EX-99.1 2 exhibit9912026q1earningsre.htm EX-99.1 Document
ehealthlogoclassic.jpg
eHealth, Inc. Announces First Quarter 2026 Results
Q1 2026 results ahead of expectations
Strong Medicare segment profitability and operating expense improvements YoY
Launches lifetime advisory model and final expense insurance offering
On track to reduce total FY 2026 operating costs by approximately $90M

INDIANAPOLIS — May 6, 2026 — eHealth, Inc. (Nasdaq: EHTH), a leading private online health insurance marketplace, today announced its financial results for the first quarter ended March 31, 2026.
CEO Comments
“We’re pleased with our first quarter results, which came in ahead of expectations, driven by stronger than anticipated enrollment volume at favorable acquisition costs. During the quarter, we made meaningful progress towards our FY 2026 strategic initiatives, including implementing targeted cost reductions and completing critical build and readiness work for initiatives that launched in April. Most notably, we prepared for the rollout of our lifetime advisory model and the introduction of our new final expense insurance product, continuing to strengthen our ability to serve consumers navigating an increasingly complex healthcare landscape.”– Derrick Duke, Chief Executive Officer
Results Overview
■Q1 2026 total revenue of $88.0 million decreased 22% compared to Q1 2025 total revenue of $113.1 million, reflecting lower Medicare approved members, consistent with our strategy to reduce variable and fixed expenses in fiscal 2026 and focus demand generation on our more profitable marketing channels.
■Q1 2026 positive net adjustment revenue of $8.0 million compared to $10.5 million in Q1 2025.
■Q1 2026 constrained lifetime value (“LTV”) of commissions improved across all Medicare products year-over-year, reflecting:
■a 3% increase in Medicare Advantage (“MA”) plans;
■a 19% increase in Medicare Supplement plans; and
■a 78% increase in Medicare Part D plans.
■Q1 2026 total operating costs and expenses decreased 16% to $90.9 million compared to $108.3 million in Q1 2025.
■Variable marketing spend within our Medicare segment declined 45% year-over-year.
■Q1 2026 non-GAAP total operating costs and expenses(1) decreased 21% year-over-year.
■Significant expansion in Q1 2026 Medicare segment gross margin to 41% from 34% in Q1 2025.
■Q1 2026 Medicare unit economics improved year-over-year, driven by higher MA constrained LTV of commissions and a 10% reduction in total acquisition cost per MA-equivalent approved member.
■ Medicare LTV-to-CAC ratio(8) of 1.4x, up from 1.2x in Q1 2025.
■Q1 2026 GAAP net loss of $4.7 million compared to Q1 2025 GAAP net income of $2.0 million primarily due to Q1 2026 restructuring charges of $6.4 million.
■ Q1 2026 GAAP net loss margin of 5% compared to Q1 2025 GAAP net income margin of 2%.
■Q1 2026 adjusted EBITDA(1) of $9.0 million declined 28% compared to Q1 2025 adjusted EBITDA(1) of $12.5 million.
■Q1 2026 adjusted EBITDA margin(1) of 10% compared to Q1 2025 adjusted EBITDA margin(1) of 11%.
■Operating cash flow of $35.8 million for the three months ended March 31, 2026; on-track to achieve operating cash flow guidance for FY 2026.
■Cash, cash equivalents and short-term marketable securities of $110.8 million as of March 31, 2026.
■Commissions receivable balance of $1.0 billion as of March 31, 2026.
__________
Note: See the tables at the end of this press release for a reconciliation of our GAAP financial measures to our non-GAAP financial measures for the relevant periods and footnote (1) on page 14 at the end of this press release for definitions of our non-GAAP financial measures. Additionally, see accompanying footnotes on page 14 for additional definitions.

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2026 Guidance

Based on information available as of May 6, 2026, we are reiterating guidance for the full year ending December 31, 2026. These expectations are forward-looking statements and we assume no obligation to update these statements. Actual results may be materially different and are affected by the risk factors and uncertainties identified in this press release and in eHealth’s annual and quarterly reports filed with the Securities and Exchange Commission.

The following guidance is for the full year ending December 31, 2026:

•Total revenue is expected to be in the range of $405.0 million to $445.0 million.
•GAAP net income is expected to be in the range of $8.0 million to $25.0 million.
•Adjusted EBITDA(1) is expected to be in the range of $55.0 million to $75.0 million.
•Operating cash flow is expected to be in the range of $(10.0) million to $12.0 million.

The above guidance includes the expected impact of positive net adjustment revenue which has been updated to be in the range of $8 million to $20 million to reflect the Q1 2026 positive net adjustment revenue, compared to the previous range of $0 to $20 million.
__________
Note: See accompanying footnotes on page 14.


Webcast and Conference Call Information

A webcast and conference call will be held today, Wednesday, May 6, 2026 at 5:00 p.m. Eastern Time. Individuals interested in listening to the conference call may do so by dialing (833) 461-5787. The participant passcode is 615629308. The live and archived webcast of the call will also be available under “Events & Presentations” on the Investor Relations page of our website at https://ir.ehealthinsurance.com.


About eHealth, Inc.

For nearly 30 years, eHealth, Inc. has helped millions of Americans find the healthcare coverage that fits their needs at a price they can afford, using data, artificial intelligence and a consumer-first approach to help people quickly and effectively compare insurance options. As a leading independent licensed insurance agency and advisor, eHealth offers access to plans from more than 180 health insurers, including national and regional companies, supporting consumers during their working years and retirement. eHealth’s team of licensed insurance agents help match consumers with the insurance plans, services, and support they need to live healthier, more financially secure lives. For more, visit eHealth.com or follow us on LinkedIn, Facebook, Instagram, and X.


Forward-Looking Statements

This press release contains statements that are forward-looking statements as defined within the Private Securities Litigation Reform Act of 1995. Forward-looking statements generally relate to future events or our future financial or operating performance. These include statements regarding our expectations regarding our business, financial condition, operations and strategy; our estimates regarding approved members and estimated memberships, in the aggregate and by product category; our estimates regarding constrained lifetime values of commissions per approved member by product category; our estimates regarding commissions receivable collection; our estimates regarding costs per approved member; our expectations regarding our profitability and our strategic plans and initiatives, including our lifetime advisory model, product diversification efforts, cost management and cash flow generation, and our ability to execute our operational and strategic plans and initiatives; our 2026 annual guidance for total revenue, GAAP net income, adjusted EBITDA and operating cash flow, and our ability to achieve our financial targets; our estimates for positive net adjustment revenue and its expected impact on our 2026 annual guidance; our expectations regarding our industry and market trends, including market opportunity, consumer demand and our competitive advantage; and other statements regarding our future operations, financial condition, prospects and business strategies.

These forward-looking statements are inherently subject to various risks and uncertainties that could cause actual results to differ materially from the statements made. In particular, we are required by Accounting Standards Codification 606 — Revenue from Contracts with Customers to make numerous assumptions that are based on historical trends and our management’s judgment.
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These assumptions may change over time and have a material impact on our revenue recognition, guidance, and results of operations. Please review the assumptions stated in this press release carefully.

The risks and uncertainties that could cause our results to differ materially from those expressed or implied by such forward-looking statements include, but are not limited to, our ability to retain existing members and enroll new members during the annual healthcare open enrollment period, the Medicare annual enrollment period, the Medicare Advantage open enrollment period and other special enrollment periods; changes in laws, regulations and guidelines, including in connection with healthcare reform or with respect to the marketing and sale of Medicare plans; competition, including competition from government-run health insurance exchanges and marketplaces, and other sources; the seasonality of our business and the fluctuation of our operating results; our ability to accurately estimate membership, lifetime value of commissions and commissions receivable; changes in product offerings among carriers on our ecommerce platform and changes in our estimated conversion rate of an approved member to a paying member and the resulting impact of each on our commission revenue; the concentration of our revenue with a small number of health insurance carriers; our ability to execute on our growth strategy and other business initiatives; changes in our senior management or other key employees; our ability to recruit, train, retain and ensure the productivity of licensed insurance agents, or benefit advisors, and other personnel; exposure to security risks and our ability to safeguard the security and privacy of confidential data; our relationships with health insurance carriers; the success of our carrier advertising and sponsorship program; our success in marketing and selling health insurance plans and our unit cost of acquisition; our ability to effectively manage our operations as our business evolves and execute on our business plan and other strategic initiatives; the need for health insurance carrier and regulatory approvals in connection with the marketing of Medicare-related insurance products; changes in the market for private health insurance; consumer satisfaction of our service and actions we take to improve the quality of enrollments; changes in member conversion rates; changes in commission rates; our ability to sell qualified health insurance plans to subsidy-eligible individuals and to enroll subsidy-eligible individuals through government-run health insurance exchanges and marketplaces; our ability to derive desired benefits from investments in our business, including membership growth and retention initiatives; our reliance on marketing partners; the success and cost of our marketing efforts, including branding, online advertising, direct-to-consumer mail, email, social media, telephone, SMS text, television, radio and other marketing efforts; our ability to contact our consumers or market our products through specific channels; timing of receipt and accuracy of commission reports; payment practices of health insurance carriers; risks associated with our operations in China; the restrictions in our debt obligations; the restrictions in our investment agreement with our convertible preferred stock investor; our ability to raise additional capital, including debt or equity financings, on terms acceptable to us or at all; compliance with insurance, privacy, cybersecurity and other laws and regulations; the outcome of litigation, government enforcement actions or regulatory inquiries in which we are or may from time to time be involved, including the complaint filed against us and certain defendants by the U.S. Attorney’s Office for the District of Massachusetts on May 1, 2025 alleging the violation of the Federal False Claims Act; the performance, reliability and availability of our information technology systems and our ability to maintain and improve such systems, ecommerce platform and underlying network infrastructure, including any new systems we may implement; our ability to deploy new and evolving technologies, such as artificial intelligence; public health crises, pandemics, natural disasters and other extreme events; general economic and macroeconomic conditions, including the risks of potential delays, reductions or disruptions in payments from a prolonged government shutdown, inflation, recession, political events, instability or geopolitical tensions, tariffs and trade tensions or other international disputes, financial, banking and credit market disruptions; our ability to effectively administer our self-insurance program; and other risks and uncertainties related to our business. Other factors that could cause our operating, financial and other results to differ are described in our most recent Quarterly Report on Form 10-Q or Annual Report on Form 10-K filed with the Securities and Exchange Commission and available on the Investor Relations page of our website at https://ir.ehealthinsurance.com and on the Securities and Exchange Commission’s website at www.sec.gov.

We have based these forward-looking statements on our current expectations about future events, and these statements are not guarantees of future performance. All forward-looking statements in this press release are based on information available to us as of the date hereof, and we do not assume any obligation to update the forward-looking statements provided to reflect events that occur or circumstances that exist after the date on which they were made, except as required by law.

Investor Relations Contact

Kate Sidorovich, CFA
Senior Vice President, Investor Relations & Corporate Development
investors@ehealth.com
https://ir.ehealthinsurance.com

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EHEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, unaudited)


March 31, 2026December 31, 2025
Assets
Current assets:
Cash and cash equivalents$75,112 $73,725 
Short-term marketable securities35,702 3,495 
Accounts receivable1,537 7,688 
Contract assets – commissions receivable – current212,143 236,116 
Prepaid expenses and other current assets12,115 13,328 
Total current assets336,609 334,352 
Contract assets – commissions receivable – non-current824,435 886,614 
Property and equipment, net4,596 4,531 
Operating lease right-of-use assets7,642 8,429 
Restricted cash3,090 3,090 
Other assets24,735 25,452 
Total assets$1,201,107 $1,262,468 
Liabilities, convertible preferred stock and stockholders’ equity
Current liabilities:
Accounts payable$5,592 $28,323 
Accrued compensation and benefits21,144 41,009 
Accrued marketing expenses4,729 16,182 
Lease liabilities – current6,924 7,349 
Other current liabilities5,960 6,207 
Total current liabilities44,349 99,070 
Long-term debt113,761 112,954 
Deferred income taxes – non-current55,699 57,223 
Lease liabilities – non-current12,511 14,050 
Other non-current liabilities5,139 5,519 
Total liabilities231,459 288,816 
Convertible preferred stock393,917 382,057 
Stockholders’ equity:
Common stock45 44 
Additional paid-in capital763,617 761,495 
Treasury stock, at cost(199,998)(199,998)
Retained earnings12,009 30,116 
Accumulated other comprehensive income (loss)58 (62)
Total stockholders’ equity575,731 591,595 
Total liabilities, convertible preferred stock and stockholders’ equity$1,201,107 $1,262,468 



4

EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts, unaudited)

Three Months Ended
 March 31,
20262025% Change
Revenue:  
Commission$79,807$98,946(19)%
Other8,21114,173(42)%
Total revenue88,018113,119(22)%
Operating costs and expenses(a):
Marketing and advertising
25,39341,189(38)%
Customer care and enrollment
32,28437,221(13)%
Technology and content
11,33512,601(10)%
General and administrative
15,51217,310(10)%
Impairment, restructuring and other charges6,372—*
Total operating costs and expenses90,896108,321(16)%
Income (loss) from operations(2,878)4,798(160)%
Interest expense(4,035)(2,648)(52)%
Other income, net8401,576(47)%
Income (loss) before income taxes(6,073)3,726(263)%
Provision for (benefit from) income taxes(1,359)1,776
Net income (loss)(4,714)1,950(342)%
Preferred stock dividends(6,133)(5,781)
Change in preferred stock redemption value(7,260)(6,141)
Net loss attributable to common stockholders
$(18,107)$(9,972)(82)%
Net loss per share attributable to common stockholders:
Basic and diluted
$(0.58)$(0.33)(76)%
Weighted-average number of shares used in per share: 
Basic and diluted
31,13229,9974 %
_____________________________
(a) Includes stock-based compensation expense as follows:
Marketing and advertising$268$497
Customer care and enrollment224264
Technology and content328688
General and administrative1,4382,340
Total stock-based compensation expense$2,258$3,789(40)%
Non-GAAP Results(1):
Adjusted EBITDA(1)
$9,010$12,521(28)%
Adjusted EBITDA margin(1)
10 %11 %
__________
*    Percentage calculated is not meaningful.
Note: See accompanying footnotes on page 14.

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EHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands, unaudited)

Three Months Ended
 March 31,
 20262025
Operating activities:
Net income (loss)$(4,714)$1,950 
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization490 471 
Amortization of internally developed software2,768 3,463 
Stock-based compensation expense2,258 3,789 
Deferred income taxes(1,524)1,529 
Other non-cash items346 (306)
Changes in operating assets and liabilities:
Accounts receivable6,151 13,421 
Contract assets – commissions receivable86,437 77,048 
Prepaid expenses and other assets159 (978)
Accounts payable(23,127)(16,034)
Accrued compensation and benefits(19,865)1,087 
Accrued marketing expenses(11,453)(7,541)
Deferred revenue(2,815)(332)
Accrued expenses and other liabilities654 (446)
Net cash provided by operating activities35,765 77,121 
Investing activities:
Capitalized internal-use software and website development costs(2,150)(3,118)
Purchases of property and equipment and other assets(155)(308)
Purchases of marketable securities(35,554)(27,362)
Proceeds from redemption and maturities of marketable securities3,500 36,260 
Net cash provided by (used in) investing activities(34,359)5,472 
Financing activities:
Repurchase of shares to satisfy employee tax withholding obligations(160)(699)
Net cash used in financing activities
(160)(699)
Effect of exchange rate changes on cash, cash equivalents and restricted cash141 1 
Net increase in cash, cash equivalents and restricted cash
1,387 81,895 
Cash, cash equivalents and restricted cash at beginning of period76,815 42,287 
Cash, cash equivalents and restricted cash at end of period$78,202 $124,182 
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EHEALTH, INC.
SEGMENT INFORMATION
(in thousands, unaudited)

We evaluate our business performance and manage our operations as two distinct reporting segments: Medicare and Employer and Individual (“E&I”). The Medicare segment consists primarily of commissions earned as the broker of record from our sale of Medicare-related health insurance plans, including Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans, and to a lesser extent, ancillary products sold to our Medicare-eligible beneficiaries, including but not limited to, dental and vision insurance and hospital indemnity plans. Our commissions may also include certain bonus payments, which are generally based on attaining predetermined target sales levels or other objectives, as determined by the health insurance carriers. The Medicare segment also consists of amounts earned in connection with our advertising programs, including other services such as marketing as well as amounts earned from our non-broker of record fee-based arrangements and our performance of various post-enrollment services for members. The E&I segment consists primarily of commissions earned from our sale of individual and family plans, including both qualified and non-qualified plans, employer plans, including small business health insurance plans and Individual Coverage Health Reimbursement Arrangements (“ICHRAs”), and ancillary products sold to our non-Medicare-eligible consumers, including but not limited to, dental, vision and short-term insurance. To a lesser extent, the E&I segment includes amounts earned from our online sponsorship program that allows carriers to purchase advertising space in specific markets on our website as well as our technology licensing activities.

We report segment information based on how our chief executive officer, who is our chief operating decision maker (“CODM”), regularly reviews our operating results, allocates resources and makes decisions regarding our business operations in the annual budget and forecasting process along with evaluation of actual performance. Our CODM considers budget-to-actual variances on a monthly basis for our segment performance measures when making decisions about allocating capital and personnel to our segments. These performance measures include total segment revenue and segment gross profit (loss).

Segment gross profit (loss) is calculated as total revenue for the applicable segment less variable marketing and advertising expenses, segment customer care and enrollment expenses (“CC&E”) and cost of revenue for the applicable segment. Variable marketing and advertising expenses represent costs incurred in member acquisition from our direct marketing and marketing partner channels and exclude fixed overhead costs, such as personnel related costs, consulting expenses and other operating costs allocated to the marketing and advertising department. Segment CC&E expenses include expenses we incur in assisting applicants during the enrollment process and exclude operating costs allocated to the CC&E department.

The results of our reportable segments are summarized for the periods presented below:

Three Months Ended
 March 31,
 20262025% Change
Medicare:
Total revenue
$81,271 $103,669 (22)%
Variable marketing and advertising
(18,729)(33,753)45 %
Medicare CC&E(29,612)(34,469)14 %
Cost of revenue
106 300 (65)%
Medicare segment gross profit$33,036 $35,747 (8)%


Three Months Ended
 March 31,
 20262025% Change
Employer and Individual:
Total revenue
$6,747 $9,450 (29)%
Variable marketing and advertising
(843)(1,190)29 %
E&I CC&E(2,142)(2,180)2 %
Cost of revenue
(66)(92)28 %
E&I segment gross profit$3,696 $5,988 (38)%


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EHEALTH, INC.
SEGMENT INFORMATION
(in thousands, unaudited)
Three Months Ended
 March 31,
 20262025% Change
Consolidated:
Total revenue
$88,018 $113,119 (22)%
Variable marketing and advertising
(19,572)(34,943)44 %
Segment CC&E
(31,754)(36,649)13 %
Cost of revenue
40 208 (81)%
Total segment gross profit$36,732 $41,735 (12)%


A reconciliation of our segment gross profit to the Condensed Consolidated Statements of Operations for the periods presented is as follows:

Three Months Ended
 March 31,
 20262025
% Change
Total segment gross profit$36,732 $41,735 (12)%
Other marketing and advertising(a)
(5,861)(6,454)9 %
Other CC&E(b)
(530)(572)7 %
Technology and content(11,335)(12,601)10 %
General and administrative(15,512)(17,310)10 %
Impairment, restructuring and other charges(6,372)— *
Interest expense(4,035)(2,648)(52)%
Other income, net840 1,576 (47)%
Income (loss) before income taxes$(6,073)$3,726 (263)%
__________
(a)Other marketing and advertising costs consist of fixed marketing and advertising, previously capitalized labor, depreciation and share-based compensation costs.
(b)Other CC&E costs consist of previously capitalized labor, depreciation and share-based compensation costs.
*    Percentage calculated is not meaningful.


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EHEALTH, INC.
COMMISSION REVENUE
(in thousands, unaudited)
Our commission revenue results from approval of an application from health insurance carriers, which we define as our customers under Accounting Standards Codification 606 — Revenue from Contracts with Customers (“ASC 606”). Our commission revenue is primarily comprised of commissions from health insurance carriers which is computed using the estimated constrained lifetime values of commission payments that we expect to receive. Our commissions may include certain bonus payments, which are generally based on our attaining predetermined target sales levels or other objectives, as determined by the health insurance carriers.
The following table presents commission revenue by product for the periods indicated:

Three Months Ended
 March 31, 		% Change
20262025
Medicare
Medicare Advantage$59,490 $74,986 (21)%
Medicare Supplement6,149 8,604 (29)%
Medicare Part D
4,334 2,443 77 %
Total Medicare69,973 86,033 (19)%
Individual and Family
Non-Qualified Health Plans
821 918 (11)%
Qualified Health Plans
472 1,765 (73)%
Total Individual and Family
1,293 2,683 (52)%
Ancillary4,864 5,832 (17)%
Small Business3,494 3,434 2 %
Commission Bonus and Other183 964 (81)%
Total Commission Revenue$79,807 $98,946 (19)%


The following table presents a summary of commission revenue by segment for the periods indicated:

Three Months Ended
 March 31,
 20262025
Medicare
Commission revenue from members approved during the period
$66,438 $81,754 
Net commission revenue from members approved in prior periods(a)
6,790 7,965 
Total Medicare segment commission revenue
73,228 89,719 
Employer and Individual
Commission revenue from members approved during the period
2,567 3,858 
Commission revenue from renewals of small business members during the period
2,771 2,850 
Net commission revenue from members approved in prior periods(a)
1,241 2,519 
Total Employer and Individual segment commission revenue
6,579 9,227 
Total commission revenue
$79,807 $98,946 
_____________
(a)For all existing cohorts approved in prior periods, we reassess assumptions for our constrained LTV of commissions on a quarterly basis and compare to the current constrained LTV recognized on these cohorts. To the extent there is an indication of a change to expected cash collections for these cohorts, net commission revenue from members approved in prior periods, also referred to as net adjustment revenue, is recorded to adjust revenue previously recognized for the affected cohorts. Net adjustment revenue includes both increases and reductions to revenue; however, adjustments increasing revenue are only recognized when it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur.
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EHEALTH, INC.
SUMMARY OF SELECTED METRICS
(unaudited)

Selected Metrics — First Quarter of 2026

Three Months Ended
 March 31, 		% Change
20262025
Approved Members(2)
Medicare
Medicare Advantage63,42282,671(23)%
Medicare Supplement2,5122,565(2)%
Medicare Part D8142,642(69)%
Total Medicare66,74887,878(24)%
Individual and Family3,5855,817(38)%
Ancillary16,90116,925— %
Small Business1,2881,1908 %
Total Approved Members88,522111,810(21)%
Constrained Lifetime Value of Commissions per Approved Member(3)
Medicare(a)
Medicare Advantage$938$9073 %
Medicare Supplement1,4941,25619 %
Medicare Part D29816778 %
Individual and Family
Non-Qualified Health Plans365386(5)%
Qualified Health Plans353415(15)%
Ancillary
Short-term13411814 %
Dental1441347 %
Vision91883 %
Small Business28724915 %
(a)Constraints for Medicare Advantage, Medicare Supplement and Medicare Part D were 5.5%, 4% and 7%, respectively, for the three months ended March 31, 2026. Constraints for Medicare Advantage, Medicare Supplement and Medicare Part D were 5.5%, 9% and 7%, respectively, for the three months ended March 31, 2025.
Expense Metrics per Approved Member(4)
Medicare Plans
CC&E cost per Medicare Advantage (“MA”)-equivalent approved member
$393$3619 %
Variable marketing cost per MA-equivalent approved member283393(28)%
Total acquisition cost per MA-equivalent approved member$676$754(10)%
Individual and Family Plans (“IFP”)
CC&E cost per IFP-equivalent approved member
$283$18950 %
Variable marketing cost per IFP-equivalent approved member92119(23)%
Total acquisition cost per IFP-equivalent approved member$375$30822 %
    
__________
Note: See accompanying footnotes on page 14.

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EHEALTH, INC.
SUMMARY OF SELECTED METRICS
(unaudited)
As of March 31, % Change
20262025
Estimated Membership(5)
Medicare(6)
Medicare Advantage566,097 601,431 (6)%
Medicare Supplement88,875 90,917 (2)%
Medicare Part D133,566 180,076 (26)%
Total Medicare788,538 872,424 (10)%
Individual and Family(6)
56,235 69,652 (19)%
Ancillary(6)
182,353 175,270 4 %
Small Business(7)
34,804 41,317 (16)%
Total Estimated Membership1,061,930 1,158,663 (8)%
__________
Note: See accompanying footnotes on page 14.


11

EHEALTH, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
(unaudited)

Reconciliation of GAAP Operating Costs and Expenses to Non-GAAP Operating Costs and Expenses(1) (in thousands):
Three Months Ended
 March 31,
20262025
GAAP marketing and advertising expense
$25,393 $41,189 
Stock-based compensation expense
(268)(497)
Non-GAAP marketing and advertising expense(1)
$25,125 $40,692 
GAAP customer care and enrollment expense
$32,284 $37,221 
Stock-based compensation expense(224)(264)
Non-GAAP customer care and enrollment expense(1)
$32,060 $36,957 
GAAP technology and content expense
$11,335 $12,601 
Stock-based compensation expense(328)(688)
Non-GAAP technology and content expense(1)
$11,007 $11,913 
GAAP general and administrative expense
$15,512 $17,310 
Stock-based compensation expense(1,438)(2,340)
Non-GAAP general and administrative expense(1)
$14,074 $14,970 
GAAP total operating costs and expenses
$90,896 $108,321 
Stock-based compensation expense(2,258)(3,789)
Impairment, restructuring and other charges(6,372)— 
Non-GAAP total operating costs and expenses(1)
$82,266 $104,532 

Reconciliation of GAAP Net Loss Attributable to Common Stockholders to Adjusted EBITDA(1) (in thousands) and Adjusted EBITDA Margin(1):
Three Months Ended
 March 31,
20262025
GAAP net loss attributable to common stockholders
$(18,107)$(9,972)
Preferred stock dividends6,1335,781
Change in preferred stock redemption value7,2606,141
GAAP net income (loss)
(4,714)1,950
Stock-based compensation expense2,2583,789
Depreciation and amortization3,2583,934
Impairment, restructuring and other charges6,372—
Interest expense4,0352,648
Other income, net
(840)(1,576)
Provision for (benefit from) income taxes
(1,359)1,776
Adjusted EBITDA(1)
$9,010$12,521
Net income (loss) margin
(5)%2 %
Adjusted EBITDA margin(1)
10 %11 %
__________
Note: See accompanying footnotes on page 14.
12

EHEALTH, INC.
RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
(unaudited)



Reconciliation of Guidance GAAP Net Loss Attributable to Common Stockholders to Adjusted EBITDA(1) (in millions):
Full Year 2026 Guidance
LowHigh
GAAP net loss attributable to common stockholders$(49.0)$(32.0)
Impact from preferred stock57.0 57.0 
GAAP net income8.0 25.0 
Stock-based compensation expense13.0 12.0 
Depreciation and amortization13.0 12.0 
Impairment, restructuring and other charges6.0 6.0 
Interest expense14.0 13.0 
Other income, net(3.0)(3.0)
Provision for income taxes4.0 10.0 
Adjusted EBITDA(1)
$55.0 $75.0 

__________
Note: See accompanying footnotes on page 14.
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EHEALTH, INC.
Footnotes to Preceding Financial Statements and Metrics
(dollars in thousands, unaudited)

(1)Non-GAAP Financial Information

This press release includes financial measures that are not calculated in accordance with U.S. generally accepted accounting principles (GAAP). To supplement eHealth’s condensed consolidated financial statements presented in accordance with GAAP, eHealth presents investors with non-GAAP financial measures, including non-GAAP total operating costs and expenses, certain non-GAAP operating expenses, adjusted EBITDA and adjusted EBITDA margin.

•Non-GAAP total operating costs and expenses is calculated by excluding the effect of expensing stock-based compensation related to stock options, restricted stock awards, performance-based and market-based awards and employee stock purchase plan and impairment, restructuring and other charges from GAAP total operating costs and expenses.

•Non-GAAP marketing and advertising, non-GAAP customer care and enrollment, non-GAAP technology and content and non-GAAP general and administrative expenses are each calculated by excluding the effect of expensing stock-based compensation related to stock options, restricted stock awards, performance-based and market-based awards and employee stock purchase plan from the respective GAAP operating costs and expenses.

•Adjusted EBITDA is calculated by excluding dividends for preferred stock and change in preferred stock redemption value (together the “impact from preferred stock”), provision for (benefit from) income taxes, depreciation and amortization, stock-based compensation expense, impairment, restructuring and other charges, interest expense, other income (expense), net, and other non-recurring charges from GAAP net income (loss) attributable to common stockholders. Other non-recurring charges to GAAP net income (loss) attributable to common stockholders may include transaction expenses in connection with capital raising transactions (whether debt, equity or equity-linked) and acquisitions, whether or not consummated, purchase price adjustments and the cumulative effect of a change in accounting principles.

•Adjusted EBITDA margin is calculated as adjusted EBITDA divided by revenue.

eHealth believes that the presentation of these non-GAAP financial measures provides important supplemental information to management and investors regarding financial and business trends relating to eHealth’s financial condition and results of operations. Management believes that the use of these non-GAAP financial measures provides consistency and comparability with eHealth’s past financial reports. Management also believes that the items described above provide an additional measure of eHealth’s operating results and facilitates comparisons of eHealth’s core operating performance against prior periods and business model objectives. This information is provided to investors in order to facilitate additional analyses of past, present and future operating performance and as a supplemental means to evaluate eHealth’s ongoing operations. eHealth believes that these non-GAAP financial measures are useful to investors in their assessment of eHealth’s operating performance.

Non-GAAP total operating costs and expenses, certain non-GAAP operating expenses, adjusted EBITDA and adjusted EBITDA margin are not calculated in accordance with GAAP, and should be considered supplemental to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Non-GAAP financial measures used in this press release have limitations in that they do not reflect all of the revenue and costs associated with the operations of eHealth’s business and do not reflect income tax as determined in accordance with GAAP. As a result, you should not consider these measures in isolation or as a substitute for analysis of eHealth’s results as reported under GAAP. eHealth expects to continue to incur the stock-based compensation costs and depreciation and amortization described above, and exclusion of these costs, and their related income tax benefits, from non-GAAP financial measures should not be construed as an inference that these costs are unusual or infrequent. eHealth compensates for these limitations by prominently disclosing GAAP total operating costs and expenses, certain GAAP operating expenses, GAAP net income (loss), GAAP net income (loss) attributable to common stockholders, GAAP net income (loss) margin and providing investors with reconciliations from eHealth’s GAAP operating results to the non-GAAP financial measures for the relevant periods.

The tables above provide more details on the GAAP financial measures that are most directly comparable to the non-GAAP financial measures described above and the related reconciliations between these financial measures.
(2)Approved members represent the number of individuals on submitted applications that were approved by the relevant insurance carrier for the identified product during the current period for which we are the broker of record. The applications may be submitted in either the current period or prior periods. Not all approved members ultimately become paying members.
(3)Constrained lifetime value (“LTV”) of commissions per approved member for Medicare, individual and family and ancillary plans represents commissions estimated to be collected over the estimated life of an approved member’s plan after applying constraints in accordance with our revenue recognition policy. Constrained LTV of commissions per approved member for small business represents the estimated commissions we expect to collect from the plan over the following twelve months. The estimate is driven by multiple factors, including but not limited to, contracted commission rates, carrier mix, estimated average plan duration, the regulatory environment, cancellations of insurance plans offered by health insurance carriers with which we have a relationship, and applied constraints. The constraints are applied to help ensure that commissions estimated to be collected over the estimated life of an approved member’s plan are recognized as revenue only to the extent that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with future commissions receivable from the plan is subsequently resolved. These factors may result in varying values from period to period.
(4)Expense Metrics per Approved Member: Marketing initiatives are an important component of our strategy to increase revenue and are primarily designed to encourage consumers to complete an application for health insurance. We calculate and evaluate the customer care and enrollment (“CC&E”) expense per approved member and the variable marketing cost per approved member. We incur CC&E
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EHEALTH, INC.
Footnotes to Preceding Financial Statements and Metrics
(dollars in thousands, unaudited)

expenses in assisting applicants during the enrollment process. Variable marketing costs represent costs incurred in member acquisition from our direct marketing and marketing partner channels. Variable marketing costs exclude fixed overhead costs, such as personnel related costs, consulting expenses and other operating costs allocated to the marketing and advertising department.
The numerator used to calculate each member acquisition metric discussed above is the portion of the respective operating expenses for CC&E and marketing and advertising that is directly related to member acquisition for our sale of Medicare Advantage, Medicare Supplement and Medicare Part D prescription drug plans (collectively, the “Medicare Plans”) and for all individual and family major medical plans and short-term health insurance plans (collectively, “IFP Plans”), respectively, for which we are the broker of record. The denominator used to calculate each metric is based on a derived metric that represents the relative value of the new members acquired. For Medicare Plans, we call this derived metric Medicare Advantage (“MA”)-equivalent approved members, and for IFP Plans, we call this derived metric IFP-equivalent approved members. MA-equivalent approved members is a derived metric with a Medicare Part D approved member being weighted at 25% of a Medicare Advantage member and a Medicare Supplement member based on their relative LTVs at the time of our adoption of ASC 606. We calculate the number of MA-equivalent approved members by adding the total number of approved Medicare Advantage and Medicare Supplement members and 25% of the total number of approved Medicare Part D members during the periods presented. IFP-equivalent approved members is a derived metric with a short-term approved member being weighted at 33% of a major medical individual and family health insurance plan member based on their relative LTVs at the time of our adoption of ASC 606. We calculate the number of IFP-equivalent approved members by adding the total number of approved qualified and non-qualified health plan members and 33% of the total number of short-term approved members during the period presented.
(5)Estimated membership represents the estimated number of members active as of the date indicated based on the number of members for whom we have received or applied a commission payment during the period of estimation as well as the number of approved members during the period of estimation from whom we expect to receive commission payments. There is generally up to a few months lag between newly approved plans and the receipt of commission payments from the health insurance carrier and is most pronounced in the fourth and first quarters of our fiscal year due to the annual and open enrollment periods. A member who purchases and is active on multiple standalone insurance plans will be counted as a member more than once.
Health insurance carriers bill and collect insurance premiums paid by our members. The majority of our members who terminate their policies do so by discontinuing their premium payments to the carrier or notifying the carrier directly and do not inform us of the cancellation. Therefore, we depend on carriers and others for membership data. Many carriers do not directly report member cancellations to us and thus we must infer cancellations from commission reports that carriers provide by analyzing whether member premium payments to the carrier have ceased for a period of time. Given the number of months required to observe non-payment of commissions in order to confirm cancellations, especially as some of our members pay their premiums less frequently than monthly, we estimate the number of members who are active on insurance policies as of a specified date.
After we have estimated membership as of a specified date, 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. If we experience a significant variance in historical membership as compared to our initial estimates, while we keep the prior period data consistent with previously reported amounts, we may provide the updated information in other communications or disclosures. 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, making it difficult for us to determine with any certainty the impact of current conditions on our membership retention. Various circumstances 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.
(6)To estimate the number of members on Medicare-related, individual and family, and ancillary health insurance plans, we take the respective sum of (i) the number of members for whom we have received or applied a commission payment for a month that may be up to three months prior to the date of estimation (after reducing that number using historical experience for assumed member cancellations over the period being estimated); and (ii) the number of approved members over that period (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). To the extent we determine through confirmations from a health insurance carrier that a commission payment is delayed or is inaccurate as of the date of estimation, we adjust the estimated membership to also reflect the number of members for whom we expect to receive or to refund a commission payment. Further, to the extent we have received substantially all of the commission payments related to a given month during the period being estimated, we will take the number of members for whom we have received or applied a commission payment during the month of estimation. For ancillary health insurance plans, 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.
(7)To estimate the number of members on small business health insurance plans, we use the number of initial members at the time the group was approved, and we update this number for changes in membership if such changes are reported to us by the group or carrier. However, groups generally notify the carrier directly of policy cancellations and increases or decreases in group size without informing us. Health insurance carriers often do not communicate policy cancellation information or group size changes to us. We often are made
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EHEALTH, INC.
Footnotes to Preceding Financial Statements and Metrics
(dollars in thousands, unaudited)

aware of policy cancellations and group size changes at the time of annual renewal and update our membership statistics accordingly in the period they are reported.
(8)LTV-to-CAC ratio is calculated as constrained lifetime value of commissions per MA-equivalent approved member for which we are the broker of record divided by total acquisition cost (including customer care and enrollment and variable marketing costs) per MA-equivalent approved member. The number of MA-equivalent approved members is calculated by adding the total number of approved Medicare Advantage and Medicare Supplement members and 25% of the total number of approved Medicare Part D members during the period presented.


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