The Daily Practice Brief
Monday · June 1, 2026 · Trailing 90 days
Benchmarked against 142 SGA practices
Edition No. 217
Today's #1 Move Germantown Office · ROD: Lanthea Mangum

Your schedule is pacing well below budget — and it's the one thing to fix today.

Front-load tomorrow's chairs to start closing a $290,578 gap before month-end. You're banking 2.36 against a budget target of 4.15 — below even the bottom 10% of our offices. Three levers below carry $484,712 of open production for the day.

The Three Levers

Ranked by dollars at stake
01

Pacing (vs Budget)

Tier 1 · Critical

You're pacing at 2.36 against a budget target of 4.15 — below even the bottom 10% of our offices (p10 is 2.69), so you're trailing the number with the clock running.

Why now

Production is the number everything else rides on, and open chair-time you lose today can't be re-sold tomorrow. A slow morning becomes a slow week becomes a missed month if you don't act mid-period while there's still time.

Do today

Front-load the schedule: fill tomorrow's gaps, pull cancellations forward, and chase accepted-but-unscheduled treatment to start closing the budget gap before month-end.

$290,578
On the line · biggest gap
You stand 2.36
target 4.15 · p10 is 2.69
02

Net Patient Gain

Tier 1 · Critical

You're netting about +12 patients against a target of +37 — that puts you between the bottom-quarter flag (+7) and the median (+22), so growth has stalled below where it should be.

Why now

New patients fuel roughly 40% of doctor production and feed tomorrow's hygiene and restorative chairs. This is a leading indicator of production 6–12 months out, so a soft number now shows up as empty chairs later.

Do today

Pre-book the next hygiene visit before every checkout to plug attrition first, then drive new-patient phone conversion and reactivation — and track it weekly.

$108,500
Future production at stake
You stand +12
target +37 · median +22
03

Admin Appointment Churn %

Tier 2 · CriticalProfit Lever

Your churn is running 48.6% against a target of 22.5% — that's well above the level (37%) where it needs attention, and nearly triple our best offices at 19%.

Why now

Every churned appointment is an open chair you can't recover that day, and a slot never rebooked is a patient quietly dropping out of the base. Because this is a profit lever, cutting churn drops straight to EBITDA — it protects margin, not just top-line.

Do today

Tighten your 48h/24h confirmation cadence, rebook any cancellation before the patient leaves the call, and keep a same-day waitlist to refill freed chairs — while watching no-show rate so you don't just trade one for the other.

$85,634
Recoverable · flows to EBITDA
You stand 48.6%
target 22.5% · best 19%

The Full Scorecard

Where you rank in 142 practices Critical On track Achieved
Where to Spend the Day Region: Lanthea Mangum · 3 offices

Spend the day in the field — none of these fix themselves.

$2,197,473 of open production is at stake across all three offices, and the one thing to drill everywhere is Admin Appointment Churn — broken in all 3 and costing $492,892 in profit. The loop is stalled: 0 of 3 offices has acted on a single directive.

Go Today — In Order of Exposure

01
Ellisville
$872,958
Open production
Not self-correcting
Drill on
Admin Appointment Churn %
The single biggest dollar exposure in your region — this office will not recover on its own. Sit with the team on how appointments get cancelled, rescheduled, or dropped and tighten that process.
02
McVea Dental
$839,803
Open production
Not self-correcting
Drill on
Pacing (vs Budget)
Nearly tied with Ellisville for the most money on the line and it needs a hands-on push. Walk the schedule and the production plan and close the gap where the day-to-day numbers slip.
03
Germantown Office
$484,712
Open production
Not self-correcting
Drill on
Pacing (vs Budget)
Smaller than the other two but still real money that stays open unless you go in. Get the team back on plan against budget and find the production they're leaving on the table each day.

The Systemic Coaching Theme

Don't run three fixes. Run one training on appointment churn.

Admin Appointment Churn is your one shared gap — broken in all 3 of 3 offices, and a profit lever. Pull the front-desk teams from all three into one session on how appointments get cancelled, rescheduled, and dropped, and standardize the process once across the region.

$492,892 in profit on the table

Hygiene Production per Visit is region-wide too (3 of 3, $178,561) — a good second topic for the same session. But churn is the bigger money: lead with it.

The Accountability Loop — Stalled

None of your 3 offices has acted yet. All three have 3 open directives each, with zero measured and zero moved the right way. The loop is stalled on action, not results — the first job is simply getting these teams to do what was already asked.

Ellisville
Directives3
ActedNo
Moved right0
McVea Dental
Directives3
ActedNo
Moved right0
Germantown
Directives3
ActedNo
Moved right0
Admin Appointment Churn %3 / 3 · profit
Tier 2 · region-wide
$492,892
Pacing (vs Budget)2 / 3
Tier 1
$822,220
Hygiene Production per Visit3 / 3
Tier 1 · region-wide
$178,561

Region Scorecard

Outliers first · region position vs 142 Region red Mixed Region green
The three that should run your day