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10-Q2026-05-15· grok-4-1-fast-non-reasoning

MRAI · Marpai, Inc.

0001213900-26-057777

SEC filing

Summary

Q1 revenue declined 18% to $4.4M amid customer turnover in the evolving TPA market, deepening operating and net losses despite efficiency actions from 2025 restructuring, with cash burn worsening due to net loss outweighing non-cash offsets and working capital improvements.

Key takeaways

Full analysis

Revenue declined 18% year-over-year to $4.4 million in Q1 FY2026 from $5.4 million, primarily attributable to customer turnover within third-party administrator (TPA) services as the market evolves. This topline pressure stems from challenges in retaining self-insured employer clients amid macroeconomic factors and regulatory shifts, highlighting the need for Marpai to adapt through potential technology enhancements or strategic client acquisition to stabilize growth.

Cash flow from operations showed heightened usage of -$477 thousand, up from -$115 thousand YoY, primarily driven by the $3.2 million net loss. This was net of non-cash items and a decrease in net working capital items, illustrating how operational losses continue to pressure liquidity even as prior efficiency measures provide some mitigation. The cash burn increase signals the importance of sustaining cost discipline and pursuing revenue stabilization to support ongoing operations.

Overall, these results demonstrate Marpai's focus on cost efficiencies from 2025 initiatives amid TPA market turbulence, but sustained revenue recovery remains critical to narrowing losses and improving cash generation.