biote Corp

NASDAQ:BTMD

Earnings Call Analysis

Earnings Call Transcript 2024-Q2

[Operator]

Good day, and welcome to the Biote Second Quarter 2024 Earnings conference call. [Operator Instructions] I would now like to turn the conference over to Szymon Serowiecki, Investor Relations.

[Szymon Serowiecki]

Thank you for joining us today. This afternoon, Biote published special results for the second quarter ended June 30, 2024. This release is available in the Investor Relations section of the company's website. Terry Webber, Chief Executive Officer; and Bob Peterson, Chief Financial Officer, will host this call.



Before we get started, I would like to remind everyone that management will make 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, strategies, goals, research and development, manufacturing and commercialization activities, regulatory process operations, the impact of macro-economic conditions on its business, results of operations and financial conditions and other matters.



These statements are not guarantees of future performance. 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's current expectations as of today. Biote undertakes no obligation to update them in the future, therefore, these statements should not be relied upon as representing 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 and 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, which is a non-GAAP financial measure, to provide additional information to investors.



A reconciliation of the non-GAAP to GAAP measures is provided in our earnings release, with the primary differences being stock-based compensation, fair value adjustments of certain liabilities, transaction-related expenses and other non-operating expenses. Please refer to our second quarter 2024 earnings release for a reconciliation of adjusted EBITDA to net income, the closest comparable GAAP measure.



I will now turn the call over to Terry Weber.

[Teresa Weber, executive]

Thank you, Szymon, and thank you all for joining us. On the call with me today is Bob Peterson, our Chief Financial Officer, who will review our financial results and discuss our outlook for 2024. Marc Beer, our Executive Chairman, is also on today's call to help answer your questions during the Q&A session following our prepared remarks.



Biote generated solid financial performance in the second quarter, highlighted by a sequential increase in procedure revenue growth. This improvement reflected our strategic focus on driving growth from our top-tier accounts, expanding our practitioner network and optimizing new clinic success to our quick start program.



In the first half of 2024, we added approximately 30% more new clinics on a year-over-year basis with significant growth in new clinics achieving quick start. We have found that the early success generated by clinics that achieved quick start status translates into stronger clinic performance over time. As a result, we continue to work closely with our new providers to optimize the launch of their hormone and therapeutic wellness practices.



We also achieved solid gross profit and adjusted EBITDA even as we selectively increased our investments in key marketing and sales initiatives to enhance our long-term growth opportunities. These investments included our annual provider conference where we strengthen engagement with our top practitioners. We spent 2.5 days with over 500 practitioners teaching advanced concepts and therapeutic wellness. Even with these strategic investments, we remain on track to achieve our 2024 financial guidance.



The phased launch of BioteRx across our network continues to progress well with approximately 600 clinics now enrolled. We believe our BioteRx platform represents a unique and differentiated approach to care in the hormone and therapeutic wellness market. In addition to an expanded range of products and treatments, BioteRx supports practitioners with a comprehensive portfolio of advanced technical tools, support, training and educational resources, which we believe separates us from our competitors.



Over the next several weeks, we will introduce several major enhancements to the Biote method, expanding our science-based approach to care. With these enhancements, we're confident that Biote will enable practitioners to deliver an even higher level of holistic personalized medicine for their patients.



First, we'll expand our wellness lab panels to utilize the latest technology, liquid chromatography and mass spectrometry for blood sample analysis. We use additional lab panels to broaden our testing capabilities while providing greater testing sensitivity and accuracy. These advantages will enable practitioners to provide more precise dosing that addresses a wider range of treatments and delivers better health outcomes for patients.



To further enhance clinical decision-making, we will update our proprietary software with new functionality to deliver even more individualized precision patient care. For example, our updated clinical decision support software features enhanced algorithms for ongoing patient management, continuously adapting to a patient's evolving health needs.



We are also broadening our BioteRx offerings across key therapeutic categories. We will introduce new offerings in the areas of body composition, sexual wellness, non-pellet hormone optimization and thyroid and autoimmune conditions. These new products complement our existing therapies, elevating our value proposition and enabling more comprehensive patient care.



Finally, we will further bolster our support for practitioners with enhanced tools and procedures, including a new trocar for pellet delivery and new techniques for pellet insertion. As always, Biote will continue to provide an unmatched level of education and training, covering a broad spectrum of hormone and therapeutic wellness.



The integration of Asteria Health into our operations continues to progress smoothly. We've been pleased with the positive feedback we're hearing from our practitioners who value the capabilities that Asteria Health adds to our business. As we continue the integration process, we remain focused on expanding Asteria Health's licenses to additional states as well as driving long-term manufacturing cost efficiencies.



During the second quarter, we were pleased to conclude outstanding litigation with 2 large shareholders. These agreements eliminate the time and expense associated with litigation and build long-term shareholder value through significant share repurchases. Bob will provide more information in his remarks.



In summary, Biote continues to make solid progress in advancing our strategic objectives, and we remain on track to deliver our 2024 financial guidance.



I'll now turn the call over to Bob to discuss our second quarter financial results and provide our outlook for 2024.

[Robert Peterson, executive]

Thank you, Terry, and good afternoon, everyone. Total revenue in the second quarter was $49.2 million, essentially flat year-over-year and consistent with our expectations. Procedure revenue growth increased 7.8%, increasing sequentially from the 6.6% growth rate reported in the first quarter of 2024. Second quarter procedure revenue growth was broad-based across our network and primarily driven by growth from our top-tier clinics. Our performance also benefited from approximately 30% growth in new clinics over the past 12 months.



As Terry mentioned previously, many of these newly added clinics have successfully implemented our quick start program that accelerates new procedure revenue streams. As expected, second quarter dietary supplement revenue decreased 32.2% year-over-year as we continued the transition of our e-commerce business and lapped a significant seasonal promotion in last year's second quarter. Consistent with our time line, we began managing distribution of several key products previously delivered from our former distributor at the end of the second quarter.



While we continue to work down inventory of certain nutraceuticals from our prior distributor, we expect overall nutraceutical revenue to resume year-over-year growth in the second half of this year.



Second quarter gross profit margin was 68.9%, a 100 basis point increase from the second quarter of 2023. Gross profit of $33.9 million in the second quarter of 2024 included a $1.2 million step-up in inventory value related to the acquisition of Asteria Health. Excluding this inventory revaluation, second quarter 2024 gross profit margin would have been 70.9%.



The year-over-year improvement in gross profit margin reflected product mix and effective cost management. As expected, we anticipate consolidated gross profit margin will revert to historical levels as nutraceutical sales resuming year-over-year growth in the second half. Consistent with our expectations, selling, general and administrative costs were $27.6 million compared to $25.8 million in the second quarter of 2023.



Operating expenses increased from the prior year primarily due to planned strategic investments in sales and marketing, including our annual provider event. As a result, second quarter operating income was $6.2 million compared to $7.7 million in the prior year quarter.



Net loss in the second quarter was $10.5 million, inclusive of a $13.9 million loss due to a change in the fair value of the earnout liability. This compares to a net loss of $13.1 million in the second quarter of 2023, which included a $6.4 million loss due to the net change in fair value of the earnout liability and an $11.8 million loss due to the net change in fair value of the warrant liability.



During the second quarter, we selectively increased our investments in sales and marketing to strengthen engagement with our top providers, expand our therapeutic wellness offerings and further our geographic expansion. Largely due to these investments, second quarter adjusted EBITDA decreased 12.4% from the prior year to $12.7 million with an adjusted EBITDA margin of 25.9%. This compares to adjusted EBITDA of $14.5 million with an adjusted EBITDA margin of 29.5% in the prior year period.



While we continue to make investments aligned with our growth strategy, we anticipate our overall operating expenses will moderate in the second half of this year as compared to the first half. Second quarter operating cash flow was approximately $17.3 million.



As Terry noted and as previously announced, Biote concluded litigation with 2 large shareholders during the second quarter. These settlements include significant share repurchases and the release and cancellation of earn-out shares for no additional consideration. Under the terms of these settlements, Biote repurchased the first tranche shares from Dr. Gary Donovitz for $32.2 million in April. Subsequently, in June, Biote repurchased the first concert shares from Marci Donovitz for $30 million. After the repurchase of the first tranches, Biote has agreed to repurchase the remaining 14.4 million shares over the next 3 years.



Largely because of these share repurchases, cash and cash equivalents at the end of the second quarter of 2024 were $26.4 million, down from $78.8 million at the end of the first quarter of 2024.



Moving forward, we will continue to prudently manage our operating cash flow to assist funding settlement-related share repurchases while maintaining our capital allocation discipline.



Turning to our financial outlook for fiscal 2024. We reiterate our previously reported guidance with revenue of $200 million to $204 million and adjusted EBITDA of $60 million to $63 million. At a high level, our 2024 sales guidance reflects our expectations for improving procedure revenue growth in the second half and a return to year-over-year growth in nutraceutical sales.



On the expense side, we anticipate moderation in the second half operating expenses as compared to the first half. Strengthening procedure revenue growth in the second half of 2024 relative to the first half is expected to be driven by 3 factors: one, improving performance from our top-tier clinics; two, the continued expansion of our existing practitioner network; and three, a growing contribution from new clinics, including continued growth in clinics implementing quick starts.



Now I'll turn the call back to Terry for her closing comments.

[Teresa Weber, executive]

Thank you, Bob. Biote generated solid financial performance in the second quarter, and we are on track to achieve our financial and strategic objectives for the year. We continue to progressively roll out BioteRx across our network with plans to add new capabilities to better serve both patients and practitioners. We also continue to integrate Asteria Health, which improves our manufacturing efficiency and offers new opportunities for growth over time.



Finally, we have enhanced long-term shareholder value by concluding outstanding litigations and committing to significant share repurchases on favorable terms. We remain focused on driving profitable growth as we strive to become the leading single-source provider of evidence-based therapeutic wellness solutions.



And now I'd like to open the call for questions. Operator, please begin the question-and-answer session.

[Operator]

We will now begin the question and answer session. [Operator Instructions] Our first question comes from Les Sulewski with Truist Securities.

[Leszek Sulewski, analyst]

So Terry, I didn't hear much commentary around your weight loss program and your strategy. Can you just perhaps maybe highlight now that we've heard some of the brand GLP-1s coming off of the shortage list? Essentially, how does that impact your compounded GLP-1 strategy? And how do you confirm with regulations if there are -- if either the FDA puts a ban in place or I guess there's limitations from presentations will be no longer available on the drug shortage list. And I have a follow-up.

[Teresa Weber, executive]

So I'll break it into the pieces. So let me give you a context of a framework for our BioteRx and are used to the GLP ones. So we have launched this therapeutic wellness the BioteRx. It has a full complement of therapeutic wellness products, which includes the GLP-1s. And it includes it both in the Tirzepatide and the Semaglutide that are both being produced because of the -- by compounders because of the shortage list.



So for us, it's a piece of a formula with a lot of other products that allow that one-stop shop at Biote. So we have a platform that allows those providers to order the product easily delivered on very short SLAs. It's part of a performance piece on therapeutic wellness, and it's just a couple of the products. So we're not concerned about this. The platform is working well. There's a lot of adoption.



So it's proceeding very well and that we can talk a little bit about what's happened even this week on these 2 products. So right now, if you look at the shortage and why compounders can manufacture, it's the shortage list, and the FDA considers the following criteria before removing a drug from the shortage list.



First, whether the manufacturer is able to meet the total national historical demand, and you can report on the amount of that national demand even within the last year on both of the formulations. The second part is whether the manufacturer can verify that it has built enough safety stock for the drugs. You also have other considerations as to whether prescribers or patients have the availability under the drug or if there's still that type of a shortage.



So it's quite a long process and the only person that determines whether it goes off shortage is the FDA. And if our audience has listened and probably has into the earnings recordings from both Eli Lilly and Novo Novartis that produced the 2 branded products of the Tirzepatide and the Semaglutide, both companies address the fact that they had difficulty leading demand and that these certain dosage of their drugs come in and out of supply.



Lilly announced that there'll be intermittent supply disruptions for a drug such as Zepbound and Mounjaro, while supply and demand are better in their balance, they quoted, they expect increases in demand may result in periodic supply tightness at different levels -- dosage levels.



So when we look at this, it looks as if, certainly for Novo Novartis, they announced that they'll continue restricting supplies of their starter doses in the U.S. market to ensure patients who start the treatment can continue this treatment.



So in our estimation and these drugs will remain on shortage for a period of time, there's many options. New drugs are being developed in the GLP-1 space as we speak. So compounders will be allowed to do the ones that are on shortage. And for us, we're not concerned about it in our model. We just want to make sure that our doctors get an easy access to it and a consistent supply. So our platform offers that, and I hope I've given you some insights into why that is not a big concern for us.



I'll also remind you that we get paid a tech platform fee for accessing the -- our platform, which offers the other formulations as well in therapeutic wellness. So this is just part of our long-term therapeutic wellness focus.

[Leszek Sulewski, analyst]

Perhaps just to maybe build on that in some sense, on the Asteria facility. You mentioned before, you're looking to add a production line on the compounded GLP-1. Is that still in the works? When can we kind of expect that to be operational? And then I guess my last question is what percentage of your physicians are in the medical spa setting? And then I guess, how many operate at a virtual setting?

[Teresa Weber, executive]

Good questions, 3 questions there. So number one, on Asteria. We are looking to expanding our space at Asteria and after we're making sure that we can meet all the production need in our integration, we're very focused on manufacturing the other GLP-1 products. So I'd be looking to 2025 for that manufacturer and that impact.



Your second question you want to repeat that real quick.

[Leszek Sulewski, analyst]

Has number -- percentage of physicians in the medical spa setting and in virtual.

[Teresa Weber, executive]

So the medical spa setting. So our practitioners in the medical spa setting have all supervising practitioners. They're usually an arm of an OB/GYN or an internist who has a wellness practice next to their traditional practice. So it's a way that, that's structured that really allows us to have very good supervisor practitioners. And I would certainly say less than 10%.



And on the virtual end, we have very few that have -- they have a virtual component of their practice, but they're all practitioners with clinics. So we don't, at this point, service just any completely virtual group.

[Operator]

And the next question comes from Jungwon Kim with TD Cowen.

[Jungwon Kim, analyst]

Just curious about the marketing and investments that you've made this quarter just like a step-up there. Should we expect similar level of marketing and investments for the remainder of the year? And just a follow-up to that. How are you measuring your success of spend? And just going forward, how should we think about your investment plan?

[Teresa Weber, executive]

So what Biote looks to do though is to really engage long term with these practitioners so they keep decades of an involvement with us. So what we invested in this year is that enhancement to our clinical decision support software. So you'll not only have that clinical decision support software, doing an excellent job of hormone optimization. It includes now therapeutic wellness products from our BioteRx. So that's an investment in growing engagement with those providers.



Now this is new science and it's innovation. And so that large meeting that we had that had so many of our providers are key large providers. We spent 2.5 days educating them off-site on these new therapeutic wellness products and where the science is going. So that was a large investment in Q2, but all of these should do a very solid ROI on both the enhancement in the Tier 1 clinics and our largest providers as well as taking us into that next generation, where we have no -- we very much are differentiated from competition.

[Robert Peterson, executive]

And Jon, just to add a little bit to that. As we look at our OpEx, typically, it's higher in Q2. And as Terry mentioned, several of the expenses to really support sales, marketing and other customer related expenditures were planned in Q2, as Terry mentioned. And I would just tell you, when we think about the investments that we're looking to continue to deploy, I mean, whether it's practitioner engagement, modernization of our data systems and data analytics, I would tell you all of those are really supporting what Terry is saying to review that ROI of the spends that we deploy.

[Jungwon Kim, analyst]

And just one follow-up is, have you seen any notable changes or anything to call out quarter-to-date trends versus second quarter? And just what gives you confidence in the second half of inflection embedded in your guidance?

[Robert Peterson, executive]

So right now, I think when we look at Q2 revenue, the improved growth from a sequential perspective on procedure revenue. It was consistent with our year-to-date guidance, we're expecting that uptick. We don't give quarterly guidance. So we continue to anticipate second half performance will strengthen versus the first half. But we're focused really on our key trends, which, as we mentioned during the call, growth in our top-tier accounts, new customer growth and specifically with improving the quick starts and neutral growth in the second half, which should show positive momentum.

[Operator]

And the next question comes from Jeff Van Sinderen with B. Riley Securities.

[Jeff Van Sinderen, analyst]

This is Richard Magnusen in for Jeff Van Sinderen. First off, you did mention quickly state licenses. I was wondering if you could provide more color on where you are exactly with obtaining all the various state licenses?

[Robert Peterson, executive]

So we've made pretty good progress as it relates -- as you look at the entirety of Asteria, we keep on applying for new licenses, it's constantly in flux. And I would just say we're obtaining those licenses as planned, and we continue to work with our teams to diligently progress forward in that area. So I would say we're approaching about the halfway mark of the licenses that we are looking to obtain with a whole handful coming over the next quarter, quarter and a half.

[Jeff Van Sinderen, analyst]

And then my next question is, previously, you talked about the doctors, they were a little bit maybe stubborn to migrate towards your new platform from what they were used to. Some of it was because they had more inventory from previous sources. And so my question is, have they depleted that as far as you know? Or a lot of it? And the other aspect was that they are reluctant to move away from the legacy sources and we're testing the Biote as a source with smaller orders until they felt comfortable with Biote. Has this situation meaningfully improved? Or what can you tell us about that?

[Teresa Weber, executive]

Yes, it's meaningfully improved. We've been adding new doctors because new state licenses are coming in for our BioteRx. So we've been adding practitioners. They've been increasing their orders. They're seeing the consistency of the delivery time and the quality of the product. So all that's going very well. And what I'm excited about is these new clinics that we've got are becoming dependent on us in the beginning for all of their BioteRx products. So I like that because it's a better mix. It's not just GLP-1s. They're not just shopping GLP-1s, but they're learning the business and pinning on us for their supply and used to using our platform. So the strategy is working very well.

[Operator]

The next question comes from George Kelly with Roth Capital.

[George Kelly, analyst]

First, on Asteria. Curious how much of your production is running through there? And what is your expectation for year-end?

[Robert Peterson, executive]

So the way that I would look at this, George, I mean we've talked a little bit about the state licenses. We are at a point now where from a production perspective, we've built the capabilities to meet the needs in the short term and probably in the medium term by building additional machinery -- installing additional machinery. And I think we're at a point now where we scaled up well, and we're building the inventory and producing enough really to make sure that we have enough inventory to meet our future demand.

[George Kelly, analyst]

So I guess the next part of that question is, so are you anticipating a meaningful step up in gross margin in the back half just based on that production flowing through Asteria?

[Robert Peterson, executive]

So the way that we're looking at this, I mean, as you look at the 3 different facets -- so let's just take a little bit of a step back, and I'll touch on the gross margin piece. So as you can imagine, when you onboard a function like Asteria into Biote, you need to be really focused on doing each facet quite well.



One, as we just already mentioned, was the state licenses. Number two is really trying to phase in and work towards the conversion of these additional states that we get access to. And what we're finding is that we're working quite well with our commercial teams and very strategically to work through this process to ensure a smooth transition. And we're succeeding in this process.



So I think that's good. We already also touched on the last piece, which is building that inventory. So clearly, Asteria is an important piece and a strategic part of our overall capabilities within Biote. As we transition, we'll begin to operationalize and operationally transition pellets into the different clinics. As procedures start to occur and these pellets are implanted this will be more of a -- as we start to progress through this, this will enable a more phased approach through the second half of the year and the financial impact on gross margin has been factored into our 2024 adjusted EBITDA guidance range.

[George Kelly, analyst]

And then 2 other quick ones. In your prepared remarks, you mentioned that you expect SG&A to moderate in the back half versus what you just reported in the first half. Can you be more specific, does that mean that you expect absolute SG&A dollars to decline in the back half versus the first half? Or what does that mean?

[Robert Peterson, executive]

So here's the way I would look at it. So we expect our core expenses to really remain flat. We don't see any material shifts in the business. But we are going to continue to spend additional funds on revenue-generating activities. We don't have any big expenses like the Sun, Sea events that Terry mentioned that we had in Q2. But we're going to continue to spend on new customer trainings, Amazon demand-generating activities and development of new and existing customer growth. So the moderation is really baked in also into that guidance.

[George Kelly, analyst]

I'm just trying to sort of triangulate into your EBITDA guide. And it implies a fairly significant step-up in EBITDA margin in the back half. And so I'm just trying to figure out like what's -- is that a gross margin thing or an SG&A thing? I don't know if there's a way to sort of get to that? If not, that's okay.

[Robert Peterson, executive]

No, I think -- no, I would just tell you, right now, we do expect that moderation. And I would just say, as we look at gross margin in the second half, I would say we're kind of -- we're going to be guiding towards the high end of our historical range. So in that upper 60s -- upper 60s range. So that can give you kind of a little bit of a guide to where we're going on that front.

[Operator]

And the next question comes from Kaumil Gajrawala with Jefferies.

[Kaumil Gajrawala, analyst]

A couple of, I guess, follow-ups from some of your answer other questions. On the state licensing, can you maybe just give us an update or an idea of maybe how many states are left? And if any particularly large states or ones where you recently became licensed?

[Robert Peterson, executive]

Well, I would tell you that the -- just overall, the state licenses that we've been approved in match up fairly well to our existing footprint. And I would just say that we are continuing. I think I can say with -- we've applied for nearly all states, and they're at varying phases of the approval process.

[Kaumil Gajrawala, analyst]

And on -- I guess a follow-up a little bit to the last question is, was the step-up in marketing simply the big event and we're just looking at more of a run rate over the rest of the year? Or is there a natural sort of in addition to the event a few things that were incremental that stepped up the investment dollars?

[Robert Peterson, executive]

Yes. I would just say the Sun, Sea event is a pretty material event. And I would say that, that is probably one of the largest drivers. I would say that there's a combination, as I mentioned, as we look at optimizing our sales force, doing the -- engaging with our practitioners, improving our data system. There are other smaller items along the way, but you've really hit the big one to.

[Teresa Weber, executive]

Kamil, I think one of the things is that investment in the people, we are going to therapeutic wellness and taking all of our providers to a much more evidence-based science as we look into therapeutic wellness. So we invested in our educators. Those are our practitioners who teach for us, and we educated in their ability to teach and revamping the training program. So I really want to invite you and people in the audience that this is the new training in the fall where this therapeutic wellness is a significant step-up, and we invested in the instructors, the materials and the whole education process to really make it a very strong interactive experience for our new providers and those that are coming back for additional training.

[Operator]

This concludes our question-and-answer session. I would like to turn the conference back over to Terry Weber for any closing remarks.

[Teresa Weber, executive]

Thank you, everyone, for joining us today. We appreciate the interest in Biote, and we really look forward to updating you on our progress in therapeutic wellness on our next conference call.

[Operator]

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.