Document:

EX-10.1

 Exhibit 10.1 

SECOND LOAN MODIFICATION AGREEMENT 

This Second Loan Modification Agreement (this “Loan Modification Agreement”) is entered into as of August 13, 2018, by and
among (a) SILICON VALLEY BANK, a California corporation, with its principal place of business at 3003 Tasman Drive, Santa Clara, California 95054 and with a loan production office located at 275 Grove Street, Suite 2-200, Newton, Massachusetts 02466 (“Bank”) and (b)(i) ICAD, INC., a Delaware corporation (“ICAD”), (ii) XOFT, INC., a Delaware corporation (“Xoft”) and
(iii) XOFT SOLUTIONS, LLC, a Delaware limited liability company (“Xoft Solutions”, and together with ICAD and Xoft, individually and collectively, jointly and severally, “Borrower”) whose address is 98
Spit Brook Road, Suite 100, Nashua, New Hampshire 03062. 
 1. DESCRIPTION OF EXISTING INDEBTEDNESS AND OBLIGATIONS. Among other indebtedness and
obligations which may be owing by Borrower to Bank, Borrower is indebted to Bank pursuant to a loan arrangement dated as of August 7, 2017, evidenced by, among other documents, a certain Loan and Security Agreement dated as of August 7,
2017, between Borrower and Bank, as amended by a certain First Loan Modification Agreement dated as of March 22, 2018 (as amended, the “Loan Agreement”). Capitalized terms used but not otherwise defined herein shall have the same
meaning as in the Loan Agreement. 
 2. DESCRIPTION OF COLLATERAL. Repayment of the Obligations is secured by the Collateral as defined in the Loan
Agreement (together with any other agreements granting a security interest in collateral to Bank, the “Security Documents”). Hereinafter, the Security Documents, together with all other documents evidencing or securing the Obligations
shall be referred to as the “Existing Loan Documents”. 
 3. DESCRIPTION OF CHANGE IN TERMS. 

 

	 	A.	 Modifications to Loan Agreement. 

 

	 	1	 The Loan Agreement shall be amended by deleting the following text, appearing in Section 3.4(a) thereof:

 “In connection with any such notification, Borrower must promptly deliver to Bank by electronic mail or through
Bank’s online banking program such reports and information, including without limitation, sales journals, cash receipts journals, accounts receivable aging reports, as Bank may request in its reasonable discretion.” 

and inserting in lieu thereof the following: 

“In connection with any such notification, Borrower must promptly deliver to Bank by electronic mail or through Bank’s online
banking program such reports and information, including without limitation, Borrowing Base Reports, sales journals, cash receipts journals, accounts receivable aging reports, as Bank may request in its reasonable discretion.” 

 

	 	2	 The Loan Agreement shall be amended by deleting the following text, appearing in Section 6.2 thereof:

 “(a) within thirty (30) days after the end of each month, a Borrowing Base Report (and any schedules related
thereto and including any other information requested by Bank with respect to Borrower’s Accounts, including a detailed accounts receivable ledger, in a form of presentation reasonably acceptable to Bank);” 

  
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 and inserting in lieu thereof the following: 

“(a) (i) with each request for an Advance and (ii) within thirty (30) days after the end of each month, a Borrowing Base
Report (and any schedules related thereto and including any other information requested by Bank with respect to Borrower’s Accounts, including a detailed accounts receivable ledger, in a form of presentation reasonably acceptable to
Bank);” 
  

	 	3	 The Loan Agreement shall be amended by (i) deleting the “and” appearing at the end of subjection
(i), (ii) deleting the “.” appearing at the end of subsection (j) and inserting in lieu thereof “; and”, and (iii) inserting the following to appear as Section 6.2(k): 

“(k) prompt written notice of any changes to the beneficial ownership information set out in the CDD Attestation delivered to Bank on
August 13, 2018. Borrower understands and acknowledges that Bank relies on such true, accurate and up-to-date beneficial ownership information to meet Bank’s
regulatory obligations to obtain, verify and record information about the beneficial owners of its legal entity customers.” 
  

	 	4	 The Loan Agreement shall be amended by deleting the following text, appearing in Section 6.6 thereof:

 “In the event Borrower and Bank schedule an audit more than ten (10) days in advance, and Borrower cancels or
seeks to or reschedules the audit with less than ten (10) days written notice to Bank, then (without limiting any of Bank’s rights or remedies) Borrower shall pay Bank a fee of One Thousand Dollars ($1,000.00) plus any out-of-pocket expenses incurred by Bank to compensate Bank for the anticipated costs and expenses of the cancellation or rescheduling.” 

and inserting in lieu thereof the following: 

“In the event Borrower and Bank schedule an audit more than eight (8) days in advance, and Borrower cancels or seeks to or
reschedules the audit with less than eight (8) days written notice to Bank, then (without limiting any of Bank’s rights or remedies) Borrower shall pay Bank a fee of Two Thousand Dollars ($2,000.00) plus any
out-of-pocket expenses incurred by Bank to compensate Bank for the anticipated costs and expenses of the cancellation or rescheduling.” 

 

	 	5	 The Loan Agreement shall be amended by deleting the following text, appearing in Section 6.9(b) thereof:

 “(b) Eight Million Three Hundred Seventy-Three Thousand Dollars ($8,373,000.00) for the trailing six
(6) month period ending June 30, 2018; (c) Eight Million Six Hundred Forty-Eight Thousand Dollars ($8,648,000.00) for the trailing six (6) month period ending September 30, 2018; and (d) Nine Million Five Hundred Seventeen
Thousand Dollars ($9,517,000.00) for the trailing six (6) month period ending December 31, 2018.” 
 and inserting in lieu
thereof the following: 

  
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 “(b) Seven Million Five Hundred Thousand Dollars ($7,500,000.00) for the trailing six
(6) month periods ending June 30, 2018 and September 30, 2018; and (c) Eight Million Seven Hundred Fifty Thousand Dollars ($8,750,000.00) for the trailing six (6) month period ending December 31, 2018.” 

 

	 	6	 The Loan Agreement shall be amended by deleting the following text, appearing in Section 6.12(b) thereof:

 “Comply with the terms of the “Banking Terms and Conditions” and ensure that all persons utilizing the
online banking platform are duly authorized to do so by an Administrator. Bank shall be entitled to assume the authenticity, accuracy and completeness on any information, instruction or request for a Credit Extension submitted via the online banking
platform and to further assume that any submissions or requests made via the online banking platform have been duly authorized by an Administrator.” 

and inserting in lieu thereof the following: 

“Comply with the terms of Bank’s Online Banking Agreement as in effect from time to time and ensure that all persons utilizing
Bank’s online banking platform are duly authorized to do so by an Administrator. Bank shall be entitled to assume the authenticity, accuracy and completeness on any information, instruction or request for a Credit Extension submitted via
Bank’s online banking platform and to further assume that any submissions or requests made via Bank’s online banking platform have been duly authorized by an Administrator.” 

 

	 	7	 The Loan Agreement is amended by inserting the following new text, appearing at the end of Section 7.2
thereof: 

 “If Borrower intends to add any new offices or business locations, including warehouses, containing in
excess of One Hundred Thousand Dollars ($100,000.00) of Borrower’s assets or property, then Borrower will first receive the written consent of Bank, and Borrower shall use reasonable commercial efforts to cause the landlord of any such new
offices or business locations, including warehouses, to execute and deliver a landlord consent in form and substance reasonably satisfactory to Bank.” 
  

	 	8	 The Loan Agreement shall be amended by deleting the following definitions, appearing in Section 13.1
thereof: 

 ““2018 Term Loan Final Payment” is a payment (in addition to and not a substitution for
the regular monthly payments of principal plus accrued interest) due on the earliest to occur of (a) the 2018 Term Loan Maturity Date, (b) as required by Section 2.3.1(d) or 2.3.1(e), (c) the repayment of the 2018 Term Loan Advance in
full, or (d) the termination of this Agreement, in an amount equal to the original aggregate principal amount of the 2018 Term Loan Advance multiplied by eight percent (8.0%).” 

““Administrator” is an individual that is named: 

(a) as an “Administrator” in the “SVB Online Services” form completed by Borrower with the authority to
determine who will be authorized to use SVB Online Services (as defined in the “Banking Terms and Conditions”) on behalf of Borrower; and 

  
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 (b) as an Authorized Signer of Borrower in an approval by the Board.”

 ““Final Payment” is a payment (in addition to and not a substitution for the regular monthly payments of principal
plus accrued interest) due on the earliest to occur of (a) the Term Loan Maturity Date, (b) as required by Section 2.3(d) or 2.3(e), (c) the repayment of the Term Loan Advances in full, or (d) the termination of this Agreement,
in an amount equal to the original aggregate principal amount of the Term Loan Advances multiplied by eight percent (8.0%).” 

““Reserve Release Event” occurs (if ever) upon Bank’s receipt of evidence, satisfactory to Bank in its sole
discretion, that either (a) the Adjusted EBITDA Event has occurred or (b) Borrower has been in compliance with all terms and conditions of this Agreement at all times through and including September 30, 2018.” 

and inserting in lieu thereof the following: 

““2018 Term Loan Final Payment” is a payment (in addition to and not a substitution for the regular monthly payments of
principal plus accrued interest) due on the earliest to occur of (a) the 2018 Term Loan Maturity Date, (b) as required by Section 2.3.1(d) or 2.3.1(e), (c) the repayment of the 2018 Term Loan Advance in full, or (d) the
termination of this Agreement, in an amount equal to the original aggregate principal amount of the 2018 Term Loan Advance multiplied by eight and one-half of one percent (8.50%).” 

““Administrator” is an individual that is named: 

(a) as an “Administrator” in the “SVB Online Services” form completed by Borrower with the authority to
determine who will be authorized to use SVB Online Services (as defined in Bank’s Online Banking Agreement as in effect from time to time) on behalf of Borrower; and 

(b) as an Authorized Signer of Borrower in an approval by the Board.” 

““Final Payment” is a payment (in addition to and not a substitution for the regular monthly payments of principal plus
accrued interest) due on the earliest to occur of (a) the Term Loan Maturity Date, (b) as required by Section 2.3(d) or 2.3(e), (c) the repayment of the Term Loan Advances in full, or (d) the termination of this Agreement, in an
amount equal to the original aggregate principal amount of the Term Loan Advances multiplied by eight and one-half of one percent (8.50%).” 

““Reserve Release Event” occurs (if ever) upon Bank’s receipt of evidence, satisfactory to Bank in its sole
discretion, that both (a) the Reserve Adjusted EBITDA Event has occurred and (b) Borrower has been in compliance with all terms and conditions of this Agreement at all times through and including September 30, 2018.” 

  
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	 	9	 The Loan Agreement shall be amended by inserting the following new definition, appearing alphabetically in
Section 13.1 thereof: 

 ““Reserve Adjusted EBITDA Event” is Bank’s receipt of
evidence, satisfactory to Bank in its reasonable discretion, that Borrower had, for a trailing three (3) month period ending on any calendar month occurring after the First LMA Effective Date but on or prior to July 31, 2018, Adjusted
EBITDA of at least ($350,000.00).” 
  

	 	10	 The Compliance Certificate appearing as Exhibit B to the Loan Agreement is hereby deleted and
replaced with the Compliance Certificate attached as Schedule 1 hereto. 

 4. FEES AND EXPENSES. Borrower shall
reimburse Bank for all legal fees and expenses incurred in connection with this amendment to the Existing Loan Documents. 
 5. RATIFICATION OF PERFECTION
CERTIFICATES. 
 (a) ICAD hereby ratifies, confirms and reaffirms, all and singular, the terms and disclosures contained in a certain
Perfection Certificate of ICAD dated as of August 7, 2017 (the “ICAD Perfection Certificate”), and acknowledges, confirms and agrees that the disclosures and information ICAD provided to Bank in the ICAD Perfection Certificate have
not changed, as of the date hereof. 
 (b) Xoft hereby ratifies, confirms and reaffirms, all and singular, the terms and disclosures
contained in a certain Perfection Certificate of Xoft dated as of August 7, 2017 (the “Xoft Perfection Certificate”), and acknowledges, confirms and agrees that the disclosures and information Xoft provided to Bank in the Xoft
Perfection Certificate have not changed, as of the date hereof. 
 (c) Xoft Solutions hereby ratifies, confirms and reaffirms, all and
singular, the terms and disclosures contained in a certain Perfection Certificate of Xoft Solutions dated as of August 7, 2017 (the “Xoft Solutions Perfection Certificate”), and acknowledges, confirms and agrees that the disclosures
and information Xoft Solutions provided to Bank in the Xoft Solutions Perfection Certificate have not changed, as of the date hereof. 
 6. CONSISTENT
CHANGES. The Existing Loan Documents are hereby amended wherever necessary to reflect the changes described above. 
 7. RATIFICATION OF LOAN
DOCUMENTS. Borrower hereby ratifies, confirms, and reaffirms all terms and conditions of all security or other collateral granted to Bank, and confirms that the indebtedness secured thereby includes, without limitation, the Obligations. 

8. NO DEFENSES OF BORROWER. Borrower hereby acknowledges and agrees that Borrower has no offsets, defenses, claims, or counterclaims against Bank with
respect to the Obligations, or otherwise, and that if Borrower now has, or ever did have, any offsets, defenses, claims, or counterclaims against Bank, whether known or unknown, at law or in equity, all of them are hereby expressly WAIVED and
Borrower hereby RELEASES Bank from any liability thereunder. 
 9. CONTINUING VALIDITY. Borrower understands and agrees that in modifying the existing
Obligations, Bank is relying upon Borrower’s representations, warranties, and agreements, as set forth in the Existing Loan Documents. Except as expressly modified pursuant to this Loan Modification Agreement, the terms of the Existing

  
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Loan Documents remain unchanged and in full force and effect. Bank’s agreement to modifications to the existing Obligations pursuant to this Loan Modification Agreement in no way shall
obligate Bank to make any future modifications to the Obligations. Nothing in this Loan Modification Agreement shall constitute a satisfaction of the Obligations. It is the intention of Bank and Borrower to retain as liable parties all makers of
Existing Loan Documents, unless the party is expressly released by Bank in writing. No maker will be released by virtue of this Loan Modification Agreement. 

10. COUNTERSIGNATURE. This Loan Modification Agreement shall become effective only when it shall have been executed by Borrower and Bank. 

[The remainder of this page is intentionally left blank] 

  
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 This Loan Modification Agreement is executed as of the date first written above. 

 

			
	BANK:
	
	SILICON VALLEY BANK
		
	By	 	 /s/ Sam Subilia

	Name:	 	 Sam Subilia

	Title:	 	 VP

 [Signatures continue on following page] 

  
 7 

 
			
	BORROWER:
	
	ICAD, INC.
		
	By:	 	 /s/ Kenneth Ferry

	Name:	 	 Kenneth Ferry

	Title:	 	 CEO

	
	XOFT, INC.
		
	By:	 	 /s/ Kenneth Ferry

	Name:	 	 Kenneth Ferry

	Title:	 	 CEO

	
	XOFT SOLUTIONS, LLC
		
	By:	 	 /s/ Kenneth Ferry

	Name:	 	 Kenneth Ferry

	Title:	 	 CEO

  
 8 

 Schedule 1 

EXHIBIT B 

COMPLIANCE CERTIFICATE 
  

					
	 TO:
	  	 SILICON VALLEY BANK
	  	Date:
                                        

	 FROM:    
	  	 ICAD, INC., XOFT, INC. and XOFT SOLUTIONS, LLC
	  	

 The undersigned authorized officer of ICAD, INC., XOFT INC. and XOFT SOLUTIONS, LLC (individually and
collectively, jointly and severally, “Borrower”) certifies that under the terms and conditions of the Loan and Security Agreement between Borrower and Bank (the “Agreement”), (1) Borrower is in complete compliance
for the period ending                             with all required covenants except as noted below,
(2) there are no Events of Default, (3) all representations and warranties in the Agreement are true and correct in all material respects on this date except as noted below; provided, however, that such materiality qualifier
shall not be applicable to any representations and warranties that already are qualified or modified by materiality in the text thereof; and provided, further that those representations and warranties expressly referring to a specific
date shall be true, accurate and complete in all material respects as of such date, (4) Borrower, and each of its Subsidiaries has timely filed all required tax returns and reports, and Borrower has timely paid all foreign, federal, state and
local taxes, assessments, deposits and contributions owed by Borrower except as otherwise permitted pursuant to the terms of Section 5.9 of the Agreement, and (5) no Liens have been levied or claims made against Borrower, and each of its
Subsidiaries relating to unpaid employee payroll or benefits of which Borrower has not previously provided written notification to Bank. Attached are the required documents supporting the certification. The undersigned certifies that these are
prepared in accordance with GAAP consistently applied from one period to the next except as explained in an accompanying letter or footnotes. The undersigned acknowledges that no borrowings may be requested at any time or date of determination that
Borrower is not in compliance with any of the terms of the Agreement, and that compliance is determined not just at the date this certificate is delivered. Capitalized terms used but not otherwise defined herein shall have the meanings given them in
the Agreement. 
 Please indicate compliance status by circling Yes/No under “Complies” column. 

 

					
	
	 Reporting Covenants
	  	 Required
	  	 Complies

	Monthly financial statements with
Compliance Certificate	  	Monthly within 30 days	  	Yes No
			
	Form 10-Q	  	 Quarterly within 45 days (for first 3
 quarters
of a fiscal year)
	  	Yes No
			
	Form 10-K	  	 Annually within 90 days of the last
 quarter of
a fiscal year
	  	Yes No
			
	10-Q, 10-K and 8-K	  	Within 5 days after filing with SEC (if not previously delivered)	  	Yes No
			
	A/R & A/P Agings, Deferred Revenue report and Account Debtor listing	  	Monthly within 30 days	  	Yes No
			
	Borrowing Base Reports	  	(i) with each request for an Advance and (ii) monthly within 30 days	  	Yes No
			
	Board approved Projections	  	 Within the earlier of 30 days of (i) Board approval or (ii) fiscal year end, together

with any period updates
	  	Yes No

  

													
	 Streamline Period
	  	Required	 	  	Actual	 	  	Eligible	 
	 Maintain:
	  				  				  			
	 Adjusted Quick Ratio (at all times, tested monthly)
	  	 	> 1.25 : 1.0	 	  	 	        : 1.0	 	  	 	Yes     No    	 

  
 1 

													
	 Financial Covenant
	  	Required	 	 	Actual	 	  	Complies	 
	 Maintain as indicated:
	  				 				  			
	 Minimum Detection Revenue (six month period, tested quarterly)
	  	$	             	* 	 	$	             	 	  	 	Yes     No    	 
	 Adjusted EBITDA (six month period, tested quarterly)
	  	$	             	** 	 	$	 	 	  	 	Yes     No    	 

  

	*	 As set forth in Section 6.9(b) of the Agreement. 

	**	 As set forth in Section 6.9(c) of the Agreement. 

The following financial covenant analyses and information set forth in Schedule 1 attached hereto are true and accurate as of the date of this
Certificate. 
 The following are the exceptions with respect to the certification above: (If no exceptions exist, state “No exceptions
to note.”) 
  
  

 
  

 
  

							
	ICAD, INC.	 		  	BANK USE ONLY
				
	By:	 	
                    

	 		  	
Received by:                       
                                         
     
 AUTHORIZED SIGNER

	Name:	 	  
	 		  	Date:                                     
                                         
   
	Title:	 	  
	 		  	
Verified:                        
                                         
          
 AUTHORIZED SIGNER

			
	XOFT, INC.	 		  	Date:                                     
                                         
   
				
	By:	 	
                    

	 		  	Compliance Status:        Yes         No
	Name:	 	  
	 		  	
	 Title:
	 	  
	 		  	
			
	XOFT SOLUTIONS, LLC	 		  	
				
	By:	 	
                     
       
	 		  	
	Name:	 	  
	 		  	
	 Title:
	 	  
	 		  	

  
 2 

 Schedule 1 to Compliance Certificate 

Financial Covenants of Borrower 

In the event of a conflict between this Schedule and the Loan Agreement, the terms of the Loan Agreement shall govern. 

Dated:
                                     

 

	I.	 Minimum Detection Revenue (Section 6.9(b)) (six month period, tested quarterly) 

Required: Amount set forth below. 
  

					
	Six Month Period Ending	  	Minimum Detection Revenue	 
	 March 31, 2018
	  	$	8,622,000.00	 
	 June 30, 2018
	  	$	7,500,000.00	 
	 September 30, 2018
	  	$	7,500,000.00	 
	 December 31, 2018
	  	$	8,750,000.00	 

 Levels for 2019 through 2021 to be established in accordance with Section 6.9 of the Agreement. 

Actual:    
$                                     

Is the actual amount equal to or greater than the required amount above? 

                     No, not in
compliance                                        
                                         
        Yes, in compliance 
  

	II.	 Adjusted EBITDA (Section 6.9(c)) (six month period, tested quarterly) 

Required: Amount set forth below (as calculated on a consolidated basis for Borrower and its Subsidiaries). 

 

					
	Six Month Period Ending	  	Adjusted EBITDA	 
	 March 31, 2018
	  	($	4,500,000.00	) 
	 June 30, 2018
	  	($	3,750,000.00	) 
	 September 30, 2018
	  	($	1,000,000.00	) 
	 December 31, 2018
	  	$	1.00	 

 Levels for 2019 through 2021 to be established in accordance with Section 6.9 of the Agreement. 

Actual:    
$                                     

  
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	 A. Net Income
	  	$	                 	 
		
	 B. To the extent included in the determination of Net Income
	  			
			
		  	 1.  Interest Expense
	  	$	                 	 
			
		  	 2.  Taxes
	  	$	                 	 
			
		  	 3.  Depreciation
	  	$	                 	 
			
		  	 4.  Amortization
	  	$	                 	 
			
		  	 5.  Non-cash stock compensation
expense
	  	$	                 	 
			
		  	 6.  Non-cash impairment of goodwill
expense
	  	$	                 	 
			
		  	 7.  Other non-cash items approved by writing
by Bank on a case-by-case basis in its good faith business discretion
	  	$	                 	 
			
		  	 8.  The sum of lines 1 through 7
	  	$	                 	 
		
	 C. Adjusted EBITDA (line A plus line B.8)
	  	$	                 	 

 Is the actual amount equal to or greater than the required amount above? 

 

			
	
                   
  No, not in compliance
	  	
                   
  Yes, in compliance

  
 4Exhibit (10)(a)

Consent of Ernst & Young LLP, Independent Registered Public Accounting Firm

We consent to the reference to our firm under the caption "Independent Registered Public Accounting Firm" in Post-Effective Amendment No. 7 to the 1933 Act Registration Statement (Form N-4 No. 333-214143) and Amendment No. 622 to the 1940 Act Registration Statement (Form N-4 No. 811-08517), and to the use therein of our reports dated (a) March 13, 2018, with respect to the consolidated financial statements of The Lincoln National Life Insurance Company and (b) April 11, 2018, with respect to the financial statements of Lincoln Life Variable Annuity Account N for the registration of interests in a separate account under individual flexible payment deferred variable annuity contracts.

/s/ Ernst & Young LLP

Philadelphia, Pennsylvania

August 14, 2018

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