A BIOMEDICAL CLUSTER 15 years in the making. October 9, 2015



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A BIOMEDICAL CLUSTER 15 years in the making October 9, 2015 1

Agenda Innovation Pipeline Case Studies Our Case Conclusion 2

Key: Build Innovation Pipeline Deliver Knowledge to Market Discover Develop Deploy Inputs Critical mass of science talent, research funding, facilities Inputs Contract R&D, commercialization services, seed funds, deal generation Inputs Incubation, venture investment, cluster groups, tech parks, manufacturing Outputs Publications, innovation feedstock (IP), pre-competitive links to industry Outputs Commercial revenue, innovations packages & early stage start-ups Outputs Enterprise survival, business expansion, industry attraction & aggregation

Biomedical Cluster CASE STUDIES 4

Salt Lake City Biomedical Cluster A Productive Spin-off Generator University of Utah is #1 in the country at spinning-off companies based on its research despite lower average research funding (~$273m compared to $288 US average) With Development Capacity Medical research labs and testing facilities employ around 5,000 in the region Producing Specialized Output 3.6 times more specialized employment in the biomedical devices industry than US average Source: Battelle/Bio State Bioscience Initiatives, 2010

Key to Salt Lake City s Success University of Utah acts as anchor institution driving innovation pipeline on campus and in tech park: Strong science to precompetitive research Systematic tech transfer to virtual incubation thru TCO Accelerator Active incubation to commercial investment

Memphis Biomedical Cluster Major Regional Employer 70,000 employed in biosciences industry A Leader in Devices Top 10 producer of biomedical devices Grown 50%+ since 1999 Specialized in Orthopedics 2nd largest US orthopedic device manufacturer Globally recognized in orthopedics and spinal implants

Key to Memphis s Success Leverage strength in target areas to grow innovation and recruit companies Develop and build on a specific area of expertise Concerted focus on two specific areas orthopedics and spinal implants has aligned research at universities, hospitals, and research organizations and attracts federal funding and private companies Create an industry pipeline around target areas Strong network formed around orthopedics and spinal implants creates efficiencies in commercialization process and attracting companies for licensing and investment Aggressively market Memphis to recruit industry Chamber of Commerce focused on growing the biomedical industry, providing information and services to attract firms to Memphis

Denver-Boulder Biomedical Cluster Solid Regional Employment 14,460+ bioscience employees at 510 bioscience companies in the Denver- Aurora-Boulder region Small Community, High Specialization Boulder has employment LQ of ~5 in BOTH biomedical devices and pharmaceuticals subsectors Good Recent Growth Employment in medical devices and diagnostics grew 9.8% from 2005-2010 Strong Retention of Spin-offs 77 of 94 companies spun-out of University of Colorado (CU) since 1994 still operate in state Source: Metro Denver Economic Development Report on Biomedical Industry - 2010

Key to Denver/Boulder s success Fitzsimons Life Sciences District Repurposed military facility for biomedical industry Collaborative between the state, local governments, military and $1.5 billion Anschutz Medical Campus has over 40 technology companies and 3 hospitals located on campus with room to grow Centrally located facility = Regional hub Built on a former military medical center as a result of a shared vision by the City of Aurora and CU, the FLSD bridges the Denver and Boulder regions geographically, expanding the potential growth engine Spans the entire innovation pipeline Discover, Development, deployment via Fitzsimons BioBusiness Partners FBBp was created to help convert the substantial ongoing public investment in the Fitzsimons Life Science District into a sustainable life sciences cluster

San Diego Biomedical Cluster Major employer Over 27,000 people ~20% of total employed in the region s biomedical industry Specialized across the board 3.5 times the US average employment concentration in biomedical research, labs & testing Science is the Catalyst Federal research grants to local research institutes and tech firms totaled ~$1.4 billion in 2010 Forming & attracting a major nexus of firms > 400 biomedical companies in the San Diego MSA Leveraging Tijuana, Mexico Largest biomedical device manufacturing cluster in Mexico

Key to San Diego s success CONNECT fuels development and deployment Started by UCSD, CONNECT has grown into an independent regional cluster engine Establish a "culture of collaboration" between industry, capital sources, professional service providers & research organizations. Broad network spans the innovation pipeline Widely emulated, distinct model for growing a cluster through Innovation Acceleration for Business Creation Efficient vehicle links inventors with investors Leverages connections with Silicon Valley investors interested in funding biomedicine

OUR CASE. PDN TRANSFORMATION in education, research & life sciences 13

TTUHSC El Paso 2006 - present o $180 million of capital investments Medical Sciences Building Medical Education Building Clinics Nursing School & Simulation Labs Upcoming Research Building

UMC & Children s 2005 - present $425 million of capital investments UMC Hospital Expansion & Renovation New Children s Hospital Tower Outpatient Destination Centers

UTEP 2009 present $270 million of capital investments Biological Sciences Chemistry & Computer Sciences Engineering + Bio-Engineering Annex College of Health Sciences Nursing School Upcoming Interdisciplinary Research

New Mexico State University o o o $200 million in annual research Arrowhead Innovation Center 2014: Burrell College of Osteopathic Medicine will be built on the NMSU Campus sharing services n $60 million facility 17

William Beaumont Army Medical Center @ Ft. Bliss coming summer 2018 $1 billion replacement hospital 1.13M sf 6 buildings Hospital East Clinic West Clinic Admin CIB CUP 18

The Hospitals of Providence Over $550 million of capital investment over a 10 year period New Northwest Hospital with TTUHSC New Sierra East Hospital + New Tower Renovation of Sierra Renovation of Providence 2 Off-Campus Emergency Departments Urgent Care Centers and Imaging Centers Horizon City Expansion 19

HCA Developments Free Standing Emergency Departments Urgent Care Clinics Hybrid OR Surgical Robots 20

Private Hospital Industry Growth Mentis Neuro Rehab Hospital west side $3 million investment Juarez Private Hospitals Star Medica Los Angeles Launch of a biomedical cluster in Juarez Medical Tourism Biomedical Device Manufacturing 21

Medical Center of the Americas 2008: 140 Acre MCA Campus Re-Zoning.. And 13 acre purchase for Tech Park development Master Planning for the future 2011: 440 Acre MCA Campus 22

City Economic Development Incentive Policy Impact Fund Policy approved = June 14, 2011 Contract with MCA = February 7, 2015 Strategic Objective Dedicate 75% of the annual fund to assist the MCA Foundation to create a life sciences campus in the City of El Paso. ~$2.7 million per year to the MCA 18 years Approximately $60 million over 18 years

Construction In Progress opens May 2016 24

Cardwell Collaborative

Juarez Maquiladora Industry 50 years of operations 350+ maquiladoras in Juarez 300,000+ employed in maquilas in Juarez Advantages to manufacturing in Juarez Low labor costs Trainable workforce Proximity to U.S. market and distribution centers Cooperative, predominantly nonunion workforce Access to experienced legal and customs services Fine quality of life for U.S. managers living in El Paso Sophisticated transportation infrastructure Experienced Mexican technicians and supervisors Educational institutions providing qualified graduates for industry World-class production facilities 26

Juarez Biomedical Manufacturing 27

Seisa Group Juarez, MX Vertical integration of biomedical manufacturing R&D and product development Local ownership, control, decision making Local scientific talent Local facilities Cost-efficiencies Manufacturing experience and know-how R&D, product development know-how 28

Paso del Norte Region BioCluster CHALLENGES, GOALS 29

The Challenge Bad News: Competition There are over 25 MSA s with existing, growing biomedical clusters Good News: Growth is fundamental Biomedical industry will expand and diversify Reality: Entering biomedicine is difficult Creating distinctive input advantage is key to success Opportunity: Paso del Norte can stand out Take advantage of the laws, culture and capabilities of 2 countries & 3 states

Key to Paso del Norte Region s Biomedical Cluster Success DISCOVER: Emerging Research & Development Capacity (facilities, talent) 6+ Institutions of Higher Education 3 Medical Schools DEVELOP: Growing Innovation Community MCA Foundation & Cardwell Collaborative Arrowhead at NMSU HUB of Human Innovation Tech Hub Juarez DEPLOY: High-Quality, Cost-Effective Intelligent Manufacturing and Support 50 years of manufacturing evolution in El Paso/ Juarez Transition to advanced/intelligent manufacturing + product development

Conclusion El Paso - Juarez symbiotic relationship will result in a strong and unique Biomedical Cluster: Research Commercialization Manufacturing 32

THANK YOU!! 33