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LCA-Vision Reports Fourth Quarter and Year-End 2012 Financial Results

Implements Management Action Plan Aimed at Core Business Profitability

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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.



RELATED LINKS
http://www.lca-vision.com

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