CINCINNATI, Feb. 19, 2013 /PRNewswire/ -- LCA-Vision Inc. (NASDAQ: LCAV), a leading provider of laser vision correction services under the LasikPlus(®) brand, today announced financial and operating results for the three and 12 months ended December 31, 2012.

Fourth Quarter 2012 Financial and Operating Highlights (all comparisons are with the fourth quarter of 2011)


    --  Revenues were $20.2 million compared with $24.5 million; adjusted
        revenues were $19.7 million compared with $23.6 million.
    --  Procedure volume was 11,613 procedures compared with 14,205 procedures.
    --  Operating loss was $6.0 million compared with operating loss of $1.6
        million; adjusted operating loss was $6.4 million compared with adjusted
        operating loss of $2.5 million. Operating loss and adjusted operating
        loss for the fourth quarter of 2012 reflected lower procedure volume and
        revenues, and included $1.7 million in restructuring and impairment
        charges.
    --  Marketing cost per eye was $411 compared with $348.
    --  Net loss was $5.6 million, or $0.30 per share, compared with a net loss
        of $1.7 million, or $0.09 per share.

Full Year 2012 Financial and Operating Highlights (all comparisons are with the full year 2011)


    --  Revenues were $101.5 million compared with $103.0 million; adjusted
        revenues increased slightly to $99.0 million from $98.6 million.
    --  Procedure volume was 58,525 procedures compared with 59,587 procedures.
    --  Operating loss was $9.3 million compared with operating loss of $6.5
        million; adjusted operating loss was $11.6 million compared with
        adjusted operating loss of $10.5 million. Operating loss and adjusted
        operating loss for 2012 included $1.7 million in restructuring and
        impairment charges, a $2.2 million loss from the start-up operation of
        the cataract services expansion, and a $0.2 million gain on sale of
        assets, offset by a $1.0 million decline in depreciation expense. 
        Operating loss and adjusted operating loss for 2011 included $0.1
        million in impairment charges and a $0.6 million gain on sale of assets.
    --  Marketing cost per eye was $394 compared with $381.
    --  Net loss was $8.5 million, or $0.45 per share, compared with a net loss
        of $6.2 million, or $0.33 per share.
    --  Cash and investments totaled $34.5 million as of December 31, 2012,
        compared with $44.8 million as of December 31, 2011. The cash and
        investment balance for 2012 was impacted primarily by $4.0 million used
        to retire all outstanding debt prior to maturity, $2.8 million invested
        in developing the cataract services business, $2.1 million of changes in
        working capital, and $1.4 million of cash used in other LASIK-related
        activity.

The company provides adjusted revenues and operating loss as a means of measuring performance that adjusts for the non-cash impact of accounting for separately priced extended warranties. A reconciliation of revenues and operating loss as reported in accordance with U.S. Generally Accepted Accounting Principles (GAAP) is provided at the end of this news release. Management believes that the adjusted information better reflects operating performance and, therefore, is more meaningful to investors.

"In reviewing our 2012 performance, we reported year-over-year growth in procedure volume for the first half of the year followed by declines in the second half as we attracted fewer prospective patients," said LCA-Vision Chief Executive Officer Michael J. Celebrezze. "Among the bright spots for 2012, we took actions that resulted in improvements in appointment show rate and conversion rate, while treatment show rate remained strong throughout the year. We also increased our average price per procedure by $36, and effectively controlled costs within our core business. The increase in operating expenses from 2011 related largely to an investment in developing our cataract services business. Importantly, we have a strong balance sheet with $34.5 million of cash and investments and no debt.

"Late last year, we began taking actions to further lower the number of procedures required to reach cash-flow breakeven from our LASIK business by 10,000 to approximately 58,000 procedures annually. These measures include reducing headcount by eliminating the equivalent of 31 full-time positions from across all segments of our company, reducing our costs with select vendors, relocating the call center to the company's headquarters facility, converting two full-service LasikPlus(®) vision centers to satellite operations that perform pre-operative and post-operative exams and one full-service vision center to a license arrangement, all while maintaining an infrastructure aligned with current market conditions and patient volumes."

The company announced that it is taking actions aimed at improving patient prospecting through its direct-to-consumer marketing model. These include optimizing media buys and refreshing advertising messaging with increased focus on hyper-localization to compete better with local ophthalmologists who control about 60% of the LASIK market.

"We are further expanding our partner network of optometrists for both LASIK and cataract patient referrals, which reached 160 practices at the close of 2012. We are refining our approach to identify additional suitable candidates for partnering and to improve patient care," said Celebrezze. "Finally, our intention is to limit our cataract surgery offering under our Visium Eye Institute(®) brand to the current 10 centers while we evaluate marketing programs to generate patient interest. We performed 61 cataract and implantable collamer lens procedures during the fourth quarter."

Near-Term Financial Outlook
LCA-Vision intends to manage expenses conservatively in 2013; its plans and outlook for 2013 include:


    --  The company does not plan to open any new full-service vision centers in
        the near-term. The company intends to test the value of satellite vision
        centers in certain established LasikPlus(®) markets.
    --  The company expects capital expenditures to be between $1.2 million and
        $1.5 million.
    --  For the first quarter of 2013, the company expects marketing and
        advertising expenses to be between $6.5 million and $7.0 million.

The company estimates that the number of procedures companywide necessary to reach cash-flow breakeven from its LASIK business (excluding restructuring costs) at approximately 58,000 annually. The company expects to continue to incur start-up losses and capital investment during the expansion phase for its cataract business.

Conference Call and Webcast
As previously announced, a conference call and webcast will be held today beginning at 10:00 a.m. Eastern time. To access the conference call, dial 866-322-1352 (U.S. and Canada) or 706-643-6246 (international callers). The webcast will also be available in the investor relations section of LCA-Vision's website. A replay of the call and webcast will begin approximately two hours after the live call has ended. To access the replay, dial 855-859-2056 (U.S. and Canada) or 404-537-3406 (international callers) and enter the conference ID number: 85275830.

Forward-Looking Statements
This news release contains forward-looking statements based on current expectations, forecasts and assumptions of LCA-Vision that are subject to risks and uncertainties. The forward-looking statements in this release are based on information available to the company as of the date hereof. Actual results could differ materially from those stated or implied in the forward-looking statements due to risks and uncertainties associated with its business. In addition to the risk factors discussed in the company's Form 10-K and other filings with the Securities and Exchange Commission, there are a number of other risks and uncertainties associated with its business including, without limitation, the successful execution of cost effective marketing strategies to drive patients to its vision centers; the impact of low consumer confidence and discretionary spending; competition in the laser vision correction industry; the possibility of adverse outcomes or long-term side effects of laser vision correction and negative publicity regarding laser vision correction; the company's ability to operate profitable vision centers and retain qualified personnel during periods of lower procedure volumes; the company's success in expanding its services into the cataract and intraocular lens (IOL) market; additional regulatory requirements, such as for Medicare, related to cataract and IOL procedures; the continued availability of non-recourse third-party financing for its patients on terms similar to what it has paid historically; and the future value of revenues financed by the company and its ability to collect on such financings, which will in turn depend on a number of factors, including the consumer credit environment and the company's ability to manage credit risk related to consumer debt, bankruptcies and other credit trends.

Further, the Food and Drug Administration's (FDA) advisory board on ophthalmic devices currently is reviewing concerns about post-LASIK quality of life matters, and the FDA is recruiting participants for two studies on LASIK outcomes and quality of life. The FDA or another regulatory body could take legal action against the company or others in the laser vision correction industry. The outcome of this review or legal action potentially could impact negatively the acceptance of LASIK. In addition, the acceptance rate of new technologies and our ability to implement successfully new technologies on a national basis create additional risk.

Except to the extent required under the federal securities laws and the rules and regulations promulgated by the Securities and Exchange Commission, the company assumes no obligation to update the information included in this news release, whether as a result of new information, future events or circumstances, or otherwise.

About LCA-Vision Inc./LasikPlus(®
)
LCA-Vision Inc., a leading provider of laser vision correction services, operates 53 LasikPlus(®) vision centers in the United States: 49 full-service LasikPlus(®) fixed-site laser vision correction centers and four pre- and post-operative LasikPlus(®) satellite centers.

Earning Trust Every Moment; Transforming Lives Every Day.

    For Additional Information
    Company Contact:           Investor Relations Contact:
    Barb Kise                  Jody Cain
    LCA-Vision Inc.            LHA
    513-792-5629               310-691-7100 - jcain@lhai.com
                               @LHA_IR_PR



                                                                                                     LCA-Vision Inc.
                                                                                               Consolidated Balance Sheets
                                                                                                  (Dollars in thousands)
                                                                                                       (Unaudited)
                                                                                                                           At December 31,
                                                                                                                           ---------------
                                                                                                                               2012            2011
                                                                                                                               ----            ----

    Assets
    Current assets
       Cash and cash equivalents                                                                                            $31,653         $18,568
       Short-term investments                                                                                                 2,804          25,311
       Patient receivables, net of allowances of $1,019 and $1,035                                                            2,810           2,366
       Other accounts receivable, net                                                                                           443           1,974
       Prepaid expenses and other                                                                                             3,318           4,254
                                                                                                                              -----           -----

    Total current assets                                                                                                     41,028          52,473

    Property and equipment                                                                                                   64,964          70,760
    Accumulated depreciation                                                                                                (58,584)        (60,123)
                                                                                                                            -------         -------
    Property and equipment, net                                                                                               6,380          10,637

    Long-term investments                                                                                                         -             902
    Patient receivables, net of allowances of $634 and $634                                                                   1,059             769
    Other assets                                                                                                                501           1,652
                                                                                                                                ---           -----

    Total assets                                                                                                            $48,968         $66,433
                                                                                                                            =======         =======

    Liabilities and Stockholders' Investment
    Current liabilities
       Accounts payable                                                                                                      $8,046          $8,103
       Accrued liabilities and other                                                                                         11,060          12,175
       Deferred revenue                                                                                                         870           2,516
       Debt obligations maturing within one year                                                                                  -           2,978
                                                                                                                                ---           -----

    Total current liabilities                                                                                                19,976          25,772

    Other long-term liabilities                                                                                               3,023           4,443
    Long-term debt obligations, less current portion                                                                              -           1,026
    Long-term insurance reserves, less current portion                                                                        5,741           6,264
    Deferred license fee                                                                                                        341           1,703
    Deferred revenue                                                                                                             90             960

    Stockholders' investment
       Common stock ($.001 par value; 25,291,637 shares issued and
          19,050,504 and 18,858,147 shares outstanding, respectively)                                                            25              25
       Contributed capital                                                                                                  179,543         177,287
       Common stock in treasury, at cost (6,241,133 shares and 6,433,490 shares, respectively)                             (111,395)       (112,910)
       Accumulated deficit                                                                                                  (49,053)        (38,720)
       Accumulated other comprehensive income                                                                                   677             583
                                                                                                                                ---             ---
    Total stockholders' investment                                                                                           19,797          26,265
                                                                                                                             ------          ------

    Total liabilities and stockholders' investment                                                                          $48,968         $66,433
                                                                                                                            =======         =======

                                                                                       LCA-Vision Inc.
                                                                            Consolidated Statements of Operations
                                                                        (Dollars in thousands except per share data)
                                                                                         (Unaudited)

                                             Three Months Ended December 31,                 Twelve Months Ended December 31,
                                                                           2012                                             2011      2012      2011
                                                                           ----                                             ----      ----      ----

    Revenues                                                            $20,195                                          $24,494  $101,493  $102,983

    Operating costs and expenses
       Medical professional and license fees                              4,576                                            5,392    23,715    24,628
       Direct costs of services                                          10,870                                           11,117    44,348    43,048
       General and administrative                                         3,292                                            3,365    13,442    13,942
       Marketing and advertising                                          4,773                                            4,948    23,055    22,678
       Depreciation                                                         992                                            1,357     4,736     5,703
       Impairment charges                                                   580                                              104       617       104
       Restructuring charges                                              1,120                                              (20)    1,130        36
                                                                         26,203                                           26,263   111,043   110,139
       Gain on sale of assets                                                18                                              120       239       618
                                                                            ---                                              ---       ---       ---

    Operating loss                                                       (5,990)                                          (1,649)   (9,311)   (6,538)

    Net investment income (loss) and other                                  158                                              (22)      656       470

    Loss before income taxes                                             (5,832)                                          (1,671)   (8,655)   (6,068)

    Income tax (benefit) expense                                           (208)                                             (18)     (138)      130
                                                                           ----                                              ---      ----       ---

    Net loss                                                            $(5,624)                                         $(1,653)  $(8,517)  $(6,198)
                                                                        =======                                          =======   =======   =======

    Loss per common share
       Basic                                                             $(0.30)                                          $(0.09)   $(0.45)   $(0.33)
       Diluted                                                           $(0.30)                                          $(0.09)   $(0.45)   $(0.33)

    Weighted average shares outstanding
       Basic                                                             19,024                                           18,850    18,982    18,811
       Diluted                                                           19,024                                           18,850    18,982    18,811

                                                                                    LCA-Vision Inc.
                                                                         Consolidated Statements of Cash Flows
                                                                                 (Dollars in thousands)
                                                                                      (Unaudited)
                                                                                                               For the Years Ended December 31,
                                                                                                                          2012                      2011
                                                                                                                          ----                      ----

    Cash flows from operating activities:
    Net loss                                                                                                           $(8,517)                  $(6,198)
    Adjustments to reconcile net loss to net cash used in operating activities:
         Depreciation                                                                                                    4,736                     5,703
         Provision for loss on doubtful accounts                                                                           914                       746
         Loss (gain) on investments                                                                                         68                       (42)
         Gain on sale of property and equipment                                                                           (239)                     (618)
         Impairment charges                                                                                                617                       104
         Stock-based compensation                                                                                        2,060                     1,676
         Insurance reserves                                                                                               (604)                     (191)
         Changes in operating assets and liabilities:
            Patient accounts receivable                                                                                 (1,610)                   (1,128)
            Other accounts receivable                                                                                    1,522                      (397)
            Prepaid income taxes                                                                                            45                       432
            Prepaid expenses and other                                                                                     748                       352
            Accounts payable                                                                                               (57)                       (7)
            Deferred revenue, net of professional fees                                                                  (2,264)                   (3,938)
            Accrued liabilities and other                                                                               (2,507)                        5
                                                                                                                        ------                       ---
    Net cash used in operations                                                                                         (5,088)                   (3,501)

    Cash flows from investing activities:
         Purchases of property and equipment                                                                            (1,160)                   (1,509)
         Proceeds from sale of assets                                                                                      305                     1,400
         Purchases of investment securities                                                                            (39,656)                 (166,968)
         Proceeds from sale of investment securities                                                                    62,883                   173,430
    Net cash provided by investing activities                                                                           22,372                     6,353

    Cash flows from financing activities:
         Principal payments of capital lease obligations and loan                                                       (4,004)                   (3,280)
         Shares repurchased for treasury stock                                                                            (357)                     (288)
         Proceeds from exercise of stock options                                                                            57                        24
    Net cash used in financing activities                                                                               (4,304)                   (3,544)

    Net effect of exchange rate changes on cash and cash equivalents                                                       105                       (90)
                                                                                                                           ---                       ---

    Increase (decrease) in cash and cash equivalents                                                                    13,085                      (782)

    Cash and cash equivalents at beginning of year                                                                      18,568                    19,350
                                                                                                                        ------                    ------

    Cash and cash equivalents at end of year                                                                           $31,653                   $18,568
                                                                                                                       =======                   =======

            LCA-Vision Inc.
        Effect of the Change in
         Accounting for Deferred
     Revenues on Financial Results
         (Dollars in thousands)
              (Unaudited)

To supplement its Consolidated Financial Statements presented in accordance with accounting principles generally accepted in the United States, LCA-Vision discusses adjusted revenues and operating income and loss. Management utilizes this information as a means of measuring performance that adjusts for the non-cash impact of the accounting for separately priced extended warranties and believes that including this additional disclosure is meaningful to investors for the same reason.

Accordingly, this news release contains non-GAAP financial measures within the meaning of Regulation G promulgated by the Securities and Exchange Commission. A reconciliation of the difference between the non-GAAP measures with the most directly comparable financial measures calculated in accordance with GAAP follows:


                                                    Three Months Ended December 31, Twelve Months Ended December 31,
                                                                 2012                  2011       2012                   2011
                                                                 ----                  ----       ----                   ----
    Revenues
         Reported U.S. GAAP                                   $20,195               $24,494   $101,493               $102,983
         Adjustments
            Amortization of prior deferred revenue               (473)                 (939)    (2,516)                (4,376)
                                                                 ----                  ----     ------                 ------
         Adjusted revenues                                    $19,722               $23,555    $98,977                $98,607
                                                              =======               =======    =======                =======


    Operating Loss
         Reported U.S. GAAP                                   $(5,990)              $(1,649)   $(9,311)               $(6,538)
         Adjustments
            Amortization of prior deferred revenue               (473)                 (939)    (2,516)                (4,376)
            Amortization of prior professional fees                47                    94        252                    438
                                                                  ---                   ---        ---                    ---
         Adjusted operating loss                              $(6,416)              $(2,494)  $(11,575)              $(10,476)
                                                              =======               =======   ========               ========

SOURCE LCA-Vision Inc.