STOCK TITAN

Spectral AI (MDAI) director gets 7,619-share award and holds options

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

Rhea-AI Filing Summary

Spectral AI, Inc. director John Michael DiMaio reported a stock award of 7,619 shares of Common Stock at $1.58 per share. After this grant, he directly owns 2,511,227 common shares. The award is classified as a grant or other acquisition rather than an open-market purchase.

He also holds incentive stock options and non-qualified stock options over additional Common Stock. Two ISO grants cover 5,292 and 20,352 underlying shares at an exercise price of $1.67, expiring in 2034, and one NQSO grant covers 250,000 underlying shares at $1.25, expiring in 2035. Footnotes state that some options are already fully vested and others vest monthly or upon achieving specified milestones.

Positive

  • None.

Negative

  • None.
Insider DiMaio John Michael
Role Director
Type Security Shares Price Value
Grant/Award Common Stock 7,619 $1.58 $12K
holding ISO -- -- --
holding ISO -- -- --
holding NQSO -- -- --
Holdings After Transaction: Common Stock — 2,511,227 shares (Direct); ISO — 5,292 shares (Direct); NQSO — 250,000 shares (Direct)
Footnotes (1)
  1. The price reported in Column 4 is a weighted average price. The shares were purchased in multiple transactions. The Reporting Person undertakes to provide to the Issuer, any security holder of 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. 100% of the stock options vested on the date of issuance. 100% of the stock options were vested as if the date hereof. 100,000 of the stock options vest monthly over a 12-month period beginning on April 23, 2025. The remaining 150,000 stock options vest upon the achievement of certain milestones.
Stock award 7,619 shares Common Stock grant at $1.58 on March 27, 2026
Award price $1.58 per share Price for 7,619-share Common Stock grant
Shares held after grant 2,511,227 shares Total direct Common Stock holdings after transaction
ISO positions 5,292 & 20,352 shares at $1.67 Incentive stock options, expire May 15, 2034
NQSO position 250,000 shares at $1.25 Non-qualified stock options, expire April 23, 2035
ISO financial
"ISO grants reference underlying Common Stock and an exercise price of $1.67."
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 represents non-qualified stock options over 250,000 underlying shares."
weighted average price financial
"A footnote explains the price in Column 4 as a weighted average price."
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.
stock options financial
"Footnotes describe how 100% of the stock options vested or will vest over time."
Stock options are agreements that give a person the right to buy or sell a company's stock at a specific price within a certain time frame. They are often used as a reward or incentive, similar to a coupon that can be used later if the stock price rises, allowing the holder to make a profit.
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*
DiMaio John Michael

(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)
XDirector10% Owner
Officer (give title below)Other (specify below)
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 Stock03/27/2026A7,619A$1.58(1)2,511,227D
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$1.67 (2)05/15/2034Common Stock5,2925,292D
ISO$1.67 (3)05/15/2034Common Stock20,35220,352D
NQSO$1.25 (4)04/23/2035Common Stock250,000250,000D
Explanation of Responses:
1. The price reported in Column 4 is a weighted average price. The shares were purchased in multiple transactions. The Reporting Person undertakes to provide to the Issuer, any security holder of 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. 100% of the stock options vested on the date of issuance.
3. 100% of the stock options were vested as if the date hereof.
4. 100,000 of the stock options vest monthly over a 12-month period beginning on April 23, 2025. The remaining 150,000 stock options vest upon the achievement of certain milestones.
/s/ John Michael DiMaio04/07/2026
** 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 insider transaction did John Michael DiMaio report at Spectral AI (MDAI)?

John Michael DiMaio, a director of Spectral AI, reported receiving a grant of 7,619 shares of Common Stock at $1.58 per share. The filing classifies this as a grant or award acquisition, not an open-market purchase or sale transaction.

How many Spectral AI (MDAI) shares does John Michael DiMaio hold after this Form 4?

Following the reported stock award, John Michael DiMaio directly holds 2,511,227 shares of Spectral AI Common Stock. This figure reflects his position after the 7,619-share grant disclosed in the Form 4 filing for the March 27, 2026 transaction date.

What option positions does John Michael DiMaio report in Spectral AI (MDAI)?

He reports incentive stock options over 5,292 and 20,352 underlying Spectral AI shares at a $1.67 exercise price, expiring in 2034, and non-qualified stock options over 250,000 underlying shares at a $1.25 exercise price, expiring in 2035, all held directly.

Are John Michael DiMaio’s Spectral AI option grants vested according to the Form 4?

Footnotes state that certain stock options are 100% vested as of the filing date, while 100,000 of the NQSO grant vest monthly over 12 months beginning April 23, 2025. The remaining 150,000 NQSO shares vest upon achievement of specified milestones.

Was the 7,619-share Spectral AI transaction an open-market buy or a grant?

The 7,619-share transaction is coded as an “A” entry, described as a grant, award, or other acquisition. It represents a stock award at $1.58 per share, rather than an open-market purchase by director John Michael DiMaio on the transaction date.

Does the Spectral AI (MDAI) Form 4 mention a weighted average price?

A footnote explains that the price reported in Column 4 is a weighted average price for shares purchased in multiple transactions. It also notes that detailed price breakdowns will be provided to the issuer, security holders, or regulators upon request.