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Side-by-side financial comparison of ALT5 Sigma Corp (ALTS) and Spectral AI, Inc. (MDAI). Click either name above to swap in a different company.

ALT5 Sigma Corp is the larger business by last-quarter revenue ($5.4M vs $4.1M, roughly 1.3× Spectral AI, Inc.). Spectral AI, Inc. runs the higher net margin — 25.7% vs -7100.2%, a 7125.9% gap on every dollar of revenue. On growth, ALT5 Sigma Corp posted the faster year-over-year revenue change (12.5% vs -46.3%).

ALT5 Sigma Corp is a fintech firm focused on digital asset infrastructure and trading solutions. It operates regulated digital asset trading platforms for retail and institutional clients, primarily serving markets across North America, Europe, and the Asia-Pacific region. Its core offerings include spot and derivatives trading, digital asset custody, and secure settlement services.

Spectral AI, Inc. is a medical technology firm specializing in AI-powered diagnostic imaging solutions primarily for burn and wound care. It develops non-invasive imaging tools that enable healthcare providers to deliver faster, more accurate treatment assessments, serving clinical and healthcare partner networks across North America and European markets.

ALTS vs MDAI — Head-to-Head

Bigger by revenue
ALTS
ALTS
1.3× larger
ALTS
$5.4M
$4.1M
MDAI
Growing faster (revenue YoY)
ALTS
ALTS
+58.7% gap
ALTS
12.5%
-46.3%
MDAI
Higher net margin
MDAI
MDAI
7125.9% more per $
MDAI
25.7%
-7100.2%
ALTS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALTS
ALTS
MDAI
MDAI
Revenue
$5.4M
$4.1M
Net Profit
$-381.5M
$1.1M
Gross Margin
40.9%
45.2%
Operating Margin
-38.1%
-54.9%
Net Margin
-7100.2%
25.7%
Revenue YoY
12.5%
-46.3%
Net Profit YoY
-7249.1%
113.9%
EPS (diluted)
$-5.53
$0.04

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ALTS
ALTS
MDAI
MDAI
Q4 25
$5.4M
$4.1M
Q3 25
$7.6M
$3.8M
Q2 25
$6.4M
$5.1M
Q1 25
$5.5M
$6.7M
Q4 24
$4.8M
$7.6M
Q3 24
$4.9M
$8.2M
Q2 24
$2.2M
$7.5M
Q1 24
$0
$6.3M
Net Profit
ALTS
ALTS
MDAI
MDAI
Q4 25
$-381.5M
$1.1M
Q3 25
$49.0M
$-3.6M
Q2 25
$-9.1M
$-8.0M
Q1 25
$-2.9M
$2.9M
Q4 24
$-5.2M
$-7.6M
Q3 24
$-822.0K
$-1.5M
Q2 24
$589.0K
$-2.9M
Q1 24
$-2.1M
$-3.2M
Gross Margin
ALTS
ALTS
MDAI
MDAI
Q4 25
40.9%
45.2%
Q3 25
34.6%
42.7%
Q2 25
43.5%
45.2%
Q1 25
47.0%
47.2%
Q4 24
45.8%
44.0%
Q3 24
47.8%
44.9%
Q2 24
50.6%
44.3%
Q1 24
46.6%
Operating Margin
ALTS
ALTS
MDAI
MDAI
Q4 25
-38.1%
-54.9%
Q3 25
-218.3%
-88.1%
Q2 25
-32.8%
-41.9%
Q1 25
-39.4%
-13.4%
Q4 24
-40.8%
-14.6%
Q3 24
-14.8%
-10.8%
Q2 24
-112.2%
-32.7%
Q1 24
-33.9%
Net Margin
ALTS
ALTS
MDAI
MDAI
Q4 25
-7100.2%
25.7%
Q3 25
646.4%
-93.7%
Q2 25
-142.9%
-157.3%
Q1 25
-51.9%
43.2%
Q4 24
-108.7%
-99.8%
Q3 24
-16.6%
-18.4%
Q2 24
27.2%
-38.3%
Q1 24
-50.7%
EPS (diluted)
ALTS
ALTS
MDAI
MDAI
Q4 25
$-5.53
$0.04
Q3 25
$0.29
$-0.13
Q2 25
$-0.49
$-0.31
Q1 25
$-0.18
$0.11
Q4 24
$-0.35
$-0.42
Q3 24
$-0.06
$-0.08
Q2 24
$0.07
$-0.16
Q1 24
$-0.34
$-0.19

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ALTS
ALTS
MDAI
MDAI
Cash + ST InvestmentsLiquidity on hand
$6.2M
$15.4M
Total DebtLower is stronger
$563.0K
$9.3M
Stockholders' EquityBook value
$1.2B
$-5.7M
Total Assets
$1.2B
$21.4M
Debt / EquityLower = less leverage
0.00×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALTS
ALTS
MDAI
MDAI
Q4 25
$6.2M
$15.4M
Q3 25
$7.3M
$10.5M
Q2 25
$9.6M
$10.5M
Q1 25
$10.8M
$14.1M
Q4 24
$7.2M
$5.2M
Q3 24
$8.7M
$3.7M
Q2 24
$5.8M
$6.9M
Q1 24
$61.0K
$10.2M
Total Debt
ALTS
ALTS
MDAI
MDAI
Q4 25
$563.0K
$9.3M
Q3 25
Q2 25
Q1 25
$7.8M
Q4 24
$563.0K
$2.8M
Q3 24
$1.0M
Q2 24
Q1 24
Stockholders' Equity
ALTS
ALTS
MDAI
MDAI
Q4 25
$1.2B
$-5.7M
Q3 25
$1.6B
$-8.2M
Q2 25
$26.1M
$-9.2M
Q1 25
$21.8M
$-1.6M
Q4 24
$12.4M
$-7.3M
Q3 24
$20.2M
$-4.8M
Q2 24
$22.9M
$-4.7M
Q1 24
$3.8M
$-2.5M
Total Assets
ALTS
ALTS
MDAI
MDAI
Q4 25
$1.2B
$21.4M
Q3 25
$1.6B
$15.3M
Q2 25
$94.7M
$16.0M
Q1 25
$78.0M
$20.7M
Q4 24
$75.7M
$12.1M
Q3 24
$74.9M
$11.6M
Q2 24
$75.4M
$13.9M
Q1 24
$18.6M
$15.5M
Debt / Equity
ALTS
ALTS
MDAI
MDAI
Q4 25
0.00×
Q3 25
Q2 25
Q1 25
Q4 24
0.05×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ALTS
ALTS
MDAI
MDAI
Operating Cash FlowLast quarter
$-7.2M
$-2.6M
Free Cash FlowOCF − Capex
$-7.2M
FCF MarginFCF / Revenue
-133.4%
Capex IntensityCapex / Revenue
0.2%
Cash ConversionOCF / Net Profit
-2.43×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALTS
ALTS
MDAI
MDAI
Q4 25
$-7.2M
$-2.6M
Q3 25
$-8.7M
$-2.5M
Q2 25
$-5.2M
$-3.4M
Q1 25
$-1.5M
$-1.5M
Q4 24
$1.8M
$469.0K
Q3 24
$4.2M
$-1.6M
Q2 24
$80.0K
$-5.4M
Q1 24
$-544.0K
$-2.7M
Free Cash Flow
ALTS
ALTS
MDAI
MDAI
Q4 25
$-7.2M
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
FCF Margin
ALTS
ALTS
MDAI
MDAI
Q4 25
-133.4%
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
Capex Intensity
ALTS
ALTS
MDAI
MDAI
Q4 25
0.2%
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Q1 24
Cash Conversion
ALTS
ALTS
MDAI
MDAI
Q4 25
-2.43×
Q3 25
-0.18×
Q2 25
Q1 25
-0.52×
Q4 24
Q3 24
Q2 24
0.14×
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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