When Vanderbilt University Medical Center began to consider how big data and precision medicine were going to impact both research and development and clinical care, it struck on the idea of building a large-scale biobank and tying it to its store of millions of electronic health records. That ultimately led to the founding of Nashville Bioscience, a for-profit subsidiary of the medical center. We spoke to Leeland Ekstrom, co-founder and CEO of NashBio, about the company’s data collection methods, the significance of the alliance it's developed with leading biopharmaceutical companies, and how it's enabling a transformation of drug development with data.