CEO BRIEF · ONE PAGE
Brightleaf Family Health
April 2026 · Clinic
Composed from the reviewed close. Same facts as the management report — one page.
What happened
- Collection lag stretched to 56 days from 53 — the Medicaid share ticked up to 34% after two commercial contracts lapsed, and $74K is now past 90 days in the government-payer bucket. The revenue is earned; the cash just lands two to four weeks slower.
- Net collection rate dipped to 94.5% from 96.1% — a coding-denial cluster on the new provider's E/M claims drove ~$11K of write-offs. The worker read it as ramp noise on a new hire; the supervisor flagged a denial pattern, so it routed to your inbox to decide on a coding review.
- Patient visits held at 4,120 for the month vs the 3,980 plan — the extended Saturday hours and the second nurse-practitioner added ~140 visits without overtime, lifting throughput at the existing fixed-cost base.
The numbers
Cash status
Cash-positive
Revenue
$708,000
+$14,000 · +2.0% vs plan
Monthly outflow
$642,000
+$10,000 · +1.6% vs plan
Gross margin
54.0%
DSO / DPO (days)
56 / 19
What to expect
Cash $392,000 today → $471,152 in week 13; the lowest point is $318,727 in week 3. No cash-floor breach inside the horizon.
What needs your decision
· Collection lag stretched to 56 days from 53 — the Medicaid share ticked up to 34% after two commercial contracts lapsed, and $74K is now past 90 days in the government-payer bucket. The revenue is earned; the cash just lands two to four weeks slower. — You · 05 Jun