Semler Scientific's Q2 2025: Contradictions Surface in Bitcoin Acquisition Strategy and Market Dynamics

Bitcoin acquisition strategy, Semler's strategy as intelligent leverage, Bitcoin acquisition strategy and market dynamics, Bitcoin acquisition strategy and announcements, cryptocurrency market and government regulation are the key contradictions discussed in Semler Scientific's latest 2025Q2 earnings call.



Bitcoin Acquisition and Growth:
- Semler Scientific acquired 5,021 Bitcoin since adopting the Bitcoin standard in May 2024, valued at approximately $586 million with a cost basis of $476 million, resulting in an unrealized gain of $110 million.
- The company's consistent accretive accumulation of Bitcoin has resulted in a 300% positive Bitcoin yield, with a BTC dollar gain of $195 million through July 31, 2025.
- This growth is attributed to the company's strategic and assertive acquisition of Bitcoin, driven by its Bitcoin treasury strategy and health care business cash flow.

Financial Performance and Valuation:
- Semler Scientific reported GAAP net income of $66.9 million or $5.04 per fully diluted share in Q2 2025.
- On an annualized basis, the company's price-to-earnings multiple would be 1.7x, significantly lower than the S&P 500 average of 25x forward PE estimates.
- The low valuation is due to the company's belief that the current stock valuation is disconnected from its underlying performance and intrinsic value, and its commitment to unlocking value for shareholders.

Strategic Bitcoin Investment:
- Semler Scientific is targeting 42,000 Bitcoin by year-end 2026 and 105,000 Bitcoin by year-end 2027.
- The company is exploring various capital raising options and expansion of its health care business to support these targets.
- The strategic focus is on amplifying stockholder returns through intelligent leverage and accretive opportunities to acquire Bitcoin.

Health Care Business and Expansion:
- Semler Scientific's health care business generated $24 million in record cash in 2024.
- The company plans to launch new products in larger markets through a subsidiary called CardioVanta, targeting multibillion-dollar markets like early detection of heart failure and cardiac arrhythmia monitoring.
- The expansion is aimed at generating free cash flow to fund additional Bitcoin purchases and validate the long-term value of CardioVanta.