STOCK TITAN

Spectral AI (NASDAQ: MDAI) director granted additional common shares and options

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

Rhea-AI Filing Summary

Spectral AI, Inc. director Richard John Cotton reported stock-based compensation awards. He received grants of 8,818 shares of common stock at $2.40 per share and 5,882 shares at $2.33 per share, increasing his directly held common shares to 111,477.

The filing also lists existing equity awards, including non-qualified and incentive stock options and restricted stock units tied to common stock, with exercise prices between $1.25 and $1.84 per share and expirations between 2034 and 2036.

Positive

  • None.

Negative

  • None.
Insider Cotton Richard John
Role null
Type Security Shares Price Value
Grant/Award Common Stock 8,818 $2.40 $21K
Grant/Award Common Stock 5,882 $2.33 $14K
holding Restricted Stock Unit -- -- --
holding ISO -- -- --
holding ISO -- -- --
holding NQSO -- -- --
Holdings After Transaction: Common Stock — 111,477 shares (Direct, null); Restricted Stock Unit — 25,000 shares (Direct, null); ISO — 31,460 shares (Direct, null); NQSO — 75,000 shares (Direct, null)
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 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. 50% of the RSUs vested on April 20, 2026. 50% of the RSUs will vest on April 1, 2027. 100% of the stock options vested on the date of issuance. 100% of the stock options were vested as of the date hereof. 25,000 of the stock options were vested as of the date hereof. The remaining 50,000 stock options vest upon the achievement of certain milestones.
Common stock grant 8,818 shares at $2.40/share Award of common stock to director
Common stock grant 5,882 shares at $2.33/share Additional award of common stock to director
Common shares held 111,477 shares Direct common stock holdings after reported grants
NQSO position 75,000 underlying shares at $1.25 Non-qualified stock options expiring 2035-04-23
ISO position 27,136 underlying shares at $1.67 Incentive stock options expiring 2034-05-15
RSU underlying shares 25,000 shares at $1.84 Restricted Stock Units expiring 2036-04-20
Non-qualified stock option financial
"The filing also lists existing equity awards, including non-qualified and incentive stock options and restricted stock units tied to common stock"
A non-qualified stock option (NSO) is a contract that lets an employee or service provider buy company shares at a fixed price for a set period, like a voucher to purchase stock later at today’s price. It matters to investors because exercising NSOs creates ordinary income for the holder and can increase share count, affecting a company’s earnings and ownership mix; think of it as a future sale that can dilute existing shareholders and has immediate tax consequences for the recipient.
Incentive stock option financial
"The filing also lists existing equity awards, including non-qualified and incentive stock options and restricted stock units tied to common stock"
An incentive stock option is a type of employee benefit that gives a worker the right to buy company shares at a fixed price, with special tax advantages if the employee holds the shares for a required period. Think of it as a coupon to buy future shares at today’s price that can result in lower tax on the gain. Investors care because ISOs can dilute share count, align staff incentives with the stock price, and affect company compensation costs and the timing of potential share sales.
Restricted Stock Unit financial
"The filing shows restricted stock units tied to 25,000 underlying Spectral AI common shares at an exercise price of $1.84"
A restricted stock unit is a promise from a company to give an employee shares of stock after certain conditions are met, like staying with the company for a set amount of time. It’s like earning a bonus that turns into company stock once you’ve proven your commitment, making it a way to motivate and reward employees.
weighted average price financial
"The price reported in Column 4 is 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.
vested financial
"50% of the RSUs vested on April 20, 2026. 50% of the RSUs will vest on April 1, 2027"
milestones financial
"The remaining 50,000 stock options vest upon the achievement of certain milestones"
Milestones are specific, measurable progress points a company aims to reach during a project—like completing a clinical trial step, securing a regulatory approval, or hitting a sales target. They matter to investors because each checkpoint reduces uncertainty about the business plan, can trigger payments or changes in valuation, and often signals whether future revenue or growth is likely, similar to passing checkpoints on a racecourse that show how close you are to the finish line.
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*
Cotton Richard John

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

(Street)
DALLAS75201

(City)(State)(Zip)

SWITZERLAND

(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)
05/15/2026
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 Stock05/15/2026A5,882A$2.33(1)102,659D
Common Stock05/18/2026A8,818A$2.4(1)111,477D
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
Restricted Stock Unit$1.84 (2)04/20/2036Common Stock25,00025,000D
ISO$1.67 (3)05/15/2034Common Stock31,46031,460D
ISO$1.67 (4)05/15/2034Common Stock27,13627,136D
NQSO$1.25 (5)04/23/2035Common Stock75,00075,000D
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 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. 50% of the RSUs vested on April 20, 2026. 50% of the RSUs will vest on April 1, 2027.
3. 100% of the stock options vested on the date of issuance.
4. 100% of the stock options were vested as of the date hereof.
5. 25,000 of the stock options were vested as of the date hereof. The remaining 50,000 stock options vest upon the achievement of certain milestones.
/s/ Richard John Cotton05/18/2026
** 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 Spectral AI (MDAI) disclose for Richard John Cotton?

Spectral AI disclosed that director Richard John Cotton received stock-based compensation awards. He was granted 8,818 shares at $2.40 and 5,882 shares at $2.33, increasing his directly held common stock position to 111,477 shares following these awards.

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

After the reported grants, Richard John Cotton directly holds 111,477 shares of Spectral AI common stock. This figure reflects his position following the two stock awards reported in the filing and provides a snapshot of his current direct equity stake.

Were the Spectral AI (MDAI) transactions open-market buys or compensation grants?

The reported Spectral AI transactions are compensation-related grants, not open-market purchases. Both entries carry code “A” for grant or award acquisition, indicating stock was awarded to Richard John Cotton rather than bought or sold in market transactions.

What stock option awards does Richard John Cotton have from Spectral AI (MDAI)?

Richard John Cotton holds non-qualified and incentive stock options on Spectral AI common stock, including 75,000 underlying shares at $1.25 expiring in 2035 and additional options at $1.67 expiring in 2034, as shown in the derivative position summary.

What restricted stock units (RSUs) are reported for Spectral AI (MDAI) director Richard John Cotton?

The filing shows restricted stock units tied to 25,000 underlying Spectral AI common shares at an exercise price of $1.84, expiring in 2036. Footnote disclosure states that 50% of these RSUs vested on April 20, 2026, with the remaining 50% vesting on April 1, 2027.

How do vesting conditions affect Richard John Cotton’s Spectral AI (MDAI) equity awards?

Some of Richard John Cotton’s awards vest over time or upon milestones. Footnotes state certain RSUs vest 50% on April 20, 2026 and 50% on April 1, 2027, while 25,000 of 75,000 stock options are vested, with the remaining 50,000 vesting on achievement of specified milestones.