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Strahlenzentrum Hamburg MVZ




          2007 - 2012
the story of the
       Strahlenzentrum Hamburg
      Building: 1995, Invest 10 Mill. Euro, first privat
     Radiotherapy center combined with Diagnostic
     imaging in Germany, founded by Dr. Reichardt
•   3 „Bunker“, 2 Linacs (Elekta)
•   4,2 Mill. Inhabitants in the Region of Hamburg
•   Takover by Dr. Barzen, and Restart 2007
Vision 2007

• Modern Radiotherapy (RT) =
  Humanity + Technique
     „High Tech, High Quality, Humanity“
 Applied science, Education, Communication
• Modern Imaging suitable for RT
• Profound Management and healthy
  growing in Hamburg
2007
   Dr. Georg Barzen
   Specialised in Radiology and Nuclear Medicine
   Free University of Berlin now “Charitee”
   (founder of div. private diagnostic and one private
   Radiotherapycenter in Bavaria)

   PD Dr. Fabian Fehlauer,
   ass.prof University Hamburg
   Specialised in Oncology, Radiooncology, palliative care



   Professor Dr. M. H. Seegenschmiedt
   Specialised in Radiotherapy, Radiosurgery, Radiooncology
   University of Erlangen and former Head of dep. of Radiotherapy,
   Krupp Hospital, Essen
   (3. partner since 2010)
Oktober 2010

• Prof. Dr. med. M.H. Seegenschmiedt
• IMRT / IGRT established
• SBRT of lung and livermetastasis
• DIN EN ISO 9001 Certification established
• Cooperation with 8 Hospitals in Hamburg
• Developing of new department:
 CyberKnife-Center Hamburg
2011
Cyberknife in Hamburg
• Radiosurgery

• International Cyberknife Centre Hamburg

• 6,0 Mill Euro , Bunker 1,0 Mill Euro

• 400.000 Euro Big Bore CT
Conclusion 2011
   Strahlenzentrum Hamburg
• Positive developing within 5 years
• Latest technology, QM SIO DIN
• PACS, extracranieller Stereotaxie, IGRT,
  IMRT, VMAT, digital patient file, Cyberknife
  (first in privat praxis in D)
• Established standing in Hamburg
• More than 150 patients a day (RT) and 50
  patients in diagnostic imaging incl. PET-CT
Investments and Profit
(Investments incl. Romania (2010 -2012), Profit without investments in
new Business 40-55% of turnover (only HH))



     2013
     2012
      2011
                                                                  investment
      2010
                                                                  Profit T€
      2009                                                        Turnover T
      2008
      2007
             0       2500      5000      7500      10000
Investment and Financing (HH)
• Very conservativ aproach: short LZ
  acording to afa or quicker
• Owners payment: restricted to 300.000 €
• Reinvest in modern Technology
• Aims turnover HH:
• CyberKnife: 5 Mill. = 500 patients/year
• Linac: 8 Mill./a = 1500 patients
• Diagnostic Imaging: 3 Mill./a
Investment and Financing
              New Branches in HH and surounding catchment area



• RT-Center Elmshorn: start 1.1.13
• (financing under way)
• RT-Center Harburg: start 1.10.13
• (financing done)
• RT Center Reinbeck/Bergedorf 2014
• (Financing open)
• RT Center Stralsund: start 2014
• (Financing open)
Romania
• Investments (own capital) 2010 - 2012:
  1.000.000€ for RT Center in Bucarest and
• “Second opinion” (Doktor visiting center)
• Turnover: 2010: 180.000 €
• Turnover: 2011: 270.000 €
• Turnover: 2012: 350.000 €
• First RT center start: Valcea 10/13:
• Second RT center Bucarest 12/13 :
• Third RT center Constanta 10/14:
2012 /2013

• Developing of
• Radiotherapy and Imaging Center in
  Bucaresti
• n close affiliation with the university
  community of University Titu Maiorescu to
  support education and clinical research
• provide the most up to date treatment
  and education of human resources
Why Romania

• No modern Radiotherapy (only conventional)
• Patient treated in Turkey, Austria, Germany
• Affinity to Germany
• No educated staff
Team(spirit) and patient care
  2012




„human resources and care counts for patients and success, technology just helps“

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Strahlenzentrum Hamburg MVZ (Germany)

  • 2. the story of the Strahlenzentrum Hamburg Building: 1995, Invest 10 Mill. Euro, first privat Radiotherapy center combined with Diagnostic imaging in Germany, founded by Dr. Reichardt • 3 „Bunker“, 2 Linacs (Elekta) • 4,2 Mill. Inhabitants in the Region of Hamburg • Takover by Dr. Barzen, and Restart 2007
  • 3. Vision 2007 • Modern Radiotherapy (RT) = Humanity + Technique „High Tech, High Quality, Humanity“ Applied science, Education, Communication • Modern Imaging suitable for RT • Profound Management and healthy growing in Hamburg
  • 4. 2007 Dr. Georg Barzen Specialised in Radiology and Nuclear Medicine Free University of Berlin now “Charitee” (founder of div. private diagnostic and one private Radiotherapycenter in Bavaria) PD Dr. Fabian Fehlauer, ass.prof University Hamburg Specialised in Oncology, Radiooncology, palliative care Professor Dr. M. H. Seegenschmiedt Specialised in Radiotherapy, Radiosurgery, Radiooncology University of Erlangen and former Head of dep. of Radiotherapy, Krupp Hospital, Essen (3. partner since 2010)
  • 5. Oktober 2010 • Prof. Dr. med. M.H. Seegenschmiedt • IMRT / IGRT established • SBRT of lung and livermetastasis • DIN EN ISO 9001 Certification established • Cooperation with 8 Hospitals in Hamburg • Developing of new department: CyberKnife-Center Hamburg
  • 6. 2011 Cyberknife in Hamburg • Radiosurgery • International Cyberknife Centre Hamburg • 6,0 Mill Euro , Bunker 1,0 Mill Euro • 400.000 Euro Big Bore CT
  • 7. Conclusion 2011 Strahlenzentrum Hamburg • Positive developing within 5 years • Latest technology, QM SIO DIN • PACS, extracranieller Stereotaxie, IGRT, IMRT, VMAT, digital patient file, Cyberknife (first in privat praxis in D) • Established standing in Hamburg • More than 150 patients a day (RT) and 50 patients in diagnostic imaging incl. PET-CT
  • 8. Investments and Profit (Investments incl. Romania (2010 -2012), Profit without investments in new Business 40-55% of turnover (only HH)) 2013 2012 2011 investment 2010 Profit T€ 2009 Turnover T 2008 2007 0 2500 5000 7500 10000
  • 9. Investment and Financing (HH) • Very conservativ aproach: short LZ acording to afa or quicker • Owners payment: restricted to 300.000 € • Reinvest in modern Technology • Aims turnover HH: • CyberKnife: 5 Mill. = 500 patients/year • Linac: 8 Mill./a = 1500 patients • Diagnostic Imaging: 3 Mill./a
  • 10. Investment and Financing New Branches in HH and surounding catchment area • RT-Center Elmshorn: start 1.1.13 • (financing under way) • RT-Center Harburg: start 1.10.13 • (financing done) • RT Center Reinbeck/Bergedorf 2014 • (Financing open) • RT Center Stralsund: start 2014 • (Financing open)
  • 11. Romania • Investments (own capital) 2010 - 2012: 1.000.000€ for RT Center in Bucarest and • “Second opinion” (Doktor visiting center) • Turnover: 2010: 180.000 € • Turnover: 2011: 270.000 € • Turnover: 2012: 350.000 € • First RT center start: Valcea 10/13: • Second RT center Bucarest 12/13 : • Third RT center Constanta 10/14:
  • 12. 2012 /2013 • Developing of • Radiotherapy and Imaging Center in Bucaresti • n close affiliation with the university community of University Titu Maiorescu to support education and clinical research • provide the most up to date treatment and education of human resources
  • 13. Why Romania • No modern Radiotherapy (only conventional) • Patient treated in Turkey, Austria, Germany • Affinity to Germany • No educated staff
  • 14. Team(spirit) and patient care 2012 „human resources and care counts for patients and success, technology just helps“