Your closed-month engine is strong, but the practice is still leaking in three places that dwarf any vendor bill: 33% broken appointments, 20% fee acceptance, and over half of your $211K AR sitting past 90 days. New patients slipped to 26 in May against 31 lost to attrition, a net loss, and that is the early warning for the production that has to carry your $750K office loan. One focus this week: put a named person on the over-90 AR and on broken appointments, then sweep idle cash against the 24% card.
What changed since last run
Evening run, Friday Jun 26. Nothing material moved on the money since this morning. QuickBooks still shows June income booked at $64,023 against $83,061 collected on Divergent, the same posting lag of about $19,000 that closes at month-end, with operating expense of $23,109 and $888 of interest booked so far this month. Tonight's balance sheet confirms cash at $93,380, the Taxes account at $50,000 (so the $15K IRS balance stays fully fundable today) and the Profit account at $1,950. Ex-practice debt holds near $71,209: cards $56,329 (Chase 0871 $55,616, Chase 8837 $712), IRS $15,000, and the SBA loan effectively paid off at a $120 credit, on top of the $750K office loan. No new Divergent daily dashboard has arrived since Jun 25, so the month-to-date pace is unchanged at about $99,700 collections, $68,100 production and 25 new patients, and AR over 90 (near $113,456, about 54% of $211K), 33% broken appointments and 20% fee acceptance are carried from the week of Jun 8. The over-90 AR and broken appointments remain the two biggest levers, and both should be worked first thing tomorrow rather than waiting on the books. Game Plan stays set for the week.
Top 5 focus areas
Work the over-90 AR $113,456 stuck
About 54% of your $211K AR is past 90 days. Assign one named person to work everything over 90 this week, refile or appeal stale insurance claims, and put patient balances on statements or payment plans.
Collecting even 25% of the over-90 is about $28,000 of cash
Cut the 33% broken appointment rate biggest production leak
A third of booked chair time evaporates. Tighten confirmations and reminders, build a short-notice fill list, and set and enforce a cancellation policy.
33% toward 20% could add tens of thousands per month, see What is Next
Reverse the new-patient drop and attrition leading indicator
May new patients 26 versus attrition 31, a net loss, June pacing about 19 of 60. Audit marketing source and phone conversion, and run a reactivation campaign.
Each 10 recovered patients is real first-year and lifetime value
Lift case acceptance on fees from 20% implant dollars
You presented $463,508 and only $93,300 was accepted. Patient acceptance is fine at 77%, the gap is the big cases. Push same-day presentation and financing.
20% to 25% on $463K is about $23,000 more accepted per month
Attack the Chase 0871 card and IRS balance cash leaks
$51,586 near 24% plus $15,000 to the IRS accruing penalties. Sweep your Profit account ($17,425) and set an IRS payoff. SBA is down to $6,430.
About $12,000 to $14,000 per year in interest and 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.
