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SMLR logoSemler Scientific, Inc.(SMLR)Earnings, Financials & Key Ratios

SMLR•NASDAQ
$20.33
$311M mkt cap·4.0× P/E·Price updated Apr 24, 2026
SectorHealthcareIndustryMedical DevicesSub-IndustryPatient monitoring and wearable diagnostics
AboutSemler Scientific, Inc. provides technology solutions to improve the clinical effectiveness and efficiency of healthcare providers in the United States. The company's products include QuantaFlo, a four-minute in-office blood flow test that enables healthcare providers to use blood flow measurements as part of their examinations of a patient's vascular condition. Its products serve cardiologists, internists, nephrologists, endocrinologists, podiatrists, and family practitioners, as well as healthcare insurance plans, integrated delivery networks, independent physician groups, and companies contracting with the healthcare industry, such as risk assessment groups. The company offers its products through salespersons and distributors. Semler Scientific, Inc. was incorporated in 2007 and is headquartered in Santa Clara, California.Show more
  • Revenue$56M-17.4%
  • EBITDA$22M-5.9%
  • Net Income$41M+98.7%
  • EPS (Diluted)5.13+95.1%
  • Gross Margin91.55%+2.0%
  • EBITDA Margin38.21%+14.0%
  • Operating Margin37.19%+13.9%
  • Net Margin72.65%+140.7%
  • ROE27.04%-16.3%
  • ROIC13.26%-81.1%
  • Debt/Equity0.00-86.4%
Technical→

SMLR Key Insights

Semler Scientific, Inc. (SMLR) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Company is almost debt free
  • ✓Excellent 3Y average ROE of 29.2%
  • ✓Strong 5Y profit CAGR of 22.1%
  • ✓Strong 5Y sales CAGR of 11.4%
  • ✓Healthy 5Y average net margin of 39.4%
  • ✓Trading at only 0.7x book value

✗Weaknesses

  • ✗Negative free cash flow
  • ✗Weak momentum: RS Rating 13 (bottom 13%)
  • ✗Trading more than 30% below 52-week high
  • ✗Low asset turnover indicates capital-intensive operations

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

SMLR Price & Volume

Semler Scientific, Inc. (SMLR) stock price & volume — 10-year historical chart

Loading chart...

SMLR Growth Metrics

Semler Scientific, Inc. (SMLR) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years31.52%
5 Years11.43%
3 Years2.01%
TTM-37.29%

Profit CAGR

10 Years-
5 Years22.08%
3 Years33.42%
TTM203.75%

EPS CAGR

10 Years-
5 Years22.23%
3 Years34.25%
TTM35.52%

Return on Capital

10 Years-5.61%
5 Years41.51%
3 Years27.47%
Last Year13.71%

SMLR Recent Earnings

Semler Scientific, Inc. (SMLR) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 10/12 qtrs (91%)●Beat Revenue 8/12 qtrs (80%)
Q1 2026Latest
Feb 17, 2026
EPS
$3.41
Est $0.54
+731.5%
Revenue
—
Est $3M
Q4 2025
Nov 12, 2025
EPS
$1.07
Est $0.04
+2575.0%
Revenue
$7M
Est $8M
-9.6%
Q3 2025
Aug 4, 2025
EPS
$5.04
Est $0.10
+5140.0%
Revenue
$8M
Est $8M
+2.8%
Q2 2025
May 13, 2025
EPS
$0.76
Revenue
$9M
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q1 2026LatestFeb 17, 2026
$3.41vs $0.54+731.5%
—vs $3M
Q4 2025Nov 12, 2025
$1.07vs $0.04+2575.0%
$7Mvs $8M-9.6%
Q3 2025Aug 4, 2025
$5.04vs $0.10+5140.0%
$8Mvs $8M+2.8%
Q2 2025May 13, 2025
$0.76
$9M
Based on last 12 quarters of dataView full earnings history →

SMLR Peer Comparison

Semler Scientific, Inc. (SMLR) competitors in Patient monitoring and wearable diagnostics — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
BEAT logoBEATHeartBeam, Inc.Direct Competitor34.34M0.86-1.38-5.71%
AEYE logoAEYEAudioEye, Inc.Direct Competitor95.09M7.66-30.6414.52%-7.63%-47.8%0.15
GXAI logoGXAIGaxos.ai Inc.Direct Competitor2.19M1.23-0.6414.73%-5.44%-27.29%
ATEC logoATECAlphatec Holdings, Inc.Direct Competitor1.06B6.99-7.2824.95%-21.07%-141.88%17.21
MDXG logoMDXGMiMedx Group, Inc.Product Competitor543.76M3.6611.4419.99%7.88%12.86%0.09
OFIX logoOFIXOrthofix Medical Inc.Product Competitor489.36M12.19-5.352.85%-7.27%-13.44%0.51
PRCT logoPRCTPROCEPT BioRobotics CorporationProduct Competitor1.41B24.80-14.4237.22%-31.82%-27.7%0.14
UNH logoUNHUnitedHealth Group IncorporatedSupply Chain333.37B367.2827.7611.81%2.68%11.54%0.77

Compare SMLR vs Peers

Semler Scientific, Inc. (SMLR) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs BEAT

Most directly comparable listed peer for SMLR.

Scale Benchmark

vs UNH

Larger-name benchmark to compare SMLR against a more recognizable public peer.

Peer Set

Compare Top 5

vs BEAT, AEYE, GXAI, ATEC

SMLR Income Statement

Semler Scientific, Inc. (SMLR) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Sales/Revenue7.43M12.45M21.49M32.77M38.6M53.03M56.69M68.18M56.29M36.96M
Revenue Growth %6.18%67.5%72.59%52.47%17.81%37.36%6.9%20.28%-17.44%-37.29%
Cost of Goods Sold1.87M2.55M2.7M3.66M3.36M6.12M4.25M6.98M4.76M3.41M
COGS % of Revenue25.2%20.5%12.58%11.17%8.69%11.55%7.5%10.24%8.45%-
Gross Profit
5.56M▲ 0%
9.9M▲ 78.0%
18.79M▲ 89.8%
29.11M▲ 54.9%
35.25M▲ 21.1%
46.91M▲ 33.1%
52.43M▲ 11.8%
61.2M▲ 16.7%
51.53M▼ 15.8%
33.54M▲ 0%
Gross Margin %74.8%79.5%87.42%88.83%91.31%88.45%92.5%89.76%91.55%90.76%
Gross Profit Growth %33.87%78.01%89.8%54.92%21.1%33.08%11.79%16.72%-15.79%-
Operating Expenses7.72M10.75M13.45M18.4M19.29M27.46M35.23M38.94M30.6M68.54M
OpEx % of Revenue103.85%86.35%62.57%56.15%49.96%51.78%62.15%57.12%54.36%-
Selling, General & Admin6.85M8.92M11.36M15.92M16.35M23.68M30.42M32.44M25.81M34.1M
SG&A % of Revenue92.2%71.64%52.86%48.58%42.35%44.66%53.67%47.57%45.85%-
Research & Development866K1.83M2.08M2.48M2.94M3.78M4.81M5.77M4.79M4.69M
R&D % of Revenue11.65%14.7%9.7%7.57%7.61%7.13%8.48%8.47%8.51%-
Other Operating Expenses0-14K-4K-9K000734K01000K
Operating Income
-2.16M▲ 0%
-853K▲ 60.5%
5.34M▲ 726.3%
10.71M▲ 100.4%
15.96M▲ 49.1%
19.45M▲ 21.8%
17.2M▼ 11.5%
22.26M▲ 29.4%
20.93M▼ 5.9%
-35M▲ 0%
Operating Margin %-29.04%-6.85%24.86%32.68%41.35%36.67%30.35%32.64%37.19%-94.71%
Operating Income Growth %74.36%60.49%726.26%100.45%49.06%21.83%-11.53%29.37%-5.94%-
EBITDA-1.71M-294K5.84M11.34M16.54M20.07M17.79M22.86M21.51M-34.59M
EBITDA Margin %-22.96%-2.36%27.2%34.61%42.84%37.84%31.39%33.52%38.21%-93.59%
EBITDA Growth %78.94%82.78%2088.1%94.01%45.84%21.34%-11.34%28.46%-5.88%-268.2%
D&A (Non-Cash Add-back)452K559K503K632K577K622K589K599K579K416K
EBIT-2.16M-1.05M5.34M10.71M16.49M19.45M17.2M22.99M20.93M-47.06M
Net Interest Income-391K-464K-298K2K19K10K494K2.47M1.88M-3.48M
Interest Income0002K19K10K494K2.47M1.88M178K
Interest Expense391K464K298K0000003.66M
Other Income/Expense-395K-657K-302K-7K525K10K489K1.84M26.95M97.08M
Pretax Income
-2.55M▲ 0%
-1.51M▲ 40.9%
5.04M▲ 433.8%
10.7M▲ 112.3%
16.49M▲ 54.1%
19.45M▲ 18.0%
17.69M▼ 9.1%
24.1M▲ 36.2%
47.88M▲ 98.7%
62.07M▲ 0%
Pretax Margin %-34.36%-12.13%23.45%32.66%42.71%36.69%31.21%35.35%85.06%167.96%
Income Tax0026K-4.38M2.48M2.23M3.37M3.52M6.99M13.73M
Effective Tax Rate %0%0%0.52%-40.96%15.04%11.48%19.03%14.59%14.59%22.13%
Net Income
-2.55M▲ 0%
-1.51M▲ 40.9%
5.01M▲ 432.1%
15.08M▲ 200.8%
14.01M▼ 7.1%
17.22M▲ 23.0%
14.32M▼ 16.8%
20.58M▲ 43.7%
40.9M▲ 98.7%
48.34M▲ 0%
Net Margin %-34.36%-12.13%23.33%46.03%36.28%32.48%25.27%30.19%72.65%130.8%
Net Income Growth %69.96%40.88%432.05%200.84%-7.14%22.95%-16.82%43.69%98.7%203.75%
Net Income (Continuing)-2.55M-1.51M5.01M15.08M14.01M17.22M14.32M20.58M40.9M48.34M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)
-0.50▲ 0%
-0.28▲ 44.0%
0.66▲ 335.7%
1.88▲ 184.8%
1.74▼ 7.4%
2.12▲ 21.8%
1.79▼ 15.6%
2.63▲ 46.9%
5.13▲ 95.1%
2.92▲ 0%
EPS Growth %70.93%44%335.71%184.85%-7.45%21.84%-15.57%46.93%95.06%35.52%
EPS (Basic)-0.50-0.280.662.342.132.562.133.065.66-
Diluted Shares Outstanding5.12M5.41M7.63M8.03M8.07M8.14M8M7.82M7.98M16.55M
Basic Shares Outstanding5.12M5.39M7.6M6.44M6.58M6.73M6.73M6.73M7.23M14.85M
Dividend Payout Ratio----------

SMLR Balance Sheet

Semler Scientific, Inc. (SMLR) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Total Current Assets1.59M2.88M6.24M11.44M26.6M45.54M48.91M65.94M22.69M53.51M
Cash & Short-Term Investments622K1.46M3.28M7.74M22.08M37.32M43.09M57.2M14.92M10.18M
Cash Only622K1.46M3.28M7.74M22.08M37.32M23.01M57.2M8.82M10.18M
Short-Term Investments00000020.07M06.1M0
Accounts Receivable877K1.31M2.8M3.49M2.81M3.62M3.88M6.13M4.38M38.49M
Days Sales Outstanding43.0638.5547.5738.8326.5524.9125.0132.7928.39120.58
Inventory-877K-1.31M-2.8M0340K550K469K445K358K485K
Days Inventory Outstanding----36.9832.7940.2623.2627.4647.34
Other Current Assets00000002.17M3.03M4.09M
Total Non-Current Assets1.48M1.35M1.48M6.84M8.04M5.14M13.79M12.12M217.14M543.17M
Property, Plant & Equipment1.47M1.34M1.47M2.33M2.2M2.04M3.15M3M1.91M1.66M
Fixed Asset Turnover5.07x9.29x14.66x14.08x17.53x26.03x18.02x22.69x29.47x20.27x
Goodwill0000000000
Intangible Assets00000000214.63M539.84M
Long-Term Investments00003.05M821K5.5M5.88M512K2.05M
Other Non-Current Assets15K15K15K15K418K332K2.84M270K85K4.26M
Total Assets
3.07M▲ 0%
4.24M▲ 38.0%
7.72M▲ 82.1%
18.29M▲ 136.9%
34.64M▲ 89.4%
50.67M▲ 46.3%
62.69M▲ 23.7%
78.06M▲ 24.5%
239.83M▲ 207.2%
596.68M▲ 0%
Asset Turnover2.42x2.94x2.78x1.79x1.11x1.05x0.90x0.87x0.23x0.09x
Asset Growth %-0.23%37.96%82.14%136.91%89.42%46.29%23.72%24.52%207.22%1520.72%
Total Current Liabilities3.23M5.14M3.51M5.21M4.51M4.88M6.86M6.2M6.31M27.22M
Accounts Payable450K488K280K338K677K443K835K402K140K200K
Days Payables Outstanding87.6969.7737.8133.773.6326.4171.6821.0110.7429.03
Short-Term Debt81K1.25M000000020M
Deferred Revenue (Current)513K531K435K955K963K921K1.16M1.12M774K2.53M
Other Current Liabilities704K591K355K1.04M1.6M523K2.5M2.09M3.9M3.68M
Current Ratio0.49x0.56x1.78x2.20x5.89x9.33x7.13x10.64x3.59x3.59x
Quick Ratio0.76x0.82x2.57x2.20x5.82x9.22x7.06x10.56x3.54x3.54x
Cash Conversion Cycle-----10.131.29-6.4135.0445.11138.89
Total Non-Current Liabilities2.76M1.68M11K7K332K245K160K70K2.77M109.71M
Long-Term Debt2.53M1.67M000000096.42M
Capital Lease Obligations00000245K160K70K00
Deferred Tax Liabilities000000002.77M22.22M
Other Non-Current Liabilities230K13K11K7K332K00000
Total Liabilities5.99M6.82M3.52M5.21M4.85M5.13M7.02M6.27M9.08M136.93M
Total Debt2.61M2.92M000325K245K160K70K116.42M
Net Debt1.99M1.47M-3.28M-7.74M-22.08M-37M-22.77M-57.04M-8.75M106.24M
Debt / Equity-----0.01x0.00x0.00x0.00x0.00x
Debt / EBITDA-----0.02x0.01x0.01x0.00x-3.37x
Net Debt / EBITDA---0.56x-0.68x-1.34x-1.84x-1.28x-2.50x-0.41x-0.41x
Interest Coverage-5.52x-1.84x17.93x-------12.85x
Total Equity
-2.92M▲ 0%
-2.58M▲ 11.5%
4.2M▲ 262.4%
13.07M▲ 211.6%
29.79M▲ 127.9%
45.55M▲ 52.9%
55.68M▲ 22.2%
71.8M▲ 29.0%
230.75M▲ 221.4%
459.75M▲ 0%
Equity Growth %-172.29%11.51%262.45%211.56%127.9%52.88%22.24%28.95%221.4%1156.62%
Book Value per Share-0.57-0.480.551.633.695.606.969.1828.9227.79
Total Shareholders' Equity-2.92M-2.58M4.2M13.07M29.79M45.55M55.68M71.8M230.75M459.75M
Common Stock5K6K6K7K7K7K7K7K9K15K
Retained Earnings-24.92M-26.43M-21.42M-6.33M7.67M24.89M39.22M59.8M100.7M119.83M
Treasury Stock0000000000
Accumulated OCI-656K-829K-234K0000000
Minority Interest0000000000

SMLR Cash Flow Statement

Semler Scientific, Inc. (SMLR) cash flow — operating, investing & free cash flow history

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Cash from Operations-1.8M621K4.7M12.73M15.11M16.06M17.46M17.82M24.41M24.41M
Operating CF Margin %-24.27%4.99%21.86%38.84%39.15%30.28%30.81%26.14%43.36%-
Operating CF Growth %56.37%134.42%656.36%170.98%18.75%6.23%8.76%2.04%36.98%-139.43%
Net Income-2.55M-1.51M5.01M15.08M14.01M17.22M14.32M20.58M40.9M48.34M
Depreciation & Amortization452K559K503K632K576K628K589K599K579K416K
Stock-Based Compensation300K343K601K0253K749K741K0862K3.74M
Deferred Taxes331K718K246K-4.5M2.14M408K-351K-664K5.73M16.61M
Other Non-Cash Items185K330K253K619K-128K1.63M489K1.04M-24.85M-97.97M
Working Capital Changes-518K181K-1.92M894K-1.73M-4.58M1.67M-3.74M1.19M1.95M
Change in Receivables293K-479K-1.5M-734K623K-874K-367K-2.51M1.84M4.29M
Change in Inventory17K606K-113K0-303K-1.41M81K24K88K-104K
Change in Payables-389K38K-208K58K339K-234K392K-433K-262K-345K
Cash from Investing-814K-968K-843K-1.7M-1.01M-825K-26.84M18.4M-189.98M-405.76M
Capital Expenditures-814K-971K-844K-1.7M-758K-825K-2.16M-828K-51K-49.18M
CapEx % of Revenue10.95%7.8%3.93%5.18%1.96%1.56%3.81%1.21%0.09%-
Acquisitions03K1K0000000
Investments----------
Other Investing-591K3K1K0-248K00-1M-189.43M-355.43M
Cash from Financing2.83M1.18M-2.03M-6.57M230K13K-4.94M-1.9M117.19M436.28M
Debt Issued (Net)2.83M-32K-2.9M000000120M
Equity Issued (Net)0475K0-1000K00-1000K-1000K1000K2M
Dividends Paid0000000000
Share Repurchases000-6.63M00-4.99M-1.95M0-7.74M
Other Financing0739K870K0230K13K54K0-2.41M-7.39M
Net Change in Cash
217K▲ 0%
835K▲ 284.8%
1.83M▲ 118.8%
4.46M▲ 144.0%
14.34M▲ 221.7%
15.24M▲ 6.3%
-14.31M▼ 193.9%
34.32M▲ 339.8%
-48.38M▼ 241.0%
3.61M▲ 0%
Free Cash Flow
-2.62M▲ 0%
-350K▲ 86.6%
3.85M▲ 1200.9%
11.03M▲ 186.3%
14.36M▲ 30.2%
15.23M▲ 6.1%
15.3M▲ 0.5%
16.99M▲ 11.0%
-165.34M▼ 1073.1%
-388.75M▲ 0%
FCF Margin %-35.22%-2.81%17.93%33.66%37.19%28.72%27%24.92%-293.71%-1051.92%
FCF Growth %50.03%86.63%1200.86%186.27%30.15%6.09%0.47%11.04%-1073.05%-672.66%
FCF per Share-0.51-0.060.511.371.781.871.912.17-20.72-20.72
FCF Conversion (FCF/Net Income)0.71x-0.41x0.94x0.84x1.08x0.93x1.22x0.87x0.60x-8.04x
Interest Paid00575K0000000
Taxes Paid0018K0285K2.65M2.4M02.26M0

SMLR Key Ratios

Semler Scientific, Inc. (SMLR) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201620172018201920202021202220232024TTM
Return on Equity (ROE)--621.7%174.69%65.35%45.72%28.3%32.29%27.04%10.51%
Return on Invested Capital (ROIC)--439.31%257.24%183.52%179.35%62.25%70.04%13.26%13.26%
Gross Margin74.8%79.5%87.42%88.83%91.31%88.45%92.5%89.76%91.55%90.76%
Net Margin-34.36%-12.13%23.33%46.03%36.28%32.48%25.27%30.19%72.65%130.8%
Debt / Equity-----0.01x0.00x0.00x0.00x0.00x
Interest Coverage-5.52x-1.84x17.93x-------12.85x
FCF Conversion0.71x-0.41x0.94x0.84x1.08x0.93x1.22x0.87x0.60x-8.04x
Revenue Growth6.18%67.5%72.59%52.47%17.81%37.36%6.9%20.28%-17.44%-37.29%

SMLR SEC Filings & Documents

Semler Scientific, Inc. (SMLR) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

Jan 16, 2026·SEC

Material company update

Jan 13, 2026·SEC

Material company update

Dec 12, 2025·SEC

10-Q Quarterly Reports

1
FY 2025

Nov 12, 2025·SEC

SMLR Frequently Asked Questions

Semler Scientific, Inc. (SMLR) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Semler Scientific, Inc. (SMLR) reported $37.0M in revenue for fiscal year 2024. This represents a 11595% increase from $0.3M in 2011.

Semler Scientific, Inc. (SMLR) saw revenue decline by 17.4% over the past year.

Yes, Semler Scientific, Inc. (SMLR) is profitable, generating $48.3M in net income for fiscal year 2024 (72.7% net margin).

Dividend & Returns

Semler Scientific, Inc. (SMLR) has a return on equity (ROE) of 27.0%. This is excellent, indicating efficient use of shareholder capital.

Semler Scientific, Inc. (SMLR) had negative free cash flow of $388.7M in fiscal year 2024, likely due to heavy capital investments.

Explore More SMLR

Semler Scientific, Inc. (SMLR) financial analysis — history, returns, DCA and operating performance tools

Total Return Calculator

Historical returns with dividends reinvested

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DCA Calculator

Dollar cost averaging vs lump sum

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Dividend History

Yield, growth, payout safety & DRIP

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Earnings History

EPS trends, net income & profitability

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Price History

Long-term charts & historical price data

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Revenue History

Sales growth patterns & revenue breakdown

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Financial Ratios

30 years of market, efficiency and balance-sheet ratios

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Valuation

DCF intrinsic value, peer multiples & estimates

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