Mark S. Livingston
Thank you, Pete, and good afternoon, everyone. I'll begin with the second quarter results and then provide our expectations for the upcoming quarter and for the full year. Second quarter revenue grew 9.5% over the prior year to $332.9 million, primarily due to an increase in the number of clients in covered lives as compared to a year ago. As previously disclosed, revenue this quarter included the final contribution from a large former client who had provided an extended transition period of care for members meeting certain criteria through June 30. This contributed $17.2 million to revenue in the quarter, slightly more than the $14.7 million that we had incorporated into the high end of our guidance. Total revenue, however, exceeded the top end of our guidance by nearly $8 million, driven by the improved member engagement, which occurred across our collective base. Excluding the impact of this former client from both periods, revenue increased by 18% in both the second quarter and over the first half of the year, demonstrating the solid growth that we continue to see in the core business. As of June 30, we had 542 clients with at least 1,000 lives, representing an average of 6.74 million covered lives in the quarter. This compares to 463 clients at an average of 6.41 million covered lives a year ago. I'll remind you that covered lives in 2025 already excludes the client under the transition of care agreement, so your models won't have to adjust the lives going forward now that the transition has concluded. A handful of clients launched in the second quarter, representing the last batch of clients won in the 2024 selling season as well as some early launches from the current selling season. As a reminder, although we typically see some amount of early launches each year, they tend to be smaller companies who have a greater flexibility with their start dates, and our guidance won't reflect these accounts until they've already launched their program with us. Following the close of the second quarter, another handful of smaller clients launched, representing additional early launches from the current season as well as the business we won following the recent wind-down of a relatively small competitor's operations. While this contributed a small number of lives, we were nonetheless extremely pleased to be the provider these employers turn to in order to quickly implement the Progyny benefit and continue offering this critical service with minimal, if any, disruption. Taking those July launches into account, we have over 550 clients today and are approaching 6.8 million covered lives. You may have seen some recent headlines where certain high-profile companies have talked about fine-tuning the size of their organizations through workforce reductions. None of these programs are expected to be particularly impactful to us. With a base as large as ours, in any given quarter, we'll see some number of clients who are contracting while others are expanding. Q2 was no different in that respect and the covered lives across our collective base were essentially flat versus Q1. We believe our client diversity is an underappreciated aspect of our business. The presence we've earned across so many different industries, including ones that may run countercyclical to others, provides us a level of diversification that has insulated us from any sector-specific activity. Turning now to our member engagement metrics. Female utilization was 0.48% in the quarter, slightly above the second quarter a year ago. Utilization this quarter does not include the large client under the transition of care agreement as only a limited number of members meeting certain criteria were eligible to use the benefit, which is not compatible with how we report engagement from every other client. However, that client's volume is included in ART cycles as doing so enables you to continue modeling volumes and revenues as you've always done. Nearly 17,000 ART cycles were performed this quarter, our highest quarterly total ever and a 9% increase over the second quarter a year ago. ART cycles per unique female utilizer were 0.52 in the quarter, at the high end of our expectations and consistent with the rate of sequential increase that we saw in the year ago period. Looking at the components of the top line. Fertility benefits revenue increased 11% over the second quarter last year to $214 million, while pharmacy revenue increased 8% to $119 million. The slight differential in these growth rates reflects ordinary variations in treatment timing and mix. Turning now to our margins and operating expenses. Gross profit increased 16% from the second quarter last year to $79 million. This yielded a 23.7% gross margin, an improvement from the 22.5% margin in the prior year period. For the full year, we continue to expect gross margin expansion over 2024, although not to the same extent as what we saw over the first half of this year, given the additional hiring and other investments we plan to make to enhance the member experience and to prepare for our 2026 launches over the back half of this year. Sales and marketing expense was 5.5% of revenue in the second quarter, a slight increase from the year ago period as our investments in go-to-market expansion have been largely mitigated by the efficiencies that we continue to realize through client acquisition and retention. We previously told you about the investments we're making this year to both expand our product platform and to integrate our recent acquisitions. We also said those dollars would ramp up in the second quarter and continue over the second half of the year. You see this in our G&A, which was 10.9% of revenue this quarter versus 10.3% in the year ago period. Although adjusted EBITDA grew 6% to $58 million, the impact of our investments is also seen in our adjusted EBITDA margin, which declined modestly as expected from the year ago period to 17.4%. Net income was $17.1 million or $0.19 per diluted share in the quarter. This compared to net income of $16.5 million or $0.17 per diluted share in the year ago period on the basis of 89.6 million shares. Adjusted EPS was $0.48 in the quarter as compared to $0.43 in the second quarter last year. Turning now to our cash flow and balance sheet. We generated $55.5 million of operating cash flow in the second quarter and $105 million over the first half of the year. This performance highlights the high conversion of adjusted EBITDA to operating cash flow that's inherent in our model as well as our strong focus on tightly managing our back-office processes. CapEx was $5 million in the quarter, a $4 million increase over the prior year period, reflecting the investments in member experience and acquisition integration. We continue to expect that incremental CapEx for these projects will be approximately $15 million over our 2024 spend. As of June 30, we had total working capital of $374 million, reflecting $305 million in cash, cash equivalents and marketable securities and no debt. Following the close of the quarter, we entered into a revolving credit facility, providing us with up to $200 million of additional liquidity until its expiration in July of 2020 -- 2030. The revolver is undrawn, and we have no planned use for the facility at this time. We've entered into the facility as we believe it's prudent for a company of our size and with our growth profile to enhance our operational and financial flexibility in managing the business. Entering the facility does not alter the capital priorities we've previously shared with you, including stock repurchases, product expansions, new distribution channels and select acquisitions. And you've seen us execute across all 4 of these areas over the past 12 months. As compared to the year ago period, DSOs improved by 13.5 days, reflecting our ongoing discipline in revenue cycle management. Turning now to our expectations for the third quarter and the year. As the third quarter begins, we've continued to see healthy member engagement at levels that are more consistent with the historical range. Nevertheless, given the unexpected variability we experienced at certain times in 2024, the assumptions we're making today reflect the potential for further variability in activity and treatments over the second half of the year. As you can see in today's press release, we have modestly increased our assumption for full year utilization to 1.04% at the low end and 1.06% at the high end, which is still lower than what we saw in 2024. In terms of consumption, the first half of the year was slightly above our original expectations. Given that as well as the current pacing of member activity, we've modestly increased our assumptions for full year ART cycles per unique to 0.91 at the low end of the range and to 0.92 at the high end. With these assumptions, we're projecting between $290 million to $305 million in the third quarter for revenue, reflecting growth of 1% to 6%. As the transition of care agreement with the large client concluded on June 30, there's no contribution from that client in the third quarter or the second half of the year. If we exclude the $32.8 million in revenue from the year ago quarter, our Q3 guidance reflects growth of 14% to 20%. On profitability, we expect between $45 million to $49 million in adjusted EBITDA in the third quarter, along with net income of between $9.4 million to $12.3 million. This equates to $0.10 and $0.14 of earnings per share or $0.37 and $0.40 of adjusted earnings per share on the basis of approximately 90 million fully diluted shares. With our strong second quarter and first half results, we're pleased to raise our full year guidance. We now project revenue of between $1.235 billion to $1.270 billion, reflecting growth of between 5.8% and 8.8%. If we exclude the revenue from the client under the transition of care agreement from both years, our full year revenue growth is projected to be between 15.1% to 18.5%. We also expect between $205.5 million and $214.5 million in adjusted EBITDA with net income between $52.3 million to $58.9 million. This equates to $0.58 and $0.65 earnings per diluted share and $1.70 and $1.78 of adjusted EPS on the basis of approximately 90 million fully diluted shares for the year. With that, we'd like to now open the call for questions. Operator, can you please provide the instructions?