Q4 2023 Healthequity Inc Earnings Call
Speaker 1: And question.
Speaker 1: The.
Speaker 1: The.
Speaker 1: We.
Speaker 2: quarter 2023 earnings conference call.
Speaker 2: All participants will be in listen-only mode. Should you need assistance, please signal a conference specialist by pressing the star key followed by zero.
Speaker 2: After today's presentation, there will be an opportunity to ask questions.
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Speaker 2: Please note, this event is being recorded.
Speaker 2: I would now like to turn the conference over to Richard Putnam. Please go ahead.
Speaker 3: Thank you, Gary, and happy first full day of spring to everyone, and welcome to Health Equity's fourth quarter and fiscal year end 2023 earnings conference call.
Speaker 3: My name is Richard Putnam. I do investor relations for Health Equity and joining me today I have John Kessler who is our president and CEO , Dr. Steve Nieleman, our vice chair and founder of the company, and Tyson Murdoch, the company's executive vice president and chief financial officer.
Speaker 3: Before I turn the call over to John , I have two important reminders. First, a press release announcing our financial results for the fourth quarter and fiscal 2023 year end was issued after the market closed this afternoon.
Speaker 3: The financial results in the press release include the contributions from our wholly owned subsidiaries and accounts that they administer.
Speaker 3: The press release also includes definitions of certain non-GAAP financial measures that we will reference today. A copy of today's press release including reconciliations of these non-GAAP measures with comparable GAAP measures and a recording of the webcast can be found on our investor relations website, which is...
Speaker 3: Ir R dot health equity dot com.
Speaker 3: Second, our comments and responses to your question today reflect management's view as of today, March 21, 2023, and will contain forward-looking statements as defined by the SEC. That includes predictions, expectations, estimates, or other information that might be considered forward-looking. going to in 2020 and 2021.
Speaker 3: There are many important factors relating to our business, which could affect the forward-looking statements made here today.
Speaker 3: These forward-looking statements are subject to risk and uncertainties that may cause the actual results of to differ materially from statements made here today. We caution against placing undue reliance on these forward-looking statements and we also encourage you to review the discussion of these factors and other risks that may affect our future results or the market price of our stock.
Speaker 3: They are found in our latest annual report on 4 and 10K and subsequent periodic reports filed with the FCC.
Speaker 3: We assume no obligation to revise or update these forward-looking statements in light of new information or future events.
Speaker 3: At the conclusion of our prepared remarks, as Gary just mentioned, we'll open up the call for Q&A.
Speaker 3: and we'll turn the time over to him to instruct us on how we do that.
Speaker 3: And then I have one final announcement before we hear from John . We plan to hold our next investor day on July 11th later this year.
Speaker 3: We hope that you will be able to make plans to join us. Please stay tuned for more details as they come available. John , over to you.
Speaker 4: That was fun, that last part.
Speaker 4: Good afternoon everyone and thank you for joining us. I am going to report on key metrics as always and then discuss management's view of fiscal 24 in light of current conditions. Tyson similarly will touch on Q4 and fiscal 23.
Speaker 4: before detailing our revised guidance for Fiscal 24. And of course Steve is here for Q&A.
Speaker 4: For fiscal 2023, we are pleased to report double-digit year-over-year growth across revenue, which is plus 14%, adjusted EBITDA, which is plus 15%.
Speaker 4: HSA Members plus 11% and HSA Assets plus 13%.
Speaker 4: Total accounts grew 4% and muted by CDB underperformance and a change in methodology with no revenue impact.
Speaker 4: Health Equity ended fiscal 23 with nearly 15 million total accounts, including 8 million HSA's, more than 22 billion in HSA assets, nearly a million new HSA opened in the year.
Speaker 4: record numbers of clients and network partners.
Speaker 4: strong year-end service, thank you team, and number one market position. And so as a result of all that, we are able today to raise our outlook for fiscal 24, which Tyson will detail.
Speaker 4: We expect revenue to again grow double digits, EBITDA growth to accelerate to around 20%, even faster growth in non-GAAP net income, and a return to positive GAAP net income, which is good. Our outlook factors in health equity's inherently strong visibility to future performance.
Speaker 4: as well as our belief that the current crisis underscores the valuable stability of HSA balances, combining as they do the stickiness of individual small balance accounts and individual tax-advantaged accounts.
Speaker 4: While U.S. commercial bank deposits fell 0.9% in the first two months of calendar 23, for example, Health Equity's HSA cash grew by 6% in that same period and that growth has continued through the banking crisis that began on March 8th. Meanwhile, overall job creation continues its strong rebound from pandemic.
Speaker 4: and credit union participants in our Basic Rates Program, insurers in our Enhanced Rates Program, bankholders of client-held CDB funds, and holders of health equity's operating cash to assure that all continue to meet our strength thresholds.
Speaker 4: With that, I will turn it over to Tyson to detail the results and guidance. Mr. Murdoch. Thank you very much.
Speaker 5: Thank you, John . I will highlight our fourth quarter and fiscal year end GAAP and non-GAAP financial results and there's a reconciliation of GAAP measures to non-GAAP measures to be found in today's press release.
Speaker 5: Fourth quarter revenue increased 15% year over year. Service revenue was 114.2 million, up 2% year over year. Custodial revenue grew 44% to 83.5 million in the fourth quarter. The annualized interest rate yield on HSA cash was 211 basis points during the fourth quarter of this year.
Speaker 5: 0.2 million which rounds to 0 cents per share on a GAAP EPS basis.
Speaker 5: Our non-GAAP net income was $31.3 million for the fourth quarter this year, and non-GAAP net income per share was $0.37 per share compared to $0.20 per share last year.
Speaker 5: While higher interest rates increased revenue, they also increased the rate of interest we pay on the remaining 341 million dollar term loan A to a stated rate of 6.3 percent.
Speaker 5: Adjusted EBITDA for the quarter was $73.6 million and adjusted EBITDA margin was 31%. For the full year of fiscal 23, revenue was $861.7 million, up 14%. Gap net loss was $26.1 million or 31 cents per deleted share.
Speaker 5: non-GAAP net income was $114.5 million or $1.36 per diluted share. And adjusted EBITDA was $272.3 million, up 15% from the prior year, resulting in 32% adjusted EBITDA margin for the fiscal year.
Speaker 5: Turning to the balance sheet, as of January 31, 2023, we had $254 million of cash and cash equivalents with $925 million of debt outstanding net of issuance costs. This includes the $341 million of variable rate debt I mentioned earlier.
Speaker 5: We have an undrawn $1 billion line of credit, so we have a strong balance sheet with the reoccurring revenue model.
Speaker 5: And now we expect the following fiscal 24. We expect to generate revenue in a range between 960 and $975 million. And we expect gap net income to be in a range of zero to $11 million. We expect non-gap net income to be between 152 and $163 million.
Speaker 5: resulting in non-GAAP deleted net income between $1.74 and $1.87 per share based upon an estimated 87 million shares outstanding for the year.
Speaker 5: We expect adjusted EBITDA to be between $320 and $335 million.
Speaker 5: As a reminder, beginning in fiscal 24, we are basing future interest rate assumptions embedded in guidance on forward-looking market indicators, such as the secured overnight financing rate and mid-duration Treasury forward curves and Fed funds futures. We now expect an average yield on HSA cash of approximately 230 basis points in fiscal 24.
Speaker 5: up about 40 basis points from last year. We continue to assume that the average credit rates our HSA members receive on HSA cash will increase by 5 basis points per quarter in fiscal 24.
Speaker 5: And finally, our guidance reflects the expectation of higher average interest rates on health equity's variable rate debt versus last year, consistent with the current forward-looking market indicators.
Speaker 5: We assume a projected statutory income tax rate of approximately 25% and a diluted share count of 87 million shares, which now includes common share equivalents as we anticipate positive gap net income this year. As we have done in recent reporting periods, our full fiscal 2024 guidance includes a reconciliation of gap to the non-gap metrics provided in the earnings release, and a definition of all such items is included at the end of the earnings release.
Speaker 5: In addition, while the amortization of acquired intangible assets is being excluded from non-GAAP net income, the revenue generated from those acquired intangible assets is not excluded.
Speaker 5: With that, we now know you have a number of questions, so let's go right to the operator for Q&A.
Speaker 2: We will now begin the question and answer session. To ask a question, you may press star then one on your telephone keypad.
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Speaker 2: At this time, we will pause momentarily to assemble our roster. Our first question is from Ann Samuel with JP Morgan. Please go ahead. Hi, guys. Congrats on a terrific quarter, and thanks for taking the question. My first one was I was just hoping you could speak a little bit to the enhanced rates product. I think I heard you say,
Speaker 2: you know, what proportion of deposits are in it now, and just maybe, you know, where is that expected to go over time? How are you thinking about that as maybe a potential, you know, tailwind for yields or maybe just a stabilizer? Thanks.
Speaker 4: Yeah, thank you for asking the question Anne, and it's good to hear your voice. So we ended the year north of our goal of 20% of our HSA cash and enhanced rates. And I think just as importantly, we ended the year with a growing set of partners in this space amongst international exchange needs and research success popped in from diffIGHTER folks in Programmer and us trying to
Speaker 4: large and highly rated insurers.
Speaker 4: So we think that both the demand is there for this and then the supply if you will from our members is there for it. And so our expectation continues to be that this product is going to grow. That it's grow, I think we said elsewhere, something on the order of about...
Speaker 4: 10% of our HSA cash a year. And that will depend a little bit on factors like the underlying speed of the HSA cash growth and whatnot. But I think that's a good conservative estimate. So maybe we will certainly be north of 30% by the end of this year. And …
Speaker 4: Further, our expectation based on what we've seen here is, as you said, that this is both a really nice, there is a net growth opportunity because the yields on enhanced rates as the name suggests are sort of always, almost always a little bit higher than they are on our basic rates product. Alright, well we have a talk on L truck for throughout this week, just check back here for more information. Of course, we will be moved into the next Dorian Options video at 840 x 7. In that
Speaker 4: So that's good for us and good for our members, but it's also stabilizing. And we've kind of seen that during this period where when there was a, when, when rates on the bank side were falling, the premium to this product was very high. When rates were, were rising very rapidly, the premium was somewhat lower.
Speaker 4: But all of that produces net stability in that underlying custodial yield, which is what we're going for. It's kind of full steam ahead with this product.
Speaker 2: That's really helpful, Caller. Thanks. And then I was just maybe hoping you could touch on how some of the recent banking volatility might impact your business, you know, realize you don't have any depositories that are impacted, but you often speak about, you know, the primary driver of yield being competition for deposits. So just wondering, you know, how this might impact that.
Speaker 4: It's interesting you've got it exactly right. What we saw during this period is
Speaker 4: the value, what we've seen during this period is the value of stable deposits and that value of being a good, in our case, a good customer of these depository institutions.
Speaker 4: right? Whereas, you know, well reported, you saw these banks and other institutions that were heavily dependent on corporate deposits, you know, see, you know, big flows. That's not what we saw. Our members were extremely steady.
Speaker 4: for all the right reasons. These are long-term tax-advantaged accounts. They're small-balanced. They're FDIC-insured at the member level, etc., etc. And there are real penalties and so forth to moving your money. And so, people, you know, what I think this crisis...
Speaker 4: on the banking side has kind of showed is that all deposits aren't equal, and we offer a great source of funds for institutions that have real loan demand, not created in money markets or the like.
Speaker 4: And that's who we do business with and we feel really good about how we've responded in terms of both how our members have responded. Of course, as a team, we went into the same deal with all the unknowns of two weeks ago. We went into the same kind of crisis management mode as everyone else did to make sure that things were okay.
Speaker 4: but I can't tell you how much this demonstrates.
Speaker 4: to us and I think ultimately to our partners across the banks and the insurance companies that you know this is you know why this is a very stable source of liquidity when they need it.
Speaker 4: I think ultimately to our partners across the banks and the insurance companies that this is why this is a very stable source of liquidity when they need it. Great, thank you so much for the color.
Speaker 2: Thanks, Ann. The next question is from Greg Peters with Raymond James. Please go ahead.
Speaker 4: Well good afternoon everyone. Greg? I guess I'd just like to build on your answer from the last question about you know the chaos that's unfolded in the bank channel and then you know not only have bank prices gotten killed and there's been some
Speaker 4: about the credit risk that you're considering as you establish these partnerships, not only with the depositories, but also with the life insurance companies and maybe how that might have changed in the last couple of weeks.
Speaker 4: Yeah, I mean I think fundamentally Greg, the things that you would be concerned about, let me, the first thing that we are concerned about it's not, I don't even get into issues of asset quality, I want to start with issues of you know whether the
Speaker 4: for the insurer whether the liability side of the balance sheet is strong, meaning whether these are truly illiquid and so forth, and so there's real good coordination. That's had an impact on the kinds of insurers that we want to do business with as we start this program. As you well know, we have...
Speaker 4: largely steered away from the folks that are relatively newer into the space, that have gotten in on the back of private equity, money accumulating, that kind of thing, and have tended to focus perhaps at the expense of some premium on return.
Speaker 4: have tended to focus on winning partners who have been in the insurance business across multiple lines for not just tens of years, but as you know, in some cases, hundreds. And that served us well here. Thanks for your attention.
Speaker 4: So, we obviously do monitor. The nice thing about the insurance side is we get a ton of data and we get it in rough real time. And so, we have been able to monitor very closely things, the kinds of issues that people have talked about in the bank space. And so, we have been able to monitor very closely things, the kinds of issues that people
Speaker 4: with regard to both the liability and asset side of those institutions, and they have performed extremely well, exactly as we would have expected. I think where you're seeing more stress is, I think, in institutions where the growth of the balance sheet is a relatively new phenomenon. And so, not dissimilar, I think you've heard me say before, on the bank side.
Speaker 4: where we get very cautious when someone is looking to us as a means to sort of launch a business plan on the bank side. Or the regulators don't want us to be necessarily the source of rapid balance sheet growth. They want us to be the source of stability.
Speaker 4: we've sort of taken the same approach with the insurers. And again, I think that's serving well from the perspective of our goal, which is ultimately getting the most for our members and for us, but in the context of stability. So it's a great question and it does seem like it's playing out in the way that we would want thus far.
Speaker 4: Well, okay, that's helpful. I guess the other question that comes to mind, you know, there's the the credit side but then there's also the business side of what's going on.
Speaker 4: So, you know, can you, as we think about the selling season for HSAs and the other accountants, can you talk to us for a minute about how you might have exposure to different industries, say the banking industry versus start-up tech companies versus, you know, you have
Speaker 4: almost 8 million HSAs. Can you give us a sense of how that is spread across different?
Speaker 4: subsectors of the economy and when we think about the selling season, you know, if there's layoffs in the tech space, is that going to affect your outlook more disproportionately than if there are layoffs in the banking space, etc.
Speaker 4: Sure, maybe I'll make that a two-parter. Steve, I appreciate if you would chime in here. Steve's in Washington today and I assume he can nonetheless get...
Speaker 4: We're not on TikTok here, so I assume you can nonetheless get reception on this call. Maybe you can talk a little bit about how our prospects and our health plans and the like have reacted to what's going on in the last few weeks. And then I'll sort of address the broader client concentration.
Speaker 5: been through the GFC, went through COVID.
Speaker 3: And one thing that just keeps coming back around is that when employers are worried about their bottom lines, when they're worried about
Speaker 4: what the future beholds, they really do look for ways to save some money for not just their own premiums, but I think more importantly for the people that work for them. And they know that HSAs can do that. It can help them get a lower cost premium, it can help them save money on taxes.
Speaker 3: It can really help prepare their folks. And so Greg, and then you know, with our 130 health plan partners and another 40 different types of partners, we have such a wide variety that we're not really that concentrated in any specific industry. It's pretty amazing, honestly. There's been, you know, I think if you just look across the sectors of types of businesses, I mean, we have.
Speaker 3: everything from hospital systems, we do have some tech, but not, thankfully, the tech companies we've worked with have not been heavily adversely affected. And so, you know, we can never say never that it's going to impact us, but we have seen this and I think we're pretty well diversified and hedge from that perspective. And we just keep hearing the same thing come back that keeps coming back around, which is a recession could be
Speaker 3: As we're starting to gear up as we ever had, I think that's...
Speaker 3: consistent with what we were able to do last year, having a record sell year. I mean, you know, there's almost a million health savings accounts, and so, look, I mean, we're always, I think, productively paranoid around health equity. You've known us for a long time. That's the way we roll. But on the other hand, we're, I think we're pretty enthusiastic that we're, we're gonna keep the momentum going.
Speaker 4: John , do you have other stuff you wanted to add that sounded like... Yeah, I mean, look, as I sometimes do now, I know how it feels. You took my half of the answer too. I'll only add that our guidance, Greg, does, as both Tyson and I said in one form or another, our guidance reflects the view of a more neutral view of job creation.
Speaker 4: And I think that's a fair way to look at the full year, notwithstanding the fact that the jobs numbers we've seen thus far in the first few months of the calendar and fiscal year have been pretty heady. It's a reasonable view to say that...
Speaker 4: whether or not we go into economic recession, that job creation will likely slow down. And that's the way we've constructed guidance.
Speaker 4: So, it's just another factor to kind of keep in mind.
Speaker 4: Great, I appreciate the answers. Yeah? Thanks, man. See, I haven't said one thing to in any way tease you. I'm playing it 100% right down the middle.
Speaker 4: I was just going to add, you know, for the clothing requirement for your investor day, and maybe we can include some Bermuda shorts. That seems to be pretty popular. It's funny you should mention that. Yeah, it's funny. That will be in the invite. Suffice it to say, it will be in a warm location.
Speaker 4: Right got it a warm summer location. I mean, it's Salt Lake City, but nonetheless I'm letting that cat out of the bag. We're doing Salt Lake. We're getting the...
Speaker 4: You talk people out to it's going to happen. It's going to be fun. It is going to be fun by the way It is going to be fun. So we hope that folks can join us.
Speaker 4: to it's going to happen, it's going to be fun. It is going to be fun, by the way. It is going to be fun, so we hope that folks can join us. Thanks a lot.
Speaker 2: The next question is from Sean Dodge with RBC Capital. Please go ahead. Thanks, good afternoon. John , just going back to your comments about the benefits or the stability of your HSA deposits and those becoming increasingly attractive given all that's transpired.
Speaker 2: Just maybe to put a finer point on that, is that something, is this increasing attractiveness, something you can monetize going forward in the form of generating higher yields on those types of placements? Is it kind of all else equal? Can you get a little bit more of a premium because of that? I think the answer to your question is, the answer to your question is yes.
Speaker 4: You know, this is making my introductions to institutions that the company has dealt with over many, many years a lot more friendly. And presumably that good feeling will last. I also think it's true that the fact that we were not in the mode of moving this money around willy-nilly over the course of...
Speaker 4: of Thursday and Friday of the week of March 8th, it's not that we couldn't have, and it's not that we didn't pay very, very close attention to what's going on. But ultimately, the fact that we were able to do that, I think you know, breeds.
Speaker 4: confidence and breeds is the kind of thing we want to be as a partner so when those renewals come up you know those are likely to be more effective renewals, so I do think you know you you you make friends and or lose friends very quickly in these moments, and you shouldn't be making and we're not making decisions on the basis of
Speaker 4: friendship, but when something works from the perspective of safety, when safety is needed, people don't forget that. And so I do think ultimately, you know, when you think about the long-term durability of the premiums that we've generally been able to earn on relative to what banks have been willing to pay elsewhere.
Speaker 4: You know, this is a this is a really nice event from that perspective
Speaker 2: Okay, great. And then on the enhanced product, you said looking ahead, the goal is to shift, give or take 10% of your portfolio over there per year. You also said both demand and supply are there. And so what's keeping you from shifting?
Speaker 4: more of it in any given year? Is it just because there's a limited number of partners still, and so only so much demand for those types of deposits, or is it more on the individual account holder side and just getting them on board and kind of the mechanicals of what you need from the account holder to ship? No, I think there are two factors, Sean. One is that we don't want to create a sort of uneven ladder.
Speaker 4: those assets and we don't want to do that. That's not good for how we manage the business and it's not good for our shareholders. So that's kind of issue one. Issue two is that we are learning as we go and learning is, I think, as are our partners. And so that is, it's probably fair to say that.
Speaker 4: that the demand for this program today among would-be partners is higher than it was a year ago. Well, part of the reason is because it's existed for this long and people have watched the results and there's level of confidence in those results. The last factor, which is of course relevant, is that the source of these assets in addition to new members' contributions to HSAs is existing members. So, we also have to manage the
Speaker 4: our FDIC commitments, meaning our bank deposit commitments. And so we were able to, in this cycle, we were able to deploy less into banks than we would have without the existence of enhanced rates. And again, that allowed us to be, I think appropriately choosy, both in terms of economic return and other factors.
Speaker 4: But that's also a bit of a breaking factor too. That is to say we want to make sure that we still have plenty of liquidity to meet all of our minimum commitments there. Within those three parameters, which are really in my view the key to this ultimately, we feel like we're moving a pace.
Speaker 4: member interest has been there the whole time and I think if we were devoting, if our sole objective was to move as fast as we could, we would be doing so. We would be moving faster with a heavy marketing emphasis, I don't think that's what we need to do right now.
Speaker 4: We're happy to have a, with this element, a multi-year tailwind that will contribute to even longer term stability.
Speaker 2: Okay, very helpful. Thank you again. Thank you. Thanks, Sean. The next question is from David Larson with BTIG. Please go ahead.
Speaker 3: Hi, congrats on a good quarter. Can you talk about the increase in the revenue and EBITDA guidance? What are the main drivers of that? And then also, it looks like the interchange revenue increased sequentially from about $33 million up to $36 million.
Speaker 5: What was the main driver of that and was that ahead of or in line with your expectations? Thank you. Jason, you want to take those? Yep. So from a revenue perspective, when we gave guidance back on December 6 and you look at, for example, the average CD rates.
Speaker 5: jumbo CD rates and you look at things like LIBOR SOFR rates, they were actually lower then, so we got a tailwind from those that we would be putting into the yield rate as well as to the revenue top line. And then, you know, just going back down to the plan from a perspective of profitability and the flow down of those custodial revenues, that's why you see the bottom line lift up as well. And so you have essentially that running down to the plan and we knew that would be the...
Speaker 5: And so that was, you know, probably to be expected and we feel like that's sort of stabilized itself.
Speaker 3: So when you say seasonality, do you mean more people are going to the hospital using their health card so utilization has increased? So that's where that increase came from.
Speaker 5: No, it's more about the normal seasonality of those card usages. So when you think about, for example, the use-it-or-lose-it nature of an FSA, you know, towards the end of the year people are going to use up those funds. You think about when a HSA is funded from an employer standpoint in January , sometimes people typically...
Speaker 5: utilize those funds at that time. And so you have a normal seasonality in Q4 that occurs there, and you sort of have that flow into Q1, and then you get a much softer Q2, Q3. And that would be the more normal reps of the business that we haven't necessarily seen over the pandemic era. I think, Dave, one of the things about the nature of our fiscal year being January 31st is you got that January month where people...
Speaker 4: Overall custodial assets, you can divide that first into two pies. About 14 billion of it is what we call H2 cash, and the remainder is invested. The invested assets are obviously not FDIC insured. They're in...
Speaker 4: mutual funds and the like at the members discretion. So I think you understand that. If I look at the cash component, it has two elements. The bulk of it is in our basic rates product and all of those funds are in FDIC member institutions or NCUA, I guess, member institutions that
Speaker 4: offer pass-through insurance to our members subject to the usual $200,000 limit, which generally NHSA is not in reach almost exclusively. And then with the enhanced rates product, these are not FDIC insured. They're not deposits. These are
Speaker 4: as we've talked about before, these are group annuities that are insured by highly rated insurers that are again entered into at the direction of the members. So, that's sort of the breakdown there.
Speaker 4: Great. And I guess I would add to all of that, what all of those have in common is, you know, we do not bring, our members aren't paying us to be a principal risk taker. We are not a principal risk taker. We don't bring principal risk onto the health equity balance sheet.
Speaker 4: I guess I would add to all of that, what all of those have in common is, our members aren't paying us to be a principal risk taker. We are not a principal risk taker. We don't bring principal risk onto the health equity balance sheet. Thanks Dave, thanks very much.
Speaker 3: The next question is from Stan Berenstein with Wells Fargo Securities. Please go ahead. Hi, thanks for taking my questions. I'd love to get an update on your MaxEnroll product. I think it's probably been out for a year or so if I recall correctly. I'm just wondering how widely has it been adopted by your clients and do you have any sense how much of your member growth this past year could be attributed to MaxEnroll? Thanks.
Speaker 4: Yeah, we began to address this, I believe, in the... We talked about this somewhere, now I don't know where, so I guess I probably should hear.
Speaker 4: So, um, sorry, I got, I got the, I heard beats there for a second. So, Stan, the way we approach this, first of all, as a reminder for everybody, MaxEnroll is a product that is really about addressing
Speaker 4: not just our existing HSA members, but would be members in HSAs. In addition, this year we also applied it to a portion of our, applied this technology of course for our FSA population. And we've had the greatest penetration of this product within what we call our managed client base. So this is our groups roughly.
Speaker 4: we're still, I would say, in the, we may be beyond the nail it and now in the scale it stage, but we're still in the early part of the scale it stage of this thing.
Speaker 4: And there are good reasons for that. We still have I think work to do to make the product truly effortless for our clients, to have it more deeply integrated. What we found this year was where we did the best was where we were more deeply integrated in terms of data with other...
Speaker 4: But they created more immediacy about action and that was extremely helpful. Where we understood what our clients were trying to do in terms of the pricing of their various health plans and so we could speak that language within this stuff or give them the tools to do so. That was extremely helpful. So I think we did reasonable, so we did well this year. There's more gain to be had.
Speaker 4: probably gave us somewhere between 50 and 100,000 new HSA openings over the course of this cycle. And that's probably maybe a little bit of an exaggeration because
Speaker 4: Obviously, there's some favorable selection with these clients where people who are really interested in growing the HSA base are more likely to really get aggressive with this and use it to its fullest extent but you kind of get the idea. So it was absolutely a material contributor to the overperformance that we saw this year on a year-over-year basis.
Speaker 4: Obviously, there's some favorable selection with these clients where people who are really interested in growing the HSA base are more likely to really be getting aggressive with this and use it to its fullest extent. But you kind of get the idea. So it was absolutely a material contributor to the overperformance that we saw this year on a year-over-year basis. So I think that's helpful. Thank you.
Speaker 2: Thanks, Dan. The next question is from Sandy Draper with Guggenheim. Please go ahead.
Speaker 3: Thanks, Andy. How are you? So I guess it's going to try to be one question, but it'll sort of wrap a couple of things together. When I look at the cash flow, you're starting to see an improvement in your cash from operations. Capitalized software is moderating. You did step up a little bit on M&A. You did step up a little bit on M&A.
Speaker 4: But if I think about your guidance, your net income and your EBITDA's up, your if I look at the ad back, some of the cash ad backs integration costs are going down. So it looks like net net of all that is free cash flow and cash you have this looks like it's going to be pretty good and hopefully sustainable. So when I think about
Speaker 3: the M&A environment, what's that like? But then also, I know Tyson indicated here at, I mean, he said 6.3 is the stated rate maybe on the floating rate debt. How are we thinking about debt pay down versus M&A or any other internal investments and balancing those three things out? Thanks.
Speaker 4: where you want to answer, but you don't want to give them everything. This is one where I want to give you everything, because it's such a fun, interesting, and important capital allocation problem, and I'm going to resist doing that, because that's what the team told me to do. But a couple thoughts. First of all, when can families of the Chinese people please help?
Speaker 4: The premise is right. That is to say that if you look at fiscal 23, we converted EBIT up free cash flow at a rate pushing 60%. That rate is coming up. Why? Because integration expenses are coming down and that was a big add back etc., etc. But as you say, one break on all of that is...
Speaker 4: the interest on the relatively small, but nonetheless, they are a variable portion of debt. So, you've got all of the right factors that we're looking at in terms of where to deploy capital here. I think if I look at the M&A environment...
Speaker 4: a couple of things really strike me. The first comment I've made elsewhere which is we are absolutely not in a rush to do anything from an M&A perspective material that is in the nature of let's go horizontally expand to this, that, or whatever.
Speaker 4: in the way of existing established markets. We're not in a rush to do that, both because we think that our clients aren't demanding that we do it, that valuations are plenty fulsome out there, and that we can deliver more shareholder value at this point in time through the work that we're doing on the organic side and with partners.
Speaker 4: to kind of develop product that isn't established out in the marketplace. And so our inclination is not to go out on the sort of horizontal side and deploy capital there. If I look at competitive consolidation, you know part of my answer which is we are always interested in…
Speaker 4: at the moment, I'm less sanguine even than I was a few months ago that there's going to be a material transaction that's going to develop in that area. That is how it is and I think that's totally fine. There's no reason for us to run around pricing those transactions into the market or the like and it's a reflection of the quality.
Speaker 4: different size when we obviously have the capacity should need it for pretty much anything that we would contemplate and we are looking at that. I probably did just give you more than they told me to give you, but that's the full answer. Thanks Andy. Thanks Richard, thanks John .
Speaker 2: The next question is from George Hill with Deutsche Bank. Please go ahead. Hi. Good afternoon, guys, and I'll say now I'm bummed out because Sandy took my cash flow question. So I guess what I'll roll into is maybe talk a little bit about expectations for the CDB business in 24. Is that something that we think shrinks again next year, or is it poised for stability in a...
Speaker 1: P.
Speaker 4: So look, on CDB, you know, as folks will recall, I was hopeful that we could put a black single digit on the boards coming into 24. We didn't quite get there because...
Speaker 4: COBRA remains weak. That's probably the biggest problem and we are going to have to really look at it and understand a little better, or understand as well as we can what our levers are. I think what is fair to say is that our guidance with regard to revenue generation in the current year
Speaker 4: reflects a level of conservatism on this topic, but that it is pretty clear that we know what to, but that having been said, that sales have actually been pretty good. Our challenge, George, has been the platform movement and all of that, and if I could be convinced.
Speaker 4: as well as the regulatory issues that kind of brought us up and then brought us down around the national emergency. And if I could be, if I weren't convinced that all that were behind us and that we, you know, that not just we, but employers had fully digested the implications of all of that.
Speaker 4: I probably feel more confident in giving you a view that I'm not just hopeful, but comfortable that from a sales perspective, we will be able to put up a black number here. It will still be a single digit number, but a black number. I'm just not as convinced of that. Do we know, obviously, if employment sloughs off, will that be somewhat good for Cobra? Yes.
Speaker 4: Has anyone figured out what Congress is going to do with the existing effectively competing subsidies in the ACA marketplace? No. Has everyone fully figured out the national emergency end that's going to happen in a few months? I think we know what the implication is for our business immediately and we forecasted it.
Speaker 4: I'm not sure everyone's fully digested it. So I guess my answer is, unfortunately, I feel like we're still in a mode where I can't beat my chest about this thing yet. No, understood. And if I can have a real quick follow up, I guess, are you seeing anything in benefit construction and benefit pricing and the things that I'm kind of leaning on right here and thinking about are like what's going on in the insulin market where you're seeing.
Speaker 6: We'll just be interested in how you're thinking about those parts of the market and how those pieces move together.
Speaker 4: I'll comment on this and then invite Steve to comment further. I personally think that this stuff that's going on right now with insulin as an example is, and I'm sure I'm stepping on somebody's toes here, but I think it is both fantastic and incredibly realistic.
Speaker 4: What it's doing is it's giving people certainty. And certainty is really important for people. We talk about being in the business of connecting health and wealth. It is hard to talk about that in a world where people think that every healthcare transaction that they have, they're being cheated by somebody on it.
Speaker 4: And so my hope is genuinely that from a plan design perspective and frankly from a legislative perspective, and we're, you know, and maybe Steve will comment a little bit, you know, we're, these are issues that we're starting to weigh in on that we're able to bring people greater certainty with regard to the routine kind of medications and the like.
Speaker 4: that are part of their regular daily lives. There's no reason we can't. These are now, you know, incredibly low cost items at this point. And, you know, insulin is an example, but there are many others. Their actual out of the real cost is low, and yet we
Speaker 4: and it's low in HSA plans too. Like it's just that we've like scared the heck out of people because of the way we all talk about this and we can create certainty which creates real value and so that is something I do see employers looking at as they go through plan design. Steve, you want to comment further on this? Yeah, I want to also George say that John stole my answer.
Speaker 3: Just for your question. No, no, but look, I think that as you know, George, we've known you for now, dog gone it, nine years when we met you, right? And consumers have always been number one to us.
Speaker 3: And we've had questions that are similar to the one you just asked, which is like, why do you always tell people about these investments when you make less yield on the investments or when you do on the cash? And the answer is because the consumer will always be number one in our book. And it's because consumers need the help. And so one of the things I did talk to legislators today about was where they stand.
Speaker 3: on things. In fact, I gave an article from NPR to a senior senator today that talked about the very influential question you just asked. And, you know, I asked him, what do you think about where we're standing with these transparency requirements for hospitals and health plans? Who are some of our great partners, hospitals and health plans?
Speaker 4: And it's great to hear that there's actually some bipartisan kind of girth behind getting consumers the right information they need to make better choices. Now whether that plays out in the market where consumers just now have the ability to go get a lower cost insulin because the price drops by 75% because of new entrants, which happens to be one of our partners.
Speaker 3: cost, for example, under the Affordable Care Act, consumers, if they're diagnosed with high cholesterol, they can get statins for free.
Speaker 3: Right? No cost share. And so it's certainty. Their health plan pays for it and obviously the health plan is going to negotiate a great price on that.
Speaker 3: I think that there's other opportunities out there. And so as legislators have looked at it and said, you know, how can we help people be more healthy? Is there a way to help have better...
Speaker 4: you know, drug prices, can we throw our weight behind some of these initiatives? It completely benefits us. To your point, there may be lower upfront spend, but we've always said we'd much rather have people have more money in their health savings accounts longer, and then they can spend it next year. And you know, at some point as they start getting older and the healthcare costs start to go up.
The average age of cancer in this country is in the 60s. Those are going to be times when they really need to spend this money when they have those types of events.
and we're going to be there for them. So I think you will always find us completely.
comforted by expanding regulations to be able to do things like better transparency and
and lower cost drugs and things like that. So we're gonna keep doing that and we're gonna keep innovating to get people the right information at the right time so they can make the right choices with the way that they both save and invest and spend their healthcare dollars.
Let me say one more thing for those who are wondering what the hell this answer and question has to do with our revenue streams. In addition to the more obvious answer that is, it makes the health plans that people choose and then choose to bring to us, bring dollars to us more appealing.
There are also some more direct opportunities here. Our clients at the employer level, our health plans, and our partners at the broker level are absolutely in this whole discussion around bringing, it's not, I mean it's transparency, but it's also simplicity.
to some of the more routine pharma items, to things like maternity, to mental health, where we don't want people not using these services, not because they can't afford them, but because they don't understand what they cost and they're scared. We don't want to be in that circumstance. And there are easy things that are relative to rocket science. There are easy things that can be done in plan design but the simplest thing is if they're not producing enough sweet Izzy new is if they don't have kids that you're having to pay the rent that you've got these toys at the Mattresses, and they're not having that in their mechanical thief that's going to buy them at theHow-to
and that helping employers do those things and helping clients do those things and helping our partners arrange those things, there are interesting top line opportunities for us that right now we're in the exploratory phase and seeing where we have the right to win and where we can partner with others and whatnot. This is an area of real opportunity for us.
Thanks for all the comments. The next question is from Mark Marcon with Baird. Please go ahead. Hey, good afternoon and thanks for taking my question. I've got two questions. The first one is with regards to the number of HSAs that were added in the fourth quarter.
Can you kind of break down both for the fourth quarter and for the year the percentage of new HSAs that were a function of brand new sales to new employer partners versus what percentage was due to new hires and...
to what extent may of the new hires slow down in the fourth quarter relative to earlier in the year.
year-over-year basis that we were ahead in earlier quarters of the year, but as the year went on, in terms of new ads, we were closer to last year. I think in 2004, we actually had more new ads in the prior year than last year.
And someone could bang us on that except that we said throughout the year that again, particularly at the beginning of it, that hey, part of what was going on here was new, was essentially job formation. And job formation, as you know, did slow down a bit in Q4.
between calendar 2.4 and relative to earlier part of the year. And so I think that was reflected a little bit. So that was reflected a little bit in the data and then again, an applicable commentary made about guidance. We've tried to be I think
very realistic about if we look forward, let's look at, let's guide with the idea of a neutral view of job creation.
Neutral doesn't mean zero. It doesn't mean negative number. It means more neutral, 100,000 a month, that kind of thing in terms of what the broader economy is doing.
So there is the connection there, Mark, that the question implies. That having been said, across both HSA and our CDB business,
New logo and new client within existing health plan and retirement record keeper partner was a very important part of this year. We looked at, and what's nice is today is that more of your new logos are actual, in the HSA world, are HSA takeaways.
but then there are also examples of like they were offering it. They weren't satisfied with a partner that was really looking at it from the perspective of the needs of every member, maybe just looking at the top 2% or just looking at a way to just pay healthcare claims without regard to how they could help the consumer. Either way, we are a better option than that. And so that's the takeaway business. I think that's the takeaway business.
It is probably a fair statement to say that in the earlier part of the year, right, existing, basically employment growth at existing firms was a bigger component than in prior years, and that kind of normalized itself as we got towards the end here.
And I mean, you continue to gain share and you continue to win more and more than your fair share. So I think that's fairly clear. I was just trying to dimensionalize what the trend is.
The relevant point is when people go into next year, or now this year and they say, oh you sold almost a million HSAs, is it going to be a million won? I kind of say the same thing that we went with last year. People say you're going to sell 900, you're just going to sell a million. If I rewind a year ago, we were not thinking that we would have –
the level of robust employment growth over the course of calendar 22 that we actually did. And so we were sort of trying to point that out to folks and I'd make the same comment this year, just starting from a slightly different point. And I think people are more on board with the idea that employment growth is going to have to moderate from here, the government seems to want to make that happen. But it's kind of the same point. Right, and then the second follow up question is basically,
It was really nice to see the gross margins improve on the service line and on the interchange fee. I imagine a large part of that is due to the integrations. I'm wondering if you can talk at a high level in terms of what the implications are on a go forward basis because that was a really nice improvement.
Well, I'm going to focus on service and I think there, you know, Mark, the truth is we have work to do. I'm not, you know, I appreciate that, you know, on a year over year basis, you know, we boosted what you might call, you know, service gross margin by 11%. That's also because the prior year just sucked.
I don't want to say that. And in my view, we still have a ton of work to do here. What's interesting and important, and for those who are close observers of our hiring and so forth, what you'll see is that there's some of that work that's very, I'm going to call it, you know,
commercial and operational. So, you know, as an example, there are some areas that now that the dust has settled from the pandemic, that, you know, there are fees that we have to look at, we have to pay reasonable fees for reasonable work. So, there are elements of, for example, the Cobra business that we're looking at and working with our partners and saying, guys, here's how this has kind of sorted out.
Right? Things are different than they were pre-pandemic. Let's address that. And obviously labor costs have risen too. Right? But there also is a ton that we have done and can do with tech. And I'm going to give you one example. Like I'm not going to.
I don't have a chat GPT story to share with you, so you can be relieved in that regard. I'm not going to try and suggest that we ginned up some initiative in that area. But what is true is that if you look at our volumes during our peak month of January , we
we, and I mean they, the team just delivered an outstanding month. And part of the reason that they were able to do that is that chat handled, not chat GBT, but our chat functionality handled, I don't know, 30% more calls than it had the prior year. And part of the reason that makes things easier is because it turns out that chat is more effective at inserting, I'm not going to call it AI, I'm going to call it computer-generated answers than you can do in the context of an IVR or the like.
And so, and there is a lot more juice to squeeze there. And plus which, our members from the perspective of SAT have loved that stuff. And so, it does it to some extent reflect the kind of changing demographics of the membership. You know, the highest uptake rates of HSAs are among millennials. And, um,
and so that's a bigger part of our base. They want rapid answers. They get them. But I do think on the – we tend to talk about tech from a revenue growth perspective, but there's also a ton of opportunity here. And I guess I really – I don't want to convey in any way, shape, or form genuinely that we've accomplished much of anything other than we didn't make the same mistakes that we made last year.
that is back in the rollover and we didn't have the same you know macro environment of remember Omicron or whatever you know.
Greek letter we were dealing with. So, I don't think we're like at pat our back on the, pat ourselves on the back level here. We're at a place where we've got more we can do. Thank you, Eric. Do you mind if I just pat for one thing and just talk, maybe just comment on the service level, though, I mean, even though we are- Oh, yeah. Can we go pat on that back for just a second?
because we did, I think, I can tell you that was great. Go ahead, Bill. Yeah, no, I mean, look,
I think I can tell you that was great. Go ahead, Bill. Yeah, no, I mean, look, I think.
At some level, for everything we try and do, the table stakes in our business is that when our clients, particularly our smaller clients, call us up in the middle of January with something going on, that we can help them, and we can help them quickly. And that was a challenge in January of 2020, calendar 2022. And it's always a little bit of a challenge because everyone calls the same time.
but far less so. And that was both the work of our team, the work of our partners in getting clients loaded, and then the work of our operations partners, sort of our word for vendor, in doing their thing.
And it's going to help us from a sales perspective. It already is helping us from a sales perspective as we get into this year. I mean, Steve alluded to, we've tried to get away from quoting RFP stats, but Steve alluded to some of them. And look, the truth is, a lot of that is, people are like, okay, you just helped me out of a jam that maybe I created in January , right? I'm going to remember that when it comes time to do my next RFP for something in February .
So again, it's obviously a very uncertain time, but this is one of the reasons why we felt comfortable with the idea that we could do what we thought we would be able to, which was come here in March, raise our guidance a little bit, just as if nothing had happened in the last few weeks.
and obviously something has happened and yet we feel like we're in really good shape here. Thanks, Mark. Our next question is from Alan Lutz with Bank of America. Please go ahead.
Thanks for taking the questions. John , you mentioned chat as an area where you're spending tech dollars. I think I asked a similar question last quarter, but as we look at the tech and development line, obviously that's gone up pretty dramatically over the past few years. Can you talk about in fiscal 24 your expectations? Obviously, you're going to be spending on things like chat and other things, but is that going to scale as a percent of revenue?
going in the wrong direction here, but this is going to level out and it's leveling out as a percentage of revenue because, really because expenses that were really, if you look at it, were integration expenses are now, are either not necessarily or being used for innovation. And... than to.
So there are some things that muck around with it like as you well know, as we're now well into cloud world, you get less DNA, which the good news is you get more free cash flow conversion, but the bad news is that from an EBITDA perspective, it doesn't look as good, blah, blah, blah. You know all that stuff. But your intuition, which is that this
is leveling out is correct. And then it's really about, what's really important is not just that it levels out, but rather, and then I think ultimately begins to decline as a percentage of revenue, but that it's what we're spending it on, because in real dollars this number is going up.
And what's important is the shift in that expenditure from the process of integration, which was really important for us to get us to where we are today, to now shifting those dollars towards really focused on our core growth platforms and innovation on those core growth platforms. If you look at anyone who looks at, you know,
or LinkedIn or any of these things that they can see exactly what's happening. And that is what's happening. Thanks Allen. Thank you. I just want to give Tyson a chance. Did I answer that in the way you would have? You did great. I guess the only thing I would add is just say the way we build plans is we try to get leverage off those P&L items, P&L items even when you think about.conf and things like that. So that's a priority for us as a business today.
for all of our leaders. Yeah, so that's my mention. The next question is from Stephanie Davis with SVB Securities. Please go ahead. You're here! Hey, Paul. This is Anna. Hi! And that's Dionne from Stephanie. Thank you for sending me our questions.
Uh-oh, I don't like the sound of that, Anna. Go ahead. No. Go ahead, Anna. So first, I actually wanted to go back to the more elevated R&D spend on the platform. You did mention that this should start to level out, but I'm curious if you could give any sort of outline on how you're working to modernize the platform. Yeah, you wanna give your second part too, and also we'll try and hit both the other.
Sure, yes. So the second one was actually kind of circling back to the M&A piece with private market valuations rationalizing. I was curious if there was any potential to accelerate some of these R&D priorities via M&A. Yeah, awesome. That's perfect. So what we're really focused on, and I expect for those who – I don't mean to build it up crazy, but for those who attend and learn about you really just need to see how decisions are.
Investor Day, we'll talk a little more about this and we'll bring some more people to talk about it. But we're really focused on the view that within broadly defined the world that we operate, which is ultimately about helping people. We say connect health and wealth. A longer version of that is to help people manage the financial aspects of healthcare.
The evolution of technology, the incremental use of APIs, obviously some of the AI stuff, it creates some new opportunities that I think we think didn't exist four or five years ago. And some of it is the existence of the tech, and some of it is the embrace of the tech by everyone else, by others within the ecosystem.
And so that's really where we're investing. And I talked earlier in the year at some other banks conference about some of the specific opportunities both in, that we have here to drive both new product that's very visible to our clients and members.
as well as drive things in the area of the transaction or card fees around really integrating what we do into the existing mobile wallets, making some of that stuff easier, and ultimately driving incremental transaction value. So, that's really where we're focused in terms of where those dollars are going.
as well as the basics of completing our cloud journey and all those kind of things. But I think my take here is that we have this period of time where all of the things we've done from expanding the product set and through all of our World
the addition of wage and all of that, extending our partnership base through things like the further acquisition, enhanced rates and the migration of that over the course of the next few years, plus notwithstanding events of the last few weeks, what is still a far more favorable environment from a macro and rate perspective. This gives us a period of time where we can both invest.
in these kinds of innovations that will produce growth over time and still in the near term deliver to you as we've done in our outlook here incremental and pre-material incremental margin improvement. So to the second part of your question is it plausible that some M&A is a piece of that and the answer is yes.
it's far more plausible that it would be in the nature of smaller enterprises where it's a little bit more like aqua hire or the like as opposed to existing $300-$400 million businesses. And I say that, it's not impossible, I say that because that's where I think the opportunity is for us and for creating value for our shareholders right now.
I don't see the same one, I don't see the same level of rationalization within those established businesses yet. And two, our clients are, especially in one of the reactions to inflation and the like, our clients want more solutions that help their consumers navigate the financials of healthcare. Right? That's, we already do what's great in that space that's established.
It's about some of the new stuff that's out there and are there examples of folks who are out there and able to try stuff as effectively R&D labs? And we'll be happy to do that kind of stuff, but that's not going to be like big draws on the balance sheet or the like. It really is a build versus buy type discussion on some of those things.
Thanks, Dennis. This concludes our question and answer session. I would like to turn the conference back over to John Kessler for any closing remarks. Man, you really cut that off. That was Richard quality there. Thank you. Can we have you at every call? No. So thanks, everybody. Obviously, I hope what you have taken from today's call is
that we really feel now having been a full two weeks into this current craziness that if we're able to step back and look at it from the perspective of the long-term of our business, this demonstrates the quality of what we do and the value of having a plan and sticking to it and ultimately the steadiness of our business.
which has always been one of the things we have promised you, that is to say visibility along with growth which we are delivering with our outlook, profitability which obviously we are delivering with our outlook, and then durable competitive advantage which as someone pointed out in the Q&A is ultimately a function of extending our market leadership. So hopefully we are doing what you want us to do, and hopefully we sort of believe we will get rewarded in the long term for that. And in the meantime we appreciate
And.
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I have.
Good afternoon and welcome to the Health Equity 4th Quarter 2023 Earnings Conference Call. All participants will be in listen-only mode.
Should you need assistance, please signal a conference specialist by pressing the star key followed by zero. After today's presentation, there will be an opportunity to ask questions.
To ask a question, you may press star then 1 on your telephone keypad. To withdraw your question, please press star then 2. Please note, this event is being recorded.
I would now like to turn the conference over to Richard Putnam. Please go ahead. Thank you, Gary, and happy first full day of spring to everyone, and welcome to Health Equity's fourth quarter and fiscal year end 2023 earnings conference call.
My name is Richard Putnam. I do investor relations for health equity and joining me today, I have John Kessler, who is our president and CEO , Dr. Steve Neelaman, our vice chair and founder of the company, and Tyson Murdoch, the company's executive vice president and chief financial officer.
Before I turn the call over to John , I have two important reminders. First, a press release announcing our financial results for the fourth quarter and fiscal 2023 year end was issued after the market closed this afternoon. The financial results in the press release include the contributions from our wholly owned subsidiaries and accounts that they administer. The press release also includes definitions of certain non-GAAP financial measures that we will reference
and will contain forward-looking statements as defined by the SEC. And that includes predictions, expectations, estimates, or other information that might be considered forward-looking.
There are many important factors relating to our business, which could affect the forward-looking statements made here today. These forward-looking statements are subject to risk and uncertainties that may cause the actual results to differ materially from statements made here today.
We caution against placing undue reliance on these four looking statements and we also encourage you to review the discussion of these factors and other risks that may affect our future results or the market price of our stock and they are found in our latest annual report on 4 and 10-K and subsequent periodic reports filed with the FEC.
We assume no obligation to revise or update these forward-looking statements in light of new information or future events. At the conclusion of our prepared remarks, as Gary just mentioned, we'll open up the call for Q&A.
and we'll turn the time over to him to instruct us on how we do that. And then I have one final announcement before we hear from John . We plan to hold our next Investor Day on July 11th later this year. We hope that you will be able to make plans to join us. Please stay tuned for more details as they come available. John , over to you. That was fun, that last part.
Good afternoon, everyone, and thank you for joining us. I am going to report on key metrics as always and then discuss management's view of fiscal 24 in light of current conditions. Tyson similarly will touch on Q4 and fiscal 23 before detailing our revised guidance for fiscal 24. And of course, Steve is here for Q&A. For fiscal 2023, we are pleased to report in details about(*
8 million HSAs, more than 22 billion in HSA assets, nearly a million new HSA opened in a year.
record numbers of clients and network partners, strong year-end service, thank you team, and number one market position. And so as a result of all that, we are able today to raise our outlook for fiscal 24, which Tyson will detail.
We expect revenue to again grow double digits, EBITDA growth to accelerate to around 20%, even faster growth in non-GAAP net income, and a return to positive GAAP net income, which is good.
Our outlook factors in health equities inherently strong visibility to future performance, as well as our belief that the current crisis underscores the valuable stability of HSA balances, combining as they do the stickiness of individual small balance accounts and individual tax advantage accounts.
While U.S. commercial bank deposits fell 0.9% in the first two months of calendar 23, for example, Health Equity's HSA cash grew by 6% in that same period and that growth has continued through the banking crisis that began on March 8th. Meanwhile, overall job creation continues its strong rebound from pandemic lows, which contributes to new HSA openings.
As Tyson will detail, our outlook does reflect current interest rate expectations and a more neutral rate of job creation going forward. And of course, we're closely monitoring the condition of bank and credit union participants in our basic rates program, insurers in our enhanced rates program, bank holders of client-held CDB funds and holders of health equity's operating cash.
to ensure that all continue to meet our strength thresholds. With that, I will turn it over to Tyson to detail the results and guidance. Mr. Murdock. Thank you, John . I will highlight our fourth quarter and fiscal year-end gap and non- GAAP financial results, and there's a reconciliation of GAAP measures to non- GAAP measures to be found in today's press release. Fourth quarter revenue increased 15% year over year. Service revenue was 114.2 million, 2% year over year.
Custodial revenue grew 44% to $83.5 million in the fourth quarter. The annualized interest rate yield on HSA cash was 211 basis points during the fourth quarter this year, which brought our full year average to 190 basis points. Interchange revenue grew 10% to $36.1 million.
Gross margin was 57% in the fourth quarter this year versus 52% in the year-ago period. Net loss for the fourth quarter was $0.2 million, which rounds to 0 cents per share on a GAAP EPS basis. Our non-GAAP net income was $31.3 million for the fourth quarter this year, and non-GAAP net income per share was 37 cents per share compared to 20 cents per share last year. While higher interest rates increased revenue, they also increased the rate of interest we pay on the remaining $340 million in the year-ago period.
was 114.5 million or $1.36 per diluted share.
And adjusted EBITDA was 272.3 million, up 15% from the prior year, resulting in 32% adjusted EBITDA margin for the fiscal year.
Turning to the balance sheet, as of January 31, 2023, we had $254 million of cash and cash equivalents with $925 million of debt outstanding net of issuance costs. This includes the $341 million of variable rate debt I mentioned earlier. We have an undrawn $1 billion line of credit.
We expect non-GAAP net income to be between 152 and 163 million dollars, resulting in non-GAAP diluted net income between $1.74 and $1.87 per share based upon an estimated 87 million shares outstanding for the year.
We expect adjusted EBITDA to be between $320 and $335 million. As a reminder, beginning in fiscal 24, we are basing future interest rate assumptions embedded in guidance on forward-looking market indicators, such as the secured overnight financing rate and mid-duration Treasury forward curves and Fed funds futures. We now expect an average yield on HSA cash of approximately 230 basis points in fiscal 24.
market indicators. We assume a projected statutory income tax rate of approximately 25% and a diluted share count of 87 million shares which now includes common share equivalents as we anticipate positive gap net income this year.
As we have done in recent reporting periods, our full fiscal 2024 guidance includes a reconciliation of GAAP to the non-GAAP metrics provided in the earnings release and a definition of all such items is included at the end of the earnings release. In addition, while the amortization of acquired intangible assets is being excluded from non-GAAP net income, the revenue generated from those acquired intangible assets is not excluded.
With that, we now know you have a number of questions, so let's go right to the operator for Q&A. We will now begin the question and answer session. To ask a question, you may press star then one on your telephone keypad. If you are using a speakerphone, please pick up your handset before pressing the keys.
To withdraw your question, please press star then 2. At this time, we will pause momentarily to assemble our roster. Our first question is from Ann Samuel with JP Morgan. Please go ahead. Hey guys. Congrats on a terrific quarter and thanks for taking the question. My first one was I was just hoping you could speak a little bit to the enhanced rates product. I don't think I heard you say, you know, what proportion of deposits are in it now. And just maybe, you know, where is that expected to go over time? How are you thinking about that as maybe a potential, you know, tailwind?
that both the demand is there for this and then the supply, if you will, from our members is there for it. And so our expectation continues to be that this product is going to grow, that it's going to grow. I think we've said elsewhere something on the order of about
10% of our HSA cash a year. And that will depend a little bit on factors like the underlying speed of the HSA cash growth and whatnot. But I think that's a good conservative estimate. So maybe we will certainly be more at the 30% by the end of this year. And further our expectation based on what we've seen here is as you said, this is both a really nice, there is a net growth opportunity because...
The yields on enhanced rates, as the name suggests, are sort of always, almost always a little bit higher than they are on our basic rates product. So that's good for us and good for our members, but it's also stabilizing. And we've kind of seen that during this period where when rates on the bank side were falling, the premium...
might impact your business, you know, realizing you don't have any depositories that are impacted, but you often speak about, you know, the primary driver of yield being competition for deposit. So just wondering, you know, how this might impact that.
It's interesting. You've got it exactly right. What we saw during this period is the value. What we've seen during this period is the value of
stable deposits and the value of being a good, in our case, a good customer of these depository institutions. Whereas well reported, you saw these banks and other institutions that were heavily dependent on corporate deposits, you know, see big flows.
That's not what we saw. Our members were extremely steady for all the right reasons. These are long-term tax-advantaged accounts. They're small-balanced. They're FDIC insured at the member level, etc., etc. There are real penalties to moving your money.
And so, people, you know, what I think this crisis on the banking side has kind of showed is that, you know, all deposits aren't equal. And we offer a great source of funds for institutions that have real loan demand, you know, not, not sort of created in in money markets or the like. And that's who we do business with. And we've
feel really good about how we've responded in terms of both how our members have responded. I mean, of course, as a team, we went into the same deal with all the unknowns of two weeks ago, we went into the same kind of crisis management mode as everyone else did to make sure that things were okay. But I can't tell you how much this demonstrates to us and I think ultimately to our partners across the banks and the insurance companies that this is why this is a very stable source of liquidity when they need it. Great. Thank you so much for the color. Thanks, Anne.
The next question is from Greg Peters with Raymond James. Please go ahead. Well, good afternoon everyone. Greg. I guess I'd just like to build on your answer from the last question about, you know, the chaos that's unfolded in the bank channel and then you know, not only have bank prices gotten killed and there's been some companies that have been called the question. We've seen pressure in the life insurance industry.
I know you were talking about the value of your deposits from the perspective of how your depository partners might look at it, but can you talk to us for a moment about the credit risk that you're considering as you establish these partnerships, not only with the depositories, but also with the life insurance companies and maybe how that might have changed in the last couple of years?
for the insurer whether the liability side of the balance sheet is strong, meaning whether these are truly illiquid and so forth, and so there's real good coordination. And that's had an impact on the kinds of insurers that we want to do business with as we start this program. As you well know, we have largely steered away from
the folks that are relatively newer into the space, that have gotten in on the back of private equity, money accumulating, that kind of thing, and have tended to focus, perhaps at the expense of some premium on return, have tended to focus on winning partners who have been in the insurance business across multiple lines for not just tens of years, but as you know, in some cases, hundreds. And that's served us well here. So we obviously do monitor.
The nice thing about the insurance side is we get a ton of data and we get it in rough real time. And so we have been able to monitor very closely things, the kinds of issues that people have talked about in the bank space with regard to both the liability and asset side of those institutions. And they have performed extremely well, exactly as we would have expected. And I think where you're seeing more stress is, I think, in institutions where the growth of the balance sheet is a relatively new phenomenon.
So not dissimilar, I think you've heard me say before, on the bank side, where we get very cautious when someone is looking to us as a means to sort of launch a business plan on the bank side, or the regulators don't want us to be necessarily the source of rapid balance sheet growth, they want us to be the source of stability. And I think we've sort of taken the same approach with the insurers. And again, I think that's serving well from the perspective of our goal, which is ultimately getting the most for our members and for us, but in the context of stability. So it's a great question and it does seem like it's playing out.
in the way that we would want Westmore. Well, okay, that's helpful. I guess the other question that comes to mind, you know, there's the credit side, but then there's also the business side of what's going on. So, you know, as we think about the selling season for HSAs and the other accounts, can you talk to us for a minute about how you might have exposure to different industries, say the banking industry versus...
start-up tech companies versus you know you have almost 8 million HSAs can you give us a sense of how that is spread across different sub sectors of the economy and and when we think about the selling season you know if there's if there's layoffs in the tech space is that going to affect your outlook more disproportionately than if their layoffs in the banking space etc. Sure maybe I'll make that a two-parter Steve I appreciate if you would chime in here Steve's in Washington today and I assume you can nonetheless get
We're not on TikTok here, so I assume you can nonetheless get reception on this call. Maybe you can talk a little bit about how our prospects and our health plans and the like have reacted to what's going on in the last few weeks. And then I'll sort of address the broader client concentration question. Sure. Thanks, Sean. Hey, Greg. Good to hear your voice. I think that anytime there's instability, people always pause a little bit. But I think the good news for us is that we've seen this movie before, right? We've been through the GFC, we've been through COVID.
And one thing that just keeps coming back around is that when employers are worried about their bottom lines, when they're worried about
You know what the future beholds they really do look for ways to save some money for for not just their own premiums But I think more importantly for for their the people that work for them And they know that HSAs can do that it can help me get out lower cost premium it can help them save money on taxes and It really helped prepare their folks and so Greg I and then you know with our hundred thirty health plan partners and another forty
different types of partners, we have such a wide variety that we're not really that concentrated in any specific industry. It's pretty amazing, honestly. There's been, I think if you just look across the sectors of types of businesses, I mean we have everything from hospital systems, we do have some tech, but not, thankfully the tech companies we've worked with have not been heavily adversely affected. And so we can never say never that it's gonna impact us, but we have seen this and I think we're pretty well diversified.
and hedge from that perspective. And we just keep hearing the same thing come back, that keeps coming back around, which is, yeah, a recession could be in front of us, but this is the best time to help employees understand that when dollars are tight, let's get you into a lower cost premium plan, let's get your tax rate lower, and let's help you start saving. And so we've seen, Greg, a strong RFP season.
As we're starting to gear up as we ever had, I think that's consistent with what we were able to do last year, having a record sell year. I mean, you know, almost a million health savings accounts. And so, I mean, we're always, I think, productively paranoid around health equity. You've known us for a long time. That's the way we roll. But on the other hand, I think we're pretty enthusiastic that we're gonna keep the momentum going. John , do you have other stuff you wanted to add that sounded like? Yeah, I mean, look, I, you, you, you.
as I sometimes do, now I know how it feels. You took my half of the answer too. I'll only add that our guidance, Greg, does, as both Tyson and I said in one form or another, our guidance reflects the view of a more neutral view of job creation. And I think that's a fair way to look at the full year, notwithstanding the fact that the jobs numbers we've seen thus far in the first few months of the calendar and fiscal year have been pretty heady. It's a reasonable view to say that...
whether or not we go into economic recession, that job creation will likely slow down, and that's the way we've constructed guidance. So it's just another factor to kind of keep in mind. Great, I appreciate the answers. Yeah? Thanks, man. I haven't said one thing to in any way tease you. I'm playing it 100% right down the middle. I was just gonna add, you know, for the clothing requirement for your investor day, and maybe we can include some Bermuda shorts.
The next question is from Sean Dodge with RBC Capital. Please go ahead.
Thanks, good afternoon. John , just going back to your comments about the benefits or the stability of your HSA deposits and those becoming increasingly attractive given all that's transpired, just maybe to put a finer point on that, is that something, is this increasing attractiveness, something you can monetize going forward in the form of generating higher yields on those types of placements? Is it kind of all else equal? Can you get a little bit more of a premium because of that? BecauseMon gmaxwellX
I think the answer to your question is yes, because the key point is all else being equal. I sort of look at it like, or I guess I'm maybe stealing the words out of the mouth of our newly appointed treasurer and saying, this is making my introductions to institutions that the company has dealt with over many, many years and is also a lot more friendly.
And presumably that good feeling will last. I also think it's true that the fact that we were not in the mode of moving this money around willy-nilly over the course of Thursday and Friday of the week of March 8th, it's not that we couldn't have and it's not that we didn't pay very, very close to $1,000.
So I do think you make friends and or lose friends very quickly in these moments and you shouldn't be making and we're not making decisions on the basis of friendship, but when something works from the perspective of safety, when safety is needed, people don't forget that. And so I do think ultimately, you know, when you think about
the long-term durability of the premiums that we've generally been able to earn on relative to what banks have been willing to pay elsewhere. This is a really nice event from that perspective. Okay, great. And then on the enhanced product, you said looking ahead, the goal is to shift, give or take 10% of your portfolio over there per year. You also said both demand and supply are there. And so, what's keeping you from shifting?
more of it in any given year? Is it just because there's a limited number of partners still and so only so much demand for those types of deposits or is it more on the individual account holder side and just getting them on board and kind of the mechanicals of what you need from the account holder to ship? No, I think there are two factors, Sean. One is that we don't wanna create a sort of uneven ladder if that makes any sense. Or were we to, let's say, have, well, three factors. One is we don't wanna create an uneven ladder.
That is to say, were we to, let's say, have a movement of 30 or 40% of our deposits in one year, you would then be asking us, you know, x years from there, well, wait, have we created uncertainty about the redeployment of those assets? And we don't want to do that. That's not good for how we manage the business and it's not good for our shareholders.
That's kind of issue one. Issue two is that we are learning as we go and learning is, I think, as are our partners. And so that is, it's probably fair to say that the demand for this program today among would-be partners is higher than it was a year ago. Well, part of the reason is because it's existed for this long and people have watched the results and there's level of confidence in those results.
The last factor, which is of course relevant, is that the source of these assets in addition to new members' contributions to HSAs is existing members. And so we also have to manage our FDIC commitments, meaning our bank deposit commitments. And so we were able to, in this cycle, we were able to deploy less into banks than we would have without the existence of enhanced rates. And again, that allowed us to...
to be I think appropriately choosy, both in terms of economic return and other factors. And so that, but that's also a bit of a breaking factor too. That is to say we wanna make sure that we still have plenty of liquidity to meet all of our minimum commitments there. So within those three parameters, which are really in my view, the key to this ultimately, we feel like we're moving a pace. Member interest has been there, no pun intended, has been there the whole time. I think if we were devoting.
If our sole objective was to move as fast as we could, we would be doing so. We'd be moving faster with a heavy marketing emphasis, but I don't think that's what we need to do right now. We're happy to have, with this element, a multi-year tailwind that will contribute to even longer term stability. Okay, it's very helpful. Thank you again. Thank you. Thank you.
The next question is from David Larson with BTIG. Please go ahead. Hi, congrats on a good quarter. Can you talk about the increase in the revenue and EBITDA guidance? What are the main drivers of that? And then also it looks like the interchange revenue increased sequentially from about 33 million up to 36 million. What was the main driver of that and was that ahead of or in line with your expectations? Thank you. Jason, you want to take those?
Yep, so from a revenue perspective, when we gave guidance back on December 6th, and you look at, for example, the average CD rates, jumbo CD rates, and you look at things like LIBOR-SOFR rates, they were actually lower then, so we got a tailwind from those that we would be putting into the yield rate as well as to the revenue top line. And then just going back down to the plan from a perspective of profitability and the flowdown of those custodial revenue levels.
We brought those online. We had the seasonality. It was much more normal this time around than it has been over the last couple of years. So that was probably to be expected and we feel like that's sort of stabilized itself. So when you say seasonality, do you mean more people are going to the hospital using their health card so utilization has increased? So that's where that increase came from.
No, it's more about the normal seasonality of those card usages. So when you think about, for example, the use it or lose it nature of an FSA, towards the end of the year, people are going to use up those funds. You think about when an HSA is funded from an employer standpoint in January , sometimes people typically utilize those funds at that time. And so you have a normal seasonality in Q4 that occurs there and you sort of have that flow into Q1 and then you get a much softer Q2, Q3. And that would be the more normal reps of the business that...
look at our overall custodial assets, you can divide that first into two pies. About 14 billion of it is what we call HSA cash and the remainder is invested. The invested assets are obviously not FBI insured.
mutual funds and the like at the members discretion. So I think you understand that. If I look at the cash component, it has two elements. The bulk of it is in our basic rates product and all of those funds are in FDIC member institutions or NCUA, I guess, member institutions that offer pass-through insurance to our members subject to the usual $250,000 limit which generally
and HSA is not in reach almost exclusively. And then with the enhanced rates product, these are not FDIC insured, they're not deposits. These are, as we've talked about before, these are group annuities that are insured by highly rated insurers. They're again entered into at the direction of the numbers. So that's sort of the breakdown there. Great. And I guess I would add to all of that, what all of those have in common is.
You know, we do not bring, our members aren't paying us to be a principal risk taker. We are not a principal risk taker. We don't bring principal risk onto the health equity balance sheet. Thanks, Dave, thanks very much. The next question is from Stan Berenstein with Wells Fargo Securities. Please go ahead.
Hi, thanks for taking my questions. I'd love to get an update on your MaxEnroll product. I think it's probably been out for a year or so if I recall correctly. I'm just wondering how widely has it been adopted by your clients and do you have any sense how much of your member growth this past year could be attributed to MaxEnroll? Thanks. Yeah, we began to address this, I believe in the...
well, we talked about this somewhere, now I don't know where, so I guess I probably should hear. So, sorry, I got, I got, I heard beats there for a second. So, Stan, the way we approach this, first of all, as a reminder for everybody, MassEnroll is a product that is really about addressing not just our existing HSA members, but would be members in HSAs. And in addition,
This year we also applied it to a portion of our, or applied this technology of course for our FSA population. And we've had the greatest penetration of this product within what we call our managed client base. So this is our groups, roughly 500 of them that have named account executives and the like. And I think that's appropriate. And then we have a more, I'm going to call it generic version of the product that is available for download and so forth.
that our smaller groups can use. And I think we did well this year. We're still, I would say, in the – we may be beyond the nail it and now in the scale it stage, but we're still in the early part of the scale it stage of this thing. And there are good reasons for that. We still have, I think, work to do to make the product truly effortless for our clients to have it more deeply integrated. What we found this year was where we did the best.
was where we were more deeply integrated in terms of data with other things that our clients were doing within open enrollment. So where we understood precisely from a data perspective, we could understand precisely what their open enrollment dates were, when things would begin and end, so we could show people timers and those kinds of things which seemed trivial, but they created more immediacy about action and that was extremely helpful where we understood what our clients were trying to do in terms of the pricing of their various health plans.
and so we could speak that language within this stuff or give them the tools to do so. That was extremely helpful. So I think we did well this year. There's more gain to be had. And the second part of your question which was how much does this thing contribute? I think I've estimated elsewhere that if you look at the gains that we got from existing clients that were over and above what we might have expected without this product, it probably gave us somewhere between 50 and...
100,000 new HSA openings over the course of this cycle. And that's probably maybe a little bit of an exaggeration because obviously there's some favorable selection with these clients where people who are really interested in growing the HSA base are more likely to really get aggressive with this and use it to its fullest extent. But you kind of get the idea. It was absolutely a material contributor to the overperformance that we saw this year on a year-over-year basis.
Great, that's helpful. Thank you. Thanks, Dan. The next question is from Sandy Draper with Guggenheim. Please go ahead. Thanks very much. Hey, Sandy. How are you? So I guess it's going to try to be one question, but it'll sort of wrap a couple of things together. When I look at the cash flow, you're starting to see an improvement in your cash from operations. Capitalized software is moderating. You did step up a little bit on M&A.
But if I think about your guidance, your net income and your EBITDA's up, your, if I look at the ad backs, some of the cash ad backs integration costs are going down. So it looks like net net of all that is free cash flow and cash you have this looks like it's going to be pretty good and hopefully sustainable. So when I think about the M and A environment, what's that like? But then also I know Tyson indicated you're at, I mean, he said 6.3 is the stated rate maybe on the floating rate debt. You know, how are we thinking about debt pay down?
versus M&A or any other internal investments in balancing those three things out? Thanks. Awesome question. Thank you. It really is. This is actually – We probably spent a half hour in our press just kind of thinking about how to answer this in such a way that like sometimes you have things where you want to answer, but you don't want to give them everything. This is one where like I want to give you everything because it's such a fun, interesting, and important capital allocation problem, and I'm going to resist doing that because that's what the team told me to do.
But a couple of thoughts. First of all, the premise is right. That is to say that if you look at fiscal 23, we converted EBIT up free cash flow at a rate pushing 60%. That rate is coming up. Why? Because integration expenses are coming down and that was a big ad back, etc., etc. But as you say, one break on all of that is the interest on the relatively small, but nonetheless, they are a variable portion of that.
So you've got all of the right factors that we're looking at in terms of where to deploy capital here. I think if I look at the M&A environment, a couple of things really strike me. The first comment I've made elsewhere, which is we are absolutely not in a rush to do anything from an M&A perspective material that is in the nature of, let's go horizontally expand to this, that, or whatever in the way of existing established markets.
We're not in a rush to do that both because we think that our clients aren't demanding that we do it, that valuations are plenty fulsome out there, and that we can deliver more shareholder value at this point in time through the work that we're doing on the organic side and with partners to develop product that isn't established out in the marketplace.
So our inclination is not to go out on the sort of horizontal side and deploy capital there. If I look at competitive consolidation, you know part of my answer, which is we are always interested in attractive transactions that have high IRR for shareholders.
I think for all of the reasons we talked about both at the beginning of the call and in the first answer about these deposits being very steady for the banks at the moment, I'm less sanguine even than I was a few months ago that like there's going to be a material transaction that's going to develop in that area.
I just, that is how it is. And I think that's totally fine. There's no reason for us to run around pricing those transactions into the market or the like. And it's a reflection of the quality and steadiness of the underlying business. So, that being said, we do have to, we then are looking at and should be looking at, like what's the purpose of maintaining that, the outstanding TLA and its current size when we obviously have the capacity should need it.
for pretty much anything that we would contemplate and we are looking at that. So, I probably did just give you more than they told me to give you but that's the full answer. Thanks Andy. Thanks Richard. Thanks John . The next question is from George Hill with Deutsche Bank. Please go ahead. Good afternoon guys, and I'll send you on bummed out because Sandy took my cash flow question. So, I guess what I'll roll into is maybe talk a little bit about expectations for the CDB business in 24. Is that something that we think shrinks again next year or is it poised for stability and rebound?
black single digit on the boards coming into 24. We didn't quite get there because COBRA remains weak. That's probably the biggest problem. And we are gonna have to really look at it and understand a little better, or understand as well as we can what our levers are.
I think what is fair to say is that our guidance with regard to revenue generation in the current year reflects a level of conservatism on this topic, but that it is pretty clear that we know what to – but that having been said, sales have actually been pretty good. Our challenge, George, has been the platform movement and all of that. And if I could be convinced, as well as the regulatory issues that kind of –
or brought us up and then brought us down around the national emergency. And if I could be, if I weren't convinced that all that were behind us and that we, you know, that not just we, but employers had fully digested the implications of all of that, I'd probably feel more confident in giving you a view that I'm not just hopeful, but comfortable that, you know, from a sales perspective, we will be able to put up a black zero, a black number here. It'll still be a single digit number, but a black number.
immediately and we forecasted it, but I'm not sure everyone's fully digested it. So I guess my answer is, unfortunately, I feel like we're still in a mode where I can't beat my chest about this thing yet.
Understood. And if I can have a real quick follow-up, I guess, are you seeing anything in benefit construction and benefit pricing and the things that I'm kind of leaning on right here and thinking about are like what's going on in the insulin market where you're seeing much lower out of pockets for patients on insulin? I guess, are you seeing any of these changes either in
benefit pricing or benefit design that has the capability to either, I'm thinking that it could like lower your interchange fees, but it might increase your average balances as people tip into their HSAs less as their out-of-pockets fall. We'll just be interested in how you're thinking about kind of those parts of the market and kind of how those pieces move together. I'll comment on this and then invite Steve to comment further. I personally think that this stuff that's going on right now with insulin as an example, is and I'm sure I'm stepping on somebody's toes here, but I think it is both fantastic and incredibly realistic.
What it's doing is it's giving people certainty. And certainty is really important for people. We talk about being in the business of connecting health and wealth. It is hard to talk about that in a world where people think that every healthcare transaction that they have, they're being cheated by somebody on it. And so my hope is genuinely that from a plan design perspective and frankly from a legislative perspective, and maybe Steve will comment a little bit, these are issues that we're starting to weigh in on.
that we're able to bring people greater certainty with regard to the routine kind of medications and the like that are part of their regular daily lives. There's no reason we can't. These are now incredibly low-cost items at this point. And insulin is an example, but there are many others. Their actual out of the real cost is low, and yet we, and it's low in HSA plans too.
It's just that we scare the heck out of people because of the way we all talk about this, and we can create certainty which creates real value. That is something I do see employers looking at as they go through plan design. Steve, you want to comment further on this? Yeah. I want to also, George, say that John stole my answer just for your question. Look, I think that as you know, George, we've known you for now nine years when we met you, right? It's been a long time, yeah. Consumers have always been number one to us. We've had questions that are similar to the one you just asked, which is like, why do you always tell people about these investments when you make less yield on the investments?
consumers the right information they need to make better choices. Now whether that plays out in the market where consumers just now have the ability to go get a lower cost insulin because the price drops by 75% because a new entrant, which happens to be one of our partners, comes out with a new insulin, that's wonderful. Or if it manifests itself a little bit differently that John was alluding to, which is...
You know that there has been some progress as you know getting consumers to use your John's word certainty on cost for example under the Affordable Care Act consumers if they're diagnosed with high cholesterol.
they can get statins for free, right, with no cost share. And so it's certainty, their health fund pays for it, and obviously the health funds can negotiate a great price on that. I think that there's other opportunities out there, and so as legislators have looked at it and said, you know, how can we help people be more healthy? Is there a way to help have better...
you know, drug prices, it's going to be far away behind some of these initiatives. It completely benefits us. To your point, there may be lower upfront spend, but we've always said we'd much rather have people have more money in their health savings accounts longer, and then they can spend it next year. And, you know, at some point, they start getting older and healthcare costs start to go up. You know, the average age of cancer in this country is in the 60s. You know, those are going to be times when they really need to spend this money when they have those types of events. And we're going to be there for them. And so, I think you will always find us completely...
comforted by expanding regulations to be able to do things like better transparency and lower-cost drugs and things like that. So we're going to keep doing that and we're going to keep innovating to get people the right information at the right time so they can make the right choices with the way that they both save and invest and spend their healthcare dollars. And let me say one more thing for those who are wondering like what the hell this answer and question has to do
at the broker level are absolutely this whole discussion around bringing, it's not, I mean, it's transparency, but it's also simplicity to some of the more routine pharma items to things like maternity to mental health.
where we don't want people not using these services, not because they can't afford them, but because they don't understand what they cost, and they're scared. We don't want to be in that circumstance, and there are easy things that are relevant, relative to rocket science, there are easy things that can be done in plan design, and that helping employers do those things, and helping clients do those things, and helping our partners arrange those things, there are interesting top line opportunities for us.
that right now we are in the exploratory phase and seeing where we have the right to win and where we can partner with others and whatnot. But this is an area of real opportunity for us. Thanks for recording.
Right now we're in the exploratory phase and seeing where we have the right to win and where we can partner with others and whatnot. But this is an area of real opportunity for us. Thanks for all the call guys.
The next question is from Mark Marcon with Baird. Please go ahead. Hey, good afternoon and thanks for taking my question. I've got two questions. The first one is with regards to the number of HSAs that were added in the fourth quarter. Can you kind of break down both for the fourth quarter and for the year, the percentage of new HSAs that were a function of brand new sales to new employer partners versus what percentage was due to new hires and.
we were closer to last year. I think in Q4 we actually had more new ads in the prior year than last year. And someone could bang us on that except that we said throughout the year that again, particularly at the beginning that hey, part of what was going on here was...
new was essentially job formation, right? And job formation, as you know, did slow down a bit in Q4, particularly calendar Q4, and relatively part of the year. And so I think that was reflected a little bit, the sort of, and so that was reflected a little bit in the data, and then again, apropos of the commentary made about guidance, right? We've tried to be, I think, very realistic about, as we look forward, let's look at, let's guide with the idea of a neutral view of job creation.
Neutral doesn't mean zero. It doesn't mean negative number. It means more neutrally, 100,000 a month, that kind of thing in terms of what the broader economy is doing. So there is the connection there Mark that the question implies. That having been said, across both HSA and our CDB business, new logo and new client within existing health plan and retirement record keeper partner was a very important part of this year. We looked at – and what's nice is today is that –
More of your new logos are actual, in the HSA world, are HSA takeaways. Of course, in our world, many of those are also cross-sells. We have existing products with them. Some of the folks that – If you look at the case studies that we talked about over the course of the latter part of this year, Pfizer being an example, that's an example of a company that never offered HSA. So there's those. But then there are also examples of like they were offering it. They weren't satisfied with a partner that was really looking at it from the perspective of the needs of every member, maybe just looking at the –
the top 2% or just looking at a way to just pay healthcare claims without regard to how they could help the consumer. Either way, we're a better option than that. And so that's the takeaway business. So it is probably a fair statement to say that in the earlier part of the year, existing – basically employment growth at existing firms was a bigger component than in prior years, and that kind of normalized itself as we got towards the end here.
And I mean you continue to gain share and you continue to win more and more than your fair share. So I think that's fairly clear. I was just trying to dimensionalize what the trends were looking like. The relevant point is when people go into next year, or now this year, and they say, oh, you sold almost a million HSAs because it's going to be a million won. I kind of say the same thing when last year people said you're going to sell my 100, it's going to sell a million. And if I rewind a year ago, we were not thinking that we would have the level of robust employment growth over the course of calendar 22 that we actually did. And so we were sort of trying to point that out to folks.
on service and I think they're you know Mark the truth is we have work to do. I'm not I'm not you know I appreciate that you know on a on a year-over-year basis you know we boosted what you might call you know service gross margin by 11%.
that's also because the prior year just sucked. I don't want to say that. And in my view, we still have a ton of work to do here. What's interesting and important, and for those who are close observers of our hiring and so forth, what you'll see is that there's some of that work that's very, I'm going to call it commercial and operational. So,
As an example, there are some areas that now that the dust has settled from the pandemic, that there are fees that we have to look at and we have to pay reasonable fees for reasonable work. So there are elements of, for example, the Cobra business that we're looking at and working with our partners and saying, guys, here's how this has kind of sorted out. Things are different than they were pre-pandemic. Let's address that. And obviously, labor costs have risen too. But there also is a ton that we have done and can do with tech. And I'm going to give you one example. And like I'm not going to – I don't have a chat GPT story to share with you so you can be relieved in that regard.
I'm not going to try and suggest that we ginned up some initiative in that area. But what is true is that if you look at our volumes during our peak month, which is January , we, and I mean they, the team just delivered an outstanding month. And part of the reason that they were able to do that is that chat handled, not chat GBT, but our chat functionality handled I don't know 30% more calls than it had the prior year. And part of the reason that makes things easier is because it turns out that chat is more effective at inserting…
and answers that get them. But I do think we tend to talk about tech from a revenue growth perspective, but there's also a ton of opportunity here. And I guess I really don't want to convey in any way shape or form, genuinely.
like that we've accomplished much of anything other than we didn't make the same mistakes that we made last year. That is back in the rollover and we didn't have the same, you know, macro environment of remember Omicron or whatever, you know, Greek letter we were dealing with. So I don't think we're like at pat our back on the pat ourselves on the back level here. We're in a place where we've got more we can do.
Do you mind if I just pat for one thing and just talk, maybe just come in on the service level though? I mean even though we are... Oh, yeah. Pat on that back for just a second because we did, I think, I can tell you that was great. Go ahead though. Yeah, no, I mean, look... There's another question below, please, inaudible.
for one thing and just talk to him maybe just come in on the service level though I mean even though we are all you yeah we go Pat on that back for just a second because we did I think you know I can tell you that was great go ahead though yeah no I mean look I think
At some level, for everything we try and do, the table stakes in our business is that when our clients, particularly our smaller clients, call us up in the middle of January with something going on, that we can help them, and we can help them quickly. And that was a challenge in January of 2020, calendar 2022. And it's always a little bit of a challenge, because everyone calls at the same time, but far less so. And that was both the work of our team.
the work of our partners in getting clients loaded, and then the work of our operations partners, sort of our work for vendor in doing their thing. And it's going to help us from a sales perspective. It already is helping us from a sales perspective as we get into this year. I mean, Steve alluded to, we've tried to get away from quoting RFP staff, but Steve alluded to some of them. And look, the truth is, a lot of that is people are like, okay, you just helped me out of a jam that maybe I created in January , right? I'm going to remember that when it comes time to do my next RFP for something in February . So again, it's obviously a very uncertain time, but this is one of the reasons why we felt comfortable with the idea.
dramatically over the past few years. Can you talk about in fiscal 24 your expectations? Obviously you're spending on things like chat and other things but is that going to scale as a percent of revenue in fiscal 24 or should we expect that to continue to de-leverize the percent of revenue this year and then can you talk about kind of what's driving that outside of chat if anything? Thanks.
Yeah, and maybe I'll invite Tyson to correct me if I'm being imprecise, or if I'm going in the wrong direction here, but this is going to level out. And it's leveling out as a percentage of revenue because really expenses that were really, if you look at it, were integration expenses are now either not necessarily being used for innovation. And so, you know, there are some things that muck around with it, like, you know, as you well know, as we're now well into cloud world, you get less.
DNA, which the good news is you get more free cash flow conversion, but the bad news is that from an EBITDA perspective, it doesn't look as good, blah, blah, blah. You know all that stuff.
Your intuition which is that this is leveling out is correct and then it's really about what's really important is not just that it levels out but rather and then I think ultimately begins to decline as a percentage of revenue but that it's what we're spending it on because in real dollars this number is going up and...
What's important is the shift in that expenditure from the process of integration, which is really important for us to get us to where we are today, to now shifting those dollars towards really focused on our core growth platforms and innovation on those core growth platforms. And if you look at anyone who looks at LinkedIn or any of these things, they can see exactly what's happening.
is the shift in that expenditure from the process of integration, which was really important for us to get us to where we are today, to now shifting those dollars towards really focused on our core growth platforms and innovation on those core growth platforms. And if you look at anyone who looks at LinkedIn or any of these things, it's that they can see exactly what's happening, and that is what's happening.
Thanks, Alan. Thank you. I just want to give Tyson a chance. Did I answer that in the way you would have? You did great. I guess the only thing I would add is just say the way we build plans is we try to get leverage off those P&L items, P&L items, even when you think about stock comp and things like that, so that's a priority for us as a business today. For all of our leaders. Yeah, so that's my mention. The next question is from Stephanie Davis with SVB Securities. Please go ahead.
You're here! Hey guys, this is Anna. Hi! And this is the on for Stephanie. Thank you for sending our questions. Uh oh, I don't like the sound of that Anna. Go ahead Anna. So first I actually wanted to go back to the more elevated R&D sense on the platform. You did mention that this should start to level out, but I'm curious if you could give any sort of outline on how you're working.
to modernize the platform? Yeah, you wanna give your second part to him and we'll try and hit both together? Sure, yes. So the second one was actually kind of all circling back to M&A piece with private market valuations rationalizing. I'm curious if there was any potential to accelerate some of these R&D priorities via M&A.
Yeah, awesome. That's perfect. So what we're really focused on, and I expect for those who – I don't mean to build it up crazy, but for those who attend our investor day, we'll talk a little more about this, and we'll bring some more people to talk about it. But we're really focused on the view that within broadly defined the world that we operate, which is ultimately about helping people. We say connect health and wealth. A longer version of that is to help people manage the financial aspects of healthcare.
The evolution of technology, the incremental use of APIs, obviously some of the AI stuff, it creates some new opportunities that I think we think didn't exist four or five years ago. And some of it is the existence of the tech, and some of it is the embrace of the tech by everyone else, by others within the ecosystem.
And so that's really where we're investing. And I talked earlier in the year at some other banks conference about some of the specific opportunities both in that we have here to drive both new product that's very visible to our clients and members as well as drive things in the area of the...
transaction or card fees around really integrating what we do into the existing mobile wallet, making some of that stuff easier and ultimately driving incremental transaction value. So that's really where we're focused in terms of where those dollars are going, as well as the basics of completing our cloud journey and all those kind of things. But I think my take here is that we have this period of time where all of the things we've done from expanding the product set through...
the addition of wage and all of that, extending our partnership base through things like the further acquisition, enhanced rates and the migration of that over the course of the next few years, plus notwithstanding events of the last few weeks, what is still a far more favorable environment from a macro and rate perspective. This gives us a period of time where we can both...
and all of that, extending our partnership base through things like the further acquisition, enhanced rates, and the migration of that over the course of the next few years, plus notwithstanding events over the last few weeks, what is still a far more favorable environment from a macro and rate perspective? This gives us a period of time where we can both invest.
in these kinds of innovations that will produce growth over time and still in the near term deliver to you as we've done in our outlook here, incremental and pre-material incremental margin improvement. So to the second part of your question, is it plausible that some M&A is a piece of that? And the answer is yes. I think it's far more plausible that it would be in the nature of smaller enterprises where it's a little bit more like, you know, AquaHire or the like, as opposed to existing three, $400 million businesses. And I say that, it's not impossible, I say that because that's where I think the opportunity is for us to create value for our shareholders right now.
I don't see the same one, I don't see the same level of rationalization within those established businesses yet. And two, our clients are, especially in one of the reactions to inflation and the like, our clients want more solutions that help their consumers navigate the financials of healthcare. Right? That's, we already do what's great in that space that's established.
It's about some of the new stuff that's out there and are there examples of folks who are out there and able to try stuff as effectively R&D labs? And we'll be happy to do that kind of stuff, but that's not going to be like big draws on the balance sheet or the like. It really is a build versus buy type discussion on some of those things.
Thanks, Dennis. This concludes our question and answer session. I would like to turn the conference back over to John Kessler for any closing remarks. Man, you really cut that off. That was like, that was Richard quality there. Thank you. Can we have you at every call? No. So thanks, everybody. Look, obviously, I hope what you have taken from today's call is that we really feel, you know, now having been a full two weeks into this current
our outlook profitability, which obviously we're delivering with our outlook. And then durable competitive advantage, which as someone pointed out in the Q&A is ultimately a function of extending our market leadership. So hopefully we're doing what you want us to do. And hopefully that's we sort of believe.
will get rewarded in the long term for that. And in the meantime, we appreciate everyone's questions, everyone's interest. Get your Bermuda shorts now before they're spring priced. And we'll see all and we'll talk to you before then, but we'll hopefully see all in Utah in the month of July . The conference is now concluded. Thank you for attending today's presentation. You may now disconnect.