Spectral AI Announces 2024 Third Quarter Financial Results

Revenue Rose to $8.2 Million
Company Reaffirms Timeline for Regulatory Submission to U.S. FDA

Q3 2024 Overview

  • Research & Development Revenue Rose 138% to $8.2 Million
  • Last Patient Out at Burn Centers for U.S. Burn Pivotal Study; Top Line Study Results Expected in Q4 2024
  • U.S. FDA Submission on Track for Q2 2025
  • Completed Proof-of-Concept Module for Wound Measurement Technology

DALLAS, Nov. 06, 2024 (GLOBE NEWSWIRE) -- Spectral AI, Inc. (Nasdaq: MDAI) (โ€œSpectral AIโ€ or the โ€œCompanyโ€), an artificial intelligence (AI) company focused on medical diagnostics for faster and more accurate treatment decisions in wound care, today announced financial results for the third quarter ended September 30, 2024 (โ€œQ3 2024โ€) and provided an update on ongoing activities to commercialize its proprietary, AI-driven DeepViewยฎ System for burn indication (โ€œDeepView AIยฎ-Burnโ€).

Dr. J. Michael DiMaio, the Companyโ€™s Founder and recently appointed Chairman of the Board of Directors, said, โ€œMy confidence in the potential of DeepView AIยฎ-Burn to change the standard of care in burn wound assessment and improve patient outcomes has never been greater. We achieved a critical clinical milestone with the announcement of last patient out at our U.S. Burn Pivotal Study and remain on schedule for our De Novo submission to the U.S. Food and Drug Administration (โ€œFDAโ€) in the second quarter of 2025 for the use of DeepView AIยฎ-Burn in burn centers. We are prioritizing our regulatory pathways for burn, fortifying our long-standing relationships with U.S. Government agencies, developing strategic partnerships that can expand our global reach, and capitalizing on the platform nature of our proprietary technology to pursue additional pipeline applications. We are fortunate to have the support of a team of dedicated professionals, an engaged and committed management team and Board, and $150 million of non-dilutive U.S. Government funding to advance our technology towards commercialization. We look forward to our future with great confidence.โ€

DeepView AIยฎ-Burn Highlights

  • Final group of burn center patients in U.S. Burn Pivotal Study completed clinical visits, with top line study results expected in December 2024.
  • Received a new award of over $850,000 from the Medical Technology Enterprise Consortiumย (โ€œMTECโ€) to support the ongoing development of DeepView SnapShotยฎ M, the Companyโ€™s handheld predictive burn wound healing device targeted for use in battlefield assessment. Total non-dilutive U.S. Government funding for DeepView SnapShotยฎ M now exceeds $7.0 million.
  • Completion of a proof-of-concept module for the Companyโ€™s wound measurement technology that calculates the total body surface area (โ€œTBSAโ€) of a burn. This technology provides an accurate, and standardized measurement that the Company believes is a significant improvement over current wound size measurement technology and can improve patient treatment decisions.

Upcoming Milestones

  • Top line results from U.S. Burn Pivotal Study Expected Q4 2024
  • U.S. FDA submission for the use of DeepView AIยฎ-Burn in burn centers in Q2 2025

Plan to Spin-Off Spectral IP Subsidiary

On November 6, 2024, the Company announced its intent to spin-off its Spectral IP, Inc. subsidiary (โ€œSpectral IPโ€) to continue to seek ways to maximize shareholder value. The Company anticipates that the transaction will be in the form of a stock distribution to its shareholders of Spectral IP, which will become a new, independent publicly-traded company.ย ย 

Q3 2024 FINANCIAL RESULTS OVERVIEW
All comparisons are to the third quarter ended September 30, 2023 (โ€œQ3 2023โ€) unless otherwise stated.

Research and Development Revenue1
Research & Development Revenue for Q3 2024 rose 138% to $8.2 million from $3.4 million, primarily reflecting an increased level of work on the Companyโ€™s Project BioShield (PBS) contract with BARDA, and awards and work performed on other U.S. Government contracts.

Gross Margin
Gross margin for Q3 2024 improved to 44.9% from 42.8%, reflecting increased development activity and higher Research and Development revenue.

General & Administrative Expense
General & administrative expenses in Q3 2024 declined to $4.6 million, or 55.7% of revenue, from $5.6 million, or 163.9% of revenue. This was driven primarily by an approximately $1.0 million reduction in non-revenue generating research and development activities associated with the Companyโ€™s strategic shift to a larger focus on advancing the BARDA PBS contract.

Operating Loss
Operating loss narrowed to $(0.9) million from $(4.2) million, reflecting higher Research and Development revenue, improved gross margin, and reduced operating costs.

Net Loss
Net loss for Q3 2024 was $(1.5) million, or $(0.08) per share, compared to a net loss of $(10.6) million, or $(0.77) per share. Net loss in Q3 2024 included $1.1 million in borrowing related costs as compared to no such costs in the prior year period. Net loss in Q3 2023 included, among other items, $7.6 million in non-recurring transaction costs associated with the September 2023 consummation of the Companyโ€™s business combination and Nasdaq listing.

Adjusted EBITDA
Adjusted EBITDA loss for Q3 2024 was $(0.7) million compared to a loss of $(3.9) million.

Financial Condition
As of September 30, 2024, the Company had $3.7 million in cash, short-term notes payable of $5.0 million, and $1.0 million of long-term debt relating to Spectral IP. Cash at September 30, 2024 included $0.9 million in Spectral IP.

2024 Guidance
The Company reiterates its revenue guidance of approximately $28.0 million for FY 2024.

CONFERENCE CALL

The Company will host a conference call today at 5:00 pm Eastern Time to discuss these results.

Investors interested in participating in the live call can dial:

  • 833-630-1956 โ€“ U.S.
  • 412-317-1837 โ€“ International

A simultaneous webcast of the call may be accessed online from the Events & Presentations section of the Investor Relations page of the Companyโ€™s website atย https://investors.spectral-ai.com/news-events/events.

About Spectral AI
Spectral AI, Inc. is a Dallas-based predictive AI company focused on medical diagnostics for faster and more accurate treatment decisions in wound care, with initial applications involving patients with burns and diabetic foot ulcers. The Company is working to revolutionize the management of wound care by โ€œSeeing the Unknownยฎโ€ with its DeepViewยฎย System. DeepView is a predictive device that offers clinicians an objective and immediate assessment of a woundโ€™s healing potential prior to treatment or other medical intervention. With algorithm-driven results and a goal of exceeding the current standard of care in the future, DeepView is expected to provide faster and more accurate treatment insight towards value care by improving patient outcomes and reducing healthcare costs. For more information about DeepView, visitย www.spectral-ai.com.

Forward-Looking Statements
Certain statements made in this release are โ€œforward looking statementsโ€ within the meaning of the โ€œsafe harborโ€ provisions of the United States Private Securities Litigation Reform Act of 1995, including statements regarding the Companyโ€™s strategy, plans, objectives, initiatives and financial outlook. When used in this press release, the words โ€œestimates,โ€ โ€œprojected,โ€ โ€œexpects,โ€ โ€œanticipates,โ€ โ€œforecasts,โ€ โ€œplans,โ€ โ€œintends,โ€ โ€œbelieves,โ€ โ€œseeks,โ€ โ€œmay,โ€ โ€œwill,โ€ โ€œshould,โ€ โ€œfuture,โ€ โ€œproposeโ€ and variations of these words or similar expressions (or the negative versions of such words or expressions) are intended to identify forward-looking statements.

These forward-looking statements are not guarantees of future performance, conditions or results, and involve a number of known and unknown risks, uncertainties, assumptions and other important factors, many of which are outside Companyโ€™s control, that could cause actual results or outcomes to differ materially from those discussed in the forward-looking statements. As such, readers are cautioned not to place undue reliance on any forward-looking statements.

Investors should carefully consider the foregoing factors and the other risks and uncertainties described in the โ€œRisk Factorsโ€ sections of the Companyโ€™s filings with the SEC, including the Registration Statement and the other documents filed by the Company. These filings identify and address other important risks and uncertainties that could cause actual events and results to differ materially from those contained in the forward-looking statements.

Investors:ย 

The Equity Groupย 
Devin Sullivanย 
Managing Directorย 
dsullivan@equityny.comย 

Conor Rodriguezย 
Analystย 
crodriguez@equityny.com

ย ย ย ย ย ย 
Spectral AI, Inc.
Unaudited Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)
ย ย ย ย ย ย 
ย Septemberย 30,ย ย Decemberย 31,ย 
ย 2024ย ย 2023ย 
Assetsย ย ย ย ย 
Current assets:ย ย ย ย ย 
Cash$3,702ย ย $4,790ย 
Accounts receivable, netย 2,834ย ย ย 2,346ย 
Inventoryย 443ย ย ย 230ย 
Deferred offering costsย -ย ย ย 283ย 
Prepaid expensesย 1,506ย ย ย 1,452ย 
Other current assetsย 1,011ย ย ย 801ย 
Total current assetsย 9,496ย ย ย 9,902ย 
ย ย ย ย ย ย ย ย 
Non-current assets:ย ย ย ย ย ย ย 
Property and equipment, netย 5ย ย ย 12ย 
Right-of-use assetsย 2,101ย ย ย 778ย 
Total Assets$11,602ย ย $10,692ย 
ย ย ย ย ย ย ย ย 
Commitments and contingencies (Note 8)ย ย ย ย ย ย ย 
ย ย ย ย ย ย ย ย 
Liabilities and Stockholdersโ€™ Deficitย ย ย ย ย ย ย 
Current liabilities:ย ย ย ย ย ย ย 
Accounts payable$2,797ย ย $2,683ย 
Accrued expensesย 3,253ย ย ย 4,300ย 
Deferred revenueย 731ย ย ย 2,311ย 
Lease liabilities, short-termย 212ย ย ย 853ย 
Notes payableย 597ย ย ย 436ย 
Notes payable - at fair valueย 4,377ย ย ย -ย 
Warrant liabilitiesย 1,101ย ย ย 1,818ย 
Total current liabilitiesย 13,068ย ย ย 12,401ย 
Notes payable - related partyย 1,000ย ย ย -ย 
Lease liabilities, long-termย 1,870ย ย ย -ย 
Total Liabilitiesย 15,938ย ย ย 12,401ย 
ย ย ย ย ย ย ย ย 
Stockholdersโ€™ Deficitย ย ย ย ย ย ย 
Preferred stock ($0.0001 par value); 1,000,000 shares authorized; no sharesย issued and outstanding as of September 30, 2024 and Decemberย 31, 2023ย -ย ย ย -ย 
Common stock ($0.0001 par value); 80,000,000 shares authorized; 18,513,073 and 16,294,935 sharesย issued and outstanding as of September 30, 2024 and December 31, 2023, respectivelyย 2ย ย ย 2ย 
Additional paid-in capitalย 35,998ย ย ย 31,065ย 
Accumulated other comprehensive incomeย 25ย ย ย 12ย 
Accumulated deficitย (40,361)ย ย (32,788)
Total Stockholdersโ€™ Deficitย (4,336)ย ย (1,709)
Total Liabilities and Stockholdersโ€™ Deficit$11,602ย ย $10,692ย 
ย ย ย ย ย ย ย ย 

The accompanying notes are an integral part of these condensed consolidated financial statements

ย ย ย ย ย ย 
Spectral AI, Inc.
Unaudited Condensed Consolidated Statements of Operations and Comprehensive Loss
(in thousands, except share and per share data)
ย ย ย ย ย ย 
ย Three Months Ended
September 30,
ย ย Nine months ended
September 30,
ย 
ย 2024ย ย 2023ย ย 2024ย ย 2023ย 
ย ย ย ย ย ย ย ย ย ย ย ย 
Research and development revenue$8,173ย ย $3,440ย ย $21,977ย ย $12,769ย 
Cost of revenueย (4,506)ย ย (1,968)ย ย (12,051)ย ย (7,325)
Gross profitย 3,667ย ย ย 1,472ย ย ย 9,926ย ย ย 5,444ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Operating costs and expenses:ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
General and administrativeย 4,553ย ย ย 5,638ย ย ย 15,397ย ย ย 15,499ย 
Total operating costs and expensesย 4,553ย ย ย 5,638ย ย ย 15,397ย ย ย 15,499ย 
Operating lossย (886)ย ย (4,166)ย ย (5,471)ย ย (10,055)
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Other income (expense):ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Net interest (expense) incomeย (8)ย ย 42ย ย ย -ย ย ย 128ย 
Borrowing related costsย (1,059)ย ย -ย ย ย (2,034)ย ย -ย 
Change in fair value of warrant liabilityย 350ย ย ย 1,069ย ย ย 718ย ย ย 1,004ย 
Change in fair value of notes payableย 94ย ย ย -ย ย ย (7)ย ย --ย 
Foreign exchange transaction loss, netย (9)ย ย (24)ย ย (34)ย ย (11)
Other income (expenses), including transactions costsย 51ย ย ย (7,604)ย ย (617)ย ย (8,342)
Total other expense, netย (581)ย ย (6,517)ย ย (1,974)ย ย (7,221)
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Loss before income taxesย (1,467)ย ย (10,683)ย ย (7,445)ย ย (17,276)
Income tax benefit (provision)ย (37)ย ย 54ย ย ย (128)ย ย (32)
Net loss$(1,504)ย $(10,629)ย $(7,573)ย $(17,308)
Net loss per share of common stockย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Basic and Diluted$(0.08)ย $(0.77)ย $(0.44)ย $(1.29)
Weighted average common shares outstandingย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Basic and Dilutedย 17,862,240ย ย ย 13,822,990ย ย ย 17,342,203ย ย ย 13,410,287ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Other comprehensive income (loss):ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Foreign currency translation adjustments$15ย ย $(3)ย $13ย ย $-ย 
Total comprehensive loss$(1,489)ย $(10,632)ย $(7,560)ย $(17,308)
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 

The accompanying notes are an integral part of these condensed consolidated financial statements

ย ย ย 
Spectral AI, Inc.
Unaudited Condensed Consolidated Statements of Cash Flows
(in thousands, except share and per share data)
ย ย ย 
ย Nine months ended
September 30,
ย 
ย 2024ย ย 2023ย 
ย ย ย ย ย ย 
Cash flows from operating activities:ย ย ย ย ย 
Net loss$(7,573)ย $(17,308)
Adjustments to reconcile net loss to net cash used in operating activities:ย ย ย ย ย ย ย 
Depreciation expenseย 7ย ย ย 7ย 
Stock-based compensationย 858ย ย ย 975ย 
Amortization of right-of-use assetsย 448ย ย ย 530ย 
Issuance of shares for transaction costsย -ย ย ย 1,800ย 
Commitment to issue shares for transaction costsย -ย ย ย 2,550ย 
Change in fair value of warrant liabilitiesย (718)ย ย (1,004)
Change in fair value of notes payableย 7ย ย ย -ย 
Costs from issuance of common stockย 372ย ย ย -ย 
Issuance of shares for borrowing related costsย 280ย ย ย -ย 
Changes in operating assets and liabilities:ย ย ย ย ย ย ย 
Accounts receivableย (488)ย ย 982ย 
Inventoryย (213)ย ย (220)
Unbilled revenueย -ย ย ย 491ย 
Prepaid expensesย 542ย ย ย (469)
Other assetsย (208)ย ย (197)
Accounts payableย 188ย ย ย (554)
Accrued expensesย (1,047)ย ย 1,225ย 
Deferred revenueย (1,580)ย ย 795ย 
Lease liabilitiesย (542)ย ย (468)
Net cash used in operating activitiesย (9,668)ย ย (10,865)
Cash flows from financing activities:ย ย ย ย ย ย ย 
Proceeds from issuance of common stockย 2,667ย ย ย 3,351ย 
Cash received in Business Combinationย -ย ย ย 660ย 
Proceeds from notes payableย 11,500ย ย ย -ย 
Proceeds from notes payable - related partyย 1,000ย ย ย -ย 
Payments for notes payableย (6,600)ย ย (288)
Stock option exercisesย -ย ย ย 316ย 
Net cash provided by financing activitiesย 8,567ย ย ย 4,039ย 
Effect of exchange rate changes on cashย 13ย ย ย -ย 
Net decrease in cashย (1,088)ย ย (6,826)
Cash, beginning of periodย 4,790ย ย ย 14,174ย 
Cash, end of period$3,702ย ย $7,348ย 
ย ย ย ย ย ย ย ย 
Supplemental cash flow information:ย ย ย ย ย ย ย 
Cash paid for interest$-ย ย $6ย 
Cash paid for taxes$20ย ย $114ย 
ย ย ย ย ย ย ย ย 
Noncash operating and financing activities disclosure:ย ย ย ย ย ย ย 
Recognition of Right-of-use assets and related lease liabilities upon lease amendment$1,771ย ย $483ย 
Issuance of common stock for net liabilities upon Business Combination$-ย ย $3,034ย 
Prepaid asset acquired, net of cancellation, for debt and accounts payable$596ย ย $955ย 
Issuance of common stock to settle accounts and notes payable$1,245ย ย $150ย 
ย ย ย ย ย ย ย ย 

The accompanying notes are an integral part of these condensed consolidated financial statements

Spectral AI, Inc.
Reconciliation of GAAP Net Loss to EBITDA and ADJUSTED EBITDA

Adjusted EBITDA

We define Adjusted EBITDA as net loss excluding income taxes, depreciation of property and equipment, net interest income, stock compensation, transaction costs and any non-operating financial income and expense.

The following table presents our Adjusted EBITDA for the three and nine months ended September 30, 2024 and 2023 (in thousands):

ย ย ย ย ย ย 
ย Three Months Ended
ย September 30,
ย ย Nine months ended
ย September 30,
ย 
ย 2024ย ย 2023ย ย 2024ย ย 2023ย 
ย (In thousands)ย 
Net loss$(1,504)ย $(10,629)ย $(7,573)ย $(17,308)
Adjust:ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Depreciation expenseย 2ย ย ย 2ย ย ย 7ย ย ย 7ย 
Provision for income taxesย 37ย ย ย (54)ย ย 128ย ย ย 32ย 
Net interest (income) expenseย 8ย ย ย (42)ย ย -ย ย ย (128)
EBITDAย (1,457)ย ย (10,723)ย ย (7,438)ย ย (17,397)
Additional adjustments:ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Stock-based compensationย 173ย ย ย 279ย ย ย 858ย ย ย 975ย 
Borrowing related costsย 1,059ย ย ย -ย ย ย 2,034ย ย ย -ย 
Change in fair value of warrant liabilityย (350)ย ย (1,069)ย ย (718)ย ย (1,004)
Change in fair value of notes payableย (94)ย ย -ย ย ย 7ย ย ย -ย 
Foreign exchange transaction (gain) lossย 9ย ย ย 24ย ย ย 34ย ย ย 11ย 
Other (income) expenses, including transaction costsย (51)ย ย 7,604ย ย ย 617ย ย ย 8,342ย 
Adjusted EBITDA$(711)ย $(3,885)ย $(4,606)ย $(9,073)
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 

We use Adjusted EBITDA as a non-GAAP metric when measuring performance, including when measuring current period results against prior periodsโ€™ Adjusted EBITDA.ย This non-GAAP financial measure should be considered in addition to results prepared in accordance with GAAP and should not be considered as a substitute for, or superior to, GAAP results. In addition, Adjusted EBITDA should not be construed as an indicator of our operating performance, liquidity or cash flows generated by operating, investing and financing activities, as there may be significant factors or trends that it fails to address.

Because of their non-standardized definitions, non-GAAP measures (unlike GAAP measures) may not be comparable to the calculation of similar measures of other companies. We caution investors that non-GAAP financial information, by its nature, departs from traditional accounting conventions. Supplemental non-GAAP measures are presented solely to permit investors to more fully understand how Spectral AIโ€™s management assesses underlying performance.

_____________________
1Research and Development Revenue consisted primarily of funding from the Biomedical Advanced Research and Development Authority (BARDA), part of the Administration for Strategic Preparedness and Response (ASPR) within the U.S. Department of Health and Human Services.


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