goco-20220315FALSE000180822000018082202022-03-152022-03-15
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): March 15, 2022
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GoHealth, Inc.
(Exact name of registrant as specified in its charter)
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Delaware | 001-39390 | 85-0563805 |
(State or other jurisdiction of incorporation) | (Commission File Number) | (I.R.S. Employer Identification No.) |
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214 West Huron St. | 60654 |
Chicago, | Illinois |
(Address of principal executive offices) | (Zip Code) |
(312) 386-8200
(Registrant’s telephone number, including area code)
N/A
(Former name or former address, if changed since last report)
_________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
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☐ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425). |
☐ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12). |
☐ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)). |
☐ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)). |
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Title of each class | | Trading Symbol(s) | | Name of each exchange on which registered |
Class A Common Stock, $0.0001 par value per share | | GOCO | | The Nasdaq Global Market |
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Item 2.02. Results of Operations and Financial Condition.
On March 15, 2022, GoHealth, Inc. issued a press release announcing its financial results for the quarter and year ended December 31, 2021. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.
The information furnished pursuant to this Item 2.02 and Exhibit 99.1 attached hereto shall not be deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act except as shall be expressly set forth by specific reference in such filing.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits
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Exhibit Number | | Exhibit Description |
99.1 | | |
104 | | Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document) |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
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| | GoHealth, Inc. (Registrant) |
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Date: | March 15, 2022 | By: | /s/ Travis J. Matthiesen |
| | | Travis J. Matthiesen Interim Chief Financial Officer (Principal Financial and Accounting Officer) |
Document | | | | | | | | |
| | Exhibit 99.1 |
GoHealth Reports Fourth Quarter and Fiscal 2021 Results Focusing on Optimization in 2022 | |
CHICAGO, March 15, 2022 — GoHealth, Inc. (Nasdaq: GOCO), a leading health insurance marketplace and Medicare-focused digital health company, announced financial results for the three and twelve months ended December 31, 2021.
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| Fourth quarter 2021 net revenue of $449.6 million increased 1% compared to the prior year period, and fiscal year 2021 net revenue of $1,062.4 million increased 21% compared to the prior year period. These are inclusive of an incremental 15% Medicare Advantage (‘MA”) lifetime value (“LTV”) constraint applied to all MA policies sold in the fourth quarter of 2021 and negative revenue adjustments relating to performance obligations satisfied in 2018, 2019, 2020, and the first nine months of 2021 (the “Lookback Adjustments”) of $155.0 million for the fourth quarter of 2021 and $165.3 million for the year ended December 31, 2021, as further described below. |
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| Fourth quarter 2021 net loss of $432.3 million and fiscal year 2021 net loss of $534.2 million, inclusive of $386.6 million of goodwill impairment charges. |
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| Fourth quarter 2021 Adjusted EBITDA1 of $1.5 million decreased 99% compared to the prior year period, and fiscal year 2021 Adjusted EBITDA1 of $33.8 million decreased 88% compared to the prior year period. Adjusted EBITDA1 includes the negative impact of the Lookback Adjustments for both the fourth quarter of 2021 and the year ended December 31, 2021 and is inclusive of an incremental 15% constraint applied to all MA policies sold in the fourth quarter of 2021. |
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| Fourth quarter 2021 MA Carrier Approved Submissions (“CAS”) of 653,620 increased 99% compared to the prior year period, and fiscal year 2021 MA CAS’s of 1,170,603 increased 84% compared to the prior year period. |
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| Negative revenue Lookback Adjustments were $155.0 million for the fourth quarter of 2021 and $165.3 million for the year ended December 31, 2021. |
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| The Company provided its full year 2022 outlook, and expects total net revenue of $900 - $1,100 million (-15% to +4%) powered by commission revenue of $700 - $900 million (-21% to +2%). The company expects Adjusted EBITDA1 of $110 - $150 million (+224% to +343%). The Company also expects negative cash flow from operations of $50 - $10 million (+83% to +97%). |
2021 Highlights3
•Total company revenue grew 21% to $1,062.4 million
◦Total Medicare Submitted Policies2 grew 75% during 2021 to 1,273,859
•Medicare—Internal revenue increased 27% to $844.9 million
◦Medicare—Internal segment profit decreased 72% to $84.3 million, with a 10% margin
•Encompass revenue of $72 million
•Adjusted EBITDA1 decreased 88% to $33.8 million, resulting in full-year Adjusted EBITDA margins of 3%
•LTV per carrier Approved MA Submission decreased 7% from $900 in 2020 to $842 in 2021, adjusted for the impact of the Lookback Adjustments
•Grew commissions receivable balance by $452.1 million (+56%) in 2021 to $1,262.5 million
Fourth Quarter AEP Highlights3
•Total company revenue grew 1% to $449.6 million
◦Total Medicare Submitted Policies grew 93% during the fourth quarter to 723,884
•Medicare—Internal revenue increased 5% to $368.5 million
◦Medicare—Internal segment profit decreased 94% to $10.8 million, with a 3% margin
•Adjusted EBITDA1 decreased 99% to $1.5 million, resulting in Adjusted EBITDA margins of 0.3%
◦LTV per carrier Approved MA Submission decreased 15% from $949 in the fourth quarter of 2020 to $810 in the fourth quarter of 2021, adjusted for the impact of the Lookback Adjustments
2022 Financial Outlook
The trajectory of the US economy remains challenging to predict, particularly given the continued uncertainty associated with the pace of recovery from the COVID-19 pandemic. The Company has provided its financial outlook for the fiscal year ending December 31, 2022 based on current market conditions and expectations:
•Full-year 2022 net revenue of $900 - $1,100 million, representing year-over-year growth of (15)% - 4%
◦Full-year 2022 commission revenue of $700 - $900 million, representing year-over-year growth of (21)% - 2%, fueled by the Company’s continued investment in its Medicare business
•Full-year 2022 Adjusted EBITDA of $110 - $150 million, representing year-over-year growth of 224% - 343%
•Full-year 2022 cash flow from operations of ($50) - ($10) million, representing year-over-year improvement of 83% to 97%
Conference Call Details
The Company will host a conference call today, Tuesday, March 15, 2022 at 5:00 p.m. (ET) to discuss its financial results. A live audio webcast and a supplemental presentation will be available online at https://investors.gohealth.com. The conference call can also be accessed by dialing 1-833-519-1310 for U.S. participants, or 1-914-800-3876 for international participants, and referencing participant code 2679849. A replay of the call will be available for 30 days via webcast for on-demand listening shortly after the completion of the call, at the same web link.
About GoHealth, Inc.:
As a leading health insurance marketplace and Medicare-focused digital health company, GoHealth's mission is to improve access to healthcare in America. Enrolling in a health insurance plan can be confusing for customers, and the seemingly small differences between plans can lead to significant out-of-pocket costs or lack of access to critical medicines and even providers. GoHealth combines cutting-edge technology, data science and deep industry expertise to match customers with the healthcare policy and carrier that is right for them. GoHealth has enrolled millions of people in Medicare and individual and family plans. For more information, visit https://www.gohealth.com.
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Investor Relations: |
IR@gohealth.com |
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Media Relations: |
Pressinquiries@gohealth.com |
(1)Adjusted EBITDA is a non-GAAP measure. For a definition of Adjusted EBITDA and a reconciliation to the most comparable GAAP measure, please see below.
(2)Total Medicare Advantage Submitted Policies includes Commissionable and non-Commissionable Policies.
(3)Fourth quarter and fiscal year 2021 results compared to the comparable prior year period.
Forward-Looking Statements
This release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical facts contained in this press release may be forward-looking statements. Statements regarding the Company’s future results of operations and financial position, business strategy and plans and objectives of management for future operations often include forwarding-looking statements, including, but not limited to, statements regarding expected financial performance and operational performance, including with respect to revenue and Adjusted EBITDA, the growth of our membership base, our ability to realize the potential of our market opportunity, and 2022 annual guidance. In some cases, you can identify forward-looking statements by terms, such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “could,” “intends,” “targets,” “projects,” “contemplates,” “believes,” “estimates,” “predicts,” “potential” or “continue” or the negative of these terms or other similar expressions. Accordingly, we caution you that any such forward-looking statements are not guarantees of future performance and are subject to risks, assumptions and uncertainties that are difficult to predict. Although the Company believes that the expectations reflected in these forward-looking statements are reasonable as of the date made, actual results may prove to be materially different from the results expressed or implied by the forward-looking statements. There are or will be important factors that could cause the Company’s actual results to differ materially from those indicated in these forward-looking statements, including, but not limited to, the following: the Company’s ability to comply with the numerous, complex and frequently changing laws regulating the marketing and sale of Medicare plans; the potential for an adverse change in the Company’s relationships with carriers, including a loss of a carrier relationship, reduction in revenue or consolidation of carriers; carriers’ ability to reduce commissions paid to the Company and adversely change their underwriting practices; information technology systems failures or capacity constraints interrupting the Company’s operations; factors that adversely impact the Company’s estimate of LTV; the Company’s dependence on agents to sell insurance plans; our ability to obtain the capital needed to operate and grow our business; attracting qualified employees and retaining key employees; and the impact of global economic conditions. The foregoing factors should not be construed as exhaustive and should be read together with the other cautionary statements included in this press release, as well as the cautionary statements and other risk factors set forth in the Company’s Annual Report on Form 10-K for the year ended December 31, 2020 and other SEC filings. If one or more events related to these or other risks or uncertainties materialize, or if the Company’s underlying assumptions prove to be incorrect, actual results may differ materially from what the Company anticipates. Many of the important factors that will determine these results are beyond the Company’s ability to control or predict and are reliant on the actions taken or to be taken by third parties. Accordingly, you should not place undue reliance on any such forward-looking statements. Any forward-looking statement speaks only as of the date on which it is made, and, except as otherwise required by law, the Company does not undertake any obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments or otherwise, including any guidance provided. New factors emerge from time-to-time, and it is not possible for us to predict which will arise. In addition, the Company cannot assess the impact of each factor on its business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements.
In addition, the Company is required to comply with Accounting Standards Codification 606 – Revenue from Contracts with Customers. This standard requires the Company to make numerous assumptions that are based upon historical trends and management’s judgment. These assumptions may change over time and may have a material impact on revenue recognition, guidance and results of operations. Please review our assumptions stated in this press release careful as well as our associated risk factors in our most recent annual report on Form 10-K and any subsequent quarterly reports on Form 10-Q. You can obtain copies of GoHealth’s filings with the SEC for free at the SEC’s website (www.SEC.gov).
Use of Non-GAAP Financial Measures and Key Performance Indicators
In this press release, we use supplemental measures of our performance that are derived from our consolidated financial information, but which are not presented in our Consolidated Financial Statements prepared in accordance with Generally Accepted Accounting Principles (GAAP). These non-GAAP financial measures include net income (loss) before interest expense, income tax expense (benefit) and depreciation and amortization expense, or EBITDA; Adjusted EBITDA and Adjusted EBITDA margin. Adjusted EBITDA is the primary financial performance measure used by management to evaluate its business and monitor its results of operations.
Adjusted EBITDA represents, as applicable for the period, EBITDA as further adjusted for goodwill impairment charges, share-based compensation expense, accelerated vesting of certain equity awards, loss on extinguishment of debt, loss on sublease, non-recurring legal fees, change in fair value of contingent consideration liability, one time indirect costs in connection with our IPO, and severance costs. Adjusted EBITDA margin represents Adjusted EBITDA divided by net revenues.
We use non-GAAP financial measures to supplement financial information presented on a GAAP basis. We believe that excluding certain items from our GAAP results allows management to better understand our consolidated financial performance from period to period and better project our future consolidated financial performance as forecasts are developed at a level of detail different from that used to prepare GAAP-based financial measures. Moreover, we believe these non-GAAP financial measures provide our stakeholders with useful information to help them evaluate our operating results by facilitating an enhanced understanding of our operating performance and enabling them to make more meaningful period to period comparisons. There are limitations to the use of the non-GAAP financial measures presented in this press release. For example, our non-GAAP financial measures may not be comparable to similarly titled measures of other companies. Other companies, including companies in our industry, may calculate non-GAAP financial measures differently than we do, limiting the usefulness of those measures for comparative purposes.
The non-GAAP financial measures are not meant to be considered as indicators of performance in isolation from or as a substitute for net income (loss) prepared in accordance with GAAP, and should be read only in conjunction with financial information presented on a GAAP basis. Reconciliations of each of EBITDA and Adjusted EBITDA to its most directly comparable GAAP financial measure, net income (loss), are presented in the tables below in this press release. We encourage you to review the reconciliations in conjunction with the presentation of the non-GAAP financial measures for each of the periods presented. In future periods, we may exclude similar items, may incur income and expenses similar to these excluded items and include other expenses, costs and non-recurring items.
Management has provided its outlook and guidance regarding adjusted EBITDA, which is a non-GAAP financial measure and excludes certain charges. Management has not reconciled these non-GAAP financial measures to the corresponding GAAP financial measures because guidance for the various reconciling items are not provided. Management is unable to provide guidance for these reconciling items because we cannot determine their probable significance, as certain items are outside of our control and cannot be reasonably predicted since these items could vary significantly from period to period. Accordingly, reconciliations to the corresponding GAAP financial measures are not available without unreasonable effort.
Glossary
“Adjusted EBITDA” represents, as applicable for the period, EBITDA as further adjusted for goodwill impairment charges, share-based compensation expense, accelerated vesting of certain equity awards, loss on extinguishment of debt, loss on sublease, non-recurring legal fees, change in fair value of contingent consideration liability, one time indirect costs in connection with our IPO, and severance costs.
“Adjusted EBITDA Margin” refers to Adjusted EBITDA divided by net revenues.
“Approved Submissions” refer to Submitted Policies approved by carriers for the identified product during the indicated period.
“LTV Per Approved Submission” refers to the Lifetime Value of Commissions per Approved Submission, which we define as (i) aggregate commissions estimated to be collected over the estimated life of all commissionable Approved Submissions for the relevant period based on multiple factors, including but not limited to, contracted commission rates, carrier mix and expected policy persistency with applied constraints, excluding revenue adjustments recorded in the period, but relating to performance obligations satisfied in prior periods, divided by (ii) the number of commissionable Approved Submissions for such period.
“Submitted Policies” refer to completed applications that, with respect to each such application, the consumer has authorized us to submit to the carrier.
The following tables set forth the components of our results of operations for the periods indicated (unaudited):
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(in thousands, except percentages and per share amounts) | | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | | | |
| Dollars | | % of Net Revenues | | Dollars | | % of Net Revenues | | $ Change | | % Change |
Net revenues: | | | | | | | | | | | | |
Commission | | $ | 384,826 | | | 85.6 | % | | $ | 360,634 | | | 80.9 | % | | $ | 24,192 | | | 6.7 | % |
Enterprise | | 64,774 | | | 14.4 | % | | 85,289 | | | 19.1 | % | | (20,515) | | | (24.1) | % |
Net revenues | | 449,600 | | | 100.0 | % | | 445,923 | | | 100.0 | % | | 3,677 | | | 0.8 | % |
Operating expenses: | | | | | | | | | | | | |
Cost of revenue | | 99,886 | | | 22.2 | % | | 94,682 | | | 21.2 | % | | 5,204 | | | 5.5 | % |
Marketing and advertising | | 195,411 | | | 43.5 | % | | 96,309 | | | 21.6 | % | | 99,102 | | | 102.9 | % |
Customer care and enrollment | | 123,331 | | | 27.4 | % | | 60,229 | | | 13.5 | % | | 63,102 | | | 104.8 | % |
Technology | | 15,178 | | | 3.4 | % | | 9,530 | | | 2.1 | % | | 5,648 | | | 59.3 | % |
General and administrative | | 29,007 | | | 6.5 | % | | 19,828 | | | 4.4 | % | | 9,179 | | | 46.3 | % |
Amortization of intangible assets | | 23,513 | | | 5.2 | % | | 23,514 | | | 5.3 | % | | (1) | | | — | % |
Goodwill impairment charges | | 386,553 | | | 86.0 | % | | — | | | — | % | | 386,553 | | | NM |
Total operating expenses | | 872,879 | | | 194.1 | % | | 304,092 | | | 68.2 | % | | 568,787 | | | 187.0 | % |
Income (loss) from operations | | (423,279) | | | (94.1) | % | | 141,831 | | | 31.8 | % | | (565,110) | | | (398.4) | % |
Interest expense | | 9,619 | | | 2.1 | % | | 8,591 | | | 1.9 | % | | 1,028 | | | 12.0 | % |
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Other expense (income), net | | (696) | | | (0.2) | % | | 135 | | | — | % | | (831) | | | NM |
Income (loss) before income taxes | | (432,202) | | | (96.1) | % | | 133,105 | | | 29.8 | % | | (565,307) | | | (424.7) | % |
Income tax expense (benefit) | | 118 | | | — | % | | 5 | | | — | % | | 113 | | | NM |
Net income (loss) | | $ | (432,320) | | | (96.2) | % | | $ | 133,100 | | | 29.8 | % | | $ | (565,420) | | | (424.8) | % |
Net income (loss) attributable to noncontrolling interests | | (277,225) | | | (61.7) | % | | 97,143 | | | 21.8 | % | | (374,368) | | | (385.4) | % |
Net income (loss) attributable to GoHealth, Inc. | | $ | (155,095) | | | (34.5) | % | | $ | 35,957 | | | 8.1 | % | | $ | (191,052) | | | (531.3) | % |
Net income (loss) per share: | | | | | | | | | | | | |
Net income (loss) per share of common stock — basic | | $ | (1.35) | | | | | $ | 0.43 | | | | | | | |
Net income (loss) per share of common stock — diluted (1) | | $ | (1.35) | | | | | $ | 0.41 | | | | | | | |
Weighted-average shares of common stock outstanding — basic | | 115,045 | | | | | 84,194 | | | | | | | |
Weighted-average shares of common stock outstanding — diluted | | 115,045 | | | | | 321,191 | | | | | | | |
Non-GAAP financial measures: | | | | | | | | | | | | |
EBITDA | | $ | (392,251) | | | | | $ | 166,806 | | | | | | | |
Adjusted EBITDA | | $ | 1,499 | | | | | $ | 169,889 | | | | | | | |
Adjusted EBITDA margin | | 0.3 | % | | | | 38.1 | % | | | | | | |
_________________________NM = Not meaningful
(1)Net income per share of common stock - diluted for the three months ending December 31, 2020, of $0.41 is calculated by dividing net income of $133.1 million, which considers the reallocation of earnings after the assumed conversion of Class B Common Stock for Class A Common Stock, by the weighted-average shares of common stock outstanding - diluted of 321,191.
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(in thousands, except percentages and per share amounts) | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 | | | | |
| Dollars | | % of Net Revenues | | Dollars | | % of Net Revenues | | $ Change | | % Change |
Net revenues: | | | | | | | | | | | | |
Commission | | $ | 881,263 | | | 82.9 | % | | $ | 671,140 | | | 76.5 | % | | $ | 210,123 | | | 31.3 | % |
Enterprise | | 181,152 | | | 17.1 | % | | 206,210 | | | 23.5 | % | | (25,058) | | | (12.2) | % |
Net revenues | | 1,062,415 | | | 100.0 | % | | 877,350 | | | 100.0 | % | | 185,065 | | | 21.1 | % |
Operating expenses: | | | | | | | | | | | | |
Cost of revenue | | 239,335 | | | 22.5 | % | | 199,202 | | | 22.7 | % | | 40,133 | | | 20.1 | % |
Marketing and advertising | | 365,141 | | | 34.4 | % | | 206,864 | | | 23.6 | % | | 158,277 | | | 76.5 | % |
Customer care and enrollment | | 320,165 | | | 30.1 | % | | 165,497 | | | 18.9 | % | | 154,668 | | | 93.5 | % |
Technology | | 48,429 | | | 4.6 | % | | 59,348 | | | 6.8 | % | | (10,919) | | | (18.4) | % |
General and administrative | | 98,183 | | | 9.2 | % | | 197,229 | | | 22.5 | % | | (99,046) | | | (50.2) | % |
Change in fair value of contingent consideration liability | | — | | | — | % | | 19,700 | | | 2.2 | % | | (19,700) | | | (100.0) | % |
Amortization of intangible assets | | 94,056 | | | 8.9 | % | | 94,056 | | | 10.7 | % | | — | | | — | % |
Goodwill impairment charges | | 386,553 | | | 36.4 | % | | — | | | — | % | | 386,553 | | | NM |
Total operating expenses | | 1,551,862 | | | 146.1 | % | | 941,896 | | | 107.4 | % | | 609,966 | | | 64.8 | % |
Income (loss) from operations | | (489,447) | | | (46.1) | % | | (64,546) | | | (7.4) | % | | (424,901) | | | 658.3 | % |
Interest expense | | 33,505 | | | 3.2 | % | | 32,969 | | | 3.8 | % | | 536 | | | 1.6 | % |
Loss on extinguishment of debt | | 11,935 | | | 1.1 | % | | — | | | — | % | | 11,935 | | | NM |
Other (income) expense | | (669) | | | (0.1) | % | | (358) | | | — | % | | (311) | | | 86.9 | % |
Income (loss) before income taxes | | (534,218) | | | (50.3) | % | | (97,157) | | | (11.1) | % | | (437,061) | | | 449.9 | % |
Income tax expense (benefit) | | (24) | | | — | % | | 43 | | | — | % | | (67) | | | (155.8) | % |
Net income (loss) | | $ | (534,194) | | | (50.3) | % | | $ | (97,200) | | | (11.1) | % | | $ | (436,994) | | | 449.6 | % |
Net loss attributable to noncontrolling interests | | (344,837) | | | (32.5) | % | | (52,933) | | | (6.0) | % | | | | |
Net loss attributable to GoHealth, Inc. | | $ | (189,357) | | | (17.8) | % | | $ | (44,267) | | | (5.0) | % | | | | |
Net income (loss) per share: | | | | | | | | | | | | |
Net income (loss) per share of common stock — basic and diluted | | $ | (1.79) | | | | | $ | (0.22) | | | | | | | |
Weighted-average shares of common stock outstanding — basic and diluted | | 105,991 | | | | | 84,189 | | | | | | | |
Non-GAAP financial measures: | | | | | | | | | | | | |
EBITDA | | $ | (393,206) | | | | | $ | 34,364 | | | | | | | |
Adjusted EBITDA | | $ | 33,821 | | | | | $ | 271,029 | | | | | | | |
Adjusted EBITDA margin | | 3.2 | % | | | | 30.9 | % | | | | | | |
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NM = Not meaningful
The following tables set forth the reconciliations of GAAP net income (loss) to EBITDA and Adjusted EBITDA for the periods indicated (unaudited):
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(in thousands, except percentages) | | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 |
Net revenues | | $ | 449,600 | | | $ | 445,923 | |
Net income (loss) | | (432,320) | | | 133,100 | |
Interest expense | | 9,619 | | | 8,591 | |
Income tax expense | | 118 | | | 5 | |
Depreciation and amortization expense | | 30,332 | | | 25,110 | |
EBITDA | | (392,251) | | | 166,806 | |
Goodwill impairment charges (1) | | 386,553 | | | — | |
Share-based compensation expense (2) | | 7,197 | | | 3,083 | |
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Adjusted EBITDA | | $ | 1,499 | | | $ | 169,889 | |
Adjusted EBITDA margin | | 0.3 | % | | 38.1 | % |
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(1)Represents goodwill impairment charges related to the Medicare— Internal and Medicare— External reporting units for the three months ended December 31, 2021.
(2)Represents non-cash share-based compensation expense relating to equity awards.
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(in thousands, except percentages) | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Net revenues | | $ | 1,062,415 | | | $ | 877,350 | |
Net income (loss) | | (534,194) | | | (97,200) | |
Interest expense | | 33,505 | | | 32,969 | |
Income tax expense (benefit) | | (24) | | | 43 | |
Depreciation and amortization expense | | 107,507 | | | 98,552 | |
EBITDA | | (393,206) | | | 34,364 | |
Loss on extinguishment of debt (1) | | 11,935 | | | — | |
Goodwill impairment charges (2) | | 386,553 | | | — | |
Share-based compensation expense (3) | | 27,297 | | | 6,929 | |
Loss on sublease (4) | | 1,062 | | | — | |
Legal fees (5) | | 180 | | | — | |
Accelerated vesting of certain equity awards (6) | | — | | | 209,300 | |
Change in fair value of contingent consideration liability (7) | | — | | | 19,700 | |
IPO transactions costs (8) | | — | | | 659 | |
Severance costs (9) | | — | | | 77 | |
Adjusted EBITDA | | $ | 33,821 | | | $ | 271,029 | |
Adjusted EBITDA margin | | 3.2 | % | | 30.9 | % |
_________________________
(1)Represents the loss on debt extinguishment related to the Initial Term Loan Facility.
(2)Represents goodwill impairment charges related to the Medicare— Internal and Medicare— External reporting units for the twelve months ended December 31, 2021.
(3)Represents non-cash share-based compensation expense relating to equity awards.
(4)Represents the loss related to a sublease agreement entered into during the twelve months ended December 31, 2021.
(5)Represents non-recurring legal fees unrelated to our core operations.
(6)Represents non-cash share-based compensation expense relating to the accelerated vesting of performance-vesting units in connection with the IPO for the twelve months ended December 31, 2020.
(7)Represents the change in fair value of the contingent consideration liability due to the predecessor owners of the Company arising from the Centerbridge Acquisition.
(8)Represents legal, accounting, consulting, and other indirect costs associated with the Company’s IPO.
(9)Represents costs associated with the termination of employment.
The following table summarizes share-based compensation expense by operating function for the periods indicated (unaudited):
| | | | | | | | | | | | | | |
(in thousands) | | Successor |
| Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Marketing and advertising | | $ | 2,108 | | | $ | 24,890 | |
Customer care and enrollment | | 3,775 | | | 12,599 | |
Technology | | 3,775 | | | 33,085 | |
General and administrative | | 17,639 | | | 145,655 | |
Total share-based compensation expense | | $ | 27,297 | | | $ | 216,229 | |
The following table sets forth our balance sheets for the periods indicated (unaudited):
| | | | | | | | | | | | | | |
| | | | |
(in thousands, except per share amounts) | | Dec. 31, 2021 | | Dec. 31, 2020 |
Assets | | | | |
Current assets: | | | | |
Cash and cash equivalents | | $ | 84,361 | | | $ | 144,234 | |
Accounts receivable, net of allowance for doubtful accounts of $558 in 2021 and $787 in 2020 | | 17,276 | | | 14,211 | |
Receivable from NVX Holdings, Inc. | | — | | | 3,395 | |
Commissions receivable - current | | 268,663 | | | 188,128 | |
Prepaid expense and other current assets | | 58,695 | | | 41,854 | |
Total current assets | | 428,995 | | | 391,822 | |
Commissions receivable - non-current | | 993,844 | | | 622,270 | |
Operating Lease ROU Asset | | 23,462 | | | — | |
Other long-term assets | | 3,608 | | | 2,072 | |
Property, equipment, and capitalized software, net | | 24,273 | | | 17,353 | |
Intangible assets, net | | 594,669 | | | 688,726 | |
Goodwill | | — | | | 386,553 | |
Total assets | | $ | 2,068,851 | | | $ | 2,108,796 | |
Liabilities and Stockholders’ Equity | | | | |
Current liabilities: | | | | |
Accounts payable | | $ | 39,843 | | | $ | 8,733 | |
Accrued liabilities | | 52,788 | | | 26,926 | |
Commissions payable - current | | 104,160 | | | 78,478 | |
Short-term operating lease liability | | 6,126 | | | — | |
Deferred revenue | | 536 | | | 736 | |
Current portion of long-term debt | | 5,270 | | | 4,170 | |
Other current liabilities | | 8,344 | | | 8,328 | |
Total current liabilities | | 217,067 | | | 127,371 | |
Non-current liabilities: | | | | |
Commissions payable - non-current | | 274,403 | | | 182,596 | |
Long-term operating lease liability | | 19,776 | | | — | |
Long-term debt, net of current portion | | 665,115 | | | 396,400 | |
| | | | |
Other non-current liabilities | | — | | | 3,274 | |
Total non-current liabilities | | 959,294 | | | 582,270 | |
Stockholders’ equity: | | | | |
| | | | |
Class A common stock – $0.0001 par value; 1,100,000 shares authorized; 115,487 and 84,196 shares issued and outstanding at December 31, 2021 and December 31, 2020, respectively. | | 11 | | | 8 | |
Class B common stock – $0.0001 par value; 587,360 and 619,004 shares authorized; 205,352 and 236,997 shares issued and outstanding at December 31, 2021 and December 31, 2020, respectively. | | 21 | | | 24 | |
Preferred stock – $0.0001 par value; 20,000 shares authorized; no shares issued and outstanding at December 31, 2021 and December 31, 2020 | | — | | | — | |
Additional paid-in capital | | 561,447 | | | 399,169 | |
Accumulated other comprehensive income (loss) | | (59) | | | 17 | |
Accumulated deficit | | (208,317) | | | (18,802) | |
Total stockholders’ equity attributable to GoHealth, Inc. | | 353,103 | | | 380,416 | |
Non-controlling interests | | 539,387 | | | 1,018,739 | |
Total stockholders’ equity | | 892,490 | | | 1,399,155 | |
Total liabilities and stockholders’ equity | | $ | 2,068,851 | | | $ | 2,108,796 | |
The following table sets forth our statements of cash flows for the periods indicated (unaudited):
| | | | | | | | | | | | | | | | |
(in thousands) | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 | | |
Operating Activities | | | | | | |
Net income (loss) | | $ | (534,194) | | | $ | (97,200) | | | |
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | | | | | | |
Share-based compensation | | 27,297 | | | 216,229 | | | |
Depreciation and amortization | | 13,451 | | | 4,496 | | | |
Amortization of intangible assets | | 94,056 | | | 94,056 | | | |
Amortization of debt discount and issuance costs | | 2,222 | | | 2,430 | | | |
Loss on extinguishment of debt | | 11,935 | | | — | | | |
Loss on sublease | | 1,062 | | | — | | | |
Change in fair value of contingent consideration | | — | | | 19,700 | | | |
Goodwill impairment charges | | 386,553 | | | — | | | |
Non-cash lease expense | | 5,033 | | | — | | | |
Other non-cash items | | (5) | | | (1,691) | | | |
Changes in assets and liabilities, net of acquisition: | | | | | | |
Accounts receivable | | (2,758) | | | 4,526 | | | |
Commissions receivable | | (452,950) | | | (427,467) | | | |
Prepaid expenses and other assets | | (18,613) | | | (30,194) | | | |
Accounts payable | | 30,477 | | | (5,340) | | | |
Accrued liabilities | | 25,745 | | | 4,358 | | | |
Deferred revenue | | (200) | | | (14,482) | | | |
Commissions payable | | 117,489 | | | 107,583 | | | |
Operating lease liabilities | | (4,885) | | | — | | | |
Other liabilities | | (721) | | | 8,779 | | | |
Net cash provided by (used in) operating activities | | (299,006) | | | (114,217) | | | |
Investing Activities | | | | | | |
Acquisition of business, net of cash | | — | | | — | | | |
Purchases of property, equipment and software | | (19,801) | | | (14,523) | | | |
Net cash provided by (used in) investing activities | | (19,801) | | | (14,523) | | | |
Financing Activities | | | | | | |
Proceeds from issuance of Class A common stock sold in initial public offering, net of offering costs | | — | | | 852,407 | | | |
Payment of partial consideration to Blocker Shareholders in the Blocker Merger | | — | | | (96,165) | | | |
Purchase of LLC Interests from Continuing Equity Owners | | — | | | (508,320) | | | |
Settlement of Senior Preferred Earnout Units | | — | | | (100,000) | | | |
Proceeds received upon issuance of preferred units | | — | | | — | | | |
Proceeds received upon issuance of common units | | — | | | 10,000 | | | |
Proceeds from borrowings | | 565,000 | | | 117,000 | | | |
Repayment of borrowings | | (298,970) | | | (3,878) | | | |
| | | | | | |
| | | | | | |
Call premium paid for debt extinguishment | | (5,910) | | | — | | | |
Debt issuance cost payments | | (4,108) | | | (6,293) | | | |
Principal payments under capital lease obligations | | (318) | | | (293) | | | |
Distributions to non-controlling interests | | — | | | (400) | | | |
Advancement to NVX Holdings, Inc. | | 3,395 | | | (3,395) | | | |
Net cash provided by (used in) financing activities | | 259,089 | | | 260,663 | | | |
Effect of exchange rate changes on cash and cash equivalents | | (155) | | | 35 | | | |
Increase (decrease) in cash and cash equivalents | | (59,873) | | | 131,958 | | | |
Cash and cash equivalents at beginning of period | | 144,234 | | | 12,276 | | | |
Cash and cash equivalents at end of period | | $ | 84,361 | | | $ | 144,234 | | | |
The following tables set forth operating segment results for the periods indicated (unaudited):
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in thousands, except percentages) | | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | | | |
| Dollars | | % of Net Revenues | | Dollars | | % of Net Revenues | | $ Change | | % Change |
Net revenues: | | | | | | | | | | | | |
Medicare - Internal | | $ | 368,503 | | | 82.0 | % | | $ | 351,082 | | | 78.7 | % | | $ | 17,421 | | | 5.0 | % |
Medicare - External | | 72,447 | | | 16.1 | % | | 78,355 | | | 17.6 | % | | (5,908) | | | (7.5) | % |
IFP and Other - Internal | | 6,182 | | | 1.4 | % | | 10,473 | | | 2.3 | % | | (4,291) | | | (41.0) | % |
IFP and Other - External | | 2,468 | | | 0.5 | % | | 6,013 | | | 1.3 | % | | (3,545) | | | (59.0) | % |
Net revenues | | 449,600 | | | 100.0 | % | | 445,923 | | | 100.0 | % | | 3,677 | | | 0.8 | % |
Segment profit: | | — | | | | | — | | | | | | | |
Medicare - Internal | | 10,771 | | | 2.4 | % | | 172,920 | | | 38.8 | % | | (162,149) | | | (93.8) | % |
Medicare - External | | 3,075 | | | 0.7 | % | | 5,051 | | | 1.1 | % | | (1,976) | | | (39.1) | % |
IFP and Other - Internal | | 2,162 | | | 0.5 | % | | 4,087 | | | 0.9 | % | | (1,925) | | | (47.1) | % |
IFP and Other - External | | 472 | | | 0.1 | % | | 1,121 | | | 0.3 | % | | (649) | | | (57.9) | % |
Segment profit | | 16,480 | | | 3.7 | % | | 183,179 | | | 41.1 | % | | (166,699) | | | (91.0) | % |
Corporate expense | | 29,693 | | | 6.6 | % | | 17,834 | | | 4.0 | % | | 11,859 | | | 66.5 | % |
| | | | | | | | | | | | |
Amortization of intangible assets | | 23,513 | | | 5.2 | % | | 23,514 | | | 5.3 | % | | (1) | | | — | % |
| | | | | | | | | | | | |
Goodwill impairment charges | | 386,553 | | | 86.0 | % | | — | | | — | % | | 386,553 | | | NM |
Interest expense | | 9,619 | | | 2.1 | % | | 8,591 | | | 1.9 | % | | 1,028 | | | 12.0 | % |
Other (income) expense, net | | (696) | | | (0.2) | % | | 135 | | | — | % | | (831) | | | NM |
Income (loss) before income taxes | | $ | (432,202) | | | (96.1) | % | | $ | 133,105 | | | 29.8 | % | | $ | (565,307) | | | (424.7) | % |
_________________________
NM = Not meaningful
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 | | | | |
(in thousands, except percentages) | | Dollars | | % of Net Revenues | | Dollars | | % of Net Revenues | | $ Change | | % Change |
| | | | | | | | | | | | |
Medicare - Internal | | $ | 844,894 | | | 79.5 | % | | $ | 667,293 | | | 76.1 | % | | $ | 177,601 | | | 26.6 | % |
Medicare - External | | 189,563 | | | 17.8 | % | | 155,660 | | | 17.7 | % | | 33,903 | | | 21.8 | % |
IFP and Other - Internal | | 19,687 | | | 1.9 | % | | 32,271 | | | 3.7 | % | | (12,584) | | | (39.0) | % |
IFP and Other - External | | 8,271 | | | 0.8 | % | | 22,126 | | | 2.5 | % | | (13,855) | | | (62.6) | % |
Net revenues | | 1,062,415 | | | 100.0 | % | | 877,350 | | | 100.0 | % | | 185,065 | | | 21.1 | % |
Segment profit: | | | | | | | | | | | | |
Medicare - Internal | | 84,345 | | | 7.9 | % | | 296,865 | | | 33.8 | % | | (212,520) | | | (71.6) | % |
Medicare - External | | 2,622 | | | 0.2 | % | | 5,944 | | | 0.7 | % | | (3,322) | | | (55.9) | % |
IFP and Other - Internal | | 2,819 | | | 0.3 | % | | 4,269 | | | 0.5 | % | | (1,450) | | | (34.0) | % |
IFP and Other - External | | 245 | | | — | % | | 1,910 | | | 0.2 | % | | (1,665) | | | (87.2) | % |
Segment profit | | 90,031 | | | 8.5 | % | | 308,988 | | | 35.2 | % | | (218,957) | | | (70.9) | % |
Corporate expense | | 98,869 | | | 9.3 | % | | 259,778 | | | 29.6 | % | | (160,909) | | | (61.9) | % |
Change in fair value of contingent consideration liability | | — | | | — | % | | 19,700 | | | 2.2 | % | | (19,700) | | | (100.0) | % |
Amortization of intangible assets | | 94,056 | | | 8.9 | % | | 94,056 | | | 10.7 | % | | — | | | — | % |
Loss on extinguishment of debt | | 11,935 | | | 1.1 | % | | — | | | — | % | | 11,935 | | | NM |
| | | | | | | | | | | | |
Goodwill impairment charges | | 386,553 | | | 36.4 | % | | — | | | — | % | | 386,553 | | | NM |
Interest expense | | 33,505 | | | 3.2 | % | | 32,969 | | | 3.8 | % | | 536 | | | 1.6 | % |
Other (income) expense, net | | (669) | | | (0.1) | % | | (358) | | | — | % | | (311) | | | 86.9 | % |
Income (loss) before income taxes | | $ | (534,218) | | | (50.3) | % | | $ | (97,157) | | | (11.1) | % | | $ | (437,061) | | | 449.9 | % |
_________________________
NM = Not meaningful
The following table presents the number of Submitted Policies by product for the Medicare segments for the three and twelve months ended December 31, 2021 and 2020, for those submissions that are commissionable (compensated through commissions received from carriers):
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Medicare Advantage | | 669,079 | | 330,604 | | 1,190,530 | | 644,669 |
Medicare Supplement | | 1,631 | | 2,955 | | 4,508 | | 9,119 |
Prescription Drug Plans | | 34,762 | | 10,293 | | 42,469 | | 16,762 |
Total Medicare - Commissionable Submitted Policies | | 705,472 | | 343,852 | | 1,237,507 | | 670,550 |
The following tables present the number of Approved Submissions by product relating to commissionable policies for the Medicare segments for the three and twelve months ended December 31, 2021 and 2020. Only commissionable policies are used to calculate our LTV.
Medicare - Internal
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Medicare Advantage | | 508,004 | | 250,251 | | 903,808 | | 478,863 |
Medicare Supplement | | 527 | | 1,514 | | 1,229 | | 3,116 |
Prescription Drug Plans | | 17,481 | | 8,263 | | 24,006 | | 13,582 |
Total Medicare - Internal Commissionable Approved Submissions | | 526,012 | | 260,028 | | 929,043 | | 495,561 |
Medicare - External
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Medicare Advantage | | 145,616 | | 77,669 | | 266,795 | | 158,325 |
Medicare Supplement | | 708 | | 1,219 | | 2,531 | | 5,254 |
Prescription Drug Plans | | 11,628 | | 1,798 | | 12,344 | | 3,036 |
Total Medicare - External Commissionable Approved Submissions | | 157,952 | | 80,686 | | 281,670 | | 166,615 |
The following table presents the LTV per Approved Submission by product for the Medicare segments, adjusted for the impact of the Lookback Adjustments, for the three and twelve months ended December 31, 2021 and 2020:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Medicare Advantage | | $ | 810 | | $ | 949 | | $ | 842 | | $ | 900 |
Medicare Supplement | | $ | 683 | | $ | 934 | | $ | 856 | | $ | 849 |
Prescription Drug Plans | | $ | 215 | | $ | 213 | | $ | 215 | | $ | 215 |
The following table presents the number of Submitted Policies by product for the Medicare segments for the three and twelve months ended December 31, 2021 and 2020, for those submissions that are non-commissionable (compensated via hourly fees and enrollment fees) and do not result in commission revenue:
| | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Three months ended Dec. 31, 2021 | | Three months ended Dec. 31, 2020 | | Twelve months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2020 |
Medicare Advantage | | 12,711 | | 23,993 | | 23,414 | | 44,799 |
Medicare Supplement | | 3,223 | | 3,520 | | 8,242 | | 8,782 |
Prescription Drug Plans | | 2,478 | | 2,994 | | 4,696 | | 5,781 |
Total Medicare - Non-commissionable Submitted Policies | | 18,412 | | 30,507 | | 36,352 | | 59,362 |
| | | | | | | | |
The following table sets forth the components of our results of operations for each quarter of 2021 (unaudited):
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in thousands) | | Three months ended Mar. 31, 2021 | | Three months ended Jun. 30, 2021 | | Three months ended Sep. 30, 2021 | | Three months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2021 |
Net revenues: | | | | | | | | | | |
Commission | | $ | 173,981 | | | $ | 147,508 | | | $ | 174,948 | | | $ | 384,826 | | | $ | 881,263 | |
Enterprise | | 30,198 | | | 49,394 | | | 36,786 | | | 64,774 | | | 181,152 | |
Net revenues | | 204,179 | | | 196,902 | | | 211,734 | | | 449,600 | | | 1,062,415 | |
Operating expenses: | | | | | | | | | | |
Cost of revenue | | 48,375 | | | 37,442 | | | 53,632 | | | 99,886 | | | 239,335 | |
Marketing and advertising | | 54,484 | | | 55,735 | | | 59,511 | | | 195,411 | | | 365,141 | |
Customer care and enrollment | | 47,094 | | | 61,927 | | | 87,813 | | | 123,331 | | | 320,165 | |
Technology | | 9,617 | | | 11,983 | | | 11,651 | | | 15,178 | | | 48,429 | |
General and administrative | | 19,693 | | | 25,251 | | | 24,232 | | | 29,007 | | | 98,183 | |
| | | | | | | | | | |
Amortization of intangible assets | | 23,514 | | | 23,515 | | | 23,514 | | | 23,513 | | | 94,056 | |
Goodwill impairment charges | | — | | | — | | | — | | | 386,553 | | | 386,553 | |
Total operating expenses | | 202,777 | | | 215,853 | | | 260,353 | | | 872,879 | | | 1,551,862 | |
Income (loss) from operations | | 1,402 | | | (18,951) | | | (48,619) | | | (423,279) | | | (489,447) | |
Interest expense | | 8,688 | | | 8,277 | | | 6,921 | | | 9,619 | | | 33,505 | |
Loss on extinguishment of debt | | — | | | 11,935 | | | — | | | — | | | 11,935 | |
Other (income) expense, net | | 13 | | | 44 | | | (30) | | | (696) | | | (669) | |
Income (loss) before income taxes, net | | (7,299) | | | (39,207) | | | (55,510) | | | (432,202) | | | (534,218) | |
Income tax expense (benefit) | | (31) | | | (32) | | | (79) | | | 118 | | | (24) | |
Net income (loss) | | $ | (7,268) | | | $ | (39,175) | | | $ | (55,431) | | | $ | (432,320) | | | $ | (534,194) | |
Net income (loss) attributable to noncontrolling interests | | (5,178) | | | (27,186) | | | (35,248) | | | (277,225) | | | (344,837) | |
Net income (loss) attributable to GoHealth, Inc. | | $ | (2,090) | | | $ | (11,989) | | | $ | (20,183) | | | $ | (155,095) | | | $ | (189,357) | |
The following table sets forth the share-based compensation expense embedded in the operating expense line items for each quarter of 2021 (unaudited):
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in thousands) | | Three months ended Mar. 31, 2021 | | Three months ended Jun. 30, 2021 | | Three months ended Sep. 30, 2021 | | Three months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2021 |
Marketing and advertising | | $ | 337 | | | $ | 426 | | | $ | 698 | | | $ | 647 | | | $ | 2,108 | |
Customer care and enrollment | | 796 | | | 1,043 | | | 957 | | | 979 | | | 3,775 | |
Technology | | 747 | | | 1,133 | | | 910 | | | 985 | | | 3,775 | |
General and administrative | | 3,232 | | | 4,997 | | | 4,824 | | | 4,586 | | | 17,639 | |
Total share-based compensation | | $ | 5,112 | | | $ | 7,599 | | | $ | 7,389 | | | $ | 7,197 | | | $ | 27,297 | |
The following table sets forth operating segment results for each quarter of 2021 (unaudited):
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in thousands) | | Three months ended Mar. 31, 2021 | | Three months ended Jun. 30, 2021 | | Three months ended Sep. 30, 2021 | | Three months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2021 |
Net revenues: | | | | | | | | | | |
Medicare - Internal | | $ | 157,353 | | | $ | 160,433 | | | $ | 158,605 | | | $ | 368,503 | | | $ | 844,894 | |
Medicare - External | | 39,500 | | | 31,379 | | | 46,237 | | | 72,447 | | | 189,563 | |
IFP and Other - Internal | | 3,975 | | | 3,788 | | | 5,742 | | | 6,182 | | | 19,687 | |
IFP and Other - External | | 3,351 | | | 1,302 | | | 1,150 | | | 2,468 | | | 8,271 | |
Net revenues | | $ | 204,179 | | | $ | 196,902 | | | $ | 211,734 | | | $ | 449,600 | | | $ | 1,062,415 | |
Segment profit (loss): | | | | | | | | | | |
Medicare - Internal | | $ | 46,443 | | | $ | 31,257 | | | $ | (4,126) | | | $ | 10,771 | | | $ | 84,345 | |
Medicare - External | | (631) | | | (1,688) | | | 1,866 | | | 3,075 | | | 2,622 | |
IFP and Other - Internal | | (729) | | | (800) | | | 2,186 | | | 2,162 | | | 2,819 | |
IFP and Other - External | | 160 | | | (57) | | | (330) | | | 472 | | | 245 | |
Segment profit | | $ | 45,243 | | | $ | 28,712 | | | $ | (404) | | | $ | 16,480 | | | $ | 90,031 | |
The following tables set forth the reconciliations of GAAP net income (loss) to EBITDA and Adjusted EBITDA for each quarter of 2021 (unaudited):
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(in thousands, except percentages) | | Three months ended Mar. 31, 2021 | | Three months ended Jun. 30, 2021 | | Three months ended Sep. 30, 2021 | | Three months ended Dec. 31, 2021 | | Twelve months ended Dec. 31, 2021 |
Net revenues | | $ | 204,179 | | | $ | 196,902 | | | $ | 211,734 | | | $ | 449,600 | | | $ | 1,062,415 | |
Net income (loss) | | (7,268) | | | (39,175) | | | (55,431) | | | (432,320) | | | (534,194) | |
Interest expense | | 8,688 | | | 8,277 | | | 6,921 | | | 9,619 | | | 33,505 | |
Income tax expense (benefit) | | (31) | | | (32) | | | (79) | | | 118 | | | (24) | |
Depreciation and amortization expense | | 25,367 | | | 25,738 | | | 26,070 | | | 30,332 | | | 107,507 | |
EBITDA | | 26,756 | | | (5,192) | | | (22,519) | | | (392,251) | | | (393,206) | |
Loss on extinguishment of debt (1) | | — | | | 11,935 | | | — | | | — | | | 11,935 | |
Goodwill impairment charges (2) | | — | | | — | | | — | | | 386,553 | | | 386,553 | |
Share-based compensation expense (3) | | 5,112 | | | 7,599 | | | 7,389 | | | 7,197 | | | 27,297 | |
Loss on sublease (4) | | — | | | — | | | 1,062 | | | — | | | 1,062 | |
Legal fees (5) | | 180 | | | — | | | — | | | — | | | 180 | |
Adjusted EBITDA | | $ | 32,048 | | | $ | 14,342 | | | $ | (14,068) | | | $ | 1,499 | | | $ | 33,821 | |
Adjusted EBITDA margin | | 15.7 | % | | 7.3 | % | | (6.6) | % | | 0.3 | % | | 3.2 | % |
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(1)Represents the loss on debt extinguishment related to the Initial Term Loan Facility.
(2)Represents goodwill impairment charges related to the Medicare— Internal and Medicare— External reporting units for the three months ended December 31, 2021.
(3)Represents non-cash share-based compensation expense relating to equity awards.
(4)Represents the loss related to a sublease agreement entered into during the twelve months ended December 31, 2021.
(5)Represents non-recurring legal fees unrelated to our core operations.