2. Venture Healthcare – Industry Update
OIS 2015
November 2015
Jon Norris, Managing Director
3. Jon Norris - jnorris@svb.com 3
Manage West Coast Healthcare Relationships
for SVB across the SVB Platform, including
Fund of Funds (Investment as LP)
Direct Equity (Co-Investments and Rights to Invest)
Commercial Bank (Venture/Mezzanine Debt, Asset-based Debt,
New Fundings)
Equity Financing Strategy for Early Stage and Venture-Backed
Companies
Industry Thought Leadership
Jon Norris: Managing Director, SVB Capital
Jonathan Norris
Managing Director,
Healthcare
Silicon Valley Bank
Mobile 650.575.1377
jnorris@svb.com
Twitter: @jonnysvb
Publications
Trends in Healthcare Investments and Exits (2015)
A Year of Dazzling Returns: 2014 Healthcare Investments
and Exits (2015)
Trends in Healthcare Investments and Exits (2014)
Strong Momentum in Healthcare (2013)
First Mover Advantage (2012)
Continued Rebound (2012)
Trends in M&A (2011)
Bringing Home the Bacon (2010)
6. Jon Norris - jnorris@svb.com 6
0%
100%
200%
300%
400%
500%
0
1
2
3
4
5
6
7
8
9
10
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
$Billions
Gap in Funding HC $ Fundraised HC $ Invested % Capital Flow Ratio
Source: PricewaterhouseCoopers, Thompson Reuters, and SVB proprietary data
US Healthcare: Venture Dollars Invested and Raised
7. Jon Norris - jnorris@svb.com 7
Most Active Venture Investors in New $ Deals 2013-2014
Biotech: Device:
1. Orbimed Advisors 1. NEA
2. AtlasVentures 2. BioStar Ventures
3. Novo Ventures 3. Emergent Medical
4. NEA 4. Orbimed Advisors
5. Sofinnova Ventures 5. Novo Ventures
6. MS Ventures 6. Lightstone et al
7. Versant Ventures 7. L.S. Angels
8. SR One 8. Longitude Capital
9. Novartis 9. Boston
10.Polaris Partners 10. JJDC
Corporate Investors highlighted in red
8. Jon Norris - jnorris@svb.com 8
Top New Money Venture Investors in 1H 2015, Worldwide
Most Active
Biotech VC
Investors
# of New Money
Investments
Morningside
Group 6
NEA 6
Fidelity
Biosciences 5
Orbimed 5
Novo/Ally
Bridge/Venrock 4 (tie)
Most Active
Device VC
Investors
# of New Money
Investments
NEA 3
Ally Bridge Group 3
Venrock 2
Ascension
Ventures 2
Mountain Group
Capital 2
9. Jon Norris - jnorris@svb.com 9
Q3 ‘15 Bio Financing Update
Q3 ‘15 Biotech Update: Top 10 VC Equity Rds.
4 Deals >$100M rounds in Q3
No deal smaller than $75M
8/10 Deals w/ Cross Over participation;
8/10 in Q2 too
Earlier, Bigger Rounds:
3 Series A, 4 Series B, 3 Series C
5 Oncology, 3 TGP, 2 Rare/Orphan
4/10 OUS – 2UK, Swiss, Netherlands
10. Jon Norris - jnorris@svb.com 10
Biopharma Pre Money Valuations in Private Companies
2013 – 3Q 2015
Data Courtesy: SVB Analytics Proprietary Data
11. Jon Norris - jnorris@svb.com 11
Cross Over Activity Since 2013
CB Insights/SVB Confidential Data
Cross Over Firm Ranking 2013/14 1H '15
Q3'15 -
11/6/15
Trend
Line in
2nd Half
2015
Total Deals
Adage 5 2 2 - 9 Q3 Current top 5 Total since 2013
Casdin 3 5 3 - 11 Ra Capital 14 Ra Capital 38
Deerfield 13 5 4 22 Fidelity 12 Deerfield 22
Foresite 7 7 5 - 19 Rock Springs 12 Fidelity 21
Fidelity Inv 2 7 12 21 Cormorant 9 Foresite 19
Jennison 4 6 7 17
Perceptive 6 5 3 14
RA Capital 13 11 14 38
Redmile 9 2 5 16
Rock Springs 9 10 12 - 31
Wellington 5 7 2 14
Cormorant 0 5 9 14
Woodford 4 3 4 11
12. Jon Norris - jnorris@svb.com 12
Largest Biopharma Series B Venture Rounds and Step-up Trends
(Q1 – Q2 2015)
If no Crossover participation,
Median Series B step-up is
25%
With Crossover participation,
median Series B step-up is
78%with a wide range of 30% to 154%
RA Capital and Wellington
were the most active investors in the
largest 2015 Series B rounds,
with 4investments each
Source: CB Insights and SVB proprietary data
13. Jon Norris - jnorris@svb.com 13IPOs = VC backed IPOs raising > $25M
IPO Performance of Crossover Backed Companies vs. Peers
(2013 – 1H 2015)
Median pre-money valuations
were 88%higher
than peer group
Median dollars raised at IPO
were 60%higher
than peer group
Median value, 9 months after IPO, was
15% higher than IPO price;
Average value was 45%*higher
than IPO price
Source: CB Insights and SVB proprietary data
*Calculation excludes one outlier (1,828%)
14. 14Jon Norris - jnorris@svb.com 14
Q3 ‘15 Device Update
Q3 ‘15 Device Update:
4 Deals > $100M rounds in Q3
Top deal in first half was only $57M.
6/10 Deals w/ Cross Over participation, versus 3/10 in Q2.
New types of Xovers including Longwood, Third Point, Seneca and
Woodford.
5/10 Deals included Corporate Venture, way up over previous years and up
over Q2 (2/10)
Includes less known players like Sino, Santen, Intersect Partners,
Healthcor, and Hoya.
Endavor Vision did three new deals in Q3 (Reshape, Gynesonics, and
CeQur).
Swiss fund that raised $100M+ Medtech fund in late 2014
Final Take away:
New $ moving in to the sector – be prepared for lots of China interest
in 2016 (really, we mean it this time!)
15. 15Jon Norris - jnorris@svb.com 15
Device Pre Money Valuations in Private Device Companies
2012 – 3Q2015
16. Jon Norris - jnorris@svb.com 16
0
10
20
30
40
50
60
70
80
90
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 3Q2015
#ofBigExits
Big Exit M&A VC-Backed IPOs
VC-Backed Healthcare IPOs and Big Exit M&A (2005- Q3 2015)
M&A = Pvt. VC Backed M&A >$50M Upfront for Tools/Dx & Device & >$75M Upfront for Bio
IPO = VC Backed IPO raising >$25M
Source: Investment bank reports, VentureSource, PitchBook, press releases, and discussions with life science professionals
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 3Q2015
Big Exit
M&A
19 20 24 17 22 28 35 36 27 43 35
VC-
Backed
IPOs
32 29 21 2 3 12 7 11 37 83 48
17. Jon Norris - jnorris@svb.com 17
0
2
4
6
8
10
12
14
16
18
20
22
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 3Q2015
TotalValue($Billions)
Big Exit Upfront Payments Big Exit Milestones to be Earned Pre-Money IPO Value
*Potential distribution calculated as 75% of Upfront Payments, 25% of Milestones, and 75% of Pre-Money IPO Value
Potential Distributions* From VC-Backed IPOs and M&A
(2005 – Q3 2015)
Source: Investment bank reports, VentureSource, press releases, CB Insights, and discussions with life science professionals
2015: Projected numbers outpace 2013
and approach last year’s record returns
18. Frazier Life Sciences Retreat
Biopharma VC backed Exits by Quarter 2013- Q32015
Q1 Q2 Q3 Q4 Total
2013 IPO 3 10 11 8 32
M&A 3 3 4 4 14
2014 IPO 24 12 17 13 66
M&A 3 4 6 1 14
2015 IPO 11 13 9 33
M&A 7 4 6 17
• Q3: another 6 M&A to exceed 2014 full year numbers – now at 20 in Q4
• 7 VC backed IPOs so far in Q4 – discounted IPO new norm?
Source: CB Insights, press releases, and SVB proprietary data 18
19. 19Jon Norris - jnorris@svb.com
Biopharma VC-Backed IPOs by Stage (2012 – 3Q 2015)
Year 2012 2013 2014 3Q 2015 Total
Pre-Clinical
1 1 9 6 17
Phase I
0 8 20 7 35
Phase II
3 12 26 15 56
Phase III
6 8 6 4 24
Dev Stage -
Veterinarian 0 2 0 0 2
Commercial
0 1 5 1 7
Total 10 32 66 33
Source: CB Insights, press releases, and SVB proprietary data
2.1x
3.2x
44% of early stage IPOs in 2014 were Pre-Clinical or Phase I
39% of early stage IPOs in 3Q 2015 were Pre-Clinical or Phase I
20. Jon Norris - jnorris@svb.com 20
VC-Backed Biopharma IPOs:
Median Pre-Money and Dollars Raised (2012 – 3Q 2015)
Source: CB Insights, press releases, and SVB proprietary data
2013 2014 3Q 2015
# of IPOs Raised Over $100MM 8 12 11
% of IPOs Raised over $100MM 25% 18% 33%
$61 $72
$62 $63
$67
$202
$174
$141
$139
$158
$0
$50
$100
$150
$200
$250
2012 2013 2014 1H 2015 3Q 2015
MedianValue($Millions)
BioPharma IPO $ Raised BioPharma Pre-Money
21. 21Jon Norris - jnorris@svb.com
VC-Backed Biopharma Private M&A
Source: Investment bank reports, press releases, and discussions with life science professionals
0
200
400
600
0
4
8
12
16
2008 2009 2010 2011 2012 2013 2014 3Q 2015
DealSize($M)
#ofBigExits
# of Structured Deals Total # of Exits
Average Upfront Value ($M) Average Total Deal Value ($M)
# of All-In Deals
2008 2009 2010 2011 2012 2013 2014 Q3 2015
Upfront $: Median ($M) 200 200 158 208 155 200 225 200
Total Deal $: Median 285 403 380 407 350 440 413 485
22. Jon Norris - jnorris@svb.com 22
0
2
4
6
8
10
12
14
16
18
2009 2010 2011 2012 2013 2014 3Q 2015
#ofCompanies
Pre-Clinical Phase I Phase II Phase III Commercial
VC-Backed Biopharma Private M&A by Stage since 2009
Source: Investment bank reports, press releases, CB Insights, and discussions with life science professionals
23. Jon Norris - jnorris@svb.com 23
VC Backed Device Exits by Quarter 2013 – Q32015
• Device IPOs: 4/7 IPOs in 1H’15 had <$11M Rev in Previous 12 months
• Q3: 9 M&A, with 5/9 companies Non-Approved; 3 CE Mark Only
Source: CB Insights, press releases, and SVB proprietary data
Q1 Q2 Q3 Q4 Total
2013 IPO 0 0 0 2 2
M&A 1 2 6 2 11
2014 IPO 1 5 1 3 10
M&A 2 9 5 2 18
2015 IPO 3 4 3 10
M&A 0 4 9 13
24. Jon Norris - jnorris@svb.com 24
VC-Backed Device M&A by Stage (2009 – 3Q2015)
Source: Press releases, CB Insights, and SVB proprietary data
0
2
4
6
8
10
12
14
16
18
20
2009 2010 2011 2012 2013 2014 3Q2015
#ofBigExits
Non-Approved CE Mark U.S. Commercial
Represents number of IPOs
Represents Big Exit M&A
1 1
2
1
2
1 2 7
1 2 8
25. Jon Norris - jnorris@svb.com 25Source: Press releases, CB Insights, and SVB proprietary data
Recent Device M&A by Indication 2014- Q32015
0
1
2
3
4
5
6
7
8
9
10
#ofCompanies
Non-Approved CE Mark U.S. Commercial
Represents number of IPOs
Represents Big Exit M&A
1 1
1
1
1
2 3
2
1
1 1
26. Jon Norris - jnorris@svb.com 26
Trends in Venture Backed Device M&A >$50M
SVB Proprietary Data: Private Venture Backed Big Exits
Average Multiple calculated at 85% of value divided by venture equity
2009-Q3’15
Number of
Exits
Stage:
Dev/CE/US
Average Years
to Exit
Vascular 18 1/6/11 7
Imaging 6 0/0/6 10
Cardiovascular 22 7/8/7 6.6
Surgical 16 1/2/13 7.7
Neuro 4 2/2/0 5
Orthopedics 7 0/0/7 7.3
Ophthalmology 6 1/2/3 6.7
Aesthetics 4 0/0/4 4.8
OVERALL AVERAGES 7.0
27. Jon Norris - jnorris@svb.com 27
Predictions in 2015 into 2016
The recent pullback in the global equity markets has impacted this sector, however we believe
that the fundamentals of the healthcare venture market continue to be strong. We will be
carefully watching how IPOs perform, and if investing patterns by crossover investors change.
• Strong Fundraising and Fast Pace of Investing in Biotech w/ record breaking numbers for HC
investment into companies.
• Will there be Strong Participation of Cross-over Investors in Q4? I think there will, but in less
deals - activity rate cannot continue. 80 investments by top X Overs in 2013-4, accelerating
to 75 for1H’15, then 82 alone in Q3 to date.
• Where have the BioPharma Corporate VCs gone? Not as much Corporate VC activity as
Cross Overs have taken up extra available capital in syndication rounds – will they come
back when Cross Overs retreat?
• Biotech M&A has already outpaced 2014 and should remain strong in 2016 regardless of
IPO activity; Device M&A numbers look good after great Q3.
• IPOs Market Stays Open but Not at 2014 Pace – VC- Backed BioPharma IPOs for 2015 Will
Likely Be Between 45- 55