On April 15, 2025, Semler Scientific, a medical technology company, announced a $29.75 million settlement with the U.S. Department of Justice (DOJ) to settle a fraud investigation tied to its QuantaFlo device for peripheral artery disease testing. The agreement, resolving alleged anti-fraud law violations, shields Semler from prosecution and enables it to restart its bold Bitcoin acquisition strategy, cementing cryptocurrency as a core asset. This article examines the settlement, its financial implications, and Semler’s plans to grow its Bitcoin holdings.
Settlement Breakdown
The DOJ probe, started in 2017, scrutinized Semler’s QuantaFlo marketing, alleging misleading claims that violated healthcare regulations. To pay the $29.75 million fine, Semler secured a loan from Coinbase, using its 3,192 BTC—valued at around $265 million—as collateral. X discussions highlighted the savvy move, noting that Semler preserved its Bitcoin reserves rather than selling them to cover the penalty.

The settlement marks a critical turning point for Semler. The company has faced legal and financial challenges for years. Its stock has fallen 37% year-to-date. By resolving the DOJ probe, Semler aims to refocus its strategy. It plans to prioritize both medical technology and Bitcoin investment. This approach mirrors MicroStrategy’s dual focus.
Bitcoin Ambitions and Market Reaction
Semler Scientific began purchasing Bitcoin in 2024, viewing it as a shield against inflation and a treasury reserve. Its 3,192 BTC holdings underscore a firm commitment to cryptocurrency, with Bitcoin trading at about $83,500. The company plans to resume Bitcoin purchases, potentially borrowing up to $500 million against its BTC collateral, as mentioned in online forums.
The crypto market showed cautious optimism, though Semler’s stock remains burdened by legal fallout and Bitcoin’s price fluctuations. Unlike MicroStrategy, with over 500,000 BTC, Semler’s smaller portfolio limits its market influence, but it signals increasing corporate adoption of digital assets. The $2.5 trillion cryptocurrency market continues to attract institutions, with Bitcoin holding firm despite tariff-driven economic worries.
Looking Forward
The settlement removes a significant obstacle, allowing Semler to prioritize Bitcoin accumulation while advancing its medical technology agenda. The Coinbase loan reflects innovative financing, leveraging crypto assets without liquidation. However, risks remain—Bitcoin’s volatility could strain loan terms, and settlement non-compliance might revive legal challenges, as noted online.
For investors, Semler’s strategy blends traditional business with cryptocurrency investment. Its success in balancing healthcare advancements and Bitcoin advocacy will be vital for restoring shareholder trust and tapping into crypto market opportunities.

Conclusion
Semler Scientific’s $29.75 million DOJ settlement on April 15, 2025, resolves a protracted fraud probe, freeing the firm to resume Bitcoin purchases. Using its 3,192 BTC as collateral for a Coinbase loan, Semler maintains its crypto reserves while fulfilling legal obligations. Facing stock declines and market volatility, Semler’s Bitcoin focus positions it as a distinctive player in the cryptocurrency landscape, drawing investor attention worldwide.