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Semler Scientific® Reports First Quarter 2025 Financial Results, BTC Yield of 22.2% YTD; Now holds 3,808 BTC

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Semler Scientific (NASDAQ: SMLR) reported Q1 2025 financial results and significant bitcoin treasury activities. The company now holds 3,808 BTC valued at $387.9 million, achieving a BTC Yield of 22.2% YTD. Q1 2025 financial results showed revenues of $8.8 million, down 44% year-over-year, with a net loss of $64.7 million. Key developments include: a $500 million ATM equity offering program, issuance of $100 million in convertible notes, and a $29.75 million DOJ settlement agreement. The company purchased 894 bitcoins in Q1 for $90.7 million and an additional 616 bitcoins through May 12 for $59.6 million. Semler also launched a new bitcoin dashboard on their website for transparent disclosure of holdings and metrics.
Semler Scientific (NASDAQ: SMLR) ha comunicato i risultati finanziari del primo trimestre 2025 e importanti operazioni sul tesoro in bitcoin. L'azienda detiene ora 3.808 BTC valutati 387,9 milioni di dollari, con un rendimento BTC del 22,2% da inizio anno. I risultati finanziari del Q1 2025 mostrano ricavi per 8,8 milioni di dollari, in calo del 44% rispetto all'anno precedente, con una perdita netta di 64,7 milioni di dollari. Tra gli sviluppi principali: un programma di offerta azionaria ATM da 500 milioni di dollari, l'emissione di 100 milioni di dollari in note convertibili e un accordo di risoluzione con il DOJ da 29,75 milioni di dollari. Nel primo trimestre sono stati acquistati 894 bitcoin per 90,7 milioni di dollari e ulteriori 616 bitcoin fino al 12 maggio per 59,6 milioni di dollari. Semler ha inoltre lanciato una nuova dashboard bitcoin sul proprio sito web per una trasparente comunicazione delle partecipazioni e dei dati.
Semler Scientific (NASDAQ: SMLR) informó los resultados financieros del primer trimestre de 2025 y actividades significativas en su tesorería de bitcoin. La compañía ahora posee 3,808 BTC valorados en 387,9 millones de dólares, logrando un rendimiento BTC del 22.2% en lo que va del año. Los resultados financieros del Q1 2025 mostraron ingresos de 8.8 millones de dólares, una caída del 44% interanual, con una pérdida neta de 64.7 millones de dólares. Los desarrollos clave incluyen: un programa de oferta de acciones ATM por 500 millones de dólares, emisión de 100 millones de dólares en notas convertibles y un acuerdo de conciliación con el DOJ por 29.75 millones de dólares. La empresa compró 894 bitcoins en el primer trimestre por 90.7 millones de dólares y otros 616 bitcoins hasta el 12 de mayo por 59.6 millones de dólares. Semler también lanzó un nuevo panel de control de bitcoin en su sitio web para una divulgación transparente de sus tenencias y métricas.
Semler Scientific(NASDAQ: SMLR)가 2025년 1분기 재무 실적과 주요 비트코인 보유 활동을 발표했습니다. 회사는 현재 3,808 BTC를 보유하고 있으며, 가치는 3억 8,790만 달러에 달하고 올해 누적 BTC 수익률은 22.2%입니다. 2025년 1분기 재무 실적은 매출액 880만 달러로 전년 동기 대비 44% 감소했고, 순손실은 6,470만 달러였습니다. 주요 내용으로는 5억 달러 ATM 주식 공모 프로그램, 1억 달러 전환사채 발행, 그리고 2,975만 달러 규모의 법무부(DOJ) 합의 계약이 포함됩니다. 회사는 1분기에 894 비트코인을 9,070만 달러에 구매했고, 5월 12일까지 추가로 616 비트코인을 5,960만 달러에 매입했습니다. 또한, Semler는 보유 현황과 지표를 투명하게 공개하기 위해 웹사이트에 새로운 비트코인 대시보드를 출시했습니다.
Semler Scientific (NASDAQ : SMLR) a publié ses résultats financiers du premier trimestre 2025 ainsi que des activités importantes liées à son trésor en bitcoins. La société détient désormais 3 808 BTC d’une valeur de 387,9 millions de dollars, avec un rendement BTC de 22,2 % depuis le début de l’année. Les résultats financiers du T1 2025 affichent un chiffre d’affaires de 8,8 millions de dollars, en baisse de 44 % sur un an, avec une perte nette de 64,7 millions de dollars. Les faits marquants comprennent : un programme d’offre d’actions ATM de 500 millions de dollars, l’émission de 100 millions de dollars en obligations convertibles, et un accord de règlement avec le DOJ de 29,75 millions de dollars. La société a acheté 894 bitcoins au premier trimestre pour 90,7 millions de dollars, puis 616 bitcoins supplémentaires jusqu’au 12 mai pour 59,6 millions de dollars. Semler a également lancé un nouveau tableau de bord bitcoin sur son site web pour une divulgation transparente de ses avoirs et indicateurs.
Semler Scientific (NASDAQ: SMLR) berichtete über die Finanzergebnisse des ersten Quartals 2025 und bedeutende Bitcoin-Treasury-Aktivitäten. Das Unternehmen hält nun 3.808 BTC im Wert von 387,9 Millionen US-Dollar und erzielte eine BTC-Rendite von 22,2 % seit Jahresbeginn. Die Finanzergebnisse des Q1 2025 zeigten Einnahmen von 8,8 Millionen US-Dollar, ein Rückgang von 44 % im Jahresvergleich, mit einem Nettoverlust von 64,7 Millionen US-Dollar. Wichtige Entwicklungen umfassen: ein 500-Millionen-US-Dollar-ATM-Aktienangebot-Programm, die Ausgabe von 100 Millionen US-Dollar Wandelanleihen und eine 29,75 Millionen US-Dollar DOJ-Vergleichsvereinbarung. Das Unternehmen kaufte im ersten Quartal 894 Bitcoins für 90,7 Millionen US-Dollar und weitere 616 Bitcoins bis zum 12. Mai für 59,6 Millionen US-Dollar. Semler hat außerdem ein neues Bitcoin-Dashboard auf seiner Webseite gestartet, um die Bestände und Kennzahlen transparent offenzulegen.
Positive
  • 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
Negative
  • 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 44% year-over-year to just $8.8 million, indicating significant challenges in their core healthcare business despite management's mention of "green shoots" from new cardiovascular products.

The company reported a substantial net loss of $64.7 million ($6.74 per share), compared to net income of $6.1 million in Q1 2024. This massive swing stems from three primary factors:

  • 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 $387.9 million. The company is actively raising capital through both equity and debt channels to fund additional bitcoin purchases:

  • 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 90% of total assets ($263.5 million of $293.4 million). Meanwhile, core operations used $1.9 million in cash during Q1, highlighting the deterioration of their healthcare business.

Most concerning is the concentration risk in their remaining healthcare segment, with just two customers representing 74% of Q1 revenues (42% and 32% respectively). This customer concentration combined with declining revenues creates significant vulnerability in their legacy operations.

CAMPBELL, Calif., May 13, 2025 /PRNewswire/ -- Semler Scientific, Inc. (Nasdaq: SMLR), a publicly traded company that has adopted bitcoin as its primary treasury reserve asset and is one of the leading corporate holders of bitcoin, today reported financial results for the first quarter ended March 31, 2025 and provided an update on its bitcoin holdings and other key performance indicators (KPIs).

"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 and 22.2% 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 $41.6 million in Q1 and $52.0 million year-to-date through May 12, 2025.
  • Digital Assets: As of March 31, 2025, Semler Scientific held 3,192 bitcoins with a fair value of $263.5 million, which reflects a cumulative decrease in fair value of $16.9 million. During the quarter ended March 31, 2025, Semler Scientific purchased 894 bitcoins for an aggregate cost of $90.7 million. Subsequently through May 12, 2025, Semler Scientific purchased an additional 616 bitcoins for an aggregate cost of $59.6 million. Semler Scientific's total holdings as of May 12, 2025 are 3,808 bitcoins with a fair value of $387.9 million and an aggregate purchase amount of $340.0 million from operating cashflow, proceeds from its at the market (ATM) and senior convertible notes offerings. All purchase amounts include fees and expenses.
  • 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 $500.0 million 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 $126.0 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 $61.5 million under the new Sales Agreement.
  • Issuance of 4.25% Convertible Notes due 2030: In January 2025, Semler Scientific issued $100.0 million aggregate principal amount of 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 $15.0 million principal amount of Notes. The Notes have an initial conversion price of approximately $76.44 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 $107.01 per share of common stock.
  • 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 $29.75 million to settle all claims (excluding any potential relators' counsel fees that may also be payable).
  • 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 $8.8 million, a 44% decrease year-over-year.
  • Cost of revenues of $0.9 million, a 25% decrease year-over-year.
  • Total operating expenses, which include cost of revenues, of $39.9 million, compared to $8.9 million for the first quarter of 2024. Operating expenses include a contingent liability of $29.8 million related to the potential settlement with the DOJ, legal expenses of $0.4 million related to the settlement and expenses related to a sales tax audit of $0.4 million.
  • Loss from operations of $31.1 million, compared to income from operations of $7.0 million for the first quarter of 2024.
  • Pre-tax loss of $74.9 million, compared to pre-tax income of $7.8 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 $41.8 million and a $1.0 million impairment of investments.
  • Income tax benefit of $10.2 million, or an effective tax benefit rate of 14%, compared to expense of $1.7 million, or an effective tax rate of 22% for the first quarter of 2024.
  • Net loss of $64.7 million, or $6.74 per basic and diluted share, compared to net income of $6.1 million, or $0.88 per basic share and $0.78 per diluted share for the first quarter of 2024.

Semler Scientific's two largest customers (including their affiliates) comprised 42% and 32% of first quarter revenues in 2025, respectively, and its three largest customers comprised 45%, 25% and 11% of first quarter 2024 revenues, respectively.

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 U.S. Dollars, except share and per share data)






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
share



9,596,037



7,782,393


 

Semler Scientific, Inc.


Balance Sheets


(In thousands of U.S. Dollars, except share and per share data)






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 $147 and $199 respectively



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, $0.001 par value; 50,000,000 shares authorized; 9,810,908 and 9,770,908
shares issued, and 9,596,486 and 9,556,486 shares outstanding (treasury shares of 214,422 and
214,422), respectively



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 U.S. Dollars)






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 U.S. Dollars, except bitcoin held and price per bitcoin)



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 4.25% senior convertible notes.

 

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 the United States of America (GAAP) and pursuant to accounting requirements of the Securities and Exchange Commission. In an effort to provide investors with additional information regarding the results and to provide a meaningful period-over-period comparison of Semler Scientific's financial performance, Semler Scientific sometimes uses non-U.S. GAAP financial measures (NGFMs) as defined by the Securities and Exchange Commission. In this press release, Semler Scientific is providing a supplemental NGFM, non-GAAP income from operations, which NGFM excludes (i) non-cash stock-based compensation expense, and (ii) the DOJ contingent liability, which is a non-recurring item.

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 U.S. publicly traded company to adopt a bitcoin treasury strategy. By using proceeds from equity and debt financings, as well as cash flows from operations, Semler Scientific intends to strategically accumulate bitcoin. In addition, through its healthcare business, Semler Scientific is a pioneer in developing and marketing technology products and services to assist its customers in evaluating and treating chronic diseases. Its flagship product, QuantaFlo®, which is patented and cleared by the U.S. Food and Drug Administration (FDA), is a rapid point-of-care test that measures arterial blood flow in the extremities. The QuantaFlo test aids in the diagnosis of cardiovascular diseases, such as peripheral arterial disease (PAD), and Semler Scientific is seeking a new 510(k) clearance for expanded indications. QuantaFlo is used by healthcare providers to evaluate their patient's risk of mortality and major adverse cardiovascular events (MACE). Additional information about Semler Scientific can be found at www.semlerscientific.com.

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

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/semler-scientific-reports-first-quarter-2025-financial-results-btc-yield-of-22-2-ytd-now-holds-3-808-btc-302454421.html

SOURCE Semler Scientific, Inc.

FAQ

What is SMLR's current bitcoin holdings and their value as of May 2025?

Semler Scientific holds 3,808 bitcoins with a fair value of $387.9 million as of May 12, 2025, purchased for an aggregate amount of $340.0 million.

How much did Semler Scientific's revenue decline in Q1 2025?

Semler Scientific's Q1 2025 revenue declined 44% year-over-year to $8.8 million from $15.9 million in Q1 2024.

What is the size of SMLR's new ATM offering program in 2025?

Semler Scientific entered into a new $500.0 million at-the-market (ATM) equity offering program on April 15, 2025.

How much is Semler Scientific's DOJ settlement in 2025?

Semler Scientific reached an agreement to pay $29.75 million to settle all claims with the U.S. Department of Justice in April 2025.

What was SMLR's net loss in Q1 2025?

Semler Scientific reported a net loss of $64.7 million, or $6.74 per basic and diluted share, in Q1 2025.
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