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Semler Scientific (SMLR) investor relations material
Semler Scientific Q3 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Q3 2025 earnings summary12 Nov, 2025
Executive summary
Adopted Bitcoin as primary treasury reserve asset, holding 5,048 Bitcoins valued at $575.8M as of September 30, 2025, with a strategy to further increase holdings.
Healthcare business, centered on QuantaFlo, faced significant revenue declines due to CMS reimbursement changes and DOJ settlement, with two major customers ceasing use of the device.
Entered into a merger agreement with Strive, Inc.; if completed, stockholders will receive Strive shares in exchange for each share held.
Settled DOJ investigation for $29.8M related to alleged False Claims Act violations, funded in part by a $20M loan collateralized by Bitcoin.
Financial highlights
Q3 2025 revenues were $7.5M, down 45% year-over-year; net income was $16.9M, up from $5.6M in Q3 2024, driven by Bitcoin fair value gains.
Nine months ended September 30, 2025: revenues $24.5M (down 44% year-over-year), net income $19.1M (up from $11.7M), with $70.4M increase in Bitcoin fair value.
Operating expenses for the nine months rose to $63.1M (up 138%), including the DOJ settlement.
Cash, cash equivalents, and restricted cash totaled $10.3M at quarter-end; working capital was $26.3M.
Outlook and guidance
Anticipates Q4 2025 revenues to be at least 60% lower than Q3 due to customer attrition and ongoing reimbursement headwinds.
Expects further revenue declines as additional customers may cease using QuantaFlo; plans to align expenses with lower revenue base.
Intends to continue expanding Bitcoin holdings and pursue new healthcare products through CardioVanta.
Bitcoin average acquisition cost vs. market
QuantaFlo revenue decline mitigation strategy
Merger termination fee funding plan
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Next Semler Scientific earnings date
Q4 20255 Mar, 2026
Next Semler Scientific earnings date
Q4 20255 Mar, 2026
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Frequently asked questions
Semler Scientific Inc is a medical technology company that develops and markets products and services for evaluating cardiovascular and chronic diseases. The company’s primary product is a non-invasive test used by healthcare providers to detect peripheral arterial disease. It also provides software and diagnostic tools for risk assessment. Semler Scientific Inc is headquartered in Santa Clara, California, and its shares are listed on the NASDAQ.
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