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Spectral AI Inc Financials

MDAIW
Trailing 12 months to June 30, 2026
Revenue $15.4M -44.1% YoY
Net Income -$10.1M +28.8% YoY
EPS (Diluted) -$0.32 YoY not available
Free Cash Flow Not reported for the trailing 12 months
Source SEC Filings (10-K/10-Q) Latest period Q2 FY2026, ended Jun 30, 2026 Reported Currency USD FYE December

Spectral AI Inc (MDAIW) reported $15.4M in revenue over the twelve months to Jun 30, 2026, down 44.1% from the prior twelve months. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 5 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Rhea AI MDAIW FY2025

External financing carries a structurally loss-making operation while falling volume pressures cost absorption despite stable gross economics.

FY2025 revenue fell to $19.7M while gross margin rose to 45.4%, separating sales volume from per-unit gross economics. Yet operating margin reached -43.8%; the pattern indicates volume and overhead absorption pressure rather than a gross-margin collapse.

In FY2025, operating cash flow was -$9.9M while financing cash flow supplied $20.1M; the funding pattern indicates operations were not self-financing and depended on capital raised during the year. The current ratio improved but remained below 1.0x, leaving short-term obligations larger than short-term assets and limiting balance-sheet flexibility.

Net loss narrowed to $7.6M even as operating loss widened to $8.6M, so the bottom-line improvement did not come from the core operating result. With gross profit of $8.9M against SG&A of $17.5M, overhead remained the larger operating burden, while liabilities exceeded assets and left negative equity.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Cash Runway Dilution R&DIntensity Revenue Progress BurnTrend BalanceSheet 36 / 100
Financial Health Score 36/100
Scored as: Emerging companies peer group

Scored against emerging companies for FY2025. Each of the six dimensions is a percentile rank within that peer group; the overall is their average, with missing dimensions counted as zero out of six. A high score means strong standing among peers, not absolute cross-industry strength. How this score is calculated →

Health score ≠ stock price. This rates the quality of Spectral AI Inc's business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.

Cash Runway
42
Dilution
21
R&D Intensity
0

Not available for Spectral AI Inc, and counted as zero in the overall score.

Revenue Progress
54
Burn Trend
55
Balance Sheet
46
Piotroski F-Score Weak
3/9

Spectral AI Inc passes 3 of 9 financial strength tests. 1 of 4 profitability signals pass, 1 of 3 leverage/liquidity signals pass, 1 of 2 efficiency signals pass.

Earnings Quality No Cash Backing
N/A

Spectral AI Inc reported a net loss of $7.6M while operations used $9.9M of cash. With neither figure positive, the ratio between the two carries no quality signal.

Interest Coverage At Risk
N/A

Spectral AI Inc reported an operating loss of $8.6M against $1.0M in interest expense. There is no operating profit to cover interest, so interest must be met from cash reserves or from financing rather than from operations.

Key Financial Metrics

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Earnings & Revenue

Revenue
$19.6M
YoY-33.6%

Spectral AI Inc generated $19.6M in revenue in fiscal year 2025. This represents a decrease of 33.6% from the prior year.

EBITDA
-$8.5M
YoY-29.8%

Spectral AI Inc's EBITDA was -$8.5M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents a decrease of 29.8% from the prior year.

Net Income
-$7.6M
YoY+50.1%

Spectral AI Inc reported -$7.6M in net income in fiscal year 2025. This represents an increase of 50.1% from the prior year.

EPS (Diluted)
-$0.29
YoY+65.9%

Spectral AI Inc earned -$0.29 per diluted share (EPS) in fiscal year 2025. This represents an increase of 65.9% from the prior year.

Cash & Balance Sheet

Cash & Debt
$15.4M
YoY+196.2%

Spectral AI Inc held $15.4M in cash against $5.5M in long-term debt as of fiscal year 2025.

Shares Outstanding
32M
YoY+25.7%

Spectral AI Inc had 32M shares outstanding in fiscal year 2025. This represents an increase of 25.7% from the prior year.

Free Cash Flow

Not reported for fiscal year 2025.

Dividends Per Share

Not reported for fiscal year 2025.

Margins & Returns

Gross Margin
45.4%
YoY+0.6pp

Spectral AI Inc's gross margin was 45.4% in fiscal year 2025, indicating the percentage of revenue retained after direct costs. This is up 0.6 percentage points from the prior year.

Operating Margin
-43.8%
YoY-21.5pp

Spectral AI Inc's operating margin was -43.8% in fiscal year 2025, reflecting core business profitability. This is down 21.5 percentage points from the prior year.

Net Margin
-38.5%
YoY+12.7pp

Spectral AI Inc's net profit margin was -38.5% in fiscal year 2025, showing the share of revenue converted to profit. This is up 12.7 percentage points from the prior year.

Return on Equity

Not reported for fiscal year 2025.

Capital Allocation

None of these metrics is reported for fiscal year 2025.

MDAIW Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

MDAIW quarterly income statement
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Revenue$3.5M-11.7%$4.0M-2.3%$4.1M+7.8%$3.8M-25.1%$5.1M-24.5%$6.7M-11.8%$7.6M-7.0%$8.2M
Cost of Revenue$2.4M+22.8%$2.0M-12.3%$2.2M+3.2%$2.2M-21.8%$2.8M-21.6%$3.5M-16.8%$4.3M-5.5%$4.5M
Gross Profit$1.1M-45.1%$2.0M+9.8%$1.8M+13.9%$1.6M-29.2%$2.3M-27.7%$3.2M-5.4%$3.3M-8.7%$3.7M
R&D Expenses$1.7M-15.2%$2.0MN/AN/A$1.5M-59.5%$3.6MN/AN/A
SG&A Expenses$3.1M-22.8%$4.0M-32.1%$5.9M+18.6%$5.0M+89.7%$2.6M-35.6%$4.1M-8.9%$4.5M-2.1%$4.6M
Operating Income-$4.3M-119.4%-$2.0M+12.1%-$2.2M+32.9%-$3.3M-57.4%-$2.1M-136.9%-$896K+19.4%-$1.1M-25.4%-$886K
Interest Expense$378K+46.5%$258K+161.4%-$420K-240.0%$300K+150.0%$120K-88.0%$1.0MN/A$8K
Income Tax$170K+1800.0%-$10K+76.7%-$43K-2250.0%$2K+110.5%-$19K-126.8%$71K+607.1%-$14K-137.8%$37K
Net Income-$4.2M-22.4%-$3.4M-424.3%$1.1M+129.6%-$3.6M+55.4%-$8.0M-375.0%$2.9M+138.2%-$7.6M-404.3%-$1.5M
EPS (Diluted)-$0.13-18.2%-$0.11-320.0%$0.05+138.5%-$0.13+58.1%-$0.31-381.8%$0.11+126.8%-$0.41-412.5%-$0.08

MDAIW Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

MDAIW quarterly balance sheet
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Total Assets$19.4M+9.6%$17.7M-17.2%$21.4M+39.9%$15.3M-4.4%$16.0M-22.7%$20.7M+71.3%$12.1M+4.2%$11.6M
Current Assets$17.8M+11.3%$16.0M-17.8%$19.5M+44.5%$13.5M-3.8%$14.0M-25.2%$18.7M+85.0%$10.1M+6.6%$9.5M
Cash & Equivalents$14.0M+19.7%$11.7M-24.0%$15.4M+46.7%$10.5M0.0%$10.5M-25.5%$14.1M+171.2%$5.2M+40.5%$3.7M
Inventory$815K-1.9%$831K-0.8%$838K+84.6%$454K-1.7%$462K+5.7%$437K+2.8%$425K-4.1%$443K
Accounts Receivable$1.2M-0.3%$1.2M-6.5%$1.3M+28.0%$990K-32.5%$1.5M-30.2%$2.1M-16.0%$2.5M-11.6%$2.8M
Total Liabilities$31.5M+18.6%$26.5M-2.2%$27.1M+15.4%$23.5M-6.6%$25.2M+12.6%$22.3M+15.5%$19.3M+21.4%$15.9M
Current Liabilities$19.9M-6.6%$21.3M+3.1%$20.6M+30.8%$15.8M-2.6%$16.2M+21.6%$13.3M-24.6%$17.6M+35.0%$13.1M
Long-Term Debt$11.1M+145.6%$4.5M-18.7%$5.5M-15.8%$6.6M-13.8%$7.6M+1.6%$7.5M+169.5%$2.8M+178.7%$1.0M
Total Equity-$12.1M-36.8%-$8.8M-53.8%-$5.7M+30.2%-$8.2M+10.4%-$9.2M-462.8%-$1.6M+77.6%-$7.3M-51.8%-$4.8M
Retained Earnings-$63.4M-7.1%-$59.2M-6.1%-$55.8M+1.9%-$56.9M-6.7%-$53.3M-17.6%-$45.3M+6.0%-$48.2M-19.5%-$40.4M

Not reported in any period shown, so not listed: Goodwill.

MDAIW Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.

MDAIW quarterly cash flow statement
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Operating Cash Flow-$4.1M-9.9%-$3.7M-46.1%-$2.6M-2.0%-$2.5M+25.6%-$3.4M-123.4%-$1.5M-420.9%$469K+128.8%-$1.6M
Financing Cash Flow$6.4M+642400.0%-$1K-100.0%$7.5M+199.8%$2.5M+1300.5%-$207K-102.0%$10.4M+931.0%$1.0M+164.5%-$1.6M

Not reported in any period shown, so not listed: Capital Expenditures, Free Cash Flow, Investing Cash Flow, Dividends Paid, Share Buybacks.

MDAIW Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples.

MDAIW quarterly financial ratios
MetricQ2'26Q1'26Q4'25Q3'25Q2'25Q1'25Q4'24Q3'24
Gross Margin31.6%-19.2pp50.8%+5.6pp45.2%+2.4pp42.8%-2.5pp45.2%-2.0pp47.2%+3.2pp44.0%-0.8pp44.9%
Operating Margin-122.7%-49.4%+5.5pp-54.9%+33.2pp-88.1%-46.2pp-41.9%-28.6pp-13.4%+1.3pp-14.6%-3.8pp-10.8%
Net Margin-118.5%-85.5%-111.2pp25.8%+119.4pp-93.7%-157.3%43.2%+142.9pp-99.8%-81.4pp-18.4%
Return on Assets-21.5%-2.3pp-19.2%-24.1pp4.9%+28.1pp-23.2%+26.5pp-49.8%-63.7pp14.0%+76.7pp-62.7%-49.8pp-13.0%
Current Ratio0.90+0.1x0.75-0.2x0.94+0.1x0.850.0x0.86-0.5x1.41+0.8x0.57-0.2x0.73

Not reported in any period shown, so not listed: Return on Equity, Debt-to-Equity, FCF Margin.

Reported as filed but not readable as a share of revenue in the periods where the ratio runs further from zero than a revenue base allows; no change figure is given where either compared period is one of those: Operating Margin, Net Margin.

Note: Shareholder equity is negative (-$5.7M), which causes debt-to-equity and return on equity ratios to appear negative or not meaningful. This can occur from accumulated losses or large share buyback programs.

Note: The current ratio is below 1.0 (0.94), indicating current liabilities exceed current assets, which may suggest potential short-term liquidity concerns.

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Frequently Asked Questions

What is Spectral AI Inc's annual revenue?

Spectral AI Inc (MDAIW) reported $19.6M in total revenue for fiscal year 2025. This represents a -33.6% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

How fast is Spectral AI Inc's revenue growing?

Spectral AI Inc (MDAIW) revenue declined by 33.6% year-over-year, from $29.6M to $19.6M in fiscal year 2025.

Is Spectral AI Inc profitable?

No, Spectral AI Inc (MDAIW) reported a net income of -$7.6M in fiscal year 2025, with a net profit margin of -38.5%.

Spectral AI Inc (MDAIW) reported diluted earnings per share of -$0.29 for fiscal year 2025. This represents a 65.9% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

Spectral AI Inc (MDAIW) had EBITDA of -$8.5M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

As of fiscal year 2025, Spectral AI Inc (MDAIW) had $15.4M in cash and equivalents against $5.5M in long-term debt.

Spectral AI Inc (MDAIW) had a gross margin of 45.4% in fiscal year 2025, indicating the percentage of revenue retained after direct costs of goods sold.

Spectral AI Inc (MDAIW) had an operating margin of -43.8% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

Spectral AI Inc (MDAIW) had a net profit margin of -38.5% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

Spectral AI Inc (MDAIW) recorded an outflow of $9.9M in operating cash flow during fiscal year 2025, representing cash used by core business activities.

Spectral AI Inc (MDAIW) had $21.4M in total assets as of fiscal year 2025, including both current and long-term assets.

Spectral AI Inc (MDAIW) had 32M shares outstanding as of fiscal year 2025.

Spectral AI Inc (MDAIW) had a current ratio of 0.94 as of fiscal year 2025, which is below 1.0, which may suggest potential liquidity concerns.

Spectral AI Inc (MDAIW) had a return on assets of -35.4% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

Spectral AI Inc (MDAIW) has negative shareholder equity of -$5.7M as of fiscal year 2025, so no debt-to-equity ratio is reported: dividing debt by equity that is not positive produces a number that cannot be read as leverage. This can occur when accumulated losses exceed invested capital, or after large share buyback programs. Other solvency metrics like the current ratio or interest coverage may be more informative.

Spectral AI Inc (MDAIW) has a Piotroski F-Score of 3 out of 9, indicating weak financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Spectral AI Inc (MDAIW) reported a net loss of $7.6M while operations used $9.9M of cash. With neither figure positive, the ratio between the two carries no quality signal. This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

Spectral AI Inc (MDAIW) reported an operating loss of $8.6M against $1.0M in interest expense. There is no operating profit to cover interest, so interest must be met from cash reserves or from financing rather than from operations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.

Spectral AI Inc (MDAIW) scores 36 out of 100 on our Financial Health Score, indicating weak standing within its emerging companies peer group. The score is a 0-100 composite of six dimensions (Cash Runway, Dilution, R&D Intensity, Revenue Progress, Burn Trend, Balance Sheet), each ranked as a percentile relative to companies in the same scoring family (banks against banks, REITs against REITs, and so on) rather than across all industries. It rates the quality of the business, not whether the stock is fairly priced, and is not financial advice. Learn more in our complete guide to financial health indicators.

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