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ION Boston
The Project Team
Bios of attendees
ION Boston
The Links to NRW Government
Beitrag Dr. Kals
ION Boston
Technology Background I
Photons (=x-rays) are electromagnetic waves, which are
alleviated through matter
Protons are particles with limited range
ION Boston
Technology Background II
ION Boston
Technology Background III
Dose %
Organ doses40 Gy Bone marrow < 1 Gy
39 Gy Intestinal 26 Gy
41 Gy Spine < 1 Gy
Courtesy of Prof. Debus, University Clinic of Heidelberg
Conventional Carbon
ION Boston
Technology – Gantry I
ION Boston
Technology – Gantry II
ION Boston
Technology – Fixed beam
ION Boston
Procurement rules and USP
Beitrag Dr. KalsHow it is proposed to proceed without a bidding
ION Boston
The Links to NRW Government
Beitrag Dr. KalsPolitical backdrop
ION Boston
Project structure and major contracts
€ Funding PTI GmbH PTC NRW II GmbH
Dr.Schmidt+Team
procurement consulting
JCIOwners
RepresentativeJCI Management
3yrs Rent Creditduring
construction
Planning/ Design/
Construction 30 years hard services FM-Soft-Services
Contract 30 years
Rental contract
30yrs ION Boston PT – Know-How
MGH / PTC
Accel Cyclotron
Equity
Loan
GuaranteesEU
„FM Company“ Consulting
ION Boston
Sources of revenue – potential in Germany
RTPC München
Heidelberg
WPE Essen
Berlin-Charité
Leipzigg
Hahn-Meitner-Institut Berlin
In use:GSI DarmstadtHahn-Meitner-Institut Berlin (closes in 2006)
Under construction:RTPC München (Rinecker Protonen Center/ProHealth AG)WPE EssenUniversität Heidelberg
Planned:UK S-H Kiel (advanced)Universität Leipzig (advanced)Universität Mannheim (Vision)
Bonn
Mannheim
Darmstadt
UK S-H Kiel
Aachen
ION Boston
Sources of revenue – catchment area
residents 2,5 Mio. 5 Mio. 10 Mio. 15 Mio. 25 Mio.catchment area Schleswig-Holstein Schleswig-
Holstein + Hamburg
Schleswig-Holstein + Hamburg + Niedersachsen
Schleswig-Holstein + Hamburg + Niedersachsen +
Dänemark + Norwegen
NRW only
cases
Base of the skull and Retina melanomas 15 30 60 90 150
Solid tumors in children 15 30 60 90 150
Gliomas II/III, AVMs, Meningeomas 40 80 160 240 400
Inoperable Lung- and thorax Tumors 60 120 240 360 600
Aggressive Prostate carcinomas 80 160 520 680 1200
Inoperable Head and Neck carcinomas 40 80 160 240 400
Inoperable Sarkomas 10 20 40 60 100
Mammakarcinomas 20 40 80 120 200
Inoperable primary and secundary Liver carcinomas
20 40 80 120 200
Other intraabdominal tumors 40 80 160 240 400
Gesamt: 340 680 1560 2240 3800
Basis: Indications by DEGRO and Incidences in catchment area (50% of all potential cases – very conservative approach)
ION Boston
Sources of revenue – competition
Heidelberg *Heidelberg *
MMüünchennchen
BerlinBerlin
KielKiel
EssenEssen
NRW IINRW II
Competitors will be able to recruit out of a catchment area of more than 14 Mio. Patients !
ION Boston
Costs
Proton, heavy Ions, Building
Operations per year
ION Boston
Timeline
Negotioationand
configuration
Negotioationand
configuration
Start 6 months 3 months 42 months
Due diligence
Due diligence
BuildingFacility and
Comissioning
BuildingFacility and
Comissioning
Fulloperation
FulloperationRamp upRamp up
36 months
Year 1 2 3 4
No. Of patients 400 800 1400 2000
Fee (Mio. €) 7.8 15.6 27.3 39.0
ION Boston
Finance required
Amount requiredEquity contributionsOverview of suggested sale / leasebacvk
ION Boston
Comparison Kiel I
ION Boston
Comparison Kiel II
Oslo
Lund/ MalmöOdense
Kopenhagen
KielKaunas
Cooperations with:
Odensee DKAarhus DK
Oslo N
Kaunas Lt
Capio S
Hannover DRostock DGreifswald D
ION Boston
Comparison Kiel III
Construction siteUK S-HUK S-H
Garanty
Fixed chargePPP-Contract
ProjektgesellschaftShareholder
100%
Outside Capital;Mezzanine
Design & Build (Building)
Development & Delivery
(Particle Therapy)
Technical Operation / Maintenance PT, Facility
Management
Land Schleswig-Holstein
LH Kiel
Operation CompanyGmbH
Health Insurance Funds;Patients
Health Insurance Funds;Patients
Construction site
Städtebaul. Vertrag
Unternehmen der Bietergemeinschaft
Bietergemeinschaft
ION Boston
Comparison Kiel IV
Übersicht PTZ UK S-H
-100.000
-50.000
0
50.000
100.000
150.000
200.000
250.000
300.000
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035
Jahr
TE
UR
Finanzmittelbestand am Anfang der Periode sonstige Verbindlichkeiten am Ende des JahresJahresfehlbetrag/- überschuss VerlustvortragKassenbestand vor Kreditaufnahme Cash Flow der Periode