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): April 5, 2004 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 April 5, 2004, LanVision Systems, Inc. ("LanVision") issued the press release attached hereto as Exhibit 99.1, which press release contains financial information about LanVision's fourth completed fiscal quarter and full year ended January 31, 2004. 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: April 5, 2004 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 April 5, 2004 Fourth Quarter and Full Year Earnings News Release 2

Exhibit 99.1 LANVISION SYSTEMS, INC. News Release of LanVision Systems, Inc. Dated April 5, 2004 LANVISION logo NEWS RELEASE Visit our web site at: www.lanvision.com ----------------- COMPANY CONTACT: J. BRIAN PATSY President (513) 794-7100 FOR IMMEDIATE RELEASE LANVISION SYSTEMS REPORTS FOURTH QUARTER AND FISCAL YEAR 2003 RESULTS Cincinnati, Ohio, April 5, 2004 --- LanVision Systems, Inc. (Nasdaq: LANV) today announced the financial results for the fourth quarter and fiscal year ended January 31, 2004. Revenues in the fourth quarter of fiscal year 2003 were $3.6 million compared with $3.9 million in the fourth quarter of fiscal year 2002, a decrease of 10 percent. Operating profits for the fourth quarter were $970 thousand compared with $955 thousand in the fourth quarter of fiscal year 2002, an increase of 1 percent. LanVision's operating results have improved over the comparable prior quarter in twenty of the last twenty-three quarters. Net earnings for the quarter were $1 million or $0.11 per share, compared with $460 thousand or $0.05 per share in the fourth quarter of fiscal year 2002. For the 2003 fiscal year ended January 31, 2004, revenues were $12.8 million compared with $13.5 million in fiscal year 2002, a decrease of 5 percent. Operating profits for the fiscal year were $2.4 million compared with $2.9 million in fiscal year 2002, a decrease of 18 percent. Net earnings for fiscal year 2003 were $1.0 million or $0.11 per share compared with $1.0 million or $0.11 per share in fiscal year 2002. J. Brian Patsy, president and chief executive officer, stated, "Our successes in securing new customers for ASPeNSM, our application-hosting services, and the new sales through our 3

reseller partners illustrate the strength of our product offerings and their enhanced value proposition. The 70% increase in application-hosting revenues offset, to some extent, the decrease in software license revenues in fiscal year 2003 as compared with fiscal year 2002 when software revenues were higher as many of LanVision's direct customers expanded and upgraded their systems to our most current product offerings. In spite of lower than anticipated revenues, we have now achieved profitability in twelve out of the past fourteen quarters, a net profit for 3 consecutive years and net income of over $1 million for 2 consecutive years. We have also enjoyed positive cash flow that has allowed us to pay down $2 million in debt in fiscal year 2003, in addition to making an additional discretionary payment of $1.5 million recently. Paul W. Bridge, Jr., LanVision's chief financial officer, said, "LanVision continued to generate strong cash flow from operating activities, and used the funds to primarily reduce long-term debt by an additional $2 million. Our cash balance at the end of the current fiscal year was $6.2 million compared with $7.2 million at the end of the prior fiscal year. Subsequent to the year end, we received a $1.1 million payment on our contract receivables, and prepaid $1.5 million of the accrued interest on the long term debt. Based on current cash and operating projections, it is anticipated that LanVision will have to borrow a maximum of $4 million, at a significantly lower interest rate than the current debt, to finance the final payment of the accrued and unpaid interest, now estimated at approximately $4 million, due on July 31, 2004. Accordingly, the interest expense in the second half of fiscal year 2004 should be significantly less than the first half. LanVision has received nonbinding proposals with favorable terms to finance the deferred interest due." Mr. Bridge continued, "Operating results for fiscal year 2003 were favorable impacted by the reimbursement of approximately $520 thousand of: prior year's legal fees upon settlement of the LanVision proprietary technology claims; and the favorable change in the estimate for certain franchise tax liabilities as a result of a tax authority audit of certain prior year's tax returns. Also, LanVision recorded a tax benefit of $558 thousand as a result of a reduction in the valuation allowance, based on future earnings projections before income taxes, on the deferred tax assets relating primarily to the $24 million tax loss carry forward." LanVision accomplished significant financial, customer, reseller and product milestones throughout 2003. o signed 4 significant new customer contracts through our largest reseller, IDX o announced a new 4 year ASPeN Services agreement with Pattie A. Clay Regional Medical Center, in Richmond Kentucky, which runs through October of 2007 o fully implemented a 3 year, multi-million dollar ASPeN Services application-hosting agreement at the University of Texas, M. D. Anderson Cancer Center, in Houston, Texas o announced that one of our prestigious customers, the University of Pittsburgh Medical Center, significantly expanded its licensing agreements to include new Medical Record workflow and document imaging technology for their entire hospital network of 20 tertiary care, specialty, and community hospitals 4

o Memorial Sloan-Kettering Cancer Center upgraded to the latest generation LanVision technology and expanded to an enterprise site license. LanVision's solution is now utilized on over 7,000 workstations at Memorial Sloan-Kettering, with over 1,250 users simultaneously accessing our applications o expanded its relationship with Iron Mountain Incorporated to offer affordable new Electronic Medical Record workflow solutions as well as significantly greater referral marketing opportunities in Iron Mountain's installed base of over 4,500 healthcare facilities o attained over 70 percent growth in ASPeN application-hosting services and achieved 99.999% uptime. LanVision currently has over 7,000 authorized users utilizing ASPeN while processing over 2 million e-health transactions per month. o added several important new strategic distribution partners with: RevenueMed, Inc. which was formally known as Health InfoSite, Inc., a coding outsourcer; Kforce, Inc., a Health Information Management Staffing Services Organization: Maxim Healthcare Services, Inc., a coding and staffing solutions provider; TSystems Group, a coding outsourcer and staffing supplier to military, Veterans Administrations and commercial facilities; Sago Healthcare, an IT Solution provider and storage provider for healthcare organizations and a referral marketing agreement with United Audit Systems, Inc., a health information management services. RevenueMed, Kforce, Maxim Healthcare and TSystems Group will distribute or utilize our codingANYwareTM remote workflow solution. All of the aforementioned distribution partners provide medical coding outsourcing services to medical facilities, physician groups or federal government locations across the country and military bases throughout the world. These relationships offer LanVision and its business partners the opportunity to address significant staff shortages while improving the productivity of medical coding and Health Information Management professionals. Mr. Patsy concluded, "Our strategic focus on enhancing our existing distribution relationships and expanding our distribution capabilities through new remarketing partners is paying off. For example, we are now enjoying growth in recurring ASPeN revenues in part due to the success of many of our codingANYware distribution partners. One of our major goals for the future is to further diversify our revenue opportunities, as well as expanding our product offerings which are complementary to our existing core products. Our comprehensive workflow and document management technologies and services provide solutions that address and improve document-centric information flows, while complementing and enhancing existing healthcare information systems by bridging the gap between current, inefficient paper-based processes and transaction-based information systems We continue to be optimistic about our future and our ability to expand our business to achieve our goal to be the leading provider of products and services that manage the revenue cycle and the lifecycle of the medical record." 5

CONFERENCE CALL INFORMATION The fourth quarter and fiscal year end conference presentation and call will be held at 10:00 a.m. Eastern Time, on Tuesday April 6, 2004. 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. To listen to the call please go to www.lanvision.com approximately twenty minutes before the conference call is scheduled to begin. You will need to register as well as download and install any necessary audio software. The webcast will be available on the LanVision website for 30 days. ABOUT LANVISION SYSTEMS LanVision is a healthcare information technology company focused on solutions that improve document-centric information flows, while complementing and enhancing existing transaction-centric healthcare information systems. The Company's workflow and document management solutions bridge the gap between current, inefficient paper-based processes and transaction-based healthcare information systems by 1) electronically capturing document-centric information from disparate sources, 2) electronically directing that information through vital business processes, and 3) providing access to the information for authenticated users (such as physicians, nurses, administrative and financial personnel and payers) across the continuum of care. The company's workflow-based products and services offer unique solutions to specific healthcare business processes within the Medical Record life cycle and the revenue cycle, such as remote coding, abstracting and chart completion, remote physician order processing, pre-admission registration scanning, insurance verification, denial management, secondary billing services, explanation of benefits processing and release of information processing. LanVision's products and services also create an integrated document-centric repository of historical health information that is complementary and can be seamlessly "bolted on" to existing transaction-centric clinical, financial and management information systems, allowing healthcare providers to aggressively move toward fully Electronic Medical Record processes while improving service levels and convenience for all stakeholders. 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's systems can be provided on a subscription basis via remote hosting services or installed locally. LanVision provides it's ASPEN, Application Service Provider-based remote hosting services to The University Hospital, a member of The Health Alliance of Greater Cincinnati, M.D. Anderson Cancer Center and Children's Medical Center of Columbus, Ohio among others. In addition, LanVision has installed its workflow and document management solutions at leading healthcare providers including Stanford Hospital and Clinics, the Albert Einstein Healthcare Network, Beth Israel Medical Centers, the University of Pittsburgh 6

Medical Center, Medical University Hospital Authority of South Carolina, and Memorial Sloan-Kettering Cancer Center. For more information on LanVision and its products visit the LanVision web site 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. THE FORWARD-LOOKING STATEMENTS CONTAINED HEREIN ARE SUBJECT TO CERTAIN RISKS AND UNCERTAINTIES THAT COULD CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY FROM THOSE REFLECTED IN THE FORWARD-LOOKING STATEMENTS, INCLUDED HEREIN. THESE RISKS AND UNCERTAINTIES INCLUDE, BUT ARE NOT LIMITED TO, THE IMPACT OF COMPETITIVE PRODUCTS AND PRICING, PRODUCT DEMAND AND MARKET ACCEPTANCE, NEW PRODUCT DEVELOPMENT, KEY STRATEGIC ALLIANCES WITH VENDORS THAT RESELL LANVISION PRODUCTS, THE ABILITY OF THE COMPANY TO CONTROL COSTS, AVAILABILITY OF PRODUCTS PRODUCED FROM THIRD PARTY VENDORS, THE HEALTHCARE REGULATORY ENVIRONMENT, HEALTHCARE INFORMATION SYSTEMS BUDGETS, AVAILABILITY OF HEALTHCARE INFORMATION SYSTEMS TRAINED PERSONNEL FOR IMPLEMENTATION OF NEW SYSTEMS, AS WELL AS MAINTENANCE OF LEGACY SYSTEMS, FLUCTUATIONS IN OPERATING RESULTS AND OTHER RISKS DETAILED FROM TIME TO TIME IN THE LANVISION SYSTEMS, INC. FILINGS WITH THE U. S. SECURITIES AND EXCHANGE COMMISSION. READERS ARE CAUTIONED NOT TO PLACE UNDUE RELIANCE ON THESE FORWARD-LOOKING STATEMENTS, WHICH REFLECT MANAGEMENT'S ANALYSIS ONLY AS OF THE DATE HEREOF. THE COMPANY UNDERTAKES NO OBLIGATION TO PUBLICLY RELEASE THE RESULTS OF ANY REVISION TO THESE FORWARD-LOOKING STATEMENTS, WHICH MAY BE MADE TO REFLECT EVENTS OR CIRCUMSTANCES AFTER THE DATE HEREOF OR TO REFLECT THE OCCURRENCE OF UNANTICIPATED EVENTS. (C)2004 LanVision Systems, Inc., Cincinnati, OH 45242. All rights reserved. 7

LANVISION SYSTEMS, INC. AND SUBSIDIARY CONSOLIDATED STATEMENTS OF INCOME THREE MONTHS ENDED FISCAL YEAR ENDED JANUARY 31, JANUARY 31, --------------------------------- --------------------------------- 2004 2003 2004 2003 ------------ ------------ ------------ ------------ REVENUES: Systems sales $ 1,394,700 $ 1,531,818 $ 4,208,755 $ 5,479,143 Services, maintenance and support 1,580,862 1,957,320 6,651,953 6,837,617 Application-hosting services 574,746 458,980 1,942,826 1,145,356 ------------ ------------ ------------ ------------ Total revenues 3,550,308 3,948,118 12,803,534 13,462,116 OPERATING EXPENSES: Cost of systems sales 411,482 424,957 1,584,955 1,329,795 Cost of services, maintenance and support 672,875 743,428 2,752,500 2,942,139 Cost of application-hosting services 230,228 269,731 900,287 607,244 Selling, general and administrative 765,870 927,077 3,158,239 3,499,915 Product research and development 499,872 628,027 2,053,901 2,195,315 ------------ ------------ ------------ ------------ Total operating expenses 2,580,327 2,993,220 10,449,882 10,574,408 ------------ ------------ ------------ ------------ OPERATING PROFIT 969,981 954,898 2,353,652 2,887,708 Other income (expense): Interest income 14,241 18,920 61,443 109,397 Interest expense (461,513) (490,145) (1,852,926) (1,961,092) ------------ ------------ ------------ ------------ Earnings before income taxes 522,709 483,673 562,169 1,036,013 Income tax benefit (provision) 476,997 (24,000) 456,997 (24,000) ------------ ------------ ------------ ------------ NET EARNINGS $ 999,706 $ 459,673 $ 1,019,166 $ 1,012,013 ============ ============ ============ ============ Basic net earnings per common share $ 0.11 $ 0.05 $ 0.11 $ 0.11 ============ ============ ============ ============ Diluted net earnings per common share $ 0.11 $ 0.05 $ 0.11 $ 0.11 ============ ============ ============ ============ Number of shares used in per common share computations - basic net earnings 9,018,784 8,947,821 8,996,734 8,933,931 ============ ============ ============ ============ Number of shares used in per common share computations - diluted net earnings 9,253,985 9,197,722 9,207,241 9,197,519 ============ ============ ============ ============ 8

LANVISION SYSTEMS, INC. AND SUBSIDIARY CONDENSED CONSOLIDATED BALANCE SHEETS JANUARY 31, --------------------------------- ASSETS 2004 2003 ------------ ------------ Current assets: Cash and cash equivalents $ 6,227,236 $ 7,242,230 Accounts receivable, net of allowance for doubtful accounts of $400,000, respectively 2,386,723 1,499,767 Contract receivables 2,972,356 3,074,596 Other 357,921 326,180 ------------ ------------ Total current assets 11,944,236 12,142,773 Property and equipment: Computer equipment 2,588,749 2,351,203 Computer software 812,591 743,204 Office furniture, fixtures and equipment 1,166,377 1,153,934 Leasehold improvements 157,492 153,549 ------------ ------------ 4,725,209 4,401,890 Accumulated depreciation and amortization (3,672,442) (3,137,943) ------------ ------------ 1,052,767 1,263,947 Capitalized software development costs, net of accumulated amortization of $2,600,228 and $2,100,228, respectively 1,689,701 1,389,701 Installment receivables -- 433,339 Other 603,750 107,316 ------------ ------------ $ 15,290,454 $ 15,337,076 ============ ============ LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $ 637,222 $ 721,402 Accrued compensation 265,095 308,658 Accrued other expenses 928,097 1,392,157 Deferred revenues 2,357,531 2,220,383 Current portion of capitalized leases 220,199 206,051 Current portion of long-term debt 1,000,000 2,000,000 Accrued interest on long-term debt 4,635,169 -- ------------ ------------ Total current liabilities 10,043,313 6,848,651 Capitalized leases 168,121 388,320 Long-term debt -- 1,000,000 Long-term accrued interest -- 3,133,369 Stockholders' equity: Convertible redeemable preferred stock, $0.01 par value per share, 5,000,000 shares authorized, no shares issued -- -- Common stock, $0.01 par value per share, 25,000,000 shares authorized, 9,030,032 and 8,959,004 shares issued, respectively 90,300 89,590 Capital in excess of par value 34,928,047 34,835,639 Accumulated (deficit) (29,939,327) (30,958,493) ------------ ------------ Total stockholders' equity 5,079,020 3,966,736 ------------ ------------ $ 15,290,454 $ 15,337,076 ============ ============ 9