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, Wednesday Jul 22, 5:31am. One clean change overnight: the Jul 21 daily dashboard filed and moved the scoreboard up across the board. July net production climbed to $114,837 month to date (from $107,618 at last run), now pacing about $169K and firmly past the $160K goal, the best production stretch since winter. Collections rose to $95,680 from $89,597 but held at 83.3% of production, so the cash-conversion gap actually widened a touch to roughly $19K; the story is unchanged, you are producing faster than you are banking. New patients jumped to 31 with six booked on Jul 21 alone, pacing about 46 against the 40 goal, the strongest new-patient month in a while. Case acceptance nudged up to 16.9% on fees and 71.8% on patients, still the structural leak. Reappointment 90.5%. No new weekly or monthly Divergent report filed overnight, so AR holds as of Jul 18 (total $213,707, over-90 $92,216, 43.2% of the pile), with the next weekly due Friday or Saturday. The QuickBooks balance sheet did not move overnight: cash $79,266 with $50,000 walled for taxes, Chase 0871 $59,353, total debt about $823K, ex-practice about $73K. My read: nothing changes the play. Production is running hot, so sweep this month's strong collections straight at the 24% Chase 0871 card and hold front-desk collections tight, copays and balances same day and financing on every plan over $1,500. The coach note and Top 5 from Monday still hold. Carried note: the 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.
