UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 Form 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event reported): December 10, 2003 LanVision Systems, Inc. ----------------------- (Exact name of registrant as specified in its charter) Delaware 0-28132 31-1455414 - ---------------------------- --------------- ------------------- (State or other jurisdiction (Commission (IRS Employer of incorporation) File Number) Identification No.) 5481 Creek Road, Cincinnati, OH 45242-4001 - -------------------------------------------------------------------------------- (Address of principal executive offices) Registrant's telephone number, including area code (513) 794-7100 ----------------------------

Item 12 RESULTS OF OPERATIONS AND FINANCIAL CONDITION On December 10, 2003, LanVision Systems, Inc. ("LanVision") issued the press release attached hereto as Exhibit 99.1, which press release contains financial information about LanVision's third completed fiscal quarter of 2003. The information hereunder shall not be deemed to be "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934 (the "Exchange Act") or otherwise subject to the liabilities of that section, nor shall it be incorporated by reference into a filing under the Securities Act of 1933 or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing. SIGNATURES Pursuant to the requirements of the Securities Act of 1934, registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. LanVision Systems, Inc. Date: December 10, 2003 By: /s/ Paul W. Bridge, Jr. ----------------------- Paul W. Bridge, Jr. Chief Financial Officer INDEX TO EXHIBITS Exhibit No. Description of Exhibit 99.1 News Release of LanVision Systems, Inc. Dated December 10, 2003 Third Quarter Earnings News Release 2

Exhibit 99.1 LANVISION SYSTEMS, INC. News Release of LanVision Systems, Inc. Dated December 10, 2003 NEWS RELEASE Visit our web site at: www.lanvision.com ----------------- COMPANY CONTACT: PAUL W. BRIDGE, JR. CHIEF FINANCIAL OFFICER (513) 794-7100 FOR IMMEDIATE RELEASE - --------------------- LANVISION SYSTEMS REPORTS FISCAL THIRD QUARTER 2003 RESULTS Cincinnati, Ohio, December 10, 2003 --- LanVision Systems, Inc. (Nasdaq: LANV) today announced the financial results for the third fiscal quarter and first nine months ended October 31, 2003. This extends LanVision's record of quarterly operating profitability to eleven out of the last thirteen quarters. Revenues for the fiscal third quarter increased 14% to $3.7 million, when compared with $3.2 million reported in the third quarter of last year. The operating income increased 31% to $985,000 when compared with an operating income of $751,000 in the third quarter of last year. Net income increased 91% to $482,000, or $0.05 per basic and diluted common share, when compared with a net income of $252,000, or $0.03 net per basic and diluted common share in the third quarter of last year. The higher revenues and operating income compared to the comparable quarter of last year is primarily the result of higher software licensing revenues from LanVision's remarketing partners in the current quarter. Q3 HIGHLIGHTS - - LANVISION SIGNED A NEW FOUR YEAR ASPeN(SM) SERVICES AGREEMENT WITH PATTIE A. CLAY REGIONAL MEDICAL CENTER TO IMPLEMENT ITS WEB-BASED ELECTRONIC MEDICAL RECORD (EMR) SERVICES AND WORKFLOW TOOLS. The agreement, which runs through October 2007, provides LanVision's accessANYware(TM) web-based EMR solution and workflow productivity tools delivered via its industry leading hosting facility on a recurring fee for service arrangement. The ASPeN Services agreement, which is extendable after the initial four-year term, also includes LanVision's codingANYware(TM) integrated remote coding workflow, completionANYware(TM) integrated chart deficiency management solution and accessANYware - Patient Financial Services Edition, LanVision's Patient Financial Services workflow suite. The agreement also includes 24x7 system 3

support, secure back-up systems, database administration, storage administration, security management and encryption, future upgrades and disaster recovery services. - - A LANVISION REMARKETING PARTNER SIGNED A NEW CUSTOMER CONTRACT, VALUED AT $2.3 MILLION IN LANVISION SOFTWARE, SERVICES AND THIRD PARTY COMPONENTS, TO INSTALL LANVISION'S ACCESSANYWARE MEDICAL RECORD WORKFLOW AND DOCUMENT IMAGING SOLUTION IN A LARGE INTEGRATED HEALTHCARE ORGANIZATION. The new multi-state, integrated delivery network customer is made up of nine hospitals and several clinics. LanVision's accessANYware solution will be installed to enable medical and administrative personnel to rapidly and efficiently capture, store, manage, route, retrieve and process vast amounts of clinical and financial patient information in support of the partner's clinical information system. - - LANVISION ANNOUNCED THAT IT HAS TEAMED WITH IRON MOUNTAIN INCORPORATED (NYSE: IRM) TO OFFER AN AFFORDABLE ELECTRONIC MEDICAL RECORDS SOLUTION THAT COLLECTS THE MANY VARIOUS FORMS OF HEALTHCARE INFORMATION AND STORES IT ELECTRONICALLY WITHOUT THE EXPENSE OF CONVERTING ENTIRE PAPER MEDICAL RECORD BACKFILES. With Iron Mountain's Image-On-Demand services, patient medical records can be quickly converted to electronic medical records to streamline the record management process and avoid conversion of the entire paper medical record backfiles. When an Iron Mountain Record Center receives a request for an archived medical record, it can scan and index the paper record and transmit the digitized images into LanVision's document Medical Record Workflow solution, accessANYware, utilizing LanVision's comprehensive workflow and document imaging technology. The Electronic Medical Record can be retrieved and processed quickly and efficiently by a healthcare provider anytime, anywhere while remaining compliant with the HIPAA privacy requirements. - - LANVISION ANNOUNCED THAT THE UNIVERSITY OF PITTSBURGH MEDICAL CENTER (UPMC) HAD EXPANDED ITS LICENSING AGREEMENT TO INCLUDE NEW MEDICAL RECORD WORKFLOW AND DOCUMENT IMAGING TECHNOLOGY FOR THE HOSPITAL NETWORK. Under the terms of the new agreement, UPMC increased its concurrent usage by 67% while upgrading to LanVision's latest versions of accessANYware, completionANYware and scanANYware and expects to integrate LanVision's releaseANYware(TM) workflow solution in the near future. - - LANVISION ANNOUNCED THAT IT SIGNED AN AGREEMENT WITH MAXIM HEALTHCARE SERVICES, INC. D/B/A MAXIM CODING SOLUTIONS, TO UTILIZE LANVISION'S PRODUCTIVITY ENHANCING WORKFLOW TOOL, CODINGANYWARE. Maxim provides advanced medical coding services to an impressive group of medical facilities across the nation. Under the terms of the Agreement, Maxim will utilize LanVision's document imaging and medical coding workflow solution, 4

codingANYware, for use in remote medical records coding via LanVision's ASPeN application-hosting services. - - LANVISION SHOWCASED AN EXPANDING LINE OF NEW WORKFLOW PRODUCTS IN OCTOBER AT THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION CONFERENCE (AHIMA). LanVision also demonstrated the newest workflow products that positively impact the revenue cycle, including the following: - Orders Management Workflow(TM), AUTOMATED SOLUTION THAT REDUCES THE PAPER CHASE BY CAPTURING AND ROUTING "OFF-NETWORK" PHYSICIAN ORDERS AND OTHER DOCUMENTS DIRECTLY FROM THE PHYSICIAN'S OFFICE TO THE SCHEDULER'S DESKTOP. - Financial Screening Workflow(TM), PROVIDES VERIFICATION OF PATIENT'S FINANCIAL RESPONSIBILITIES AND ALLOWS ENTERPRISE WIDE ON-LINE ACCESS TO IMPORTANT DOCUMENTS REQUIRED IN THE FINANCIAL DECISION PROCESS. - EOB 835 Processing(TM), AUTOMATES THE CAPTURE AND EXTRACTION OF VITAL EXPLANATION OF BENEFITS DATA FROM EXISTING PRINTED INVOICES, FORMS AND OTHER DOCUMENTS, AND VALIDATES THE INFORMATION TO CREATE AN ASCII FILE FOR EXPORT TO BILLING SYSTEMS. - Insurance Verification Workflow(TM), AUTOMATICALLY SCANS INSURANCE CARDS TO CAPTURE PAYOR INFORMATION AT THE POINT OF REGISTRATION AND ESTABLISHES WORKFLOW ROUTES FOR TIMELY VERIFICATION OF BENEFITS, INSURING TIMELY PAYMENT OF BILLS. - accessANYware - Patient Financial Services Edition, PROVIDES ENTERPRISE WIDE ON-LINE ACCESS TO NON-MEDICAL RECORD DOCUMENTS INCLUDING EOB'S, REMITTANCE ADVICES, POLICIES AND PROCEDURES AND OTHER PATIENT FINANCIAL SERVICES DOCUMENTS WITHIN THE HEATH CARE ENTERPRISE. Brian Patsy, LanVision's President and Chief Executive Officer commented, "We are executing our strategy by focusing our efforts on adding important new strategic business partners and aggressively bringing to market our newest workflow products. Our efforts are beginning to pay off handsomely by significantly expanding our distribution capabilities for our workflow products and services. For example, during the first nine months of the current fiscal year, over $2.4 million of revenue was attributable to our largest remarketing partner. Furthermore, in the last 2 years of that important strategic remarketing relationship, we have generated more than $5.0 million in revenues. We believe that our prestigious list of customers and the remarketing partners customers signed to date, demonstrates that the LanVision solution validates the need for LanVision's technology in large institutions with complex workflow and document imaging requirements. The combined efforts and complementary strengths of LanVision and our partners, we believe, assimilate the best-of-breed technologies." Revenues for the first nine months were $9.3 million, compared with $9.5 million reported in the first nine months of last year. The operating income for the first nine months was $1.4 million compared with an operating income of $1.9 million in the first nine months of last year. 5

The decrease in operating income is primarily due to: (i) the decrease in software licensing, off set to some extent by (a) the 100% increase in ASPeN Application hosting revenues and (b) increased Services, maintenance and support revenues and (ii) higher cost of system sales which contained a higher percentage of hardware when compared to last year. Net income for the first nine months was $19,000, or $0.00 per basic and diluted common share, compared with net income of $552,000, or $0.06 per basic and diluted common share in the first nine months of last year. Paul W. Bridge, Jr., LanVision's Chief Financial Officer, said, "During the quarter our ASPeN Application hosting revenues continued to increase sequentially. LanVision has more than doubled our prior comparable period run rate for this highly profitable recurring revenue source. In addition, the Pattie A. Clay agreement signed in October will positively affect our future quarters. These recent successes in obtaining new ASPeN customers and increasing revenues from our partners are an indication of the strength of our product offerings and the enhanced value proposition of our products and services." Bridge added, "We have also received a non-binding expression of interest to refinance our existing debt, in July 2004, at an attractive interest rate. We are continuing to seek additional sources to refinance this debt with the ultimate goal of retiring it completely, as quickly as practicable." Patsy concluded, "Our industry leading workflow technologies, that comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations, are attracting greater interest in the healthcare market place as healthcare providers continue to invest in workflow and information technologies to streamline their operations and improve patient care. Our advanced applications run in some of the most demanding environments at many of the most prestigious U.S. medical centers. Our customers report that our software meets and exceeds their expectations for ease-of-use, system stability and robust functionality. We continue to invest in workflow technologies warranted by changes in the healthcare market. Consequently, LanVision is improving the quality of care and productivity at a time when information technology is radically transforming healthcare." CONFERENCE CALL INFORMATION The third quarter conference call is scheduled at 10:00 a.m. Eastern Time, 9:00 a.m. Central on Thursday December 11, 2003. The call will feature remarks from J. Brian Patsy, President and Chief Executive Officer, Eric S. Lombardo, Executive Vice President, and Paul W. Bridge, Jr., Chief Financial Officer. The Conference Call will be broadcast live via the Internet. To listen, please go to www.lanvision.com approximately twenty minutes before the conference call is scheduled to begin. You will need download and install any necessary audio software. The webcast will be available at our website for the next 30 days. ABOUT LANVISION SYSTEMS 6

LanVision is a leading supplier of workflow and document imaging-based tools, applications and services assisting strategic business partners, healthcare organizations and customers to create and improve operational efficiencies through business process re-engineering and automating labor-intensive and demanding paper environments. The company's workflow-based services offer solutions to specific healthcare business processes within the revenue cycle, such as remote coding, abstracting and chart completion, remote physician order processing, pre-admission registration scanning, insurance verification, secondary billing services, explanation of benefits processing and release of information processing. All solutions are available for purchase or via an application service provider (ASP) model to match customers' capital or operating budget needs. LanVision's products and services create an integrated repository of historical health information that is complementary and can be seamlessly "bolted on" to existing clinical, financial and management information systems, providing convenient electronic access to all forms of patient information from any location, including web-browser based access via the Intranet/Internet. These integrated systems allow providers and administrators to dramatically improve the availability of patient information while decreasing direct costs associated with document retrieval, work-in-process, chart completion, document retention and archiving. LanVision provides its ASPeN, ASP-based application-hosting services to The University Hospital, a member of The Health Alliance of Greater Cincinnati, and Children's Medical Center of Columbus, among others. In addition, LanVision has installed its workflow and document imaging solutions at leading healthcare providers including Stanford Hospital and Clinics, the Albert Einstein Healthcare Network, Beth Israel Medical Centers, the University of Pittsburgh Medical Center, Medical University Hospital Authority of South Carolina, and Memorial Sloan-Kettering Cancer Center. For additional information on LanVision, please visit our website at www.lanvision.com. "SAFE HARBOR" STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 STATEMENTS MADE BY LANVISION THAT ARE NOT HISTORICAL FACTS ARE FORWARD-LOOKING STATEMENTS THAT ARE SUBJECT TO RISKS AND UNCERTAINTIES. LANVISION'S FUTURE FINANCIAL PERFORMANCE COULD DIFFER MATERIALLY FROM EXPECTATIONS OF MANAGEMENT AND FROM RESULTS REPORTED NOW OR IN THE PAST. FACTORS THAT COULD CAUSE LANVISION'S FINANCIAL PERFORMANCE TO SO DIFFER INCLUDE, BUT ARE NOT LIMITED TO, THE IMPACT OF COMPETITIVE PRODUCTS AND PRICING, PRODUCT DEVELOPMENT, RELIANCE ON STRATEGIC ALLIANCES, AVAILABILITY OF PRODUCTS PROCURED FROM THIRD PARTY VENDORS, THE HEALTHCARE REGULATORY ENVIRONMENT, FLUCTUATIONS IN OPERATING RESULTS, AND OTHER RISKS DETAILED FROM TIME TO TIME IN LANVISION'S FILINGS WITH THE U.S. SECURITIES AND EXCHANGE COMMISSION. (C)2003 LanVision Systems, Inc., Cincinnati, OH 45242. All rights reserved. 7

LANVISION SYSTEMS, INC. CONSOLIDATED STATEMENTS OF OPERATIONS Three Months Ended Nine Months Ended October 31, October 31, ------------------------------- ------------------------------- 2003 2002 2003 2002 ---- ---- ---- ---- Revenues: Systems sales $ 1,301,596 $ 1,274,820 $ 2,814,055 $ 3,947,325 Services, maintenance and support 1,871,538 1,634,525 5,071,091 4,880,297 Application-hosting services 493,520 299,246 1,368,080 686,376 ----------- ----------- ----------- ----------- Total revenues 3,666,654 3,208,591 9,253,226 9,513,998 Operating expenses: Cost of systems sales 267,703 260,934 1,173,473 904,838 Cost of services, maintenance and support 749,208 660,790 2,079,625 2,198,711 Cost of application-hosting services 240,563 195,184 670,059 337,513 Selling, general and administrative 914,128 822,764 2,392,369 2,572,838 Product research and development 509,923 517,455 1,554,029 1,567,288 ----------- ----------- ----------- ----------- Total operating expenses 2,681,525 2,457,127 7,869,555 7,581,188 ----------- ----------- ----------- ----------- Operating income 985,129 751,464 1,383,671 1,932,810 Other income expense: Interest income 10,851 32,725 47,201 90,477 Interest expense (494,325) (518,750) (1,391,413) (1,470,947) ----------- ----------- ----------- ----------- Income before taxes 501,655 265,439 39,459 552,340 Tax provision (20,000) (13,000) (20,000) -- ----------- ----------- ----------- ----------- Net income $ 481,655 $ 252,439 $ 19,459 $ 552,340 =========== =========== =========== =========== Basic net income per common share $ 0.05 $ 0.03 $ 0.00 $ 0.06 =========== =========== =========== =========== Diluted net income per common share $ 0.05 $ 0.03 $ 0.00 $ 0.06 =========== =========== =========== =========== Number of shares used in per common Share computation - basic 9,011,131 8,945,338 8,989,303 8,929,250 =========== =========== =========== =========== Number of shares used in per common Share computation - diluted 9,219,150 9,174,550 9,195,854 9,197,401 =========== =========== =========== =========== 8

LANVISION SYSTEMS, INC. CONDENSED CONSOLIDATED BALANCE SHEETS October 31, October 31, January 31, Assets 2003 2002 2003 ------------ ------------ ------------ Current assets: Cash and cash equivalents (restricted by long-term debt agreement) $ 4,750,839 $ 6,246,127 $ 7,242,230 Accounts receivable 3,233,755 2,403,472 1,899,767 Contract receivables 2,106,118 2,677,842 3,074,596 Allowance for doubtful accounts (400,000) (400,000) (400,000) Other 434,706 358,780 326,180 ------------ ------------ ------------ Total current assets 10,125,418 11,286,221 12,142,773 Property and equipment: Computer equipment 2,484,920 2,492,165 2,351,203 Computer software 789,351 749,146 743,204 Office furniture, fixtures and equipment 1,161,551 1,153,934 1,153,934 Leasehold improvements 157,492 151,635 153,549 ------------ ------------ ------------ 4,593,314 4,546,880 4,401,890 Accumulated depreciation and amortization (3,542,926) (3,284,952) (3,137,943) ------------ ------------ ------------ 1,050,388 1,261,928 1,263,947 Capitalized software development costs, net of accumulated Amortization of $2,475,228, $2,000,228 and $2,100,228 respectively 1,614,701 1,339,701 1,389,701 Long-term installment receivables 433,339 433,339 433,339 Other 38,050 133,864 107,316 ------------ ------------ ------------ $ 13,261,896 $ 14,455,053 $ 15,337,076 ============ ============ ============ Liabilities, convertible redeemable preferred stock and stockholders' equity Current liabilities: Accounts payable $ 338,131 $ 479,407 $ 721,402 Accrued compensation 285,551 257,676 308,658 Accrued other expenses 506,081 1,382,893 1,392,157 Deferred revenues 1,899,460 1,938,433 2,220,383 Current portion of capitalized leases 216,571 191,469 206,051 Current portion of long-term debt 1,500,000 2,000,000 2,000,000 Accrued interest on long-term debt 4,237,982 -- -- ------------ ------------ ------------ Total current liabilities 8,983,776 6,249,878 6,848,651 Non-current portion of capitalized leases 224,551 441,122 388,320 Long-term debt -- 1,500,000 1,000,000 Long-term accrued interest -- 2,766,819 3,133,369 Stockholders' equity: Convertible redeemable preferred stock, $0.01 par value per share, 5,000,000 shares authorized -- -- -- Common stock, $0.01 par value per share, 25,000,000 shares Authorized, 9,012,732 shares 8,945,338 shares and 8,959,004 shares issued, respectively 90,127 89,453 89,590 Capital in excess of par value 34,902,476 34,825,947 34,835,639 Accumulated (deficit) (30,939,034) (31,418,166) (30,958,493) ------------ ------------ ------------ Total stockholders' equity 4,053,569 3,497,234 3,966,736 ------------ ------------ ------------ $ 13,261,896 $ 14,455,053 $ 15,337,076 ============ ============ ============ 9