Quarterly Report

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Document And Entity Information	6 Months Ended
Document And Entity Information	Jun. 30, 2011	Jul. 21, 2011
Document And Entity Information
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2011
Document Fiscal Year Focus	2011
Document Fiscal Period Focus	Q2
Entity Registrant Name	LCA VISION INC
Entity Central Index Key	0001003130
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		18,837,847

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Income Taxes

6 Months Ended

Jun. 30, 2011

Income Taxes

Income Taxes

5. Income Taxes

The following table presents the components of our income tax expense for the following periods (dollars in thousands):


	Three Months Ended June 30,						Six Months Ended June 30,
	2011			2010			2011			2010
Current:
Federal	$	6		$	(353	)	$	11		$	(328	)
State and local		69			21			105			56

Total Current		75			(332	)		116			(272	)

Deferred:
Federal	$	—		$	322		$	—		$	322
State and local		—			46			—			46

Total Deferred		—			368			—			368

Income tax expense	$	75		$	36		$	116		$	96

Effective income tax rate		2.8	%		0.9	%		18.5	%		2.0	%

Our effective tax rate for the three and six month periods ended June 30, 2011 was impacted by a full valuation allowance against all of our deferred tax assets, net of deferred tax liabilities. The effective tax rate of 18.5% for the six months ended June 30, 2011 is higher than previous periods due to the decrease in our loss before taxes.

As of June 30, 2011 and December 31, 2010, deferred tax assets net of deferred tax liabilities totaled $21.7 million and $21.1 million, respectively, offset by full valuation allowances. We increased both the gross deferred tax asset and the associated valuation allowance by $600,000 as a result of the increase of net operating loss carryforward based on our loss in the first half of 2011. Since it is not more-likely-than-not that we will realize our deferred tax assets, we will be unable to record tax benefits in the United States and state jurisdictions during 2011. Income tax expense for the six month periods ended June 30, 2011 and 2010 includes interest on unrecognized tax benefits and state taxes in certain jurisdictions.

During the three and six month periods ended June 30, 2011, there were no significant changes to the liability for unrecognized tax benefits or potential interest and penalties recorded as a component of income tax. The total amount of unrecognized tax benefits at each of June 30, 2011 and December 31, 2010 was approximately $539,000. It is reasonably possible that the amount of the total unrecognized tax benefits may change in the next 12 months. However, we do not believe that any anticipated change will be material to the Condensed Consolidated Financial Statements. In January 2011, the Internal Revenue Service initiated a review of the 2009 tax year. Based on the early status of the review, we cannot estimate the impact, if any, to previously recorded unrecognized tax benefits.

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

+ References

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Per Common Share Data

6 Months Ended

Jun. 30, 2011

Per Common Share Data

Per Common Share Data

6. Per Common Share Data

We calculate basic earnings per common share data using the weighted average number of common shares outstanding during the period. Diluted per share data reflects the potential dilution that would occur if common stock equivalents were exercised or converted to common stock but only to the extent that they are considered dilutive to our earnings. The following table is a reconciliation of basic and diluted per share data for the following periods (dollars in thousands, except per share amounts):


	Three Months Ended June 30,						Six Months Ended June 30,
	2011			2010			2011			2010
Basic Loss
Net loss	$	(2,765	)	$	(4,287	)	$	(745	)	$	(4,852	)
Weighted average shares outstanding		18,813			18,678			18,778			18,656
Basic loss	$	(0.15	)	$	(0.23	)	$	(0.04	)	$	(0.26	)

Diluted Loss
Net loss	$	(2,765	)	$	(4,287	)	$	(745	)	$	(4,852	)
Weighted average shares outstanding		18,813			18,678			18,778			18,656
Effect of dilutive securities
Stock options		—			—			—			—
Restricted stock		—			—			—			—

Weighted average common shares and potential dilutive shares		18,813			18,678			18,778			18,656
Diluted loss per common share	$	(0.15	)	$	(0.23	)	$	(0.04	)	$	(0.26	)

For the three and six month periods ended June 30, 2011 and 2010, we excluded all outstanding stock options and restricted stock awards from the computation of our diluted earnings per share because the effect of these share-based awards was antidilutive due to our net loss. For the three and six months ended June 30, 2011, the total number of outstanding options and restricted stock awards that were antidilutive was 668,531 and 400,877, respectively. For the three and six months ended June 30, 2010, the total number of outstanding options and restricted stock awards that were antidilutive was 614,228 and 505,771, respectively.

- Definition

The entire disclosure for earnings per share.

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Stock-Based Compensation

6 Months Ended

Jun. 30, 2011

Stock-Based Compensation

Stock-Based Compensation

7. Stock-Based Compensation

We have stock incentive plans through which employees and directors have been or are granted stock-based compensation. We recognize compensation expense for the grant date fair value of stock-based awards over the applicable vesting period. The components of our pre-tax stock-based compensation expense, net of forfeitures, and associated income tax effect were as follows for the following periods (in thousands):


	Three Months Ended June 30,				Six Months Ended June 30,
	2011		2010		2011		2010
Stock options	$	18	$	24	$	35	$	11
Restricted stock		434		402		792		591

		452		426		827		602
Income tax effect		175		165		320		233

	$	277	$	261	$	507	$	369

We estimate the fair value of stock options granted using the Black-Scholes option-pricing model. This model requires several assumptions, which we have developed and update based on historical trends and current market observations. The accuracy of these assumptions is critical to the estimate of fair value for these equity instruments.

Our restricted stock unit awards include both time-based awards that vest ratably over three years and restricted stock units that are tied to the achievement of certain financial targets and stock performance criteria and cliff-vest in three years. The financial targets include revenue and operating income measurements. Total stockholder return is considered a market condition and the fair value of those awards was calculated using a Monte Carlo simulation valuation model.

- Definition

The entire disclosure for compensation-related costs for equity-based compensation, which may include disclosure of policies, compensation plan details, allocation of equity compensation, incentive distributions, equity-based arrangements to obtain goods and services, deferred compensation arrangements, employee stock ownership plan details and employee stock purchase plan details.

+ References

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Restructuring And Impairment Charges

6 Months Ended

Jun. 30, 2011

Restructuring And Impairment Charges

Restructuring And Impairment Charges

8. Restructuring and Impairment Charges

For the six months ended June 30, 2011, we incurred net restructuring charges of $56,000. The restructuring charges consisted primarily of a change in estimate related to previously accrued lease termination costs and employee separation benefits. For the six months ended June 30, 2010, we incurred a net restructuring charge of $648,000. The charges were $271,000 for exit and disposal costs associated with the closing of vision centers and $377,000 for contract termination costs. Contract termination costs resulted primarily from the closure of one of our licensed operations and the termination of the related license agreement. Other exit and disposal costs incurred in 2010 were primarily expenses related to the closures of facilities and the relocation of various medical equipment.

At June 30, 2011 and December 31 2010, we included short-term restructuring reserves of $1.3 million and $1.6 million, respectively, in "Accrued liabilities and other" in the Condensed Consolidated Balance Sheets. Long-term restructuring reserves were $1.6 million and $2.1 million at June 30, 2011 and December 31, 2010, respectively, and were included in "Long-term rent obligations and other." The decline in restructuring reserves related to payments during the six month period. The fair value measurements in all periods utilized market prices of similar assets in determining fair value, which is a Level 3 input under U.S. GAAP.

The following table summarizes the restructuring reserve for the three and six months ended June 30, 2011 (in thousands):


	Employee Separation Costs			Contract Termination Costs			Total
Balance at December 31, 2010	$	107		$	3,641		$	3,748
Liabilities recognized		20			36			56
Utilized		(127	)		(427	)		(554	)

Balance at March 31, 2011		—			3,250			3,250
Liabilities recognized		—			—			—
Utilized		—			(329	)		(329	)

Balance as of June 30, 2011	$	—		$	2,921		$	2,921

In the second quarter of 2011 and for the six months then ended, we incurred no impairment charges. In the second quarter of 2010 and for the six months then ended, we recorded an impairment charge to reduce the carrying amount of long-lived assets by $87,000 for one vision center. This impairment charge reflects our decision to close the vision center. We assess the impairment of property and equipment whenever events or circumstances indicate that the carrying value might not be recoverable. We write down to fair value, which is generally determined from estimated discounted cash flows for assets held for use, recorded values of property and equipment that we do not expect to recover through undiscounted future net cash flows. The use of discounted cash flows represents a Level 3 fair value input under U. S. GAAP.

- Definition

The entire disclosure for restructuring and related activities. Description of restructuring activities such as exit and disposal activities, include facts and circumstances leading to the plan, the expected plan completion date, the major types of costs associated with the plan activities, total expected costs, the accrual balance at the end of the period, and the periods over which the remaining accrual will be settled.

+ References+ Details

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Debt

6 Months Ended

Jun. 30, 2011

Debt

Debt

9. Debt

Long-term debt obligations consist of (in thousands):


	June 30, 2011			December 31, 2010
Bank loan	$	5,587		$	7,284
Debt obligations maturing within one year		(3,004	)		(3,039	)

Long-term obligations (less current portion)	$	2,583		$	4,245

In April 2008, we entered into a five-year bank loan agreement for $19.2 million to finance medical equipment. The loan agreement provides for repayment in equal monthly installments over a five-year period at a fixed interest rate of 4.96%. Loan repayments totaling $1.7 million for the six months ended June 30, 2011 reflect a decrease of approximately $674,000, compared to the same period in 2010, due primarily to early payoffs of excimer lasers that were sold relating to vision centers that we closed in the prior year.

The estimated fair value of our long-term obligations is $5.5 million based on the present value of the underlying cash flows discounted at our incremental borrowing rate. Within the hierarchy of fair value measurements, this is a Level 3 fair value measurement.

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Comprehensive Income (Loss)

6 Months Ended

Jun. 30, 2011

Comprehensive Income (Loss)

Comprehensive Income (Loss)

10. Comprehensive Income (Loss)

The components of accumulated other comprehensive income consisted of the following (in thousands):


	June 30, 2011			December 31, 2010
Unrealized investment loss	$	(43	)	$	—
Foreign currency translation adjustment		771			662

Accumulated other comprehensive income	$	728		$	662

The components of comprehensive income (loss) consisted of the following for the following periods (in thousands):


	Three Months Ended June 30,						Six Months Ended June 30,
	2011			2010			2011			2010
Net loss	$	(2,765	)	$	(4,287	)	$	(745	)	$	(4,852	)
Unrealized investment loss		(43	)		(616	)		(43	)		(544	)
Foreign currency translation		(29	)		(187	)		109			(59	)

Comprehensive loss	$	(2,837	)	$	(5,090	)	$	(679	)	$	(5,455	)

- Definition

The entire disclosure for comprehensive income. Includes, but is not limited to, the following: 1) the amount of income tax expense or benefit allocated to each component of other comprehensive income, including reclassification adjustments, 2) the reclassification adjustments for each classification of other comprehensive income and 3) the ending accumulated balances for each component of comprehensive income. Components of comprehensive income include: (1) foreign currency translation adjustments; (2) gains (losses) on foreign currency transactions that are designated as, and are effective as, economic hedges of a net investment in a foreign entity; (3) gains (losses) on intercompany foreign currency transactions that are of a long-term-investment nature, when the entities to the transaction are consolidated, combined, or accounted for by the equity method in the reporting enterprise's financial statements; (4) change in the market value of a futures contract that qualifies as a hedge of an asset reported at fair value; (5) unrealized holding gains (losses) on available-for-sale securities and that resulting from transfers of debt securities from the held-to-maturity category to the available-for-sale category; (6) a net loss recognized as an additional pension liability not yet recognized as net periodic pension cost; and (7) the net gain (loss) and net prior service cost or credit for pension plans and other postretirement benefit plans.

+ References

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Commitments And Contingencies

6 Months Ended

Jun. 30, 2011

Commitments And Contingencies

Commitments And Contingencies

11. Commitments and Contingencies

Our business results in medical malpractice lawsuits. Effective in December 2002, we established a captive insurance company to provide coverage for claims brought against us after December 17, 2002. We use the captive insurance company for both primary insurance and excess liability coverage. A number of claims are now pending with our captive insurance company. At June 30, 2011 and December 31, 2010, our insurance reserve balance was $7.1 million and $7.4 million, respectively.

In addition to these malpractice suits, we are periodically subject to various other claims and lawsuits. We believe that none of these other claims or lawsuits to which we are currently subject, individually or in the aggregate, will have a material adverse effect on our business, financial position, results of operations, or cash flows.

- Definition

The entire disclosure for commitments and contingencies.

+ References

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Condensed Consolidated Balance Sheets (USD $) In Thousands	Jun. 30, 2011	Dec. 31, 2010
Assets
Cash and cash equivalents	$ 19,867	$ 19,350
Short-term investments	30,436	31,947
Patient receivables, net of allowances of $1,223 and $1,392, respectively	2,382	2,256
Other accounts receivable, net	1,606	1,867
Prepaid expenses and other	4,748	5,641
Total current assets	59,039	61,061
Property and equipment	73,009	72,286
Accumulated depreciation and amortization	(60,177)	(57,322)
Property and equipment, net	12,832	14,964
Long-term investments	954	951
Patient receivables, net of allowances of $542 and $330, respectively	566	413
Other assets	2,187	3,092
Total assets	75,578	80,481
Liabilities and Stockholders' Investment
Accounts payable	7,357	8,110
Accrued liabilities and other	13,956	12,266
Deferred revenue	3,457	4,376
Debt obligations maturing within one year	3,004	3,039
Total current liabilities	27,774	27,791
Long-term rent obligations and other	2,871	3,368
Long-term debt obligations, less current portion	2,583	4,245
Insurance reserves	7,135	7,406
Deferred license fee	2,213	3,065
Deferred revenue	1,989	3,476
Stockholders' investment
Common stock ($.001 par value; 25,291,637 shares issued and 18,837,847 and 18,711,365 shares outstanding, respectively)	25	25
Contributed capital	176,437	175,610
Common stock in treasury, at cost (6,453,790 shares and 6,580,272 shares, respectively)	(113,062)	(114,033)
Retained deficit	(33,115)	(31,134)
Accumulated other comprehensive income	728	662
Total stockholders' investment	31,013	31,130
Total liabilities and stockholders' investment	$ 75,578	$ 80,481

XML 21 R3.htm IDEA: XBRL DOCUMENT

Condensed Consolidated Balance Sheets (Parenthetical) (USD $) In Thousands, except Share data	Jun. 30, 2011	Dec. 31, 2010
Condensed Consolidated Balance Sheets
Allowances for patient receivables, current	$ 1,223	$ 1,392
Allowances for patient receivables, non-current	$ 542	$ 330
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares issued	25,291,637	25,291,637
Common stock, shares outstanding	18,837,847	18,711,365
Treasury stock, shares	6,453,790	6,580,272

- Definition

Total number of shares of common stock held by shareholders. May be all or portion of the number of common shares authorized. These shares represent the ownership interest of the common shareholders. Shares outstanding equals shares issued minus shares held in treasury and other adjustments, if any.

+ References+ Details

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Condensed Consolidated Statements Of Operations (USD $) In Thousands, except Per Share data	3 Months Ended		6 Months Ended
	Jun. 30, 2011	Jun. 30, 2010	Jun. 30, 2011	Jun. 30, 2010
Condensed Consolidated Statements Of Operations
Revenues	$ 24,416	$ 26,290	$ 56,698	$ 60,303
Operating costs and expenses
Medical professional and license fees	6,072	6,102	14,055	14,440
Direct costs of services	10,451	12,777	21,470	25,891
General and administrative expenses	3,534	3,643	6,991	7,432
Marketing and advertising	5,929	6,330	12,425	14,197
Depreciation	1,434	2,454	2,888	4,996
Impairment charges		87		87
Restructuring charges		311	56	648
Total operating cost	27,420	31,704	57,885	67,691
Gain on sale of assets	237	18	400	1,311
Operating loss	(2,767)	(5,396)	(787)	(6,077)
Net investment income and other	77	1,145	158	1,321
Loss before taxes on income	(2,690)	(4,251)	(629)	(4,756)
Income tax expense	75	36	116	96
Net loss	$ (2,765)	$ (4,287)	$ (745)	$ (4,852)
Loss per common share
Basic	$ (0.15)	$ (0.23)	$ (0.04)	$ (0.26)
Diluted	$ (0.15)	$ (0.23)	$ (0.04)	$ (0.26)
Weighted average shares outstanding
Basic	18,813	18,678	18,778	18,656
Diluted	18,813	18,678	18,778	18,656

XML 23 R5.htm IDEA: XBRL DOCUMENT

Condensed Consolidated Statements Of Cash Flows (USD $) In Thousands	6 Months Ended
	Jun. 30, 2011	Jun. 30, 2010
Cash flow from operating activities:
Net loss	$ (745)	$ (4,852)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation	2,888	4,996
Provision for loss on doubtful accounts	316	1,136
Gain on sale of investments	(5)	(994)
Impairment charges		87
Gain on sale of property and equipment	(400)	(1,311)
Deferred income taxes		368
Stock-based compensation	827	602
Insurance reserve	(271)	(1,052)
Changes in operating assets and liabilities:
Patient accounts receivable	(620)	831
Other accounts receivable	30	320
Prepaid expenses and other	485	12,280
Accounts payable	(753)	(1,762)
Deferred revenue, net of professional fees	(2,165)	(2,966)
Accrued liabilities and other	1,053	(424)
Net cash provided by operations	640	7,259
Cash flow from investing activities:
Purchases of property and equipment	(763)	(144)
Proceeds from sale of assets	1,027	1,234
Purchases of investment securities	(94,173)	(203,256)
Proceeds from sale of investment securities	95,637	200,313
Net cash provided by (used in) investing activities	1,728	(1,853)
Cash flow from financing activities:
Principal payments of capital lease obligations and loan	(1,697)	(3,094)
Shares repurchased for treasury stock	(288)	(192)
Proceeds from exercise of stock options	23	13
Net cash used in financing activities	(1,962)	(3,273)
Net effect of exchange rate changes on cash and cash equivalents	111	(56)
Increase in cash and cash equivalents	517	2,077
Cash and cash equivalents at beginning of period	19,350	24,529
Cash and cash equivalents at end of period	$ 19,867	$ 26,606

XML 24 R6.htm IDEA: XBRL DOCUMENT

Description Of Business And Accounting Policies

6 Months Ended

Jun. 30, 2011

Description Of Business And Accounting Policies

Description Of Business And Accounting Policies

1. Description of Business and Accounting Policies

Description of Business

We are a provider of fixed-site laser vision correction services at our LasikPlus^® vision centers. Our vision centers provide the staff, facilities, equipment and support services for performing laser vision correction that employ advanced laser technologies to help correct nearsightedness, farsightedness and astigmatism. We currently use two suppliers for fixed-site excimer lasers: Abbott Medical Optics ("AMO") and Alcon, Inc. ("Alcon"). Our vision centers are supported by independent, board-certified ophthalmologists and credentialed optometrists, as well as other healthcare professionals. The ophthalmologists perform the laser vision correction procedures in our vision centers, and ophthalmologists or optometrists conduct pre-procedure evaluations and post-operative follow-up care in-center. Most of our patients currently receive a procedure called LASIK, which we began performing in the United States in 1996.

As of June 30, 2011, we operated 53 LasikPlus^® fixed-site laser vision correction centers in the United States. Included in the 53 vision centers are two vision centers licensed to ophthalmologists who use our trademarks. Due to the nature of our operations and organization, we operate in only one business segment.

Basis of Presentation

We have prepared our Condensed Consolidated Financial Statements pursuant to the rules and regulations of the Securities and Exchange Commission ("SEC") which, in the opinion of management, include all adjustments necessary for a fair presentation of our financial position, results of operations, and cash flows for each period presented. The adjustments referred to above are of a normal and recurring nature unless otherwise disclosed herein. Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States have been condensed or omitted pursuant to SEC rules and regulations.

We derived the Condensed Consolidated Balance Sheet as of December 31, 2010 from audited financial statements, but did not include all disclosures required by U.S. generally accepted accounting principles ("U.S. GAAP"). These Condensed Consolidated Financial Statements should be read in conjunction with our 2010 Annual Report on Form 10-K. Operating results for the three and six month periods ended June 30, 2011 are not necessarily indicative of the results expected in subsequent quarters or for the year ending December 31, 2011.

Use of Estimates

The preparation of our Condensed Consolidated Financial Statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, and the disclosure of contingent assets and liabilities. Significant items that are subject to such estimates and assumptions include investments, patient financing receivables and reserves, insurance reserves, income taxes and enhancement accruals. Although management bases its estimates on historical experience and various other assumptions that are believed to be reasonable under the circumstances, actual results could differ significantly from the estimates under different assumptions or conditions.

Reclassifications

We have reclassified certain prior-period amounts in the Condensed Consolidated Balance Sheets, Statements of Operations and Statements of Cash Flows to conform to current period presentation. The reclassifications were not material to the Condensed Consolidated Financial Statements.

- Definition

The entire disclosure for organization, consolidation and basis of presentation of financial statements disclosure.

+ References

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-Publisher AICPA
-Number 94-6
-Paragraph 10
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XML 25 R7.htm IDEA: XBRL DOCUMENT

Investments

6 Months Ended

Jun. 30, 2011

Investments

Investments

2. Investments

Management determines the appropriate classification of securities at the time of purchase and reevaluates such designation as of each balance sheet date. Currently, we classify all securities as available-for-sale. We carry available-for-sale securities at fair value, with temporary unrealized gains and losses, net of tax, reported in accumulated other comprehensive income, a component of stockholders' investment. The amortized cost of debt securities in this category reflects amortization of premiums and accretion of discounts to maturity computed under the effective interest method. We include this amortization in the caption "Net investment income and other" within the Condensed Consolidated Statement of Operations. We also include in net investment income realized gains and losses and declines in value determined to be other-than-temporary. We base the cost of securities sold upon the specific identification method. We include interest and dividends on securities classified as available-for-sale in net investment income.

The following table summarizes unrealized gains and losses related to our investments designated as available-for-sale (in thousands):


	June 30, 2011
	Adjusted Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Corporate obligations	$	20,895	$	1	$	(13	)	$	20,883
U.S. Government notes		9,614		2		(63	)		9,553
Auction rate municipal securities		924		30		—			954

Total investments	$	31,433	$	33	$	(76	)	$	31,390


	December 31, 2010
	Adjusted Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
Corporate obligations	$	18,492	$	1	$	(1	)	$	18,492
U.S. Government notes		11,585		—		(29	)		11,556
Municipal securities		1,006		2		—			1,008
Auction rate municipal securities		924		27		—			951
Auction rate preferred securities		891		—		—			891

Total investments	$	32,898	$	30	$	(30	)	$	32,898

The following table presents gross unrealized losses and fair values for those investments that were in an unrealized loss position as of June 30, 2011 and December 31, 2010, aggregated by investment category and the length of time that individual securities have been in a continuous loss position (in thousands):


	June 30, 2011					December 31, 2010
	Less than 12 Months					Less than 12 Months
	Fair Value		Unrealized Loss			Fair Value		Unrealized Loss
Corporate obligations	$	11,378	$	(13	)	$	6,624	$	(1	)
U.S. Government notes		8,628		(63	)		10,179		(29	)

	$	20,006	$	(76	)	$	16,803	$	(30	)

We realized gains of $5,000 and losses of $10,000, primarily on the sale of our debt securities for the three months ended June 30, 2011 and realized gains of $27,000 and losses of $22,000 for the six months ended June 30, 2011. We had realized gains of $1.0 million and losses of $43,000, primarily on the sale of equity securities, for the three months ended June 30, 2010 and realized gains of $1.0 million and losses of $50,000 for the six months ended June 30, 2010.

We recognized unrealized gains of $33,000 and unrealized losses of $76,000 in accumulated other comprehensive income as of June 30, 2011. We recognized unrealized gains of $133,000 and unrealized losses of $1,000 as of June 30, 2010. There were no other-than-temporary impairments to our auction rate securities for the three and six months ended June 30, 2011 and 2010. When evaluating investments for other-than-temporary impairment, we review factors such as the length of time and extent to which fair value has been below cost basis, the financial condition of the issuer of the investment securities and any changes thereto, and our intent to sell, or whether it is more-likely-than-not we would be required to sell the investment before recovery of the investment's amortized cost basis.

The following table shows the net carrying value (amortized cost) and estimated fair value of debt and equity securities at June 30, 2011 by contractual maturity (in thousands). Expected maturities may differ from contractual maturities because the issuers of the securities may have the right or obligation to prepay obligations without prepayment penalties.


	Amortized Cost		Estimated Fair Value
Due in one year or less	$	30,509	$	30,436
Due after one year through three years		—		—
Due after three years		924		954

Total investments	$	31,433	$	31,390

Auction Rate Securities

At June 30, 2011 and December 31, 2010, we held $1.1 million and $2.2 million par value, respectively, of various auction rate securities. The assets underlying the auction rate instruments are primarily municipal bonds and preferred closed end funds. Maturity dates for our auction rate securities range from 2030 to 2036. In the six months ended June 30, 2011, we redeemed auction rate preferred securities with a par value of $1.1 million for $891,000. The redemption value was equal to the securities' carrying value at the time of liquidation.

As a result of failed auctions, our auction rate instruments are not currently liquid. Due to the continuation of the unstable credit environment, we believe that the recovery period for most of our auction rate instruments will exceed 12 months. Accordingly, we have classified the fair value of the auction rate instruments that have not been redeemed prior to June 30, 2011 as long-term.

- Definition

Tabular disclosure of investments in certain debt and equity securities (and certain other trading assets) which include all debt and equity securities (other than those equity securities accounted for under the equity or cost methods of accounting) with readily determinable fair values. Other trading assets include assets that are carried on the balance sheet at fair value and held for trading purposes. A debt security represents a creditor relationship with an enterprise that is in the form of a security. Debt securities include, among other items, US Treasury securities, US government securities, municipal securities, corporate bonds, convertible debt, commercial paper, and all securitized debt instruments. An equity security represents an ownership interest in an enterprise or the right to acquire or dispose of an ownership interest in an enterprise at fixed or determinable prices. Equity securities include, among other things, common stock, certain preferred stock, warrant rights, call options, and put options, but do not include convertible debt. An entity may opt to provide the reader with additional narrative text to better understand the nature of investments in debt and equity securities (and other trading assets).

+ References

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-Topic 320

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-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
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Fair Values Of Financial Instruments

6 Months Ended

Jun. 30, 2011

Fair Values Of Financial Instruments

Fair Values Of Financial Instruments

3. Fair Values of Financial Instruments

Fair value is defined as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset and liability in an orderly transaction between market participants at the measurement date. U.S. GAAP establishes a three-tier value hierarchy, which prioritizes the inputs used in the valuation methodologies in measuring fair value:


Level Input:		Input Definition:
Level 1		Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.

Level 2		Inputs other than quoted prices included in Level 1 that are observable for the asset or liability through corroboration with market data at the measurement date.

Level 3		Unobservable inputs that reflect management's best estimate of what market participants would use in pricing the asset or liability at the measurement date.

The fair value hierarchy requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value.

The following tables summarize fair value measurements by level at June 30, 2011 and December 31, 2010 for assets and liabilities measured at fair value on a recurring basis (dollars in thousands):


	Fair Value Measurements as of June 30, 2011 Using
Description	Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)		Total
Assets:
Cash and cash equivalents	$	19,867	$	—	$	—	$	19,867
Investments		—		30,436		954		31,390

Total	$	19,867	$	30,436	$	954	$	51,257


	Fair Value Measurements as of December 31, 2010 Using
Description	Quoted Prices in Active Markets for Identical Assets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)		Total
Assets:
Cash and cash equivalents	$	19,350	$	—	$	—	$	19,350
Investments		891		31,056		951		32,898

Total	$	20,241	$	31,056	$	951	$	52,248

Cash and cash equivalents are comprised of either bank deposits or amounts invested in money market funds, the fair value of which is based on quoted market prices. The fair values of some investment securities included within our investment portfolio are based on quoted market prices from various stock and bond exchanges. Certain of our debt securities are classified at fair value utilizing Level 2 inputs. For these securities, fair value is measured using observable market data that includes dealer quotes, live trading levels, trade execution data, credit information and the bond's terms and conditions. The fair values of our auction rate instruments are classified in Level 3 because they are valued using a trinomial discount model as there is insufficient observable auction rate market information available to determine the fair value of these investments. The determination of the fair value of the auction rate instruments employs assumptions including financial standing of the issuer of the instruments, final stated maturities, estimates of the probability of the issue being called prior to final maturity, estimates of the probability of defaults and recoveries, expected changes in interest rates paid on the securities, interest rates paid on similar instruments, and an estimated illiquidity discount due to extended redemption periods.

The following table presents the changes in Level 3 instruments for the three and six months ended June 30, 2011 and 2010 (in thousands):


	For the Three Months Ended June 30,						For the Six Months Ended June 30,
	2011			2010			2011		2010
Balance at beginning of period	$	962		$	2,078		$	951	$	2,090
Assets sold		—			—			—		(22	)
Transfers out of Level 3		—			(100	)		—		(100	)
(Losses) gains included in other comprehensive loss		(8	)		3			3		13

Balance as of June 30	$	954		$	1,981		$	954	$	1,981

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References

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Assets Held For Sale

6 Months Ended

Jun. 30, 2011

Assets Held For Sale

Assets Held For Sale

4. Assets Held For Sale

We had assets held for sale of $146,000 and $462,000 at June 30, 2011 and December 31, 2010, respectively, comprised of lasers and other equipment from closed vision centers. We include assets held for sale in the caption "Prepaid expenses and other" on the Condensed Consolidated Balance Sheets. During the six months ended June 30, 2011, we were able to sell some of our assets held for sale with a combined net book value of $316,000 for total cash proceeds of approximately $582,000, resulting in a gain of approximately $266,000, before tax. During the six months ended June 30, 2010, we sold some of our assets held for sale with a combined net book value of $626,000 for total cash proceeds of approximately $1.1 million and notes receivable of $836,000, resulting in a gain of approximately $1.3 million, before tax.

- Definition

Tabular disclosure of long lived assets held for sale. Disclosure may include the description of the facts and circumstances leading to the expected disposal, manner and timing of disposal, the carrying value of the assets held for sale, the gain (loss) recognized in the income statement and the income statement caption that includes that gain (loss).

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M`AX#%`````@`HH#[/G6'`:O8(```1M`Q0````(`**`^SY8Q[?/P1(``',E`0`5`!@```````$```"D@2=V``!L M8V%V+3(P,3$P-C,P7W!R92YX;6Q55`4``W!O,$YU>`L``00E#@``!#D!``!0 M2P$"'@,4````"`"B@/L^'Y3ZT.T%```B*```$0`8```````!````I($WB0`` M;&-A=BTR,#$Q,#8S,"YX`L``00E#@``!#D!``!02P4& 2``````4`!0"_`0``;X\````` ` end


Large accelerated filer	¨	Accelerated filer	x

Non-accelerated filer	¨	Smaller reporting company	¨


Part I. FINANCIAL INFORMATION

Item 1.	Financial Statements	3

	Condensed Consolidated Balance Sheets (Unaudited) June 30, 2011 and December 31, 2010	3

	Condensed Consolidated Statements of Operations (Unaudited) Three Months and Six Months Ended June 30, 2011 and 2010	4

	Condensed Consolidated Statements of Cash Flows (Unaudited) Six Months Ended June 30, 2011 and 2010	5

	Notes to Condensed Consolidated Financial Statements (Unaudited)	6

Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	15

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	21

Item 4.	Controls and Procedures	21

Part II. OTHER INFORMATION

Item 1.	Legal Proceedings	22

Item 1A.	Risk Factors	22

Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	22

Item 3.	Defaults Upon Senior Securities	22

Item 4.	(Removed and Reserved)	22

Item 5.	Other Information	22

Item 6.	Exhibits	22

	Signatures	23


	2011		2010
First quarter		18,857		19,066
Second quarter		14,081		15,266
Third quarter				11,497
Fourth quarter				10,891

Year		32,938		56,720


	Three Months Ended June 30,						Six Months Ended June 30,
	2011			2010			2011			2010
Revenues
Reported U.S. GAAP	$	24,416		$	26,290		$	56,698		$	60,303
Adjustments
Amortization of prior deferred revenue		(1,137	)		(1,582	)		(2,406	)		(3,295	)

Adjusted revenues	$	23,279		$	24,708		$	54,292		$	57,008

Operating Loss
Reported U.S. GAAP	$	(2,767	)	$	(5,396	)	$	(787	)	$	(6,077	)
Adjustments
Amortization of prior deferred revenue		(1,137	)		(1,582	)		(2,406	)		(3,295	)
Amortization of prior professional fees		114			158			241			329

Adjusted operating loss	$	(3,790	)	$	(6,820	)	$	(2,952	)	$	(9,043	)


Decrease in revenue from closed vision centers	$	(2,141	)
Increase in revenue from same-store procedure growth		223
Impact from increase in average selling price, adjusted for revenue deferral		489
Change in deferred revenue		(445	)

Decrease in revenues	$	(1,874	)

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	Three months ended June 30,						Six months ended June 30,
	2011			2010			2011			2010
Revenues	$	24,416		$	26,290		$	56,698		$	60,303

Operating costs and expenses
Medical professional and license fees		6,072			6,102			14,055			14,440
Direct costs of services		10,451			12,777			21,470			25,891
General and administrative expenses		3,534			3,643			6,991			7,432
Marketing and advertising		5,929			6,330			12,425			14,197
Depreciation		1,434			2,454			2,888			4,996
Impairment charges		—			87			—			87
Restructuring charges		—			311			56			648

		27,420			31,704			57,885			67,691
Gain on sale of assets		237			18			400			1,311

Operating loss		(2,767	)		(5,396	)		(787	)		(6,077	)

Net investment income and other		77			1,145			158			1,321

Loss before taxes on income		(2,690	)		(4,251	)		(629	)		(4,756	)

Income tax expense		75			36			116			96

Net loss	$	(2,765	)	$	(4,287	)	$	(745	)	$	(4,852	)

Loss per common share
Basic	$	(0.15	)	$	(0.23	)	$	(0.04	)	$	(0.26	)
Diluted	$	(0.15	)	$	(0.23	)	$	(0.04	)	$	(0.26	)

Weighted average shares outstanding
Basic		18,813			18,678			18,778			18,656
Diluted		18,813			18,678			18,778			18,656


Decrease in revenue from closed vision centers	$	(4,949	)
Increase in revenue from same-store procedure growth		2,634
Impact from decrease in average selling price, adjusted for revenue deferral		(401	)
Change in deferred revenue		(889	)

Decrease in revenues	$	(3,605	)


	Six Months Ending June 30,
	2011			2010
Cash provided (used) by:
Operating activities	$	640		$	7,259
Investing activities		1,728			(1,853	)
Financing activities		(1,962	)		(3,273	)
Net effect of exchange rate changes on cash and cash equivalents		111			(56	)

Net increase in cash and cash equivalents	$	517		$	2,077


Number		Description

31.1		COO Certification under Section 302 of the Sarbanes-Oxley Act of 2002

31.2		CFO Certification under Section 302 of the Sarbanes-Oxley Act of 2002

32		Certifications pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

*101.INS		XBRL Instance Document

*101.SCH		XBRL Taxonomy Extension Schema Document

*101.CAL		XBRL Taxonomy Extension Calculation Linkbase Document

*101.LAB		XBRL Taxonomy Extension Label Linkbase Document

*101.PRE		XBRL Taxonomy Extension Presentation Linkbase Document


		LCA-VISION INC.

Date: July 27, 2011		/s/ David L. Thomas
		David L. Thomas
		Chief Operating Officer


Date: July 27, 2011		/s/ Michael J. Celebrezze
		Michael J. Celebrezze
		Senior Vice President of Finance,
		Chief Financial Officer and Treasurer