Spectral AI Announces 2024 Second Quarter Financial Results

Second Quarter Revenue Totals $7.5 Million

Total Enrollment Exceeds 85% for Burn Center Pivotal U.S. Clinical Trial

Q2 2024 Overview

  • Research & Development Revenue of $7.5 Million
  • Cash Position of $6.9 Million
  • On Track to Generate First Commercial Revenues in the U.K. Later this Year
  • Burn Pivotal Study Nearing Completion Paving the Way for U.S. FDA Submission in Early 2025
  • Announced Collaboration with PolyNovo Ltd. Providing Introduction to Australian Market
  • Continued Progress in Handheld Burn Wound Diagnostic Technology
  • Added to Russell Microcapยฎย Index effective July 1, 2024

DALLAS, Aug. 12, 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 second quarter ended June 30, 2024 (โ€œQ2 2024โ€) and provided an update on its ongoing business activities.

โ€œThis is one of the most exciting and consequential periods in our history, and I am proud to see the teams advancing our proprietary, AI-driven DeepViewโ„ข System for burn indication (โ€œDeepView AI- Burnโ€) along multiple fronts, including clinical, developmental and commercial,โ€ said Peter M. Carlson, CEO of Spectral AI. โ€œThe upcoming completion of enrollment at burn centers for our U.S. Burn Pivotal Study, continued development of both our cart-based device and the handheld diagnostic tool, and anticipation of our first commercial revenues in the U.K. later this year validate our vison and reinforce our strategic imperatives.โ€

CLINCIAL TRIAL UPDATES

  • Patient enrollment for the 2024 U.S. Burn Pivotal Study continues to progress well at burn centers, where total enrollment now exceeds 85%. This pivotal study, which is designed to validate the AI-driven algorithm of DeepView AI-Burn, will be the final clinical trial before the Company seeks regulatory approval in 2025 and is one of the largest burn studies ever conducted in the United States.
  • Building on this momentum, the Company will pursue a De Novo classification from the U.S. Food and Drug Administration (โ€œFDAโ€) for DeepView AI-Burn for use in burn centers and expects to submit the request in the second quarter of 2025. A subsequent 510k application will be made for the use of DeepView AI-Burn in emergency departments after receiving approval for use in burn centers.
  • The Company paused patient enrollment for the U.S. DFU Clinical Validation Study at 475 subjects, having achieved sufficient enrollment for development of a robust DFU data set. Management is assessing the insights of this study while focusing on the burn indication, where the opportunity for near-term market penetration is the greatest.

SELECT BUSINESS HIGHLIGHTS

Product Deployment and Market Development

  • Deployed a total of five DeepView Burn devices at facilities across the U.K. in connection with the February 2024 receipt of UKCA Authorization. These deployments will increase familiarity of the device in advance of commercialization later this year and provide real-word data that enhances the AI-algorithm.
  • Continued to make progress in the development of DeepView SnapShotยฎ M, a handheld diagnostic tool targeted for use in battlefield burn assessment that is based on the DeepViewโ„ข System platform. DeepView SnapShotยฎ M is designed to be an integral part of the triage process by providing a quick and accurate wound assessment so that those with more severe burn injuries can be prioritized for treatment and evacuation. A poster presentation highlighting DeepView SnapShotยฎ M is scheduled for the 2024 Military Health System Research Symposium (MHSRS) being held August 26-29, 2024.
  • Signed a Memorandum of Understanding with PolyNovo Limited to support the Companyโ€™s application to the Australian Special Access Scheme to allow for the deployment of two DeepView Burn systems at the Royal Adelaide Hospital and The Alfred Hospital in Melbourne.

Corporate

  • Received the final $2.5 million principal advance under its existing standby equity purchase agreement.
  • Added to the Russell Microcapยฎย Index effective July 1, 2024.
  • Continued to strengthen and protect its proprietary DeepViewโ„ข System wound assessment platform via a 30% increase in the Companyโ€™s patent portfolio to 26 granted patents from 20. The Company also announced an additional 38 pending patent applications worldwide.

Q2 2024 FINANCIAL RESULTS OVERVIEW
All comparisons are to the second quarter ended June 30, 2023 (โ€œQ2 2023โ€) unless otherwise stated.

Research & Development Revenue 1
Research & Development Revenue for Q2 2024 rose 76% to $7.5 million from $4.3 million, primarily reflecting an increased level of activity under the Companyโ€™s Project BioShield (PBS) contract with BARDA for the advanced development of the DeepViewโ„ข System.

Gross Margin
Gross margin for Q2 2024 improved to 44.3% from 42.1%, due to a higher reimbursement rate under the BARDA PBS Contract as compared to the rate associated with the now completed BARDA Burn II contract.

General & Administrative Expense
General & administrative expenses in Q2 2024 rose to $5.8 million, or 77% of revenues, from $4.8 million, or 112% of revenues.

Operating Loss
Operating loss narrowed to $(2.4) million from $(3.0) million.

Net Loss
Net loss for Q2 2024 narrowed to $(2.9) million, or $(0.16) per share, as compared to a net loss of $(3.1) million, or $(0.23) per share.

Financial Condition
As of June 30, 2024, cash was $6.9 million as compared to $4.8 million at December 31, 2023. Cash at June 30, 2024 included $0.9 million in cash in the Companyโ€™s newly formed wholly-owned subsidiary Spectral IP, Inc.

2024 Guidance
The Company reiterates its revenue guidance of approximately $28.0 million for FY 2024. Financial guidance for FY 2024 does not reflect contributions from the sale of the DeepViewโ„ข System for burn in the U.K. that is expected to begin in Q4 2024 or any additional material financial contributions that may result from the commercialization of our DeepViewโ„ข System.

________________________
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.


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 DeepViewโ„ข System.ย  The DeepViewโ„ข System 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 to change the current standard of care, the DeepViewโ„ข System 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 the DeepViewโ„ข System, visit www.spectral-ai.com.ย 

Forward Looking Statementsย 
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.ย 

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.ย 

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.ย 

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

Conor Rodriguezย 
Analystย 
crodriguez@equityny.com


ย 
Spectral AI, Inc.
Unaudited Condensed Consolidated Balance Sheets
(in thousands, except share and per share data)
ย 
ย ย Juneย 30,ย ย Decemberย 31,ย 
ย ย 2024ย ย 2023ย 
Assetsย ย ย ย ย ย 
Current assets:ย ย ย ย ย ย 
Cashย $6,877ย ย $4,790ย 
Accounts receivable, netย ย 2,295ย ย ย 2,346ย 
Inventoryย ย 267ย ย ย 230ย 
Deferred offering costsย ย -ย ย ย 283ย 
Prepaid expensesย ย 1,249ย ย ย 1,452ย 
Other current assetsย ย 973ย ย ย 801ย 
Total current assetsย ย 11,661ย ย ย 9,902ย 
ย ย ย ย ย ย ย ย ย 
Non-current assets:ย ย ย ย ย ย ย ย 
Property and equipment, netย ย 7ย ย ย 12ย 
Right-of-use assetsย ย 2,229ย ย ย 778ย 
Total Assetsย $13,897ย ย $10,692ย 
ย 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 ย ย 
Liabilities and Stockholdersโ€™ Deficitย ย ย ย ย ย ย ย 
Current liabilities:ย ย ย ย ย ย ย ย 
Accounts payableย $2,403ย ย $2,683ย 
Accrued expensesย ย 2,733ย ย ย 4,300ย 
Deferred revenueย ย 1,315ย ย ย 2,311ย 
Lease liabilities, short-termย ย 224ย ย ย 853ย 
Notes payableย ย -ย ย ย 436ย 
Notes payable - at fair valueย ย 7,001ย ย ย -ย 
Notes payable - related partyย ย 1,000ย ย ย -ย 
Warrant liabilitiesย ย 1,450ย ย ย 1,818ย 
Total current liabilitiesย ย 16,126ย ย ย 12,401ย 
Lease liabilities, long-termย ย 2,036ย ย ย -ย 
Total Liabilitiesย ย 18,162ย ย ย 12,401ย 
ย ย ย ย ย ย ย ย ย 
Stockholdersโ€™ Deficitย ย ย ย ย ย ย ย 
Preferred stock ($0.0001 par value); 1,000,000 shares authorized; no sharesย issued and outstanding as of June 30, 2024 and Decemberย 31, 2023ย ย -ย ย ย -ย 
Common stock ($0.0001 par value); 80,000,000 shares authorized; 17,606,367 and 16,294,935 sharesย issued and outstanding as of June 30, 2024 and December 31, 2023, respectivelyย ย 2ย ย ย 2ย 
Additional paid-in capitalย ย 34,580ย ย ย 31,065ย 
Accumulated other comprehensive incomeย ย 10ย ย ย 12ย 
Accumulated deficitย ย (38,857)ย ย (32,788)
Total Stockholdersโ€™ Deficitย ย (4,265)ย ย (1,709)
Total Liabilities and Stockholdersโ€™ Deficitย $13,897ย ย $10,692ย 


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


ย 
Spectral AI, Inc.
Unaudited Condensed Consolidated Statements of Operations and Comprehensive Loss
(in thousands, except share and per share data)
ย 
ย ย Three Months Ended
June 30,
ย ย Six Months Ended
June 30,
ย 
ย ย 2024ย ย 2023ย ย 2024ย ย 2023ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย 
Research and development revenueย $7,478ย ย $4,251ย ย $13,804ย ย $9,329ย 
Cost of revenueย ย (4,164)ย ย (2,460)ย ย (7,545)ย ย (5,357)
Gross profitย ย 3,314ย ย ย 1,791ย ย ย 6,259ย ย ย 3,972ย 
ย 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 ย 
General and administrativeย ย 5,756ย ย ย 4,782ย ย ย 10,844ย ย ย 9,861ย 
Total operating costs and expensesย ย 5,756ย ย ย 4,782ย ย ย 10,844ย ย ย 9,861ย 
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Operating lossย ย (2,442)ย ย (2,991)ย ย (4,585)ย ย (5,889)
ย 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 ย 
Net interest (expense) incomeย ย (6)ย ย 42ย ย ย 8ย ย ย 86ย 
Borrowing related costsย ย (699)ย ย -ย ย ย (975)ย ย -ย 
Change in fair value of warrant liabilityย ย 348ย ย ย (81)ย ย 368ย ย ย (65)
Change in fair value of notes payableย ย (167)ย ย -ย ย ย (101)ย ย ย -
Foreign exchange transaction (loss) gain, netย ย (9)ย ย -ย ย ย (25)ย ย 13ย 
Other income (expenses), including transactions costsย ย 180ย ย ย -ย ย ย (668)ย ย (738)
Total other expense, netย ย (353)ย ย (39)ย ย (1,393)ย ย (704)
ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Loss before income taxesย ย (2,795)ย ย (3,030)ย ย (5,978)ย ย (6,593)
Income tax provisionย ย (69)ย ย (40)ย ย (91)ย ย (86)
Net lossย $(2,864)ย $(3,070)ย $(6,069)ย $(6,679)
Net loss per share of common stockย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Basic and Dilutedย $(0.16)ย $(0.23)ย $(0.36)ย $(0.51)
Weighted average common shares outstandingย ย ย ย ย ย ย ย ย ย ย ย ย ย ย ย 
Basic and Dilutedย ย 17,598,357ย ย ย 13,210,320ย ย ย 17,079,328ย ย ย 13,200,515ย 
ย 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 ย 
Foreign currency translation adjustmentsย $-ย ย $2ย ย $(2)ย $3ย 
Total comprehensive lossย $(2,864)ย $(3,068)ย $(6,071)ย $(6,676)


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


ย 
Spectral AI, Inc.
Unaudited Condensed Consolidated Statements of Cash Flows
(in thousands, except share and per share data)
ย 
ย ย Six Months Ended
June 30,
ย 
ย ย 2024ย ย 2023ย 
ย ย ย ย ย ย ย 
Cash flows from operating activities:ย ย ย ย ย ย ย ย 
Net lossย $(6,069)ย $(6,679)
Adjustments to reconcile net loss to net cash used in operating activities:ย ย ย ย ย ย ย ย 
Depreciation expenseย ย 5ย ย ย 5ย 
Stock-based compensationย ย 685ย ย ย 696ย 
Amortization of right-of-use assetsย ย 320ย ย ย 350ย 
Change in fair value of warrant liabilitiesย ย (368)ย ย 65ย 
Change in fair value of notes payableย ย 101ย ย ย -ย 
Costs from issuance of common stockย ย 372ย ย ย -ย 
Changes in operating assets and liabilities:ย ย ย ย ย ย ย ย 
Accounts receivableย ย 51ย ย ย 774ย 
Inventoryย ย (37)ย ย -ย 
Unbilled revenueย ย -ย ย ย 527ย 
Prepaid expensesย ย 203ย ย ย (11)
Other assetsย ย (172)ย ย (322)
Accounts payableย ย (206)ย ย (752)
Accrued expensesย ย (1,567)ย ย (405)
Deferred revenueย ย (996)ย ย 509ย 
Lease liabilitiesย ย (364)ย ย (284)
Net cash used in operating activitiesย ย (8,042)ย ย (5,527)
Cash flows from financing activities:ย ย ย ย ย ย ย ย 
Proceeds from issuance of common stockย ย 2,667ย ย ย -ย 
Proceeds from notes payableย ย 9,200ย ย ย -ย 
Proceeds from notes payable - related partyย ย 1,000ย ย ย -ย 
Payments of deferred offering costsย ย -ย ย ย (306)
Payments for notes payableย ย (2,736)ย ย (175)
Stock option exercisesย ย -ย ย ย -ย 
Net cash provided by (used in) financing activitiesย ย 10,131ย ย ย (481)
Effect of exchange rate changes on cashย ย (2)ย ย -ย 
Net increase (decrease) in cashย ย 2,087ย ย ย (6,008)
Cash, beginning of periodย ย 4,790ย ย ย 14,174ย 
Cash, end of periodย $6,877ย ย $8,166ย 
ย ย ย ย ย ย ย ย ย 
Supplemental cash flow information:ย ย ย ย ย ย ย ย 
Cash paid for interestย $-ย ย $(3)
Cash paid for taxesย $-ย ย $-ย 
ย ย ย ย ย ย ย ย ย 
Noncash operating and financing activities disclosure:ย ย ย ย ย ย ย ย 
Recognition of Right-of-use assets and related lease liabilities upon lease amendmentย $1,771ย ย $483ย 
Unpaid deferred offering costsย $-ย ย $818ย 
Broker receivable for stock option exercisesย $-ย ย $6ย 

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