Bitcoin company Nakamoto reported a 500% increase in revenue for Q1 2026, yet faced a net loss of $238.8 million. The loss was largely due to a $107.7 million non-cash impairment from prior acquisition options and a $102.5 million fair-value loss on its 5,058 BTC holdings, which saw a 23% price drop. Despite these challenges, Nakamoto completed acquisitions of BTC Inc. and UTXO Management, sold 284 BTC to cover expenses, and plans to expand its Bitcoin reserves and services. CEO David Bailey announced the closure of its healthcare business by Q2's end.