Semler Scientific® Reports First Quarter 2025 Financial Results, BTC Yield of 22.2% YTD; Now holds 3,808 BTC
- Significant bitcoin holdings of 3,808 BTC with fair value of $387.9 million
- Successful BTC Yield of 22.2% year-to-date
- Secured $500 million ATM equity offering program
- Successfully raised $100 million through convertible notes offering
- Green shoots emerging from new cardiovascular product line
- Revenue decreased 44% year-over-year to $8.8 million
- Net loss of $64.7 million compared to $6.1 million profit in Q1 2024
- $29.75 million DOJ settlement liability
- Unrealized loss of $41.8 million from bitcoin holdings
- High customer concentration with top two customers comprising 74% of revenue
Insights
Semler Scientific pivots to bitcoin treasury strategy while healthcare business struggles with 44% revenue decline and DOJ settlement.
Semler Scientific's Q1 2025 results reveal a dramatic business transformation and concerning financial performance. Revenue plummeted
The company reported a substantial net loss of
- A
$29.75 million contingent liability related to settling a Department of Justice investigation - A
$41.8 million unrealized loss from the changing value of bitcoin holdings - The steep revenue decline from their healthcare operations
Semler has aggressively pivoted to become primarily a corporate bitcoin holder, now possessing 3,808 bitcoins valued at approximately
- Established a new
$500 million ATM equity offering program - Issued
$100 million of convertible senior notes due 2030 - Entered a Master Loan Agreement with Coinbase for a collateralized term loan backed by bitcoin holdings
The balance sheet transformation is remarkable - digital assets now represent
Most concerning is the concentration risk in their remaining healthcare segment, with just two customers representing
"We continue to accretively grow our bitcoin arsenal using operating cash flow and proceeds from debt and equity financings," said Eric Semler, chairman of Semler Scientific. "And we are excited to launch the Semler Scientific dashboard today on our website to provide the public with regularly updated information on our bitcoin holdings and other key metrics."
"Our healthcare business is seeing green shoots from the cardiovascular product line that we introduced to our large enterprise customer base this year," said Doug Murphy-Chutorian, MD, chief executive officer of Semler Scientific. "We are expecting growth and cash generation from these FDA-cleared products and services, which will add to our bitcoin treasury strategy."
BITCOIN TREASURY HIGHLIGHTS AND OTHER RECENT DEVELOPMENTS
- "BTC Yield" KPI: Achieved BTC Yield of
21.9% in Q1 and22.2% year-to-date through May 12, 2025. - "BTC Gain" KPI: Achieved BTC Gain of 7.1 in Q1 and 510.3 year-to-date through May 12, 2025.
- "BTC $ Gain" KPI: Achieved BTC $ Gain of
in Q1 and$41.6 million year-to-date through May 12, 2025.$52.0 million - Digital Assets: As of March 31, 2025, Semler Scientific held 3,192 bitcoins with a fair value of
, which reflects a cumulative decrease in fair value of$263.5 million . During the quarter ended March 31, 2025, Semler Scientific purchased 894 bitcoins for an aggregate cost of$16.9 million . Subsequently through May 12, 2025, Semler Scientific purchased an additional 616 bitcoins for an aggregate cost of$90.7 million . Semler Scientific's total holdings as of May 12, 2025 are 3,808 bitcoins with a fair value of$59.6 million and an aggregate purchase amount of$387.9 million from operating cashflow, proceeds from its at the market (ATM) and senior convertible notes offerings. All purchase amounts include fees and expenses.$340.0 million - At-the-Market Equity Offering Program: On April 15, 2025, Semler Scientific entered into a new Controlled Equity OfferingSM Sales Agreement (the new Sales Agreement) with Barclays Capital Inc., Cantor Fitzgerald & Co., Canaccord Genuity LLC, Needham & Company, LLC, Craig-Hallum Capital Group LLC and Lake Street Capital Markets, LLC pursuant to which it may issue and sell from time to time up to
of its common stock in an ATM offering. The new Sales Agreement replaces the Controlled Equity OfferingSM Sales Agreement (the initial Sales Agreement) that Semler Scientific entered into with Cantor Fitzgerald & Co. in June 2024. As of April 22, 2025, Semler Scientific had sold an aggregate of 2,438,274 shares of its common stock under the initial Sales Agreement for aggregate net proceeds of approximately$500.0 million . As the registration statement and prospectus for the new ATM offering is now effective, Semler Scientific is no longer selling any shares under the initial Sales Agreement. From the time of effectiveness through May 12, 2025, Semler Scientific issued and sold 1,796,797 shares of its common stock for aggregate net proceeds of approximately$126.0 million under the new Sales Agreement.$61.5 million - Issuance of
4.25% Convertible Notes due 2030: In January 2025, Semler Scientific issued aggregate principal amount of$100.0 million 4.25% convertible senior notes due 2030 (the Notes), including the exercise in full of the initial purchasers' option to purchase up to an additional principal amount of Notes. The Notes have an initial conversion price of approximately$15.0 million per share of common stock. At the same time, Semler Scientific entered into capped call transactions in connection with the Notes with an initial cap price of approximately$76.44 per share of common stock.$107.01 - DOJ Settlement Agreement in Principle: Semler Scientific resumed settlement discussions with the
U.S. Department of Justice (DOJ) pertaining to a civil investigative demand, and in April 2025 reached agreement in principle on payment of to settle all claims (excluding any potential relators' counsel fees that may also be payable).$29.75 million - Collateralized Term Loan: On April 15, 2025, Semler Scientific entered into a Master Loan Agreement with Coinbase Credit Inc., as lender, and Coinbase Inc. (collectively, Coinbase). Loans under the Master Loan Agreement are intended to be collateralized with a first priority security interest in Semler Scientific's bitcoin holdings. Semler Scientific has not yet borrowed any amounts from Coinbase under the loan but intends to use the proceeds, if any, to pay the DOJ settlement.
Bitcoin Dashboard
Today, Semler Scientific launched a dashboard on its website, www.semlerscientific.com, as a disclosure channel to provide broad, non-exclusionary distribution of information regarding Semler Scientific's bitcoin holdings to the public. Some of the information distributed through the website dashboard may be considered material information. Semler Scientific intends to use this website dashboard as a means of complying with its disclosure obligations under Regulation FD. The website dashboard will include information regarding market data for Semler Scientific's common stock and bitcoin, BTC Yield, BTC Gain and BTC $ Gain KPIs, bitcoin purchases, bitcoin holdings, and other related information. Investors and others are encouraged to regularly review the information that Semler Scientific makes public via the website dashboard.
FINANCIAL RESULTS
For the first quarter ended March 31, 2025, Semler Scientific reported:
- Revenues of
, a$8.8 million 44% decrease year-over-year. - Cost of revenues of
, a$0.9 million 25% decrease year-over-year. - Total operating expenses, which include cost of revenues, of
, compared to$39.9 million for the first quarter of 2024. Operating expenses include a contingent liability of$8.9 million related to the potential settlement with the DOJ, legal expenses of$29.8 million related to the settlement and expenses related to a sales tax audit of$0.4 million .$0.4 million - Loss from operations of
, compared to income from operations of$31.1 million for the first quarter of 2024.$7.0 million - Pre-tax loss of
, compared to pre-tax income of$74.9 million for the first quarter of 2024. First quarter 2025 pre-tax loss includes an unrealized loss from the change in fair value of Semler Scientific's bitcoin holdings of$7.8 million and a$41.8 million impairment of investments.$1.0 million - Income tax benefit of
, or an effective tax benefit rate of$10.2 million 14% , compared to expense of , or an effective tax rate of$1.7 million 22% for the first quarter of 2024. - Net loss of
, or$64.7 million per basic and diluted share, compared to net income of$6.74 , or$6.1 million per basic share and$0.88 per diluted share for the first quarter of 2024.$0.78
Semler Scientific's two largest customers (including their affiliates) comprised
Notice of Conference Call
Semler Scientific will host a conference call today at 4:30 p.m. ET. The call will address the results of the first quarter ended March 31, 2025, as well as provide a business update on Semler Scientific's strategies for the near-term future. Questions can be submitted prior to the start of the call to ir@semlerscientific.com.
Participants are encouraged to pre-register for the conference call using the following link: https://dpregister.com/sreg/10198429/fed9df5e40. Callers who pre-register will be given a conference passcode and unique PIN to gain immediate access to the call and bypass the live operator. Participants may pre-register at any time, including up to and after the call start time. Those without internet access or who are unable to pre-register may dial in by calling:
Domestic callers: (833) 816–1161
International callers: (412) 317–0717
Please specify to the operator that you would like to join the "Semler Scientific Call." The conference call will be archived on Semler Scientific's website at www.semlerscientific.com.
Semler Scientific, Inc. | |||||||
Statements of Operations | |||||||
Unaudited | |||||||
(In thousands of | |||||||
For the three months ended March 31, | |||||||
2025 | 2024 | ||||||
Revenues | $ | 8,835 | $ | 15,903 | |||
Operating expenses: | |||||||
Cost of revenues | 937 | 1,247 | |||||
Engineering and product development | 1,315 | 1,138 | |||||
Sales and marketing | 3,041 | 3,675 | |||||
General and administrative | 4,893 | 2,867 | |||||
Litigation contingency | 29,750 | — | |||||
Total operating expenses | 39,936 | 8,927 | |||||
(Loss) income from operations | (31,101) | 6,976 | |||||
Interest (expense) income | (943) | 819 | |||||
Impairment of investments | (1,000) | — | |||||
Change in fair value of intangible digital assets | (41,829) | — | |||||
Other income | 4 | 2 | |||||
Other (expense) income, net | (43,768) | 821 | |||||
Pre-tax (loss) income | (74,869) | 7,797 | |||||
Income tax (benefit) provision | (10,167) | 1,724 | |||||
Net (loss) income | $ | (64,702) | $ | 6,073 | |||
Net (loss) income per share, basic | $ | (6.74) | $ | 0.88 | |||
Weighted average number of shares used in computing basic net (loss) income per share | 9,596,037 | 6,892,742 | |||||
Net (loss) income per share, diluted | $ | (6.74) | $ | 0.78 | |||
Weighted average number of shares used in computing diluted net (loss) income per | 9,596,037 | 7,782,393 |
Semler Scientific, Inc. | |||||||
Balance Sheets | |||||||
(In thousands of | |||||||
March 31, | December 31, | ||||||
2025 | 2024 | ||||||
Unaudited | |||||||
Assets | |||||||
Current Assets: | |||||||
Cash and cash equivalents | $ | 9,737 | $ | 8,819 | |||
Restricted cash | 134 | 133 | |||||
Short-term notes receivable | — | 6,100 | |||||
Short-term deposits | 250 | — | |||||
Trade accounts receivable, net of allowance for credit losses of | 3,139 | 4,378 | |||||
Inventory | 370 | 358 | |||||
Prepaid expenses and other current assets | 4,822 | 2,900 | |||||
Total current assets | 18,452 | 22,688 | |||||
Assets for lease, net | 1,469 | 1,423 | |||||
Property and equipment, net | 427 | 487 | |||||
Long-term investments | 512 | 512 | |||||
Long-term notes receivable | 1,500 | — | |||||
Intangible digital assets | 263,504 | 214,633 | |||||
Other non-current assets | 64 | 85 | |||||
Deferred tax assets | 7,517 | — | |||||
Total assets | $ | 293,445 | $ | 239,828 | |||
Liabilities and Stockholders' Equity | |||||||
Current liabilities: | |||||||
Accounts payable | $ | 590 | $ | 140 | |||
Accrued expenses | 4,397 | 5,173 | |||||
Accrued contingent liability | 29,750 | — | |||||
Deferred revenue | 711 | 774 | |||||
Other short-term liabilities | 219 | 226 | |||||
Total current liabilities | 35,667 | 6,313 | |||||
Long-term liabilities: | |||||||
Deferred tax liability | — | 2,765 | |||||
Long-term notes payable | 96,095 | — | |||||
Total long-term liabilities | 96,095 | 2,765 | |||||
Commitments and contingencies | |||||||
Stockholders' equity: | |||||||
Common stock, | 10 | 9 | |||||
Additional paid-in capital | 125,673 | 130,039 | |||||
Retained earnings | 36,000 | 100,702 | |||||
Total stockholders' equity | 161,683 | 230,750 | |||||
Total liabilities and stockholders' equity | $ | 293,445 | $ | 239,828 |
Semler Scientific, Inc. | |||||||
Statements of Cash Flows | |||||||
Unaudited | |||||||
(In thousands of | |||||||
For the three months ended March 31, | |||||||
2025 | 2024 | ||||||
CASH FLOWS FROM OPERATING ACTIVITIES: | |||||||
Net (loss) income | $ | (64,702) | $ | 6,073 | |||
Reconciliation of Net (Loss) Income to Net Cash (Used in) Provided by Operating Activities: | |||||||
Depreciation | 120 | 176 | |||||
Amortization of debt issuance costs | 111 | — | |||||
Deferred tax expense | (10,284) | (136) | |||||
Loss on disposal of assets for lease | 105 | 189 | |||||
Allowance for credit losses | (52) | (55) | |||||
Change in fair value of digital assets | 41,829 | — | |||||
Stock-based compensation | 1,483 | 27 | |||||
Impairment of investments | 1,135 | — | |||||
Changes in Operating Assets and Liabilities: | |||||||
Trade accounts receivable | 1,306 | 66 | |||||
Inventory | (12) | 37 | |||||
Prepaid expenses and other current assets | (2,188) | (455) | |||||
Other non-current assets | 21 | 21 | |||||
Accounts payable | 451 | 8 | |||||
Accrued interest | 616 | — | |||||
Accrued expenses | 28,241 | (196) | |||||
Other current and non-current liabilities | (23) | (131) | |||||
Deferred revenue | (63) | — | |||||
Net Cash (Used in) Provided by Operating Activities | (1,906) | 5,624 | |||||
CASH FLOWS FROM INVESTING ACTIVITIES: | |||||||
Additions to property and equipment | — | (4) | |||||
Purchase of digital assets | (90,700) | — | |||||
Proceeds from maturities of notes receivable | 3,600 | — | |||||
Purchase of assets for lease | (210) | (77) | |||||
Net Cash Used in Investing Activities | (87,310) | (81) | |||||
CASH FLOWS FROM FINANCING ACTIVITIES: | |||||||
Taxes paid related to net settlement of equity awards | — | (45) | |||||
Proceeds from issuance of debt | 100,000 | — | |||||
Debt issuance costs | (4,017) | — | |||||
Capital call premium | (7,740) | — | |||||
Proceeds from issuance of common stock | 2,187 | — | |||||
Stock issuance expenses | (295) | — | |||||
Proceeds from exercise of stock options | — | 56 | |||||
Net Cash Provided by Financing Activities | 90,135 | 11 | |||||
NET INCREASE IN CASH AND CASH EQUIVALENTS | 919 | 5,554 | |||||
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, BEGINNING OF PERIOD | 8,952 | 57,332 | |||||
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, END OF PERIOD | $ | 9,871 | $ | 62,886 |
Digital Assets- Additional Information | |||||||||||||||
Rollforward of bitcoin holdings | |||||||||||||||
Unaudited | |||||||||||||||
(in thousands of | |||||||||||||||
Source of | Approximate | ||||||||||||||
Capital | Average | ||||||||||||||
Used to | Purchase | ||||||||||||||
Purchase | Digital Assets | Change in | Digital Assets | Approximate | Price Per | ||||||||||
Bitcoin | at Cost | Fair Value | at Fair Value | Bitcoin Held | Bitcoin (in $) | ||||||||||
Balance as of December 31, 2023 | $ | — | $ | — | $ | — | — | $ | — | ||||||
Digital assets purchased | — | — | — | — | — | ||||||||||
Balance as of March 31, 2024 | — | — | — | — | — | ||||||||||
Digital assets purchased | (a) | 60,000 | — | 60,000 | 877 | 68,436 | |||||||||
Change in fair value of the digital assets | — | (5,055) | (5,055) | — | — | ||||||||||
Balance as of June 30, 2024 | $ | 60,000 | $ | (5,055) | $ | 54,945 | 877 | $ | 68,436 | ||||||
Digital assets purchased | (b) | 8,400 | — | 8,400 | 141 | 59,372 | |||||||||
Change in fair value of the digital assets | — | 1,137 | 1,137 | — | — | ||||||||||
Balance as of September 30, 2024 | $ | 68,400 | $ | (3,918) | $ | 64,482 | 1,018 | $ | 67,177 | ||||||
Digital assets purchased | (b) | 121,300 | — | 121,300 | 1,280 | 94,755 | |||||||||
Change in fair value of the digital assets | — | 28,851 | 28,851 | — | — | ||||||||||
Balance as of December 31, 2024 | $ | 189,700 | $ | 24,933 | $ | 214,633 | 2,298 | $ | 82,538 | ||||||
Digital assets purchased | (c) | 90,700 | — | 90,700 | 894 | 101,531 | |||||||||
Change in fair value of the digital assets | — | (41,829) | (41,829) | — | — | ||||||||||
Balance as of March 31, 2025 | $ | 280,400 | $ | (16,896) | $ | 263,504 | 3,192 | $ | 87,854 |
(a) | Cash from operations. |
(b) | Cash from operations and proceeds from ATM offering. |
(c) | Proceeds from |
Bitcoin Yield Key Performance Indicators | |||||
Unaudited | |||||
(In thousands) | |||||
12/31/2024 | 3/31/2025 | 5/12/2025 | |||
Total bitcoin holdings | 2,298 | 3,192 | 3,808 | ||
Shares outstanding | |||||
Basic shares outstanding | 9,556 | 9,596 | 11,611 | ||
Stock options outstanding | 692 | 1,140 | 1,350 | ||
2030 senior notes | — | 935 | 935 | ||
Assumed diluted shares outstanding (1) | 10,248 | 11,671 | 13,896 | ||
BTC Yield % QTD | 21.9 % | 0.2 % | |||
BTC Yield % YTD | 21.9 % | 22.2 % |
(1) | Assumed Diluted Shares Outstanding refers to the aggregate of Semler Scientific's Basic Shares outstanding as of the end of each period plus all the additional shares that would result from the assumed conversion of all outstanding convertible notes and related capped calls, and exercise of all outstanding stock option awards. Assumed Diluted Shares Outstanding is not calculated using the treasury method and does not take into account any vesting conditions (in the case of equity awards), the exercise price of any stock option awards or any contractual conditions limiting convertibility of outstanding convertible notes or settlement of capped calls. |
Semler Scientific, Inc. | ||||||
Reconciliation of GAAP to Non-GAAP measures | ||||||
Unaudited | ||||||
(in thousands) | ||||||
Three months ended March 31, | ||||||
2025 | 2024 | |||||
(Unaudited) | (Unaudited) | |||||
Reconciliation of non-GAAP income (loss) from operations: | ||||||
(Loss) income from operations | $ | (31,101) | $ | 6,976 | ||
Contingent liability | 29,750 | — | ||||
Stock-based compensation expense | 1,483 | 27 | ||||
Non-GAAP income from operations | $ | 132 | $ | 7,003 |
Important Information about BTC Yield, BTC Gain and BTC $ Gain (KPIs)
BTC Yield, BTC Gain and BTC $ Gain are KPIs that Semler Scientific uses to help assess the performance of its strategy of acquiring bitcoin in a manner it believes is accretive to stockholders.
BTC Yield is a KPI that represents the percentage change period-to-period of the ratio between Semler Scientific's bitcoin holdings and its Assumed Diluted Shares Outstanding. Assumed Diluted Shares Outstanding refers to the aggregate of Semler Scientific's actual shares of common stock outstanding as of the end of each period plus all additional shares that would result from the assumed exercise of all outstanding stock option awards. Assumed Diluted Shares Outstanding is not calculated using the treasury method and does not take into account any vesting conditions or the exercise price of any stock option awards.
BTC Gain is a KPI that represents the number of bitcoins held by Semler Scientific at the beginning of a period multiplied by the BTC Yield for such period.
BTC $ Gain is a KPI that represents the dollar value of the BTC Gain calculated by multiplying the BTC Gain by the market price of bitcoin as of 4:00 p.m. ET on the Coinbase exchange on the last day of the applicable period. Semler Scientific has elected 4:00 p.m. ET on the last day of the applicable period as the date and time of determination of the market price of bitcoin solely for the purpose of facilitating this illustrative calculation.
Non-GAAP Financial Measure:
Semler Scientific prepares its condensed financial statements in conformity with accounting principles generally accepted in
Semler Scientific believes this NGFM measure is useful to investors and analysts in comparing its performance across reporting periods on a consistent basis as it excludes a significant non-cash expense and a non-recurring item that Semler Scientific believes are not reflective of its general business performance. Accounting for stock-based compensation expense requires management judgment, and the resulting stock-based compensation expense could vary significantly in comparison to other companies. The DOJ investigation and resulting contingent liability is non-recurring in nature. Semler Scientific used this NGFM to evaluate Semler Scientific's financial performance against internal budgets and targets. Semler Scientific believes the use of this NGFM can also facilitate comparison of Semler Scientific's operating results to those of its competitors. Semler Scientific believes this NGFM should be considered in addition to, and not in lieu of, GAAP financial measures. Semler Scientific's NGFM may be different from the same NGFM used by other companies.
About Semler Scientific, Inc.:
Semler Scientific, Inc. is a publicly traded company that has adopted bitcoin as its primary treasury reserve asset and is one of the leading corporate holders of bitcoin. In May 2024, Semler Scientific became the second
Semler Scientific intends to use its bitcoin dashboard and its Investor Relations website as a means of disclosing material nonpublic information and for complying with its disclosure obligations under Regulation FD. Accordingly, investors should monitor Semler Scientific's bitcoin dashboard and Investor Relations website, in addition to following Semler Scientific's press releases, SEC filings, public conference calls, presentations, and webcasts.
Forward-Looking Statements
This press release contains "forward-looking" statements. Such statements can be identified by, among other things, the use of forward-looking language such as the words "believe," "goal," "may," "will," "intend," "expect," "anticipate," "estimate," "project," "would," "could" or words with similar meaning or the negatives of these terms or by the discussion of strategy or intentions. The forward-looking statements in this release include express or implied statements regarding acquiring and holding bitcoin; sales of securities under the new ATM offering and other financings to support additional bitcoin purchases; the strategy for, and innovation and growth in, its healthcare business, including growth and cash generation from FDA-cleared products; seeking a new 510(k) clearance for QuantaFlo with expanded indications; and potential DOJ settlement; among others. Such forward-looking statements are subject to a number of risks and uncertainties that could cause Semler Scientific's actual results to differ materially from those discussed here, such as risks inherent with investing in bitcoin, including bitcoin's volatility; risk of implementing a new bitcoin treasury strategy; risk that insurance plans and other customers will not continue to license its cardiovascular testing products or license new FDA-cleared products and services; risk of changes in the reimbursement landscape for its customers including related to the Centers for Medicare and Medicaid Services (CMS) rate announcement; risk of obtaining a new 510(k) clearance for expanded indications; risks related to reaching a final settlement with DOJ, including risk that DOJ will file complaint seeking in excess of the agreed amount if unable to agree on final settlement terms; risks related to Semler Scientific's indebtedness; along with those other risk factors detailed in Semler Scientific's filings with the Securities and Exchange Commission. These forward-looking statements involve assumptions, estimates, and uncertainties that reflect current internal projections, expectations or beliefs. There can be no assurance that such statements will prove to be accurate, and actual results and future events could differ materially from those anticipated in such statements. All forward-looking statements contained in this press release are qualified in their entirety by these cautionary statements and the risk factors described above. Furthermore, all such statements are made as of the date of this press release and Semler Scientific assumes no obligation to update or revise these statements unless otherwise required by law.
No Offer or Solicitation
This press release does not and shall not constitute an offer to sell or a solicitation of an offer to buy any securities of Semler Scientific, Inc., nor shall there be any offer, solicitation or sale of such securities, in any state or jurisdiction in which such an offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction.
INVESTOR CONTACT:
Renae Cormier
Chief Financial Officer
ir@semlerscientific.com
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SOURCE Semler Scientific, Inc.