For Research Sites
The sponsor's negotiator does this every week. Now yours does too.
Budget and CTA negotiation, site activation, and ongoing study pipeline. Founder-led, every engagement. 46+ site and SMO clients.
What the gap costs you
Accepting a sponsor's template budget is not a negotiation. It is a default. And every unchallenged line item is revenue you never recover.
The defaults have a pattern. Underpriced procedures. Missing startup and closeout fees. Weak payment timing. No overhead rationale. Screen failure gaps. The sponsor's negotiator prices those lines every week and knows exactly which ones sites never push on.
The CTA is the same story. Payment terms. Holdbacks. Termination for convenience. Indemnification. Each clause has a position worth taking, and a cost when you do not take it.
None of this is about your site's competence. It is asymmetry of reps. I close that gap, because I have sat on both sides of this table.
The offers
Budget & CTA Negotiation
For sites with an active study on the table
This is not a review. It is an active negotiation engagement. I run the rounds with the sponsor until the budget reflects what the work costs.
What you get
- Line-by-line analysis of the sponsor's opening budget against industry benchmarks
- A written overhead rationale built on your site's cost structure
- Replacement language for every underpriced or missing line item
- Screen failure, startup, and closeout fee structures
And in the rounds
- Payment term hardening
- CTA redline on indemnification, termination, and payment terms
- Multi-round strategy, with a Letter of Rationale for pushback rounds
The structure: a flat fee per study negotiation, half at engagement and half at final budget execution. Amounts are quoted on the call.
Where study design and indication support it, my negotiations have closed above $100K per patient. Counting every subject a site can enroll, a single CTA can exceed $1 million in value. Numbers like these do not come from a sponsor's template.
The 90-Day Site Activation Sprint
For sites that need studies, not just paperwork
Weeks 1 to 2: Site Readiness Audit. A full written gap analysis of your site as sponsors will see it.
Weeks 3 to 4: Sponsor-Facing Profile Build. Site profile, PI CV in sponsor format, capability statement.
Weeks 3 to 8: Study Identification and Submission. Three to five matched studies, with optimized feasibility responses submitted on your behalf.
Throughout: PSV preparation and sponsor communication coaching.
If a study award lands during the sprint, or within 60 days after it, the budget and CTA negotiation is handled as part of the engagement.
What you keep regardless of study award
- The written readiness assessment
- A sponsor-facing site profile and PI package
- Feasibility responses submitted to matched studies
- PSV preparation
- A genuinely more competitive site
The structure: fixed scope, fixed engagement fee, plus a success fee paid only on study award. Amounts are quoted on the call.
The first site I built this way started with a PI who had never run a study. One matched trial now pays them $70K to $100K per month. Across engagements, the study award rate is near 100 percent once a formal qualification inquiry is received. Study award is sponsor-controlled and never guaranteed.
Study Pipeline & Negotiation System
For sites and networks that want ongoing deal flow
Daily curated study leads, sourced from direct sponsor and CRO relationships, with feasibility support on every submission. Each lead is matched on three criteria:
- A patient population your PIs can enroll from their existing practice
- Procedure and visit density
- Revenue profile across a 12-month window
Paired with expert negotiation on every study the flow produces, built on 14 years of sponsor and CRO benchmarks. Scope and fees are set on the call.
Run more than one site? Everything above compounds across a network. Network engagements are scoped on a call.
What this looks like in revenue
One client site runs a single study that started at $70K per month and grew to $100K per month. Its budget and CTA were negotiated line by line before the site signed.
The SMO that hired me at $900K a year crossed $3.4M in year one.
Questions sites ask
Will pushing back this hard cost us the study?
Sponsors expect negotiation. What they respect is a documented position grounded in real costs. In my experience, sites lose studies over enrollment problems, not over defending their economics.
We're a small site. Is this worth it for us?
Small sites feel budget gaps hardest. One underpriced coordinator line hurts a two-study site more than a twenty-study SMO. Every engagement is scoped to the study in front of you.
How long does a negotiation take?
It depends on the sponsor and how far apart the numbers start. The multi-round strategy is built to keep the clock short.
What does it cost?
Fees are quoted in conversation, scoped to the work. Negotiation engagements use a flat fee per study, half at engagement and half at final budget execution. The sprint pairs a fixed engagement fee with a success fee paid only on study award.
Fifteen minutes. Bring your budget or CTA.
On a 15 minute call I will tell you whether there is money to recover. You leave with positions you can use, whether or not we work together.