biote Q2 2026 Earnings Report

biote EPS Results

• Actual EPS: -$0.23
• Consensus EPS: $0.03
• Beat/Miss: Missed by -$0.26
• One Year Ago EPS: N/A

biote Revenue Results

• Actual Revenue: $44.23 million
• Expected Revenue: $46.12 million
• Beat/Miss: Missed by -$1.89 million
• YoY Revenue Growth: N/A

biote Announcement Details

• Quarter: Q2 2026
• Date: 8/5/2026
• Time: After Market Closes
• Conference Call Date: Wednesday, August 5, 2026
• Conference Call Time: 5:00PM ET

biote (NASDAQ:BTMD) operates in practice-building business within the hormone optimization space. It trains physicians and nurse practitioners in hormone optimization using bioidentical hormone replacement pellet therapy in men and women experiencing hormonal imbalance. The company offers Biote Method, a comprehensive end-to-end practice building platform that provides Biote-certified practitioners with the components developed for practitioners in the hormone optimization space comprising Biote Method education, training, and certification services; practice management software that allows Biote-certified practitioners to order, track, and manage hormone optimization product inventory and other administrative requirements; inventory management software to monitor pellet inventory; and information regarding available hormone replacement therapy products, as well as digital and point-of-care marketing support. It also sells dietary supplements under the Biote brand; and sterile pellet insertion kits that is used with hormone optimization therapies for male and female. The company was founded in 2012 and is headquartered in Irving, Texas.

biote Q2 2026 Earnings Call Transcript

Key Takeaways

• Negative Sentiment: Second-quarter revenue fell 9.5% to $44.2 million, while procedure revenue declined 13.9% to $30.3 million, pressured by the voluntary pellet recall, supply constraints, clinic attrition, and slower new-clinic productivity.
• Negative Sentiment: Biote lowered its 2026 outlook to revenue above $175 million and adjusted EBITDA above $25 million, compared with prior guidance of more than $190 million and $38 million, respectively; year-over-year procedure revenue is now expected to remain negative in the second half.
• Positive Sentiment: Management said Asteria Health’s supply continuity and inventory levels have normalized, with a second production shift added; reduced reliance on higher-cost third-party pellets is expected to improve gross margins beginning in the third quarter.
• Neutral Sentiment: The company is entering a second strategic phase focused on clinic retention, practitioner engagement, sales-force productivity, and faster new-clinic ramp-up, while also evaluating disciplined inorganic opportunities that could expand its market footprint.
• Positive Sentiment: Dietary-supplement revenue increased 5.7% to $11.4 million, supported by e-commerce and strong adoption among existing clinicians, and is expected to grow at a mid- to high-single-digit rate for 2026; recently resolved legal matters should also reduce future expenses.

Presentation

[Operator]

Thank you for standing by. My name is Tina, and I will be your conference operator. At this time, I would like to welcome everyone to the Biote second quarter 2026 earnings conference call. All lines have been placed on mute to prevent any background noise. After the speaker's remarks, there will be a question-and-answer session. To ask a question, press star one on your telephone keypad. To withdraw your question, press star one again. It is now my pleasure to turn the call over to Simon Serowiecki, Investor Relations. Please go ahead.

[Simon Serowiecki, Head of Investor Relations at Biote]

Thank you for joining us today. This afternoon, Biote published financial results for the second quarter on June 30th, 2026. This news release is available in the investor relations section of the company's website. Hosting today's call are Bob Peterson, Interim Chief Executive Officer and Chief Financial Officer, and Marc Beer, Executive Chairman. Before we get started, I'd like to remind everyone management will make some statements during this call that include forward-looking statements regarding, among other things, the company's financial results, future performance and growth opportunities, business outlook, strategic plans, anticipated benefits, goals, research and development, manufacturing and commercialization activities, its competitive position, regulatory process operations, benefits of its solutions, anticipated impacts of macroeconomic conditions on business, source of operations, financial conditions, and other matters not related to historical facts. These statements are not guarantees of future performance.

[Simon Serowiecki, Head of Investor Relations at Biote]

They are subject to a variety of risks and uncertainties, some of which are beyond the company's control. Actual results could differ materially from expectations reflected in any forward-looking statement. These statements are subject to risks, uncertainties, and assumptions that are based on management current expectations as of today. Biote undertakes no obligations to update them in the future. These statements should not be relied upon to represent the company's views as of any subsequent date. For a discussion of risks and other important factors that could affect our actual results, please refer to our SEC filings available on the SEC's website in the investor relations section of our website, as well as risks and other important factors discussed in the earnings release. Management will also refer to adjusted EBITDA and adjusted EBITDA margin, which are non-GAAP financial measures, to provide additional information to investors.

[Simon Serowiecki, Head of Investor Relations at Biote]

A reconciliation of the non-GAAP to GAAP measures is provided in the earnings release, with the primary differences being stock-based compensation, fair value adjustments to certain liabilities, and other non-operating expenses. Please refer to our second quarter 2026 earnings release for a reconciliation of these non-GAAP measures to the closest comparable GAAP measure. I turn the call over to Bob Peterson.

[Bob Peterson, Interim CEO and CFO at Biote]

Thanks, Simon. Good afternoon, everyone. I appreciate you joining us today. Before we get into the details of the quarter, I want to take a step back and talk about where the company stands and how we're thinking about the work ahead. Over the past year, Biote has achieved meaningful progress in advancing several foundational initiatives that we believe position the company to return to growth and generate improved financial performance. Most notably, we've strengthened our corporate culture, emphasizing accountability and discipline throughout the organization. We've also realigned and invested significantly in our commercial team, optimized our structure, and enhanced our capabilities to drive sustainable growth. The improvements we have achieved are meaningful. They reflect a tremendous amount of effort across the organization. At the same time, our reported financial results do not yet reflect the significant progress we've made internally against our strategic objectives.

[Bob Peterson, Interim CEO and CFO at Biote]

As we've discussed previously, the voluntary product recall earlier in the year created temporary headwinds that affected commercial activity. As we exited the second quarter with these challenges largely resolved, Asteria Health is once again operating at normalized inventory and increased production levels, supported by the addition of a second production shift. We expect that as we steadily increase our supply of internally manufactured hormone pellets in the second half of the year, we will see a corresponding improvement in our profitability. When I stepped into the Interim CEO role in June, I reinforced our continued commitment to advancing the operational and organizational initiatives already underway to make our platform more scalable, improve cross-functional execution, and support long-term growth. That's exactly what we're doing. We are strengthening our commercial processes and team, improving operational alignment, building a performance-oriented, data-driven culture, and investing in technology capabilities that will help drive growth.

[Bob Peterson, Interim CEO and CFO at Biote]

As we enter into the second half of 2026, we are moving into the next phase of our strategic roadmap, which is designed to drive deeper operational improvements across our business. In this phase, our goal is to restore procedure volume growth. Key areas of focus include strengthening clinic retention and enhancing the practitioner experience, accelerating sales productivity, and achieving a higher rate of quick-start success for newly added clinics. These priorities will determine our long-term success. They require disciplined, sustained effort across our organization. With our larger commercial team, we now have the capacity to deepen our relationships with existing practitioners across our network and support them in ways that further enhance patient outcomes and long-term clinic performance.

[Bob Peterson, Interim CEO and CFO at Biote]

While we've made important progress in improving alignment and accountability, which should improve sales productivity, we are fine-tuning our sales processes, strengthening coaching and development programs for our field team, and ensuring our teams are laser-focused on the activities that drive clinic engagement and procedure volume. This is a multi-quarter effort. We will continue to work to raise our sales productivity so that we can achieve our growth objectives. As an innovator in the hormone replacement therapy market and the established leader in clinical support, Biote remains focused on expanding our provider network and accelerating growth. We continue to strengthen our training and onboarding programs so new practitioners can ramp efficiently, build momentum, and stay engaged through their first year. Our commitment to early-stage success remains unwavering. Alongside these operational and strategic initiatives, we continue to evaluate inorganic opportunities that complement our strategy and supplement our growth.

[Bob Peterson, Interim CEO and CFO at Biote]

To be clear, organic growth remains our priority, and we will continue to improve our fundamentals. We also recognize that as our market opportunity in hormone optimization and healthy aging solutions evolves, we can expand our platform, enhance our capabilities, and accelerate our strategic progress through inorganic means. Although we are not yet in a position to discuss the specifics, we are actively evaluating several opportunities that will allow us to expand our footprint in our market. What I can say is that inorganic growth represents an important complement to the internal work underway, and we will be thoughtful and disciplined in how we approach it. Now I'll review the second quarter financial results. Unless otherwise noted, all quarterly financial comparisons in my prepared remarks are made against the second quarter of 2025. Revenue decreased 9.5% to $44.2 million.

[Bob Peterson, Interim CEO and CFO at Biote]

Procedure revenue declined 13.9% to $30.3 million, which included an estimated $3.3 million impact related to the voluntary recall of certain hormone pellets shipped by Asteria Health. Procedure revenue was primarily impacted by the following factors. One, lower procedure volume in existing clinics, which includes the impact of procedure deferrals and hormone pellet supply constraints related to the recall. Two, elevated clinic attrition. Three, slower productivity from new clinics as our sales team focused on supporting recall-impacted clinics. Dietary supplements revenue grew 5.7% to $11.4 million. The increase was primarily driven by the continued growth of our e-commerce channel. Overall, we continue to forecast our dietary supplements revenue will grow at a mid to high single-digit rate for the 2026 year. Gross margin was 65.4% compared to 71.6%.

[Bob Peterson, Interim CEO and CFO at Biote]

The decrease was primarily due to $0.6 million of incremental costs related to the recall, which includes reduced operating efficiency at Asteria Health, coupled with increased sourcing of high-cost third-party hormone pellets. In the second quarter, Asteria Health supplied around 30% of our shipped pellets as compared to a similar level in the first quarter of 2026 and over 50% in the fourth quarter of 2025. As I noted, we have fully restored Asteria Health supply continuity and inventory levels are now normalized. As a result, we expect our third quarter product mix to improve as we source a lower percentage of pellets from our third-party suppliers, which with time will improve our gross margin. Going forward, we aim to meet our practitioners' needs through the vertical integration of Asteria Health. Selling, general, and administrative expenses increased to $32.4 million from $24.2 million. The increase reflected higher legal expenses.

[Bob Peterson, Interim CEO and CFO at Biote]

I would note that we have recently resolved many of our outstanding legal matters, which we expect should reduce quarterly legal expenses going forward. Net loss was $7.4 million, and diluted loss per share attributed to Biote corporate stockholders was $0.23. This compares to a net income of $3.9 million and diluted earnings per share attributed to Biote Corp stockholders of $0.10. Net loss for the second quarter of 2026 included a loss of $0.8 million due to the changes in the fair value of the earn-out liabilities. By comparison, net income for the second quarter of 2025 included a loss of $1.8 million due to the changes in the fair value of the earn-out liabilities. Adjusted EBITDA decreased to $5.6 million, with an adjusted EBITDA margin of 12.6%. Cash flow used by operations in the second quarter was -$1.2 million.

[Bob Peterson, Interim CEO and CFO at Biote]

As of June 30, 2026, cash and cash equivalents were $11.2 million, as compared to $5.3 million in March 31, 2026. Turning to our financial outlook for 2026. We expect procedure revenue to show sequential improvement in both the third and fourth quarters, benefiting from more consistent supply continuity and growth in new clinics. The impacts from the voluntary product recall earlier in the year have delayed our expected return to year-over-year procedure revenue growth. As a result, we are revising our full year financial outlook to reflect our first half performance and our current expectation for the remainder of the year. With respect to our 2026 revenue outlook, procedure revenue is expected to improve sequentially in both the third and fourth quarters versus prior guidance that anticipated a return to year-over-year growth in the second half.

[Bob Peterson, Interim CEO and CFO at Biote]

Year-over-year procedure revenue in these periods is expected to be negative due to the first half disruption and other factors affecting near-term performance. Dietary supplements revenue is expected to grow at a mid to high single-digit rate from 2025. For the 2026 year, we estimate revenue above $175 million and adjusted EBITDA above $25 million. This compares to our prior guidance of revenue above $190 million and adjusted EBITDA above $38 million. In closing, despite our near-term financial results, I'm encouraged by the foundational progress we have achieved and our team's shared commitment to delivering on our next phase of our strategic roadmap. As we execute on our key initiatives, we are building a more resilient platform that we believe will support sustainable, profitable growth over the long term. Operator, let's now open the call for questions.

[Operator]

Star one on your telephone keypad. Again, that's star one to ask a question. Our first question comes from the line of Kaumil Gajrawala with Jefferies. Please go ahead.

[Kaumil Gajrawala, Managing Director at Jefferies]

Hey, guys. I guess the first question, Bob, you sort of opened, or at least early in your prepared remarks, you talked about inorganic opportunities, but obviously you don't want to provide too many details. Can you maybe just provide strategy or outlook, like what would be the ideal type of deal for you guys? How adjacent is it to your core? Is it more consolidating the core with others? In general, how would it work? What would you prefer?

[Bob Peterson, Interim CEO and CFO at Biote]

Yeah. I think the biggest thing here is it's a little bit early. We're not in a position to discuss the specifics. We are evaluating our opportunities that can really support and strengthen the position that we're in now, the platform that we're participating in. I would just say, to really dive into your question a little bit, is really we want to get into things that can expand our reach and accelerate our strategic objectives. These opportunities would include the capabilities to complement our core offering. Adjacent products too, to basically enhance the practitioner engagement and other opportunities to broaden our footprint within the space.

[Kaumil Gajrawala, Managing Director at Jefferies]

Okay, got it. On the Asteria recall, you gave some figures, I think $3.3 million. Anything as it relates to the brand, have you lost practitioners that are difficult to bring back? The exercise now is to accelerate the recruitment of new ones. I'm just curious, beyond just the sort of losses of the moment, any lingering effects, either in change of strategy or maybe new things we need to be thinking about?

[Bob Peterson, Interim CEO and CFO at Biote]

Yeah. No, specifically related to Asteria, I have to say that the Asteria brand itself remains quite strong. People appreciated what we had done, I can say that as it relates to building inventory and driving stock, we're really in a solid place. We don't see that there will be any challenges in pushing back, shifting that inventory back over to Asteria. I would just say, as we begin to do that, then, as you mentioned, we would start to see that gross margin improvement. That's underway right now, and we haven't received too much pushback on it. Hopefully that answers your question.

[Kaumil Gajrawala, Managing Director at Jefferies]

Yep, great. Thank you very much.

[Bob Peterson, Interim CEO and CFO at Biote]

Appreciate it.

[Operator]

Your next question comes from the line of Jonna Kim with TD Cowen.

[Jonna Kim, Director of Equity Research at TD Cowen]

Thank you for taking my question. Just maybe additional color around, compared to when you had the call last time to now, what led to lower volume than you expected, and you mentioned also elevated clinic attrition. What drove that sort of the quarter-on-quarter delta, per se, on the results? Just any additional color would be helpful there. As you think about attrition, what are some measures that you're implementing in the second half to drive better retention? Any new measures that you're thinking of to drive that retention up? That'll be helpful. Thank you.

[Bob Peterson, Interim CEO and CFO at Biote]

Thanks, Jonna. Yeah. First and foremost, attrition is still sitting at the high single digits rate. No material change. I would just say we're sitting at around that 8% level. The biggest thing that I would say, just from a driver, the recall and the supply challenges that we incurred did hurt in the same-store sales area and on procedure volumes. The biggest thing that I would say, just to put a bow on Q2, is that we're happy to say now that the supply challenges, as I mentioned to Kaumil, the supply challenges that we had seen in Q2 are now behind us from a supply perspective at Asteria.

[Bob Peterson, Interim CEO and CFO at Biote]

The second part of your question is really a good one because you know that I highlighted on the prepared remarks that phase I was largely completed, and that was really the setup for focusing on our foundational fixes, the structure, the commercial team expansion, operational processes, really focusing on data and systems improvement. The exact question that you ask really dives into the second phase of the equation, which is really sales force productivity and performance. I would tell you, in that segment, the things that we're going to be doing differently, focusing on attrition, focusing on those same-store sales, trying to drive new customer growth. We're really going to be in a position of focusing and strengthening our clinic retention and enhancing our practitioner experience from a retention perspective.

[Bob Peterson, Interim CEO and CFO at Biote]

I would just say one of the things that we've learned, and we've got line of sight into, is that as we look at the data in our field activity, we know that when we're in accounts every month and in front of the practitioner, we don't lose that account. With that in mind, knowing that attrition should improve. Really, that's going to be an activity-based focus that we focus in on in the second half of 2026 in a real data-driven approach and focusing in on accountability. I would just say a handful of other areas that we'd be focusing in on are going to be just accelerating sales productivity and driving new performance for the customers that are coming in the top of the funnel.

[Jonna Kim, Director of Equity Research at TD Cowen]

Got it. Just one more question. As you evaluate the business today, do you have the right number of sales force now, or do you need to expand more, or you feel comfortable where you are?

[Bob Peterson, Interim CEO and CFO at Biote]

No, absolutely. I think the real key now, we've got a full sales force, which is fantastic. Now, really, it comes down to driving that activity focus on performance. I really do believe we've put the right processes and operational processes and systems in place. Now it's just a matter of driving that activity and focus in the second half.

[Jonna Kim, Director of Equity Research at TD Cowen]

Got it. Thank you.

[Bob Peterson, Interim CEO and CFO at Biote]

Thanks, Jonna.

[Operator]

Your next question comes from the line of Jailendra Singh with Truist Securities. Please go ahead.

[Jailendra Singh, Managing Director at Truist Securities]

Thank you, and thanks for taking my questions here. Maybe I want to follow up on your comment around new clinic productivity being slower as the sales focus on supporting recall-impacted clinics. Is the issue simply delayed onboarding activity, or are you seeing lower-than-expected utilization from these new clinics once they become active? Does your guidance assume any improvement in productivity in second half on these clinics?

[Bob Peterson, Interim CEO and CFO at Biote]

Just do me a favor and say the last part of the question. I got the first part. Could you say the last part?

[Jailendra Singh, Managing Director at Truist Securities]

Does your guidance assume any improvement in the productivity for these clinics in second half?

[Bob Peterson, Interim CEO and CFO at Biote]

Sure. I would say that from a new customer perspective that we bring in, we haven't seen them ramp as quickly as we would've liked, I would think that that is primarily due to the sales force being really focused on supply challenges in Q2. When clinics don't have the pellets that they need, the reps have to go in and really support, that takes them away from driving performance. I would just say from a guidance perspective, we are expecting to see quarter-over-quarter improvements sequentially I would just say that is going to be the primary driver that we expect on procedure revenue in the second half of the year, based on the phase II approach that we're going to be driving from a sales force productivity perspective.

[Jailendra Singh, Managing Director at Truist Securities]

Okay. One more on supplement revenue. That seems still strong, up like, I think, 6%, even with disruption to procedure business. How do you see that business evolving over the next few years, what's driving the resilience in that business? Any color around supplement revenue business?

[Bob Peterson, Interim CEO and CFO at Biote]

Sure. Adoption and penetration in our existing clinicians is strong. As you saw in Q1, the number was a little bit higher. We're starting to lap tougher comps. The resilience in that space, we know that the product portfolio that we have based on the CDSS, the Clinical Decision Support Software that we have, makes solid recommendations. We also know that it makes solid recommendations for nutraceuticals. We also know that everyone who is on a pellet procedure should be on DIM. Our host of products are very complementary to the procedure that we offer. I think that's really the primary driver of the resilience that we're seeing in the nutraceuticals.

[Jailendra Singh, Managing Director at Truist Securities]

Great. Thanks a lot.

[Bob Peterson, Interim CEO and CFO at Biote]

Thank you.

[Operator]

Your next question comes from the line of George Kelly with Roth Capital Partners. Please go ahead.

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

Everyone. Thanks for taking my questions.

[Bob Peterson, Interim CEO and CFO at Biote]

Hey.

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

Hey Bob. First one for you is just maybe a follow-up on the prior question on your expectation for sequential improvement in procedure revenue in 3Q. Just wondering what you're seeing that's giving you confidence in that projection. I don't know if you could talk to what you've seen in July or maybe at the tail end of 2Q and just the trends that you're seeing with respect to procedure growth would be helpful.

[Bob Peterson, Interim CEO and CFO at Biote]

For sure. Thanks, George. First of all, I think before we even get started, we have to make sure that everybody is aware the recall and the supply challenges are behind us. Knowing that we have adequate supply, that is absolutely key. I would say, as I mentioned at the earlier part of the call, we're driving a level of accountability throughout the field. As I said, when you're face-to-face with that doc and with that practitioner, we know that we can retain that business. Here's what I would say. We are expecting the sequential improvement Q3 to Q4, based on the normalization of supply that we have. We've executed phase I, the real focused approach on the foundational fixes, and we're starting to see some of the benefits of the operational fixes that we talked about regarding phase II.

[Bob Peterson, Interim CEO and CFO at Biote]

Second half improvement, I would just say is we do believe that we can get there. The sequential improvements are a realistic expectation, and I would tell you the information that we have that can really support this. If you look back at the end of 2025 up through January right before we had the impact of the supply challenges and the recall, we saw growth in those three months, several months leading up to the recall. As we reviewed performance of our customers from the time of the recall to the end of Q2, what we saw was, as you're aware, well over 50% of our business was tied in to Asteria, and the remaining portion of our business was tied into pellets from other providers.

[Bob Peterson, Interim CEO and CFO at Biote]

What we saw is that the Asteria cohort declined in overall procedure volume, comparatively, when we looked at the non-Asteria cohort, that cohort showed steady growth over a period during the supply shortage. As we know, the supply challenges being behind us, knowing that we do have inventory build, knowing the information that I just shared, we believe and have conviction that we can grow sequentially in the second half of 2026.

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

Okay. That's helpful. Then second question for me on attrition. Outside of the recall, is there any kind of factors, I don't know if it's competition or anything else worth flagging that's kind of new and impacting your attrition number?

[Bob Peterson, Interim CEO and CFO at Biote]

Yeah, George. Not really. The one thing that I would say is competition is consistent. I don't see an up or a down from a pressure perspective on attrition. It really has stayed relatively flat. I think that is the real key on attrition. The big key for me from shifting over to a little bit of the same-store sales front is if we look at the information that we just talked about, get the supply back into the hands, get the reps in front of the doctors. Those are the big keys that we need to make sure are occurring, and that should help both attrition and same-store sales and new customer growth, for that matter. I mean, that's the real focus. How do we become activity-focused on performance in the second half?

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

Okay, that's helpful. I guess just one

[Bob Peterson, Interim CEO and CFO at Biote]

Sure

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

quick modeling question. SG&A in the quarter was over $32 million. You flagged the legal expenses. I saw that settlement that was added back to EBITDA. Was that included in SG&A? Maybe if you could just put all the legal stuff together

[Bob Peterson, Interim CEO and CFO at Biote]

Yeah

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

trying to get to what the normalized SG&A

[Bob Peterson, Interim CEO and CFO at Biote]

No. non-adjusted SG&A included a lot of legal expense, the increases in legal for Q2 was due to the acceleration of several legal matters that involved depositions and a bunch of pre-litigation support. These legal matters were settled and resolved in a positive way, which will assist in decreasing expense in the latter part of the year. I think the big thing to note here, George, is that with these settlements, this will pretty much eliminate all material outstanding legal matters. Many of these will now be resolved. looking into from a modeling perspective, the total adjusted impact is around $6 million in the front half of the year.

[George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners]

Okay. Thank you.

[Bob Peterson, Interim CEO and CFO at Biote]

Of course.

[Operator]

With no further questions in queue, I would like to turn the call back over to Bob Peterson for closing remarks.

[Bob Peterson, Interim CEO and CFO at Biote]

Thank you, everyone, for joining us today. We appreciate your interest in Biote and look forward to speaking with you on our next conference call.

[Operator]

Thank you again for joining us today. This does conclude today's call. You may now disconnect.

Participants

Analysts

• Simon Serowiecki, Head of Investor Relations at Biote
• Bob Peterson, Interim CEO and CFO at Biote
• Kaumil Gajrawala, Managing Director at Jefferies
• Jonna Kim, Director of Equity Research at TD Cowen
• Jailendra Singh, Managing Director at Truist Securities
• George Kelly, Managing Director and Senior Research Analyst at Roth Capital Partners