Monthly management report
Brightleaf Family Health
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.
What determined the result
- 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.
02
Monthly economics
Revenue
$708,000Direct costs
$325,680Operating expenses
$316,320If the source has no item dimension, the line stays grouped by ledger account; product nomenclature is not required.
03
Cash and working capital
13-week cash outlook
$392,000 → $471,152
Low point: $318,727 · week 3| Week | Receipts | Payments | Ending cash |
|---|---|---|---|
| 1 | $163,510 | $187,935 | $367,576 |
| 2 | $163,510 | $187,935 | $343,152 |
| 3 | $163,510 | $187,935 | $318,727 |
| 4 | $163,510 | $148,268 | $333,970 |
| 5 | $163,510 | $148,268 | $349,212 |
| 6 | $163,510 | $148,268 | $364,455 |
Next-month performance risks
1Collection 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.
2Net 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.
Decisions & follow-ups
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
You · 05 Jun 2026move the two slow commercial payers to electronic remittance and add a weekly denials-rework block to pull collections forward.
Brightleaf RCM team · 17 Jun 2026