EHealth (EHTH) came out with a quarterly loss of $0.79 per share versus the Zacks Consensus Estimate of a loss of $0.39. This compares to loss of $0.96 per share a year ago. These figures are adjusted for non-recurring items.This quarterly report represents an earnings surprise of -102.56%. A quarter ago, it was expected that this provider of internet-based heath insurance agency services would post earnings of $1.94 per share when it actually produced earnings of $1.61, delivering a surprise of -17.01%.Ove ...

Financial Performance - Q1 2024 total revenue reached $93.0 million, a 26% increase from $73.7 million in Q1 2023[4] - Q1 2024 GAAP net loss improved to $17.0 million, a $2.9 million reduction from a loss of $19.9 million in Q1 2023[4] - Adjusted EBITDA for Q1 2024 was $(1.7) million, an improvement of $11.0 million from $(12.7) million in Q1 2023[4] - Operating cash flow for Q1 2024 was $70.8 million, a 16% increase from $60.8 million in Q1 2023[4] - Total operating costs and expenses rose by 15% to $110,875,000, compared to $96,617,000 in the prior year[20] - Net loss for the quarter was $16,984,000, a 15% improvement from a net loss of $19,878,000 in the same quarter of 2023[23] - Adjusted EBITDA improved significantly to $(1,652,000), an 87% increase from $(12,655,000) in the prior year[20] - Full year 2024 total revenue guidance is set between $450 million and $475 million[11] - GAAP net loss for 2024 is expected to range from $(40) million to $(20) million[11] - Adjusted EBITDA for 2024 is projected to be between $(5) million and $20 million[11] - Operating cash flow for 2024 is anticipated to be between $(15) million and $(5) million[11] Membership Growth - Medicare Advantage approved members grew by 9% to 65,750 compared to 60,451 in Q1 2023[4] - Total approved members increased by 1% to 98,259 as of March 31, 2024, compared to 97,576 in 2023[35] - Medicare Advantage members rose by 9% to 65,750, while Medicare Supplement members increased by 35% to 6,182[35] - Total Medicare members decreased by 1% to 874,790, with Medicare Part D members declining by 12% to 187,534[37] - Total estimated membership decreased by 5% to 1,180,026 as of March 31, 2024[37] Revenue Segmentation - Medicare segment revenue increased by 33% to $82,388,000, up from $61,834,000, while the Employer and Individual segment revenue decreased by 11% to $10,576,000 from $11,889,000[28] - Commission revenue increased by 19% to $80,927,000, compared to $68,003,000 in the previous year[32] - Medicare Advantage commission revenue rose by 15% to $61,996,000, while Medicare Part D saw a substantial increase of 246% to $2,685,000[32] Cost and Expenses - Customer care and enrollment cost per Medicare Advantage-equivalent approved member increased by 20% to $419[35] - Total acquisition cost per Medicare Advantage-equivalent approved member rose by 12% to $834[35] - The company has modified its expense allocation methodology starting Q1 2024, resulting in a reclassification of certain expenses into general and administrative costs[57] Cash and Securities - Cash, cash equivalents, and marketable securities totaled $188.9 million as of March 31, 2024[4] - Cash, cash equivalents, and restricted cash at the end of the period totaled $178,076,000, down from $183,872,000 at the beginning of the period[23] Shareholder Information - The weighted-average number of shares used in calculating net loss per share increased by 5% to 28,912,000 from 27,648,000[20] - GAAP net loss attributable to common stockholders for Q1 2024 was $(27,711) thousand, compared to $(28,048) thousand in Q1 2023[41] - Full year 2024 guidance for GAAP net loss attributable to common stockholders is projected between $(85.0) million and $(65.0) million[43] Marketing and Acquisition - Marketing initiatives are crucial for revenue growth, with customer care and enrollment (CC&E) expenses and variable marketing costs being key metrics for member acquisition[52] - The company incurs CC&E expenses to assist applicants during the enrollment process, which are factored into member acquisition metrics[52] - The derived metrics for member acquisition include MA-equivalent and IFP-equivalent approved members, which are calculated based on specific weightings[52] Membership Estimation - The company estimates membership based on commission payments received, with a potential lag of up to a few months between approval and payment[53] - The estimated number of Medicare Advantage approved members includes a weighting system, with Medicare Part D members counted as 25% of a Medicare Advantage member[52] - The company does not update historical membership estimates but reflects updated information in current period estimates, which may lead to variances[53] - The company does not report total membership numbers as of a specific date, relying instead on estimates based on commission payments[53] - The company has experienced historical underestimations of membership due to delayed commission payments from health insurance carriers[53]

AUSTIN, Texas, April 30, 2024 /PRNewswire/ -- eHealth, Inc. (Nasdaq: EHTH), a leading private online health insurance marketplace, today announced that Fran Soistman, Chief Executive Officer, will present at the 2024 RBC Capital Markets Global Healthcare Conference on Tuesday, May 14th, 2024 at 2:05 p.m. E.T. Interested investors can access the live audio webcast of the presentation on eHealth's Investor Relations website at https://ir.ehealthinsurance.com. About eHealth, Inc. We're Matchmakers. For over 25 ...

Provides dial-in details for the first quarter 2024 earnings call, to be held on May 7 at 8:30 a.m. Eastern Time AUSTIN, Texas, April 18, 2024 /PRNewswire/ -- eHealth, Inc. (Nasdaq: EHTH), a leading private online health insurance marketplace, today reiterated its previously issued fiscal year 2024 guidance. Following the April 4th release of the final Policy and Technical Changes to the Medicare Advantage Program for Contract Year 2025, eHealth committed to providing clarity with respect to the rule and it ...

AUSTIN, Texas, April 5, 2024 /PRNewswire/ -- eHealth, Inc. (Nasdaq: EHTH), a leading private online health insurance marketplace, commented on the final Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, released by the Centers for Medicare & Medicaid Services (CMS) on April 4, 2024. The company is currently in the process of reviewing the rule. As there continue to be areas of ambiguity, eHealth will also be communicating with CMS and the company's carrier partners to obtain ...

Program includes year-round support services, access to a dedicated advocate team, and special offers from eHealth partners AUSTIN, Texas, April 4, 2024 /PRNewswire/ -- As a leading private online health insurance marketplace, eHealth, Inc. (Nasdaq: EHTH) (eHealth.com) believes in building long-term relationships with customers and adding value to their lives beyond the initial point of sale. That's why the company today announced the launch of its new eHealth ePerks rewards program. The company has already ...

Survey of more than 2,100 Medicare Advantage enrollees finds working with a licensed agent corresponds to higher satisfaction and confidence 97% of enrollees want the government to defend access to Medicare Advantage plans AUSTIN, Texas, March 13, 2024 /PRNewswire/ -- In recent years, government regulators have engaged in laudable efforts to weed out bad actors from the Medicare Advantage market. However, recent and proposed rules that risk making it harder for beneficiaries to get effective help from legit ...

eHealth's seventh annual Medicare Index Report tracks plan cost and selection trends among 190,000+ beneficiaries 84% of Medicare Advantage enrollees choose plans with $0 premiums; average deductible drops below $100 for the first time AUSTIN, Texas, March 7, 2024 /PRNewswire/ -- For deeper insights into Medicare insurance trends, look beyond what's merely available in the market for beneficiaries to choose from. Look instead at what they actually select for themselves. eHealth's seventh-annual Medicare Ind ...

eHealth, Inc. (EHTH) reported a fourth-quarter 2023 adjusted earnings of $1.61 per share, missing the Zacks Consensus Estimate by 17%. The bottom line, however, jumped from the prior-year quarter’s earnings of $1.14 per share.The top line increased 26% year over year to $247.7 million. The figure beat the consensus mark by 1.3%.The lower-than-expected earnings were caused by higher operating costs and expenses and weaker performance in Employer and Individual businesses. The negatives were partially offset ...

Part I [Business](index=7&type=section&id=Item%201.%20Business) eHealth operates a private health insurance marketplace, with Medicare driving 90% of 2023 revenue, focusing on enrollment growth and retention - eHealth operates a private health insurance marketplace through an omnichannel platform, offering products from over **180 carriers**, divided into Medicare and Employer and Individual (E&I) segments[21](index=21&type=chunk)[22](index=22&type=chunk)[23](index=23&type=chunk) - The Medicare segment is the primary business, accounting for about **90% of total revenue in 2023**, with most revenue from commission payments[23](index=23&type=chunk) - Growth strategies focus on deliberate enrollment growth, enhancing omnichannel marketing, improving enrollment quality and member retention, and diversifying revenue streams including the E&I segment[41](index=41&type=chunk)[42](index=42&type=chunk)[48](index=48&type=chunk) - As of December 31, 2023, the company had **1,903 full-time employees**, with **1,322 in customer care** and **249 in its China subsidiary**[92](index=92&type=chunk) [Risk Factors](index=25&type=section&id=Item%201A.%20Risk%20Factors) The company faces significant risks from intense competition, reliance on key carriers, complex CMS regulations, financial constraints, and operational challenges - The company faces intense competition from government-run health insurance exchanges, other insurance agents and brokers, and the carriers themselves, which could increase marketing costs and reduce market share[107](index=107&type=chunk)[108](index=108&type=chunk)[110](index=110&type=chunk) - A significant portion of revenue is concentrated with a few health insurance carriers, with Humana, UnitedHealthcare, and Aetna accounting for **27%**, **23%**, and **15% of total revenue** respectively in 2023[114](index=114&type=chunk) - The marketing and sale of Medicare plans are subject to complex and frequently changing laws and regulations from CMS, potentially limiting broker compensation and restricting marketing activities[152](index=152&type=chunk)[155](index=155&type=chunk)[156](index=156&type=chunk) - The company's debt and preferred stock agreements contain restrictive covenants, including minimum liquidity and asset coverage ratios, the latter of which has not been met since September 30, 2023, granting H.I.G. additional rights[186](index=186&type=chunk)[188](index=188&type=chunk) - Commission revenue recognition relies on complex estimates of constrained lifetime value (LTV) based on assumptions about member conversion rates, plan duration, and commission amounts, which can significantly impact reported revenue[173](index=173&type=chunk)[175](index=175&type=chunk) [Unresolved Staff Comments](index=55&type=section&id=Item%201B.%20Unresolved%20Staff%20Comments) The company reports no unresolved staff comments from the Securities and Exchange Commission - There are no unresolved staff comments[234](index=234&type=chunk) [Cybersecurity](index=55&type=section&id=Item%201C.%20Cybersecurity) eHealth maintains a comprehensive cybersecurity risk management program, overseen by the Audit Committee, with no material incidents reported to date - The company has a formal cybersecurity risk management program integrated into its overall enterprise risk management, overseen by the Board's Audit Committee[235](index=235&type=chunk)[243](index=243&type=chunk) - The cybersecurity strategy includes regular risk assessments, employee and contractor security awareness training, phishing simulations, and periodic penetration audits to identify vulnerabilities[236](index=236&type=chunk)[238](index=238&type=chunk)[239](index=239&type=chunk) - A formal Incident Response Plan is in place, and the company has engaged a cyber crisis response platform and conducted mock cyber-attack exercises to prepare senior leadership[240](index=240&type=chunk)[241](index=241&type=chunk) - As of the date of the report, the company has not experienced any cybersecurity incidents that were determined to be material[242](index=242&type=chunk) [Properties](index=57&type=section&id=Item%202.%20Properties) The company's corporate headquarters are in Austin, Texas, with a remote-first U.S. model and a significant leased office in Xiamen, China for operations - Corporate headquarters are located in a **26,878 sq. ft. leased space** in Austin, Texas[247](index=247&type=chunk) - In 2022, the company adopted a remote-first workplace model in the United States, leading to the closure of some office spaces[247](index=247&type=chunk) - The company leases **53,758 sq. ft. of office space** in Xiamen, China, which supports technology, customer care, marketing, and administrative operations[247](index=247&type=chunk) [Legal Proceedings](index=57&type=section&id=Item%203.%20Legal%20Proceedings) The company is involved in various legal proceedings and regulatory inquiries, with material details provided in Note 8 of the financial statements - The company is subject to inquiries from state and federal regulators and may be involved in litigation in the ordinary course of business[249](index=249&type=chunk) - Details on material legal proceedings are provided in Note 8 – Commitments and Contingencies in the financial statements section of the report[249](index=249&type=chunk) [Mine Safety Disclosures](index=57&type=section&id=Item%204.%20Mine%20Safety%20Disclosures) This item is not applicable to the company - Not applicable[250](index=250&type=chunk) Part II [Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities](index=58&type=section&id=Item%205.%20Market%20for%20Registrant%27s%20Common%20Equity%2C%20Related%20Stockholder%20Matters%20and%20Issuer%20Purchases%20of%20Equity%20Securities) eHealth's common stock trades on Nasdaq under EHTH, has never paid dividends, and its performance is compared against market indexes in the report - The company's common stock is traded on the Nasdaq Global Market under the symbol **EHTH**[251](index=251&type=chunk) - eHealth has never declared or paid cash dividends on its common stock and does not expect to in the foreseeable future[252](index=252&type=chunk) Stock Performance Graph | | 12/31/2018 | 12/31/2019 | 12/31/2020 | 12/31/2021 | 12/31/2022 | 12/31/2023 | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | **eHealth, Inc.** | $100.00 | $250.08 | $183.78 | $66.37 | $12.60 | $22.70 | | **Nasdaq Composite** | $100.00 | $136.69 | $198.10 | $242.03 | $163.28 | $236.17 | | **RDG Internet Composite** | $100.00 | $141.93 | $194.91 | $190.78 | $115.68 | $168.80 | [Management's Discussion and Analysis of Financial Condition and Results of Operations](index=60&type=section&id=Item%207.%20Management%27s%20Discussion%20and%20Analysis%20of%20Financial%20Condition%20and%20Results%20of%20Operations) In 2023, eHealth's transformation led to a 12% revenue increase to $452.9 million, a reduced net loss of $28.2 million, and improved Medicare Advantage LTV, with strong liquidity - The company is executing a multi-year transformation plan focused on enrollment quality, member experience, and cost savings, resulting in over **$110 million in cost savings in 2022** and a return to Medicare Advantage enrollment growth in Q4 2023[261](index=261&type=chunk)[262](index=262&type=chunk)[263](index=263&type=chunk) Approved Members by Product | Product | 2023 | 2022 | 2021 | | :--- | :--- | :--- | :--- | | **Total Medicare** | 337,476 | 361,612 | 501,070 | | Individual and Family | 27,318 | 33,271 | 42,711 | | Ancillary | 56,789 | 72,004 | 97,694 | | Small Business | 7,613 | 9,722 | 11,432 | | **Total Approved Members** | **429,196** | **476,609** | **652,907** | Estimated Constrained LTV of Commissions Per Approved Member | Product | 2023 | 2022 | 2021 | | :--- | :--- | :--- | :--- | | Medicare Advantage | $1,049 | $975 | $979 | | Medicare Supplement | $891 | $935 | $993 | | Medicare Part D | $220 | $194 | $203 | Financial Performance Summary (in thousands) | Metric | 2023 | 2022 | 2021 | | :--- | :--- | :--- | :--- | | **Total Revenue** | $452,871 | $405,356 | $538,199 | | **Loss from Operations** | $(29,074) | $(102,713) | $(125,645) | | **Net Loss** | $(28,214) | $(88,722) | $(104,375) | - Commission revenue increased **12% in 2023**, largely due to **$48.1 million in positive net adjustment revenue** from prior period enrollments, reflecting favorable retention dynamics and commission rates[287](index=287&type=chunk)[263](index=263&type=chunk) - As of December 31, 2023, the company had **$121.7 million in cash, cash equivalents, and short-term marketable securities** and believes it has sufficient liquidity to fund operations for at least the next 12 months[338](index=338&type=chunk)[346](index=346&type=chunk) [Quantitative and Qualitative Disclosures About Market Risk](index=85&type=section&id=Item%207A.%20Quantitative%20and%20Qualitative%20Disclosures%20About%20Market%20Risk) The company's primary market risks are credit risk, concentrated in commissions receivable from major carriers, and foreign currency exchange risk from its China subsidiary's operations - The company's main financial instruments exposed to credit risk are cash, cash equivalents, marketable securities, and contract assets – commissions receivable[385](index=385&type=chunk) - As of December 31, 2023, net contract assets – commissions receivable totaled **$918.2 million**, with the company considering the risk of non-performance by its counterparty carriers to be remote[386](index=386&type=chunk) - The company has exposure to foreign currency exchange risk from the operating expenses of its subsidiary in China, which are denominated in Chinese Yuan Renminbi, though this risk has not had a material impact to date[389](index=389&type=chunk) [Financial Statements and Supplementary Data](index=88&type=section&id=Item%208.%20Financial%20Statements%20and%20Supplementary%20Data) This section presents the company's audited consolidated financial statements for 2021-2023, with Ernst & Young LLP providing an unqualified opinion on financial statements and internal control - The independent auditor, Ernst & Young LLP, issued an unqualified opinion on the consolidated financial statements and on the company's internal control over financial reporting as of December 31, 2023[395](index=395&type=chunk)[396](index=396&type=chunk) Consolidated Balance Sheet Highlights (in thousands) | | Dec 31, 2023 | Dec 31, 2022 | | :--- | :--- | :--- | | **Total Assets** | **$1,113,345** | **$1,112,611** | | Cash and cash equivalents | $115,722 | $144,401 | | Contract assets – commissions receivable (Total) | $918,177 | $884,304 | | **Total Liabilities** | **$209,261** | **$198,372** | | Long-term debt | $67,754 | $66,129 | | **Total Stockholders' Equity** | **$606,031** | **$650,955** | Consolidated Statements of Comprehensive Loss Highlights (in thousands) | | 2023 | 2022 | 2021 | | :--- | :--- | :--- | :--- | | **Total Revenue** | $452,871 | $405,356 | $538,199 | | **Total operating costs and expenses** | $481,945 | $508,069 | $663,844 | | **Net Loss** | $(28,214) | $(88,722) | $(104,375) | | **Loss per share (basic and diluted)** | $(2.37) | $(4.36) | $(4.59) | - The critical audit matter identified by the auditor relates to the estimation of the constrained lifetime value (LTV) of commission revenue, due to the complexity of the models and the subjectivity of the assumptions involved[401](index=401&type=chunk)[402](index=402&type=chunk) [Changes in and Disagreements with Accountants on Accounting and Financial Disclosure](index=131&type=section&id=Item%209.%20Changes%20in%20and%20Disagreements%20with%20Accountants%20on%20Accounting%20and%20Financial%20Disclosure) The company reports no changes in or disagreements with its accountants on accounting and financial disclosure - None[605](index=605&type=chunk) [Controls and Procedures](index=131&type=section&id=Item%209A.%20Controls%20and%20Procedures) Management concluded that disclosure controls and internal control over financial reporting were effective as of December 31, 2023, affirmed by Ernst & Young LLP - Management concluded that the company's disclosure controls and procedures were effective as of December 31, 2023[607](index=607&type=chunk) - Management concluded that the company's internal control over financial reporting was effective as of December 31, 2023, based on the COSO 2013 framework[609](index=609&type=chunk) - The independent auditor, Ernst & Young LLP, issued an unqualified opinion on the effectiveness of the company's internal control over financial reporting as of December 31, 2023[616](index=616&type=chunk) - No changes in internal control over financial reporting occurred during the fourth quarter of 2023 that have materially affected, or are reasonably likely to materially affect, internal controls[610](index=610&type=chunk) [Other Information](index=135&type=section&id=Item%209B.%20Other%20Information) No director or officer adopted or terminated Rule 10b5-1 or non-Rule 10b5-1 trading arrangements during the fourth quarter of 2023 - No director or officer adopted or terminated a Rule 10b5-1 or non-Rule 10b5-1 trading arrangement during the fiscal quarter ended December 31, 2023[624](index=624&type=chunk) Part III [Directors, Executive Officers and Corporate Governance](index=135&type=section&id=Item%2010.%20Directors%2C%20Executive%20Officers%20and%20Corporate%20Governance) Information for this item is incorporated by reference from the forthcoming Definitive Proxy Statement - Information is incorporated by reference from the forthcoming Definitive Proxy Statement[626](index=626&type=chunk) [Executive Compensation](index=135&type=section&id=Item%2011.%20Executive%20Compensation) Information for this item is incorporated by reference from the forthcoming Definitive Proxy Statement - Information is incorporated by reference from the forthcoming Definitive Proxy Statement[627](index=627&type=chunk) [Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters](index=135&type=section&id=Item%2012.%20Security%20Ownership%20of%20Certain%20Beneficial%20Owners%20and%20Management%20and%20Related%20Stockholder%20Matters) Information for this item is incorporated by reference from the forthcoming Definitive Proxy Statement - Information is incorporated by reference from the forthcoming Definitive Proxy Statement[628](index=628&type=chunk) [Certain Relationships and Related Transactions, and Director Independence](index=135&type=section&id=Item%2013.%20Certain%20Relationships%20and%20Related%20Transactions%2C%20and%20Director%20Independence) Information for this item is incorporated by reference from the forthcoming Definitive Proxy Statement - Information is incorporated by reference from the forthcoming Definitive Proxy Statement[629](index=629&type=chunk) [Principal Accountant Fees and Services](index=135&type=section&id=Item%2014.%20Principal%20Accountant%20Fees%20and%20Services) Information for this item is incorporated by reference from the forthcoming Definitive Proxy Statement - Information is incorporated by reference from the forthcoming Definitive Proxy Statement[630](index=630&type=chunk) Part IV [Exhibits and Financial Statement Schedules](index=136&type=section&id=Item%2015.%20Exhibits%20and%20Financial%20Statement%20Schedules) This section lists documents filed as part of the Form 10-K, confirming consolidated financial statements are in Item 8 and providing an index of exhibits - The Consolidated Financial Statements are included in Item 8 of the report[631](index=631&type=chunk) - All financial statement schedules have been omitted because they are not applicable or the required information is included elsewhere[632](index=632&type=chunk) - An index of exhibits filed with or incorporated by reference into the report is provided[633](index=633&type=chunk) [Form 10-K Summary](index=136&type=section&id=Item%2016.%20Form%2010-K%20Summary) The company has not provided a summary for Form 10-K - None[634](index=634&type=chunk)