Clinical Trial Cost Accruals
5
Minutes Read
Published
June 7, 2025
Updated
June 7, 2025

Biotech CRO Contract Accounting: Milestone vs Time-Based Expense Recognition Guide

Learn how to accrue CRO costs for clinical trials by comparing the accounting methods for milestone-based payments versus time-based billing.
Glencoyne Editorial Team
The Glencoyne Editorial Team is composed of former finance operators who have managed multi-million-dollar budgets at high-growth startups, including companies backed by Y Combinator. With experience reporting directly to founders and boards in both the UK and the US, we have led finance functions through fundraising rounds, licensing agreements, and periods of rapid scaling.

CRO Contract Accounting: Understanding Milestone vs. Time-Based Methods

Lumpy CRO invoices arrive, throwing your cash flow forecasts into chaos. It is a common problem for early-stage biotechs, creating a distorted picture of your monthly burn and making it difficult to report progress to investors. Misapplying accounting methods for these clinical research organization contracts can materially misstate your P&L and erode the very confidence you need to secure that next round of funding. Inadequate documentation of your accrual assumptions only magnifies this risk, leaving you exposed during audits or due diligence. This guide provides a clear framework for how to accrue CRO costs for clinical trials, ensuring your financial statements reflect the true pace of your R&D progress. This is part of a broader discussion on clinical trial cost accruals.

The Core Principle of Accrual Accounting

To properly manage biotech expense tracking, you must operate on an accrual basis, not a cash basis. Cash accounting records expenses only when money leaves your bank account. Accrual accounting, the standard investors and auditors expect under US Generally Accepted Accounting Principles (US GAAP), records expenses when they are incurred, regardless of when you pay the invoice. This is governed by the Matching Principle: you must match expenses to the period in which they helped generate value or were consumed. For a biotech, this means recognizing the cost of research as the work is performed.

While a revenue standard, ASC 606 provides guiding principles for measuring progress, which can be analogized to expense recognition in this context. These standards guide the accounting judgment required to present an accurate financial picture. While this article focuses on US GAAP, UK companies following FRS 102 apply similar principles, though specific interpretations can differ. The goal is to present a consistent, accurate view of your company’s financial health month over month.

Accounting for Time-Based and Retainer CRO Contracts

The most straightforward clinical research organization contracts are time-based or retainer agreements. In these arrangements, you are paying for access to a CRO’s team, resources, and a specified level of effort over a defined period. The performance obligation is the provision of services over time, not the delivery of a specific result. For these contracts, you should recognize the expense "ratably," or on a straight-line basis, over the life of the agreement.

How to Implement Time-Based Accruals

Consider a typical scenario: you sign a $90,000, 6-month contract for preclinical services. The billing schedule is aggressive, requiring $45,000 upfront and the remaining $45,000 at the end of the project. A cash-based approach would show a huge $45,000 expense in month one, zero for four months, and another $45,000 spike in month six. This completely distorts your burn rate. The correct accrual method is to recognize the expense evenly.

You would record a $15,000 per month expense for each of the six months ($90,000 / 6 months). In your accounting software like QuickBooks or Xero, you manage this through journal entries. Each month, you would debit R&D Expense for $15,000 and credit Accrued Liabilities for $15,000. When you pay the invoice, you debit Accrued Liabilities and credit Cash. This smooths out your financial reporting and provides a true measure for financial planning for clinical trials.

Accounting for Milestone-Based CRO Contracts

Milestone-based CRO contracts are more complex and require a different approach for expense recognition. Here, payments are tied to achieving specific, separable results, such as completing a toxicology study, enrolling a certain number of patients, or delivering a validated data package. The performance obligation is the delivery of the specified result, not the effort expended to get there. For these contracts, the expense is recognized "at a point in time" when the milestone is officially met and accepted by your team.

Recognizing Milestone-Based Expenses

Imagine your CRO is working towards a key research outcome with an associated milestone payment of $200,000. They might perform the underlying work across Q1 and Q2. However, if the final data package is delivered and formally accepted by your team in the first week of Q3, the entire $200,000 expense is recognized in Q3. You do not spread the cost across the months the work was performed. This is the critical distinction in milestone payment accounting.

The expense is tied to the satisfaction of the performance obligation, not the hours worked. A scenario we repeatedly see is startups incorrectly accruing these costs ratably, which understates expenses in early periods and requires a painful correction when the milestone hits. This creates volatility in financial statements and undermines investor confidence. For practical implementation guidance, see this clinical trial accrual primer from a specialist advisor on clinical trial financial accruals.

Handling Hybrid CRO Contracts

Many clinical research organization contracts are not purely time-based or milestone-based. They are often hybrids, combining a monthly retainer for general project management with large payments tied to specific achievements. In these cases, you must bifurcate the contract for accounting purposes and treat each component according to its nature.

For example, a contract might stipulate a $20,000 monthly fee for access to the CRO's team and systems, plus a $250,000 payment upon successful patient enrollment for a Phase 1 trial. You would accrue the $20,000 fee on a straight-line basis each month. The $250,000 milestone payment, however, would only be recognized as a single expense in the period that the enrollment target is formally met and verified. Applying a single accounting method to the entire contract would be incorrect and would misrepresent your financial performance.

Your Audit-Proof Framework: Documenting Your Approach

How do you decide which method to use, and more importantly, how do you defend that choice during due diligence or an audit? The answer lies in clear analysis and robust documentation. The central question you must answer for each CRO contract is: Am I paying for "time and effort" or for a "specific, separable result"? Once you have your answer, document it in an internal memo for your financial records. This creates an audit trail that justifies your CRO invoice management and accruals for clinical studies. We recommend a "5-Point Audit-Proof Memo" structure.

  1. Contract Summary: Briefly outline the CRO, project name or number, total contract value, and the service period. This provides immediate context for any reviewer.
  2. Performance Obligation Analysis: State clearly what the CRO is obligated to deliver. Is it a block of hours and access to a team (time-based)? Or is it a specific outcome like a validated assay or a regulatory submission (milestone-based)? Quote key phrases from the contract if possible.
  3. Chosen Accounting Method: Explicitly state your choice: "Ratable (Time-Based) Recognition," "Point-in-Time (Milestone-Based) Recognition," or "Hybrid Recognition." For hybrid contracts, specify how each component will be treated.
  4. Justification: This is the most critical section. Explain why you chose the method, linking it directly to your analysis in point 2. For example: "We chose ratable recognition because the contract specifies the delivery of 200 hours of chemistry support per month, making the performance obligation the continuous provision of services over time."
  5. Recognition Schedule: Lay out the practical application of your chosen method. Provide a clear schedule, such as "$15,000 per month for six months" for a time-based contract, or "$200,000 upon successful completion and acceptance of Milestone A" for a milestone contract.

This simple document, attached to the contract file in your system, is your best defense against questions about your accounting policies.

Strategic Financial Implications of Correct CRO Accruals

The core lesson is to align your accounting with the substance of your CRO agreements. For time-based contracts, recognize the expense evenly over the service period. For milestone-based contracts, recognize the expense in full only when the milestone is achieved. This adherence to the Matching Principle is fundamental for producing reliable financial statements that build investor trust.

Improved Forecasting and Runway Management

Irregular CRO billing makes it hard to forecast cash burn and runway, but proper accrual accounting solves this by separating the timing of cash payments from the recognition of the expense. Your monthly burn rate becomes a true reflection of operational activity, not just a reaction to invoice schedules. This allows for more accurate financial planning for clinical trials. For more on this, see our guide on clinical trial prepayments vs accruals.

Compliance for R&D Tax and Capitalization

Accurate expense tracking is a prerequisite for other critical financial activities. For US companies, properly timed expenses are essential for R&D capitalization under the latest Section 174 rules. In the UK, accurate periodic R&D costs provide the necessary data for claims under the HMRC R&D tax credit scheme. Getting your CRO accruals right is not just an accounting exercise; it is a foundational piece of strategic financial management for any biotech startup.

Next Steps: Take Action Now

Don't let this remain theoretical. Take immediate, practical action to ensure your books are accurate and defensible.

  1. Schedule a Review: Set aside time with your bookkeeper, accountant, or part-time finance lead specifically to review CRO accounting policies.
  2. Audit Your Contracts: Pull up every active CRO contract and create a simple spreadsheet. For each one, classify it as time-based, milestone-based, or hybrid based on its substance.
  3. Create Your Memos: For each significant contract, draft a short "5-Point Audit-Proof Memo" justifying your classification. Store it with the digital contract file.

This simple exercise will bring immense clarity to your financial reporting, strengthen your position for any future audit or due diligence process, and give you a much firmer grasp on your true burn rate and runway.

Frequently Asked Questions

Q: What if a milestone is partially completed at the end of a reporting period?
A: Generally, no expense should be recognized until the milestone is fully met and formally accepted. Accruing a partial expense is usually inappropriate unless the contract specifies a clear, objective, and verifiable output measure for partial completion, which is rare for substantive scientific milestones.

Q: How do pass-through costs (e.g., lab materials, patient travel) affect CRO accruals?
A: Pass-through costs should typically be accrued in the period they are incurred, not when the CRO invoices you for them. If your CRO purchased a key reagent for your project in May, that cost should be accrued in May, even if the invoice detailing it arrives in July.

Q: Does my accrual method change when I actually pay my CRO?
A: No. Accrual accounting is for financial reporting and does not change your cash obligations. Your payment schedule is determined by the commercial terms negotiated in your contract. The purpose of accruals is to separate the timing of expense recognition from the timing of cash payments for an accurate P&L.

Q: What is the biggest mistake startups make with CRO contract accounting?
A: The most common error is defaulting to a straight-line (ratable) expense recognition method for all contracts, especially those that are fundamentally milestone-based. This improperly smooths expenses, understating them in early periods and leading to large, sudden P&L impacts when milestones are hit.

This content shares general information to help you think through finance topics. It isn’t accounting or tax advice and it doesn’t take your circumstances into account. Please speak to a professional adviser before acting. While we aim to be accurate, Glencoyne isn’t responsible for decisions made based on this material.

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