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8-K ·Filed Aug 12, 2026

MDAI

Spectral AI, Inc.
NEUTRAL
Impact 5/10
Horizonweeks Processed2mo ago SEC0001213900-26-088341
8-K Item 2.02: Earnings release
Actionable Insight • Neutral

The revenue miss and deteriorating adjusted EBITDA signal that the BARDA contract transition is pressuring near-term financials more than expected, but the FDA clearance and reiterated guidance suggest management sees a clear path to commercial revenue by year-end. Traders should watch for any pre-announcement of first DeepView System sales or BARDA contract extensions, as these are the primary catalysts for the stock given the current pre-commercial revenue base.

DirectionNeutral
Confidencehigh
Horizonweeks
Latest settled — T+20d
MDAI ▼ -7.51% at T+20d
NEUTRAL call -7.51% · α vs SPY -5.77% · entry $1.73 → $1.60
Next anchor: T+60d in 9d
Latest observation: T+50 +41.22% FF3 residual α
Entry = T+0 close
Aug 12, 2026
via day close
T+1d
-2.89%
call -2.89% · α -2.69%
$1.68
settled 3mo ago
T+5d
-9.25%
call -9.25% · α -7.28%
$1.57
settled 2mo ago
T+20d
-7.51%
call -7.51% · α -5.77%
$1.60
settled 7w ago
T+60d
Pending
in 9d

Price Chart

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Executive Summary

Spectral AI reported Q2 2026 results with R&D revenue declining to $3.5M (from $5.1M YoY) as BARDA contract work narrowed post-FDA clearance, and operating expenses rising 23% to $5.4M as the company invests in commercial infrastructure ahead of first DeepView System sales by year-end 2026. Net loss improved to -$4.2M (-$0.13/share) from -$8.0M (-$0.31/share) in Q2 2025, driven by a $0.7M favorable warrant liability swing vs a -$5.4M charge last year, but adjusted EBITDA worsened to -$3.5M from -$1.7M. The company reiterated $18.5M full-year 2026 revenue guidance excluding any commercial DeepView sales, maintaining a $14.0M cash position after drawing $6.5M from its credit facility post-FDA clearance in May 2026.

Key Financial Metrics

EPS
−$0.13
est −$0.14 · +7.1%
Revenue
$3.5M
est $4.2M · -16.1% · -30.4% YoY
Rating
miss
Guidance
approximately $18.5 million
maintained
Gross Margin
31.6%

Key Facts

  • Q2 2026 R&D revenue $3.5M vs $5.1M YoY, down 31% due to BARDA contract cost-share phase and MTEC completion
  • Gross margin fell to 31.6% from 45.2% YoY due to cost-share provisions under the BARDA follow-on development phase
  • Operating expenses rose 23.2% to $5.4M, with selling & marketing up $0.3M ahead of first commercial sales
  • Net loss improved to -$4.2M (-$0.13/share) from -$8.0M (-$0.31/share) YoY, primarily on a $0.7M favorable warrant liability swing
  • Adjusted EBITDA worsened to -$3.5M from -$1.7M YoY, reflecting lower gross profit and higher operating spend
  • Cash $14.0M at June 30, 2026 vs $15.4M at Dec 31, 2025; drew $6.5M from Avenue Capital credit facility post-FDA clearance
  • Reiterated 2026 revenue guidance of ~$18.5M, excluding any commercial DeepView System sales
  • Received FDA De Novo clearance for DeepView System in May 2026; first commercial sales targeted by year-end 2026
  • EPS of -$0.13 beat consensus of -$0.14 by 7.1%
  • Revenue of $3.5M missed consensus of $4.2M by 16.7%

Financial Impact

Revenue miss of ~$0.7M vs consensus; EPS beat of $0.01 vs consensus; cash burn of $1.4M in H1 2026

revenuegross marginoperating expensescash

Risk Factors

  • Commercial DeepView System sales may not materialize by year-end 2026 as guided
  • Cash burn of $7.8M in H1 2026 from operations could require additional financing before commercial revenue ramps
  • BARDA contract cost-share phase reduces gross margins and may continue to pressure profitability
  • Warrant liability fair value changes create significant GAAP earnings volatility unrelated to operations

Market Snapshot

Exchange
Nasdaq
Sector
Surgical & Medical Instruments & Apparatus
Analyst Consensus
86% bullish (7 analysts)

Investment Themes

Healthcare & Medical Devices

Documents Analyzed

This report is based on 6 SEC documents filed with EDGAR.

DocumentAccession Number
8-K Filing (Primary)0001213900-26-088341
Document: ea0301807-8k_spectral.htm0001213900-26-088341
Document: 0001213900-26-088341-index-headers.html0001213900-26-088341
Document: 0001213900-26-088341-index.html0001213900-26-088341
Document: 0001213900-26-088341.txt0001213900-26-088341
8-K Data (Synthetic)0001213900-26-088341
5 reports for MDAI
Performance horizon

Track record builds as more directional reports settle.

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TypeNow
Aug 12, 2026
10w ago
8-K
NEUTRAL ★ 5/10
$1.73awaiting T+60—$1.53 (−11.56%)
Jul 8, 2026
15w ago
8-K
NEUTRAL ★ 4/10
$1.72 $1.66▼ −3.49%▼ −5.12%$1.53 (−11.05%)
Mar 24, 2026
30w ago
Press Release
MIXED ★ 6/10
$1.54 $1.76▲ +14.15%▲ +0.69%$1.53 (−0.65%)
Mar 18, 2026
31w ago
Press Release
BULLISH ★ 8/10
$1.42 $1.84▲ +29.58%▲ +15.23%$1.53 (+7.75%)
Mar 10, 2026
33w ago
Press Release
NEUTRAL ★ 3/10
$1.40 $1.94▲ +38.57%▲ +26.89%$1.53 (+9.29%)
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Report published Aug 12, 2026