Monday reset, and the problem has flipped from last week. Production has turned up hard, so the whole game now is turning that work into cash. July net production is $107,618 through the 20th, pacing near $148K and finally past the $160K monthly pace, the best production run since winter. But collections are only $89,597, 83.3% of production, so you are producing about $18K a month faster than you are banking it. Convert first: copays and balances collected same day, financing attached to every plan over $1,500, and the named person still on the over-90 AR that has now fallen four reads straight to $92,216. Underneath the cash story the structural leak is unchanged, June case acceptance was the worst of the trailing year at 18.8% on fees and 60.2% on patients. One move this week: a 20-minute case-presentation huddle tied to same-day financing.
What changed since last run
Morning run, Saturday Jul 25, about 5:30am. Since last night's pass the Jul 24 daily dashboard filed, so July now reads through Friday. Net production $126,118 month to date, pacing about $163K against the $160K goal; the total stepped back from $129,279 because Friday's write-offs and adjustments trimmed prior days, worth a quick glance at the adjustment log. Collections improved to $111,642 at 88.5% of production on a 94.3% collection week, so the cash-conversion gap narrowed from about $21K to about $14K. That is the direction we have been pushing; keep same-day copays and balances and financing on every plan over $1,500. New patients 34 (pacing about 44), case acceptance still stuck at 16.8% on fees and 71.2% on patients, reappointment 89.7%. Weekly AR still reads as of Jul 18 (over-90 $92,216 of $213,707); the new weekly should land today, watch for a fifth straight drop in over-90. QuickBooks July collections still have not posted; June finals unchanged. Balance sheet: cash $79,266 with the $50,000 tax reserve intact, Chase 0871 $59,353 near 24%, total debt about $823K, ex-practice about $73K; keep sweeping strong collection weeks at that card. Nothing books until Monday (Jul 27, about $7.1K scheduled), so the weekend job is admin: book the two AI phone-receptionist demos from today's brief. Coach note and Top 5 from Monday still hold; Team and What-If baselines still reflect the May closed month and roll to June on the next Monday rebuild.
Top 5 focus areas
Convert production to cash about $18K gap this month
New top priority. July production surged to $107,618 (pacing about $148K) but collections are only $89,597, 83.3% of production, so you are producing roughly $18K a month faster than you are banking it. Collect copays and patient balances same day, attach financing to every plan over $1,500, and keep the named person on insurance follow-up. This is the single biggest dollar lever this week.
Closing the gap toward 95%+ collection is about $15,000 to $20,000 of cash a month
Rebuild case acceptance 18.8% fees, 60.2% patients
June was the worst acceptance month in the trailing twelve: 18.8% of presented fees accepted and patient acceptance down to 60.2% from the mid-70s. This is the treatment-presentation conversation, not marketing. Run the case-presentation huddle, present same-day, and attach a financing option to every plan over $1,500.
Each point of fee acceptance on roughly $450K presented is about $4,500 a month
Keep working the over-90 AR $92,216 of $213,707
Carried over, and the pressure is working: over-90 has fallen four reads straight, $113,456 (Jun 19) to $99,913 (Jul 4) to $94,719 (Jul 11) to $92,216 (Jul 18), now 43.2% of total AR. Keep the named person on it, refile or appeal stale insurance claims, and move patient balances to statements or plans. Do not let up because it improved.
Collecting 25% of the over-90 is about $23,000 of cash
Cut the broken appointment rate 32.7% June, 30% last week
Carried over: about a third of booked chair time still evaporates (32.7% in June, 30% the week of Jul 6). Tighten confirmations, build a short-notice fill list, and enforce the cancellation policy. An AI voice agent that auto-fills cancellations is worth a 30-day pilot here before office two.
Pulling 32.7% toward 20% is tens of thousands of production per month
Attack the Chase 0871 card and IRS balance cash leaks
Carried over: Chase 0871 sits at $56,353 at roughly 24%, and the $15,000 IRS balance keeps accruing penalties while $50,000 sits idle in the Taxes account. Pay the IRS now and set a fixed monthly principal payment on the card. SBA and Chase 8837 are effectively paid off.
About $13,500 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.
