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May 2023
May 2023
February 2023
January 2023
December 2022
November 2022
November 2022
October 2022
Fourth Quarter 2022 Overview | |||||||||||||||||||||||
$196.3M | $20.7M | $49.5M | |||||||||||||||||||||
TOTAL REVENUE | GAAP NET INCOME | ADJUSTED EBITDA(1) |
$(18.6)M | 25% YoY | $144.4M | |||||||||||||||||||||
OPERATING CASH FLOW | IMPROVEMENT TO TELEPHONIC CONVERSION RATE | ENDING CASH, CASH EQUIVALENTS & MARKETABLE SECURITIES |
Fourth Quarter and Fiscal Year 2022 Highlights | ||||||||
•Outperformed the high end of all FY 2022 guidance metrics ranges. •Realized $114 million in net operating cost savings compared to FY 2021. •Q4 2022 net income was $20.7 million compared to net loss of $32.2 million in Q4 2021. –Q4 2022 net income margin was 10.5% compared to net loss margin of 13.2% Q4 2021. •Q4 2022 adjusted EBITDA improved 76% compared to Q4 2021 on lower revenue base. –Q4 2022 adjusted EBITDA margin(1) of 25% more-than-doubled from 12% in Q4 2021. •Significant improvements to Q4 2022 operating efficiency compared to Q4 2021 include: –Telephonic conversion rate increased by 25%. –Q4 2022 Medicare segment profit margin was 29%, up from 15% in Q4 2021. •Achieved significant improvements in quality related metrics including Complaint Tracking Module, or CTM, scores. •Q4 2022 Medicare Advantage LTV increased to $1,033 from $1,017 in Q4 2021, a 2% improvement. •Expect to have sufficient liquidity to support our business needs and objectives in FY 2023. –Ended FY 2022 with $144.4 million in cash, cash equivalents and marketable securities and $884.3 million of total commissions receivable. •FY 2022 estimated Medicare Advantage membership and total estimated Medicare membership each grew 2% compared to FY 2021, despite lower Medicare approved enrollments in FY 2022. •Midpoint of 2023 annual guidance implies return to revenue growth at 6% while achieving GAAP net loss of roughly $45.0 million and year-over-year improvement in adjusted EBITDA of roughly $37.0 million. | ||||||||
CEO Comments | ||||||||
“eHealth delivered strong FY 2022 results that came in ahead of the high end of our guidance for each of the metrics we guided to. Our strong Annual Enrollment Period performance was driven by significant improvements to the efficiency of our call center and marketing operations. We believe we are steadily moving towards our goal of becoming the gold standard in enrollment quality within our sector while also achieving and exceeding our financial targets. While we are pleased with the operational achievements we have made over the course of last year, we believe we still have many improvement opportunities as we progress toward producing sustainable profitable growth.” – Fran Soistman |
(In thousands, except per share amounts) | Q4 2022 | Q4 2021 | |||||||||
Total revenue | $ | 196,321 | $ | 243,514 | |||||||
Total commission revenue | 170,584 | 217,053 | |||||||||
Segment revenue | |||||||||||
Medicare | 180,421 | 230,584 | |||||||||
Individual, Family and Small Business | 15,900 | 12,930 | |||||||||
Segment profit | |||||||||||
Medicare | 53,177 | 34,062 | |||||||||
Individual, Family and Small Business | 9,153 | 7,229 | |||||||||
Income (loss) from operations | 30,743 | (33,633) | |||||||||
Net income (loss) | 20,671 | (32,152) | |||||||||
Net income (loss) attributable to common stockholders | 12,572 | (39,306) | |||||||||
Diluted net income (loss) attributable to common stockholders per share | 0.41 | (1.45) | |||||||||
Net cash used in operating activities | (18,579) | (102,301) |
(In thousands, except per share amounts) | Year Ended December 31, 2022 | Year Ended December 31, 2021 | |||||||||
Total Revenue | $ | 405,356 | $ | 538,199 | |||||||
Total Commission Revenue | 361,246 | 493,119 | |||||||||
Segment Revenue | |||||||||||
Medicare | 361,687 | 471,217 | |||||||||
Individual, Family and Small Business | 43,669 | 66,982 | |||||||||
Segment Profit (Loss) | |||||||||||
Medicare | (9,873) | (12,079) | |||||||||
Individual, Family and Small Business | 21,438 | 45,705 | |||||||||
Loss from operations | (102,713) | (125,645) | |||||||||
Net loss | (88,722) | (104,375) | |||||||||
Net loss attributable to common stockholders | (119,414) | (122,942) | |||||||||
Diluted net loss attributable to common stockholders per share | (4.36) | (4.59) | |||||||||
Net cash used in operating activities | (26,869) | (162,622) |
(In thousands, except per share amounts) | Q4 2022 | Q4 2021 | |||||||||
Non-GAAP net income | $ | 31,355 | $ | 13,122 | |||||||
Non-GAAP net income per diluted share | 1.14 | 0.49 | |||||||||
Adjusted EBITDA | 49,474 | 28,172 |
(In thousands, except per share amounts) | Year Ended December 31, 2022 | Year Ended December 31, 2021 | |||||||||
Non-GAAP net loss | $ | (57,591) | $ | (37,309) | |||||||
Non-GAAP net loss per diluted share | (2.11) | (1.40) | |||||||||
Adjusted EBITDA | (41,673) | (22,699) |
Q4 2022 | Q4 2021 | ||||||||||
Approved Members | |||||||||||
Medicare | 161,469 | 239,934 | |||||||||
Individual and Family | 14,010 | 13,692 | |||||||||
Online Submission %(1) – Major Medicare(2) | 61 | % | 58 | % | |||||||
Unassisted Online Submission % – Major Medicare(2) | 27 | % | 24 | % |
Year Ended December 31, 2022 | Year Ended December 31, 2021 | |||||||||||||
Approved Members | ||||||||||||||
Medicare | 361,612 | 501,070 | ||||||||||||
Individual and Family | 33,271 | 42,711 | ||||||||||||
Estimated Membership | 1,338,990 | (1) | 1,346,375 | (2) | ||||||||||
(1) | See Non-GAAP Financial Information for definitions of our non-GAAP financial measures. | ||||
December 31, 2022 | December 31, 2021 | ||||||||||
Assets | |||||||||||
Current assets: | |||||||||||
Cash and cash equivalents | $ | 144,401 | $ | 81,926 | |||||||
Short-term marketable securities | — | 41,306 | |||||||||
Accounts receivable | 2,633 | 5,750 | |||||||||
Contract assets – commissions receivable – current | 242,749 | 254,821 | |||||||||
Prepaid expenses and other current assets | 11,301 | 23,784 | |||||||||
Total current assets | 401,084 | 407,587 | |||||||||
Contract assets – commissions receivable – non-current | 641,555 | 653,441 | |||||||||
Property and equipment, net | 5,501 | 12,105 | |||||||||
Operating lease right-of-use assets | 26,516 | 37,373 | |||||||||
Restricted cash | 3,239 | 3,239 | |||||||||
Other assets | 34,716 | 35,547 | |||||||||
Total assets | $ | 1,112,611 | $ | 1,149,292 | |||||||
Liabilities, convertible preferred stock and stockholders’ equity | |||||||||||
Current liabilities: | |||||||||||
Accounts payable | $ | 6,732 | $ | 13,750 | |||||||
Accrued compensation and benefits | 20,690 | 16,458 | |||||||||
Accrued marketing expenses | 23,770 | 36,384 | |||||||||
Lease liabilities – current | 6,486 | 5,543 | |||||||||
Other current liabilities | 2,887 | 3,330 | |||||||||
Total current liabilities | 60,565 | 75,465 | |||||||||
Long-term debt | 66,129 | — | |||||||||
Deferred income taxes – non-current | 32,359 | 50,796 | |||||||||
Lease liabilities – non-current | 34,187 | 35,826 | |||||||||
Other non-current liabilities | 5,132 | 5,094 | |||||||||
Total liabilities | 198,372 | 167,181 | |||||||||
Convertible preferred stock | 263,284 | 232,592 | |||||||||
Stockholders’ equity: | |||||||||||
Common stock | 40 | 39 | |||||||||
Additional paid-in capital | 777,187 | 755,875 | |||||||||
Treasury stock, at cost | (199,998) | (199,998) | |||||||||
Retained earnings | 73,799 | 193,213 | |||||||||
Accumulated other comprehensive income (loss) | (73) | 390 | |||||||||
Total stockholders’ equity | $ | 650,955 | $ | 749,519 | |||||||
Total liabilities, convertible preferred stock, and stockholders’ equity | $ | 1,112,611 | $ | 1,149,292 |
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Revenue: | |||||||||||||||||||||||
Commission | $ | 170,584 | $ | 217,053 | $ | 361,246 | $ | 493,119 | |||||||||||||||
Other | 25,737 | 26,461 | 44,110 | 45,080 | |||||||||||||||||||
Total revenue | 196,321 | 243,514 | 405,356 | 538,199 | |||||||||||||||||||
Operating costs and expenses(1): | |||||||||||||||||||||||
Cost of revenue | 857 | 775 | 1,647 | 1,992 | |||||||||||||||||||
Marketing and advertising | 76,115 | 132,528 | 195,088 | 271,300 | |||||||||||||||||||
Customer care and enrollment | 40,388 | 57,815 | 141,099 | 179,295 | |||||||||||||||||||
Technology and content | 21,967 | 19,804 | 78,809 | 83,800 | |||||||||||||||||||
General and administrative | 17,325 | 17,887 | 71,810 | 75,699 | |||||||||||||||||||
Amortization of intangible assets | — | 120 | — | 536 | |||||||||||||||||||
Impairment, restructuring and other charges | 8,926 | 48,218 | 19,616 | 51,222 | |||||||||||||||||||
Total operating costs and expenses | 165,578 | 277,147 | 508,069 | 663,844 | |||||||||||||||||||
Income (loss) from operations | 30,743 | (33,633) | (102,713) | (125,645) | |||||||||||||||||||
Other income (expense), net | (841) | 244 | (3,676) | 755 | |||||||||||||||||||
Income (loss) before income taxes | 29,902 | (33,389) | (106,389) | (124,890) | |||||||||||||||||||
Provision for (benefit from) income taxes | 9,231 | (1,237) | (17,667) | (20,515) | |||||||||||||||||||
Net income (loss) | 20,671 | (32,152) | (88,722) | (104,375) | |||||||||||||||||||
Paid-in-kind dividends for preferred stock | (4,937) | (4,563) | (19,357) | (12,206) | |||||||||||||||||||
Change in preferred stock redemption value | (3,162) | (2,591) | (11,335) | (6,361) | |||||||||||||||||||
Net income (loss) attributable to common stockholders | $ | 12,572 | $ | (39,306) | $ | (119,414) | $ | (122,942) | |||||||||||||||
Net income (loss) per share attributable to common stockholders(2): | |||||||||||||||||||||||
Basic | $ | 0.41 | $ | (1.45) | $ | (4.36) | $ | (4.59) | |||||||||||||||
Diluted | $ | 0.41 | $ | (1.45) | $ | (4.36) | $ | (4.59) | |||||||||||||||
Weighted-average number of shares used in per share: | |||||||||||||||||||||||
Basic | 27,514 | 27,063 | 27,359 | 26,781 | |||||||||||||||||||
Diluted | 27,558 | 27,063 | 27,359 | 26,781 | |||||||||||||||||||
_____________ (1) Includes stock-based compensation expense as follows: | |||||||||||||||||||||||
Marketing and advertising | $ | 590 | $ | 1,738 | $ | 1,901 | $ | 8,660 | |||||||||||||||
Customer care and enrollment | 520 | 935 | 2,096 | 2,836 | |||||||||||||||||||
Technology and content | 1,003 | 2,530 | 6,015 | 10,013 | |||||||||||||||||||
General and administrative | 2,269 | 2,773 | 10,304 | 11,348 | |||||||||||||||||||
Total stock-based compensation expense | $ | 4,382 | $ | 7,976 | $ | 20,316 | $ | 32,857 |
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Operating activities: | |||||||||||||||||||||||
Net income (loss) | $ | 20,671 | $ | (32,152) | $ | (88,722) | $ | (104,375) | |||||||||||||||
Adjustments to reconcile net income (loss) to net cash used in operating activities: | |||||||||||||||||||||||
Depreciation and amortization | 874 | 1,730 | 3,845 | 5,430 | |||||||||||||||||||
Amortization of internally developed software | 4,549 | 3,761 | 17,263 | 12,901 | |||||||||||||||||||
Amortization of intangible assets | — | 120 | — | 536 | |||||||||||||||||||
Stock-based compensation expense | 4,382 | 7,976 | 20,316 | 32,857 | |||||||||||||||||||
Deferred income taxes | 8,771 | (1,388) | (18,436) | (21,522) | |||||||||||||||||||
Impairment charges | 8,368 | 46,344 | 12,102 | 46,344 | |||||||||||||||||||
Other non-cash items | 751 | 558 | 2,084 | 1,466 | |||||||||||||||||||
Changes in operating assets and liabilities: | |||||||||||||||||||||||
Accounts receivable | (828) | (4,445) | 3,118 | (3,952) | |||||||||||||||||||
Contract assets – commissions receivable | (98,650) | (151,274) | 23,760 | (116,030) | |||||||||||||||||||
Prepaid expenses and other assets | 10,745 | 12,845 | 13,473 | (7,945) | |||||||||||||||||||
Accounts payable | 89 | 3,861 | (7,029) | (23,052) | |||||||||||||||||||
Accrued compensation and benefits | 5,577 | (3,965) | 4,232 | (4,083) | |||||||||||||||||||
Accrued marketing expenses | 15,561 | 25,121 | (12,614) | 18,596 | |||||||||||||||||||
Deferred revenue | 459 | (10,220) | 175 | 20 | |||||||||||||||||||
Accrued expenses and other liabilities | 102 | (1,173) | (436) | 187 | |||||||||||||||||||
Net cash used in operating activities | (18,579) | (102,301) | (26,869) | (162,622) | |||||||||||||||||||
Investing activities: | |||||||||||||||||||||||
Capitalized internal-use software and website development costs | (2,752) | (4,403) | (15,292) | (16,992) | |||||||||||||||||||
Purchases of property and equipment and other assets | (22) | (311) | (214) | (3,865) | |||||||||||||||||||
Purchases of marketable securities | — | (14,091) | (8,402) | (103,058) | |||||||||||||||||||
Proceeds from redemption and maturities of marketable securities | 4,500 | 42,996 | 49,769 | 111,284 | |||||||||||||||||||
Net cash provided by (used in) investing activities | 1,726 | 24,191 | 25,861 | (12,631) | |||||||||||||||||||
Financing activities: | |||||||||||||||||||||||
Proceeds from issuance of preferred stock, net of issuance costs | — | — | — | 214,025 | |||||||||||||||||||
Net proceeds from debt financing | — | — | 64,862 | — | |||||||||||||||||||
Net proceeds from exercise of common stock options and employee stock purchases | 1,160 | 3,716 | 2,214 | 8,699 | |||||||||||||||||||
Repurchase of shares to satisfy employee tax withholding obligations | (201) | (1,365) | (3,102) | (9,333) | |||||||||||||||||||
Principal payments in connection with leases | (46) | (24) | (136) | (150) | |||||||||||||||||||
Net cash provided by financing activities | 913 | 2,327 | 63,838 | 213,241 | |||||||||||||||||||
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 83 | 64 | (355) | 64 | |||||||||||||||||||
Net increase (decrease) in cash, cash equivalents and restricted cash | (15,857) | (75,719) | 62,475 | 38,052 | |||||||||||||||||||
Cash, cash equivalents and restricted cash at beginning of period | 163,497 | 160,884 | 85,165 | 47,113 | |||||||||||||||||||
Cash, cash equivalents and restricted cash at end of period | $ | 147,640 | $ | 85,165 | $ | 147,640 | $ | 85,165 |
Three Months Ended December 31, | % Change | Year Ended December 31, | % Change | ||||||||||||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||||||||||||||
Revenue | |||||||||||||||||||||||||||||||||||
Medicare (1) | $ | 180,421 | $ | 230,584 | (22) | % | $ | 361,687 | $ | 471,217 | (23) | % | |||||||||||||||||||||||
Individual, Family and Small Business (2) | 15,900 | 12,930 | 23 | % | 43,669 | 66,982 | (35) | % | |||||||||||||||||||||||||||
Total revenue | $ | 196,321 | $ | 243,514 | (19) | % | $ | 405,356 | $ | 538,199 | (25) | % | |||||||||||||||||||||||
Segment profit (loss) | |||||||||||||||||||||||||||||||||||
Medicare(3) | $ | 53,177 | $ | 34,062 | 56 | % | $ | (9,873) | $ | (12,079) | 18 | % | |||||||||||||||||||||||
Individual, Family and Small Business(3) | 9,153 | 7,229 | 27 | % | 21,438 | 45,705 | (53) | % | |||||||||||||||||||||||||||
Segment profit | 62,330 | 41,291 | 51 | % | 11,565 | 33,626 | (66) | % | |||||||||||||||||||||||||||
Corporate (4) | (12,856) | (13,119) | 2 | % | (53,238) | (56,325) | 5 | % | |||||||||||||||||||||||||||
Stock-based compensation expense | (4,382) | (7,976) | 45 | % | (20,316) | (32,857) | 38 | % | |||||||||||||||||||||||||||
Depreciation and amortization | (5,423) | (5,491) | 1 | % | (21,108) | (18,331) | (15) | % | |||||||||||||||||||||||||||
Amortization of intangible assets | — | (120) | 100 | % | — | (536) | 100 | % | |||||||||||||||||||||||||||
Impairment, restructuring and other charges | (8,926) | (48,218) | 81 | % | (19,616) | (51,222) | 62 | % | |||||||||||||||||||||||||||
Other income (expense), net | (841) | 244 | (445) | % | (3,676) | 755 | (587) | % | |||||||||||||||||||||||||||
Income (loss) before income taxes | $ | 29,902 | $ | (33,389) | 190 | % | $ | (106,389) | $ | (124,890) | 15 | % |
(1) | The Medicare segment consists primarily of amounts earned from our sale of Medicare-related health insurance plans, including Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans, fees for the performance of administrative services and to a lesser extent, amounts from our sale of ancillary products sold to our Medicare-eligible customers, including but not limited to, dental and vision plans, as well as amounts we are paid in connection with our advertising program for marketing and other services. | ||||
(2) | The Individual, Family and Small Business segment consists primarily of amounts earned from our sale of individual, family and small business health insurance plans and ancillary products sold to our non-Medicare-eligible customers, including but not limited to, dental, vision, and short-term insurance. To a lesser extent, the Individual, Family and Small Business segment consists of amounts earned from our online sponsorship program that allows carriers to purchase advertising space in specific markets in a sponsorship area on our website, our licensing to third parties the use of our health insurance ecommerce technology, and our delivery and sale to third parties of individual and family health insurance plans leads generated by our ecommerce platforms and our marketing activities. | ||||
(3) | Segment profit (loss) is calculated as total revenue for the applicable segment less direct and indirect allocated marketing and advertising, customer care and enrollment, technology and content and general and administrative operating expenses, excluding stock-based compensation expense, depreciation and amortization, amortization of intangible assets, impairment, restructuring and other charges. | ||||
(4) | Corporate consists of other indirect general and administrative operating expenses, excluding stock-based compensation expense, depreciation and amortization, which are managed in a corporate shared services environment and, because they are not the responsibility of segment operating management, are not allocated to the reportable segments. |
Three Months Ended December 31, | % Change | Year Ended December 31, | % Change | ||||||||||||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||||||||||||||
Medicare | |||||||||||||||||||||||||||||||||||
Medicare Advantage | $ | 141,501 | $ | 184,644 | (23) | % | $ | 293,562 | $ | 393,868 | (25) | % | |||||||||||||||||||||||
Medicare Supplement | 6,128 | 8,915 | (31) | % | 17,419 | 24,272 | (28) | % | |||||||||||||||||||||||||||
Medicare Part D | 5,006 | 10,314 | (51) | % | 7,171 | 7,361 | (3) | % | |||||||||||||||||||||||||||
Total Medicare | 152,635 | 203,873 | (25) | % | 318,152 | 425,501 | (25) | % | |||||||||||||||||||||||||||
Individual and Family (2) | |||||||||||||||||||||||||||||||||||
Non-Qualified Health Plans | 6,460 | 3,227 | 100 | % | 12,430 | 23,579 | (47) | % | |||||||||||||||||||||||||||
Qualified Health Plans | 2,460 | 2,091 | 18 | % | 5,435 | 9,295 | (42) | % | |||||||||||||||||||||||||||
Total Individual and Family | 8,920 | 5,318 | 68 | % | 17,865 | 32,874 | (46) | % | |||||||||||||||||||||||||||
Ancillary | |||||||||||||||||||||||||||||||||||
Short-term | 1,132 | 1,473 | (23) | % | 4,419 | 6,112 | (28) | % | |||||||||||||||||||||||||||
Dental | 1,240 | 890 | 39 | % | 3,489 | 10,216 | (66) | % | |||||||||||||||||||||||||||
Vision | 309 | 469 | (34) | % | 1,050 | 2,250 | (53) | % | |||||||||||||||||||||||||||
Other | 705 | 875 | (19) | % | 2,508 | 2,776 | (10) | % | |||||||||||||||||||||||||||
Total Ancillary | 3,386 | 3,707 | (9) | % | 11,466 | 21,354 | (46) | % | |||||||||||||||||||||||||||
Small Business | 3,296 | 3,017 | 9 | % | 11,842 | 10,720 | 10 | % | |||||||||||||||||||||||||||
Commission Bonus and Other | 2,347 | 1,138 | 106 | % | 1,921 | 2,670 | (28) | % | |||||||||||||||||||||||||||
Total Commission Revenue | $ | 170,584 | $ | 217,053 | (21) | % | $ | 361,246 | $ | 493,119 | (27) | % |
(1) | Our commission revenue results from approval of an application from health insurance carriers, which we define as our customers under ASC 606. Our commission revenue is primarily comprised of commissions from health insurance carriers which is computed using the estimated constrained lifetime values as the “constrained LTVs” of commission payments that we expect to receive. Our commissions include regular payments with respect to administrative services we perform. Our Medicare Supplement plan commissions include certain bonus payments, which are generally based on our attaining predetermined target sales levels or other objectives, as determined by the health insurance carriers. | ||||
(2) | We define our Individual and Family plan offerings as major medical individual and family health insurance plans, which does not include Medicare-related, small business or ancillary plans. Individual and family health insurance plans include both qualified and non-qualified plans. Qualified health plans are individual and family health insurance plans that meet the requirements of the Affordable Care Act and are offered through the government-run health insurance exchange in the relevant jurisdiction. Non-qualified health plans are Individual and Family plans that meet the requirements of the Affordable Care Act and are not offered through the exchange in the relevant jurisdiction. Individuals that purchase non-qualified health plans cannot receive a subsidy in connection with the purchase of those plans. |
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Medicare: | |||||||||||||||||||||||
Commission Revenue from Members Approved During the Period | $ | 148,716 | $ | 201,764 | $ | 322,506 | $ | 437,738 | |||||||||||||||
Net Commission Revenue from Members Approved in Prior Periods (2) | 6,726 | 3,286 | (2,326) | (8,414) | |||||||||||||||||||
Total Medicare Segment Commission Revenue | 155,442 | 205,050 | 320,180 | 429,324 | |||||||||||||||||||
Individual, Family and Small Business: | |||||||||||||||||||||||
Commission Revenue from Members Approved During the Period | 8,104 | 8,583 | 22,358 | 25,078 | |||||||||||||||||||
Commission Revenue from Renewals of Small Business Members During the Period | 2,700 | 2,410 | 9,981 | 8,564 | |||||||||||||||||||
Net Commission Revenue from Members Approved in Prior Periods (1) | 4,338 | 1,010 | 8,727 | 30,153 | |||||||||||||||||||
Total Individual, Family and Small Business Segment Commission Revenue | 15,142 | 12,003 | 41,066 | 63,795 | |||||||||||||||||||
Total Commission Revenue | $ | 170,584 | $ | 217,053 | $ | 361,246 | $ | 493,119 |
(1) | Our commission revenue results from approval of an application from health insurance carriers, which we define as our customers under ASC 606. Our commission revenue is primarily comprised of commissions from health insurance carriers which is computed using the estimated constrained lifetime values as the “constrained LTVs” of commission payments that we expect to receive. Our commissions include regular payments with respect to administrative services we perform. Our Medicare Supplement plan commissions include certain bonus payments, which are generally based on our attaining predetermined target sales levels or other objectives, as determined by the health insurance carriers. | ||||
(2) | These amounts reflect our revised estimates of cash collections for certain members approved prior to the relevant reporting period that are recognized as net adjustment revenue within the relevant reporting period. The net adjustment revenue includes both increases in revenue for certain prior period cohorts as well as reductions in revenue for certain prior period cohorts. | ||||
The total reductions to revenue from members approved in prior periods were $0.7 million and $6.2 million for the three months ended December 31, 2022 and 2021, respectively, and $16.5 million and $28.8 million for the year ended December 31, 2022 and 2021, respectively. These reductions to revenue primarily related to the Medicare segment. | |||||
Three Months Ended December 31, | % Change | Year Ended December 31, | % Change | ||||||||||||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||||||||||||||
Approved Members | |||||||||||||||||||||||||||||||||||
Medicare Advantage | 131,235 | 177,469 | (26) | % | 302,949 | 399,758 | (24) | % | |||||||||||||||||||||||||||
Medicare Supplement | 6,340 | 9,850 | (36) | % | 18,569 | 28,020 | (34) | % | |||||||||||||||||||||||||||
Medicare Part D | 23,894 | 52,615 | (55) | % | 40,094 | 73,292 | (45) | % | |||||||||||||||||||||||||||
Total Medicare | 161,469 | 239,934 | (33) | % | 361,612 | 501,070 | (28) | % | |||||||||||||||||||||||||||
Individual and Family | 14,010 | 13,692 | 2 | % | 33,271 | 42,711 | (22) | % | |||||||||||||||||||||||||||
Ancillary | 17,749 | 24,051 | (26) | % | 72,004 | 97,694 | (26) | % | |||||||||||||||||||||||||||
Small Business | 2,947 | 3,576 | (18) | % | 9,722 | 11,432 | (15) | % | |||||||||||||||||||||||||||
Total Approved Members | 196,175 | 281,253 | (30) | % | 476,609 | 652,907 | (27) | % | |||||||||||||||||||||||||||
As of December 31, | % Change | ||||||||||||||||
2022 | 2021 | ||||||||||||||||
Medicare (1) | |||||||||||||||||
Medicare Advantage | 645,864 | 632,574 | 2 | % | |||||||||||||
Medicare Supplement | 100,039 | 101,794 | (2) | % | |||||||||||||
Medicare Part D | 229,962 | 225,129 | 2 | % | |||||||||||||
Total Medicare | 975,865 | 959,497 | 2 | % | |||||||||||||
Individual and Family(1) | 102,971 | 105,211 | (2) | % | |||||||||||||
Ancillary (1) | 214,570 | 235,017 | (9) | % | |||||||||||||
Small Business (2) | 45,584 | 46,650 | (2) | % | |||||||||||||
Total Estimated Membership | 1,338,990 | 1,346,375 | (1) | % |
(1) | To estimate the number of members on Medicare-related, individual and family, and ancillary health insurance plans, we take the respective sum of (i) the number of members for whom we have received or applied a commission payment for a month that may be up to three months prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations over the period being estimated); and (ii) the number of approved members over that period (after reducing that number using historical experience for an assumed number of members who do not accept their approved policy and for estimated member cancellations through the date of the estimate). To the extent we determine through confirmations from a health insurance carrier that a commission payment is delayed or is inaccurate as of the date of estimation, we adjust the estimated membership to also reflect the number of members for whom we expect to receive or to refund a commission payment. Further, to the extent we have received substantially all of the commission payments related to a given month during the period being estimated, we will take the number of members for whom we have received or applied a commission payment during the month of estimation. For ancillary health insurance plans, the one to three-month period varies by insurance product and is largely dependent upon the timeliness of commission payment and related reporting from the related carriers. | ||||
(2) | To estimate the number of members on small business health insurance plans, we use the number of initial members at the time the group was approved, and we update this number for changes in membership if such changes are reported to us by the group or carrier. However, groups generally notify the carrier directly of policy cancellations and increases or decreases in group size without informing us. Health insurance carriers often do not communicate policy cancellation information or group size changes to us. We often are made aware of policy cancellations and group size changes at the time of annual renewal and update our membership statistics accordingly in the period they are reported. |
Three Months Ended December 31, | % Change | ||||||||||||||||
2022 | 2021 | ||||||||||||||||
Medicare | |||||||||||||||||
Medicare Advantage (1) | $ | 1,033 | $ | 1,017 | 2 | % | |||||||||||
Medicare Supplement (1) | 945 | 993 | (5) | % | |||||||||||||
Medicare Part D (1) | 182 | 197 | (8) | % | |||||||||||||
Individual and Family | |||||||||||||||||
Non-Qualified Health Plans (1) | 404 | 349 | 16 | % | |||||||||||||
Qualified Health Plans (1) | 382 | 361 | 6 | % | |||||||||||||
Ancillary | |||||||||||||||||
Short-term (1) | 170 | 173 | (2) | % | |||||||||||||
Dental (1) | 117 | 108 | 8 | % | |||||||||||||
Vision (1) | 69 | 69 | — | % | |||||||||||||
Small Business (2) | 227 | 189 | 20 | % |
(1) | Constrained lifetime value (“LTV”) of commissions per approved member represents commissions estimated to be collected over the estimated life of an approved member’s plan after applying constraints in accordance with our revenue recognition policy. The estimate is driven by multiple factors, including but not limited to, contracted commission rates, carrier mix, estimated average plan duration, the regulatory environment, and cancellations of insurance plans offered by health insurance carriers with which we have a relationship. These factors may result in varying values from period to period. | ||||
(2) | For small business, the amount represents the estimated commissions we expect to collect from the plan over the following twelve months. The estimate is driven by multiple factors, including but not limited to, contracted commission rates, carrier mix, estimated average plan duration, the regulatory environment, and cancellations of insurance plans offered by health insurance carriers with which we have a relationship and applied constraints. These factors may result in varying values from period to period. |
Three Months Ended December 31, | |||||||||||
2022 | 2021 | ||||||||||
Medicare | |||||||||||
Medicare Advantage | 7 | % | 7 | % | |||||||
Medicare Supplement | 9 | % | 9 | % | |||||||
Medicare Part D | 7 | % | 7 | % | |||||||
Individual and Family | |||||||||||
Non-Qualified Health Plans | 4 | % | 7 | % | |||||||
Qualified Health Plans | 4 | % | 4 | % | |||||||
Certain Ancillary Products | |||||||||||
Short-term | 20 | % | 20 | % | |||||||
Dental | 5 | % | 5 | % | |||||||
Vision | 5 | % | 5 | % | |||||||
Other | 10 | % | 10 | % | |||||||
Small Business | 5 | % | 5 | % |
Three Months Ended December 31, | % Change | ||||||||||||||||
2022 | 2021 | ||||||||||||||||
Medicare: | |||||||||||||||||
Estimated customer care and enrollment ("CC&E") cost per Medicare Advantage ("MA")-equivalent approved member (1) | $ | 259 | $ | 276 | (6) | % | |||||||||||
Estimated variable marketing cost per MA-equivalent approved member (1) | 470 | 614 | (23) | % | |||||||||||||
Total Medicare estimated cost per approved member | $ | 729 | $ | 890 | (18) | % | |||||||||||
Individual and Family Plan ("IFP"): | |||||||||||||||||
Estimated CC&E cost per IFP-equivalent approved member (2) | $ | 137 | $ | 88 | 56 | % | |||||||||||
Estimated variable marketing cost per IFP-equivalent approved member (2) | 68 | 89 | (24) | % | |||||||||||||
Total IFP estimated cost per approved member | $ | 205 | $ | 177 | 16 | % |
(1) | MA-equivalent approved members is a derived metric with a Medicare Part D approved member being weighted at 25% of a Medicare Advantage member and a Medicare Supplement member based on their relative LTVs at the time of our adoption of Accounting Standards Codification 606 – Revenue from Contracts with Customers (“ASC 606”). We calculate the number of approved MA-equivalent members by adding the total number of approved Medicare Advantage and Medicare Supplement members and 25% of the total number of approved Medicare Part D members during the period presented. | ||||
(2) | IFP-equivalent approved members is a derived metric with a short-term approved member being weighted at 33% of a major medical individual and family health insurance plan member based on their relative LTVs at the time of our adoption of ASC 606. We calculate the number of approved IFP-equivalent members by adding the total number of approved qualified and non-qualified health plan members and 33% of the total number of short-term approved members during the period presented. |
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
GAAP marketing and advertising expense | $ | 76,115 | $ | 132,528 | $ | 195,088 | $ | 271,300 | |||||||||||||||
Stock-based compensation expense (1) | (590) | (1,738) | (1,901) | (8,660) | |||||||||||||||||||
Non-GAAP marketing and advertising expense | $ | 75,525 | $ | 130,790 | $ | 193,187 | $ | 262,640 | |||||||||||||||
GAAP customer care and enrollment expense | $ | 40,388 | $ | 57,815 | $ | 141,099 | $ | 179,295 | |||||||||||||||
Stock-based compensation expense (1) | (520) | (935) | (2,096) | (2,836) | |||||||||||||||||||
Non-GAAP customer care and enrollment expense | $ | 39,868 | $ | 56,880 | $ | 139,003 | $ | 176,459 | |||||||||||||||
GAAP technology and content expense | $ | 21,967 | $ | 19,804 | $ | 78,809 | $ | 83,800 | |||||||||||||||
Stock-based compensation expense (1) | (1,003) | (2,530) | (6,015) | (10,013) | |||||||||||||||||||
Non-GAAP technology and content expense | $ | 20,964 | $ | 17,274 | $ | 72,794 | $ | 73,787 | |||||||||||||||
GAAP general and administrative expense | $ | 17,325 | $ | 17,887 | $ | 71,810 | $ | 75,699 | |||||||||||||||
Stock-based compensation expense (1) | (2,269) | (2,773) | (10,304) | (11,348) | |||||||||||||||||||
Non-GAAP general and administrative expense | $ | 15,056 | $ | 15,114 | $ | 61,506 | $ | 64,351 | |||||||||||||||
GAAP operating costs and expenses | $ | 165,578 | $ | 277,147 | $ | 508,069 | $ | 663,844 | |||||||||||||||
Stock-based compensation expense (1) | (4,382) | (7,976) | (20,316) | (32,857) | |||||||||||||||||||
Amortization of intangible assets | — | (120) | — | (536) | |||||||||||||||||||
Impairment, restructuring and other charges | (8,926) | (48,218) | (19,616) | (51,222) | |||||||||||||||||||
Non-GAAP operating costs and expenses | $ | 152,270 | $ | 220,833 | $ | 468,137 | $ | 579,229 | |||||||||||||||
(1) | Non-GAAP expenses exclude the effect of expensing stock-based compensation related to stock options, restricted stock awards, performance-based and market-based equity awards, and the employee stock purchase plan. | ||||
Three Months Ended December 31, | Year Ended December 31, | ||||||||||||||||||||||
2022 | 2021 | 2022 | 2021 | ||||||||||||||||||||
Net income (loss) attributable to common stockholders | $ | 12,572 | $ | (39,306) | $ | (119,414) | $ | (122,942) | |||||||||||||||
Paid-in-kind dividends for preferred stock | 4,937 | 4,563 | 19,357 | 12,206 | |||||||||||||||||||
Change in preferred stock redemption value | 3,162 | 2,591 | 11,335 | 6,361 | |||||||||||||||||||
GAAP net income (loss) | 20,671 | (32,152) | (88,722) | (104,375) | |||||||||||||||||||
Stock-based compensation expense | 4,382 | 7,976 | 20,316 | 32,857 | |||||||||||||||||||
Amortization of intangible assets | — | 120 | — | 536 | |||||||||||||||||||
Impairment, restructuring and other charges | 8,926 | 48,218 | 19,616 | 51,222 | |||||||||||||||||||
Tax effect of non-GAAP adjustments | (2,624) | (11,040) | (8,801) | (17,549) | |||||||||||||||||||
Non-GAAP net income (loss) | $ | 31,355 | $ | 13,122 | $ | (57,591) | $ | (37,309) | |||||||||||||||
GAAP net income (loss) attributable to common stockholders per diluted share | $ | 0.41 | $ | (1.45) | $ | (4.36) | $ | (4.59) | |||||||||||||||
Net income allocated to participating securities | 0.05 | — | — | — | |||||||||||||||||||
Impact from preferred stock | 0.29 | 0.26 | 1.12 | 0.69 | |||||||||||||||||||
Stock-based compensation expense | 0.16 | 0.30 | 0.74 | 1.23 | |||||||||||||||||||
Amortization of intangible assets | — | — | — | 0.02 | |||||||||||||||||||
Impairment, restructuring and other charges | 0.32 | 1.78 | 0.72 | 1.91 | |||||||||||||||||||
Tax effect of non-GAAP adjustments | (0.10) | (0.40) | (0.32) | (0.66) | |||||||||||||||||||
Non-GAAP net income (loss) per diluted share(2) | $ | 1.14 | $ | 0.49 | $ | (2.11) | $ | (1.40) | |||||||||||||||
Net income (loss) attributable to common stockholders | $ | 12,572 | $ | (39,306) | $ | (119,414) | $ | (122,942) | |||||||||||||||
Paid-in-kind dividends for preferred stock | 4,937 | 4,563 | 19,357 | 12,206 | |||||||||||||||||||
Change in preferred stock redemption value | 3,162 | 2,591 | 11,335 | 6,361 | |||||||||||||||||||
GAAP net income (loss) | 20,671 | (32,152) | (88,722) | (104,375) | |||||||||||||||||||
Stock-based compensation expense | 4,382 | 7,976 | 20,316 | 32,857 | |||||||||||||||||||
Depreciation and amortization | 5,423 | 5,491 | 21,108 | 18,331 | |||||||||||||||||||
Amortization of intangible assets | — | 120 | — | 536 | |||||||||||||||||||
Impairment, restructuring and other charges | 8,926 | 48,218 | 19,616 | 51,222 | |||||||||||||||||||
Other (income) expense, net | 841 | (244) | 3,676 | (755) | |||||||||||||||||||
Provision for (benefit from) income taxes | 9,231 | (1,237) | (17,667) | (20,515) | |||||||||||||||||||
Adjusted EBITDA | $ | 49,474 | $ | 28,172 | $ | (41,673) | $ | (22,699) | |||||||||||||||
Adjusted EBITDA margin | 25 | % | 12 | % | (10) | % | (4) | % |
(1) | See Non-GAAP Financial Information for definitions of our non-GAAP financial measures. | ||||
(2) | The sum of components may not equal total amounts due to rounding. | ||||
Full Year 2023 Guidance | |||||||||||
Low | High | ||||||||||
GAAP net loss attributable to common stockholders | $ | (90.0) | $ | (70.0) | |||||||
Impact from preferred stock | 35.0 | 35.0 | |||||||||
GAAP net loss | (55.0) | (35.0) | |||||||||
Stock-based compensation expense | 22.0 | 20.0 | |||||||||
Depreciation and amortization | 22.0 | 21.0 | |||||||||
Impairment, restructuring and other charges | 5.0 | 3.0 | |||||||||
Other expense, net | 7.0 | 6.0 | |||||||||
Benefit from income taxes | (16.0) | (10.0) | |||||||||
Adjusted EBITDA | $ | (15.0) | $ | 5.0 |
(1) | See Non-GAAP Financial Information for definitions of our non-GAAP financial measures. | ||||
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Ticker: EHTHEvents:
CIK: 1333493
Form Type: 8-K Corporate News
Accession Number: 0001333493-23-000012
Submitted to the SEC: Tue Feb 28 2023 7:40:29 AM EST
Accepted by the SEC: Tue Feb 28 2023
Period: Tuesday, February 28, 2023
Industry: Insurance Agents Brokers And Service