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biote (BTMD) - 2024 Q4 - Annual Report

Revenue Growth - Revenue for the year ended December 31, 2024, was $197.2 million, up from $185.4 million in 2023, representing a growth of approximately 9.7%[37] - The compound annual growth rate (CAGR) for procedure revenue from 2019 to 2024 was 8.9%[37] - The total U.S. market opportunity for hormone replacement therapy (HRT) products is estimated to exceed $7 billion, with an expected annual growth rate of 7% through 2026[25] Market Opportunity - Approximately 20 million men over age 45 in the U.S. are affected by hypogonadism, with only about 10 million (12%) undergoing testosterone treatment[26] - An average of 27 million women between the ages of 45 and 64 experience menopause annually, yet only 28% (approximately 13 million) undergo HRT[26] Practitioner Engagement - Biote-certified practitioners have performed approximately five million hormone optimization procedures, with over 400,000 active patients as of December 31, 2024[29] - The retention rate among Biote-certified practitioners is over 95% as of December 31, 2024[33] - Biote has contracted with over 8,600 practitioners who have adopted the Biote Method in their practices[33] Product Offerings - Biote-branded dietary supplements represent approximately 18% of annual revenues, with an average supplement volume per practice of approximately $9,100 as of 2024[47] - The company has expanded its product offerings to include 24 dietary supplements since 2013, with prices ranging from $9.46 to $50.45[60] - Biote's dietary supplement business has grown at an 11.5% CAGR from 2019 to 2024[93] Revenue Sources - The service fees generated from hormone replacement therapy (HRT) procedures utilizing pellets accounted for approximately 76% of total revenue in 2024[71] - Biote-branded dietary supplement sales accounted for approximately 18% of total revenue in 2024, with 76% of partnered clinics offering these products[60] Operational Infrastructure - The company employs a 123-person sales force to attract new practitioners and support existing clinics, enhancing overall productivity[73] - The company has developed a comprehensive platform that includes education, training, and practice management tools specifically for hormone optimization[42] - As of December 31, 2024, Biote has contracted with over 8,600 certified practitioners across more than 4,700 partnered clinics, with 900 new clinics added in 2024, contributing to 66% of revenue growth[68] Compliance and Regulatory Environment - The healthcare regulatory landscape is complex and subject to rapid changes, which may impact the company's operations and compliance[119] - The company is subject to various federal and state healthcare regulations, including the Health Insurance Portability and Accountability Act (HIPAA), which mandates the protection of sensitive patient health information[164] - The company must navigate complex state and federal healthcare fraud and abuse laws, which could result in fines and restrictions on its operations if violated[159] Market Challenges - The hormone replacement therapy market is highly competitive, with over 30 brands in the dietary supplement space, posing challenges for market penetration and share[195] - Future revenue growth could slow or decline due to increasing competition and market saturation, impacting profitability[202] - The company faces risks related to potential violations of federal and state healthcare laws, which could lead to legal and financial repercussions[209] International Expansion - The company plans to expand operations into new international markets, including Argentina, Brazil, Colombia, and Canada, which will involve significant resources and management attention[221] - Expansion into new markets may face regulatory, economic, and political risks, including localization of the platform and compliance with local data privacy laws[222] Employee and Practitioner Relations - The company is highly dependent on key personnel, and losing any of them could severely disrupt operations and growth prospects[204] - Attracting and retaining contracts with Biote-certified practitioners and clinics is crucial for maintaining business and brand image[205] Financial Reporting and Structure - Biote Holdings, LLC completed a business combination with Haymaker Acquisition Corp. III, resulting in the formation of biote Corp. on May 26, 2022[172] - The company operates under an umbrella partnership-C corporation (Up-C) structure, which may have implications for its financial reporting and tax obligations[172] Supply Chain and Inventory Management - The company has increased its safety stock for dietary supplements from three weeks to four weeks due to global supply chain disruptions[109] - The reliance on third-party manufacturers for dietary supplements entails risks, including potential inventory shortages and compliance issues, which could adversely affect the company's operations[182]