There will soon be 32 new jobs in Warsaw, Indiana.
Alpha Manufacturing to Add 32 Jobs in Warsaw

On November 14, 2014, company officials from Alpha Manufacturing & Design, LLC, announced a $5.62 million investment to construct and equip a new 12, 000 square-foot addition to the company’s current 5, 000 square-foot facility in Warsaw. The facility, which will be fully operational by next spring, will allow the company to increase production capacity for its current orthopedic models and enhance the development of next-generation prototypes.
Alpha Manufacturing is a precision contract manufacturer and is tripling its existing production footprint to keep up with its orthopedic customer’s demands. The company specializes in artificial spine, hip, knee and shoulder devices and the instruments used to implant them.
The new facility accounts for $1 million of the investment. The rest of the investment is going into equipment. The company will add about 25 new CNC or computer numerical control machines over the next six years, said President Ben Garden.
According to the Ft. Wayne Journal Gazette, the 32 new positions will pay $12 to $25 an hour, depending on experience. The new hires will more than triple the current staff of 12. Jobs being created included CNC machinist, CNC programmer and quality control positions.
“Surround yourself with good people and good machines, and you’ll be amazed at what happens, ” said Garden in the Journal Gazette.
Garden, who has spent his entire career in the orthopedics industry, said he was told by mentors not to overextend the company in its first five years. He founded the company in 2008. He added that expanding the venture would allow the company to devote some resources to production and other resources to creating prototypes quickly for customers.
The State of Indiana, through the Indiana Economic Development Corp. has offered the company up to $300, 000 in conditional tax credits and up to $16, 000 in training grants if the company fulfills its hiring projections. Kosciusko County officials will reportedly consider additional economic development incentives.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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