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, Tuesday Aug 4, about 6:15pm. Two things tonight. First, today's 5:25am run again did not fire, the second straight skipped morning, so this evening run is the catch-up and the board had been sitting on Monday evening's stamp. Second, the data change that matters: August's first daily dashboard (Aug 3) finally posted, so the August MTD row is now live. Through the first working day of the month net production is $9,606, collections $2,899 at 30.2%, with 5 new patients and case acceptance a healthy 36.6% on fees. On one working day, with Aug 1-2 a weekend, the pace math (about $99K production, $30K collections) is pure noise, so ignore it until several more days land. Nothing else moved: AR holds the Aug 1 read of $204,273 with over-90 at $88,267, 43.2% of the book, and the next weekly aging lands this weekend; QuickBooks July and August are still unposted, so June stays the latest closed books (overhead 62.9%, net income $18,578, owner pay about $25,532, the $8,630 Suspense line still to reclass); the balance sheet is steady at cash $79,266, $50,000 walled for taxes, total debt about $823K and ex-practice about $73K. My read: the only job that matters this week is filling the schedule and converting it same day. Start the dormant-patient reactivation blitz now (18-month lapsed list, one named owner, 48-hour follow-up rule), keep the named person on the over-90 AR, and attach financing to every plan over $1,500. Note: the weekly Game Plan rewrite and archive normally runs Monday morning, and the last two Monday runs were skipped, so the coach note and Top 5 below are stale from Jul 28 and I left them untouched per protocol; they 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.
