

Today the stack runs six capability layers through a patchwork of vendors that own our data. Two SGA-owned platforms replace them, bring the data in-house, and lower the ongoing run-rate. The decision is a $214K Year-1 investment, of which $71K is already committed.

Each capability layer today, its vendor and portfolio cost, and where it lands after consolidation. Portfolio figures are monthly across all 248 practices.
| Layer | Vendor today | Today /mo | New vendor | Proposed /mo | Change /mo | |
|---|---|---|---|---|---|---|
| Reputation | Swell / SGA Rep | $12,798 | → | Promo Republic one tool · 4 layers | $13,092 $52.79 × 248 | −$8,834 |
| Local Listings | Yext / SGA Listings | $4,527 | → | |||
| Social | Social & Brand | $4,216 | → | |||
| Yelp / Foursquare | Bundled | $385 | → | |||
| Lead Capture / CRM | 15 agency CRMs | ~$13,650 | → | GoHighLevel | $1,240 Nov 2026 start | −$12,410 |
| Portfolio run-rate | $35,576 | $14,332 | −$21,244 |

Every capability layer keeps running. What changes is the number of vendors behind them, and who owns the data.

Each bar is one platform and one calculation. The two solid bars are the decisions, Promo Republic and GoHighLevel; the two lighter bars are context lines that already sit in other budgets. Every figure is anchored on $769 annual patient value.
| Platform | Value/yr | Cost/yr | ROI | |
|---|---|---|---|---|
| Promo Republic | Ask | $5.50M | $203K | 27x |
| GoHighLevel | Ask | $1.53M | $11K | 140x |
| PeerLogic Analytics | Ctx | $2.80M | $203K | 14x |
| Headless CMS Yr1 | Ctx | $0.09M | saving | n/a |
| Combined | $9.92M | $417K | 24x |

Phased so nothing double-bills: Gen4 runs out Swell and Yext on contract while other practices onboard in parallel. Diamonds mark the dates a deliverable has to land.

One decision, two SGA-owned platforms. It lowers run-rate spend, brings the marketing data in-house, and is modeled to return roughly $7.0M a year. The incremental improvement is straightforward.
| Platform | Replaces | Live by | Year-1 cost | Modeled value/yr | ROI |
|---|---|---|---|---|---|
| Promo Republic 4 layers | Swell, Yext, Social & Brand, Yelp/Foursquare | Jun 2027 | $203K | $5.50M | 27x |
| GoHighLevel CRM | 15 agency-owned CRMs | Nov 2026 start | $11K | $1.53M | 140x |
| Approve | $214K | $7.03M | 33x |