Comparison

Bond Health vs TriNetX

Bond Health is better than TriNetX for enrolling patients because TriNetX stops at a count of eligible patients and an invitation to the site, while Bond finds the patients in the site's own EHR, contacts every one by voice and text, pre-screens them and books them for study visits.⁠[3],[9],[11],[12] TriNetX is a federated network of healthcare organizations' de-identified EHR data that sponsors and CROs query for protocol feasibility and site selection; when a member organization joins a study, it re-identifies the eligible patients itself.⁠[1],[2],[3]

By Rishabh Goel, CEO · Reviewed by Steven Tan, Security LeadLast updated Nov 8, 202613 sources

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Why is Bond better than TriNetX?

48 hours⁠[11]

typical time to go live with full EHR integration, handled by Bond's team with no integration fee

10,000+⁠[11]

charts screened per hour

Up to 3x⁠[11]

faster enrollment than manual recruitment

  • Patients, not counts. Bond returns ranked matches from the site's own records, each with the evidence behind every criterion decision and traceability to the chart, for the coordinator to review.⁠[11] In TriNetX, industry users see aggregate counts per organization and cannot query an individual organization.⁠[9]
  • Every match contacted. Bond's voice and SMS agents start from what Identify found in the chart, skip questions the chart already answers, and can pre-screen and book a visit in one conversation, in the patient's language.⁠[12] TriNetX's own outreach goes to organizations and sites, not patients.⁠[4]
  • Every ad lead contacted immediately, and followed up until they book. Bond creates and runs Meta and Google ad campaigns for each study. Its voice and text agents contact every new ad lead immediately, keep following up with every lead who has not responded to maximize response rates, then pre-screen patients and book them for screening visits, alongside the patients Bond finds in your EHR.⁠[12]
  • Consent support and retention. Plain-language consent support with staff escalation, then visit reminders, transportation booking, symptom and diary collection and dropout-risk alerts after enrollment. The site and PI obtain consent.⁠[11],[12]
  • Any research site, not only network members. Bond connects to Epic, Oracle Health (Cerner), MEDITECH, athenahealth, eClinicalWorks, NextGen, Veradigm and OncoEMR, and works with CRIO, Advarra OnCore, Advarra Clinical Conductor, RealTime and Veeva SiteVault, so physician groups and FQHCs can use it too.⁠[11],[12]
  • A price that follows enrollment. A volume-based fee per screened patient plus a percentage of each randomized patient's milestone payments, from randomization onward, with no integration fee. See pricing.⁠[12]

As of October 2026, Bond is the only vendor in our comparison table whose public materials describe software that both reads EHR notes against a protocol and runs its own Meta and Google ad campaigns, then contacts patients by voice and text all the way to a booked study visit.⁠[12]

How do Bond and TriNetX compare, capability by capability?

Years in the TriNetX column show each source's date. "Not publicly documented" means we found no public description in the materials we reviewed in November 2026, not that the capability is absent.

Bond Health and TriNetX, from materials reviewed in November 2026
CapabilityBond HealthTriNetX
What it isA recruitment platform that works for the site, from EHR screening and ad campaigns to a booked study visit, in one workflow.⁠[11],[12]A federated network that connects healthcare organizations and researchers through real-world EHR data, used for feasibility, site selection and research (2026).⁠[1],[2]
Who uses itResearch sites, physician groups, FQHCs, site networks, CROs and sponsors.⁠[11]Sponsors and CROs query the network; member healthcare organizations contribute data and receive study invitations (2023, 2026).⁠[9],[3]
What it readsStructured fields and clinical notes, prescriptions and lab results, plus imaging data and pathology, radiology and molecular reports.⁠[11],[12]Demographics, diagnoses, procedures, medications and lab results, as discrete data or from natural language processing of notes and reports (2023). NLP-extracted facts sit next to the structured data (2026).⁠[9],[2]
Patient identitiesWorks on the site's identified records under a business associate agreement, and returns named, ranked matches with the evidence behind each criterion.⁠[11]De-identified, pseudo-anonymized or limited data sets (2023). Industry users see aggregate counts per organization; the organization re-identifies eligible patients itself (2023, 2026).⁠[9],[3]
Feasibility and site selectionEligible-patient counts for a protocol from the same EHR screening, backed by chart evidence a coordinator can check, at the sites that run Bond.⁠[12]Feasibility of eligibility criteria on real-world data, and site and PI-level insights for site selection (2026). A paid report adds patient counts, criteria analysis and organization names (2026).⁠[2],[4]
OutreachVoice and SMS agents contact every matched patient and every new ad lead immediately, and keep following up until they respond. Bond also creates and runs Meta and Google ad campaigns.⁠[12]Sends study opportunities to selected organizations and sites and follows up with the sites (2026). Contacting patients: not publicly documented (November 2026).⁠[4]
Pre-screening and bookingPre-screens patients by phone and text and books screening visits straight into the site's calendar, with reminders.⁠[11],[12]Not publicly documented (November 2026).
Consent and retentionPlain-language consent support with staff escalation; visit reminders, transportation booking and dropout-risk alerts after enrollment.⁠[11],[12]Not publicly documented (November 2026).
ConnectionConnects to the major EHRs via FHIR and HL7 or an aggregator, with full integration in 48 hours, handled end to end by Bond's team (implementation).⁠[11]Data sits on hardware in the organization's data center, with a cloud-hosted option (2023). In an NHS case study, TriNetX mapped the trust's local codes to standard terminologies (2026).⁠[9],[6]
PricingA volume-based fee per screened patient plus a percentage of each randomized patient's milestone payments, from randomization onward, with no integration fee (pricing).⁠[12]Sponsors and CROs fund the platform; member organizations incur no financial costs and receive the software and hardware (2023). No public price list found (November 2026).⁠[9]

What is TriNetX?

TriNetX connects healthcare organizations and researchers through real-world patient data. Its TriNetX LIVE™ platform lets sponsors and CROs test a protocol's eligibility criteria against the network's data, choose organizations and sites, and invite them to studies through TriNetX LIVE™ Connect.⁠[1],[2],[3] Member organizations keep their data on hardware in their own data center, or use a cloud-hosted option, and in return receive query and analytics tools at no financial cost; sponsors and CROs pay for access.⁠[9]

TriNetX is headquartered in Cambridge, Massachusetts.⁠[5] Carlyle was its majority investor in January 2025, when its founding CEO announced he would step down.⁠[7] In April 2023, TriNetX announced it would acquire Clinerion from Norstella.⁠[8]

What happens after TriNetX finds a site?

The study opportunity goes to the organization, and the organization decides whether to take it. TriNetX says Connect lets sponsors and CROs invite organizations to studies and lets the organization "compliantly re-identify eligible patients".⁠[3] From there, someone at the site still has to find each patient in the chart, call them, pre-screen them and book the visit.

Weill Cornell Medicine published its experience: over six years, TriNetX brought it 402 requests for sponsor-initiated trials, and local investigators were interested in 14% of them. Its authors found the network's effect on activation and enrollment hard to measure, because no common trial identifier was shared across TriNetX, the sponsor and the institution.⁠[10]

That last stretch, from an accepted study to booked screening visits, is what Bond does: Identify screens the site's records against the protocol, Engage contacts and pre-screens every match, and Book puts them on the calendar.⁠[11],[12]

Can Bond do what TriNetX is known for?

  • Protocol feasibility counts: yes, at the sites that run Bond. Bond runs feasibility from the same EHR screening, giving eligible-patient counts for a protocol backed by the chart evidence behind each match, which a coordinator can check.⁠[12]
  • Criteria that live in clinical notes: yes. Bond reads clinical notes, prescriptions and lab results, plus imaging data and pathology, radiology and molecular reports, and resolves terms through a terminology graph built from 18 biomedical vocabularies.⁠[11],[12],[13]
  • De-identified queries across many health systems at once: no. That is what TriNetX is built for.⁠[2],[9] Bond works inside each site's own records, which is why the two fit together.

Can a site use TriNetX and Bond together?

Yes. A sponsor or CRO can use TriNetX to judge feasibility and pick organizations, and a site that accepts the study can use Bond to find the eligible patients in its own EHR, contact and pre-screen every one, and book them for visits.⁠[2],[3],[11],[12] Bond screens each patient against every open study at the site, so a patient who screens out of one study can be matched to another.⁠[12]

  1. 1

    Accept the study

    Review the opportunity the sponsor sent and confirm your site can run it.

  2. 2

    Screen your own records

    Bond screens the EHR against the protocol and returns ranked matches with the chart evidence behind each criterion.⁠[11]

  3. 3

    Contact and pre-screen

    Bond's agents call and text every match, and every lead from the Meta and Google ads Bond runs, then pre-screen them.⁠[12]

  4. 4

    Book and report

    Pre-screened patients are booked into your calendar, and the dashboard reports patients matched, contacted, pre-screened, consented and randomized to the sponsor.⁠[11]

Before any outreach, the IRB reviews the scripts. Bond's IRB submission language template covers AI-assisted outreach, and Bond signs BAAs and is HIPAA compliant (security).⁠[11]

Bring a study you were invited to. We will show how many eligible patients Bond finds in your records, with the evidence behind each one, and how the agents would reach them.

How was this comparison made?

Bond wrote this page in November 2026. TriNetX facts come from public sources read on November 8, 2026: TriNetX web pages, a TriNetX press release, a Norstella press release, a peer-reviewed paper written mostly by TriNetX staff and a Weill Cornell Medicine paper, each quoted in the sources below. We left out network-size figures, which TriNetX reports differently across its own pages. Bond's figures and capabilities come from its website, its technical report and product information Bond provided. We used no private or internal competitive material.

Frequently asked questions

Is Bond better than TriNetX?
For enrolling patients, yes. TriNetX helps sponsors find organizations with eligible patients and invite them to studies, and the organization re-identifies its own patients.⁠[3],[9] Bond finds the patients in the site's EHR, contacts and pre-screens every one by voice and text, and books them for visits, for a volume-based fee per screened patient plus a percentage of each randomized patient's milestone payments, from randomization onward (pricing).⁠[11],[12]
Does TriNetX contact patients?
We found no public description of TriNetX contacting patients as of November 2026. Its premium service sends study opportunities to selected organizations and sites and follows up with the sites.⁠[4] Bond's agents contact every matched patient and every ad lead immediately and keep following up until they respond.⁠[12]
Does TriNetX read clinical notes?
Partly. TriNetX data may come from discrete data elements or from natural language processing of notes and reports, and its NLP-extracted facts sit next to the structured data.⁠[9],[2] Bond reads the clinical notes and reports in the site's own chart and shows the text behind every criterion decision.⁠[11],[12]
Is TriNetX free for hospitals?
TriNetX's 2023 paper says member organizations incur no financial costs and receive query and analytics tools and the hardware, while sponsors and CROs fund the platform.⁠[9] Bond has no integration fee: sites pay a volume-based fee per screened patient plus a percentage of each randomized patient's milestone payments, from randomization onward.⁠[12]
Is Clinerion part of TriNetX?
In April 2023, TriNetX and Norstella announced that TriNetX would acquire Norstella's Clinerion subsidiary.⁠[8]

Sources

  1. 1.
    TriNetX homepage · TriNetX (trinetx.com), 2026
    Read November 8, 2026. Quotes: "The Global Truth Engine for Better Human Health®"; "TriNetX connects healthcare organizations and… moreRead November 8, 2026. Quotes: "The Global Truth Engine for Better Human Health®"; "TriNetX connects healthcare organizations and researchers across the globe so they can see what's happening in real patient populations".
  2. 2.
    TriNetX LIVE™ · TriNetX (trinetx.com), 2026
    Read November 8, 2026. Quotes: "Assess the feasibility of your study's eligibility criteria with real-world data on millions of… moreRead November 8, 2026. Quotes: "Assess the feasibility of your study's eligibility criteria with real-world data on millions of current patients"; "Easily target and engage with the healthcare organizations and sites best aligned to your study with site and PI-level insights and communication tools"; "NLP-extracted Facts from Clinical Notes make clinical detail queryable in TriNetX LIVE™, next to the structured EHR data for the same de-identified patients."
  3. 3.
    TriNetX LIVE™ Connect: clinical trials and research recruitment · TriNetX (trinetx.com), 2026
    Read November 8, 2026. Quotes: "TriNetX LIVE™ Connect brings sponsors, contract research organizations (CROs), and healthcare… moreRead November 8, 2026. Quotes: "TriNetX LIVE™ Connect brings sponsors, contract research organizations (CROs), and healthcare organizations (HCOs) together"; "allowing sponsors and CROs to invite HCOs to participate in their studies and HCOs to compliantly re-identify eligible patients and bring new treatment opportunities to the bedside."
  4. 4.
    TriNetX LIVE™ Premium Services · TriNetX (trinetx.com), 2026
    Read November 8, 2026. Quotes: a "Select Report with patient counts, criteria analysis, and HCO names"; "We use TriNetX LIVE™… moreRead November 8, 2026. Quotes: a "Select Report with patient counts, criteria analysis, and HCO names"; "We use TriNetX LIVE™ Connect to send your study opportunity to selected HCOs and sites under consideration, leveraging our close relationships to drive responses. We then actively follow up with sites".
  5. 5.
    About TriNetX and contact details · TriNetX (trinetx.com), 2026
    Read November 8, 2026. About page: "Founded in 2013, TriNetX was built on the idea that better access to real-world data could… moreRead November 8, 2026. About page: "Founded in 2013, TriNetX was built on the idea that better access to real-world data could transform research and improve patient lives." Contact page (https://trinetx.com/contact/): "Worldwide headquarters 100 Cambridgepark Drive, Suite 501 Cambridge, MA 02140 USA". A January 2025 press release says the founder started TriNetX in 2014.
  6. 6.
    East Lancashire Hospitals NHS Trust case study · TriNetX (trinetx.com), 2026
    Undated case study, read November 8, 2026. Quotes: "Patient identifiable data does not leave the Trust since the TriNetX appliance… moreUndated case study, read November 8, 2026. Quotes: "Patient identifiable data does not leave the Trust since the TriNetX appliance is physically hosted within ELHT's data center"; "the TriNetX team mapped the local coding catalogue to platform standard terminologies".
  7. 7.
    TriNetX's Founding CEO Announces Plans to Step Down · TriNetX (PR Newswire), 2025
    Press release dated January 9, 2025, read November 8, 2026. Quotes: "Gadi founded TriNetX in 2014"; Gadi Lachman "will be an… morePress release dated January 9, 2025, read November 8, 2026. Quotes: "Gadi founded TriNetX in 2014"; Gadi Lachman "will be an Advisor to Carlyle, TriNetX's majority investor."
  8. 8.
    TriNetX and Clinerion Unite as TriNetX and Norstella Announce Strategic Partnership · Norstella press release, 2023
    Dated April 4, 2023, read November 8, 2026. Quote: "As part of the strategic partnership between Norstella and TriNetX, TriNetX… moreDated April 4, 2023, read November 8, 2026. Quote: "As part of the strategic partnership between Norstella and TriNetX, TriNetX will acquire Norstella's Clinerion subsidiary."
  9. 9.
    A global federated real-world data and analytics platform for research · Palchuk MB, London JW, Perez-Rey D, et al. JAMIA Open 2023;6(2):ooad035 (most authors are TriNetX employees), 2023
    Read in full text on Europe PMC (PMC10182857), November 8, 2026. Quotes: the network's data covers "primarily the demographics,… moreRead in full text on Europe PMC (PMC10182857), November 8, 2026. Quotes: the network's data covers "primarily the demographics, diagnoses, procedures, medications, and laboratory results found in the HCO's electronic medical record", expanded to include oncology-specific data; HCOs "provide healthcare data as a de-identified, pseudo-anonymized, or limited data set"; data "may be acquired as discrete data elements or from natural language processing of medical notes and reports"; industry participants "can run queries against the entire network to capture aggregate patient counts at each HCO" and "cannot run queries against individual HCOs"; "Industry participants provide the financial resources to support, expand, and improve the technology platform in return for access to network data"; "HCOs incur no financial costs and receive data query, analytic, and visualization capabilities, as well as the hardware needed to execute the software"; "the data resides on hardware located within the HCO's data center. A cloud-hosted option is also available."
  10. 10.
    Implementation of a commercial federated network of electronic health record data to enable sponsor-initiated clinical trials at an academic medical center · Campion TR, Sholle ET, Abedian S, et al. (Weill Cornell Medicine). International Journal of Medical Informatics, 2024, 2024
    Abstract read on Europe PMC, November 8, 2026. Quotes: "TriNetX integrated into existing institutional workflows enabled 402… moreAbstract read on Europe PMC, November 8, 2026. Quotes: "TriNetX integrated into existing institutional workflows enabled 402 requests for sponsor-initiated clinical trials, 14 % (n = 56) of which local investigators expressed interest in conducting" over a six-year period; "measurement of impact of institutional participation in the network was challenging due to lack of a common trial identifier shared across TriNetX, sponsor, and our institution."
  11. 11.
  12. 12.
    Bond Health product information · Bond Health, 2026Capabilities, pricing and compliance status described by Bond Health, October 2026.
  13. 13.
    Terminology Infrastructure and Graph-Grounded RAG for Clinical Trial Patient Matching · Bond Health, preprint, 2026Internal technical report by R. Goel, August 2026. Not peer reviewed. Available on request.

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