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Spectral AI, Inc. (MDAI)

Spectral AI, Inc. brought in $15.4M of revenue over the twelve months to June 30, 2026, down 44.1% from a year earlier. It posted a net loss of $10.1M. At June 30, 2026 it held $14M in cash against $11.1M of debt. Its latest periodic report to the SEC is the quarterly report (10-Q) filed on August 11, 2026.

Free, no password. An email when MDAI files with the SEC.

Price
$1.53
+2.69% on the day · November 9, 2026
52-week range $1.18 to $2.97
Market cap
$49.2M
Revenue (last 12 months)
$15.4M
-44.1% year on year
Net margin
-65.5%

Key facts about Spectral AI, Inc.

Net worth
Spectral AI, Inc. has a market value (market cap) of $49.2M at the latest share price, and shareholders' equity of -$12.1M on its balance sheet at June 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.
Revenue and profit
In fiscal 2025 revenue was $19.7M (-33.6% year on year), with a net loss of $7.6M. Over the 12 months to June 30, 2026: revenue $15.4M, net loss $10.1M.
Cash flow
In fiscal 2025 operations used $9.9M of cash.
Latest report
The latest periodic report (quarterly report, 10-Q) was filed with the SEC on August 11, 2026 and covers the period to June 30, 2026. Open on SEC EDGAR
Next earnings report
Spectral AI, Inc.'s next report is expected around March 24, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

What Spectral AI, Inc. does

Spectral AI, Inc. is registered with the SEC under industry code SIC 3841 (Surgical & Medical Instruments & Apparatus). Its shares trade on NASDAQ under the ticker MDAI.

Revenue and profit by year

Revenue
FY22: $25.4M $25.4M FY22FY23: $18.1M $18.1M FY23FY24: $29.6M $29.6M FY24FY25: $19.7M $19.7M FY25
Net income
FY21: -$2.1M -$2.1M FY21FY22: -$2.9M -$2.9M FY22FY23: -$20.9M -$20.9M FY23FY24: -$15.2M -$15.2M FY24FY25: -$7.6M -$7.6M FY25

Fiscal years as reported in annual reports. Amounts in USD.

Key figures

Fiscal yearRevenueOperating incomeNet incomeDiluted EPSFree cash flow
2025$19.7M-$8.6M-$7.6M-$0.29n/a
2024$29.6M-$6.6M-$15.2M-$0.85n/a
2023$18.1M-$13M-$20.9M-$1.48n/a
2022$25.4M-$2.6M-$2.9M-$0.22n/a
2021n/a-$3.4M-$2.1Mn/an/a

Earnings: every quarter and the next report date

Full financial statements: income, balance sheet and cash flow

Next report expected around March 24, 2027.

Estimated from its filing rhythm: 52 weeks after its report of March 25, 2026. Not a date the company has announced. See the report calendar · Earnings, quarter by quarter

Where MDAI ranks in Health care

Revenue$19.7M
#475 of 751 in Health care · Bottom 37%
Revenue growth-33.6%
#508 of 532 in Health care · Bottom 5%
Net margin-38.5%
#377 of 544 in Health care · Bottom 31%

Latest fiscal year of every company in the sector with the figure reported. Revenue is ranked among companies reporting in US dollars; growth and margins among companies with at least 10 million of revenue. Health care

Latest SEC filings

What Spectral AI, Inc. has filed recently, newest first. Each links to the original document on SEC EDGAR.

  1. September 15, 2026
  2. August 14, 2026
  3. August 12, 2026
  4. August 11, 2026
    Quarterly report 10-Q · period to June 30, 2026Revenue fell 30% to $3.5M versus the same quarter last year; diluted EPS -$0.13 versus -$0.31.
  5. July 8, 2026
  6. June 1, 2026
  7. May 26, 2026
  8. May 13, 2026
    Quarterly report 10-Q · period to March 31, 2026Revenue fell 40% to $4M versus the same quarter last year; diluted EPS -$0.11 versus $0.11.
  9. May 8, 2026
  10. April 22, 2026

Recent insider filings (Forms 3, 4 and 144): 10, the latest on September 29, 2026. Insider transactions on SEC

Insider trades

What the people running Spectral AI, Inc. did with its shares, from the Form 4 filings they must send the SEC within two business days.

No insider bought or sold shares on the open market in the last 90 days. The 7 reported changes were pay in shares, option exercises, shares withheld for tax or gifts.

Bought (open market)
$0
last 90 days
Sold
$0
last 90 days
DateInsiderWhatSharesPriceValueFiling
September 28, 2026 DiMaio John MichaelDirector Received as pay 32,000 $1.62 $51.8K Form 4
September 23, 2026 DiMaio John MichaelDirector Received as pay 60,000 $1.67 $100.2K Form 4
September 21, 2026 DiMaio John MichaelDirector Received as pay 21,012 $1.69 $35.5K Form 4
September 18, 2026 DiMaio John MichaelDirector Received as pay 10,988 $1.61 $17.7K Form 4
September 11, 2026 DiMaio John MichaelDirector Received as pay 22,000 $1.59 $35K Form 4
September 10, 2026 DiMaio John MichaelDirector Received as pay 10,000 $1.56 $15.6K Form 4
August 13, 2026 DiMaio John MichaelDirector Received as pay 35,000 $1.64 $57.4K Form 4
June 29, 2026 DiMaio John MichaelDirector Received as pay 15,000 $1.73 $26K Form 4

All insider filings on SEC.gov · Where insiders are buying across the market

Who owns MDAI

Three views from three kinds of SEC filings, each with its own date. They overlap and are not added up.

5% holders

Anyone who owns more than 5% of a class of shares must say so on Schedule 13D (if they may seek to influence the company) or 13G (a passive holder). The latest filing of each holder is shown: 13G filings of the last 2 years, 13D of the last 3.

HolderOf classSharesFiled
John Michael DiMaio13D, may seek influence 15.3% 2,485,908 February 27, 2024
LMR Partners LLP13G, passive with 7 related filers 6.2% 2,106,358 August 14, 2026

Latest filings below 5%: Hudson Bay Capital Management LP 4.99% (May 8, 2026); Erich Spangenberg 2.4% (March 18, 2026); Laurence E. Hirsch 3.5% (August 14, 2025).

Largest institutional holders

Positions that investment managers reported on Form 13F for the quarter ended June 30, 2026, largest first, with the change on the quarter ended March 31, 2026. Managers file 13F up to 45 days after a quarter ends. 34 managers reported a position.

HolderSharesValueChange on quarter
Vanguard Capital Management LLC994,410$1.7M+268,120
Highlander Partners, L.P.900,000$1.6M0
Marshall Wace, Llp827,454$1.4Mnew
Bridgeway Capital Management, LLC287,000$496.5K+88,000
Jane Street Group, LLC226,319$391.5K+5,318
UBS Group AG225,823$390.7K+112,803
Geode Capital Management, LLC222,595$385.2K-78,612
BlackRock, Inc.161,777$279.9K+39,523
LPL Financial LLC160,701$278Knew
Vanguard Fiduciary Trust Co142,664$246.8K+868
University of Texas/texas AM Investment Management Co121,711$210.6K-88,777
Rathbones Group PLC87,045$150.6K-87,045
State Street Corp75,600$130.8K0
Forum Financial Management, LP60,501$104.7K0
Northern Trust Corp50,547$87.4K+18,449
XTX Topco Ltd32,927$57K+5,839
N.E.W. Advisory Services LLC20,010$34.6K+6,010
Jpmorgan Chase & Co20,259$34.2Knew
StoneX Group Inc.15,343$31.6Knew
Royal Bank of Canada15,452$27Knew

Insiders

Reported holdings of insiders who filed a Form 4 in the last 12 months: the shares each one held after their latest reported transaction. This is not the total held by all insiders.

5 insiders reported holding 3,370,774 shares in total, about $5.2M at the last price.

HolderSharesAs of
DiMaio John MichaelDirector 2,922,847 September 28, 2026
Capone Vincent S.Chief Executive Officer 286,450 April 24, 2026
Cotton Richard JohnDirector 111,477 May 18, 2026
Sadagopan DeepakDirector 25,000 April 24, 2026
Snyder Marion AnnDirector 25,000 April 24, 2026

Schedule 13D/13G filings on SEC.gov

All filings on SEC EDGAR

Questions about MDAI

What does Spectral AI, Inc. do?

Spectral AI, Inc. is a company in the Health care sector, listed on NASDAQ as MDAI. Its shares trade on NASDAQ under the ticker MDAI.

What is Spectral AI, Inc.'s net worth?

Spectral AI, Inc. has a market value (market cap) of $49.2M at the latest share price, and shareholders' equity of -$12.1M on its balance sheet at June 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.

Is Spectral AI, Inc. profitable?

No. Over the twelve months to June 30, 2026 it reported a net loss of $10.1M on revenue of $15.4M.

How much revenue does Spectral AI, Inc. make?

Over the twelve months to June 30, 2026 Spectral AI, Inc. reported revenue of $15.4M. That is 44.1% less than a year earlier.

When did Spectral AI, Inc. last report?

Its most recent periodic report is the quarterly report (10-Q) filed on August 11, 2026. It covers the period to June 30, 2026. Its newest filing of any kind is the insider trade from September 29, 2026.

When is Spectral AI, Inc.'s next earnings report?

Spectral AI, Inc.'s next report is expected around March 24, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

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Where the numbers come from

Financial figures are the values Spectral AI, Inc. tagged in its own SEC filings (XBRL), taken from the latest filing for each period, so restatements replace older figures. Revenue, profit and cash flow are for full fiscal years unless marked as the last twelve months, which is the sum of the four most recent quarters. Where a company reports only the full year, the fourth quarter is the year minus the first three.

Prices are delayed end-of-day market data in the listing currency, and market cap moves with the price. P/E is shown only when earnings per share are positive. Nothing here is investment advice.