Dr. John Kellum reports

SPECTRAL MEDICAL ANNOUNCES SECOND QUARTER RESULTS AND PROVIDES CORPORATE UPDATE

Spectral Medical Inc. has released its financial results for the second quarter ended June 30, 2023, and has provided a corporate update.

During the second quarter, the Company continued to execute on a number of key business initiatives that are targeted at enhancing and accelerating Tigris enrollment. Management is pleased to report positive progress on these initiatives, specifically:

During and subsequent to the second quarter the Company enrolled an additional 18 patients, nearly half of which came from new sites opened for enrollment in 2023;

71 patients enrolled to date and the Company continues to close in on its interim target of 90 patients, an important milestone as Spectral's strategic commercial partner, Baxter, will have the opportunity to view the data as well as provide a second milestone payment to Spectral;

On track to have 25 active trial sites open by the end of September 2023, with three new sites opened for enrollment during the second quarter bringing current total active trial sites to 18;

New CRO transition progressing on schedule, with full transition expected to be complete by August 2023;

Held first in-person Tigris Investigator Meeting since 2019 in May 2023 in North Carolina, which was well attended by approximately 70 attendees;

Clinician-focused PMX media production nearing completion, with the video expected to be released in September 2023; and

On August 9, 2023, the Company launched a Bought Deal Private Placement with Paradigm Capital Inc. acting as the underwriter. Expected minimum gross proceeds are C$5,000,000 issuable in the form of convertible senior notes (the "notes") with a maturity of November 1, 2026 and a coupon rate of 9% payable semi-annually. The notes will have certain conversion rights, with an expected conversion price of $0.40 per share.

Dr. John Kellum, Chief Medical Officer of Spectral Medical, stated, "We have seen a surge of new enrollment activity since April 2023, which I believe is due in part to the new sites we have onboarded, as well as the success of our Tigris Investigator meeting held this past May. The meeting provided the principal investigators, clinical research coordinators, the Company's CRO and other key team members with educational resources and training tools, while reinvigorating and reinforcing the importance of this trial and the potential of bringing the PMX therapy to market."

Chris Seto, Chief Executive Officer of Spectral Medical, stated, "I am encouraged by the momentum and pace of patient enrollment in the Tigris study during the second quarter and in the weeks thereafter, which I believe is the direct result of the business initiatives we have undertaken. We will continue to monitor our progress, and assuming we maintain this enrollment momentum, we expect to be on track to reach the important interim milestone of 90 patients enrolled by the end of 2023. At the same time, we continue to work closely with Baxter, our strategic commercial partner, to advance post-approval, commercial marketing plans for PMX."

Corporate Highlights

Tigris

New Contract Research Organization ("CRO") - Beaufort

On March 23, 2023, the Company engaged a new contract research organization ("CRO"), Beaufort. Beaufort has extensive experience with ICU clinical trials and brings a strong regulatory group, experienced biostats personnel, and additional clinical field resources. Onboarding activities are progressing well, with complete transition from the incumbent CRO expected by August 2023. As part of its engagement, Beaufort is reviewing and evaluating recruitment and enrollment processes on a site-by-site basis of Tigris sites.

Patient Enrollment

Total of 71 patients randomized to date out of the 150 total patients to be enrolled in the Tigris trial. Patient screening activities at the sites are increasing and results to date of those enrolled in the study continue to exceed expectations.

Enrollment rate has increased to 0.25 patients from 0.182 patients per site per month, following initiatives to enhance Tigris enrollment since April 1, 2023, and is now at the Company's previously stated target. Tigris Sites

There are currently 18 active Tigris sites onboarded. The Company remains on schedule to onboard an additional 7 new sites over the next quarter bringing the total sites to 25. Should suitable sites over and above the 25 be identified, FDA approval would be required to approve the addition of these incremental sites. Timing

The Company continues to focus on finalizing the Tigris trial within the reasonably shortest timelines while continuing to maintain the highest clinical standard. The Company targets reaching interim enrollment of 90 patients around the end of 2023.

Investigator Meeting

A Tigris study Investigator Meeting was held on May 17th and 18th 2023 in Charlotte, North Carolina. The in-person meeting was attended by principal investigators and clinical research coordinators from all existing and new trial sites, as well as the Company's new CRO, Beaufort. Also in attendance were representatives from the Company's strategic partner Baxter and members of the Balancing Act. This successful Investigator Meeting has already helped to bolster ongoing enrollment activities related to the Tigris trial.

EDEN Observational Study

In March 2022, the Company launched an ancillary observational study, EDEN, to collect data on patients with sepsis even if ineligible for Tigris. EDEN will capture much-needed data on the full range of septic shock and its relation to organ failure and endotoxin activity. These data will inform subsequent discussions with the FDA on labeling for PMX, as well as to provide the medical community and the Company a better picture of the addressable population in the U.S. for PMX. Furthermore, patients enrolled in EDEN will also be considered for entry into the Tigris study, which provides another tool to support enrollment.

The Company has onboarded 4 EDEN sites and enrolled 64 patients into the observational study.

PMX Commercialization

In anticipation of a positive Tigris trial outcome, the Company has been working closely with Baxter, the Company's strategic commercial partner, on post-approval marketing plans for PMX commercialization. This includes developing product branding, pricing and roll-out plans with numerous Baxter departments, including marketing, regulatory, clinical and reimbursement. Baxter has communicated its intention to undertake a broad marketing campaign on day 1 of FDA approval for PMX.

May 5, 2023, Baxter announced a new CEO of its proposed Kidney Care business. For more information, please visit: Baxter Names Chris Toth CEO of Proposed Kidney Care Spinoff | Baxter

Clinical Team Focused PMX Media

The Company commissioned The Balancing Act to produce a video focused on Endotoxemic Septic Shock (ESS), PMX and positive patient outcomes. This video will target a number of Tigris study stakeholders, including CRCs, trial treatment staff, and potential patients. The nature of the PMX video will be to inspire and further increase awareness of the PMX therapy. Management believes that the video can act as an enrollment catalyst by inspiring research staff and front-line providers, as well as improve patient/family awareness of ESS and PMX. Production is nearing completion with the video expected to be completed in September 2023.

Financial Review

Revenue for three months ended June 30, 2023, was $306,000 compared to $276,000 for the same period last year, representing an increase of $30,000, or 10.9%. Revenue for six months ended June 30, 2023, was $836,000 and $760,000 for the same period last year, representing an increase of $76,000, or 10.0%. This increase was mainly due to an increase in proprietary EAA biochemicals product revenue.

Operating expenses for the three months ended June 30, 2023, were $4,294,000, compared to $2,331,000 for the same period in the prior year, an increase of $1,963,000, or 84.2%. The change is primarily due to an increase in share-based compensation of $891,000 due to the grant of certain stock awards in May 2023, which were not issued during the second quarter in the prior year. In addition, consulting and professional fees increased by $755,000 primarily due to increased site and patient fees related to the Tigris trial and Eden observational study. Lastly, interest expense increased $121,000 primarily related to the Notes Payable, which was not outstanding in the same period in the prior year. Operating expenses for the six months ended June 30, 2023, were $6,558,000, compared to $4,851,000 for the same period in the preceding year, an increase of $1,707,000, or 35.2%. The change is due to an increase in share-based compensation of $172,000. In addition, consulting and professional fees increased by $954,000 primarily due to increased site and patient fees related to the Tigris trial and Eden observational study. Lastly, interest expense increased $242,000 primarily related to the Notes Payable, which was not outstanding in the same period in the prior year.

Loss for the three months ended June 30, 2023 was $3,939,000, or $0.01 per share, compared to a loss of $2,954,000, or $0.01 per share, for the same quarter last year. The increased loss of $985,000 was due to increased operating expenses, partially offset by a reduction in loss from discontinued operations of $948,000 related to the reduction in Dialco operating expenses. Loss for the six months ended June 30, 2023 was $5,716,000, or $0.01 per share, compared to a loss of $5,639,000, or $0.01 per share, for the same quarter last year. The increased loss of $77,000 was due to increased operating expenses, partially offset by a reduction in loss from discontinued operations of $1,554,000 related to the prior Dialco operating expenses.

The Company concluded the second quarter of 2023 with cash of $2,521,000 compared to $8,414,000 of cash on hand as of December 31, 2022.

The total number of common shares outstanding for the Company was 278,576,261 at June 30, 2023.

About Spectral

Spectral is a Phase 3 company seeking U.S. FDA approval for its unique product for the treatment of patients with septic shock, Toraymyxin(TM) ("PMX"). PMX is a therapeutic hemoperfusion device that removes endotoxin, which can cause sepsis, from the bloodstream and is guided by the Company's Endotoxin Activity Assay (EAA(TM)), the only FDA cleared diagnostic for the risk of developing sepsis.

We seek Safe Harbor.