Biote (BTMD)
Market Price (1/21/2026): $2.27 | Market Cap: $71.1 MilSector: Health Care | Industry: Health Care Facilities
Biote (BTMD)
Market Price (1/21/2026): $2.27Market Cap: $71.1 MilSector: Health CareIndustry: Health Care Facilities
Investment Highlights Why It Matters Detailed financial logic regarding cash flow yields vs trend-riding momentum.
| Attractive yieldTotal YieldTotal Yield = Earnings Yield + Dividend Yield, Earnings Yield = Net Income / Market Cap Dividend Yield = Total Dividends / Market Cap is 42%, ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is 37%, FCF Yield is 49% | Weak multi-year price returns2Y Excs Rtn is -94%, 3Y Excs Rtn is -113% | Debt is significantNet D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 111% |
| Attractive cash flow generationCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 20%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 18% | Weak revenue growthRev Chg QQuarterly Revenue Change % is -6.7% | |
| Megatrend and thematic driversMegatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Personalized Diagnostics, Targeted Therapies, Show more. | Key risksBTMD key risks include [1] vulnerability to regulatory changes impacting hormone therapy and [2] a significant dependency on its network of Biote-certified healthcare practitioners. |
| Attractive yieldTotal YieldTotal Yield = Earnings Yield + Dividend Yield, Earnings Yield = Net Income / Market Cap Dividend Yield = Total Dividends / Market Cap is 42%, ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is 37%, FCF Yield is 49% |
| Attractive cash flow generationCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 20%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 18% |
| Megatrend and thematic driversMegatrends include Precision Medicine, and Aging Population & Chronic Disease. Themes include Personalized Diagnostics, Targeted Therapies, Show more. |
| Weak multi-year price returns2Y Excs Rtn is -94%, 3Y Excs Rtn is -113% |
| Debt is significantNet D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is 111% |
| Weak revenue growthRev Chg QQuarterly Revenue Change % is -6.7% |
| Key risksBTMD key risks include [1] vulnerability to regulatory changes impacting hormone therapy and [2] a significant dependency on its network of Biote-certified healthcare practitioners. |
Why The Stock Moved
Qualitative Assessment
AI Analysis | Feedback
1. Lowered Full-Year 2025 Revenue Guidance. Biote significantly lowered its full-year 2025 revenue guidance, reducing it from a previous expectation of $202-$208 million to "above $190 million" (approximately $190 million plus) due to ongoing organizational restructuring and associated costs. This revised outlook, reiterated in the Q3 2025 earnings report on November 5, 2025, likely caused investor concern regarding future financial performance.
2. Impact of Organizational Restructuring and Commercial Team Transformation. The company's ongoing organizational restructuring, initiated in May 2025, and the transformation of its commercial team adversely impacted procedure revenue in the third quarter of 2025. This internal disruption, aimed at strengthening capabilities and recruiting new talent, created short-term pressures on revenue generation, leading to a decline in stock value.
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Stock Movement Drivers
Fundamental Drivers
The -21.3% change in BTMD stock from 10/31/2025 to 1/20/2026 was primarily driven by a -15.2% change in the company's P/E Multiple.| 10312025 | 1202026 | Change | |
|---|---|---|---|
| Stock Price ($) | 2.87 | 2.26 | -21.25% |
| Change Contribution By | LTM | LTM | |
| Total Revenues ($ Mil) | 199.07 | 195.65 | -1.72% |
| Net Income Margin (%) | 15.73% | 14.72% | -6.42% |
| P/E Multiple | 2.90 | 2.46 | -15.17% |
| Shares Outstanding (Mil) | 31.63 | 31.33 | 0.93% |
| Cumulative Contribution | -21.26% |
Market Drivers
10/31/2025 to 1/20/2026| Return | Correlation | |
|---|---|---|
| BTMD | -21.3% | |
| Market (SPY) | -0.7% | 16.8% |
| Sector (XLV) | 7.7% | 20.7% |
Fundamental Drivers
The -44.5% change in BTMD stock from 7/31/2025 to 1/20/2026 was primarily driven by a -59.6% change in the company's P/E Multiple.| 7312025 | 1202026 | Change | |
|---|---|---|---|
| Stock Price ($) | 4.07 | 2.26 | -44.47% |
| Change Contribution By | LTM | LTM | |
| Total Revenues ($ Mil) | 199.38 | 195.65 | -1.87% |
| Net Income Margin (%) | 10.55% | 14.72% | 39.49% |
| P/E Multiple | 6.09 | 2.46 | -59.63% |
| Shares Outstanding (Mil) | 31.49 | 31.33 | 0.49% |
| Cumulative Contribution | -44.47% |
Market Drivers
7/31/2025 to 1/20/2026| Return | Correlation | |
|---|---|---|
| BTMD | -44.5% | |
| Market (SPY) | 7.5% | 19.0% |
| Sector (XLV) | 19.7% | 26.7% |
Fundamental Drivers
The -55.6% change in BTMD stock from 1/31/2025 to 1/20/2026 was primarily driven by a -88.8% change in the company's P/E Multiple.| 1312025 | 1202026 | Change | |
|---|---|---|---|
| Stock Price ($) | 5.09 | 2.26 | -55.60% |
| Change Contribution By | LTM | LTM | |
| Total Revenues ($ Mil) | 193.06 | 195.65 | 1.34% |
| Net Income Margin (%) | 3.72% | 14.72% | 295.29% |
| P/E Multiple | 21.98 | 2.46 | -88.81% |
| Shares Outstanding (Mil) | 31.05 | 31.33 | -0.92% |
| Cumulative Contribution | -55.60% |
Market Drivers
1/31/2025 to 1/20/2026| Return | Correlation | |
|---|---|---|
| BTMD | -55.6% | |
| Market (SPY) | 13.6% | 33.5% |
| Sector (XLV) | 7.2% | 25.0% |
Fundamental Drivers
The -45.3% change in BTMD stock from 1/31/2023 to 1/20/2026 was primarily driven by a -312.0% change in the company's Shares Outstanding (Mil).| 1312023 | 1202026 | Change | |
|---|---|---|---|
| Stock Price ($) | 4.13 | 2.26 | -45.28% |
| Change Contribution By | LTM | LTM | |
| Total Revenues ($ Mil) | 158.01 | 195.65 | 23.82% |
| Net Income Margin (%) | 7.75% | 14.72% | 90.01% |
| P/E Multiple | 2.57 | 2.46 | -4.17% |
| Shares Outstanding (Mil) | 7.61 | 31.33 | -311.99% |
| Cumulative Contribution | -577.93% |
Market Drivers
1/31/2023 to 1/20/2026| Return | Correlation | |
|---|---|---|
| BTMD | -45.3% | |
| Market (SPY) | 72.9% | 28.4% |
| Sector (XLV) | 22.0% | 19.4% |
Price Returns Compared
| 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | Total [1] | |
|---|---|---|---|---|---|---|---|
| Returns | |||||||
| BTMD Return | -2% | -62% | 32% | 25% | -58% | -11% | -77% |
| Peers Return | -4% | -17% | -38% | -14% | -17% | 16% | -59% |
| S&P 500 Return | 27% | -19% | 24% | 23% | 16% | 1% | 85% |
Monthly Win Rates [3] | |||||||
| BTMD Win Rate | 33% | 50% | 67% | 42% | 25% | 0% | |
| Peers Win Rate | 35% | 48% | 42% | 46% | 38% | 75% | |
| S&P 500 Win Rate | 75% | 42% | 67% | 75% | 67% | 100% | |
Max Drawdowns [4] | |||||||
| BTMD Max Drawdown | -4% | -65% | -16% | -23% | -61% | -11% | |
| Peers Max Drawdown | -30% | -39% | -54% | -30% | -54% | -6% | |
| S&P 500 Max Drawdown | -1% | -25% | -1% | -2% | -15% | 0% | |
[1] Cumulative total returns since the beginning of 2021
[2] Peers: TXMD, OGN, EOLS, VERU.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2026 data is for the year up to 1/20/2026 (YTD)
How Low Can It Go
| Event | BTMD | S&P 500 |
|---|---|---|
| 2022 Inflation Shock | ||
| % Loss | -68.9% | -25.4% |
| % Gain to Breakeven | 221.7% | 34.1% |
| Time to Breakeven | Not Fully Recovered days | 464 days |
Compare to TXMD, OGN, EOLS, VERU
In The Past
Biote's stock fell -68.9% during the 2022 Inflation Shock from a high on 5/12/2021. A -68.9% loss requires a 221.7% gain to breakeven.
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AI Analysis | Feedback
Here are two brief analogies to describe Biote (BTMD):
- CrossFit for medical practices specializing in hormone optimization. (Similar to CrossFit licensing its fitness methodology and brand to independent gyms, Biote provides its proprietary method, training, and products to independent medical practices.)
- Keller Williams for medical practices specializing in hormone therapy. (Like Keller Williams empowering independent real estate agents with a system, training, and brand support, Biote equips independent medical professionals with a standardized method and products for hormone optimization.)
AI Analysis | Feedback
- Bio-identical Hormone Replacement Therapy (BHRT) Pellets: Implantable pellets containing bio-identical hormones (estrogen and testosterone) designed to restore hormonal balance.
- Nutraceuticals: A line of dietary supplements and advanced health panel tests developed to support overall health and complement hormone optimization.
- Biote Method: A comprehensive training and certification program for practitioners on the company's approach to BHRT, including pellet insertion and patient management.
AI Analysis | Feedback
Biote (symbol: BTMD) primarily sells its products and services to other companies, specifically healthcare providers, medical practices, and individual practitioners (such as physicians, nurse practitioners, and physician assistants) who then offer Biote's hormone optimization therapy to their patients.
However, Biote's customer base is highly fragmented. According to its public filings, including its Annual Report on Form 10-K, no single customer or group of related customers accounts for a significant portion of its revenue (typically defined as 10% or more). Therefore, there are no specific "major customer companies" with identifiable names and symbols to list.
Instead, Biote serves a broad network of thousands of independent healthcare practices and practitioners across the United States who adopt the Biote Method, rather than relying on a few large corporate customers.
AI Analysis | Feedback
- MedQuest Pharmacy
- Professional Compounding Centers of America (PCCA)
AI Analysis | Feedback
Bret Christensen, Chief Executive Officer
Bret Christensen is a seasoned leader known for his ability to launch innovative solutions, penetrate markets, and effectively scale businesses. He previously held commercial and general management leadership roles at Hologic (NASDAQ: HOLX), Myriad Genetics (NASDAQ: MYGN), and Insulet (NASDAQ: PODD). In these roles, he helped revolutionize treatments in women's health care, oncology, and diabetes, driving profitable growth and significant commercial success for numerous products. Bret holds a Bachelor of Science from Utah Valley University, a Master of Business Administration from the University of Utah, David Eccles School of Business, and executive certifications from the University of Chicago Booth School of Business.
Robert Peterson, Chief Financial Officer
Robert Peterson brings 25 years of domestic and international finance, accounting, and operational experience across various industries, particularly Pharmaceuticals, Medical Device, and Financial Services. He has extensive experience in high-growth businesses. Prior to joining Biote, Peterson served as Executive Vice President and Chief Financial Officer of Virbac Corporation, a subsidiary of Virbac S.A., a global veterinary pharmaceutical and wellness company. He also spent eight years at Alcon Labs/Novartis Eye Care, where he held roles of progressive responsibility, including Global Head of Business Planning and Analysis and Finance Manager Investor Relations. Peterson also has public company experience.
Marc Beer, Executive Chairman
Marc Beer possesses over 25 years of development and commercialization experience in biotechnology, pharmaceutical, device, and diagnostics. He previously served as CEO of Aegerion Pharmaceuticals, Inc. and ViaCell, and was a member of the Erytech Pharma Board of Directors. Beer has led several companies through significant capital raises and public offerings, including Renovia, LumeNXT Inc., Origami Surgical, Liftique, and Minerva Neurosciences Inc. His background includes extensive experience as a Founder, CEO, and Chairman in numerous health-related companies.
Kevin Key, Chief Digital Officer
Joel Pickering, Chief Marketing Officer
AI Analysis | Feedback
The key risks to Biote's (BTMD) business include the heavily regulated nature of the healthcare industry, intense competition, and a significant reliance on its network of healthcare providers.
- Regulatory Changes and Healthcare Industry Regulation: Biote operates within a highly regulated healthcare industry, and any changes in regulations concerning hormone therapy could significantly impact its operations and the sale of its products. Regulations often vary by state, which could increase compliance costs and risks as the company expands.
- Intense Competition: The market for hormone replacement therapy is increasingly competitive. Biote faces competition from various entities, including independent clinics, wellness centers, traditional pharmaceutical companies, emerging health-tech startups, and online health platforms that offer similar services or alternative solutions.
- Dependency on Healthcare Providers: Biote's business model, described as a "practice-building business" similar to a franchise model, relies heavily on partnerships with Biote-certified healthcare practitioners. These practitioners are essential for establishing, building, and implementing the hormone optimization program and selling Biote's products. Changes in provider preferences or challenges in expanding and maintaining this network could adversely affect the company's growth and operations.
AI Analysis | Feedback
Potential increased regulatory scrutiny and restrictions by the U.S. Food and Drug Administration (FDA) on compounded hormone replacement therapies, particularly pellet formulations. The FDA has historically expressed concerns about the safety and efficacy of unapproved compounded "bioidentical" hormone replacement therapy (BHRT) drugs. The Pharmacy Compounding Advisory Committee (PCAC) of the FDA continues to deliberate on these issues, which could lead to new guidance, restrictions, or even a ban on certain compounded formulations if determined to be unsafe, ineffective, or if suitable commercially manufactured alternatives become available. Such actions would directly impact Biote's core business model, which relies on practitioners prescribing and administering these compounded pellets.
AI Analysis | Feedback
Biote (BTMD) operates primarily in the hormone optimization and nutraceuticals markets.
- Bioidentical Hormone Replacement Therapy (BHRT) / Hormone Optimization: The global bioidentical hormones market was valued at USD 9.08 billion in 2024 and is projected to reach USD 13.69 billion by 2032, with a compound annual growth rate (CAGR) of 5.26% from 2026 to 2032. In the U.S., the total market opportunity for hormone replacement therapy (HRT) products exceeded $7 billion in 2020 and is expected to grow 7% annually through 2026.
- Nutraceuticals / Dietary Supplements: The U.S. nutraceuticals market size was valued at USD 163.7 billion in 2024 and is anticipated to grow at a CAGR of 6.2% from 2025 to 2030.
- Practitioner Training and Support: null
AI Analysis | Feedback
Here are the expected drivers of future revenue growth for Biote (BTMD) over the next 2-3 years:- Expansion of the Practitioner Network: Biote is focused on accelerating growth through new provider engagement and expanding its network of Biote-certified practitioners. This strategy aims to increase the number of clinics offering Biote's hormone optimization and therapeutic wellness programs.
- Growth in Dietary Supplement Sales: The company anticipates continued year-over-year growth in dietary supplement sales, with a projected mid-teens percentage growth rate for fiscal year 2025. This growth is primarily driven by the e-commerce channel.
- Maximizing Value from Top-Tier Clinics: A key strategic priority for Biote is to extract greater value from its existing top-tier clinics. This involves deepening relationships with current practitioners and optimizing their performance.
- Launch of New Therapeutic Wellness Products: Biote expects modest contributions from new therapeutic wellness products, with a phased launch commencing in the first quarter of 2024. This expansion into new offerings within the therapeutic wellness market is intended to broaden its revenue streams.
- Improved Commercial Organization and Sales Force Effectiveness: Following an organizational restructuring, Biote is enhancing the quality and effectiveness of its sales team. The goal is to accelerate new provider wins, strengthen relationships with existing practitioners, and drive overall sales growth.
AI Analysis | Feedback
Share Repurchases
- Biote authorized a $20 million common share repurchase program on January 25, 2024.
- In the third quarter of 2025, Biote repurchased approximately 1 million shares of Class A common stock at an average price of $3.28 per share under its authorized program, totaling roughly $3.28 million.
- In Q3 2025, Biote amended a settlement agreement with Marci Donovitz to repurchase her remaining shares, with an agreement to pay $18.5 million in January 2026 to fully settle a multiyear payment obligation.
Share Issuance
- The number of shares outstanding increased by 7.32% in one year.
- Shares valued at approximately $1.841 million were issued to acquire Simpatra.
Outbound Investments
- Biote made a strategic acquisition of Asteria Health in 2024.
Capital Expenditures
- Capital expenditures in the last 12 months amounted to approximately $6.66 million.
- Capital expenditures have focused on vertical integration, particularly of the company's 503B manufacturing facility, which has contributed to improved gross profit margins.
Latest Trefis Analyses
| Title | Topic | |
|---|---|---|
| DASHBOARDS | ||
| Biote Earnings Notes | ||
| With Biote Stock Surging, Have You Considered The Downside? | Return |
| Title | |
|---|---|
| ARTICLES |
Research & Analysis
Invest in Strategies
Wealth Management
Peer Comparisons for Biote
| Peers to compare with: |
Financials
| Median | |
|---|---|
| Name | |
| Mkt Price | 2.55 |
| Mkt Cap | 0.1 |
| Rev LTM | 196 |
| Op Inc LTM | -2 |
| FCF LTM | 2 |
| FCF 3Y Avg | 3 |
| CFO LTM | 2 |
| CFO 3Y Avg | 3 |
Growth & Margins
| Median | |
|---|---|
| Name | |
| Rev Chg LTM | 8.2% |
| Rev Chg 3Y Avg | 17.4% |
| Rev Chg Q | 7.1% |
| QoQ Delta Rev Chg LTM | 1.6% |
| Op Mgn LTM | 1.4% |
| Op Mgn 3Y Avg | -0.2% |
| QoQ Delta Op Mgn LTM | 0.4% |
| CFO/Rev LTM | 17.8% |
| CFO/Rev 3Y Avg | -1.6% |
| FCF/Rev LTM | 13.3% |
| FCF/Rev 3Y Avg | -5.0% |
Price Behavior
| Market Price | $2.26 | |
| Market Cap ($ Bil) | 0.1 | |
| First Trading Date | 04/28/2021 | |
| Distance from 52W High | -61.8% | |
| 50 Days | 200 Days | |
| DMA Price | $2.58 | $3.27 |
| DMA Trend | down | down |
| Distance from DMA | -12.5% | -30.9% |
| 3M | 1YR | |
| Volatility | 57.5% | 71.7% |
| Downside Capture | 140.61 | 228.79 |
| Upside Capture | -39.62 | 104.90 |
| Correlation (SPY) | 3.8% | 32.3% |
| 1M | 2M | 3M | 6M | 1Y | 3Y | |
|---|---|---|---|---|---|---|
| Beta | 2.42 | 0.57 | 0.45 | 1.19 | 1.22 | 1.22 |
| Up Beta | 2.37 | -1.92 | -0.18 | 1.01 | 1.19 | 1.41 |
| Down Beta | 2.68 | 0.20 | 0.71 | 0.15 | 0.56 | 0.90 |
| Up Capture | 199% | 85% | 3% | 76% | 125% | 109% |
| Bmk +ve Days | 11 | 23 | 37 | 72 | 143 | 431 |
| Stock +ve Days | 9 | 19 | 30 | 60 | 110 | 349 |
| Down Capture | 260% | 162% | 85% | 219% | 150% | 108% |
| Bmk -ve Days | 11 | 18 | 27 | 55 | 108 | 320 |
| Stock -ve Days | 11 | 20 | 32 | 61 | 132 | 370 |
[1] Upside and downside betas calculated using positive and negative benchmark daily returns respectively
Based On 1-Year Data
nullBased On 5-Year Data
nullBased On 10-Year Data
nullReturns Analyses
Earnings Returns History
Expand for More| Forward Returns | |||
|---|---|---|---|
| Earnings Date | 1D Returns | 5D Returns | 21D Returns |
| 11/5/2025 | -3.1% | -9.9% | -12.6% |
| 8/6/2025 | -24.4% | -20.5% | -10.4% |
| 3/12/2025 | -25.1% | 2.9% | -18.3% |
| 11/12/2024 | 21.7% | 10.3% | 18.5% |
| 8/8/2024 | -18.9% | -10.6% | -8.7% |
| 5/7/2024 | 5.2% | 3.1% | 16.6% |
| 1/17/2024 | -13.6% | -17.1% | 0.6% |
| 11/7/2023 | -23.8% | -14.1% | -5.3% |
| ... | |||
| SUMMARY STATS | |||
| # Positive | 4 | 5 | 6 |
| # Negative | 8 | 7 | 6 |
| Median Positive | 9.2% | 3.1% | 11.3% |
| Median Negative | -16.3% | -14.1% | -11.5% |
| Max Positive | 21.7% | 22.4% | 29.4% |
| Max Negative | -25.1% | -23.5% | -24.2% |
SEC Filings
Expand for More| Report Date | Filing Date | Filing |
|---|---|---|
| 09/30/2025 | 11/07/2025 | 10-Q (09/30/2025) |
| 06/30/2025 | 08/08/2025 | 10-Q (06/30/2025) |
| 03/31/2025 | 05/09/2025 | 10-Q (03/31/2025) |
| 12/31/2024 | 03/14/2025 | 10-K (12/31/2024) |
| 09/30/2024 | 11/12/2024 | 10-Q (09/30/2024) |
| 06/30/2024 | 08/09/2024 | 10-Q (06/30/2024) |
| 03/31/2024 | 05/10/2024 | 10-Q (03/31/2024) |
| 12/31/2023 | 03/15/2024 | 10-K (12/31/2023) |
| 09/30/2023 | 11/13/2023 | 10-Q (09/30/2023) |
| 06/30/2023 | 08/11/2023 | 10-Q (06/30/2023) |
| 03/31/2023 | 05/12/2023 | 10-Q (03/31/2023) |
| 12/31/2022 | 03/29/2023 | 10-K (12/31/2022) |
| 09/30/2022 | 11/14/2022 | 10-Q (09/30/2022) |
| 06/30/2022 | 08/15/2022 | 10-Q (06/30/2022) |
| 09/30/2021 | 03/29/2023 | 10-Q/A (09/30/2021) |
| 06/30/2021 | 03/29/2023 | 10-Q/A (06/30/2021) |
Insider Activity
Expand for More| # | Owner | Title | Holding | Action | Filing Date | Price | Shares | Transacted Value | Value of Held Shares | Form |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Guines, Llc | See Footnote | Buy | 5082025 | 3.26 | 436,037 | 1,422,265 | 15,040,391 | Form | |
| 2 | Guines, Llc | See Footnote | Buy | 5082025 | 3.35 | 11,677 | 39,107 | 15,482,045 | Form | |
| 3 | Guines, Llc | See footnote | Buy | 5022025 | 3.30 | 1,933 | 6,371 | 13,760,912 | Form | |
| 4 | Guines, Llc | See footnote | Buy | 4232025 | 3.27 | 8,801 | 28,782 | 13,647,292 | Form | |
| 5 | Guines, Llc | Footnote | Buy | 4182025 | 3.29 | 1,000 | 3,292 | 13,684,168 | Form |
External Quote Links
| Y Finance | Barrons |
| TradingView | Morningstar |
| SeekingAlpha | ValueLine |
| Motley Fool | Robinhood |
| CNBC | Etrade |
| MarketWatch | Unusual Whales |
| YCharts | Perplexity Finance |
| FinViz |
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