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Marpai, Inc. (MRAI)·Q2 2025 Earnings Summary

Executive Summary

  • Q2 results show aggressive cost takeout with operating expenses down ~70% YoY ($9.9M) and operating loss down 71% to $3.6M, while revenue declined to $4.656M (down ~$2.5M YoY); EPS improved to ($0.28) from ($1.23) YoY but worsened sequentially from ($0.21) in Q1 .
  • Management shifted profitability timing from “2025” to “Q1 2026,” added a planned “major infrastructure investment” in Q3, and highlighted a strong Jan 1, 2026 pipeline, reframing the near-term narrative toward build-out ahead of 2026 profitability .
  • Gross margin compressed sharply to ~16.0% vs ~35.7% in Q1 and ~28.0% in Q2 last year as cost of revenue stayed elevated versus a lower revenue base; improvements were driven by SG&A/opex reductions, not gross profit expansion .
  • No S&P Global consensus EPS or revenue estimates were available for Q2, limiting beat/miss framing; focus turns to execution on MarpaiRx relaunch (H2 2025) and Empara platform integration as revenue stabilizers into 2026 (profitability) .
  • Liquidity remains tight (cash $0.619M, restricted cash $7.661M) with stockholders’ deficit ($32.367M) and meaningful debt/interest expense, keeping financing and cash burn discipline in focus as catalysts/risks .

What Went Well and What Went Wrong

  • What Went Well

    • Operating expenses reduced 70% YoY ($9.9M), driving operating loss improvement to ($3.607M) from ($12.273M) YoY; net loss improved to ($4.371M) from ($13.026M) YoY. CEO: “turnaround is real and accelerating… on track to deliver a profitable company in the first quarter of 2026.” .
    • Strategic initiatives advancing: comprehensive relaunch of MarpaiRx (transparent PBM) to be actively offered H2 2025; Empara unified engagement platform targeted to be live by end of Q2 2025, aligning product roadmap with cost discipline .
    • Continued operating discipline: sequential opex ex-COGS remained tight (~$4.35M in Q2 vs ~$4.18M in Q1), underscoring structural cost reset .
  • What Went Wrong

    • Revenue pressure: Q2 revenue fell to $4.656M, down ~$2.5M YoY; sequential decline from $5.418M in Q1, reflecting “transitional impacts” cited by management .
    • Gross margin compression: Gross margin fell to ~16.0% vs ~35.7% in Q1 and ~28.0% YoY, as cost of revenue stayed high relative to a smaller revenue base, muting P&L leverage despite opex cuts .
    • Profitability timeline pushed: Earlier guidance implied 2025 profitability; management now targets Q1 2026, extending the path and introducing Q3 infrastructure investment that likely delays near-term margin expansion .

Financial Results

Quarterly trend (oldest → newest):

MetricQ4 2024Q1 2025Q2 2025
Revenue ($USD Millions)$6.591 $5.418 $4.656
Cost of Revenue ($USD Millions)$3.988 $3.484 $3.910
Gross Profit ($USD Millions)$2.603 $1.934 $0.746
Gross Margin %39.5% 35.7% 16.0%
Operating Expenses ex-COGS ($USD Millions)$4.643 $4.184 $4.353
Operating Loss ($USD Millions)($2.688) ($2.250) ($3.607)
Net Loss ($USD Millions)($1.156) ($3.069) ($4.371)
Diluted EPS ($)($0.08) ($0.21) ($0.28)

Year-over-year comparison for Q2:

MetricQ2 2024Q2 2025Change YoY
Revenue ($USD Millions)$7.189 $4.656 -35.2%
Cost of Revenue ($USD Millions)$5.174 $3.910 -24.5%
Gross Profit ($USD Millions)$2.015 $0.746 -63.0%
Gross Margin %28.0% 16.0% -12.0 pp
Operating Expenses ex-COGS ($USD Millions)$14.288 $4.353 -69.5%
Operating Loss ($USD Millions)($12.273) ($3.607) +70.6%
Net Loss ($USD Millions)($13.026) ($4.371) +66.4%
Diluted EPS ($)($1.23) ($0.28) +$0.95

Notes: Gross profit, gross margin %, and opex ex-COGS are calculated from the reported line items in the referenced filings .

Estimates vs actuals (Q2 2025):

MetricActualS&P Global ConsensusSurprise
Revenue ($USD Millions)$4.656 N/A*N/A*
Diluted EPS ($)($0.28) N/A*N/A*

*Values retrieved from S&P Global.

Balance sheet snapshot (quarter-end):

  • Cash and cash equivalents: $0.619M; Restricted cash: $7.661M; Total liabilities: $43.428M; Stockholders’ deficit: ($32.367M) .
  • Convertible debentures: $3.037M current, $7.311M long-term; Q2 net interest expense: $0.813M .

Segment breakdown and KPIs:

  • Marpai does not disclose reportable segments; no company-reported KPIs were provided in Q2 materials .

Guidance Changes

MetricPeriodPrevious GuidanceCurrent GuidanceChange
Profitability timingCompany-level“Positioned for profitability in 2025” (Q4’24 PR); “goal… profitability and positive cash flow by end of 2025” (Q1’25 PR) “On track to deliver a profitable company in Q1 2026” Lowered/pushed out
Infrastructure investmentQ3 2025Not previously specified“Expect to make a major infrastructure investment in Q3 to improve efficiency and client service” New disclosure
MarpaiRx rolloutH2 2025“Plan to introduce high-impact PBM-based products in H2 2025” Relaunch announced; to be actively offered H2 2025 Maintained/clarified
Empara platformBy end of Q2 2025Empara member engagement portal announced (Q4’24); focus to complete launch in Q2 “Expecting to have the full platform live by end of Q2 2025” (pre-Q2 announcement) Maintained
Revenue/margins2025Not providedNot providedNo formal guidance

Earnings Call Themes & Trends

Note: No Q2 2025 earnings call transcript was available in our document set; narrative below references company press releases and filings (no transcript located).

TopicPrevious Mentions (Q-2 and Q-1)Current Period (Q2 2025)Trend
Profitability timelineQ4’24: “profitability in 2025” ; Q1’25: “profitability and positive cash flow by end of 2025” Shift to Q1 2026 profitability Slower timeline
PBM/MarpaiRxQ4’24: plan PBM products in H2’25 ; Q1’25: “advancements with MarpaiRx” Comprehensive relaunch; active offering H2’25 Execution progressing
Member engagement platform (Empara)Q4’24: announced Empara portal “Expect full platform live by end of Q2 2025” (pre-Q2 PR) Implementation/rollout
Cost structureOngoing cost reductions highlighted in Q4’24 and Q1’25 OpEx down ~70% YoY; operating loss down 71% YoY Accelerating savings
Liquidity/capitalQ1’25 financing (convertible debentures); cash/restricted cash disclosed Low cash ($0.619M) + restricted cash; ongoing interest expense Monitor runway

Management Commentary

  • “We believe that our turnaround is real and accelerating… we are on track to deliver a profitable company in the first quarter of 2026… pipeline of new business for January 1st 2026 is strong… expect to make a major infrastructure investment in Q3 to further improve efficiency and client service.” — Damien Lamendola, CEO .
  • “Now, we’re propelling the Company towards growth and profitability… plan to introduce high-impact PBM-based products in the second half of 2025.” — Damien Lamendola (Q4’24 PR) .

Q&A Highlights

  • No Q2 2025 earnings call transcript was found; the company announced a webcast for Aug 14, 2025, but a transcript was not available in our corpus. As a result, no Q&A highlights or clarifications can be provided from a transcript source .

Estimates Context

  • S&P Global consensus for Q2 2025 EPS and revenue was not available; therefore, no beat/miss assessment versus Street is possible. The actuals reported were revenue $4.656M and EPS ($0.28) .
  • Implications: Absent consensus, investor focus will concentrate on sequential revenue stabilization, gross margin recovery path, and the credibility of the Q1’26 profitability target (opex discipline vs. gross profit rebuild).
  • Values retrieved from S&P Global.

Key Takeaways for Investors

  • Execution is delivering substantial opex savings (~70% YoY), materially shrinking losses; however, the path to profitability has been pushed to Q1’26 and will likely require revenue stabilization and gross margin recovery, not just SG&A cuts .
  • Gross margin compression to ~16% in Q2 is the key near-term watch item; demonstrate COGS normalization and revenue traction to re-establish operating leverage .
  • MarpaiRx relaunch (H2’25) and Empara platform rollout are the core revenue/retention levers into 2026; early client adoption data and case studies will be important catalysts .
  • Liquidity and cost of capital matter: low cash, continued interest expense, and stockholders’ deficit heighten financing risk; watch for balance sheet actions and working capital trends .
  • The planned Q3 infrastructure investment should come with measurable ROI (efficiency gains, client service metrics, churn, and margins); investors should demand milestones and KPIs to validate spend .
  • Without Street consensus, the stock may trade on qualitative updates and internal milestones (client wins for Jan 1, 2026, PBM ramp, margin recovery); near-term prints lacking revenue growth could cap multiple expansion .

Sources: Q2 2025 8-K and press release with full financials ; Q2 2025 press release -; webcast announcement ; MarpaiRx relaunch (PBM) -; Q1 2025 press release -; Q4 2024 press release -.