Friday,
December 19, 2008
Ex-auditor:
LCA tried to sway decisions on care
by
Dan Monk
Senior
Staff Reporter
The former director of internal audit
for
LCA-Vision
Inc.
claims the company
tried to influence treatment decisions made by LCA surgeons and retaliated
against him for raising concerns about the practice.
Ronald
Matter, who resigned from the company in September, said he phoned in a
complaint last month about the issue on the company’s corporate governance
hotline.
Company
reviewing claim
LCA
officials declined to make its executives available to speak regarding Matter’s
allegations, but LCA did release a statement: “The company is in the process of
conducting a review of these items. LCA-Vision will make no public comment until
the review is complete. Regarding the specific questions about Mr. Matter, it is
company policy not to comment on personnel matters.”
Matter
contacted the Business Courier in response to recent stories about former
LCA-Vision CEO Dr. Stephen Joffe, whose investment group acquired an 11 percent
stake in the laser vision surgery company in October and began pushing for a
management shake-up in early December.
Steady
profit growth made LCA one of the nation’s best-performing stocks in a four-year
period ending in May 2006, when shares peaked at more than $58. They have fallen
steadily since then, as profits eroded and LCA-Vision lost market share in a
weak economy. In a Dec. 10 letter to Joffe, Board Chairman Anthony Woods called
Joffe’s overtures a “distraction” and added that the board remains confident in
the company’s current management team.
In a Dec.
16 memo to the Business Courier Matter wrote, “I was concerned that (LCA-Vision
CEO) Steve Straus was violating state medical laws by trying to dictate the
surgeons’ parameters for their treatments.”
He claims
that the company monitored the percentage of patients whom surgeons qualified as
“candidates” for Lasik surgery. Those deemed to be “non-candidates” were less
likely to generate revenue for the company, he said.
“Numerous
surgeons with high non-candidacy rates were terminated for ‘not being team
players,’” he wrote.
Matter
said he shared concerns about physician interference with LCA Director John
Hassan, chairman of the board’s audit committee. Hassan did not return a call
for comment.
Two weeks
later, in late February, Matter claims Straus reduced a bonus he had promised
four months earlier. Matter said his reduced bonus forced him to take a second
job. He said he was asked to leave the company in September for violating a
policy against moonlighting.
Further
concern
To
support his claim, Matter gave the Courier an April 2008 e-mail in which an
operations executive with the company describes a plan to send a “more
experienced surgeon” to visit one LCA doctor in Las Vegas, with the goal of
making sure that physician “expands what he treats.”
One
member of Joffe’s investment group said Matter’s complaint is similar to those
he has heard from LCA-Vision doctors. Craig Joffe, Stephen’s son and a former
LCA executive, called Matter’s allegation “extremely disturbing” and an
indication that management changes are needed at LCA-Vision.
“Only a
board-certified ophthalmologist is qualified to make a decision about whether a
patient is a safe candidate for Lasik surgery,” Craig Joffe said. “This is not a
role for the company to be playing.”