Since October 2009 more than 2000 patients were treated at HIT. In a 24/7 operation scheme two 14.5 GHz electron cyclotron resonance ion sources are routinely used to produce protons and carbon ions for more than 8000 hours per year. The integration of a third ion source into the production facility was done in summer 2013 to produce a helium beam. This paper will give a status report of the ion source operating experience and statistics and will summarize the enhancement activities, which were undertaken at an in-house ion source testbench.