NASDAQ$SMLR

Semler Scientific Inc · Q4 2024 earnings

Q4 2024 earnings · · After market close · Investor relations

Briefing

Semler Scientific reported its fourth quarter and full year 2024 financial results, highlighting a 107% BTC Yield since July 1, 2024, and holding 3,192 BTC.

Semler Scientific reported a transformative year in 2024, driven by its bitcoin treasury strategy. The company achieved strong financial performance in its healthcare business, with income from operations of $20.9 million for the full year. The strategic acquisition of 3,192 bitcoins, valued at approximately $300 million, significantly increased market capitalization by over 200% since May 2024.

  • Semler Scientific's BTC Yield for the year ended December 31, 2024, was 107%.
  • As of December 31, 2024, Semler Scientific held 2,298 bitcoins with a fair value of $214.6 million, reflecting a cumulative increase in fair value of $24.9 million.
  • The company purchased an additional 894 bitcoins through February 14, 2025, bringing total holdings to 3,192 bitcoins for an aggregate purchase amount of $280.4 million.
  • Semler Scientific sold 2,197,988 shares under its At-the-Market Equity Offering Program, generating approximately $119.6 million in net proceeds.

Headline financials

Total Revenue

$12.4M

Previous: $15.1M-17.6%
EPS (adj)

$3.64

Previous: $0.55+561.8%
BTC Yield YTD

107.0%

No prior period
Bitcoins Held Q4

2.3K

No prior period
BTC Unrealized Gain YTD

$24.9M

No prior period
Bitcoins Held Post Q4

3.2K

No prior period
ATM Shares Sold YTD

2.2M

No prior period
ATM Net Proceeds YTD

$120M

No prior period
Convertible Notes Issued

$100M

No prior period
Net Income

$29.2M

Previous: $4.22M+591.9%
Operating Income

$3.54M

Previous: $2.52M+40.4%

Revenue & EPS history

Semler Scientific · Revenue · Quarterly

$12.4M

Q4 2024-17.6%vs Q4 2023
Beat estimate in 8 of 14 quarters(57%)
ActualEstimate

Forward guidance

Semler Scientific's forward-looking statements indicate a continued focus on acquiring and holding bitcoin, alongside innovation and growth in its healthcare business. The company plans to support additional bitcoin purchases through various financings and is seeking new regulatory clearances for its products.

Tailwinds

  • Commitment to significantly expanding bitcoin holdings, viewing it as digital gold with long-term potential.
  • Continued support for innovation and growth in the healthcare business.
  • Plans to use proceeds from ATM offerings and senior convertible notes to support additional bitcoin purchases.
  • Seeking a new 510(k) clearance for QuantaFlo with expanded indications.
  • Confidence in bitcoin's long-term potential to maximize stockholder value.

Headwinds

  • 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.
  • Risk of changes in the reimbursement landscape for its customers, including related to CMS rate announcements.
  • Risk of obtaining a new 510(k) clearance for expanded indications.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 6 quarterly earnings reports · overlaid with Q4 2024

Historical avgQ4 2024

-0.2%

Avg return

Earnings day

-2.4%

Avg return

5 days after

-5.8%

Avg return

30 days after

54%

25 / 46 earnings

Positive

+33.6%

Q4 2014

Best reaction

-33.3%

Q3 2022

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q3 2025-10.7%-16.0%-25.1%
Q2 2025-1.8%+2.0%-20.7%
Q1 2025-11.4%+17.9%-19.3%
Q4 2024+3.0%-12.4%-22.7%
Q3 2024+27.1%+29.9%+106.6%
Q2 2024-5.4%-1.7%-16.7%
Q4 2023-32.7%-36.8%-42.5%
Q3 2023+7.6%
Q2 2023+7.9%
Q1 2023+13.8%
Q4 2022+26.9%
Q3 2022-33.3%
Q2 2022+19.4%
Q1 2022-20.6%
Q4 2021-27.3%
Q3 2021-25.6%
Q2 2021-2.7%
Q1 2021+1.5%
Q4 2020+13.6%
Q3 2020+10.0%
Q2 2020-3.6%
Q1 2020-2.6%
Q4 2019+1.8%
Q3 2019+1.7%
Q2 2019+1.5%
Q1 2019-2.7%
Q4 2018+4.8%
Q3 2018-12.5%
Q2 2018+20.6%
Q1 2018+6.4%
Q4 2017+2.5%
Q3 2017+16.0%
Q2 2017-5.9%
Q1 2017+1.5%
Q4 2016+7.9%
Q3 2016-16.0%
Q2 2016+8.1%
Q1 2016-9.2%
Q4 2015-7.9%
Q3 2015+0.1%
Q2 2015-12.2%
Q1 2013+0.9%
Q4 2014+33.6%
Q3 2014-3.7%
Q2 2014-2.0%
Q1 2014+1.2%
Q4 2013
Q3 2013
Q2 2013
Q4 2012
Q3 2012

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