Travis Matthiesen
Analyst · RBC. Your line is now open
Thanks, Clint and good afternoon everyone. I also want to start by thanking our teams for their hard work as they delivered record revenue and EBITDA in 2020, including roughly 60% top and bottom line growth, demonstrating the scalability of our model. Turning to Slide 11, total revenue in the fourth quarter grew 55% to $446 million, fueled by Internal Medicare growth of 75%, ahead of our expectations and resulting in commission growth of 57% despite the declines from our under-65 or IFP offerings. We delivered 328,000 approved Medicare Advantage submissions during the quarter, industry leading and one-third more than our nearest public competitor. New carriers contributed to over 30% of total submissions in the quarter, and we expect the benefits from carrier expansion to continue through 2021 as we fully integrate additional carriers onto our technology platform. Medicare Advantage continues to grow quickly and our marketing teams were able to generate consumer demand in excess of agent capacity during the quarter, indicative of abundant market opportunities over the coming years. LTVs increased over 5% in the fourth quarter and almost 3% for the full year as we delivered quality submission growth, which manifests in our LTV-to-CAC ratio of 3x and our top-tier Medicare margins of 49% in the quarter. Slide 12 highlights the year-over-year change in our LTVs. And while there are various puts and takes, our investments are driving LTVs higher through improved persistency. As Clint mentioned, we made meaningful investments in our agents, continuing to align them on delivering high-quality volume growth through better consumer engagement and more time spent addressing their unique needs, as evidenced by the longer handle times in the quarter. Our agents also drove higher engagement with consumers through the warm handoff to our TeleCare team to increase consumer conviction at the point-of-sale, leading to improved effectuation and persistency for our two largest carriers. We believe we are uniquely positioned amongst our competitive set to continue to drive LTVs higher over the coming years, thanks to accelerated TeleCare investments, broadened carrier footprint as well as additional benefits from expanding our Encompass program to our members. Slide 13 helps compare our LTVs to our closest agent-assisted competitor. The strength of our platform and the use of data, has enabled us to produce strong and growing LTVs, which when combined with CAC efficiencies has resulted in great margins and high returns. On this page, we calculate the lifetime value of a policy at the time of submission. It’s the starting point of that policy where we believe there is the least variability around definitional differences between companies. So to compare apples to apples, we divided this competitor’s Medicare Advantage revenue by their total submissions to calculate their LTV at the point of submission to compare to our own reported LTVs at the time of submission. Multiyear improvements in LTV have pulled our fourth quarter LTV per submission to within 1% of this peer, and our LTVs are growing given our investment posture. We are also pleased to report that January’s persistency and renewals have come in better than the prior year. Slide 14 is a more holistic view of how we approach our business to create value for carriers and drive higher revenue per submission. This slide divides total Medicare revenue by our total Medicare submitted policies to calculate the revenue generated from each submission, up 19% since 2018. Improving LTVs and Encompass opportunities create additional revenue upside per submission. Slide 15 looks at that opportunity from our enterprise programs in another way. It highlights the long-term potential to keep driving revenue per submission higher by increasing the penetration of our Encompass offerings across our customer base. Initial Encompass pilots represent a small subset of our total numbers, but their early success implies meaningful upside potential. We are well positioned to do this through more effective and efficient delivery of services ranging from member risk assessment to value-based care initiatives, vastly expanding our total addressable market. Over the last year, we have ramped up investment in our Encompass platform, including building out the team with Dr. Paul Hain, our Chief Medical Officer, during the fourth quarter as well as rolling out additional pilots in 2021 to make seniors healthier in alignment with insurer goals and help carriers drive star ratings. We will continue to invest behind the strategy to go deeper into health care delivery over the coming years and drive higher revenue per member through encompass. Over the near-term, we can grow LTVs through continued investments in our TeleCare team, including Plan Fit checks as we have seen a high correlation between consumer engagement and education around their plan benefits and persistency, not to mention driving better effectuation by getting consumers into the best plan through additional carrier expansion. Slide 16 provides some color on the components of our revenue growth in the quarter. In addition to the 57% increase in commissions, we delivered 44% enterprise revenue growth by providing carriers with direct programs on technology and enrollment in marketing services. These programs create additional value to carriers beyond our choice platform and given great year one cash characteristics to help fund our commissionable growth. External Medicare revenue grew 42% during AEP. As a reminder, our external programs are yet another way for us to drive quality membership growth as these small and midsize agencies write policies under a revenue share arrangement where they are paid only when we are paid. These agents are not outsourced BPO programs. Rather, they utilize our technology, compliance and carrier contracts to write quality business for carriers. And finally, we have our IFP business with revenue off 49% as we reallocate towards the faster-growing and higher-margin Medicare business. The top line drag from IFP lessens going forward as IFP share of total company revenue has diminished from 20% in 2019 to 6% in 2020. In summary, we are very pleased with our 54% top line performance during the fourth quarter. Let’s now move to Slide 17. Fourth quarter adjusted EBITDA of $170 million grew 31% with top-tier margins of 38%. The Internal Medicare segment profit grew 40% with excellent margins of 49%. Strong consumer response to our marketing, including TV, is indicative of a very healthy, fast-growing market. And our agents did an excellent job spending the needed time to help seniors make an important decision across a vastly expanded carrier footprint. But in the spirit of continuous improvement, we have also identified several opportunities for 2021. For example, our agent focus on LTVs and retention led to a unique position in the industry where our LTVs are improving, but we also saw significantly more leads than agent capacity, underscoring additional opportunity for 2021 and directing our investment focus. So given the strength of our marketing capabilities as well as our integrated business model developed over the last 20 years, it all comes down to agents, including not just absolute numbers, but the opportunity to invest more aggressively in technology and training to enable them to deliver submissions efficiently across broadened carrier offerings. So we have the plans in motion to deliver on that in 2021. I will come back to that in a minute. But first, let me look at our full year 2020 results shown on Slide 18. Full year revenue of $877 million was an increase of 63% on top of the prior year’s 139% growth, powering 2-year growth of 288%. Full year submissions totaled 730,000, powered by outperformance of Internal Medicare, up 110%. Commission revenue grew 60%, and enterprise revenue grew 71%. EBITDA of $271 million grew 59%, in line with expectations and with a 31% margin. Our producing licensed agent count in 2020 was 60% higher than the prior year, which drove internal submission growth 71% higher at the same time LTVs increased over 3%, demonstrating the power of our platform scalability among agents. One quick comment regarding our marketing and advertising expenses as we shift to more internal Medicare this will lead to outsized growth in our internal marketing expenses while reducing the growth rate for cost of revenue from external Medicare. So it’s worth looking at the year-over-year growth of the combined line items in line with our revenue growth. What I think is most powerful about our results is how they stand in stark contrast to some competitors and validate our superior, tech-enabled agent strategy. Over 96% of our full year segment profits were generated by our Internal Medicare business with internal customer acquisition and internal career-focused agents. And enterprise creates opportunities to further monetize our membership base through our Encompass platform, driving revenue per submission higher. Moving on to cash flow on Slide 19 where our strong LTV performance has been further validated by strong cash collections. We collected a record $244 million of cash during the year, which we reinvested into building a larger book of future commission streams. Cash collections came in over 100% of expectations for the year, supporting our confidence in our LTV calculations as a proxy for cash flow and growing cash flow streams from a high-quality book, combined with our seasonal revolver positions us well to fund the faster than anticipated commission growth in 2021. So while we have grown our submission count dramatically over the last few years, we are delivering rapid cash payback periods of roughly 1 year, thanks to the strength of our platform, delivering strong LTVs and leveraging efficient marketing as well as creating value for carriers through our enterprise programs. Slide 20 showcases our growing commissions receivables balance. Put simply, it’s the largest absolute and percentage growth in the industry. During fiscal 2020, we grew our commissions receivable balance by 112% to $810 million, and we collected $244 million in cash, a year-over-year increase of 61%. Our 2021 areas for investment are not new to us. Much of our plan consists on doubling down in areas under our control where we have already been investing. First is hiring additional agents with enhanced training. Second is to invest in the technology and tools to enhance agent productivity. And third is to expand the GoHealth brand as the trusted adviser for our seniors. So with that, let me now move on to the 2021 revenue outlook shown on Slide 22. We expect to deliver full year revenue of $1.15 billion to $1.3 billion, representing growth of 31% to 48% and well above prior expectations. This includes 53% commissionable revenue growth at the midpoint, fueled by even faster growth for our Internal Medicare business, including several points of contribution from our Encompass platform. We expect short-term, low single-digit increases in our LTVs in line with commission growth. Upside would result from our efforts to drive higher persistency and increased penetration of Encompass members. Continued care expansion should also drive higher LTVs after the modest 1 point drag from our 2020 investments while also creating additional enterprise opportunities amongst a broader set of carriers to drive higher revenue per member over the coming years. Regarding enterprise revenue, we have built in prudent assumptions on enterprise revenue despite the encouraging conversations we are having with carriers about expanding our partnerships, be it marketing services, enrollment, technology, or Encompass programs. We expect enterprise revenue to be roughly flat this year or less than 20% of revenue combined to enterprise at 22% to 23% of total revenue over the past 2 years. Finally, we expect modest growth from our External Medicare business as carriers increasingly push agencies to work with us on our platform and continued declines in our IFP business. Moving on to Slide 23, 2021 adjusted EBITDA should come in at $345 million to $385 million, representing growth of 27% to 42% and industry leading margins of 30%, as growth in our high margin internal Medicare business offsets the ramped up investment plans that we are executing on earlier in the year. In addition to the direct cost of increasing agents, training, tech and other brand building, there is a short-term opportunity cost as we pull agents off production during the first 9 months to invest more in their careers and capabilities. These additional investments position us to capitalize on the accelerated demand we are seeing and drive sustained growth in our Internal Medicare business over the coming years with great margins. To help you better model the impact and timing of these 2021 investments, we expect lower absolute EBITDA during the first 9 months of the year particularly as investments ramp up into the second and third quarter to position us very well for a successful 2021 annual enrollment period and drive momentum as we head into 2022 and beyond. Combined marketing and cost of revenue will grow less than revenue growth, but the composition is more heavily weighted towards marketing costs as our marketing team drives more high-quality consumer volume internally while continuing to develop our GoHealth brand amongst consumers. As we move into the annual enrollment period in the fourth quarter, we anticipate continued strong revenue gains powered by our agent growth as well as improvements in efficiency at capturing opportunities and against an unusual election year cost this past year. We won’t need a dramatic increase in qualified leads to hit our numbers, but rather, we are working towards better capitalizing on delivered opportunities through higher ramp answer rates due to our agent hiring plan and increased conversion, which drives down CPAs. We are off to a strong start in 2021, with top line growth in the first quarter trending in line with full year expectations for 31% to 48% growth. We are ahead of plan from a hiring standpoint with year-over-year agent growth of 60%, and first quarter agent efficiency is also trending above what we have built into the full year outlook. So in summary, we delivered record 2020 results, maintained our leadership position as the largest and most profitable in our space and have identified the investment areas that will position us to hit our 2021 numbers as well as deliver compounding growth over the coming years. Regarding the compounding point, Slide 24 highlights the substantial growth since 2018 that we expect to continue to deliver. The midpoint on our revenue outlook is 5x 2018’s revenue, while adjusted EBITDA would be 10x as large as 2018, thanks to our scale efficiencies. And 2021 is the first of many years of strong compounding growth we expect to deliver for shareholders as a public company. With that, let me now turn the call back over to Clint for some closing remarks.