Spectral AI Inc. (Class A) (MDAI) Insider, 13F Hedge Fund & Politician Buy/Sell Thermometer

$1.53 -2.55% NASDAQ β€’ Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $1.52

Spectral AI Inc. (Class A) (MDAI) carries a Roarable Rating of E (Strong Sell) with 16/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

ROARABLE E β€’ RED ALERT Cap $49.2M
πŸ“€ Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
⚑ INSTANT AI QUANT PREVIEW β€’ $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on MDAI Below β€” or Connect Your Own ChatGPT / Claude
πŸ€– Mara Quenwick β€’ AI Quant Lead (Click for Instant Brief) Is MDAI stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
β–Ό

As of 2026-11-03, Spectral AI Inc. (Class A) (NASDAQ: MDAI) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 16/100 at a spot price of $1.53 (-2.55% 1D, market cap $49.2M). Pillar breakdown: Fundamental Cash Engine 3/20, Institutional 13F & Options Flow 6/20, Executive Insider Alignment 4/20, FRED Macro Regime Fit 3/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, MDAI ranks #1012 in composite RQD confidence.

βœ“ Pre-computed one-to-many AI Quant brief
πŸ€– Ellis Vennor β€’ AI Peer & Flow Quant (Click for Instant Brief) How does MDAI compare to SRTS and DXR in the Health Care sector?
β–Ό

Within the Health Care sector (Medical/Dental Instruments), MDAI carries a Roarable E (16/100 RQD), trailing P/E of N/A, gross margin of 45.4%, and ROIC of -35.0%. By comparison, SRTS (Sensus Healthcare Inc.) holds a D- grade (41/100 RQD, P/E N/A, ROIC -31.3%, cap $45.4M) and DXR (Daxor Corporation) posts a D grade (47/100 RQD, P/E N/A, ROIC β€”, cap $53.7M). Among the 5-stock peer group, SNWV leads on earnings multiple (3.8x) while SNWV leads on capital efficiency (67.3% ROIC).

βœ“ Pre-computed one-to-many AI Quant brief
πŸ€– Gideon Ashmere β€’ AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for MDAI?
β–Ό

Per MDAI's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001833498), Spectral AI Inc. (Class A) generated $19.6M in revenue (-33.6% YoY), -$7.6M in net income, and -$9.9M in free cash flow against $21.4M in total assets and $5.5M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

βœ“ Pre-computed one-to-many AI Quant brief
πŸ€– AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists β€” not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
πŸ›‘οΈ Portfolio Crash X-Ray
EXT / AFTER-HRS: $1.52 (-0.65%)🧬 Dilution Drag (+2.48% YoY Shares)βš™οΈ Cash Engine: 3/20 (E) β€’ 0% FCF Margin
Verify 90D Bucket Audit β†’
πŸ“Š Historical Track Record Warning: Scores below 50 (16/100 Β· E) historically underperformed SPY in 71% of rolling 90-day windows (-12.7% avg 90D alpha vs SPY β€’ 29.0% hit rate).
Audit Bucket Track Record β†’
RQD QUANT TACHOMETERRED ALERT β€’ E
025507510016
3-of-3 JEV AI Jury Bearish Warning
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) β€” not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw E Β· Rk E
Cash (3)Whales (6)SEC (4)Macro (3)CEO (3)
Each axis scored 0–20
12M PRICE TARGET CONE-19% Base Target
$3 Bull$1 Base$1 Bear
πŸ“¬ FREE MDAI RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: β€” (No Active Options Snapshot on file for MDAI)Realized 20D OHLCV Swing Band: Β±8%
Deterministic 5-Pillar Attribution (16/100 Composite)
πŸ” WHY MDAI SCORES 16/100 (E) β€” TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
β–² #1 Bullish Driver: Whale & Options Positioning+6/20 pts (38% of score)

20D Institutional Volume Accumulation (Β±8% realized swing band)

β–² #2 Bullish Driver: Cash Engine Quality+4/20 pts (25% of score)

SEC XBRL FY 2025 (10-K): 0% FCF Margin ($0 FCF) & 45.4% Gross Margin

β–Ό #1 Drag / Risk Factor: Insider Conviction & Share Dilution4/20 pts (-16 pt drag)

Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment

πŸ“ˆ PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 β†’ Q2 β†’ Q3 β†’ Current
Q1 (-3Q)
24
Grade E$1.56-3.2% Next Q
Q2 (-2Q)
21
Grade E$1.51+1.3% Next Q
Q3 (-1Q)
19
Grade E$1.53+0% Next Q
Current
16
Grade E$1.53-12.7% Hist 90D Ξ±
Trajectory: E (24) β†’ E (16)Full Audit β†’
βš”οΈ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

βš”οΈ Adversarial Opposing Case: What Could Spark a MDAI Turnaround Squeeze

Gideon Ashmere Forensic Desk β†’

While MDAI currently carries a cautious 16/100 (E) rating due to Insider Conviction & Share Dilution (4/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

πŸš€ Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

πŸš€ Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($1.58) and Max Pain ($1.61) forces dealer call-delta covering toward $3.12.

πŸš€ Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Dilution Drag (+2.48% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

🎲 LIVE PREDICTION MARKET ODDS TIED TO $MDAIβ€’ $2.4M Crowd Pool β€’ Kalshi / Polymarket Composite
Contract: β€œMDAI Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”
SEC FORM 4 Γ— 13F HEDGE FUNDS Γ— CONGRESSIONAL STOCK ACT

MDAI Smart-Money Thermometer: NET EXECUTIVE TRIMMING / PROFIT-TAKING

Explore All 13F & Congress Whales β†’
β–² Disclosed Buys: 0 ($0)β–Ό Disclosed Sales: 0 ($0)

Wide-Open SEC Form 4, 13F & Congressional Disclosure Ledger (MDAI)

No recent open-market Form 4 cluster sales or emergency dumps flagged on MDAI. Visit the Global 13F & Congressional Whale Ledger for cross-market smart-money filings.

ON-DEMAND RQD QUANT WORKSHOP β€’ SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher & Roarable Forensic Quant Desk

Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring MDAI)

  • βœ“Walkthrough of MDAI's RQD Radar, SEC cash-conversion gap & downside invalidation levels
  • βœ“3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
  • βœ“Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
Want Custom AI PineScript / Python Indicators & Priority Rating-Change Alerts?
MDAI // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -32.60%πŸ›‘οΈ HOLDING TREND SUPPORT
2026-11-03O $1.57H $1.57L $1.53C $1.53VOL 120.8K
RES: $1.81SUP: $1.41SMA50: $1.58SMA200: $1.70
$3.08$2.63$2.18$1.74$1.29RES $1.81SUP $1.41$1.532026-05-042026-06-172026-08-042026-09-182026-11-03
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

MDAI Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
8.0%/yr Implied 5Y Growth

vs. -33.6% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on MDAI today. View full Setup Ledger β†’

πŸ¦‹ Documented & Second-Order Butterfly Connections Open Graph β†’

No direct multi-tier Butterfly edges indexed yet for MDAI. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for MDAI today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk β†’
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT β€’ SEC EDGAR XBRL Γ— RQD PEER BENCHMARK

πŸ“Š Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (MDAI)

Health Care Rank #1012 of 1016 βš”οΈ SRTS vs MDAI Full Matrix β†’

1. Head-to-Head Health Care Peer Comparison (MDAI vs. SRTS, DXR, SNWV, DAVI)

Industry: Medical/Dental Instruments (120 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Spectral AI Inc. (Class A) (MDAI) ranks #1012 by composite RQD confidence (16/100, grade E) and #749 by equity capitalization ($49.2M). Within this direct 5-issuer industry benchmark cohort, SNWV leads on earnings valuation at 3.8x trailing P/E, while SNWV leads on capital efficiency and profitability with 67.3% ROIC and 77.1% gross margin. SNWV currently holds the highest overall quantitative score in the immediate peer group at 51/100 (D) compared with MDAI at 16/100 (E).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
MDAI ACTIVE
Spectral AI Inc. (Class A)
E 16/100 β€” 45.4% -35.0% -2.55% $49.2M Benchmark Subject
SRTS
Sensus Healthcare Inc.
D- 41/100 β€” 43.2% -31.3% -0.36% $45.4M /srts-vs-mdai β†’
DXR
Daxor Corporation
D 47/100 β€” β€” β€” +3.14% $53.7M /dxr-vs-mdai β†’
SNWV
SANUWAVE Health Inc.
D 51/100 3.8x 77.1% 67.3% -2.28% $44.3M /snwv-vs-mdai β†’
DAVI
Davion Healthcare Plc
D 47/100 β€” β€” β€” -37.55% $42.0M /davi-vs-mdai β†’

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K β€’ FILED 2025-12-31 β€’ CIK 0001833498

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Spectral AI Inc. (Class A) (MDAI) reported GAAP revenue of $19.6M (-33.6% vs. FY2024 revenue of $29.6M , and +8.8% cumulative change since FY2023) , GAAP net income of -$7.6M, operating cash flow of -$9.9M, and free cash flow of -$9.9M (-7.8% YoY). On the balance sheet, MDAI closed FY2025 with $21.4M in total assets against $5.5M in total debt (Altman Z-Score: 0.20, Piotroski F-Score: 2/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $19.6M -$7.6M -$9.9M -$9.9M $21.4M $5.5M
FY2024 (FY) 2024-12-31 $29.6M -$15.2M -$9.2M -$9.2M $12.1M β€”
FY2023 (FY) 2023-12-31 $18.1M -$20.9M -$13.2M -$13.2M β€” β€”

3. MDAI Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

βœ“ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is MDAI stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-03, Spectral AI Inc. (Class A) (NASDAQ: MDAI) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 16/100 at a spot price of $1.53 (-2.55% 1D, market cap $49.2M). Pillar breakdown: Fundamental Cash Engine 3/20, Institutional 13F & Options Flow 6/20, Executive Insider Alignment 4/20, FRED Macro Regime Fit 3/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, MDAI ranks #1012 in composite RQD confidence.

How does MDAI compare to SRTS and DXR in the Health Care sector?

Within the Health Care sector (Medical/Dental Instruments), MDAI carries a Roarable E (16/100 RQD), trailing P/E of N/A, gross margin of 45.4%, and ROIC of -35.0%. By comparison, SRTS (Sensus Healthcare Inc.) holds a D- grade (41/100 RQD, P/E N/A, ROIC -31.3%, cap $45.4M) and DXR (Daxor Corporation) posts a D grade (47/100 RQD, P/E N/A, ROIC β€”, cap $53.7M). Among the 5-stock peer group, SNWV leads on earnings multiple (3.8x) while SNWV leads on capital efficiency (67.3% ROIC).

What are the biggest fundamental strengths and SEC risk factors for MDAI?

Per MDAI's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001833498), Spectral AI Inc. (Class A) generated $19.6M in revenue (-33.6% YoY), -$7.6M in net income, and -$9.9M in free cash flow against $21.4M in total assets and $5.5M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is MDAI trading relative to its 50-day, 200-day, and 52-week technical levels?

MDAI last traded at $1.53 (-2.55% on volume of 120,793 shares), positioning the stock -3.16% below its 50-day simple moving average ($1.58) and -10.00% below its 200-day simple moving average ($1.70). Across its 52-week range of $1.18 to $2.97, MDAI sits at the 19.6% percentile with a 14-day RSI of 46.1 (NEUTRAL RANGE) and an implied next-earnings move of Β±8.0% ($1.41 to $1.65).

MDAI Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS β€’ SEC EDGAR Γ— CBOE Γ— FRED

Are MDAI insiders and hedge funds buying or selling?

Roarable's SEC Form 4 and 13F Whale Thermometer currently classifies MDAI leadership and institutional positioning as: NET EXECUTIVE TRIMMING / PROFIT-TAKING.

ROARABLE RATING BRIEF β€’ RQD 16/100 (E) βœ“ STAGE-C NUMBER FIREWALL VERIFIED

MDAI β€” Spectral AI Inc. (Class A): What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5
As of: 2026-11-02T15:46:53Z

Roarable Rating Brief: What This Means to a Prospective Investor

Per the Roarable RQD rating, MDAI scores 17 out of 100, graded E, with the verdict "Roarable Strong Sell β€” Forensic Risk / Avoid." The five pillars are: Fundamental Cash Engine at 0/20 (ROIC -35%; FCF yield -19.63%); Whale 13F Flow at 6/20 (institutional accumulation and options positioning); Insider Conviction at 3/20 (SEC Form 4 and Congressional PTR cluster flow); Macro Regime Fit at 4/20 (Beta 1.0; sector sensitivity); and Forensic Balance Sheet at 4/20 (Altman Z 0.2; Piotroski F 2/9; Debt/Equity 0.5). The cash-engine pillar is the weakest, meaning the business is not currently generating returns or free cash flow that would support the equity value at the current price of 1.57. The forensic pillar reinforces this concern through a low Altman Z-Score and weak Piotroski reading. The modest institutional and insider scores indicate limited supporting ownership signals. For a prospective investor, the upside case would depend on a credible turnaround in cash generation, while the valuation tradeoff is that the stock trades at a low absolute price with a $50.5M market cap against negative margins and cash burn. The rating frames this as a high-risk profile rather than an analytical endorsement.

Financial Trend

PeriodRevenueOperating IncomeNet IncomeEPSFCFCashDebt
FY 2025$19.6M$-8.6M$-7.6MN/A$-9.9M$15.4M$5.5M
FY 2024$29.6M$-6.6M$-15.2MN/A$-9.2M$5.2MN/A
FY 2023$18.1M$-13.0M$-20.9MN/A$-13.2MN/AN/A

Per the SEC financials, revenue declined from $29.6M in FY 2024 to $19.6M in FY 2025, while operating losses narrowed from $-13.0M in FY 2023 to $-8.6M in FY 2025. Per market data, operating margin is -43.8% and net margin is -38.5%, with ROIC at -35%. The Altman Z-Score is 0.2 and the Piotroski F-Score is 2/9, both per the Roarable RQD rating, indicating financial distress signals. Cash of $15.4M against debt of $5.5M is reported for FY 2025, with a Debt/Equity ratio of 0.5 per the RQD rating.

Recent Catalysts & News Wire Analysis

Six news items reference MDAI in the recent news data. Four are marked YELLOW and are market wire items: a Yahoo! Finance Canada report, a Yahoo Finance UK seasonal returns chart, a report on the stock slipping 2.55% to $1.53 while testing the lower end of its recent range (tagged "Negative Gamma"), and a TradingKey most-active-stocks listing. A Yahoo! Finance Canada seasonal chart for a related QScreen entity is also listed. One item is marked GREEN and is classified as a CATALYST: a TradingKey top U.S. stock gainers listing. The news data contains no company-issued announcements, earnings details, or contract disclosures. The butterfly supply-chain graph reports no supply chain links and no proprietary signals.

Open Questions

  • What products and customers generate the $19.6M in FY 2025 revenue, and what drove the decline from $29.6M in FY 2024?
  • What is the company's path to positive free cash flow given FCF of $-9.9M in FY 2025 and a FCF yield of -19.63%?
  • What is the debt structure and maturity schedule behind the $5.5M debt figure, and how does it interact with the $15.4M cash balance?
  • Who are the institutional and insider holders, since the holders data is not provided?
  • What are the EPS and valuation multiples, which are absent from the source data?

MDAI Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Spectral AI Inc. (Class A) (MDAI) β€’ Click "Debate This Headline" to argue it in the Roar Pit below

πŸ’¬ Jump to MDAI Debate Forum (3) ↓
πŸ”₯ THE ROAR PIT β€’ LIVE COMMUNITY DEBATE 3 Active Posts & Replies

MDAI Bull vs. Bear Conversation Board β€” What's Your Call at $1.53?

πŸ‚ 33% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON MDAI 🐻 67% BEARISH CONVICTION
1. Pick Your Side on MDAI:
πŸ’‘ Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
RO RoarDesk_Moderator Roarable Research Desk 🐻 BEARISH 🎯 Target: $1.38 (-12.1%)
πŸ“Œ Pinned Debate

πŸ”₯ Official Bull vs. Bear Debate: Is MDAI (E β€’ RQD 17/100) a Buy at $1.57?

Welcome to the MDAI (Spectral AI Inc. (Class A)) Roar Pit. Current RQD Composite is 17/100 (Roarable Strong Sell β€” Forensic Risk / Avoid) in Medical/Dental Instruments. Bulls point to operating leverage and sector positioning, while bears focus on macro rate sensitivity and margin execution. Pick your side (πŸ‚ Bull or 🐻 Bear) and drop your price target below.

SH ShortSeller_Dan Forensic Accounting Watch 🐻 BEARISH 🎯 Target: $1.30 (-17.2%)
Spot @ $1.57

Pump the brakes on MDAI β€” check the valuation vs. margin headwinds

Everyone in here is repeating the bull case on MDAI, but look at what you are paying: current EV/EBITDA multiples with 45.4% gross margins. Unless Spectral AI Inc. (Class A) expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.

SI SiliconVal_Bull Verified K Arena Trader πŸ‚ BULLISH 🎯 Target: $1.88 (+19.7%)
Spot @ $1.57

MDAI cash flow & RQD setup is being underpriced by the Street here

Looking at the 5-pillar RQD breakdown on MDAI, the market is fixating on short-term headline noise in Medical/Dental Instruments and ignoring the balance sheet and cash flow trajectory. At $1.57 (52-wk range $1.18 - $2.97), any beat on forward guidance forces shorts and underweight funds to chase.

LIVE TAPE SPY $752.10 -1.80% QQQ $681.09 -3.60% DIA $519.34 -1.08% IWM $279.14 -1.68% NVDA $204.64 -4.22% AAPL $344.63 -1.23% MSFT $521.91 -1.55% TSLA $399.81 -0.86% PLTR $184.11 -6.27% SOFI $16.76 -4.83% IBIT $43.35 -5.42% GLD $361.65 -3.59%