Spectral AI, Inc.(MDAI)Stock Analysis
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Limited institutional coverage
Quality rankings require at least 50 unique 13-F institutional holders to ensure peer comparisons are meaningful. Only 43 institutional filers currently hold this stock.
Financial data, filings, and institutional holdings below are still tracked in full — only the proprietary quality composite is unavailable for this name.
MDAI Stock Analysis & AI Quality Score
AI stock analysis and institutional research for Spectral AI, Inc. (MDAI), a Healthcare sector company. MDAI is not currently included in 13F Pro's AI-ranked quality universe — quality rankings require at least 50 unique 13-f institutional holders to ensure peer comparisons are meaningful. only 43 institutional filers currently hold this stock. Based on the latest XBRL financial filings (Q1 2026), Spectral AI, Inc. reports quarterly revenue of $4.0M, net income of $-3.4M, an operating margin of -49.4%. Top institutional holders of MDAI by reported 13-F value include Highlander Partners, L.P., VANGUARD CAPITAL MANAGEMENT, GEODE CAPITAL MANAGEMENT,, based on the most recent SEC filings. MDAI trades on the Nasdaq exchange and files with the SEC under CIK 1833498. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate MDAI daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for Spectral AI, Inc. directly from SEC EDGAR.
Revenue
Q1 2026
$4.0M
Net Income
Q1 2026
$-3.4M
Free Cash Flow
Q1 2026
$-3.7M
Operating Margin
Q1 2026
-49.4%
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
-33.6% YoYNet Income
+50.1% YoYOperating Income
-30.7% YoYEPS (Diluted)
+65.9% YoYTotal Assets
+77.0% YoYTotal Debt
+231.9% YoYOp. Cash Flow
-7.8% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2020 |
|---|---|---|---|---|---|---|
| Revenue | $19.6M -33.6% | $29.6M +63.8% | $18.1M -28.8% | $25.4M | — | — |
| Net Income | $-7.6M +50.1% | $-15.2M +27.3% | $-20.9M -616.1% | $-2.9M -35.6% | $-2.1M | — |
| Operating Income | $-8.6M -30.7% | $-6.6M +49.3% | $-13.0M -390.5% | $-2.6M +22.6% | $-3.4M | — |
| EPS (Diluted) | $-0.29 +65.9% | $-0.85 +42.6% | $-1.48 -6848.4% | $-0.02 | — | — |
| Total Assets | $21.4M +77.0% | $12.1M +13.1% | $10.7M -42.9% | $18.7M -92.6% | $254.1M +154000.3% | $164.9K |
| Total Debt | $9.3M +231.9% | $2.8M | — | — | — | — |
| Operating Cash Flow | $-9.9M -7.8% | $-9.2M +30.5% | $-13.2M -1039.4% | $-1.2M -40.7% | $-825.6K | — |
AI Insight: MDAI Financial Trends
Spectral AI is in financial distress: revenue has collapsed 43% from Q2 2024 to Q1 2026, operating cash flow remains deeply negative, and the company carries mounting debt against negative equity.
• Revenue declined from $7M (Q2 2024) to $4M (Q1 2026), a 43% contraction over 9 quarters with no recovery.
• Operating cash flow has been negative every quarter, deteriorating to −$4M in Q1 2026, the worst level on record.
• Total debt rose from $1M (Q3 2024) to $9M (Q4 2025), while equity remained deeply negative throughout the period.
⚠ Equity swung from −$2M (Q1 2025) to −$9M (Q2 2025, Q1 2026), signaling accelerating shareholder dilution and solvency risk.
⚠ Operating losses persist (−$1M to −$3M per quarter) with no path to profitability visible in current trajectory.
⚠ Cash runway appears critical: negative FCF and rising debt suggest near-term funding or restructuring event likely.
AI Insight: MDAI Ratio Trends
Spectral AI remains deeply unprofitable with operating margins collapsing to -49.4% in Q1 2026, showing no sustained path to profitability.
• Operating margin deteriorated from -13.4% in Q1 2025 to -49.4% in Q1 2026, a 36pp decline signaling structural cost challenges.
• Net profit margin swung wildly: +43.2% in Q1 2025, then -157.3% in Q2 2025, -93.7% in Q3 2025, suggesting volatile one-time items masking underlying losses.
• ROA improved to 19.7% in Q4 2025 but reversed sharply to -77.0% in Q1 2026, indicating inconsistent asset utilization.
⚠ TTM operating margin of -57.1% and net margin of -82.0% reflect persistent cash burn and unsustainable business model.
⚠ Extreme quarter-to-quarter volatility across all profitability metrics suggests accounting irregularities or massive seasonal swings; credibility concern.
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Available Research
13F Pro tracks comprehensive data for Spectral AI, Inc. including:
Top Institutional Holders of MDAI
Highlander Partners, L.P.
$1.3M900,000 shVANGUARD CAPITAL MANAGEMENT LLC
$1.1M726,290 shGEODE CAPITAL MANAGEMENT, LLC
$442.8K301,207 shJANE STREET GROUP, LLC
$324.9K221,001 shUNIVERSITY OF TEXAS/TEXAS AM INVESTMENT MANAGEMENT CO
$309.4K210,488 shBRIDGEWAY CAPITAL MANAGEMENT, LLC
$292.5K199,000 shVANGUARD FIDUCIARY TRUST CO
$208.4K141,796 shARISTEIA CAPITAL, L.L.C.
$203.7K359,943 shBlackRock, Inc.
$179.7K122,254 shLMR Partners LLP
$172.2K307,509 sh
| Fund | Value | Shares |
|---|---|---|
| Highlander Partners, L.P. | $1.3M | 900,000 |
| VANGUARD CAPITAL MANAGEMENT LLC | $1.1M | 726,290 |
| GEODE CAPITAL MANAGEMENT, LLC | $442.8K | 301,207 |
| JANE STREET GROUP, LLC | $324.9K | 221,001 |
| UNIVERSITY OF TEXAS/TEXAS AM INVESTMENT MANAGEMENT CO | $309.4K | 210,488 |
| BRIDGEWAY CAPITAL MANAGEMENT, LLC | $292.5K | 199,000 |
| VANGUARD FIDUCIARY TRUST CO | $208.4K | 141,796 |
| ARISTEIA CAPITAL, L.L.C. | $203.7K | 359,943 |
| BlackRock, Inc. | $179.7K | 122,254 |
| LMR Partners LLP | $172.2K | 307,509 |
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Popular Research
Is MDAI a good stock to buy?
13F Pro's AI-powered analysis of Spectral AI, Inc. (MDAI) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for MDAI are available on the MDAI stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own MDAI?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling MDAI. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of Spectral AI, Inc.'s investment landscape.