Release date: 2016-07-04

Recently, Ronghua Industrial disclosed the feasibility study report of the Wuwei Heavy Ion Therapy Cancer Center Construction Project. The report made a detailed analysis of the construction content, scale and financial analysis of the heavy ion treatment hospital, which is useful for the construction of similar hospitals. The meaning of the article, the doctor Valley Xiaobian extracted the main part, the full text of the full view please click http://?productId=600311

Construction content and construction scale of the project

The planned land for the project is 112,7936.8 square meters, with a planned total construction area of ​​213,180 square meters and 1,600 beds.

1. Heavy ion treatment building

The building scale is 36080m2, the number of floors is 2, the frame structure is form, and the single building. Design content: The unit is the core building of the medical district. Architectural function composition: including 3 parts, namely heavy ion auxiliary treatment area, heavy ion radiation treatment area, heavy ion machine room supply area. Heavy ion assisted treatment area: This part has 2 layers in total, and there are 4 functional areas on the first floor: outpatient treatment service area, model production and processing area and simulation positioning, simulation treatment area, initial planning consultation and other service areas, VIP ward area. The combination of architectural space is centered on the central office, and other functional spaces are radially arranged.

There are 2 functional areas on the second floor: hospitalized area and office area.

Inpatient treatment area: There are 130 standard wards and 3 groups of nursing units.

Heavy ion radiation treatment area: 4 treatment chambers: horizontal, vertical, horizontal and vertical, 45 degrees. In the ring hall, accelerator hall, etc., the device process is designed to be confidential. The concrete protection thickness is 1.2~3.6 meters.

Heavy ion room supply area: 3-storey factory structure, with 2 sets of 12m span 5t cranes on each floor. The height of the floor is 9.5m. 2t freight elevator.

2, general hospital outpatient building

The building scale is 38,900 m2, the number of floors is 3, and the frame structure is a single building.

Design content: including emergency department, comprehensive clinic section.

Emergency: single-layer frame form. Design content: emergency registration, pharmacy, spectator area, emergency treatment area, doctor's office area, and connection area with clinic.

Outpatient: Standard modular design, with a single unit enclosing the public hall, combined with a single unit to standardize the design method of the outpatient clinic. The pharmacy, registration, waiting area, etc. are set in the public area, and the four medical ladders form the main vertical transportation channel. On the 1st floor, there are 4 specialist clinics for comprehensive, urinary, intestinal and fever. They appear in separate forms. Another pediatric outpatient clinic is set up separately, and the infusion hall area is also divided into separate zones. The pharmacy has a separate section and is independent. External supply and exit. Other outpatient areas appear as a single-family combination. A total of 4 modular outpatient areas are designed on the 2nd floor, including expert outpatient, internal medicine clinic, external orthopedic clinic, and gynecological clinic. A total of 4 modular outpatient areas were designed on the 3rd floor, and 2 specialist clinics, nephropathy, hemodialysis center, ophthalmology, and ENT department of the Department of Otorhinolaryngology and Ophthalmology formed a special specialist area.

3. General Hospital Medical Technology Building

The building scale is 2500m2, the number of floors is 2, the frame structure is form, and the single building.

Design content: 4 modules are set on the 1st floor: center supply, radiology department, functional inspection endoscope center, inspection center.

Center supply: including decontamination area, inspection packaging area, sterile storage area.

Radiology department: including 2 magnetic resonance imaging (MRI), 1 digital subtraction angiography (DSA), CT2, and 2 digital gastrointestinal imaging machines.

Functional examination endoscopy center: including color ultrasound 2, color Doppler, ultrasound intervention, B-ultrasound, colonoscopy, gastroscope, bronchoscopy, cardiopulmonary function.

Inspection Center: Central inspection area, HIV screening, room C14, etc.

3 modules are set on the 2nd floor: central operating room, ICU monitoring area, pathological specimen area.

Central operating room: There are a total of 29 operating rooms, of which there are 2 classes of 100, 4 of 1000, and others are 10,000.

ICU Monitoring Area: ICU Monitoring Center (28 beds), including 2 isolated monitoring areas.

Pathological specimen area: Giant examination room, section, immunohistochemistry, special office area for pathology group.

4. General hospital inpatient building

The building scale is 87,000 m2, the number of floors is 3, and the frame structure is 9 buildings.

Design content: In the form of standard nursing unit building combination, four inpatient wards are formed.

Monomer design: Modular design method, standard nursing unit form, one ward per layer, 45 beds per ward, each nursing unit is equipped with corresponding nursing facilities, standard layer is controlled at 2400m2. Each monomer A medical ladder is provided. The public area appears in the form of a central gallery, with centralized vertical buildings and elevators at appropriate locations in the central corridor. There are 20 elevators in public areas.

5, radiotherapy center building

The building scale is 4000m2, the number of floors is 1 floor, the frame structure is form, and the single building.

Design content: including four treatment halls, doctor's office, model processing machine, mold warehouse, data room, four linear accelerator room, three installations, one rear equipment, concrete protection thickness 1.6m.

6. Outdoor oxygen storage station

The building scale is 130m2, the number of floors is 1 floor, and the frame structure is in the form.

Design content: including 2x5m3 oxygen storage tank, single-layer control room, duty room, etc.

7. Other ancillary buildings

Variable distribution station, buried sewage treatment, laundry room logistics building nutrition canteen 1F, administrative building, garbage disposal station.

8, outdoor transportation system

The red line of the main road in the park is 24m wide and the branch road is 12m. The outdoor parking lot is set up in 8 places, and the total number of parking is 600. Including outdoor greening, landscapes, etc. The center axis of the lake of life is about 140,000 m2.

Project implementation schedule

The initial construction period of the Wuwei Heavy Ion Therapy Cancer Center Construction Project is 39 months. The preliminary work began in July 2012. The construction started in April 2013 and was completed and delivered to the end of September 2015. The construction period is 30 months.

Project calculation period

The construction period of the project is 3 years, and the production and operation period is 20 years. According to the third edition of Method and Parameters, the project calculation period is 23 years, which is 2013-2035, and the construction period is 2013-2015. Production and operation The period is 2016-2035.

Project construction investment

The investment of this project consists of five parts: engineering cost, other engineering fees, basic reserve fee, construction period loan interest, and heavy ion equipment. The estimated investment is 168,768,300 yuan, of which: the project cost is 947,190,200 yuan, accounting for 56.14% of the construction investment; the other engineering costs are 4,683,700 yuan, accounting for 2.78% of the construction investment; the basic reserve fee is 4,917,300 yuan, accounting for 2.95% of the construction investment; During the construction period, the loan interest was 93.540 million yuan, accounting for 5.54% of the construction investment; the heavy ion equipment was 550 million yuan, accounting for 32.60% of the construction investment.

Financing

The total estimated investment of the project is 1,877,268,300 yuan, combined with the local finance of Wuwei City.

In this case, there are two main sources of funding:

1 Bank loan of 100 million yuan.

2 Apply for national and provincial investment.

The rest of the 3 is funded by the Ronghua Group and the hospital.

Fund use plan

The construction period of the project is three years, and it is used according to the schedule of the project during the construction period.

Income analysis

The income source of this project is four parts: medical income, pharmaceutical income, other income, and financial difference. The income is based on the income of similar tumor hospitals and based on the current financial situation of the Wuwei Cancer Hospital.

(1) Medical income is mainly for the treatment of cancer patients. It is expected that 300 patients with cancer will be admitted in the first year of operation. The annual medical income of each patient is 250,000 yuan, and the total annual amount is 75 million yuan. The first year of general medical income is estimated to be 20 million yuan, and the total amount of the two is a total of 95 million yuan. According to the data of similar projects in China, the annual growth rate will be 5%.

(2) According to the current charging situation of Gansu Provincial Cancer Hospital, the drug income is about 35,000 yuan per bed per year. After the project is completed, the drug charge level is equivalent to that of Gansu Provincial Cancer Hospital. Therefore, the first year of the operation period is 35,000 yuan per bed. Calculated, a total of 56 million yuan, and an increase of 10% per year.

(3) Other income refers to similar projects. Each bed is calculated at 50,000 yuan per year, totaling 80 million yuan, and is growing at a rate of 10% per year.

(4) The financial difference appropriation refers to similar projects. Each bed is calculated according to the standard of 20,000 yuan per year, totaling 32 million yuan, and is increasing by 5% per year.

Cost of production

(1) The purchased raw materials are calculated at 22,000 yuan per bed per year. The bed occupancy rate in the first year is 60%, and the purchased raw materials is 21.12 million yuan, which will increase year by year.

The purchased fuel and power are calculated at 15,000 yuan per bed. The estimated occupancy rate of the bed is 60% in the first year, and the purchased fuel and power is 14.4 million yuan, which will increase year by year. The wages and benefits are calculated at a rate of 25,000 yuan per person per year. The estimated salary and welfare expenditure for the first year is 24 million yuan.

(2) Depreciation of fixed assets

According to the regulations and project forecasts, the original value of fixed assets was 154.498 million yuan. Among them: the original value of the building is 975.6618 million yuan, the depreciation period is 20 years, the residual value rate is 4%, the annual depreciation amount is 48.78 million yuan; the original value of the equipment is 57.33 million yuan, the depreciation period is 10 years, and the residual value rate is 5. %, the annual depreciation amount is 5,427,300 yuan.

(3) Repair costs

The first year of the operation period is expected to reach 1.5 million yuan.

(4) Amortization of intangible assets and deferred assets: Intangible assets and deferred assets are amortized according to the provisions of the “Regulations” for 20 years, with an annual amortization fee of RMB 2,341,800.

(5) Equipment maintenance fee: The annual heavy ion equipment needs maintenance, and the annual maintenance fee is 40 million yuan.

Tax

According to the relevant regulations, the hospital is a tax-free unit.

Financial cash flow analysis

1. All investment

Financial internal rate of return: 16.12%;

Financial net present value (Ic = 6%): 244.204 million yuan;

Payback period: including construction period of 9.54 years;

2, sensitivity analysis

The sensitivity analysis of this project uses the single factor analysis method, which assumes that only one factor in fixed asset investment and operating income changes, growth or decrease by 10%, and the calculated internal rate of return is compared with the original rate of return. . See the sensitivity analysis table for details. The analysis shows that both operating income and operating costs are sensitive. In the specific operation of the project, it is necessary to save costs and increase revenue.

3. Analysis of liquidity

The project plans to lend 100 million yuan to the bank. In the project construction period of 3 years, according to the amount of use, the first year of loan 20%, the next two years of balanced loans, annual interest rate of 7.05%, loan interest of 93.54 million yuan. The source of repayment funds is mainly depreciation of fixed assets. In order to reduce the burden on hospitals, it is planned to repay the same amount within 10 years. The annual repayment amount is 109.354 million yuan. Through financial analysis, the project has a good debt repayment ability.

4. Evaluation conclusion After the completion of the planned project, the financial internal rate of return of all its investment is 16.12%, the investment recovery period is 9.54 years (after income tax), and the financial net present value is 244.204 million yuan, indicating that the project has good economic benefits. The uncertainty analysis shows that the project has certain anti-risk ability and it is recommended to approve the implementation.

Source: Medical Valley

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