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Press Release
For Immediate Release

            iCAD REPORTS FIRST QUARTER 2009 FINANCIAL RESULTS

            Conference Call Scheduled for April 30th at 10:00 a.m. Eastern Time

NASHUA, N.H. (April 29, 2009) – iCAD, Inc. (NASDAQ: ICAD), an industry-leading
provider of advanced image analysis and workflow solutions for the early identification of
cancer, today announced financial results for the three months ending March 31, 2009.


Financial highlights for the first quarter of 2009 include the following (all comparisons are
with the first quarter of 2008):
             Total revenue of $7.2 million, up 11.4%
        •
             Digital CAD and MRI revenue of $4.8 million, up 11.5%
        •
             Film-based revenue of $1.6 million, up 14.1%
        •
             Service and supply revenue of $825,000, up 6.2%
        •
             International revenue of $1.2 million, up 62.6%
        •
             Gross margin of 82.5%, up from 82.3%
        •
             Net loss of $999,000 or $0.02 per share, compared with a net loss of $446,000
        •
             or $0.01 per share


Other highlights of the first quarter of 2009 include:
             Publication of peer-reviewed data on the Company’s SecondLook Digital®
        •
             Computer-Aided Detection (CAD) technology in the February issue of the
             American Journal of Roentgenology (Volume 192, Issue 2), which showed
             that:
                     CAD with Full-Field Digital Mammography has a high sensitivity in
                 o
                     identifying cancers




                                               1
The SecondLook Digital CAD correctly marked 94% of biopsy-proven
               o
                   cancers
                   The sensitivity of iCAD’s SecondLook Digital CAD was equally accurate
               o
                   regardless of tumor size

           Product debut at the European Society of Radiology’s (ECR) Annual Meeting
       •
           of the Company’s new CT Colon CAD solution to aid radiologists in the
           detection of polyps during review of virtual colonoscopy (VC) exams


”We are pleased with iCAD’s performance this past quarter compared to a year ago, as
we delivered double-digit revenue growth in a challenging market and economic
environment. In addition, we have managed the business with strong financial discipline
and, consequently, believe we are well positioned to ride out the current economic
downturn,” commented Ken Ferry, iCAD’s President and CEO.


“While demand for CAD associated with the sale of digital mammography systems
softened some, the demand for TotalLook MammoAdvantage, our comparative reading
product, continued to be strong and provided for solid film-based revenue growth. Moving
forward, we remain optimistic about the market opportunity for our digital CAD products as
only about 50% of the approximately 13,500 mammography systems in the U.S. had
transitioned to digital technology as of the close of the first quarter, leaving considerable
room for future growth. We also remain optimistic about the potential for digital product
growth internationally.”


“We continued to advance our new product offerings for MRI and CT based image
analysis and workflow solutions. During the first quarter we concluded several Breast MRI
sales and installations and our sales pipeline shows growing interest in these new
products. We are also near completion of the analysis of the reader study for our CT
Colon CAD product and expect to file a 510(k) application with the U.S. Food and Drug
Administration in the coming weeks. We remain excited about the opportunities for these
new products as they target the estimated 10,000 MRI systems and 30,000 multi-slice CT
systems installed worldwide today,” added Ferry.




                                             2
First Quarter Results
Total revenue for the first quarter of 2009 was $7.2 million, an 11.4% increase compared
with total revenue of $6.4 million for the first quarter of 2008. This increase reflects an
11.5% increase in revenue from the Company’s digital CAD and MRI products, to $4.8
million in 2009 from $4.3 million in the prior year period.      Additionally, the Company
posted higher international revenue, which grew 62.6% compared with the first quarter of
2008, largely the result of the addition of several new international partnerships as well as
from other OEM partners.


Total film-based revenue in the first quarter of 2009 increased 14.1%, to $1.6 million in
2009 from $1.4 million in the prior year period, largely due to continued strong demand for
the Company’s comparative reading product, TotalLook MammoAdvantage. Increases in
service and supply revenue of 6.2%, to $825,000 in 2009 compared to $777,000 in the
first quarter of 2008, are the result of growth in service contract revenue as digital CAD
and TotalLook systems transition from warranty to service contracts.


The gross margin for the first quarter of 2009 increased slightly to 82.5% compared with
82.3% in the prior-year’s first quarter. Operating expenses for the first quarter of 2009
increased to $6.9 million from $5.6 million in the first quarter of 2008, largely due to costs
associated with the Company’s new MRI products, expenses related to the clinical reader
study for the Colon CAD product, stock based compensation expense and investments in
sales and marketing. For the first quarter of 2009, the Company posted a net loss,
including stock-based compensation expense of $500,000, of $999,000 or $0.02 per
share, compared with a net loss, including stock-based compensation expense of
$392,000, of $446,000 or $0.01 per share in the first quarter of 2008.


                                            Three months ended March 31,
                                          2009          2008       % Change
     Digital CAD & MRI revenue       $    4,777,121 $    4,285,666       11.5%
     Film based revenue                   1,562,499      1,368,957       14.1%
     Service & supply revenue               825,378        777,393        6.2%
        Total revenue                $    7,164,998 $    6,432,016       11.4%



As of March 31, 2009, iCAD had cash and cash equivalents of $12.9 million, compared
with $13.1 million as of December 31, 2008.




                                              3
Commenting on the balance sheet, Darlene Deptula-Hicks, Executive Vice President and
CFO, said, “We continue to maintain a healthy balance sheet through disciplined cash
management, tightened expenses and strong inventory controls.        We were essentially
cash flow neutral for the first quarter while reducing accounts payable and other accrued
expenses by $1.2 million and inventory by $171,000 from year end 2008. We believe we
are in a strong position to see our way through these challenging external economic
times.”


2009 Financial Guidance
Due to the challenging economic environment and associated uncertainty in the
healthcare markets, the Company has made a decision to defer providing guidance on the
first half of 2009. This decision will be reviewed mid-year and the Company will provide a
further update at that time.


Conference Call
iCAD management will host an investment community conference call beginning at 10:00
a.m. Eastern time on Thursday, April 30, 2009 to discuss these results and to answer
questions. Shareholders and other interested parties may participate in the conference
call by dialing 800-884-5695 (domestic) or +617-786-2960 (international) and entering
passcode 58061238. The call will also be broadcast live on the Internet at
www.streetevents.com, www.fulldisclosure.com and www.icadmed.com.


A replay of the conference call will be accessible two hours after its completion through
May 7, 2009 by dialing 888-286-8010 (domestic) or +617-801-6888 (international) and
entering passcode 84812114. The call will also be archived for 90 days at
www.streetevents.com, www.fulldisclosure.com and www.icadmed.com.


About iCAD, Inc.
iCAD, Inc. is an industry-leading provider of advanced image analysis and workflow
solutions that enable healthcare professionals to better serve patients by identifying
pathologies and pinpointing cancer earlier. iCAD offers a comprehensive range of high-
performance, upgradeable Computer-Aided Detection (CAD) systems and workflow
solutions for mammography (film-based, digital radiography (DR) and computed
radiography (CR)), Magnetic Resonance Imaging (MRI), and Computed Tomography



                                            4
(CT). Since receiving FDA approval for the Company’s first breast cancer detection
product in 2002, over 3,100 iCAD systems have been placed in healthcare practices
worldwide. iCAD’s solutions aid in the early detection of the most prevalent cancers
including breast, prostate and in the future, colon and lung cancer. For more information,
call (877) iCADnow or visit www.icadmed.com.



   For iCAD, contact Darlene Deptula-Hicks, EVP and CFO at 603-882-5200 x7944 or
                              via email at ddeptula@icadmed.com


For iCAD Investor Relations, contact Anne Marie Fields of Lippert/Heilshorn & Associates
                   at 212-838-3777 x6604 or via email at afields@lhai.com


                 For iCAD Public Relations, contact Meara Murphy of MS&L
            at 617-937-2574 or via e-mail at meara.murphy@mslworldwide.com

quot;Safe Harborquot; Statement under the Private Securities Litigation Reform Act of 1995
Certain statements contained in this News Release, including but not limited to, statements about
the Company’s confidence or strategies or expectations about revenues, results of operations,
timing of regulatory approval of products or market opportunities, constitute “forward-looking
statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such
forward-looking statements involve a number of known and unknown risks, uncertainties and other
factors which may cause the actual results, performance or achievements of the Company to be
materially different from any future results, performance or achievements expressed or implied by
such forward-looking statements. Such factors include, but are not limited to, the risks of
uncertainty of patent protection, the impact of supply and manufacturing constraints or difficulties,
product market acceptance, possible technological obsolescence, increased competition, customer
concentration and other risks detailed in the Company’s filings with the Securities and Exchange
Commission. The words “believe”, “demonstrate”, “intend”, “expect”, “estimate”, “anticipate”,
“likely”, and similar expressions identify forward-looking statements. Readers are cautioned not to
place undue reliance on those forward-looking statements, which speak only as of the date the
statement was made. The Company is under no obligation to provide any updates to any
information contained in this release.

                                        - Tables to Follow -




                                                 5
iCAD, INC.

                                  Consolidated Statements of Operations
                                               (unaudited)



                                                       Three Months Ended   Three Months Ended
                                                         March 31, 2009       March 31, 2008
Revenue
 Products                                               $      6,339,620    $       5,654,623
 Service and supplies                                            825,378              777,393
   Total revenue                                               7,164,998            6,432,016

Cost of revenue
 Products                                                      1,054,987              955,416
 Service and supplies                                            201,817              182,769
   Total cost of revenue                                       1,256,804            1,138,185

Gross margin                                                   5,908,194            5,293,831

Operating expenses:
 Engineering and product development                           2,161,215            1,409,209
 Marketing and sales                                           2,945,121            2,383,522
 General and administrative                                    1,835,311            1,848,345
   Total operating expenses                                    6,941,647            5,641,076

Loss from operations                                          (1,033,453)            (347,245)

Interest income (expense) - net                                   34,926              (98,607)

Net loss                                               $        (998,527)   $        (445,852)


Net loss per share:
 Basic and Diluted                                     $           (0.02)   $           (0.01)

Weighted average number of shares used in
 computing loss per share:
  Basic and diluted                                           45,352,954           39,171,876




                                                  6
iCAD, INC. AND SUBSIDIARY

                                   Conde nse d Consolida te d Ba la nce She e ts



                                                                           March 31,      December 31,
                                                                              2009            2008
                                 Assets                                    (unaudited)
Current assets:
Cash and cash equivalents                                              $    12,878,937    $   13,115,715
Trade accounts receivable, net of allowance for doubtful
  accounts of $50,000 in 2009 and 2008                                       4,952,087         5,570,323
Inventory, net                                                               1,277,238         1,448,373
Prepaid and other current assets                                               499,057            451,402
  Total current assets                                                      19,607,319        20,585,813

Propertyand equipment:
Equipment                                                                    3,232,687         3,492,977
Leasehold improvements                                                           75,590           75,590
Furniture and fixtures                                                         358,477           358,477
Marketing assets                                                               290,482           287,456
                                                                             3,957,236         4,214,500
Less accumulated depreciation and amortization                               2,649,237         2,714,706
 Net propertyand equipment                                                   1,307,999         1,499,794
Other assets:
Deposits                                                                         63,194            63,194
Patents, net of accumulated amortization                                         26,447            22,349
Customer relationships, net of accumulated amortization                        227,716            236,634
Technologyintangibles, net of accumulated amortization                       6,936,494         7,142,662
Tradename, net of accumulated amortization                                     117,800            124,000
Goodwill                                                                    43,515,285        43,515,285
  Total other assets                                                        50,886,936        51,104,124
  Total assets                                                         $    71,802,254    $   73,189,731

                     Liabilities and Stockholders' Equity
Current liabilities:
Accounts payable                                                       $     1,721,803    $    2,189,093
Accrued salaries and other expenses                                          2,018,662         2,752,818
Deferred revenue                                                             2,270,118         1,955,495
  Total current liabilities                                                  6,010,583         6,897,406

  Total liabilities                                                          6,010,583         6,897,406
Commitments and contingencies

Stockholders' equity:
  Total Stockholders' equity                                                65,791,671        66,292,325

  Total liabilities and stockholders' equity                           $    71,802,254    $   73,189,731




                                                            ###




                                                                  7

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Q1 2009 Earning Report of Icad Inc.

  • 1. Press Release For Immediate Release iCAD REPORTS FIRST QUARTER 2009 FINANCIAL RESULTS Conference Call Scheduled for April 30th at 10:00 a.m. Eastern Time NASHUA, N.H. (April 29, 2009) – iCAD, Inc. (NASDAQ: ICAD), an industry-leading provider of advanced image analysis and workflow solutions for the early identification of cancer, today announced financial results for the three months ending March 31, 2009. Financial highlights for the first quarter of 2009 include the following (all comparisons are with the first quarter of 2008): Total revenue of $7.2 million, up 11.4% • Digital CAD and MRI revenue of $4.8 million, up 11.5% • Film-based revenue of $1.6 million, up 14.1% • Service and supply revenue of $825,000, up 6.2% • International revenue of $1.2 million, up 62.6% • Gross margin of 82.5%, up from 82.3% • Net loss of $999,000 or $0.02 per share, compared with a net loss of $446,000 • or $0.01 per share Other highlights of the first quarter of 2009 include: Publication of peer-reviewed data on the Company’s SecondLook Digital® • Computer-Aided Detection (CAD) technology in the February issue of the American Journal of Roentgenology (Volume 192, Issue 2), which showed that: CAD with Full-Field Digital Mammography has a high sensitivity in o identifying cancers 1
  • 2. The SecondLook Digital CAD correctly marked 94% of biopsy-proven o cancers The sensitivity of iCAD’s SecondLook Digital CAD was equally accurate o regardless of tumor size Product debut at the European Society of Radiology’s (ECR) Annual Meeting • of the Company’s new CT Colon CAD solution to aid radiologists in the detection of polyps during review of virtual colonoscopy (VC) exams ”We are pleased with iCAD’s performance this past quarter compared to a year ago, as we delivered double-digit revenue growth in a challenging market and economic environment. In addition, we have managed the business with strong financial discipline and, consequently, believe we are well positioned to ride out the current economic downturn,” commented Ken Ferry, iCAD’s President and CEO. “While demand for CAD associated with the sale of digital mammography systems softened some, the demand for TotalLook MammoAdvantage, our comparative reading product, continued to be strong and provided for solid film-based revenue growth. Moving forward, we remain optimistic about the market opportunity for our digital CAD products as only about 50% of the approximately 13,500 mammography systems in the U.S. had transitioned to digital technology as of the close of the first quarter, leaving considerable room for future growth. We also remain optimistic about the potential for digital product growth internationally.” “We continued to advance our new product offerings for MRI and CT based image analysis and workflow solutions. During the first quarter we concluded several Breast MRI sales and installations and our sales pipeline shows growing interest in these new products. We are also near completion of the analysis of the reader study for our CT Colon CAD product and expect to file a 510(k) application with the U.S. Food and Drug Administration in the coming weeks. We remain excited about the opportunities for these new products as they target the estimated 10,000 MRI systems and 30,000 multi-slice CT systems installed worldwide today,” added Ferry. 2
  • 3. First Quarter Results Total revenue for the first quarter of 2009 was $7.2 million, an 11.4% increase compared with total revenue of $6.4 million for the first quarter of 2008. This increase reflects an 11.5% increase in revenue from the Company’s digital CAD and MRI products, to $4.8 million in 2009 from $4.3 million in the prior year period. Additionally, the Company posted higher international revenue, which grew 62.6% compared with the first quarter of 2008, largely the result of the addition of several new international partnerships as well as from other OEM partners. Total film-based revenue in the first quarter of 2009 increased 14.1%, to $1.6 million in 2009 from $1.4 million in the prior year period, largely due to continued strong demand for the Company’s comparative reading product, TotalLook MammoAdvantage. Increases in service and supply revenue of 6.2%, to $825,000 in 2009 compared to $777,000 in the first quarter of 2008, are the result of growth in service contract revenue as digital CAD and TotalLook systems transition from warranty to service contracts. The gross margin for the first quarter of 2009 increased slightly to 82.5% compared with 82.3% in the prior-year’s first quarter. Operating expenses for the first quarter of 2009 increased to $6.9 million from $5.6 million in the first quarter of 2008, largely due to costs associated with the Company’s new MRI products, expenses related to the clinical reader study for the Colon CAD product, stock based compensation expense and investments in sales and marketing. For the first quarter of 2009, the Company posted a net loss, including stock-based compensation expense of $500,000, of $999,000 or $0.02 per share, compared with a net loss, including stock-based compensation expense of $392,000, of $446,000 or $0.01 per share in the first quarter of 2008. Three months ended March 31, 2009 2008 % Change Digital CAD & MRI revenue $ 4,777,121 $ 4,285,666 11.5% Film based revenue 1,562,499 1,368,957 14.1% Service & supply revenue 825,378 777,393 6.2% Total revenue $ 7,164,998 $ 6,432,016 11.4% As of March 31, 2009, iCAD had cash and cash equivalents of $12.9 million, compared with $13.1 million as of December 31, 2008. 3
  • 4. Commenting on the balance sheet, Darlene Deptula-Hicks, Executive Vice President and CFO, said, “We continue to maintain a healthy balance sheet through disciplined cash management, tightened expenses and strong inventory controls. We were essentially cash flow neutral for the first quarter while reducing accounts payable and other accrued expenses by $1.2 million and inventory by $171,000 from year end 2008. We believe we are in a strong position to see our way through these challenging external economic times.” 2009 Financial Guidance Due to the challenging economic environment and associated uncertainty in the healthcare markets, the Company has made a decision to defer providing guidance on the first half of 2009. This decision will be reviewed mid-year and the Company will provide a further update at that time. Conference Call iCAD management will host an investment community conference call beginning at 10:00 a.m. Eastern time on Thursday, April 30, 2009 to discuss these results and to answer questions. Shareholders and other interested parties may participate in the conference call by dialing 800-884-5695 (domestic) or +617-786-2960 (international) and entering passcode 58061238. The call will also be broadcast live on the Internet at www.streetevents.com, www.fulldisclosure.com and www.icadmed.com. A replay of the conference call will be accessible two hours after its completion through May 7, 2009 by dialing 888-286-8010 (domestic) or +617-801-6888 (international) and entering passcode 84812114. The call will also be archived for 90 days at www.streetevents.com, www.fulldisclosure.com and www.icadmed.com. About iCAD, Inc. iCAD, Inc. is an industry-leading provider of advanced image analysis and workflow solutions that enable healthcare professionals to better serve patients by identifying pathologies and pinpointing cancer earlier. iCAD offers a comprehensive range of high- performance, upgradeable Computer-Aided Detection (CAD) systems and workflow solutions for mammography (film-based, digital radiography (DR) and computed radiography (CR)), Magnetic Resonance Imaging (MRI), and Computed Tomography 4
  • 5. (CT). Since receiving FDA approval for the Company’s first breast cancer detection product in 2002, over 3,100 iCAD systems have been placed in healthcare practices worldwide. iCAD’s solutions aid in the early detection of the most prevalent cancers including breast, prostate and in the future, colon and lung cancer. For more information, call (877) iCADnow or visit www.icadmed.com. For iCAD, contact Darlene Deptula-Hicks, EVP and CFO at 603-882-5200 x7944 or via email at ddeptula@icadmed.com For iCAD Investor Relations, contact Anne Marie Fields of Lippert/Heilshorn & Associates at 212-838-3777 x6604 or via email at afields@lhai.com For iCAD Public Relations, contact Meara Murphy of MS&L at 617-937-2574 or via e-mail at meara.murphy@mslworldwide.com quot;Safe Harborquot; Statement under the Private Securities Litigation Reform Act of 1995 Certain statements contained in this News Release, including but not limited to, statements about the Company’s confidence or strategies or expectations about revenues, results of operations, timing of regulatory approval of products or market opportunities, constitute “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements involve a number of known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of the Company to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include, but are not limited to, the risks of uncertainty of patent protection, the impact of supply and manufacturing constraints or difficulties, product market acceptance, possible technological obsolescence, increased competition, customer concentration and other risks detailed in the Company’s filings with the Securities and Exchange Commission. The words “believe”, “demonstrate”, “intend”, “expect”, “estimate”, “anticipate”, “likely”, and similar expressions identify forward-looking statements. Readers are cautioned not to place undue reliance on those forward-looking statements, which speak only as of the date the statement was made. The Company is under no obligation to provide any updates to any information contained in this release. - Tables to Follow - 5
  • 6. iCAD, INC. Consolidated Statements of Operations (unaudited) Three Months Ended Three Months Ended March 31, 2009 March 31, 2008 Revenue Products $ 6,339,620 $ 5,654,623 Service and supplies 825,378 777,393 Total revenue 7,164,998 6,432,016 Cost of revenue Products 1,054,987 955,416 Service and supplies 201,817 182,769 Total cost of revenue 1,256,804 1,138,185 Gross margin 5,908,194 5,293,831 Operating expenses: Engineering and product development 2,161,215 1,409,209 Marketing and sales 2,945,121 2,383,522 General and administrative 1,835,311 1,848,345 Total operating expenses 6,941,647 5,641,076 Loss from operations (1,033,453) (347,245) Interest income (expense) - net 34,926 (98,607) Net loss $ (998,527) $ (445,852) Net loss per share: Basic and Diluted $ (0.02) $ (0.01) Weighted average number of shares used in computing loss per share: Basic and diluted 45,352,954 39,171,876 6
  • 7. iCAD, INC. AND SUBSIDIARY Conde nse d Consolida te d Ba la nce She e ts March 31, December 31, 2009 2008 Assets (unaudited) Current assets: Cash and cash equivalents $ 12,878,937 $ 13,115,715 Trade accounts receivable, net of allowance for doubtful accounts of $50,000 in 2009 and 2008 4,952,087 5,570,323 Inventory, net 1,277,238 1,448,373 Prepaid and other current assets 499,057 451,402 Total current assets 19,607,319 20,585,813 Propertyand equipment: Equipment 3,232,687 3,492,977 Leasehold improvements 75,590 75,590 Furniture and fixtures 358,477 358,477 Marketing assets 290,482 287,456 3,957,236 4,214,500 Less accumulated depreciation and amortization 2,649,237 2,714,706 Net propertyand equipment 1,307,999 1,499,794 Other assets: Deposits 63,194 63,194 Patents, net of accumulated amortization 26,447 22,349 Customer relationships, net of accumulated amortization 227,716 236,634 Technologyintangibles, net of accumulated amortization 6,936,494 7,142,662 Tradename, net of accumulated amortization 117,800 124,000 Goodwill 43,515,285 43,515,285 Total other assets 50,886,936 51,104,124 Total assets $ 71,802,254 $ 73,189,731 Liabilities and Stockholders' Equity Current liabilities: Accounts payable $ 1,721,803 $ 2,189,093 Accrued salaries and other expenses 2,018,662 2,752,818 Deferred revenue 2,270,118 1,955,495 Total current liabilities 6,010,583 6,897,406 Total liabilities 6,010,583 6,897,406 Commitments and contingencies Stockholders' equity: Total Stockholders' equity 65,791,671 66,292,325 Total liabilities and stockholders' equity $ 71,802,254 $ 73,189,731 ### 7