May 2026 vs. May 2025 — Advertising & Promotion
The +$55K YoY increase and the +$36K budget variance are not the same number. The YoY increase is driven by Advertising & Marketing (more locations, chronic accounts, inflation in paid media). The budget variance is driven almost entirely by Practice Promotion / Giveaway, which was budgeted at $2,260 for all 159 locations — roughly $14 per location — and came in at $27,748. These should not be presented to Myles as a single "overspend."
What's Driving Each Increase
Practice Promotion / Giveaway drove $25,489 of the $36,206 budget variance — 70% of the total overrun. The 2026 budget for this account was set at $2,260 for all 159 SGA locations combined. Actual spend came in at $27,748.
This is a budgeting problem, not necessarily a spending problem. The budget target was not aligned to actual patterns: May 2025 actuals in this same account were $25,101 — meaning the 2026 budget was set at less than 9% of what the prior year showed. The budget needs to be recalibrated before this line can be managed.
Note: vendor-level detail for Practice Promotion / Giveaway is not available from Power BI at this account level. A Sage GL pull would be required to see the specific items driving the $27,748.
Advertising & Marketing increased +$53,430 vs. May 2025. Against the 2026 budget, it is only $10,735 over (+3.6%) — within a reasonable range. The YoY increase has three structural components, each with a different owner:
Paid digital, TV, print, and agency spend directed by marketing. Kept lean — AdWords budgets are conservative, swag and print require Sharley's approval. This portion is defensible and within Sharley's authority to explain line by line.
Albany HQ ($15,316) and SGA Dental Partners OpCo ($5,095) total $20,411 in May with no patient attribution. These are corporate-level costs allocated to the marketing GL — not practice advertising. They inflate the marketing number and skew per-practice benchmarks.
Riverside ($55,659) and Ressler ($26,002) together are 24% of total SGA promotional spend. These accounts have been raised with Ops previously without resolution. Ops and Myles have historically authorized them to spend as they wish.
Practice-Level View — May 2026
Source: Power BI Marketing Expenses page — 145 location rows captured out of 159 total. Sorted by spend. Network average: $48 per new patient. Per-location budgets are not available in this report.
Albany HQ ($15,316) and SGA Dental Partners OpCo ($5,095) are the #3 and #18 spenders in May with no NPR and no new patient data — 6.1% of total promotional spend. These are corporate-level costs allocated to the marketing GL. Separating them from practice-level marketing spend changes every per-practice benchmark in this report. This is the "unfair allocation" concern: practices are being measured against a total that includes spend they did not generate.
Brentwood is the 12th-largest spender in May at $6,559 with only 1 new patient attributed — the highest cost-per-patient ratio in the 145-location report. Ressler is second-worst at $2,889 per patient (21.6% of NPR, 9 new patients). Network average is $48 per new patient. Both warrant an immediate Power BI Decomp Tree pull to understand the vendor breakdown before the Myles meeting.
Perio Memphis: $66/patient (133 new patients). Elite Gallatin: $77/patient (79 new patients). Southern Oak Greenville: $40/patient (103 new patients). Fording Island Okatie: $105/patient (86 patients). These practices show that meaningful spend can drive high volume at efficient CPP — and set a bar for what the rest of the network should be targeting.
Structural Issues & Recommendations
The May 2026 data reflects three structural gaps — not a single marketing overspend. Each has a different owner and a different fix. Marketing cannot resolve any of these independently.
Immediate Next Steps
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1IT: Fix Power BI RLS — give Sharley access to the Undeclared vendor column
Row-Level Security permissions change on the existing Decomp Tree workspace. Estimated 30 minutes. Without this, Sharley cannot speak to the full Advertising & Marketing number when presenting to Myles.
Owner: IT · This week -
2Run Power BI Decomp Tree for Brentwood and Ressler before the Myles meeting
Pull vendor-level drill-downs for both accounts. Same playbook used with Dallas and Nathan — resulted in cuts Myles saw and approved. Brentwood ($6,559/1 patient) should be the lead case. Bring the output to the Myles meeting so decisions can be made in the room.
Owner: Amy + Sharley + Nathan -
3Finance: Reset the Practice Promotion / Giveaway budget for remainder of 2026
Current budget ($2,260 for 159 locations) has no relationship to actuals. May 2025 SPLY was also $25,101. The CFO needs to set a realistic target — either a per-location envelope or a network-level aggregate — before this line can be actively managed.
Owner: CFO + Amy · Before next budget cycle -
4Bring the three-bucket framework to Myles and request a COO-level decision on Riverside and Ressler
Frame the May 2026 spend across three buckets — not as a single marketing overspend. Bucket 1 (Sharley-controlled, lean and defensible). Bucket 2 (corporate/Ops GL allocation, needs Finance fix). Bucket 3 (doctor-authorized chronic accounts, needs a Myles-level decision on spend limits or joint authorization). Riverside + Ressler together = 24% of SGA total promotional spend. Resolving them requires COO authority — marketing cannot act on these unilaterally.
Owner: Amy + Sarah + Sharley -
5IT + Finance: Extend Velixo to SGA East to close the 30–45 day P&L lag
SGA West already runs Velixo with budget/actual/variance per practice updated as charges post — not at month close. If SGA East is in the same Sage Intacct environment, this is a configuration task using an existing tool. PGPs currently receive P&L data 30–45 days after close, making it impossible to catch overages in-month. Velixo closes that gap.
Owner: IT + Finance · 30–60 day target