iCAD Reports Fourth Quarter and Fiscal Year 2014 Financial Results

Tenth Consecutive Quarter of Revenue Growth
Recurring Service Revenue Expands to 65% of Total Revenue in Fourth Quarter
Provides 2015 Financial Guidance

NASHUA, N.H., Feb. 24, 2015 (GLOBE NEWSWIRE) -- iCAD, Inc. (Nasdaq:ICAD), an industry-leading provider of advanced image analysis, workflow solutions and radiation therapy for the early identification and treatment of cancer, today reported financial results for the three months and fiscal year ended December 31, 2014.

Fourth Quarter Highlights:

• Total revenue of $13.2 million, an increase of 44.1% year-over-year
• Recurring service revenue of $8.6 million, an increase of 104.2% year-over-year
• Therapy revenue of $8.5 million, an increase of 70.6% year-over-year
• Gross margin of 70.6%, up from 68.8% in Q4 2013
• Non-GAAP adjusted EBITDA of $2.5 million, or 18.7% of revenue, up from 3.1% in Q4 2013

"2014 was a highly successful year for the Company highlighted by 33% annual revenue growth," said Ken Ferry, Chief Executive Officer. "We ended the year with our tenth consecutive quarter of year-over-year revenue growth, strong recurring revenue momentum, improving gross margins and positive cash flow generation from operations. The strategic acquisitions that we made in the third quarter continue to add significant value, driving adoption and utilization of our skin cancer therapy products and services by Dermatologists and Radiation Oncologists. Our cancer detection business delivered a strong quarter and year of growth and is poised for continued progress ahead of the significant opportunity associated with the launch of our 3D tomosynthesis software products."

Mr. Ferry continued, "Looking forward, we see a significant opportunity for continued growth in our business. In the therapy segment, we are still in the early stages of penetrating the large market opportunities for the use of the Xoft® system to treat skin and breast cancers. We have initiatives in place to increase awareness, expand clinical evidence, and broaden reimbursement in support of our products. We believe this will be a key driver of our financial results going forward, giving us confidence in our 2015 revenue guidance of $55 to $59 million, which would represent growth of 25 to 34 percent over 2014."

Fourth Quarter 2014 Financial Results

Revenue: Total revenue for the fourth quarter of 2014 increased 44.1% to $13.2 million from $9.1 million for the fourth quarter of 2013, reflecting a 7.2% decrease in product revenue and a 104.2% increase in service revenue. Service revenue for the fourth quarter of 2014 was approximately 65% of total revenues compared to approximately 46% of total revenues in the fourth quarter of 2013.

Total therapy revenue increased 70.6% which includes Xoft^® Axxent^® Electronic Brachytherapy System^® product sales, as well as the associated service revenue. Cancer detection revenue increased 12.3% which includes film, digital mammography, MRI and CT CAD platforms, as well as the associated service revenue.

Gross Profit: Gross profit for the fourth quarter of 2014 increased to $9.3 million, or 70.6% of revenue, from $6.3 million, or 68.8% of revenue, for the fourth quarter of 2013. The increase in gross margin was primarily due to the significantly higher contribution of service revenue in the quarter.

Operating Expenses: Total operating expenses for the fourth quarter of 2014 increased to $8.8 million from $6.9 million for the fourth quarter of 2013.

Non-GAAP Adjusted EBITDA: Non-GAAP adjusted EBITDA, a non-GAAP financial measure as defined below, was $2.5 million, or 18.7% of revenue, for the fourth quarter of 2014, compared with non-GAAP adjusted EBITDA of $285,000, or 3.1% of revenue, for the fourth quarter of 2013.

Net Loss: Net loss for the fourth quarter of 2014 was $96,000, or $0.01 per share, compared with a net loss of $4.4 million, or $0.41 per share, for the fourth quarter of 2013.

Non-GAAP Adjusted Net Income/Loss: Non-GAAP adjusted net income, as defined below, for the fourth quarter of 2014 was $107,000, or $0.01 per diluted share, compared with a non-GAAP adjusted net loss of $1.5 million, or $0.14 per share, for the fourth quarter of 2013.

Cash and Cash Equivalents: As of December 31, 2014, the Company had cash and cash equivalents of $32.2 million, compared with $11.9 million as of December 31, 2013. The Company generated $3.4 million in cash flow from operations in the fourth quarter of 2014.

Fiscal Year 2014 Financial Results

Revenue: Total revenue for fiscal year 2014 increased 32.8% to $43.9 million from $33.1 million for the full year 2013, reflecting a 73.7% increase in service revenue and a 0.8% increase in product revenue. Service revenue was approximately 58% of total revenues compared to approximately 44% of total revenues for fiscal year 2013.

Total therapy revenue grew 56.7% in fiscal year 2014, driven by 173.3% growth in service revenue. Total cancer detection revenue grew 10.0% in fiscal year 2014, with growth in both product sales and the associated service revenue.

Gross Profit: Gross profit for fiscal year 2014 was $31.2 million, or 71.1% of revenue, compared with gross profit $23.1 million, or 69.8% of revenue, for fiscal year 2013.

Operating Expenses: Total operating expenses for fiscal year 2014 increased to $30.4 million from $24.9 million as compared to fiscal year 2013.

Non-GAAP Adjusted EBITDA: Non-GAAP adjusted EBITDA for fiscal year 2014 was $6.4 million, or 14.5% of revenue, compared with $1.9 million, or 5.6% of revenue, for fiscal year 2013.

Net Loss: Net loss for fiscal year 2014 was $1.0 million, or $0.07 per share, compared with a net loss $7.6 million, or $0.70 per share, for fiscal year 2013.

Non-GAAP Adjusted Net Loss: The Company's non-GAAP adjusted net loss for fiscal year 2014 was $1.2 million, or $0.09 per share, compared with a non-GAAP adjusted net loss $5.2 million, or $0.48 per share, for fiscal year 2013.

Financial Guidance

The Company expects revenue for fiscal year 2015 to be in the range of $55 million to $59 million, representing growth of 25% to 34% compared to 2014. The Company expects adjusted EBITDA margin in the 16% to 20% range.

Conference Call

iCAD management will host a conference call beginning at 5:00 p.m. Eastern Time on Tuesday, February 24, 2015, to discuss the financial results and provide a company update. The dial-in numbers are (855) 217-4501 for domestic callers and (716) 220-9431 for international callers. The conference ID is 87611247. A live webcast of the conference call will be available online at www.icadmed.com.

A replay of the webcast will remain on the Company's website until the Company releases its first quarter 2015 financial results. In addition, a telephonic replay of the conference call will be available until March 3, 2015. The replay dial-in numbers are (855) 859-2056 for domestic callers and (404) 537-3406 for international callers. The replay conference ID is 87611247.

Use of Non-GAAP Financial Measures

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

About iCAD, Inc.

iCAD delivers innovative cancer detection and radiation therapy solutions and services that enable clinicians to find and treat cancers earlier and faster while improving patient outcomes. iCAD offers a comprehensive range of upgradeable computer aided detection (CAD) and workflow solutions to support rapid and accurate detection of breast, prostate and colorectal cancers. iCAD's Xoft® Axxent® Electronic Brachytherapy (eBx®) System® is a painless, non-invasive technology that delivers high dose rate, low energy radiation, which targets cancer while minimizing exposure to surrounding healthy tissue. The Xoft System is FDA cleared and CE marked for use anywhere in the body, including treatment of non-melanoma skin cancer, early-stage breast cancer and gynecological cancers. The comprehensive iCAD technology platforms include advanced hardware and software as well as management services designed to support cancer detection and radiation therapy treatments. For more information, visit www.icadmed.com or www.xoftinc.com.

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

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

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RECONCILIATION OF NON-GAAP FINANCIAL MEASURES TO COMPARABLE GAAP MEASURES

(Unaudited, in thousands, except per share amounts)

The following is a reconciliation of the non-GAAP financial measures used by the Company to describe the Company's financial results determined in accordance with United States generally accepted accounting principles (GAAP). An explanation of these measures is also included below under the heading "Explanation of Non-GAAP Financial Measures."

While management believes that these non-GAAP financial measures provide useful supplemental information to investors regarding the underlying performance of the Company's business operations, investors are reminded to consider these non-GAAP financial measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP. In addition, it should be noted that these non-GAAP financial measures may be different from non-GAAP financial measures used by other companies, and management may utilize other measures to illustrate performance in the future. Non-GAAP financial measures have limitations in that they do not reflect all of the amounts associated with the Company's results of operations as determined in accordance with GAAP.

Explanation of Non-GAAP Financial Measures

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

Management defines "Non-GAAP Adjusted EBITDA" as the sum of GAAP net income (loss) before provision for taxes, [acquisition-related expenses], total other (income) expense, stock-based compensation expense, depreciation and amortization, severance, gain on sale, loss on warrant, amortization of acquired intangibles, patent litigation and recall costs, contingent consideration, indemnification, asset and goodwill impairment charges. Management considers this non-GAAP financial measure to be an important indicator of the Company's operational strength and performance of its business and a good measure of its historical operating trends, in particular the extent to which ongoing operations impact the Company's overall financial performance.

Management defines "Non-GAAP Adjusted Net Income (loss)" as the sum of GAAP net income (loss) before provision for the gain on sale of asset, severance, transaction, patent litigation and recall costs, contingent consideration, indemnification, asset and goodwill impairment charges. Management considers this non-GAAP financial measure to be an important indicator of the Company's operational strength and performance of its business and a good measure of its historical operating trends, in particular the extent to which ongoing operations impact the Company's overall financial performance.

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

• Stock-based compensation expense: excluded as these are non-cash expenses that management does not consider part of ongoing operating results when assessing the performance of the Company's business, and also because the total amount of expense is partially outside of the Company's control as it is based on factors such as stock price volatility and interest rates, which may be unrelated to our performance during the period in which the expense is incurred.
• Amortization of acquired intangibles: acquisition-related expenses are reported at the time acquisition costs are incurred, and purchased intangibles are amortized over a period of several years after the acquisition and generally cannot be changed or influenced by management after the acquisition. Accordingly, these items are not considered by management in making operating decisions, and management believes that such expenses do not have a direct correlation to future business operations. Thus, including such charges does not accurately reflect the performance of the Company's ongoing operations for the period in which such charges are incurred.
• Interest expense: In January 2012, the Company entered into a five-year, $15 million debt facility agreement. The Company excludes interest expense which includes interest from the facility agreement, interest on settlement obligations and interest on capital leases, from its non GAAP Adjusted EBITDA calculation
• Loss on extinguishment of debt: relates to the extinguishment of a portion of the $15 million debt facility agreement. It is excluded as this is an expense that management does not consider part of ongoing operating results when assessing the performance of the Company's business.
• Acquisition related: relates to transition and integration cost, as well as professional service fees due to the acquisition of DermEbx and Radion. The Company does not consider these acquisition-related costs to be related to the organic continuing operations of the acquired businesses and are generally not relevant to assessing or estimating the long-term performance of the acquired assets.
• Litigation and settlement related: These expenses consist primarily of settlement, legal and other professional fees related to litigation. The Company excludes these costs from its non-GAAP measures primarily because the Company believes that these costs have no direct correlation to the core operations of the Company.
• Gain (loss) on warrant: The Company issued warrants in connection with the January 2012 financing and the value changes according to fair value. It is excluded as these are non-cash expenses that management does not consider part of ongoing operating results when assessing the performance of the Company's business, also because the total amount of gain or loss is partially outside of the Company's control as it is based on factors such as stock price volatility and interest rates, which may be unrelated to our performance during the period in which the gain or loss is incurred. The warrants were exercised in April 2014.

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