Practice Revenue

Earned money vs. collected money

Practice Revenue answers a question that trips up a lot of clinics the first time they think carefully about it: is the clinic actually doing well? There are two defensible answers, depending on whether you're counting money earned or money received, and this report is built to show both at once rather than force you to pick one framing and lose sight of the other.

An accrual / cash badge sits at the top of the report with a toggle to switch between the two views, and the two headline KPIs plus a Gap tile make the difference between them impossible to miss.

At a glance

What accrual revenue and cash revenue each actually measure, and why the gap between them matters
Which filters Practice Revenue offers
What the three KPI tiles show
How the by-day and by-practitioner tables let you locate the gap, not just see its size

The Practice Revenue report showing the accrual/cash toggle, the three KPI tiles, and the by-day and by-practitioner breakdown tables.

Accrual vs. cash, in plain language

Accrual revenue is what the clinic has earned or invoiced, whether or not it's actually been paid yet — book an appointment, invoice it, and it counts, even if the patient pays next month. Cash revenue is stricter: it only counts money that has actually landed, regardless of when the underlying work happened. A payment collected today against an invoice from six weeks ago counts as cash revenue today, not six weeks ago.

Neither view is "more correct" than the other — they answer different questions. Accrual tells you how much clinical work the practice is generating, which is the number that matters for judging practitioner productivity or service demand. Cash tells you what's actually available to pay rent, wages, and suppliers with, which is the number that matters for day-to-day cash flow. The gap between the two, in effect, is what's still owed — and it's exactly the same population of unpaid invoices detailed in Outstanding Balances.

A widening Gap isn't automatically bad A larger Gap simply means more invoiced work hasn't been paid yet. In a growing practice with normal payment terms, some gap is expected and healthy. The concerning pattern isn't the gap's size on its own — it's a gap that keeps growing month over month without a corresponding increase in collections, which usually means invoicing is outrunning your ability to collect.

Filters

Date range
Location
Compare — measure the selected range against the immediately preceding period

KPI tiles

Accrual revenue — total earned or invoiced in the period
Cash received — total actually collected in the period
Gap — the difference between the two, i.e. what's invoiced but not yet paid

Table: accrual vs. cash, by day

Date	Accrual earned	Cash received	Difference
—	—	—	—

The daily breakdown is where you'll spot a specific bad day rather than a general trend — a single day with a large difference often lines up with a big invoice that hasn't been paid yet, which is worth checking against Outstanding Balances directly.

Table: by practitioner

Practitioner	Accrual earned	Cash received
—	—	—

This is the view to check when the Gap tile looks unusually large but you need to know whether it's spread evenly or concentrated in one practitioner's invoicing — a large gap for a single practitioner often points to invoices raised for that practitioner's patients not being followed up as consistently as the rest of the practice.