We are not a short-term aggregator or roll-up. Our commitment is long-term — to each site, each partnership, and the network as a whole. We invest in relationships that are mutually rewarding, sustainable, and built to last.



Find clear, straightforward answers to common questions about our clinical research process, participation, and what to expect.
Independence Clinical Research Alliance is a Site Management Organization (SMO) built exclusively to support independent clinical research sites while preserving their ownership, autonomy, and long-term value.
ICRA brings together a curated network of research-only sites and provides the operational infrastructure, regulatory oversight, business development support, and execution discipline typically found in large enterprises - without forcing consolidation or loss of control.
We exist to make independent sites stronger, more competitive, and more reliable partners for Sponsors and CROs.
ICRA actively supports study procurement and business development -this is not a passive referral model.
We help sites by:
Because ICRA leadership has built and scaled healthcare and researchenterprises valued in the tens of millions of dollars, study procurementis approached strategically - not opportunistically.
Enrollment is treated as an execution discipline, not a guess.ICRA supports sites with:
• Protocol-specific enrollment risk assessment
• Realistic forecasting based on site data and demographics
• Workflow optimization for screening, consent, and retention
• Ongoing enrollment monitoring and corrective guidance
• Knowledge sharing across the network on what actually works
Our team has sat on both sides of the table - as site operators and Sponsor/CRO partners - which allows us to align expectations with reality and drive results.
Sponsors and CROs partner with ICRA because the network delivers predictability,transparency, and regulatory confidence.
ICRA provides:
Our accreditation framework and ongoing quality oversight reduce variability and risk while preserving the flexibility and access that independent sites provide.
Regulatory excellence is non-negotiable at ICRA.
We ensure:
Monitors working with ICRA sites experience organized documentation, responsive teams, and clear escalation pathways - allowing them to focus on oversight rather than remediation.
Participant safety and confidentiality are the highest priorities acrossthe ICRA network.
All ICRA sites must demonstrate:
Because ICRA leadership has been hands-on site operators, safety is treated as a daily operational responsibility - not a compliance checkbox.
ICRA is led by hands-on operators, not consultants oradministrators.
The ICRA team has:
This experience allows ICRA to bridge the gap between strategy andexecution - and to share that knowledge directly with every site in thenetwork.
ICRA is execution-focused and knowledge-driven.
We actively share:
Our success depends on the success of each site. We pledge our experience, systems, and leadership to help every site perform at its highest level - and every study execute successfully.
Sponsors and CROs partner with ICRA because the network delivers predictability, transparency, and regulatory confidence.
ICRA provides:
Our accreditation framework and ongoing quality oversight reduce variability and risk while preserving the flexibility and access that independent sites provide.
Regulatory excellence is non-negotiable at ICRA.
We ensure:
Monitors working with ICRA sites experience organized documentation, responsive teams, and clear escalation pathways - allowing them to focus on oversight rather than remediation.
Participant safety and confidentiality are the highest priorities acrossthe ICRA network.
All ICRA sites must demonstrate:
Because ICRA leadership has been hands-on site operators, safety is treated as a daily operational responsibility - not a compliance checkbox.
ICRA is led by hands-on operators, not consultants oradministrators.
The ICRA team has:
This experience allows ICRA to bridge the gap between strategy and execution - and to share that knowledge directly with every site in the network.
Q9. How does ICRA share its expertise with sites?
ICRA is execution-focused and knowledge-driven.
We actively share:
Our success depends on the success of each site. We pledge our experience, systems, and leadership to help every site perform at its highest level - and every study execute successfully.
Protecting independence is foundational to ICRA.
Sites in the ICRA network:
ICRA does not acquire sites, dictate clinical decisions, or impose rigid corporate structures. Instead, we provide leverage, infrastructure, and expertise that allow independent sites to compete with large networks -without becoming one.
Protecting independence is foundational to ICRA.
Sites in the ICRA network:
ICRA does not acquire sites, dictate clinical decisions, or impose rigidcorporate structures. Instead, we provide leverage, infrastructure, andexpertise that allow independent sites to compete with large networks -without becoming one.
Sponsors and CROs partner with ICRA because the network delivers predictability,transparency, and regulatory confidence.
ICRA provides:
Our accreditation framework and ongoing quality oversight reducevariability and risk while preserving the flexibility and access thatindependent sites provide.
Regulatory excellence is non-negotiable at ICRA.
We ensure:
Monitors working with ICRA sites experience organized documentation,responsive teams, and clear escalation pathways - allowing them to focus onoversight rather than remediation.
Participant safety and confidentiality are the highest priorities acrossthe ICRA network.
All ICRA sites must demonstrate:
Because ICRA leadership has been hands-on site operators, safety istreated as a daily operational responsibility - not a compliance checkbox.
ICRA is led by hands-on operators, not consultants oradministrators.
The ICRA team has:
This experience allows ICRA to bridge the gap between strategy andexecution - and to share that knowledge directly with every site in thenetwork.
ICRA is execution-focused and knowledge-driven.
We actively share:
Our success depends on the success of each site. We pledge our experience, systems, and leadership to help every site perform at its highest level - and every study execute successfully.
Regulatory operations are not optional — they are foundational.
We provide: