The closed-month engine is healthy, but the practice is still bleeding in the same places that dwarf any vendor bill: over-90 AR near $113,456 (about 54% of $211K), a 33% broken-appointment rate, and only 20% fee acceptance. May new patients slid to 26 against 31 lost to attrition, a net loss, and that is the leading indicator for the production that has to carry your $750K office loan. Cards crept up too, Chase 0871 is now $55,616 at roughly 24%. One move this week: put a named person on the over-90 AR and broken appointments, pay the $15K IRS out of your $50K Taxes account to stop the penalty clock, and set a fixed principal payment on the 24% card.
What changed since last run
Morning run, Wednesday Jul 1, first day of the new month, so the 12-month window rolled forward to end on Jul 2026 and June is now closed on the board. Overnight the June 30 Divergent daily posted, giving final June numbers: collections $98,322, net production $79,651 and 26 new patients against the $131,204 goal. Production is the story, it fell to about $79,651 from May's $120,111, roughly a third lower, while collections held up at $98,322 by working prior balances, so collection percent reads about 123%. QuickBooks June is final and in line: income $96,241, operating expense $61,916, overhead 64.3%, net operating income $34,325, net income $19,196, owner pay about $25,760. The balance sheet this morning: cash $78,658, the Taxes account $50,000 so the $15K IRS is fully fundable, the Profit account $4,500, cards $57,940 with Chase 0871 $58,128 near 24%, the SBA loan a small credit and effectively paid off, on top of the $750K office loan, ex-practice debt about $71,327. July is one day in, so the July column starts at zero and will fill as dailies post. The week-of-Jun-15 monthly KPI PDF still could not be auto-parsed, so June broken-appointment, fee-acceptance, reappointment and attrition and the AR buckets are carried from May and flagged, refresh once that file is readable. The over-90 AR and broken appointments remain the two biggest levers. Today's Jul 1 brief is on the dashboard. Game Plan stays set for the week, Monday Jul 6 is the next full rebuild.
Top 5 focus areas
Work the over-90 AR $113,456 stuck
About 54% of your $211K AR is past 90 days, your single biggest cash leak. 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. Carried until the KPI file parses, refresh then.
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, with June pacing about 24 of a 40 goal. Audit your marketing source and phone conversion, and run a reactivation campaign on the lapsed list.
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 third-party financing.
20% to 25% on $463K is about $23,000 more accepted per month
Attack the Chase 0871 card and IRS balance cash leaks
Chase 0871 is now $55,616 at roughly 24%, plus $15,000 owed to the IRS accruing penalties. Pay the IRS now from the $50,000 Taxes account and set a fixed monthly principal payment on the card. The SBA loan is effectively paid off.
About $13,000 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.
