eHealth
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eHealth (EHTH) investor relations material

eHealth Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
Logotype for eHealth Inc
Q1 2026 earnings summary6 May, 2026

Executive summary

  • Q1 2026 results exceeded expectations, driven by stronger Medicare enrollment, favorable unit economics, and significant operating expense reductions year-over-year.

  • Revenue and gross profit declined year-over-year due to lower approved member volumes and reduced marketing spend, especially in the Medicare segment.

  • Strategic initiatives included launching a lifetime advisory model, expanding product offerings, and implementing workforce reductions to drive cost savings.

  • The company maintained compliance with liquidity covenants and continued to focus on sustainable cash flow generation.

Financial highlights

  • Q1 2026 revenue was $88 million, down 22% year-over-year, but ahead of internal expectations.

  • GAAP net loss was $4.7 million, compared to net income of $2 million last year, primarily due to $6.4 million in restructuring charges.

  • Adjusted EBITDA was $9 million (margin 10%), down from $12.5 million (margin 11%) year-over-year.

  • Operating cash flow was $35.8 million, down from $77.1 million, mainly due to timing and one-time severance costs.

  • Cash, equivalents, and short-term securities totaled $110.8 million at quarter-end.

Outlook and guidance

  • 2026 is positioned as a bridge year, prioritizing operating cash flow and quality of revenue over volume growth.

  • FY 2026 revenue guidance: $405M–$445M; GAAP net income: $8M–$25M; adjusted EBITDA: $55M–$75M; operating cash flow: ($10M)–$12M.

  • Net adjustment revenue for FY 2026 expected at $8–$20 million.

  • Three-year outlook projects mid-single-digit revenue growth in 2027 and mid-teens growth in 2028, with adjusted EBITDA margin reaching 20% by 2028.

  • Free cash flow expected to reach break-even or better in 2027.

Drivers for 2027 growth after 2026 bridge year
Lifetime Advisory model impact on member LTV
ICHRA contribution to 2028 revenue growth goals
Impact of the new lifetime advisory model
Status of the Federal False Claims Act complaint
Drivers of the 50% IFP CC & E cost increase
Lifetime advisory model impact on member LTV
Drivers for 20% adjusted EBITDA margin by 2028
Tail revenue assumptions in 3-year forecast
Shea v. eHealth False Claims Act litigation status
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