Stocks · Healthcare · Medical - Specialties
Spectral AI, Inc. MDAI
$1.66 +0.00% Close, Oct 2, 2026 · NASDAQ · Market cap $52.8M
Next earnings report: Nov 10, 2026
Scroll or pinch to zoom, drag to move. Daily prices adjusted for splits. Markers: E = earnings (green beat, red miss), S = split, D = dividend.
Three things to know
- Operating margin narrowed to -79.9% from -18.2% a year earlier.
- The diluted share count rose 26.2% in a year.
- Revenue over the last four quarters was $15.2M, down 45.0% from a year earlier.
PromtFinance scores
Each score is a percentile within the Healthcare sector (0–100). Under each score: how the stock ranks in its sector on every component. As of Oct 5, 2026.
How fast revenue, earnings and cash flow are growing.
- Revenue growth (TTM, YoY)Bottom 12%
- Revenue growth, 3-year CAGRBottom 13%
- Revenue growth accelerationBottom 45%
Returns on capital, margins, earnings quality and balance-sheet strength.
- Return on invested capitalBottom 2%
- Gross marginBottom 27%
- Operating marginBottom 31%
- Accruals (lower is better)Bottom 6%
- Interest coverBottom 35%
How cheap the shares are relative to earnings, cash flow and their own history.
- Earnings yieldBottom 31%
- Free-cash-flow yieldBottom 21%
- EBITDA / enterprise valueBottom 31%
- Sales / enterprise valueTop 45%
Strength and persistence of the price trend, including versus the S&P 500.
- 12-month return excluding last monthBottom 16%
- 6-month returnTop 44%
- 1-year return vs S&P 500Bottom 24%
- Distance from 52-week highBottom 35%
- Trend checklist (0–4)Top 39%
Earnings surprises and analyst sentiment (estimate-revision history is being collected).
- Average EPS surprise, last 4 quartersBottom 29%
- Consecutive EPS beatsBottom 49%
- Upside to consensus price targetTop 29%
Low volatility, shallow drawdowns, low market sensitivity and modest leverage.
- Volatility, 60 days (lower is better)Top 28%
- Maximum drawdown, 3 yearsBottom 44%
- Beta vs S&P 500 (lower is better)Bottom 49%
What changed
Latest four quarters versus the same period a year earlier (growth: versus one quarter earlier).
| Measure | Before | Now | |
|---|---|---|---|
| Revenue growth (YoY) | -44.3% | -45.0% | ↓ |
| Gross margin | 45.3% | 41.5% | ↓ |
| Operating margin | -18.2% | -79.9% | ↓ |
| FCF margin | -21.9% | -85.0% | ↓ |
Fundamental momentum
| Measure | Now (TTM) | Year / quarter before | Sector rank | |
|---|---|---|---|---|
| Revenue growth (TTM, YoY) | -45.0% | -44.3% | ↓ | Bottom 12% |
| Gross margin | 41.5% | 45.3% | ↓ | Bottom 27% |
| Operating margin | -79.9% | -18.2% | ↓ | Bottom 31% |
| Net margin | -69.3% | -52.0% | ↓ | — |
| Free-cash-flow margin | -85.0% | -21.9% | ↓ | — |
| Return on invested capital | -288.4% | — | Bottom 2% | |
| Revenue growth, 3-year CAGR | -8.2% | — | Bottom 13% |
Quality of earnings and balance sheet
- Accruals (net income − OCF) / assetsLower is better; high accruals can signal weaker earnings quality.
- 12.2%
- Stock-based compensation / revenueA cost to shareholders through dilution.
- 9.9%
- Receivables growth vs revenue growthReceivables growing much faster than sales can be a warning.
- +25.5 pp
- Interest cover (operating income / interest)How many times operating profit covers interest.
- -8.1×
Shareholder returns
- Dividend yield (dividends paid, TTM)
- 0.00%
- Net buyback yield (TTM)
- -19.71%
- Shareholder yield
- -19.71%
- Share count change, 1 year
- +26.2%
- Share count change, 3-year CAGR
- +21.5%
Shareholder yield = dividends + net buybacks over the last four quarters, divided by market cap.
Based on the four quarters through Jun 30, 2026 (filed Aug 11, 2026).
Earnings and expectations
Earnings momentum
- Consecutive EPS beats
- 1
- Beats in the last 8 reports
- 4 of 8
- Average EPS surprise, last 4
- -10.2%
- Average 2-day reaction, last 8
- -4.2%
- Positive 20 days after report
- 3 of 8
Analysts
- Consensus price target
- $4.00
- Target vs current price
- +141.0%
How the stock reacted to recent reports
| Report date | EPS surprise | 2 days | 5 days | 20 days | 60 days |
|---|---|---|---|---|---|
| Aug 11, 2026 | +3.7% | +0.0% | -4.1% | -5.8% | — |
| May 12, 2026 | +0.0% | -7.7% | -3.9% | -20.2% | -28.8% |
| Mar 24, 2026 | +8.3% | -4.1% | -15.1% | +4.1% | +5.2% |
| Nov 11, 2025 | -52.9% | -5.5% | -20.9% | -5.5% | -16.5% |
| Aug 12, 2025 | -342.9% | -5.5% | -10.2% | -21.2% | -16.5% |
| May 14, 2025 | +210.0% | -8.5% | -4.2% | +44.4% | +71.8% |
| Mar 27, 2025 | -215.4% | -4.5% | -3.7% | -5.2% | +53.0% |
| Nov 6, 2024 | +42.9% | +2.0% | -8.8% | +46.6% | +26.4% |
Returns from the close before each report. Past reactions do not determine future ones.
Earnings history
| Report date | EPS | Estimate | Surprise | Revenue |
|---|---|---|---|---|
| Aug 11, 2026 | -$0.13 | -$0.14 | +3.7% | $3.5M |
| May 12, 2026 | -$0.11 | -$0.11 | +0.0% | $4.0M |
| Mar 24, 2026 | -$0.11 | -$0.12 | +8.3% | $3.8M |
| Nov 11, 2025 | -$0.13 | -$0.09 | -52.9% | $3.8M |
| Aug 12, 2025 | -$0.31 | -$0.07 | -342.9% | $5.1M |
| May 14, 2025 | $0.11 | -$0.10 | +210.0% | $6.7M |
| Mar 27, 2025 | -$0.41 | -$0.13 | -215.4% | $7.6M |
| Nov 6, 2024 | -$0.08 | -$0.14 | +42.9% | $8.2M |
Valuation in context
| Multiple | Now | 5-year median | 5-year percentile | Sector rank (cheapness) |
|---|---|---|---|---|
| EV / Sales | 3.64× | — | — | Top 45% |
| Free-cash-flow yield | -24.38% | — | — | Bottom 21% |
| Earnings yield | -21.02% | — | — | Bottom 31% |
Technical state
Trend checklist
- ✓ Price above 20-day average
- ✓ Price above 50-day average
- ✗ Price above 200-day average
- ✗ 50-day average above 200-day
- ✓ MACD histogram positive
Trend quality
- Days above the 50-day average
- 3
- Days above the 200-day average
- 0
- 50-day average slope (20 days)
- -2.3%
- 200-day average slope (20 days)
- +0.3%
- Distance from 50-day average
- +2.8%
- Distance from 200-day average
- -2.3%
- RSI (14)
- 55.4
- Relative volume
- 1.58×
Risk and drawdowns
- Volatility, 60 days (annualized)
- 44.2%
- Volatility vs own 5-year history
- 34th percentile · Normal for this stock
- Beta vs S&P 500 (2 years, weekly)
- 1.13
- Correlation with S&P 500
- 0.19
- Current drawdown from 1-year high
- -38.1%
- Maximum drawdown, 3 years
- -74.0%
Largest declines in the past six years
| From peak | To low | Decline | Length | Recovery |
|---|---|---|---|---|
| Sep 7, 2023 | Sep 24, 2024 | -93.5% | 263 days | Not yet recovered |
| Apr 14, 2023 | Aug 30, 2023 | -29.4% | 95 days | 5 days (Sep 7, 2023) |
Declines of 10% or more from a closing high, measured on daily closes.
Financial statements
- Market cap
- $52.8M
- EPS, diluted (TTM)
- -$0.35
- Revenue (TTM)
- $15.2M
- 52-week range
- $1.18 – $2.97
| FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | |
|---|---|---|---|---|---|
| Revenue | $15.2M | $25.4M | $18.1M | $29.6M | $19.6M |
| Gross profit | $7.1M | $10.8M | $7.9M | $13.3M | $8.9M |
| Operating income | -$4.2M | -$2.6M | -$13.0M | -$6.6M | -$8.6M |
| Net income | -$4.0M | -$2.9M | -$20.9M | -$15.3M | -$7.6M |
| EPS (diluted) | -$0.33 | -$0.16 | -$1.48 | -$0.85 | -$0.29 |
| Q3 2024 | Q4 2024 | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 | |
|---|---|---|---|---|---|---|---|---|
| Revenue | $8.2M | $7.6M | $6.7M | $5.1M | $3.8M | $3.8M | $4.0M | $3.5M |
| Net income | -$1.5M | -$7.7M | $2.9M | -$8.0M | -$3.6M | $642,000 | -$3.4M | -$4.2M |
| EPS (diluted) | -$0.08 | -$0.41 | $0.11 | -$0.31 | -$0.13 | $0.02 | -$0.11 | -$0.13 |
| FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | |
|---|---|---|---|---|---|
| Operating cash flow | -$2.9M | -$1.2M | -$13.2M | -$9.2M | -$9.9M |
| Capital expenditure | -$7,000 | $0 | $0 | $0 | $0 |
| Free cash flow | -$2.9M | -$1.2M | -$13.2M | -$9.2M | -$9.9M |
| Dividends paid | $0 | $0 | $0 | $0 | $0 |
| Net share buybacks | $14.6M | $0 | $3.4M | $4.1M | $13.4M |
Cash outflows are shown as negative numbers.
- Cash and short-term investments
- $14.0M
- Total assets
- $19.4M
- Total liabilities
- $31.5M
- Total debt
- $16.3M
- Net debt
- $2.3M
- Shareholders’ equity
- -$12.1M
As of Jun 30, 2026 (filed Aug 11, 2026).
Short interest
- Shares sold short
- 2,195,305
- Days to cover
- 21.88
- Change vs previous report
- -1.8%
FINRA short interest, settlement date Sep 15, 2026.