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Spectral AI (MDAI) CEO receives 16,750-share stock award and holds options

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4

Rhea-AI Filing Summary

Spectral AI, Inc. Chief Executive Officer Vincent S. Capone reported receiving an award of 16,750 shares of Common Stock at a reported price of $1.52 per share. Following this equity grant, he directly holds 186,450 Common shares.

He also reports several stock option positions over Common Stock, including incentive and non-qualified stock options with exercise prices between $1.20 and $5.54 per share, expiring between 2032 and 2035. Footnotes indicate certain options are fully vested and others vest over time or upon milestones.

Positive

  • None.

Negative

  • None.
Insider Capone Vincent S.
Role Chief Executive Officer
Type Security Shares Price Value
Grant/Award Common Stock 16,750 $1.52 $25K
holding ISO -- -- --
holding NQSO -- -- --
holding ISO -- -- --
holding NQSO -- -- --
holding ISO -- -- --
holding NQSO -- -- --
holding NQSO -- -- --
Holdings After Transaction: Common Stock — 186,450 shares (Direct); ISO — 60,955 shares (Direct); NQSO — 6,939 shares (Direct)
Footnotes (1)
  1. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at an average price of $1.52. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote. The stock options are fully vested and exercisable. 33% of the stock options vested on 4/13/2024, 33% vested on 4/13/2025, and the remainder vest on 4/13/2026. 33% of the stock options vested on 6/29/2024, 33% vested on 6/29/2025, and the remainder vest on 6/25/2026. 33% vested on 4/1/2026, and the remainder vest upon the achievement of certain milestones.
Share award 16,750 shares Common Stock award on March 27, 2026
Award price $1.52 per share Weighted average price reported for 16,750-share award
Direct holdings after award 186,450 shares Common Stock directly owned after transaction
ISO exercise price $4.47 per share Incentive stock option over 60,955 underlying shares, expiring 2032-05-06
NQSO exercise price $4.36 per share Non-qualified option over 6,939 underlying shares, expiring 2032-05-06
Long-dated NQSO $1.20 per share Non-qualified option over 75,000 underlying shares, expiring 2035-04-01
weighted average price financial
"These shares were purchased in multiple transactions at an average price of $1.52."
Weighted average price is the average price of a security where each trade or component is counted according to its size, so bigger trades pull the average more than smaller ones. Think of it like calculating the average cost of a grocery haul where items you bought more of have greater influence on the final per-item cost. Investors use it to understand the true average price paid or received, judge execution quality, and compare trading performance against market movement.
ISO financial
""ISO" with underlying security title "Common Stock" and exercise price of 4.4700."
An ISO is an incentive stock option, a form of employee benefit that lets workers buy company shares at a set price after a waiting period. It matters to investors because issuing ISOs can dilute existing shares and aligns employee incentives with long-term stock performance—think of it like giving employees coupons to buy future stock at today’s price, which can motivate growth but increase share count when used.
NQSO financial
""NQSO" with underlying security title "Common Stock" and exercise price of 1.2000."
fully vested and exercisable financial
"The stock options are fully vested and exercisable."
vested on financial
"33% of the stock options vested on 4/13/2024, 33% vested on 4/13/2025, and the remainder vest on 4/13/2026."
SEC Form 4
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
Capone Vincent S.

(Last)(First)(Middle)
2515 MCKINNEY AVENUE
SUITE 1000

(Street)
DALLAS TEXAS 75201

(City)(State)(Zip)

UNITED STATES

(Country)
2. Issuer Name and Ticker or Trading Symbol
Spectral AI, Inc. [ MDAI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director10% Owner
XOfficer (give title below)Other (specify below)
Chief Executive Officer
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
03/27/2026
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock03/27/2026A16,750A(1)$1.52186,450D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
ISO$4.47 (2)05/06/2032Common Stock60,95560,955D
NQSO$4.36 (2)05/06/2032Common Stock6,9396,939D
ISO$4.48 (3)04/13/2033Common Stock6,0146,014D
NQSO$4.48 (3)04/13/2033Common Stock12,02712,027D
ISO$5.54 (4)06/01/2033Common Stock6,4666,581D
NQSO$5.54 (4)06/01/2033Common Stock12,93213,162D
NQSO$1.2 (5)04/01/2035Common Stock75,00075,000D
Explanation of Responses:
1. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at an average price of $1.52. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
2. The stock options are fully vested and exercisable.
3. 33% of the stock options vested on 4/13/2024, 33% vested on 4/13/2025, and the remainder vest on 4/13/2026.
4. 33% of the stock options vested on 6/29/2024, 33% vested on 6/29/2025, and the remainder vest on 6/25/2026.
5. 33% vested on 4/1/2026, and the remainder vest upon the achievement of certain milestones.
/s/ Vincent S. Capone04/06/2026
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)

FAQ

What did Spectral AI (MDAI) CEO Vincent Capone report in this Form 4?

Vincent S. Capone reported receiving 16,750 shares of Spectral AI Common Stock. The award was reported at a weighted average price of $1.52 per share, increasing his direct Common Stock holdings to 186,450 shares after the transaction.

Was the Spectral AI (MDAI) CEO transaction a purchase or an award?

The Form 4 characterizes the CEO’s transaction as a grant or award acquisition. The transaction code "A" and description "Grant, award, or other acquisition" indicate equity compensation rather than an open-market purchase, even though a weighted average price of $1.52 is disclosed.

How many Spectral AI (MDAI) shares does the CEO own after this filing?

After the reported award, Vincent S. Capone directly holds 186,450 shares of Common Stock. This figure reflects his post-transaction ownership as disclosed in the Form 4 and does not include shares underlying stock options that remain unexercised.

What stock options over Spectral AI (MDAI) shares does the CEO hold?

The CEO holds several incentive and non-qualified stock options over Spectral AI Common Stock. These include positions with exercise prices of $4.47, $4.36, $4.48, $5.54, and $1.20 per share, with expirations between 2032 and 2035.

Are the Spectral AI (MDAI) CEO’s stock options vested and exercisable?

Some of the CEO’s stock options are already fully vested and exercisable. Footnotes state one option grant is fully vested, while others vest in 33% installments on specified 2024 and 2025 dates, with remaining portions vesting in 2026 or upon achieving milestones.

What is notable about the long-dated Spectral AI (MDAI) option position?

One non-qualified stock option covers 75,000 underlying shares at an exercise price of $1.20. This option over Common Stock carries an expiration date of April 1, 2035, providing a long-dated equity incentive alongside the CEO’s current shareholdings.