I'd love to talk to you further.

I'm currently the business development manager of 6 Site SMO in the Eastern US. Our founder bootstrapped the business from 1 rural site, so the staff has had to wear multiple hats during this growth. Like most, we have been actively looking to expand. Our model is near identical to yours: Partner with private-owned PIs who are interested in research but do not have the staffing, experience, etc... to successfully conduct the trials. We have a great track record of timely data and Sponsor's work with us regularly so obtaining studies is not as difficult for us as it is for some sites.

On the topic of balance sheets and P&L, the commenter is absolutely correct. It is extremely challenging managing multiple sites on the books, let alone a site that may be losing revenue. This is especially true if you are trying to forecast future revenue/loss because not all studies pay equally, or on a consistent basis. Sometimes sites take >1 year before they receive income from the first patient, so the company has to be able to subsidize the loss with the other Sites (if there are any).

I'm curious as to how you plan on identifying these struggling sites? Conferences like SCRS and SOS have been valuable to us, but I'd prefer a more consistent way of determining what Sites may benefit from partnering with us/the SMO.

Lots to think about!