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Semler Scientific Reports Fourth Quarter and Full Year 2023 Financial Results

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Semler Scientific, Inc. (SMLR) reports strong financial results for Q4 and full year 2023 with revenue and net income growth. The company's focus on QuantaFlo® boosts sales. Key figures include Q4 revenues of $15.1 million, a 9% increase, and full year revenues of $68.2 million, a 20% rise. Net income for Q4 was $4.2 million, up by 31%, and full year net income reached $20.6 million, a 44% increase. Cash balance grew to $57.3 million. The company plans to seek FDA clearance for expanded product use.
Positive
  • Strong revenue and net income growth in Q4 and full year 2023 compared to 2022.
  • Key financial figures include Q4 revenues of $15.1 million, a 9% increase, and full year revenues of $68.2 million, a 20% rise.
  • Q4 net income was $4.2 million, up by 31%, and full year net income reached $20.6 million, a 44% increase.
  • Cash balance increased to $57.3 million.
  • Focus on marketing QuantaFlo® for peripheral arterial disease testing drove sales growth.
  • Plans to seek FDA clearance for expanded product use.
Negative
  • None.

Insights

The reported financial results from Semler Scientific, Inc. showcase a robust year-over-year growth, both in terms of revenue and net income. The 20% increase in annual revenues and a more pronounced 44% surge in net income reflect effective cost management and an expanding market share, especially considering the significant growth in variable fee software license revenues, which jumped by 36%. This indicates a successful adoption and integration of Semler's medical products into healthcare systems, potentially leading to recurring revenue streams.

However, the cost of revenues has also seen a substantial increase of 64%, which is notably higher than the revenue growth rate. This could suggest scaling challenges or increased investment in product development, which should be monitored for future margin pressures. The write-off of prepaid software licenses for Insulin Insights is a one-time expense that investors should note, as it could indicate a strategic pivot or a response to market demands that did not materialize as expected.

Additionally, the reliance on two customers for a significant portion of their revenue poses a concentration risk that could impact future performance if either customer relationship changes. Diversification of the customer base should be a strategic focus to mitigate this risk.

The performance of Semler Scientific is indicative of the growing demand for medical products and services that assist in evaluating and treating chronic diseases. The increased sales of QuantaFlo® for peripheral arterial disease testing signal that the company is effectively addressing a critical need within the healthcare sector. Moreover, the pursuit of a new 510(k) clearance from the FDA with expanded labeling for use as an aid in the diagnosis of other cardiovascular diseases could open additional market opportunities and drive future growth.

It is also worth noting the strategic implications of the increased cash balance, which positions the company well for future investments or acquisitions. The ability to self-finance growth or innovation is a competitive advantage in the healthcare technology market, where rapid advancements are common.

The reported progress in obtaining FDA clearance for expanded labeling of Semler's products is a significant development. FDA clearance is a rigorous process that validates the safety and efficacy of medical devices and expanded labeling can significantly broaden the potential use cases and market for a product. This could enhance the company's value proposition to healthcare providers and patients, potentially leading to increased adoption and revenue growth.

The focus on chronic diseases, such as cardiovascular conditions, aligns with global health trends and the increasing prevalence of these diseases. As such, Semler's product offerings are well-positioned to meet a critical and growing demand in the healthcare market. The financial success and strategic moves of the company should be seen in the context of the broader healthcare landscape, which is increasingly prioritizing early diagnosis and management of chronic conditions.

2023 Q4 and full year highlights compared to the corresponding period of 2022:

  • Fourth quarter revenues were $15.1 million, an increase of 9%
  • Fourth quarter net income was $4.2 million, an increase of 31%
  • Full year revenues were $68.2 million, an increase of 20%
  • Full year net income was $20.6 million, an increase of 44%
  • Cash balance increased to $57.3 million

SANTA CLARA, Calif., March 5, 2024 /PRNewswire/ -- Semler Scientific, Inc. (Nasdaq: SMLR), a company that develops, manufactures and markets innovative medical products and services that assist in evaluating and treating chronic diseases, today reported financial results for the fourth quarter and full year ended December 31, 2023.

"We are pleased to report continued growth in year-over-year quarterly and full year revenues and net income, predominately from sales of QuantaFlo® for peripheral arterial disease testing," said Doug Murphy-Chutorian, MD, chief executive officer of Semler Scientific. "We remain focused on continuing to market our product while seeking a new 510(k) clearance from the FDA with expanded labeling for use as an aid in the diagnosis of other cardiovascular diseases."

FINANCIAL RESULTS

For the year ended December 31, 2023, compared to the corresponding period of 2022, Semler Scientific reported:

  • Revenues of $68.2 million, an increase of $11.5 million, or 20%, compared to $56.7 million.
    • Fixed fee software license revenues of $37.3 million, an increase of $3.3 million, or 9%, compared to $34.0 million.
    • Variable fee software license revenues of $29.0 million, an increase of $7.7 million, or 36%, compared to $21.3 million.
    • Sales of other products of $1.9 million, an increase of $0.5 million, or 42%, compared to $1.4 million.
  • Cost of revenues of $7.0 million, an increase of $2.7 million or 64% compared to $4.3 million. As a percentage of revenues, cost of revenues increased to 10%, compared to 8% in the prior year period.
  • Total operating expenses of $45.9 million, which includes cost of revenues, an increase of $6.4 million, or 16%, compared to $39.5 million. As a percentage of revenues, operating expenses decreased to 67% compared to 70%.
  • Pre-tax income of $24.1 million, an increase of $6.4 million, or 36%, compared to $17.7 million.
  • Income tax expense of $3.5 million, or an effective tax rate of 15%, compared to $3.4 million, or an effective tax rate of 19%.
  • Net income of $20.6 million, or $3.06 per basic share and $2.63 per diluted share, an increase of $6.3 million, or 44%, compared to $14.3 million, or $2.13 per basic share and $1.79 per diluted share.

Note: Cost of revenues for the full year ended December 31, 2023 includes a $2.5 million write-off of prepaid software licenses for Insulin Insights.

Semler Scientific's two largest customers (including their affiliates) comprised 36% and 35% of full year revenues in 2023 and 40.4% and 29.0% of annual revenues in 2022.

For the fourth quarter ended December 31, 2023, compared to the corresponding period of 2022, Semler Scientific reported:

  • Revenues of $15.1 million, an increase of $1.3 million, or 9%, compared to $13.8 million.
    • Fixed fee software license revenues of $8.8 million, a decrease of $0.2 million, or 2%, compared to $9.0 million.
    • Variable fee software license revenues of $5.8 million, an increase of $1.3 million, or 28% compared to $4.5 million.
    • Sales of other products of $0.5 million, an increase of $0.2 million, or 71%, compared to $0.3 million.
  • Cost of revenues of $3.4 million, an increase of $2.2 million, or 186%, compared to $1.2 million. As a percentage of revenues, cost of revenues was 22% compared to 9%.
  • Total operating expenses of $12.5 million, which includes cost of revenues, an increase of $2.3 million, or 23%, compared to $10.2 million. As a percentage of revenues, operating expenses increased to 83%, compared to 74%.
  • Pre-tax income of $2.8 million, a decrease of $1.2 million, or 29%, compared to $4.0 million.
  • Income tax benefit of $1.4 million, or an effective tax benefit rate of 50% compared to income tax expense of $0.7 million, or an effective tax rate of 19%.
  • Net income of $4.2 million, or $0.62 per basic share and $0.55 per diluted share, an increase of $1.0 million, or 31%, compared to $3.2 million, or $0.48 per basic share and $0.41 per diluted share.

Note: Cost of revenues for the fourth quarter and full year ended December 31, 2023 includes a $2.5 million write-off of prepaid software licenses for Insulin Insights.

Semler Scientific's three largest customers (including their affiliates) comprised 37%, 32% and 11% of the fourth quarter revenues in 2023 and two largest customers (including their affiliates) comprised 43.3% and 25.8% of fourth quarter revenues in 2022.

MAJOR ACCOMPLISHMENTS IN 2023

  1. Continued year-over-year revenue growth.
  2. Continued year-over-year net income growth.
  3. Record balance of cash and cash equivalents.

Notice of Conference Call

Semler Scientific will host a conference call today at 4:30 p.m. ET. The call will address results of the fourth quarter and year ended December 31, 2023, as well as provide a business update on Semler Scientific's strategies for the near-term future.

Participants are encouraged to pre-register for the conference call using the following link: https://dpregister.com/sreg/10185342/fb4eeec618. 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 Income

Unaudited

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
















For the three months ended December 31, 


For the year ended December 31, 



2023


2022


2023



2022














Revenues


$

15,056


$

13,794


$

68,184


$

56,686

Operating expenses:













Cost of revenues



3,384



1,182



6,984



4,252

Engineering and product development



1,207



1,365



5,773



4,809

Sales and marketing



4,546



4,654



18,147



17,685

General and administrative



3,262



2,977



14,290



12,737

Strategic streamlining



135





734



  Total operating expenses



12,534



10,178



45,928



39,483

Income from operations



2,522



3,616



22,256



17,203

Interest and dividend income



699



343



2,471



494

Impairment of investments



(337)





(337)



Change in fair value of notes held for investment



(90)





(307)



Other income (expenses)



20



(3)



17



(5)

  Other income, net



292



340



1,844



489

Pre-tax income



2,814



3,956



24,100



17,692

Income tax provision



(1,407)



740



3,517



3,367

Net income


$

4,221


$

3,216


$

20,583


$

14,325

Net income per share, basic


$

0.62


$

0.48


$

3.06


$

2.13

Weighted average number of shares used in computing basic net
income per share



6,804,998



6,691,406



6,732,806



6,726,687

Net income per share, diluted


$

0.55


$

0.41


$

2.63


$

1.79

Weighted average number of shares used in computing diluted
net income per share



7,734,263



7,917,991



7,819,159



7,999,750

 

Semler Scientific, Inc.

Balance Sheets

Unaudited

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




December 31, 


December 31, 



2023


2022








Assets







Current Assets:







 Cash and cash equivalents


$

57,200


$

23,014

 Restricted cash



132



 Short-term investments





20,073

 Trade accounts receivable, net of allowance for credit losses of $287 and $109, respectively



6,125



3,884

 Inventory, net



445



469

 Prepaid expenses and other current assets



2,042



1,468

 Total current assets



65,944



48,908

Assets for lease, net



2,285



2,478

Property and equipment, net



720



667

Long-term investments



512



821

Notes held for investment (includes measured at fair value of $4,372 and $3,679, respectively)



5,372



4,679

Other non-current assets



270



2,842

Deferred tax assets



2,962



2,298

Total assets


$

78,065


$

62,693








Liabilities and Stockholders' Equity







 Current liabilities:







  Accounts payable


$

402


$

835

  Accrued expenses



4,502



4,748

  Deferred revenue



1,120



1,160

  Other short-term liabilities



176



114

 Total current liabilities



6,200



6,857








Long-term liabilities:







Other long-term liabilities



70



160

Total long-term liabilities



70



160

Commitments and contingencies (Note 13)







Stockholders' equity:







Common stock, $0.001 par value; 50,000,000 shares authorized; 7,099,441 and 6,906,544 shares
issued, and 6,885,019 and 6,692,122 shares outstanding (treasury shares of 214,422 and
214,422), respectively



7



7

Additional paid-in capital



11,985



16,449

Retained earnings



59,803



39,220








Total stockholders' equity



71,795



55,676








Total liabilities and stockholders' equity


$

78,065


$

62,693

 

Semler Scientific, Inc.

Statements of Cash Flows

Unaudited

(In thousands of U.S. Dollars)




Year ended December 31,



2023


2022

CASH FLOWS FROM OPERATING ACTIVITIES:







Net income


$

20,583


$

14,325








Reconciliation of Net Income to Net Cash Provided by Operating Activities:







 Depreciation



599



589

 Deferred tax expense



(664)



(351)

 Loss on disposal of assets for lease



369



463

 Write off of prepaid software licenses



2,476



 Gain on short-term investments



(151)



(77)

 Allowance for credit losses



268



103

 Change in fair value of notes held for investment



307



 Stock-based compensation



944



741

 Impairment of long term investments



337



Changes in Operating Assets and Liabilities:







 Trade accounts receivable



(2,508)



(367)

 Inventory



24



81

 Prepaid expenses and other current assets



(603)



2,576

 Other non-current assets



96



(2,510)

 Accounts payable



(433)



392

 Accrued expenses



(246)



1,310

 Other current and non-current liabilities



(68)



188

Net Cash Provided by Operating Activities



21,330



17,463








CASH FLOWS FROM INVESTING ACTIVITIES:







Additions to property and equipment



(345)



(476)

Purchase of notes held for investment



(1,000)



Proceeds from maturities of short-term investments



78,093



(4,679)

Purchase of short-term investments



(57,869)



(19,996)

Purchase of assets for lease



(483)



(1,684)

Net Cash Provided by (Used in) Investing Activities



18,396



(26,835)








CASH FLOWS FROM FINANCING ACTIVITIES:







Taxes paid related to net settlement of equity awards



(3,510)



(114)

Common stock warrants acquired



(1,949)



Treasury stock acquired





(4,991)

Proceeds from exercise of stock options



51



168

Net Cash Used in Financing Activities



(5,408)



(4,937)

INCREASE (DECREASE) IN CASH



34,318



(14,309)

CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD



23,014



37,323

CASH, CASH EQUIVALENTS AND RESTRICTED CASH, END OF PERIOD


$

57,332


$

23,014

Supplemental Disclosure of Cash Flow Information:







Cash paid for taxes


$

4,060


$

2,400

About Semler Scientific, Inc.:

Semler Scientific, Inc. develops, manufactures and markets innovative products and services that assist 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). Semler Scientific has a minority investment in Mellitus, SYNAPS Dx, as well as Monarch Medical Technologies LLC, a privately held company whose product EndoTool® offers a technological solution for inpatient glycemic management. Additional information about Semler Scientific can be found at www.semlerscientific.com.

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 seeking a new 510(k) clearance for QuantaFlo® with expanded indications for use; 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 whether or not insurance plans and other customers will continue to license its cardiovascular testing products, including the risk of changes in the reimbursement landscape for its customers including related to the recent CMS rate announcement; whether or not QuantaFlo® can successfully aid in the diagnosis of PAD or obtain a new 510(k) clearance for expanded indications; along with those 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 release and Semler Scientific assumes no obligation to update or revise these statements unless otherwise required by law.

INVESTOR CONTACT:

Renae Cormier
Chief Financial Officer
ir@semlerscientific.com

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SOURCE Semler Scientific, Inc.

FAQ

What were Semler Scientific's (SMLR) Q4 revenues in 2023?

Semler Scientific reported Q4 revenues of $15.1 million in 2023, marking a 9% increase from the corresponding period in 2022.

What was the full year net income for Semler Scientific (SMLR) in 2023?

Semler Scientific's full year net income for 2023 was $20.6 million, showing a significant 44% increase compared to the previous year.

What is the cash balance for Semler Scientific (SMLR) as of the latest report?

Semler Scientific's cash balance as of the latest report stands at $57.3 million, demonstrating a substantial increase.

What product contributed to Semler Scientific's revenue growth in 2023?

Sales growth in 2023 was predominantly driven by QuantaFlo®, a product for peripheral arterial disease testing, as highlighted in the report.

What regulatory clearance is Semler Scientific (SMLR) seeking?

Semler Scientific plans to seek a new 510(k) clearance from the FDA with expanded labeling for use as an aid in the diagnosis of other cardiovascular diseases, as mentioned in the report.

Semler Scientific, Inc.

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