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helps to evaluate and treat chronic diseases specifically this company is currently focused on pad or peripheral artery disease
currently about 20 million americans that suffer from pad
21 increase in their likelihood of having a heart attack stroke hospitalization or even death
75 of patients who have it are asymptomatic
current standard of care for diagnosing pad is called an ankle brachial index or an abi test
it just isn't practical or fast enough to be used in a primary care setting
quantiflow is a five minute test that can happen during a routine medical exam and the way that it works is this little alligator clip goes on the patient's feet and the hands and within about five minutes the physician gets a report
vast majority of the sales actually come from the software
it sells its products through insurance plans
this company does not have to spend a lot of money on 3:50 sales and marketing
the vast majority of its revenue is recurring
one of the major competitive advantages of semler is its switching costs
very high margins 8
company does a great job at converting that net income into free cash flow
zero debt
company was founded by herbert semler more than 20 years ago he retired from the company in 2012. he turned over the reins to dr douglas murphy jaturan who has been the ceo since 2012
insiders own about 13 of the company
it's made a few investments in the last two years
software product called insulin insight
insights into how to manage their disease
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