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The Project Team

Bios of attendees

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The Links to NRW Government

Beitrag Dr. Kals

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Technology Background I

Photons (=x-rays) are electromagnetic waves, which are

alleviated through matter

Protons are particles with limited range

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Technology Background II

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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

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Technology – Gantry I

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Technology – Gantry II

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Technology – Fixed beam

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Procurement rules and USP

Beitrag Dr. KalsHow it is proposed to proceed without a bidding

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The Links to NRW Government

Beitrag Dr. KalsPolitical backdrop

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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

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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

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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)

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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 !

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Costs

Proton, heavy Ions, Building

Operations per year

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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

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Finance required

Amount requiredEquity contributionsOverview of suggested sale / leasebacvk

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Comparison Kiel I

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Comparison Kiel II

Oslo

Lund/ MalmöOdense

Kopenhagen

KielKaunas

Cooperations with:

Odensee DKAarhus DK

Oslo N

Kaunas Lt

Capio S

Hannover DRostock DGreifswald D

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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

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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