~~0001554859us-gaap:RevenueFromContractWithCustomerMemberus-gaap:CustomerConcentrationRiskMember2021-07-012021-09-30~~

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q


	☒	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended ~~September~~June 30, ~~2021~~2022



	☐	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ___ to ___

Commission File Number 001-36305

SEMLER SCIENTIFIC, INC.

(Exact name of registrant as specified in its charter)

Delaware	26-1367393
(State or other jurisdiction of	~~(I.R.S. Employer~~
incorporation or organization)	(I.R.S. Employer Identification No.)

2340-2348 Walsh Avenue, Suite 2344

Santa Clara, CA 95051

(Address of principal executive offices) (Zip Code)

(877) 774-4211

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act: ~~None.~~

Title of each class		Trading Symbol(s)		Name of each exchange on which registered
Common Stock, par value $0.001 per share		SMLR		The Nasdaq Stock Market LLC

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act:

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

As of ~~November~~August 1, ~~2021,~~2022, there were ~~6,757,708~~6,799,703 shares of the issuer’s common stock, $0.001 par value per share, outstanding.

~~Table of Contents~~

Table of Contents

TABLE OF CONTENTS

In this report, unless otherwise stated or as the context otherwise requires, references to “Semler Scientific,” “the Company,” “we,” “us,” “our” and similar references refer to Semler Scientific, Inc. The Semler Scientific logo, QuantaFlo and other trademarks or service marks of Semler Scientific, Inc. appearing in this report are the property of Semler Scientific, Inc. This report also contains registered marks, trademarks and trade names of other companies. All other trademarks, registered marks and trade names appearing in this report are the property of their respective holders.

Table of Contents

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This quarterly report on Form 10-Q contains forward-looking statements. Such forward-looking statements include those that express plans, anticipation, intent, contingency, goals, targets or future development and/or otherwise are not statements of historical fact. In some cases, you can identify forward-looking statements by terminology, such as “expects,” “anticipates,” “intends,” “estimates,” “plans,” “believes,” “seeks,” “may,” “should,” “continue,” “could” or the negative of such terms or other similar expressions. Any forward-looking statements are qualified in their entirety by reference to the factors discussed throughout this report. These forward-looking statements are based on our current expectations and projections about future events and they are subject to risks and uncertainties known and unknown that could cause actual results and developments to differ materially from those expressed or implied in such statements, including risks associated with:

●

implementation of our business strategy and the fact that we actively market only two FDA-cleared products and may not benefit from our recent investments in other companies developing complementary ~~products;~~products or the extension of QuantaFlo to test for other cardiovascular diseases;

●

the failure of physicians and other customers to widely adopt our products, or to determine that our product provides a safe and effective alternative to existing ankle brachial index, or ABI, devices;

●

the fact that our testing product is generally but not specifically approved for reimbursement under any third-party payor codes;

●

our reliance on the talents of a small number of key personnel, and a small direct sales force;

●

not requiring customers to enter into long-term licenses;

●

concentration of our revenues and accounts receivable with a limited number of customers;

●

our reliance on a small number of independent suppliers and facilities for the manufacturing of our product;

●

our business being subject to many laws and government regulations, including governing the manufacture and sale of medical devices, patient data, and others;

●

our ability to protect our intellectual property;

●

impacts of the ongoing Covid-19 ~~pandemic;~~pandemic and macroeconomic factors that could impact our business, such as the effects of the Russian invasion of Ukraine on the global economy and supply chain and inflation; and

●

the other factors set forth under the caption “Risk Factors” in our annual report on Form 10-K filed with the Securities and Exchange Commission, or SEC, on March ~~9, 2021.~~4, 2022.

Because the risks and uncertainties referred to above and in our SEC reports could cause actual results or outcomes to differ materially from those expressed in any forward-looking statements made by us or on our behalf, you should not place undue reliance on any forward-looking statements.

You should read this quarterly report and the documents that we reference herein and therein and have filed as exhibits to this report and our other filings with the SEC. You should assume that the information appearing in this quarterly report is accurate as of the date of this quarterly report only. Further, any forward-looking statement speaks only as of the date on which it is made, and we undertake no obligation to update any forward-looking statement to reflect events or circumstances after the date on which the statement is made or to reflect the occurrence of unanticipated events. New factors emerge from time to time, and it is not possible for us to predict which factors will arise. In addition, we cannot assess the impact of each factor on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. We qualify all of the information presented in this quarterly report, and particularly our forward-looking statements, by these cautionary statements.

Table of Contents

PART I—FINANCIAL INFORMATION

Item 1. Financial Statements.

Semler Scientific, Inc.

Condensed Statements of Income

Unaudited

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

For the three months ended September 30,

For the nine months ended September 30,


2021

2020

2021

2020

Revenues

$
13,991

$
10,727

$
41,485

$
26,530

Operating expenses:

Cost of revenues

1,382

820

3,957

2,370

Engineering and product development

1,036

672

2,676

2,277

Sales and marketing

3,968

2,116

10,407

7,283

General and administrative

2,352

1,564

6,710

4,634

Total operating expenses

8,738

5,172

23,750

16,564

Income from operations

5,253

5,555

17,735

9,966

Interest income

3

2

8

5

Other income

1

38

6

64

Other income

4

40

14

69

Pre-tax net income

5,257

5,595

17,749

10,035

Income tax provision

1,107

729

2,034

1,421

Net income

$
4,150

$
4,866

$
15,715

$
8,614

Net income per share, basic

$
0.61

$
0.74

$
2.34

$
1.31

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

6,754,526

6,578,808

6,722,858

6,553,522

Net income per share, diluted

$
0.51

$
0.61

$
1.93

$
1.07

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

8,143,377

8,038,513

8,135,337

8,046,759


	For the three months ended June 30,				For the six months ended June 30,
		2022		2021	2022			2021

Revenues	$	14,828	$	14,311	$	28,845	$	27,494
Operating expenses:
Cost of revenues		963		996		1,932		2,575
Engineering and product development		1,074		947		2,200		1,640
Sales and marketing		4,201		3,622		8,878		6,439
General and administrative		3,412		2,282		6,715		4,358
Total operating expenses		9,650		7,847		19,725		15,012
Income from operations		5,178		6,464		9,120		12,482
Interest income		13		3		14		6
Other income		—		6		—		5
Other income		13		9		14		11
Pre-tax net income		5,191		6,473		9,134		12,493
Income tax provision (benefit)		1,117		(215)		1,700		928
Net income	$	4,074	$	6,688	$	7,434	$	11,565
Net income per share, basic	$	0.60	$	1.00	$	1.10	$	1.72
Weighted average number of shares used in computing basic income per share		6,761,050		6,702,258		6,769,552		6,706,678
Net income per share, diluted	$	0.51	$	0.83	$	0.92	$	1.42
Weighted average number of shares used in computing diluted income per share		8,029,302		8,092,459		8,071,509		8,130,971

See accompanying notes to unaudited condensed financial statements.

Table of Contents

Semler Scientific, Inc.

Condensed Balance Sheets

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

September 30,

December 31,

2021

2020

Unaudited

Assets

Current Assets:





Cash and cash equivalents

$
35,930

$
22,079

Trade accounts receivable, net of allowance for doubtful accounts of $61 and $61, respectively

3,972

2,808

Inventory

1,788

340

Prepaid expenses and other current assets

4,405

1,376

Total current assets

46,095

26,603

Assets for lease, net

1,727

1,941

Property and equipment, net

386

261

Other non-current assets

353

418

Long-term investments

821

3,051

Long-term deferred tax assets

1,591

2,365

Total assets

$
50,973

$
34,639

Liabilities and Stockholders’ Equity

Current liabilities:

Accounts payable

$
401

$
677

Accrued expenses

5,304

2,798

Deferred revenue

909

963

Other short-term liabilities

79

76

Total current liabilities

6,693

4,514

Long-term liabilities:



Other long-term liabilities

266

332

Total long-term liabilities

266

332

Commitments and contingencies (Note 10)

Stockholders’ equity:

Common stock, $0.001 par value; 50,000,000 shares authorized; 6,823,130, and 6,725,422 shares issued, and 6,757,208 and 6,700,422 shares outstanding (treasury shares of 65,922 and 25,000, respectively)

7

7

Additional paid-in capital

20,619

22,113

Retained earnings

23,388

7,673

Total stockholders’ equity

44,014

29,793

Total liabilities and stockholders’ equity

$
50,973

$
34,639


	June 30,		December 31,
	2022		2021
		Unaudited
Assets
Current Assets:
Cash and cash equivalents	$	40,031	$	37,323
Trade accounts receivable, net of allowance for doubtful accounts of $71 and $61, respectively		5,544		3,619
Inventory, net		524		550
Prepaid expenses and other current assets		2,768		4,044
Total current assets		48,867		45,536
Assets for lease, net		1,816		1,643
Property and equipment, net		555		394
Long-term investments		821		821
Long-term notes receivable		1,179		—
Other non-current assets		2,292		332
Long-term deferred tax assets		2,106		1,946
Total assets	$	57,636	$	50,672

Liabilities and Stockholders’ Equity
Current liabilities:
Accounts payable	$	463	$	443
Accrued expenses		5,237		3,436
Deferred revenue		981		921
Other short-term liabilities		82		80
Total current liabilities		6,763		4,880

Long-term liabilities:
Other long-term liabilities		203		245
Total long-term liabilities		203		245
Commitments and contingencies (Note 12)
Stockholders’ equity:
Common stock, $0.001 par value; 50,000,000 shares authorized; 6,864,625, and 6,824,380 shares issued, and 6,697,661 and 6,758,458 shares outstanding (treasury shares of 166,964 and 65,922), respectively		7		7
Additional paid-in capital		18,334		20,645
Retained earnings		32,329		24,895

Total stockholders’ equity		50,670		45,547

Total liabilities and stockholders’ equity	$	57,636	$	50,672

See accompanying notes to unaudited condensed financial statements.

Table of Contents

Semler Scientific, Inc.

Statements of Stockholders’ Equity

Unaudited

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

For the Three Months Ended September 30, 2020

Common Stock

Treasury Stock

Additional

Common Stock

Paid-In

(Accumulated Deficit)

Total Stockholders'


Shares Issued

Amount

Shares

Amount

Capital



Equity
Balance at June 30, 2020

6,588,176

$
7

(25,000)

$
—

$
19,598

$
(2,586)

$
17,019
Employee stock grants

641

—

—

—

—

—

—
Stock option exercises

52,016

—

—

—

104

—

104
Stock-based compensation

—

—

—

—

62

—

62
Net income

—

—

—

—

—

4,866

4,866
Balance at September 30, 2020

6,640,833

$
7

(25,000)

$
—

$
19,764

$
2,280

$
22,051

For the Three Months Ended September 30, 2021

Common Stock

Treasury Stock

Additional

Common Stock

Paid-In

Retained Earnings

Total Stockholders'


Shares Issued

Amount

Shares

Amount

Capital



Equity
Balance at June 30, 2021

6,819,304

$
7

(65,922)

$
—

$
20,563

$
19,238

$
39,808
Employee stock grant

116

—

—

—

—

—

—
Stock option exercises

3,710

—

—

—

9

—

9
Stock-based compensation

—

—

—

—

47

—

47
Net income

—

—

—

—

—

4,150

4,150
Balance at September 30, 2021

6,823,130

$
7

(65,922)

$
—

$
20,619

$
23,388

$
44,014


	For the Nine Months Ended September 30, 2020												For the Three Months Ended June 30, 2021
	Common Stock			Treasury Stock			Additional						Common Stock			Treasury Stock			Additional
		Common Stock					Paid-In		(Accumulated Deficit)		Total Stockholders'			Common Stock					Paid-In		Retained Earnings		Total Stockholders'
	Shares Issued	Amount		Shares	Amount		Capital				Equity		Shares Issued	Amount		Shares	Amount		Capital				Equity
Balance at December 31, 2019	6,556,221	$	7	(25,000)	$	—	$	19,400	$	(6,334)	$	13,073
Balance at March 31, 2021													6,745,806	$	7	(25,000)	$	—	$	22,711	$	12,550	$	35,268
Exercise of put option in SYNAPS Dx													—		—	(40,922)		—		(2,230)		—		(2,230)
Employee stock grants	641		—	—		—		—		—		—			—	—		—				—		—
Stock option exercises	83,971		—	—		—		174		—		174	73,498		—	—		—		35		—		35
Stock-based compensation	—		—	—		—		190		—		190	—		—	—		—		47		—		47
Net income	—		—	—		—		—		8,614		8,614	—		—	—		—		—		6,688		6,688
Balance at September 30, 2020	6,640,833	$	7	(25,000)	$	—	$	19,764	$	2,280	$	22,051
Balance at June 30, 2021													6,819,304	$	7	(65,922)	$	—	$	20,563	$	19,238	$	39,808


	For the Nine Months Ended September 30, 2021												For the Six Months Ended June 30, 2021
	Common Stock			Treasury Stock			Additional						Common Stock			Treasury Stock			Additional
		Common Stock					Paid-In		Retained Earnings		Total Stockholders'			Common Stock					Paid-In		Retained Earnings		Total Stockholders'
	Shares Issued	Amount		Shares	Amount		Capital				Equity		Shares Issued	Amount		Shares	Amount		Capital				Equity
Balance at December 31, 2020	6,725,422	$	7	(25,000)	$	—	$	22,113	$	7,673	$	29,793	6,725,422	$	7	(25,000)	$	—	$	22,113	$	7,673	$	29,793
Exercise of put option in private Company #2 (Note 6)	—		—	(40,922)		—		(2,230)		—		(2,230)
Employee stock grant	5,516		—	—		—		537		—		537
Exercise of put option in SYNAPS Dx													—		—	(40,922)		—		(2,230)		—		(2,230)
Employee stock grants													5,400		—	—		—		537		—		537
Stock option exercises	92,192		—	—		—		54		—		54	88,482		—	—		—		45		—		45
Stock-based compensation	—		—	—		—		145		—		145	—		—	—		—		98		—		98
Net income	—		—	—		—		—		15,715		15,715	—		—	—		—		—		11,565		11,565
Balance at September 30, 2021	6,823,130	$	7	(65,922)	$	—	$	20,619	$	23,388	$	44,014
Balance at June 30, 2021													6,819,304	$	7	(65,922)	$	—	$	20,563	$	19,238	$	39,808


	For the Three Months Ended June 30, 2022
	Common Stock			Treasury Stock			Additional
		Common Stock					Paid-In		Retained Earnings		Total Stockholders'
	Shares Issued	Amount		Shares	Amount		Capital				Equity
Balance at March 31, 2022	6,855,168	$	7	(67,952)	$	—	$	21,130	$	28,255	$	49,392
Treasury stock acquired	—		—	(99,012)		—		(2,846)		—		(2,846)
Employee stock grant	1,204		—	—		—		45		—		45
Taxes paid related to net share settlement of equity awards	(292)		—	—		—		(8)		—		(8)
Stock option exercises	8,545		—	—		—		10		—		10
Stock-based compensation	—		—	—		—		3		—		3
Net income	—		—	—		—		—		4,074		4,074
Balance at June 30, 2022	6,864,625	$	7	(166,964)	$	—	$	18,334	$	32,329	$	50,670


	For the Six Months Ended June 30, 2022
	Common Stock			Treasury Stock			Additional
		Common Stock					Paid-In		Retained Earnings		Total Stockholders'
	Shares Issued	Amount		Shares	Amount		Capital				Equity
Balance at December 31, 2021	6,824,380	$	7	(65,922)	$	—	$	20,645	$	24,895	$	45,547
Treasury stock acquired	—		—	(101,042)		—		(2,945)		—		(2,945)
Employee stock grant	9,610		—	—		—		673		—		673
Taxes paid related to net share settlement of equity awards	(1,710)		—	—		—		(114)				(114)
Stock option exercises	32,345		—	—		—		72		—		72
Stock-based compensation	—		—	—		—		3		—		3
Net income	—		—	—		—		—		7,434		7,434
Balance at June 30, 2022	6,864,625	$	7	(166,964)	$	—	$	18,334	$	32,329	$	50,670

See accompanying notes to unaudited condensed financial statements

Table of Contents

~~accompanying notes to unaudited condensed financial statements~~

Semler Scientific, Inc.

Condensed Statements of Cash Flows

Unaudited

(In thousands of U.S. Dollars)


	For the nine months ended September 30				For the six months ended June 30,
	2021		2020		2022		2021
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$	15,715	$	8,614	$	7,434	$	11,565

Reconciliation of Net Income to Net Cash Provided by Operating Activities:
Depreciation		470		412		309		310
Deferred tax expense		774		1,224
Deferred tax (benefit) expense						(160)		445
Loss on disposal of assets for lease		221		178		215		124
Allowance for doubtful accounts		13		43		38		9
Stock-based compensation expense		682		190
Stock-based compensation						676		635
Changes in Operating Assets and Liabilities:
Trade accounts receivable		(1,177)		(13)		(1,962)		(1,952)
Inventory		(1,448)		(32)		26		(1,375)
Prepaid expenses and other current assets		(3,029)		(1,315)		1,276		(4,381)
Other non-current assets		65		(416)		(1,960)		45
Accounts payable		(276)		(2)		20		(177)
Accrued expenses		2,506		264		1,800		1,625
Other current and non-current liabilities		(63)		416		(40)		(44)
Deferred revenue		(54)		5		60		(67)
Net Cash Provided by Operating Activities		14,399		9,568		7,732		6,762

CASH FLOWS FROM INVESTING ACTIVITIES:
Additions to property and equipment		(261)		(103)		(258)		(237)
Notes receivable		—		(400)		(1,179)		—
Purchase of assets for lease		(341)		(187)		(600)		(138)
Net Cash Used in Investing Activities		(602)		(690)		(2,037)		(375)

CASH FLOWS FROM FINANCING ACTIVITIES:
Exercise of stock options		54		174
Net Cash Provided by Financing Activities		54		174
Taxes paid related to net settlement of equity awards						(114)		-
Treasury stock acquired						(2,945)		-
Proceeds from exercise of stock options						72		45
Net Cash (Used in) Provided by Financing Activities						(2,987)		45
INCREASE IN CASH		13,851		9,052		2,708		6,432
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD		22,079		7,741		37,323		22,079
CASH AND CASH EQUIVALENTS, END OF PERIOD	$	35,930	$	16,793	$	40,031	$	28,511
Supplemental Disclosure of Cash Flow Information:
Exercised put option of 211,928 common stock in private Company #2 for 40,922 common stock of the Company	$	2,230		—

See accompanying notes to unaudited condensed financial statements

Table of Contents

Semler Scientific, Inc.

Notes to Condensed Financial Statements

Unaudited

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

1. Basis of Presentation

Semler Scientific, Inc., a Delaware corporation (“Semler” or “the Company”), prepared the unaudited interim financial statements included in this report in accordance with United States generally accepted accounting principles (“GAAP”) and applicable rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial reporting. Certain information and note disclosures normally included in the financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations. As such, the information included in this quarterly report on Form 10-Q should be read in conjunction with the audited financial statements and notes thereto included in the Company’s annual report on Form 10-K for the year ended December 31, ~~2020~~2021 filed with the SEC on March ~~9, 2021~~4, 2022 (the “Annual Report”). In the opinion of management, these financial statements include all adjustments (consisting of normal recurring adjustments) necessary for a fair statement of the financial position, results of operations and cash flows for the periods presented. The results of operations for the interim periods shown in this report are not necessarily indicative of the results that may be expected for any future period, including the full year.

~~Reclassification of Prior Year Presentation~~

~~Certain prior year amounts have been reclassified for consistency with the current period presentation. These reclassifications had no effect on the reported results of operations.~~

COVID-19

In ~~the first quarter of 2020, the World Health Organization (“WHO”) declared the novel coronavirus (“COVID-19”) outbreak a pandemic. The outbreak of COVID-19 resulted~~2021, variable fee license revenues (fee-per-test), which grew strongly in travel restrictions, quarantines, “stay-at-home” and “shelter-in-place” orders and extended shutdown of certain businesses around the world. While restrictions began to ease in the second quarter of 2020 and activities began to resume, continued outbreaks both in the United States and globally could lead to restrictions being reimplemented. In the first half of ~~2020, the Company’s revenues, primarily from variable-fee licenses, were negatively impacted by the COVID-19 pandemic. In~~2021, decreased subsequently in the second half of ~~2020 and~~2021. The Company believes this new pattern in the ~~nine months~~home-testing market is due to a COVID-19 related timing change in the behavior of ~~2021, the Company’s revenues, primarily~~insurance plans when ordering QuantaFlo testing from ~~variable-fee licenses, rebounded to and even exceeded pre-COVID-19 levels.~~its health risk assessment customers. However, the Company believes that it possibly experienced some negative effects from the COVID-19 pandemic with the outbreak of the Delta variant during the third quarter of 2021, which may have impacted the sequential growth of the Company’s revenues,does not know if this newly observed pattern will continue in ~~particular, revenue from variable-fee licenses.~~ 2022 or in future years.

The extent and duration of the pandemic is unknown, and the future effects on the Company’s business are uncertain and difficult to predict. The Company is continuing to monitor the events and circumstances surrounding the COVID-19 pandemic, which may require adjustments to the Company’s estimates and assumptions in the future.

Recently Issued Accounting Pronouncements

Accounting Pronouncements Recently Adopted

In ~~December 2019,~~May 2021, the ~~Financial~~financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. ~~2019-12,~~ ~~Income Taxes~~2021-04, Earnings Per Share (Topic ~~740): Simplifying the~~260), Debt—Modifications and Extinguishments (Subtopic 470-50), Compensation—Stock Compensation (Topic 718), and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40) Issuer’s Accounting for ~~Income Taxes~~Certain Modifications or Exchanges of Freestanding Equity-Classified Written Call Options~~, which simplifies~~. This update provides guidance for a modification or an exchange of a freestanding equity-classified written call option that is not within the ~~accounting for income taxes by removing certain exceptions to the general principles for income taxes.~~scope of another Topic. This update is effective for the Company’s ~~annual periods~~fiscal years beginning after December 15, ~~2020, including interim periods within those fiscal years.~~2021. The Company adopted ~~the new standard on~~this ASU prospectively effective January 1, ~~2021~~2022 and determined that the adoption of this new accounting ~~guidance~~standard did not have a material impact on its financial statements.

In July 2021, the FASB issued ASU No. 2021-05, Leases (Topic 842): Lessors—Certain Leases with Variable Lease Payments. This update addresses stakeholders’ concerns by amending the lease classification requirements for lessors to align them with practice under Topic 840. Lessors should classify and account for a lease with variable lease payments that do not depend on a reference index or a rate as an operating lease if both of the following criteria are met: i) The lease would have been classified as a sales-type lease or a direct financing lease in accordance with the classification criteria in paragraphs 842-10-25-2 through 25-3, ii) the lessor would have otherwise recognized a day-one loss. This update is effective for the Company’s fiscal years beginning after December 15, 2021. The Company adopted this ASU prospectively to the leases that commence or modified on or after January 1, 2022 and determined that the adoption of this new accounting standard did not have a material impact on its financial statements.

In ~~January 2020,~~November 2021, the FASB issued ASU No. ~~2020-01,~~ 2021-10~~Investments-Equity Securities~~, Government Assistance (Topic ~~321), Investments-Equity Method and Joint Ventures (Topic 323), and Derivatives and Hedging (Topic 815)~~832): Disclosures by Business Entitiesabout Government Assistance. ~~The amendments in this~~ This ASU ~~clarify~~increases the ~~interaction between~~transparency of government assistance to include the disclosure of (1) the types of assistance, (2) an entity's accounting for ~~investments in equity securities, investment in equity method~~the assistance, and ~~certain derivatives instruments. The ASU is expected to reduce diversity in practice and increase comparability~~(3) the effect of the ~~accounting for these interactions. This~~assistance on an entity's financial statements. The guidance in ASU 2021-10 is effective for ~~fiscal years beginning after December 15, 2020. The Company adopted the new standard on January 1, 2021 and determined that the adoption~~financial statements of ~~this new accounting guidance did not have a material impact on its financial statements.~~all entities, including private companies, for annual

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Semler Scientific, Inc.

Notes to Condensed Financial Statements

Unaudited

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

~~In October 2020, the FASB issued ASU No. 2020-10,~~ ~~Codification Improvements~~. This ASU is the final update of the 2019 proposed ASU, Codification Improvements, of which various topics in the Codification are amended, clarified, simplified, or otherwise modified to improve the Codification. The amendments in Section B of this ASU improve the Codification by ensuring that all guidance that requires or provides an option for an entity to provide information in the notes to financial statements is codified in the disclosure section of the Codification. The amendments in Section C of this ASU are varied in nature and may affect the application of the guidance in cases which the original guidance may have been unclear. The amendments in Sections B and C of this ASU are effective for the Company’s annual periods beginning after December 15, ~~2020,~~2021, with early application permitted. Entities are required to provide the new disclosures prospectively for all transactions with a government entity that are accounted for under either a grant or a contribution accounting model and are reflected in the ~~amendments should be applied retrospectively, and should be applied~~financial statements at the ~~beginning~~date of initially applying the ~~period~~new amendments, and to new transactions entered into after that ~~includes the adoption~~ date. The Company adopted ASU No. 2021-10 prospectively to the ~~new standard on~~government assistance received after January 1, ~~2021~~2022 and determined that the adoption of this new accounting ~~guidance~~standard did not have a material impact on its financial statements.

Accounting Pronouncements Not Yet Adopted

In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments (“Topic 326”). This ASU requires timelier recording of credit losses on loans and other financial instruments held. Instead of reserves based on a current probability analysis, Topic 326 requires the measurement of all expected credit losses for financial assets held at the reporting date based on historical experience, current conditions, and reasonable and supportable forecasts. All organizations will now use forward-looking information to better inform their credit loss estimates. Topic 326 requires enhanced disclosures regarding significant estimates and judgments used in estimating credit losses, as well as the credit quality and underwriting standards of an organization’s portfolio. These disclosures include qualitative and quantitative requirements that provide information about the amounts recorded in the financial statements. In addition, Topic 326 amends the accounting for credit losses on available-for-sale debt securities and purchased financial assets with credit deterioration. In April 2019, the FASB issued ASU No. 2019-04, Codification Improvements to Topic 326 Financial Instruments—Credit Losses, Topic 815, Derivatives and Hedging, and Topic 825, Financial Instruments, to introduce amendments which will affect the recognition and measurement of financial instruments, including derivatives and hedging. In May 2019, the FASB issued ASU No. 2019-05, Financial Instruments – Credit Losses (Topic 326); Targeted Transition Relief. The amendments in this ASU provide entities that have certain instruments within the scope of Subtopic 326-20 with an option to irrevocably elect the fair value option in Subtopic 825-10, applied on an instrument-by-instrument basis for eligible instruments upon adoption of Topic 326. This standard and related amendments are effective for the Company’s fiscal years beginning after December 15, 2022, including interim periods within those fiscal years. The Company will adopt the new standard in the first quarter of fiscal year 2023. The Company is evaluating the effect of adopting this new accounting guidance but does not expect adoption will have a material impact on the Company's financial statements.

In March 2020, ~~the~~ FASB issued ASU No. 2020-03, Codification Improvements to Financial Instruments. This ASU improves and clarifies various financial instruments topics, including the current expected credit losses standard issued in 2016 (ASU No. 2016-13). The ASU includes seven different issues that describe the areas of improvement and the related amendments to GAAP, intended to make the standards easier to understand and apply by eliminating inconsistencies and providing clarifications. The amendments have different effective dates. The issues 1-5 are conforming amendments, which are effective upon issuance of this final update. The Company determined that issues 1-5 have no impact on its financials. The amendments related to issue 6 and 7 effect ASU No. 2016-13, Financial instruments – credit losses (Topic 326): measurement of credit losses on financial statements. Effective dates of issue 6 and 7 are the same as the effective date of ASU No. 2016-13. The Company will adopt the new standard in the first quarter of fiscal year 2023. The Company is evaluating the effect of adopting this new accounting guidance, but does not expect adoption will have a material impact on the Company's financial statements.

In ~~March 2020,~~October 2021, the FASB issued ASU ~~No. 2020-04,~~No.2021-08, ~~Reference Rate Reform~~Business Combinations (Topic ~~848)~~805): ~~Facilitation of the Effects of Reference Rate Reform on Financial Reporting~~ Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This ASU ~~provides optional expedient~~improves the accounting for acquired revenue contracts with customers in a business combination by addressing diversity in practice and ~~exceptions~~inconsistency related to recognition of an acquired contract liability and payment terms and their effect on subsequent revenue recognized by the acquirer. For public business entities, this guidance will be effective for ~~applying generally accepted accounting principles~~fiscal years beginning after December 15, 2022 and for interim periods within those fiscal years. For all other entities, this guidance is effective for fiscal years beginning after December 15, 2023 and for interim periods within those fiscal years. This ASU should be applied prospectively to ~~contracts, hedging relationships, and other transactions affected by reference rate reform if certain criteria are met. In response to~~all business combinations in the ~~concerns about structural risks~~year of interbank offered rates and, particularly, the risk of cessation of the London Interbank Offered Rate, regulators in several jurisdictions around the world have undertaken reference rate reform initiatives to identify alternative reference rates that are more observable or transaction-based and less susceptible to manipulation. The ASU provides companies with optional guidance to ease the potential accounting burden associated with transitioning away from reference rates that are expected to be discontinued. The ASU can be adopted no later than December 1, 2022, with early adoption permitted.adoption. The Company ~~has not yet adopted this ASU and is evaluating~~will adopt the ~~effect~~new standard in the first quarter of ~~adopting this new accounting guidance.~~fiscal year 2023. The Company does not expect the adoption of this standard will have a material impact on ~~the Company's~~its financial statements.

~~In August 2020, the FASB issued ASU No. 2020-06,~~ ~~Debt--Debt with Conversion and Other Options (Subtopic 470-20)~~ ~~and Derivatives and Hedging— Contracts in Entity's Own Equity (Subtopic 815-40). The amendments in this ASU affect entities that issue~~

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Semler Scientific, Inc.

~~Notes to Condensed Financial Statements~~

~~Unaudited~~

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

convertible instruments and/or contracts in an entity's own equity. For contracts in an entity's own equity, the contracts primarily affected are freestanding instruments and embedded features that are accounted for as derivatives under the current guidance because of failure to meet the settlement conditions of the derivatives scope exception related to certain requirements of the settlement assessment. The FASB simplified the settlement assessment by removing the requirements (1) to consider whether the contract would be settled in registered shares, (2) to consider whether collateral is required to be posted, and (3) to assess shareholder rights. Those amendments also affect the assessment of whether an embedded conversion feature in a convertible instrument qualifies for the derivatives scope exception. Additionally, the amendments in this ASU affect the diluted EPS calculation for instruments that may be settled in cash or shares and for convertible instruments. The ASU reduces the number of accounting models for convertible debt instruments and convertible preferred stock by eliminating the beneficial conversion feature model and cash conversion model. As compared with current GAAP, more convertible debt instruments will be reported as a single liability instrument and more convertible preferred stock as a single equity instrument. The interest rate of more convertible debt instruments will be closer to the coupon interest rate. This ASU is effective for the Company’s fiscal years beginning after December 15, 2021, including interim periods within those fiscal years. Early adoption is permitted, but no earlier than fiscal years beginning after December 15, 2020, including interim periods within those fiscal years. The Company has not yet adopted this ASU and is evaluating the effect of adopting this new accounting guidance. The Company does not expect adoption will have a material impact on the Company's financial statements.

~~In January 2021, the FASB issued ASU No. 2021-01,~~ ~~Reference Rate Reform (Topic 848)~~. This ASU clarifies the scope of Topic 848 so that derivatives affected by the discounting transition due to reference rate reform initiatives are explicitly eligible for certain optional expedients and exceptions in Topic 84. In addition, to efficiently address another emerging issue related reference rate reform and respond to stakeholder feedback on the proposed feedback on the proposed update on this project, the Board decided to clarify that a receive-variable-rate, pay-variable-rate cross-currency interest rate swap may be considered an eligible hedging instrument in a net investment hedge if both legs of the swap do not have the same repricing intervals and dates as of the result of reference rate reform. The amendments in this update are elective and apply to all entities that have derivative instruments that use an interest rate for margining, discounting, or contract price alignment that is modified as a result of reference rate reform. The amendments also optionally apply to all entities that designate receive-variable-rate, pay-variable-rate cross-currency interest rate swaps as hedging instruments in net investment hedges that are modified as a result of reference rate reform. An entity may elect to apply the amendments in this update on a full retrospective basis as of any date from the beginning of an interim period that includes or is subsequent to March 12, 2020, or on a prospective basis to new modifications from any date within an interim period that includes or is subsequent to the date of the issuance of a final update, up to the date that financial statements are available to be issued. The amendments in this update do not apply to contract modifications made after December 31, 2022, new hedging relationships entered into after December 31, 2022, and existing hedging relationships evaluated for effectiveness in periods after December 31, 2022, except for hedging relationships existing as of December 31, 2022, that apply certain optional expedients in which the accounting effects are recorded through the end of the hedging relationship (including periods after December 31, 2022). The Company has not yet adopted this ASU and is evaluating the effect of adopting this new accounting guidance.~~The Company does not expect adoption will have a material impact on the Company's financial statements.~~

~~In May 2021, the FASB issued ASU No. 2021-04, Earnings Per Share (Topic 260), Debt—~~Modifications and Extinguishments (Subtopic 470-50), Compensation—Stock Compensation (Topic 718), and Derivatives and Hedging—Contracts in Entity’s Own Equity (Subtopic 815-40) Issuer’s Accounting for Certain Modifications or Exchanges of Freestanding Equity-Classified Written Call Options. This update provides guidance for a modification or an exchange of a freestanding equity-classified written call option that is not within the scope of another Topic. This update is effective for the Company’s fiscal years beginning after December 15, 2021. The Company is evaluating the effect of adopting this new accounting guidance but does not expect adoption will have a material impact on the Company's financial statements.

~~In July 2021, the FASB issued ASU No. 2021-05,~~ ~~Leases (Topic 842): Lessors—Certain Leases with Variable Lease Payments~~. This update address stakeholders’ concerns by amending the lease classification requirements for lessors to align them with practice under Topic 840. Lessors should classify and account for a lease with variable lease payments that do not depend on a reference index or a rate as an operating lease if both of the following criteria are met: i) The lease would have been classified as a sales-type lease or a direct financing lease in accordance with the classification criteria in paragraphs 842-10-25-2 through 25-3, ii) the lessor would have otherwise recognized a day-one loss. This update is effective for the Company’s ~~fiscal years beginning after~~

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~~Semler Scientific, Inc.~~

Notes to Condensed Financial Statements

Unaudited

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

In March 2022, the FASB issued ASU No.2022-02, Financial Instruments-Credit Losses (Topic 326): Troubled Debt Restructurings and Vintage Disclosures, whicheliminates the troubled debt restructuring (“TDR”) accounting model in ASC 310-40 for creditors that have adopted the guidance on measurement of credit losses in ASU 2016-13. Additionally, the ASU requires the public business entities to disclose current period gross writeoffs by year of origination for financing receivables and net investments in leases as part of their vintage disclosures under ASC 326. For entities that have adopted the amendments in ASU 2026-13, the amendments are effective for fiscal years beginning after December 15, ~~2021.~~2022, including interim periods within those fiscal years. For entities that have not yet adopted the amendments in ASU 2016-13, the effective dates are the same as effective dates in ASU 2016-13. The Company ~~is evaluating~~will adopt this ASU along with ASU 2016-13 in the ~~effect~~first quarter of ~~adopting this new accounting guidance but~~2023. The Company does not expect the adoption of this standard will have a material impact on ~~the Company's~~its financial statements.

2.Variably-Priced Revenue

The Company recognizes variable-fee licenses (i.e., fee per test) and sales of hardware equipment and accessories in accordance with ~~Topic~~ASC 606. Total fees from variable-fee licenses represent approximately ~~$5,847~~$6,012 and ~~$4,088~~$6,504 for the three months ended ~~September~~June 30, ~~2021~~2022 and ~~2020,~~2021, respectively. Total ~~fee~~fees from variable-fee licenses ~~represents~~represent approximately ~~$18,009~~$11,855 and ~~$7,080~~$12,162 for the ~~nine~~six months ended ~~September~~June 30, ~~2021~~2022 and ~~2020,~~2021, respectively. Total sales of hardware and equipment accessories represent approximately ~~$300~~$268 and ~~$332~~$188 of revenues for the three months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively. Total sales of hardware and equipment accessories represent approximately ~~$820~~$553 and ~~$732~~$520 of revenues for the ~~nine~~six months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively. The remainder of the revenue is earned from leasing the Company's testing product for a fixed fee, which is not subject to Topic 606.

3. Inventory

Inventory, which is made up of finished goods, is recorded at the lower of cost or net realizable value. Cost is determined on the first-in, first-out method. The Company periodically analyzes its inventory levels to identify inventory that has a cost basis in excess of its estimated realizable value, and writes down such inventory as appropriate.

~~In September 2020, the Company entered into an agreement with Private company #1 to exclusively market~~ Inventory balance was $524 and ~~distribute a new product line.~~

~~Under this agreement, the Company committed to purchase $1,200 of product inventory, all of which was received~~$550 as of ~~September~~June 30, ~~2021.~~

The Company also agreed to make royalty payments ranging from 0% to 10% of net sales depending on the average net sales price of the distributed products. Unless early terminated in accordance with its terms, this exclusive distribution agreement will remain in full force and effect until December 31, 2024, and thereafter there is an option for this agreement to be automatically renewed for additional 4-year terms. There were 0 sales of this product through September 30, 2021.

The Company had other hardware inventory of $586 purchased from other vendors as of September 30, 2021. Total inventory, which includes inventory from Private company #1, was $1,788 and $340 as of September 30, 20212022 and December 31, ~~2020,~~2021, respectively.

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~~Semler Scientific, Inc.~~

~~Notes to Condensed Financial Statements~~

~~Unaudited~~

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

4. Assets for Lease, net

The Company enters into contracts with customers for the Company’s QuantaFlo^® product. The Company has determined these contracts meet the definition of a lease under Topic 842. Operating leases are short-term in nature (monthly, quarterly or one year), and all of which have renewal options. The assets that may be associated with these leasing arrangements are identified below as assets for lease. Upon shipment under operating leases, assets for lease are depreciated. Upon shipment under variable-fee license contracts, these assets for lease are sold to the customers, and the asset is recognized as cost of revenue under Accounting Standards Codification or ASC 606, Revenue from Contracts with Customers. During the three months ended ~~September~~June 30, ~~2021~~2022 and ~~2020,~~2021, the Company recognized approximately ~~$7,844~~$8,548 and ~~$6,307,~~$7,618, respectively, in lease revenues related to these arrangements. During the ~~nine~~six months ended ~~September~~June 30, ~~2021~~2022 and ~~2020,~~2021, the Company recognized approximately ~~$22,656~~$16,437 and ~~$18,718,~~$14,812, respectively, in lease revenues related to these arrangements, which is included in Revenues on the Condensed Statements of Income.

Assets for lease consist of the following:


	September 30,		December 31,		June 30,		December 31,
	2021		2020		2022		2021
Assets for lease	$	3,287	$	3,407	$	3,479	$	3,241
Less: accumulated depreciation		(1,560)		(1,466)		(1,663)		(1,598)
Assets for lease, net	$	1,727	$	1,941	$	1,816	$	1,643

Depreciation expense amounted to ~~$111~~$103 and ~~$146~~$110 for the three months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively. Depreciation expense amounted to ~~$334~~$212 and ~~$318~~$223 for the ~~nine~~six months ended ~~September~~June 30, 2022 and 2021, respectively. Reduction to

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Semler Scientific, Inc.
Notes to Condensed Financial Statements

Unaudited

(In thousands of U.S. Dollars, except share and ~~2020, respectively. Reduction to~~ per share data)

accumulated depreciation for returned items was ~~$48~~$57 and ~~$56~~$50 for the three months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively. Reduction to accumulated depreciation for returned items was ~~$239~~$147 and ~~$143~~$191 for the ~~nine~~six months ended ~~September~~June 30, ~~2021~~2022 and ~~2020,~~2021, respectively. The Company recognized a loss on disposal of assets for lease in the amount of ~~$97~~$141 and ~~$54~~$41 for the three months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively. The Company recognized a loss on disposal of assets for lease in the amount of ~~$221~~$215 and ~~$178~~$124 for the ~~nine~~six months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively.

5. Property and Equipment, net

Capital assets consist of the following:


	September 30,		December 31,		June 30,		December 31,
	2021		2020		2022		2021		��
Capital assets	$	1,047	$	786	$	1,141	$	882
Less: accumulated depreciation		(661)		(525)		(586)		(488)
Capital assets, net	$	386	$	261	$	555	$	394

Depreciation expense amounted to ~~$49~~$51 and ~~$32~~ $44 for the three months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively. Depreciation expense amounted to ~~$136~~$97 and ~~$94~~$87 for the ~~nine~~six months ended ~~September~~June 30, 2022 and 2021, ~~and 2020,~~ respectively.

6.Long-Term Investments

Long term investments consist of the following for the periods presented:

September 30,

December 31,

2021

2020
Investments in Private company #2

$
512

$
2,742
Investments in Private company #3

309

309
Total

$
821

$
3,051

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~~Semler Scientific, Inc.~~

~~Notes to Condensed Financial Statements~~

~~Unaudited~~

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

~~Private Company #2:~~

In October 2020, the Company purchased 211,928 shares of common stock of Private company #2 from certain sellers in exchange for 40,922 shares of the Company’s common stock. The total fair value of the purchase consideration as of December 31, 2020 was approximately $2,230. The Company had the right to, in various circumstances, sell any or all of these shares of common stock back to the sellers in exchange for the shares of the Company’s common stock originally issued to the sellers. These rights were tied to (a) Private company #2 completing a bona fide equity financing, (b) the share price in such financing, (c) the timing of delivery of certain documents to the Company, or (d) at the Company’s sole option, at any time between March 31, 2021 and October 8, 2021. On April 1, 2021, the Company exercised its option to “put” these shares of common stock back to the sellers in exchange for the shares of the Company’s common stock originally issued to the sellers.


	June 30,		December 31,
	2022		2021
Investments in SYNAPS Dx	$	512	$	512
Investments in Mellitus Health Inc.		309		309
Total	$	821	$	821

In September 2020, the Company acquired a promissory note from ~~Private company #2~~NeuroDiagnostics Inc., which is doing business as SYNAPS Dx (“SYNAPS”), in the principal amount of ~~$500, $100 of which was retained for expense reimbursement.~~$500. Subsequently, in December 2020, the Company agreed to convert the promissory note, together with all accrued interest thereon, into shares of preferred stock of ~~Private company #2~~SYNAPS as repayment in full of the promissory note. The value of the note exchanged for the shares of preferred stock of ~~Private company #2~~SYNAPS held by the Company as of ~~September~~June 30, ~~2021~~2022 and December 31, ~~2020~~2021 was approximately $512.

~~Private Company #3:~~

In October 2020, the Company acquired from a seller a convertible promissory note previously issued by ~~Private company #3~~Mellitus Health Inc., (“Mellitus”) to such seller for a purchase price of $59, which represented the $50 principal amount of the note and all accrued and unpaid interest thereon.

Subsequently, in October 2020, the Company purchased $250 of shares of preferred stock of ~~Private company #3,~~Mellitus, and in connection with such transaction, the convertible promissory note, together with all accrued interest thereon, also converted pursuant to its terms into shares of preferred stock of ~~Private company #3~~Mellitus as repayment in full of such convertible promissory note. The value of consideration exchanged for the shares of preferred stock of ~~Private company #3~~Mellitus held by the Company as of ~~September~~June 30, ~~2021~~2022 and December 31, ~~2020~~2021 was approximately $309.

In April 2021, the Company entered into a distribution agreement with Private company #3 to exclusively market and distribute its product line in the United States, including Puerto Rico, except for selected accounts. Under this agreement, the Company agreed to prepay $2,000 of product licenses, which is included in prepaid expenses and other current assets. As of September 30, 2021, the Company has signed 1 product license with a customer for this product that may commence in the near future. Unless terminated early in accordance with its terms, the exclusive distribution agreement will remain in full force and effect until April 1, 2026, and thereafter there is an option for this agreement to be automatically renewed for additional one-year terms. Revenue from these product licenses will be recognized in accordance with ASC 606, ~~Revenue from Contracts with Customers~~. ~~The Company did not generate any revenue from these product licenses during the three and nine months ended September 30, 2021.~~

The investments in ~~Private company #2~~SYNAPS and #3Mellitus securities that were retained by the Company as of ~~December 31, 2020 and September~~June 30, ~~2021~~2022 were recorded in accordance with ASC 321, Investments – equity securities, which provides that investments in equity securities in privately-held companies without readily determinable fair values are generally recorded at cost, plus or minus subsequent observable price changes in orderly transactions for identical or similar investments, less impairments. The Company elected the practical expedient permitted by ASC 321 and recorded the above investments on a cost basis. As a part of the assessment for impairment indicators, the Company

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Semler Scientific, Inc.
Notes to Condensed Financial Statements

Unaudited

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

considers significant deterioration in the earnings performance and overall business prospects of the investee as well as significant adverse changes in the external environment these investments operate. If qualitative assessment indicates the investments are impaired, the fair value of these equity securities would be estimated, which would involve a significant degree of judgement and subjectivity. ~~NaN~~In accordance with ASC 321, the Company assessed qualitatively for impairment and determined that there was ~~recorded~~0 impairment for these investments as of June 30, 2022 and December 31, 2021.

7. Notes Receivable

Notes receivable consist of the following for the periods presented


	June 30,		December 31,
	2022		2021
Senior secured promissory notes	$	1,000	$	—
Secured convertible promissory note		179		—
Total notes receivable	$	1,179	$	—

In June 2022, the Company loaned Mellitus an aggregate of $1,000 through the purchase of 2 senior secured promissory notes that bear interest at a rate of 5% per annum, and mature in three years unless accelerated due to an event of default as provided in the notes. Repayment of notes is secured by a first priority interest in all of Mellitus’ assets.

In May 2022, to facilitate the subordination of such notes in connection with the purchase of the senior secured notes, the Company acquired $179 aggregate principal amount of outstanding convertible notes of Mellitus, which, as amended, mature July 5, 2025, if not automatically converted into preferred stock prior thereto. This note bears an interest rate of 10% per annum.

8. Other Non-current assets

Other non-current assets consist of the following for the periods presented:


	June 30,		December 31,
	2022		2021
Prepaid licenses	$	2,000	$	—
Other		292		332
Total other non-current assets	$	2,292	$	332

In April 2021, the Company entered into an agreement with Mellitus to exclusively market and distribute its product line in the United States, including Puerto Rico, except for selected accounts. The Company is currently developing a marketing plan. Under this distribution agreement, the Company agreed to purchase $2,000 of product licenses and prepaid $2,000 for the license purchases. Unless terminated early in accordance with its terms, the exclusive distribution agreement will remain in full force and effect until April 1, 2026, and thereafter there is an option for this agreement to be automatically renewed for additional one-year terms. Revenue from these product licenses will be recognized in accordance with ASC 606, Revenue from Contracts with Customers. Revenue from these product licenses during the three and ~~nine~~six months ended ~~September~~June 30, ~~2021.~~2022 was not significant. This prepayment was reclassed to a long-term asset in the second quarter as the recoverability of the prepayment is now expected to be more than twelve months.

Other includes right-of-use asset (“ROU”) of $273 and miscellaneous deposits balance of $19 as of June 30, 2022. As of December 31, 2021, ROU asset and miscellaneous balances were $314 and $18 respectively.

109

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Semler Scientific, Inc.

Notes to Condensed Financial Statements

Unaudited

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

7.9. Accrued Expenses

Accrued expenses consist of the following:


	September 30,		December 31,		June 30,		December 31,
	2021		2020		2022		2021
Compensation	$	3,640	$	1,524	$	3,488	$	1,754
Accrued Taxes		1,135		861		1,251		1,159
Miscellaneous Accruals		529		413		498		523
Total Accrued Expenses	$	5,304	$	2,798	$	5,237	$	3,436

8.10. Concentration of Credit Risk

Credit risk is the risk of loss from amounts owed by the financial counterparties. Credit risk can occur at multiple levels; as a result of broad economic conditions, challenges within specific sectors of the economy, or from issues affecting individual companies. Financial instruments that potentially subject the Company to credit risk consist of cash and accounts receivable.

The Company maintains cash with major financial institutions. The Company’s cash and cash equivalents consist of bank deposits and money market funds held with banks that, at times, exceed federally insured limits. The Company limits its credit risk by dealing with counterparties that are considered to be of high credit quality and by performing periodic evaluations of the relative credit standing of these financial institutions.

Management periodically monitors the creditworthiness of its customers and believes that it has adequately provided for any exposure to potential credit loss. For the three months ended ~~September~~June 30, 2022, 2 customers accounted for 38.1% and 32.3% of the Company’s revenues, respectively. For the three months ended June 30, 2021, 2 customers accounted for ~~39.7%~~37.6% and ~~27.9%~~33.0% of the Company’s revenues. For the six months ended June 30, 2022, 2 customers accounted for 38.6% and 32.0%, of the Company’s revenues, respectively. For the ~~nine~~six months ended ~~September~~June 30, 2021, 2 customers accounted for ~~38.6%~~38.0% and ~~30.5%~~31.8% of the Company’s revenues, respectively. ~~For the three months ended September~~As of June 30, ~~2020, 2~~2022, 3 customers accounted for 39.2%, 28.6%, and ~~29.8% of the Company’s revenues.~~ For the nine months ended September 30, 2020, 2 customers accounted for 47.2% and 20.4%, of the Company’s revenues, respectively. As of December 31, 2020, 4 customers accounted for 31.2%, 19.4%, 15.7% and 10.4%15.6% of the Company’s accounts receivable, respectively. As of ~~September 30,~~December 31, 2021, 43 customers accounted for ~~30.8%~~21.9%, ~~16.2%~~20.1%, ~~13.0%~~ and ~~12.6%~~16.6% of the Company’s accounts receivable, respectively. The Company’s largest customer in terms of both revenues and accounts receivable in the ~~nine~~six months ended ~~September~~June 30, ~~2021~~2022 is a U.S. diversified healthcare company and its affiliated plans.

As of ~~December 31, 2020, 2~~June 30, 2022, 4 vendors accounted for ~~15.9%~~17.4%, 14.3%, 12.2% and ~~24.3%~~11.1% of the Company’s accounts payable, respectively. As of ~~September 30,~~December 31, 2021, ~~3 vendors~~1 vendor accounted for ~~14.8%,~~ 14.0% ~~and 10.3%~~ of the Company’s accounts payable, respectively.

9.11. Leases

On July 31, 2020, the Company entered into a 61-month lease agreement for office space to use, as necessary, for office administration, lab space and assembly and storage purposes, located in Santa Clara, California. The Company took possession of the leased office space in September 2020, and the lease is effective through September 30, 2025.

As of ~~September~~June 30, ~~2021,~~2022, the remaining lease term is ~~four~~three years and three months with no options to renew. The Company recognized facilities lease expenses of $22 and ~~$32~~$28 for the three months ended ~~September~~June 30, ~~2021~~2022 and ~~September~~June 30, ~~2020,~~2021, respectively. The Company recognized facilities lease expenses of ~~$90~~$44 and ~~$67~~$68 for the ~~nine~~six months ended ~~September~~June 30, 2022 and 2021, ~~and September~~respectively.

The following table summarizes the future minimum rental payments required under operating leases that had initial or remaining non-cancelable lease terms greater than one year as of June 30, ~~2020, respectively.~~2022:

1110

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Semler Scientific, Inc.

Notes to Condensed Financial Statements

Unaudited

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


	Total		Total
2021 Remaining period	$	22
2022		87
2022 Remaining period			$	44
2023		90		90
2024		93		93
2025		71		71
Thereafter		—		—
Total undiscounted future minimum lease payments		363		298
Less: present value discount		(18)		(13)
Total lease liabilities		345		285
Lease expense in excess cash payment		(11)		(12)
Total ROU asset	$	334	$	273

As of ~~September~~June 30, ~~2021,~~2022, the Company’s right-of-use (“ROU”) asset was ~~$334,~~$273, which was recorded on the Company’s balance sheet as other noncurrent assets, and the Company’s current and noncurrent lease liabilities were ~~$79~~$82 and ~~$266,~~$203, respectively, which were recorded on the Company’s balance sheet as other short-term liabilities and other long-term liabilities, respectively. As of December 31, ~~2020,~~2021, the Company’s ROU asset was ~~$399,~~$314, which was recorded on the Company’s balance sheet as other noncurrent assets, and the Company’s current and noncurrent lease liabilities were ~~$75~~$80 and ~~$332,~~$245, respectively, which were recorded on the Company’s balance sheet as other short-term liabilities and other long-term liabilities, respectively.

Lease Arrangements

The Company enters into contracts with customers for the Company’s ~~QuantaFlo®~~QuantaFlo product. The Company has determined these contracts meet the definition of a lease under Topic 842. The lease portfolio primarily consists of operating leases that are short-term in nature (monthly, quarterly or one year, all of which have renewal options). The Company allocates the consideration in a bundled contract with its customers based on relative standalone selling prices of the lease and non-lease components. The Company made an accounting policy election to apply the practical expedient to not separate lease and eligible non-lease components. The lease component is the predominant component and consists of fees charged for use of the equipment over the period of the arrangement. The nature of the eligible non-lease component is primarily software support. The assets associated with these leasing arrangements are separately identified in the Balance Sheet as Assets for Lease and separately disclosed in Note 4 to the Unaudited Condensed Financial Statements.

~~10.~~12. Commitments and Contingencies

Facilities Leases

~~Table of Contents~~

~~Semler Scientific, Inc.~~

~~Notes to Condensed Financial Statements~~

~~Unaudited~~

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

leased office space in September 2020, and the lease is effective through September 30, 2025. See Note 911 to the Unaudited Condensed Financial Statements for the details.

Indemnification Obligations

The Company enters into agreements with customers, partners, lenders, consultants, lessors, contractors, sales representatives and parties to certain transactions in the ordinary course of the Company’s business. These agreements may require the Company to indemnify the other party against third party claims alleging that its product infringes a patent or copyright. Certain of these agreements require the Company to indemnify the other party against losses arising from: a breach of representations or covenants, claims relating to property damage, personal injury or acts or omissions of the Company, its employees, agents or representatives. The Company has also agreed to indemnify the directors and certain of the officers and employees in accordance with the by-laws of the Company. These indemnification provisions will vary based upon the nature and terms of the agreements. In many cases, these indemnification provisions do not contain limits on the Company’s liability, and the occurrence of contingent events that will trigger

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Semler Scientific, Inc.
Notes to Condensed Financial Statements

Unaudited

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

payment under these indemnities is difficult to predict. As a result, the Company cannot estimate its potential liability under these indemnities. The Company believes that the likelihood of conditions arising that would trigger these indemnities is remote and, historically, the Company has not made any significant payment under such indemnification provisions. Accordingly, the Company has not recorded any liabilities relating to these agreements. In certain cases, the Company has recourse against third parties with respect to the aforesaid indemnities, and the Company believes it maintains adequate levels of insurance coverage to protect the Company with respect to potential claims arising from such agreements.

~~11.~~401(K) Plan

Effective January 1, 2022, the Company started to match 50% of employee’s 401(k) deferral up to a maximum of 6% of the employee’s eligible earnings.

Other

The Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) provides for an employee retention payroll tax credit for certain employers, which is a refundable tax credit against certain employment taxes equal to 50% of the qualified wages an eligible employer pays to employees after March 12, 2020 and before December 31, 2021. For each employee, wages (including health plan costs) up to $10,000 can be counted to determine the amount of the 50% credit. The Company started claiming this credit on its July 2020 payroll until mid-April 2021 when it determined that it no longer qualified given the change in government restrictions on travel that had impacted its sales activities. The Company’s determination that it qualified to claim the employee retention payroll tax credit is subjective and subject to audit by the Internal Revenue Service (“IRS”). If the IRS were to disagree with the Company’s tax position, it could be required to pay the retention credit claimed, along with penalties. As of December 31, 2021, the Company has claimed $1.24 million in this retention credit.

Litigation

From time to time in the normal course of business, the Company is subject to various legal matters such as threatened or pending claims or litigation. Although the results of claims and litigation cannot be predicted with certainty, the Company does not believe it is a party to any claim or litigation the outcome of which, if determined adversely to it, would individually or in the aggregate be reasonably expected to have a material adverse effect on its results of operations or financial condition.

13. Stock Incentive Plan

The Company’s stock-based compensation program is designed to attract and retain employees while also aligning employees’ interests with the interests of its stockholders. Stock options have been granted to employees under the stockholder-approved 2007 Key Person Stock Option Plan (“2007 Plan”) and stock options and restricted stock have been granted to employees under the stockholder-approved 2014 Stock Incentive Plan (“2014 Plan”). Stockholder approval of the 2014 Plan became effective in September 2014. The 2014 Plan originally provided that the aggregate number of shares of common stock that may be issued pursuant to awards granted under the 2014 Plan may not exceed 450,000 shares (the “Share Reserve”), however in October 2015, the stockholders approved a 1,500,000 increase to the Share Reserve. In addition, the Share Reserve automatically increases on January 1st of each year, for a period of not more than 10 years, beginning on January 1st of the year following the year in which the 2014 Plan became effective and ending on (and including) January 1, 2024, in an amount equal to 4% of the total number of shares of common stock outstanding on December 31st of the preceding calendar year. The Company’s Board of Directors may act prior to January 1st of a given year to provide that there will be no January 1st increase in the Share Reserve for such year or that the increase in the Share Reserve for such year will be a lesser number of shares of common stock than would otherwise occur. In the fourth quarter of 2020, the Board of Directors agreed not to increase the Share Reserve, and accordingly, the Share Reserve did not increase on January 1, 2021. On January 1, 2022, the Share Reserve increased by 270,338. The Share Reserve is currently ~~3,044,865~~3,315,203 shares as of ~~September~~June 30, ~~2021.~~2022.

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Semler Scientific, Inc.
Notes to Condensed Financial Statements

Unaudited

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

In light of stockholder approval of the 2014 Plan, the Company no longer grants equity awards under the 2007 Plan. As of ~~September~~June 30, ~~2021,~~2022, there were 0 shares available for future stock-based compensation grants under the 2007 Plan and ~~1,216,333~~1,473,191 shares of an aggregate total of ~~3,044,865~~3,315,203 shares were available for future stock-based compensation grants under the 2014 Plan.

Treasury Stock Acquired

On March 14, 2022, the Company’s Board of Directors authorized a share repurchase program under which it may repurchase up to $20.0 million of its outstanding common stock. Under this program the Company may purchase shares on a discretionary basis from time to time through open market purchases, privately negotiated transactions or other means, including through Rule 10b5-1 trading plans or through the use of other techniques such as accelerated share repurchases. The timing and amount of any transactions will be subject to the discretion of the Company based upon market conditions and other opportunities that it may have for the use or investment of its cash balances. The repurchase program has no expiration date, does not require the purchase of any minimum number of shares and may be suspended, modified or discontinued at any time without prior notice. The Company purchased 99,012 shares at a cost of approximately $2,846 during the three months ended June 30, 2022 and 101,042 shares at a cost of approximately $2,945 during the six months ended June 30, 2022.

Stock Awards

The Company granted fully vested stock awards ~~for an aggregate 5,516~~of 9,610 shares of common stock to the non-employee members of the board of directors, employees and 1 non-employee as compensation during the ~~nine~~six months ended ~~September~~June 30, 2022. Net shares issued after deducting taxes paid on these grants were 7,900. Fair value of these stock awards on grant date was $673. The Company granted fully vested stock awards of 5,400 shares of common stock to the non-employee members of the board of directors, employees and 1 non-employee as compensation during the six months ended June 30, 2021. Fair value of these stock awards on grant date was $537.

StockOptions

Aggregate intrinsic value represents the difference between the closing market value as of June 30, 2022 of the underlying common stock and the exercise price of outstanding, in-the-money options. A summary of the Company’s stock option activity and related information for the six months ended June 30, 2022 is as follows:


	Options Outstanding
				Weighted
				Average
	Number of	Weighted		Remaining	Aggregate
	Stock Options	Average		Contractual	Intrinsic Value
	Outstanding	Exercise Price		Term (In Years)	(In Thousands)
Balance, December 31, 2021	1,356,245	$	3.30	3.97	$	119,830
Options exercised	(33,000)		2.81	—		—
Options granted	5,000		30.48	4.00		—
Balance, June 30, 2022	1,328,245	$	3.41	3.51	$	32,912
Exercisable as of June 30, 2022	1,323,245	$	3.31	3.49	$	32,912

On May 17, 2022 the Company awarded 5,000 options to an employee as compensation pursuant to the 2014 Plan with an exercise price of $30.48 and Black-Scholes options pricing model value of $22.27. In applying the Black-Scholes options pricing model, following assumptions were used: 1) expected price volatility of 78.6%; risk-free interest rate of 2.884%; weighted average expected life of 7 years; and 0 dividend yield. 1/4th of these options are vested one year after the grant date and 1/48th for each month thereafter contingent upon the participant’s continued service beginning on the initial vesting date and ending when the Vested Ratio equals 1/1.

NaN options were granted during the six months ended June 30, 2021.

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Semler Scientific, Inc.
Notes to Condensed Financial Statements

Unaudited

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

The Company has recorded an expense of $48 and $47 as it relates to stock-based compensation for the three months ended June 30, 2022 and 2021, respectively. The Company has recorded an expense of $676 and $635 as it relates to stock-based compensation for the six months ended June 30, 2022 and 2021, respectively:


	Three months ended June 30				Six months ended June 30,
	2022		2021		2022		2021
Cost of Revenues	$	—	$	—	$	—	$	—
Engineering and Product Development						45		32
Sales and Marketing						172		105
General and Administrative		48		47		459		498
Total	$	48	$	47	$	676	$	635

14.Income Taxes

The Company’s income tax provision for the three months ended June 30, 2022 was $1,117 and income tax benefit for the three months ended June 30, 2021 was $215. The Company’s income tax provision for the six months ended June 30, 2022 and 2021 was $1,700 and $928, respectively. The income tax provision reflects its estimate of the effective tax rates expected to be applicable for the full year, adjusted for any discrete events that are recorded in the period in which they occurred. The estimates are re-evaluated each quarter based on the estimated tax expense for the full year. Income tax benefit for the three months ended June 30, 2021 was primarily due to state income taxes (net of federal benefit), tax benefits associated with stock-based compensation plans, and federal and state research and development (“R&D”) credit benefit.

For uncertain tax positions that meet a “more likely than not” threshold, the Company recognizes the benefit of uncertain tax positions in the financial statements. The Company’s practice is to recognize interest and penalties, if any, related to uncertain tax positions in income tax expense in the statements of operations.

The effective tax rate for the three and six months ended June 30, 2022 was 21.52% and 18.62%,respectively compared to (3.32%) and 7.43%, respectively, in the same periods of the prior year. The increase in the effective tax rate for the three months ended June 30, 2022 is primarily due to lower tax benefits associated with employee stock-based compensation plans.

The effective tax rate for the three and six months ended June 30, 2022 differed from the U.S. federal statutory rate of 21% primarily due to tax benefits associated with stock-based compensation plans, state income taxes (net of federal benefit), and federal and state R&D credit benefit. The difference between the U.S. Federal statutory rate of 21% and the Company’s effective tax rate for the three and six months ended June 30, 2021 was primarily due to state income taxes (net of federal benefit), tax benefits associated with stock-based compensation plans, and federal and state R&D credit benefit.

As of June 30, 2022, and December 31, 2021, the Company had $419 and $476, respectively of unrecognized tax benefits, excluding interest and penalties. The Company’s practice is to recognize interest and penalty expenses related to uncertain tax positions in income tax expense, which was 0 for the year ended December 31, 2021 and six months ended June 30, 2022.

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Semler Scientific, Inc.
Notes to Condensed Financial Statements

Unaudited

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

~~Stock~~~~Options~~

Aggregate intrinsic value represents the difference between the closing market value as of September 30, 2021 of the underlying common stock and the exercise price of outstanding, in-the-money options. A summary of the Company’s stock option activity and related information for the nine months ended September 30, 2021 is as follows:

Options Outstanding

Weighted

Average

Number of

Weighted

Remaining

Aggregate

Stock Options

Average

Contractual

Intrinsic Value


Outstanding

Exercise Price

Term (In Years)

(In Thousands)
Balance, January 1, 2021

1,451,420

$
3.25

4.91

$
131,714
Options exercised

(93,925)

2.54

—

—
Balance, September 30, 2021

1,357,495

$
3.30

4.22

$
165,253
Exercisable as of September 30, 2021

1,351,245

$
3.27

4.21

$
164,522

The total compensation cost related to unvested stock option awards not yet recognized was $37 as of September 30, 2021. The weighted average period over which the total unrecognized compensation cost related to these unvested stock awards will be recognized is ~~0.20 years. There were 0 options granted during the nine months ended September 30, 2021 or 2020.~~

~~The Company has recorded an expense of~~ ~~$47 and $62~~ ~~as it relates to stock-based compensation for the three months ended September 30, 2021 and 2020, respectively.~~ ~~The Company has recorded an expense of~~ ~~$682 and $190~~ ~~as it relates to stock-based compensation for the nine months ended September 30, 2021 and 2020, respectively:~~

Three months ended September 30,

Nine months ended September 30,


2021

2020

2021

2020

Cost of Revenues

$
—

$
—

$
—

$
—

Engineering and Product Development

—

—

32

—

Sales and Marketing

—

—

105

—

General and Administrative

47

62

545

190

Total

$
47

$
62

$
682

$
190

~~12.~~~~Income Taxes~~

The Company’s income tax provision for the three and nine months ended September 30, 2021 and September 30, 2020 reflect its estimate of the effective tax rates expected to be applicable for the full year, adjusted for any discrete events that are recorded in the period in which they occurred. The estimates are re-evaluated each quarter based on the estimated tax expense for the full year.

~~The effective tax rate for the three and nine months ended September 30, 2021 was 21.06% and 11.46%, respectively, compared to 13.19% and 14.17~~%, respectively, in the same periods of the prior year. The decrease in the effective tax rate for the nine months ended September 30, 2021 is primarily related to increase of tax benefits associated with share-based compensation plans. The increase in the effective tax rate for the three months ended September 30, 2021 is primarily related to a decrease in percentage of tax benefit from discrete events associated with share-based compensation plans that occurred during the quarter as compared to the same period in prior year.

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~~Semler Scientific, Inc.~~

~~Notes to Condensed Financial Statements~~

~~Unaudited~~

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

The effective tax rate for the three months and nine months ended September 30, 2021 differed from the U.S. federal statutory rate of 21% primarily due to state income taxes (net of federal benefit), tax benefits associated with share-based compensation plans, and federal and state research and development (“R&D”) credit benefit. The difference between the U.S. federal statutory rate of 21% and the Company’s effective tax rate for the three and nine months ended September 30, 2020 was primarily due to state income taxes (net of federal benefit) partially offset by tax benefits associated with share-based compensation plans, federal and state R&D credit benefit and the effect of changes in enacted tax laws.

As of September 30, 2021, and December 31, 2020, the Company had $325 and $341, respectively of unrecognized tax benefits, excluding interest and penalties. The Company’s practice is to recognize interest and penalty expenses related to uncertain tax positions in income tax expense, which was 0 for the year ended December 31, 2020 and nine months ended September 30, 2021.

~~13.~~15. Net Income Per Share, Basic and Diluted

Basic earnings per share (“EPS”) represent net income attributable to common stockholders divided by the weighted average number of common shares outstanding during the measurement period. Diluted EPS represents net income attributable to common stockholders divided by the weighted average number of common shares outstanding during the measurement period while also giving effect to all potentially dilutive common shares that were outstanding during the period using the treasury stock method.

Basic and diluted EPS is calculated as follows:


	Three months ended September 30,										Three months ended June 30,
	2021					2020					2022					2021
	Shares	Net Income		EPS		Shares	Net Income		EPS		Shares	Net Income		EPS		Shares	Net Income		EPS
Basic	6,754,526	$	4,150	$	0.61	6,578,808	$	4,866	$	0.74	6,761,050	$	4,074	$	0.60	6,702,258	$	6,688	$	1.00
Common stock warrants	73,922		0			70,291		0			67,434		0			73,789		0
Common stock options	1,314,929		0			1,389,414		0			1,200,818		0			1,316,412		0
Diluted	8,143,377	$	4,150	$	0.51	8,038,513	$	4,866	$	0.61	8,029,302	$	4,074	$	0.51	8,092,459	$	6,688	$	0.83


	Nine months ended September 30,										Six months ended June 30,
	2021					2020					2022					2021
	Shares	Net Income		EPS		Shares	Net Income		EPS		Shares	Net Income		EPS		Shares	Net Income		EPS
Basic	6,722,858	$	15,715	$	2.34	6,553,522	$	8,614	$	1.31	6,769,552	$	7,434	$	1.10	6,706,678	$	11,565	$	1.72
Common stock warrants	73,736		0			69,682		0			69,637		0			73,643		0
Common stock options	1,338,743		0			1,423,555		0			1,232,320		0			1,350,650		0
Diluted	8,135,337	$	15,715	$	1.93	8,046,759	$	8,614	$	1.07	8,071,509	$	7,434	$	0.92	8,130,971	$	11,565	$	1.42

~~The~~As of June 30, 2022, 5,000 options related to stock awards were granted and unvested. These options were considered anti-dilutive for the computation of diluted net income per share due to the average market price of the stock as of June 30, 2022, being lower than the options exercise price. Hence, these otions were excluded from the computation of diluted net income per share. As of June 30, 2021, there were 0 weighted average shares outstanding of common stock equivalents excluded from the computation of diluted net income per ~~share for the nine months ended September 30, 2021 and 2020.~~

share.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

The following discussion and analysis should be read together with our condensed unaudited financial statements and the related notes appearing elsewhere in this quarterly report on Form 10-Q and with the audited financial statements and notes for the fiscal year ended December 31, ~~2020,~~2021, and the information under the headings “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K filed with the SEC on March ~~9, 2021,~~4, 2022, or the Annual Report. This discussion contains forward-looking statements reflecting our current expectations that involve risks and uncertainties. See “Cautionary Note Regarding Forward-Looking Statements” for a discussion of the uncertainties, risks and assumptions associated with these statements. Actual results and the timing of events could differ materially from those discussed in our forward-looking statements as a result of many factors, including those set forth under “Risk Factors” in the Annual Report.

Overview

We are a company providing technology solutions to improve the clinical effectiveness and efficiency of healthcare providers. Our mission is to develop, manufacture and market innovative products and services that assist our customers in evaluating and treating chronic diseases. In 2011, we began commercializing our first patented and U.S. Food and Drug Administration, or FDA, cleared product, which measured arterial blood flow in the extremities to aid in the diagnosis of peripheral arterial disease, or PAD. In March 2015, we received FDA 510(k) clearance for the next generation version of our product, QuantaFlo,®, which we began commercializing in August 2015.

In ~~September 2020 and in~~ April 2021, ~~respectively,~~ we entered into ~~two agreements~~an agreement with Mellitus Health, Inc., or Mellitus, a private ~~companies~~company to exclusively market and distribute ~~new~~Insulin Insights, an FDA-cleared software product ~~lines~~that recommends optimal insulin dosing for diabetic patients in the United States, including Puerto Rico, except for selected ~~accounts,~~accounts. We made investments in Mellitus, including a recent senior secured loan of $1.0 million (see Note 7 to our unaudited condensed interim financial statements included elsewhere in this Form 10-Q), and in ~~September 2021,~~another private company that does business as SYNAPS Dx, whose product, Discern, is a test for early Alzheimer’s disease. We continue to develop additional complementary, innovative products in-house. For example, QuantaFlo can now be used as an aid to identify patients with another cardiovascular disease. We intend to sell this extension to our existing customer base and others as an upgrade to our software as a service business model. The clinical problem may be as important as PAD. A medical aide performs the test in a primary care setting similar to how one uses QuantaFlo for PAD. It uses the existing FDA clearance as we ~~signed our first customer~~anticipated this extension many years ago. The technology is protected by trade secrets. A manuscript has been submitted to a ~~license~~peer-reviewed journal for ~~one~~publication. Because the peer review and publication date are controlled by the publisher, the timing is not under our control. The process of ~~these new~~selling the product ~~lines. Our recent investments in, and/or distribution agreements with, these private companies may allow us~~has begun. The product is on the shelf and ready to ~~expand our current product offering beyond QuantaFlo®~~ship as soon as the contracts are signed. We also intend to continue to seek out other arrangements for ~~PAD, in addition~~additional products and services that we believe will bring value to our ~~internal research~~customers and ~~development efforts.~~to our company. We believe our current products and services, and any future products or services that we may offer, position us to provide valuable information to our customer base, which in turn permits them to better guide patient care.

In the three months ended ~~September~~June 30, ~~2021,~~2022, we had total revenues of ~~$14.0~~$14.8 million and net income of ~~$4.2~~$4.1 million, compared to total revenues of ~~$10.7~~$14.3 million and net income of ~~$4.9~~$6.7 million in the same period in ~~2020.~~ 2021. In the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, we had total revenues of ~~$41.5~~$28.8 million and net income of ~~$15.7~~$7.4 million, compared to total revenues of ~~$26.5~~$27.5 million and net income of ~~$8.6~~$11.6 million in the same period in ~~2020.~~2021.

Recent Developments

~~Late~~In 2021, variable fee license revenues (fee-per-test), which grew strongly in the first ~~quarter and into~~half of 2021, decreased subsequently in the second ~~quarter~~half of ~~2020, we experienced decreased test volumes~~2021. We believe this new pattern in the home-testing market in 2021 is due to a COVID-19 related ~~“social distancing” and other executive orders mandating “shelter-in-place”~~timing change in the behavior of insurance plans when ordering QuantaFlo testing from our health risk assessment customers. However, we do not know if this newly observed pattern will continue in 2022 or ~~similar restrictions, which limited patient visits by our customers. As such restrictions have been lifted around the country and non-emergency medical services resumed~~ in ~~late 2020, our business has returned to and even exceeded pre-COVID-19 levels. However, as~~future years.

As we look forward into the ~~remainder~~second half of ~~2021 and~~ 2022, there is continued uncertainty as recent outbreaks of new variants ~~had~~have occurred and vaccination rates lag in certain jurisdictions. New, additional or different restrictions could be imposed, which could impact the usage of our product by our ~~customers.~~customers, or further impact the timing of demand for our products. Other customers who have fixed-fee licenses could decide to cancel their licenses if they are not able to use our device as frequently as they had anticipated in light of such restrictions.

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Common Stock Repurchase Program

On March 14, 2022, our Board of Directors authorized a share repurchase program under which we may repurchase up to $20.0 million of our outstanding common stock. Under this program, we may purchase shares on a discretionary basis from time to time through open market purchases, privately negotiated transactions or other means, including through Rule 10b5-1 trading plans or through the use of other techniques such as accelerated share repurchases. The timing and amount of any transactions will be subject to our discretion and based upon market conditions and other opportunities that we may have for the use or investment of our cash balances. The repurchase program has no expiration date, does not require the purchase of any minimum number of shares and may be suspended, modified or discontinued at any time without prior notice. We purchased 99,012 shares of our common stock for approximately $2.8 million during the three months ended June 30, 2022 and 101,042 shares of our common stock for approximately $2.9 million during the six months ended June 30, 2022.

Notes Receivable

In June 2022, we loaned Mellitus an aggregate of $1.0 million through the purchase of two senior secured promissory notes that bear interest at a rate of 5% per annum, and mature in three years unless accelerated due to an event of default as provided in the notes. Repayment of notes is secured by a first priority interest in all of Mellitus’ assets. See Note 7 to the Condensed Unaudited Financial Statements.

~~We continue~~In May 2022, to ~~operate~~facilitate the subordination of such notes in connection with the purchase of the senior secured notes, we acquired $179 thousand aggregate principal amount of outstanding convertible notes of Mellitus, which, as ~~close to normal as possible, notwithstanding the COVID-19 pandemic. We may have experienced some effects due~~amended, mature July 5, 2025 if not automatically converted into preferred stock prior thereto. These notes bear interest at a rate of 10% per annum. See Note 7 to the ~~Delta variant of COVID-19 during the third quarter of 2021 as the sequential growth of our revenues dipped, in particular, revenue from variable-fee licenses, where tests are conducted in the home.~~Condensed Unaudited Financial Statements.

Results of Operations

Three Months Ended ~~September~~June 30, ~~2021~~2022 Compared to Three Months Ended ~~September~~June 30, ~~2020~~2021

Revenues

We had revenues of ~~$14.0~~$14.8 million for the three months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$3.3~~$0.5 million, or ~~30%~~4%, compared to ~~$10.7~~$14.3 million in the same period in ~~2020.~~2021. Our revenues are primarily from fees charged to customers for use of our vascular testing products and from sale of accessories used with these products. We recognized revenues of ~~$13.7~~$14.5 million from fees for our vascular testing products for the three months ended ~~September~~June 30, ~~2021~~2022, consisting of ~~$7.8~~$8.5 million from fixed-fee licenses and ~~$5.9~~$6.0 million from variable-fee licenses compared to ~~$10.4~~$14.3 million in the same period of the prior year, consisting of ~~$6.3~~$7.6 million from ~~fixed-~~

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~~fee~~fixed-fee licenses and ~~$4.1~~$6.5 million from variable-fee licenses. The remainder was from sales of other products, which were $0.3 million ~~in both periods.~~

~~We experienced~~for three months ended June 30, 20222 compared to $0.2 million for the ~~effects of COVID-19 beginning late~~same period in the first quarter and primarily during the second quarter of 2020, which decreased our revenues, in particular, revenue from variable-fee licenses. However, in the third quarter of 2020, our business returned to and even exceeded pre-COVID-19 levels, and we experienced even higher test volumes as our customers accelerated usage due to a backlog of untested patients. This increased testing volume continued in the first half of 2021, until slowing of sequential growth in revenues from variable-fee licenses in the third quarter of 2021, which we believe this may be either due to effects of the Delta variant of COVID-19 during the third quarter of 2021, or due to a new seasonality in the home-testing market, which it hasn’t seen in prior ~~periods, or due to both.~~year.

Revenues from fees for vascular testing products are recognized monthly for each unit installed with a customer, usually billed as a fixed monthly fee oror; as a variable monthly fee dependent on usage.

The primary reason for the increase in revenues was growth in the number of installed units from both new customers and established customers, which we believe is the result of our sales and marketing ~~efforts,~~ ~~partially offset by some effects from the COVID-19 pandemic in the third quarter of 2021~~.efforts.

Operating expenses

We had total operating expenses of ~~$8.7~~$9.6 million for the three months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$3.5~~$1.8 million or ~~69%~~23%, compared to ~~$5.2~~$7.8 million in the same period in the prior year. The primary reasons for this change were increased expenses associated with our expanding business, such as increased personnel ~~expense.~~expense, and expiry of COVID-19 related payroll tax credits received in the prior year period. As a percentage of revenues, operating expenses increased to ~~63%~~65% in the ~~third~~second quarter of ~~2021~~2022 as compared to ~~48%~~55% in the prior year period. The changes in the various components of our operating expenses are described below.

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Cost of revenues

We had cost of revenues of ~~$1.4~~$1.0 million for each of the three months ended ~~September~~June 30, ~~2021, an increase of $0.6 million, or 69%, compared to $0.8 million in the same period of the prior year. The primary reason for this change was an inventory adjustment for supplies~~2022 and ~~increased headcount.~~2021. As a percentage of revenues, cost of revenues ~~increased~~decreased to ~~10%~~6% in the ~~third~~second quarter of ~~2021,~~2022 as compared to 8%7% in the prior year period.

Engineering and product development expense

We had engineering and product development expense of ~~$1.0~~$1.1 million for the three months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$0.3~~$0.1 million, or ~~54%~~13%, compared to ~~$0.7~~$1.0 million in the same period of the prior year. The increase was primarily due to increased ~~clinical studies costs as well as increased~~ headcount and annual pay increases in line with our business expansion, increases in dues and subscriptions and consulting costs associated with ~~projects.~~ongoing projects to extend QuantaFlo to additional cardiovascular diseases. As a percentage of revenues, engineering and product development expense was at 7% in the ~~third~~second quarter of ~~2021, as compared to 6% in the prior year period.~~each of 2022 and 2021.

Sales and marketing expense

We had sales and marketing expense of ~~$4.0~~$4.2 million for the three months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$1.9~~$0.6 million, or ~~88%~~16%, compared to ~~$2.1~~$3.6 million in the same period of the prior year. The increase was primarily due to increased headcount and annual salary increases, and associated expense to serve a continued expansion of customer activities. As a percentage of revenues, sales and marketing expense increased to 28% in the ~~third~~second quarter of ~~2021,~~2022, as compared to ~~20%~~25% in the prior year period.

General and administrative expense

We had general and administrative expense of ~~$2.4~~$3.4 million for the three months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$0.8~~$1.1 million, or 50%, compared to ~~$1.6~~$2.3 million in the same period of the prior year. The increase was primarily due to the growth in our business, which led to increased expenses including ~~the expansion of board of directors,~~ insurance, ~~joining Nasdaq market,~~compensation due to increased headcount and annual salary increases, information technology related subscriptions, legal, and other professional fees. As a percentage of revenues, general and administrative expense increased to ~~17%~~23% in the ~~third~~second quarter of ~~2021,~~2022, as compared to ~~15%~~16% in the prior year period.

Other ~~income/expense~~income

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We had total other income of ~~$4,000~~$14.0 thousand for the three months ended ~~September~~June 30, ~~2021,~~2022 compared to ~~other~~$9.0 thousand in 2021. The increase of $5.0 thousand from the prior year period is primarily due to a $4.0 thousand increase in interest income and a gain on sale of ~~$40,000~~old equipment of $1.0 thousand, which was partially offset by credit card merchant fees.

Income tax provision (benefit)

We had income tax provision of $1.1 million for the three months ended June 30, 2022, an increase of $1.3 million or 619%, compared to income tax benefit of $0.2 million in the same period of the prior year. The ~~decrease~~change was primarily due to lower ~~miscellaneous income.~~

~~Pre-tax net income~~

For the foregoing reasons, we had pre-tax net income of $5.3 million, or $0.78 per basic share and $0.65 per diluted share, for the three months ended September 30, 2021, a decrease of $0.3 million, or 6%, compared to a pre-tax net income of $5.6 million, or $0.85 per basic share and $0.70 per diluted share for the same period of the prior year.

~~Income tax expense~~

We had income tax expense of $1.1 million for the three months ended September 30, 2021, compared to income tax expense of $0.7 million for the three months ended September 30, 2020. Increase of tax expense in the current quarter was due to lower tax benefits ~~relating to employee stock plans, federal and state research and development credit.~~associated with stock-based compensation plans.

Net income

~~For the foregoing reasons, we~~We had net income of ~~$4.2~~$4.1 million, or ~~$0.61~~$0.60 per basic share and $0.51 per diluted share, for the three months ended ~~September~~June 30, ~~2021,~~2022, a decrease of ~~$0.7~~$2.6 million, or ~~15%~~39%, compared to a net income of ~~$4.9~~$6.7 million, or ~~$0.74~~$1.00 per basic share and ~~$0.61~~$0.83 per diluted share, for the same period of the prior year.

~~Nine~~Six Months Ended ~~September~~June 30, ~~2021~~2022 Compared to ~~Nine~~Six Months Ended ~~September~~June 30, ~~2020~~2021

Revenues

We had revenues of ~~$41.5~~$28.8 million for the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$15.0~~$1.3 million, or ~~56%~~5%, compared to ~~$26.5~~$27.5 million in the same period in ~~2020.~~2021. Our revenues are primarily from fees charged to customers for use of our vascular testing products and from sales of accessories used with these products. We recognized revenues of ~~$40.7~~$28.3 million from fees for our vascular testing products for the ~~nine~~six months ended ~~September~~June 30, ~~2021~~2022, consisting of ~~$22.7~~$16.4 million from fixed-fee licenses and ~~$18.0~~$11.9 million from variable-fee licenses, compared to ~~$25.8~~$27.0 million in the same period of the prior year, consisting of ~~$18.7~~$14.8 million from fixed-fee

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licenses and ~~$7.1~~$12.2 million from variable-fee licenses. The remainder was from sales of other products, which were ~~$0.8~~$0.6 million compared to ~~$0.7~~$0.5 million in the same period of the prior year.

We experienced the effects of COVID-19 beginning late in the first quarter and primarily during the second quarter of 2020, which decreased our revenues, in particular, revenue from variable-fee licenses. However, in the third quarter of 2020, our business returned to and even exceeded pre-COVID-19 levels, and we experienced even higher test volumes as our customers accelerated usage due to a backlog of untested patients. This increased testing volume continued in the first half of 2021, until a slowing of sequential growth in the third quarter of 2021, which we believe may be either due to effects of the Delta variant of COVID-19 during the third quarter of 2021, or due to a new seasonality in the home-testing market, which it hasn’t seen in prior periods, or due to both.

Operating expenses

We had total operating expenses of ~~$23.8~~$19.7 million for the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$7.2~~$4.7 million or ~~43%~~31%, compared to ~~$16.6~~$15.0 million in the same period in the prior year. The primary reasons for this change were increases due to personnel expense, including employee benefits due to an increased ~~expenses associated with our expanding business, such as increased personnel expenses, including stock-based compensation, partially offset by~~headcount, increases of insurance cost and expiry of COVID-19 related payroll tax ~~reductions available~~credits received in ~~the first half as compared to~~ the prior year period. As a percentage of revenues, operating expenses ~~decreased~~increased to ~~57%~~68% in the first ~~nine~~six months of ~~2021~~2022 as compared to ~~62%~~55% in the prior year period. The changes in the various components of our operating expenses are described below.

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Cost of revenues

We had cost of revenues of ~~$4.0~~$2.0 million for the ~~nine~~six months ended ~~September~~June 30, ~~2021, an increase~~2022, a decrease of ~~$1.6~~$0.6 million, or ~~67%~~25%, compared to ~~$2.4~~$2.6 million in the same period of the prior year. The primary reasons for this change were ~~increased personnel expenses~~decreased third party customer support and ~~an inventory adjustment.~~consulting expenses. As a percentage of revenues, cost of revenues ~~increased~~decreased to ~~10%~~7% in the ~~nine months ended September 30, 2021,~~first half of 2022, as compared to 9% in the prior year period.

Engineering and product development expense

We had engineering and product development expense of ~~$2.7~~$2.2 million for the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$0.4~~$0.6 million, or ~~18%~~34%, compared to ~~$2.3~~$1.6 million in the same period of the prior year. The ~~primary reason for the~~ increase was ~~higher clinical studies expenses.~~primarily due to personnel expense due to an increased headcount, consulting expenses and expiry of COVID-19 related payroll tax credits received in the prior year. As a percentage of revenues, engineering and product development expenses ~~decreased~~increased to 7%8% in the first ~~nine~~six months of ~~2021,~~2022, compared to 9%6% in the prior year period.

Sales and marketing expense

We had sales and marketing expense of ~~$10.4~~$8.9 million for the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$3.1~~$2.5 million, or ~~43%~~38%, compared to ~~$7.3~~$6.4 million in the same period of the prior year. The increase was primarily due to increased headcount and associated expense to serve a continued expansion of customer activities, dues and subscriptions, trade show costs .and expiry of COVID-19 related payroll tax credits received in the prior. As a percentage of revenues, sales and marketing expense ~~decreased~~increased to ~~25%~~31% in the first ~~nine~~six months of ~~2021,~~2022, as compared to ~~27%~~23% in the prior year period.

General and administrative expense

We had general and administrative expense of $6.7 million for the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, an increase of ~~$2.1~~$2.3 million, or ~~45%~~54%, compared to ~~$4.6~~$4.4 million in the same period of the prior year. The increase was primarily due to the growth in our business, which led to increased expenses including ~~the expansion~~insurance, compensation due to increased headcount and annual salary increases, information technology related subscriptions, legal expenses and expiry of ~~board of directors, insurance and subscriptions, partially offset by~~COVID-19 related payroll tax credits ~~and consulting fee expenses.~~received in the prior year. As a percentage of revenues, general and administrative expense ~~decreased~~increased to ~~16%~~23% in the first ~~nine~~six months of ~~2021,~~2022, as compared to ~~17%~~16% in the prior year period.

Other ~~income/expense~~income

We had other income of ~~$14,000~~$14.0 thousand for the ~~nine~~six months ended ~~September~~June 30, ~~2021,~~2022, compared to other income of ~~$69,000~~$11.0 thousand in the same period of the prior year. The ~~decrease~~increase was primarily due to higher interest income.

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Income tax provision

We had income tax provision of $1.7 million for the six months ended June 30, 2022, an increase of $0.8 million or 83%, compared to $0.9 million in the prior year period. The increase was primarily due to lower ~~miscellaneous income and interest income.~~

~~Pre-tax net income~~

For the foregoing reasons, we had pre-tax net income of $17.7 million, or $2.64 per basic share and $2.18 per diluted share, for the nine months ended September 30, 2021, an increase of $7.7 million, or 77%, compared to a pre-tax net income of $10.0 million, or $1.53 per basic share and $1.25 per diluted share for the same period of the prior year.

~~Income tax expense~~

We had income tax expense of $2.0 million for the nine months ended September 30, 2021, an increase of $0.6 million or 43%, compared to income tax expense of $1.4 million in the same period of the prior year. The tax expense increase was due to increased income from operations, which was partially offset by tax benefits associated with ~~share-based~~stock-based compensation ~~plans, and federal and state research and development credit benefit.~~plans.

Net income

For the foregoing reasons, we had net income of ~~$15.7~~$7.4. million, or ~~$2.34~~$1.10 per basic share and ~~$1.93~~$0.92 per diluted share, for the ~~nine~~six months ended ~~September~~June 30, ~~2021, an increase~~2022, a decrease of ~~$7.1~~$4.2 million, or ~~82%~~36%, compared to a net income of ~~$8.6~~$11.6 million, or ~~$1.31~~$1.72 per basic share and ~~$1.07~~$1.42 per diluted share, for the same period of the prior year.

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Liquidity and Capital Resources

We had cash and cash equivalents of ~~$35.9~~$40.0 million ~~at September~~on June 30, ~~2021~~2022 compared to ~~$22.1~~$37.3 million at December 31, ~~2020,~~2021, and total current liabilities of ~~$6.7~~$6.8 million at ~~September~~June 30, ~~2021~~2022 compared to ~~$4.5~~$4.9 million at December 31, ~~2020.~~2021. As of ~~September~~June 30, ~~2021,~~2022, we had working capital of approximately ~~$39.4~~$42.1 million.

Our cash and cash equivalents are held in a variety of interest and non-interest bearing bank and money market accounts. All cash is readily available and ~~there no restrictions on cash.~~not restricted. We may also hold interest-bearing instruments subject to investment guidelines allowing for holdings in U.S. government and agency securities, corporate securities, taxable municipal bonds, commercial paper and money market accounts. In addition, we may also choose to invest some of our cash resources in other entities that may have complementary technologies or product offerings, such as ~~our recent decision to acquire inventory~~prepayment for product licenses for distribution in the United States, including Puerto Rico, of ~~two new product line offerings,~~ Insulin Insights, as well as make minority investments in other privately-held companies in new product ~~areas.~~areas similar to our investments in Mellitus and SYNAPS Dx.

Operating activities

We generated ~~$14.4~~$7.7 million of net cash from operating activities for the ~~nine~~six months ended ~~September~~June 30, ~~2021~~2022, compared to ~~$9.6~~$6.8 million of net cash from operating activities for the same period of the prior year. The change was primarily due to ~~increase~~lower inventory and higher accrued expenses during the first six months of ~~net income,~~2022, which ~~occurred due~~decreased our working capital requirements as compared to ~~growth in our business.~~the prior year period. During the second quarter, we reclassed a prepayment of $2.0 million to Mellitus for software product licenses from current asset to long term asset. Non-cash adjustments to reconcile net income to net cash from operating activities provided net cash of ~~$2.2~~$1.1 million and were primarily due to stock-based compensation expense of $0.7 million, ~~deferred tax expense of $0.8 million,~~ depreciation of ~~$0.5~~$0.3 million and loss on disposal of assets for lease of $0.2 million, partially offset by higher deferred tax expense of $0.1 million. Changes in operating assets and liabilities used ~~$3.5~~$0.8 million of net cash. These changes in operating assets and liabilities included cash used by trade accounts receivable of ~~$1.2~~$2.0 million, ~~prepaid and other expenses of $3.0 million, inventory of $1.4 million and trade payables of $0.3 million, deferred revenue~~ and other non-current ~~liabilities~~assets of ~~$0.1~~$2.0 million, partially offset by cash provided by prepaid expenses and other assets of $1.3 and accrued expenses of ~~$2.5~~$1.8 million and ~~other noncurrent assets~~deferred revenue of $0.1 million.

Investing activities

We used ~~$0.6~~$2.0 million of net cash in investing activities for the ~~nine~~six months ended ~~September~~June 30, 2022, which reflects purchase of long-term notes receivable of $1.2 million, funding to purchase assets for lease of $0.6 million and fixed asset purchases of $0.2 million to support our growing business.

We used $0.4 million of net cash in investing activities for the six months ended June 30, 2021, which reflects funding of purchases of assets for lease of ~~$0.3~~$0.1 million and fixed asset purchases of $0.3 ~~million to support our growing business.~~

We used $0.7 million of net cash in investing activities for the nine months ended September 30, 2020, which reflects funding of notes receivable of $0.4 million, purchases of assets for lease of $0.2 million and fixed asset purchases $0.1 million to support our growing business.

Financing activities

We ~~generated $54,000~~used $3.0 million in net cash from financing activities during the ~~nine~~six months ended ~~September~~June 30, 2022, which reflects payment of taxes withheld for stock grants of $0.1 and $3.0 million for the treasury stock acquisition, under our recently announced share purchase program, partially offset by proceeds from exercise of stock options of $0.1 million.

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We generated $45.0 thousand in net cash from financing activities during the six months ended June 30, 2021, due to proceeds from exercise of stock options.

~~We generated $174,000~~Critical Accounting Policies and Estimates

The preparation of financial statements in ~~net cash from financing activities during~~conformity with U.S. generally accepted accounting principles requires the ~~nine months ended September 30, 2020,~~use of estimates and assumptions that affect the reported amounts of assets and liabilities, revenues and expenses, and related disclosures in the financial statements. Critical accounting policies are those accounting policies that may be material due to ~~proceeds~~the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change, and that have a material impact on financial condition or operating performance. While we base our estimates and judgments on our experience and on various other factors that we believe to be reasonable under the circumstances, actual results may differ from ~~exercise~~these estimates under different assumptions or conditions. For a discussion of ~~stock options.~~

~~Off-Balance Sheet Arrangements~~

Asour critical accounting policies and estimates, see “Management’s Discussion and Analysis of ~~September 30, 2021,~~Financial Condition and Results of Operations” and notes to the financial statements in our Annual Report on Form 10-K for the year ended December 31, ~~2020, we had~~2021 filed with the SEC on March 4, 2022. There have been no ~~off-balance sheet arrangements.~~

~~Commitments~~material changes to these critical accounting policies and ~~Contingencies~~

~~As of September~~estimates through June 30, ~~2021, and~~2022 from those discussed in our Annual Report on Form 10-K for the year ended December 31, 2020, other than employment/consulting agreements with key executive officers and our facilities lease obligation, we had no material commitments other than the liabilities reflected in our financial statements.2021.

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

Not applicable.

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Item 4. Controls and Procedures.

Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure material information required to be disclosed in our reports that we file or submit under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer, our Senior Vice President, Finance and Accounting and our Vice President, Finance, as appropriate, to allow timely decisions regarding required financial disclosure. In designing and evaluating the disclosure controls and procedures, we recognized that a control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within a company have been detected. Management necessarily was required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

Under the supervision of and with the participation of our management, including our Chief Executive Officer, our Senior Vice President, Finance and Accounting and our Vice President, Finance, we evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of ~~September~~June 30, ~~2021.~~2022. Based upon that evaluation, our Chief Executive Officer, our Senior Vice President, Finance and Accounting and our Vice President, Finance concluded that our disclosure controls and procedures were effective. Our management, including our Chief Executive Officer, our Senior Vice President, Finance and Accounting and our Vice President, Finance, has concluded that the consolidated financial statements included in this Quarterly Report on Form 10-Q are fairly stated, in all material respects, in accordance with generally accepting accounting principles in the United States for each of the periods presented herein.

Changes in Internal Control over Financial Reporting

There have been no changes in our internal control over financial reporting that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting during our ~~third~~second fiscal quarter ended ~~September~~June 30, ~~2021.~~2022.

PART II—OTHER INFORMATION

Item 1. Legal Proceedings.

None.

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Item 1A. Risk Factors.

Not applicable.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds.

(a) Recent Sales of Unregistered Securities

None.

(b) Use of Proceeds

Not Applicable.

(c) Issuer Purchases of Equity Securities.

The following table reflects the share repurchase of our common stock.


	(a)	(b)		(c)	(d)
Period	Total number of shares (or units) purchased	Average price paid per share (or unit)		Total number of shares (or units) purchased as part of publicly announced plans or programs	Maximum number (or approximate dollar value) of shares (or units) that may yet be purchased under the plans or programs
March 15, 2022 to June 30, 2022	101,042	$	29.15	101,042	$	17,055,011

On March 14, 2022, our Board of Directors authorized a share repurchase program under which we may repurchase up to $20.0 million of our outstanding common stock. Under this program we may purchase shares on a discretionary basis from time to time through open market purchases, privately negotiated transactions or other means, including through Rule 10b5-1 trading plans or through the use of other techniques such as accelerated share repurchases. The timing and amount of any transactions will be subject to our discretion based upon market conditions and other opportunities that we may have for the use or investment of our cash balances. The repurchase program has no expiration date, does not require the purchase of any minimum number of shares and may be suspended, modified or discontinued at any time without prior notice.

Item 3. Defaults upon Senior Securities.

None.

Item 4. Mine Safety Disclosures.

Not applicable.

Item 5. Other Information.

~~Not applicable.~~None.

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Item 6. Exhibits.

Exh. No.		Exhibit Name
3.1		Amended and Restated Certificate of Incorporation (incorporated by reference to Exhibit 3.1 of our Form 8-K filed with the Securities and Exchange Commission on November 2, 2015).
3.2		Second Amended and Restated Bylaws (incorporated by reference to Exhibit 3.1 of our Form 8-K filed with the Securities and Exchange Commission on October 26, 2021).
31.1		Rule 13a-14(a) Certification of Principal Executive Officer of Registrant
31.2		Rule 13a-14(a) Certification of Principal Financial Officer of Registrant
32.1*		Section 1350 Certification

101.INS		XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH		Inline XBRL Taxonomy Extension Schema
101.CAL		Inline XBRL Taxonomy Extension Calculation Linkbase
101.DEF		Inline XBRL Taxonomy Extension Definition Linkbase
101.LAB		Inline XBRL Taxonomy Extension Label Linkbase
101.PRE		Inline XBRL Taxonomy Extension Presentation Linkbase
104		The cover page from Semler Scientific's Quarterly Report on Form 10-Q for the three months ended ~~September~~June 30, ~~2021~~2022 is formatted in Inline XBRL and it is contained in Exhibit 101

* These certifications are furnished to the SEC pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and are deemed not filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, nor shall they be deemed incorporated by reference in any filing under the Securities Act of 1933, except as shall be expressly set forth by specific reference in such filing.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

~~November~~August 5, ~~2021~~2022	SEMLER SCIENTIFIC, INC.

	By:	/s/ Douglas Murphy-Chutorian, M.D.
		Douglas Murphy-Chutorian, M.D.
		Chief Executive Officer

	By:	/s/ Andrew B. Weinstein
		Andrew B. Weinstein
		Senior Vice President, Finance and Accounting

2324

		Page
Part I.	Financial Information	1

Item 1.	Financial Statements	1
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	16
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	2021
Item 4.	Controls and Procedures	21

Part II.	Other Information	21

Item 1.	Legal Proceedings	21
Item 1A.	Risk Factors	2122
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	2122
Item 3.	Defaults upon Senior Securities	2122
Item 4.	Mine Safety Disclosures	2122
Item 5.	Other Information	2122
Item 6.	Exhibits	2223

Signatures		2324

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