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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 declined 8.3% year-over-year to $44.9 million, primarily due to a voluntary product recall impacting procedure revenue and related supply constraints.

  • Net income 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 was $8.7 million, down 36.6% year-over-year, with margin declining to 19.4%.

  • The recall led to an estimated $1.7 million revenue impact and $1.5 million in incremental costs, affecting both sales and operational focus.

  • Sales team expansion is nearing its targeted level, with over 25 new sales personnel hired and more than 200 new practitioners trained, supporting future growth.

Financial highlights

  • Q1 2026 revenue: $44.9 million, down 8.3% year-over-year.

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

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

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

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

Outlook and guidance

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

  • Procedure revenue is forecasted to return to growth in the second half of 2026.

  • Dietary supplement revenue projected to grow at a mid-to-high single-digit rate for the year.

  • First half procedure revenue growth expected to be moderately lower than previously forecast due to ongoing recall impacts; Q2 expected to remain impacted.

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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