Filed under Rule 424(b)(3)
333-109692
PROSPECTUS
ICAD, INC.
425,954 shares of Common Stock
The selling stockholders listed on page 14 of this prospectus are
offering for resale up to 425,954 shares of common stock beneficially owned by
them. The common stock may be offered from time to time by the selling
stockholders through ordinary brokerage transactions in the over-the-counter
markets, in negotiated transactions or otherwise, at market prices prevailing at
the time of sale or at negotiated prices and in other ways as described in the
"Plan of Distribution".
We will not receive any of the proceeds from the sale of the shares by
the selling stockholders.
Our common stock is listed on the Nasdaq SmallCap Market under the
symbol "ICAD" On December 2, 2003, the last sale price of our common stock as
reported by Nasdaq was $6.00 per share.
Investing in our common stock involves a high degree of risk. For more
information, see "Risk Factors" beginning on page 3.
Neither the Securities and Exchange Commission nor any state securities
commission has approved or disapproved of these securities or determined if this
prospectus is truthful or complete. Any representation to the contrary is a
criminal offense.
The date of this prospectus is December 3, 2003
Table of Contents
Page
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Forward-looking Statements....................................................1
The Company...................................................................1
Recent Developments...........................................................1
Risk Factors..................................................................2
Use of Proceeds..............................................................12
Selling Stockholders.........................................................13
Plan of Distribution.........................................................14
Legal Matters................................................................16
Experts......................................................................16
Where You Can Find More Information..........................................16
Incorporation of Certain Documents By Reference..............................16
Forward-looking Statements
Certain statements in this Registration Statement or the documents
incorporated by reference in this Registration Statement constitute
"forward-looking statements" within the meaning of the Private Securities
Litigation Reform Act of 1995. These forward-looking statements involve known
and unknown risks, uncertainties and other factors which may cause the actual
results, performance or achievements of iCAD, Inc. to be materially different
from any future results, performance or achievements expressed or implied by
such forward-looking statements. Such factors include, among others, those set
forth under the caption "Risk Factors." The words "believe," "expect,"
"anticipate," "intend," and "plan" and similar expressions identify
forward-looking statements. Readers are cautioned not to place undue reliance on
any of these forward-looking statements, which speak only as of the date of the
statement was made. iCAD, Inc. undertakes no obligation to update any
forward-looking statement.
The Company
The Company manufactures and distributes a computer-aided (CAD) system
used in the early detection of breast cancer. iCAD offers the fastest CAD system
available, the only system to look for asymmetries, and the most effective
system available to detect breast masses.
iCAD, the only vertically integrated company in its market, also
manufactures medical film digitizers for a variety of medical imaging and other
applications.
iCAD was incorporated under the laws of the State of Delaware in 1984
under the name Howtek, Inc. and changed its name to iCAD, Inc. in June 2002 Its
principal executive offices are located at 4 Townsend West, Suite 17, Nashua,
New Hampshire 03603, and its telephone number is (603) 882-5200.
Unless the context requires otherwise, reference in this prospectus to
"we", "us" ,"our", "iCAD", or "Company" refers to iCAD, Inc. and its
subsidiaries.
Recent Developments
On November 24, 2003, we sold 1,260,000 shares of our common stock at a
price of $5.00 per share in a private placement to institutional investors. We
also issued to such investors additional investment rights to purchase up to an
additional 315,000 shares of our common stock at $5.00 per share. These
additional investment rights are exercisable immediately after the closing date
of the private placement and expire 30 trading days after the effective date of
a registration statement registering the shares of common stock sold in the
offering and the shares issuable upon exercise of the additional investment
rights. We also issued warrants to purchase 67,200 shares of our common stock as
part of the compensation paid to the placement agent for the private placement.
On November 28, 2003 we announced that we had entered into an agreement to
acquire through a merger, Qualia Computing, Inc. and its CADx, Systems, Inc.
subsidiary. To complete the merger, we will issue 4.3 million shares of our
common stock in exchange for all the outstanding shares of Qualia Computing Inc.
and CADx Systems, Inc. Additionally, we will pay $1.55 million, and execute a
36-month secured promissory note in the amount of $4.5 million, to redeem the
Qualia shares of two institutional investors.
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Risk Factors
We operate in a changing environment that involves numerous known and
unknown risks and uncertainties that could materially adversely affect our
operations. The following highlights some of the factors that have affected, and
in the future could affect, our operations.
Our business is subject to a number of risks including the risks set forth
below.
The migration of our principal lines of business over the past three years has
resulted in declining sales and a dependence upon our medical imaging products.
In 1999 we decided to shift our business focus from prepress and
graphic arts products, which then accounted for a majority of our revenues, to
our products for use in the medical and photographic markets, which we believed
would provide us with higher margins. In 2002, we acquired a privately held
software development company with an FDA approved system for computer-aided
detection of breast cancer, and further narrowed our business focus to
concentrate primarily on its new CAD medical software and systems business, and
secondarily on our existing medical digitizer business. In the fourth quarter of
2002 we completed the licensing and divestiture of our graphic arts and prepress
business lines. As a result of this migration, our revenues declined from
approximately $7.8 million in 2000 to approximately $5.0 million in 2002 and we
have become totally dependent upon sales of our CAD medical imaging and
digitizer products. There can be no assurance that these actions will result in
increased sales or that any such increase will offset the reduction in sales as
a result of our divestiture of our prepress and graphic arts and photographic
products.
We have incurred significant losses and we may not be able to achieve and
sustain future profitability.
As of December 31, 2002, we have incurred losses in excess of $63
million in the aggregate since our inception, including a net loss of
approximately $9.4 million during the year ended December 31, 2002. We reported
net losses of $5,395,367 and $6,603, 953 in the three and nine months ended
September 30, 2003, respectively. There can be no assurance that we will be able
to achieve and sustain future profitability.
Our medical digitizer business has been adversely affected by our acquisition
and commercialization of a CAD product line.
Prior to acquisition of a CAD product line, we promoted our 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, we have 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. Our sales and marketing efforts, moreover, have concentrated
on CAD products during 2002, and we have limited development and support of our
medical digitizer product channels during this time. There can be no assurance
that these actions will result in increased sales of CAD products or that sales
of our medical digitizer products will not continue to decline.
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We may need additional financing to implement our strategy and expand
or finance our business.
We may need additional debt or equity financing to pursue our strategy
and increase sales in the medical markets or to finance our business. As of the
date of this prospectus we have $3,630,000 of convertible debt outstanding under
the terms of our loan agreement with our Chairman which debt is payable on
demand. Any financing that we need may not be available at all and, if
available, may not be available on terms that are acceptable to us. Our failure
to obtain financing on a timely basis, or on economically favorable terms, could
prevent us from continuing our strategy or from responding to changing business
or economic conditions, and could cause us to experience difficulty in
withstanding adverse operating results or competing effectively. If we are
required to repay our existing debt to our Chairman in cash it would adversely
affect our financial condition.
Because some of our medical digitizers are incorporated into original equipment
manufacturers' products which are regulated by the Food and Drug Administration,
or FDA, our sales of these products are in part dependent upon these third
parties obtaining FDA approval for their products.
Our medical digitizers are incorporated into products sold by
third-party original equipment manufactures, or OEMs. Some of these OEM products
are regulated by the FDA and require FDA approval, prior to marketing the
products in the United States. Obtaining FDA approval is a lengthy process and
is handled by the third-party OEM. Accordingly, we are not in control of the
process. In the event that we are unable to maintain our relationship with the
OEM's which incorporate our products or enter into agreements with additional
OEM's whose subsequently receive FDA approval, our business operating results
and prospects will suffer.
Because a portion of our sales are outside the United States, we are subject to
additional risks, including devaluations of foreign currencies, instability in
key geographic markets, tariffs and other trade barriers which are not within
our control.
Our international sales subject us 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. We do not enter into currency hedging transactions. In
addition, our 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 we sell our products.
Because we face intense competition for our products, price discounting often
occurs and may adversely affect our operating results.
We compete with a variety of companies for sales of our medical imaging
products. As a result, discounting among manufacturers and distributors of our
products is intense. Increased price discounting could adversely affect our
gross margins and operating results. We may not be able to effectively compete
in the future and we may be required to discount our products to increase sales.
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Our products may become obsolete.
Our ability to compete effectively will depend, in large part, on our
ability to offer state of the art products. Our competitors might develop and
sell new products that are technically superior to our current product line that
could result in our inability to sell existing products or our inability to sell
our products without offering a significant discount. We cannot give any
assurance that our products will not become obsolete in the future or that we
will be able to upgrade our product line or introduce new products if required.
We depend upon a limited number of suppliers and manufacturers for our products,
and certain components in our products may be available from a sole or limited
number of suppliers.
Our products are generally either manufactured and assembled for us by
a sole manufacturer, by a limited number of manufacturers or assembled by us
from supplies we obtain 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.
We generally do not have long-term arrangements with any of our manufacturers or
suppliers. The loss of a sole or key manufacturer or supplier would impair our
ability to deliver products to customers in a timely manner and would adversely
affect our sales and operating results. Our business would be harmed if any of
our manufacturers or suppliers could not meet our quality and performance
specifications and quantity and timing requirements.
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We may be unable to secure cooperation from manufacturers of digital mammography
equipment necessary for us to develop and offer CAD systems for use with such
digital mammography systems.
We require cooperation from the manufacturer of digital mammography
systems to modify our CAD software for use with and display in connection with
digital mammography systems produced by these manufacturers. As potential
customers supplement or replace current film-based mammography devices with
digital mammography systems the refusal or unwillingness of any such
manufacturer of digital mammography systems to cooperate with us could adversely
affect our ability to market our products.
Provisions of our corporate charter documents and Delaware law could delay or
prevent a change of control.
Our certificate of incorporation authorizes our 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 our 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 our common stock. In addition, specific rights
granted to future holders of preferred stock could be used to restrict our
ability to merge with, or sell our assets to a third party. In addition, our
certificate of incorporation provides for the classification of our board of
directors into three classes, as nearly equal in number as possible. One class
of directors is elected at each annual meeting to serve a term of three years.
At least two annual meetings of stockholders, instead of one, will be required
to effect a change in a majority of our board of directors. The ability of our
board of directors to issue preferred stock and the classification of our board
into three separate classes, could discourage, delay, or prevent a takeover of
us thereby preserving control by the current stockholders.
As a Delaware corporation, we are 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 us, thereby
possibly depriving our stockholders of acquisition opportunities to sell or
otherwise dispose of our stock at above-market prices typical of acquisitions.
The price of our common stock could be volatile.
Our 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 our common
stock without regard to the operating performance. In addition, the trading
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price of our common stock could be subject to significant fluctuations in
response to actual or anticipated variations in our quarterly operating results
announcements by us or our competitors, factors affecting the medical imaging
industry generally, changes in national or regional economic conditions, changes
in securities analysts' estimates for our competitors' or industry's future
performance or general market conditions. The market price of our 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 our industry.
Risks relating to the Medical Device Industry
We are 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 our business, financial
condition and results of operations.
The FDA's Quality System Regulation requires that our manufacturing
operations follow elaborate design, testing, control, documentation and other
quality assurance procedures during the manufacturing process. We are 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.
Our 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 we believe our 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. Our 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 our CAD products in certain countries
outside of the United States we 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. We cannot be certain that
we will be able to obtain the necessary regulatory approvals timely or at all in
any foreign country in which we plans to market our CAD products, and if we fail
to receive such approvals, our ability to generate revenue may be significantly
diminished.
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We may not be able to obtain regulatory approval for any of the other products
that we may consider developing.
We have received FDA approvals only for our currently offered CAD
products. Before we are able to commercialize any other product, we must obtain
regulatory approvals for each indicated use for that product. The process for
satisfying these regulatory requirements is lengthy and will require us to
comply with complex standards for research and development, testing,
manufacturing, quality control, labeling, and promotion of products.
Our products may be recalled even after they have received FDA approval or
clearance.
If the safety or efficacy of our products are called into question, the
FDA and similar governmental authorities in other countries may require us to
recall our products. This is true even if our products have 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
our management and our financial resources and could materially and adversely
affect our reputation with customers.
Reforms in reimbursement procedures by Medicare or other third-parties may
adversely affect our 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 our CAD products or any of our future products, which
could significantly harm our business, financial condition and operating
results.
Acceptance of our products outside of the United States depends, in
part, upon the availability of similar reimbursements in the markets in which we
intend to focus our international marketing activities. Reimbursements and
health insurance systems in markets outside of the United States vary from
country to country. If we are unable to qualify our products for reimbursement
outside of the United States, we may not be able to gain international market
acceptance for our products.
There is no guaranty that any of the products which we contemplate
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 our products is lengthy and unpredictable and its quarterly
results will be unpredictable.
Many of the customers of our medical imaging products are institutional
organizations, such as hospitals, with significant purchasing power and cyclical
ordering practices. Although our CAD system is currently less expensive than the
devices of our competitors, the purchase of the iCAD CAD system requires a
7
material capital expenditure that will likely require approval of our customers'
senior management and result in a lengthy sales and purchase order cycle.
Consequently, we may be unable to accurately estimate our manufacturing and
support requirements. Our larger institutional customers may also demand
discounted prices on our products. As a result, our actual sales may differ
significantly from our estimated sales and we may incorrectly allocate our
resources. If we are unable to accurately project sales and allocate
corresponding resources, we may incur substantial fluctuations in our operating
results for any given quarter.
Even if we are able to achieve profitability in future fiscal periods,
it may occur in a quarter with concentrated revenue. In that case, we 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 our operating results in any particular period as an indication of
future performance.
The medical equipment industry is litigious, we have in the past been and may in
the future be sued 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.
Should third parties file patent applications or be issued patents
claiming technology also claimed by us in pending applications, we may be
required to participate in interference proceedings in the U.S. Patent and
Trademark Office to determine the relative priorities of our inventions and the
third parties' inventions. We could also be required to participate in
interference proceedings involving any patents which may be issued to us and
pending applications of another entity. An adverse outcome in an interference
proceeding could require us to cease using the technology or to license rights
from prevailing third parties.
We are 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 us. There may be other
patent rights of which we are presently unaware. Third parties may claim we are
using their patented inventions and may go to court to stop us from engaging in
our normal operations and activities. These lawsuits are expensive to defend and
conduct and would also consume and divert the time and attention of our
management. A court may decide that we are infringing a third party's patents
and may order us to cease the infringing activity. The court could also order us
to pay damages for the infringement. These damages could be substantial and
could harm our business, financial condition and operating results.
If we are unable to obtain any necessary license following a
determination of infringement or an adverse determination in litigation or in
interference or other administrative proceedings, we would have to redesign our
products to avoid infringing a third party's patent and could temporarily or
permanently have to discontinue manufacturing and selling some of our products.
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If this were to occur, it would negatively impact future revenue and would have
a material adverse effect on our business, financial condition and results of
operations.
We may be unable to protect our intellectual property rights and, consequently,
our competitors may benefit from our efforts and compete directly against us.
Presently, patent applications have been filed for aspects of the
proprietary technology employed by us in our CAD and medical digitizer products.
Our patent applications, or any patents which may be issued to us, may be
challenged, invalidated or circumvented by third parties. Any patent ultimately
issued to us may not be in a form that will be beneficial to us. To the extent
that we are unable to adequately protect any of the intellectual property used
in connection with our current or any future products, competitors may take
advantage of the situation and produce competing products, which could harm our
competitive position and ultimately harm its operating results.
We also rely on a combination of copyright, trade secret and trademark
laws, and nondisclosure, confidentiality agreements and other contractual
restrictions to protect our proprietary technology. However, these legal means
afford only limited protection and may not adequately protect our rights or
permit us to gain or keep any competitive advantage. We 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, our
proprietary technologies and software applications would lose value and our
business, results or operations and financial condition could be materially
adversely affected.
Adverse events could undermine our efforts to protect our intellectual
property. Our competitors may be able to develop competing technologies or
products that do not infringe any of our intellectual property rights. Even if a
competitor infringes our intellectual property rights, we may be unable to
bring, or prevail in, a suit to protect our rights.
Furthermore, the laws of some foreign countries may not adequately
protect our intellectual property rights. As a result of all of these factors,
our efforts to protect our intellectual property may not be adequate, and our
competitors may independently develop similar competing technologies or
products, duplicate our products, or design around our intellectual property
rights. This would harm our competitive position, decrease its market share, or
otherwise harm our business.
We 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 our existing and planned
products may be fundamentally improved and that the resulting technology may be
owned by third parties. As a result, we may be required to obtain licenses to
this new technology to improve our current or future products. The cost of
licensing such technology may significantly increase the unit cost of our
products.
We 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 us in order to maintain their own competitive advantage. In either case,
our products may not be competitive with the products manufactured by others.
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Even if we were able to obtain rights to a third party's patented intellectual
property, these rights may be non-exclusive, thereby giving our 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, our business would
be seriously harmed. In addition, competing technologies could replace
mammography as the preferred method for screening for breast cancer.
We are 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, our business would certainly be seriously harmed.
We are 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.
We may be exposed to significant product liability for which we may not be able
to procure sufficient insurance coverage.
Our business exposes us 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, we have liability insurance coverage
which we deem appropriate for our 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 us.
We may not be able to successfully implement our current business model or
effectively manage our growth.
We only commenced generating revenue from the sale of MammoReaderTM,
our first CAD product, in 2002. Sales of our products may not generate
sufficient cash to support our future operations. There can be no assurance that
adequate funds for our operations, whether from our 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 us. The
inability to obtain sufficient funds may require us to delay, scale back or
eliminate some or all of our development activities, clinical studies and/or
regulatory activities or to license third parties to commercialize products or
technologies that we would otherwise seek to internally develop. No assurance
can be given that any future technologies or products that may be developed by
us will be successfully developed, commercialized or accepted by the marketplace
or that sufficient revenues will be realized to support our operations or future
research and development programs.
To address these risks, we must, among other things, establish,
maintain and increase our relationships with radiologists and other members of
the health care industry, implement and successfully execute our business and
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marketing strategies, respond to competitive developments, and attract, retain
and motivate qualified personnel. There can be no assurance that we will be
successful in addressing such risks, and the failure to do so could have a
material adverse effect on our business, financial condition and results of
operations.
Our future prospects depend on our ability to retain current key employees and
attract additional qualified personnel.
Our success depends in large part on the abilities and continued
service of our executive officers and other key employees. We may not be able to
retain the services of our executive officers and other key employees. The loss
of executive officers or other key personnel could have a material adverse
effect on us.
In addition, in order to support our continued growth, we will be
required to effectively recruit, develop and retain additional qualified
personnel. If we are unable to attract and retain additional necessary
personnel, it could delay or hinder our plans for growth. Competition for such
personnel is intense, and there can be no assurance that we 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 our business, financial condition and results of operations.
Some of our competitors have significantly greater resources and may prevent us
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 we have, 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 our 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.
We currently face direct competition from R2 Technology, Inc. and CADx
Medical Systems. Each of those competitors has received FDA approval to market
their respective CAD systems for use in mammography screening and diagnostics.
Kodak, Inc. has recently announced that it has received an approvable letter
from FDA which is the precursor to receipt from the FDA of approval for it to
market a mammography CAD solution. We expect that other vendors and competitors
will market this competing Kodak product once it receives FDA approval. We also
expect that other potential manufacturers will receive FDA approval to market
competing CAD products in the near future. We expect that as the market for CAD
grows, other competitors may seek to introduce CAD products priced even lower
than ours. Customers seeking a low-cost CAD solution may prefer a competitor's
lower-priced product to us and may result in pricing cutting by us which will
reduce our profit margin.
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We have historically relied on one distributor in the United States for the
sale, service, installation and distribution of our CAD products, and that
distributor has been acquired by General Electric Corporation. We are
terminating our distribution agreement with that distributor effective December
31, 2003 and do not expect to make additional sales through that distribution
channel. Although we are establishing alternative distribution for our CAD
products sales if our new distributors fail, or are unable, to allocate
sufficient resources to sell, service, install and distribute our products, or
otherwise alter their commitment and efforts to sell, service, install and
distribute our products, our financial condition will suffer.
We have appointed Instrumentarium Imaging, Inc. and other companies as
distributors in the United States for the sale, service, installation and
distribution of our MammoReader products. We are terminating our distribution
agreement with Instrumentarium Imaging effective December 31, 2003. That
distributor is currently selling off demonstration inventory stock, and we do
not anticipate additional sales of our CAD products to be made through that
channel. Our sales are expected to be adversely affected as our previous
distributor ceases purchases of our products before our new distributors are
fully in place, trained and engaged with prospective buyers of our CAD products.
Moreover, if these new distributors become subject to financial difficulty or
otherwise do not commit the resources necessary to sell, service, and install
our products, or otherwise fail to perform to our satisfaction, it could have a
material adverse effect on our business, financial condition and results of
operations.
Future sales of shares of our common stock could affect the market price of our
common stock and our ability to raise additional capital.
We have previously issued a substantial number of shares of common
stock, which are eligible for resale under Rule 144 of the Securities Act, and
may become freely tradable. In addition, shares of our common stock issuable
upon exercise of our outstanding convertible preferred stock and a substantial
portion of the shares of common stock issuable upon conversion of our
convertible debt are also eligible for sale under Rule 144. We have also
registered a substantial number of shares of common stock that are issuable upon
the exercise of options and granted registration rights to holders of a
significant number of shares of restricted common stock. If holders of options
choose to exercise their purchase rights and sell shares of common stock in the
public market, or if holders of currently restricted common stock or common
stock issuable upon conversion of our preferred stock or convertible debt choose
to sell such shares of common stock in the public market under Rule 144 or
otherwise, the prevailing market price for our common stock may decline. Future
public sales of shares of common stock may adversely affect the market price of
our common stock or our future ability to raise capital by offering equity
securities.
Use of Proceeds
We will not receive any proceeds from the sale by the selling
stockholders named in this prospectus.
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We have agreed to pay certain expenses in connection with the
registration of the shares being offered by the selling stockholders.
Selling Stockholders
Based on information provided by the selling stockholders, the
following table sets forth certain information regarding the selling
stockholders:
The table below assumes for calculating each stockholders' beneficial
and percentage ownership that options, warrants or convertible securities that
are held by such stockholder (but not held by any other person) and are
exercisable within 60 days from the date this prospectus have been exercised and
converted. The table also assumes the sale of all of the shares being offered.
Common Stock Beneficially
Owned After the Offering
Number of Shares of ---------------------------
Common Stock Percent of
Beneficially Owned Shares Number Outstanding
Selling Security Holder Prior to the Offering Being Offered of Shares Shares
----------------------- --------------------- ------------- --------- ------
R2 Technology, Inc. 325,954 325,954 0 0
Blank Rome LLP 100,000 100,000 0 0
250,954 of the shares of iCAD common stock being offered hereby by R2
Technology Inc. were issued by the Company to R2 Technology, Inc. in September
2003 as part of a settlement of patent infringement litigation filed by each
party against the other. As part of the settlement R2 Technology agreed with the
Company not to sell 107,910 of the shares being offered hereby until March 30,
2004 and not to engage in any short sale or similar transaction with respect to
the Company's Common Stock until March 30, 2004. Among other things, under the
settlement agreement the Company was granted a non-exclusive license to the
patents named in the lawsuit filed by R2 Technology and agreed to pay R2
Technology an aggregate of $1.25 million. The Company also agreed to make
certain royalty payments to R2 which are based upon the category and
configuration of products sold by the Company and granted R2 a partial credit
against any purchases made by R2 Technology over a five year period of
digitizers sold by the Company. The additional 75,000 shares being offered by R2
were issued to R2 in full satisfaction of the Company's obligation to make the
royalty payments to R2 referred to above.
Investment and voting control over the shares of iCAD common stock
beneficially owned by R2 Technology, Inc is held by Mr. Michael S. Klein, its
Chairman of the Board, Chief Executive Officer and President.
The 100,000 shares of iCAD common stock being offered hereby by Blank
Rome LLP were issued to Blank Rome LLP in satisfaction of legal services
provided or to be provided to iCAD by Blank Rome LLP . Blank Rome has acted as
our counsel in connection with this offering and for more than the past three
years has acted as our counsel in connection with other matters.
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Investment and voting control over the shares of iCAD common stock
beneficially owned by Blank Rome LLP is held by its executive committee. The
executive committee consists of eight members and the approval of a majority of
its members is required to take action with respect to investment or voting
decisions with respect to the securities. No individual member of the committee
has the power to make investment or voting decisions with respect to the
securities on his own.
Plan of Distribution
We have been advised that the selling stockholders, which may include
pledgees, donees, other permitted transferees or other successors-in-interest
who have received shares from a selling stockholder after the date of this
prospectus, may from time to time, sell all or a portion of the shares in
privately negotiated transactions or otherwise, at fixed prices that may be
changed, at market prices prevailing at the time of sale, at prices related to
these market prices or at negotiated prices.
All costs, expenses and fees in connection with the registration of the
shares offered by this prospectus shall be borne by us. Brokerage costs, if any,
attributable to the sale of shares will be borne by the selling stockholders.
Subject to certain contractual restrictions noted above, the shares may
be sold by the selling stockholders by one or more of the following methods:
o under a 10b5-1 trading plan;
o block trades in which the broker or dealer so engaged will
attempt to sell the shares as agent but may position and
resell a portion of the shares as principal to facilitate the
transaction;
o purchases by a broker or dealer as principal and resale by
such broker dealer for its account pursuant to this
prospectus;
o an exchange distribution in accordance with the rules of the
applicable exchange;
o ordinary brokerage transactions and transactions in which the
broker solicits purchasers;
o through put and call options relating to the shares;
o negotiated transactions;
o a combination of any such methods of sale at market prices
prevailing at the time of the sale or at negotiated prices;
and
o any other method permitted pursuant to applicable law.
The transactions described above may or may not involve brokers or
dealers.
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A selling stockholder will not be restricted as to the price or prices
at which the selling stockholder may sell its shares. Sales of shares by the
selling stockholders may depress the market price of our common stock since the
number of shares which may be sold by the selling stockholders is relatively
large compared to the historical average weekly trading of our common stock.
Accordingly, if the selling stockholders were to sell, or attempt to sell, all
of such shares at once or during a short time period, we believe such a
transaction could adversely affect the market price of our common stock.
From time to time a selling stockholder may pledge its shares under
margin provisions of customer agreements with its brokers or under loans with
third parties. Upon a default by a selling stockholder, the broker or such third
party may offer and sell any pledged shares from time to time.
In effecting sales, brokers and dealers engaged by a selling
stockholder may arrange for other brokers or dealers to participate in the sales
as agents or principals. Brokers or dealers may receive commissions or discounts
from the selling stockholder or, if the broker-dealer acts as agent for the
purchaser of such shares, from the purchaser in amounts to be negotiated, which
compensation as to a particular broker dealer might be in excess of customary
commissions which are not expected to exceed those customary in the types of
transactions involved. Broker-dealers may agree with the selling stockholder to
sell a specified number of such shares at a stipulated price per share, and to
the extent the broker-dealer is unable to do so acting as agent for a selling
stockholder, to purchase as principal any unsold shares at the price required to
fulfill the broker-dealer commitment to the selling stockholder. Broker-dealers
who acquire shares as principal may then resell those shares from time to time
in transactions
o in the over-the counter market or otherwise;
o at prices and on terms prevailing at the time of sale;
o at prices related to the then-current market price; or
o in negotiated transactions.
These resales may involve block transactions or sales to and through
other broker-dealers, including any of the transactions described above. In
connection with these sales, these broker-dealers may pay to or receive from the
purchasers of those shares commissions as described above. The selling
stockholders may also sell the shares in open market transactions under Rule 144
under the Securities Act, rather than under this prospectus.
The selling stockholders and any broker-dealers or agents that
participate with the selling stockholders in sales of the shares may be deemed
to be "underwriters" within the meaning of the Securities Act in connection with
these sales. In this event, any commissions received by these broker-dealers or
agents and any profit on the resale of the shares purchased by them may be
deemed to be underwriting commissions or discounts under the Securities Act.
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The selling stockholders may agree to indemnify any agent, dealer or
broker-dealer that participates in transactions involving sales of the shares
against certain liabilities, including liabilities arising under the Securities
Act.
The selling stockholders are subject to applicable provisions of the
Securities Exchange Act of 1934 and the SEC's rules and regulations, including
Regulation M, which provisions may limit the timing of purchases and sales of
the shares by the selling stockholders.
In order to comply with certain states' securities laws, if applicable,
the shares may be sold in those jurisdictions only through registered or
licensed brokers or dealers. In certain states the shares may not be sold unless
the shares have been registered or qualified for sale in such state, or unless
an exemption from registration or qualification is available and is obtained.
Legal Matters
Blank Rome LLP of New York, New York will pass upon the validity of the
shares of common stock being offered by this prospectus. Blank Rome LLP is the
beneficial owner and selling stockholder of 100,000 shares of iCAD's common
stock that are being offered for sale by it pursuant to this prospectus.
Experts
The financial statements and schedule of iCAD incorporated in this
prospectus by reference to iCAD's Annual Report on Form 10-K for the year ended
December 31, 2002 have been audited by BDO Seidman, LLP, independent certified
public accountants. The financial statements and schedule referred to above have
been so incorporated by reference herein in reliance upon the reports of such
firm given upon its authority as experts in accounting and auditing.
Where You Can Find More Information
We are subject to the informational requirements of the Securities
Exchange Act of 1934 and we file reports and other information with the SEC.
You may read and copy any of the reports, statements, or other
information we file with the SEC at the SEC's Public Reference Section at 450
Fifth Street, N.W., Washington, D.C. 20549 at prescribed rates. Information on
the operation of the Public Reference Room may be obtained by calling the SEC at
1-800-SEC-0330. The SEC maintains a Web site at http://www.sec.gov that contains
reports, proxy statements and other information regarding issuers that file
electronically with the SEC. The Nasdaq Stock Market maintains a Web site at
http://www.nasdaq.com that contains reports, proxy statements and other
information filed by us.
Incorporation of Certain Documents By Reference
We have filed with the SEC, Washington, D.C., a registration statement
on Form S-3 under the Securities Act of 1933, covering the securities offered by
this prospectus. This prospectus does not contain all of the information that
you can find in our registration statement and the exhibits to the registration
statement. Statements contained in this prospectus as to the contents of any
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contract or other document referred to are not necessarily complete and in each
instance such statement is qualified by reference to each such contract or
document filed or incorporated by reference as an exhibit to the registration
statement.
The SEC allows us to "incorporate by reference" the information we file
with them. This means that we can disclose important information to you by
referring you to other documents that are legally considered to be part of this
prospectus, and later information that we file with the SEC will automatically
update and supersede the information in this prospectus and the documents listed
below. We incorporate by reference the documents listed below, and any future
filings made with the SEC under Section 13(a), 13(c), 14 or 15(d) of the
Securities Exchange Act of 1934 until the selling stockholders sell all the
shares.
1. Our Annual Report on Form 10-K for the fiscal year ended December 31,
2002;
2. Our Form 10-K/A (Amendment no. 1) for the fiscal year ended December
31,2002;
3. Our Quarterly Reports on Form 10-Q for the quarters ended March 31,
2003, June 30, 2003 and September 30, 2003;
4. Our Current Report on Form 8-K filed with the SEC on September 18,
2003;
5. Our Current Report on Form 8-K filed with the SEC on November 26, 2003;
6. The description of our common stock contained in our registration
statements on Form 8-A filed with the SEC and any amendments thereto;
7. All documents filed by us pursuant to Sections 13(a), 13(c), 14 or
15(d) of the Securities Exchange Act of 1934 subsequent to the date of
this prospectus and prior to the termination of this offering, except
the Compensation Committee Report on Executive Compensation and the
performance graph included in any Proxy Statement filed by us pursuant
to Section 14 of the Exchange Act; and
8. All documents filed by us pursuant to Section 13(a), 13(c), 14 or 15(d)
of the Securities Exchange Act of 1934 subsequent to the date of the
initial filing of this registration statement and prior to the
effectiveness of this registration statement, except the Compensation
Committee Report on Executive Compensation and the performance graph
included in any Proxy Statement filed by us pursuant to Section 14 of
the Exchange Act.
You may request and we will provide a copy of these filings to you at
no cost, other than the exhibits, by writing or telephoning us at iCAD, Inc., 4
Townsend West, Suite 17, Nashua, New Hampshire 03063, telephone number (603)
882-5200.
We have not authorized anyone else to provide you with information
different from that contained or incorporated by reference in this prospectus.
This prospectus is not an offer to sell nor is it a solicitation of an offer to
buy any security in any jurisdiction where the offer or sale is not permitted.
Neither the delivery of this prospectus nor any sale made under this prospectus
shall, under any circumstances, imply that there has been no change in our
affairs since the date of this prospectus or that the information contained in
this prospectus or incorporated by reference herein is correct as of any time
subsequent to its date.
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