eHealth, Inc. Announces Fourth Quarter and Fiscal 2015 Results
/EINPresswire.com/ -- MOUNTAIN VIEW, CA--(Marketwired - February 23, 2016) - eHealth, Inc. (NASDAQ: EHTH)
Fourth Quarter and Full Year 2015 Overview
- Revenue for fourth quarter of $50.1 million, an increase of 11% compared to the fourth quarter of 2014, and revenue for 2015 of $189.5 million, an increase of 5% compared to 2014.
- GAAP net loss for fourth quarter of $12.1 million compared to GAAP net loss of $19.2 million for the fourth quarter of 2014, and GAAP net loss for 2015 of $4.8 million compared to GAAP net loss of $16.2 million for 2014.
- Adjusted EBITDA for fourth quarter of $(9.5) million compared to adjusted EBITDA of $(12.9) million for the fourth quarter of 2014, and adjusted EBITDA for 2015 of $11.1 million compared to adjusted EBITDA of $4.8 million for 2014.
- Cash flow from operations for fourth quarter was an inflow of $1.2 million compared to an outflow of $4.1 million in the fourth quarter of 2014, and cash flow from operations for 2015 was an inflow of $13.7 million compared to an inflow of $1.8 million for 2014.
- Total estimated members increased 2% compared to the fourth quarter of 2014.
- Submitted applications for Medicare Advantage products increased 23% compared to the fourth quarter of 2014, and for 2015 increased 49% compared to 2014.
- Submitted applications for Individual & Family Plan products increased 14% compared to the fourth quarter of 2014, and for 2015 decreased 5% compared to 2014.
eHealth, Inc. (NASDAQ: EHTH), the nation's first and largest private health insurance exchange, announced today its financial results for the fourth quarter and fiscal year ended December 31, 2015.
Gary Lauer, chief executive officer of eHealth stated, "Our 2015 financial results reflect successful execution of the company's growth strategy in the Medicare market and our decision to manage the Individual & Family Plan business for profitability and cash flow generation. Our 2015 results and the outlook for 2016 also illustrate how fast we are changing our mix of business."
GAAP - Fourth Quarter 2015 Results
Revenue-Revenue for the fourth quarter of 2015 totaled $50.1 million, an 11% increase compared to revenue of $45.0 million for the fourth quarter of 2014. Commission revenue for the fourth quarter of 2015 totaled $41.1 million, a 7% increase compared to commission revenue of $38.4 million for the fourth quarter of 2014. Medicare commission revenue was $14.5 million for the fourth quarter of 2015, a 32% increase compared to Medicare commission revenue of $10.9 million for the fourth quarter of 2014.
Loss from Operations-Operating loss for the fourth quarter of 2015 was $12.4 million, compared to operating loss of $13.8 million for the fourth quarter of 2014. Operating margins were (25)% and (31)% in the fourth quarters of 2015 and 2014, respectively.
Pre-tax Loss-Pre-tax loss for the fourth quarter of 2015 was $12.3 million, compared to pre-tax loss of $13.8 million for the fourth quarter of 2014.
Provision (Benefit) for Income Taxes-Benefit for income taxes was $(0.2) million for the fourth quarter of 2015 compared to a provision for income taxes of $5.4 million for the fourth quarter of 2014. Non-cash charges of approximately $11.5 million were recorded during the fourth quarter of 2014 to establish a valuation allowance against deferred tax assets.
Net Loss-Net loss for the fourth quarter of 2015 was $12.1 million, or $(0.67) per diluted share, compared to a net loss of $19.2 million, or $(1.08) per diluted share for the fourth quarter of 2014. The results for the fourth quarter of 2014 included a valuation allowance against deferred tax assets of $11.5 million, or $(0.65) per diluted share.
Non-GAAP - Fourth Quarter 2015 Results
Non-GAAP Loss from Operations-Non-GAAP operating loss for the fourth quarter of 2015 was $10.6 million compared to non-GAAP operating loss of $14.0 million for the fourth quarter of 2014. Non-GAAP operating margins were (21)% and (31)% in the fourth quarters of 2015 and 2014, respectively. Non-GAAP operating loss and margins in the fourth quarter of 2015 exclude $1.6 million of stock-based compensation expense and $0.3 million of intangible asset amortization expense. Non-GAAP operating loss and margins in the fourth quarter of 2014 exclude $(0.7) million of stock-based compensation expense and $0.5 million of intangible asset amortization expense.
Non-GAAP Net Loss-Non-GAAP net loss for the fourth quarter of 2015 was $10.2 million, or $(0.56) per diluted share, compared to non-GAAP net loss of $7.8 million, or $(0.44) per diluted share for the fourth quarter of 2014. Non-GAAP net loss and non-GAAP net loss per diluted share in the fourth quarter of 2015 exclude $1.6 million of stock-based compensation expense, and $0.3 million of intangible asset amortization expense. Non-GAAP net loss and non-GAAP net loss per diluted share in the fourth quarter of 2014 exclude $(0.7) million of stock-based compensation expense, $0.5 million of intangible asset amortization expense and $11.6 million of provision for income taxes, including non-cash charges of $11.5 million to establish a valuation allowance against deferred tax assets.
Adjusted EBITDA-Adjusted EBITDA for the fourth quarter of 2015 was $(9.5) million compared to adjusted EBITDA of $(12.9) million for the fourth quarter of 2014. Adjusted EBITDA is calculated by adding stock-based compensation, depreciation and amortization expense, including intangible asset amortization expense, restructuring expense, other expense, net and provision (benefit) for income taxes to GAAP net income (loss).
Membership & Submitted Applications - Fourth Quarter 2015
Membership-Total estimated membership at December 31, 2015 was 1,144,500 members, a 2% increase over estimated membership of 1,117,400 at December 31, 2014. Estimated Medicare membership was 228,900, a 60% increase over estimated membership of 143,500 at December 31, 2014. Estimated individual and family plan membership was 503,300, an 11% decrease over estimated membership of 565,900 at December 31, 2014.
Submitted Applications-Submitted applications for Medicare Advantage products increased 23% in the fourth quarter of 2015 to 52,600 applications, compared to 42,600 applications in the fourth quarter of 2014. Submitted applications for all Medicare products, which includes Medicare Supplement and Prescription Drug Plans, increased 15% in the fourth quarter of 2015 to 74,300 applications, compared to 64,800 applications in the fourth quarter of 2014. Submitted applications for individual and family plan products increased 14% in the fourth quarter of 2015 to 114,600 applications covering 164,600 individuals, compared to 100,400 applications covering 152,000 individuals in the fourth quarter of 2014. Approved members for individual and family plan products increased 22% in the fourth quarter of 2015 to 81,500 members, compared to 66,600 members in the fourth quarter of 2014. Total approved members, including individual and family plan, Medicare plan and other product members, increased 9% to 240,600 members in the fourth quarter of 2015, compared to 219,800 in the fourth quarter of 2014.
Cash - Fourth Quarter 2015
Cash Flows-Cash flows from operations was an inflow of $1.2 million for the fourth quarter of 2015 compared to an outflow of $4.1 million of cash flows from operations for the fourth quarter of 2014.
GAAP - Fiscal 2015 Results
Revenue-Revenue for the year ended December 31, 2015 totaled $189.5 million, a 5% increase compared to revenue of $179.7 million for the year ended December 31, 2014. Commission revenue for the year ended December 31, 2015 totaled $171.3 million, an 8% increase compared to commission revenue of $158.6 million for the year ended December 31, 2014. Medicare commission revenue was $57.1 million for the year ended December 31, 2015, a 63% increase compared to Medicare commission revenue of $35.1 million for the year ended December 31, 2014.
Restructuring Charges-Restructuring charges for the year ended December 31, 2015 were $4.5 million compared to no restructuring charges for the year ended December 31, 2014. In March 2015, we implemented an organizational restructuring and cost reduction plan designed to rebalance our resources and help reduce our cost structure as a result of lower than expected individual and family health insurance plan membership and revenue. As part of the plan, we eliminated approximately 160 full-time positions in the United States, representing approximately 15% of our workforce primarily in our technology and content and customer care and enrollment groups, and to a lesser extent, in our marketing and advertising and general and administrative groups. We incurred pre-tax restructuring charges of approximately $3.9 million for employee termination benefits and related costs as well as $0.6 million in other pre-tax restructuring charges, primarily consisting of facility costs. The majority of the activities comprising the restructuring plan were substantially completed in the first quarter of 2015.
Loss from Operations-Operating loss for the year ended December 31, 2015 was $5.7 million, compared to operating loss of $6.8 million for the year ended December 31, 2014. Operating margins were (3)% for the year ended December 31, 2015, compared to (4)% for the year ended December 31, 2014.
Pre-tax Loss-Pre-tax loss for the year ended December 31, 2015 was $5.6 million, compared to pre-tax loss of $6.9 million for the year ended December 31, 2014.
Provision (Benefit) for Income Taxes-Benefit for income taxes was $(0.8) million for the year ended December 31, 2015 compared to provision for income taxes of $9.3 million for the year ended December 31, 2014. Non-cash charges of approximately $11.5 million were recorded during the fourth quarter of 2014 to establish a valuation allowance against deferred tax assets.
Net Loss-Net loss for the year ended December 31, 2015 was $4.8 million, or $(0.26) per diluted share, compared to net loss of $16.2 million, or $(0.88) per diluted share for the year ended December 31, 2014, which included an $11.5 million, or $(0.65) per diluted share provision for income taxes to record a valuation allowance against deferred tax assets.
Non-GAAP - Fiscal 2015 Results
Non-GAAP Net Income-Non-GAAP net income for the year ended December 31, 2015 was $7.8 million, or $0.43 per diluted share, compared to a non-GAAP net loss of $0.2 million, or $(0.01) per diluted share for the year ended December 31, 2014. Non-GAAP net income and non-GAAP net income per diluted share in the year ended December 31, 2015 exclude $6.9 million of stock-based compensation expense, $1.2 million of intangible asset amortization expense and $4.5 million of restructuring expense (includes $0.1 million of stock-based compensation expense). Non-GAAP net loss and non-GAAP net loss per diluted share in the year ended December 31, 2014 exclude $5.9 million of stock-based compensation expense, $1.5 million of intangible asset amortization expense and $8.6 million of provision for income taxes, including non-cash charges of $11.5 million to establish a valuation allowance against deferred tax assets.
Adjusted EBITDA- Adjusted EBITDA for the year ended December 31, 2015 was $11.1 million compared to adjusted EBITDA of $4.8 million for the year ended December 31, 2014. Adjusted EBITDA is calculated by adding stock-based compensation, depreciation and amortization expense, including intangible asset amortization expense, restructuring expense, other expense, and net and provision (benefit) for income taxes to GAAP net income (loss).
Cash - Fiscal 2015
Cash Flows-Cash flows from operations was $13.7 million for the year ended December 31, 2015 compared to $1.8 million for the year ended December 31, 2014.
Cash Balance-Cash and cash equivalents as of December 31, 2015 totaled $62.7 million, compared to $51.4 million as of December 31, 2014. The increase in cash and cash equivalents reflects $13.7 million provided by operating activities and $1.6 million from the exercise of common stock options, partially offset by $3.0 million used to purchase property and equipment and $0.9 million to net-share settle equity awards.
2016 Guidance
eHealth is providing guidance for the full year ending December 31, 2016 based on information available as of February 23, 2016. These expectations are forward-looking statements and eHealth assumes no obligation to update these statements. Results may be materially different and are affected by the risk factors and uncertainties identified in this release and in eHealth's annual and quarterly filings with the Securities and Exchange Commission.
- Total revenue is expected to be in the range of $195 million to $203 million.
- Adjusted EBITDA* is expected to be in the range of $11.5 million to $17.0 million.
- Non-GAAP net income per diluted share** is expected to be in the range of $0.38 to $0.68 per share.
- Stock-based compensation is expected to be in the range of $6.5 million to $8.0 million.
* Adjusted EBITDA is calculated by adding stock-based compensation expense, depreciation and amortization expense, including intangible asset amortization expense, restructuring expense, other (income) expense, net and provision (benefit) for income taxes to GAAP net income.
** Non-GAAP net income per diluted share is calculated by excluding stock-based compensation expense, intangible asset amortization expense, restructuring expense and the estimated tax benefit relating to these expenses.
Webcast and Conference Call Information
A Webcast and conference call will be held today, Wednesday, February 23, 2016 at 5:00 p.m. Eastern / 2:00 p.m. Pacific Time. The Webcast will be available live on the Investor Relations section on eHealth's website at http://ir.ehealthinsurance.com. Individuals interested in listening to the conference call may do so by dialing (877) 930-8066 for domestic callers and (253) 336-8042 for international callers. The participant passcode is 44000337. A telephone replay will be available two hours following the conclusion of the call for a period of 7 days and can be accessed by dialing (855)859-2056 for domestic callers and (404) 537-3406 for international callers. The call ID for the replay is 44000337. The live and archived webcast of the call will also be available on eHealth's website at http://www.ehealthinsurance.com under the Investor Relations section.
About eHealth, Inc.
eHealth, Inc. (NASDAQ: EHTH) operates eHealth.com, the nation's first and largest private health insurance exchange where individuals, families and small businesses can compare health insurance products from leading insurers side by side and purchase and enroll in coverage online. eHealth offers thousands of individual, family and small business health plans underwritten by many of the nation's leading health insurance companies. eHealth (through its subsidiaries) is licensed to sell health insurance in all 50 states and the District of Columbia. eHealth also offers educational resources and powerful online and pharmacy-based tools to help Medicare beneficiaries navigate Medicare health insurance options, choose the right plan and enroll in select plans online through PlanPrescriber.com (www.PlanPrescriber.com), eHealthMedicare.com (www.eHealthMedicare.com) and Medicare.com (www.Medicare.com).
For more health insurance news and information, visit the eHealth consumer blog: Get Smart - Get Covered or visit eHealth's Consumer Resource Center.
Forward-Looking Statements
This press release contains statements that are forward-looking statements as defined within the Private Securities Litigation Reform Act of 1995. These include statements regarding membership estimates for the fourth quarter and year ended December 31, 2015; our Guidance for 2016; our strategy to manage our individual and family health insurance plan business for profitability and cash flow generation; our growth strategy in the Medicare market; the utility to our investors of the non-GAAP financial measures presented in this release and our guidance for total revenue, EBITDA, Non-GAAP net income per diluted share and stock based compensation for the full year ending December 31, 2016. These forward-looking statements are inherently subject to various risks and uncertainties that could cause actual results to differ materially from the statements made, including risks associated with the impact of healthcare reform; our ability to retain existing members and enroll a large number of new members during the annual healthcare reform open enrollment period and Medicare annual enrollment period; the impact of annual enrollment period for the purchase of individual and family health insurance and its timing on our recognition of revenue; our ability to sell qualified health insurance plans to subsidy-eligible individuals and to enroll subsidy eligible individuals through government-run health insurance exchanges; competition, including competition from government-run health insurance exchanges; reduction in commission rates; seasonality of our business and the fluctuation of our operating results; our ability to retain existing members and limit member turnover; changes in consumer behaviors and their selection of individual and family health insurance products, including the selection of products for which we receive lower commissions; product offerings among carriers and the resulting impact on our commission revenue; the impact of increased health insurance costs on demand; our ability to timely receive and accurately predict the amount of commission payments from health insurance carriers; timing of commission payments from health insurance carriers; medical loss ratio requirements; delays in our receipt of items required to recognize Medicare revenue; changes in member conversion rates; our ability to accurately estimate membership; our relationships with health insurance carriers; customer concentration and consolidation of the health insurance industry; our success in marketing and selling health insurance plans and our unit cost of acquisition; our ability to hire, train and retain licensed health insurance agents and other employees; the need for health insurance carrier and regulatory approvals in connection with the marketing of Medicare-related insurance products; costs of acquiring new members; scalability of the Medicare business; lack of membership growth and retention rates; consumers satisfaction of our service; changes in competitive landscape; our ability to attract and to convert online visitors into paying members; changes in products offered on our ecommerce platform; maintaining and enhancing our brand identity; our ability to derive desired benefits from investments in our business, including membership growth initiatives; dependence on acceptance of the Internet as a marketplace for the purchase and sale of health insurance; reliance on marketing partners; timing of receipt and accuracy of commission reports; payment practices of health insurance carriers; dependence on our operations in China; difficulties, delays, unexpected costs and an inability to achieve anticipated cost savings from our recently implemented cost reduction program; changes in laws and regulations, including in connection with healthcare reform and/or with respect to the marketing and sale of Medicare plans; compliance with insurance and other laws and regulations; exposure to security risks; and the performance, reliability and availability of our ecommerce platform and underlying network infrastructure. Other factors that could cause operating, financial and other results to differ are described in eHealth's most recent Quarterly Report on Form 10-Q or Annual Report on Form 10-K filed with the Securities and Exchange Commission and available on the investor relations page of eHealth's website at http://www.ehealthinsurance.com and on the Securities and Exchange Commission's website at www.sec.gov. eHealth does not undertake any obligation to update any forward-looking statement to conform the statement to actual results or changes in expectations.
Non-GAAP Financial Information
This press release includes financial measures that are not in accordance with generally accepted accounting principles in the United States (GAAP). To supplement eHealth's condensed consolidated financial statements presented in accordance with GAAP, eHealth presents investors with certain non-GAAP financial measures, including non-GAAP operating income (loss); non-GAAP operating margins; earnings and adjusted earnings before interest, taxes, depreciation and amortization (Adjusted EBITDA); non-GAAP net income (loss) and non-GAAP net income (loss) per diluted share.
- Non-GAAP operating income (loss) for the fourth quarter of 2015 consists of GAAP operating income (loss) excluding the following items:
- the effects of expensing stock-based compensation related to stock options and restricted stock units in accordance with FASB ASC Topic 718, and
- intangible asset amortization expense.
- Non-GAAP operating income (loss) for the year ended December 31, 2015 consists of GAAP operating income (loss) excluding the following items:
- the effects of expensing stock-based compensation related to stock options and restricted stock units in accordance with FASB ASC Topic 718,
- restructuring charges,
- intangible asset amortization expense,
- the related income tax benefits of these excluded expenses, and
- provision for income taxes to establish a valuation allowance against deferred tax assets
- Non-GAAP operating margins are calculated by dividing non-GAAP operating income (loss) by GAAP total revenue.
- Adjusted EBITDA is calculated by adding stock-based compensation, depreciation and amortization expense, including intangible asset amortization expense, restructuring charges, other expense, net and provision (benefit) for income taxes to GAAP net income (loss). EBITDA is the same as Adjusted EBITDA other than it does not add restructuring charges to GAAP net income (loss) given that there were no restructuring charges in the applicable period.
eHealth believes that the presentation of these non-GAAP financial measures provide important supplemental information to management and investors regarding financial and business trends relating to eHealth's financial condition and results of operations. Management believes that the use of these non-GAAP financial measures provides consistency and comparability with eHealth's past financial reports. Management also believes that the items described above provides an additional measure of eHealth's operating results and facilitates comparisons of eHealth's core operating performance against prior periods and business model objectives. This information is provided to investors in order to facilitate additional analyses of past, present and future operating performance and as a supplemental means to evaluate eHealth's ongoing operations. eHealth believes that these non-GAAP financial measures are useful to investors in their assessment of eHealth's operating performance.
Non-GAAP operating income (loss), non-GAAP operating margins, Adjusted EBITDA/EBITDA, non-GAAP net income (loss) and non-GAAP net income (loss) per diluted share are not calculated in accordance with GAAP, and should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Non-GAAP financial measures used in this press release have limitations in that they do not reflect all of the revenue and costs associated with the operations of eHealth's business and do not reflect income tax as determined in accordance with GAAP. As a result, you should not consider these measures in isolation or as a substitute for analysis of eHealth's results as reported under GAAP. eHealth expects to continue to incur the stock-based compensation costs and purchased intangible asset amortization costs described above, and exclusion of these costs, and their related income tax benefits, from non-GAAP financial measures should not be construed as an inference that these costs are unusual or infrequent. eHealth compensates for these limitations by prominently disclosing GAAP operating income (loss), GAAP operating margins, GAAP net income (loss) and GAAP net income (loss) per diluted share and providing investors with reconciliations from eHealth's GAAP operating results to the non-GAAP financial measures for the relevant periods.
The accompanying tables provide more details on the GAAP financial measures that are most directly comparable to the non-GAAP financial measures described above and the related reconciliations between these financial measures. The company has not reconciled Adjusted EBITDA or Non-GAAP net income per diluted share guidance to GAAP net income or GAAP net income per diluted share because it does not provide guidance for the reconciling items between these measures and GAAP net income or GAAP net income per diluted share, respectively. As certain of the items that impact GAAP net income and GAAP net income or GAAP net income per diluted share cannot be reasonably predicted at this time, the Company is unable to provide such guidance. Accordingly, a reconciliation to net income is not available without unreasonable effort.
EHEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands, unaudited)
December 31, December 31,
2014 2015
-------------- --------------
Assets (1) (unaudited)
Current assets:
Cash and cash equivalents $ 51,415 $ 62,710
Accounts receivable 8,200 9,647
Prepaid expenses and other current assets 6,474 5,185
-------------- --------------
Total current assets 66,089 77,542
Property and equipment, net 9,640 7,364
Other assets 6,065 4,697
Intangible assets, net 10,774 9,620
Goodwill 14,096 14,096
-------------- --------------
Total assets 106,664 113,319
============== ==============
Liabilities and stockholders' equity
Current liabilities:
Accounts payable $ 5,961 $ 3,012
Accrued compensation and benefits 8,204 14,386
Accrued marketing expenses 8,707 10,698
Deferred revenue 869 392
Accrued restructuring - 223
Other current liabilities 2,996 3,225
-------------- --------------
Total current liabilities 26,737 31,936
Non-current liabilities 6,449 4,962
Stockholders' equity:
Common stock 29 29
Additional paid-in capital 259,007 266,699
Treasury stock, at cost (199,998) (199,998)
Retained earnings 14,261 9,498
Accumulated other comprehensive income 179 193
-------------- --------------
Total stockholders' equity 73,478 76,421
-------------- --------------
Total liabilities and stockholders' equity $ 106,664 $ 113,319
============== ==============
(1) The condensed consolidated balance sheet at December 31, 2014 has been
derived from the audited consolidated financial statements at that
date.
EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF LOSS
(In thousands, except per share amounts, unaudited)
Three months ended Fiscal Year ended
December 31, December 31,
--------------------- ---------------------
2014 2015 2014 2015
---------- ---------- ---------- ----------
Revenue
Commission $ 38,359 $ 41,100 $ 158,626 $ 171,257
Other 6,616 9,035 21,051 18,284
---------- ---------- ---------- ----------
Total revenue 44,975 50,135 179,677 189,541
Operating costs and expenses:
Cost of revenue 744 651 4,494 4,178
Marketing and advertising (1) 27,786 31,486 69,732 75,571
Customer care and enrollment
(1) 14,353 13,559 42,745 42,540
Technology and content (1) 10,070 8,951 40,390 36,351
General and administrative (1) 5,321 7,620 27,549 30,858
Restructuring charges - - - 4,541
Amortization of intangible
assets 467 260 1,529 1,153
---------- ---------- ---------- ----------
Total operating costs and
expenses 58,741 62,527 186,439 195,192
---------- ---------- ---------- ----------
Loss from operations (13,766) (12,392) (6,762) (5,651)
Other income (expense), net (17) 95 (98) 45
---------- ---------- ---------- ----------
Loss before provision (benefit)
for income taxes (13,783) (12,297) (6,860) (5,606)
Provision (benefit) for income
taxes 5,416 (231) 9,345 (843)
---------- ---------- ---------- ----------
Net loss $ (19,199) $ (12,066) $ (16,205) $ (4,763)
========== ========== ========== ==========
Net loss per share:
Basic $ (1.08) $ (0.67) $ (0.88) $ (0.26)
Diluted $ (1.08) $ (0.67) $ (0.88) $ (0.26)
Weighted-average number of
shares used in per share
amounts:
Basic 17,822 18,124 18,367 18,008
Diluted 17,822 18,124 18,367 18,008
(1) Includes stock-based
compensation as follows:
Marketing and advertising $ (265) $ 452 $ 1,692 $ 1,950
Customer care and enrollment 102 111 386 477
Technology and content 61 420 1,611 1,728
General and administrative (606) 585 2,188 2,734
Restructuring charges - - - 113
---------- ---------- ---------- ----------
Total $ (708) $ 1,568 $ 5,877 $ 7,002
========== ========== ========== ==========
EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
Three Months Ended Fiscal Year Ended
December 31, December 31,
--------------------- ---------------------
2014 2015 2014 2015
---------- ---------- ---------- ----------
Operating activities
Net loss $ (19,199) $ (12,066) $ (16,205) $ (4,763)
Adjustments to reconcile net
loss to net cash provided by
(used in) operating activities:
Deferred income taxes 7,814 43 9,163 101
Depreciation and amortization 1,081 1,026 4,192 4,148
Amortization of internally-
developed software 158 178 483 627
Amortization of book-of-
business consideration 89 8 1,998 2,006
Amortization of intangible
assets 467 260 1,529 1,153
Stock-based compensation
expense (708) 1,568 5,877 7,002
Deferred rent and other 85 42 154 106
Changes in operating assets
and liabilities:
Accounts receivable (2,322) (815) (3,614) (1,447)
Prepaid expenses and other
assets 364 2,134 (1,033) 997
Accounts payable 3,193 943 1,581 (2,949)
Accrued compensation and
benefits 71 3,143 (2,084) 6,180
Accrued marketing expenses 6,243 9,402 480 1,991
Deferred revenue (1,563) (3,292) (1,143) (642)
Accrued restructuring
charges - (56) - 433
Other liabilities 147 (1,294) 401 (1,247)
---------- ---------- ---------- ----------
Net cash provided by (used in)
operating activities (4,080) 1,224 1,779 13,696
---------- ---------- ---------- ----------
Investing activities
Purchases of property and
equipment and other assets (269) (661) (3,604) (2,996)
Purchase of intangible asset - - (4,500) -
---------- ---------- ---------- ----------
Net cash used in investing
activities (269) (661) (8,104) (2,996)
---------- ---------- ---------- ----------
Financing activities
Net proceeds from exercise of
common stock options 210 246 4,112 1,572
Cash used to net-share settle
equity awards (10) (98) (3,516) (922)
Excess tax benefits from stock-
based compensation (2,501) - 147 -
Repurchase of common stock - - (50,000) -
Principle payments in connection
with capital leases (17) (16) (74) (73)
---------- ---------- ---------- ----------
Net cash provided by (used in)
financing activities (2,318) 132 (49,331) 577
---------- ---------- ---------- ----------
Effect of exchange rate changes
on cash and cash equivalents 2 (1) 16 18
---------- ---------- ---------- ----------
Net increase (decrease) in cash
and cash equivalents (6,665) 694 (55,640) 11,295
Cash and cash equivalents at
beginning of period 58,080 62,016 107,055 51,415
---------- ---------- ---------- ----------
Cash and cash equivalents at end
of period $ 51,415 $ 62,710 $ 51,415 $ 62,710
========== ========== ========== ==========
EHEALTH, INC.
SUMMARY OF SELECTED METRICS
(Unaudited)
Three Months Ended Year Ended
December 31, December 31,
--------------------- -----------------
Percentage Percentage
2014 2015 Change 2014 2015 Change
---------- ---------- ---------- -------- -------- ----------
Submitted
applications:
Medicare
submitted
applications
(1) 64,800 74,300 15% 104,700 132,300 26%
IFP submitted
applications
(2) 100,400 114,600 14% 318,500 301,000 (5)%
Other
submitted
applications
(3) 97,100 107,900 11% 366,400 346,000 (6)%
---------- ---------- ---------- -------- -------- ----------
Total submitted
applications
(4) 262,300 296,800 13% 789,600 779,300 (1)%
========== ========== ========== ======== ======== ==========
Medicare
Advantage
submitted
applications
(5) 42,600 52,600 23% 64,500 96,200 49%
Commission
revenue (in
thousands):
Medicare
commission
revenue (6) $ 10,933 $ 14,465 32% $ 35,099 $ 57,113 63%
IFP
commission
revenue (7) 20,247 19,745 (2)% 96,666 87,186 (10)%
Other
commission
revenue (8) 7,179 6,890 (4)% 26,861 26,958 -%
---------- ---------- ---------- -------- -------- ----------
Total
commission
revenue (9) $ 38,359 $ 41,100 7% $158,626 $171,257 8%
========== ========== ========== ======== ======== ==========
As of December 31,
---------------------
Percentage
2014 2015 Change
---------- ---------- ----------
Estimated
membership:
Medicare
estimated
membership
(10) 143,500 228,900 60%
IFP estimated
membership
(11) 565,900 503,300 (11)%
Other
estimated
membership
(12) 408,000 412,300 1%
---------- ---------- ----------
Total estimated
membership
(13) 1,117,400 1,144,500 2%
========== ========== ==========
Notes:
(1) Medicare-related health insurance applications submitted on eHealth's
website or through eHealth's customer care center during the period,
including Medicare Advantage, Medicare Part D Prescription drug and
Medicare Supplement plans. Applications are counted as submitted when
the applicant completes the application and either clicks the submit
button on our website or provides verbal authorization to submit the
application. The applicant may have additional actions to take before
the application will be reviewed by the insurance carrier, such as
providing additional information. In addition, an applicant may submit
more than one application.
(2) Major medical Individual and Family plan ("IFP") health insurance
applications submitted on eHealth's website during the period.
Applications are counted as submitted when the applicant completes the
application, clicks the submit button on our website and submits the
application to us. The applicant may have additional actions to take
before the application will be reviewed by the insurance carrier, such
as providing additional information and providing an electronic
signature. In addition, an applicant may submit more than one
application. We define our "IFP" offerings as major medical individual
and family health insurance plans, which does not include Medicare-
related, small business or ancillary plans (primarily consisting of
short-term, dental, life, vision, and accident insurance plans).
(3) Applications for health insurance plans other than Medicare and IFP
submitted on eHealth's website during the period. Applications for
ancillary plans are counted as submitted when the applicant completes
the application, clicks the submit button on our website and submits
the application to us. Applications for small business plans are
counted as submitted when the applicant completes the application, the
employees complete their applications, the applicant submits the
application to us and we submit the application to the carrier. The
applicant may have additional actions to take before the application
will be reviewed by the insurance carrier, such as providing additional
information. In addition, an applicant may submit more than one
application.
(4) Applications for all health insurance plans submitted on eHealth's
website or through eHealth's customer care center during the period.
See notes (1), (2) and (3) above for further information as to what
constitutes a submitted application.
(5) Medicare Advantage plan health insurance applications submitted on
eHealth's website or through eHealth's customer care center during the
period. Applications are counted as submitted when the applicant
completes the application and either clicks the submit button on our
website or provides verbal authorization to submit the application. The
applicant may have additional actions to take before the application
will be reviewed by the insurance carrier, such as providing additional
information. In addition, an applicant may submit more than one
application. Medicare Advantage submitted applications are included in
Medicare submitted applications - See note (2) above.
(6) Commission revenue recognized on all Medicare-related health insurance
during the period.
(7) Commission revenue recognized on all IFP health insurance during the
period, including commission overrides.
(8) Commission revenue recognized on all insurance other than Medicare-
related health insurance and IFP health insurance during the period.
(9) Total commission revenue recognized on all insurance plans during the
period.
(10) Estimated number of members active on Medicare-related health insurance
as of the date indicated. See the note below for additional information
regarding our calculation of Medicare estimated membership.
(11) Estimated number of members active on IFP health insurance plans as of
the date indicated. See the note below for additional information
regarding our calculation of IFP estimated membership.
(12) Estimated number of members active on insurance plans other than
Medicare-related health insurance and IFP health insurance plans as of
the date indicated. See the note below for additional information
regarding our calculation of other estimated membership.
(13) Estimated number of members active on all insurance plans as of the
date indicated. See the note below for additional information regarding
our calculation of total estimated membership.
Note:
Health insurance carriers bill and collect insurance premiums paid by our members. Health insurance carriers do not report to us the number of members that we have as of a given date. The majority of our non-Medicare members who terminate their policies do so by discontinuing their premium payments to the carrier and do not inform us of the cancellation. Also, some of our non-Medicare members pay their premiums less frequently than monthly. Given the number of months required to observe non-payment of commissions in order to confirm cancellations, we estimate the number of members who are active on insurance policies as of a specified date. We estimate the number of continuing members on all policies as of a specific date as follows:
- For Medicare-related health insurance plans, we take the number of members for whom we have received or applied a commission payment prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations, including rapid disenrollment).
- For IFP health insurance plans, we take the sum of (i) the number of IFP members for whom we have received or applied a commission payment for the month that is six months prior to the date of estimation after reducing that number using historical experience for assumed member cancellations over the six-month period; and (ii) the number of approved members over the six-month period prior to the date of estimation after reducing that number by the percentage of members who do not accept their approved policy from the same month of the previous year for each of the six months prior to the date of estimation and for estimated member cancellations through the date of the estimate.
- For ancillary health insurance plans (such as short-term, dental, vision, accident and student), we take the sum of (i) the number of members for whom we have received or applied a commission payment for the month that is one to three months prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations over the one to three-month period); and (ii) the number of approved members over the one to three-month period prior to the date of estimation (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). 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. For small business health insurance plans, we estimate the number of members using the number of initial members at the time the group is approved, and we update this number for changes in membership if such changes are reported to us by the group or carrier in the period it is reported. 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 to us. We often are made aware of policy cancellations at the time of annual renewal and update our membership statistics accordingly in the period they are reported.
A member who purchases and is active on multiple standalone insurance plans will be counted as a member more than once. For example, a member who is active on both an individual and family health insurance plan and a standalone dental plan will be counted as two continuing members.
After we have estimated membership for a period, we may receive information from health insurance carriers that would have impacted the estimate if we had received the information prior to the date of estimation. We may receive commission payments or other information that indicates that a member who was not included in our estimates for a prior period was in fact an active member at that time, or that a member who was included in our estimates was in fact not an active member of ours. For instance, we reconcile information carriers provide to us and may determine that we were not historically paid commissions owed to us, which would cause us to have underestimated membership. Conversely, carriers may require us to return commission payments paid in a prior period due to policy cancellations for members we previously estimated as being active. We do not update our estimated membership numbers reported in previous periods. Instead, we reflect updated information regarding our historical membership in the membership estimate for the current period. As a result of the delay in our receipt of information from insurance carriers, actual trends in our membership are most discernible over periods longer than from one quarter to the next. In addition, and as a result of the delay we experience in receiving information about our membership, it is difficult for us to determine with any certainty the impact of current conditions such as health care reform implementation on our membership retention. Health care reform and other factors could cause the assumptions and estimates that we make in connection with estimating our membership to be inaccurate, which would cause our membership estimates to be inaccurate.
EHEALTH, INC.
GAAP TO NON-GAAP RECONCILIATION
FOR THE THREE MONTHS ENDED DECEMBER 31, 2015
(In thousands, except per share amounts, unaudited)
Three Months Ended December 31, 2015
-------------------------------------------------------
GAAP
Percent Non-GAAP
of Percent
GAAP Total Non-GAAP of Total
Reported Revenue Adjustments Results Revenue
---------- --------- ------------ ---------- ----------
Revenue:
Commission $ 41,100 82% $ - $ 41,100 82%
Other 9,035 18 - 9,035 18
---------- --------- ------------ ---------- ----------
Total revenue 50,135 100 - 50,135 100
Operating costs
and expenses:
Cost of revenue 651 1 - 651 1
Marketing and
advertising (1) 31,486 63 (452) 31,034 62
Customer care and
enrollment (1) 13,559 27 (111) 13,448 27
Technology and
content (1) 8,951 18 (420) 8,531 17
General and
administrative
(1) 7,620 15 (585) 7,035 14
Restructuring
charges (2) - - - - -
Amortization of
intangible assets
(2) 260 1 (260) - -
---------- --------- ------------ ---------- ----------
Total operating
costs and expenses 62,527 125 (1,828) 60,699 121
---------- --------- ------------ ---------- ----------
Income (loss) from
operations (12,392) (25) 1,828 (10,564) (21)
Other expense, net 95 - - 95 -
---------- --------- ------------ ---------- ----------
Income (loss) before
provision (benefit)
for income taxes (12,297) (25) 1,828 (10,469) (21)
Provision (benefit)
for income taxes (231) - - (231) -
---------- --------- ------------ ---------- ----------
Net income (loss)
(3) $ (12,066) (24)% $ 1,828 $ (10,238) (20)%
========== ========= ============ ========== ==========
Net income (loss)
per share: (3)
Basic - common
stock $ (0.67) $ 0.10 $ (0.56)
Diluted - common
stock $ (0.67) $ 0.10 $ (0.56)
Weighted-average
number of shares
used in per share
amounts:
Basic - common
stock 18,124 18,124 18,124
Diluted - common
stock 18,124 18,124 18,124
Explanation of adjustments
(1) Non-GAAP results exclude the effect of expensing stock-based
compensation related to stock options and restricted stock units in
accordance with FASB ASC Topic 718.
(2) Non-GAAP results exclude intangible asset amortization expense.
(3) Non-GAAP net income (loss) and non-GAAP net income (loss) per share
excludes stock-based compensation expense listed in note (1) above, and
the intangible asset amortization expense listed in note (2) above.
EHEALTH, INC.
GAAP TO NON-GAAP RECONCILIATION
FOR THE THREE MONTHS ENDED DECEMBER 31, 2014
(In thousands, except per share amounts, unaudited)
Three Months Ended December 31, 2014
-------------------------------------------------------
GAAP
Percent Non-GAAP
of Percent
GAAP Total Non-GAAP of Total
Reported Revenue Adjustments Results Revenue
---------- --------- ------------ ---------- ----------
Revenue:
Commission $ 38,359 85% $ - $ 38,359 85%
Other 6,616 15 - 6,616 15
---------- --------- ------------ ---------- ----------
Total revenue 44,975 100 - 44,975 100
Operating costs
and expenses:
Cost of revenue 744 2 - 744 2
Marketing and
advertising (1) 27,786 62 265 28,051 62
Customer care and
enrollment (1) 14,353 32 (102) 14,251 32
Technology and
content (1) 10,070 22 (61) 10,009 22
General and
administrative
(1) 5,321 12 606 5,927 13
Amortization of
intangible assets
(2) 467 1 (467) - -
---------- --------- ------------ ---------- ----------
Total operating
costs and expenses 58,741 131 241 58,982 131
---------- --------- ------------ ---------- ----------
Income (loss) from
operations (13,766) (31) (241) (14,007) (31)
Other expense, net (17) - - (17) -
---------- --------- ------------ ---------- ----------
Income (loss) before
provision (benefit)
for income taxes (13,783) (31) (241) (14,024) (31)
Provision (benefit)
for income taxes
(3) 5,416 12 (11,623) (6,207) (14)
---------- --------- ------------ ---------- ----------
Net income (loss)
(4) $ (19,199) (43)% $ 11,382 $ (7,817) (17)%
========== ========= ============ ========== ==========
Net income (loss)
per share: (4)
Basic - common
stock $ (1.08) $ 0.64 $ (0.44)
Diluted - common
stock $ (1.08) $ 0.64 $ (0.44)
Weighted-average
number of shares
used in per share
amounts:
Basic - common
stock 17,822 17,822 17,822
Diluted - common
stock 17,822 17,822 17,822
Explanation of adjustments
(1) Non-GAAP results exclude the effect of expensing stock-based
compensation related to stock options and restricted stock units in
accordance with FASB ASC Topic 718.
(2) Non-GAAP results exclude intangible asset amortization expense.
(3) Non-GAAP provision (benefit) for income taxes excludes the estimated
income tax benefits related to stock-based compensation expense listed
in note (1) above and intangible asset amortization expense listed in
note (2) above totaling $0.1 million and provision for income taxes to
record a valuation allowance against deferred tax assets of $11.5
million.
(4) Non-GAAP net income and non-GAAP net income per share exclude stock-
based compensation expense listed in note (1) above, intangible asset
amortization expense listed in note (2) above, and the provision of
income taxes listed in note (3) above.
EHEALTH, INC.
GAAP TO NON-GAAP RECONCILIATION
FOR THE FISCAL YEAR ENDED DECEMBER 31, 2015
(In thousands, except per share amounts, unaudited)
Fiscal Year Ended December 31, 2015
------------------------------------------------------
GAAP
Percent Non-GAAP
of Percent
GAAP Total Non-GAAP of Total
Reported Revenue Adjustments Results Revenue
---------- --------- ------------ ---------- ---------
Revenue:
Commission $ 171,257 90% $ - $ 171,257 90%
Other 18,284 10 - 18,284 10
---------- --------- ------------ ---------- ---------
Total revenue 189,541 100 - 189,541 100
Operating costs and
expenses:
Cost of revenue-
sharing 4,178 2 - 4,178 2
Marketing and
advertising (1) 75,571 40 (1,950) 73,621 39
Customer care and
enrollment (1) 42,540 22 (477) 42,063 22
Technology and
content (1) 36,351 19 (1,728) 34,623 18
General and
administrative (1) 30,858 16 (2,734) 28,124 15
Restructuring charges
(2) 4,541 2 (4,541) - -
Amortization of
intangible assets
(3) 1,153 1 (1,153) - -
---------- --------- ------------ ---------- ---------
Total operating costs
and expenses 195,192 103 (12,583) 182,609 96
---------- --------- ------------ ---------- ---------
Income (loss) from
operations (5,651) (3) 12,583 6,932 4
Other expense, net 45 - - 45 -
---------- --------- ------------ ---------- ---------
Income (loss) before
provision (benefit)
for income taxes (5,606) (3) 12,583 6,977 4
Provision (benefit)
for income taxes (843) - - (843) -
---------- --------- ------------ ---------- ---------
Net income (loss) (4) $ (4,763) (3)% $ 12,583 $ 7,820 4%
========== ========= ============ ========== =========
Net income (loss) per
share: (4)
Basic - common
stock $ (0.26) $ 0.70 $ 0.43
Diluted - common
stock $ (0.26) $ 0.69 $ 0.43
Weighted-average
number of shares
used in per share
amounts:
Basic - common
stock 18,008 18,008 18,008
Diluted - common
stock 18,008 18,119 18,119
Explanation of adjustments
(1) Non-GAAP results exclude the effect of expensing stock-based
compensation related to stock options and restricted stock units in
accordance with FASB ASC Topic 718.
(2) Non-GAAP results exclude restructuring charges.
(3) Non-GAAP results exclude intangible asset amortization expense.
(4) Non-GAAP net income and non-GAAP net income per share excludes stock-
based compensation expense listed in note (1) above, restructuring
charges listed in note (2) above and intangible asset amortization
expense listed in note (3) above.
EHEALTH, INC.
GAAP TO NON-GAAP RECONCILIATION
FOR THE FISCAL YEAR ENDED DECEMBER 31, 2014
(In thousands, except per share amounts, unaudited)
Fiscal Year Ended December 31, 2014
------------------------------------------------------
GAAP
Percent Non-GAAP
of Percent
GAAP Total Non-GAAP of Total
Reported Revenue Adjustments Results Revenue
---------- --------- ------------ ---------- ---------
Revenue:
Commission $ 158,626 88% $ - $ 158,626 88%
Other 21,051 12 - 21,051 12
---------- --------- ------------ ---------- ---------
Total revenue 179,677 100 - 179,677 100
Operating costs and
expenses:
Cost of revenue-
sharing 4,494 3 - 4,494 3
Marketing and
advertising (1) 69,732 39 (1,692) 68,040 38
Customer care and
enrollment (1) 42,745 24 (386) 42,359 24
Technology and
content (1) 40,390 22 (1,611) 38,779 22
General and
administrative (1) 27,549 15 (2,188) 25,361 14
Amortization of
intangible assets
(2) 1,529 1 (1,529) - -
---------- --------- ------------ ---------- ---------
Total operating costs
and expenses 186,439 104 (7,406) 179,033 100
---------- --------- ------------ ---------- ---------
Income (loss) from
operations (6,762) (4) 7,406 644 -
Other expense, net (98) - - (98) -
---------- --------- ------------ ---------- ---------
Income (loss) before
provision for income
taxes (6,860) (4) 7,406 546 -
Provision (benefit)
for income taxes (3) 9,345 5 (8,550) 795 -
---------- --------- ------------ ---------- ---------
Net income (loss) (4) $ (16,205) (9)% $ 15,956 $ (249) -%
========== ========= ============ ========== =========
Net income per share:
(4)
Basic - common
stock $ (0.88) $ 0.87 $ (0.01)
Diluted - common
stock $ (0.88) $ 0.87 $ (0.01)
Weighted-average
number of shares
used in per share
amounts:
Basic - common
stock 18,367 18,367 18,367
Diluted - common
stock 18,367 18,367 18,367
Explanation of adjustments
(1) Non-GAAP results exclude the effect of expensing stock-based
compensation related to stock options and restricted stock units in
accordance with FASB ASC Topic 718.
(2) Non-GAAP results exclude intangible asset amortization expense.
(3) Non-GAAP provision (benefit) for income taxes excludes the estimated
income tax benefits related to stock-based compensation expense listed
in note (1) above and intangible asset amortization expense listed in
note (2) above totaling $3.0 million and provision for income taxes to
record a valuation allowance against deferred tax assets of $11.5
million.
(4) Non-GAAP net income and non-GAAP net income per share excludes stock-
based compensation expense listed in note (1) above, intangible asset
amortization expense listed in note (2) above and the estimated income
tax benefit and provision for income taxes listed in note (3) above.
EHEALTH, INC.
GAAP NET LOSS TO NON-GAAP ADJUSTED EBITDA RECONCILIATION
FOR THE THREE MONTHS AND FISCAL YEAR ENDED DECEMBER 31, 2014 AND 2015
(In thousands, unaudited)
Three Months Ended Fiscal Year Ended
December 31, December 31,
--------------------- ---------------------
2014 2015 2014 2015
---------- ---------- ---------- ----------
Net loss $ (19,199) $ (12,066) $ (16,205) $ (4,763)
Stock-based compensation expense
(1) (708) 1,568 5,877 6,889
Depreciation and amortization
(2) 1,081 1,026 4,192 4,148
Amortization of intangible
assets (2) 467 260 1,529 1,153
Restructuring charges (3) - - - 4,541
Other expense (income), net (4) 17 (95) 98 (45)
Provision (benefit) for income
taxes (5) 5,416 (231) 9,345 (843)
---------- ---------- ---------- ----------
Adjusted EBITDA $ (12,926) $ (9,538) $ 4,836 $ 11,080
========== ========== ========== ==========
Explanation of adjustments
(1) Non-GAAP Adjusted EBITDA excludes the effect of expensing stock-based
compensation related to stock options and restricted stock units in
accordance with FASB ASC Topic 718, excluding for Adjusted EBITDA
$113,000 included in restructuring charges for the fiscal year ended
December 31, 2015.
(2) Non-GAAP Adjusted EBITDA excludes depreciation and amortization
expense, including intangible asset amortization expense.
(3) Non-GAAP Adjusted EBITDA excludes restructuring charges, including
$113,000 of stock based compensation expense included in restructuring
for the fiscal year ended December 31, 2015.
(4) Non-GAAP Adjusted EBITDA excludes other expense (income), net.
(5) Non-GAAP Adjusted EBITDA excludes income tax expense (benefit).
Investor Relations Contact:
Kate Sidorovich CFA
Vice President, Investor Relations
440 East Middlefield Road
Mountain View, CA 94043
(650) 210-3111
kate.sidorovich@ehealth.com
http://ir.ehealthinsurance.com
