, then join us in July as we kick off Q3! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.comGot questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

May is Mental Health Awareness Month, so I decided to record an episode about a period in my life when I hit a wall. Burnout is real; it's often self-inflicted; and it's usually avoidable. Can you solve it on your own? I couldn't, but I'll give you some insights and a few questions that may help you avoid making the same mistakes I did. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

As high achievers, we're all chasing various levels of success that are oriented around money, power, pleasure and fame. What happens when you reach it? The concept of fulfillment picks up later in life around aspects like meaning, purpose and even...joy. This is the ride you signed up for! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

There's a substantial difference in being a successful executive versus being a successful entrepreneur - though both come down to fundamental aspects of leadership. One is oriented around leading others whereas the other is focused on leading ourselves. Simple, right? Maybe not. Tune in to find out! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

All of us admire tech companies for the products and services they create that make our lives better, and we marvel at their celebrity CEOs who create a company from nothing. While tech company leaders should be highly regarded for what they've achieved, I don't think there's much to learn or apply from their companies to our own. Healthcare service practices are people-oriented, service-driven businesses that are deeply personal and intimate in nature. They're "execution businesses" at their core, so I figured it might be better to share some timeless wisdom from two thought leaders who were instrumental in shaping my early leadership development, the late Jack Welch (former Chairman & CEO of GE) and the late Peter Drucker (former Dean of the USC Business School). I think you're going to enjoy this! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

More and more Founders are creating and investing in significant doctor development programs, but effective clinical skills are often only half of the equation. Want some of my opinions on the other half (that is frequently unaddressed)? Tune in to find out! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

We’re all entrepreneurs, but only a small percentage of us realize it. This episode is a reading of the Freshly Brewed blog I recently wrote on that very topic. I hope you enjoy it. If you do, please be sure to subscribe to Freshly Brewed at: https://thenextlevelexecutive.com/blog/ Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

This episode is based on current events of the past two weeks. As business leaders and business owners, you need to embrace the challenges ahead and communicate clearly with your team. I'll share my own personal example of leading a team in the NY/NJ market during what became the Global Financial Crisis. None of us know how this is going to play out, but it's up to each of us to create some level of certainty for our teams.

So many of you in this audience enter the world of business entrepreneurship through the world of medicine first. While this is completely understandable, I think too many lose sight of the fact that being an entrepreneur is actually a choice we make. Choosing to be an entrepreneur carries with it a tremendous weight in competitive markets, and healthcare services is definitely one. That being said, there are plenty of alternatives - many of which will immediately compromise the freedoms you've mostly forgotten that you have. I hope this episode is a "re-grounding" of sorts and a dose of optimism during your times of trial. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

I recently appeared on the "Insurance Untangled" podcast with Founder and host, Ben Tuinei. We talked a lot about the evolving landscape that is the dental industry, so I figured there might be some pearls of wisdom worth sharing through this podcast feed. You can learn more about Ben and his company, Veritas Dental Resources at: https://veritasdentalresources.com/team Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

We're all hopefully evolving both as entrepreneurs and as leaders, so it's important to understand what makes us effective at both. While we all have a variety of assets that make us who we are, there's one that's most important for us in each department. Equally, there's a currency (or a commodity) that can be useful to becoming more effective at what we do. I'll slice and dice both in this episode to give you a few things to consider as your career unfolds. Enjoy!

I've spoken on several different occasions and on numerous podcasts about my underlying fear that we all run the risk of becoming commoditized if we don't take a more proactive approach to enhancing the patient experience in our practices. The bar is low because your competition is doing absolutely nothing in this area, so even small things can create a big impact. In this episode, I tell the story of my favorite winery sending me a commemorative bottle of wine for the launch of Next Level Executive - a gesture I never expected that brought tears to my eyes. This story is relatable to every single one of us, so give my insights some thought as they relate to your business. You can learn more about Aonair winery here: https://www.aonairwine.com/ And you can learn more about Reverie winery here: https://www.reveriewine.com/ If you're planning a trip to Napa, please let me know and I'd be happy to connect you to Grant Long and Austin Robertson. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Steve Jobs has a wonderful commencement address to the 2005 graduating class of Stanford University where he talks about "connecting the dots [of your life] looking back." His central point is that the interconnectedness of life only makes sense in the rearview mirror, but it should equally give us confidence as we navigate the uncertainty that lies ahead. This episode is a reading of the Freshly Brewed blog I recently wrote on that very topic. I hope you enjoy it. If you do, please be sure to subscribe to Freshly Brewed at: https://thenextlevelexecutive.com/blog/ Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

I'm constantly amazed when I ask someone about their growth strategy that they so frequently reply with the refrain, "...and I want to sell my business for $10 Million." The number "$10 million" seems to come up with a HIGH degree of regularity. I wonder why that is? I also wonder how well the person has actually defined it. Ever wonder what it would actually take to put "$10 Million in the bank"? Well...let me break it all down for you! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Dr. David Phelps has built a tremendous alternative investment company with a very high-level membership. I've been privileged to be on several of their webinars and his podcast. This was a very deep discussion that we recently had from his podcast, so I figured I'd share it with all of you. You can find out more about Freedom Founders at: https://www.freedomfounders.com/ And you can connect with David directly at: [email protected] Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Quite a few of you have asked about different aspects of "my story," so I figured I would take an episode to tell it from a "what can you take away from the experience" perspective. I'd actually encourage each of you to do the same with your own journey. You might be surprised at what you can learn...from yourself! I hope you enjoy this episode. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Three great friends of the program join me behind the microphones for an incredibly candid and wide-ranging discussion on what it takes to go from 1 or 2 locations up to 5 to 10 locations. We share lessons learned on business and life in an incredibly transparent conversation. Are you interested in joining us in the program for Q2? You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

I know we're all driven entrepreneurs who are determined to create success, but I'm not sure everyone is truly mindful of how we should define success. Is it yours or someone else's? This is a an exploratory and introspective episode around age and stage of life as well as happiness and what matters most. I hope you enjoy it! Enrollment is open for the Next Level Executive program and the Q2 theme of "Leadership." You can find out more about the program at: www.TheNextLevelExecutive.com Got questions? I've got answers! You can reach me directly at: [email protected]

We all love the podcasts where we hear from someone who has 50 to 100 locations, but has anyone ever bothered to tell you how nerve-racking and outright scary it can be to go from one to two locations?! It's arguably the hardest step you'll ever take, so I asked two friends of the program, Dr. David Laurino and Dr. Joshua Conway, to share their personal experience. You're going to love this episode! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and all about the Next Level Executive program at: www.TheNextLevelExecutive.com Join us for quarter two on the theme of "Leadership!"

I've been asked on podcasts, industry stages and exploratory calls numerous questions that start with: "Hey Perrin, what do you think about the industry trend of..." Well, here are several that I get most often and a deeper dive into why I think what I think. Enrollment is open for Q2 of the Next Level Executive program around the theme of "Leadership." You can find out more at: www.TheNextLevelExecutive.com Got questions? I've got answers! You can reach me directly at: [email protected]

Why do so many people let their ego get in the way and convince themselves that they should buy another practice when they have a LOT of upside left in their current practice?! Dr. Duc Tang, Dr. Matt O'Shea and Dr. Travis Watson are all master clinicians who own tremendously productive solo practices that are the equivalent of 2 or 3 practices under one roof. Twice the production with half the chaos. Tune in to learn how they've done it! Got questions? I've got answers! You can reach me directly at: [email protected] And if you want to join us in the upcoming quarter of the Next Level Executive program, you can find out all about it at: www.TheNextLevelExecutive.com

A colleague recently asked me if I had a "Decision Tree" for those in the early stages of a new venture. While I do not, and I think it would be close to impossible to create a decision tree for all circumstances, I do believe there are a handful of key questions every business founder must contemplate in advance of having to make a decision on each one. Curious as to what those questions are? Tune in to find out! And if you're looking to surround yourself with others who are working through these very same questions, then join us in the April for the "Leadership" quarter of the Next Level Executive program. You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com Got questions? I've got answers! You can reach me directly at: [email protected]

The mark of an effective executive is the ability to create greater results through others than he or she could create on their own. The quest begins and ends with instilling belief and confidence in others that they don't currently have in themselves. This episode is a reading of the Freshly Brewed blog I recently wrote on that very topic. I hope you enjoy it. If you do, please be sure to subscribe to Freshly Brewed: https://thenextlevelexecutive.com/blog/

I use the phrase "effective executive" quite often, but what does it exactly mean? This episode is a DEEP dive into mindsets; self-perception; belief and motivation; cycles and energy; communication; and people. This one is big and it's heavy...and you're going to love it! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

I have gotten quite a few emails and texts about the upcoming hands on workshops we'll be doing on the role of Chief Clinical Officer and the role of Chief Executive Officer, so I decided to share greater details around these two impactful weekends as well as the overall evolution of what the Next Level Executive is going to become. I guess you could say, this is the next level of The Next Level Executive! Join us in April for the Leadership quadrant of the program. You can find out more details about the Next Level Executive program at: www.TheNextLevelExecutive.com And if you've got questions, you can reach me directly at: [email protected]

When we start out, we're all looking for "what works" in terms of checklists, playbooks, quick fixes and processes. As we grow into greater leadership positions and our business evolves, we realize that becoming an effective executive is critically important to the ongoing success of the business. Our mindset changes from operational in nature to leadership. What about when we take the next step as an entrepreneur? Curious? Join me as I explore the long game of the journey of becoming a successful entrepreneur. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Dr. Jason Tanoory is an incredibly successful dentist and the founder of Finger Lakes Dental Group. He is a fellow business coach, longtime friend and podcast host, so he had me on his show last month. This is a great conversation that covers a wide range of topics, so I figured you'd enjoy it as well! You can learn more about Dr. Tanoory at: https://thedentallighthouse.com/ Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Buying a practice brings with it a ton of challenges and most of these businesses have very thin margins. The frequent result is an acquisition that creates negative free cash flow for the buyer. I'll give you some entry-level math to hammer home the concern around cash flow, then I'll share what I've learned from working through numerous acquisitions. This episode is very tactical, so get ready! Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

It never ceases to amaze me at how seemingly everyone makes the same common mistakes as they start to add practices to their business. Want to know the landmines to avoid? Tune in as I share the "top 5" I've seen most often through my years of working with group practices. And if you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

As leaders and business owners, we get paid to deliver results. That much is obvious. What's less obvious are the actual levels that create the results and how to go about making a positive impact on them. Owning a successful business that executes at a high level is the ultimate ambition of every entrepreneur, so let this episode be your guide for you to determine if you're on the right track! And if you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

In this new format I'm calling a Sprint Series, I'll take a major topic ("Leadership") and break it down into the key components to execute on in a shorter, mini-episode. Today's topic of "Delivering Results" is, at the end of the day, how every leader is judged. If you want to become a more effective executive, it ends with your ability to deliver results. And if you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

In this new format I'm calling a Sprint Series, I'll take a major topic ("Leadership") and break it down into the key components to execute on in a shorter, mini-episode. Today's topic of "Revenue Generation" is critical for every business, yet it's something that misleads far too many early-stage leaders. If you want to become a more effective executive, it starts with your ability to drive organic growth. And if you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

In this new format I'm calling a Sprint Series, I'll take a major topic ("Leadership") and break it down into the key components to execute on in a shorter, mini-episode. Today's topic of "Business Development" is one of the most important disciplines of any effective leader, yet it's something that far too leave to chance. If you want to become a more effective executive and grow your footprint, it starts with your ability to find practices to buy and circumvent the typical competitive process. And if you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

In this new format I'm calling a Sprint Series, I'll take a major topic ("Leadership") and break it down into the key components to execute on in a shorter, mini-episode. Today's topic of "Recruiting" is one of the most important skillsets of any effective leader, yet it's something that far too many people only think about when they have an opening to fill. If you want to become a more effective executive of a growing business, recruiting should be a constant focus. If you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

In this new format I'm calling a Sprint Series, I'll take a major topic ("Leadership") and break it down into the key components to execute on in a shorter, mini-episode. Today's topic of "Communication" is arguably the most important skillset of any effective leader, yet it's something that far too many early-stage leaders never focus on. If you want to become a more effective executive, it starts with your ability to communicate. And if you've got questions, then connect with me directly at: [email protected] Quarter 2 of The Next Level Executive program centers around the theme of Leadership, so if you like some of the topics I'm sharing, consider joining us in April. You can find out more at: www.TheNextLevelExecutive.com

What the heck is 14.4?! Today's episode unpacks marginal gains, Atomic Habits, evolving identities, and commitments versus declarations in an effort to uncover the answer. Got questions? I've got answers! You can reach me directly at: [email protected] And you can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Being a solo-preneur and business owner is incredibly challenging in today's healthcare services environment. I've worked with far too many of you who say that you often feel "isolated" and "alone." To make matters worse, you often feel like you're making it all up as you go along. Add all of that into the challenges we've all faced since the return from the pandemic and you get a general "malaise" as it relates to leadership. I'll give you some insights into how to start digging your way out of this hole and share some well-grounded, much-needed optimism for the year to come. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

Are you a Clinician who owns a Practice? Or an Entrepreneur who owns a Business?! There's a difference - and it's more than just a mindset. Join me on the first episode of my new podcast as I unpack thoughts around modelling leadership behaviors; the importance of breaking free of Groundhog Day; and how to consider forming your own Board of Advisors. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com

If you’re a dentist, physician, veterinarian or any type of healthcare practice owner, then you’ve found your new favorite podcast! Let this become your primary resource for educational content, wit, wisdom and a little guidance to becoming a more confident business owner and entrepreneur. This podcast will share the experience and wisdom I’ve gained over the last 3 decades leading award-winning businesses for Corporate America as well as guiding entrepreneurs just like you to build and exit successful group practices. If you’ve mastered your clinical craft and want to become a better business leader, now’s the time to become a Next Level Executive. Got questions? I've got answers! You can reach me directly at: [email protected] You can find out more about me and the Next Level Executive program at: www.TheNextLevelExecutive.com