Spectral AI (MDAI) risk factors, FY2024 10-K

Spectral AI's FY2024 10-K, filed Mar 31, 2025, lists 70 risk factors. There is no earlier 10-K to compare against, so the most company-specific risks are listed below.

Risk factors listed
700 groups
Section length
17k wordsItem 1A

Spectral AI's biggest risks in the FY2024 10-K

  • Spectral AI relies heavily on government contracts from BARDA, MTEC, and DHA to fund the development of its DeepView System.
  • The company faces significant financial pressures, including material weaknesses in internal controls and Nasdaq listing compliance risks.

The risks most specific to Spectral AI

  • In March 2024, the Company received an additional $0.5 million award from the Defense Health Agency to further the development related to the DHA Agreement

    The company received a Nasdaq deficiency letter on June 3, 2024, because its listed securities fell below the $35.0 million minimum market value requirement.

  • Accounts receivable represent amounts due from US government agencies pursuant to research and development contracts associated with the Company’s DeepView® System

    Accounts receivable depend entirely on research and development contracts with US government agencies related to the DeepView System.

  • The Company generates research and development revenue, primarily from the contracts with BARDA and MTEC. Each contract for BARDA and MTEC has a single performance obligation

    Research and development revenue is concentrated in cost-plus-fee contracts with BARDA and MTEC, alongside additional funding from the Defense Health Agency.

  • As discussed in Note 1, on September 11, 2023, the Company consummated the Business Combination, with Legacy Spectral surviving the merger as a wholly-owned subsidiary of the Company

    The September 2023 Business Combination saddled the company with net liabilities of $2.4 million and substantial warrant and note liabilities.

All 70 risk factors

Headings as the filing states them, in filing order.

Other

  1. 01Remediation Plan for Material Weaknesses
  2. 02Based on this assessment, our management concluded that, as of December 31, 2024, our internal control over financial reporting was not effective at the reasonable assurance level, due to the material weakness outlined above
  3. 03Changes in Internal Control over Financial Reporting
  4. 04Item 10. Directors, Executive Officers and Corporate Governance
  5. 05As an “emerging growth company” as defined in the JOBS Act, we are not required to include a Compensation Discussion and Analysis section and have opted to comply with the scaled disclosure requirements applicable to emerging growth companies
  6. 06of Certain Beneficial Owners and Management and Related Stockholder Matters
  7. 07Item 13. Certain Relationships and Related Transactions, and Director Independence
  8. 08Item 14. Principal Accountant Fees and Services
  9. 09Item 15. Exhibits, Financial Statement Schedules
  10. 10Opinion on the Consolidated Financial Statements
  11. 11Total current assets 10,122 9,902
  12. 12Liabilities and Stockholders’ Equity (Deficit)
  13. 13Gross profit 13,274 7,880
  14. 14Operating loss (6,582 ) (12,984 )
  15. 15Basic and Diluted 17,934,218 14,087,586
  16. 16Net loss $ (15,315 ) $ (20,854 )
  17. 17Issuance of shares for borrowing related costs 1,143
  18. 18Net cash used in operating activities (9,199 ) (13,240 )
  19. 19Cash paid for taxes $ 11 $ 114
  20. 20In March 2024, the Company received an additional $0.5 million award from the Defense Health Agency to further the development related to the DHA Agreement
  21. 21The Company’s consolidated financial statements have been prepared in conformity with U.S. generally accepted accounting principles (“GAAP”) as determined by the Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) or an Accounting Standards Update (“ASU”)
  22. 22(v) Legacy Spectral’s operations comprise the ongoing operations of Spectral AI
  23. 23Principles of Consolidation
  24. 24The Company has one operating segment. The accounting policies of the Company’s single operating and reportable segment are the same as those described in the summary of significant accounting policies
  25. 25Accounts receivable represent amounts due from US government agencies pursuant to research and development contracts associated with the Company’s DeepView® System
  26. 26Concentrations of Credit Risk
  27. 27Property and Equipment, Net
  28. 28Leasehold improvements Shorter of remaining lease term or useful life
  29. 29Impairment of Long-Lived Assets
  30. 30Research and Development Revenue
  31. 31The Company generates research and development revenue, primarily from the contracts with BARDA and MTEC. Each contract for BARDA and MTEC has a single performance obligation
  32. 32Research and Development Expense
  33. 33Net Loss per Share of Common Stock
  34. 34Comprehensive Income (Loss)
  35. 35Recently Adopted Accounting Standards
  36. 36Recently Issued Accounting Standards
  37. 37As discussed in Note 1, on September 11, 2023, the Company consummated the Business Combination, with Legacy Spectral surviving the merger as a wholly-owned subsidiary of the Company
  38. 38Upon the Closing, the Company issued 33,333 shares of Company Common Stock, with a fair value of $0.2 million, to settle an assumed liability to the Sponsor as a payment for an administrative fee
  39. 394. FAIR VALUE MEASUREMENTS
  40. 40There were no transfers between Level 1, 2 or 3 during the years ended December 31, 2024 and 2023
  41. 41Balance - December 31, 2024 $ 41
  42. 42Valuation of short-term notes payable – Yorkville
  43. 43Balance as of December 31, 2024 2,365
  44. 44Valuation of forward options in B. Riley ELOC and Yorkville SEPA
  45. 455. RESEARCH AND DEVELOPMENT REVENUE
  46. 46Total revenue $ 29,581 $ 18,056
  47. 47Yorkville Convertible Notes
  48. 48During 2023, the Company entered into a lease for office space in the United Kingdom for annual payments of $0.1 million under a lease that expired in March 2024. The lease was renewed in March 2024, however the Company has excluded this lease from the tables below as the term is twelve months
  49. 49Weighted average discount rate 8.5 % 8.5 %
  50. 50Variable lease cost is primarily attributable to amounts paid to lessors for utility charges, parking, and property taxes under an office space lease
  51. 5111. STOCK-BASED COMPENSATION
  52. 522018 Long Term Incentive Plan
  53. 532022 Long Term Incentive Plan
  54. 542023 Long Term Incentive Plan
  55. 55Nonvested as of December 31, 2024 169,401 $ 1.73
  56. 56Options vested and exercisable as of December 31, 2024 2,941,842 $ 1.87 5.5 3,285
  57. 57The Company recorded stock-based compensation expense for stock options, RSUs, and restricted stock awards of $1.03 million for the year ended December 31, 2024 and $1.2 million for the year ended December 31, 2023 in general and administrative expenses in the consolidated statements of operations
  58. 58Components of Income Tax Expense/(Benefit)
  59. 59Total provision for income taxes $ 271 $ 10
  60. 60Total deferred income tax assets 6,661 4,512
  61. 61Valuation Allowance Considerations
  62. 62Section 174 Capitalization
  63. 63Basic and diluted net loss per common share attributable to common stockholders are the same for the years ended December 31, 2024 and 2023, since the inclusion of all potential shares of common stock outstanding would have been anti-dilutive due to the Company’s net loss
  64. 6414. RELATED PARTY TRANSACTIONS
  65. 65Exhibit Number Description
  66. 663.2** Amended and Restated Bylaws of Spectral AI, Inc. (incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the SEC on September 15, 2023)
  67. 674.3** Amended and Restated Registration Rights & Lock-up Agreement (incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the SEC on September 15, 2023)
  68. 6810.1** Form of Indemnification Agreement (incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the SEC on September 15, 2023)
  69. 6910.8** Sponsor Letter Agreement, dated April 11, 2023, by and among Rosecliff Acquisition I Sponsor LLC, Spectral MD Holdings, Ltd., and Rosecliff Acquisition Corp I (incorporated by reference to Annex F of the Registration Statement on Form S-4 (File No. 333-271566))
  70. 70104 Cover Page Interactive Data File

Other Spectral AI 10-Ks

  • FY2025 10-K risk factors
    78 risks78 new70 dropped

    The company relies heavily on government contracts like BARDA and DOD for funding its DeepView diagnostic systems. Regulatory approval from the FDA and international bodies remains a central milestone for commercialization. Proprietary AI algorithms and extensive wound data repositories form the core of the business model.

    Filed Mar 25, 2026

About this page

The headings are the filing's own. The one-line readings and the overview are automated and can be wrong: read Item 1A of the 10-K for the exact wording.