As the organizations representing the presidents of America's leading research universities and the chief executive officers of America's leading companies, the Association of American Universities and Business Roundtable recognize that the United States' continued global competitiveness depends on developing, attracting and retaining top international science, technology, engineering and math (STEM) talent. International students, scientists and engineers help drive cutting-edge research and development, fill job openings in critical STEM fields, advance national security and bolster the U.S. economy by generating new domestic startups and businesses. To ensure that America's doors remain open to international talent, this report highlights the importance of the international talent pipeline and examines the symbiotic relationship between academic institutions in the United States and the business community. The report shows the many ways that international talent bolsters our nation's economy and our innovation ecosystem; details the challenges to attracting and retaining international talent that exist throughout the U.S. immigration system; highlights the increasing competition we face from other countries in terms of attracting and retaining international talent; and presents public policy recommendations to ensure that the United States continues to attract the world's best and brightest.