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, Saturday Aug 8, about 6:10pm. The one new input since this morning is the weekly Divergent AR aging (as of Aug 8), and it is good news: over-90 resumed falling to $85,193 from the $88,267 blip on Aug 1, so the streak of progress is intact, and total AR dropped about $6K to $198,299 as older balances cleared. Buckets now run $78,677 (0-30), $19,386 (31-60), $15,043 (61-90), and $85,193 over 90, still 43.0% of the book and still the leak to work. No new daily posted yet, the Aug 8 daily lands later tonight, so August holds at $25,070 produced and $25,130 collected at 100.2% through Aug 7, one working week, pace near $111K against the $160K goal. The schedule is still the binding constraint: line up next week now so no weekday sits empty. QuickBooks August income $9,771 versus $25,130 Divergent, the normal posting lag. Balance sheet flat since this morning: cash $89,786 ($50,000 tax reserve, $23,000 Profit), Chase 0871 $56,934, Chase 8837 $1,414, SBA paid off, ex-practice debt $73,348, total debt $823,348. Same two brief levers stand: the payer profitability model on your PPO fee schedules, Delta first before you sign anything for office two, and the AI front-desk pilot to stop missed calls feeding the empty-chair problem. Coach note and Top 5 rebuild Monday, along with the What-If baseline move to July.
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.
