Every site absorbs costs that never show up in a budget. Coordinator overtime, screen failures, startup inefficiencies, technology burden — these aren't edge cases, they're everyday realities. And over time, they're what push good investigators out of research for good. Lauren Stockwell sits down with Mike Pierre, Project Manager at SCRS, to talk about the Hidden Costs Workshop, why it was created, and what sites, sponsors, and CROs actually walk away with after four hours in that room together. If you have ever struggled to justify a budget line or wondered why your numbers never seem to add up, this one is for you.