Aperture Health, Inc. (OTC: APRE)

 

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Aperture Health, Inc. (OTC: APHE)

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Website: www.triadtx.net

Aperture Health, Inc. (OTC: APRE) recently acquired Triad Therapeutics, Inc., ("Triad") a homecare infusion therapy and nursing provider in New Jersey. As a result, Triad has become a wholly owned subsidiary of Aperture Health, Inc., and will remain as the operating company for the combined business.

Triad Therapeutics, Inc.

Triad provides specialized home healthcare services to patients requiring intravenous therapy including antibiotics, pain management, hydration, immunoglobulins, steroids, total nutritional solutions, and IV catheter insertions and maintenance. Simply put, Triad provides a complete solution to patients including the preparation and delivery of sterile compounded IV medications, supplies and equipment, along with specialized nursing care and teaching of the patient and/or caregivers on the administration of therapies as prescribed by a licensed physician.

Triad is a fully accredited home IV therapy company, achieving this "gold standard" status in 2007. Triad has built a well-respected reputation in its industry, which includes companies like Catasys, Inc., Magellan Health Services, Centene Corp., Amerigroup Corporation, and Express Scripts, Inc. Triad currently services clients in New Jersey, New York, and Connecticut. In our opinion, serving these populated areas in the northeastern United States provides APRE significant opportunity for organic growth by Triad, as well as opportunity for expansion.

Triad employs full time marketing and sales personnel to represent the company in the core services areas, growing and maintaining the company's referral source base. Patient referrals are made from physicians, hospitals, insurance companies, veterinarians and hospice care providers that have established a professional rapport with Triad. Patient clients accepted to Triad's service have been preapproved for care by the client's health insurance provider. Triad maintains numerous managed care service provider contracts, many of which are part of "closed networks", which provides a barrier to entry in the industry.

Home Infusion Therapy

The business of home infusion therapy is a mature industry with multiple competitors. The company markets its services to hospital discharge planners, physicians, hospice providers, and veterinarian hospitals. The company competes for client referrals by providing enhanced customer service and reliable cross communication with the patients care givers, nurses, pharmacists and physicians.

According to the National Home Infusion Association, infusion therapy involves the administration of medication through a needle or catheter. It is prescribed when a patient’s condition is so severe that it cannot be treated effectively by oral medications. Typically, “infusion therapy” means that a drug is administered intravenously, but the term also may refer to situations where drugs are provided through other non-oral routes, such as intramuscular injections and epidural routes (into the membranes surrounding the spinal cord).

Diseases commonly requiring infusion therapy include infections that are unresponsive to oral antibiotics, cancer and cancer-related pain, dehydration, gastrointestinal diseases or disorders which prevent normal functioning of the gastrointestinal system, and more. Other conditions treated with specialty infusion therapies may include cancers, congestive heart failure, Crohn's Disease, hemophilia, immune deficiencies, multiple sclerosis, rheumatoid arthritis, and more.

Until the 1980s, patients receiving infusion therapy had to remain in the inpatient setting for the duration of their therapy. Heightened emphasis on cost-containment in health care, as well as developments in the clinical administration of the therapy, led to strategies to administer infusion therapy in alternate settings. For individuals requiring long-term therapy, inpatient care is not only tremendously expensive but also prevents the individual from resuming normal lifestyle and work activities.

Home infusion has been proven to be a safe and effective alternative to inpatient care for many disease states and therapies. For many patients, receiving treatment at home or in an outpatient infusion suite setting is preferable to inpatient care. Many home infusion therapy providers operate one or more ambulatory infusion suites which are ideally suited for certain patient-therapy situations.

An infusion therapy provider is most normally a “closed-door”, state-licensed pharmacy that specializes in provision of infusion therapies to patients in their homes or other alternate-sites—called a home infusion therapy pharmacy. The infusion therapy always originates with a prescription order from a qualified physician who is overseeing the care of the patient.

Facilities and Management

Triad leases a 9,000 square foot facility in northern New Jersey. The facility contains a fully licensed, equipped and JCAHO accredited pharmacy along with complete client intake, insurance billing and receivables management services.

James E. Hennig, R.Ph.  - President, CEO, Chairman and Pharmacist-in-Charge:  Mr. Hennig is a New Jersey Registered Pharmacist with over 25 years of home IV therapy industry experience. His responsibilities have included business development, sales and marketing, clinical operations, middle and executive management roles for public and private healthcare companies ranging from $5M to $100M in revenues. Mr. Hennig maintains his office location at the corporate offices of Aperture Health, Inc.  As of November 8th, 2011, Mr. Hennig owns 10,000,000 shares of APHE common stock.

Arnold Silver – Director: Mr. Silver brings strength to Aperture's Board from his 27 years of experience in the ownership and operations of multiple restaurant enterprises.

Lance Friedman - Secretary and Director: Mr. Friedman was most recently a partner in Cooper Beech Equity and Corinthian Holdings, both Merchant Banking firms. He previously served as Managing Director and Partner of EGL Holdings, Inc., a venture capital and boutique investment banking concern in charge of healthcare practice and investments. Mr. Friedman has served in executive operational capacities for various companies including Wireless MD, M2Verticom, Brooklyn Bottling and Canning Corp, and Fletcher-Flora Health care Systems. He holds a BA from American University and a JD from Benjamin Cardozo School of Law, Yeshiva University. Mr. Friedman owns 3,000,000 shares of APHE  common stock.

Larry Friedman - Treasurer and Director: Mr. Friedman has maintained Triad's financial records since inception in 2007. He holds a BS in Accountancy from NYU in 1954 and a State of NY CPA since 1964. Mr. Friedman managed several public accounting firms from 1966 through 1988. Since retiring in 1988, Mr. Friedman performed forensic accounting on a contract basis.

Financial Results

2009 was the first full year of operations with the ability to service patient clients covered by Horizon Blue Cross/Blue Shield ("Horizon"), the major insurance carrier in New Jersey. Obtaining contracted service approval through Horizon, and all other health insurance payers, is a difficult goal to achieve in the home IV therapy industry since the majority of provider networks are closed to additional service providers. Triad continues to work to obtain "InNetwork Provider" status with other major insurance carriers, including Aetna and Oxford. In our opinion, successful acceptance into those networks will provide additional opportunities to service patient customers with the realization of subsequent revenue growth.

Triad's 2009 year Revenue was $834,216.25 with an EBITDA (loss) of ($283,846.32). Triad's 2010 year Revenue grew 30% over 2009, ending at $1,081,916.21 with an EBITDA (loss) of ($310,475.42). Some expenses contributing to the increased loss for the year include: $12,000 for the addition of a Medical Director consultant to help guide Triad's clinical team with respect to patient care, an additional $13,000 incurred in the employee health benefit coverage, a $12,000 increase in Triad's packaging and patient delivery expense related to the increase in patient client base in the States of Connecticut and New York, and an additional salary expense of $63,000 related to hiring clinical and billing staff necessary for the next phase of development while keeping Triad compliant with the JCAHO Standards for its accreditation status.

Triad's 6 month (June) 2011 financial statement shows results closer to those in 2009. This is due to management holding back on aggressive sales and marketing efforts while working towards the completion of the Reverse Merger with Aperture Health. Management believes that with the current management, sales and operations team in place, Triad is positioned to handle significant organic revenue growth and possible acquisitions of home health and IV therapy companies located in the Northeastern and Southeastern United States. Management believes that after completing the goal of raising an additional $1 Million in capital, the Company will be able to stabilize its balance sheet and organically grow the Company's 2012 total revenue and generate positive EBITDA.

Triad reported its 9 Month (Sept. 30, 2011) financial statements on a fully consolidated basis, which includes both Aperture and Triad. This financial statement is listed in the Financial Section of OTCMarkets.com. The unaudited 9 month results show total revenue of $581,962 and a net loss of $487,714 as Triad continued to hold back on its sales and marketing plan until Capital requirements could be met. The consolidated Balance Sheet reports a drop in Total Assets due primarily to the decrease in accounts receivable without the additional revenue generation. The large increase reported in liabilities, as compared to 2009 and 2010 is the result of the merger of Triad and Aperture. The unaudited consolidated financial statements also represent the combined note, accounts payable, aggregate financing expenses, and increased expense and tax liabilities of Triad and Aperture Health  combined. 

 


OTC Symbol: APRE

Current Price: $0.30

Shares Outstanding:  26.2 million

Market Cap: $7.8 million

52 Week Trading Range:

52-Week Low: $0.10

52-Week High: $14.00

Corporate Offices:

333 A. Route 46 West

Suite 130

Fairfield, NJ 07004

Phone: (973) 244-0044

Email:

jhennig@triadtx.net

Website: www.triadtx.net


 

 Triad is a fully accredited home IV therapy company, achieving this "gold standard" status in 2007. Triad has built a well-respected reputation in its industry, which includes companies like Catasys, Inc., Magellan Health Services, Centene Corp., Amerigroup Corporation, and Express Scripts.


Many home infusion therapy providers operate one or more ambulatory infusion suites which are ideally  suited for certain patient-therapy situations. The  infusion therapy always originates with a prescription order from a qualified physician who is overseeing the care and well being of the patient.