Travis Matthiesen
Analyst · Credit Suisse. Your line is open
Thanks, Clint. Slide 8 looks at our topline results during the third quarter and year-to-date, which was ahead of expectations. Total revenue grew 30% compared to the third quarter of 2021 and 42% year-to-date. Year-to-date total revenue of $613 million is ahead of internal expectations. For both periods, you will notice the outpaced growth in commission revenue compared to our enterprise revenue line item. This was deliberate as our strategic focus during 2021 has been on commission growth, both in absolute dollars and as a percentage of our total revenue composition. The commission growth is partially due to Encompass. One of the strategic investments Clint just mentioned, which saw $32 million of year-to-date revenue. As for enterprise, that portion of the business had lower revenue than anticipated in Q3. But this is a timing difference driven by carrier campaigns and is still pacing towards our $200 million annual target we shared earlier this year. Fueling our topline growth is our Medicare Advantage carrier approved submission growth of 67% for the year-to-date period. This growth in market share speaks to the skill of our licensed agents, the breadth of our technology and the secular shift in consumers preferring our platform. On Slide 9, we highlight our revenue breakdown by segment. Our Medicare-Internal segment delivered 19% revenue growth during the third quarter compared to the prior period and 51% growth versus the prior year-to-date period. We are also pleased with the performance of our Medicare-External segment, which grew revenue 52% year-to-date. Our Medicare-External segment is powered by small and mid-sized agencies operating under our carrier agreements, compliance and technology platforms. Medicare-External contributes to our size and scale and deepens our carrier relationships. In fact, in many instances, carriers are referring these partners to us demonstrating the power of our enrollment platform, our Encompass strategy and prominence in the Medicare space. Slide 10 highlights our quarterly Medicare Advantage LTV per approved submission. The decrease compared to last year's third quarter is primarily attributable to three things. First, a changing mix both consumer and carrier; second, the impact of new agents and third, macro shopping trends. To provide more transparency, I want to briefly unpack each of these. First, with respect to our changing mix, third quarter LTVs reflect a lower percentage of consumers who are new to Medicare and an increase in consumers that shop more often. The dynamics of these consumers is different and so are their persistency traits. As it relates to carrier mix, we continue to see our enrollments more closely mirrored overall market penetration and these new carriers added have lower modeled LTVs. Second, as Clint mentioned earlier, Q3s main focus was on continuing to expand our agent base ahead of AEP. While we are encouraged by the number of agents added in the quarter, it did have an expected short-term LTV hit as we saw our most recent cohorts of agents driving lower effectuation and persistency rates as compared to last year's vintages. As our agents become more tenured, we expect their performance to drive improved LTVs. As mentioned on previous calls, we analyze and update our LTV model quarterly and have embedded into our LTVs the impact of these new agents. Finally, we continue to refine our LTV model quarterly and have included updated assumptions on our newest vintages to address the macro shopping trends that we and others in our space have experienced. On Slide 11 you will see an update of our Medicare revenue per submission, which is up over 8% year-to-date compared to last year. As we have mentioned previously, we believe this metric is an important barometer of our performance as it demonstrates our ability to outperform on a combined revenue basis, including commission, Encompass and enterprise revenue. As a reminder, as Encompass and enterprise grow, our payback period shortens another validation of these strategic investments. Over time, we believe this view will become more important, especially as we lengthen our lead in the Medicare space through our Encompass Platform. Slide 12 shows the progress we delivered towards our full-year adjusted EBITDA guidance. The investments we have made and we will continue to make during AEP gives us confidence in our ability to deliver on our full-year guidance. As discussed in prior calls, our strategic investments in agent capacity, technology, the GoHealth brand and Encompass have had a short-term impact on profitability. Customer care and enrollment costs, including our vitally important TeleCare team were up 112% in the third quarter compared to the prior year excluding non-reoccurring accelerated vesting related to the IPO. In addition to the cost to onboard and train new agents, short-term productivity from these newly hired agents was low. As expected, given new agents entering our comprehensive training program generally have lower productive hours combined with the lower LTVs. As these agents gain more experience with our tools and technology, we expect productivity to increase. You will recall that agent capacity was a limiting factor for us last year, especially during AEP. As such and as we have described previously, we have built the infrastructure necessary to capitalize on the large and growing Medicare market during this year's AEP by ensuring we have the right amount of agents ready to serve our customers. We expect this agent capacity growth to pay dividends over both the near and long-term. Moving down the P&L, marketing and advertising costs combined with cost of revenue grew in line with our expectations. Combined costs were up 44% year-to-date, roughly in line with total revenue growth of 42%. Our marketing team continues to diversify our marketing mix to optimize the returns on investment. Turning now to our full-year guidance shown on Slide 14. Our full-year 2021 revenue and adjusted EBITDA guidance remains unchanged. Our outlook for full-year net revenue is $1.2 billion to $1.3 billion and our adjusted EBITDA outlook is $300 million to $330 million much of which will be driven by this year's AEP. One key point on the revenue guidance. While revenue guidance remains unchanged, we anticipate that the volume of Medicare Advantage submissions to be higher than originally anticipated. As Clint mentioned earlier, we have exceeded our goal of increasing our agent base by over 50%. This combined with the continued outperformance of our Medicare-External segment will drive a higher volume of MA Submissions than originally anticipated. However, we expect LTVs to be down relative to last year given the current trends we are experiencing in carrier mix, new agents and macro shopping trends discussed earlier. Moving now to our cash flow and capital profile on Slide 15. Cash and capital management are a priority for us. We have built a business and membership base that generates substantial cash flow with year-to-date cash receipts on our commission receivables totaling more than $335 million, up 74% from the prior year period. We have $175 million in unused revolver capacity and $85 million cash on hand as of September 30. While these sources of cash allow us the flexibility and opportunity to reinvest in our business, we continue to evaluate a variety of non-equity ways to fund our growth given favorable market conditions, including using our large and growing receivable balance of nearly $1 billion. We expect that 2022 will not require the same level of investment as 2021. With that, Clint will now provide some updates on our Encompass initiatives and this year's AEP. Clint?