Extracting REDCap code for use at other institutions required time and effort. Existing code had to be modified to support alternate site-specific configurations. Vanderbilt resources were limited and the effort of supporting partner sites resulted in an overall slowdown of feature programming as well as local end-user training and promotion. Maintaining high expectations for feature development by Vanderbilt research teams while growing REDCap’s early consortium of adopters forced us to define how to prioritize and balance local and outside interests.