Medical Device Concentration Is Strong In Indiana

There are a number of strong, stable medical device companies in Indiana. Warsaw is the “Orthopedics Capital of the World” and home to companies like Zimmer, Biomet, and DePuy. Bloomington is home to Cook Medical, the “largest private medical device company in the world”. Also in the Bloomington area is a Boston Scientific manufacturing facility. Along with these large medical device companies, there are numerous start-ups and service providers supporting this industry.

Recently, Gerry Dick from Inside Indiana Business talked with Bill McConnell about the medical device sector in Indiana.

Watch the interview

Life Sciences in the Midwest – March 2011

David Floyd stepped down as president of Warsaw-based DePuy Othopaedics according to massdevice.

“David Floyd is no longer the top man at DePuy Orthopaedics, leaving the Johnson & Johnson (NYSE:JNJ) subsidiary in the midst of a damaging recall of one of its hip replacement line that has already cost it nearly $1 billion in legal expenses.

DePuy Orthopaedics, the Warsaw, Ind.-based Johnson & Johnson subsidiary, said Floyd is leaving to pursue outside interests. No replacement has been named, according to MarketWatch.”

Depuy is a Johnson and Johnson subsidiary.  J & J has been in the news quite a bit recently because of the many recalls that have been issued on products from medical devices to medicine. Medicaldevicenow talks about the recall on insulin pump cartridges.

“The New Brunswick, N.J., based healthcare giant, which has been plagued recently by a seemingly endless stream of product recalls, has recalled five lots of potentially leaky insulin pump cartridges that the company said could lead to serious health problems and death.”

Johnson and Johnson have even had to lower their CEO’s salary from last year as a result of the recalls as stated in topix.

“Health care giant Johnson & Johnson lowered Chief Executive William Weldon’s total compensation by 9 percent in 2010, after two years of revenue declines and an unprecedented string of recalls that have battered the reputation of medicines like Tylenol and other household brands.”

On a different note, how will the tax on medical devices that is to go into effect in 2013 affect Indiana companies?  As per this article in the Indianapolis Star, companies like Bloomington-based Cook Medical could look at serious decrease in growth as a result of being forced to pay 55 percent in tax.

“The U.S. medical device industry is about to go on life support from a new tax on medical device companies that starts in 2013 and because of a Food and Drug Administration that keeps novel devices and their benefits from American patients. Nothing less than the well-being of millions of patients, as well as the health of the American medical device industry, is at stake

Few sectors pack the economic punch of the medical device industry, which employs 360,000 Americans and pays $21.5 billion in annual wages. One job creates two spinoff jobs. Medical devices fuel $123 billion in annual exports. The impact on communities like Lafayette/West Lafayette, where Cook Medical employs more than 300, and throughout Indiana, where Cook-affiliated companies employ about 4,000, is obvious: no job growth because the FDA stalls innovation.

Equally ominous is a 2.3 percent medical device tax. Set for 2013, that tax may seem like just a few cents on the dollar, but because it is a top line tax on sales, the impact on profit is about 15 percent. Tack on the 35 percent federal corporate tax already paid — the highest in the world — a state corporate tax rate averaging 5 percent, and we have a combined tax rate of 55 percent.

Imagine paying a 55 percent tax on every dollar earned by every member of your household. It is an impossible burden. A medical device tax, coupled with increasingly unwarranted FDA regulations, leaves companies like Cook Medical with a cloudy future, as competitors turn to Europe to manufacture and sell new devices.”

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Life Sciences in the Midwest – December 2010

In the November edition of “Life Sciences in the Midwest”, we laid a little bit of a foundation for this recurring post. This month, I thought I would share a few thoughts about some of the major life science players in Indiana. You might have read the Inside Indiana Business article about 2010 being a record year for life sciences in Indiana. I also wrote a brief editorial on this topic.

Let me share my opinions about the Hoosier life science players.

Major Indiana Life Science Companies

Cook Medical – Their claim to being the largest private medical device company in the world appears to be undisputed. I spent a significant part of my career with this company (and may have a slight bias). Cook continues to grow, focusing on niche product areas, especially in areas of Aortic Intervention and Peripheral Intervention. One thing I always appreciate and admire about Cook is their primary focus on doing what’s right for patient care.

Lilly – The layoffs are happening in volumes. Several friends and acquaintances whom I thought would be protected are no longer employed by the Indiana’s pharmaceutical giant. From my perspective, Lilly is caught in a struggle just like many other big pharma companies; it’s perceived that the days of blockbuster drugs are nearly gone. Many pharmaceutical companies are fighting to figure out their niche–many moving towards biotech and personal medicine. Lilly has long been regarded as the figurehead and leader of life sciences in Indiana. How long this will continue (maybe this has already ended) seems less about if and more about when.

Roche Diagnostics – I don’t have much to report from Roche. They started massive layoffs a couple years ago. The trend seems to be continuing; I received a call from an acquaintance today who was just let go. Roche is still a major player in in vitro diagnostics (IVD).

Boston Scientific – While headquarters are in the Boston area, the company does have a large presence in Spencer, IN. Boston Scientific is still reeling from their acquisition of Guidant from several years ago. Soon after the acquisition, FDA came down very hard on the company for poor business practices. Only recently did Boston Scientific satisfactorily address warning letter issues with FDA.

Beckman Coulter – Company headquarters are in Southern California but Beckman Coulter does have an Indianapolis presence.  Local news reports in recent months have indicated Beckman Coulter Indy is growing and will be adding jobs. However, the news for the corporation has not been good this year. The company has been dealing with some major product recalls and resignation of their CEO. Also, recent news reports indicate Beckman Coulter is for sale.

Zimmer – The largest orthopedic company (I think) in Warsaw, which is dubbed the “Orthopedic Capital of the World” (see blurbs about DePuy and Biomet below). Orthopedic regulations throughout the world have evolved affecting Zimmer and other orthopedic companies throughout the world.

DePuy – Also a large orthopedic company (division of Johnson&Johnson) headquartered in Warsaw, IN. Like Zimmer, DePuy has been adjusting to a more heavily regulated environment.

Biomet – Again, an orthopedic company headquartered in Warsaw, IN. A few years ago, the Department of Justice was involved in reforming orthopedic industry. Biomet might have been one of the hardest hit of the major orthopedic companies. The company went from being publicly held to being acquired by private equity and is privately held.

Suros Surgical – Now a division of Hologic as a result of acquisition a few years ago. Hologic, headquartered in the Boston area, has acquired many companies to build a company focused on women’s health issues. Suros is a true Indiana life science success story, going from start-up to multi-million dollar purchase in a short period of time. Many throughout the state are waiting for the “next Suros” to happen (see blurbs on SonarMed and NICO below).

Potential Indiana Life Science Juggernauts

SonarMed – The core technology of SonarMed comes from Purdue University. The company has been very successful in getting funding (primarily in the form of grants) in a very difficult time for life science start-ups. SonarMed received FDA 510(k) clearance earlier this year. They appear to be in the process of establishing market opportunities for the technology. The company has received quite a bit of positive press in recent months.

NICO Corporation – Founded by the leadership team that led Suros Surgical, leveraging platform technology from Suros for neurological applications. The founders started NICO with a very savvy business strategy; much of the ground work, development, and regulatory clearances were achieved years ago during Suros days. NICO is quietly doing their thing, following a growth model strikingly similar to their success with Suros.

Indiana Start-Ups

There are still numerous life science start-ups throughout Indiana. There is a good mix of medical device, pharmaceutical, and biotech. The biggest obstacle plaguing most of these early stage companies is lack of funding. Indiana has always been conservative when it comes to start-up investments. In these economic times, Indiana is even more conservative than ever. It will be interesting to see which of these life science start-ups survives tough economic times.

Conclusion

The life science regulatory environment across the board and the world has become significantly more challenging for all companies in the industry. Many large life science companies in Indiana and across the world are under more scrutiny from FDA and other regulatory agencies.

The days of large life science companies seem to be numbered. Many of the big companies seem to be constantly laying off hundreds, sometimes thousands, of employees. The emergence of outsourcing is a growing phenomenon that many companies, large and small, are relying on to get new products to market.

Today is a very tough time for life science start-ups. Investment dollars are very tight in Indiana and across the country. While many in Indiana claim stake to being a leader in life sciences, the current reality is that places like Silicon Valley, San Diego, Boston, Seattle, and Austin are much more actively investing in life science start-ups.

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Life Sciences in the Midwest – November 2010

This month in The Catalyst enewsletter, we have decided to start a new feature that gives a snapshot of Life Sciences industry from Indiana and the Midwest. Since this is the first edition, I’ll start by building a little bit of a foundation, starting with life sciences in Indiana.

Indiana has a fantastic mix of life science companies, service providers, and organizations. A few of those organizations are:

  • BioCrossroads
  • OrthoWorx (a BioCrossroads initiative)
  • Indiana Health Industry Forum (IHIF)
  • Indiana Medical Device Manufacturers Council (IMDMC)
  • ASQ Biomedical Midwest Discussion Group (MWDG)
  • Indiana Biomedical Entrepreneur Network (IBEN)
  • Indiana Pharmaceutical Research Alliance (IPhRA)
  • INpact

All of these organizations have a vested interest in securing and growing the life science industry throughout Indiana and the Midwest. I could go into detail about each group, but I recommend you visit each organization’s web site to learn more about them.

Indiana is also home to a diverse group of life science companies and divisions — including medical device, in vitro diagnostic, pharmaceutical, orthopedics, and biotech firms. Some of these companies include:

The state also has a decent presence from the life science entrepreneurial and start-up community — thanks in large part from funding sources such as BioCrossroads and Indiana Economic Development Corporation 21st Century Fund.

Indiana is also fortunate to have many, many providers for just about any service required to support the life sciences industry. The list is just too large (but you can get a good start by reviewing the members of INpact).

Also supporting Indiana life sciences are the colleges and universities providing education for future life sciences professionals and supporting entrepreneurship. Most notably in this space, Indiana is home to Rose-Hulman Institute of Technology, Purdue University, and Indiana University. The list below includes some of the initiatives these schools have to support the life sciences industry’s growth:

In future snapshots, we will review other regions within the Midwest and examine some of the trends and issues within the life sciences industry.

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Is High-Speed Rail The Answer For Warsaw?

Have you heard of Warsaw, Indiana? If not, I’m guessing you are likely not in the medical device industry. Warsaw is regarded as the Orthopedics Capital of the world.

I came across a post from Ed Morrison titled “The Midwest High-Speed Rail Initiative” and was reminded of a recent article talking about the importance of high-speed rail to the Warsaw area.

midwest-rail-550Several months ago, BioCrossroads launched OrthoWorx to focus on the needs of the northern Indiana Orthopedics community. OrthoWorx says high-speed rail is critical to this community because of the orthopedics presence and Warsaw is “isolated geographically”.

I’ve been frequenting Warsaw for the past several months, doing some project management work for one of the largest orthopedics companies located in that community. The trip is 3+ hours, one-way, regardless of the route that I take. During my trips to and from, I’ve thought quite a bit about the needs of Warsaw. And I wonder how high-speed rail is going to make a significant positive impact for that community. These orthopedic companies have been in the area for a long time. They have deep roots in the community and don’t appear to be leaving any time soon. Would high-speed rail really take Warsaw out of geographic isolation, or enough so to make a substantial difference?

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Low Cost of Living in Indiana Not Enough

Why Should People Move to Indiana? Most Hoosiers would say that our cost of living is low (currently $29,959.42, US City Average = $34,868.00) and it’s a great place to raise a family. In fact, Brownsburg (33) and St. John (48) were ranked in the Top 100 Best Places to Live by Money Magazine for 2009.

Is this enough if we want to be an innovative center in the US?

We have Biomet, Cook Medical, DePuy, etc in or around central Indiana, which is a good start, but I believe we need to foster better innovative centers and drive entrepreneurs to see more innovative value to moving to Indiana.

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Warsaw: The Orthopedic Capital of the World… for now.

On September 11th, the Kelley School of Business’ cBLS hosted a conference to discuss building a successful life sciences cluster, what the future held for the global orthopedics industry and how Indiana’s other life sciences clusters could benefit from Indiana’s orthopedics industry.

According to the September 2009 BioCrossroads Report, the Warsaw, Indiana orthopedic device cluster is one of the most concentrated centers of economic activity anywhere in the United States. Three of the world’s five leading orthopedic device companies are located in Warsaw currently, including: Zimmer, Biomet, and DePuy.

But what about Warsaw attracts or keeps these leading orthopedic device companies?

  1. The concentration and proximity of these headquartered companies;
  2. highly skilled employees; and
  3. significant levels of profitability in a growing medical device market.

So, if Warsaw contains three of the world’s five leading orthopedic device companies, why is Warsaw having so many challenges, such as difficulties in attracting and retaining senior engineering and management talent? According to Marty Schladen of Ft. Wayne’s The Journal Gazette, the city needs to do a better job of selling itself as the epicenter of the orthopedic-device industry – and as a great place to live while enhancing an already strong school system, offering programs that will attract professionals from such cities as Memphis, Tenn., and Austin, Texas.

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