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Spectral AI

MDAI
18
Medical - Specialties · Healthcare
Price
$1.60
+0.03 (+1.91%)
Market Cap
$50.9M
Exchange
NASDAQ
Winston Score
18
Winston is worried
Weak fundamentals across most pillars.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Weak
Growth
Weak
Cash Flow
Weak
Stability
Data not available
Valuation
Data not available

Share count rising — dilution

+48.3% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 17.9M (2021) → 26.5M (2025)

Winston Score History

The full picture

Spectral AI is a small medical technology company that makes a device to help doctors treat burn wounds. Its main product, DeepView, uses light and artificial intelligence to scan a burn injury and predict whether it will heal on its own or need surgery. The main customers are hospitals, burn centers, and military medical units.

The company earns revenue by selling or licensing its DeepView system, and it has received funding from the U.S. Department of Defense to develop the technology for battlefield use. Spectral AI operates primarily in the United States and is still in an early commercial stage, which explains its deeply negative operating margins and very high cash burn. The biggest risk the company faces is proving that enough hospitals will pay for the device at scale, since it has not yet reached consistent revenue to cover its operating costs.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

-30.4% YoY

YoY Growth Rate

Revenue declining

EPS Growth

+58.1% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$20M/ year

Declining (-34% vs prior year)

100.0% of revenue

5.6x the sector average (18%)

R&D spend declining — could signal cost-cutting or efficiency

Insider Activity

28.5%ownership

Flat

Insider ownership roughly steady over the past year

Cash Runway

~10 months

$14M cash & investments

Short runway — potential dilution ahead through share issuance

Cash watch

Spectral AI has less than a year of cash at its current burn rate. Growth investors should watch for potential share dilution from future fundraising — that directly reduces your ownership.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
31.6%
Modest — 31.6% gross margin
Profit after running costs
Operating Margin
-122.7%
Losing money on operations — -122.7%
Return on the money invested
ROCE
-102.9%
Weak — -102.9% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales growth
Sales YoY
-45.0%
Shrinking sales (-45.0% YoY)
Profit growth
EPS YoY
N/A
Data not available
How steady the profit is
EPS Consistency
4/8 quarters
Earnings inconsistent quarter-to-quarter

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Cash Flow

Profit that turns into cash
Cash Conversion
N/A
Data not available
Spare cash per sale
FCF Margin
-85.0%
Burning cash (-85.0%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

What it owes vs what it owns
Debt / Equity
N/A
Data not available
Covers its interest
Interest Cover
N/A
Data not available

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Valuation

Price vs profit
P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
Cheaper or dearer next year
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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