10-Q
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2015
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from to
001-33071
(Commission File Number)
_____________________________________________
EHEALTH, INC.
(Exact name of registrant as specified in its charter)
_____________________________________________
|
| | |
Delaware (State or other jurisdiction of incorporation or organization) | | 56-2357876 (I.R.S Employer Identification No) |
440 EAST MIDDLEFIELD ROAD
MOUNTAIN VIEW, CALIFORNIA 94043
(Address of principal executive offices)
(650) 584-2700
(Registrant’s telephone number, including area code)
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
____________________________________________________________
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. YES ☒ NO ☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulations S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). YES ☒ NO ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
|
| | |
Large accelerated filer ☐ | | Accelerated filer ☒ |
Non-accelerated filer ☐ | | Smaller reporting company ☐ |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YES ☐ NO ☒
The number of shares of the registrant’s common stock, par value $0.001 per share, outstanding as of October 30, 2015 was 18,117,464 shares.
EHEALTH, INC. FORM 10-Q
TABLE OF CONTENTS
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| | | | | |
| PART I FINANCIAL INFORMATION | PAGE |
Item 1. | | |
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| | |
| | |
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Item 2. | | |
Item 3. | | |
Item 4. | | |
| PART II OTHER INFORMATION | |
Item 1. | | |
Item 1A. | | |
Item 5. | | |
Item 6. | | |
| | |
PART I
FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
EHEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands)
|
| | | | | | | |
| December 31, 2014 | | September 30, 2015 |
Assets | (Note 1) | | (unaudited) |
Current assets: | | | |
Cash and cash equivalents | $ | 51,415 |
| | $ | 62,016 |
|
Accounts receivable | 8,200 |
| | 8,832 |
|
Deferred income taxes | 386 |
| | 386 |
|
Prepaid expenses and other current assets | 6,474 |
| | 7,265 |
|
Total current assets | 66,475 |
| | 78,499 |
|
Property and equipment, net | 9,640 |
| | 8,091 |
|
Other assets | 5,679 |
| | 4,419 |
|
Intangible assets, net | 10,774 |
| | 9,880 |
|
Goodwill | 14,096 |
| | 14,096 |
|
Total assets | $ | 106,664 |
| | $ | 114,985 |
|
| | | |
Liabilities and stockholders’ equity | | | |
Current liabilities: | | | |
Accounts payable | $ | 5,961 |
| | $ | 2,069 |
|
Accrued compensation and benefits | 8,204 |
| | 11,243 |
|
Accrued marketing expenses | 8,707 |
| | 1,296 |
|
Deferred revenue | 869 |
| | 3,684 |
|
Accrued restructuring charges | — |
| | 257 |
|
Other current liabilities | 2,996 |
| | 3,846 |
|
Total current liabilities | 26,737 |
| | 22,395 |
|
Non-current liabilities | 6,449 |
| | 5,817 |
|
Stockholders’ equity: | | | |
Common stock | 29 |
| | 29 |
|
Additional paid-in capital | 259,007 |
| | 264,984 |
|
Treasury stock, at cost | (199,998 | ) | | (199,998 | ) |
Retained earnings | 14,261 |
| | 21,564 |
|
Accumulated other comprehensive income | 179 |
| | 194 |
|
Total stockholders’ equity | 73,478 |
| | 86,773 |
|
Total liabilities and stockholders’ equity | $ | 106,664 |
| | $ | 114,985 |
|
The accompanying notes are an integral part of these condensed consolidated financial statements.
EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(In thousands, except per share amounts, unaudited)
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Revenue | | | | | | | |
Commission | $ | 36,164 |
| | $ | 34,942 |
| | $ | 120,267 |
| | $ | 130,157 |
|
Other | 5,004 |
| | 3,282 |
| | 14,435 |
| | 9,248 |
|
Total revenue | 41,168 |
| | 38,224 |
| | 134,702 |
| | 139,405 |
|
Operating costs and expenses: | | | | | | | |
Cost of revenue | 745 |
| | 443 |
| | 3,750 |
| | 3,527 |
|
Marketing and advertising | 9,228 |
| | 9,349 |
| | 41,946 |
| | 44,086 |
|
Customer care and enrollment | 9,695 |
| | 9,462 |
| | 28,392 |
| | 28,981 |
|
Technology and content | 10,303 |
| | 8,036 |
| | 30,320 |
| | 27,400 |
|
General and administrative | 7,077 |
| | 7,749 |
| | 22,228 |
| | 23,237 |
|
Restructuring charges | — |
| | — |
| | — |
| | 4,541 |
|
Amortization of intangible assets | 354 |
| | 260 |
| | 1,062 |
| | 893 |
|
Total operating costs and expenses | 37,402 |
| | 35,299 |
| | 127,698 |
| | 132,665 |
|
Income from operations | 3,766 |
| | 2,925 |
| | 7,004 |
| | 6,740 |
|
Other expense, net | (13 | ) | | (27 | ) | | (81 | ) | | (50 | ) |
Income before provision for income taxes | 3,753 |
| | 2,898 |
| | 6,923 |
| | 6,690 |
|
Provision (benefit) for income taxes | 2,229 |
| | (737 | ) | | 3,929 |
| | (613 | ) |
Net income | $ | 1,524 |
| | $ | 3,635 |
| | $ | 2,994 |
| | $ | 7,303 |
|
| | | | | | | |
Net income per share: | | | | | | | |
Basic | $ | 0.09 |
| | $ | 0.20 |
| | $ | 0.16 |
| | $ | 0.41 |
|
Diluted | $ | 0.08 |
| | $ | 0.20 |
| | $ | 0.15 |
| | $ | 0.40 |
|
| | | | | | | |
Weighted-average number of shares used in per share amounts: | | | | | | | |
Basic | 17,836 |
| | 18,093 |
| | 18,551 |
| | 17,969 |
|
Diluted | 18,394 |
| | 18,240 |
| | 19,341 |
| | 18,079 |
|
| | | | | | | |
Comprehensive income: | | | | | | | |
Net income | $ | 1,524 |
| | $ | 3,635 |
| | $ | 2,994 |
| | $ | 7,303 |
|
Foreign currency translation adjustment | 1 |
| | 10 |
| | 18 |
| | 15 |
|
Comprehensive income | $ | 1,525 |
| | $ | 3,645 |
| | $ | 3,012 |
| | $ | 7,318 |
|
The accompanying notes are an integral part of these condensed consolidated financial statements.
EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
|
| | | | | | | | |
| | Nine Months Ended September 30, |
| | 2014 | | 2015 |
Operating activities | | |
| | |
|
Net income | | $ | 2,994 |
| | $ | 7,303 |
|
Adjustments to reconcile net income to net cash provided by operating activities: | | |
| | |
|
Deferred income taxes | | 1,349 |
| | 117 |
|
Depreciation and amortization | | 3,111 |
| | 3,122 |
|
Amortization of internally-developed software | | 325 |
| | 449 |
|
Amortization of book-of-business consideration | | 1,909 |
| | 1,998 |
|
Amortization of intangible assets | | 1,062 |
| | 893 |
|
Stock-based compensation expense | | 6,585 |
| | 5,434 |
|
Deferred rent and other | | 69 |
| | 63 |
|
Changes in operating assets and liabilities: | | |
| | |
|
Accounts receivable | | (1,292 | ) | | (618 | ) |
Prepaid expenses and other assets | | (1,397 | ) | | (1,150 | ) |
Accounts payable | | (1,612 | ) | | (3,892 | ) |
Accrued compensation and benefits | | (2,155 | ) | | 3,037 |
|
Accrued marketing expenses | | (5,763 | ) | | (7,411 | ) |
Deferred revenue | | 420 |
| | 2,650 |
|
Accrued restructuring charges | | — |
| | 489 |
|
Other liabilities | | 254 |
| | (12 | ) |
Net cash provided by operating activities | | 5,859 |
| | 12,472 |
|
Investing activities | | | | |
Purchases of property and equipment and other assets | | (3,335 | ) | | (2,335 | ) |
Purchase of intangible assets | | (4,500 | ) | | — |
|
Net cash used in investing activities | | (7,835 | ) | | (2,335 | ) |
Financing activities | | | | |
Net proceeds from exercise of common stock options | | 3,902 |
| | 1,326 |
|
Cash used to net-share settle equity awards | | (3,506 | ) | | (824 | ) |
Excess tax benefits from stock-based compensation | | 2,648 |
| | — |
|
Repurchase of common stock | | (50,000 | ) | | — |
|
Principal payments in connection with capital leases | | (57 | ) | | (57 | ) |
Net cash (used in) provided by financing activities | | (47,013 | ) | | 445 |
|
| | | | |
Effect of exchange rate changes on cash and cash equivalents | | 14 |
| | 19 |
|
| | | | |
Net (decrease) increase in cash and cash equivalents | | (48,975 | ) | | 10,601 |
|
Cash and cash equivalents at beginning of period | | 107,055 |
| | 51,415 |
|
Cash and cash equivalents at end of period | | $ | 58,080 |
| | $ | 62,016 |
|
The accompanying notes are an integral part of these condensed consolidated financial statements.
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Note 1 - Summary of Business and Significant Accounting Policies
Description of Business—eHealth, Inc. (the “Company,” “eHealth,” “we” or “us”) is the leading private online source of health insurance for individuals, families and small businesses in the United States. Through our website addresses (www.eHealth.com, www.eHealthInsurance.com, www.eHealthMedicare.com, www.Medicare.com and www.PlanPrescriber.com), consumers can get quotes from leading health insurance carriers, compare plans side-by-side, and apply for and purchase individual and family, Medicare-related, small business and ancillary health insurance plans. We actively market the availability of Medicare-related insurance plans and offer Medicare plan comparison tools and educational materials for Medicare-related insurance plans, including Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans. Our ecommerce technology also enables us to deliver consumers’ health insurance applications electronically to health insurance carriers. As a result, we simplify and streamline the complex and traditionally paper-intensive health insurance sales and purchasing process. We are licensed to market and sell health insurance in all 50 states and the District of Columbia.
Basis of Presentation—The accompanying condensed consolidated balance sheet as of September 30, 2015, the condensed consolidated statements of comprehensive income for the three and nine months ended September 30, 2014 and 2015 and the condensed consolidated statements of cash flows for the nine months ended September 30, 2014 and 2015, respectively, are unaudited. The condensed consolidated balance sheet data as of December 31, 2014 was derived from the audited consolidated financial statements included in our Annual Report on Form 10-K for the year ended December 31, 2014, which was filed with the Securities and Exchange Commission on March 16, 2015. The accompanying statements should be read in conjunction with the audited consolidated financial statements and related notes contained in our Annual Report on Form 10-K.
The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles, or U.S. GAAP, for interim financial information. Accordingly, they do not include all of the financial information and footnotes required by U.S. GAAP for complete financial statements. The unaudited condensed consolidated financial statements have been prepared on the same basis as the audited consolidated financial statements in our Annual Report on Form 10-K for the year ended December 31, 2014, and include all adjustments necessary for the fair presentation of eHealth’s financial position as of September 30, 2015, its results of operations for the three and nine months ended September 30, 2014 and 2015 and its cash flows for the nine months ended September 30, 2014 and 2015. All adjustments are of a normal recurring nature. The results for the three and nine months ended September 30, 2015 are not necessarily indicative of the results to be expected for any subsequent period or for the fiscal year ending December 31, 2015.
Seasonality—The majority of our individual and family plans are sold in the open enrollment period as defined under the federal Patient Protection and Affordable Care Act and related amendments in the Health Care and Education Reconciliation Act. For example, in the second and third quarters of 2015, the number of individual and family applications submitted on our website decreased compared to periods inside the second open enrollment period that began on November 15, 2014 and ended on February 15, 2015.
The majority of Medicare plans are sold in our fourth quarter during the Medicare annual enrollment period, when Medicare-eligible individuals are permitted to change their Medicare Advantage and Medicare Part D prescription drug coverage for the following year. Additionally, substantially all Medicare Advantage and Medicare Part D prescription drug policies renew on January 1 of each year, resulting in our recognizing substantially all renewal Medicare Advantage and Medicare Part D prescription drug plan commission revenue in our first quarter. Accordingly, Medicare plan-related commission revenue is highest in our first quarter, with Medicare plan-related commission revenue being higher in our fourth quarter compared to our second and third quarters.
Since a significant portion of our marketing and advertising expenses consists of expenses incurred as a result of
payments owed to our marketing partners in connection with health insurance applications submitted through us and other forms of marketing, such as direct mail, email marketing, television, radio and retargeting campaigns, those expenses are influenced by seasonal submitted application patterns. As a result of the second open enrollment period for individual and family health insurance that began on November 15, 2014 and ended on February 15, 2015, marketing and advertising expenses increased during the fourth quarter of 2014 and first quarter of 2015, consistent with the increases in individual and family submitted applications, compared to periods outside the open enrollment period. During the second and third quarters of 2015, marketing and advertising expenses decreased, consistent with the decrease in submitted applications, compared to periods during the open enrollment period. In addition, due to the initial open enrollment period for individual and family health
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
insurance that began in October 2013 and ended on March 31, 2014, marketing and advertising expenses increased significantly in the fourth quarter of 2013 and first quarter of 2014, relative to historical levels, and decreased significantly during the second and third quarters of 2014, consistent with the respective increases and decreases in submitted applications.
In the second and third quarters of 2015, we recorded net income in part due to significantly lower marketing and advertising expenses associated with the decrease in the number of individual and family health insurance applications submitted outside of the open enrollment period and lower customer care and enrollment expenses associated with fewer sales and enrollment personnel required to handle the lower volume of submitted applications outside of the open enrollment period. Our customer care and enrollment and technology and content expenses decreased in the second and third quarters of 2015, as a result of an organizational restructuring and cost reduction plan we implemented in the first quarter of 2015, which also contributed to net income during the second and third quarters of 2015. Conversely, in the first quarter of 2015 and the first and fourth quarters of 2014, we incurred a net loss, due in part to higher marketing and advertising expenses associated with individual and family health insurance applications submitted during the open enrollment period and Medicare-related health insurance applications submitted during the Medicare annual enrollment period without a commensurate level of additional revenue resulting from those applicants during the enrollment periods.
Recent Accounting Pronouncements—In August 2015, the Financial Accounting Standard Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2015-14 (ASU 2015-14) "Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date" ASU 2015-14 defers the effective date by one year of ASU No. 2014-09, “Revenue from Contracts with Customers.” ASU 2014-09 supersedes the revenue recognition requirements in “Revenue Recognition (Topic 605)” and requires an entity to recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled to in exchange for those goods or services. In accordance with the deferral, the new standard is effective for annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period and can be adopted using either a full retrospective or modified retrospective approach. Early adoption is permitted for annual reporting periods beginning after December 15, 2016, including interim periods within that reporting period. We are currently in the process of evaluating the impact of the adoption of ASU 2014-09 on our consolidated financial statements.
In April 2015, the FASB issued ASU No. 2015-05 , "Intangibles - Goodwill and Other - Internal-Use Software (Subtopic 350-40): Customer’s Accounting for Fees Paid in a Cloud Computing Arrangement." ASU 2015-05 provides guidance to clarify the customer’s accounting for fees paid in a cloud computing arrangement. It is effective for annual periods, and interim periods within those annual periods, beginning after December 15, 2015. Early adoption is permitted, including adoption in an interim period. We are currently in the process of evaluating the impact of the adoption of ASU 2015-05 on our consolidated financial statements.
Note 2 – Balance Sheet Accounts
Cash and Cash Equivalents—As of December 31, 2014 and September 30, 2015, our cash equivalents consisted of money market accounts that invested in U.S. government-sponsored enterprise bonds and discount notes, U.S. government treasury bills and notes and repurchase agreements collateralized by U.S. government obligations. At December 31, 2014 and September 30, 2015, our cash equivalents carried no unrealized gains or losses and we did not realize any significant gains or losses on sales of cash equivalents during the three and nine months ended September 30, 2014 and 2015.
As of December 31, 2014 and September 30, 2015, our cash and cash equivalent balances were invested as follows (in thousands):
|
| | | | | | | |
| December 31, 2014 | | September 30, 2015 |
Cash | $ | 15,793 |
| | $ | 17,393 |
|
Money market funds | 35,622 |
| | 44,623 |
|
Total cash and cash equivalents | $ | 51,415 |
| | $ | 62,016 |
|
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Our money market funds reflect unadjusted quoted prices in active markets for identical assets and are classified as Level 1 as of December 31, 2014 and September 30, 2015.
Accounts Receivable—As of December 31, 2014 and September 30, 2015, our accounts receivable consisted of the following (in thousands):
|
| | | | | | | |
| December 31, 2014 | | September 30, 2015 |
Medicare renewal commission receivable | $ | 355 |
| | $ | 4,108 |
|
Accounts receivable - from other revenues | 2,462 |
| | 4,647 |
|
Other commissions receivable | 5,383 |
| | 77 |
|
Total accounts receivable | $ | 8,200 |
| | $ | 8,832 |
|
As a result of a regulation issued by the Centers for Medicare and Medicaid Services, or CMS, which changed the definition of a plan year from being 12-months from the effective date of a policy to January 1 through December 31 of each year, all Medicare Advantage and Medicare Part D prescription drug policies will renew on January 1 of each year, resulting in our recording of substantially all Medicare Advantage and Medicare Part D prescription drug plan renewal commission revenue in the first quarter of each year. We fully implemented this new rule in our first quarter ended March 31, 2015. We recognize a full year of renewal commission revenue at the time a policy is renewed; however, renewal commissions for Medicare Advantage products are paid monthly. As a result, the majority of renewal commissions for that product is collected in quarters subsequent to the first quarter.
Note 3 – Stockholders’ Equity
Stock Plans—The following table summarizes activity under our 2014 Equity Incentive Plan, 2006 Equity Incentive Plan, 1998 Stock Plan and 2005 Stock Plan (collectively, the “Stock Plans”) (in thousands):
|
| | |
| Shares Available for Grant |
Shares available for grant December 31, 2014 | 4,164 |
|
Restricted stock units granted | (692 | ) |
Options granted | (34 | ) |
Restricted stock units cancelled (1) | 122 |
|
Options cancelled (2) | 15 |
|
Shares available for grant September 30, 2015 | 3,575 |
|
| |
(1) | Restricted stock units cancelled does not include 66,000 restricted stock units cancelled under the 2006 Equity Incentive Plan, as our 2006 Equity Incentive Plan has been terminated with respect to the grant of additional awards. |
| |
(2) | Options cancelled does not include 272,000 stock options cancelled under the 2006 Equity Incentive Plan, as our 2006 Equity Incentive Plan has been terminated with respect to the grant of additional awards. |
We maintain our 2006 Equity Incentive Plan, 2005 Stock Plan and 1998 Stock Plan, under which we previously granted options to purchase shares of our common stock and restricted stock units. The 2006 Equity Incentive Plan was terminated with respect to the grant of additional awards on June 12, 2014, upon adoption of our 2014 Equity Incentive Plan. The 2005 Stock Plan and 1998 Stock Plan were terminated with respect to the grant of additional awards upon the effectiveness of the 2006 Equity Incentive Plan. We will continue to issue new shares of common stock upon vesting of restricted stock units and the exercise of stock options previously granted under the 2006 Equity Incentive Plan, 2005 Stock Plan and 1998 Stock Plan.
The following table summarizes stock option activity under the Stock Plans (in thousands, except per share amounts and weighted average remaining contractual life data):
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
|
| | | | | | | | | | | | |
| Number of Stock Options (1) | | Weighted Average Exercise Price | | Weighted-Average Remaining Contractual Life (years) | | Aggregate Intrinsic Value (2) |
Balance outstanding at December 31, 2014 | 1,724 |
| | $ | 18.50 |
| | 3.31 | | $ | 12,884 |
|
Granted | 34 |
| | $ | 11.37 |
| | | | |
|
Exercised | (136 | ) | | $ | 9.72 |
| | | | |
Cancelled | (287 | ) | | $ | 21.54 |
| | | | |
|
Balance outstanding at September 30, 2015 | 1,335 |
| | $ | 18.56 |
| | 2.90 | | $ | 234 |
|
Vested and expected to vest at September 30, 2015 | 1,318 |
| | $ | 18.53 |
| | 2.87 | | $ | 229 |
|
Exercisable at September 30, 2015 | 1,076 |
| | $ | 18.00 |
| | 2.54 | | $ | 186 |
|
(1) There were no options granted during the three months ended September 30, 2015.
(2) The aggregate intrinsic value is calculated as the difference between eHealth’s closing stock price as of December 31, 2014 and September 30, 2015 and the exercise price of in-the-money options as of those dates.
The total fair value of stock options vested during the three and nine months ended September 30, 2014 was $0.7 million and $1.8 million, respectively. The total fair value of stock options vested during the three and nine months ended September 30, 2015 was $0.3 million and $1.2 million, respectively.
The following table summarizes restricted stock unit activity, including performance-based and market-based restricted stock unit activity, under the Stock Plans (in thousands, except per share amounts and weighted average remaining contractual life data):
|
| | | | | | | | | | | | |
| Number of Restricted Stock Units (1) | | Weighted-Average Grant Date Fair Value | | Weighted-Average Remaining Contractual Life (years) | | Aggregate Intrinsic Value (2) |
Balance outstanding as of December 31, 2014 | 873 |
| | $ | 30.86 |
| | 2.52 | | $ | 21,753 |
|
Granted | 692 |
| | $ | 10.59 |
| | | | |
|
Vested | (211 | ) | | $ | 24.20 |
| | | | |
|
Cancelled | (188 | ) | | $ | 24.37 |
| | | | |
|
Balance outstanding as of September 30, 2015 | 1,166 |
| | $ | 21.08 |
| | 2.71 | | $ | 14,940 |
|
| |
(1) | Includes certain restricted stock units with both service and performance-based or market-based vesting criteria granted to our executive officers. There were no restricted stock units granted during the three months ended September 30, 2015. |
| |
(2) | The aggregate intrinsic value is calculated as eHealth’s closing stock price as of December 31, 2014 and September 30, 2015 multiplied by the number of restricted stock units outstanding as of December 31, 2014 and September 30, 2015, respectively. |
The fair value of the restricted stock units is based on eHealth’s stock price on the date of grant, and compensation expense related to these awards is recognized on a straight-line basis over the vesting period. The fair value of performance-based restricted stock units is based on eHealth’s stock price on the date of grant, and compensation expense related to these awards is recognized on an accelerated basis over the vesting period. The amount of expense recorded for performance-based restricted stock units is based on expected attainment of performance criteria. The total fair value of restricted stock units vested during the three and nine months ended September 30, 2014 was $0.4 million and $10.3 million, respectively. The total fair value of restricted stock units vested during the three and nine months ended September 30, 2015 was $0.2 million and $2.4 million, respectively.
Stock Repurchase Programs—We had no stock repurchase activity during the three and nine months ended September 30, 2015. In addition to the shares repurchased under our past repurchase programs as of September 30, 2015, we have in treasury 353,985 shares that were previously surrendered by employees to satisfy tax withholdings due in connection with the vesting of
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
certain restricted stock units. As of December 31, 2014 and September 30, 2015, we had a total of 10,945,607 shares and 11,018,379 shares, respectively, held in treasury.
Stock-Based Compensation—The fair value of stock options granted to employees for the nine months ended September 30, 2014 and 2015 was estimated using the following weighted average assumptions:
|
| | | | | | | | |
| | Nine Months Ended September 30, |
| | 2014 | | 2015 |
Expected term | | 4.2 years |
| | 4.3 years |
|
Expected volatility | | 46.3 | % | | 63.6 | % |
Expected dividend yield | | — | % | | — | % |
Risk-free interest rate | | 1.40 | % | | 1.15 | % |
Weighted-average fair value | | $ | 15.50 |
| | $ | 5.70 |
|
In March 2015, we granted market-based stock unit awards to certain members of senior management. Each market-based stock unit award represents a contingent right to receive certain shares of the Company’s common stock upon the attainment of certain stock prices over a four-year performance period. Once a stock price threshold is achieved, the portion of the award related to that threshold will vest on the one-year anniversary of the date of achievement, subject to the employee's continued service through each vesting date. Compensation expense related to these awards is recognized on an accelerated basis over the requisite service period. The weighted-average fair value of the market-based stock unit awards was determined using the Monte Carlo simulation model incorporating the following weighted average assumptions:
|
| | | | |
Expected term | | 2.6 years |
|
Expected volatility | | 64.7 | % |
Expected dividend yield | | — | % |
Risk-free interest rate | | 1.13 | % |
Weighted-average fair value | | $ | 6.69 |
|
There were no market-based stock unit awards granted during the three months ended September 30, 2015 and the three and nine months ended September 30, 2014.
The following table summarizes stock-based compensation expense recorded during the three and nine months ended September 30, 2014 and 2015 (in thousands):
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Stock options | $ | 523 |
| | $ | 351 |
| | $ | 1,729 |
| | $ | 1,184 |
|
Restricted stock units | 1,767 |
| | 1,225 |
| | 4,856 |
| | 4,250 |
|
Total stock-based compensation expense | $ | 2,290 |
| | $ | 1,576 |
| | $ | 6,585 |
| | $ | 5,434 |
|
The following table summarizes stock-based compensation expense by operating function for the three and nine months ended September 30, 2014 and 2015 (in thousands):
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Marketing and advertising | $ | 721 |
| | $ | 461 |
| | $ | 1,957 |
| | $ | 1,498 |
|
Customer care and enrollment | 116 |
| | 110 |
| | 283 |
| | 366 |
|
Technology and content | 559 |
| | 362 |
| | 1,550 |
| | 1,308 |
|
General and administrative | 894 |
| | 643 |
| | 2,795 |
| | 2,149 |
|
Restructuring charges | — |
| | — |
| | — |
| | 113 |
|
Total stock-based compensation expense | $ | 2,290 |
| | $ | 1,576 |
| | $ | 6,585 |
| | $ | 5,434 |
|
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Note 4 – Income Taxes
The following table summarizes our provision (benefit) for income taxes and our effective tax rates for the three and nine months ended September 30, 2014 and 2015 (in thousands, except effective tax rate):
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Income before provision for income taxes | $ | 3,753 |
| | $ | 2,898 |
| | $ | 6,923 |
| | $ | 6,690 |
|
Provision (benefit) for income taxes | $ | 2,229 |
| | $ | (737 | ) | | $ | 3,929 |
| | $ | (613 | ) |
Effective tax rate | 59.4 | % | | (25.4 | )% | | 56.8 | % | | (9.2 | )% |
Our effective tax rate in the three and nine months ended September 30, 2014 was higher than statutory federal and state tax rates due primarily to non-deductible lobbying expenses. We recorded a valuation allowance against the US deferred tax assets at the end of fiscal year 2014 and continue to maintain that full valuation allowance as of September 30, 2015 as the Company believes it is not more likely that not that the net deferred tax assets will be fully realized. In the three and nine months ended September 30, 2015, we recorded a benefit for income taxes of ($0.7) million and ($0.6) million, respectively, primarily related to a $0.8 million decrease in our liability for unrecognized tax benefits due to the expiration of the related statute of limitations, partially offset by a provision for income taxes related to minimum taxes and a foreign tax rate differential.
During the three and nine months ended September 30, 2014, excess federal and state tax benefits related to share-based payments resulted in increases of $1.0 million and $2.6 million, respectively, in Additional Paid-In Capital in the condensed consolidated balance sheets. These amounts are also classified in the condensed consolidated statements of cash flows as both a reduction to operating cash flows and as a financing cash inflow. During the three and nine months ended September 30, 2015, no excess federal and state tax benefits related to share-based payments were recognized.
Note 5 – Net Income Per Share
Basic net income per share is computed by dividing net income by the weighted-average number of common shares outstanding for the period. Diluted net income per share is computed by dividing the net income for the period by the weighted average number of common and common equivalent shares outstanding during the period. Diluted net income per share is computed giving effect to all potential dilutive common stock equivalent shares, including options and restricted stock units. The dilutive effect of outstanding awards is reflected in diluted net income per share by application of the treasury stock method.
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Basic: | |
| | |
| | |
| | |
|
Numerator: | |
| | |
| | |
| | |
|
Net income allocated to common stock | $ | 1,524 |
| | $ | 3,635 |
| | $ | 2,994 |
| | $ | 7,303 |
|
Denominator: | | | | | | | |
Weighted average number of common stock shares outstanding | 17,836 |
| | 18,093 |
| | 18,551 |
| | 17,969 |
|
Net income per share—basic: | $ | 0.09 |
| | $ | 0.20 |
| | $ | 0.16 |
| | $ | 0.41 |
|
Diluted: | |
| | |
| | |
| | |
|
Numerator: | |
| | |
| | |
| | |
|
Net income allocated to common stock | $ | 1,524 |
| | $ | 3,635 |
| | $ | 2,994 |
| | $ | 7,303 |
|
Denominator: | |
| | |
| | |
| | |
|
Weighted average number of common stock shares outstanding | 17,836 |
| | 18,093 |
| | 18,551 |
| | 17,969 |
|
Weighted average number of options | 445 |
| | 42 |
| | 616 |
| | 29 |
|
Weighted average number of restricted stock units | 113 |
| | 105 |
| | 174 |
| | 81 |
|
Total common stock shares used in diluted per share calculation (1) | 18,394 |
| | 18,240 |
| | 19,341 |
| | 18,079 |
|
Net income per share—diluted: | $ | 0.08 |
| | $ | 0.20 |
| | $ | 0.15 |
| | $ | 0.40 |
|
| |
(1) | Total common stock shares used in the diluted per share calculation excludes market-based stock unit awards for which the related contingency had not been met as of September 30, 2015. |
For each of the three- and nine-month periods ended September 30, 2014 and 2015, we had securities outstanding that could potentially dilute net income per share, but the shares from the assumed exercise of these securities were excluded in the computation of diluted net income per share as their effect would have been anti-dilutive for the periods presented. The number of outstanding weighted average anti-dilutive shares that were excluded from the computation of diluted net income per share consisted of the following (in thousands):
|
| | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Common stock options | 219 |
| | 1,205 |
| | 127 |
| | 1,313 |
|
Restricted stock units | 669 |
| | 218 |
| | 352 |
| | 339 |
|
Total | 888 |
| | 1,423 |
| | 479 |
| | 1,652 |
|
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Note 6 – Geographic Information and Significant Customers
Geographic Information—As of December 31, 2014 and September 30, 2015, our long-lived assets consisted primarily of property and equipment, goodwill and other indefinite-lived intangible assets and finite-lived intangible assets. Our long-lived assets are attributed to the geographic location in which they are located. Long-lived assets by geographical area were as follows (in thousands):
|
| | | | | | | |
| As of | | As of |
| December 31, 2014 | | September 30, 2015 |
United States | $ | 39,752 |
| | $ | 36,051 |
|
China | 437 |
| | 435 |
|
Total | $ | 40,189 |
| | $ | 36,486 |
|
Significant Customers—Substantially all revenue for the three and nine months ended September 30, 2014 and 2015 was generated from customers located in the United States. Carriers representing 10% or more of our total revenue in the three and nine months ended September 30, 2014 and 2015 are presented in the table below:
|
| | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Humana | 23 | % | | 19 | % | | 23 | % | | 24 | % |
Anthem (1) | 11 | % | | 10 | % | | 11 | % | | 10 | % |
UnitedHealthcare (2) | 10 | % | | 11 | % | | 10 | % | | 10 | % |
Aetna (3) | 9 | % | | 9 | % | | 10 | % | | 9 | % |
(1)Anthem also includes other carriers owned by Anthem.
(2)UnitedHealthcare also includes other carriers owned by UnitedHealthcare.
(3)Aetna also includes other carriers owned by Aetna.
Commission revenue attributable to major medical individual and family health insurance plans was approximately 64% of our commission revenue in both the three and nine months ended September 30, 2014. Commission revenue attributable to major medical individual and family health insurance plans was approximately 61% and 52% of our commission revenue in the three and nine months ended September 30, 2015, respectively. We define our individual and family plan offerings as major medical individual and family health insurance plans, which do not include small business, Medicare-related health insurance plan offerings and other ancillary products such as short-term, stand-alone dental, life, vision, and accident insurance plan offerings.
As of December 31, 2014, three customers represented 30%, 17% and 14%, respectively, of our $8.2 million outstanding accounts receivable balance. As of September 30, 2015, one customer represented 66% of our $8.8 million outstanding accounts receivable balance. No other customers represented 10% or more of our total accounts receivable at December 31, 2014 and September 30, 2015. We believe the potential for collection issues with any of our customers is minimal as of September 30, 2015. Accordingly, our estimate for uncollectible amounts at September 30, 2015 was not material.
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
Note 7 – Restructuring Charges
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 exit costs. The majority of the restructuring charges were recorded in the first quarter of 2015, when the activities comprising the plan were approved and substantially completed. In March 2015, as part of our restructuring activities, we also eliminated certain positions in our China operation.
The following table summarizes the total cash and non-cash restructuring charges recorded during the three and nine months ended September 30, 2015 (in thousands):
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
| |
| | | | |
| | |
Employee termination costs | $ | — |
| | $ | — |
| | $ | — |
| | $ | 3,791 |
|
Non-cash employee termination costs - stock-based compensation | — |
| | — |
| | — |
| | 113 |
|
Facility and other termination costs | — |
| | — |
| | — |
| | 637 |
|
Total restructuring charges | $ | — |
| | $ | — |
| | $ | — |
| | $ | 4,541 |
|
The following table summarizes the cash-based restructuring charges liability activity during the nine months ended September 30, 2015 (in thousands):
|
| | | | | | | | | | | | | | | |
| Nine Months Ended September 30, 2015 |
| Beginning balance | | Charges | | Payments | | Ending balance |
| | | | | |
| | |
|
Employee termination costs | $ | — |
| | $ | 3,791 |
| | $ | (3,779 | ) | | $ | 12 |
|
Facility and other termination costs | — |
| | 637 |
| | (160 | ) | | 477 |
|
Total restructuring liability | $ | — |
| | $ | 4,428 |
| | $ | (3,939 | ) | | $ | 489 |
|
Less: non-current restructuring charges associated with facilities | | | | | | | (232 | ) |
Restructuring charges liability - current | | | | | | | $ | 257 |
|
Note 8 - Commitments and Contingencies
Legal Proceedings— On January 26 and March 10, 2015, two purported class action lawsuits were filed against us, our chairman and chief executive officer, Gary L. Lauer (“Mr. Lauer”), and our senior vice president and chief financial officer, Stuart M. Huizinga (“Mr. Huizinga”), in the United States District Court for the Northern District of California. On May 6, 2015, the Court consolidated the two cases. On June 10, 2015, a consolidated complaint was filed. The consolidated complaint alleges that the defendants made false and misleading statements regarding the Company’s financial performance, guidance and operations during an alleged class period of May 1, 2014 to January 14, 2015. The consolidated complaint alleges that we and Messrs. Lauer and Huizinga violated Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 and Rule 10b-5 promulgated thereunder. The consolidated complaint seeks compensatory damages, attorneys’ fees and costs, rescission or a rescissory measure of damages, equitable/injunctive relief and such other relief as the court deems proper. On July 15, 2015, defendants moved to dismiss the consolidated complaint. The court held a hearing on defendants’ motion to dismiss the consolidated complaint on September 30, 2015.
EHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
In May 2015 an individual plaintiff filed a lawsuit against a health insurance carrier and us in state court in the state of Texas. The complaint alleged that we and the health insurance carrier engaged in certain false, misleading and deceptive acts and/or omissions in violation of the Texas Deceptive Trade Practice - Consumer Protection Act in connection with the plaintiff’s purchase of the health insurance carrier’s health insurance product. The complaint sought economic and actual damages for alleged harm caused to the plaintiff as well as multiple damages, exemplary damages and attorney’s fees and costs. In June 2015, we and the health insurance carrier removed the case to the United States District Court for the Eastern District of Texas, and the court ordered the plaintiff to file an amended complaint. The plaintiff filed the amended complaint in July 2015. The amended complaint purports to be a class action lawsuit on behalf of the purchasers of a certain health insurance product offered by the health insurance carrier. The amended complaint alleges that we and the health insurance carrier engaged in certain false, misleading and deceptive acts and/or omissions in violation of the Texas Deceptive Trade Practice - Consumer Protection Act and the Texas Insurance Code in connection with the sale of the health insurance carrier’s health insurance product. The amended complaint alleges certain other causes of action against the health insurance carrier. The amended complaint seeks economic and actual damages, multiple damages, exemplary damages, interest, attorney’s fees and costs, and specific performance. In August 2015 we and the health insurance carrier moved to dismiss the amended complaint.
In the ordinary course of our business, we have received and may continue to receive inquiries from state regulators relating to various matters. At December 31, 2014 and September 30, 2015 we had no material liabilities included in our consolidated balance sheet for outstanding legal claims.
| |
ITEM 2. | MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS |
In addition to historical information, this Quarterly Report on Form 10-Q contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. These statements include, among other things, statements regarding our expectations relating to submitted applications and our membership; our expectations relating to revenue (including commission revenue, advertising revenue and other revenue), sources of revenue, cost of revenue, the collectability of our accounts receivable, operating expenses, marketing and advertising expenses, customer care and enrollment employees and expenses, technology and content expenses, general and administrative expenses and profitability; expectations regarding the potential costs and impact of our cost reduction measures and reduction in headcount; our expectations regarding the impact of healthcare reform on our business; our ability to enroll and plans relating to the enrollment of individuals and families into qualified health plans through government health insurance exchanges; our ability to enter into agreements with and meet requirements to offer qualified health plans through state and federal health insurance exchanges; our expectations relating to the commission rates that health insurance carriers will pay; our expectations relating to the seasonality of our business; our expectations relating to the renewal of Medicare-related health insurance plans and the timing of our generation of renewal commission revenue on those plans; the timing of our receipt of commission payments; our expectations relating to seasonal trends in our business relating to the sale of Medicare-related health insurance; estimations of our membership and related assumptions that we make in our membership estimations; our expectations relating to membership attrition and retention rates; the shift between marketing partner and direct marketing channels as sources of submitted individual and family plan applications during 2015; our critical accounting policies and related estimates; our expectation that we will experience an increase in submitted applications during open enrollment periods; our belief that cash generated from operations and our current cash and cash equivalents will be sufficient to fund operations for the next twelve months; our beliefs relating to the potential for collection of our accounts receivable; expected competition from government-run health insurance exchanges and other sources; our ability to adjust headcount to respond to changes in demand due to annual open enrollment periods; our ability to convert subsidy-eligible individuals and families into members; the timing of open enrollment periods including restrictions on changes outside of such periods and our readiness therefore; the timing and source of our Medicare-related revenue; the impact of the healthcare reform laws on the healthcare industry in future periods; the potential impact of lawsuits challenging certain aspects of the Affordable Care Act; the merits of any lawsuits filed against us; future capital requirements; our need for additional regulatory licenses and approvals; as well as other statements regarding our future operations, financial condition, prospects and business strategies. These forward-looking statements are subject to certain risks and uncertainties that could cause our actual results to differ materially from those reflected in the forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those risks associated with the impact of healthcare reform and court decisions relating to healthcare reform; our ability to retain existing members and enroll a large number of individuals and families during the annual healthcare reform open enrollment period; our ability to align our expenses with our revenue; 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; political, legislative and legal challenges to the Affordable Care Act; 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 healthcare reform on the cost of health insurance; the cost of health insurance in the upcoming open enrollment period;
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; variability in 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; the evolving nature of Affordable Care Act implementation; our relationships with health insurance carriers; 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; our ability to successfully market and sell Medicare-related health insurance plans; the operations of our customer care center; costs of acquiring new members; scalability of the Medicare business; lack of membership growth and retention rates; consumers' satisfaction with our service; changes in the competitive landscape; our ability to attract new members and to convert online visitors into paying members; changes in products offered on our ecommerce platform; changes in commission rates; maintaining and enhancing our brand identity; our ability to derive desired benefits from investments in our business, including membership growth initiatives; system failures, capacity constraints, data loss or online commerce security risks; dependence on acceptance of the Internet as a marketplace for the purchase and sale of health insurance; our ability to develop an effective process for purchasing of health insurance over the Internet on smartphones, tablets and devices other than desktop or laptop computers; dependence upon Internet search engines; reliance on marketing partners; timing of receipt and accuracy of commission reports; payment practices of health insurance carriers; general economic factors; dependence on our operations in China; dependence on our carrier partners for timely information about membership changes; success of our sponsorship and advertising business; protection of our intellectual property and defense against intellectual property rights claims; legal liability and regulatory penalties; changes in our management and key employees; maintenance of relationships with business development partners; difficulties, delays, unexpected costs and an inability to achieve anticipated cost savings from the organizational restructuring and cost reduction program we implemented in March 2015; potential acquisitions; potential consolidation in the health insurance industry; maintenance of proper and effective internal controls; potential changes to accounting standards and interpretations; impact of provisions for income taxes; changes in laws and regulations, including in connection with health care reform and/or with respect to the marketing and sale of Medicare-related 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 risks include the risks discussed under the heading “Risk Factors” of this report and those discussed in our other Securities and Exchange Commission filings. The following discussion should be read in conjunction with our Annual Report on Form 10-K as filed with the Securities and Exchange Commission in March 2015, and the audited consolidated financial statements and related notes contained therein. We undertake no obligation to revise or publicly release the results of any revision to these forward-looking statements. Given these risks and uncertainties, you are cautioned not to place undue reliance on such forward-looking statements.
Overview
We are the leading private online source of health insurance for individuals, families and small businesses. Through our website addresses (www.eHealth.com, www.eHealthInsurance.com, www.eHealthMedicare.com, www.Medicare.com and www.PlanPrescriber.com), consumers can get quotes from leading health insurance carriers, compare plans side-by-side, apply for and purchase individual and family, Medicare-related, ancillary and small business health insurance plans. Our ecommerce technology also enables us to deliver consumers’ health insurance applications electronically to health insurance carriers. As a result, we simplify and streamline the complex and traditionally paper-intensive health insurance sales and purchasing process.
We have invested heavily in technology and content related to our ecommerce platform. We have also invested significant time and resources in obtaining licenses to sell health insurance in all 50 states and the District of Columbia, developing member acquisition programs, obtaining necessary regulatory approvals of our websites and establishing relationships and appointments with leading health insurance carriers, enabling us to offer thousands of health insurance plans online. Our ecommerce platforms can be accessed directly through our website as well as through our network of marketing partners.
We generate revenue primarily from commissions we receive from health insurance carriers whose health insurance policies are purchased through our ecommerce platform. Commission revenue represented 88% and 89% of total revenue in the three and nine months ended September 30, 2014, respectively, and represented 91% and 93% of total revenue in the three and nine months ended September 30, 2015, respectively.
The commission payments we receive on individual and family, ancillary and small business health insurance plans we sell primarily consist of either a flat amount per member per month or a percentage of the premium on the policy, and to a much lesser extent, commission override payments that insurance carriers pay us for achieving sales volume thresholds or other objectives. The commission payments that we receive for individual and family, ancillary and small business health insurance plans are typically made to us on a monthly basis for as long as the plans remain active with us.
In March 2010, the federal Patient Protection and Affordable Care Act and related amendments in the Health Care and Education Reconciliation Act were signed into law. These health care reform laws contain provisions that have changed and will continue to change the health insurance industry in substantial ways. We have described various aspects of health care reform in Part II, Item 1A. Risk Factors - Risks Related to Our Business. The aggregate future impact of the implementation of health care reform on our business and financial results is uncertain. Our ability to continue to act as a health insurance agent for our members who switch to a new health insurance product and for new members will depend upon a number of factors, including health insurance company practices, individual financial circumstances and their eligibility for health care reform subsidies, our members’ existing health insurance plans, the price of health insurance and our ability to offer and sell subsidy-eligible health insurance plans efficiently in an online process. Moreover, we are facing new competition in the form of government run health insurance exchanges. Our ability to act as a health insurance agent to health care reform subsidy-eligible individuals depends upon government-run health insurance exchanges developing and maintaining an efficient, scalable and online enrollment process, and our ability to successfully enter into and maintain agreements and integrate with those government-run exchanges. In order to enroll individuals in subsidy-eligible plans over the Internet, we also need to meet a number of requirements relating to the display of information on our websites as well as new and comprehensive privacy and security requirements. Our ability to maintain compliance with these and other requirements could present significant challenges for us. The Centers for Medicare and Medicaid Services, or CMS, oversees the Federally-Facilitated Marketplace, or FFM . In October 2015, we reviewed with CMS our online process for enrolling subsidy-eligible individuals in qualified health plans through the FFM. If CMS were to determine not to permit us to use this process, we would have difficulty enrolling, and may not be able to enroll, subsidy-eligible individuals in qualified health plans in an efficient and scalable manner during the open enrollment period that began November 1, 2015 and ends January 15, 2016, which would result in our loss of existing members and new potential members, a reduction in our individual and family health insurance plan membership and would harm our business, operating results and financial condition. We may also be required to incur additional expenses in connection with our enrollment of individuals through the FFM. In addition, the implementation of an open enrollment period for the purchase of individual and family health insurance presents challenges to our ability to enroll a significant number of individuals into health insurance over a limited period of time and inhibits our ability to obtain new health insurance members outside of the open enrollment period. The impact of health care reform on our health insurance carrier partners and their reaction is also unclear. For instance, health insurance carriers have the ability to unilaterally change their relationship with us, including the commission rates we receive for acting as a health insurance agent and may reduce the amount they pay us, alter the manner and geographic areas in which they permit us to sell their products and change our relationship with them in any number of ways. Our individual and family health insurance membership has declined as a result of competition from government-run health insurance exchanges and general attrition, which we have not been able to offset with new member additions. We also have determined to focus on the overall profitability of our individual and family plan business, which has led to a reduction in our investment in this area. Health care reform has negatively impacted our business and results of operations and could in the aggregate have a material adverse effect on our business and results of operations in the future.
We actively market the availability of Medicare-related health insurance plans through our online Medicare plan platforms www.eHealthMedicare.com, www.Medicare.com and www.PlanPrescriber.com. Our Medicare plan platforms and telephonic enrollment capabilities enable consumers to research, compare and purchase Medicare-related health insurance plans, including Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans. To the extent that we assist in the sale of Medicare-related insurance plans as a health insurance agent, online or telephonically, we generate revenue from commissions we receive from health insurance carriers. Commission payments we receive for Medicare Advantage and Medicare Part D prescription drug policies sold by us are typically fixed and are earned over a period of six years, or longer depending on the carrier arrangement, and are paid to us either monthly or annually. Commission payments we receive for Medicare Supplement policies sold by us typically are a percentage of the premium on the policy and paid to us until either the health insurance policy is cancelled or we otherwise do not remain the agent on the policy.
As a result of our commission structure, much of our revenue for a given financial reporting period relates to health insurance plans that we sold prior to the beginning of the period and is recurring in nature. Additionally, health insurance pricing, which is set by the health insurance carrier and approved by regulators, is not subject to negotiation or discounting by health insurance carriers or our competitors.
In addition to the commission revenue we derive from the sale of health insurance plans, we derive other revenue from our online sponsorship and advertising program and from licensing the use of our ecommerce technology. We offer advertising services for our Medicare plan carriers to purchase advertising on separate websites developed, hosted and maintained by us for a pre-determined amount of time. In addition, our online sponsorship program allows carriers to purchase advertising space in specific markets in a sponsorship area on our website. The technology platform we license enables health insurance carriers and agents to market and distribute health insurance plans online.
Restructuring
On March 10, 2015, we implemented an organizational restructuring and cost reduction plan. As part of the plan, we eliminated approximately 160 full-time positions, 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 exit costs. The majority of the restructuring charges were recorded in the first quarter of 2015, when the activities comprising the plan were substantially completed. In March 2015, as part of our restructuring activities, we also eliminated certain positions in our China operation.
Sources of Revenue
Commission Revenue
Commission revenue attributable to major medical individual and family health insurance plans was approximately 64% of our commission revenue in both the three and nine months ended September 30, 2014. Commission revenue attributable to major medical individual and family health insurance plans was approximately 61% and 52% of our commission revenue in the three and nine months ended September 30, 2015, respectively. The decline in the percentage of commission revenue attributable to major medical individual and family health insurance plans in the three and nine months ended September 30, 2015 compared to the three and nine months ended September 30, 2014 was due primarily to an increase in commission revenue attributable to Medicare-related health insurance plans while individual and family plan commission revenue declined year-over-year due to a reduction in individual and family health insurance estimated membership.
We typically enter into contractual agency relationships with health insurance carriers that are non-exclusive and terminable on short notice by either party for any reason. In addition, health insurance carriers often have the ability to terminate or amend our agreements unilaterally on short notice, including provisions in our agreements relating to our commission rates. The amendment or termination of an agreement we have with a health insurance carrier may adversely impact the commissions we are paid on health insurance plans that we have already sold through the carrier.
Individual and Family Plans. Commission rates for individual and family health insurance plans may vary by carrier, by geography and by the type of plan purchased by a member. Additionally, commission rates commonly vary based upon the amount of time that the policy has been active, with commission rates typically being higher in the first twelve months of the policy. After the first twelve months, commission rates generally decline significantly. As a result, if we do not add a sufficient number of members on new policies, our revenue growth will be negatively impacted, as we experienced in 2014 and 2015. Individuals and families purchasing health insurance through us typically pay their premiums on a monthly basis. Insurance carriers typically pay commissions to us on these policies monthly, after they receive the premium payment from the member. We generally continue to receive the commission payment from the relevant insurance carrier until the health insurance policy is cancelled or we otherwise do not remain the agent on the policy. As a result, a significant amount of our individual and family plan commission revenue is recurring in nature. See Critical Accounting Policies and Estimates in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2014 for details regarding our recognition of individual and family health insurance plan commission revenue.
The implementation of health care reform has had a significant impact on our individual and family health insurance membership and commission revenue. For example, health care reform established open enrollment periods for the purchase of individual and family insurance. The first open enrollment period ran from October 1, 2013 through March 31, 2014 for coverage effective in 2014, and the second ran from November 15, 2014 through February 15, 2015 for coverage effective in 2015. The next annual open enrollment period for individual and family health insurance is scheduled to run from November 1, 2015 through January 31, 2016 for coverage effective in 2016. Individuals and families generally are not able to purchase individual and family health insurance outside of open enrollment periods, unless they qualify for a special enrollment period as a result of certain qualifying events, such as losing employer-sponsored health insurance, moving to another state or becoming eligible or ineligible for a government subsidy for their health insurance. Open enrollment periods have changed the seasonality of our individual and family health insurance business. Our individual and family health insurance membership and commission revenue also have been negatively impacted by competition from government-run health insurance exchanges and general attrition which we have not offset by new member additions.
Our individual and family health insurance commission revenue is influenced by a number of factors, including:
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• | the number of applications for individual and family health insurance we submit to health insurance carriers; |
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• | the number of individuals applying for health insurance on submitted applications; |
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• | the rate at which the individuals and families on those applications turn into paying members; |
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• | the commission rates we receive for the plans that we sell; and |
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• | our membership retention. |
Submitted Applications. In connection with the initial health care reform open enrollment period, that began on October 1, 2013 and ended on March 31, 2014, we experienced a significant increase, relative to historical levels, in the number of submitted applications for individual and family health insurance during the fourth quarter of 2013 and the first quarter of 2014. Following the conclusion of the initial open enrollment period, our individual and family health insurance submitted applications decreased significantly during the second and third quarters of 2014 relative to historical levels and to the first quarter of 2014. The second open enrollment period began on November 15, 2014 and ended on February 15, 2015. While we experienced a significant increase in the number of submitted applications for individual and family health insurance during the fourth quarter of 2014 compared to the second and third quarters of 2014, they were 41% below the number of submitted application during the fourth quarter of 2013. The number of individual and family health insurance submitted applications during the first quarter of 2015 was higher than the number of applications submitted during the fourth quarter of 2014, but 17% below the number of applications submitted during the first quarter of 2014. Outside the second open enrollment period, the number of individual and family health insurance submitted applications during the second and third quarters of 2015 decreased significantly compared to the first quarter of 2015 but remained relatively flat compared to the second and third quarters of 2014, respectively. We expect individual and family submitted applications will increase significantly during the fourth quarter of 2015, relative to the second and third quarters of 2015, as a result of the next open enrollment period.
Members per Submitted Application. We experienced a decline in the average number of members on our submitted individual and family plan health insurance applications in the first quarters of 2014 and 2015 compared to the second through fourth quarters of 2013 and 2014, respectively. The average returned to historical rates in the second and third quarters of 2014 and improved in the second and third quarters of 2015 compared to the first quarter of 2015 but did not return to pre-healthcare reform historical rates.
Approval Rates. As a result of the health care reform prohibition on using pre-existing health conditions as a reason to deny health insurance applications, we have experienced higher approval rates on individual and family plan applications submitted during the open enrollment periods compared to periods before health care reform implementation. During the second and third quarters of 2014, we also experienced a decrease in the rate at which these approvals resulted in paying members. This decrease was mainly due to an increase in the rate of non-payment of initial premium by applicants and health insurance carrier-specific issues. In addition, during the second and third quarters of 2014, some carriers postponed payment of commission to us for qualified health insurance plans where the member holding the plan was receiving a subsidy, until the health insurance carrier received both the premium payment from the member and the subsidy payment from the federal government, which further delayed our ability to recognize revenue from the sale of these policies during 2014. During the first quarter of 2015, we experienced an increase in the rate at which these approvals resulted in paying members compared to the first and second quarters of 2014. In addition, during the first and second quarters of 2015, our individual and family plan commission revenue benefited from carriers paying us earlier on policies approved during the open enrollment period that ended in 2015 compared to the prior open enrollment period. We believe that the more timely payment of commissions resulted from carriers being better prepared to handle large application volumes, and we also took steps to work with our carrier
partners to ensure that their processes resulted in more timely commission payments to us. It is unclear whether this will continue throughout the remainder of 2015 or in connection with applications submitted during the open enrollment period that began on November 1, 2015.
Commission Rates. The average commission dollars per-member-per-month that we receive for new individual and family health insurance plan members varies based upon a number of factors, including the ratio of policies that we sold for which we receive per member-per-month commissions compared to percentage-of-premium commissions, the premiums on the policies we sold, the mix of our members by health insurance carrier and the commission rates we receive from each carrier. The increased volume of individual and family health insurance submitted applications during the open enrollment periods has in the past caused us to experience a shift in the concentration of our membership by health insurance carrier and type of plan purchased. For example, some health insurance carriers exited or reduced selling efforts in certain markets during the initial open enrollment period, while others increased their marketing efforts in certain markets. These and other factors resulted in a change in the concentration of our individual and family health insurance members by carrier, which had the impact, after incorporating the positive impact of health insurance premium inflation, of reducing our average commission rate per member in the second and third quarters of 2014. We observed higher commissions on many of the individual and family health insurance plans that we sold during the second open enrollment period for which we received payments from health insurance carriers during the first, second and third quarters of 2015 compared to policies that we sold during the first open enrollment period for which we received payments from health insurance carriers during the first, second and third quarters of 2014. We believe that at least some of this can be explained by higher average premiums on qualified health plans that we were able to sell in greater volume and by overall premium inflation across the market for individual and family health insurance. It is unclear whether this trend will continue throughout the remainder of 2015 or in connection with applications submitted during the open enrollment period that began in November 1, 2015.
Retention Rates. Our individual and family health insurance commission revenue is also influenced by our individual and family health insurance member retention rates. The member retention rates on our individual and family membership were negatively impacted by health care reform beginning in the fourth quarter of 2013, throughout 2014 and during the first three quarters of 2015. As a result, the number of new individual and family health insurance members added during the second, third and fourth quarters of 2014 and the first, second and third quarters of 2015, was not enough to offset the loss of existing members, resulting in an annual decline in individual and family health insurance estimated membership during those periods.
Medicare Plans. Commission rates for Medicare-related health insurance plans may vary by carrier, by geography and by the type of plan purchased by a member. In the first plan year of a Medicare Advantage and Medicare Part D prescription drug plan, after the health insurance carrier approves the application but during the effective year of the policy, we are paid a fixed commission that is prorated for the number of months remaining in the calendar year. Additionally, if the policy is the first Medicare Advantage or Medicare Part D policy issued to the member, we may receive a higher commission rate that covers a full twelve-month period, regardless of the month the policy was effective. We earn commission revenue for both Medicare Advantage and Medicare Part D prescription drug plans typically for a period of at least six years, depending on the carrier arrangement, provided that the policy remains active with us. For Medicare Supplement plans, our commission rates generally represent a percentage of the premium amount collected by the carrier during the period that a member maintains coverage under a policy. We generally continue to receive the Medicare Supplement commission payment from the relevant insurance carrier until the health insurance policy is cancelled or we otherwise do not remain the agent on the policy. As a result, the majority of our Medicare commission revenue is recurring in nature. See Critical Accounting Policies and Estimates in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2014 for details regarding our recognition of Medicare plan commission revenue.
The majority of Medicare plans are sold in our fourth quarter during the Medicare annual enrollment period, when Medicare-eligible individuals are permitted to change their Medicare Advantage and Medicare Part D prescription drug coverage for the following year. As a result, we have generated a significant amount of Medicare plan-related revenue in the fourth quarter resulting from the sale of new Medicare plans. For example, during 2014 62% of our Medicare plan-related applications were submitted during the fourth quarter. Historically, we recognized a majority of our renewal Medicare Advantage and Medicare Part D prescription drug plan commission revenue in the first quarter of each year as the majority of policies sold during the annual enrollment period renew on January 1 of each year. As a result of a regulation issued by CMS, which changed the definition of a plan year from being 12-months from the effective date of a policy to January 1 through December 31 of each year, all Medicare Advantage and Medicare Part D prescription drug policies renew on January 1 of each year, regardless of the month the policy went into effect, which resulted in our recording substantially all Medicare Advantage and Medicare Part D prescription drug plan renewal commission revenue in the first quarter of 2015, resulted in negligible renewal commission revenue in the second and third quarters of 2015 and will result in negligible renewal commission revenue in the second, third or fourth quarters of each year for these products. In addition, CMS also issued a regulation prohibiting carriers from paying commissions until January 1st on Medicare Advantage and Medicare Part D prescription drug policies sold
during the fourth quarter with an effective date in the following year. If we do not receive commission information from carriers in the fourth quarter for these policies sold during the fourth quarter, we will not be able to recognize commission revenue related to the policies until such commission information in received, which would be expected to occur in the first quarter of the following year.
Ancillary Plans. We market and sell ancillary health insurance plans, which primarily consist of short-term, dental, life, vision, and accident insurance plans, on our ecommerce platform. Historically, we have sold ancillary health insurance plans alongside individual and family health insurance plans and also as standalone products. While our estimated ancillary health insurance plan membership has increased since the implementation of health care reform, annual growth has slowed during 2015. See Critical Accounting Policies and Estimates in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2014 for details regarding our recognition of ancillary health insurance plan commission revenue.
Other Revenue
Online Sponsorship and Advertising. We offer advertising services for our Medicare plan carriers to purchase advertising on separate websites developed, hosted and maintained by us for a pre-determined amount of time. In these instances, we are typically paid a fixed, up-front fee. In addition, our online sponsorship program allows carriers to purchase advertising space in specific markets in a sponsorship area on our website. In return, we are typically paid a monthly fee and a performance-based fee based on metrics such as submitted health insurance applications. Our online sponsorship and advertising revenue declined in the third quarter of 2015 compared to the third quarter of 2014 primarily due to a decrease in Medicare-related advertising revenue. See Critical Accounting Policies and Estimates in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2014 for details regarding our recognition of online sponsorship and advertising revenue.
Technology Licensing. We derive revenue from licensing the use of our health insurance ecommerce technology. Our technology platform enables health insurance carriers and agents to market and distribute health insurance plans online. In our technology licensing business, we are typically paid implementation fees and performance-based fees that are based on metrics such as submitted health insurance applications. Technology licensing revenue declined in the third quarter of 2015 compared to the third quarter of 2014 due to fewer licensing relationships and decreased performance-based fees from lower submitted health insurance applications. See Critical Accounting Policies and Estimates in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2014 for details regarding our recognition of technology licensing revenue.
Member Acquisition
Our marketing initiatives are an important factor in our ability to add members and are focused on three primary member acquisition channels: direct, marketing partners and online advertising. Our marketing initiatives are primarily designed to encourage consumers to complete an application for health insurance. Our marketing channels are as follows:
Direct. Our direct member acquisition channel consists of consumers who access our website addresses, including www.eHealth.com, www.eHealthInsurance.com, www.eHealthMedicare.com, www.Medicare.com and www.PlanPrescriber.com, either directly, through paid search listings on Internet search engines and directories, or other forms of marketing, such as direct mail, email marketing, television, radio and retargeting campaigns. For the three and nine months ended September 30, 2014, applications submitted through us for individual and family health insurance from our direct channel constituted 70% and 42%, respectively, of all individual and family health insurance applications submitted on our website during those periods. For the three and nine months ended September 30, 2015, applications submitted through us for individual and family health insurance from our direct channel constituted 56% and 43%, respectively, of all individual and family health insurance applications submitted on our website during those periods.
Marketing Partners. Our marketing partner member acquisition channel consists of consumers who access our websites through a network of affiliate partners and financial services and other companies. We compensate a significant number of our marketing partners by paying a fee each time a consumer referral from a partner results in a submitted health insurance application, regardless of whether the consumer’s application is approved by the health insurance carrier. Many of our marketing partners have tiered arrangements in which the amount of the fee increases as the volume of submitted applications we receive from the marketing partner increases over a particular period. We recognize these expenditures in the period when a marketing partner’s referral results in the submission of a health insurance application. Growth in our marketing partner channel depends upon our expanding marketing programs with existing partners and adding new partners to our network. For the three and nine months ended September 30, 2014, applications submitted through us for individual and family health insurance plans from our marketing partner member acquisition channel constituted approximately 23% and 40%, respectively, of all individual and family health insurance applications submitted on our website. For the three and nine months
ended September 30, 2015, applications submitted through us for individual and family health insurance plans from our marketing partner member acquisition channel constituted approximately 40% and 46%, respectively, of all individual and family health insurance applications submitted on our website. We rely heavily on marketing partners as a source of submitted applications for Medicare-related health insurance plans. While we have relationships with a large number of marketing partners, we depend upon referrals from a limited number of marketing partners for a significant portion of the submitted applications we receive from our marketing partner customer acquisition channel. Moreover, a large percentage of our referrals for the purchase of Medicare plans comes from a single marketing partner. In February 2015 CMS issued guidance indicating that third-party websites and marketing material must be filed for approval with CMS. Some health insurance carriers have interpreted this guidance to mean that websites and other marketing material of our marketing partners must go through the process of CMS filing and approval. We have described various risks relating to the CMS guidance and our marketing partners in Part II, Item 1A. Risk Factors - Risks Related to our Business.
Online Advertising. Our online advertising member acquisition channel consists of consumers who access our websites through paid keyword search advertising from search engines such as Google, Bing and Yahoo!, as well as various Internet marketing programs such as display advertising. We incur expenses associated with search advertising in the period in which the consumer clicks on the advertisement. For the three and nine months ended September 30, 2014, applications submitted through us for individual and family health insurance plans from our online advertising channel constituted approximately 7% and 18%, respectively, of all individual and family health insurance applications submitted on our website. For the three and nine months ended September 30, 2015, applications submitted through us for individual and family health insurance plans from our online advertising channel constituted approximately 4% and 11%, respectively, of all individual and family health insurance applications submitted on our website. The decrease in the three and nine months ended September 30, 2015 compared to the three and nine months ended September 30, 2014 is a result of our decision to reduce spending in this area given the higher relative cost of our online advertising channel compared to other channels.
In addition to our marketing channels, we have acquired health insurance members through transactions with broker partners. We have entered into several agreements, whereby the partners have transferred certain of their existing health insurance members to us as the broker of record on the underlying policies. These transfers included primarily Medicare plan members. The first of these transferred books-of-business occurred in February 2009 and the most recent in September 2012.
Operating Costs and Expenses
Cost of Revenue
Included in cost of revenue are payments related to health insurance policies sold to members who were referred to our website by marketing partners with whom we have revenue-sharing arrangements. In order to enter into a revenue-sharing arrangement, marketing partners must be licensed to sell health insurance in the state where the policy is sold. Costs related to revenue-sharing arrangements are expensed as the related revenue is recognized.
Additionally, cost of revenue includes the amortization of consideration we paid to certain broker partners in connection with the transfer of their health insurance members to us as the new broker of record on the underlying policies. These transfers include primarily Medicare plan members. Total consideration paid in connection with these transfers that occurred between 2009 and 2012 amounted to $13.9 million. Consideration for all book-of-business transfers is being amortized to cost of revenue as we recognize commission revenue related to the transferred members.
Marketing and Advertising
Marketing and advertising expenses consist primarily of member acquisition expenses associated with our direct, marketing partner and online advertising member acquisition channels, in addition to compensation and other expenses related to marketing, business development, partner management, public relations and carrier relations personnel who support our offerings.
Since a significant portion of our marketing and advertising expenses consists of expenses incurred as a result of payments owed to our marketing partners in connection with health insurance applications submitted on our ecommerce platform and other forms of marketing, such as direct mail, email marketing, television, radio and retargeting campaigns, those expenses are influenced by seasonal submitted application patterns. During the second and third quarters of 2015, marketing and advertising expenses decreased, consistent with the decrease in submitted applications, compared to periods during the open enrollment period. As a result of the second open enrollment period for individual and family plans that began on November 15, 2014 and ended on February 15, 2015, marketing and advertising expenses increased during the fourth quarter of
2014 and first quarter of 2015, consistent with the increases in submitted applications, compared to periods outside the open enrollment period. In addition, due to the initial open enrollment period for individual and family plans that began in October 2013 and ended on March 31, 2014, marketing and advertising expenses increased significantly in the fourth quarter of 2013 and first quarter of 2014, relative to historical levels, and decreased significantly during the second and third quarters of 2014, consistent with the respective increases and decreases in submitted applications. We expect both Medicare and individual and family health insurance submitted applications and related marketing and advertising expenses will increase significantly during the fourth quarter of 2015, relative to the second and third quarters of 2015, as a result of the next Medicare annual enrollment period and individual and family health insurance open enrollment period.
Because the total volume of submitted applications that we receive from our marketing partners is largely outside of our control, particularly during any short-term period, and because of our tiered marketing partner arrangements, we could incur expenses in excess of, or below, the amounts we had planned in periods of rapid change in the volume of submitted applications from marketing partner referrals. Similar to our marketing partner channel, expenses in our online advertising channel will increase or decrease in relation to any increase or decrease in consumers referred to our website as a result of search engine advertising. Increases in submitted applications resulting from marketing partner referrals or visitors to our website from our online advertising channel has in the past resulted and could in the future result in marketing and advertising expenses significantly higher than our expectations. This has in the past negatively impacted and could in the future negatively impact our profitability during such periods, because the revenue (if any) derived from submitted applications that are approved by health insurance carriers is not recognized until future periods.
Historically, we have experienced decreases in submitted individual and family plan applications outside of the open enrollment period compared to inside the open enrollment period and the source of our submitted individual and family plan applications shifted so that a greater number of applications came from our direct member acquisition channel. During the open enrollment period, the source of our submitted individual and family plan applications shifted so that a greater number of applications came from our higher cost marketing partner member acquisition channel compared to outside of open enrollment period. These seasonal trends have continued in 2015.
Customer Care and Enrollment
Customer care and enrollment expenses primarily consist of compensation and benefits costs for personnel engaged in pre-sales assistance to applicants who call our customer care center and for enrollment personnel who assist applicants during the enrollment process. In preparation for the Medicare annual enrollment period during 2014 and 2015, and to a lesser extent the open enrollment period for individual and family plans during 2014, we began ramping up our customer care center staff during our third quarter to handle the anticipated increased volume of health insurance transactions. Additionally, in the first quarters of 2014 and 2015, we retained some Medicare sales and enrollment personnel to handle the increased volume of individual and family plan applications during the initial and second open enrollment periods for individual and family health insurance that ended on March 31, 2014 and February 15, 2015, respectively. Accordingly, our customer care center staffing costs have been significantly higher in our first and fourth quarters compared to the second and third quarters. These seasonal trends have continued in 2015 as we have added seasonal customer care and enrollment personnel primarily to assist with the increase in submitted applications expected during the next Medicare annual enrollment period.
Technology and Content
Technology and content expenses consist primarily of compensation and benefits costs for personnel associated with developing and enhancing our website technology as well as maintaining our website. A majority of our technology and content group is located at our wholly-owned subsidiary in China, where technology development costs are generally lower than in the United States.
General and Administrative
General and administrative expenses include compensation and benefits costs for staff working in our executive, finance, investor relations, government affairs, legal, human resources, internal audit, facilities and internal information technology departments. These expenses also include fees paid for outside professional services, including audit, tax, legal, government affairs and information technology fees.
Restructuring Charges
Restructuring expense consists mainly of costs associated with our March 2015 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.
These restructuring activities were substantially complete in March 2015; however, we expect to continue to incur costs as we finalize previous estimates and actions in connection with these plans.
Summary of Selected Metrics
The following table shows certain selected quarterly metrics for the three months ended September 30, 2014 and 2015 and as of September 30, 2014 and 2015:
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| Three Months Ended | | Three Months Ended |
Key Metrics: | September 30, 2014 | | September 30, 2015 |
Operating cash flows (1) | $ | 10,961,000 |
| | $ | 10,925,000 |
|
IFP submitted applications (2) | 23,800 |
| | 22,500 |
|
IFP approved members (3) | 28,100 |
| | 23,700 |
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Total approved members (4) | 130,000 |
| | 111,400 |
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Commission revenue (5) | $ | 36,164,000 |
| | $ | 34,942,000 |
|
Commission revenue per estimated member for the period (6) | $ | 30.05 |
| | $ | 31.15 |
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| As of | | As of |
| September 30, 2014 | | September 30, 2015 |
IFP estimated membership (7) | 653,700 |
| | 518,000 |
|
Medicare estimated membership (8) | 121,300 |
| | 182,700 |
|
Other estimated membership (9) | 383,100 |
| | 397,400 |
|
Total estimated membership (10) | 1,158,100 |
| | 1,098,100 |
|
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| | | | | |
| Three Months Ended | | Three Months Ended |
| September 30, 2014 | | September 30, 2015 |
Source of IFP submitted applications (as a percentage of total IFP applications for the period): | |
| | |
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Direct (11) | 70 | % | | 56 | % |
Marketing partners (12) | 23 | % | | 40 | % |
Online advertising (13) | 7 | % | | 4 | % |
Total | 100 | % | | 100 | % |
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(1) | Net cash provided by operating activities for the period from the condensed consolidated statements of cash flows. |
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(2) | 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, provides a method for payment and clicks the submit button on our website and submits the application to us. The applicant generally has 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 include applications for IFP plans for which we receive commissions as well as other forms of payment. We define our “IFP” offerings as major medical individual and family health insurance plans, which does not include small business, short-term, stand-alone dental, life, accident or Medicare-related health insurance plans. |
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(3) | New IFP members reported to eHealth as approved during the period. Some members that are approved by a carrier do not accept the approval and therefore do not become paying members. |
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(4) | New members for all products reported to eHealth as approved during the period. Some members that are approved by a carrier do not accept the approval and therefore do not become paying members. |
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(5) | Commission revenue (from all sources) recognized during the period from the condensed consolidated statements of comprehensive income. |
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(6) | Calculated as commission revenue recognized during the period (see note (5) above) divided by average estimated membership for the period (calculated as beginning and ending estimated membership for all products for the period, divided by two). |
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(7) | Estimated number of members active on IFP insurance policies as of the date indicated. |
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(8) | Estimated number of members active on Medicare insurance policies as of the date indicated. |
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(9) | Estimated number of members active on insurance policies other than IFP and Medicare policies as of the date indicated. |
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(10) | Estimated number of members active on all insurance policies as of the date indicated. |
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(11) | Percentage of IFP submitted applications from applicants who came directly to the eHealth website through algorithmic search engine results or otherwise. See note (2) above for further information as to what constitutes a submitted application. |
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(12) | Percentage of IFP submitted applications from applicants sourced through eHealth’s network of marketing partners. See note (2) above for further information as to what constitutes a submitted application. |
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(13) | Percentage of IFP submitted applications from applicants sourced through paid search and other online advertising activities. See note (2) above for further information as to what constitutes a submitted application. |
Our insurance carrier partners bill and collect insurance premiums paid by our members. Carrier partners do not report to us the number of members that we have as of a given date. The majority of our 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 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:
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• | To calculate the estimated number of members active on individual and family plan insurance policies, we have taken 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 which the experience for the period from April 1, 2014 to September 30, 2014 was used for the calculation of membership as of September 30, 2015) 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 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. For the purpose of estimating the number of members active on individual and family plan insurance policies as of September 30, 2015, we have applied 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. |
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• | For ancillary insurance policies (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. |
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• | For Medicare-related insurance policies, 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). |
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• | For small business health insurance policies, 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. Additionally, our carrier partners 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 policies will be counted as a member more than once. For example, a member who is active on both an individual and family health insurance policy and a standalone dental policy 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.
Critical Accounting Policies and Estimates
The preparation of financial statements and related disclosures in conformity with U.S. generally accepted accounting principles, or U.S. GAAP, requires us to make judgments, assumptions, and estimates that affect the amounts reported in the consolidated financial statements and the accompanying notes. These estimates and assumptions are based on current facts, historical experience, and various other factors that we believe are reasonable under the circumstances to determine reported amounts of assets, liabilities, revenue and expenses that are not readily apparent from other sources. To the extent there are material differences between our estimates and the actual results, our future consolidated results of operations may be affected.
An accounting policy is considered to be critical if the nature of the estimates or assumptions is material due to the levels of subjectivity and judgment necessary to account for highly uncertain matters or the susceptibility of such matters to change, and the effect of the estimates and assumptions on financial condition or operating performance. The accounting policies we believe to reflect our more significant estimates, judgments and assumptions and are most critical to understanding and evaluating our reported financial results are as follows:
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• | Stock-Based Compensation; |
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• | Realizability of Long-Lived Assets; and |
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• | Accounting for Income Taxes. |
During the nine months ended September 30, 2015, there were no significant changes to our critical accounting policies and estimates. Please refer to Management's Discussion and Analysis of Financial Condition and Results of Operations contained in Part II, Item 7 of our Annual Report on Form 10-K for the year ended December 31, 2014, for a complete discussion of our critical accounting policies and estimates.
Results of Operations
The following table sets forth our operating results and the related percentage of total revenues for the three and nine months ended September 30, 2014 and 2015 (dollars in thousands):
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| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Revenue: | |
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| | |
| | |
| | |
| | |
| | |
| | |
|
Commission | $ | 36,164 |
| | 88 | % | | $ | 34,942 |
| | 91 | % | | $ | 120,267 |
| | 89 | % | | $ | 130,157 |
| | 93 | % |
Other | 5,004 |
| | 12 |
| | 3,282 |
| | 9 |
| | 14,435 |
| | 11 |
| | 9,248 |
| | 7 |
|
Total revenue | 41,168 |
| | 100 |
| | 38,224 |
| | 100 |
| | 134,702 |
| | 100 |
| | 139,405 |
| | 100 |
|
Operating costs and expenses: | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
|
Cost of revenue | 745 |
| | 2 |
| | 443 |
| | 1 |
| | 3,750 |
| | 3 |
| | 3,527 |
| | 3 |
|
Marketing and advertising | 9,228 |
| | 22 |
| | 9,349 |
| | 24 |
| | 41,946 |
| | 31 |
| | 44,086 |
| | 32 |
|
Customer care and enrollment | 9,695 |
| | 24 |
| | 9,462 |
| | 25 |
| | 28,392 |
| | 21 |
| | 28,981 |
| | 21 |
|
Technology and content | 10,303 |
| | 25 |
| | 8,036 |
| | 21 |
| | 30,320 |
| | 23 |
| | 27,400 |
| | 20 |
|
General and administrative | 7,077 |
| | 17 |
| | 7,749 |
| | 20 |
| | 22,228 |
| | 17 |
| | 23,237 |
| | 17 |
|
Restructuring charges | — |
| | — |
| | — |
| | — |
| | — |
| | — |
| | 4,541 |
| | 3 |
|
Amortization of intangible assets | 354 |
| | 1 |
| | 260 |
| | 1 |
| | 1,062 |
| | 1 |
| | 893 |
| | 1 |
|
Total operating costs and expenses | 37,402 |
| | 91 |
| | 35,299 |
| | 92 |
| | 127,698 |
| | 95 |
| | 132,665 |
| | 95 |
|
Income from operations | 3,766 |
| | 9 |
| | 2,925 |
| | 8 |
| | 7,004 |
| | 5 |
| | 6,740 |
| | 5 |
|
Other expense, net | (13 | ) | | — |
| | (27 | ) | | — |
| | (81 | ) | | — |
| | (50 | ) | | — |
|
Income before provision for income taxes | 3,753 |
| | 9 |
| | 2,898 |
| | 8 |
| | 6,923 |
| | 5 |
| | 6,690 |
| | 5 |
|
Provision (benefit) for income taxes | 2,229 |
| | 5 |
| | (737 | ) | | (2 | ) | | 3,929 |
| | 3 |
| | (613 | ) | | — |
|
Net income | $ | 1,524 |
| | 4 | % | | $ | 3,635 |
| | 10 | % | | $ | 2,994 |
| | 2 | % | | $ | 7,303 |
| | 5 | % |
Operating costs and expenses include the following amounts of stock-based compensation expense (in thousands):
|
| | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Nine Months Ended September 30, |
| 2014 | | 2015 | | 2014 | | 2015 |
Marketing and advertising | $ | 721 |
| | $ | 461 |
| | $ | 1,957 |
| | $ | 1,498 |
|
Customer care and enrollment | 116 |
| | 110 |
| | 283 |
| | 366 |
|
Technology and content | 559 |
| | 362 |
| | 1,550 |
| | 1,308 |
|
General and administrative | 894 |
| | 643 |
| | 2,795 |
| | 2,149 |
|
Restructuring charges | — |
| | — |
| | — |
| | 113 |
|
Total stock-based compensation expense | $ | 2,290 |
| | $ | 1,576 |
| | $ | 6,585 |
| | $ | 5,434 |
|
Three and Nine Months Ended September 30, 2014 and 2015
Revenue
The following table presents our commission, other revenue and total revenue for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
Commission | $ | 36,164 |
| | $ | 34,942 |
| | $ | (1,222 | ) | | (3 | )% | | $ | 120,267 |
| | $ | 130,157 |
| | $ | 9,890 |
| | 8 | % |
Percentage of total revenue | 88 | % | | 91 | % | | |
| | |
| | 89 | % | | 93 | % | | |
| | |
|
Other | $ | 5,004 |
| | $ | 3,282 |
| | $ | (1,722 | ) | | (34 | )% | | $ | 14,435 |
| | $ | 9,248 |
| | $ | (5,187 | ) | | (36 | )% |
Percentage of total revenue | 12 | % | | 9 | % | | | | |
| | 11 | % | | 7 | % | | | | |
|
Total revenue | $ | 41,168 |
| | $ | 38,224 |
| | $ | (2,944 | ) | | (7 | )% | | $ | 134,702 |
| | $ | 139,405 |
| | $ | 4,703 |
| | 3 | % |
Three Months Ended September 30, 2014 and 2015—Commission revenue decreased $1.2 million, or 3% in the three months ended September 30, 2015 compared to the three months ended September 30, 2014, due to a decrease of $1.0 million in individual and family health insurance-related commission revenue, a decrease of $0.4 million in commission override revenue and a decrease of $0.5 million in ancillary revenue. This was partially offset by an increase of $0.6 million in Medicare-related commission revenue.
Other revenue decreased $1.7 million, or 34%, in the three months ended September 30, 2015, compared to the three months ended September 30, 2014, due primarily to decreases of $1.9 million in online sponsorship and advertising revenue. This was partially offset by an increase of $0.3 million in lead generation revenue.
Nine Months Ended September 30, 2014 and 2015—Commission revenue increased $9.9 million or 8%, in the nine months ended September 30, 2015, compared to the nine months ended September 30, 2014, primarily due to increases of $18.5 million in Medicare-related commission revenue and $0.6 million in ancillary health insurance commission revenue, consisting primarily of short-term, dental, vision and accident plan offerings. This was partially offset by decreases of $7.8 million in individual and family health insurance-related commission revenue, $1.2 million in commission override revenue and $0.3 million in small business health insurance related commission revenue.
The increases in Medicare-related and ancillary commission revenues are due to increased membership for the nine months ended September 30, 2015 compared to the nine months ended September 30, 2014 as well as regulations issued by the CMS that resulted in our recognizing 12 months of renewal commission revenue for all Medicare Advantage and Medicare Part D prescription drug policies on January 1st beginning in 2015. In addition, approximately $3.0 million in Medicare commission revenues were pushed into the first quarter of 2015 from the fourth quarter of 2014 as a result of a new regulation that requires commissions on Medicare Advantage and Medicare Part D prescription drug products sold during the Annual Enrollment Period not to be paid to brokers until January 1, which is the effective date of these policies, and as a result of us not receiving commission information from certain carriers in the fourth quarter.
Other revenue decreased $5.2 million, or 36%, in the nine months ended September 30, 2015, compared to the nine months ended September 30, 2014, primarily due to decreases of $5.0 million in online sponsorship and advertising revenue and $0.8 million in technology licensing revenue, partially offset by an increase of $0.6 million in lead generation revenue.
We expect commission revenue to increase in absolute dollars in 2015 compared to 2014, primarily as a result of a continued increase in Medicare-related commission revenue, partially offset by decreases in individual and family health insurance related commission revenue and commission override revenue. We expect other revenue to decline in absolute dollars in 2015 compared to 2014, primarily due to a decrease in online sponsorship and advertising revenue, and to a lesser extent, a decrease in technology licensing revenue, partially offset by an increase in lead generation revenue.
Operating Costs and Expenses
Cost of Revenue
The following table presents our cost of revenue for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
Cost of revenue | $ | 745 |
| | $ | 443 |
| | $ | (302 | ) | | (41 | )% | | $ | 3,750 |
| | $ | 3,527 |
| | $ | (223 | ) | | (6 | )% |
Percentage of total revenue | 2 | % | | 1 | % | | |
| | |
| | 2 | % | | 3 | % | | |
| | |
|
Three Months Ended September 30, 2014 and 2015—Cost of revenue decreased $0.3 million, or 41% in the three months ended September 30, 2015 compared to the three months ended September 30, 2014, due primarily to a decrease in amortization expense associated with the consideration we paid to a broker partner in connection with the transfer of several Medicare plan books-of-business to us whereby we became the broker of record on the underlying policies. The decrease is attributed to the change in Medicare regulations that took effect in 2015 causing all Medicare policies to renew on January 1 of each year and our recognizing the related annual commission revenue during the three months ended March 31, 2015.
Nine Months Ended September 30, 2014 and 2015—Cost of revenue decreased $0.2 million, or 6%, in the nine months ended September 30, 2015, compared to the nine months ended September 30, 2014, due primarily to fewer payments to marketing partners with whom we have revenue-sharing arrangements.
Marketing and Advertising
The following table presents our marketing and advertising expenses for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
| | | | | | | | | | | | | | | |
Marketing and advertising | $ | 9,228 |
| | $ | 9,349 |
| | $ | 121 |
| | 1 | % | | $ | 41,946 |
| | $ | 44,086 |
| | $ | 2,140 |
| | 5 | % |
Percentage of total revenue | 22 | % | | 24 | % | | |
| | |
| | 31 | % | | 32 | % | | |
| | |
|
Three Months Ended September 30, 2014 and 2015—Marketing and advertising expenses increased $0.1 million, or 1%, in the three months ended September 30, 2015 compared to the three months ended September 30, 2014 due primarily to a $0.4 million increase in variable advertising costs, partially offset by a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015.
.
Nine Months Ended September 30, 2014 and 2015—Marketing and advertising expenses increased $2.1 million, or 5%, in the nine months ended September 30, 2015 compared to the nine months ended September 30, 2014, due primarily to an
increase of $2.8 million in variable advertising costs, partially offset by a $0.6 million decrease in public relation costs, as well as a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015. The increase in variable advertising costs resulted from an increase of $12.2 million in the fees we pay to marketing partners for referrals that result in the submission of a health insurance application on our website and an increase of $1.2 million in direct marketing expenses, partially offset by a decrease of $10.6 million in online advertising costs.
We expect our marketing and advertising expenses to increase in absolute dollars in 2015 compared to 2014 due primarily to increased variable advertising costs associated with the second open enrollment period for individual and family health insurance plans, which ended on February 15, 2015, and the next open enrollment period for individual and family health insurance, which commenced on November 1, 2015, as well as the Medicare annual enrollment period which commenced on October 15, 2015, partially offset by a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015.
Customer Care and Enrollment
The following table presents our customer care and enrollment expenses for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
Customer care and enrollment | $ | 9,695 |
| | $ | 9,462 |
| | $ | (233 | ) | | (2 | )% | | $ | 28,392 |
| | $ | 28,981 |
| | $ | 589 |
| | 2 | % |
Percentage of total revenue | 24 | % | | 25 | % | | |
| | |
| | 21 | % | | 21 | % | | |
| | |
|
Three Months Ended September 30, 2014 and 2015—Customer care and enrollment expenses decreased $0.2 million or 2% in the three months ended September 30, 2015 compared to the three months ended September 30, 2014, due primarily to a decrease in compensation, benefits and other personnel costs.
Nine Months Ended September 30, 2014 and 2015—Customer care and enrollment expenses increased $0.6 million, or 2%, in the nine months ended September 30, 2015 compared to the nine months ended September 30, 2014, due primarily to an increase in compensation, benefits, licensing and other personnel costs related to additional customer care center personnel and consultants retained in connection with the open enrollment period for individual and family health insurance that ended on February 15, 2015.
We expect customer care and enrollment expenses to increase slightly in absolute dollars in 2015 compared to 2014 as a result of an increase in customer care center staffing to support Medicare enrollments, partially offset by a decrease in compensation, benefits and other personnel costs in support of individual and family plan enrollments resulting from the reduction-in-force announced in March 2015.
Technology and Content
The following table presents our technology and content expenses for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
Technology and content | $ | 10,303 |
| | $ | 8,036 |
| | $ | (2,267 | ) | | (22 | )% | | $ | 30,320 |
| | $ | 27,400 |
| | $ | (2,920 | ) | | (10 | )% |
Percentage of total revenue | 25 | % | | 21 | % | | |
| | |
| | 23 | % | | 20 | % | | |
| | |
|
Three Months Ended September 30, 2014 and 2015—Technology and content expenses decreased $2.3 million, or 22%, in the three months ended September 30, 2015 compared to the three months ended September 30, 2014, primarily due to a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015.
Nine Months Ended September 30, 2014 and 2015—Technology and content expenses decreased $2.9 million, or 10%, in the nine months ended September 30, 2015 compared to the nine months ended September 30, 2014, primarily due to a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015.
We expect technology and content expenses to significantly decrease in absolute dollars in 2015 compared in 2014 as a result of a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015.
General and Administrative
The following table presents our general and administrative expenses for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
General and administrative | $ | 7,077 |
| | $ | 7,749 |
| | $ | 672 |
| | 9 | % | | $ | 22,228 |
| | $ | 23,237 |
| | $ | 1,009 |
| | 5 | % |
Percentage of total revenue | 17 | % | | 20 | % | | |
| | |
| | 17 | % | | 17 | % | | | | |
Three Months Ended September 30, 2014 and 2015—General and administrative expenses increased $0.7 million, or 9%, in the three months ended September 30, 2015 compared to the three months ended September 30, 2014, due primarily to increases of $0.6 million in annual performance bonus expense and $0.4 million in legal expenses, partially offset by a $0.4 million decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015 and decreases in lobbying expenses and information technology-related expenses.
Nine Months Ended September 30, 2014 and 2015—General and administrative expenses increased $1.0 million, or 5%, in the nine months ended September 30, 2015 compared to the nine months ended September 30, 2014, due primarily to increases of $1.4 million in annual performance bonus expense and $1.0 million in legal expenses, partially offset by decreases of $1.0 million in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015 and $0.6 million in lobbying expenses.
We expect general and administrative expenses to increase in absolute dollars in 2015 compared to 2014 as a result of the accrual of annual performance bonuses for fiscal 2015 and anticipated increases in legal fees, partially offset by a decrease in compensation, benefits and other personnel costs resulting from the reduction-in-force announced in March 2015
Restructuring Charges
The following table presents our restructuring charges for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
Restructuring charges | $ | — |
| | $ | — |
| | $ | — |
| | — | % | | $ | — |
| | $ | 4,541 |
| | $ | 4,541 |
| | 100 | % |
Percentage of total revenue | — | % | | — | % | | |
| | |
| | — | % | | 3 | % | | | | |
Three Months Ended September 30, 2014 and 2015—The organizational restructuring and cost reduction plan implemented in March 2015 resulted in no additional restructuring expense in the three months ended September 30, 2015. No similar activities occurred in the three months ended September 30, 2014.
Nine Months Ended September 30, 2014 and 2015—The organizational restructuring and cost reduction plan implemented in March 2015 resulted in restructuring charges of $4.5 million. These costs consist primarily of $3.9 million for employee termination benefits and related costs as well as $0.6 million in other restructuring charges, primarily relating to facility exit costs. No similar activities occurred in the nine months ended September 30, 2014.
Amortization of Intangible Assets
The following table presents our amortization of intangible assets for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | 2014 | | 2015 | | $ | | % |
Amortization of intangible assets | $ | 354 |
| | $ | 260 |
| | $ | (94 | ) | | (27 | )% | | $ | 1,062 |
| | $ | 893 |
| | $ | (169 | ) | | (16 | )% |
Percentage of total revenue | 1 | % | | 1 | % | | |
| | |
| | 1 | % | | 1 | % | | | | |
Three Months Ended September 30, 2014 and 2015—Amortization expense related to intangible assets purchased through our acquisition of PlanPrescriber decreased slightly in the three months ended September 30, 2015 compared to the three months ended September 30, 2014.
Nine Months Ended September 30, 2014 and 2015—Amortization expense related to intangible assets purchased through our acquisition of PlanPrescriber decreased slightly in the nine months ended September 30, 2015 compared to the nine months ended September 30, 2014.
Other Expense, Net
The following table presents our other expense, net, for the three and nine months ended September 30, 2014 and 2015 and the dollar and percentage changes from the prior year periods (dollars in thousands):
|
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| Three Months Ended September 30, | | Change | | Nine Months Ended September 30, | | Change |
| 2014 | | 2015 | | $ | | % | | |