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Spectral AI (MDAI) Q2 2026 earnings results (second quarter 2026)

10-Q filed Aug 11, 2026

Spectral AI (MDAI) reported revenue of $3.5M for the second quarter 2026 (Q2 2026), -30% from a year earlier and -12% from the quarter before. Operating margin was -122.7%, net loss $4.2M (118.5% of revenue).

Revenue$3.5M
Year over year-30%
Quarter over quarter-12%
Operating margin-122.7%
Net earnings−$4.2M

Spectral AI, Q2 2026: revenue $3.5M (-30% year over year), operating margin -122.7%, net loss $4.2M, operating cash flow −$4.1M. The chart follows the revenue to costs, profit and cash.

Q2 2026AmountQ/QY/Y
Revenue$3.5M-12%-30%
Operating profit−$4.3M——
Net earnings−$4.2M——
Operating cash flow−$4.1M——

What changed

Revenue was $3.5M in Q2 2026, down 30% year over year and down 12% from the previous quarter.

Gross margin was 31.6%, down 13.6 points from Q2 2025. Operating costs exceeded revenue by $4.3M, an operating margin of -122.7%. Operating expenses grew 23% against a revenue fall of 30%. The fastest-growing cost line was Sales & marketing (+92%). The quarter ended with a net loss of $4.2M, wider than the previous quarter's $3.4M loss.

Operating cash flow was −$4.1M. Non-cash charges added back $30K of depreciation and $807K of share-based compensation. Working capital and other items used $758K.

Questions

What was Spectral AI's revenue in the second quarter 2026?

Spectral AI (MDAI) reported revenue of $3.5M for the second quarter 2026 (Q2 2026), -30% from a year earlier and -12% from the quarter before.

Was Spectral AI profitable in the second quarter 2026?

Operating loss was $4.3M (-122.7% of revenue) and net loss $4.2M.

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Source: Spectral AI 10-Q on SEC EDGAR.