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Side-by-side financial comparison of Spectral AI, Inc. (MDAI) and SMITH MICRO SOFTWARE, INC. (SMSI). Click either name above to swap in a different company.

Spectral AI, Inc. is the larger business by last-quarter revenue ($4.1M vs $4.0M, roughly 1.0× SMITH MICRO SOFTWARE, INC.). On growth, SMITH MICRO SOFTWARE, INC. posted the faster year-over-year revenue change (-20.0% vs -46.3%). Over the past eight quarters, SMITH MICRO SOFTWARE, INC.'s revenue compounded faster (-17.2% CAGR vs -19.6%).

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.

Smith Micro Software, Inc., founded in 1982 by William W. Smith, Jr., is a developer and marketer of both enterprise and consumer-level software and services. Headquartered in Pittsburgh, Pennsylvania, Smith Micro maintains multiple domestic and international offices. United States locations include Aliso Viejo, California, and Pittsburgh, Pennsylvania. International offices are located throughout Europe and Asia. Currently, the company focuses on digital lifestyle solutions and security tech...

MDAI vs SMSI — Head-to-Head

Bigger by revenue
MDAI
MDAI
1.0× larger
MDAI
$4.1M
$4.0M
SMSI
Growing faster (revenue YoY)
SMSI
SMSI
+26.3% gap
SMSI
-20.0%
-46.3%
MDAI
Faster 2-yr revenue CAGR
SMSI
SMSI
Annualised
SMSI
-17.2%
-19.6%
MDAI

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MDAI
MDAI
SMSI
SMSI
Revenue
$4.1M
$4.0M
Net Profit
$1.1M
Gross Margin
45.2%
76.4%
Operating Margin
-54.9%
-109.8%
Net Margin
25.7%
Revenue YoY
-46.3%
-20.0%
Net Profit YoY
113.9%
EPS (diluted)
$0.04
$-0.15

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
MDAI
MDAI
SMSI
SMSI
Q4 25
$4.1M
$4.0M
Q3 25
$3.8M
$4.3M
Q2 25
$5.1M
$4.4M
Q1 25
$6.7M
$4.6M
Q4 24
$7.6M
$5.0M
Q3 24
$8.2M
$4.6M
Q2 24
$7.5M
$5.1M
Q1 24
$6.3M
$5.8M
Net Profit
MDAI
MDAI
SMSI
SMSI
Q4 25
$1.1M
Q3 25
$-3.6M
$-4.5M
Q2 25
$-8.0M
$-15.1M
Q1 25
$2.9M
$-5.2M
Q4 24
$-7.6M
Q3 24
$-1.5M
$-6.4M
Q2 24
$-2.9M
$-6.9M
Q1 24
$-3.2M
$-31.0M
Gross Margin
MDAI
MDAI
SMSI
SMSI
Q4 25
45.2%
76.4%
Q3 25
42.7%
73.9%
Q2 25
45.2%
73.5%
Q1 25
47.2%
72.8%
Q4 24
44.0%
75.6%
Q3 24
44.9%
71.6%
Q2 24
44.3%
68.7%
Q1 24
46.6%
65.7%
Operating Margin
MDAI
MDAI
SMSI
SMSI
Q4 25
-54.9%
-109.8%
Q3 25
-88.1%
-103.2%
Q2 25
-41.9%
-338.3%
Q1 25
-13.4%
-112.7%
Q4 24
-14.6%
-89.7%
Q3 24
-10.8%
-140.0%
Q2 24
-32.7%
-135.8%
Q1 24
-33.9%
-542.4%
Net Margin
MDAI
MDAI
SMSI
SMSI
Q4 25
25.7%
Q3 25
-93.7%
-104.3%
Q2 25
-157.3%
-340.8%
Q1 25
43.2%
-112.1%
Q4 24
-99.8%
Q3 24
-18.4%
-137.0%
Q2 24
-38.3%
-134.8%
Q1 24
-50.7%
-534.8%
EPS (diluted)
MDAI
MDAI
SMSI
SMSI
Q4 25
$0.04
$-0.15
Q3 25
$-0.13
$-0.25
Q2 25
$-0.31
$-0.78
Q1 25
$0.11
$-0.28
Q4 24
$-0.42
$0.54
Q3 24
$-0.08
$-0.54
Q2 24
$-0.16
$-0.66
Q1 24
$-0.19
$-3.28

Balance Sheet & Financial Strength

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

Metric
MDAI
MDAI
SMSI
SMSI
Cash + ST InvestmentsLiquidity on hand
$15.4M
$1.5M
Total DebtLower is stronger
$9.3M
Stockholders' EquityBook value
$-5.7M
$18.4M
Total Assets
$21.4M
$25.0M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MDAI
MDAI
SMSI
SMSI
Q4 25
$15.4M
$1.5M
Q3 25
$10.5M
$1.4M
Q2 25
$10.5M
$1.4M
Q1 25
$14.1M
$2.3M
Q4 24
$5.2M
$2.8M
Q3 24
$3.7M
$1.5M
Q2 24
$6.9M
$5.6M
Q1 24
$10.2M
$6.2M
Total Debt
MDAI
MDAI
SMSI
SMSI
Q4 25
$9.3M
Q3 25
Q2 25
Q1 25
$7.8M
Q4 24
$2.8M
Q3 24
$1.0M
Q2 24
Q1 24
Stockholders' Equity
MDAI
MDAI
SMSI
SMSI
Q4 25
$-5.7M
$18.4M
Q3 25
$-8.2M
$19.9M
Q2 25
$-9.2M
$22.4M
Q1 25
$-1.6M
$36.6M
Q4 24
$-7.3M
$40.8M
Q3 24
$-4.8M
$37.7M
Q2 24
$-4.7M
$42.9M
Q1 24
$-2.5M
$45.4M
Total Assets
MDAI
MDAI
SMSI
SMSI
Q4 25
$21.4M
$25.0M
Q3 25
$15.3M
$27.1M
Q2 25
$16.0M
$29.6M
Q1 25
$20.7M
$43.4M
Q4 24
$12.1M
$48.0M
Q3 24
$11.6M
$46.2M
Q2 24
$13.9M
$53.0M
Q1 24
$15.5M
$55.4M

Cash Flow & Capital Efficiency

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

Metric
MDAI
MDAI
SMSI
SMSI
Operating Cash FlowLast quarter
$-2.6M
$-2.2M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
-2.43×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MDAI
MDAI
SMSI
SMSI
Q4 25
$-2.6M
$-2.2M
Q3 25
$-2.5M
$-2.1M
Q2 25
$-3.4M
$-2.3M
Q1 25
$-1.5M
$-602.0K
Q4 24
$469.0K
$-4.9M
Q3 24
$-1.6M
$-3.8M
Q2 24
$-5.4M
$-4.2M
Q1 24
$-2.7M
$-1.3M
Free Cash Flow
MDAI
MDAI
SMSI
SMSI
Q4 25
Q3 25
$-2.2M
Q2 25
Q1 25
$-606.0K
Q4 24
$-4.9M
Q3 24
$-3.8M
Q2 24
$-4.2M
Q1 24
$-1.3M
FCF Margin
MDAI
MDAI
SMSI
SMSI
Q4 25
Q3 25
-49.6%
Q2 25
Q1 25
-13.1%
Q4 24
-99.2%
Q3 24
-82.2%
Q2 24
-82.0%
Q1 24
-23.3%
Capex Intensity
MDAI
MDAI
SMSI
SMSI
Q4 25
Q3 25
0.5%
Q2 25
Q1 25
0.1%
Q4 24
0.1%
Q3 24
0.1%
Q2 24
0.1%
Q1 24
0.1%
Cash Conversion
MDAI
MDAI
SMSI
SMSI
Q4 25
-2.43×
Q3 25
Q2 25
Q1 25
-0.52×
Q4 24
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

MDAI
MDAI

Segment breakdown not available.

SMSI
SMSI

Family Safety$3.2M80%
Other$797.0K20%

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