Clint Jones
Analyst · Credit Suisse. Your line is now open
Thanks Jay. Thanks for joining us all on Veterans Day. We're excited to be here to share an update on the business. As Jay mentioned, we have posted a slide deck to our website that we will walk through before we open up the call to Q&A. I'll spend the majority of my time explaining what makes GoHealth unique and sets us apart in the DTC Medicare market. But first, let me share some quick highlights from our third quarter as well as a revised outlook for the full-year now that we have the first several weeks of the annual enrollment period under our belt. Turning to Slide 4, I first want to thank all of the GoHealth employees for their hard work and effort to prepare us so well for AEP in a year that has been filled with unknowns. Our team really came together in 2020, demonstrating resilience and positioning us to capitalize on the significant long-term growth opportunities for GoHealth. While Q3 is typically our smallest quarter of the year due to the seasonality of the Medicare market, we grew revenues 52% in the quarter, a continuation of the strong first-half trajectory, resulting in a 72% year-to-date top line growth. Adjusted EBITDA of $39 million came in ahead of expectations as we expanded our industry-leading margins from 15% to 24% and generated positive operating cash flow of $33 million in the quarter. And on the persistency front, our investments over the last year are yielding strong results, helping drive a 5% increase in LTVs during the third quarter. These results continue to set us apart from the competition. We delivered these solid results by also investing in the drivers of future profitability, including preparing for this year's AEP. We enhanced productivity of an expanded virtual agent base, including our TeleCare team, dramatically increased our carrier footprint, and launched additional Encompass programs. We now power 12 direct sales and technology platforms for our carrier partners, provide marketing programs for eight carriers and are delivering various Encompass offerings to six partners. We are extremely excited as our growing enterprise solutions positions us well to drive additional revenue streams for years to come. Equally important, we are increasing and tightening our revenue outlook for the full-year. Travis will share more color on the numbers, but our full-year outlook for 2020 incorporates top line growth assumptions of 58% to 65%, which implies fourth quarter revenue growth of 53% at the midpoint. So, we are pleased to see such a strong start to AEP, with 83% submission growth during October. We are also upgrading our adjusted EBITDA range to $270 million to $290 million, equating to a 58% to 70% growth and further supported by improved conversion rates across all of our agents. From today's results, you can see that 2020 is shaping up to be another great year at GoHealth. So, why are we so well positioned to continue to gain share in a fast-growing Medicare market? Slide 5 highlights that we have methodically built this company over the last two decades, creating our entire platform by meeting the needs of our carrier partners and the consumers we serve. This includes building comparison shopping tools, lead generation engines, agent enrollment capabilities, and other value-added services. And we ramped up quickly to become the largest and fastest-growing DTC marketplace in Medicare in just five short years. Proprietary tech and data-driven insights helped enable us to drive profit growth, making real-time decisions that optimize growth around the lifetime value of a customer relative to the acquisition cost of that customer, what we refer to as LTV to CAC. The reason we focus on this metric is it ensures we maximize growth with an eye towards profit per policy. We've cultivated unique carrier relationships to fully leverage revenue opportunities, thanks to our consultative approach to solving problems and creating value for carriers. This has resulted in the fastest cash payback period in the industry by partnering with carriers across multiple programs. As we've expanded our Medicare carrier footprint, we continue to grow our enterprise revenue with both new and legacy partners. As evidenced by our expanding margins and improving KPIs, the bigger we get, the better we get. And finally, we have a very competitive team with a track record of over delivering for our stakeholders. Slide 6 highlights the power of our DTC marketplace, connecting consumers to leading insurance plans. Consumers rely on GoHealth given the complexities involved in the process: where to begin; how to compare, what doctors and drugs are covered; and perhaps more important, getting expert advice from our licensed telephonic agents that help consumers avoid costly mistakes, truly a win-win for consumers and carriers, the makings of a great marketplace. We generate our own leads, pulling consumers into our funnel by leveraging both online and offline marketing channels, taking a test and learn marketing approach, and we have proven to be highly efficient at delivering growth with great margins. How? This includes leveraging our tech platform to match consumers and agents, driving efficiencies in the enrollment process by knowing how much it costs to acquire consumers with estimated LTVs. And we have made investments in our post-enrollment process and Encompass offerings through our TeleCare team, educating and engaging consumers to help to maximize benefits in customer satisfaction, resulting in year-to-date persistency gains of 2%. Slide 7 focused on our agent force and the great work they do to help consumers every day. Our agents are critical to our success, and we onboard, train and license them on our marketplace to position them for a successful career at GoHealth. At the same time that we increased our agent count from roughly 850 to almost 1,500, we have increased our year-over-year conversion rates across all agents, and we have retained over 90% of our top agents. We also expect to drive increased efficiencies across our agent force, as we narrow the gap between our top performers and those with additional upside potential through increased training and better technology. As we increase in size, we can drive additional efficiencies, while de-averaging the market. This includes building agent expertise by specializing them in certain geographies, by plan type and by marketing source to name a few. Customer satisfaction is paramount, as we look to optimize LTVs through finding the right plan for each consumer from day one. And we have never been better equipped to do so after our 2020 carrier expansion that provides consumers with access to top plans across the majority of the U.S. Slide 8 highlights the differentiated approach we have taken to develop deep relationships with select carriers that position us to generate revenue beyond commission streams. We entered the Medicare market in 2016, working closely with Anthem and Humana to learn the business by deeply integrating with them and understanding how we could help them with their own business challenges. We scaled the business in 2018 and 2019 across our two main carrier partners. And during 2020, we have tripled our carrier footprint to cover 75% of the market, offering more choice for consumers which supports persistency. As we look at 2020, we are continuing to help all of our carriers meet their growth objectives. New carriers such as UnitedHealthcare, Cigna, Aetna and Allwell made up one-third of October submissions, as we ramped up quickly to become a leading producer for our new partners, while also increasing volumes and the quality of business to our existing partners. Year-to-date LTVs increased 2% and third quarter LTVs grew 5%. Given our conservative approach to calculating LTVs, we believe that our investments in our carrier footprint, our TeleCare and agent technology will continue to drive favorable momentum in our LTVs as we move into 2021, which leads me to another exciting opportunity for GoHealth, the expansion of our carrier solutions, including our Encompass platform shown on slide 9. In addition to being highly efficient at adding new members for carriers, for many years, we have helped them with white label technology solutions and outsourced sales programs that have allowed us to diversify revenue streams. We have done this by leveraging our superior technology stack and our highly trained agents to drive membership growth, while also adding value to consumers through post-enrollment engagement. Enterprise marketing programs and carrier direct sales campaigns are the largest source of enterprise revenue today, and we are encouraged to see a growing trend by carriers to participate, as they look to utilize our highly efficient marketplace and world-class marketing capabilities to build their Medicare membership base. And with our expanded carrier footprint, we have a larger pond of fish. I'd like to expand on the significant progress, we have made on the Encompass platform, since we launched our efforts to capitalize on the opportunity last year. These Encompass offerings include value-based care provider engagement, health risk assessments, social determinants of health screening and preferred pharmacy programs to name a few. Carriers are realizing that we are well positioned at the point of sale to execute with better results and higher member engagement. So again, we can create differentiated strategic value for carrier partners, while helping consumers maximize their benefits and improve their health outcomes in a massive digital health care market that closely complements our core offerings. As I mentioned before, we have been expanding our enterprise programs across multiple carrier partners and other providers; and as we move into 2021, we are having positive discussions with many others about how we can help create value for them through these product offerings. Over time, we expect the Encompass platform to become a more meaningful growth contributor, given the favorable early response from partners. Slide 10, looks at our market opportunity. We operate in a $20 billion total addressable market that is quickly growing, as 10,000 seniors are turning 65 every single day. According to CMS, Medicare Advantage is growing at roughly 10% per year, as more and more seniors are choosing to enroll in Medicare Advantage plans over original Medicare, due to the increasing value and supplemental benefits that carriers are offering. Not to mention that CMS has approved commission increases for 2021, an additional positive for our industry. Our biannual Medicare 2020 report validates the consumer need for GoHealth's DTC marketplace to evaluate plan options, as almost 60% of seniors are overwhelmed by the process, with dozens of Medicare Advantage options to choose from. Seniors are also embracing DTC platforms, given their interest in comparison shopping and the need for education and transparency. Not to mention the need for carriers to shop from the safety of their homes in this COVID world. And carriers are increasingly turning to our omni-channel sales platform to fuel their growth, as evidenced by comments from their recent quarterly earnings calls. The ultimate TAM we are pursuing is significantly larger than the $28 billion in current commissions as we roll out our GoHealth Encompass initiatives on a greater scale. Slide 11 is a foundational slide for GoHealth, as it addresses our focus on creating value for shareholders through an LTV to CAC lens. Our approach has never been growth at all costs, but rather, we use a fully integrated funnel to guide our capital allocation decisions, driving sustainable, profitable growth every quarter, not to mention great cash flow compared to the competitive set. Everything we do, every investment we make is done with an eye towards driving higher LTVs or lowering CACs. Here are a few examples. Adding carriers provides more options for consumers, better persistency and higher conversion rates. Our TeleCare and Encompass platform adds services to capture additional revenue streams, while also driving consumer engagement through education and better understanding of plan benefits, which results in improved persistencies and higher LTVs. Scaling our agents allows us to increase LTVs and conversion with optimized lead scoring and routing, matching consumers with the right agents. And our high-performance marketing generates our own internal leads with a high-velocity test-and-learn approach, reducing our CPAs and increasing scale. This approach allows us to deliver high rates of growth without sacrificing our industry-leading profit margins and quick cash payback periods for our shareholders. I'll come back to this in a few minutes, but first, let me pass it over to Travis to walk through the financials.