ARCH is a hospital consulting relationship with associated costs at each stage. Development costs vary relative to existing elements and the hospital's current infrastructure that can incorporated into clinical trials. Bringing the facility into readiness and to industry standards may require additional infrastructure and research-related staff.

ARCH guides the research program through the labyrinth of research opportunities, including contract review and budget negotiations. Typically, hospitals that implement the CPM program can recap the institutional investment within the second year of clinical trial activity.