A New Chapter: Semler Scientific Merges to Form a Major Bitcoin Treasury Entity

The public market journey of Semler Scientific as an independent company has concluded. Shareholders have granted their final approval, completing its merger with the Bitcoin-focused firm Strive, Inc. This consolidation, one of the largest involving a corporate Bitcoin treasury, results in the delisting of Semler Scientific's shares from the Nasdaq exchange.

An overwhelming shareholder mandate paved the way for this corporate transformation. In a special meeting held on January 13, 2026, more than 93% of the votes cast were in favor of selling the company. Following this decisive vote, the Nasdaq officially suspended trading of Semler Scientific shares at the market open on January 16, 2026. This trading halt is the final administrative step ahead of the formal suspension and delisting, which becomes effective on January 20, 2026, ensuring an orderly transition as the merger finalizes.

Creating a Top-Tier Bitcoin Holder

A primary catalyst for the deal was Semler Scientific's substantial Bitcoin reserve strategy. The merger combines its treasury of 5,048.1 Bitcoin with Strive's existing holding of 7,749.8 Bitcoin. The resulting combined treasury of nearly 12,800 Bitcoin immediately propels the merged entity to the position of the world's 11th largest public corporate holder of the digital asset. The valuation of these holdings was critical to the merger's rationale, a point Strive emphasized by executing a separate Bitcoin purchase at an average price exceeding $91,500 just prior to the deal's closure.

Should investors sell immediately? Or is it worth buying Semler Scientific?

Under the terms of the agreement, Semler Scientific shareholders will receive 21.05 shares of Strive, Inc. Class A Common Stock for each of their shares. These shares will be adjusted by a 1-for-20 reverse stock split enacted by Strive. The combined company will also assume liabilities totaling $120 million, which include a convertible note and a loan from Coinbase.

Pivoting from Healthcare to Digital Assets

The operational focus of the new company marks a significant departure from Semler Scientific's original healthcare business. Management has explicitly stated its intention to monetize the medical operations segment within the next twelve months, likely through a sale or spin-off. The strategic goal is to transform the entity into a pure-play Bitcoin treasury vehicle, using the proceeds to pay down the assumed debt. This strategy prioritizes "Bitcoin return" as a core metric, a figure Semler Scientific reported as 30.6% for the year 2025 prior to the merger.

As of its final trading day, Semler Scientific commanded a market capitalization of approximately $275.66 million. The future performance of these assets now rests with Strive, Inc., which has fully integrated the financial profile of the former healthcare firm into its Bitcoin-centric model.