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Basis of Presentation and Significant Accounting Policies
6 Months Ended
Jun. 30, 2020
Accounting Policies [Abstract]  
Basis of Presentation and Significant Accounting Policies
Notes to Condensed Consolidated Financial Statements:
Note 1 – Basis of Presentation and Significant Accounting Policies
Basis of Presentation
The accompanying condensed consolidated financial statements of iCAD, Inc. and subsidiaries (“iCAD” or the “Company”) have been prepared in accordance with accounting principles generally accepted in the United States of America (“US GAAP”). In the opinion of management, these unaudited interim condensed consolidated financial statements reflect all adjustments, consisting of normal recurring adjustments, necessary for a fair presentation of the financial position of the Company at June 30, 2020, the results of operations of the Company for the three and
six-month
periods ended June 30, 2020 and 2019, cash flows of the Company for the
six-month
periods ended June 30, 2020 and 2019 and stockholders’ equity for the Company for the three and
six-month
periods ended June 30, 2020 and 2019.
Although the Company believes that the disclosures in these financial statements are adequate to make the information presented not misleading, certain information normally included in the footnotes prepared in accordance with US GAAP has been omitted as permitted by the rules and regulations of the Securities and Exchange Commission (“SEC”). The accompanying financial statements should be read in conjunction with the audited financial statements and notes thereto included in the Company’s Annual Report on Form
10-K
for the fiscal year ended December 31, 2019 filed with the SEC on March 11, 2020. The results for the three and
six-month
periods ended June 30, 2020 are not necessarily indicative of the results that may be expected for the fiscal year ending December 31, 2020, or any future period.
Segments
The Company reports the results of two segments: Cancer Detection (“Detection”) and Cancer Therapy (“Therapy”). The Detection segment consists of advanced image analysis and workflow products. The Therapy segment consists of radiation therapy (“Axxent”) products.
Risk and Uncertainty
On March 12, 2020, the World Health Organization declared
COVID-19
to be a pandemic. In an effort to contain and mitigate the spread of
COVID-19,
many countries, including the United States, Canada and China, have imposed unprecedented restrictions on travel, and there have been business closures and a substantial reduction in economic activity in countries that have had significant outbreaks of
COVID-19.
As a provider of devices and services to the health care industry, our operations have been materially affected in part due to
stay-at-home
and social distancing orders as well as uncertainty in the market. Significant uncertainty remains as to the potential impact of the
COVID-19
pandemic on our continuing operations and on the global economy as a whole. It is currently not possible to predict how long the pandemic will last or the time that it will take for economic activity to return to prior
 
levels. The
COVID-19
pandemic has resulted in significant financial market volatility and uncertainty. A continuation or worsening of the levels of market disruption and volatility seen in the recent past could have an adverse effect on our ability to access capital, on our business, results of operations and financial condition, and on the market price of our common stock.
The potential impact of the
COVID-19
pandemic on the Company’s future revenue could affect our ability to access capital in future quarters due to the covenants contained in the Company’s loan agreement with Western Alliance Bank (the “Bank”), as described in Note 4(b). Effective June 16, 2020 the loan agreement requires the Company to satisfy the minimum revenue covenant or maintain a ratio of (x) unrestricted cash at the Bank to (y) the aggregate total of indebtedness owed to the Bank, equal to or greater
 
than
1.25
to
1.00
. If at any point the Company is not in compliance with at least one of these and certain other covenants and is unable to obtain an amendment or waiver, such noncompliance may result in an event of default under the Loan and Security Agreement, which could result in acceleration of the outstanding indebtedness and require the Company to repay such indebtedness before the scheduled due date.
How
ever
,
t
he Company believes that even if an event of default were to occur, the Company’s current liquidity and capital resources are sufficient to sustain operations through at least the next 12 months, primarily due to cash on hand of $
24.2 
million and anticipated revenue and cash collections
.
Our results for the quarter ending June 30, 2020 reflect a negative impact from the
COVID-19
pandemic as the typical sales cycle and ordering patterns were still disrupted due to healthcare facilities’ additional focus on
COVID-19.
Although we do not provide guidance to investors relating to our future results of operations, our results for the quarter ending September 30, 2020, and possibly future quarters, could reflect a negative impact from the
COVID-19
pandemic for similar reasons. Depending upon the duration and severity of the pandemic, the continuing effect on our results over the long term is uncertain.
Although the Company did not see any material impact to trade accounts receivable losses in the quarter ended June 30, 2020, the Company’s exposure may increase if its customers are adversely affected by changes in healthcare laws, coverage, and reimbursement, economic pressures or uncertainty associated with local or global economic recessions, disruption associated with the current
COVID-19
pandemic, or other customer-specific factors. Although the Company has historically not experienced significant trade account receivable losses, it is possible that there could be a material adverse impact from potential adjustments of the carrying amount of trade account receivables as hospitals’ cash flows are impacted by their response to the
COVID-19
pandemic.
The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) was enacted on March 27, 2020. The Company is continuing to analyze the impact of the CARES Act on its business. For the three months ended June 30, 2020, the Company recorded a benefit of $0.3 million from the Employee Retention Credit, a component of the CARES Act. This was reflected in the Company’s statement of operations. 
Recently Adopted Accounting Pronouncements
There are no significant recently adopted accounting pronouncements. For a full list of the Company’s response to all recent accounting pronouncements please refer to Note 13 below.
Revenue Recognition
Revenue is recognized when a customer obtains control of promised goods or services. The amount of revenue recognized reflects the consideration which the Company expects to be entitled to receive in exchange for these goods or services and excludes any sales incentives or taxes collected from customers which are subsequently remitted to government authorities.
Disaggregation of Revenue
The following tables presents our revenues disaggregated by major good or service line, timing of revenue recognition, and sales channel, reconciled to our reportable segments (in thousands).
 
    
Three months ended June 30, 2020
 
    
Reportable Segments
        
    
Detection
    
Therapy
    
Total
 
Major Goods/Service Lines
        
Products
   $ 2,702     $ 575      $ 3,277  
Service contracts
     1,403       385        1,788  
Supply and source usage agreements
     —         490        490  
Other
     12       —          12  
  
 
 
   
 
 
    
 
 
 
   $ 4,117     $ 1,450      $ 5,567  
  
 
 
   
 
 
    
 
 
 
Timing of Revenue Recognition
       
Goods transferred at a point in time
   $ 2,714     $ 605      $ 3,319  
Services transferred over time
     1,403       845        2,248  
  
 
 
   
 
 
    
 
 
 
   $ 4,117     $ 1,450      $ 5,567  
  
 
 
   
 
 
    
 
 
 
Sales Channels
       
Direct sales force
   $ 2,709     $ 805      $ 3,514  
OEM partners
     1,408       —          1,408  
Channel partners
     —         645        645  
  
 
 
   
 
 
    
 
 
 
   $ 4,117     $ 1,450      $ 5,567  
  
 
 
    
 
 
    
 
 
 
    
Six months ended June 30, 2020
 
    
Reportable Segments
        
    
Detection
    
Therapy
    
Total
 
Major Goods/Service Lines
        
Products
   $  5,802      $ 1,921      $ 7,723  
Service contracts
     2,750        732        3,482  
Supply and source usage agreements
     —          861        861  
Professional services
     —          11        11  
Other
     41        —          41  
  
 
 
    
 
 
    
 
 
 
   $ 8,593      $ 3,525      $ 12,118  
  
 
 
    
 
 
    
 
 
 
Timing of Revenue Recognition
        
Goods transferred at a point in time
   $ 5,843      $ 1,988      $ 7,831  
Services transferred over time
     2,750        1,537        4,287  
  
 
 
    
 
 
    
 
 
 
   $ 8,593      $ 3,525      $ 12,118  
  
 
 
    
 
 
    
 
 
 
Sales Channels
        
Direct sales force
   $ 4,881      $ 2,274      $ 7,155  
OEM partners
     3,712        —          3,712  
Channel partners
     —          1,251        1,251  
  
 
 
    
 
 
    
 
 
 
   $ 8,593      $ 3,525      $ 12,118
  
 
  
 
 
 
  
 
 
 
  
 
 
 
    
Three months ended June 30,
 
2019
 
    
Reportable Segments
        
    
Detection
    
Therapy
    
Total
 
Major Goods/Service Lines
        
Products
   $ 3,808      $ 1,050      $ 4,858  
Service contracts
     1,354        475        1,829  
Supply and source usage agreements
     —          526        526  
Professional services
     —          8        8  
Other
     47        61        108  
  
 
 
    
 
 
    
 
 
 
   $ 5,209      $ 2,120      $ 7,329  
  
 
 
    
 
 
    
 
 
 
Timing of Revenue Recognition
        
Goods transferred at a point in time
   $ 3,808      $ 1,144      $ 4,952  
Services transferred over time
     1,401        976        2,377  
  
 
 
    
 
 
    
 
 
 
   $ 5,209      $ 2,120      $ 7,329  
  
 
 
    
 
 
    
 
 
 
Sales Channels
        
Direct sales force
   $ 2,863      $ 1,701      $ 4,564  
OEM partners
     2,346        —          2,346  
Channel partners
     —          419        419  
  
 
 
    
 
 
    
 
 
 
   $ 5,209      $ 2,120      $ 7,329  
  
 
 
    
 
 
    
 
 
 
    
Six months ended June 30, 2019
 
    
Reportable Segments
        
    
Detection
    
Therapy
    
Total
 
Major Goods/Service Lines
        
Products
   $ 6,598      $ 2,569      $ 9,167  
Service contracts
     2,676        991        3,667  
Supply and source usage agreements
     —          1,063        1,063  
Professional services
     —          41        41  
Other
     103        61        164  
  
 
 
    
 
 
    
 
 
 
  
$
 
9,377     
$
4,725     
$
14,102  
  
 
 
    
 
 
    
 
 
 
Timing of Revenue Recognition
        
Goods transferred at a point in time
   $ 6,598      $ 2,776      $ 9,374  
Services transferred over time
     2,779        1,949        4,728  
  
 
 
    
 
 
    
 
 
 
  
$
9,377     
$
4,725     
$
14,102  
  
 
 
    
 
 
    
 
 
 
Sales Channels
        
Direct sales force
   $ 4,974      $ 3,513      $ 8,487  
OEM partners
     4,403        —          4,403  
Channel partners
     —          1,212        1,212  
  
 
 
    
 
 
    
 
 
 
  
$
9,377     
$
 
4,725     
$
14,102  
  
 
 
    
 
 
    
 
 
 
Products.
Product revenue consists of sales of cancer detection products, cancer therapy systems, cancer therapy applicators (including disposable applicators) and other accessories that are typically shipped with a cancer therapy system. The Company transfers control and recognizes a sale when the product is shipped from the manufacturing or warehousing facility to the customer.
Service Contracts.
The Company sells service contracts in which it provides professional services including product installations, maintenance, training, and service repairs, and in certain cases leases equipment, to hospitals, imaging centers, radiology practices, radiation oncologists and treatment centers. These represent separate performance obligations to the Company. The Company allocates revenue to each performance obligation based on the Standalone Selling Price (“SSP”). Revenue for lease and
non-lease
components, or the entire arrangement when accounted for under ASC 606, is recognized on a straight-line basis over the term of the agreement. The service contracts range from 12 months to 48 months. The Company typically receives payment at the inception of the contract and recognizes revenue on a straight-line basis over the term of the agreement.
Supply and Source Usage Agreements.
Revenue from supply and source usage agreements is recognized on a straight-line basis over the term of the supply or source usage agreement. These agreements represent a separate performance obligation to the Company. The Company allocates revenue to each performance obligation based on the SSP. 
Professional Services.
Revenue from fixed fee service contracts is recognized on a straight-line basis over the term of the agreement. Revenue from professional service contracts entered into with customers on a time and materials basis is recognized over the term of the agreement in proportion to the costs incurred in satisfying the obligations under the contract.
Other.
Other revenue consists primarily of miscellaneous products and services. The Company transfers control and recognizes a sale when the installation services are performed or when the product is shipped from the manufacturing or warehousing facility to the customer.
Contract Balances
Contract liabilities are a component of deferred revenue, and contract assets are a component of prepaid and other current assets. The following table provides information about receivables, contract assets, and contract liabilities from contracts with customers (in thousands).
Contract balances
 
    
Balance at
June 30, 2020
 
Receivables, which are included in ‘Trade accounts receivable’
   $  6,658  
Contract assets, which are included in “Prepaid and other current assets”
     21  
Contract liabilities, which are included in “Deferred revenue”
     5,664  
Timing of revenue recognition may differ from timing of invoicing to customers. The Company records a receivable when revenue is recognized prior to receipt of cash payment and the Company has the unconditional right to such consideration, or unearned revenue when cash payments are received or due in advance of performance. For multi-year agreements, the Company generally invoices customers annually at the beginning of each annual service period.
The Company’s accounts receivable from contracts with customers, net of allowance for doubtful accounts, was $6.7 million and $9.8 million as of June 30, 2020 and December 31, 2019, respectively.
 
The Company will record a contract asset for unbilled revenue when the Company’s performance is in excess of amounts billed or billable. The Company has classified the contract asset balance as a component of prepaid expenses and other current assets as of June 30, 2020 and December 31, 2019. The contract asset balance was $21,000 as of June 30, 2020 and $14,000 as of December 31, 2019.
Deferred revenue from contracts with customers, which is included in deferred revenue in the consolidated balance sheet, is primarily composed of fees related to service arrangements, which are generally billed in advance. Deferred revenue also includes payments for installation and training that has not yet been completed and other offerings for which we have been paid in advance and earn the revenue when we transfer control of the product or service.
The balance of deferred revenue at June30, 2020 and December 31, 2019 is as follows (in thousands):
 
 
Contract liabilities
  
June 30, 2020
    
December 31, 2019
 
Short term
   $  5,466      $  5,248  
Long term
     198        356  
  
 
 
    
 
 
 
Total
   $ 5,664      $ 5,604  
  
 
 
    
 
 
 
Changes in deferred revenue from contracts with customers were as follows (in thousands):
 
    
Six Months Ended
 
    
June 30, 2020
 
Balance at beginning of period
   $ 5,604  
Deferral of revenue
     5,078  
Recognition of deferred revenue
     (5,018
  
 
 
 
Balance at end of period
   $ 5,664  
  
 
 
 
We expect to recognize approximately $4.5 million of the deferred amount in 2020, $1.0 million in 2021, and $0.2 million thereafter.