HAMPTON ROADS PROTON BEAM THERAPY INSTITUTE AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY INSTITUTE
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2 HAMPTON ROADS PROTON BEAM THERAPY AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY Series 2009 Bonds Issuance Continuing Disclosure Agreement - Additional Disclosure Key Operating Statistics and Project Summary March 31, 2013 As of March 2013, HUPTI has yielded volumes trending at an average of 60 treated patients per day. The patient treatment volumes have steadily increased since the beginning of the current year. The institute is projecting an average of 62 patient treatments per day during April The OAV team is determined to assist HUPTI in reaching a goal of 100 patient treatments per day. To that end, they continue to participate in educational seminars both at HUPTI and in the community. OAV has also begun the lung program which will greatly expand HUPTI s patient base and make the Institute more competitive with conventional radiotherapy. Recently, Dr. Allan Thornton, OAV Partner, was interviewed by Hope Magazine giving additional exposure in the local market and highlighting HUPTI as a resource for state of the art cancer treatment Avg # of Patients Treated by Month Calendar Years 2012 and 2013 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec As of January 2013, Mr. Keith Gregory stepped into the Executive Director at the Institute as Mr. Clarence Locket transitioned to his previous Board of Trustee role with Hampton University. Research efforts are continuing to expand with a high risk prostate cancer protocol receiving final IRB approval in late March. The Institute also has a breast cancer protocol that has been open.
3 Double scattering has been completed and the Institute is currently planning patient treatments. The first patient, who began treatment in March, was a lung cancer patient who was successfully treated. As previously reported Double Scattering will allow HUPTI to treat a greater variety of disease sites, which increases the Institute s competitiveness with conventional radiotherapy and with other proton centers, many of which do not offer this option. Additionally, HUPTI is becoming a national referral source from other proton centers for the treatment of prostate cancer patients with prostatic hips. Regarding Respiratory Gaiting, the Institute is currently seeking a vendor to partner with to implement the patient treatment process. The current patient mix is approximately 64% prostate and 36% other. Cancer Site % of Overall Patients Distribution at 3/31/2013 Prostate 64% Central Nervous System 5% Head/Neck & Pediatric 4% Lung 1% Breast 3% Other 23% Total 100% As of March 31, 2013, HUPTI continues to negotiate both long and short term contracts with third party insurance payers for the treatment of its patients. To date, Medicare and Anthem make up over 75% of the year-to-date gross charges. The payer s mix consists of the following percentages compared to last quarter s end: Percentage of Gross Charges Primary Payer at 3/31/2013 MEDICARE & MEDICAID 50% ANTHEM/BCBS 26% OTHER: COMMERCIAL (OPTIMA, TRICARE) 11% UNITED HEALTHCARE 4% AETNA 2% CIGNA 3% HUMANA 2% CHARITY CARE 1% SELF PAY 1% SUBTOTAL OTHER 24% TOTAL 100% All marketing efforts such as media and print advertisements, mailings, lunch and learn seminars, tours and presentations to civic groups have been on-going while the Institute prepares to begin its new marketing campaign under the direction of 2e Creative.
4 HAMPTON ROADS PROTON BEAM THERAPY AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY Unaudited Balance Sheet As of March 31, 2013 Assets Current assets: Cash and cash equivalents $ 5,085 Accounts receivable, less allowance for doubtful accounts 2,322 of approximately $314,000 at March 31, 2013 Assets whose use is limited 10,054 Prepaid expenses 1,752 Other receivables 82 Other receivables - related party 576 Total current assets 19,871 Assets whose use is limited, less current portion 9,286 Furniture, equipment, and machinery, net 148,070 Deferred financing costs, net 3,576 Total assets $ 180,803 Liabilities and Net Assets (Deficit) Current liabilities: Accounts payable and other liabilities $ 5,152 Accrued interest 1,213 Total current liabilities 6,365 Accrued interest, less current portion 29,213 Bonds payable - tax exempt, net 52,287 Subordinate loan 120,000 Total liabilities 207,865 Net assets (deficit) (27,062) Total liabilities and net assets $ 180,803
5 HAMPTON ROADS PROTON BEAM THERAPY AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY Unaudited Statement of Operations and Changes in Net Assets (deficit) For the 9 Months Ending March 31, 2013 Revenues: Net patient service revenue $ 12,120 Other, net 17 Total revenues 12,137 Expenses: Staffing, benefits, and related cost 2,597 General and administrative 7,835 Depreciation and amortization 4,111 Interest expense 8,544 Total expenses 23,087 Change in net assets (deficit) (10,950) Net deficit beginning of year (16,112) Net assets (deficit) end of year $ (27,062)
6 HAMPTON ROADS PROTON BEAM THERAPY AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY Unaudited Statement of Cash Flows For the 9 Months Ending March 31, 2013 Cash flows from operating activities: Change in net assets (deficit) $ (10,950) Adjustment to reconcile change in net assets (deficit) Depreciation and amortization 3,699 Change in accounts receivable- related party 3,615 Changes in operating assets and liabilities: Accounts receivable 160 Prepaid expenses (1,297) Other assets 218 Accounts payable and other liabilities (5,145) Net cash provided by operating activities (9,700) Cash flows from investing activities: Change in assets whose use is limited 11,172 Purchase of furniture, equipment, and machinery (766) Net cash used in investing activities 10,406 Cash flows from financing activities: Change in bank overdraft Change in deferred loan interest costs 3,764 Net cash (used in) provided by financing activities 3,764 Net increase in cash 4,470 Cash at beginning of year 615 Cash at end of year $ 5,085
7 HAMPTON ROADS PROTON BEAM THERAPY AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY Total Cash Position As of March 31, 2013 Total Cash Position Undesignated PNC and SunTrust $ 5,085 Designated SunTrust Equity Fund $ 7,173 Bond Fund 2,881 Debt Service Fund 9,286 Total Cash & Cash Equivalents $ 24,425 Balance Sheet Presentation of Cash Cash and Cash Equivalents $ 5,085 Assets whose use is limited - current 10,054 Assets whose use is limited - non current 9,286 Total Cash & Cash Equivalents $ 24,425
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9 HAMPTON ROADS PROTON BEAM THERAPY AT HAMPTON UNIVERSITY, LLC. dba HAMPTON UNIVERSITY PROTON THERAPY Supplemental to Financial Statements Schedule of Historical Debt Service Coverage Series 2009 Bonds For the rolling twelve months ended March 31, 2013 Total revenue $ 16,372 Total expense 27,265 Change in net assets (deficit) (10,893) Add (deduct): Depreciation and amortization 5,949 Interest expense on long term indebtedness 10,458 Cash available for debt service $ 5,514 Debt service requirement Annual debt service Series 2009 Bonds 5,262 Less: Amounts on deposit in escrow (3,727) Total debt service requirement $ 1,535 Historical Debt Service Coverage Series 2009 Bonds 3.59 Minimum Required Debt Service Coverage Ratio 1.40
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