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LCA-Vision Second Quarter Results Feature Improved Conversion Metrics and Reduced Operating Loss

Tuesday, July 27, 2010 Corporate News J E 4
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CINCINNATI, July 27 LCA-Vision Inc. (Nasdaq: LCAV), a leading provider of laser vision correction services under the LasikPlus® brand, today announced financial and operational results for the three and six months ended June 30, 2010.

Second Quarter 2010 Operational and Financial Highlights (all comparisons are with the second quarter of 2009)

First Half 2010 Operational and Financial Highlights (all comparisons are with the first half of 2009)

Since the first quarter of 2007, LCA-Vision has provided both adjusted revenues and operating losses 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 losses as reported in accordance with U.S. Generally Accepted Accounting Principles (GAAP) is provided at the end of this news release. Management believes the adjusted information better reflects operating performance and, therefore, is more meaningful to investors.

"Despite continued low consumer confidence and cautious discretionary spending that continues to adversely impact our business, we are reporting improved performance for the second quarter," said LCA-Vision Chief Financial Officer Michael J. Celebrezze. "We reduced our operating loss as a result of actions to conserve cash and align expenses with anticipated demand. We also generated $4.4 million in cash from operations during the quarter, which included the receipt of an $11.8 million tax refund related to the utilization of net operating losses generated in 2009. Our cash and investment balances improved to approximately $60 million as of June 30, 2010, an increase of more than $5 million since December 31, 2009.

"We continue to evaluate all aspects of our operations to support our objective of managing them effectively. As a result of our evaluation, we will be closing our vision center in Birmingham, Alabama. In addition, we recorded contract termination costs resulting from the closure of our licensed operation in Savannah, Georgia because that location was unable to develop business sufficient to support the combined operation. The licensing arrangement in Oklahoma City is progressing well, and we continue to believe this type of arrangement could play a role in our future expansion plans," he added.

Chief Operating Officer David L. Thomas commented, "We are reporting improvements in our year-over-year and sequential-quarter appointment show rate, conversion rate and treatment show rate. Importantly, our second quarter operations yield, which measures our ability to convert the initial call to a treated patient, was higher than any quarter in the past three years. Marketing spend per procedure in the second quarter of 2010 was $415, compared with $413 in the first quarter of 2010 and $531 in the second quarter of last year, as we held our quarterly marketing expenses to $6.3 million in our attempt to match spending with perceived consumer demand.

"We attracted increased traffic at our LasikPlus® vision centers during the second quarter through a network-wide 15% discount on procedure pricing. As anticipated, this discount together with our strong managed-care business reduced adjusted price per procedure to $1,619, down $75 from the first quarter of 2010 and down $26 from the second quarter of 2009.

"We began rolling out our new 'Life in Focus' marketing campaign late in July. This campaign is targeting demographic audiences we believe are most likely to be near-term candidates for laser vision correction surgery and clearly differentiates LasikPlus® from other laser vision correction providers. We also continue to focus systematically on additional results-oriented measures to improve patient acquisition and operational efficiencies, as well as to enhance our patients' experience - all of which are aimed at supporting our business in the present environment while building a foundation for a strong future."

Near-term Financial Outlook

LCA-Vision intends to continue managing cash flow conservatively in 2010. The company provided its plans and outlook for the year, as follows:

As a result of aggressive efforts to reduce costs, the company's improved cash position and a reduction in the number of vision centers, LCA-Vision has revised its estimated number of procedures companywide required for breakeven cash flow, after capital expenditures and debt service, to approximately 85,000 per year, compared with 95,000 previously. The company now believes that it has sufficient cash and investments to fund its business beyond 2012 if it performs at least 61,000 procedures annually, compared with 65,000 previously. The number of procedures per vision center required to reach breakeven remains at 95 per month.

The company has placed its priorities on cash conservation, organizational development, and patient acquisition and retention. The company also is evaluating opportunities for business expansion that could facilitate growth. These opportunities include additional service and product options that both complement LCA-Vision's existing business and heighten the company's involvement in the eye care sector.

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 (United States and Canada) or 706-643-6246 (international callers). The webcast will be available at 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 800-642-1687 (United States and Canada) or 706-645-9291 (international callers) and enter the conference ID number: 804 159 06.

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 marketing strategies cost effectively to drive patients to its vision centers; the impact of low consumer confidence and discretionary spending; competition in the laser vision correction industry; the company's ability to attract new patients; 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 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 worsening consumer credit environment and the company's ability to manage credit risk related to consumer debt, bankruptcies and other credit trends.

Further, the FDA's advisory board on ophthalmic devices is currently reviewing concerns about post-LASIK quality of life matters, and the FDA has planned a major new study on LASIK outcomes and quality of life that is expected to end in 2012. The FDA or another agency could take legal or regulatory action against us or others in the laser vision correction industry. The outcome of this review or legal or regulatory action could potentially 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 under the LasikPlus® brand, operates 62 LasikPlus® fixed-site laser vision correction centers in 29 states and 45 markets in the United States. Additional company information is available at http://www.lca-vision.com and www.lasikplus.com.





To supplement its Condensed Consolidated Financial Statements presented in accordance with accounting principles generally accepted in the United States, LCA-Vision discusses adjusted revenues and operating income. 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:

-- Revenues were $26.3 million compared with $31.7 million; adjusted revenues were $24.7 million compared with $29.4 million. -- Procedure volume was 15,266 procedures (62 vision centers) compared with 17,864 procedures (71 vision centers) and 16,144 same-store procedures. -- Same-store revenues (62 vision centers) decreased 9.2%; adjusted same-store revenues decreased 7.3%. -- Operating loss was $5.4 million compared with operating loss of $11.8 million; adjusted operating loss was $6.8 million compared with adjusted operating loss of $13.9 million. The significant improvement in operating loss and adjusted operating loss for the second quarter of 2010 reflected the impact from the closure of under-performing vision centers, a reduction in direct costs per vision center, and lower marketing and general and administrative expenses. Included in the second quarter of 2010 results was $0.4 million in restructuring and impairment charges, compared with $1.6 million in restructuring and impairment charges in the second quarter of 2009. -- Net loss was $4.3 million, or $0.23 per share, compared with net loss of $6.9 million, or $0.37 per share.

SOURCE LCA-Vision Inc.
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