Clinical trial contracts, budgets and site payments, managed for sponsors.
From the first CTA draft to the final closeout reconciliation, we give small and mid-sized sponsors a specialist contracts and clinical finance function without the cost of building one.
Has no dedicated clinical contracts or finance staff
Is activating new sites and needs agreements moving
Is struggling with site payment accuracy
Needs clean study financials for investors or audits
The problems we solve
Where sponsor studies lose time and money.
Contracts, payments and accounting often sit with different people. The gaps between them are where delays, disputes and financial surprises begin.
Startup delays
Agreements that will not close
Every week a site agreement sits in redlines is a week that site cannot enroll patients.
Payment friction
Sites paid late or incorrectly
Payment errors damage site relationships and pull attention away from recruitment.
Financial blind spots
Books that do not match reality
Estimated accruals and unreconciled payments create surprises in reporting and due diligence.
Service details
Exactly what we do, and how it strengthens your study.
Choose a service to see our scope, the value it adds to your business, and the deliverables you receive.
Study startup
Study conduct
Financial management
Study startup
Contract drafting
We prepare clinical trial agreement templates built around your protocol, your risk positions and the types of sites you plan to use. If you already have a template, we review and strengthen it before it reaches a single site.
How it strengthens your study
Fewer negotiation rounds, because common site objections are addressed before they are raised.
Consistent terms on indemnification, subject injury, confidentiality, publication and payment across every site.
A faster path from site selection to site activation.
What you receive
Master CTA templateFallback language guideVariations by site type
We build site budgets directly from your protocol and schedule of assessments, pricing every visit, procedure and invoiceable item against fair market value so your offers are credible from the first draft.
How it strengthens your study
Budgets sites can accept without months of counteroffers.
No mid-study surprises from procedures that were never priced.
Reliable forecasting of per-patient and total site costs.
What you receive
Per-visit budget gridInvoiceables and pass-through schedulePayment terms summary
We manage negotiations directly with each site and institution, handling redlines, budget counteroffers and open issues within the positions and ranges you approve. Anything outside those limits comes back to you with a clear recommendation.
How it strengthens your study
Your team stops chasing sites and reviewing every redline.
Decisions escalated only when they truly need you.
Every concession documented, so terms stay consistent across sites.
What you receive
Site negotiation trackerIssue log with positionsRegular status updates
We close the remaining issues, prepare final versions, route agreements for signature and deliver fully executed contracts, together with a payment terms summary your study team can use immediately.
How it strengthens your study
Sites reach activation sooner.
Clean, version-controlled final documents.
No unsigned agreements discovered at site initiation.
What you receive
Fully executed CTA and budgetSignature trackingExecuted document archive
We set up and maintain payment tracking for every site, covering visit payments, invoiceables, pass-through costs, startup fees and holdbacks, all mapped to each executed budget.
How it strengthens your study
Sites paid correctly and on time, which protects relationships and enrollment.
One clear view of what is owed across all sites.
Fewer payment escalations reaching your team.
What you receive
Site payment trackerPayment schedule per siteMonthly payment summary
We reconcile completed visits in EDC against payments made and invoices received, investigate every difference, and resolve discrepancies directly with sites.
How it strengthens your study
No overpayments, duplicates or missed payments.
Disputes resolved with evidence rather than back and forth.
Payment records ready for audits and inspections.
What you receive
Reconciliation reportsDiscrepancy log and resolutionsSite payment statements
We maintain study-level books, including accruals based on actual site activity, forecasts, pass-through tracking and the final closeout reconciliation, in a format your accountants and auditors can rely on.
How it strengthens your study
Accruals grounded in real activity, not estimates.
Clean study financials for board meetings, fundraising and due diligence.
Yes. Many engagements start mid-study with a reconciliation of payments made so far, after which we continue tracking, reconciling and keeping the books through closeout.
Either. We can draft a new template for your study or review and strengthen the one you already use, then negotiate from it with every site.
Yes. We support sponsors running studies with sites in the United States and across South America.