iCAD (ICAD) 8-K Continued strong momentum for ProFound AI™ iCAD’s proprietary cancer detection AI technology

Exhibit 99.1

iCAD REPORTS FINANCIAL AND OPERATING RESULTS FOR THE THIRD QUARTER AND NINE MONTHS ENDED SEPTEMBER 30, 2019

Continued strong momentum for ProFound AI^™ iCAD’s proprietary cancer detection AI technology

Conference call today at 8:30 a.m. ET

NASHUA, N.H. – October 30, 2019 – iCAD, Inc. (NASDAQ: ICAD), a global medical technology leader providing innovative cancer detection and therapy solutions today reported its financial and operating results for the three and nine months ended September 30, 2019.

Highlights for the Quarter Included:

• Revenue of approximately $7.9 million, a 27% increase over the third quarter of 2018.

• Revenue in the ProFound AI^™ Cancer Detection segment of approximately $6.1 million, a 55% increase as compared to $3.9 million in the third quarter of 2018.

• Year to date nine month 2019 revenue of approximately $22.0 million, an 18% increase over the same nine months of 2018.

• Detection revenue of approximately $15.5 million a 30% increase as compared to $11.9 million for the nine months ended September 30, 2018.

Financial Highlights:

• Gross profit of $6.1 million, or 77%, in the third quarter of 2019, as compared to $4.7 million, or 77%, in the third quarter of 2018.

• GAAP Net Loss of $3.0 million, or ($0.15) per diluted share, which includes a $0.9 millionnon-cash charge associated with the fair value accounting treatment of the Q4 2018 convertible debentures.

• Non-GAAP Adjusted EBITDA loss of ($1.4) million, compared tonon-GAAP Adjusted EBITDA loss of ($0.4) million in the third quarter of 2018.

• Non-GAAP Adjusted net loss of $2.0 million or ($0.10) per diluted share, compared tonon-GAAP adjusted net loss of ($1.1) million, or ($0.06) per share) in the third quarter of 2018.

“Our overall business continues to demonstrate significant strength,” said Michael Klein, Chairman and Chief Executive Officer of iCAD, Inc. “In our Detection segment, market demand and adoption for ProFound AI^™, our latest, deep-learning, cancer detection software solution for digital breast tomosynthesis, continues to grow meaningfully, as we are beginning to penetrate larger accounts. Investments in our commercial infrastructure throughout 2019 are contributing to our top line sales success. Importantly, we are well-positioned for long-term growth in this area, as we continue to develop our next-generation algorithm, which is expected to be commercially available in 2020.”

“Total Detection revenue was up 55% year-over-year in the third quarter of 2019, and 30% for the first nine months of the year, as compared to the same periods of 2018,” continued Mr. Klein. Detection product revenues are up 54% for the nine month period, while service revenue declined slightly. “We remain pleased with our performance in this segment and are excited to have added additional capability to our sales and engineering teams based on our continued success with ProFound AI.

In Therapy, CMS’ Q3 proposed Radiation Oncology Bundled Payment Model could provide a significant long-term growth opportunity for our proprietary Xoft^® IORT solution. We are excited about the potential implementation of this proposed reimbursement model in 2020.” We believe this new reimbursement model, if in fact adopted, could improve healthcare by placing an emphasis on the value and quality of care over the volume or quantity of treatments. This combined, with emerging breast cancer clinical data, and emerging new clinical studies for the treatment of rectal and brain cancer provide continued optimism for Xoft in 2020 and beyond. As we did in Detection, we are prudently building our commercial infrastructure and pacing investments to prepare for the future anticipated growth of the Therapy business.

“We also continue to operate from a position of financial strength. We ended the third quarter with $17.4 million in cash and cash equivalents, as compared to $12.2 million at the end of 2018. We remain well-positioned to continue executing on our growth strategy,” concluded Mr. Klein.

Third Quarter 2019 Financial Results

Revenue: Total Detection and Therapy revenue for the third quarter of 2019 was $7.9 million, an increase of $1.7 million, or 27%, compared to the third quarter of 2018, reflecting a 67% increase in product revenue, and a 13% decrease in service and supplies revenue.

In $000’s

			Three months ended September 30,
	2019		2018		$ Change			% Change
Product revenue	$	5,156	$	3,093	$	2,063			67	%
Service and supplies revenue		2,701		3,099		(398	)		(13	)%
Total Revenue	$	7,857	$	6,192	$	1,665			27	%

Cancer Detection revenue for the third quarter, which includes revenue from our mammography, breast density, and the associated service and supplies revenue, increased by approximately $2.2 million or 55% as compared to the third quarter of 2018, driven by growth in both direct and OEM revenues with sales primarily in the Company’s 3D imaging and Density products. Therapy revenue, for the third quarter of 2019, which includes Xoft^® Axxent^® eBx^® System^® sales, as well as the associated service and supplies revenue, decreased by approximately $0.5 million as compared to the third quarter of 2018.

In $000’s

			Three months ended September 30,
	2019		2018		$ Change			% Change
Detection revenue
Product revenue	$	4,749	$	2,394	$	2,355			98	%
Service and supplies revenue		1,338		1,533		(195	)		(13	)%
Detection Revenue	$	6,087	$	3,927	$	2,160			55	%
Therapy revenue
Product revenue	$	407	$	699	$	(292	)		(42	)%
Service and supplies revenue		1,363		1,566		(203	)		(13	)%
Therapy Revenue	$	1,770	$	2,265	$	(495	)		(22	)%
Total Revenue	$	7,857	$	6,192	$	1,665			27	%

Gross Profit: Gross profit for the third quarter of 2019 was $6.1 million, or 77% of revenue, compared to $4.7 million, or 77% of revenue, for the third quarter of 2018. Gross profit percent changes are primarily due to changes in the mix of business

Operating Expenses: Total operating expenses for the third quarter of 2019 were $8.0 million, a $2.0 million, or 34% increase, from $6.0 million in the third quarter of 2018. The increase was driven by increased marketing and sales expenses in support of our commercialization efforts to drive adoption of Profound AI.

GAAP Net Loss: Net loss for the third quarter of 2019 was ($3.0) million, or ($0.15) per diluted share, compared with a net loss of ($1.4) million, or ($0.08) per diluted share, for the third quarter of 2018. GAAP Net Loss includes a $0.9 millionnon-cash charge associated with the fair value accounting treatment of our convertible debentures issued in December 2018.

Non-GAAP Adjusted EBITDA:Non-GAAP adjusted EBITDA, anon-GAAP financial measure as defined below, for the third quarter of 2019 was a loss of ($1.4) million, compared to a third quarter 2018non-GAAP adjusted EBITDA loss of ($0.4) million. Please refer to the section entitled “Reconciliation ofNon-GAAP Financial Measures to Comparable GAAP Measures” and the accompanying financial table included at the end of this release for a reconciliation of GAAP Net Loss toNon-GAAP Adjusted EBITDA results for the three-month periods ended September 30, 2019 and 2018, respectively.

Nine Months Ended September 30, 2019 Financial Results

Revenue: Total Detection and Therapy revenue for the nine months ended September 30, 2019, was $22.0 million, an increase of $3.3 million, or 18%, over the same period of 2018, reflecting a 43% increase in product revenue and an 8% decrease in service and supplies revenue.

In $000’s

			Nine months ended September 30,
	2019		2018		$ Change			% Change
Product revenue	$	13,331	$	9,301	$	4,030			43	%
Service revenue		8,628		9,366		(738	)		(8	)%
Total Revenue	$	21,959	$	18,667	$	3,292			18	%

Detection revenue for the nine months ended September 30, 2019, which includes revenue from our mammography, breast density, and the associated service and supplies revenue, increased by approximately $3.5 million, or 30%, as compared to the same period of 2018, driven by growth in the Company’s direct sales of its 2D and 3D imaging products. Therapy revenue, which includes Xoft^® Axxent^® eBx^® System^® sales, as well as the associated service and supplies revenue, for the nine months ended September 30, 2019, decreased by approximately $0.2 million, or 4%, to $6.5 million as compared to the same period of 2018.

In $000’s

			Nine months ended September 30,
	2019		2018		$ Change			% Change
Detection revenue
Product revenue	$	11,347	$	7,369	$	3,978			54	%
Service revenue		4,117		4,559		(442	)		(10	)%
Detection Revenue	$	15,464	$	11,928	$	3,536			30	%
Therapy revenue
Product revenue	$	1,984	$	1,932	$	52			3	%
Service revenue		4,511		4,807		(296	)		(6	)%
Therapy Revenue	$	6,495	$	6,739	$	(244	)		(4	)%
Total Revenue	$	21,959	$	18,667	$	3,292			18	%

Gross Profit: Gross profit for the nine months ended September 30, 2019, was $17.1 million, or 78% of revenue, compared with $14.0 million, or 75% of revenue, in the same nine months of 2018. Gross profit percent changes are primarily due to changes in the mix of business, additional manufacturing investments and amortization of acquired intangibles.

Operating Expenses: Total operating expenses for the nine months ended September 30, 2019, were $21.5 million, an increase of $2.2 million, or 11%, from $19.4 million in the same nine month period of 2018. The increase was due to increased marketing and sales expenses, partially offset by decreases in engineering and product development costs.

GAAP Net Loss: Net loss for the nine months ended September 30, 2019, was ($10.2) million, or ($0.57) per diluted share, compared with a net loss of ($5.7) million, or ($0.34) per diluted share, for the same nine month period of 2018. GAAP Net Loss includes a $5.3 millionnon-cash charge associated with the fair value accounting treatment of our convertible debentures issued in December 2018.

Non-GAAP Adjusted EBITDA:Non-GAAP adjusted EBITDA, anon-GAAP financial measure as defined below, for the nine month period ended September 30, 2019, was a loss of ($3.0) million, compared tonon-GAAP adjusted EBITDA loss of ($3.1) million in the same nine month period of 2018. Please refer to the section entitled “Reconciliation ofNon-GAAP Financial Measures to Comparable GAAP Measures” and the accompanying financial table included at the end of this release for a reconciliation of GAAP Net Loss toNon-GAAP Adjusted EBITDA results for the nine-month periods ended September 30, 2019 and 2018, respectively.

Cash and Cash Equivalents: As of September 30, 2019, the Company had cash and cash equivalents of $17.4 million, compared with cash and cash equivalents of $12.2 million at December 31, 2018.

Conference Call

Wednesday October 30th @ 8:30am ET

Domestic:	877-407-0784
International:	201-689-8560
Conference ID:	13695539
Webcast:	http://public.viavid.com/index.php?id=136530

Use ofNon-GAAP Financial Measures

In its quarterly news releases, conference calls, slide presentations or webcasts, the Company may use or discussnon-GAAP financial measures as defined by SEC Regulation G. The GAAP financial measures most directly comparable to eachnon-GAAP financial measure used or discussed, and a reconciliation of the differences between eachnon-GAAP financial measure and the comparable GAAP financial measure, are included in this press release after the condensed consolidated financial statements. When analyzing the Company’s operating performance, investors should not consider thesenon-GAAP measures as a substitute for the comparable financial measures prepared in accordance with GAAP. The Company’s quarterly news releases containing suchnon-GAAP reconciliations can be found on the Investors section of the Company’s website at www.icadmed.com.

About iCAD, Inc.

Headquartered in Nashua, NH, iCAD is a global medical technology leader providing innovative cancer detection and therapy solutions. For more information, visit www.icadmed.com.

“Safe Harbor” Statement under the Private Securities Litigation Reform Act of 1995

Certain statements contained in this News Release constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements involve a number of known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include, but are not limited, to the Company’s ability to achieve business and strategic objectives, increase sales and acceptance of products, adoption by CMS of a new payment model, which is not assured, implement expansion plans, the risks of uncertainty of patent protection, the impact of supply and manufacturing constraints or difficulties, uncertainty of future sales levels, protection of patents and other proprietary rights, the impact of supply and manufacturing constraints or difficulties, product market acceptance, possible technological obsolescence of products, increased competition, to successfully defend itself in litigation matters, government regulation, changes in Medicare or other reimbursement policies, risks relating to our existing and future debt obligations, competitive factors, the effects of a decline in the economy or markets served by the Company; and other risks detailed in the Company’s filings with the Securities and Exchange Commission. The words “believe,” “demonstrate,” “intend,” “expect,” “estimate,” “will,” “continue,” “anticipate,” “likely,” “seek,” and similar expressions identify forward-looking statements. Readers are cautioned not to place undue reliance on those forward-looking statements, which speak only as of the date the statement was made. The Company is under no obligation to provide any updates to any information contained in this release. For additional disclosure regarding these and other risks faced by iCAD, please see the disclosure contained in our public filings with the Securities and Exchange Commission, available on the Investors section of our website at http://www.icadmed.com and on the SEC’s website athttp://www.sec.gov.

Contact:

Media Inquiries:

Jessica Burns, iCAD

+1-201-423-4492

jburns@icadmed.com

Investor Relations:

Jeremy Feffer, LifeSci Advisors

+1-212-915-2568

jeremy@lifesciadvisors.com

iCAD, INC. AND SUBSIDIARIES

Condensed Consolidated Balance Sheets

(Unaudited)

(In thousands)

	September 30,		December 31,
	2019		2018
Assets
Current assets:
Cash and cash equivalents	$	17,427	$	12,185
Trade accounts receivable, net of allowance for doubtful accounts of $181 in 2019 and $177 in 2018		8,002		6,403
Inventory, net		2,387		1,587
Prepaid expenses and other current assets		1,389		1,045
Total current assets		29,205		21,220
Property and equipment, net of accumulated depreciation of $6,433 in 2019 and $6,214 in 2018		543		552
Operating lease assets		2,131		—
Other assets		53		53
Intangible assets, net of accumulated amortization of $8,092 in 2019 and $7,809 in 2018		1,274		1,550
Goodwill		8,362		8,362
Total Assets	$	41,568	$	31,737
Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	1,255	$	1,154
Accrued and other expenses		6,376		5,060
Notes payable - current portion		3,250		1,851
Lease payable - current portion		656		15
Deferred revenue		5,016		5,165
Total current liabilities		16,553		13,245
Notes payable, long-term portion		2,564		4,254
Convertible debentures payable		12,310		6,970
Deferred revenue, long-term portion		398		331
Lease payable - long-term portion		1,548		38
Deferred tax		3		3
Total Liabilities		33,376		24,841
Total Stockholders’ Equity		8,192		6,896
Total Liabilities and Stockholders’ Equity	$	41,568	$	31,737

iCAD, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Operations

(Unaudited)

(In thousands except for per share data)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
Revenue:
Products	$	5,156		$	3,093		$	13,331		$	9,301
Service and supplies		2,701			3,099			8,628			9,366
Total revenue		7,857			6,192			21,959			18,667
Cost of revenue:
Products		809			603			2,134			1,598
Service and supplies		891			752			2,466			2,743
Amortization and depreciation		103			99			297			306
Total cost of revenue		1,803			1,454			4,897			4,647
Gross profit		6,054			4,738			17,062			14,020
Operating expenses:
Engineering and product development		2,485			2,035			6,751			7,431
Marketing and sales		3,588			2,100			9,281			6,272
General and administrative		1,872			1,778			5,276			5,419
Amortization and depreciation		69			74			206			234
Total operating expenses		8,014			5,987			21,514			19,356
Loss from operations		(1,960	)		(1,249	)		(4,452	)		(5,336	)
Interest expense		(193	)		(118	)		(604	)		(373	)
Loss on fair value of convertible debentures		(900	)		—			(5,340	)		—
Other income		103			28			226			79
Other expense, net		(990	)		(90	)		(5,718	)		(294	)
Loss before income tax expense		(2,950	)		(1,339	)		(10,170	)		(5,630	)
Tax expense		(6	)		(26	)		(33	)		(43	)
Net loss and comprehensive loss	$	(2,956	)	$	(1,365	)	$	(10,203	)	$	(5,673	)
Net loss per share:
Basic	$	(0.15	)	$	(0.08	)	$	(0.57	)	$	(0.34	)
Diluted	$	(0.15	)	$	(0.08	)	$	(0.57	)	$	(0.34	)
Weighted average number of shares used in computing loss per share:
Basic		19,284			16,700			18,049			16,652
Diluted		19,284			16,700			18,049			16,652

iCAD, INC. AND SUBSIDIARIES

Condensed Consolidated Statements of Cash Flows

(Unaudited)

(In thousands)

	For the nine months ended September 30,
	2019			2018
Cash flow from operating activities:
Net loss	$	(10,203	)	$	(5,673	)
Adjustments to reconcile net loss to net cash used for operating activities:
Amortization		283			286
Depreciation		220			254
Bad debt provision		62			101
Inventory obsolesence reserve		—			—
Stock-based compensation expense		856			1,186
Amortization of debt discount and debt costs		109			129
Change in fair value of convertible debentures		5,340			—
Deferred tax		—			(13	)
Loss on disposal of assets		—			12
Changes in operating assets and liabilities
Accounts receivable		(1,672	)		2,301
Inventory		(800	)		212
Prepaid and other current assets		164			1
Accounts payable		101			(490	)
Accrued expenses		837			(775	)
Deferred revenue		(70	)		147
Total adjustments		5,430			3,351
Net cash used for operating activities		(4,773	)		(2,322	)
Cash flow from investing activities:
Additions to patents, technology and other		(8	)		(9	)
Additions to property and equipment		(211	)		(107	)
Net cash (used for) provided by investing activities		(219	)		(116	)
Cash flow from financing activities:
Stock option exercises		1,396			—
Proceeds from issuance of common stock		10,350			—
Common stock Issuance costs		(996	)		—
Taxes paid related to restricted stock issuance		(106	)		(130	)
Principal payments of capital lease obligations		(10	)		(9	)
Principal repayment of debt financing, net		(1,400	)		—
Proceeds from debt financing		1,000			—
Net cash provided by (used for) financing activities		10,234			(139	)
Increase in cash and equivalents		5,242			(2,577	)
Cash and equivalents, beginning of period		12,185			9,387
Cash and equivalents, end of period	$	17,427		$	6,810

Reconciliation ofNon-GAAP Financial Measures to Comparable GAAP Measures

The Company reports its financial results in accordance with United States generally accepted accounting principles, or GAAP. However, management believes that in order to understand the Company’s short-term and long-term financial and operational trends, investors may wish to consider the impact of certainnon-cash ornon-recurring items, when used as a supplement to financial performance measures in accordance with GAAP. These items result from facts and circumstances that vary in frequency and/or impact on continuing operations. Management also uses results of operations before such items to evaluate the operating performance of the Company and compare it against past periods, make operating decisions, and serve as a basis for strategic planning. Thesenon-GAAP financial measures provide management with additional means to understand and evaluate the operating results and trends in the Company’s ongoing business by eliminating certainnon-cash expenses and other items that management believes might otherwise make comparisons of the Company’s ongoing business with prior periods more difficult, obscure trends in ongoing operations or reduce management’s ability to make useful forecasts. Management believes that thesenon-GAAP financial measures provide additional means of evaluating period-over-period operating performance. In addition, management understands that some investors and financial analysts find this information helpful in analyzing the Company’s financial and operational performance and comparing this performance to its peers and competitors.

Management defines“Non-GAAP Adjusted EBITDA” as the sum of GAAP Net Loss before provisions for interest expense, other income, stock-based compensation expense, depreciation and amortization, tax expense, severance, gain on sale of assets, loss on disposal of assets, acquisition and litigation related expenses. Management considers thisnon-GAAP financial measure to be an indicator of the Company’s operational strength and performance of its business and a good measure of its historical operating trends, in particular the extent to which ongoing operations impact the Company’s overall financial performance.

Thenon-GAAP financial measures do not replace the presentation of the Company’s GAAP financial results and should only be used as a supplement to, not as a substitute for, the Company’s financial results presented in accordance with GAAP. The Company has provided a reconciliation of eachnon-GAAP financial measure used in its financial reporting and investor presentations to the most directly comparable GAAP financial measure.

Management excludes each of the items identified below from the applicablenon-GAAP financial measure referenced above for the reasons set forth with respect to that excluded item:

• Interest expense: The Company excludes interest expense which includes interest from the facility agreement, interest on capital leases and interest on the convertible debentures from itsnon-GAAP Adjusted EBITDA calculation.

• Stock-based compensation expense: excluded as these arenon-cash expenses that management does not consider part of ongoing operating results when assessing the performance of the Company’s business, and also because the total amount of expense is partially outside of the Company’s control as it is based on factors such as stock price volatility and interest rates, which may be unrelated to our performance during the period in which the expense is incurred.

• Amortization and Depreciation: Purchased assets and intangibles are amortized over a period of several years and generally cannot be changed or influenced by management after they are acquired. Accordingly, thesenon-cash items are not considered by management in making operating decisions, and management believes that such expenses do not have a direct correlation to future business operations. Thus, including such charges does not accurately reflect the performance of the Company’s ongoing operations for the period in which such charges are incurred.

• Severance relates to costs incurred due to the termination of certain employees. The Company provides compensation to certain employees as an accommodation upon termination of employment without cause. Management believes that excluding severance costs from operating results provides investors with a better means for measuring current Company performance.

• Loss on fair value of convertible debentures. The Company excludes thisnon-cash item as it is not considered by management in making operating decisions, and management believes that such item does not have a direct correlation to future business operations.

• Acquisition related: relates to professional service fees associated with acquisitions. The Company does not consider these acquisition-related costs to be related to the organic continuing operations of the acquired businesses and are generally not relevant to assessing or estimating the long-term performance of the acquired assets.

• Litigation related: These expenses consist primarily of settlement, legal and other professional fees related to litigation. The Company excludes these costs from itsnon-GAAP measures primarily because the Company believes that these costs have no direct correlation to the core operations of the Company.

On occasion in the future, there may be other items, such as significant asset impairments, restructuring charges or significant gains or losses from contingencies that the Company may exclude if it believes that doing so is consistent with the goal of providing useful information to investors and management.

Non-GAAP Adjusted EBITDA

Set forth below is a reconciliation of the Company’s“Non-GAAP Adjusted EBITDA”

(Unaudited)

(In thousands except for per share data)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
GAAP Net Loss	$	(2,956	)	$	(1,365	)	$	(10,203	)	$	(5,673	)
Interest Expense		193			118			604			373
Other income		(103	)		(28	)		(226	)		(79	)
Stock Compensation		340			413			856			1,186
Depreciation		78			76			220			254
Amortization		94			97			283			286
Tax (benefit) expense		6			26			33			43
Severance		15			241			48			402
Loss of fair value of convertble debentures		900			—			5,340			—
Loss on sale of Asset		—			—			—			12
Litigation related		11						88			—
Acquistion Related		—			27						93
Non-GAAP Adjusted EBITDA	$	(1,422	)	$	(395	)	$	(2,957	)	$	(3,103	)

	Three Months Ended September 30,						Nine Months Ended September 30,
	2019			2018			2019			2018
GAAP Net Loss	$	(2,956	)	$	(1,365	)	$	(10,203	)	$	(5,673	)
Adjustments to Net Loss:
Severance		15			241			48			402
Loss of fair value of convertble debentures		900			—			5,340			—
Loss on sale of Asset		—			—			—			12
Litigation related		11			—			88			—
Acquistion Related		—			27						93
Non-GAAP Adjusted Net Loss	$	(2,030	)	$	(1,097	)	$	(4,727	)	$	(5,166	)
Net Loss per share
GAAP Net Loss per share	$	(0.15	)	$	(0.08	)	$	(0.57	)	$	(0.34	)
Adjustments to Net Loss (as detailed above)		0.05			0.02			0.30			0.03
Non-GAAP Adjusted Net Loss per share	$	(0.10	)	$	(0.06	)	$	(0.27	)	$	(0.31	)