HealthEquity Inc (HQY.US) 2026年第二季度业绩电话会
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会议摘要
Health Equity reported Q2 FY2026 results with record gross margin, near-record adjusted EBITDA margin, and 12% HSA asset growth. The company implemented AI for claims and fraud, enhancing member satisfaction. Legislative updates expanded HSA eligibility. Financial guidance was raised for FY2026, focusing on technology and sales investments. The company anticipates further growth, emphasizing member experience enhancement and HSA access expansion.
会议速览

The meeting reviewed the strong financial performance of Healthy Equity Corporation in the second quarter of the 2026 fiscal year, including significant growth in revenue, net profit, and adjusted EBITDA, as well as the continued expansion of HSA accounts and assets. Management emphasized the team's readiness for the growth season, discussed the latest developments in HSA expansion policies, and the financial report showed the quarterly financial results and optimistic predictions for the full year performance.

The conversation highlighted the widespread use of Health Savings Accounts (HSA) in businesses, as well as measures to improve the efficiency and security of healthcare services through AI technology. It emphasized the role of data analysis in optimizing health plan designs, as well as enhancing user experience through mobile applications and passwordless login technology. Additionally, it mentioned the role of legislation in promoting HSA growth, and significant achievements in reducing fraud and improving service response times.

The positive impact of the new budget proposal on HSAs was discussed, including allowing for DPC and low-cost telemedicine, expanding eligibility for individuals and families on the ACA exchanges to use HSAs. It is expected that starting in 2026, all individual bronze and catastrophic plans will be able to be combined with HSAs, benefiting approximately 7 million existing enrollees. The Health Equity Team is currently optimizing the registration process, improving user experience, and raising awareness of the new eligibility through marketing activities, with the goal of benefiting 3 to 4 million American families with the benefits of HSAs, marking the largest expansion of the HSA regulatory framework in 20 years.

Thank you to the government affairs team for helping to promote understanding of the HSA plan and improve the affordability of health insurance. In the second quarter, our income grew by 9% year-on-year, with trustee income increasing by 15% to reach $159.9 million. Total profit was $232.6 million, accounting for 71% of income, setting a new record. Service costs have decreased, and fraud costs are expected to return to normal in the second half of the year. Cash holdings are at $304 million, with operating cash flow of $200 million. We expect to save $65-75 million in federal cash taxes over the next three years. In the first half of the year, income was $656.7 million, up 12% year-on-year.

The company updated its financial guidance, expecting revenue to be between $1.29 billion and $1.31 billion, GAAP net income to be between $185 million and $200 million, and non-GAAP net income to be between $329 million and $374 million. Discussions were held on the risk reduction effects of interest rate contracts on HSA cash placement contracts, as well as investment plans for technology, security, and marketing. Additionally, planned stock buybacks and potential reduction in credit lines were mentioned to maintain sufficient acquisition capabilities.

The company discussed enhancing the security and convenience of the members' mobile experience by introducing safer mobile applications and passkey authentication methods. It emphasized the continuous progress made by the fraud and security team in reducing fraud rates, and highlighted the future optimization of security measures to provide a better member service experience. Instead of setting specific milestones, the company is focused on continuously implementing a member-centric, secure mobile experience strategy.

Discussed the importance of the recently passed HSA extension bill and potential opportunities for HSA reform in future legislation. Emphasized the need to improve user experience and increase market participation to accommodate the growing number of HSA-eligible individuals. Additionally, expressed optimism towards future HSA reform opportunities and looked forward to further policy support.

The discussion emphasized the importance of around 25% of elderly people still participating in the workforce and potentially having HSA accounts, and the importance of combining employer plans with Medicare to reduce medical costs. It was pointed out that for companies with more than 20 employees, allowing employees to keep their employer insurance while enrolling in Medicare can effectively alleviate the financial pressure on Medicare. Additionally, it was mentioned that in future legislative opportunities, such as reconciliation bills or end-of-year legislation, efforts will be made to expand Medicare coverage to include direct primary care and bronze-level insurance plans, seen as the biggest opportunity for Medicare expansion in the past 20 years.

The discussion revolved around how financial institutions can lock in interest rates for the next year, involving strategies for locking in rates after the expiration of basic rate contracts and the application of enhanced yield products. At the same time, the addition of HSA accounts and the growth in asset management size were explored, pointing out that the growth trend of HSA business is good, with some seasonal differences.

Discussed the outperformance in the second quarter results, attributed to proactive market strategies and improvements in product experience. In the face of the macroeconomic environment, the company plans to increase marketing investment in the fourth quarter, optimize the enrollment experience, to seize market opportunities, especially in the expansion of enterprise sales channels and high retention rates of existing customers. Emphasized the importance of execution capability and product experience, as well as the synergistic effect with partners, to address market challenges and achieve business growth.

Discussed the relationship between the number of members downloading the app and business growth, pointing out that the goal is to increase member activity and engagement, rather than simply increase the number of downloads. Emphasized the importance of the app as a platform for providing a better experience and increasing the efficiency of saving, spending, and investing for members in health consumption. It was pointed out that in the future, the penetration rate will reflect the number of active members, rather than the total number of accounts.

The impact of the slowing growth in the job market on businesses was discussed, and despite the unfavorable macro environment, companies were able to achieve a contrary growth in performance by optimizing sales processes, enhancing customer service quality, and improving product experiences through technological advancements. The companies emphasized the advantages of being market leaders and the significant improvement in customer satisfaction, which together contributed to better-than-expected performance.

Discussed the market growth potential, emphasizing the expansion of new users through marketing and partnerships, as well as increasing the engagement of existing users, especially encouraging more people to choose high deductible health plans and reach maximum contribution limits to promote overall market growth. Meanwhile, attracting more investors and driving industry growth through optimizing product design and enhancing consumer experience, such as mobile app services.

The conversation discussed the reasons for the decrease in HSA cash, including account holders shifting towards investment activities and the impact of health care inflation. At the same time, strategies for adjusting algorithms to increase HSA cash in the future were explored.

Discussed the growth strategy of the HSA platform, emphasized the importance of increasing the proportion of investors to increase the activity and amount of funds in the accounts. Also pointed out that revenue growth comes not only from account and cash growth, but also from the increase in investment balance and platform consumption. Mentioned the volatility of quarterly income and the seasonal impact of cash inflows.

Discussed in the context of a challenging macroeconomic environment and rising healthcare costs, how to achieve growth targets by increasing the attractiveness and participation of HSA plans. Emphasized the importance of long-term value, member education, and employer communication, as well as strategies to enhance product appeal in adversity.

Discussed the limiting factors of signing forward contracts, including market liquidity and execution of hedging strategies, emphasized the application of the dollar cost averaging method in yield management, and clarified that with high market participation and no counterparty issues, only timely hedging is needed to reduce risk.

Discussed the reasons for the increase in service gross profit margin, including efficiency improvement and technological innovation, while also mentioning the possible impact of interest rate decline on custody income, but without quantifying specific forecasts.

The potential market for HSA eligibility in the ACA plan was discussed, estimating that there are millions of families who could immediately open HSA accounts. Through consumer education and partnership marketing, the goal is to attract these families to join and contribute to HSA accounts, in order to achieve pre-tax savings and payment of medical expenses. The company has committed to increasing marketing efforts, using various channels for promotion, and expects to significantly increase the number of HSA account holders.

Discussed the application of AI in enterprises, especially in reducing service costs and improving efficiency through automation and intelligence. Emphasized the potential of AI in improving service call centers, product development, and engineering efficiency, as well as enhancing member experience and optimizing cost structure.

At this meeting, the host thanked all participants for their active contributions, especially recognizing the role of team members in creating excellent performance. Looking ahead to the future, expressed a strong confidence in helping more customers and members enjoy the benefits of a healthy lifestyle, and encouraged all members to continue working hard to collectively advance the company's mission.
要点回答
Q:What are the key financial results and growth metrics for Health Equity's second quarter of fiscal year 2026?
A:Health Equity's key financial results and growth metrics for the second quarter of fiscal year 2026 include revenue up 9%, net income up 67%, adjusted EBITDA up 18% to an all-time quarterly company high, a record gross margin of 71%, and a near-record adjusted EBITDA margin of 46%. HSA assets grew 12%, CDB accounts grew 4%, total accounts grew 5%, and HSA members who invest grew by 10% year over year.
Q:How did Health Equity's HSA assets and member investments grow over the past year?
A:Health Equity's HSA assets increased by 3.7 billion year over year, with HSA members who invest growing by 10% and invested assets rising to just under 15 billion. HSA cash reached nearly 17 billion, and the average balances of HSA members grew by 6% year over year.
Q:What is Health Equity's strategy for consumer experiences and mobile applications?
A:Health Equity's strategy is to shift toward a consumer-centric, secure mobile experience. This strategy includes making the health equity mobile app the platform of choice for new members to set up their HSA accounts, using industry-leading passkey technology for a faster and more secure sign-up process. It also entails the introduction of passkey technology for authentication, aiming to streamline the login process and reduce the need for password memorization. Health Equity plans to continue updating its defenses against evolving threats as part of this consumer-centric mobile app strategy.
Q:What are the implications of the budget bill passed in July for HSA adoption?
A:The budget bill passed in July expanded the use of HSA by allowing direct primary care or DPC arrangements and the use of low-cost telehealth to meet deductibles. These changes provide employers more flexibility in plan design and greater access to affordable health care. Additionally, the bill significantly expanded HSA eligibility for individuals and families purchasing health insurance on ACA exchanges, which could help drive greater HSA adoption starting from January 1, 2026.
Q:How is Health Equity preparing to implement the new HSA enrollment provisions and what is the expected impact?
A:Health Equity is building a redesigned enrollment and onboarding experience for HSA-qualified individuals, including those on new bronze and catastrophic plans. This new experience is intended to provide a faster, secure, and mobile-responsive setup for HSA and a seamless funding process. The implementation of these new provisions could potentially allow 3 to 4 million more American families to access the benefits of HSA, representing the largest expansion of the regulatory framework for HSA in the last 20 years.
Q:What achievements did Steve and the government affairs team accomplish?
A:Steve and the government affairs team helped lawmakers better understand the value of HSA plans and the impact they have in making health care for American families more affordable.
Q:What were the second quarter GAAP and non GAAP financial results?
A:Second quarter revenue increased 9% year over year to $232.6 million, with service revenue at $117.9 million, custodial revenue at $159.9 million, and GAAP net income at $69.900 million or $0.900 per share. Non GAAP net income was $94.6 million or $1.80 per share, and adjusted EBITDA was $151.1 million or 18%.
Q:How did service costs perform in the second quarter?
A:Service costs declined year over year on a reported basis and excluding fraud and fraud accruals in the quarter. The company received $12 million in fraud reimbursements and maintained a run rate of 1 basis point of total assets and fraud cost per annum.
Q:What is the impact of the budget bill on the company's fiscal year 2026 and future operations?
A:The budget bill includes a provision for an immediate tax deduction for domestic research and experimental expenses, which is expected to reduce federal cash taxes paid by $65 to $75 million over the next two years. This will not materially impact the company's income statement, earnings per share, or income tax guidance.
Q:What is the revised guidance for fiscal year 2026 and what are the expectations for revenue, net income, and adjusted EBITDA?
A:Fiscal year 2026 guidance includes revenue between $1.29 and $1.31 billion, GAAP net income between $185 and $200 million, or $2.11 to $2.28 per share, non GAAP net income between $329 and $374 million, or $3.74 to $3.91 per share, and adjusted EBITDA between $540 and $560 million.
Q:What actions are being taken to improve the member experience and combat fraud?
A:The company is enhancing its member-first secure mobile experience, including the rollout of Passkey for better authentication and an improved overall experience. They are also continuing to make enhancements and improvements to security and fraud detection.
Q:Is there any potential for HSA reform or HSA access improvement in future legislations?
A:The team is excited about the existing HSA expansion and the potential for individual families under catastrophic ACA plans and bronze plans. They are redesigning the enrollment and onboarding experience for these new consumers and preparing for a new set of HSA-eligible customers with marketing dollars and improved onboarding flow.
Q:What percentage of Medicare-eligible individuals are currently working, and how does this relate to HSA usage?
A:Approximately 25% of Medicare-eligible individuals are working or are still in the workforce. However, the segment that has an HSA is smaller and is a target for discussion in future legislation.
Q:What are the strategies being considered to address the cost of Medicare?
A:Strategies to address the cost of Medicare include focusing on people who can scan their employer's plan and enroll in Medicare, as the employer's plan pays first, which can save money for Medicare. This approach is seen as a potential method to tackle the expenses of the program, especially in upcoming legislative opportunities like reconciliation bills or end-of-year legislation.
Q:How significant is the 4% lock on basic rates for the upcoming year?
A:The 4% lock on basic rates for the upcoming year is significant, as it applies to the repricing of basic rate contracts that are maturing. This means that a substantial portion of the basic rate contracts will be locking in at the time of their maturing, with an average across those maturities being about a 4% lock on the 10-year Treasury.
Q:Can you explain the timing differences in the net new HSA and AUM growth for the second quarter?
A:The timing differences in the net new HSA and AUM growth for the second quarter reflect strong new wins and retention, which contributed to the growth. The company's performance is ahead of expectations considering the macroeconomic environment and it is tracking more like fiscal year 2022 than other historical quarters. The second quarter's results are deemed in line with the current macro situation and the company's performance is attributed to their aggressive approach, which includes marketing investments to capitalize on the expansion and improving the enrollment experience.
Q:What is the potential for app adoption among members to drive gross margins?
A:While app adoption is not expected to drive significant gross margin improvements, the focus is on having actively engaged members. The company is aiming for a similar level of engagement as active users on the platform. The best experience for members will be accessible through the app, which is required for accessing any of the company's platforms. The emphasis is on improving the engagement and experience of members, rather than just the adoption rate.
Q:What factors contribute to the outperformance and how does it compare to employment market trends?
A:The outperformance by the company is attributed to a focus on the HSA market, which is a function of job growth and the ability for individuals to move between jobs. Despite the macro environment showing job growth down 40% year over year through July, the company has managed to leverage its sales pipeline and relationships with clients and partners for growth. The 163,000 new HSA accounts added is muted compared to the company's expectations but is still pleasing. The company is focused on providing a great experience and service, evidenced by improvements in NPS and CSAT metrics.
Q:What are the expectations for converting the $7 million opportunity into HSA accounts next year?
A:The expectations for converting the $7 million opportunity into HSA accounts next year are not quantified monetarily but are described as significant. The company believes they can capture a portion of the 7 million opportunity, especially among households that could fund an HSA and have assets to protect. The approach involves educating these individuals about their HSA-qualified plans and the benefits of using an HSA to accumulate funds for health care expenses.
Q:How many HSA-qualified plans are currently available in the market, and what is the potential reduction in cost?
A:Currently, only a very small percentage (less than 10%) of the bronze plans offered in the market are HSA-qualified. Even if this number were to increase, the reduction in cost would be minimal as it is based on a selection from households that could potentially pay for an HSA. The focus is on capturing the untapped market of people who are not typically Medicaid eligible and have assets to protect.
Q:What is the projected market size for HSA-qualified plans based on the company's expansion plans?
A:The projected market size for HSA-qualified plans based on the company's expansion plans could be as high as 3 to 4 million households. This estimate includes potential growth from other expansions such as Direct Primary Care (DPC) and telemedicine. The company plans to educate these individuals about their HSA-qualified plans and encourage them to open and fund HSA accounts for tax savings and enhanced purchasing power.
Q:What is the company's strategy to inform people about their HSA-qualified plans and get them to fund their accounts?
A:The company's strategy to inform people about their HSA-qualified plans involves educating individuals who have a bronze plan about the benefits of using their plan for medical expenses and the potential tax savings when the money is used in an HSA. The company plans to continue its marketing efforts and collaborate with partners to reach these people, with health plans, doctors, and hospitals aligned to support this initiative.
Q:How significant is the potential cost savings from AI and automation in the service center?
A:The potential cost savings from AI and automation in the service center are considered significant, although the exact magnitude is not quantified. The company is in the early stages of leveraging AI for cost deflection through claims automation and sees the service center as a big opportunity for efficiency gains. These savings are expected to result in an improved and enhanced experience for members while creating a more efficient cost structure.

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