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biote (BTMD) investor relations material

biote Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary6 May, 2026

Executive summary

  • Revenue for Q1 2026 was $44.9 million, down 8.3% year-over-year, primarily due to a voluntary recall of hormone pellets and lower procedure volumes at established clinics.

  • Net income for Q1 2026 was $2.7 million, a significant decrease from $15.8 million in Q1 2025, with diluted EPS at $0.06 versus $0.37.

  • Adjusted EBITDA for Q1 2026 was $8.7 million, down from $13.8 million in Q1 2025, with margin declining to 19.4%.

  • Over 25 new sales personnel were hired, expanding the sales force to 120, and more than 200 new practitioners were trained, a 16.5% increase year-over-year.

  • The company continues to focus on expanding its network of certified practitioners and growing dietary supplement sales.

Financial highlights

  • Procedure revenue fell 13.2% to $31.3 million, impacted by the recall and lower clinic productivity.

  • Dietary supplement revenue grew 19.1% to $11.0 million, driven by e-commerce.

  • Gross profit margin declined to 68.9% from 74.3% due to higher recall-related costs.

  • Operating income dropped to $3.2 million from $9.7 million, reflecting lower sales and higher expenses.

  • Net income margin was 6.0%, down from 32.3% in the prior year.

Outlook and guidance

  • 2026 revenue guidance remains above $190 million, with adjusted EBITDA expected to exceed $38 million.

  • Procedure revenue is forecasted to return to growth in the second half of 2026; dietary supplement revenue is expected to grow at a mid to high single-digit rate.

  • First half procedure revenue growth is now expected to be moderately lower than previously forecast due to the recall.

  • Management expects continued operational challenges from the recall but is executing plans to restore inventory and relieve supply constraints.

  • Inflation, interest rates, and global economic volatility are being monitored, but no material impact is expected in the near term.

Asteria Health recall impact on gross margins
Drivers for H2 procedure revenue recovery
Newly trained practitioner growth trends
Provide Asteria vertical integration timeline
Explain sales force ramp-up for 2026 growth
Detail OB/GYN focus impact on pipeline value
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