UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                             ----------------------

                                    FORM 10-K

(Mark One)

(X)     ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
        ACT OF 1934

        For the fiscal year ended December 31, 2003
                                  -----------------

                                       OR

( )     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
        EXCHANGE ACT OF 1934

        For the transition period from _______________ to ________________

        Commission file number 1-9341
                               ------

                                   ICAD, INC.
              ----------------------------------------------------
             (Exact name of registrant as specified in its charter)


                  Delaware                      02-0377419
          ---------------------------        ------------------
         (State or other jurisdiction       (I.R.S. Employer of
        incorporation or organization)      Identification No.)


4 Townsend West, Suite 17, Nashua, New Hampshire         03063
- ------------------------------------------------        --------
(Address of principal executive offices)               (Zip Code)


Registrant's telephone number, including area code: (603) 882-5200
                                                    --------------

Securities registered pursuant to Section 12(b) of the Act:

                                      None

Securities registered pursuant to Section 12 (g) of the Act:

                                 Title of Class
                          ----------------------------
                          Common Stock, $.01 par value

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding  12 months (or for such  shorter  period that the  registrant  as
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirement for the past 90 days. YES X NO___.


                                       1


Indicate by check mark if disclosure of delinquent  filers  pursuant to Item 405
of Regulation  S-K is not contained  herein,  and will not be contained,  to the
best of registrant's  knowledge,  in definitive proxy or information  statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. [ ]

Indicate  by check mark  whether  the  registrant  is an  accelerated  filer (as
defined in Rule 12b-2 of the Exchange Act) YES     NO  X .
                                              ---     ---

The  aggregate  market value of the voting stock held by  non-affiliates  of the
registrant,  based upon the closing price for the  registrant's  Common Stock on
June 30, 2003 was $31,858,033.

As of March 18,  2004,  the  registrant  had  33,776,933  shares of Common Stock
outstanding.


                                       2


"Safe Harbor" Statement under the Private Securities Litigation Reform Act of
1995:

Certain information included in this report on Form 10-K that are not historical
facts  contain  forward  looking  statements  that involve a number of known and
unknown  risks,  uncertainties  and other  factors  that could  cause the actual
results,  performance or achievements of the Company to be materially  different
from any future results, performance or achievement expressed or implied by such
forward looking statements.  These risks and uncertainties  include, but are not
limited to, 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,   litigation  and/or  government  regulation,
changes in Medicare reimbursement policies,  competitive factors, the effects of
a decline in the  economy  in  markets  served by the  Company  and other  risks
detailed in this report and in the Company's  other filings with the  Securities
and Exchange Commission. The words "believe", "demonstrate", "intend", "expect",
"estimate",  "anticipate",  "likely",  "seek" and similar  expressions  identify
forward-looking statements. Readers are cautioned not to place undue reliance on
these forward-looking statements,  which speak only as of the date the statement
was made.


                                     PART I


ITEM 1.  BUSINESS.

GENERAL

iCAD(TM),  Inc.  ("iCAD" or the "Company") was incorporated in 1984 in the State
of  Delaware,  as Howtek,  Inc.,  and has sold and  supported  over  20,000 high
quality,  professional  graphic arts,  photographic  and medical imaging systems
worldwide.  In 2001,  iCAD  elected to  concentrate  on its medical  imaging and
women's health  businesses with an objective of expanding this business  through
increased  product  offerings.  This  goal was  advanced  in June  2002 with the
acquisition of Intelligent Systems Software,  Inc. ("ISSI"),  a software company
offering   computer  aided   detection   ("CAD")   systems  for  breast  cancer.
Subsequently,  on December 31, 2003, the Company merged with and acquired Qualia
Computing,  Inc., a privately  held company based in  Beavercreek  Ohio, and its
subsidiaries,  including CADx Systems, Inc. (together "CADx"), bringing together
two of the three companies approved by the US Food and Drug Administration (FDA)
to market  computer  aided  detection of breast  cancer  solutions in the United
States.

iCAD develops,  engineers,  manufactures  and markets  computer aided  detection
(CAD)  products for the early  detection of breast cancer and other  health-care
related applications.  Early detection of breast cancer can save lives and often
permits less costly, less invasive and less disfiguring cancer treatment options
than when the cancer is detected at a later stage. Computer aided detection from
iCAD can detect up to 25% of breast cancers an average of 14 months earlier than
screening mammography alone.

iCAD is the only  independent,  integrated  digitizer  hardware and CAD software
company offering computer aided detection of breast cancer  solutions.  As such,
we are able to reduce costs at each step in the CAD product  design,  production
and assembly  process.  We believe our vertical  integration of CAD and hardware
development  results  in  better  integration  of  software  and film  digitizer
components,  lower production costs and reduced administrative  overhead.  These
factors have allowed us to  progressively  enhance our CAD product  line,  while
reducing the costs of our CAD products to many customers and allowing more women
to realize the benefits inherent in the early detection of breast cancer.


                                       3


The Company's CAD systems include proprietary  software technology together with
standard  computer  and  display  equipment.  CAD  systems  for  the  film-based
mammography  market also include a radiographic  film digitizer  manufactured by
the Company.  iCAD also  manufactures  medical film  digitizers for a variety of
medical imaging and other  applications.  The Company  manufactures and promotes
the Company's  film  digitizer  products to third party  customers.  The Company
believes that iCAD's  experience in providing  film  digitizers and software for
medical   picture   archiving  and   communications   (PACS)  and   telemedicine
applications  contributes  to the  successful  integration  of the Company's CAD
products into  networked  and digital  mammography  environments.  The Company's
headquarters and its production and assembly  facilities are located in southern
New Hampshire.

MERGER WITH QUALIA AND CADX AND SUBSEQUENT EVENTS

On December 31, 2003, the Company completed the acquisition of CADx. This merger
brings  together  two of the  three  companies  approved  by the  FDA to  market
computer aided  detection of breast cancer  solutions in the United  States.  To
complete  the  merger,  iCAD  issued  4,300,000  shares  of  its  common  stock,
representing  approximately  13% of the outstanding  shares of iCAD common stock
after the merger.  Additionally,  iCAD paid  $1,550,000  in cash and  executed a
36-month secured  promissory note in the amount of $4,500,000 to purchase Qualia
shares that were owned by two institutional investors.

Integration  of the acquired  companies is  substantially  complete.  During the
first  quarter  of 2004  the  Company  assessed  the  opportunities  to  achieve
post-merger operating economies, and identified cost-reduction  opportunities in
light of its  distribution  and  product  plans.  As a result  of this  analysis
management  determined that operating  expenses could be  substantially  reduced
without  detracting  from the Company's  ability to increase  sales and focus on
future products and markets.  Cost-reduction  actions taken by iCAD in the first
quarter of 2004  included  the  closure of  offices  in Tampa,  Florida  and San
Rafael, California; reductions in staffing effective March 31, 2004 of 39 of 110
previous  full and part-time  employees,  and the  reduction of  duplication  in
marketing,   administrative   and  other  activities.   As  a  result  of  these
cost-reduction  actions, the Company will report certain non-recurring severance
and office closure expenses in the quarter ending March 31, 2004.

Unless otherwise indicated or unless the context requires otherwise, the
references to "iCAD", "we", "us", "our" or "combined companies", refer to the
combined entities, iCAD, CADx Systems, Inc. and Qualia Computing, Inc., and its
subsidiaries and references to "CADx" includes Qualia Computing, Inc. and its
subsidiaries.


                                       4


MARKET AND MARKET SHARE

Computer  Assisted  Detection  is used to  provide  physicians  with  support in
detecting  breast  cancer at an early  stage.  There is a need for devices  that
facilitate the early  detection of breast cancer and other forms of cancer.  For
most cancers,  the earlier treatment is rendered,  the greater the likelihood of
successfully  managing the cancer.  Some  studies show that if breast  cancer is
detected  while still  localized  and before  metastasis  spread,  the five-year
survival  rate is 96.8% or  better.  If the  cancer  spreads  regionally  before
treatment,  the  survival  rate  drops to  around  75.9%.  If  there is  distant
metastasis, the survival rate drops to around 20.6%.

A primary method of detecting  breast cancer is through  mammography  screening.
Mammography  is a  radiographic  examination  of a breast.  The American  Cancer
Society recommends that women undergo annual mammogram examinations beginning at
age 40.  Approximately 5 million  additional  women in the United States will be
entering the annual  mammography  screening  category within the next 5 years. A
problem in this process,  that the  Company's  CAD products seek to address,  is
that in routine  screening of  mammography  films an estimated 20% or more (some
reports suggest up to 30%) of identifiable breast cancers are missed as a result
of radiologist oversight. In general, CAD as an adjunct to mammography screening
is now  reimbursable  in the United  States  under  federal and most third party
insurance  programs,  providing  economic  support  for the  acquisition  of CAD
products by women's health care providers.

In the United States,  approximately  9,200 facilities are accredited to provide
mammography  screening.  To date, the Company estimates that approximately 1,500
CAD systems have been sold into this market.  Our combined companies account for
approximately  340 of these systems,  including  approximately  240 systems sold
during 2003.  The Company  believes its market share is  increasing.  During the
fourth  quarter  of 2003,  on a  combined  basis,  the  Company  sold a total of
approximately  115 CAD  systems,  excluding  systems sold to new  resellers  for
demonstration  purposes and systems sold from the stock of iCAD, Inc.'s previous
distributor.  The Company  believes  its sales  represented  the majority of all
computer aided detection of breast cancer systems sold during the fourth quarter
of 2003,  which would make iCAD,  for the first time, the market leader in terms
of unit shipments.

The Company  believes  that the large  majority of CAD systems sold to date have
been sold to "early  adopters",  including  academic  institutions and customers
with comparatively higher case volumes, a group that it estimates comprises less
than one-third of the overall  potential market for its products.  The Company's
Second  Look(R) 200 system  (formerly  the iCAD  iQ(TM)  model),  introduced  in
December  2003, is designed to provide a solution for the balance of the market,
where lower case volumes require a lower cost, easy to use CAD solution

Full Field Digital Mammography  ("FFDM") systems,  which eliminate the film used
in conventional  mammographic  X-Rays,  are now available from several  vendors.
These systems are expected to increase as a percentage of the installed  base of
mammography  systems,  as more clinics and women's health centers implement more
fully digital imaging  workflows.  CAD technology,  including the Company's,  is
applicable to mammographic images acquired through Digital Mammography  systems.
To date, the Company has sold 70 CAD solutions for digital  mammography  through
its OEM partners and it believes  that iCAD is the current  sales leader in this
part of the market.


                                       5


The Company's  Howtek(TM)  medical digitizer  products are used in the Company's
CAD  systems,  and  marketed  to third  parties  for use in the  computer  aided
detection  market,  in teleradiology and in medical image storage and management
networks known as Picture Archiving and Communications Systems, or "PACS".

Teleradiology is the practice of digitally  transmitting medical x-ray images to
another location for analysis,  consultation or diagnostic  interpretation.  The
Company's  digitizers are used in this process to convert  radiographic  film to
digital form, for transmission, communication or storage.

ICAD COMPUTER AIDED DETECTION TECHNOLOGY AND PRODUCTS

The Company's  computer aided detection  systems  operate by analyzing  multiple
features  and  characteristics  of  a  screening  or  diagnostic   mammogram  to
recognize, identify and "mark" those combinations of features that may represent
cancer.  The system then presents the  radiologist  with a computerized  "Second
Look", or second opinion,  helping to reduce overlooked cancers by 23%-28%. This
analysis is accomplished by iCAD's cancer detection software, which encapsulates
the knowledge from thousands of mammography cases that were presented during the
product's development to "learn" the important distinguishing characteristics of
cancerous versus normal tissue.

iCAD's  cancer  detection  software is developed  using its  proprietary  QUALIA
INSIGHT(TM)  software  development  platform and technology.  The Qualia Insight
platform includes tools and programming  structures that support and enhance the
rapid  creation  and testing of computer  solutions,  which learn from and apply
existing  examples of a condition  like breast  cancer to support the review and
decision  of  professionals  seeking to identify  that  condition  in  practical
medical  applications.  The  Company  believes  that use of its  Qualia  Insight
platform offers several key benefits over CAD products  currently offered by its
competitors,  including reduced  development time for initial software releases,
reduced  development  time and  increased  opportunity  for  continuous  product
improvements  and reduced  development  time and increased  opportunity to apply
core computer aided  detection  technology to CAD for lung and colon cancers and
other applications.

iCAD and CADx have been  responsible for a range of innovations in CAD products,
including:

o     the first system  offering a clear upgrade path from film-based to digital
      mammography workflows
o     the first and only CAD system to search for and mark clinical asymmetries
o     the first system to offer printed CAD results
o     the first free-standing, eye-level radiologist review station
o     the ability to choose between soft copy and printed CAD results
o     the first system to offer multiple radiologist viewing stations
o     the first system to support up to twelve films in a patient study
o     the first  system to report  above  each image the number of marks made by
      the CAD system
o     the first and only system that provides integration of relational database
      technologies  to ensure patient history  tracking and enhance  integration
      with other information systems.


                                       6


Other innovations incorporated into the Company's CAD products include the first
use of bar code labels to improve  workflow and reduce errors in case  tracking;
the first system to use the  facility's own barcodes to identify and link to CAD
results;  the first system to integrate with a Mammography  Information  System,
the  first CAD  system  to offer an HL-7  interface  to the  medical  facility's
information   system;   the  first  CAD  system  supporting  open  architecture,
standardized  protocols and  accessible  data  interfaces;  the ability to share
digitizers  between CAD and medical  PACS  systems;  and the first and only dual
digitizer  CAD system.  iCAD also  delivered  the first  digitizer  designed for
mammography  and women's  health  applications;  the first and only  support for
distributed  patient  databases,  allowing  remote scanning and remote access to
patient  information  and test  results;  the first and only  support for remote
patient entry;  the first  bi-directional  support for hospital and  mammography
information  systems;  the first leveraged operating lease for CAD systems;  and
the first fully-featured CAD system available at a price under $70,000.

The most recent version of the Company's cancer detection software,  SECOND LOOK
6.0, was approved by the FDA in October  2003,  with up to 96.2 percent  overall
cancer  detection  sensitivity.  Specificity,  a measure  of the number of marks
created  that  do not  represent  an  actual  cancer,  was  as low as 1.6  False
Positives (FP) per case.  Increasingly,  potential  purchasers  are  considering
marker rate in their buying  decision.  The performance of the Company's  Second
Look 6.0 cancer detection software represents a substantial reduction in markers
over its previous cancer  detection  software,  and compares  favorably with the
marking performance of its competitors. The innovative design of iCAD's software
allows it to operate at multiple  sensitivity points,  providing the Radiologist
with a selectable range of detection sensitivity and specificity  appropriate to
their clinical setting. In certain of iCAD's products,  Second Look 6.0 provides
the user with a choice of three operating points,  one with higher  sensitivity,
another  with  lower  false  marks,   and  a  median  selection  that  optimizes
sensitivity and specificity.

Under the  leadership of Dr. Steven  Rogers,  Qualia's  founder and iCAD's Chief
Scientist,  the  Company's  technologies  are also  being  applied  to the early
detection of breast cancer using ultrasound;  the early detection of lung cancer
utilizing  low-dose spiral  Computed  Tomography (CT) and the early detection of
colon cancer  utilizing  CT. With support  provided  through the FY2004  Defense
Appropriations  Bill,  iCAD has begun  collaboration  with the Walter  Reed Army
Medical Center and the Windber Research Institute in Windber, PA, to develop and
evaluate 3D CAD  technology for breast imaging based on existing CAD and pattern
analysis techniques for conventional mammograms.  One objective of this research
project  is to use  ultrasound  imaging  to reduce  biopsies  which  prove to be
unnecessary.  Research programs in cardiovascular  disease applications are also
in the planning stages.

The Company has  applied  for over 46 patents  relating to many  aspects of CAD,
cancer  detection and medical  digitizer  design.  To date, the Company has been
granted 12 patents,  including  general method  patents it believes  relate to a
broad portfolio of potential medical applications for CAD.


                                       7


PRODUCTS

The Company  believes  that the Second Look brand has the greatest  brand equity
and  recognition  of any iCAD brand in the CAD market.  For this reason,  it has
combined its iQ,  MammoReader and Second Look products into one "Second Look(R)"
branded  line of CAD devices.  In doing so, the Company  believes it has created
the broadest and most  comprehensive  line of CAD  products  available  from any
company,  and associated it with a single well recognized and appropriate  model
brand.  Case  capacity,  work  flow,  user  interface,  upgradeability,  digital
extensions  and price are among the  benefits  used to  distinguish  Second Look
models. Primary product descriptions are as follow:



- --------------------------------------------------------------------------------------------
iCAD Model(1)                                                                      Suggested
(Previous              Cases/                                                      Retail
Designation)            Day                        Selected Benefits               Price
- --------------------------------------------------------------------------------------------
                                                                            
Second Look(R)200      Up to   Our economical solution for lower volume, value       $69,950
(iCAD iQ)               20     oriented customers.
                               o Fully Automatic workflow and processing
                               o Compact, easy to use and easy to maintain.
- --------------------------------------------------------------------------------------------
Second Look 400        Up to   Our modular, extensible, network-ready solution for   $99,950
(MammoReader)            80    value-oriented customers.
                               o Network options include immediate HL-7
                                 hospital information system interface;
                                 bi-directional PenRad, MRS and MagView
                                 mammography information system interfaces;
                                 fully compliant DICOM file-save capability
                               o Open platform Hub and spoke CAD architecture
                               o Distributed case entry, case processing and
                                 case reading allows physicians to network
                                 between offices
                               o Multiple case-entry options
                               o Unsorted, continuous film-feed reduces errors
                               o Support for bar-coded workflows for
                                 productivity
                               o Asymmetry included as indicator of potential
                                 cancers
                               o Optional Radiologist review stations available
- --------------------------------------------------------------------------------------------


- --------
(1) Specific designations subject to change


                                       8




                                                                         
Second Look 500        Up to   Our clinically advanced solution for customers       $139,950
(Second Look)            80    seeking the best detection performance available,
                               with immediate support for digital mammography.
                               o Immediate availability of Second Look 6.0
                                 cancer detection software for superior clinical
                                 performance
                               o Selectable operating points adjust sensitivity
                                 and marking rate
                               o Immediate, clear and cost effective upgrade
                                 path to support digital mammography
                               o Operator-friendly graphical user interface
                               o Simplified film loading
                               o Use of existing bar code labels provides
                                 patient record continuity
                               o Support for up to 12 films per patient ID
                                 ensures all  films are on one record number
                               o "Stat" case sequencing provides immediate
                                 availability for selected cases
                               o Optional Radiologist review stations
                               o Current accessories include PenRad, MRS and
                                 MagView mammography information system interfaces;
                               o Fully compliant DICOM file-save capability
- --------------------------------------------------------------------------------------------
Second Look 402        Up to   Our high case load, uptime assurance                 $149,950
                        300    solution for high-case volume .
                               o  Dual film digitizers increase throughput and
                                  reduce critical downtime.
                               o  Network   options   include   immediate   HL-7
                                  hospital    information    system   interface;
                                  bi-directional   PenRad,   MRS   and   MagView
                                  mammography   information  system  interfaces;
                                  fully compliant DICOM file-save capability
                               o  Support for Digital Mammography planned
                               o  Asymmetry included as indicator of potential
                                  cancers
                               o  Optional Radiologist review stations available
                               o  Support for bar-coded workflows
                               o  Multiple case-entry options
                               o  Unsorted, continuous film-feed reduces errors
                               o  Open platform Hub and spoke CAD supported
                               o  Distributed case entry, case processing and
                                  case reading
- --------------------------------------------------------------------------------------------
Second Look Digital    Varies  Our solution for Digital Mammography.                $120,000
                       by      o Integrated computer aided detection for General
                       Digital   Electric Medical Systems Senographe Digital
                       System    Mammography System; available from GE Medical
                                 Systems.
                               o Integrated computer aided detection for Fischer
                                 Imaging Corporation full-field Digital
                                 Mammography System; available from Fischer
                                 Imaging Corporation
                               o Support for  additional  digital  mammography
                                 systems planned.
- --------------------------------------------------------------------------------------------



                                       9





- --------------------------------------------------------------------------------------------

                                                                           
Second Look AD         Up to   Our combined digital and film-based CAD solution.    $330,000
                       150     o Combines benefits of Second Look 500 and Second
                       mixed     Look Digital.
                       film    o Available from OEM as a complete solution and as
                       &         an upgrade to select, existing Second Look
                       digital   solutions.
- --------------------------------------------------------------------------------------------
MultiRAD(TM)           N/A     Radiographic film digitizer for                      $14,995 -
Digitizer                      OEM, CAD, Picture Archiving and
                               Communications (PACS) and telemedicine               $19,995
                               applications.
- --------------------------------------------------------------------------------------------
Fulcrum(TM)Digitizer      N/A  Radiographic film digitizer for OEM and CAD          $21,995
                               applications.
- --------------------------------------------------------------------------------------------



MARKETING & SALES

MARKETING

The Company competes  aggressively in three definable  divisions of the computer
aided detection market.  In the high end part of the market,  which accounts for
most CAD  purchases,  to date,  its  Second  Look  500 and  dual  digitizer  CAD
solutions are marketed on the basis of clinical  superiority,  productivity  and
value.  New  product  models are  planned to further  address  the  demands  and
requirements  of  this  market.   The  Company's   competitor  in  this  sector,
historically  the brand and market  leader by virtue of a  substantially  longer
period in the market and a  substantially  greater  investment  in  advertising,
marketing,  and  promotion,  has in many cases been  selected by a CAD purchaser
without  considering any  alternatives.  By coupling  broader and more effective
product distribution with improved marketing,  including effective communication
of the message that iCAD now offers more CAD alternatives than any other vendor,
the Company  believes  it can  substantially  improve  its market  share in this
division.

The Company's first Second Look  advertising,  supported by complementary  trade
show participation, began in February 2004. One of the benefits of the merger is
that the Company has increased its  advertising  and  marketing  efforts,  while
reducing  overall the previous  aggregate  marketing  budgets of the  companies.
Samples  of  the  Company's   advertising   can  be  found  on  its  website  at
www.icadmed.com. Information in its website is not part of this report.

In the lower case volume division of the CAD market, where price and ease of use
are key buying  factors,  the Company  believes it is well  positioned  with the
introduction  of its  iCAD iQ (now  renamed  Second  Look  200)  computer  aided
detection product.  The Company's  objective is to secure a leading market share
in this newer market area.

iCAD believes that the Second Look 200 is a category-defining CAD system, in the
sense that it is the first  product on the market  that will allow  lower-volume
clinics to provide CAD services to women on a  cost-effective  basis. The Second
Look 200 is simple to operate and self-training in nature,  has been designed to
fit within the limited space requirements of smaller mammography clinics, and is
priced below currently  available CAD systems.  Commencing in the second quarter
of 2004, the Company  expects to undertake  targeted  advertising  and marketing
aimed specifically at promotion of Second Look 200 sales.


                                       10


Furthermore, as early as the second quarter of 2004, the Second Look 200 will be
made  available  to  mammography  facilities  that  cannot  afford the  outright
purchase of a CAD system, through a simple `fee-per-procedure'  program that the
Company  has already  announced  and branded  ClickCAD(TM).  Under the  ClickCAD
program,  the Company  plans and  expects to install  Second Look 200 systems in
qualified mammography clinics at little or no up-front capital cost. The clinics
will then pay iCAD a fee approximating  $6.50 for each CAD procedure  performed,
an amount that represents  less than 35% of the current  standard $19.13 Federal
reimbursement  rate for CAD procedures.  The Company  believes that this program
will allow mammography  clinics to improve the health care delivered to women at
risk,  strengthen  their marketing  position in attracting and keeping  patients
concerned about breast cancer, reduce the legal risks associated with failure to
detect early-stage cancers, and increase their net revenues.

The Company  has gained  current  sales  leadership  in the digital  mammography
division  of the CAD  market  through  an OEM sales  relationship  with  General
Electric Medical Systems and a new OEM sales  relationship  with Fischer Imaging
Corporation.  The  Company's  objective  in this  market  sector  is to  provide
exceptional  support and service to its OEM customers and their end users, while
continuing to expand product offerings and OEM sales channels.

SALES

Effective  February  1, 2004,  the  Company  consolidated  its  full-line  sales
channels to best promote and support its broad Second Look  product  line.  iCAD
Second Look products are now distributed  nationally,  on a non-exclusive basis,
by  SourceOne  HealthCare  Technologies,  Inc.,  and by  additional  independent
resellers,  including  members of the National  Imaging  Resellers  (NIR) dealer
group and Merry X-Ray Corporation.  Overall,  some 200 field sales personnel are
now available to represent and promote iCAD products in the United States.

SourceOne Healthcare Technologies, Inc. is the largest distributor of healthcare
imaging equipment,  supplies, accessories and services in the United States, and
a  supplier  to all  major  medical  group  purchasing  organizations,  or GPOs.
Previously,  SourceOne was the primary sales channel for CAD products offered by
R2 Technologies, Inc., the Company's competitor. Overall, SourceOne has sold and
installed  some 400 CAD systems for all of the companies  that it has acted as a
distributor,  representing  25%-35%  of all  film-based  CAD  systems  sold  and
installed in the United States, to date.

To effectively  support iCAD's  expanded field sales  presence,  the Company has
consolidated  its field sales teams into nine  geographic  regions,  each with a
locally-based  Regional Sales Manager responsible for all reseller and OEM sales
activities in his or her region.

The Company maintains a National Accounts Sales Manager to work with and support
group purchasing activities and accounts, including iCAD's current relationships
with Kaiser Permanente,  Premier;  Healthcare Services of New England; Radiology
Partners,  Inc.; MAGNET, Inc.; HealthTrust  Purchasing;  CareCore; and Consorta,
Inc.


                                       11


The  Company's  Second Look 200 system was  introduced  to the market in limited
quantities  at the end of 2003 and will be more broadly  available  beginning in
the second  quarter of 2004.  Because  the Second Look 200 system is designed to
meet the needs of a broad population of  lower-case-volume  clinics, the Company
has  established a separate  category of resellers,  including  many Merry X-Ray
sales  offices that will focus  exclusively  on promotion of the 200 product and
its associated  ClickCAD marketing program.  The Company expects that SourceOne,
with its well-developed  direct marketing and telemarketing  capabilities,  will
make an effective  contribution  to the 200 and ClickCAD  promotional  and sales
achievements.

The Company is currently  upgrading the Second Look 200 model to include the new
Second Look 6.0 cancer detection  software,  which improves cancer detection and
reduces  marking  of areas  that are not  cancers.  The  Company  believes  this
software upgrade is particularly  valuable in lower-volume  and  fee-for-service
applications,  because the reduced marker rate will make training and use of the
Second Look 200  easier.  Expanded  promotion  of the Second Look 200 system and
introduction  of the  ClickCAD  fee  per  procedure  program  will  follow  this
near-term product upgrade.

During the fourth quarter of 2003, CADx Systems' began  distribution of products
for digital  mammography  through General  Electric  Medical Systems and Fischer
Imaging  Corporation.  The Company  expects to continue to market such  products
through  its  existing  OEM  relationships,  and iCAD's  objective  is to secure
additional OEM relationships that can contribute to the sales growth in 2004.

COMPETITION

The Company currently faces direct  competition from R2 Technology,  Inc., which
received FDA approval to market its CAD systems for use in mammography screening
and diagnostics substantially before iCAD. Historically,  R2 has been considered
the market  leader.  As a result of the Company's  recent merger with Qualia and
its CADx  subsidiaries,  the Company  believes that iCAD now offers the broadest
range of CAD solutions available, with performance equivalent or superior to its
competitor's. With greatly expanded sales and distribution channels, the Company
believes it is increasingly well positioned to compete with R2.

Kodak,  Inc. has recently  announced  that it has received an approvable  letter
from the FDA that is the precursor to receipt from the FDA of approval for it to
market a mammography CAD solution. The Company also expects that other potential
manufacturers  will receive FDA approval to market competing CAD products in the
near future.

RISK FACTORS

THE COMPANY'S BUSINESS IS SUBJECT TO A NUMBER OF RISKS INCLUDING THE RISKS SET
FORTH BELOW.

THE COMPANY HAS INCURRED  SIGNIFICANT  LOSSES AND THERE CAN BE NO ASSURANCE THAT
THE COMPANY WILL BE ABLE TO ACHIEVE PROFITABILITY.


                                       12


As of  December  31,  2003,  the Company  has  incurred  losses in excess of $70
million  in  the  aggregate  since  its  inception,  including  a  net  loss  of
approximately $8.5 million during the year ended December 31, 2003. There can be
no assurance that the Company will be able to achieve profitability.

THE COMPANY'S  MEDICAL  DIGITIZER  BUSINESS HAS BEEN  ADVERSELY  AFFECTED BY THE
COMPANY'S ACQUISITION AND COMMERCIALIZATION OF A CAD PRODUCT LINE.

Prior to  acquisition  of a CAD product line,  the Company  promoted its medical
digitizer  line to a variety of current and  prospective  customers  offering or
seeking to offer their own CAD products.  With the  acquisition of a CAD product
line,  the Company has entered into a  competitive  or  potentially  competitive
position with respect to such current and prospective  customers,  which has, in
some cases, led current and prospective  customers to seek alternative suppliers
of medical digitizers. The Company's sales and marketing efforts, moreover, have
concentrated  on CAD products  during 2002 and 2003, and the Company has limited
development and support of its medical  digitizer  product  channels during this
time.  There can be no assurance that the Company's sales and marketing  efforts
will result in increased  sales of CAD  products or that sales of the  Company's
medical digitizer products will not continue to decline.

THE COMPANY MAY NEED  ADDITIONAL  FINANCING TO IMPLEMENT ITS STRATEGY AND EXPAND
ITS BUSINESS.

The Company may need additional debt or equity  financing to pursue its strategy
and increase sales in the medical markets.  Any financing that the Company needs
may not be  available  at all and, if  available,  may not be available on terms
that are acceptable to the Company.  The failure to obtain financing on a timely
basis,  or on  economically  favorable  terms,  could  prevent the Company  from
continuing  its  strategy or from  responding  to changing  business or economic
conditions, and could cause the Company to experience difficulty in withstanding
adverse operating results or competing effectively.

BECAUSE A PORTION OF THE  COMPANY'S  SALES ARE  OUTSIDE THE UNITED  STATES,  THE
COMPANY  IS SUBJECT  TO  ADDITIONAL  RISKS,  INCLUDING  DEVALUATIONS  OF FOREIGN
CURRENCIES,  INSTABILITY  IN KEY  GEOGRAPHIC  MARKETS,  TARIFFS  AND OTHER TRADE
BARRIERS WHICH ARE NOT WITHIN THE COMPANY'S CONTROL.

The Company's international sales subject the Company to the risk of loss in the
event of devaluation  of foreign  currencies in which sales are made between the
time of contract and payment.  The Company does not enter into currency  hedging
transactions.  In addition, the Company's international sales would be adversely
affected by  political,  social or economic  instability  or the  imposition  of
tariffs and other trade barriers in the geographic markets in which it sells its
products.

BECAUSE  THE  COMPANY  FACES  INTENSE   COMPETITION  FOR  ITS  PRODUCTS,   PRICE
DISCOUNTING  OFTEN  OCCURS  AND MAY  ADVERSELY  AFFECT THE  COMPANY'S  OPERATING
RESULTS.


                                       13


The  Company  competes  with a variety  of  companies  for sales of its  medical
imaging products. As a result,  discounting among manufacturers and distributors
of  the  Company's  products  is  intense.  Increased  price  discounting  could
adversely effect the Company's gross margins and operating results.  The Company
cannot give any  assurance  that it will be able to  effectively  compete in the
future or that it will not be  required  to  discount  its  products to increase
sales.

THE COMPANY'S PRODUCTS MAY BECOME OBSOLETE.

The Company's ability to compete  effectively will depend, in large part, on its
ability to offer state of the art  products.  The  Company's  competitors  might
develop and sell new products  that are  technically  superior to the  Company's
current  product  line that  could  result in the  Company's  inability  to sell
existing  products or its  inability  to sell its  products  without  offering a
significant  discount.  The Company  cannot give any assurance that its products
will not become  obsolete  in the future or that it will be able to upgrade  its
product line or introduce new products if required.

THE COMPANY DEPENDS UPON A LIMITED NUMBER OF SUPPLIERS AND MANUFACTURERS FOR ITS
PRODUCTS, AND CERTAIN COMPONENTS IN ITS PRODUCTS MAY BE AVAILABLE FROM A SOLE OR
LIMITED NUMBER OF SUPPLIERS.

The Company's products are generally either manufactured and assembled for it by
a sole  manufacturer,  by a limited number of  manufacturers or assembled by the
Company from supplies it obtains from a limited  number of  suppliers.  Critical
components   required  to  manufacture   these  products,   whether  by  outside
manufacturers  or directly,  may be available  from a sole or limited  number of
component suppliers.  The Company generally does not have long-term arrangements
with  any  of  its  manufacturers  or  suppliers.  The  loss  of a  sole  or key
manufacturer or supplier would impair the Company's  ability to deliver products
to customers in a timely manner and would  adversely  affect the Company's sales
and  operating  results.  The Company's  business  would be harmed if any of its
manufacturers or suppliers could not meet the Company's  quality and performance
specifications and quantity and timing requirements.


                                       14


PROVISIONS OF THE COMPANY'S  CORPORATE  CHARTER DOCUMENTS AND DELAWARE LAW COULD
DELAY OR PREVENT A CHANGE OF CONTROL.

The Company's certificate of incorporation  authorizes the board of directors to
issue up to 1,000,000  shares of preferred  stock.  The  preferred  stock may be
issued in one or more series,  the terms of which may be  determined at the time
of issuance by the Company's s board of  directors,  without  further  action by
stockholders,  and may include, among other things, voting rights (including the
right to vote as a series on particular  matters),  preferences  as to dividends
and liquidation,  conversion and redemption rights, and sinking fund provisions.
There  are two  series of  preferred  stock  currently  outstanding  which  have
dividend  and  liquidation  preferences  over the  Company's  common  stock.  In
addition,  specific rights granted to future holders of preferred stock could be
used to restrict the  Company's  ability to merge with,  or sell its assets to a
third party.  The ability of the Company's board of directors to issue preferred
stock could  discourage,  delay,  or prevent a takeover  of the Company  thereby
preserving control by the current stockholders.

As a Delaware corporation, the Company is subject to the General Corporation Law
of the State of Delaware, including Section 203, an anti-takeover law enacted in
1988.  In  general,  Section  203  restricts  the  ability of a public  Delaware
corporation  from  engaging  in a  "business  combination"  with an  "interested
stockholder"  for a period of three years after the date of the  transaction  in
which the person became an interested  stockholder.  Subject to  exceptions,  an
interested stockholder is a person who, together with affiliates and associates,
owns,  or within  three  years did own,  15% or more of a  corporation's  voting
stock. As a result of the application of Section 203, potential acquirers may be
discouraged from attempting to acquire the Company,  thereby possibly  depriving
its stockholders of acquisition  opportunities  to sell or otherwise  dispose of
its stock at above-market prices typical of acquisitions.

THE PRICE OF THE COMPANY'S COMMON STOCK COULD BE VOLATILE.

The  Company's  common stock is quoted on the NASDAQ  SmallCap  Market which has
experienced,  and is likely to experience in the future,  significant  price and
volume  fluctuations  which  could  adversely  affect  the  market  price of the
Company's common stock without regard to the operating performance. In addition,
the trading price of the Company's  common stock could be subject to significant
fluctuations  in response to actual or  anticipated  variations in the Company's
quarterly  operating  results  announcements  by the Company or its competitors,
factors affecting the medical imaging industry generally, changes in national or
regional economic conditions,  changes in securities analysts' estimates for the
Company's  competitors'  or  industry's  future  performance  or general  market
conditions.  The  market  price of the  Company's  common  stock  could  also be
affected by general market price declines or market  volatility in the future or
future  declines  or  volatility  in the prices of stocks for  companies  in the
Company's industry.

THE COMPANY IS SUBJECT TO  EXTENSIVE  REGULATION  WITH  POTENTIALLY  SIGNIFICANT
COSTS FOR COMPLIANCE.

The iCAD  system for  computer  aided  detection  of breast  cancer is a medical
device subject to extensive  regulation by the FDA under the Federal Food, Drug,
and Cosmetic Act. The FDA's  regulations  govern,  among other  things,  product
development,  product testing,  product  labeling,  product storage,  pre-market
clearance or approval,  advertising and promotion,  and sales and  distribution.
Unanticipated  changes in existing  regulatory  requirements  or adoption of new
requirements  could,  following  the  merger,  adversely  affect  the  Company's
business, financial condition and results of operations.


                                       15


The FDA's Quality System  Regulation  requires that the Company's  manufacturing
operations follow elaborate design,  testing,  control,  documentation and other
quality assurance  procedures during the manufacturing  process.  The Company is
subject  to  FDA  regulations  covering  labeling  regulations,   adverse  event
reporting,  and the FDA's general  prohibition  against  promoting  products for
unapproved or off-label uses.

The  Company's  manufacturing  facilities  are subject to  periodic  unannounced
inspections  by the FDA  and  corresponding  state  agencies  and  international
regulatory  authorities for compliance with extensive  regulatory  requirements.
Although the Company  believes its  manufacturing  facilities  are  currently in
compliance with applicable requirements, there can be no assurance that the FDA,
following an inspection of these manufacturing facilities,  would determine that
they  are in full  compliance.  The  Company's  failure  to  fully  comply  with
applicable  regulations  could  result  in  the  issuance  of  warning  letters,
non-approvals,  suspensions of existing approvals,  civil penalties and criminal
fines, product seizures and recalls,  operating restrictions,  injunctions,  and
criminal prosecution.

In order to market and sell its CAD products in certain countries outside of the
United  States the Company must obtain and  maintain  regulatory  approvals  and
comply with the regulations of those countries. These regulations, including the
requirements for approvals,  and the time required for regulatory  review,  vary
from country to country.  Obtaining and maintaining foreign regulatory approvals
is an expensive and time consuming  process.  The Company cannot be certain that
it will be able to obtain the necessary regulatory approvals timely or at all in
any  foreign  country in which it plans to market its CAD  products,  and if the
Company fails to receive such approvals,  its ability to generate revenue may be
significantly diminished.

THE COMPANY MAY NOT BE ABLE TO OBTAIN  REGULATORY  APPROVAL FOR ANY OF THE OTHER
PRODUCTS THAT IT MAY CONSIDER DEVELOPING.

The Company has  received  FDA  approvals  only for its  currently  offered iCAD
products.  Before the Company is able to  commercialize  any other product,  the
Company  must  obtain  regulatory  approvals  for  each  indicated  use for that
product. The process for satisfying these regulatory requirements is lengthy and
will  require the Company to comply with  complex  standards  for  research  and
development, testing, manufacturing, quality control, labeling, and promotion of
products.

THE  COMPANY'S  PRODUCTS  MAY BE  RECALLED  EVEN  AFTER THEY HAVE  RECEIVED  FDA
APPROVAL OR CLEARANCE.


                                       16


If the safety or efficacy of the Company's products is called into question, the
FDA and similar  governmental  authorities  in other  countries  may require the
Company to recall its products.  This is true even if a Company product received
approval or clearance by the FDA or a similar  governmental  body. Such a recall
could be the  result  of  component  failures,  manufacturing  errors  or design
defects,  including defects in labeling. Such a recall would divert the focus of
the Company's  management and its financial  resources and could  materially and
adversely affect its reputation with customers.

REFORMS IN  REIMBURSEMENT  PROCEDURES  BY  MEDICARE OR OTHER  THIRD-PARTIES  MAY
ADVERSELY AFFECT THE COMPANY'S BUSINESS.

In the United  States,  Medicare and a number of commercial  third-party  payers
provide  reimbursements  for  the  use  of CAD in  connection  with  mammography
screening and diagnostics.  In the future,  however, these reimbursements may be
unavailable  or  inadequate   due  to  changes  in  applicable   legislation  or
regulations,  changes  in  attitudes  toward  the use of  mammograms  for  broad
screening  to  detect  breast  cancer  or due to  changes  in the  reimbursement
policies  of  third-party  payers.  As a  result,  healthcare  providers  may be
unwilling to purchase the Company's CAD products or any of the Company's  future
products,  which could  significantly  harm the  Company's  business,  financial
condition and operating results.

Acceptance of the Company's  products  outside of the United States depends,  in
part, upon the  availability of similar  reimbursements  in the markets in which
the  Company   intends  to  focus  its   international   marketing   activities.
Reimbursements  and health  insurance  systems in markets  outside of the United
States  vary from  country to  country.  If the Company is unable to qualify its
products for reimbursement  outside of the United States, the Company may not be
able to gain international market acceptance for its products.

There is no guaranty  that any of the  products  which the Company  contemplates
developing will become eligible for  reimbursements or health insurance coverage
in the United  States or abroad at  favorable  rates or even at all or  maintain
eligibility.

THE SALES CYCLE FOR THE COMPANY'S  PRODUCTS IS LENGTHY AND UNPREDICTABLE AND ITS
QUARTERLY RESULTS WILL BE UNPREDICTABLE.

Many  of  the  customers  of  the  Company's   medical   imaging   products  are
institutional  organizations,  such as hospitals,  with  significant  purchasing
power and cyclical  ordering  practices.  Although the  Company's  CAD system is
currently less expensive  than the devices of its  competitors,  the purchase of
the iCAD CAD system  requires a material  capital  expenditure  that will likely
require approval of the Company's  customers'  senior management and result in a
lengthy sales and purchase order cycle. Consequently,  the Company may be unable
to accurately estimate its manufacturing and support requirements. The Company's
larger  institutional  customers  may  also  demand  discounted  prices  on  the
Company's  products.  As  a  result,  the  Company's  actual  sales  may  differ
significantly from its estimated sales and the Company may incorrectly  allocate
its resources. If the Company is unable to accurately project sales and allocate
corresponding  resources, it may incur substantial fluctuations in its operating
results for any given quarter.


                                       17


Even if the Company is able to achieve  profitability  in future fiscal periods,
it may occur in a quarter with concentrated  revenue.  In that case, the Company
would expect reduced revenue in the following quarter or quarters,  and possibly
a quarterly loss or quarterly losses. As a result,  stockholders may not be able
to rely upon the  Company's  operating  results in any  particular  period as an
indication of future performance.

THE MEDICAL EQUIPMENT INDUSTRY IS LITIGIOUS, AND THE COMPANY HAS BEEN AND MAY BE
SUED AGAIN FOR ALLEGEDLY VIOLATING THE INTELLECTUAL PROPERTY RIGHTS OF OTHERS.

The medical  technology  industry is  characterized  by a substantial  amount of
litigation  and  related   administrative   proceedings  regarding  patents  and
intellectual  property rights. In addition,  major medical device companies have
used  litigation  against  emerging  growth  companies  as a means of  gaining a
competitive advantage.

From time to time,  the Company may learn of  allegations  or threats from third
parties drawing its attention to their patent rights. There may be patent rights
of which the Company is  presently  unaware.  The Company  anticipates  that the
costs associated with its legal defense against claims of patent infringement by
a competitor in the CAD industry will have a material and adverse  effect on its
financial condition during the period of the litigation.

Should third  parties file patent  applications  or be issued  patents  claiming
technology also claimed by the Company in pending applications,  the Company may
be required to participate in  interference  proceedings in the U.S.  Patent and
Trademark Office to determine the relative  priorities of its inventions and the
third parties' inventions.  The Company could also be required to participate in
interference  proceedings  involving  any  patents  which  may be  issued to the
Company and pending  applications  of another  entity.  An adverse outcome in an
interference  proceeding could require the Company to cease using the technology
or to license rights from prevailing third parties.

The Company is also aware of third  parties whose  business  involves the use of
CAD  systems.  Certain of these  parties have issued  patents or pending  patent
applications  on  technology  that they may assert  against the  Company.  Third
parties may claim the Company is using their  patented  inventions and may go to
court to stop the Company from engaging in its normal operations and activities.
These  lawsuits  are  expensive to defend and conduct and would also consume and
divert the time and  attention of the Company's  management.  A court may decide
that the Company is infringing a third party's patents and may order it to cease
the infringing  activity.  The court could also order the Company to pay damages
for the  infringement.  These  damages could be  substantial  and could harm the
Company's business, financial condition and operating results.

If  the  Company  is  unable  to  obtain  any  necessary   license  following  a
determination  of infringement or an adverse  determination  in litigation or in
interference  or other  administrative  proceedings,  the Company  would have to
redesign  its  products to avoid  infringing  a third  party's  patent and could
temporarily or permanently have to discontinue manufacturing and selling some of
its products.  If this were to occur, it would negatively  impact future revenue
and would have a material  adverse effect on the Company's  business,  financial
condition and results of operations.


                                       18


THE  COMPANY  MAY BE UNABLE TO PROTECT  ITS  INTELLECTUAL  PROPERTY  RIGHTS AND,
CONSEQUENTLY,  THE COMPANY'S  COMPETITORS MAY BENEFIT FROM THE COMPANY'S EFFORTS
AND COMPETE DIRECTLY AGAINST THE COMPANY.

Presently,  patent  applications  have been filed for aspects of the proprietary
technology  employed by the Company in its CAD and medical  digitizer  products.
The Company's patent applications, or any patents which may be issued to it, may
be  challenged,  invalidated  or  circumvented  by  third  parties.  Any  patent
ultimately issued to the Company may not be in a form that will be beneficial to
the Company.  To the extent the Company is unable to  adequately  protect any of
the  intellectual  property  used in  connection  with its current or any future
products,  competitors may take advantage of the situation and produce competing
products,  which could harm the Company's  competitive  position and  ultimately
harm its operating results.

The  Company  also  relies on a  combination  of  copyright,  trade  secret  and
trademark  laws,  and  nondisclosure,   confidentiality   agreements  and  other
contractual  restrictions to protect its proprietary technology.  However, these
legal means afford only limited  protection and may not  adequately  protect the
Company's  rights or permit it to gain or keep any  competitive  advantage.  The
Company   may  not  be  able  to  prevent   the   unauthorized   disclosure   or
misappropriation of its technical knowledge or other trade secrets by employees.
If that were to occur,  the  Company's  proprietary  technologies  and  software
applications would lose value and the Company's business,  results or operations
and financial condition could be materially adversely affected.

Adverse events could undermine the Company's efforts to protect its intellectual
property.   The  Company's   competitors  may  be  able  to  develop   competing
technologies or products that do not infringe any of the Company's  intellectual
property  rights.  Even if a competitor  infringes  the  Company's  intellectual
property  rights,  the Company may be unable to bring,  or prevail in, a suit to
protect its rights.

Furthermore,  the laws of some foreign countries may not adequately  protect the
Company's intellectual property rights. As a result of all of these factors, the
Company's efforts to protect its intellectual property may not be adequate,  and
the  Company's   competitors  may   independently   develop  similar   competing
technologies or products, duplicate the Company's products, or design around the
Company's   intellectual   property  rights.   This  would  harm  the  Company's
competitive position, decrease its market share, or otherwise harm its business.

THE COMPANY MAY BE UNABLE TO SECURE  LICENSES  FOR ANY  TECHNOLOGY  WHICH MAY BE
NECESSARY TO IMPROVE CURRENT OR FUTURE PRODUCTS.

It is likely that the technology  underlying the Company's  existing and planned
products may be fundamentally  improved and that the resulting technology may be
owned by third  parties.  As a result,  the  Company  may be  required to obtain
licenses to this new technology to improve its current or future  products.  The
cost of licensing such  technology may  significantly  increase the unit cost of
its products.


                                       19


The Company may be unable to obtain  favorable  terms for  licenses for this new
technology or, alternatively, the owners of the technology may refuse to license
it to the  Company in order to  maintain  their own  competitive  advantage.  In
either case,  the Company's  products may not be  competitive  with the products
manufactured  by others.  Even if the  Company  were able to obtain  rights to a
third party's patented intellectual property, these rights may be non-exclusive,
thereby  giving  the  Company's  competitors  access  to the  same  intellectual
property.

SOME STUDIES HAVE  QUESTIONED  THE EFFICACY OF USING  MAMMOGRAPHY AS A METHOD TO
REDUCE  MORTALITY.  IF MAMMOGRAPHY  PROVES TO BE LESS  EFFECTIVE,  THE COMPANY'S
BUSINESS WOULD BE SERIOUSLY HARMED. IN ADDITION,  COMPETING  TECHNOLOGIES  COULD
REPLACE MAMMOGRAPHY AS THE PREFERRED METHOD FOR SCREENING FOR BREAST CANCER.

The  Company is aware  that the  efficacy  of  screening  mammography  to reduce
mortality has been questioned in several  publications.  Even if unproven,  this
could lead to a reduction in the use of  mammography  as a tool to detect breast
cancer in the United States and abroad.  If mammography is ultimately  proven to
be ineffective,  or if recommendations for regular mammograms were eliminated or
reduced, the Company's business would certainly be seriously harmed.

The  Company is also aware of  companies  that are  developing  alternatives  to
traditional  breast  cancer  detection,   including  refractive  light,  thermal
technologies,  breast  ultrasound,  magnetic  resonance  imaging and non-imaging
tests.

THE  COMPANY  MAY BE  EXPOSED TO  SIGNIFICANT  PRODUCT  LIABILITY  FOR WHICH THE
COMPANY MAY NOT BE ABLE TO PROCURE SUFFICIENT INSURANCE COVERAGE.

The Company's business exposes it to potential product liability risks which are
inherent in the testing,  manufacturing,  marketing and sale of medical  imaging
devices. If available at all, product liability insurance for the medical device
industry generally is expensive.  Currently, the Company has liability insurance
coverage which it deems  appropriate  for its current stage of  development.  No
assurance  can be given that this level of  coverage  will be  adequate  or that
adequate  insurance  coverage  will be available in  sufficient  amounts or at a
reasonable cost in the future,  or that a product liability claim would not have
a material adverse effect on the Company.

THE COMPANY MAY NOT BE ABLE TO SUCCESSFULLY IMPLEMENT ITS CURRENT BUSINESS MODEL
OR EFFECTIVELY MANAGE ITS GROWTH.

The Company  only  commenced  generating  revenue from the sale of its first CAD
product in 2002.  Sales of the  Company's  products may not generate  sufficient
cash to support the Company's future operations.  There can be no assurance that
adequate  funds  for  the  Company's  operations,  whether  from  the  Company's
revenues, financial markets,  collaborative or other arrangements with corporate
partners,  if any, or from other  sources,  will be available  when needed or on
terms  attractive to the Company.  The inability to obtain  sufficient funds may
require  the  Company  to  delay,  scale  back or  eliminate  some or all of its
development  activities,  clinical  studies and/or  regulatory  activities or to
license third parties to commercialize products or technologies that the Company
would  otherwise  seek to develop  itself.  No  assurance  can be given that any
future  technologies  or products  that may be  developed by the Company will be
successfully  developed,  commercialized  or accepted by the marketplace or that
sufficient  revenues will be realized to support  operations or future  research
and development programs.


                                       20


To address  these  risks,  the  Company  must,  among other  things,  establish,
maintain and increase its  relationships  with radiologists and other members of
the health care  industry,  implement  and  successfully  execute the  Company's
business and marketing  strategies,  respond to  competitive  developments,  and
attract, retain and motivate qualified personnel. There can be no assurance that
the Company will be successful in addressing  such risks,  and the failure to do
so could have a material  adverse  effect on the Company's  business,  financial
condition and results of operations.

THE  COMPANY'S  FUTURE  PROSPECTS  DEPEND ON ITS  ABILITY TO RETAIN  CURRENT KEY
EMPLOYEES AND ATTRACT ADDITIONAL QUALIFIED PERSONNEL.

The  Company's  success  depends in large part on the  abilities  and  continued
service of the Company's executive officers and other key employees. The Company
may not be able to retain the services of its  executive  officers and other key
employees.  The loss of executive  officers or other key personnel  could have a
material adverse effect on the Company.

In addition,  in order to support the Company's  continued  growth,  the Company
will be required to effectively recruit, develop and retain additional qualified
personnel.  If the Company is unable to attract and retain additional  necessary
personnel, it could delay or hinder the Company's plans for growth.  Competition
for such  personnel is intense,  and there can be no assurance  that the Company
will  be  able  to  successfully  attract,  assimilate  or  retain  sufficiently
qualified personnel. The failure to retain and attract necessary personnel could
have a material adverse effect on the Company's  business,  financial  condition
and results of operations.

SOME OF THE COMPANY'S  COMPETITORS HAVE SIGNIFICANTLY  GREATER RESOURCES AND MAY
PREVENT THE COMPANY FROM ACHIEVING OR MAINTAINING  SIGNIFICANT  MARKET SHARE. AS
THE MARKET FOR CAD GROWS,  COMPETITION  FOR  MAMMOGRAPHY  PRODUCTS  WILL  LIKELY
INCREASE.

The  medical  equipment  market  is  highly  competitive  and  changes  rapidly.
Competitors  in this  market are highly  sensitive  to the  introduction  of new
products  and   competitors.   Other  well  known  medical   imaging   equipment
manufacturers have explored the possibility of introducing their own versions of
CAD products into the market. Because many of these companies have significantly
greater resources than the Company has, they may be able to respond more quickly
to the evolving and emerging  technologies  in the market and they may be better
suited to respond the changing needs of their customers.  The financial strength
of many of these  companies may enable them to develop their own proprietary CAD
products or acquire the Company's  competitors  to bring  competing  products to
market more quickly.  Additionally,  some of these  companies  benefit from name
recognition,    established   relationships   with   healthcare   professionals,
diversified  product  lines,  established  distribution  channels,  and  greater
product development, manufacturing, and sales and marketing resources.

The Company currently faces direct  competition from R2 Technology,  Inc., which
received FDA approval to market its CAD systems for use in mammography screening
and  diagnostics  substantially  before  iCAD.  The Company  expects that as the
market for CAD grows,  other  competitors  may seek to  introduce  CAD  products
priced even lower than the  Company.  Customers  seeking a low-cost CAD solution
may prefer a competitor's  lower-priced  product to the Company's and may result
in pricing cutting by the Company which will reduce its profit margin.


                                       21


GOVERNMENT REGULATION

The Company is subject to  extensive  regulation  with  potentially  significant
costs for  compliance.  The iCAD system for computer  aided  detection of breast
cancer is a medical device subject to extensive  regulation by the FDA under the
Federal Food, Drug, and Cosmetic Act. The FDA's regulations govern,  among other
things, product development, product testing, product labeling, product storage,
pre-market  clearance  or approval,  advertising  and  promotion,  and sales and
distribution.  Unanticipated  changes in  existing  regulatory  requirements  or
adoption of new  requirements  could  adversely  affect the Company's  business,
financial condition and results of operations.

The FDA's Quality System  Regulation  requires that the Company's  manufacturing
operations follow elaborate design,  testing,  control,  documentation and other
quality assurance  procedures during the manufacturing  process.  The Company is
subject  to  FDA  regulations  covering  labeling  regulations,   adverse  event
reporting,  and the FDA's general  prohibition  against  promoting  products for
unapproved or off-label uses.

The  Company's  manufacturing  facilities  are subject to  periodic  unannounced
inspections  by the FDA  and  corresponding  state  agencies  and  international
regulatory  authorities for compliance with extensive  regulatory  requirements.
Although the Company  believes its  manufacturing  facilities  are  currently in
compliance with applicable requirements, there can be no assurance that the FDA,
following an inspection of these manufacturing facilities,  would determine that
they  are in full  compliance.  The  Company's  failure  to  fully  comply  with
applicable  regulations  could  result  in  the  issuance  of  warning  letters,
non-approvals,  suspensions of existing approvals,  civil penalties and criminal
fines, product seizures and recalls,  operating restrictions,  injunctions,  and
criminal prosecution.

In order to market and sell its CAD products in certain countries outside of the
United  States the Company must obtain and  maintain  regulatory  approvals  and
comply with the regulations of those countries. These regulations, including the
requirements for approvals,  and the time required for regulatory  review,  vary
from country to country.  Obtaining and maintaining foreign regulatory approvals
is an expensive and time consuming  process.  The Company cannot be certain that
it will be able to obtain the necessary regulatory approvals timely or at all in
any  foreign  country in which it plans to market its CAD  products,  and if the
Company fails to receive such approvals,  its ability to generate revenue may be
significantly diminished.

The Company may not be able to obtain  regulatory  approval for any of the other
products  that it has  considered  developing.  The  Company  has  received  FDA
approvals only for its currently  offered iCAD  products.  Before the Company is
able to  commercialize  any other  product,  the Company must obtain  regulatory
approvals for each  indicated use for that product.  The process for  satisfying
these regulatory  requirements is lengthy and will require the Company to comply
with complex  standards for research and  development,  testing,  manufacturing,
quality control, labeling, and promotion of products.


                                       22


The  Company's  products may be recalled even after it has received FDA approval
or  clearance.  If the safety or efficacy of the  Company's  products are called
into question,  the FDA and similar governmental  authorities in other countries
may require the Company to recall its products. This is true even if the Company
has  previously  received  approval  or  clearance  by  the  FDA  or  a  similar
governmental  body.  Such a recall  could be the result of  component  failures,
manufacturing  errors or design defects,  including defects in labeling.  Such a
recall  would divert the focus of the  Company's  management  and its  financial
resources  and  could  materially  and  adversely  affect  its  reputation  with
customers.


SOURCES AND AVAILABILITY OF MATERIALS

The Company depends upon a limited number of suppliers and manufacturers for its
products, and certain components in its products may be available from a sole or
limited  number of  suppliers.  The  Company's  products  are  generally  either
manufactured and assembled for it by a sole manufacturer, by a limited number of
manufacturers  or  assembled  by the Company  from  supplies  it obtains  from a
limited number of suppliers.  Critical  components required to manufacture these
products,  whether by outside manufacturers or directly, may be available from a
sole or limited number of component  suppliers.  The Company  generally does not
have long-term arrangements with any of its manufacturers or suppliers. The loss
of a sole or key manufacturer or supplier would impair the Company's  ability to
deliver  products to customers in a timely manner and would adversely affect the
Company's sales and operating results. The Company's business would be harmed if
any of its  manufacturers or suppliers could not meet the Company's  quality and
performance specifications and quantity and timing requirements.


PATENTS AND LICENSES

The Company has several patents covering its CAD and scanner technologies in the
United  States and certain  foreign  countries.  These  patents help the Company
maintain a  proprietary  position in these  markets,  but because of the pace of
innovation in that market it is difficult to determine the overall importance of
these patents to the Company.

The  Company  has  current  patent   applications   pending   domestically   and
internationally,  and plans to file additional domestic and foreign applications
when it  believes  such  protection  will  benefit  the  Company.  These  patent
applications  relate to computer  aided  detection  technology  and to digitizer
technology.  There is no  assurance  that  additional  patents  will be obtained
either in the United  States or in foreign  countries or that existing or future
patents or copyrights will provide substantial  protection or commercial benefit
to the Company.


                                       23


To date,  iCAD has  applied  for over 44 patents  relating to current and future
medical  applications for iCAD's  technology and products.  The Company has been
granted 14 patents,  including a broad set of claims  covering  the  combination
computer  analysis of mammography data and a human analysis of that same data in
breast cancer detection,  and extensions of the same concept from mammography to
other medical imaging applications.

There  is  rapid  technological   development  in  the  Company's  markets  with
concurrent extensive patent filings and a rapid rate of issuance of new patents.
Although the Company  believes  that its  technologies  have been  independently
developed  and do not infringe the patents or  intellectual  property  rights of
others,  certain  components of the Company's  products could infringe  patents,
either existing or which may be issued in the future, in which event the Company
may be required to modify its designs or obtain a license.  No assurance  can be
given  that  the  Company  will  be  able to do so in a  timely  manner  or upon
acceptable  terms and conditions;  and the failure to do either of the foregoing
could have a material adverse effect upon the Company's business.

In February 2003 iCAD secured a patent license to United States,  Canadian,  and
Japanese  patents owned by Scanis,  Inc., which relate broadly to computer aided
detection of breast cancer.  Rights to a European  patent  application  covering
similar inventions are also included.  In conjunction with the patent license to
iCAD,  scanis entered into a multi-year,  exclusive  digitizer  supply agreement
with  iCAD's  wholly  owned   subsidiary,   Howtek   Devices   Corporation.   In
consideration  for the patent  license  from Scanis,  Inc.  the Company  granted
discounts to scanis with respect to future purchases of the Company's  digitizer
products.

In  addition  to  protecting  its  technology  and  products  by seeking  patent
protection  when deemed  appropriate,  the Company also relies on trade secrets,
proprietary  know how and  continuing  technological  innovation  to develop and
maintain its competitive position.  The Company requires all of its employees to
execute   confidentiality   agreements.   Insofar  as  the  Company   relies  on
confidentiality  agreements,   there  is  no  assurance  that  others  will  not
independently  develop similar technology or that the Company's  confidentiality
agreements will not be breached.

All key  officers  and  employees  have agreed to assign to the Company  certain
technical and other  information  and patent  rights,  if any,  acquired by them
during  their  employment  with the Company and after any  termination  of their
employment  with the  Company  (if  such  information  or  rights  arose  out of
information obtained by them during their employment).

MAJOR CUSTOMERS

During the years  ended  December  31,  2003 and 2002 the  Company  had sales of
$2,921,535  and  $2,631,709,  or  45%  and  53%  of  sales,   respectively,   to
Instrumentarium Imaging, Inc. and an accounts receivable balance of $156,003 and
$1,190,990,  respectively, due from this customer at December 31, 2003 and 2002.
The Company did not have any major customers in 2001.


                                       24


MANUFACTURING, CUSTOMER SUPPORT AND SERVICE

The  Company's New  Hampshire  facility is certified as a medical  manufacturing
facility by the FDA and complements  three  experienced  contract  manufacturing
resources  (two in New England  and one in  Colorado)  that the Company  uses to
manufacture  and assemble its  products.  The Company has  manufactured  complex
professional or medical products, directly and through contract, since 1986.

As part of the  acquisition  of CADx,  iCAD will provide an increasing  range of
customer  support   resources  through  its  24-hour  on-line  web  site  and  a
centralized  customer help desk, which deals with customer questions and issues,
manages  return-to-factory  service requests,  and dispatches and monitors field
service  operations  from  8AM to 8PM EST on  business  days.  The  Company  has
centralized  its  front-line  customer  help service in its Ohio office,  taking
advantage of the existing, sophisticated phone and information systems available
there.

ENGINEERING AND PRODUCT DEVELOPMENT

The  Company  spent  $2,384,057,   $1,626,001,  and  $751,467  on  research  and
development  activities  during the years ended  December,  2003, 2002 and 2001,
respectively.  The research  and  development  expenses  for 2003 are  primarily
attributed to the development of the Company's new Second Look 200 (formerly the
iCAD iQ(TM) model),  the Company's  Fulcrum  medical film digitizer and software
development to support its CAD products.

EMPLOYEES

On March 1, 2004 the Company had 110 full and part-time  employees.  As a result
of planned  cost-reduction  measures designed to improve the Company's operating
results,  implemented  during the first  quarter of 2004 and taking effect March
31, 2004,  the Company  expects to have reduced its workforce on such date to 71
full and part-time employees. None of the Company's employees are represented by
labor  organizations and the Company is not aware of any activities seeking such
organization. The Company considers its relations with employees to be good.

BACKLOG

The dollar amount of the Company's  backlog,  and orders believed to be firm, as
of December  31, 2003 was  approximately  $863,000 as compared to  approximately
$338,000  on the  corresponding  date in  2002.  Approximately  $755,000  of the
backlog, and orders believed to be firm, is as a result of the merger with CADx.


                                       25


ENVIRONMENTAL PROTECTION

Compliance with federal,  state and local  provisions which have been enacted or
adopted regulating the discharge of materials into the environment, or otherwise
relating to the  protection of the  environment,  has not had a material  effect
upon the capital expenditures, earnings (losses) and competitive position of the
Company.


FINANCIAL GEOGRAPHIC INFORMATION

The  Company's  sales  are made to U.S.  distributors,  dealers  and to  foreign
distributors of computer and related products.  Total export sales were $289,000
or 4% of total sales in 2003, $301,000 or 6% of total sales in 2002 and $944,000
or 20% of total sales in 2001.

The Company's  principal  concentration of export sales was in Australia,  which
accounted  for 35% of the Company's  export sales in 2003 and 2001,  with Europe
accounting  for 26% of the  Company's  export sales in 2002.  The balance of the
export sales was into Canada and the Far East.


                                       26


ITEM 2.  PROPERTIES

The Company's  principal  executive  office is located at 4 Townsend West, Suite
17, Nashua, New Hampshire.  The facility consists of approximately  9,000 square
feet of  manufacturing,  research and development and office space and is leased
by the Company  pursuant to a lease which expires December 31, 2006 at an annual
rent of approximately $69,000.

The Company leases a facility for its software  research and  development  group
located  at 4902  Eisenhower  Blvd,  Suite 185,  Tampa,  Florida.  The  facility
consists of  approximately  2,670  square feet of research and  development  and
office  space and is leased by the Company  pursuant to a lease,  which  expires
July 31,  2007 at an annual rent of  approximately  $53,000.  Additionally,  the
Company is required to pay real estate taxes and provide insurance.

In addition,  as a result of its  acquisition  of CADx on December 31, 2003, the
Company leases a facility for its software  research and  development,  customer
service and  administrative  offices  located at 2689 Commons  Blvd,  Suite 100,
Beavercreek,  Ohio. The facility consists of approximately 26,000 square feet of
research and development and office space and is leased by the Company  pursuant
to a lease,  which  expires  December,  2010 at an annual rate of  approximately
$416,000.  Additionally, the Company is required to provide insurance and to pay
real estate taxes,  utilities,  common area maintenance,  cleaning and security.
The lease amount increases annually  throughout the life of the lease. The lease
may be renewed for two additional terms of five years each.

If the Company is required to seek  additional  or  replacement  facilities,  it
believes  there are adequate  facilities  available at  commercially  reasonable
rates.

ITEM 3.  LEGAL PROCEEDINGS

         Not applicable

ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY-HOLDERS

         Not applicable


                                       27


                                     PART II

ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS.

The  Company's  Common Stock is traded on the NASDAQ  SmallCap  Market under the
symbol  "ICAD".  The  following  table sets forth the range of high and low sale
prices for each quarterly period during 2003 and 2002.

Fiscal year ended                            High         Low
                                             ----         ---
December 31, 2003
- -----------------
First Quarter                               $2.490        $1.400
Second Quarter                               2.440         1.630
Third Quarter                                3.300         1.920
Fourth Quarter                               6.610         2.510

Fiscal year ended
December 31, 2002
First Quarter                               $3.500        $1.420
Second Quarter                               3.250         2.010
Third Quarter                                3.170          .950
Fourth Quarter                               2.800         1.030

As of March 18,  2004 there were 348 holders of record of the  Company's  Common
Stock. In addition, the Company believes that there are in excess of 700 holders
of the Common Stock whose shares are held in "street name".

The Company has not paid any cash dividends on its Common Stock to date, and the
Company  does not  contemplate  payment  of cash  dividends  in the  foreseeable
future.  Future dividend policy will depend on the Company's  earnings,  capital
requirements,  financial condition, and other factors considered relevant to the
Company's  Board of Directors.  There are no  non-statutory  restrictions on the
Company's present or future ability to pay dividends.  The Company currently has
two  outstanding  Series of Preferred  Stock that have dividend  rights that are
senior to holders of Common Stock.

In connection  with the December 31, 2003  acquisition  by iCAD,  Inc. of Qualia
Computing, Inc. and its subsidiaries,  including CADx Systems, Inc., iCAD issued
to certain  of the  holders of the  common  stock,  $.00001  par value of Qualia
Computing,  Inc.,  an aggregate  of 4.3 million  shares of iCAD common stock for
their  outstanding  shares of Qualia  Computing,  Inc. held by them  immediately
prior to the Merger.  The iCAD shares were issued in reliance on the  exemptions
from  registration  under  Section  4(2)  of  the  Securities  Act of  1933  and
Regulation D promulgated thereunder.

See Item 7 Liquidity  and Capital  Resources for certain  information  regarding
sales of the equity  securities  in a private  placement  on November  24, 2003,
which  sales  were  made  pursuant  to  Section  4(2)  and  Regulation  D of the
Securities Act of 1933.

See  Item 12 for  certain  information  with  respect  to the  Company's  equity
compensation plans in effect at December 31, 2003.


                                       28


ITEM 6.  SELECTED FINANCIAL DATA



SELECTED STATEMENT OF OPERATIONS DATA
                                                                      YEAR ENDED DECEMBER 31,
                                             --------------------------------------------------------------------
                                                 2003           2002         2001          2000           1999
                                                 ----           ----         ----          ----           ----

                                                                                      
Sales                                        $  6,520,306   $ 5,000,184  $  4,835,297   $ 7,793,517  $  6,663,230
Gross margin                                    3,578,643      (161,459)      898,891     1,900,027     1,594,124
Total operating expenses                      (11,662,396)   (9,208,664)   (3,439,557)   (3,595,661)   (3,789,306)
Loss from operations                           (8,083,753)   (9,370,123)   (2,540,666)   (1,695,634)   (2,195,182)
Interest expense - net                           (114,655)      (48,167)      (80,105)     (132,014)   (1,801,646)
Net loss                                       (8,198,408)   (9,418,290)   (2,620,771)   (1,827,648)   (3,996,828)
Net loss available to common stockholders      (8,342,666)   (9,566,340)   (2,775,821)   (2,896,520)   (3,996,828)
Net loss per share                                  (0.31)        (0.46)        (0.20)        (0.22)        (0.32)

Weighted average shares outstanding
     basic and diluted                         26,958,324    20,928,397    13,950,119    13,373,086    12,660,613


SELECTED BALANCE SHEET DATA
                                                                         AS OF DECEMBER 31,
                                             --------------------------------------------------------------------
                                                 2003           2002         2001          2000           1999
                                                 ----           ----         ----          ----           ----

Total current assets                          $11,115,003   $ 3,116,665   $ 3,586,602   $ 5,082,016   $ 4,457,910
Total assets                                   62,662,136    26,077,356     4,161,125     5,945,928     5,696,609
Total current liabilities                       7,705,351     4,313,690     2,003,807     2,143,873     2,019,340
Loans payable to related parties, including
   current portion                              3,630,000       200,000       500,000     1,400,000     1,140,000
Note payable, including current portion         4,608,390       173,916       178,870          --            --
Convertible Subordinated Debentures,
   including current portion                       10,000        10,000        10,000       117,000       117,000
Stockholders' equity                           47,895,630    21,455,276     2,039,557     2,902,055     2,920,269




                                       29


ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
        RESULTS OF OPERATIONS.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

In May 2002, the SEC proposed disclosure rules that would require registrants to
include in Management's Discussion and Analysis a separate section regarding the
application  of  critical   accounting  policies  that  discloses  the  critical
accounting  estimates  that are made by a registrant in applying its  accounting
policies and information  concerning the initial adoption of certain  accounting
policies that have a material impact on a registrant's  financial  presentation.
Note 1 of the Notes to the Consolidated  Financial Statements includes a summary
of the  significant  accounting  policies and methods used in the preparation of
our Consolidated  Financial  Statements.  The following is a brief discussion of
the more significant accounting policies and methods used by the Company.

The financial  statements are prepared in accordance with accounting  principles
generally  accepted  in the United  States,  which  require  the Company to make
estimates  and  assumptions.  On an on-going  basis,  the Company  evaluates its
estimates related to the allowance for doubtful accounts, inventory and warranty
reserves and the estimated useful lives of its fixed and identifiable intangible
assets.  Management  bases its estimates and judgments on historical  experience
and on various  other  factors  that are  believed  to be  reasonable  under the
circumstances.  Actual results may differ from these  estimates  under different
assumptions  or  conditions  and  may  have  a  material   effect  on  financial
information.

Revenue is  recognized  when  products are shipped to  customers,  provided that
there are no uncertainties  regarding customer  acceptance,  there is persuasive
evidence  of an  arrangement,  the  sales  price is fixed  or  determinable  and
collection of the related receivable is probable.

Long-lived assets, such as intangible assets, other than goodwill,  and property
and  equipment,   are  evaluated  for  impairment  when  events  or  changes  in
circumstances  indicate  that  the  carrying  amount  of the  assets  may not be
recoverable through the estimated undiscounted future cash flows from the use of
these assets.  When any such impairment  exists,  the related assets are written
down to fair value. Goodwill is not amortized and is evaluated for impairment at
least annually.

Accounts  receivable are customer  obligations due under normal trade terms. The
Company  performs  continuing  credit  evaluations of its  customers'  financial
condition and generally does not require  collateral.  Senior management reviews
accounts  receivable on a periodic  basis to determine if any  receivables  will
potentially  be  uncollectible.  The Company  includes any  accounts  receivable
balances that are determined to be uncollectible,  along with a general reserve,
in its overall allowance for doubtful accounts.  After all attempts to collect a
receivable have failed, the receivable is written off against the allowance.


                                       30


RESULTS OF OPERATIONS

OVERVIEW

iCAD(TM),  Inc.  ("iCAD" or the "Company") was incorporated in 1984 in the State
of  Delaware,  as Howtek,  Inc.,  and has sold and  supported  over  20,000 high
quality,  professional  graphic arts,  photographic  and medical imaging systems
worldwide.  In 2001,  iCAD  elected to  concentrate  on its medical  imaging and
women's health  businesses with an objective of expanding this business  through
increased  product  offerings.  This  goal was  advanced  in June  2002 with the
acquisition of Intelligent Systems Software,  Inc. ("ISSI"),  a software company
offering   computer  aided   detection   ("CAD")   systems  for  breast  cancer.
Subsequently,  on December 31, 2003,  the Company  merged with and acquired CADx
Systems,  Inc. and its parent company Qualia Computing,  Inc. (together "CADx"),
bringing  together two of the three  companies  approved by the US Food and Drug
Administration  (FDA) to  market  computer  aided  detection  of  breast  cancer
solutions in the United States.

iCAD develops,  engineers,  manufactures  and markets  computer aided  detection
(CAD)  products for the early  detection of breast cancer and other  health-care
related applications.  Early detection of breast cancer can save lives and often
permits less costly, less invasive and less disfiguring cancer treatment options
than when the cancer is detected at a later stage. Computer aided detection from
iCAD can detect 25% of breast  cancers,  an  average of 14 months  earlier  than
screening mammography alone.

iCAD is the only  independent,  integrated  digitizer  hardware and CAD software
company  offering  computer aided detection  solutions.  As such, we are able to
reduce  costs at each step in the CAD product  design,  production  and assembly
process.  We believe our vertical  integration  of CAD and hardware  development
results in better integration of software and film digitizer  components,  lower
production costs and reduced administrative overhead. These factors have allowed
us to  progressively  enhance our CAD product line,  while reducing the costs of
our CAD  products  to many  customers  and  allowing  more women to realize  the
benefits inherent in the early detection of breast cancer.

The Company's CAD systems include proprietary  software technology together with
standard  computer  and  display  equipment.  CAD  systems  for  the  film-based
mammography  market also include a radiographic  film digitizer  manufactured by
the Company.  iCAD also  manufactures  medical film  digitizers for a variety of
medical  imaging  and other  applications.  The  Company  believes  that  iCAD's
experience  in  providing  film  digitizers  and  software  for medical  picture
archiving and communications (PACS) and telemedicine applications contributes to
the  successful  integration  of the Company's  CAD products into  networked and
digital mammography environments.  The Company's headquarters and its production
and assembly facilities are located in southern New Hampshire.


                                       31


MERGER WITH QUALIA AND CADX

On December 31, 2003, the Company completed the acquisition of Qualia Computing,
Inc., a privately held company based in Beavercreek, Ohio, and its subsidiaries,
including CADx Systems,  Inc. (together "CADx"). This merger brings together two
of the three companies approved by the US Food and Drug Administration  (FDA) to
market computer aided detection of breast cancer solutions in the United States.
The Company's objective in the acquisition of CADx was to achieve  profitability
and support accelerated development of future business and product opportunities
in the medical imaging field. Since completion of the merger,  iCAD has executed
a methodical,  step-by-step  plan to increase  revenues by  consolidating  sales
channels and defining an industry-leading continuum of CAD products. The Company
has also taken steps to reduce  projected  operating costs by  approximately  $4
million on an annualized basis. For these reasons,  the Company does not believe
that  iCAD's  reported  results  for the  fourth  quarter  or full year 2003 are
indicative of the Company's  future prospects or financial  results.  Additional
unaudited  information  on the combined  financial  performance  of the combined
companies for 2003 can be found in the Company's  current report on form 8-K for
the  event  dated  February  24,  2004,  which  information  and form 8-K is not
incorporated in, or part of, this annual report.

To complete  the merger,  iCAD issued  4,300,000  shares of its common  stock in
exchange for all outstanding  shares of Qualia  Computing Inc. and CADx Systems,
Inc. This represents  approximately 13% of the outstanding shares of iCAD common
stock after the merger. Additionally,  iCAD paid $1,550,000 in cash and executed
a 36-month  secured  promissory  note in the amount of  $4,500,000  to  purchase
Qualia shares that were owned by two institutional investors.

SUBSEQUENT REDUCTIONS IN OPERATING EXPENSES

Operating  expenses for the combined companies  substantially  exceeded those of
iCAD  alone.  During  the  first  quarter  of  2004  the  Company  assessed  the
opportunities  to  achieve  post-merger  operating  economies,   and  identified
cost-reduction  opportunities in light of its distribution and product plans. As
a result of this analysis management determined that operating expenses could be
substantially  reduced without detracting from the Company's ability to increase
sales and focus on future products and markets.  Cost-reduction actions taken by
iCAD in the first  quarter  of 2004  included  the  closure of offices in Tampa,
Florida and San Rafael,  California;  reductions in staffing effective March 31,
2004 of 39 of 110 previous  full and part-time  employees,  and the reduction of
duplication in marketing,  administrative  and other activities.  As a result of
these  cost-reduction  actions,  the Company will report  certain  non-recurring
severance and office closure expenses in the quarter ending March 31, 2004.

During the first quarter of 2004, the Company  anticipates  operating  expenses,
excluding  non-recurring  severance and office closure expenses, of between $4.8
million to $5.1 million.  Based on cost  reduction  measures  implemented in the
first quarter of 2004, and on current  assumptions  regarding expected revenues,
product and channel mix, the Company anticipates incurring operating expenses of
between $3.9 million to $4.2  million for the quarter  ending June 30, 2004.  Of
total  projected  operating  expenses  for  this  period,  approximately  36% is
expected  to  represent   research,   development  and   engineering   expenses,
approximately   31%  is  expected  to  represent  sales  and  marketing  expense
(including  sales  commissions) and  approximately  33% is expected to represent
administrative  and finance  expenses.  The  Company's  objective is to maintain
operating  expenses at relatively  constant  quarterly dollar levels through the
third and fourth quarters of 2004,  while  achieving  reductions in each expense
category as a percentage of increasing sales. Actual results will differ.


                                       32


YEAR ENDED DECEMBER 31, 2003 COMPARED TO YEAR ENDED DECEMBER 31, 2002

Sales.  Sales of the  Company's  CAD and medical  imaging  products for the year
ended December 31, 2003 were $6,520,306,  compared with sales of medical imaging
products and total sales for the year ended  December 31, 2002 of $4,288,628 and
$5,000,184,  respectively. This reflects an increase of 52% in medical sales and
30% in total sales from period to period. Sales increased in 2003 as a result of
the addition of the CAD product line through  acquisition  of ISSI in June 2002.
The Company  believes that sales will increase in future  periods as a result of
its merger with CADx and the combination of its iQ,  MammoReader and Second Look
products into one "Second Look(R)" branded line of CAD devices. In doing so, the
Company believes it has created the broadest and most  comprehensive line of CAD
products  available  from any  company,  and  associated  it with a single  well
recognized and appropriate model brand.

Additionally,  in the  first  quarter  of 2004,  the  Company  consolidated  its
full-line  sales channels as part of its efforts to best promote and support its
broad Second Look product line.  iCAD Second Look  products are now  distributed
nationally, on a non-exclusive basis, by SourceOne HealthCare Technologies,  and
by additional independent  resellers,  including members of the National Imaging
Resellers  (NIR) dealer  group and Merry X-Ray  Corporation.  Overall,  some 200
field sales  personnel  are now available to represent and promote iCAD products
in the United States.

During the first  quarter of 2004,  multiple  changes in sales  channels,  sales
management and organization, product naming, positioning and marketing have been
implemented.  In connection with the consolidation of sales channels and product
lines, the Company has combined iCAD's IQ,  MammoReader and Second Look products
into one  `Second  Look(R)'-branded  line of CAD  solutions.  As a  result,  the
Company  believes iCAD has created the broadest and most  comprehensive  line of
CAD  products  available  in the  industry  and  associated  it  with a  single,
well-recognized and appropriate model brand.

In  anticipation  of these  changes in channels  and product  positioning,  iCAD
deferred  key  elements  of its  business  plan  prior to the  merger,  and this
negatively impacted sales during the fourth quarter of 2003. In particular, iCAD
suspended the  development and training of an independent  reseller  network and
deferred  the launch of its  lower-priced  iCAD iQ product  (now the Second Look
200) and its fee-per-service  ClickCAD marketing initiative.  These actions will
also  cause  first  quarter  2004  sales of the  merged  companies  to trail the
combined sales of the two companies during the fourth quarter of 2003.  However,
the Company expects sales growth to resume in the second quarter,  and full year
2004 sales should  substantially  exceed the combined  revenues of iCAD and CADx
($16.8 million) in 2003.

Factors that are expected to play a significant  role in future sales growth and
profitability include the following:

      o     Increased  promotion  and  sale of the  Company's  Second  Look  200
            system, which offers a CAD solution to lower-case-volume clinics;


                                       33


      o     Expansion of the products  promoted by CADx' former  distributor  to
            include the full line of iCAD  products,  including  the Second Look
            200;
      o     Increased sales contributions by independent resellers identified by
            iCAD prior to the merger, and
      o     Promotion of iCAD's new ClickCAD fee-per-service marketing program.

Gross Margin. Gross margin as a percentage of sales, for the year ended December
31,  2003,  improved to 55%  compared to (3%) for the same period in 2002,  as a
result of  increasing  sales of higher  margin CAD  products and  write-offs  of
inventory  recorded in the quarter ended June 30, 2002. In the second quarter of
2002 the Company  incurred a charge to cost of sales  consisting of a charge for
an inventory  reserve relating to its graphic arts and photographic  products in
the amount of $2,369,539.  If such  write-offs are excluded,  gross margins as a
percentage  of sales,  for the year ended  December  31,  2003,  improved to 55%
compared to 49% for the year ended December 31, 2002.

Although  there can be no assurance of its future gross margin rate, the Company
expects that future  increases in gross margin as a percentage  of sales will be
achieved as a result of  increasing  sales of its higher margin CAD products and
as  production  and other  economies  of scale  resulting  from the  merger  are
realized.  By applying its manufacturing  experience and using existing supplier
relationships,  we expect to reduce component and manufacturing costs associated
with the former CADx product line during 2004, with some associated cost savings
expected in the manufacturing of previous iCAD products.

Engineering and Product  Development.  Engineering and product development costs
for the year ended  December  31,  2002  increased  from  $1,626,001  in 2002 to
$2,384,057 in 2003. The increase in engineering  and product  development  costs
resulted primarily from the Company's  addition,  as a result of its acquisition
of ISSI in June 2002, of the software  technology  development  group to support
its CAD products. Additionally, the increase is attributed to the development of
the  Company's  new Second Look 200  (formerly  the iCAD  iQ(TM)  model) and tHe
Fulcrum medical film  digitizer.  With the completion of the merger with CADx on
December 31, 2003, the Company expects that engineering and product  development
costs will  increase in absolute  terms in 2004 compared to 2003, as the Company
invests in new product development. Over the course of 2004, the Company expects
engineering and product development costs will decline as a percentage of sales,
as sales increase.

Under the  leadership of Dr. Steven  Rogers,  Qualia's  founder and iCAD's Chief
Scientist,  the  Company's  technologies  are also  being  applied  to the early
detection of breast cancer using ultrasound;  the early detection of lung cancer
utilizing  low-dose spiral  Computed  Tomography (CT) and the early detection of
colon cancer  utilizing  CT. With support  provided  through the FY2004  Defense
Appropriations  Bill,  iCAD has begun  collaboration  with the Walter  Reed Army
Medical Center and the Windber Research Institute in Windber, PA, to develop and
evaluate 3D CAD  technology for breast imaging based on existing CAD and pattern
analysis techniques for conventional mammograms.  One objective of this research
project  is to use  ultrasound  imaging  to reduce  biopsies  which  prove to be
unnecessary.  Research programs in cardiovascular  disease applications are also
in the planning stages


                                       34


General and Administrative. General and administrative expenses for the year
ended December 31, 2003 increased by $844,645, from $6,595,076 in 2002 to
$7,439,721 in 2003. The increase resulted from a write-off of $1,443,628
attributable to its distribution agreement with Instrumentarium Imaging, Inc.,
("Instrumentarium"), which it assumed as part of the ISSI acquisition in 2002.
This write-off came after assessing the performance of Instrumentarium in the
third quarter 2003, and in light of the Company's implementation of alternative
distribution channels, the Company elected to take a one-time write-off, thereby
eliminating the distribution agreement as a depreciating asset. Additionally,
during the third quarter of 2003, the Company accounted for over $2,702,000 in
non-recurring expenses related to the settlement of R2 patent infringement
litigation and legal expenses. In the settlement agreement with R2 the Company
agreed to the following:

o       A payment of $1,250,000 by the Company to R2, of which $1,000,000 was
        paid in September 2003 with the remaining deferred and payable in equal
        installments on a quarterly basis through December 2005.

o       The Company issued to R2 shares of iCAD Common Stock valued at
        $750,000.

o       The Company also agreed to pay R2 certain continuing royalties, which
        were to be based on the category and configuration of products sold by
        iCAD. Subsequent to the settlement, R2 agreed to accept an additional
        75,000 shares of iCAD Common Stock valued at $466,200 in full
        satisfaction of any royalties it otherwise would have been entitled
        to receive under the settlement agreement.

o       Further, iCAD granted R2 a partial credit against potential future
        purchases by R2 of iCAD digitizers worth up to $2,500,000 over five
        years to encourage R2 to purchase film digitizers manufactured by iCAD.
        This partial credit was meant to provide a significant purchasing
        advantage to R2, while maintaining a reasonable profit margin and
        creating additional economies of scale for iCAD. The Company is not able
        to estimate the volume of future purchases by R2, if any. Any discount
        from future purchases will be recognized at the time of sale of products
        to R2

During 2003 the Company recorded approximately $702,000 in legal and related
expenses associated with the R2 litigation. Since the Company's acquisition of
ISSI in June 2002, the Company has recorded approximately $1,857,000 in legal
and related expenses associated with the R2 litigation. General and
Administrative for 2002 included a $2,800,000 non-cash charge associated with
the acquisition of ISSI, and accrued settlement costs of $383,000 for an action
brought against the Company by The Massachusetts Institute of Technology and
Electronics for Imaging, Inc ("MITEI"). Both of these charges were non-recurring
in 2003. The action brought by MITEI against the Company was dismissed in the
second quarter of 2003 and the accrual of $383,00 was reversed.

Marketing and Sales.  Marketing and sales  expenses for the year ended  December
31,  2003  increased  86% from  $987,587  in 2002 to  $1,838,618  in 2003.  This
increase is due primarily to the addition of sales support  personnel engaged to
develop a broad  reseller  channel for sale of the Company's  CAD products,  and
advertising,  direct  mail,  consulting,  trade  show and  promotional  expenses
incurred in the third and fourth quarter of 2003. The Company expects  marketing
and sales  expenses to increase in absolute  terms during 2004 over 2003,  as it
continues  to develop a more  comprehensive  sales and  support  capability  and
increase  direct  marketing  and  advertising  activities.  The Company  expects
marketing  and sales  expenses  to  decline as a  percentage  of sales over this
period.

Interest  Expense.  Net interest for the year ended  December 31, 2003 increased
138% from $48,167 in 2002 to $114,655 in 2003. This increase is due primarily to
an increase in loan balances.


                                       35


Profit (Loss). As a result of the foregoing,  the Company recorded a net loss of
$8,198,408  or $0.31 per share for the year ended  December 31, 2003 on sales of
$6,520,306  compared to a net loss of  $9,418,290  or $0.46 per share in 2002 on
sales of $5,000,184.

iCAD  will  report  a net  loss  in  the  first  quarter  of  2004,  before  new
contributions to sales become effective,  and before  implemented  reductions in
operating  expenses  are  realized.  As the year 2004  progresses,  the  Company
expects  sales levels to  increase,  and  operating  expenses to be reduced from
first quarter 2004 levels.

YEAR ENDED DECEMBER 31, 2002 COMPARED TO YEAR ENDED DECEMBER 31, 2001

Sales. Sales for the year ended December 31, 2002 were $5,000,184, compared with
sales of $4,835,297 for the year ended December 31, 2001. Sales increased during
the third and  fourth  quarter  of 2002 as a result of the  addition  of the CAD
product line through  acquisition  of ISSI on June 28,  2002.  CAD sales,  which
began upon the  acquisition of ISSI, were $2,628,135 (53% of sales) for the year
ended December 31, 2002. The shift in the Company's business focus, from graphic
arts  and  photographic  product  lines to CAD  imaging  and  medical  digitizer
products, was largely responsible for the reduced overall sales during the first
and second  quarters of 2002.  Sales related to  discontinued  products  totaled
$711,556 for the year ended December 31, 2002.

Gross Margin.  Gross margin for the year ended  December 31, 2002 decreased as a
result of the write-offs of inventory  relating to graphic arts and photographic
products in the amount of $2,369,539.  Before the  write-offs,  gross margin for
the year ended  December 31, 2002 increased to 49% from 19% in 2001, as a result
of reduced production overhead and indirect production expenses and sales of its
CAD and medical  imaging  products  which had higher  margins than the Company's
graphic arts products.

During the first quarter of 2003, iCAD initiated  reduced,  promotional  pricing
for group purchasers and existing customers of its distributor,  Instrumentarium
Imaging,  Inc.  and for  customers of PenRad,  Inc.,  a developer  and vendor of
mammography  information systems.  This pricing was intended to help provide the
Company with information on the price elasticity of the CAD systems market,  and
to assist the Company in determining pricing for future products while promoting
current sales.  These factors were  significant  in determining  how the Company
could best exploit its comparative  advantage in manufacturing  costs.  Products
sold under  this  promotional  and market  analysis  program  reflected  reduced
transfer prices and reduced gross margins.

Engineering and Product  Development.  Engineering and product development costs
for the  year  ended  December  31,  2002  increased  from  $751,467  in 2001 to
$1,626,001 in 2002. The increase in engineering  and product  development  costs
resulted primarily from the Company's  addition,  as a result of its acquisition
of ISSI, of a software technology development group to support its CAD products.
Additionally,  the Company continued its development of its Fulcrum medical film
digitizer product and utilization of outside and contract engineering resources.


                                       36


General and Administrative.  General and administrative  expenses increased from
$1,124,710  in  2001  to  $6,595,076  in  2002.  The  increase  in  general  and
administrative expenses resulted primarily from a one-time,  $2,800,000 non-cash
accounting  charge  associated  with the  placement of  $2,000,000 in restricted
common stock by ISSI immediately prior to the successful  acquisition of ISSI by
the Company.  Pursuant to the acquisition  agreement  between the two companies,
the sale of securities increased working capital and funded the promotion of the
MammoReader product. Additional increases in general and administrative expenses
in 2002 reflected non-recurring severance benefits and other expenses associated
with  reductions of staff  resulting from the  combination of ISSI and Howtek in
the amount of $884,000,  a write-off of fixed assets,  including  test equipment
and  software  development  costs,  relating to the  Company's  graphic arts and
photographic  product lines totaling $417,004 and an accrued  litigation cost of
$383,000  in  connection  with the  complaint  filed  against the Company by The
Massachusetts Institute of Technology and Electronics for Imaging, Inc.

Marketing and Sales.  Marketing and sales  expenses for the year ended  December
31,  2002  decreased  37% from  $1,563,380  in 2001 to  $987,587  in 2002.  This
decrease was due primarily to the reduction of personnel,  promotional and trade
show expenses related to the Company's  traditional  graphic arts and FotoFunnel
lines.

Interest  Expense.  Net interest for the year ended  December 31, 2002 decreased
40%, from $80,105 in 2001 to $48,167 in 2002. This decrease was due primarily to
a decrease in loan balances and interest rates.

As a result of the foregoing,  the Company  recorded a net loss of $9,418,290 or
$0.46 per share for the year  ended  December  31,  2002 on sales of  $5,000,184
compared  to a net loss of  $2,620,771  or $0.20  per  share in 2001 on sales of
$4,835,297.

LIQUIDITY AND CAPITAL RESOURCES

The Company's ability to generate cash adequate to meet its requirements depends
primarily on operating  cash flow and the  availability  of a $4,000,000  credit
line under the Loan  Agreement with its Chairman,  Mr. Robert  Howard,  of which
$370,000 was available at December 31, 2003. The Company's current operating and
financial  projections  and plans  indicate  that current  liquidity and capital
resources  are  sufficient  to support and sustain  operations  through 2004. If
sales or cash collections are reduced from current expectations,  or if expenses
and  cash  requirements  are  increased,  the  Company  may  require  additional
financing.  Historically,  the  Company  has  secured  additional  cash  through
additional  extensions of credit by its Chairman,  and believes such extensions,
if required, are available.

During 2003,  the Company used  $4,666,558 in cash from  operations  compared to
$2,255,709 in 2002.  The cash used in 2003 resulted  primarily from the net loss
of $8,408,590, offset partially by non-cash stock compensation, loss on disposal
of assets, and depreciation and amortization totaling $3,648,565.

During  2003,  the Company  used  $1,468,194  in cash for  investing  activities
compared to cash  generated of $2,051,978 in 2002.  The majority of the decrease
in 2003 related to the cash used in the  acquisition of CADx, to purchase Qualia
shares owned by two institutional  investors totaling  $1,550,000.  In 2002, the
increase in cash related to the net cash  acquired  through the  acquisition  of
ISSI totaling $2,202,040.


                                       37


The Company does not anticipate any substantial capital purchases during 2004.

Working capital  increased  $4,606,677 to $3,409,652 at December 31, 2003 from a
deficit of  $1,197,025  at December  31,  2002.  The ratio of current  assets to
current liabilities at December 31, 2003 and 2002 was 1.4 and .7,  respectively.
These  increases  are due  primarily to the private  placement to  institutional
investors and the acquisition of CADx.

On November 24, 2003, the Company sold 1,260,000  shares of its common stock for
$5.00 per share in a private placement to institutional  investors.  The Company
also issued to such investors' additional investment rights to purchase up to an
additional  315,000  shares  of its  common  stock at $5.00 per  share.  The net
proceeds  to the  Company  for the  1,260,000  shares  sold  were  approximately
$5,919,000.  A total of 90,000 shares of the Company's  common stock were issued
in  connection  with the  additional  investment  rights in 2004.  The remaining
shares  expired  unexercised.  The net  proceeds  to the  Company for the 90,000
shares sold were approximately $425,000. Ladenburg Thalmann & Co. Inc. served as
placement agent for these transactions for which it received compensation in the
amount of  approximately  $404,000  and a five year  warrant to purchase  67,200
shares of the Company's Common Stock at $5.00 per share.

On December 31, 2003, the Company  completed the acquisition of CADx in exchange
for 4,300,000  shares of iCAD's common stock to certain  stockholders  of Qualia
Computing,  Inc.  Additonally,  iCAD  paid  $1,550,000  in cash and  executed  a
36-month secured  promissory note in the amount of $4,500,000 to purchase Qualia
shares that were owned by two institutional investors.

The following table summarizes, for the periods presented, the Company's future
estimated cash payment under existing contractual obligations.




- -------------------------------------------------------------------------------------------------
Contractual Obligations         Payments due by period
- -------------------------------------------------------------------------------------------------
                                   Total      Less than     1-3 years    3-5 years    More than
                                                1 year                                5 years
- -------------------------------------------------------------------------------------------------
                                                                      
Long-Term Debt Obligations      $ 8,238,390   $1,233,390    $7,005,000  $        -   $        -
- -------------------------------------------------------------------------------------------------
Lease Obligations               $ 3,503,442   $   520,047   $1,088,577  $  936,106   $  958,712
- -------------------------------------------------------------------------------------------------
Total Contractual Obligations   $11,741,832   $1,753,437    $8,093,577  $  936,106   $  958,712
- -------------------------------------------------------------------------------------------------



EFFECT OF NEW ACCOUNTING PRONOUNCEMENTS

In April 2002, the Financial Accounting Standards Board ("FASB") issued SFAS No.
145,  Rescission of FASB  Statements  SFAS Nos. 4, 44 and 64,  Amendment of FASB
Statement No. 13 and Technical Corrections.  SFAS No. 145 rescinds Statement No.
4, Reporting Gains and Losses from  Extinguishments of Debt, and an amendment of
that Statement,  FASB Statement No. 64  Extinguishments  of Debt Made to Satisfy
Sinking-Fund  Requirements.  SFAS No. 145 also rescinds  FASB  Statement No. 44,
Accounting for  Intangible  Assets of Motor  Carriers.  SFAS No. 145 amends FASB
Statement No. 13, Accounting for Leases,  to eliminate an inconsistency  between
the  required  accounting  for  sale-leaseback  transactions  and  the  required
accounting for certain lease  modifications  that have economic effects that are
similar to sale-leaseback transactions.  SFAS No. 145 also amends other existing
authoritative  pronouncements  to make various  technical  corrections,  clarify
meanings,  or  describe  their  applicability  under  changed  conditions.   The
provision of SFAS No.145  related to the  rescission of Statement No. 4 shall be
applied in fiscal year beginning  after May 15, 2002. The provisions of SFAS No.
145 related to Statement No. 13 should be for  transactions  occurring after May
15, 2002.  Early  application of the provisions of this Statement is encouraged.
The adoption of SFAS No. 145 did not have any effect on the Company's  financial
statements.


                                       38


In June 2002, the FASB issued SFAS No. 146 Accounting for Costs  Associated with
Exit or Disposal Activities.  This statement superseded EITF No. 94-3, Liability
Recognition for Certain Employee Termination Benefits and Other Costs to Exit an
Activity. Under this statement, a liability or a cost associated with a disposal
or exit  activity is  recognized  at fair value when the  liability  is incurred
rather  than at the date of an entity's  commitment  to an exit plan as required
under EITF 94-3.  The  provisions  of this  statement  are effective for exit or
disposal  activities  that are  initiated  after  December 31, 2002,  with early
adoption  permitted.  The  adoption  of SFAS No. 146 did not have a  significant
impact on the Company's financial statements.

In November 2002, the Emerging Issues Task Force ("EITF")  reached  consensus on
Issue No.  00-21,  Revenue  Arrangements  with  Multiple  Deliverables.  Revenue
arrangements with multiple  deliverables  include arrangements which provide for
the delivery or performance of multiple products,  services and/or rights to use
assets where performance may occur at different points in time or over different
periods of time.  EITF Issue No.  00-21 is  effective  for revenue  arrangements
entered into in fiscal  periods  beginning  after June 15, 2003. The adoption of
the  guidance  under  this  consensus  did not have an impact  on the  Company's
financial position, results of operations or cash flows.

In November 2002,  the FASB issued  Interpretation  ("FIN") No. 45,  Guarantor's
Accounting  and  Disclosure  Requirements  for  Guarantees,  Including  Indirect
Guarantees of Indebtedness of Others,  which will  significantly  change current
practice in the  accounting  for,  and  disclosure  of,  guarantees.  FIN No. 45
requires  that a  guarantor  recognize,  at the  inception  of certain  types of
guarantees, a liability of the obligation undertaken in issuing the guarantee at
fair value. The interpretation also requires  significant new disclosures in the
financial  statements  of the  guarantor  about its  obligations  under  certain
guarantees.  The Company is required to apply the  disclosure  provisions of FIN
No. 45 in its  financial  statements  as of December  31, 2002.  The  accounting
provisions of FIN No. 45 are applicable for guarantees  issued or modified after
December  31, 2002.  The  disclosure  requirements  of FIN No. 45 did not have a
material effect on the Company's financial statements and it does not expect the
accounting  provisions of this  interpretation  to have a material impact on its
financial statements.

In January  2003,  the FASB  issued  Interpretation  No. 46,  "Consolidation  of
Variable Interest  Entities,  an Interpretation of Accounting  Research Bulletin
No. 51, ("FIN No. 46")" which requires all variable  interest  entities ("VIEs")
to be consolidated by the primary  beneficiary.  The primary  beneficiary is the
entity  that holds the  majority  of the  beneficial  interests  in the VIE.  In
addition, the interpretation  expands disclosure  requirements for both variable
interest entities that are  consolidated,  as well as VIEs from which the entity
is the holder of a significant amount of the beneficial  interests,  but not the
majority.  The disclosure  requirements of this interpretation are effective for
all  financial  statements  issued  after  January 31, 2003.  The  consolidation
requirements  of this  interpretation  are effective  for all periods  beginning
after June 15, 2003. The Company does not have any VIEs,  therefore the adoption
of this  interpretation  did not have any effect on its results of operations or
financial condition.


                                       39


In May 2003,  the FASB issued SFAS No. 150,  "Accounting  for Certain  Financial
Instruments with  Characteristics  of both Liabilities and Equity." SFAS No. 150
requires that certain financial instruments,  which under previous guidance were
accounted for as equity, must now be accounted for as liabilities. The financial
instruments  affected include  mandatory  redeemable  stock,  certain  financial
instruments  that  require  or may  require  the  issuer to buy back some of its
shares in exchange for cash or other assets and certain  obligations that can be
settled  with  shares of stock.  SFAS No.  150 is  effective  for all  financial
instruments  entered into or modified  after May 31, 2003 and must be applied to
existing  financial  instruments  effective  June 29, 2003. The adoption of this
statement did not have a material effect on the Company's  results of operations
or financial condition.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

               Not applicable.

ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.

               See Financial Statements and Schedule attached hereto.

ITEM 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
         FINANCIAL DISCLOSURE.

               Not applicable.

ITEM 9A. CONTROLS AND PROCEDURES

The Company, under the supervision and with the participation of its management,
including  its principal  executive  officer and  principal  financial  officer,
evaluated  the  effectiveness  of the design  and  operation  of its  disclosure
controls  and  procedures  as of the end of the period  covered by this  report.
Based  on  this  evaluation,  the  principal  executive  officer  and  principal
financial  officer  concluded  that  the  Company's   disclosure   controls  and
procedures  are  effective  in reaching a  reasonable  level of  assurance  that
information required to be disclosed by the Company in the reports that it files
or submits  under the  Securities  Exchange Act of 1934 is recorded,  processed,
summarized and reported  within the time period  specified in the Securities and
Exchange Commission's rules and forms.

The principal  executive officer and principal  financial officer also conducted
an evaluation of internal control over financial reporting  ("Internal Control")
to determine whether any changes in Internal Control occurred during the quarter
ended  December 31, 2003 that have  materially  affected or which are reasonably
likely to materially  affect Internal Control.  Based on that evaluation,  there
has been no such change during the quarter ended December 31, 2003.


                                       40





                                    PART III

ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT.

NAME                     AGE        POSITION                                         SINCE
- ----                     ---        --------                                         -----

                                                                           
Robert Howard #           80        Chairman of the Board, and Director              1984
W. Scott Parr #           52        President, Chief Executive Officer,
                                    and Director                                     1998
Annette Heroux            47        Vice President of Finance, Chief Financial
                                    Officer                                          1999
James Harlan*             52        Director                                         2000
Brett Smith+              34        Director                                         2000
Maha Sallam*              37        Executive Vice President, Director               2002
Elliot Sussman*           52        Director                                         2002
Steven Rogers+            50        Chief Scientific Officer, Director               2004




+     Class I Director, current term expires in 2006
*     Class II Director, current term expires in 2004
#     Class III Director, current term expires in 2005

The Company's Certificate of Incorporation  provides that the Company's Board of
Directors is divided into three  classes  (Class I, Class II and Class III).  At
each  Annual  Meeting  of  stockholders,  directors  constituting  one class are
elected for a three-year term.

Mr. Kevin Woods  resigned his position as director in March 2004,  to permit the
Company to elect an additional  independent  director to the Company's  Board of
Directors.

Under the terms of the amended and restated plan and agreement of merger, Steven
Rogers, Qualia's founder and iCAD's Chief Scientist, was appointed to serve as a
member of the Board of  Directors  of iCAD upon  completion  of the merger.  Mr.
Rogers was appointed by the Board of Directors to serve as a Class I director of
iCAD, with a term expiring at the 2006 iCAD annual meeting of  stockholders.  In
addition,  under the amended and restated plan and agreement of merger, iCAD and
Steven Rogers will appoint to iCAD's Board a mutually acceptable  individual who
qualifies as an  "independent  director"  under  NASDAQ's  corporate  governance
rules.  The  independent  director  will be  nominated  to serve as a Class  III
director of iCAD, with a term expiring at the 2005 iCAD meeting of stockholders.

Robert  Howard,  the  founder  and  Chairman  of the Board of  Directors  of the
Company, was the inventor of the first impact dot matrix printer. Mr. Howard was
Chief  Executive  Officer of the Company  from its  establishment  in 1984 until
December of 1993.  He was the founder,  and from 1969 to April 1980 he served as
President  and  Chairman  of  the  Board,  of  Centronics  Data  Computer  Corp.
("Centronics"),  a manufacturer of a variety of computer  printers.  He resigned
from  Centronics'  board of directors in 1983.  From April 1980 until 1983,  Mr.
Howard was principally engaged in the management of his investments.  Commencing
in mid-1982, Mr. Howard, doing business as R.H. Research,  developed the ink jet
technology upon which the Company was initially  based.  Mr. Howard  contributed
this technology,  without compensation,  to the Company. Mr. Howard was Chairman
of the  Board of  Presstek,  Inc.  ("Presstek"),  a  public  company  which  has
developed proprietary imaging and consumables  technologies for the printing and
graphic arts  industries from June 1988 to September 1998 and served as Chairman
Emeritus of the Board from September 1998 to December 2000.


                                       41


W.  Scott Parr  joined  the  Company  in  January  1998 as  President  and Chief
Executive  Officer.  He was  appointed  to the  Company's  Board of Directors in
February 1998. Prior to joining iCAD, Mr. Parr served as Divisional Director and
a member of the Board of Directors of SABi International Ventures, Inc. where he
was responsible for restructuring and upgrading certain U.S.  companies owned by
foreign and venture  investors.  From 1995 to 1997 Mr. Parr was Chief  Executive
Officer,  General Counsel and Director of Allied Logic  Corporation,  a start-up
venture specializing in proprietary molding and manufacturing technologies. From
1990 to 1995  Mr.  Parr  was  General  Counsel  and a  Director  of  LaserMaster
Technologies, Inc.

Annette Heroux joined the Company in October 1987 as Accounting  Manager and was
named Controller in October 1998 and Vice President of Finance,  Chief Financial
Officer  in July 1999.  Prior to joining  the  company,  from 1980 to 1987,  Ms.
Heroux  served as  Finance  and  Administration  Manager  of  Laurier,  Inc.,  a
semiconductor  equipment  manufacturer,   where  she  was  responsible  for  the
financial reporting and administrative  functions.  From 1978 to 1980 Ms. Heroux
was Accounting Manager for Hoodkroft Nursing Center, a skilled nursing facility,
where she was responsible for patient insurance and financial records.

James Harlan has been the Executive Vice President and Chief  Financial  Officer
of HNG  Storage  Company,  a natural gas  storage,  development  and  operations
company since 1998.  From 1991 to 1997 Mr. Harlan served as General  Manager and
Chief Financial  Officer of Pacific Resources Group where he was responsible for
the planning and financial development of various manufacturing and distribution
businesses in Asia. He also served as operations  research and planning  analyst
for the White House Office of Energy Policy and Planning from 1977 to 1978,  the
Department of Energy from 1978 to 1981,  and U.S.  Synthetic  Fuels  Corporation
from 1981 to 1984.

Brett Smith, the son of Mrs. Kit Howard, the wife of the Company's Chairman, has
been the Chairman and Chief Executive Officer of ei3 Corporation,  a provider of
technology  services to manufacturing  companies  utilizing advanced frame relay
and internet  technologies.  Prior to joining ei3, from 1996 to 1999,  Mr. Smith
was a member of the restructuring team for Delta V Technologies, a subsidiary of
Presstek, where he served as Director of Business Development. From 1995 to 1996
Mr. Smith worked for the Asia Times  newspaper  start-up  team in Hong Kong.  He
began his career as an analyst,  from 1992 to 1994,  at  Susquehanna  Investment
Group.

Maha Sallam has been the Executive Vice President for the Company since June
2002. From 1997 until the acquisition of ISSI in June 2002, Dr. Sallam served as
Director and Vice President of Regulatory Affairs and Clinical Testing and
Secretary of ISSI. She was one of ISSI's founders and has over fourteen years of
industry and research experience in image analysis including a doctoral
dissertation, conference presentations and several publications on the automated
analysis of digital mammograms.


                                       42


Elliot  Sussman is currently  President  and Chief  Executive  Officer of Lehigh
Valley  Hospital  and Health  Network,  a position he has held since  1993.  Dr.
Sussman is the  Leonard  Parker Pool  Professor  of Health  Systems  Management,
Professor  of  Medicine,   and  Professor  of  Health  Evaluation   Sciences  at
Pennsylvania  State  University's  College of Medicine.  Dr. Sussman served as a
Fellow in General  Medicine  and a Robert Wood Johnson  Clinical  Scholar at the
University  of  Pennsylvania,  and trained as a resident at the  Hospital of the
University of Pennsylvania.

Steven Rogers is the Company's  Chief  Scientific  Officer.  From 1997 until the
acquisition  of CADx on December 31, 2003,  Dr. Rogers served as Chairman of the
Board,  Chief  Executive  Officer and President of Qualia,  and the President of
Qualia  Financial  Services,  LLC since September 2002. Prior to joining Qualia,
from 1984 to 1996 Dr. Rogers worked as a Professor of Electrical  Engineering at
the Air Force  Institute  of  Technology.  During his time in the U.S. Air Force
designing smart weapons,  Dr. Rogers published more than 200 technical papers in
the areas of neural networks,  pattern  recognition,  and optical processing and
several  textbooks  including  Introduction to Biological and Artificial  Neural
Networks for Pattern  Recognition.  Dr. Rogers is a Fellow of the IEEE and SPIE.
After  leaving  the Air Force in 1996,  Dr.  Rogers  served as the  Director  of
Cognitive Systems at the Battelle Memorial  Institute.  Dr. Rogers left Battelle
in 1999 to devote his full attention to Qualia.

The Company has an audit committee of the Board of Directors ("Audit Committee")
consisting  of  Messrs.  Harlan,  Smith and  Sussman.  Each  member of the Audit
Committee  is  an  "independent  director"  under  the  rules  of  the  National
Association  of Securities  Dealers,  Inc ("NASD") and the  Company's  Board has
determined  that James Harlan is the Audit  Committee's  financial  expert under
applicable SEC rules and NASD Marketplace Rules.


Compliance with Section 16(a) of the Securities Exchange Act

Section  16(a) of the  Securities  Exchange Act of 1934  requires the  Company's
officers and directors, and persons who own more than 10 percent of a registered
class of the  Company's  equity  securities,  to file reports of  ownership  and
changes in  ownership  with the  Securities  and  Exchange  Commission  ("SEC").
Officers,  directors,  and greater than 10 percent  stockholders are required by
SEC  regulation  to furnish the Company  with copies of all Section  16(a) forms
they file.

Based  solely on the  Company's  review of copies of such forms  received by the
Company,  the Company believes that during the year ended December 31, 2003, all
filing requirements applicable to all officers,  directors, and greater than 10%
beneficial  stockholders  were complied with, except that: (i) Mr. Howard failed
to timely file Form 4s to report  additional  loans made to the Company pursuant
to the Convertible Revolving Promissory Note that is convertible into a total of
543,526 shares of the Company's common stock during the period from April,  2003
through August 1, 2003.


                                       43


Code of Business Conduct and Ethics

In light of the acquisition of CADx, the Company is in the process of developing
a  comprehensive  Code of  Business  Conduct  and  Ethics  to  cover  all of the
employees of the combined companies.  Copies of the Code of Business Conduct and
Ethics,  which is expected to be adopted by May 1, 2004,  can be obtained,  when
available, upon written request, addressed to:

iCAD, Inc.
4 Townsend West
Nashua, NH 03063
Attention: Corporate Secretary


ITEM 11.       EXECUTIVE COMPENSATION.

The following  table provides  information on the  compensation  provided by the
Company  during fiscal years 2003,  2002 and 2001 to the persons  serving as the
Company's  Chief  Executive  Officer  during fiscal 2003 and the Company's  most
highly compensated executive officers serving at the end of the 2003 fiscal year
("the Named Persons").  Included in this list are only those executive  officers
whose total annual  salary and bonus  exceeded  $100,000  during the 2003 fiscal
year.



                                  SUMMARY COMPENSATION TABLE

                                                                                SECURITIES
                                                                                UNDERLYING
        NAME AND PRINCIPAL POSITION                       YEAR      SALARY($)   OPTION(#)
        ---------------------------                       ----      ---------   ----------

                                                                       
        W. Scott Parr
        President, Chief Executive Officer, Director..... 2003       191,600          -0-
                                                          2002       173,762      125,000
                                                          2001       145,669        4,000

        Maha Y. Sallam
        Executive Vice President, Director............... 2003       132,489          -0-
                                                          2002        95,380      156,250

        Annette L. Heroux
        Vice President of Finance,
          Chief Financial Officer                         2003       111,814          -0-
                                                          2002        96,949       65,183
                                                          2001        85,639        3,000



                        OPTION GRANTS IN LAST FISCAL YEAR

There were no stock options granted by the Company to the Named Person in 2003.


                                       44


                 AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR
                        AND FISCAL YEAR-END OPTION VALUES

The  following  table sets forth  information  regarding  the  exercise of stock
options  during the Company's  last  completed  fiscal year by each of the Named
Persons and the fiscal year-end value of unexercised options.




                                                         NUMBER OF
                                                         SECURITIES
                                                         UNDERLYING          VALUE OF
                                                         UNEXERCISED         UNEXERCISED
                                                         OPTIONS AT          IN-THE MONEY
                            SHARES                       FY-END (#)          OPTIONS AT
                            ACQUIRED ON    VALUE         EXERCISABLE/        FY-END($) (1)
NAME                        EXERCISE (#)   REALIZED      UNEXERCISABLE       UNEXERCISABLE
- ---------------------       ------------   --------      ----------------    -------------------
                                                                
W. Scott Parr (2)                  0             0        531,518 / -0-      2,075,312 / -0-
Maha Y. Sallam (2)                 0             0        156,250 / -0-        431,000 / -0-
Annette L. Heroux (2)         18,400       $89,352       100,645 / 13,455      356,197 / 50,187



(1)   Based upon the closing  price of the Common Stock on December 31, 2003, of
      $5.28 per share.
(2)   Options granted  pursuant to the Company's  merger and 1993, 2001 and 2002
      Stock Option Plans.

The Company does not have any employment  agreements with its executive officers
or key employees.

SEPARATION AGREEMENTS WITH FORMER OFFICERS

In September 2002, the Company entered into a Separation  Agreement with each of
W. Kip Speyer, the former Chief Executive Officer of iCAD and Gregory J. Stepic,
the  former  Vice  President  of  Finance  of iCAD.  The  Separation  Agreements
acknowledged the resignations of each of Messrs.  Speyer and Stepic and provided
for  severance  payments to Messrs.  Speyer and Stepic of $500,000 and $148,000,
respectively,  in lieu of any  severance  payments  to which  they may have been
entitled to under their employment agreements.  The severance payments, less any
required  withholding  by the  Company,  are  payable  to Mr.  Speyer  in  equal
installments over a 30 month period and to Mr. Stepic in equal installments over
a 12 month period, in each case subject to the right to accelerate payments upon
the sale of the  outstanding  stock of the Company or upon a sale by the Company
of substantially  all of its assets.  Under the Separation  Agreements,  each of
Messrs.  Speyer and Stepic was entitled to retain his outstanding options of the
Company which remain  exercisable  in accordance  with their  respective  terms.
Also,  pursuant  to the  Separation  Agreements  Messrs.  Speyer and Stepic each
agreed to remain bound by the confidentiality and non-competition  provisions of
their  employment   agreements  for  the  periods  set  for  in  the  employment
agreements.


                                       45


                            COMPENSATION OF DIRECTORS

The Company does not pay cash  compensation to members of its board of directors
for their services as board members.  The Company does reimburse  members of the
board for  out-of-pocket  expenses  incurred for  attendance  at board and board
committee meetings.

           COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

There is no Compensation  Committee or other committee of the Company's Board of
Directors performing similar functions.  The person who performed the equivalent
function in 2003 was Robert Howard, Chairman of the Board under the direction of
the Board of Directors.  W. Scott Parr, Chief Executive  Officer and a director,
participated  in discussions  with Mr. Howard during the past  completed  fiscal
year in his  capacity  as an  executive  officer in  connection  with  executive
officer compensation.  During 2003 none of the executive officers of the Company
served on the Board of Directors or Compensation Committee of any other entity.

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT.

The following table sets forth certain  information  regarding the Common Stock,
Series A and Series B Convertible  Preferred Stock of the Company owned on March
18,  2004,  by (i) each person who is known to the  Company to own  beneficially
more than 5% of the outstanding  shares of the Company's  Common Stock (ii) each
executive officer named in the Summary  Compensation  Table, (iii) each director
of the  Company,  and (iv) all current  executive  officers  and  directors as a
group. The table also provides  information  regarding beneficial owners of more
than 5% of the  outstanding  shares  of the  Company's  Series  A and  Series  B
Convertible  Preferred Stock.  Unless otherwise  indicated below, the address of
each beneficial  owner is c/o iCAD,  Inc. 4 Townsend West, Suit 17, Nashua,  New
Hampshire 03063.



                                                              Number of Shares
  Name and Address of                Title                    Beneficially                   Percentage
   Beneficial Owner                  of Class                 Owned (1) (2)                  of Class
   ----------------                  --------                 ----------------               ----------
                                                                                     
Robert Howard                        Common                   6,277,999(3)                     17.9%
      145 East 57th Street
      New York, New York 10022

Maha Sallam                          Common                   2,322,520(4)                      6.8%
      4902 Eisenhower Blvd.
      Tampa, FL  33634

Donald Chapman                       Common                   1,950,706(5)                      5.6%
      8650 South Ocean Drive
      Jenson Beach, FL  34957        Preferred Series A           4,600                        74.8%
                                     Preferred Series B             680                        52.9%

W. Kip Speyer                        Common                   1,818,000(6)                      5.3%
      10361 Parkstone Way
      Boca Raton, FL  33498

Steven Rogers                        Common                   1,000,754                         3.0%
      2689 Commons Blvd.
      Beavercreek, OH  45431

W. Scott Parr                        Common                   661,468(7)                        1.9%
                                     Preferred Series A             550                         8.9%
                                     Preferred Series B              50                         3.9%



                                       46




                                                                                    
Edgar Ball                           Preferred Series B             200                        15.6%
      PO Box 560726
      Rockledge, FL  32956

John McCormick                       Preferred Series A           1,000                        16.3%
      11340 SW Aventine Circus
      Portland, OR  97219

Dr. Herschel Sklaroff                Preferred Series B             100                         7.8%
      1185 Park Avenue
      New York, NY  10128

John Westerfield                     Preferred Series B             100                         7.8%
      4522 SW Bimini Circle N.
      Palm City, FL  34990

James Harlan                         Common                     131,000(8)                        *

Brett Smith                          Common                      47,507(9)                        *
                                     Preferred Series B              20                         1.6%

Dr. Elliot Sussman                   Common                      18,000(10)                       *

Annette Heroux                       Common                    105,645(11)                        *

All current executive officers and   Common                  10,564,893(3),(4), &              29.3%
 directors as a group (8 persons)                                      (7) through (11)
                                     Preferred Series A             550                         8.9%
                                     Preferred Series B              70                         5.4%


- ---------
* Less than one percent


1)    A person is deemed to be the  beneficial  owner of securities  that can be
      acquired  by such  person  within 60 days from  March 18,  2004,  upon the
      exercise of  options,  warrants or rights;  through  the  conversion  of a
      security;  pursuant to the power to revoke a trust,  discretionary account
      or similar  arrangement;  or pursuant to the  automatic  termination  of a
      trust,  discretionary  account or  similar  arrangement.  Each  beneficial
      owner's percentage ownership is determined by assuming that the options or
      other rights to acquire beneficial  ownership as described above, that are
      held by such person (but not those held by any other person) and which are
      exercisable within 60 days from March 18, 2004, have been exercised.

2)    Unless  otherwise noted, the Company believes that the persons referred to
      in the table have sole  voting and  investment  power with  respect to all
      shares reflected as beneficially owned by them.

3)    Includes  options to purchase 10,000 shares of the Company's  Common Stock
      at $1.72 per share. Also, includes 20,000 shares beneficially owned by Mr.
      Howard's wife.

4)    Includes  183,625  shares owned by Dr.  Sallam's  husband.  Also  includes
      options to purchase  56,250 shares of the Company's  Common Stock at $0.80
      per share and 100,000 shares at $3.49 per share.

5)    Includes  28,000 shares owned by Mr.  Chapman's  wife,  460,000  shares of
      Common  Stock  issuable  upon  conversion  of  4,600  shares  of  Series A
      Convertible  Preferred  Stock and 340,000  shares of Common Stock issuable
      upon  conversion  of 680 shares of Series B  Convertible  Preferred  Stock
      owned by Mr. Chapman.


                                       47


6)    Includes  options to purchase 75,000 shares of the Company's  Common Stock
      at $0.80 per share and 550,000 shares at $3.49 per share.

7)    Includes 11,000 shares owned by Mr. Parr's wife. Also includes  options to
      purchase  275,268 shares of the Company's Common Stock at $1.13 per share,
      125,000 shares at $0.81 per share,  2,250 shares at $1.00 per share, 4,000
      shares at $0.95 per share,  25,000  shares at $1.75 per share and  100,000
      shares at $2.69 per share,  55,000  shares of Common Stock  issuable  upon
      conversion  of 550  shares of  Series A  Convertible  Preferred  Stock and
      25,000  shares of Common Stock  issuable  upon  conversion of 50 shares of
      Series B Convertible Preferred Stock owned by Mr. Parr.

8)    Includes  options to purchase 25,000 shares of the Company's  Common Stock
      at $1.75 per share and 25,000 shares at $1.55 per share.

9)    Includes  options to purchase 25,000 shares of the Company's  Common Stock
      at $3.00 per share and 6,667  shares at $1.55 per  share.  Also,  includes
      10,000  shares of Common Stock  issuable  upon  conversion of 20 shares of
      Series B Convertible Preferred Stock.

10)   Includes  options to purchase 15,000 shares of the Company's  Common Stock
      at $1.55 per share.

11)   Includes options to purchase 6,600 shares of the Company's Common Stock at
      $0.81 per share,  3,000 shares at $0.95 per share,  23,317 shares at $1.13
      per  share,  6,728  shares at $1.55 per share,  1,000  shares at $1.72 per
      share,  35,000  shares at $1.75 per share and  25,000  shares at $2.69 per
      share.


                                       48



EQUITY COMPENSATION PLAN

The following  table  provides  certain  information  with respect to all of the
Company's equity compensation plans in effect as of December 31, 2003.



                                                                                 Number of securities
                                                                               remaining available for
                              Number of securities to     Weighted-average      issuance under equity
                              be issued upon exercise    exercise price of        compensation plans
                              of outstanding options,   outstanding options,    (excluding securities
                                warrants and rights     warrants and rights    reflected in column (a))
                              -------------------------------------------------------------------------
Plan Category:
- -------------------------------------------------------------------------------------------------------
                                                                              
Equity compensation plans
approved by security
holders:                             3,688,551                 $2.08                   69,612
- -------------------------------------------------------------------------------------------------------
Equity compensation                    124,200                 $4.58                     -0-
plans not approved by
security holders (1):
- -------------------------------------------------------------------------------------------------------
Total                                3,812,751                 $2.17                   69,612
- -------------------------------------------------------------------------------------------------------


(1) Represents  the  aggregate  number of shares of common stock  issuable  upon
    exercise of individual  arrangements with option and warrant holders.  These
    options and  warrants are five years in  duration,  expire at various  dates
    between  December  31, 2004 and February  28,  2007,  contain  anti-dilution
    provisions  providing for  adjustments  of the exercise  price under certain
    circumstances  and have  termination  provisions  similar to options granted
    under  stockholder  approved plans.  See Note 8 of Notes to the Consolidated
    Financial Statements for a description of the Company's Stock Option Plans.


ITEM 13.       CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS.

The Company has a Revolving Loan and Security  Agreement (the "Loan  Agreement")
with Mr. Robert Howard, Chairman of the Board of Directors of the Company, under
which Mr.  Howard has  agreed to advance  funds,  or to  provide  guarantees  of
advances made by third parties in an amount up to $4,000,000. The Loan Agreement
expires  January  4, 2005,  subject to  extension  by the  parties.  Outstanding
advances are  collateralized  by substantially  all of the assets of the Company
and bear  interest  at prime  interest  rate plus 2% with a minimum  of 8%.  Mr.
Howard is entitled to convert  outstanding  advances  made by him under the Loan
Agreement  into shares of the  Company's  common  stock at any time based on the
outstanding  closing market price of the Company's common stock at the lesser of
the market price at the time each advance is made or at the time of conversion.

In 2003 the Company borrowed  $3,430,000  pursuant to the Loan Agreement.  As of
December  31,  2003,  $3,630,000  was owed by the  Company  and the  Company had
$370,000 available for future borrowings under the Loan Agreement.


                                       49


ITEM 14.       PRINCIPAL ACCOUNTING FEES AND SERVICES

AUDIT FEES.  The  aggregate  fees billed by BDO  Seidman,  LLP for  professional
services rendered for the audit of the Company's annual financial statements for
the years  ended  December  31,  2003 and  2002,  the  review  of the  financial
statements  included  in the  Company's  Forms  10-QSB  and  consents  issued in
connection  with the  Company's  filings on Form SB-2 for 2003 and 2002  totaled
$71,550 and $61,956, respectively.

AUDIT-RELATED FEES. The aggregate fees billed by BDO Seidman,  LLP for assurance
and related services that are reasonably related to the performance of the audit
or review of the Company's  financial  statements,  for the years ended December
31, 2003 and 2002, and are not disclosed in the paragraph  captions "Audit Fees"
above, were $46,323 and $50,550, respectively. These charges were in relation to
the Company's acquisitions and Form 8-K filing.

TAX FEES.  The  aggregate  fees  billed  by BDO  Seidman,  LLP for  professional
services rendered for tax compliance,  for the years ended December 31, 2003 and
2002,  were  none and  none,  respectively.  The  aggregate  fees  billed by BDO
Seidman, LLP for professional services rendered for tax advice and tax planning,
for  the  years  ended  December  31,  2003  and  2002,   were  none  and  none,
respectively.

ALL OTHER FEES. The aggregate  fees billed by BDO Seidman,  LLP for products and
services,  other than the services  described in the paragraphs  captions "Audit
Fees",  "Audit-Related  Fees", and "Tax Fees" above for the years ended December
31, 2003 and 2002, were none and none, respectively.

The Audit Committee has established  its  pre-approval  policies and procedures,
pursuant to which the Audit  Committee  approved the  foregoing  audit  services
provided by BDO  Seidman,  LLP in 2003.  Consistent  with the Audit  Committee's
responsibility for engaging the Company's  independent  auditors,  all audit and
permitted  non-audit services require  pre-approval by the Audit Committee.  The
full Audit  Committee  approves  proposed  services and fee  estimates for these
services.  The Audit Committee chairperson or their designee has been designated
by the Audit Committee to approve any services arising during the year that were
not  pre-approved  by the  Audit  Committee.  Services  approved  by  the  Audit
Committee  chairperson are  communicated to the full Audit Committee at its next
regular meeting and the Audit Committee reviews services and fees for the fiscal
year at each such meeting.  Pursuant to these  procedures,  the Audit  Committee
approved the foregoing audit services provided by BDO Seidman, LLP.


                                       50


                                     PART IV

ITEM 15.       EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS
               ON FORM 8-K.

               a)   The  following  documents  are filed as part of this  Annual
                    Report on Form 10-K:

                      i.     Financial Statements - See Index on page 56.

                      ii.    Financial  Statement  Schedule  - See Index on page
                             56. All other schedules for which provision is made
                             in the  applicable  accounting  regulations  of the
                             Securities and Exchange Commission are not required
                             under   the   related   instructions   or  are  not
                             applicable and, therefore, have been omitted.

                      iii.   Exhibits  - the  following  documents  are filed as
                             exhibits to this Annual Report on Form 10-K:

                      2(a)   Plan and  Agreement  of Merger  dated  February 15,
                             2002, by and among the Registrant, ISSI Acquisition
                             Corp. and Intelligent Systems Software,  Inc., Maha
                             Sallam,    Kevin   Woods   and   W.   Kip   Speyer.
                             [incorporated  by  reference  to  Annex  A  of  the
                             Company's proxy  statement/prospectus dated May 24,
                             2002  contained  in the  Registrant's  Registration
                             Statement on Form S-4, File No.
                             333-86454]

                      2(b)   Amended and Restated  Plan and  Agreement of Merger
                             dated as of December 15, 2003 among the Registrant,
                             Qualia Computing,  Inc., Qualia  Acquisition Corp.,
                             Steven  K.  Rogers,   Thomas  E.  Shoup  and  James
                             Corbett.[Incorporated  by reference to Exhibit 2(a)
                             to the Registrant's  Current Report on Form 8-K for
                             the event dated December 31, 2003]

                      3(a)   Certificate  of  Incorporation  of  the  Registrant
                             filed with the  Secretary  of State of the State of
                             Delaware on  February  24,  1984  [incorporated  by
                             reference  to  Exhibit  3.1  to  the   Registrant's
                             Registration  Statement  on Form  S-18  (Commission
                             File No. 2-94097 NY), filed on October 31, 1984]

                      3(b)   Certificate   of   Amendment  of   Certificate   of
                             Incorporation  of the  Registrant,  filed  with the
                             Secretary  of State of the State of Delaware on May
                             31,  1984  [incorporated  by  reference  to Exhibit
                             3.1(a) to the Registrant's  Registration  Statement
                             on Form  S-18  (Commission  File  No.  2-94097-NY),
                             filed on October 31, 1984]


                                       51


                      3(c)   Certificate   of   Amendment  of   Certificate   of
                             Incorporation  of the  Registrant  filed  with  the
                             Secretary  of State of the  State  of  Delaware  on
                             August  22,  1984  [incorporated  by  reference  to
                             Exhibit  3.1(b)  to the  Registrant's  Registration
                             Statement  on  Form  S-18   (Commission   File  No.
                             2-94097-NY), filed on October 31, 1984].

                      3(d)   Certificate   of   Amendment  of   Certificate   of
                             Incorporation  of the  Registrant  filed  with  the
                             Secretary  of State of the  State  of  Delaware  on
                             October  22, 1987  [incorporated  by  reference  to
                             Exhibit 3(d) to the  Registrant's  Annual Report on
                             Form 10-K for the year ended December 31, 1988].

                      3(e)   Certificate   of   Amendment  of   Certificate   of
                             Incorporation  of the  Registrant  filed  with  the
                             Secretary  of State of the  State  of  Delaware  on
                             September  28, 1999  [incorporated  by reference to
                             Exhibit 3(d) to the  Registrant's  Annual Report on
                             Form 10-K for the year ended December 31, 2001].

                      3(f)   Certificate   of   Amendment  of   Certificate   of
                             Incorporation  of the  Registrant  filed  with  the
                             Secretary of State of the State of Delaware on June
                             28, 2002  [incorporated by reference to Exhibit 3.1
                             of the  Registrant's  Quarterly report on Form 10-Q
                             for the quarter ended June 30, 2002].

                      3(g)   By-laws of Registrant [incorporated by reference to
                             Exhibit  3.2  to  the   Registrant's   Registration
                             Statement  on  Form  S-18   (Commission   File  No.
                             2-94097-NY), filed on October 31, 1984].

                      10(a)  Revolving   Loan  and   Security   Agreement,   and
                             Convertible   Revolving   Credit   Promissory  Note
                             between Robert Howard and Registrant  dated October
                             26, 1987 (the "Loan  Agreement")  [incorporated  by
                             reference to Exhibit 10 to the Registrant's  Report
                             on Form 10-Q for the quarter  ended  September  30,
                             1987].

                      10(b)  Letter Agreement dated June 28, 2002,  amending the
                             Revolving   Loan  and   Security   Agreement,   and
                             Convertible   Revolving   Credit   Promissory  Note
                             between Robert Howard and Registrant  dated October
                             26, 1987.

                      10(c)  Form of Secured Demand Notes between the Registrant
                             and Mr. Robert Howard.  [incorporated  by reference
                             to Exhibit 10(e) to the Registrant's Report on Form
                             10-K for the year ended December 31, 1998].

                      10(d)  Form of Security  Agreements between the Registrant
                             and Mr. Robert Howard [incorporated by reference to
                             Exhibit  10(f) to the  Registrant's  Report on Form
                             10-K for the year ended December 31, 1998].


                                       52


                      10(e)  Certificate   of   Designation   of  7%   Series  A
                             Convertible  Preferred  Stock  dated  December  22,
                             1999.  [incorporated  by reference to Exhibit 10(i)
                             to the  Registrant's  Report  on Form  10-K for the
                             year ended December 31, 1999].

                      10(f)  Certificate   of   Designation   of  7%   Series  B
                             Convertible  Preferred Stock dated October 16, 2000
                             [incorporated  by reference to Exhibit 10(j) to the
                             Registrant's Report on Form 10-K for the year ended
                             December 31, 2000].

                      10(g)  Separation   agreement  dated  September  24,  2002
                             between   the   Registrant   and  W.   Kip   Speyer
                             [incorporated  by  reference to Exhibit 10.1 to the
                             Registrant's  quarterly report on Form 10-Q for the
                             quarter ended September 30, 2002].*

                      10(h)  Separation   agreement  dated  September  30,  2002
                             between  the   Registrant  and  Gregory  J.  Stepic
                             [incorporated  by  reference to Exhibit 10.2 to the
                             Registrant's  quarterly report on Form 10-Q for the
                             quarter ended September 30, 2002].*

                      10(i)  1993 Stock Option Plan  [incorporated  by reference
                             to Exhibit A to the Registrant's proxy statement on
                             Schedule  14-A  filed  with  the   Securities   and
                             Exchange Commission on August 24, 1999].*

                      10(j)  2001 Stock Option Plan  [incorporated  by reference
                             to Annex A of the  Registrant's  proxy statement on
                             Schedule  14-A  filed  with  the   Securities   and
                             Exchange Commission on June 29, 2001].*

                      10(k)  2002 Stock Option Plan  [incorporated  by reference
                             to  Annex  F  to  the   Registrant's   Registration
                             Statement on Form S-4 (File No.
                             333-86454)].*

                      10(l)  Exclusive     Distribution     Agreement    between
                             Intelligent    Systems    Software,     Inc.    and
                             Instrumentarium  Imaging,  Inc.,  dated  August 15,
                             2001 [incorporated by reference to Exhibit 10(l) to
                             the  Registrant's  Report on Form 10-K for the year
                             ended December
                             31, 2002]. **

                      10(m)  License  Agreement  between  Scanis,  Inc.  and the
                             Registrant  dated February 18, 2003.  [incorporated
                             by reference to Exhibit  10(m) to the  Registrant's
                             Report on Form 10-K for the year ended December 31,
                             2002].**


                                       53


                      21     Subsidiaries

                      23     Consent of BDO Seidman, LLP.

                      31.1   Certification  of Chief Executive  Officer pursuant
                             to Section 302 of the Sarbanes-Oxley Act of 2002.

                      31.2   Certification  of Chief Financial  Officer pursuant
                             to Section 302 of the Sarbanes-Oxley Act of 2002.

                      32.1   Certification  of Chief Executive  Officer pursuant
                             to Section 906 of the Sarbanes-Oxley Act of 2002.

                      32.2   Certification  of Chief Financial  Officer pursuant
                             to Section 906 of the Sarbanes-Oxley Act of 2002.


- ----------

*   Denotes a management compensation plan or arrangement.

**   Portions of these  documents  were  omitted and filed  separately  with the
     Securities and Exchange  Commission  pursuant to a request for confidential
     treatment of the omitted portions.

(b)  During the quarter  ended  December  31, 2003 the Company  filed a Form 8-K
     under Item 5 to report the November  2003  closing of private  placement of
     its  securities  to  certain  institutional  investors.  The  Company  also
     furnished an 8-K under Item 12 to report its earnings for the quarter ended
     September 30, 2003.

(c)  Exhibits - See (a) iii above.

(d)  Financial Statement Schedule - See (a) ii above.



                                       54


                                   SIGNATURES

        Pursuant to the  requirements  of Section 13 or 15(d) of the  Securities
Exchange Act of 1934, the registrant has duly caused this report to be signed on
its behalf by the undersigned, thereunto duly authorized.

                              ICAD, INC.
Date: March 30, 2004

                              By: /s/  W. Scott Parr
                                  -----------------------------------------
                                  W. Scott Parr
                                  President, Chief Executive Officer, Director

        Pursuant to the  requirements  of the  Securities  Exchange Act of 1934,
this  report has been  signed  below by the  following  persons on behalf of the
Registrant and in the capacities and on the dates indicated.

Signature                       Title                             Date
- ---------                       -----                             ----

/s/ Robert Howard               Chairman of the
- ----------------------          Board, Director                   March 30, 2004
Robert Howard


/s/ W. Scott Parr               President, Chief Executive
- ----------------------          Officer, Director (Principal
W. Scott Parr                   Executive Officer)                March 30, 2004


/s/ Annette Heroux              Vice President of Finance,
- ----------------------          Chief Financial Officer
Annette Heroux                  (Principal Accounting Officer)    March 30, 2004


/s/ James Harlan                Director                          March 30, 2004
- ----------------------
James Harlan


/s/ Maha Sallam                 Director                          March 30, 2004
- ----------------------
Maha Sallam


/s/ Brett Smith                 Director                          March 30, 2004
- ----------------------
Brett Smith


/s/ Elliot Sussman              Director                          March 30, 2004
- ----------------------
Elliot Sussman


/s/ Steven Rogers               Director                          March 30, 2004
- ----------------------
Steven Rogers



                                       55


                   INDEX TO FINANCIAL STATEMENTS AND SCHEDULE


                                                                            Page
                                                                            ----

Report of Independent Certified Public Accountants                            57

Consolidated Balance Sheets
        As of December 31, 2003 and 2002                                      58

Consolidated Statements of Operations
        For the years ended December 31, 2003,
        2002 and 2001                                                         59

Consolidated Statements of  Stockholders' Equity
        For the years ended December 31, 2003,
        2002 and  2001                                                        60

Consolidated Statements of Cash Flows
        For the years ended December 31, 2003,
        2002 and 2001                                                         61

Notes to Consolidated Financial Statements                                 62-89

Schedule II - Valuation and Qualifying
        Accounts and Reserves                                                 90


                                       56


                                  REPORT OF INDEPENDENT
                               CERTIFIED PUBLIC ACCOUNTANTS


To the Board of Directors
iCAD, Inc.
Nashua, New Hampshire

We have audited the accompanying  consolidated  balance sheets of iCAD, Inc. and
subsidiaries  as of  December  31, 2003 and 2002,  and the related  consolidated
statements of operations,  changes in stockholders'  equity,  and cash flows for
each of the three years in the period  ended  December  31,  2003.  We have also
audited the financial statement schedule listed in the accompanying index. These
financial  statements  and  schedule  are the  responsibility  of the  Company's
management.  Our  responsibility  is to express  an  opinion on these  financial
statements and schedule based on our audits.

We conducted our audits in accordance with auditing standards generally accepted
in the  United  States of  America.  Those  standards  require  that we plan and
perform the audit to obtain  reasonable  assurance  about  whether the financial
statements  and schedule are free of material  misstatement.  An audit  includes
examining,  on a test basis,  evidence supporting the amounts and disclosures in
the  financial  statements  and schedule.  An audit also includes  assessing the
accounting principles used and significant estimates made by management, as well
as evaluating the overall presentation of the financial statements and schedule.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the consolidated  financial statements referred to above present
fairly,  in all material  respects,  the  financial  position of ICAD,  INC. and
subsidiaries at December 31, 2003 and 2002, and the results of their  operations
and their cash flows for each of the three  years in the period  ended  December
31, 2003 in conformity  with  accounting  principles  generally  accepted in the
United States of America.

Also, in our opinion,  the schedule presents fairly,  in all material  respects,
the information set forth therein.



/s/ BDO SEIDMAN, LLP
- ----------------------
Boston, Massachusetts
February 27, 2004


                                       57


                           ICAD, INC. AND SUBSIDIARIES

                           CONSOLIDATED BALANCE SHEETS



                                                               December 31,     December 31,
                                                              -------------    -------------
                                                                  2003              2002
                                                              -------------    -------------
                                                                         
                                  Assets
Current assets:
  Cash and equivalents                                        $   5,101,051    $   1,091,029
  Trade accounts receivable, net of allowance for doubtful
accounts of $105,000 in 2003 and $40,000 in 2002                  3,343,296        1,550,167
  Inventory                                                       2,123,642          390,349
  Prepaid and other current assets                                  547,014           85,120
                                                              -------------    -------------
      Total current assets                                       11,115,003        3,116,665
                                                              -------------    -------------

Property and equipment:
  Equipment                                                       1,825,147          840,410
  Leasehold improvements                                             26,489            8,051
  Furniture and fixtures                                            133,562           22,271
                                                              -------------    -------------
                                                                  1,985,198          870,732
  Less accumulated depreciation and amortization                    717,635          579,545
                                                              -------------    -------------
      Net property and equipment                                  1,267,563          291,187
                                                              -------------    -------------
Other assets:
  Patents, net of accumulated amortization                          379,178               --
  Technology intangibles, net of accumulated amortization         5,580,172        3,740,553
  Tradename, Distribution agreements and other,
net of accumulated amortization                                   1,115,000        1,513,228
  Goodwill                                                       43,205,220       17,415,723
                                                              -------------    -------------
      Total other assets                                         50,279,570       22,669,504
                                                              -------------    -------------

      Total assets                                            $  62,662,136    $  26,077,356
                                                              =============    =============

                    Liabilities and Stockholders' Equity
Current liabilities:
  Accounts payable                                            $   3,979,488    $   2,232,262
  Accrued interest                                                  333,652          229,078
  Accrued expenses                                                2,204,976        1,776,824
  Convertible subordinated debentures                                10,000           10,000
  Current maturities of notes payable                             1,233,390           65,526
                                                              -------------    -------------
      Total current liabilities                                   7,761,506        4,313,690

Loans payable to related party                                    3,630,000          200,000
Notes payable, less current maturities                            3,375,000          108,390
                                                              -------------    -------------
      Total liabilities                                          14,766,506        4,622,080
                                                              -------------    -------------
Commitments and contingencies

Stockholders' equity:
  Convertible preferred stock, $ .01 par value: authorized
    1,000,000 shares; issued and outstanding
     7,435 in 2003 and 8,550 in 2002, with the aggregate
     liquidation value of $1,257,500 in 2003 and $1,415,000
 in 2002, plus 7% annual dividend                                        74               86
  Common stock, $ .01 par value:  authorized
    50,000,000 shares; issued 33,704,809 in 2003
    and 26,418,124 shares in 2002; outstanding
    33,636,933 in 2003  and 26,350,248 shares in 2002               337,048          264,181
  Additional paid-in capital                                    120,395,390       85,829,483
  Accumulated deficit                                           (71,886,618)     (63,688,210)
  Treasury stock at cost (67,876 shares)                           (950,264)        (950,264)
                                                              -------------    -------------
      Total Stockholders' equity                                 47,895,630       21,455,276
                                                              -------------    -------------
      Total liabilities and stockholders' equity              $  62,662,136    $  26,077,356
                                                              =============    =============


See accompanying notes to consolidated financial statements.

                                       58


                           ICAD, INC. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF OPERATIONS



                                                            FOR THE YEARS ENDED DECEMBER 31,
                                                     --------------------------------------------
                                                         2003            2002            2001
                                                     ------------    ------------    ------------
                                                                            
Sales                                                $  6,520,306    $  5,000,184    $  4,835,297
Cost of sales                                           2,941,663       5,161,643       3,936,406
                                                     ------------    ------------    ------------
Gross margin                                            3,578,643        (161,459)        898,891
                                                     ------------    ------------    ------------
Operating expenses:
  Engineering and product development                   2,384,057       1,626,001         751,467
  General and administrative                            7,439,721       6,595,076       1,124,710
  Marketing and sales                                   1,838,618         987,587       1,563,380
                                                     ------------    ------------    ------------
      Total operating expenses                         11,662,396       9,208,664       3,439,557

                                                     ------------    ------------    ------------
Loss from operations                                   (8,083,753)     (9,370,123)     (2,540,666)

Interest expense - net (includes $102,555, $26,761
   and $114,952, respectively, to related parties)       (114,655)        (48,167)        (80,105)

                                                     ------------    ------------    ------------
Net loss                                               (8,198,408)     (9,418,290)     (2,620,771)

Preferred dividends                                       144,258         148,050         155,050

                                                     ------------    ------------    ------------
Net loss available to common stockholders            $ (8,342,666)   $ (9,566,340)   $ (2,775,821)
                                                     ============    ============    ============

Net loss per share
       Basic and diluted                             $      (0.31)   $      (0.46)   $      (0.20)

Weighted average number of shares used in
  computing loss per share
     Basic and diluted                                 26,958,324      20,928,397      13,950,119


See accompanying notes to consolidated financial statements.



                                       59


                           ICAD, INC. AND SUBSIDIARIES

                 Consolidated Statements of Stockholders' Equity



                                            Preferred Stock                Common Stock
                                       -------------------------    --------------------------     Additional
                                          Number of                   Number of                     Paid-in        Accumulated
                                       Shares Issued   Par Value    Shares Issued   Par Value       Capital          Deficit
                                       -------------   ---------    -------------   ----------   -------------    -------------
                                                                                                
Balance at December 31, 2000                  9,550    $      96       13,588,126   $  135,881   $  55,365,491    $ (51,649,149)

Issuance of common stock pursuant
 to incentive stock option plan                  --           --          118,832        1,188         151,071               --

Issuance of common stock relative
 to conversion of loan payable to
 related parties                                 --           --        1,432,910       14,329       1,591,364               --

Issuance of common stock for payment
 of dividends to investors                       --           --          101,965        1,020         154,351               --

Preferred stock dividends                        --           --               --           --        (155,050)              --

Net loss                                         --           --               --           --              --       (2,620,771)
                                         ----------    ---------    -------------   ----------   -------------    -------------
Balance at December 31, 2001                  9,550           96       15,241,833      152,418      57,107,227      (54,269,920)

Issuance of common stock pursuant
 to incentive stock option plan                  --           --          150,454        1,505         159,004               --

Issuance of common stock relative
 to conversion of loan payable to
 related parties                                 --           --          215,517        2,155         497,845               --

Issuance of common stock relative to
  conversion of preferred stock              (1,000)         (10)         100,000        1,000            (990)              --

Issuance of common stock to investor             --           --          250,000        2,500         497,500               --

Issuance of common stock relative to
   merger                                        --           --       10,400,000      104,000      27,569,500               --

Issuance of common stock for payment
 of dividends to investors                       --           --           60,320          603         147,447               --

Preferred stock dividends                        --           --               --           --        (148,050)              --

Net loss                                         --           --               --           --              --       (9,418,290)
                                         ----------    ---------    -------------   ----------   -------------    -------------
Balance at December 31, 2002                  8,550           86       26,418,124      264,181      85,829,483      (63,688,210)

Issuance of common stock pursuant
 to incentive stock option plan                  --           --          616,640        6,166         855,134               --

Issuance of common stock relative
  to payment of accounts payable                 --           --          600,000        6,000       2,015,600               --

Issuance of common stock relative to
  conversion of preferred stock              (1,115)         (11)         157,500        1,575          (1,564)              --

Issuance of common stock in connection
  with legal settlement                          --           --          325,954        3,260       1,212,940               --

Issuance of common stock relative to
   merger                                        --           --        4,300,000       43,000      24,467,000               --

Issuance of common stock relative to
  private offering                               --           --        1,260,000       12,600       5,906,400               --

Issuance of stock options in payment
  for legal services                             --           --               --           --          23,377               --

Compensation expense related to the
  extension of director stock options            --           --               --           --          87,285               --

Issuance of common stock for payment
 of dividends to investors                       --           --           26,591          266         143,992               --

Preferred stock dividends                        --           --               --           --        (144,258)              --

Net loss                                         --           --               --           --              --       (8,198,408)
                                         ----------    ---------    -------------   ----------   -------------    -------------
Balance at December 31, 2003                  7,435    $      74       33,704,809      337,048   $ 120,395,390    $ (71,886,618)
                                         ==========    =========    =============   ==========   =============    =============






                                        Treasury      Stockholders'
                                          Stock          Equity
                                       -----------    -------------
                                                
Balance at December 31, 2000           $  (950,264)   $   2,902,055

Issuance of common stock pursuant
 to incentive stock option plan                 --          152,259

Issuance of common stock relative
 to conversion of loan payable to
 related parties                                --        1,605,693

Issuance of common stock for payment
 of dividends to investors                      --          155,371

Preferred stock dividends                       --         (155,050)

Net loss                                        --       (2,620,771)
                                       -----------    -------------
Balance at December 31, 2001              (950,264)       2,039,557

Issuance of common stock pursuant
 to incentive stock option plan                 --          160,509

Issuance of common stock relative
 to conversion of loan payable to
 related parties                                --          500,000

Issuance of common stock relative to
  conversion of preferred stock                 --               --

Issuance of common stock to investor            --          500,000

Issuance of common stock relative to
   merger                                       --       27,673,500

Issuance of common stock for payment
 of dividends to investors                      --          148,050

Preferred stock dividends                       --         (148,050)

Net loss                                        --       (9,418,290)
                                       -----------    -------------
Balance at December 31, 2002              (950,264)      21,455,276

Issuance of common stock pursuant
 to incentive stock option plan                 --          861,300

Issuance of common stock relative
  to payment of accounts payable                --        2,021,600

Issuance of common stock relative to
  conversion of preferred stock                 --               --

Issuance of common stock in connection
  with legal settlement                         --        1,216,200

Issuance of common stock relative to
   merger                                       --       24,510,000

Issuance of common stock relative to
  private offering                              --        5,919,000

Issuance of stock options in payment
  for legal services                            --           23,377

Compensation expense related to the
  extension of director stock options           --           87,285

Issuance of common stock for payment
 of dividends to investors                      --          144,258

Preferred stock dividends                       --         (144,258)

Net loss                                        --       (8,198,408)
                                       -----------    -------------
Balance at December 31, 2003           $  (950,264)   $  47,895,630
                                       ===========    =============


See accompanying notes to consolidated financial statements.

                                       60


                           ICAD, INC. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF CASH FLOWS



                                                                                 FOR THE YEARS ENDED DECEMBER 31,
                                                                           --------------------------------------------
                                                                               2003            2002            2001
                                                                           ------------    ------------    ------------
                                                                                                  
Cash flows from operating activities:
  Net loss                                                                 $ (8,198,408)   $ (9,418,290)   $ (2,620,771)
                                                                           ------------    ------------    ------------
  Adjustments to reconcile net loss to net cash used by
   operating activities:
    Depreciation                                                                138,090         143,809         242,335
    Amortization                                                                529,803         246,072         243,804
    Loss on disposal of assets                                                1,443,628         473,350              --
    Issuance of common stock for payment of legal settlement                  1,216,200              --              --
    Legal expense relative to issue of stock options and warrants                23,377              --              --
    Compensation expense relative to extension of stock options                  87,285              --              --
    Compensation expense relative to issue of stock at merger                        --       2,800,000              --
  Changes in operating assets and liabilities (exclusive of acquisitions):
    Accounts receivable                                                         685,960        (167,262)        391,368
    Inventory                                                                  (275,657)      2,207,149          79,913
    Prepaid and other current assets                                            (52,957)          4,026          74,722
    Accounts payable                                                            360,073         905,624          80,161
    Accrued interest                                                            104,574          25,779         114,045
    Accrued expenses                                                           (728,526)        524,034          17,633
                                                                           ------------    ------------    ------------
      Total adjustments                                                       3,531,850       7,162,581       1,243,981
                                                                           ------------    ------------    ------------

      Net cash used by operating activities                                  (4,666,558)     (2,255,709)     (1,376,790)
                                                                           ------------    ------------    ------------

Cash flows from investing activities:
  Additions to patents, technology and other                                   (264,225)             --        (111,168)
  Additions to property and equipment                                          (100,000)       (150,062)        (85,582)
  Acquisitions, net of cash acquired                                         (1,103,969)      2,202,040              --
                                                                           ------------    ------------    ------------
    Net cash provided (used) by investing activities                         (1,468,194)      2,051,978        (196,750)
                                                                           ------------    ------------    ------------

Cash flows from financing activities:
  Issuance of common stock for cash                                           6,780,300         160,509         152,259
  Proceeds from investor                                                      3,430,000         500,000              --
  Proceeds of convertible note payable to principal stockholder                      --         750,000         480,000
  Proceeds of note payable                                                           --              --         193,492
  Payment of demand note payable to principal stockholder                            --        (550,000)        (80,000)
  Payment of note payable                                                       (65,526)        (61,109)        (14,622)
  Payment of convertible subordinated debentures                                     --              --        (107,000)
                                                                           ------------    ------------    ------------
    Net cash provided by financing activities                                10,144,774         799,400         624,129
                                                                           ------------    ------------    ------------

  Increase (decrease) in cash and equivalents                                 4,010,022         595,669        (949,411)
  Cash and equivalents, beginning of year                                     1,091,029         495,360       1,444,771
                                                                           ------------    ------------    ------------
  Cash and equivalents, end of year                                        $  5,101,051    $  1,091,029    $    495,360
                                                                           ============    ============    ============

Supplemental disclosure of cash flow information:
  Interest paid                                                            $      1,965    $        983    $     10,530
                                                                           ============    ============    ============

Non-cash items from financing activities:
  Conversion of loans and accrued interest payable
    to related parties into Common Stock                                   $         --    $    500,000    $  1,605,693
                                                                           ============    ============    ============
  Conversion of accounts payable into related
     party loan payable                                                    $         --    $         --    $    150,000
                                                                           ============    ============    ============
  Conversion of accounts payable into Common Stock                         $  2,021,600    $         --    $         --
                                                                           ============    ============    ============
  Dividends payable with Common Stock                                      $    144,258    $    148,050    $    155,371
                                                                           ============    ============    ============
  Fair market value of iCAD common stock and common
     stock options issued to acquire capital stock of Qualia & ISSI        $ 24,510,000    $ 27,673,500    $         --
                                                                           ============    ============    ============
  Net tangible assets of Qualia and ISSI acquired, excluding cash
    acquired of $446,031 and $2,202,040, respectively                      $  1,317,092    $    406,433    $         --
                                                                           ============    ============    ============
  Fair market value of identifiable intangible assets
    acquired from Qualia & ISSI, respectively                              $  3,694,000    $  5,437,000    $         --
                                                                           ============    ============    ============


See accompanying notes to consolidated financial statements.

                                       61



                           ICAD, INC. AND SUBSIDIARIES

                   Notes to Consolidated Financial Statements

(1)        SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

           (a)  NATURE OF OPERATIONS AND USE OF ESTIMATES

           iCAD, Inc. and its subsidiaries  (the "Company")  designs,  develops,
           manufactures  and markets  Computer Aided Detection (CAD)  technology
           for mammography applications and medical film digitizers. The Company
           considers itself a single reportable  business  segment.  The Company
           sells its products throughout the world through various distributors,
           resellers and systems  integrators.  See Note 10 for geographical and
           major customer information.

           The preparation of financial  statements in conformity with generally
           accepted accounting  principles requires management to make estimates
           and  assumptions  that  affect  the  reported  amounts  of assets and
           liabilities  and disclosure of contingent  assets and  liabilities at
           the date of the  financial  statements  and the  reported  amounts of
           revenues and expenses  during the reporting  period.  Actual  results
           could differ from those  estimates.  Many of the Company's  estimates
           and assumptions  used in the preparation of the financial  statements
           relate  to  the  Company's  products,  which  are  subject  to  rapid
           technological  change.  It is  reasonably  possible  that changes may
           occur in the near term that would affect management's  estimates with
           respect to inventories,  equipment,  software  development  costs and
           intangible assets.

           (b)  PRINCIPLES OF CONSOLIDATION

           The  consolidated  financial  statements  include the accounts of the
           Company and its wholly owned  subsidiaries  that were acquired during
           2002 and 2003, Howtek Devices  Corporation,  ISSI Acquisition,  Inc.,
           Qualia  Acquisition  Corporation,  CADx Systems,  Inc.,  CADx Medical
           Systems Inc.,  CADx Systems Ltd. and CADx Medical SARL.  Any material
           intercompany  transactions  and  balances  have  been  eliminated  in
           consolidation.  In the  fourth  quarter  of 2003 the  Howtek  Devices
           Corporation and ISSI Acquisition,  Inc.,  subsidiaries were dissolved
           and merged into iCAD, Inc.

           (c)   ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS

           Accounts  receivable are customer  obligations due under normal trade
           terms.  The Company  performs  continuing  credit  evaluations of its
           customers'   financial  condition  and  generally  does  not  require
           collateral.

           Senior management reviews accounts  receivable on a periodic basis to
           determine if any receivables will potentially be  uncollectible.  The
           Company includes any accounts receivable balances that are determined
           to be  uncollectible,  along with a general  reserve,  in its overall
           allowance  for  doubtful  accounts.  After all  attempts to collect a
           receivable  have failed,  the  receivable  is written off against the
           allowance.  Based on the  information  available to the  Company,  it
           believes the allowance for doubtful  accounts as of December 31, 2003
           is adequate.  However,  actual  write-offs  might exceed the recorded
           allowance.


                                       62


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (d)  INVENTORY

           Inventory is valued at the lower of cost or market  value,  with cost
           determined  by  the  first-in,  first-out  method.  At  December  31,
           inventory   consisted  of  raw   material   and  finished   goods  of
           approximately $129,000 and $1,995,000, respectively, for 2003 and raw
           material and finished goods of  approximately  $161,000 and $229,000,
           respectively, for 2002.

           During  the  quarter  ended June 30,  2002,  the  Company  wrote down
           inventory  related to its discontinued  graphic arts and photographic
           product lines to its estimated  salvage value of zero. The write down
           for  the  year  ended   December  31,  2002   totaled   approximately
           $2,370,000.

           (e)  PROPERTY AND EQUIPMENT

           Property and equipment are stated at cost and  depreciated  using the
           straight-line  method over the estimated  useful lives of the various
           classes of assets (ranging from 3 to 5 years).

           (f)  PATENTS

           The costs for patents are being  amortized over the estimated  useful
           life of the respective assets using the straight-line method. Patents
           related to  discontinued  product lines with net book values totaling
           $10,086 were written off during 2002.

           (g)  SOFTWARE DEVELOPMENT COSTS

           Software  development costs for application  software and application
           software   enhancements   were   capitalized    subsequent   to   the
           establishment  of their  technological  feasibility  (as  defined  in
           Statement  of  Financial  Accounting  Standards  No. 86). The Company
           capitalized $101,875 of internally developed and externally purchased
           software costs during fiscal 2001. No amounts were capitalized during
           2002 and 2003.

           The capitalized  software  balances were presented net of accumulated
           amortization.  Capitalized  software costs were  amortized  using the
           straight-line method over their estimated economic lives (36 months).
           All  software  developments  costs,  which  related  to  discontinued
           product lines, with net book values totaling  $170,202,  were written
           off during 2002. As of December 31, 2003 software  development  costs
           was zero.

           (h)  REVENUE RECOGNITION

           Revenue  is  recognized  when  products  are  shipped  to  customers,
           provided  that  there  are  no   uncertainties   regarding   customer
           acceptance, there is persuasive evidence of an arrangement, the sales
           price  is  fixed  or  determinable  and  collection  of  the  related
           receivable is probable.


                                       63


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (i)  COST OF SALES

           Cost of sales consists of the costs of products purchased for resale,
           any  associated  inbound and  outbound  freight  and duty,  any costs
           associated with  manufacturing,  warehousing,  material  movement and
           inspection,  amortization of any license rights,  and amortization of
           capitalized software.

           (j)  WARRANTY COSTS

           The Company's  products are generally under warranty  against defects
           in material and workmanship from a 90 day to 2 year period, depending
           on the product.  The Company  established  a Warranty  reserve in the
           amount of $100,000 in 2003.  Warranty  costs were not material in any
           prior periods presented.

           (k)  ENGINEERING AND PRODUCT DEVELOPMENT

           These  costs  relate to  research  and  development  costs  which are
           expensed  as  incurred,   except  for  amounts  related  to  software
           development  costs incurred after the  establishment of technological
           feasibility (see (g) above) which are capitalized.

           (l)  NET  LOSS PER COMMON SHARE

           Net loss per  common  share  has been  computed  in  accordance  with
           Statement of Financial  Accounting  Standards No. 128,  "Earnings per
           Share".

           (m)  CASH FLOW INFORMATION

           For purposes of reporting  cash flows,  the Company  defines cash and
           equivalents  as  all  bank  transaction  accounts,   certificates  of
           deposit,  money  market  funds and  deposits,  and other money market
           instruments  maturing in less than 90 days, which are unrestricted as
           to withdrawal.

           (n)  INCOME TAXES

           The Company follows the liability method under Statement of Financial
           Accounting  Standards No. 109 ("SFAS 109"). The primary objectives of
           accounting  for taxes under SFAS 109 are to (a)  recognize the amount
           of tax payable for the current year and (b)  recognize  the amount of
           deferred tax  liability or asset for the future tax  consequences  of
           events that have been reflected in the Company's financial statements
           or tax returns.


                                       64


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (o)  LONG LIVED ASSETS

           Long-lived assets,  such as intangible  assets,  other than goodwill,
           and property and equipment,  are evaluated for impairment when events
           or changes in circumstances  indicate that the carrying amount of the
           assets may not be  recoverable  through  the  estimated  undiscounted
           future  cash  flows  from  the use of  these  assets.  When  any such
           impairment exists, the related assets are written down to fair value.

           Intangible assets subject to amortization consists primarily of
           patents, technology intangibles, trade name and distribution
           agreements purchased in the acquisition of ISSI in June, 2002 and
           CADx in December, 2003 (See Note 2). These assets are amortized on a
           straight-line basis over their estimated useful lives of 2 to 10
           years.

           For the years ended December 31,



                                        -------------- ------------ --------------------
                                                                     Weighted Average
                                            2003          2002          Useful Life
                                        -------------- ------------ --------------------
                                        -------------- ------------ --------------------
                                                                 
         Gross carrying amount:
             Patents                       $   389,178       -             5 years
             Technology                    $ 6,160,822   $3,871,000       10 years
             Trade name                    $   248,000       -            10 years
             Distribution agreements       $   867,000   $1,566,000       2-3 years
                                        -------------- ------------
                                        -------------- ------------
         Total intangible assets           $ 7,665,000   $5,437,000

         Accumulated amortization
             Patent                        $    10,000        -
             Technology                    $   580,650   $  130,447
             Trade name                         -             -
             Distribution agreements            -        $   52,772
                                        -------------- ------------
                                        -------------- ------------
         Total Accumulated                $    590,650   $  183,219
         amortization:
                                        -------------- ------------
         Intangible assets, net           $  7,074,350   $5,253,781
                                        ============== ============



           Amortization expense related to intangible assets was $530,000,
           $246,000 and $244,000 for the years ended December 31, 2003, 2002,
           and 2001, respectively. Estimated amortization of our intangible
           assets for the next five fiscal years is as follows including
           amortization expense related to intangibles from our acquisitions of
           ISSI in 2002 and CADx in 2003:

                                       65


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (o)  LONG LIVED ASSETS (continued)


              Estimated amortization expense
              For the year ended December 31, 2004               $1,003,000

              For the year ended December 31, 2005                1,003,000

              For the year ended December 31, 2006                  870,000

              For the year ended December 31, 2007                  670,000

              For the year ended December 31, 2008                  645,000

        In the third quarter of 2003, the Company recorded a one-time write-off
        of $1,443,628 for the remaining asset, net of accumulated amortization,
        attributable to its distribution agreement with Instrumentarium, which
        the Company assumed as part of the ISSI acquisition. This write-off came
        after assessing the performance of Instrumentarium under the
        distribution agreement, and in light of the Company's implementation of
        alternative distribution channels. This charge is included in general
        and administrative expenses.


           (p) GOODWILL

            In June 2001, the Financial  Accounting  Standards Board issued SFAS
           No. 141, "Business Combinations" ("SFAS 141"), and No. 142, "Goodwill
           and  Other  Intangible   Assets"  ("SFAS  142").  SFAS  141  requires
           companies to use the purchase  method of accounting  for all business
           combinations  initiated after June 30, 2001, and establishes specific
           criteria for the  recognition of intangible  assets  separately  from
           goodwill.  SFAS  142  supersedes  APB  Opinion  No.  17,  "Intangible
           Assets",  and  addresses  the  accounting  for acquired  goodwill and
           intangible assets.  Goodwill and  indefinite-lived  intangible assets
           will no longer be  amortized  and will be tested  for  impairment  at
           least annually.

           Goodwill arose in connection  with the ISSI  acquisition in June 2002
           and with CADx at December 31, 2003. See Note 2.


                                       66


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (q)  STOCK-BASED COMPENSATION

           The Company  applies APB Opinion 25,  "Accounting for Stock Issued to
           Employees," and related  interpretations  in accounting for its stock
           option  plans.  Under APB Opinion 25, when the exercise  price of the
           Company's  employee  stock  options  equals the  market  price of the
           underlying  stock  on the  date of  grant,  no  compensation  cost is
           recognized.

           The Company  provides  proforma  disclosures of compensation  expense
           under  the  fair  value  method  of SFAS  No.  123,  "Accounting  for
           Stock-Based   Compensation,"  and  SFAS  No.  148,   "Accounting  for
           Stock-Based  Compensation - Transition and  Disclosure".  The Company
           estimates  the fair  value of each  granting  of options at the grant
           date using the Black-Scholes  option-pricing model with the following
           weighted-average  assumptions  used for grants in 2003:  no dividends
           paid;  expected  volatility  of 80.8%;  risk-free  interest  rates of
           2.91%,  2.34%, 2.63%, 2.60%, 3.06% and 3.34%; and expected lives of 4
           to 5 years. The weighted-average  assumptions used for grants in 2002
           were: no dividends  paid;  expected  volatility  of 80.3%;  risk-free
           interest rates of 2.01%,  4.86%, 3.37%, 1.79% and 1.56%; and expected
           lives of 1 and 9 years.  The  weighted-average  assumptions  used for
           grants in 2001 were: no dividends paid; expected volatility of 75.9%;
           risk-free  interest rates of 4.78% and 3.87%; and expected lives of 1
           to 4 years.

           Had compensation  cost for the Company's option plans been determined
           using the fair  value  method at the grant  dates,  the effect on the
           Company's  net loss and loss per share for the years  ended  December
           31, 2003, 2002 and 2001 would have been as follows:

                                        2003            2002            2001
                                   ------------    ------------    ------------
    Net loss available to common
       stockholders as reported    $ (8,342,666)   $ (9,566,340)   $ (2,775,821)

    Add: Stock-based employee
    compensation expense
    included in reported net
    income                                   --              --              --

    Deduct: Total stock-based
    employee compensation
    determined under fair value
    method for all awards              (204,455)     (1,820,855)       (142,210)
                                   ------------    ------------    ------------
           Pro forma net loss      $ (8,547,121)   $(11,387,195)   $ (2,918,031)
                                   ============    ============    ============

    Basic and diluted loss per share
           As reported                    $(.31)          $(.46)          $(.20)
           Pro forma                      $(.32)          $(.54)          $(.21)


                                       67


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (r) ADVERTISING

           The  Company  expenses  advertising  costs as  incurred.  Advertising
           expense  for the years ended  December  31,  2003,  2002 and 2001 was
           $250,000, $125,000 and $151,000, respectively.

           (s) RECENTLY ISSUED ACCOUNTING STANDARDS

           In April 2002,  the Financial  Accounting  Standards  Board  ("FASB")
           issued SFAS No. 145,  Rescission of FASB  Statements  SFAS Nos. 4, 44
           and 64, Amendment of FASB Statement No. 13 and Technical Corrections.
           SFAS No. 145 rescinds  Statement  No. 4,  Reporting  Gains and Losses
           from  Extinguishments  of Debt,  and an amendment of that  Statement,
           FASB  Statement  No.  64  Extinguishments  of Debt  Made  to  Satisfy
           Sinking-Fund Requirements.  SFAS No. 145 also rescinds FASB Statement
           No. 44, Accounting for Intangible Assets of Motor Carriers.  SFAS No.
           145 amends FASB Statement No. 13, Accounting for Leases, to eliminate
           an inconsistency  between the required  accounting for sale-leaseback
           transactions   and  the  required   accounting   for  certain   lease
           modifications   that  have  economic  effects  that  are  similar  to
           sale-leaseback transactions.  SFAS No. 145 also amends other existing
           authoritative  pronouncements to make various technical  corrections,
           clarify  meanings,  or describe  their  applicability  under  changed
           conditions. The provision of SFAS No.145 related to the rescission of
           Statement No. 4 shall be applied in fiscal year  beginning  after May
           15, 2002.  The provisions of SFAS No. 145 related to Statement No. 13
           should  be for  transactions  occurring  after  May 15,  2002.  Early
           application of the  provisions of this  Statement is encouraged.  The
           adoption  of SFAS No.  145 did not have any  effect on the  Company's
           financial statements.

           In June  2002,  the FASB  issued  SFAS No. 146  Accounting  for Costs
           Associated   with  Exit  or  Disposal   Activities.   This  statement
           superseded EITF No. 94-3, Liability  Recognition for Certain Employee
           Termination Benefits and Other Costs to Exit an Activity.  Under this
           statement,  a liability or a cost  associated with a disposal or exit
           activity is  recognized  at fair value when the liability is incurred
           rather than at the date of an entity's  commitment to an exit plan as
           required  under EITF  94-3.  The  provisions  of this  statement  are
           effective for exit or disposal  activities  that are initiated  after
           December 31, 2002,  with early  adoption  permitted.  The adoption of
           SFAS  No.  146 did not have a  significant  impact  on the  Company's
           financial statements.

           In November  2002, the Emerging  Issues Task Force  ("EITF")  reached
           consensus on Issue No.  00-21,  Revenue  Arrangements  with  Multiple
           Deliverables. Revenue arrangements with multiple deliverables include
           arrangements  which  provide  for  the  delivery  or  performance  of
           multiple  products,  services  and/or  rights  to  use  assets  where
           performance  may occur at different  points in time or over different
           periods  of time.  EITF  Issue No.  00-21 is  effective  for  revenue


                                       68


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

1) SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

           (s)   RECENTLY ISSUED ACCOUNTING STANDARDS  (continued)

           arrangements  entered into in fiscal periods beginning after June 15,
           2003.  The adoption of the guidance under this consensus did not have
           an impact on the Company's financial position,  results of operations
           or cash flows.

           In  November  2002,  the FASB issued  Interpretation  ("FIN") No. 45,
           Guarantor's  Accounting and Disclosure  Requirements  for Guarantees,
           Including Indirect  Guarantees of Indebtedness of Others,  which will
           significantly  change  current  practice in the  accounting  for, and
           disclosure  of,  guarantees.  FIN No. 45  requires  that a  guarantor
           recognize,  at the  inception  of  certain  types  of  guarantees,  a
           liability of the  obligation  undertaken  in issuing the guarantee at
           fair  value.  The  interpretation   also  requires   significant  new
           disclosures  in the financial  statements of the guarantor  about its
           obligations  under  certain  guarantees.  The  Company is required to
           apply  the  disclosure  provisions  of FIN  No.  45 in its  financial
           statements as of December 31, 2002. The accounting  provisions of FIN
           No.  45 are  applicable  for  guarantees  issued  or  modified  after
           December 31, 2002. The disclosure  requirements of FIN No. 45 did not
           have a material effect on the Company's  financial  statements and it
           does not expect the accounting  provisions of this  interpretation to
           have a material impact on its financial statements.

           In   January   2003,   the  FASB   issued   Interpretation   No.  46,
           "Consolidation  of Variable Interest  Entities,  an Interpretation of
           Accounting  Research  Bulletin No. 51, ("FIN No. 46")" which requires
           all variable  interest  entities  ("VIEs") to be  consolidated by the
           primary beneficiary. The primary beneficiary is the entity that holds
           the majority of the beneficial interests in the VIE. In addition, the
           interpretation  expands  disclosure  requirements  for both  variable
           interest entities that are  consolidated,  as well as VIEs from which
           the entity is the holder of a  significant  amount of the  beneficial
           interests,  but not the majority. The disclosure requirements of this
           interpretation  are  effective for all  financial  statements  issued
           after  January  31,  2003.  The  consolidation  requirements  of this
           interpretation are effective for all periods beginning after June 15,
           2003.  The Company does not have any VIEs,  therefore the adoption of
           this  interpretation  did not  have  any  effect  on its  results  of
           operations or financial condition.

           In May 2003, the FASB issued SFAS No. 150, "Accounting for Certain
           Financial Instruments with Characteristics of both Liabilities and
           Equity." SFAS No. 150 requires that certain financial instruments,
           which under previous guidance were accounted for as equity, must now
           be accounted for as liabilities. The financial instruments affected
           include mandatorily redeemable stock, certain financial instruments
           that require or may require the issuer to buy back some of its shares
           in exchange for cash or other assets and certain obligations that can
           be settled with shares of stock. SFAS No. 150 is effective for all
           financial instruments entered into or modified after May 31, 2003 and
           must be applied to existing financial instruments effective June 29,
           2003. The adoption of this statement did not have a material effect
           on the Company's results of operations or financial condition.

                                       69


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(2)        ACQUISITIONS

           (a)  ACQUISITION OF CADx

           On December 31, 2003, the Company completed the acquisition of CADx.
           This merger brings together two of the three companies approved by
           the FDA to market computer aided detection of breast cancer solutions
           in the United States. To complete the merger, iCAD issued a total of
           4,300,000 shares of its common stock, representing approximately 13%
           of the outstanding shares of iCAD common stock after the merger. The
           value of the Company's Common Stock issued was based upon a per share
           value of $5.70, equal to the closing price on November 28, 2003, the
           day the acquisition was announced. Additionally, iCAD paid $1,550,000
           in cash and executed a 36-month secured promissory note in the amount
           of $4,500,000 to purchase Qualia shares that were owned by two
           institutional investors. The acquisition was accounted for as a
           purchase on December 31, 2003, and accordingly, the operations of
           CADx are not included in the consolidated financial statements but
           will commence on January 1, 2004. The purchase price has been
           allocated to net assets acquired based upon an appraisal of their
           fair values, but the allocation is subject to further adjustment.

           The following is a summary of the estimated fair values of the assets
           acquired and liabilities assumed as of the date of acquisition:

                     Current assets                       $ 4,791,693
                     Property and equipment                   850,241
                     Identifiable intangible assets         3,694,000
                     Goodwill                              25,789,497
                     Current liabilities                   (3,878,811)
                                                          -----------
                     Purchase price                       $31,246,620
                                                          ===========

           The goodwill of $25,789,497 is not expected to be deductible for
           income tax purposes.

           The unaudited  proforma  operating results for the Company,  assuming
           the  acquisition  of CADx  occurred  as of January  1,  2003,  are as
           follows:

           Years ended December 31,                   2003
           ---------------------------------------------------------------------
           Sales                                 $  16,219,443
           Loss from operations                  $( 14,553,691)
           Net loss                              $(15,087,642)
           Net loss per share:
             Basic and diluted                         $(0.57)



                                       70


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(2) ACQUISITIONS (continued)


           (b)  ACQUISITION OF ISSI

           On  June  28,  2002,  the  Company   completed  the   acquisition  of
           Intelligent  Systems  Software,  Inc. ("ISSI") pursuant to a plan and
           agreement  of  merger.  The  Company  acquired  all of the issued and
           outstanding  capital stock of ISSI, a privately held company based in
           Boca  Raton,  Florida.  The  Company  initiated  the merger  with the
           intention of  improving  its  competitive  position in the CAD market
           place for  products of the  combined  companies.  In the merger,  the
           Company  issued a total of  10,400,000  shares of its common stock to
           the ISSI  stockholders,  including  2,000,000 shares of the Company's
           common stock which were issued to a corporation owned by the Chairman
           of the Company,  Mr.  Robert  Howard,  in exchange for shares of ISSI
           Common Stock  purchased by the corporation  immediately  prior to the
           merger,  as approved by the Company's  shareholders and in accordance
           with  the  provisions  of the  merger  agreement.  The  value  of the
           Company's  Common  Stock  issued was based upon a per share  value of
           $3.20,  equal to the closing price on February 19, 2002,  the day the
           acquisition was announced.  In connection  with the 2,000,000  shares
           issued to the corporation  owned by Mr. Howard,  the Company recorded
           compensation expense of $2,800,000, which represented the amount that
           the fair  market  value of iCAD common  shares  issued  exceeded  the
           consideration  paid  for  ISSI  common  stock.  The  acquisition  was
           accounted for as a purchase, and accordingly,  the operations of ISSI
           are  included  in the  consolidated  financial  statements  since the
           effective  date,  the  close of  business  on June 28,  2002  through
           December  31,  2002.  The  purchase  price has been  allocated to net
           assets acquired based upon an appraisal of their fair values.

           Following  is a summary of the  estimated  fair  values of the assets
           acquired and liabilities assumed as of the date of acquisition:

                     Current assets                     $ 3,180,347
                     Property and equipment                 246,613
                     Identifiable intangible assets       5,437,000
                     Goodwill                            17,415,723
                     Current liabilities                   (762,332)
                     Notes payable                          (56,155)
                                                        -----------
                     Purchase price                     $25,461,196
                                                        ===========

            The  goodwill  of  $17,415,723  is not  deductible  for  income  tax
            purposes.


                                       71


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(2) ACQUISITIONS (continued)

           (b) ACQUISITION OF ISSI (continued)

           The unaudited  proforma  operating results for the Company,  assuming
           the  acquisition  of ISSI  occurred  as of January  1,  2002,  are as
           follows:

                     Year ended December 31,                2002
                     ------------------------------------------------
                     Sales                              $  6,246,432
                     Loss from operations               $ (9,991,795)
                     Net loss                           $(10,039,962)
                     Net loss per share:
                          Basic and diluted                   $(0.39)

(3)        RESTRUCTURING CHARGES

           (a)  DISCONTINUED PRODUCT LINES

           During the second  quarter of 2002,  the Company  implemented  a plan
           whereby it would no longer support its graphic arts and  photographic
           product  lines and  would  concentrate  its  efforts  in the  medical
           imaging and CAD business. In connection therewith,  the Company wrote
           off all  inventories,  fixed assets and intangible  assets related to
           the  discontinued  product  lines  down to  their  estimated  salvage
           values. Accordingly, during 2002 the Company recorded charges for the
           write off of inventory of approximately  $2,370,000,  fixed assets of
           approximately   $237,000  and  intangible   assets  of  approximately
           $180,000.

           During  the  fourth  quarter  of  2002,  the  Company  concluded  the
           licensing and  divestiture of the  discontinued  product  lines.  The
           license  agreement   provided  for  the  sale  of  all  tangible  and
           intangible assets related to the product lines.  Total  consideration
           of $188,117 was paid through the assumption of certain liabilities of
           the Company and is included in the cost of sales in the  accompanying
           consolidated statements of operations for the year ended December 31,
           2002.  In accordance  with the  licensing  agreement any sales by the
           licensee  will  result in  royalty  revenue to the  Company.  Royalty
           revenues are earned as a flat fee for each unit sold by the licensee.
           No royalty revenue was received in 2003.


                                       72


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(3) RESTRUCTURING CHARGES (continued)

           (b) CLOSURE OF BOCA RATON OFFICE

           During the third  quarter of 2002,  the  Company's  first  quarter of
           combined  operations,  iCAD's management and directors  evaluated the
           Company's  organization  and  operations  to identify  and  eliminate
           redundancies and inefficiencies  created through the merger of Howtek
           and ISSI. As a consequence,  the Company  negotiated the resignations
           of three members of senior  management,  and took action to close the
           Company's  office in Boca Raton,  Florida in 2003  resulting in a one
           time  charge  of  $884,000.   Charges  recorded  in  connection  with
           separation  agreements  negotiated  with its former  Chief  Executive
           Officer and Vice President of Finance totaled approximately $790,000.
           The cost of  closing  the Boca  Raton  office  totaled  approximately
           $94,000   and   represented   remaining   amounts   due   under   the
           non-cancelable  operating lease for the facility. The total charge is
           included in general and  administrative  expenses in the accompanying
           consolidated  statement  of  operations.  As  of  December  31,  2002
           approximately  $110,000 of severance  and closing costs were paid and
           charged against the liability. Severance and closing costs accrued as
           of December 31, 2002 totaled  approximately  $774,000,  with $449,000
           paid in 2003 and  expected  payments of $269,000 and $56,000 for 2004
           and 2005, respectively.

(4)        RELATED PARTY TRANSACTIONS

           (a)   LOAN PAYABLE TO PRINCIPAL STOCKHOLDER

           The Company has a Revolving  Loan and Security  Agreement  (the "Loan
           Agreement")  with  Mr.  Robert  Howard,  Chairman  of  the  Board  of
           Directors  of the  Company,  under  which Mr.  Howard  has  agreed to
           advance  funds,  or to provide  guarantees  of advances made by third
           parties in an amount up to  $4,000,000.  The Loan  Agreement  expires
           January 4, 2005,  subject to extension  by the  parties.  Outstanding
           advances are collateralized by substantially all of the assets of the
           Company  and bear  interest  at prime  interest  rate  plus 2% with a
           minimum of 8%. Mr. Howard is entitled to convert outstanding advances
           made by him under the Loan  Agreement  into  shares of the  Company's
           common  stock at any time  based on the  outstanding  closing  market
           price of the Company's common stock at the lesser of the market price
           at the time each advance is made or at the time of conversion.

           During the first quarter of 2002,  Mr. Howard  converted  $500,000 of
           advances  made  under  the Loan  Agreement  into  215,517  shares  of
           restricted common stock of the Company. In the second quarter of 2002
           the Company borrowed $250,000 and in November 2002 the Company repaid
           Mr.  Howard  $50,000  pursuant  to the  Loan  Agreement.  In 2003 the
           Company borrowed $3,430,000 pursuant to the Loan Agreement.


                                       73


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(4) RELATED PARTY TRANSACTIONS (continued)

           (a) LOAN PAYABLE TO PRINCIPAL STOCKHOLDER (continued)

           As of December 31, 2003,  $3,630,000  was owed by the Company and the
           Company had $370,000  available for future  borrowings under the Loan
           Agreement.

           The Company had Secured  Demand  Notes and Security  Agreements  (the
           "Notes") owed to Mr. Robert Howard,  totaling $500,000 as of December
           31, 2001.  The  principal of these Notes was due and payable in full,
           together  with interest  accrued and any  penalties  provided for, on
           demand.  Under  the  terms of the  Notes  the  Company  agreed to pay
           interest at the lower rate of (a) 12% per annum,  compounded  monthly
           or (b) the maximum rate permitted by applicable  law.  Payment of the
           Notes was  secured by a security  interest  in certain  assets of the
           Company.  In March 2002 the Company repaid the principal  balance due
           in the amount of $500,000 and the Notes were discharged.

           (b)  PREMISES LEASE AND OTHER EXPENSES

           The Company  conducted its operations in premises owned by Mr. Robert
           Howard,  pursuant to a lease,  which expired  January 31, 2003. As of
           December 31, 2002, future minimum lease payments under this lease are
           $6,542 for 2003.  The Company was required to pay real estate  taxes,
           provide insurance and maintain the premises.

           Total rent paid under this lease for each of the years ended December
           31, 2002 and 2001 was $78,500.

           In January  2003,  the  Company  relocated  its  principal  executive
           offices.  See  Note 11 (a) of the  Notes  to  Consolidated  Financial
           Statements.

(5)        ACCRUED EXPENSES

           Accrued  expenses  consist of the  following at December 31, 2003 and
           2002:
                                                          2003           2002
                                                       ----------    ----------
           Accrued office closure and related costs    $       --    $  774,332
           Accrued litigation                                  --       383,000
           Accrued legal settlement                       250,000            --
           Accrued salary and related expenses          1,273,559       178,127
           Accrued warranty expense                       100,000            --
           Other accrued expenses                         364,917       441,365
           Unearned revenue                               216,500            --
                                                       ----------    ----------
                                                       $2,204,976    $1,776,824
                                                       ==========    ==========


                                       74


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(6)        CONVERTIBLE SUBORDINATED DEBENTURES

           The  Company  has  a  9%  Convertible  Subordinated  Debentures  (the
           "Debentures"),  which  became due  December 1, 2001.  Interest on the
           Debentures  was payable  semi-annually  on June 1 and December 1. The
           Debentures were  convertible  into common stock of the Company at the
           conversion  price of $19.00  per  share,  subject  to  adjustment  in
           certain events.  On December 31, 1998, the Company and the Trustee of
           the  Debentures  entered into a Second  Supplemental  Indenture  (the
           "Agreement").  The  purpose  of  the  Agreement  was  to  reduce  the
           conversion  price for the  Debentures  from $19.00 per share to $1.00
           per  share,  subject  to  adjustment  as set forth in the  Indenture,
           during the period from  December  31, 1998  through  March 23,  1999.
           Under the Agreement,  $2,064,000 were converted into 2,064,000 shares
           of Common  Stock,  at the  conversion  price of $1.00 per  share.  In
           December 2001, $107,000 of its Debentures were presented for payment.
           As of December 31, 2002 and 2003 the Company's outstanding balance on
           its Debentures was $10,000.

(7)        NOTES PAYABLE

           On December 31, 2003, the Company completed the acquisition of CADx.
           To complete the merger, the Company executed a secured promissory
           note in the amount of $4,500,000 issued in favor of CADx Canada which
           is payable over 36 months and bears interest at the rate per annum
           equal to the greater of (i) 6.25% or (iii) the prime rate plus 1%.
           The note is secured by the assets of iCAD. Maturity of the note
           payable is as follows:

               Year ending               Principal

               2004                      $1,125,000
               2005                       1,500,000
               2006                       1,500,000
               2007                         375,000

           In connection  with the  acquisition of ISSI, the Company assumed two
           convertible  promissory  notes  payable  with an  original  principal
           amount  totaling  $56,155.  The Company is required to make quarterly
           interest  payments on the outstanding  principal balance at a rate of
           7% per annum.  The  convertible  promissory  notes payable  mature in
           November 2004 at which time any outstanding principal balance is due.
           The convertible promissory notes payable give the holder the right at
           any time to convert the then  outstanding  principal  and any accrued
           interest  balances into share of common stock based on the conversion
           rate of $0.89 per share of the Company's common stock.

           During 2001 the Company  entered  into a financing  agreement  with a
           supplier  to  purchase  $193,492  of  components,  pursuant to a note
           payable (the "Note"). Principal on the Note is payable over 36 months
           starting  October  1, 2001.  Under the terms of the Note the  Company
           agreed  to pay  interest  at a  fixed  rate  of 7% per  annum.  As of
           December  31, 2003,  the Company  owed $52,235  pursuant to the Note.
           Principal monthly payments are due through September 2004.


                                       75


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

 (8)       STOCKHOLDERS' EQUITY

           (a)  PREFERRED STOCK

           7% Series A  Convertible  Preferred  Stock.  On December 22, 1999 the
           Company,  pursuant  to  the  authority  of  the  Company's  Board  of
           Directors,  adopted a resolution creating a series of preferred stock
           designated as 7.0% Series A Convertible  Preferred Stock (the "Series
           A Preferred Stock"). The number of shares initially  constituting the
           Series A Preferred Stock was 10,000,  par value $.01 per share, which
           may be  decreased  (but not  increased)  by the  Board  of  Directors
           without a vote of stockholders,  provided,  however, that such number
           may not be decreased below the number of then  outstanding  shares of
           Series A  Preferred  Stock.  The  holders  of the  shares of Series A
           Preferred Stock shall vote together with the Common Stock as a single
           class  on all  actions  to be  voted  on by the  stockholders  of the
           Company.  Each share of Series A Preferred  Stock  shall  entitle the
           holder  thereof to such number of votes per share on each such action
           as shall equal the number of whole  shares of Common Stock into which
           each  share of  Series A  Preferred  Stock is then  convertible.  The
           holders shall be entitled to notice of any  stockholder's  meeting in
           accordance  with the By-Laws of the  Company.  Each share of Series A
           Preferred  Stock is convertible  into that number of shares of Common
           Stock determined by dividing the aggregate liquidation  preference of
           the number of shares of Series A Preferred  Stock being  converted by
           $1.00 (the "Conversion  Rate").  The Conversion Rate shall be subject
           to  appropriate  adjustment  by  stock  split,  dividend  or  similar
           division of the Common Stock or reverse split or similar combinations
           of the Common Stock prior to conversion.  The Company may at any time
           after the date of issuance,  at the option of the Board of Directors,
           redeem  in whole or in part the  Series A  Preferred  Stock by paying
           cash equal to $100 per share  together  with any  accrued  and unpaid
           dividends (the  "Redemption  Price").  The Redemption  Price shall be
           subject  to  appropriate  adjustment  by the  Board of  Directors  of
           similar  division  of shares of Series A  Preferred  Stock or reverse
           split or similar  combination of the Series A Preferred Stock. In the
           event  the  Company  shall   liquidate,   dissolve  or  wind  up,  no
           distribution  shall be made to the holders of shares of Common  Stock
           unless,  prior  thereto  the  holders of shares of Series A Preferred
           Stock shall have  received  $100 per share (as adjusted for any stock
           dividends,  combinations  or splits) plus all declared or accumulated
           but unpaid  dividends.  The  holders of shares of Series A  Preferred
           Stock, in preference to the holders of shares of Common Stock,  shall
           be entitled to receive  cumulative  dividends  of $7.00 per annum per
           share,  payable  annually,  subject to appropriate  adjustment by the
           Board of  Directors  of the Company in the event of any stock  split,
           dividend  or  similar  division  of  shares  of  Series A  Preferred.
           Dividends  are  payable  annually,  in  arrears,  on the  last day of
           December in each year.

           On April 12, 2000, the Company sold, in private transactions, a total
           of 2,250  shares of its 7% Series A  Preferred  Stock ($.01 per share
           par  value),  at $100 per  share,  consisting  of 1,000  shares to an
           unrelated  party,  1,000 shares to Dr.  Lawrence  Howard,  son of the
           Company's Chairman, Mr. Robert Howard, and 250 shares to Mr. W. Scott
           Parr, the Company's  President,  Chief Executive  Officer,  for gross
           proceeds of $225,000.


                                       76


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

8) STOCKHOLDERS' EQUITY (continued)

           (a)  PREFERRED STOCK  (continued)

           In 2003, Dr. Lawrence Howard  converted 1,000 shares of the Company's
           Series A Preferred  Stock into 100,000  shares the  Company's  Common
           Stock.

           7% Series B  Convertible  Preferred  Stock.  On October  19, 2000 the
           Company,  pursuant  to  the  authority  of  the  Company's  Board  of
           Directors,  adopted a resolution creating a series of preferred stock
           designated as 7.0% Series B Convertible  Preferred Stock (the "Series
           B Preferred Stock"). The number of shares initially  constituting the
           Series B Preferred Stock was 2,000,  par value $.01 per share,  which
           may be  decreased  (but not  increased)  by the  Board  of  Directors
           without a vote of stockholders,  provided,  however, that such number
           may not be decreased below the number of then  outstanding  shares of
           Series B  Preferred  Stock.  The  holders  of the  shares of Series B
           Preferred  Stock have no voting rights other than is required by law.
           Each  share of  Series B  Preferred  Stock is  convertible  into that
           number of shares of Common Stock determined by dividing the aggregate
           liquidation  preference of the number of shares of Series B Preferred
           Stock  being  converted  by  $2.00  (the  "Conversion   Rate").   The
           Conversion  Rate shall be subject to appropriate  adjustment by stock
           split,  dividend or similar  division of the Common  Stock or reverse
           split  or  similar   combinations   of  the  Common  Stock  prior  to
           conversion.  The Company may at any time after the date of  issuance,
           at the option of the Board of  Directors,  redeem in whole or in part
           the Series B Preferred Stock by paying cash equal to $1,000 per share
           together  with any  accrued  and unpaid  dividends  (the  "Redemption
           Price").  The  Redemption  Price  shall  be  subject  to  appropriate
           adjustment by the Board of Directors of similar division of shares of
           Series B Preferred  Stock or reverse split or similar  combination of
           the  Series  B  Preferred  Stock.  In the  event  the  Company  shall
           liquidate,  dissolve or wind up, no distribution shall be made to the
           holders of shares of Common Stock unless,  prior thereto, the holders
           of shares of Series B Preferred  Stock shall have received $1,000 per
           share (as adjusted for any stock  dividends,  combinations or splits)
           plus all declared or accumulated but unpaid dividends. The holders of
           shares of Series B Preferred  Stock,  in preference to the holders of
           shares of Common  Stock,  shall be  entitled  to  receive  cumulative
           dividends of $70.00 per annum per share, payable annually, subject to
           appropriate  adjustment  by the Board of  Directors of the Company in
           the event of any stock split,  dividend or similar division of shares
           of Series B Preferred. Dividends are payable annually, in arrears, on
           the last day of December in each year.

           In October 2000 the Company sold, in private transactions, a total of
           1,400  shares of its 7% Series B Preferred  Stock ($.01 per share par
           value), at $1,000 per share,  consisting of 1,350 shares to unrelated
           parties,  and 50 shares to Mr. W. Scott Parr,  for gross  proceeds of
           $1,400,000.


                                       77


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)


(8) STOCKHOLDERS' EQUITY (continued)

           (a)  PREFERRED STOCK  (continued)

           The 1,400  shares of 7% Series B  Preferred  Stock were issued with a
           conversion price below the Company's Common Stock quoted value and as
           a result accreted dividends of $996,283 were recorded and included in
           the net loss per share  calculation  for the year ended  December 31,
           2000. In 2003, 115 shares of the Company's  Series B Preferred  Stock
           were converted by unrelated  parties into 57,500 shares the Company's
           Common Stock.

           (b)   STOCK OPTIONS

           The Company  has four stock  option  plans,  which are  described  as
           follows:

           The Howtek, Inc. 1993 Stock Option Plan" ("The 1993 Plan").
           -----------------------------------------------------------
           The 1993 Plan (the  "Plan") was adopted in  November  1993.  The Plan
           provides  for the  granting of  non-qualifying  and  incentive  stock
           options to employees and other persons to purchase up to an aggregate
           of 1,625,000 shares of the Company's common stock. The purchase price
           of each  share  for  which  an  option  is  granted  shall  be at the
           discretion  of the Board of Directors or the  Committee  appointed by
           the Board of Directors provided that the purchase price of each share
           for which an incentive  option is granted  shall not be less than the
           fair market value of the Company's common stock on the date of grant,
           except for options granted to 10% holders for whom the exercise price
           shall not be less than 110% of the market  price.  Incentive  options
           granted  under the Plan vest 100%  over  periods  extending  from six
           months  to five  years  from the date of grant and  expire  ten years
           after the date of grant,  except for 10% holders  whose options shall
           expire  five years  after the date of grant.  Non-qualifying  options
           granted  under the Plan are  generally  exercisable  over a  ten-year
           period,   vesting   1/3  each  on  the  first,   second,   and  third
           anniversaries  of the date of grant.  No new  options  can be granted
           under this plan.

           The Howtek, Inc. 2001 Stock Option Plan, ("The 2001 Plan").
           -----------------------------------------------------------
           The 2001 Plan was adopted in August  2001,  at the Annual  Meeting of
           Stockholders  at which the  Stockholders  voted to  replace  the 1993
           plan,  which had no further stock available for grant.  The 2001 Plan
           provides  for the  granting of  non-qualifying  and  incentive  stock
           options to employees and other persons to purchase up to an aggregate
           of 1,200,000 shares of the Company's common stock. The purchase price
           of each  share  for  which  an  option  is  granted  shall  be at the
           discretion  of the Board of Directors or the  Committee  appointed by
           the Board of Directors provided that the purchase price of each share
           for which an incentive  option is granted  shall not be less than the
           fair market value of the Company's common stock on the date of grant,
           except for options granted to 10% holders for whom the exercise price
           shall not be less than 110% of the market price.


                                       78


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(8) STOCKHOLDERS' EQUITY (continued)

           (b)   STOCK OPTIONS  (continued)

           Incentive  options granted under the 2001 Plan vest 100% over periods
           extending  from six  months to five  years from the date of grant and
           expire  ten years  after the date of grant,  except  for 10%  holders
           whose  options  shall  expire  five  years  after  the date of grant.
           Non-qualifying  options  granted  under the 2001  Plan are  generally
           exercisable  over a ten year  period,  vesting 1/3 each on the first,
           second, and third anniversaries of the date of grant.

           The Howtek, Inc. 2002 Stock Option Plan, ("The 2002 Plan").
           -----------------------------------------------------------
           The 2002 Plan was  adopted  in June 2002,  at the  Annual  Meeting of
           Stockholders.   The  2002  Plan   provides   for  the   granting   of
           non-qualifying  and  incentive  stock  options to employees and other
           persons to  purchase  up to an  aggregate  of  500,000  shares of the
           Company's common stock. The purchase price of each share for which an
           option  is  granted  shall  be at  the  discretion  of the  Board  of
           Directors  or the  Committee  appointed  by the  Board  of  Directors
           provided that the purchase price of each share for which an incentive
           option is granted shall not be less than the fair market value of the
           Company's  common  stock on the date of  grant,  except  for  options
           granted to 10% holders for whom the exercise  price shall not be less
           than 110% of the market price.  Incentive  options  granted under the
           2002 Plan vest 100% over  periods  extending  from six months to five
           years from the date of grant and  expire ten years  after the date of
           grant,  except for 10% holders  whose options shall expire five years
           after the date of grant.  Non-qualifying  options  granted  under the
           2002 Plan are generally exercisable over a ten year period.

           Intelligent Systems Software 2001 Stock Option Plan
           ----------------------------------------------------
           In connection with iCAD's acquisition of Intelligent Systems
           Software, Inc. in June 2002, iCAD assumed options granted under
           Intelligent Systems Software's 2001 Stock Option Plan to purchase
           400,000 shares of Intelligent Systems Software's common stock, which
           options were converted upon such acquisition into the right to
           purchase 500,000 shares of iCAD's common stock in accordance with the
           terms and conditions set forth in such 2001 Stock Option Plan.



                                       79


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(8) STOCKHOLDERS' EQUITY (continued)

           (b)  STOCK OPTIONS  (continued)

           A summary of stock option (incentive and non-qualifying)  activity is
           as follows:

                                           Option       Price range    Weighted
                                           Shares        per share     Average
                                         ---------------------------------------
        Outstanding, January 1, 2001      1,425,489     $ .81-$1.81     $1.31
        Granted                             197,000     $ .95-$3.00     $1.21
        Exercised                          (118,832)    $ .81-$1.72     $1.28
        Cancelled                           (27,068)    $ .81-$1.75     $1.42
                                         ---------------------------------------
        Outstanding, December 31, 2001    1,476,589     $ .81-$3.00     $1.28
        Granted                           2,483,445     $ .80-$3.49     $2.42
        Exercised                          (150,454)    $ .80-$1.75     $1.07
        Cancelled                           (34,832)    $1.72-$3.49     $2.24
                                         ---------------------------------------
        Outstanding, December 31, 2002    3,774,748     $ .80-$3.49     $2.04
        Granted                             911,500     $1.64-$4.91     $2.09
        Exercised                          (616,640)    $ .80-$3.49     $1.40
        Cancelled                          (381,057)    $ .81-$3.49     $2.41
                                         ---------------------------------------
        Outstanding, December 31, 2003    3,688,551     $ .80-$4.91     $2.12
                                         =======================================

        Exercisable at year-end
                              2001        1,078,641     $ .81-$3.00     $1.27
                              2002        2,976,918     $ .80-$3.49     $2.05
                              2003        2,598,682     $ .80-$3.49     $2.19

        Available for future grants
                              2003           69,612

           The  weighted-average  fair value of options  granted during the year
           was $1.25 per  option  for 2003,  $1.49 per option for 2002 and $0.61
           per option for 2001.

           The  weighted-average  remaining  contractual  life of stock  options
           outstanding for all plans at December 31, 2003 was 7.7 years.


                                       80


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(8) STOCKHOLDERS' EQUITY (continued)

           (b)  STOCK OPTIONS  (continued)

           The following table summarizes information about stock options
           outstanding at December 31, 2003:



                                                                                 
                                                                    $.80      $1.00       $1.50
                                                                      to         to          to
           Range of Exercise Prices:                                $.95      $1.13       $4.91
                                                                    ---------------------------
           Outstanding options:
           Number outstanding at December 31, 2003               563,934    327,390   2,797,227
           Weighted average remaining contractual life (years)       6.6        4.3         8.3

           Weighted average exercise price                          $.83      $1.13       $2.50

           Exercisable options:
           Number outstanding at December 31, 2003               523,934    327,390   1,747,358
           Weighted average remaining contractual life (years)       6.5        4.3         7.9
           Weighted average exercise price                          $.82      $1.13       $2.80


           (c) EARNINGS PER SHARE

           The Company follows Statement of Financial  Accounting  Standards No.
           128,  "Earnings per Share",  which requires the  presentation of both
           basic and diluted  earning per share on the face of the Statements of
           Operations.  Conversion  of the  subordinated  debentures  and  other
           convertible  debt and preferred stock and assumed exercise of options
           and warrants are not included in the  calculation of diluted loss per
           share since the effect would be antidilutive.  Accordingly, basic and
           diluted  net loss per share do not differ  for any period  presented.
           The  following  table  summarizes  the  common  stock  equivalent  of
           securities  that were  outstanding as of December 31, 2003,  2002 and
           2001,  but not  included in the  calculation  of diluted net loss per
           share because such shares are antidilutive:



                                                      2003       2002         2001
                                                   ---------   ---------   ---------
                                                                  
           Stock options                           3,688,551   3,774,748   1,476,589
           Stock warrants                            124,200      57,000      57,000
           Convertible Revolving Promissory Note   1,261,136      80,000          --
           Convertible Series A Preferred Stock      615,000     715,000     815,000
           Convertible Series B Preferred Stock      642,500     700,000     700,000



                                       81


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(8) STOCKHOLDERS' EQUITY (continued)

           (d)  PRIVATE PLACEMENT

           On November 24, 2003, the Company sold 1,260,000 shares of its common
           stock for $5.00 per  share in a private  placement  to  institutional
           investors.  The  Company  also issued to such  investors'  additional
           investment  rights to purchase up to an additional  315,000 shares of
           its common stock at $5.00 per share.  The net proceeds to the Company
           for the 1,260,000 shares sold were approximately  $5,919,000. A total
           of  90,000  shares  of the  Company's  common  stock  were  issued in
           connection  with  the  additional  investment  rights  in  2004.  The
           remaining shares expired unexercised. The net proceeds to the Company
           for the 90,000  shares sold were  approximately  $425,000.  Ladenburg
           Thalmann & Co. Inc. served as placement agent for these  transactions
           for which it  received  compensation  in the amount of  approximately
           $404,000  and a five year  warrant to purchase  67,200  shares of the
           Company's Common Stock at $5.00 per share.

           (e) STOCK SUBSCRIPTION WARRANTS

           On  November  24,  2003 the Company  issued a common  stock  purchase
           warrant (the "2003  Warrant") to Ladenburg  Thalmann & Co., Inc. (the
           "Agent"),  that served as a placement agent for the private placement
           transaction.  The warrants  were issued for placement  services,  for
           which  the Agent  received  a  five-year  warrant.  The 2003  Warrant
           entitles the Agent to purchase  from the Company up to 67,200  shares
           of the  Company's  common  stock at $5.00  per  share.  The Agent may
           exercise  the Warrant at any time or from time to time on or prior to
           November 24, 2008.

           During 2000 the Company issued a common stock  purchase  warrant (the
           "New  Warrant")  to the  company  (the  "Supplier")  responsible  for
           software development of certain of the Company's software, as part of
           its  development  agreement  entered  into in 2000.  The New  Warrant
           entitles the Supplier to purchase from the Company up to 7,000 shares
           of the  Company's  common stock at $3.00 per share.  The Supplier may
           exercise the New Warrant at any time or from time to time on or prior
           to February 28, 2005. The Company estimated the fair value of the New
           Warrant  at the date of issue to be $12,818  using the  Black-Scholes
           option-pricing  model.  The value of the New Warrant was  expensed in
           2000.

           In December,  1999 the Company issued a common stock purchase warrant
           (the "Warrant") to the company (the  "Manufacturer")  responsible for
           the assembly of the Company's MultiRAD(TM) medical film digitizer, as
           part  of  its  manufacturing  agreement.  The  Warrant  entitles  the
           Manufacturer  to purchase from the Company up to 50,000 shares of the
           Company's  common  stock at $2.50 per  share.  The  Manufacturer  may
           exercise  the Warrant at any time or from time to time on or prior to
           December  31,  2004.  The  Company  estimated  the fair  value of the
           Warrant  at the date of issue to be $54,000  using the  Black-Scholes
           option-pricing  model.  Accordingly,  the  value of the  Warrant  was
           expensed over the two year period of the agreement.


                                       82


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)


(8) STOCKHOLDERS' EQUITY (continued)

           (e) STOCK SUBSCRIPTION WARRANTS (continud)

           At December 31, 2003 there are 124,200 warrants outstanding that are
           exercisable at the following prices:

                Warrants             Exercise Price
              --------------------   ----------------
              67,200                 $5.00
              7,000                  $3.00
              50,000                 $2.50

           No warrants were exercised in 2001, 2002 or 2003.

(9)        INCOME TAXES

           As a result of the 2003, 2002 and 2001 losses,  no income tax expense
           was incurred for these years.

           Deferred  income taxes reflect the impact of "temporary  differences"
           between the amount of assets and liabilities for financial  reporting
           purposes  and such  amounts as measured by tax laws and  regulations.
           Deferred tax  liabilities  (assets) are comprised of the following at
           December 31:
                                                      2003            2002
                                                  ------------    ------------
        Inventory (Section 263A)                  $    (86,000)   $   (393,000)
        Inventory reserves                             (39,000)        (24,000)
        Receivable reserves                            (36,000)        (14,000)
        Other accruals                                 (24,000)        (24,000)
        Accumulated depreciation                       353,000           9,000

        Acquisition related intangibles              3,494,000       2,102,000
        Tax credits                                 (2,530,000)     (2,459,000)
        NOL carry forward                          (13,927,000)    (14,351,000)
                                                  ------------    ------------
        Gross deferred tax asset                   (12,795,000)    (15,154,000)
        Deferred tax assets valuation allowance   $ 12,795,000    $ 15,154,000
                                                  ------------    ------------
        Net deferred tax assets                   $        -0-    $        -0-
                                                  ============    ============

           As  of  December  31,  2003,  the  Company  has  net  operating  loss
           carryforwards totaling approximately  $43,800,000.  The amount of the
           net operating loss carryforwards, which may be utilized in any future
           period,  may be subject to certain  limitations based upon changes in
           the  ownership of the  Company's  common  stock.  The  following is a
           breakdown of the net operating loss expiration period:

                                       83



                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)


(9) INCOME TAXES (continued)



                 Expiration date             Amount of remaining NOL
                 ---------------             -----------------------
                      2004                          4,200,000
                      2005                          2,200,000
                      2006                          2,200,000
                      2007                            300,000
                      2008                            600,000
                      2009                            100,000
                      2010                          4,000,000
                      2011                          4,400,000
                      2012                          2,300,000
                      2018                          3,600,000
                      2019                          2,200,000
                      2020                          1,400,000
                      2021                          2,100,000
                      2022                          5,800,000
                      2023                          8,400,000


           In  addition  the  Company  has  available  tax credit  carryforwards
           (adjusted  to  reflect  provisions  of the Tax Reform Act of 1986) of
           approximately  $2,530,000,  which  are  available  to  offset  future
           taxable income and income tax  liabilities,  when earned or incurred.
           These amounts expire in various years through 2023.


(10)       SALES INFORMATION

           (a)  GEOGRAPHIC INFORMATION

           The  Company's  sales are made to U.S.  distributors,  dealers and to
           foreign  distributors of computer and related products.  Total export
           sales were  $288,708 or 4% of total sales in 2003,  $301,000 or 6% of
           total sales in 2002 and $944,000 or 20% of total sales in 2001.

           The  Company's  principal   concentration  of  export  sales  was  in
           Australia,  which accounted for 35% of the Company's  export sales in
           2003 and 2001, with Europe accounting for 26% of the Company's export
           sales in 2002.  The  balance of the export  sales was into Canada
           and the Far East.

           As of  December  31,  2003  and  2002  the  Company  had  outstanding
           receivables of $65,079 and $15,000,  respectively,  from distributors
           of its products who are located outside of the United States.

                                       84


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)


(10)       SALES INFORMATION (continued)

           (b) MAJOR CUSTOMERS

           During the years  ended  December  31,  2003 and 2002 the Company had
           sales  of  $2,921,535  and  $2,631,709,  or 45%  and  53%  of  sales,
           respectively,  to  Instrumentarium  Imaging,  Inc.  and  an  accounts
           receivable balance of $156,003 and $1,190,990, respectively, due from
           this customer at December 31, 2003 and 2002. The Company did not have
           any major customers in 2001.

           (c) PRODUCT INFORMATION

           The Company's revenues by product line are as follows:

           For the year ended December 31,     2003         2002         2001
                                            ----------   ----------   ----------
                  CAD                       $4,229,622   $2,628,135   $       --
                  Medical imaging            2,290,684    1,660,493    2,315,738
                  FotoFunnel                        --      274,169      988,199
                  Graphic arts                      --      437,387    1,531,360
                                            ----------   ----------   ----------
                     Total                  $6,520,306   $5,000,184   $4,835,297
                                            ==========   ==========   ==========

(11)       COMMITMENTS AND CONTINGENCIES


           (a) LEASE OBLIGATIONS

           As of December 31, 2003, the Company had three lease obligations
           related to its facilities. The Company's principal executive office
           is located in Nashua, New Hampshire. The facility consists of
           manufacturing, research and development and office space and is
           leased by the Company pursuant to a lease which expires December 31,
           2006 at an annual rent of approximately $69,200.

           The  Company  leases  a  facility  for  its  software   research  and
           development  group  in  Tampa,  Florida.  The  facility  consists  of
           research  and  development  and  office  space  and is  leased by the
           Company pursuant to a lease, which expires July 31, 2007 at an annual
           rent of approximately $53,000.  Additionally, the Company is required
           to pay real estate taxes and provide insurance.


                                       85


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)


(11)       Commitments and Contingencies (continued)

           (a) LEASE OBLIGATIONS (continued)

           In addition,  as a result of its  acquisition of CADx on December 31,
           2003,  the Company  leases a facility for its  software  research and
           development,  customer service and administrative  offices located in
           Beavercreek,  Ohio. The facility consists of research and development
           and office  space and is leased by the  Company  pursuant to a lease,
           which  expires  December,  2010 at an  annual  rate of  approximately
           $416,000.  Additionally,  the  Company is required to pay real estate
           taxes,  utilities,  common area maintenance,  cleaning,  security and
           provide insurance. The lease amount increases annually throughout the
           life of the lease.  The lease may be renewed for two additional terms
           of five years each.

           Rental  expense for all leases for the years ended December 31, 2003,
           2002 and 2001 was $125,797, $198,429 and $78,500, respectively.

           Future  minimum  rental  payments  due under these  agreements  as of
           December 31, 2003 are approximately as follows:

                          Fiscal Year              Amount
                          -----------            ----------
                             2004                $  520,000
                             2005                   536,000
                             2006                   552,000
                             2007                   478,000
                             2008                   459,000
                             2009                   472,000
                             2010                   486,000
                                                 ----------
                                                 $3,503,000
                                                 ==========


                                       86


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(11) COMMITMENTS AND CONTINGENCIES (continued)

           (b)  LITIGATION

           The Company has been  dismissed  from a complaint  filed  against the
           Company in the United States District Court for the Eastern  District
           of Texas,  entitled The  Massachusetts  Institute of  Technology  and
           Electronics for Imaging, Inc. v. Abacus Software Inc. et al. Case No.
           501CV344.  The  plaintiff  claimed  initially  that the  Company  had
           infringed a United States patent alleged to cover color  reproduction
           system  technology  through  sale  of  certain  Company  products  to
           customers in the graphic  arts/prepress and photographic markets. The
           Company has no liability in this matter,  and  anticipates no further
           legal expenses will be incurred with respect to this litigation. As a
           result, general and administrative expenses incurred during the first
           quarter  of  2003  were  reduced  by  the  reversal  of  the  accrued
           settlement cost in the amount of $383,000.

           On June 3, 2002,  ISSI was sued in United States  District  Court for
           the District of Delaware by R2 Technology,  Inc. and Shih-Ping  Wang.
           The lawsuit alleged that ISSI's  MammoReader device infringes certain
           patents  owned  by the  plaintiff.  The  complaint  requested  treble
           damages,  but did not  specify  the  amount of  damages  sought.  The
           complaint  also sought to enjoin ISSI from further  infringement.  On
           July 11, 2002,  subsequent to the acquisition of ISSI by the Company,
           the  plaintiffs  amended  their  complaint to add the Company and its
           subsidiary ISSI Acquisition Corp. as additional parties.

           In July 2003,  the Company filed suit in the United  States  District
           Court for the District of New Hampshire  against R2 for  infringement
           of certain patents licensed by the Company.  The complaint  requested
           treble damages,  costs and legal fees, but did not specify the amount
           of damages sought.

           On September 8, 2003,  the Company  announced  the  settlement of all
           patent  infringement  litigation  with  R2.  Under  the  terms of the
           settlement,  both actions were  dismissed with prejudice and iCAD was
           granted a  non-exclusive  license  to the  patents  named in the suit
           filed by R2. In  connection  with the  settlement  of the suit,  iCAD
           agreed to pay R2 an aggregate of $1,250,000,  of which $1,000,000 was
           paid in September 2003,  with $250,000  deferred and payable in equal
           installments  on  a  quarterly  basis  through  December,   2005.  In
           addition,  iCAD  issued to R2  250,954  shares of iCAD  Common  Stock
           valued at $750,000 and has filed a registration statement intended to
           cover the  resale of the  shares by R2.  iCAD also  agreed to certain
           continuing   royalties,   which  are  based  on  the   category   and
           configuration  of products sold by iCAD.  Further,  iCAD granted R2 a
           partial  credit  against  potential  future  purchases  by R2 of iCAD
           digitizers  worth up to $2,500,000 over five years to encourage R2 to
           purchase film digitizers manufactured by iCAD. This partial credit is
           not  accounted for in the  Company's  financial  statements as it was
           meant to provide a  significant  purchasing  advantage  to R2,  while
           maintaining  a  reasonable  profit  margin  and  creating  additional


                                       87


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(11) COMMITMENTS AND CONTINGENCIES (continued)

           (b) LITIGATION (continued)

           economies of scale for iCAD. In November 2003, R2 agreed to accept an
           additional 75,000 shares of iCAD Common Stock valued at $466,200,  in
           satisfaction  of any royalties it otherwise  would have been entitled
           to receive under the settlement agreement. The value of the Company's
           Common Stock issued was based upon a per share value of $6.216, equal
           to the closing price on November 18, 2003, the date of the agreement.
           These charges are included in general and administrative expenses.

(12)       FINANCIAL INSTRUMENTS

           The carrying  amounts of financial  instruments,  including  cash and
           equivalents, accounts receivable, accounts payable, accrued expenses,
           loan  payable to  related  parties,  notes  payable  and  convertible
           debentures and other  convertible debt  approximated fair value as of
           December  31, 2003 and 2002,  due to either  short  maturity or terms
           similar to those available to similar companies in the open market.

(13)       QUARTERLY FINANCIAL DATA (unaudited)

                              Net          Gross           Net          (Loss)
         2003                sales         profit     income (loss)   per share
         ----             -----------   -----------   -------------   ---------
         First quarter    $ 2,214,012   $ 1,304,427    $    76,558    $   0.00
         Second quarter   $ 1,337,517   $   744,934    $(1,285,144)   $  (0.05)
         Third quarter    $ 1,387,100   $   655,493    $(5,395,367)   $  (0.20)
         Fourth quarter   $ 1,581,677   $   873,789    $(1,594,455)   $  (0.06)

         2002
         ----
         First quarter    $   775,633   $   180,221    $  (521,122)   $  (0.04)
         Second quarter   $   776,600   $(2,665,747)   $(7,359,510)   $  (0.47)
         Third quarter    $ 1,286,966   $   727,887    $(1,640,665)   $  (0.06)
         Fourth quarter   $ 2,160,985   $ 1,596,180    $   103,007    $   0.00

           The 2003 totals above are  reflective of the Company's  decision,  in
           the third quarter of 2003, to write-off  $1,443,628  attributable  to
           its distribution agreement with Instrumentarium.  This write-off came
           after  assessing  the  performance  of  Instrumentarium  in the third
           quarter  2003,  and in  light  of  the  Company's  implementation  of
           alternative  distribution  channels,  the  Company  elected to take a
           one-time write-off, thereby eliminating the distribution agreement as
           a depreciating asset. Additionally, during the third quarter of 2003,


                                       88


                           ICAD, INC. AND SUBSIDIARIES

             Notes to Consolidated Financial Statements (continued)

(13) QUARTERLY FINANCIAL DATA (unaudited) (continued)

           the Company accounted for over $2,702,000 in non-recurring
           expenses  related  to  the  settlement  of  R2  patent   infringement
           litigation and legal expenses. In addition,  the Company issued to R2
           shares of iCAD Common Stock valued at $750,000. In the fourth quarter
           2003,  R2  agreed to accept an  additional  75,000  shares  valued at
           $466,200 of iCAD Common  Stock in  satisfaction  of any  royalties it
           otherwise  would have been entitled to receive  under the  settlement
           agreement.  During  this period the  Company  recorded  approximately
           $702,000  in  legal  and  related  expenses  associated  with  the R2
           litigation.

           The 2002  totals are  reflective  of the  Company's  decision  in the
           second  quarter of 2002 to no longer  support  its  graphic  arts and
           photographic  product lines. In connection  with the  discontinuance,
           the Company  recorded  charges related to the write off of inventory,
           fixed assets and  intangible  assets  related to those product lines.
           Total charges  incurred  during the second quarter of 2002 related to
           the write  off  amounted  to  $2,786,540.  Results  for the third and
           fourth  quarters  of 2002  include the  operations  of ISSI which was
           acquired on June 28,  2002.  During the fourth  quarter of 2002,  the
           Company  recorded  sales of  $188,177  related to the  licensing  and
           divestiture of discontinued product lines.

(14)       SUBSEQUENT EVENTS

           On December 31, 2003, the Dompany  completed the acquisition of CADx.
           Integration  of the  acquired  companies is  substantially  complete.
           Operating   expenses  for  the  combined  icad  and  CADx   companies
           substantially  exceeded those of iCAD alone. During the first quarter
           of 2004 the Company assessed the opportunities to achieve post-merger
           operating economies, and identified  cost-reduction  opportunities in
           light of its  distribution  and  product  plans.  As a result of this
           analysis  management  determined  that  operating  expenses  could be
           substantially  reduced without  detracting from the Company's ability
           to  increase  sales  and  focus  on  future   products  and  markets.
           Cost-reduction  actions  taken by iCAD in the first  quarter  of 2004
           included  the  closure of offices in Tampa,  Florida  and San Rafael,
           California;  reductions in staffing effective March 31, 2004 of 39 of
           110  previous  full and  part-time  employees,  and the  reduction of
           duplication in marketing,  administrative and other activities.  As a
           result of these  cost-reduction  actions,  the  Company  will  report
           certain  non-recurring  severance and office closure  expenses in the
           quarter ending March 31, 2004.



                                       89


                           ICAD, INC. AND SUBSIDIARIES

          Schedule II - Valuation and Qualifying Accounts and Reserves



              Col. A                 Col. B       Col. C          Col. D          Col. E
- ------------------------------------------------------------------------------------------
                                   Balance at   Charged to                       Balance
                                   Beginning     Cost and                        at end
           Description              of Year      Expenses       Deductions       of Year
- ------------------------------------------------------------------------------------------
                                                                   
Year End December 31, 2003:
 Allowance for Doubtful Accounts   $   40,000   $  100,134    $   35,134 (1)   $  105,000
 Inventory Reserve                 $   70,000   $   10,572    $  (34,428)(2)   $  115,000


Year End December 31, 2002:
 Allowance for Doubtful Accounts   $  165,000   $   26,560    $  151,560 (1)   $   40,000
 Inventory Reserve                 $  700,000   $2,622,151    $3,252,151 (2)   $   70,000


Year End December 31, 2001:
 Allowance for Doubtful Accounts   $  255,999   $   50,845    $  141,844 (1)   $  165,000
 Inventory Reserve                 $  361,931   $  379,285    $   41,216 (2)   $  700,000



(1)  Represents the amount of accounts charged off.
(2)  Represents inventory written off and disposed of.



                                       90