California Life 2018 Sciences Industry Report

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Life 018 Sciences Industry Report

Jerry Brown Governor of Letter from the Governor The life sciences industry is a shining example of how is a driver in innovation. The industry, which began just 50 years ago, has made great strides to put at the forefront of the biotech revolution inventing new cures; dominating the nascent field of genomics; and blazing new trails in biofuels, agriculture and the microbiome. Each year, universities and colleges award more advanced degrees in the science, technology, engineering, arts and mathematics fields than any other state. This is the pipeline that supports the nearly 00,000 ns working in the life sciences, and their efforts are making enormous inroads against cancer, cardiovascular disease, neurological disorders and numerous other debilitating conditions. We take enormous pride in these contributions, which help provide new medicines for billions of patients around the world. This year, extended until 00 a state sales tax exemption for equipment used in manufacturing and research and development to encourage more investment in. I also established the Governor s Advisory Committee on Precision Medicine to continue the state s efforts to promote the use of advanced computing and technology to better understand, treat, and prevent disease. is committed to supporting this great industry of creativity and innovation. The Life Sciences Association is a key partner in cultivating this sector and increasing the state s efforts to foster a stronger life sciences industry and boost job growth in. I look forward to continuing to work with leaders from the life sciences sector to find solutions that advance new medical technologies and therapies that boost our economy and contribute to a healthier society. Sincerely, Sara Radcliffe President & CEO Life Sciences Association (CLSA) Peter Claude Partner Pharmaceutical & Life Sciences Advisory PwC Letter to Stakeholders s life sciences ecosystem plays many roles. First, it s a hotbed of innovation. There are more than,00 life sciences companies in the state trying to move the needle in human health, agriculture, biofuels and other areas. These companies have more than 1,00 medicines and even more diagnostics and devices in the pipeline to improve patient care. The industry is also an economic engine. Direct, indirect and induced employment exceeds 900,000. The average life sciences salary is $11,000 a year. In 016, the sector s revenue exceeded $169 billion and exports topped $ billion. Life sciences companies paid more than $17 billion in federal, state and local taxes. In addition, the state attracted more than $6.6 billion in life sciences venture capital investment in 017. The next closest state, Massachusetts, drew less than half that amount. succeeds because it offers a well-educated workforce, committed investors and entrepreneurs and sound public policy that supports industry growth. And while the life sciences ecosystem continues to flourish in the Golden State, we should always be cautious. We worked hard to get here and must continue that focus to remain. Sincerely,

Life Sciences Success hosts a complex infrastructure that produces life-changing medicines, devices and diagnostics, improves crops and may soon help provide sustainable energy. The,49 life sciences companies throughout the state are leading these efforts, 09 more than last year. This number includes 1,45 biotechnology and pharmaceutical companies, as well as 1,796 device and medical equipment manufacturers. These enterprises have an enormous impact on human health. As of September 1, 017, companies had 1,74 medicines in Life Sciences Industry 016 (estimated) Total Estimated Revenue... $169.0 billion Total Estimated Life Sciences Employment...98,709 Total Estimated Wages... $4.0 billion Average Annual Life Sciences Industry Wage...$11,674 Total NIH Grants Awarded, FY017... $.8 billion Total Estimated Venture Capital Investments, 017... $6.7 billion Total Biomedical Exports... $.7 billion Direct Federal Taxes... $11.5 billion Direct State and Local Taxes... $5.8 billion Number of Life Sciences Companies...,49 the pipeline to treat cancer, infectious diseases, immune issues, central nervous system disorders and many other conditions. In addition, companies received approval for 440 medical devices in 016. In recent years, the life sciences have helped reshape the state s economic landscape. The industry earned revenue of $169 billion in 016 and directly employed more than 98,000 ns. The life sciences are second only to computer technologies in employment among high-tech industries. Number of Life Sciences Companies in 1,45 Life Sciences 1,796,49 Up 09 from 016 98,709 61,000 Direct Employment Indirect & Induced Employment 919,700 Total Direct, Indirect and Induced Jobs Source: Bloomberg Biotechnology & Pharmaceutical Medical Equipment & Device Manufacturing Growth in Biopharmaceutical and Medical Device Employees by State, 01 016 Growth 01 016 7.7% 118,69 17,74 -.1% -9.1% New York New Jersey 8,87 8,06 41,140 7,406 4.4% Indiana 5,119 6,67 -.5% Pennsylvania 7,65 6,065 8.9%.6% 6.6% Illinois Minnesota Massachussets,166 5,00,5,716 1,115,17-0.4% 10.6% North Carolina Florida 0,61 0,5 6,568 9,91 9.1% 4.1% Texas Michigan 5,09 7,84 0,814 1,66 6.% -.8% -7.1% Utah Wisconsin Ohio 15,40 19,5 16,581 16,11 17,04 16,075 01 016 Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. 1

An Economic Strength The life sciences industry provides major contributions to the state s economy. With revenues approaching $170 billion, life sciences companies were responsible for $.7 billion in exports and paid $17. billion in federal, state and local taxes. In 016, companies directly employed 89,709 people, second only to computer technologies among high-tech industries. In addition, indirect and induced employment increased that total to 919,700. Life Sciences Employment vs. Other High-Tech Sectors in, 016 Computer & Peripheral Equipment Mfg 40,905 Life Sciences Industry 98,709 Internet, Telecommunications 0,1 & Data Processing Motion Pictures 167,677 Other Electronic Equipment Mfg 165,09 Aerospace 7,800 Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. Direct employment increased by.6 percent across the state, anchored by San Diego, a region that saw 1.5 percent growth in biopharmaceutical employment, 1.9 percent growth in medical devices, and 10 percent growth in R&D employment (see San Diego insert). Statewide, there was also significant growth in biorenewables, R&D and biopharma. Average wages are strong, over $11,000 per year, but declined slightly from the previous year. Life Sciences Wages by Sector in, 016 Average Wage Total Wages Academic Research $7,007 $.1B Biopharmaceuticals $15,70 $7.7B Biorenewables $7,696 $78M Medical Devices, Instruments $94,58 $7.B and Diagnostics Research & Development $140,574 $10.5B and Testing Laboratories Wholesale Trade $101,61 $5.1B Total $11,674 $4.0B Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. Total Life Sciences Employment by Cluster in, 016 % Bay Area* 7,66 Los Angeles County 58,414 San Diego County 45,949 % 4% 4% 1% 4% 0% 15% 15% Orange County 45,089 Santa Barbara & Ventura Counties San Bernardino & Riverside Counties Sacramento Area*** Other Northern ** Other Southern 1,116 10,881 9,096 6,1,659 **** Total 98,709 * Includes Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, and Sonoma Counties. ** Includes Monterey, Kings, Tulare, Inyo, San Benito, Fresno, Mono, Santa Cruz, Merced, Madera, Stanislaus, Mariposa, Tuolumne, San Joaquin, Calaveras, Alpine, Amador, Mendocino, Lake, Colusa, Sierra, Glenn, Plumas, Humboldt, Trinity, Tehama, Lassen, Shasta, Del Norte, Siskiyou, and Modoc Counties. *** Includes Sacramento, Butte, El Dorado, Nevada, Placer, Solano, Sutter, Yolo, and Yuba Counties. ****Includes Imperial, Kern, and San Luis Obispo Counties. Note: Clusters do not sum to total due to data suppresion at the county level. Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. Total Life Sciences Employees by Sector in, 016 5% 77,78 Medical Devices, Instruments & Diagnostics 74,456 50,747 50,456 Research & Development & Testing Laboratories Wholesale Trade Biopharmaceuticals 6% Percentage of Employees by sector 17% 41,950 Academic Research,8 Biorenewables Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. 1% 14% 17%

Investing in In 017, biotechnology and medical device companies are expected to attract more than $6.6 billion in venture capital (VC) investment, a dramatic increase over 016. These figures make up 5. percent of the nation s entire VC life sciences investment. In addition, led the nation in digital health VC funding for 017* with $. billion. Top sectors were diagnostics, devices and therapies, consumer health and wellness and care management. M&A activity was strong in biopharmaceuticals and medical devices. As of September 7, 017, there were biopharma deals and 1 medical device deals for which terms were announced. Overall M&A activity in all sectors was slightly lower. IPOs were also down, with three as of September 7, compared to six for all of 016. *017 data based on projection from the first two quarters Total US VC Investment to CA ** US Venture Capital Investments CA Venture Capital Investments $4.5B $.6B 016 017* $6.7B $65.6B Other States Percentage of US Life Sciences Investment in CA 016 4.6% 017 * 5.% 017 Digital Health VC Investment by Category Digital Diagnostics, Devices & Therapies $77M Consumer Health and Wellness 1 $56M Care Management and Administration $9M Life Sciences Tools $4M Analytics / big data $8M Wearables / biosensing $17M Other $80M Telemedicine $75M Genomics and sequencing $44M Remote patient monitoring $1M Source: Rock Health Digital Health Funding Database. 1 Includes the Consumer health information, Enterprise wellness, Healthcare consumer engagement, and Personal health tools and tracking categories. Includes the Care coordination, General care management, Hospital administration, Physician practice management, Population health management, Hospital CRM and marketing, and EHR/Clinical workflow categories. Includes the Life sciences commercialization tools and the Life sciences R&D tools categories. $.9B Venture Capital Investment, Biotech & Medical Devices by stage, U.S. and 015-017* BIOTECH MEDICAL DEVICES Seed Stage $18M $5M $7M $55M $6M $66M 015 016 017* $8M $0M $40M $1M $6M $16M Early Stage $1.0B $.7B 015 $6M $104M $901M $.70B 016 $0M $1M $1.07B $.5B 017* $M $118M Expansion Stage $1.1B $1.51B $.6B $.09B 015 016 $1.0B $48M $69M $515M $5.09B 017* $1.1B $66M Later Stage $840M $1.69B 015 $1.59B $661M $464M $1.66B 016 $1.09B $556M $1B $1.66B 017* $1.01B $564 M Other States Top 5 States for Digital Health VC Funding New York $56M $1.B Illinois $141M $1.1B Massachusetts $71M $56M Florida $75M $4M $.1B $.B Digital Health VC Investment by Region Bay Area Orange County $0 $5M San Diego County $57M $10M Los Angeles County $04M $170M 016 017* $1.5B $1.7B Top 5 States for Life Sciences VC Investments $4.9B Massachusetts $.9B $.79B Colorado $116M $518M Pennsylvania $151M $410M New York $15M $50M $6.66B Life Sciences VC Investment by Region ** San Francisco (North Bay Area) $.19B $.B Silicon Valley (South Bay Area) $956M $B San Diego $806M $668M LA / Orange County $6M $564M Sacramento / N. $6M $11M *017 data based on projection from the first two quarters. **Source: PwC/CB Insights MoneyTree Report. Note: The LA and Orange County region is comprised of Southern (excluding the San Diego region); the Sacramento/Northern region is comprised of Sacramento and north of Marin County (excluding San Francisco and Silicon Valley regions); the San Diego Region is comprised of the San Diego area; the Silicon Valley (South Bay) Area is comprised of Bay Area cities south of Highway 9, extending east to the Nevada border and south to include Fresno County; and the San Francisco (North Bay) Area is comprised of Bay Area cities north of Highway 9, extending up the northern coast to the Oregon border along the Hwy 101 corridor, including some counties not adjacent to the coast.

4 Basic Research Excellence Academic excellence drives s life sciences ecosystem. The state s universities and independent institutions produce world-class research that generates new companies, commercialized technologies and improved care. In 015, graduated more than 4,800 science and engineering PhDs. The state boasts 11 institutions in the Shanghai Index of the world s 100 top universities. Number of Universities in the World Top 100 Shanghai Index, 017 Rankings 11 11* New York 4 Pennsylvania 4 Illinois Massachusetts Texas Maryland Top 10 States with Doctoral Recipients in Sciences and Engineering, 015 Minnesota New Jersey North Carolina *Stanford University, UC Berkeley, Institute of Technology, UCLA, UC San Diego, UC San Francisco, UC Santa Barbara, USC, UC Irvine, UC Davis and UC Santa Cruz Source: Academic Ranking of World Universities 4,84 New York,010 Texas,010 Massachusetts,07 Pennsylvania 1,997 Illinois 1,79 Florida 1,76 Michigan 1,507 Ohio 1,47 North Carolina 1,61 Source: NSF/NIH/USED/USDA/NEH/NASA, Survey of Earned Doctorates, 015. District 1 $689M 18 $55M 7 $59M $457M 49 $7M 5 $85M 4 4 Top Five States Receiving NIH Grants 016 017 * Awards $.59B 7,58 $.85B 7,86 Massachusetts $.5B 4,99 $.67B 5,1 New York $.16B 4,906 $.4B 4,98 Pennsylvania $1.5B,4 Source: National $1.64B,5 Institutes of North Carolina Health. Note: $1.07B Data excludes,16 $1.15B,44 Top Organizations Receiving NIH Funding University of, San Francisco $576M $589M Stanford University $46M $464M University of, San Diego $401M $4M University of, Los Angeles $81M $401M University of Southern $08M $54M University of, Davis $00M $4M The Scripps Research Institute $11M $158M University of, Berkeley $16M $16M University of, Irvine $11M $116M Kaiser Foundation Research Institute $6M $7M Top 10 Congressional Districts Receiving NIH Funding District $6M 1 $51M 8 $79M 45 $1M District 49 District 1 District 18 District District 7 District 1 District District 45 District 5 District 8 In addition, in federal fiscal year 017, s research infrastructure attracted $.8 billion in research grants from the National Institutes of Health (NIH), $0 million in Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) funding and $0 million from the Institute for Regenerative Medicine. These funders, particularly the NIH, play an enormous role in supporting innovation. R&D Contracts. 016 017 * Source: National Institutes of Health. Note: Data excludes R&D Contracts. $7M (1,80 Awards) $689M (1,97 Awards) $55M (1,094 Awards) $457M (9 Awards) $59M (45 Awards) $51M (56 Awards) $6M (471 Awards) $1M (14 Awards) Source: National Institutes of Health. $85M (169 Awards) Note: Data excludes R&D Contracts. $79M (170 Awards) * Updated through October, 017

A Strong Therapeutic Pipeline s life sciences community is laser-focused on finding new therapies and technologies for patients everywhere. The state s robust academic infrastructure and investment community continue to drive a strong therapeutic pipeline. As of September 1, companies had filed applications for 1,74 new therapies. The most active area was cancer, which had 49 applications, up 5 from 016. There were also major entries to combat infectious diseases, central nervous system disorders and immune conditions. In addition, device companies moved 440 products through regulatory approval, a significant increase of 176 over the previous year. Of these, 16 received FDA pre-market approval, the most rigorous standard for medical devices. Collectively, these contributions have great potential to provide new hope for patients and provide solutions for some of the world s most profound unmet medical needs. Medicines by Therapeutic Area Investigational New Drug (IND) products through Phase III clinical trials Cancer CNS Infectious (Incl HIV) Hormonal Systems/Nephrology Immune System 78 Cardiovascular 59 Hematological 57 Musculoskeletal 56 Respiratory 47 Pain 45 Dermatology 45 Gastrointestinal 44 Eye/Ear 5 Genitourinary 14 Diagnostic/Imaging/Delivery 8 Misc 8 11 1 Source: BioPharm Insight, IND s filed through Phase III, Sept. 1, 017 95 1,74 TOTAL Therapies in the Pipeline from Companies 49 Medical Device Approvals By companies headquartered in, 016 PMA First Approval 510(k) Clearance De Novo 16 417 7 Source: EvaluateMedTech, October 017 440 Total 5

Collaborative San Diego Life sciences people in San Diego still speak fondly of Hybritech, the city s first biotech. The company went public in 1981 and was purchased by Eli Lilly in 1986. By some estimates, more than 50 companies grew out of Hybritech, including Idec, Ligand and Amylin. The company epitomized the San Diego biomedical community s approach: take a sound idea from academic research and advance it to the clinic. Sell and repeat. We have a long history of biotech, starting with Hybritech, says Lesley Stolz, Ph.D., who heads JLABS, Johnson & Johnson Innovation s incubator division, in. Which means we have experienced entrepreneurs and founders that all come together to form a vibrant ecosystem. The results have been impressive. In 016, nearly 46,000 San Diegans worked in the life sciences. The county had a 1.9 percent growth in medical device employment and 1.5 percent growth in biopharmaceutical employment from the previous year. In addition, San Diego research institutions received more than $800 million in NIH grants, while the region s companies received $668 in venture capital investment. San Diego offers many ingredients that contribute to life sciences success, such as top basic research institutions which have produced a critical mass of experienced entrepreneurs and researchers, committed investors and seasoned leaders. Total San Diego Life Sciences Employment,999 Wholesale Trade 0,4 Research & Development and Testing Laboratories 4,715 Academic Research 6,964 Bio-pharmaceuticals 10% 15% 9% 1% 44% Total 45,949 0% 55 Biorenewables 9,41 Medical Devices, Instruments and Diagnostics Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. These are the elements that brought Keith Murphy to San Diego to build -D tissue printing company, Organovo. We started in San Diego because it was a known biotech hub, and because we d have access to the talent we needed, says Murphy. What makes San Diego hum is the close-knit nature of the biosciences community. Coming to San Diego from LA, I had free access to mentorship from all kinds of folks in the community, successful entrepreneurs always willing to help. San Diego s rich startup culture is another factor, attracting scientists, investors and ideas. One of many incubators, JLABS San Diego has nurtured companies that have attracted more than $1 billion in funding. The community thrives on serial entrepreneurship. Murphy stepped down as CEO of Organovo last year and started a new company, Viscient Biosciences, which is focused on liver disease. His R&D leadership formerly worked for Ardea Biosciences. It s this recycling of talent, along with new players from academic research and incubators, that constantly refreshes the San Diego ecosystem. San Diego is the capital of two guys/gals with a molecule companies, says Stoltz. And since it s such a desirable place to live, company founders tend not to leave when they are acquired or scaled. They stay in the area to form their next innovative company. $115,555 Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census San Diego Average Life Sciences Wages Top 5 San Diego Organizations Receiving NIH Funding University of, San Diego Awards $4.5M 881 The Scripps Research Institute $158.M 5 Sanford Burnham Prebys Medical Discovery Institute $6.M 110 Salk Institute For Biological Studies $49.6M 85 La Jolla Institute for Allergy and Immunolgy $7.6M 44 Total: $70.M Total: 1,7 Source: National Institutes of Health. Note: Data excludes R&D Contracts. Updated through October, 017 Life Sciences Venture Capital Investment in San Diego, 015 017 Digital health 015 $85 016 $806 017* $668 015 $5M 5 Deals 016 $57M 11 Deals 017* $10M 8 Deals Source: PwC/CB Insights MoneyTree Report Source: Rock Health Digital Health Funding Database. *017 data based on projection from the first two quarters. San Diego Spotlight

A Strong Ecosystem In some ways, s life sciences industry mimics the biological processes its scientists are trying to understand. The system is incredibly complex, with multiple converging pathways determining its success. These pathways are not on autopilot. succeeds because we are constantly examining each piece of the system: education, infrastructure, corporate governance, investment, government regulation and other factors. Thoughtful public policy plays a critical role, supporting a healthy business climate, improved access to diagnostic and therapeutic technologies and affordable care for all ns. When each aspect is working, the state s life sciences companies produce a steady stream of new medicines, devices and diagnostics to help solve a wide range of unmet medical needs. On top of that, the industry provides excellent jobs throughout the state. Today, we can proudly say the life sciences ecosystem is healthy. Can it be improved? Absolutely. Life Sciences Association (CLSA) works closely with industry, advocacy organizations, regulatory agencies, legislators and many others to make the system better. This spirit of collaboration is a major contributor to s success. Average Life Sciences Wages by Cluster in, 016 $169,00 Santa Barbara & Ventura Counties $167,67 Bay Area $118,016 Sacramento Area $115,555 San Diego County $11,674 Average $88,74 Orange County $7,11 Los Angeles County $65,89 San Bernardino & Riverside Counties $61,540 Other Southern $59,650 Other Northern Source: Bureau of Labor Statistics Quarterly Census of Employment and Wages; 01 Economic Census. About Life Sciences Association (CLSA) Life Sciences Association (CLSA) is the state s largest and most influential life sciences advocacy and business leadership organization. With offices in Sacramento, San Diego, South San Francisco, Los Angeles and Washington DC, CLSA works closely with industry, government, academia and others to shape public policy, improve access to innovative technologies and grow s life sciences economy. CLSA serves biotechnology, pharmaceutical, medical device and diagnostics companies, research universities and institutes, investors and service providers throughout the Golden State. CLSA was founded in 015 when the Bay Area Bioscience Association (BayBio) and the Healthcare Institute (CHI) merged. Visit CLSA at www.califesciences.org, and follow us on Twitter @CALifeSciences, Facebook, Instagram, LinkedIn and YouTube. Report Authors Sara Radcliffe President & CEO Life Sciences Association Peter Claude Partner, Pharmaceutical & Life Sciences Advisory, PwC Project Team Will Zasadny Director, Communications Life Sciences Association Paula Finkbeiner Manager, Pharmaceutical & Life Sciences Advisory PwC Economic Analysis Kristen Soderberg Bernie Director, Health Policy Economics, PwC Parwen Parhat Senior Associate, National Economics and Statistics Group, PwC Writing Josh Baxt Baxt Communications Design Dave Meyer Dave Meyer Design About PwC PwC s Pharmaceutical and Life Sciences Industry Group helps organizations from biopharmaceutical and medical technology firms to generic manufacturers better connect to consumer needs to develop and deliver the treatments of tomorrow. We work with clients to uncover their most valuable strengths, identify complementary partnerships and keep up with the latest advances in technology, so they can better compete in an evolving health market and improve costefficiency and profitability. For more information visit : www.pwc.com/us/pharma. CLSA Bay Area 50 E. Grand Ave., Suite 6 South San Francisco, CA 94080 CLSA Los Angeles 605 East Huntington Drive Suite 10, Monrovia, CA 91016 CLSA Sacramento 101 K St., Suite 1840 Sacramento, CA 95814 CLSA San Diego 9191 Towne Centre Drive Suite 450, San Diego, CA 91 CLSA Washington D.C. 150 I Street, NW, Suite 80 Washington, DC 0005 See methodology and more at www.califesciencesindustry.com Any trademarks included are trademarks of their respective owners and are not affiliated with, nor endorsed by, PricewaterhouseCoopers LLP, its subsidiaries or affiliates. Special Thanks to Evaluate EvaluateMedTech www.evaluate.com 017 Life Sciences Association (CLSA)