Contract Lifecycle Management & E-Signature (CLM)3 min readUpdated September 2026

PandaDoc or Ironclad for Veterinary Group Contracts?

A multi-hospital veterinary group signs associate DVM agreements with productivity-based compensation and non-compete terms, practice acquisition agreements with earnout provisions when buying a new location, equipment lease agreements for imaging and surgical equipment, and pharmaceutical distributor agreements that include controlled substance handling terms. That's a wider range of contract complexity than a single-hospital practice ever has to manage.

Work through this worksheet with your own hospital list in hand to see which tool actually fits.

Vendors Covered in this Article

Disclosure: We may earn a commission if you buy through some links on this page. It doesn't change what we recommend.

Worksheet step one: separate your steady-state paper from your growth paper

Associate DVM agreements and equipment leases are steady-state, they happen regularly as you staff and equip hospitals, and they're usually fairly standard. Acquisition agreements with earnout terms are different: infrequent, high-stakes, and heavily negotiated every time. Listing these separately matters because they don't need the same tool treatment, and conflating them is how a group ends up over-building process around routine paperwork, adding an approval step to a standard associate agreement that never needed one in the first place.

Worksheet step two: check how consistent your associate agreements actually are

Pull three associate agreements from three different hospitals in your group and compare the non-compete and compensation language side by side. Groups that have grown through acquisition often find real inconsistency here, since each acquired hospital brought its own agreement style with it. That inconsistency is worth fixing with your attorney before deciding a contract tool will solve it for you.

Productivity-based compensation formulas are worth comparing especially closely, since a formula that made sense at one hospital's case mix and fee schedule may not translate cleanly to another, and associates who compare notes across locations will notice a difference that feels arbitrary even if there's a real underlying reason for it.

Say one hospital pays associates a percentage of collections and another pays a flat rate per production point; an associate who transfers between locations, or simply compares notes with a peer at another hospital in the same group, will ask why the formulas differ, and 'that's just how that hospital always did it' stops being an answer the group can rely on once it's trying to retain talent across every location it operates.

Worksheet step three: where is your earnout tracked today?

An acquisition earnout typically ties additional payment to the acquired hospital hitting specific performance targets over a period of years after closing. Ask where that tracking actually happens right now, most groups find it's in a finance spreadsheet, not the contract system, and confirm someone is actually checking it against the signed terms on the agreed schedule rather than assuming it's handled, since an earnout milestone that quietly passes unchecked is money left on the table for whoever sold the practice, and a dispute waiting to happen if the target was actually hit and simply never verified.

Worksheet step four: how many controlled substance agreements do you have?

Pharmaceutical distributor agreements covering controlled substances carry their own regulatory documentation requirements, separate from a standard supply agreement. Multi-hospital groups sometimes find these agreements are held at the individual hospital level rather than centrally, which makes it hard to confirm compliance across the whole group from one place when a question comes up.

This is worth resolving even before choosing a contract tool: know today which hospital holds which distributor agreement and who at each location is responsible for renewing it, since that basic map is often missing even in groups that feel organized in every other respect.

A common mistake is assuming a newly acquired hospital's existing distributor relationship simply carries over with the sale. In practice, a change of ownership can trigger new registration requirements with the relevant federal agency, and a gap between the old registration lapsing and the new one taking effect can leave a hospital briefly unable to legally handle controlled substances at all.

Work through these checks for controlled substance agreements:

  • Locate every pharmaceutical distributor agreement that covers controlled substances, across all of your hospitals.
  • Note whether each agreement is held at the individual hospital level or centrally.
  • Confirm each one carries the regulatory documentation requirements that sit apart from a standard supply agreement.
  • For acquired hospitals, have someone familiar with veterinary pharmaceutical compliance review the distributor agreements specifically.

Worksheet step five: match what you found to a tool

A group with a handful of hospitals, consistent associate agreements, and infrequent acquisitions is well served by PandaDoc for the steady-state paper, tracking earnouts and controlled substance agreements in existing finance and compliance systems. A group growing actively through acquisition, standardizing associate terms across many hospitals, and needing centralized visibility into earnout and regulatory documentation benefits more from Ironclad's repository, particularly for managing the acquisition side of the business.

Worksheet step six: what if your group is itself an acquisition target

Many multi-hospital veterinary groups eventually get approached by a larger consolidator, and when that happens, the buyer's diligence team will want exactly the kind of contract consistency and searchability this worksheet has been building toward: every associate agreement, every equipment lease, every controlled substance distributor agreement, accessible and organized rather than scattered across individual hospitals.

Groups that have already centralized this paperwork, whichever tool they used to get there, tend to move through that diligence process noticeably faster than groups that have to reconstruct it under time pressure once an offer is on the table. It's worth thinking about your contract organization with that possibility in mind, even if a sale isn't on the horizon yet.

Executive Capability Standard

What Good Looks Like

Good contract management for a multi-hospital veterinary group means associate agreement terms are consistent across locations, and every earnout and controlled substance agreement is tracked against its actual schedule.

Building The Capability (5-Stage Skill Ladder)

1. Learn:Learn how consistent your associate agreement terms actually are across hospitals today, since acquired locations often carry different language than hospitals you built from scratch.
2. Do Manually:Track earnout milestones and controlled substance distributor renewals in a shared spreadsheet your finance and compliance leads review together quarterly.
3. Delegate:Assign a group-level operations lead ownership of new associate agreement review, so terms don't drift hospital by hospital based on whoever's handling onboarding locally.
4. Automate:Use signature templates for standard associate agreements and equipment leases so routine hospital staffing and equipping doesn't wait on manual document assembly.
5. Buy:Once you're actively acquiring hospitals and standardizing terms across a growing, geographically spread group, move to a platform with a shared repository and clause library.

How to Get Started

Disclosure: We may earn a commission if you buy through some links on this page. It doesn't change what we recommend.

Frequently Asked Questions

Should earnout tracking live inside the contract tool?

It doesn't have to; many groups track earnout performance metrics in their financial reporting system since that's where the underlying data already lives, using the contract tool mainly to hold the signed terms themselves. What matters is that someone owns checking actual performance against the agreed terms on schedule, regardless of which system does the tracking.

Can Ironclad standardize associate agreement terms automatically across hospitals?

It can enforce consistent language once your attorney has approved a standard template and any state-specific variants for non-compete terms, but it won't decide what that language should say. The standardization work happens once, upfront, with legal input, and the clause library then keeps future agreements consistent with it.

Do controlled substance agreements need review when acquiring a new hospital?

Yes, and this is a common gap in due diligence, since these agreements carry specific regulatory handling requirements that a general commercial contract review might not catch. Have someone familiar with veterinary pharmaceutical compliance review the acquired hospital's distributor agreements specifically, not just its general commercial contracts.

About the numbers

This guide doesn't quote a sourced benchmark. Figures in it are estimates or general guidance, so check them against your own numbers.

Related Guides