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Document eHealth, Inc. Announces Third Quarter 2024 Results Third quarter performance driven by strong Medicare segment execution YoY Entered AEP on solid financial and operational foundation Completed extension of term

Key Takeaway: eHealth, Inc. reported its financial results for Q3 2024, highlighting a strong performance in its Medicare segment with a 22% growth in submissions year-over-year, primarily driven by Medicare Advantage. However, the total revenue decreased by 10%, while the GAAP net loss increased to $42.5 million. The company has successfully prepared for the Annual Enrollment Period, seeing growth in online visits and conversion rates. Additionally, eHealth completed a term loan extension, improving its interest rate terms. Guidance for the full year expects total revenue to range from $470 to $495 million.

Market Sentiment Analysis

POSITIVE FACTORS

  • Strong revenue and profitability targets achieved in Q3 2024.
  • Significant growth in Medicare application volume, particularly in Medicare Advantage.
  • Successful preparations for the Annual Enrollment Period with increased engagement.
  • Completion of a term loan extension with improved interest rates.

CONCERNS & RISKS

  • Total revenue decreased by 10% compared to the previous year.
  • GAAP net loss increased to $42.5 million, up 15% year-over-year.
  • A decline in positive net adjustment revenue from $12.2 million to $1.2 million.

Full Press Release Details

eHealth, Inc. Announces Third Quarter 2024 Results
Third quarter performance driven by strong Medicare segment execution YoY
Entered AEP on solid financial and operational foundation
Completed extension of term loan at improved interest rate terms
AUSTIN, Texas - November 6, 2024 - eHealth, Inc. (Nasdaq EHTH), a leading private online health insurance marketplace, today announced its financial results for the third quarter ended September 30, 2024.
CEO Comments
"In the third quarter, eHealth achieved our revenue and profitability targets, delivered significant growth in Medicare application volume, and completed our final preparations for the Annual Enrollment Period ("AEP"). We maintained this strong momentum in the first weeks of the AEP, with call volume, online visits to our platform and conversion rates across enrollment channels, up meaningfully year-over-year and exceeding our expectations. We have also implemented a multi-faceted plan to serve eHealth's existing members, including dedicated advisor support and plan monitor tools available on our online platform, to ensure customers continue to be enrolled in coverage that best fits their needs." - Fran Soistman, Chief Executive Officer
Q3 2024 Medicare submissions(a) across our core agency and carrier-dedicated Amplify platforms grew 22% compared to Q3 2023, driven primarily by Medicare Advantage ("MA") submissions growth of 26% year-over-year.
Q3 2024 total Medicare approved members increased 6% year-over-year, driven mostly by a 14% increase in Q3 2024 MA approved members year-over-year.
Q3 2024 total revenue of $58.4 million decreased 10% year-over-year, driven primarily by lower positive net adjustment revenue, as compared to Q3 2023 total revenue of $64.7 million.
Q3 2024 positive net adjustment revenue of $1.2 million compared to $12.2 million in Q3 2023.
Q3 2024 Non-GAAP total revenue excluding net adjustment revenue(1) increased 9% year-over-year.
Q3 2024 total acquisition cost per MA-equivalent approved member declined 16% compared to Q3 2023.
Q3 2024 GAAP net loss of $42.5 million increased 15%, compared to Q3 2023 GAAP net loss of $37.0 million.
Q3 2024 Non-GAAP net loss(1) of $43.3 million, which excludes the post-tax impact of positive net adjustment revenue and restructuring charges, improved 6% year-over-year.
Q3 2024 adjusted EBITDA(1) of $(34.8) million compared to Q3 2023 adjusted EBITDA(1) of $(28.1) million Q3 2024 adjusted EBITDA excluding net adjustment revenue(1) improved $4.3 million year-over-year, driven primarily by MA approved member growth, improved Medicare acquisition costs and continued fixed cost reduction efforts.
Successfully completed our AEP preparations achieved our licensed agent headcount targets and conducted a robust training program, developed our integrated brand marketing strategy and made further enhancements to our online platform.
Amended term loan credit agreement to extend maturity date to February 2026 with improved interest rate terms.
Cash, cash equivalents and marketable securities of $117.8 million as of September 30, 2024.
Commissions receivable balance of $814.0 million as of September 30, 2024.
Note See the tables at the end of this press release for a reconciliation of our GAAP financial measures to our non-GAAP financial measures for the relevant periods and footnote (1) on page 15 at the end of this press release for definitions of our non-GAAP financial measures.
(a) Submissions describe applications that are submitted by individuals online through our eHealth platform or completed with the assistance of our benefit advisors where the individual provides authorization to the benefit advisor to submit the application to the insurance carrier partner. The individual may have additional actions to take before the application will be reviewed by the insurance carrier and not all submissions ultimately become approved members.
Based on information available as of November 6, 2024, we are reiterating our guidance for the full year ending December 31, 2024. These expectations are forward-looking statements and we assume no obligation to update these statements. Actual results may be materially different and are affected by the risk factors and uncertainties identified in this press release and in eHealth's annual and quarterly reports filed with the Securities and Exchange Commission.
The following guidance is for the full year ending December 31, 2024
Total revenue is expected to be in the range of $470.0 million to $495.0 million.
GAAP net income (loss) is expected to be in the range of $(36.5) million to $(22.0) million.
Adjusted EBITDA(1) is expected to be in the range of $7.5 million to $25.0 million.
Operating cash flow is expected to be in the range of $(10.0) million to $0.0 million.
The above guidance includes the expected impact of positive net adjustment revenue in the range of $14 to $20 million. Excluding the impact of positive net adjustment revenue in both years, the mid-point of our 2024 guidance reflects approximately 15% growth in Non-GAAP total revenue excluding net adjustment revenue(1) and a substantial improvement in Non-GAAP net income (loss)(1) and adjusted EBITDA excluding net adjustment revenue(1) year-over-year.
Note See accompanying footnotes on page 15.
Webcast and Conference Call Information
A webcast and conference call will be held today, Wednesday, November 6, 2024 at 8 30 a.m. Eastern Time 7 30 a.m. Central Time. Individuals interested in listening to the conference call may do so by dialing (800) 343-5172. The participant passcode is 1401106. The live and archived webcast of the call will also be available under "Events Presentations" on the Investor Relations page of our website at https ir.ehealthinsurance.com.
We're Matchmakers. For over 25 years, eHealth has helped millions of Americans find the healthcare coverage that fits their needs at a price they can afford. As a leading independent licensed insurance agency and advisor, eHealth offers access to over 180 health insurers, including national and regional companies.
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 our expectations regarding our business, operations and strategy our estimates regarding total membership, Medicare, individual and family plan, ancillary products and small business memberships our estimates regarding constrained lifetime values of commissions per approved member by product category our estimates regarding costs per approved member our 2024 annual guidance for total revenue, GAAP net income (loss), adjusted EBITDA and operating cash flow our estimates for positive net adjustment revenue and its expected impact on our 2024 annual guidance the impact of our efforts to prepare for the annual enrollment period, and other statements regarding our future operations, financial condition, prospects and business strategies.
These forward-looking statements are inherently subject to various risks and uncertainties that could cause actual results to differ materially from the statements made. In particular, we are required by Accounting Standards Codification 606 - Revenue from Contracts with Customers to make numerous assumptions that are based on historical trends and our
management's judgment. These assumptions may change over time and have a material impact on our revenue recognition, guidance, and results of operations. Please review the assumptions stated in this press release carefully.
The risks and uncertainties that could cause our results to differ materially from those expressed or implied by such forward-looking statements include, but are not limited to, our ability to retain existing members and enroll new members during the annual healthcare open enrollment period, the Medicare annual enrollment period, the Medicare Advantage annual open enrollment period and other special enrollment periods changes in laws, regulations and guidelines, including in connection with healthcare reform or with respect to the marketing and sale of Medicare plans, such as the Policy and Technical Changes to Medicare Advantage for Contract Year 2025 released by CMS on April 4, 2024 competition, including competition from government-run health insurance exchanges and other sources the seasonality of our business and the fluctuation of our operating results our ability to accurately estimate membership, lifetime value of commissions and commissions receivable changes in product offerings among carriers on our ecommerce platform and changes in our estimated conversion rate of an approved member to a paying member and the resulting impact of each on our commission revenue the concentration of our revenue with a small number of health insurance carriers our ability to execute on our growth strategy and other business initiatives changes in our management or other key employees our ability to hire, train, retain and ensure the productivity of licensed insurance agents, or benefit advisors, and other personnel exposure to security risks and our ability to safeguard the security and privacy of confidential data our relationships with health insurance carriers the success of our carrier advertising and sponsorship program our success in marketing and selling health insurance plans and our unit cost of acquisition our ability to effectively manage our operations as our business evolves and execute on our business plan and other strategic initiatives the need for health insurance carrier and regulatory approvals in connection with the marketing of Medicare-related insurance products changes in the market for private health insurance consumer satisfaction of our service and actions we take to improve the quality of enrollments changes in member conversion rates changes in commission rates our ability to sell qualified health insurance plans to subsidy-eligible individuals and to enroll subsidy-eligible individuals through government-run health insurance exchanges our ability to derive desired benefits from investments in our business, including membership growth and retention initiatives our reliance on marketing partners the success and cost of our marketing efforts, including branding, online advertising, direct-to-consumer mail, email, social media, telephone, television, radio and other marketing efforts timing of receipt and accuracy of commission reports payment practices of health insurance carriers dependence on our operations in China the restrictions in our debt obligations the restrictions in our investment agreement with our convertible preferred stock investor our ability to raise additional capital compliance with insurance, privacy, cybersecurity and other laws and regulations the outcome of litigation in which we may from time to time be involved the performance, reliability and availability of our information technology systems, ecommerce platform and underlying network infrastructure, including any new systems we may implement public health crises, pandemics, natural disasters, changing climate conditions and other extreme events general economic conditions, including inflation, recession, financial, banking and credit market disruptions and our ability to effectively administer our self-insurance program. Other factors that could cause operating, financial and other results to differ are described in our 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 our website at https ir.ehealthinsurance.com and on the Securities and Exchange Commission's website at www.sec.gov.
All forward-looking statements in this press release are based on information available to us as of the date hereof, and we do not assume any obligation to update the forward-looking statements provided to reflect events that occur or circumstances that exist after the date on which they were made, except as required by law.
Investor Relations Contact
Kate Sidorovich, CFA
Senior Vice President, Investor Relations Strategy
investors ehealth.com
https ir.ehealthinsurance.com
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, unaudited)
September 30, 2024 December 31, 2023
Assets
Current assets
Cash and cash equivalents $ 64,032 $ 115,722
Short-term marketable securities 53,750 5,930
Accounts receivable 5,864 3,993
Contract assets - commissions receivable - current 197,591 244,663
Prepaid expenses and other current assets 19,630 12,044
Total current assets 340,867 382,352
Contract assets - commissions receivable - non-current 616,445 673,514
Property and equipment, net 4,770 4,864
Operating lease right-of-use assets 12,442 22,767
Restricted cash 3,090 3,090
Other assets 24,377 26,758
Total assets $ 1,001,991 $ 1,113,345
Liabilities, convertible preferred stock and stockholders' equity
Current liabilities
Accounts payable $ 5,407 $ 7,197
Accrued compensation and benefits 26,207 40,800
Accrued marketing expenses 9,208 20,340
Lease liabilities - current 7,429 7,070
Other current liabilities 5,597 3,131
Total current liabilities 53,848 78,538
Long-term debt 69,155 67,754
Deferred income taxes - non-current 25,347 29,687
Lease liabilities - non-current 22,349 28,333
Other non-current liabilities 4,821 4,949
Total liabilities 175,520 209,261
Convertible preferred stock 327,125 298,053
Stockholders' equity
Common stock 43 41
Additional paid-in capital 812,538 798,786
Treasury stock, at cost (199,998) (199,998)
Retained earnings (accumulated deficit) (113,363) 7,284
Accumulated other comprehensive income (loss) 126 (82)
Total stockholders' equity 499,346 606,031
Total liabilities, convertible preferred stock and stockholders' equity $ 1,001,991 $ 1,113,345
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts, unaudited)
Three Months Ended September 30, Nine Months Ended September 30,
2024 2023 % Change 2024 2023 % Change
Revenue
Commission $ 48,222 $ 57,239 (16) % $ 185,996 $ 185,428 - %
Other 10,187 7,479 36 % 31,233 19,781 58 %
Total revenue 58,409 64,718 (10) % 217,229 205,209 6 %
Operating costs and expenses (a)
Marketing and advertising (8) 29,665 29,035 2 % 95,185 85,343 12 %
Customer care and enrollment (8) 39,321 38,901 1 % 100,773 93,951 7 %
Technology and content (8) 12,264 13,241 (7) % 38,613 42,047 (8) %
General and administrative (8) 20,297 22,937 (12) % 62,318 72,310 (14) %
Impairment, restructuring and other charges 61 - * 9,409 - *
Total operating costs and expenses 101,608 104,114 (2) % 306,298 293,651 4 %
Loss from operations (43,199) (39,396) (10) % (89,069) (88,442) (1) %
Interest expense (2,859) (2,822) (1) % (8,517) (8,122) (5) %
Other income, net 1,699 2,684 (37) % 6,425 7,500 (14) %
Loss before income taxes (44,359) (39,534) (12) % (91,161) (89,064) (2) %
Benefit from income taxes (1,886) (2,509) (3,736) (8,660)
Net loss (42,473) (37,025) (15) % (87,425) (80,404) (9) %
Preferred stock dividends (5,643) (5,320) (16,603) (15,644)
Change in preferred stock redemption value (5,832) (4,898) (16,619) (12,158)
Net loss attributable to common stockholders $ (53,948) $ (47,243) (14) % $ (120,647) $ (108,206) (11) %
Net loss per share attributable to common stockholders
Basic and diluted $ (1.83) $ (1.68) (9) % $ (4.13) $ (3.88) (6) %
Weighted-average number of shares used in per share
Basic and diluted 29,485 28,114 5 % 29,211 27,863 5 %
_____________________________ (a) Includes stock-based compensation expense as follows
Marketing and advertising $ 437 $ 605 $ 1,792 $ 1,598
Customer care and enrollment 452 836 1,487 2,229
Technology and content 845 1,306 2,598 3,384
General and administrative 2,745 3,807 9,248 10,530
Total stock-based compensation expense $ 4,479 $ 6,554 (32) % $ 15,125 $ 17,741 (15) %
Non-GAAP Results (1)
Adjusted EBITDA (1) $ (34,832) $ (28,097) (24) % $ (52,024) $ (55,560) 6 %
Adjusted EBITDA margin (1) (60) % (43) % (24) % (27) %
* Percentage calculated is not meaningful.
Note See accompanying footnotes on page 15.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands, unaudited)
Three Months Ended September 30, Nine Months Ended September 30,
2024 2023 2024 2023
Operating activities
Net loss $ (42,473) $ (37,025) $ (87,425) $ (80,404)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities
Depreciation and amortization 473 614 1,481 1,908
Amortization of internally developed software 3,354 4,131 11,030 13,233
Stock-based compensation expense 4,479 6,554 15,125 17,741
Deferred income taxes (1,709) (2,611) (4,340) (9,311)
Impairment charges - - 7,413 -
Other non-cash items 74 106 (43) 5
Changes in operating assets and liabilities
Accounts receivable (4,681) 121 (1,871) 2,110
Contract assets - commissions receivable 17,885 9,148 104,582 104,160
Prepaid expenses and other assets (11,327) (12,473) (9,896) (12,597)
Accounts payable 509 802 (1,965) 181
Accrued compensation and benefits 6,195 5,823 (14,593) 6,102
Accrued marketing expenses 1,366 989 (11,132) (16,347)
Deferred revenue (1,173) 1,040 861 1,323
Accrued expenses and other liabilities (2,255) (1,900) 69 (1,410)
Net cash provided by (used in) operating activities (29,283) (24,681) 9,296 26,694
Investing activities
Capitalized internal-use software and website development costs (3,191) (2,826) (8,070) (7,028)
Purchases of property and equipment and other assets (998) (1,386) (1,463) (1,759)
Purchases of marketable securities (48,489) - (85,880) (48,602)
Proceeds from redemption and maturities of marketable securities 20,000 28,500 39,000 40,900
Net cash provided by (used in) investing activities (32,678) 24,288 (56,413) (16,489)
Financing activities
Net proceeds from exercise of common stock options and employee stock purchases - - 354 262
Repurchase of shares to satisfy employee tax withholding obligations (450) (884) (2,301) (1,935)
Principal payments in connection with leases - (8) (4) (33)
Payments of preferred stock dividends - - (2,740) (873)
Net cash used in financing activities (450) (892) (4,691) (2,579)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 99 69 118 (58)
Net increase (decrease) in cash, cash equivalents and restricted cash (62,312) (1,216) (51,690) 7,568
Cash, cash equivalents and restricted cash at beginning of period 129,434 156,424 118,812 147,640
Cash, cash equivalents and restricted cash at end of period $ 67,122 $ 155,208 $ 67,122 $ 155,208
(in thousands, unaudited)
We evaluate our business performance and manage our operations as two distinct reporting segments Medicare and Employer and Individual ("E I"). In the fourth quarter of 2023, the Individual, Family and Small Business segment was renamed "Employer and Individual". The E I segment name change was to the name only and had no impact on our historical financial position, results of operations, cash flow or segment level results previously reported. This identification of reportable segments is consistent with how the segments report to and are managed by our chief executive officer, who is our chief operating decision maker ("CODM"). 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 (collectively, the "Medicare Plans"), fees earned for the performance of administrative services, amounts earned from our non-broker of record arrangements, our performance of various post-enrollment services for members and to a lesser extent, amounts earned 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. The E I segment consists primarily of amounts earned from our sale of individual, family and small business health insurance plans, including both qualified and non-qualified 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 E I segment consists of amounts earned from our online sponsorship and advertising program that allows carriers to purchase advertising space in specific markets in a sponsorship area on our website and our technology licensing and lead referral activities.
Marketing and advertising, customer care and enrollment, technology and content and general and administrative operating expenses that are directly attributable to a segment are reported within the applicable segment. Indirect marketing and advertising, customer care and enrollment and technology and content operating expenses are allocated to each segment based on usage. Corporate consists of other general and administrative operating expenses, excluding stock-based compensation expense, depreciation and amortization, which are managed in a corporate shared services environment and, since they are not the responsibility of segment operating management, are not allocated to the reportable segments and are instead reported within Corporate. Our results below reflect our updated methodology used in allocating certain expenses beginning in the first quarter of fiscal 2024, and results from the prior period presented have been recast to conform with the current period presentation. See accompanying footnotes on page 15 for further information.
The performance of each reportable segment is evaluated based on several factors, including revenue and segment profit (loss), which 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, impairment, restructuring and other charges, interest expense and other income (expense), net. Senior management uses segment profit (loss) to evaluate segment performance because they believe this measure is indicative of performance trends and the overall earnings potential of each segment.
Three Months Ended September 30, % Change Nine Months Ended September 30, % Change
2024 2023 2024 2023
Revenue
Medicare $ 53,221 $ 55,523 (4) % $ 194,857 $ 172,787 13 %
Employer and Individual 5,188 9,195 (44) % 22,372 32,422 (31) %
Total revenue $ 58,409 $ 64,718 (10) % $ 217,229 $ 205,209 6 %
Segment profit (loss) (8)
Medicare $ (17,933) $ (15,331) (17) % $ (8,350) $ (17,979) 54 %
Employer and Individual (799) 4,810 (117) % 4,743 19,372 (76) %
Segment profit (loss) (18,732) (10,521) (78) % (3,607) 1,393 (359) %
Corporate (8) (16,100) (17,576) (48,417) (56,953)
Stock-based compensation expense (4,479) (6,554) (15,125) (17,741)
Depreciation and amortization (3,827) (4,745) (12,511) (15,141)
Impairment, restructuring and other charges (61) - (9,409) -
Interest expense (2,859) (2,822) (8,517) (8,122)
Other income, net 1,699 2,684 6,425 7,500
Loss before income taxes $ (44,359) $ (39,534) (12) % $ (91,161) $ (89,064) (2) %
Note See accompanying footnotes on page 15.
(in thousands, unaudited)
Our commission revenue results from approval of an application from health insurance carriers, which we define as our customers under Accounting Standards Codification 606 - Revenue from Contracts with Customers ("ASC 606"). Our commission revenue is primarily comprised of commissions from health insurance carriers which is computed using the estimated constrained lifetime values of commission payments that we expect to receive. Our commissions may 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. For Medicare Advantage and Medicare Part D prescription drug plans, our commissions also include regular payments related to administrative services we perform.
The following table presents commission revenue by product for the periods indicated
Three Months Ended September 30, % Change Nine Months Ended September 30, % Change
2024 2023 2024 2023
Medicare
Medicare Advantage $ 39,463 $ 43,721 (10) % $ 143,627 $ 143,231 - %
Medicare Supplement 2,312 2,630 (12) % 11,835 7,786 52 %
Medicare Part D 843 2,046 (59) % 6,238 4,686 33 %
Total Medicare 42,618 48,397 (12) % 161,700 155,703 4 %
Individual and Family
Non-Qualified Health Plans (199) 1,560 (113) % 1,834 6,904 (73) %
Qualified Health Plans 602 681 (12) % 3,358 4,084 (18) %
Total Individual and Family 403 2,241 (82) % 5,192 10,988 (53) %
Ancillary 2,036 2,560 (20) % 7,279 7,503 (3) %
Small Business 2,268 3,884 (42) % 8,447 12,557 (33) %
Commission Bonus and Other 897 157 471 % 3,378 (1,323) 355 %
Total Commission Revenue $ 48,222 $ 57,239 (16) % $ 185,996 $ 185,428 - %
The following table presents a summary of commission revenue by segment for the periods indicated
Three Months Ended September 30, Nine Months Ended September 30,
2024 2023 2024 2023
Medicare
Commission revenue from members approved during the period $ 42,324 $ 39,169 $ 152,017 $ 131,792
Net commission revenue from members approved in prior periods (a) 1,090 9,291 12,773 22,746
Total Medicare segment commission revenue 43,414 48,460 164,790 154,538
Employer and Individual
Commission revenue from members approved during the period 2,848 3,829 11,790 13,835
Commission revenue from renewals of small business members during the period 1,852 2,028 7,022 7,299
Net commission revenue from members approved in prior periods (a) 108 2,922 2,394 9,756
Total Employer and Individual segment commission revenue 4,808 8,779 21,206 30,890
Total commission revenue $ 48,222 $ 57,239 $ 185,996 $ 185,428
(a) These amounts reflect our revised estimates of cash collections for certain members approved prior to the relevant reporting period that are recognized as adjustments to revenue within the relevant reporting period. The net commission revenue from members approved in prior periods, or 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 $0.9 million and $0.8 million for the three months ended September 30, 2024 and 2023, respectively, and $4.5 million and $3.7 million for the nine months ended September 30, 2024 and 2023, respectively. These reductions to revenue primarily relate to the Medicare segment.
SUMMARY OF SELECTED METRICS
(in thousands, except member and per member data, unaudited)
Selected Metrics - Third Quarter of 2024
Three Months Ended September 30, % Change
2024 2023
Approved Members (2)(a)
Medicare
Medicare Advantage 40,141 35,069 14 %
Medicare Supplement 1,438 3,010 (52) %
Medicare Part D 1,292 2,480 (48) %
Total Medicare 42,871 40,559 6 %
Individual and Family 2,872 3,727 (23) %
Ancillary 11,382 12,877 (12) %
Small Business 1,141 1,304 (13) %
Total Approved Members 58,266 58,467 - %
(a) The shift of some carrier arrangements from broker of record to fee-based BPO during 2024 impacted the growth in approved members as only broker of record arrangements are reflected in approved members.
Constrained Lifetime Value of Commissions per Approved Member (3)
Medicare (b)
Medicare Advantage $ 990 $ 997 (1) %
Medicare Supplement 1,105 833 33 %
Medicare Part D 222 235 (6) %
Individual and Family
Non-Qualified Health Plans 314 325 (3) %
Qualified Health Plans 311 322 (3) %
Ancillary
Short-term 144 151 (5) %
Dental 118 108 9 %
Vision 78 72 8 %
Small Business 249 226 10 %
(b) Constraint for Medicare Advantage was 5.5% and 7% for the three months ended September 30, 2024 and 2023, respectively. Constraints for all other Medicare products remained the same for the periods presented.
Expense Metrics per Approved Member (4)
Medicare
Customer care and enrollment cost per Medicare Advantage ("MA")-equivalent approved member (8) $ 719 $ 946 (24) %
Variable marketing cost per MA-equivalent approved member 537 557 (4) %
Total acquisition cost per MA-equivalent approved member $ 1,256 $ 1,503 (16) %
Individual and Family Plan ("IFP")
Customer care and enrollment cost per IFP-equivalent approved member (8) $ 359 $ 256 40 %
Variable marketing cost per IFP-equivalent approved member 118 68 74 %
Total acquisition cost per IFP-equivalent approved member $ 477 $ 324 47 %
Note See accompanying footnotes on page 15.
SUMMARY OF SELECTED METRICS
(in thousands, except member and per member data, unaudited)
Selected Metrics - Nine Months Ended September 30, 2024
Nine Months Ended September 30, % Change
2024 2023
Approved Members (2)(a)
Medicare
Medicare Advantage 143,529 131,117 9 %
Medicare Supplement 9,574 10,518 (9) %
Medicare Part D 6,335 9,274 (32) %
Total Medicare 159,438 150,909 6 %
Individual and Family 13,540 18,111 (25) %
Ancillary 36,410 42,584 (14) %
Small Business 3,705 5,207 (29) %
Total Approved Members 213,093 216,811 (2) %
(a) The shift of some carrier arrangements from broker of record to fee-based BPO during 2024 impacted the growth in approved members as only broker of record arrangements are reflected in approved members.
As of September 30, % Change
2024 2023
Estimated Membership (5)(b)
Medicare (6)
Medicare Advantage 583,970 565,126 3 %
Medicare Supplement 95,153 93,732 2 %
Medicare Part D 194,303 209,475 (7) %
Total Medicare 873,426 868,333 1 %
Individual and Family (6) 75,871 85,118 (11) %
Ancillary (6) 168,953 184,248 (8) %
Small Business (7) 41,172 46,316 (11) %
Total Estimated Membership 1,159,422 1,184,015 (2) %
(b) The shift of some carrier arrangements from broker of record to fee-based BPO during 2024 impacted the growth in estimated membership as only broker of record arrangements are reflected in estimated membership.
Note See accompanying footnotes on page 15.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
Reconciliation of GAAP Operating Costs and Expenses to Non-GAAP Operating Costs and Expenses(1) (in thousands)
Three Months Ended September 30, Nine Months Ended September 30,
2024 2023 2024 2023
GAAP marketing and advertising expense (8) $ 29,665 $ 29,035 $ 95,185 $ 85,343
Stock-based compensation expense (437) (605) (1,792) (1,598)
Non-GAAP marketing and advertising expense (1) $ 29,228 $ 28,430 $ 93,393 $ 83,745
GAAP customer care and enrollment expense (8) $ 39,321 $ 38,901 $ 100,773 $ 93,951
Stock-based compensation expense (452) (836) (1,487) (2,229)
Non-GAAP customer care and enrollment expense (1) $ 38,869 $ 38,065 $ 99,286 $ 91,722
GAAP technology and content expense (8) $ 12,264 $ 13,241 $ 38,613 $ 42,047
Stock-based compensation expense (845) (1,306) (2,598) (3,384)
Non-GAAP technology and content expense (1) $ 11,419 $ 11,935 $ 36,015 $ 38,663
GAAP general and administrative expense (8) $ 20,297 $ 22,937 $ 62,318 $ 72,310
Stock-based compensation expense (2,745) (3,807) (9,248) (10,530)
Non-GAAP general and administrative expense (1) $ 17,552 $ 19,130 $ 53,070 $ 61,780
GAAP operating costs and expenses $ 101,608 $ 104,114 $ 306,298 $ 293,651
Stock-based compensation expense (4,479) (6,554) (15,125) (17,741)
Impairment, restructuring and other charges (61) - (9,409) -
Non-GAAP operating costs and expenses (1) $ 97,068 $ 97,560 $ 281,764 $ 275,910
Note See accompanying footnotes on page 15.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
Reconciliation of GAAP Net Loss Attributable to Common Stockholders to Adjusted EBITDA(1) (in thousands) and Adjusted EBITDA Margin(1)
Three Months Ended September 30, Nine Months Ended September 30,
2024 2023 2024 2023
GAAP net loss attributable to common stockholders $ (53,948) $ (47,243) $ (120,647) $ (108,206)
Preferred stock dividends 5,643 5,320 16,603 15,644
Change in preferred stock redemption value 5,832 4,898 16,619 12,158
GAAP net loss (42,473) (37,025) (87,425) (80,404)
Stock-based compensation expense 4,479 6,554 15,125 17,741
Depreciation and amortization 3,827 4,745 12,511 15,141
Impairment, restructuring and other charges 61 - 9,409 -
Interest expense 2,859 2,822 8,517 8,122
Other income, net (1,699) (2,684) (6,425) (7,500)
Benefit from income taxes (1,886) (2,509) (3,736) (8,660)
Adjusted EBITDA (1) $ (34,832) $ (28,097) $ (52,024) $ (55,560)
Net loss margin (73) % (57) % (40) % (39) %
Adjusted EBITDA margin (1) (60) % (43) % (24) % (27) %
Reconciliation of GAAP Net Loss to Non-GAAP Net Loss(1) and GAAP Net Loss to Adjusted EBITDA Excluding Net Adjustment Revenue(1) (in thousands)
Three Months Ended September 30, $ Change % Change
2024 2023
GAAP net loss $ (42,473) $ (37,025) $ (5,448) (15)%
Net adjustment revenue (1,198) (12,213)
Impairment, restructuring and other charges 61 -
Adjustment to benefit from income taxes, net 284 2,935
Non-GAAP net loss (1) (43,326) (46,303) 2,977 6%
Stock-based compensation expense 4,479 6,554
Depreciation and amortization 3,827 4,745
Interest expense 2,859 2,822
Other income, net (1,699) (2,684)
Adjustment to benefit from income taxes, net (284) (2,935)
Benefit from income taxes (1,886) (2,509)
Adjusted EBITDA excluding net adjustment revenue (1) $ (36,030) $ (40,310) $ 4,280 11%
Note See accompanying footnotes on page 15.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
Reconciliation of GAAP Total Revenue to Non-GAAP Total Revenue Excluding Net Adjustment Revenue(1) (in thousands)
Three Months Ended September 30, $ Change % Change
2024 2023
GAAP total revenue $ 58,409 $ 64,718 $ (6,309) (10)%
Net adjustment revenue (1,198) (12,213)
Non-GAAP total revenue excluding net adjustment revenue (1) $ 57,211 $ 52,505 $ 4,706 9%
Reconciliation of Medicare Segment Revenue to Non-GAAP Medicare Segment Revenue(1) (in thousands)
Three Months Ended September 30, $ Change % Change
2024 2023
Medicare segment revenue $ 53,221 $ 55,523 $ (2,302) (4) %
Medicare net adjustment revenue (1,090) (9,291)
Non-GAAP Medicare segment revenue (1) $ 52,131 $ 46,232 $ 5,899 13 %
Reconciliation of E I Segment Revenue to Non-GAAP E I Segment Revenue(1) (in thousands)
Three Months Ended September 30, $ Change % Change
2024 2023
E I segment revenue $ 5,188 $ 9,195 $ (4,007) (44) %
E I net adjustment revenue (108) (2,922)
Non-GAAP E I segment revenue (1) $ 5,080 $ 6,273 $ (1,193) (19) %
Reconciliation of Segment Loss to Segment Loss Excluding Net Adjustment Revenue(1), Medicare Segment Loss to Medicare Segment Loss Excluding Net Adjustment Revenue(1) and E I Segment Profit (Loss) to E I Segment Profit (Loss) Excluding Net Adjustment Revenue(1) (in thousands)
Three Months Ended September 30, $ Change % Change
2024 2023
Segment loss (8) $ (18,732) $ (10,521) $ (8,211) (78) %
Net adjustment revenue (1,198) (12,213)
Segment loss excluding net adjustment revenue (1) $ (19,930) $ (22,734) $ 2,804 12 %
Medicare segment loss (8) $ (17,933) $ (15,331) $ (2,602) (17) %
Medicare net adjustment revenue (1,090) (9,291)
Medicare segment loss excluding net adjustment revenue (1) $ (19,023) $ (24,622) $ 5,599 23 %
E I segment profit (loss) (8) $ (799) $ 4,810 $ (5,609) (117) %
E I net adjustment revenue (108) (2,922)
E I segment profit (loss) excluding net adjustment revenue (1) $ (907) $ 1,888 $ (2,795) (148) %
Note See accompanying footnotes on page 15.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
Reconciliation of Guidance GAAP Net Loss Attributable to Common Stockholders to Adjusted EBITDA(1) (in millions)

Frequently Asked Questions

What drove eHealth's Q3 2024 revenue performance?

eHealth's Q3 2024 revenue performance was primarily influenced by strong Medicare segment execution.

How much did Medicare submissions grow in Q3 2024?

Medicare submissions grew by 22% in Q3 2024 compared to Q3 2023.

What was eHealth's net loss in Q3 2024?

eHealth reported a GAAP net loss of $42.5 million in Q3 2024.

What is eHealth's revenue guidance for 2024?

eHealth's 2024 revenue is expected between $470 million and $495 million.

When will eHealth hold its conference call?

The conference call is scheduled for November 6, 2024, at 8:30 a.m. ET.

Last updated: Nov 6, 2024