CINCINNATI, April 30, 2014 /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 months ended March 31, 2014.

First Quarter 2014 Financial and Operating Highlights (all comparisons are with the first quarter of 2013)


    --  Revenues were $25.5 million, down 9.8% from $28.3 million; adjusted
        revenues declined 8.9% to $25.5 million from $27.9 million.
    --  Procedure volume declined 8.4% to 14,898 from 16,272.
    --  Average adjusted revenue per procedure declined to $1,709 from $1,717,
        due primarily to a $500-off price promotion in the 2014 quarter.
    --  Medical professional and license fees were $5.8 million compared with
        $6.7 million. The decrease is due to lower procedure volume and
        favorable per-procedure fee negotiations with a key vendor in the second
        quarter of 2013.
    --  Vision center direct costs were $10.1 million in both periods with
        increases in rent and bad debt expense in 2014 offset by reductions in
        laser maintenance and state and local taxes.
    --  General and administrative expense decreased by $0.2 million to $2.9
        million from $3.1 million, due primarily to lower employee-related
        costs.
    --  Marketing and advertising expense of $6.0 million decreased by $0.6
        million. Marketing cost per eye was $400, compared with $404.
    --  Depreciation expense decreased slightly to $0.5 million from $0.6
        million, due to slightly lower capital expenditures.
    --  Operating loss was $0.3 million compared with operating profit of $1.0
        million. Adjusted operating loss was $0.4 million compared with adjusted
        operating income of $0.7 million. Operating loss and adjusted operating
        loss for the first quarter of 2014 reflected lower procedure volume and
        revenues, transaction costs of $0.6 million related to the merger
        agreement with PhotoMedex, partially offset by other expense reductions.
        The first quarter of 2013 included $0.2 million of restructuring charges
        related to relocating the patient call center.
    --  Net loss was $0.2 million, or $0.01 per share, compared with net income
        of $1.2 million, or $0.06 per share.
    --  Cash and investments were $29.8 million as of March 31, 2014, compared
        with $28.7 million as of December 31, 2013.

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.

"As we previously reported, inclement weather during the quarter disrupted our operations and negatively impacted procedure volume as demonstrated by 100 closed days or partially closed days among a number of our vision centers. We believe our results also were negatively impacted by the timing of our price promotions and changes in marketing compared with last year. The number of cataract and intraocular lens procedures increased compared with the first quarter of 2013 but were lower than the fourth quarter of 2013," said LCA-Vision Chief Executive Officer Michael J. Celebrezze.

On February 13, 2014, LCA-Vision Inc. and PhotoMedex, Inc. entered into an Agreement and Plan of Merger providing for the acquisition of LCA-Vision by PhotoMedex. Pursuant to the terms of the merger agreement, a wholly owned subsidiary of PhotoMedex will be merged with and into LCA-Vision, with LCA-Vision surviving the merger as a wholly owned subsidiary of PhotoMedex. A Special Meeting of LCA-Vision Stockholders is scheduled to be held on May 7, 2014 at the Queen City Club, 331 East Fourth Street, Cincinnati, OH 45202 at 9:00 a.m., Eastern Time, to consider and vote on a proposal to adopt the merger agreement and related matters.

About LCA-Vision Inc./LasikPlus(®
)
LCA-Vision Inc., a leading provider of laser vision correction services under the LasikPlus(®) brand, operates 60 LasikPlus(®) vision centers in the U.S., including 51 full-service LasikPlus(®) fixed-site laser vision correction centers and nine pre- and post-operative LasikPlus(®) satellite centers. LCA-Vision has performed more than 1.3 million procedures since FDA approval of photorefractive keratectomy (PRK) in late 1995.

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 (SEC), 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 attract patients to its vision centers; the impact of low consumer confidence and discretionary spending; the impact of changes in government regulations related to medical expenses; 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 refractive lens and cataract market; additional regulatory requirements, such as for Medicare, related to cataract and other refractive procedures; the continued availability of non-recourse third-party financing for its patients on terms similar to what it has paid historically; the company's ability to achieve profitability in its developing business expansion initiatives; 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 U.S. 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 conducting a three-phase study 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 the Company's 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 SEC, 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.

Participants in the Solicitation
LCA-Vision Inc. ("LCA-Vision") and its directors and officers may be deemed to be participants in the solicitation of proxies for the special meeting of LCA-Vision stockholders to be held on May 7, 2014 to approve the merger of LCA-Vision with a subsidiary of PhotoMedex, Inc. ("PhotoMedex"). In connection with the proposed merger, LCA-Vision has filed with the Securities and Exchange Commission a Proxy Statement. The stockholders of LCA-Vision are advised to read in full the Proxy Statement and other documents filed with the Securities and Exchange Commission in connection with the solicitation of proxies for the special meeting because these documents contain important information. The Proxy Statement was mailed on or about March 28, 2014 to stockholders of LCA-Vision as of March 20, 2014, the record date for voting on the merger. The Proxy Statement can be obtained, without charge, at the Securities and Exchange Commission's website at www.sec.gov. In addition, the Proxy Statement and other documents relating to the special meeting may be obtained free of charge by directing a request to LCA-Vision Inc., 7840 Montgomery Road, Cincinnati, Ohio 45236, Attn: Assistant Secretary, or (513) 792-9090.

(TABLES TO FOLLOW)




                                             LCA-Vision Inc.

                           Condensed Consolidated Balance Sheets  (Unaudited)

                                         (Dollars in thousands)


                                             March 31,     2014               December 31, 2013
                                             ------------------               -----------------

    Assets

    Current assets

       Cash
        and
        cash
        equivalents                                            $27,822                     $26,689

       Investments                                               1,984                       1,984

        Patient
        receivables,
        net
        of
        allowances
        of
        $774
        and
        $719,
        respectively                                             3,148                       3,026

       Other
        accounts
        receivable,
        net                                                        692                         950

        Prepaid
        expenses
        and
        other                                                    2,168                       1,820
                                                                 -----                       -----


    Total
     current
     assets                                                     35,814                      34,469


     Property
     and
     equipment,
     net                                                         6,629                       7,037

     Patient
     receivables,
     net
     of
     allowances
     of
     $490
     and
     $423                                                        1,294                       1,186

    Other
     assets                                                        223                         223
                                                                   ---                         ---


    Total
     assets                                                    $43,960                     $42,915
                                                               =======                     =======


    Liabilities and Stockholders'
     Investment

    Current liabilities

        Accounts
        payable                                                 $7,760                      $7,218

        Accrued
        liabilities
        and
        other                                                    8,240                       6,868

       Debt
        obligations
        maturing
        within
        one
        year                                                       784                         777


    Total
     current
     liabilities                                                16,784                      14,863


    Long-
     term
     insurance
     reserves,
     less
     current
     portion                                                     5,521                       5,714

    Long-
     term
     debt
     obligations,
     less
     current
     portion                                                       881                       1,080

    Other
     long-
     term
     liabilities                                                 1,917                       2,127


    Stockholders' investment

       Common stock ($.001 par value;
        25,291,637 shares issued and

          19,347,554
          and
          19,254,175
          shares
          outstanding,
          respectively)                                             25                          25

        Contributed
        capital                                                181,084                     180,790

       Common
        stock                             respectively)
        in
        treasury,
        at
        cost
        (5,944,083
        shares
        and
        6,037,462
        shares,                                               (109,674)                   (110,034)

        Accumulated
        deficit                                                (52,796)                    (52,013)

        Accumulated
        other
        comprehensive
        income                                                     218                         363
                                                                   ---                         ---

    Total
     stockholders'
     investment                                                 18,857                      19,131
                                                                ------                      ------


    Total
     liabilities
     and
     stockholders'
     investment                                                $43,960                     $42,915
                                                               =======                     =======



                        LCA-Vision Inc.

     Condensed Consolidated Statements of Operations and
                 Comprehensive Loss (Unaudited)

         (Amounts in thousands except per share data)


                                             Three months
                                             ended March
                                                   31,
                                              ------------

                                            2014        2013
                                            ----        ----


    Revenues                             $25,531     $28,304


    Operating costs and expenses

    Medical professional and
     license fees                          5,793       6,734

    Direct costs of services              10,113      10,059

    General and administrative
     expenses                              2,929       3,149

    Marketing and advertising              5,958       6,570

    Depreciation                             490         556

    Transaction costs                        598           -

    Restructuring charges                     (6)        219

                                          25,875      27,287

    Gain on sale of assets                     -           6


    Operating (loss) income                 (344)      1,023


    Net investment income and
     other                                   221         216


    (Loss) income before taxes on
     income                                 (123)      1,239


    Income tax expense                        28          34
                                             ---         ---


    Net (loss) income                      $(151)     $1,205
                                           =====      ======


    (Loss) earnings per common share

       Basic                              $(0.01)      $0.06

       Diluted                            $(0.01)      $0.06


    Weighted average shares outstanding

       Basic                              19,284      19,093

       Diluted                            19,284      19,283


    Other comprehensive loss:

       Foreign currency translation        $(145)       $(97)

    Total other comprehensive loss         $(145)       $(97)


    Comprehensive (loss) income            $(296)     $1,108
                                           =====      ======



                    LCA-Vision Inc.

    Condensed Consolidated Statements of Cash Flows (Unaudited)

                (Dollars in thousands)


                                                Three months
                                               ended March 31,
                                              ----------------

                                             2014             2013
                                             ----             ----


    Cash flow from operating activities:

    Net (loss) income                       $(151)          $1,205

    Adjustments to reconcile net (loss)
     income to net cash provided by (used in)
     operating activities:

       Depreciation                           490              556

       Provision for loss on
        doubtful accounts                     374               87

       Gain on sale of assets                   -               (6)

       Stock-based compensation               294              346

       Insurance reserve                     (222)            (212)

       Changes in operating assets and
        liabilities:

         Patient accounts receivable         (579)            (708)

         Other accounts receivable            229           (1,699)

         Prepaid expenses and other          (387)            (984)

         Accounts payable                     542              193

         Deferred revenue, net of
          professional fees                   (63)            (332)

         Accrued liabilities and
          other                             1,291              525
                                            -----              ---


    Net cash provided by (used
     in) operations                         1,818           (1,029)


    Cash flow from investing activities:

       Purchases of property and
        equipment                             (80)            (135)

       Proceeds from sale of
        assets                                  4               11

       Proceeds from sale of
        investment securities                   -            2,804
                                              ---            -----


    Net cash (used in) provided
     by investing activities                  (76)           2,680


    Cash flow from financing activities:

       Principal payments on loan            (192)               -

       Shares repurchased for
        treasury stock                       (272)            (231)


    Net cash used in financing
     activities                              (464)            (231)


    Net effect of exchange rate
     changes on cash and cash
     equivalents                             (145)             (97)


    Increase in cash and cash
     equivalents                            1,133            1,323


    Cash and cash equivalents
     at beginning of period                26,689           31,653
                                           ------           ------


    Cash and cash equivalents
     at end of period                     $27,822          $32,976
                                          =======          =======

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 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 March
                                              31,

                                       2014        2013
                                       ----        ----

    Revenues

         Reported U.S. GAAP         $25,531     $28,304

         Adjustments

            Amortization of prior
             deferred revenue           (70)       (369)
                                        ---        ----

         Adjusted revenues          $25,461     $27,935
                                    =======     =======



    Operating (loss) income

         Reported U.S. GAAP           $(344)     $1,023

         Adjustments

            Amortization of prior
             deferred revenue           (70)       (369)

            Amortization of prior
             professional fees            7          37
                                        ---         ---

         Adjusted operating (loss)
          income                      $(407)       $691
                                      =====        ====

SOURCE LCA-Vision, Inc.