Tuesday catch-up, the missed Monday reset done a day late. The story flipped again: last week the problem was converting production to cash, and that gap mostly closed, collections are $117,890 against $124,267 produced, 94.9%. The new problem is the schedule. July's pace fell from about $163K to about $143K because the closing week is nearly empty, Monday produced $3.3K and today holds about $3.7K. Fill chairs first: run a dormant-patient reactivation blitz today (18-month lapsed list, one named owner, 48-hour follow-up rule) and work a short-notice fill list. Underneath it, the structural leak is unchanged and expensive: 18.2% of $578K presented fees accepted this month, each point is about $5.8K a month. The case-presentation huddle with same-day financing is still the highest-value 20 minutes in the building.
What changed since last run
Evening run, Monday Aug 3, about 6:12pm. The notable change is a process one: this morning's 5:25am run did not fire, so the dashboard held Sunday's stamp all day and I am catching it up now. On the data, nothing material moved since Saturday night: the only new Drive files today were image-based huddle, recall, and unscheduled-treatment lists that extract empty, QuickBooks July and August are still unposted, and August's first daily dashboard has not landed, so the August MTD row stays blank until tonight. AR holds at the Aug 1 read, $204,273 with over-90 at $88,267, 43.2% of the book. Balance sheet is unchanged: cash $79,266 with $50,000 walled for taxes, Chase 0871 $59,353, Huntington $750,000, total debt about $823K, ex-practice about $73K. Two open items ride forward: the over-90 AR still needs its named owner on the phones, and fee acceptance at 18.0% on $672,476 presented remains the biggest dollar lever in the building. Today opened August with about $9.0K scheduled, so filling the early week is job one: start the dormant-patient reactivation blitz (18-month lapsed list, one named owner, 48-hour follow-up rule) and a short-notice fill list. Note: the weekly Game Plan rewrite and archive that runs Monday morning was skipped with the missed run, so the coach note and Top 5 below are a few days stale and will refresh on the next Monday morning run.
Top 5 focus areas
Fill the empty closing week pace $143K vs $160K goal
New top priority. Monday produced $3.3K and today holds about $3.7K, so July's pace has slipped below goal for the first time this month. Run the dormant-patient reactivation blitz from today's brief (18-month lapsed list, one named owner, 48-hour follow-up rule), work a short-notice fill list against every cancellation, and confirm the rest of the week today. This also builds the production trend a lender wants to see for office two.
About $17K of production between the current pace and the $160K goal
Rebuild case acceptance 18.2% fees on $578K presented
Carried over. Patient acceptance recovered to 70.1% from June's 60.2%, but fee acceptance is stuck at 18.2% against a trailing average near 24%. This is the treatment-presentation conversation, not marketing: present same day, attach financing to every plan over $1,500, and run the case-presentation huddle this week.
Each point on $578K presented is about $5.8K a month; back to 24% is about $34K a month
Keep working the over-90 AR $87,536 of $217,724
Carried over, and the pressure keeps working: five straight improving reads, $113,456 (Jun 19) to $99,913 (Jul 4) to $94,719 (Jul 11) to $92,216 (Jul 18) to $87,536 (Jul 25), now 40.2% of total AR. Keep the named person on it, refile or appeal stale insurance claims, and keep the same-day collection habits that closed the conversion gap.
Collecting 25% of the over-90 is about $22,000 of cash
Cut the broken appointment rate 27.5% last read
Carried over: 19 of 69 appointments broke the week of Jul 13, 27.5%, better than June's 32.7% but still roughly triple a healthy rate, and it feeds directly into weeks like this one. Tighten confirmations, enforce the cancellation policy, and pilot an AI voice agent that answers missed calls and auto-fills cancellations before office two.
Pulling 27.5% toward 20% is tens of thousands of production a month
Attack the Chase 0871 card and IRS balance $59,353, up about $3K
Carried over with a flag: the card grew about $3K since the last read while $50,000 sits idle in the Taxes account and the $15,000 IRS balance keeps accruing penalties. Pay the IRS now, set a fixed monthly principal payment on the card, and stop new spend on it. SBA and Chase 8837 are effectively paid off.
About $14K a year in card interest plus IRS penalties
I am your AI advisor, not a substitute for your filed-return CPA or attorney. Confirm anything binding, distributions versus basis, tax reserves, and staffing or expense changes, before you act.
