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, Sunday Jun 28. Nothing moved since this morning, which is exactly what a quiet weekend should look like. No new Divergent daily or monthly report has posted since the Jun 26 daily, so collections still read $85,871 month-to-date, production $63,740 and new patients 21, with June pacing about $99,100 collections, $73,500 production and 24 new patients. QuickBooks is unchanged: June income $64,023 against $85,871 collected on Divergent (the same posting lag near $22,000), operating expense $23,109, net operating income $40,915, and $888 of interest booked so far. The balance sheet holds: cash $93,380, the Taxes account at $50,000 so the $15K IRS balance stays fully fundable, and the Profit account at $1,950. Ex-practice debt is steady 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. The week-of-Jun-15 KPI PDF still could not be auto-parsed, so AR over 90 (near $113,456, about 54% of $211K), 33% broken appointments and 20% fee acceptance are still carried and should be refreshed once that file is readable. The over-90 AR and broken appointments remain the two biggest levers. Today's Jun 28 brief is already on the dashboard. Game Plan stays set for the week; Monday's run 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. 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.
