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Operator
Please go ahead, Mr. Putnam.
Richard Putnam - VP of IR
Thank you, Carmen. Good afternoon. Welcome to HealthEquity's First Quarter Fiscal Year 2022 Earnings Conference Call. My name is Richard Putnam, Investor Relations for HealthEquity. And joining me today is Jon Kessler, President and CEO; Dr. Steve Neeleman, our Vice Chair and Founder of the company; Tyson Murdock, the company's Executive Vice President and CFO; and Ted Bloomberg, our Executive Vice President and Chief Operating Officer.
Before I turn the call over to Jon, I have 2 important reminders. First, a press release announcing our financial results for the first quarter of fiscal year 2022 was issued after the market close this afternoon. The metrics reported in that press release include contributions from our wholly owned subsidiary, WageWorks, and accounts it administers.
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 this webcast can be found on our Investor Relations website, which is ir.healthequity.com.
Second, our comments and responses to your questions today reflect management's view as of today, June 7, 2021, and will contain forward-looking statements as defined by the SEC, including 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 today. These forward-looking statements are subject to risks and uncertainties that may cause the actual results to differ materially from statements made here today.
As a result, we caution you 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 detailed in our latest annual report on Form 10-K and subsequent periodic reports filed with the SEC. 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, we will turn the call over to the operator to provide instructions and to host our Q&A.
I'll now turn the mic over to our CEO, Jon Kessler.
Jon Kessler - President, CEO & Director
Thank you, Richard. Well done. Hello, everyone, and thank you for joining us on this somewhat brisk very late spring afternoon. Today, we are announcing strong results for HealthEquity's fiscal first quarter of fiscal year 2022, which ended on April 30, and we are also raising guidance for the full 2022 fiscal year.
I will discuss our Q1 results and acquisition activity during the quarter. Ted will review operations and progress on WageWorks integration. And Tyson will review the financial details of the quarter and provide detail on our updated guidance for fiscal '22 based on the results that we are reporting today. Steve Neeleman is here and will join in on the Q&A.
Looking first to the 5 key metrics that drive our business and that we've been reporting on for a long time. HealthEquity benefited from the initial economic reopening trends that helped drive year-over-year growth in HSA members and in assets, while Commuter and yield headwinds continue to impact total accounts and revenue. Revenue of $184.2 million fell 3% versus the largely pre-pandemic first quarter of last year, and that was due to lower year-over-year custodial yields and Commuter revenue, which were partially offset by HSA member growth, asset growth and other CDB growth.
Adjusted EBITDA of $59.0 million was similarly down from the first quarter last year of $63 million. Total accounts ended the quarter at 12.8 million, which does not include the nearly 700,000 Commuter accounts that remain in suspense.
HSA members at quarter's end reached 5.8 million, up 9% year-over-year. And HSA assets at quarter's end reached a record $15 billion, up an even larger 31% from a year ago. That's a lot of percent.
As Ted will detail, Team Purple started fiscal '22 with very promising sales results, including a fiscal first quarter record of 115,000 new HSAs, up 11% from 104,000 new HSAs opened in Q1 last year. HSA investments grew by over $770 million in the quarter as members and their employers continue to contribute and invest. Investing HSA members grew 51% year-over-year with more of our members connecting health and wealth. And the average balance of HSA members grew an incredible 20% year-over-year and even 4% sequentially from the fiscal year-end despite a restart of spending.
In addition to these strong organic results, in Q1, HealthEquity reached agreements to put roughly $600 million to work, driving additional growth this year and for years to come through the acquisitions of Luum, of Further and of Fifth Third Bank's HSA portfolio. Luum is supporting the post-pandemic of -- so I want to talk a little about each of those.
Luum is supporting the post-pandemic reboot of our Commuter benefits, helping clients launch hybrid workplace strategies as offices reopen. Longer term, we think that Luum and Commuter benefits in general will really be the tools clients use to shrink employee commuting's carbon footprint.
Further and Fifth Third will enhance HealthEquity's market leadership and scale in our core and growing HSA business, adding approximately 0.7 million HSAs and 2 -- more than $2 billion of custodial assets upon their respective closings later this year. These figures are, of course, not included in the numbers that we reported today.
Further will strengthen the network partner strategy that has helped fuel HealthEquity's HSA growth from its very beginning, with significant new partners, increased commitment to the Blue Cross and Blue Shield system and new API-based platform capabilities to support flexible branding and deeper integration of HealthEquity into our partners' offerings. It will also add VEBA to HealthEquity's Total Solution for clients, partners and members.
The first quarter, in addition to delivering very promising sales and operating results and really important long-term acquisition activity, delivered evidence of pandemic headwinds beginning to turn into tailwinds. Health care card spend reached pre-pandemic levels for the first time during the latter half of Q1, with former lagging -- formerly lagging categories such as medical office visits showing strong growth. New sales opportunities and RFP volume and the value of client wins all rose year-over-year in Q1, in line with new HSA opening growth that we reported today.
Bond yields rose and yield curve steepen with both 10-year treasuries and the 10-year -- versus 3-month spread adding more than 50 basis points during our Q1, and that perhaps portends a rebound in HealthEquity's custodial yields in the future. To fully capitalize on that trend, we are expanding our roster of principal guaranteed partners, what we heretofore called deposit partners, to include new insurers as well as banks and credit unions, increasing competition for our managed assets and choice for our HSA members. Heretofore, that's a fancy word.
Leading employers announced plans -- oh, and finally, leading employers announced plans to reopen their urban offices after Labor Day, consistent with our assumption of a start to Commuter recovery in the second half of the year.
So in total, in Q1, while pandemic effects still weighed on our financial performance, the team delivered strong sales. We committed to acquisition investments with significant long-term growth benefits, and there was compelling evidence of headwinds becoming tailwinds to growth for fiscal '22 and beyond.
With that, I will turn the call over to Ted to review operations and integration. Ted?
Edward Bloomberg - Executive VP & COO
Thanks, Jon. Good afternoon, everybody. As Jon mentioned, our selling season is off to a great start. First quarter new HSA sales were up 11% year-over-year and 29% versus the first quarter of fiscal 2020. We're seeing evidence that business opportunities are returning and that the stalled and deferred deals from last year are coming back to the market. RFPs, which only represent a portion of our pipeline, are up 13% year-over-year with bundled RFPs, meaning more than 1 product, up 15% year-over-year.
In the small- and medium-sized market, our sales opportunities are up even more, owing both to our marketing efforts and the strong relationships we have with our distribution partners. Cross-sell activities also continue to bear fruit as 30 enterprise partners have agreed to add new services by 1/1/22 so far this year, and 13 partners -- distribution partners have added new HealthEquity services to their shelves.
On the integration front, we have a lot going on. The team completed another 4 platform migrations in Q1, and we are on track to complete the migrations and decommission work connected to the WageWorks platform by the middle of fiscal 2023, which is ahead of schedule despite our recently announced acquisitions and execution on the COBRA subsidy, both of which leverage many of the same talented team members. While we have migrated 17 of the largest platforms and realized $65 million of synergies to date, there remain a number of small and midsized migrations to complete to realize the remaining $15 million of the $80 million in permanent run rate synergies promised.
As Jon mentioned, we are well positioned to become the leading HSA provider once the Further and Fifth Third deals are closed. Planning efforts are underway to achieve $15 million of cost and revenue synergies within 3 years of close on the Further transaction and we believe likely more after that as we fully integrate our technology platforms. Additionally, our cross-selling pipeline with Luum is beginning to fill with promising opportunities.
Last but not least is a huge shout-out to the entire organization for the tireless efforts required to execute against the recent COBRA subsidy regulations. It takes our entire village to support this effort and partner with clients to deliver this subsidy to those that are eligible. There is still much to do, but we have started fiscal 2022 quickly and on the right foot, thanks to the continued efforts of Team Purple.
Now I will turn it over to Tyson to review our financial results.
Tyson Murdock - Executive VP & CFO
Thank you, Ted. I will review our first quarter GAAP and non-GAAP financial results. A reconciliation of GAAP measures to non-GAAP measures is found in today's press release.
First quarter revenue declined 3% as the economic effects of the pandemic impacted service revenue. Service revenue declined 8% to $102.5 million, representing 56% of total revenue in the quarter. The decrease is primarily attributable to an over 60% decrease in active Commuter accounts. While the growth in HSAs and other CDBs helped, average accounts increased 1% year-over-year.
Custodial revenue grew slightly to $47 million in the first quarter compared to $46.9 million in the prior year first quarter as 19% growth in average HSA cash with yield and 91% growth in average HSA investments with yield more than offset a 33-basis-point decline in the annualized yield on HSA cash. The annualized interest rate yield was 179 basis points on HSA cash with yield during the first quarter of this year. This yield is a blended rate for all HSA cash with yield during the quarter. The HSA assets table of today's press release provides additional details.
Interchange revenue grew 9% to $34.7 million, representing 19% of total revenue in the quarter. The interchange revenue increase was primarily due to a rebound in spend across our platforms in the quarter and growth in average total accounts.
Gross profit was $103.1 million compared to $108.1 million in the first quarter of last year. Gross margin was 56% in the quarter. Operating expenses were $98.9 million or 54% of revenue, including amortization of acquired intangible assets and merger integration expenses, which together represented 16% of revenue.
Income from operations was $4.3 million compared to $15.1 million in the prior quarter. Net loss for the quarter was $2.6 million or a loss of $0.03 per share on a GAAP EPS basis compared to net income of $1.8 million or $0.03 per share in the prior year.
Our non-GAAP net income was $31 million for the first quarter of this year, up from $30.8 million a year ago. Non-GAAP net income per share was $0.38 per share compared to $0.43 per share last year.
Adjusted EBITDA for the quarter decreased 6% to $59 million, and adjusted EBITDA margin was 32% while operating through the impact of COVID.
Turning to the balance sheet. As of April 30, 2021, we had $737 million of cash and cash equivalents with $972 million of debt outstanding net of issuance costs, with no outstanding amounts drawn on our line of credit. The cash balance, of course, will still include -- still includes the funding required to close the Further and Fifth Third HSA acquisitions.
Based on where we ended the first quarter and our current view of the economic environment, we are providing the following guidance for fiscal '22: revenue for fiscal '22 to range between $755 million and $765 million; non-GAAP net income to be between $122 million and $126 million, resulting in non-GAAP diluted net income between $1.45 and $1.50 per share based upon an estimated 84 million shares outstanding for the year; and adjusted EBITDA to be between $241 million and $247 million.
Today's guidance includes our most recent estimate of service, custodial and interchange revenue based on results to date. Since we have not yet closed on the acquisitions, guidance does not include potential revenue from Further or from the HSAs from Fifth Third Bank. As Jon indicated earlier, we anticipate closing on both those acquisitions later this year.
Our guidance assumes a yield on HSA cash with yield of approximately 175 basis points. As with all of today's guidance, our yield guidance does not factor the pending Further or Fifth Third HSA acquisitions, including transition of HSA cash, insured assets to help equity principal guaranteed partners at the time of prevailing rates. We also continue to be conservative with our Commuter estimates and anticipate some accounts to reactivate in the latter half of the year due to return to work. Guidance also contemplates estimated revenue from COBRA subsidy efforts and the effect of run rate synergies from WageWorks that Ted discussed.
The outlook for fiscal '22 assumes a projected statutory income tax rate of approximately 25% and a diluted share count of 84 million.
As we have done in recent reporting periods, our full year guidance includes a detailed 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, I'll turn the call back over to Jon for some closing remarks. Thanks.
Jon Kessler - President, CEO & Director
Thanks, everybody. Thanks, Tyson, nicely done, and Ted. So typically, at this point in the proceedings, I think, those responsible for the promising start to the year, and that's Purple team members. Today, I'd also like to give thanks for something else, which is the resiliency of teammates over the past 15 months. You stayed safe, families are taken care of, well-deserved bonuses were paid. And despite not seeing each other in person for more than a year, our team became a more inclusive and more cohesive bunch, better positioned to deliver on HealthEquity's full potential for our members, our clients, our partners and, of course, for our shareholders.
This is not something leaders do. And in fact, I haven't even put on long pants in 15 months. And we all know from the weekend, the challenges that some leaders have with pants. So this is something teams do. Thank you, Team Purple, for this truly remarkable achievement.
With that, let's open the call to questions. Operator?
Operator
(Operator Instructions) Our first question comes from Greg Peters with Raymond James.
Charles Gregory Peters - Equity Analyst
Thank you for your comments about pants. You know how to paint a picture, for sure.
Jon Kessler - President, CEO & Director
I mean I -- all I'm saying is it seems like my shorts policy has been justified by all the pants attention.
Charles Gregory Peters - Equity Analyst
I got it. I'm in shorts right now, myself. So...
Jon Kessler - President, CEO & Director
As you should. As everyone in Florida should be.
Charles Gregory Peters - Equity Analyst
Indeed. Anyways, so I guess, I'd like to spend a second and have Tyson, and Jon, you obviously will comment as well, talk a little bit more about the service revenue component. And I know, Tyson, you said -- you gave some comments on why it was -- where the pressure was. But I guess, what I'm interested in is not what happened in the first quarter, but what I should think about service revenue yet maybe as a percentage of total account per total accounts. Or as the economy hopefully recovers in the back half of the year, should these numbers begin to improve on a per account basis? Or is there some competitive pressure out there that will limit the upside to the service revenue on a per total account basis?
Tyson Murdock - Executive VP & CFO
I'll go ahead and start.
Jon Kessler - President, CEO & Director
Tyson, you want to start there?
Tyson Murdock - Executive VP & CFO
Yes. I mean it really comes down to, again, the Commuter comeback, right? That's really what's impacting that service revenue line item. And so it just matters when you think about your model and how you think about the return of when that's going to happen. And what we just talked about was we see as well as our own business people coming back in that September time frame and really restoring that. And of course, we're watching that very closely. And to date, we really haven't seen that return yet now.
But you see it in the news, and you see people at golf tournaments, and you see people everywhere. So you know that that's going to happen. And so I think about that, when I think about the competitive side of it, as Ted just outlined, we've had a -- and are having a very successful selling season and actually gave quite a few metrics within that dialogue there to show that.
And so I don't think there's anything unusual, Greg, given our prior conversations. Of course, there's always the continued effort to increase HSA count. And so our pricing on that will come down single-digit percentages every single year. We don't disclose that, but we certainly are competitive in there when folks have the right number of assets and they -- and were able to really underwrite a deal that from an overall bundling approach provides the right amount of revenue and profit, then we'll do it. And I think that's really the only thing that remains the same as far as competition.
I'll stop there and let's see if Jon has some other adds.
Jon Kessler - President, CEO & Director
No. I mean look, I'm not sure I have anything real to add, but I'll add something anyway. I mean which is just -- the thing is the Commuter rebound is not going to be a light switch where -- and we talked about this last quarter that when we were quizzed, Greg, I think, by you and others about the sort of implied conservatism about our guide on the Commuter rebound, I mean, that remains true. It just -- but it is clearly happening as folks are returning to cities and so forth. And so -- but that's really the biggest factor in the whole discussion.
Charles Gregory Peters - Equity Analyst
Okay. And then my follow-up question will pivot to M&A. You've had a busy year so far. And you raised equity. You've announced some major transactions to spend the capital you've raised in equity. What's your view of the m&A pipeline? Is there going to be another -- should shareholders expect another capital raise for you to fund potential opportunities that you see developing in the marketplace? Or are your hands full at the moment, just processing what you've already announced?
Jon Kessler - President, CEO & Director
I feel like somewhere, the antennae of like 1,000 hedge fund managers just twitched. But not to imply that hedge fund managers have antennae. But in any event, I -- look, I think the big picture here is that you're seeing increasing returns to scale in our business. And those returns are not going to be evenly shared. And so there is going to continue to be M&A activity. And I think we have demonstrated better than anybody both that we can deliver strong returns from M&A, in particular, portfolio-related M&A, and that from the perspective of sellers that, we are a good partner.
And the Fifth Third transaction is sort of an example of that, where I think as folks understood -- understand, certainly, there was some discussion in the public domain about Fifth Third talking and working with others. But we have, I think, proven to be a really good partner in navigating their modest twists and turns, with a few twists and turns in getting this thing done.
So that to me is the key to this thing is, one, can we show that we're delivering good returns; and two, can we show that we're a good partner for sellers. And that's a winning combination that we've got. I don't know what deals will be concluded in the second, third or fourth quarter. But we do -- even after this current transaction, we've -- current set of transactions, we have a little bit of powder left for those kind of things and for those kind of portfolio type things. And we won't hesitate to go forward if we think there's strong return for shareholders. So that's kind of where I'm at right now.
Operator
Our next question comes from George Hill with Deutsche Bank.
George Robert Hill - MD & Equity Research Analyst
Jon, I'll say it's over 90 degrees in New Hampshire, so I'm in shorts, too.
Jon Kessler - President, CEO & Director
Outstanding. Are they on backwards?
George Robert Hill - MD & Equity Research Analyst
I guess, I want to go a little bit -- I don't know about that. I would just focus on 2 questions. Number one is on the selling season. And I guess, do you see a return to normal happening fast enough that you feel comfortable about the company's ability to take share on an organic basis as we go through the selling season for 2022 starts? And Part B of my question is, I don't know if you have the ability to have interactions with the customers of either Further or Fifth Third, but talking about maybe net dollar retention or net client retention. Would love to hear your thoughts around that.
Jon Kessler - President, CEO & Director
Yes. Ted, why don't you start, and then Steve can provide some color around what we're seeing in the sales cycle and beyond the statistics offered earlier. And Ted, I think you're in a great position, and I'll add something if it's valuable, to talk about the further clients since, collectively, we've talked to most of them.
Edward Bloomberg - Executive VP & COO
Yes. Sure. I'm happy to kick it off and then turn it back to you, 2 gentlemen, to add some color commentary. So I think on the first part of your question, George, on the sales cycle, we are cautiously optimistic. Our sales representatives are busy. The quality of the analyst meetings that we're holding are high. Deals that did disappear last year are coming back to the market. Our relationships with partners are developing. But one of the -- you've covered us long enough to know we don't really know how the sales cycle is going to turn out until January of 2022. And so all the inputs and all the top of the funnel stuff and all the activity levels are where we want to be, and we feel really well positioned relative to the marketplace in those conversations.
Before I turn it over to Steve and Jon, I'll just take a quick shot at the second part of your question, which is the Further and Fifth Third client bases. We did -- were analytical types. We did a fair amount of market research in preparation for these acquisitions, especially the larger one, Further. And Further has a tremendous reputation in the marketplace. Their clients like working with them, their distribution partners like working with them, which is one of the things that attracted us so much to the asset. And so we have high hopes for client and partner retention on both sides of the coin.
I, personally, as did Jon sat in on significant portion of both client and distribution partner calls, and we were really pleased with what we've heard. And so we think we have, and the Further team, a great team that's delivered great high-quality service to their clients for a long time, and so we're pretty bullish about the retention prospects. But obviously, a lot of work to be done and wood to chop.
So I'll turn it over now to Jon and Steve to add some color.
Jon Kessler - President, CEO & Director
Steve?
Stephen D. Neeleman - Founder & Vice Chairman
Yes. Hey, George, good to hear voice. I would just kind of tag team off of what Ted said. I think what we've noticed this year is just the tone is different in these meetings, right? You've -- rather than people with their hair on fire trying to figure out how to get people out of the office and all of that and just really a lot of distraction, there just is a lot better focus and people are making choices. And we want to win them all.
But like sometimes some leaders will say it's better almost to get a -- now we're going in a different direction than we're putting this on hold for another year because it kind of resets the clock. And we're pretty confident that when people -- even if they don't choose HealthEquity, they're going to choose us at some point. And I think we've just seen a lot more of this positive intent to make choices, move ahead, continue to offer health savings accounts and other CDBs to their membership base. And so we just feel that as kind of the proverbial tailwind, whereas last year was a headwind. People were just distracted, and we had a lot of -- no decisions last year and a lot of analyst meetings that you could tell that we weren't the top of their mind when we were meeting with them. So we're encouraged, and I love being on all of these calls and meetings and -- as do with our teams.
Jon Kessler - President, CEO & Director
And the only thing I'd add to all that is in terms of -- I think those questions -- those answers effectively addressed the question around market share growth. If I then sort of just talk about market growth, one of the items that Ted talked about in his prepared remarks is that the growth is the growth that we have seen in lead flow around the SMB and midsized markets. And that is to a significant -- and it's several fold what it was last year. And that's in part due to the efforts that the team has made to sort of build the muscle around direct selling as well as the muscle around marketing and lead generation on the B2B side into small and midsized now that we have a product to sell.
And so that's true. But it also perhaps reflects some genuine growth in that area of the market, which we really want to see for the market to -- the market as a whole to outperform this year. So again, consistent with the earlier comments, I think, George, the answer is that it's only 1 quarter, but it's a quarter that both in terms of the actual accounts turned in relative to what other competitors report and so forth, as well as the sort of pipeline-y data is quite promising.
Operator
Our next question is from David Larsen with BTIG.
David Michael Larsen - MD and Senior Healthcare IT & Digital Health Analyst
Congratulations on a good quarter and a good start to the year here.
Jon Kessler - President, CEO & Director
Thank you.
David Michael Larsen - MD and Senior Healthcare IT & Digital Health Analyst
Can you maybe talk a little bit more about your expectations for custodial revenue? It seems to me like the yield environment is coming in right in line with where you thought it would. Just any thoughts around where that might trend going forward. There's been talk about rising inflation, the potential for the Fed to raise interest rates. Just any more color around that would be very helpful.
Jon Kessler - President, CEO & Director
Sure. Let me say, in the short term, it is important to note that our guide for the year is 175 on custodial yields and remains 175. And that is despite turning in 179 with respect to cash with yield in Q1. And as I believe it was Tyson, maybe it was Darcy, commented last quarter, we did expect that, that yield will come down a bit over the course of the year as we have multiyear agreements that will roll over as sort of part of our ladder. So the yield headwind broadly is still with us.
That having been said, I do think there are a number of things both that we're doing in that are happening out in the marketplace or in the economic environment that are promising. And clearly, the fact that it's not -- I think we all tend to look at maybe the last 10 days or whatever our feeling is, but we've now gone through both our full fiscal first quarter and the period since where medium- and longer-term yields are sustaining at substantially higher levels, 50, 60 basis points higher than they were, let's say, 6 months ago.
And additionally, while bank deposits pricing will always lag all of that and should, nonetheless, over the long term, those things tend to fall in the same pattern. And so that's encouraging. And then internally, as I offered in the comments and Tyson kind of mentioned this as well, we're taking some steps to assure that the assets that we manage that are guaranteed are competed for vigorously, and even more so than in the past. This has always been a strength of the company. It's always been something that we try to do well both for ourselves and for our members and clients. It helps us keep fees competitive and all that kind of stuff. And we're going to do more of that.
And so that's another thing that as that kind of headwind turns into a tailwind that our goal is to build the biggest possible sale to catch it. And I don't think that will have an effect this year. If anything, again, over the course of the remainder of this year, our expectation is that the guidance implies is that yields will still be coming down. But I think over the long term of the business, this seems like a pretty good thing.
And I should say lastly that having kind of weathered this period of ultralow yields we're weathering -- I shouldn't say weathered -- weathering this period of ultralow yields and kind of borrowing from Steve's experience in the airline business and using that period to really rightsize the business and make the cost decisions we need to make and be efficient and also continuing to build the platform and so forth, right, that all pays even bigger dividends when you see those yields come back. So we're looking forward to the point where we can -- while it isn't here yet, we're looking forward to the point where we can all seem like we're real smart then, but it will be because of the actions we've taken now.
David Michael Larsen - MD and Senior Healthcare IT & Digital Health Analyst
Great. It seems like this might be sort of a floor for yields. Would you generally agree with that? And fiscal '23 should probably have higher yields. Would you agree with that, generally speaking?
Jon Kessler - President, CEO & Director
I -- what we've said elsewhere is -- and I say we're definitely not in the business of giving fiscal '23 guidance on anything at this point. What we've said on that point is that at least in terms of cash, that fiscal -- we are still placing contracts at less than they are rolling over to, right? So the implication is that -- and fiscal '23 would be the third year of that activity. And so the implication is that we're -- that I don't think I'm in a position to say, oh, I'm not calling a Kessler bottom on this. But or I should say -- and probably, that's all I should say because I don't feel like we should be out there. We'll provide '23 guidance as soon as we can. I mean -- but that's about it.
Tyson, anything to add on that point?
Tyson Murdock - Executive VP & CFO
No, I think you got it.
Operator
Our next question comes from Donald Hooker with KeyBanc.
Donald Houghton Hooker - VP & Equity Research Analyst
Great. I was curious. I'd love to hear, Jon, your thoughts. I would -- one thing that stuck out to me on the Further acquisition was sort of the ability to private label. And I was trying to make heads or tails of that. Is that something that's significant? Can you talk about like why one would want to private label? I think had you tried that in the past? And it wasn't -- is there something unique about what Further is doing that makes that a little bit more interesting now?
Jon Kessler - President, CEO & Director
No. Thank you for asking about this, Don. I think what you see is it's interesting. And having been around our market for a very, very long time, our goal is to be -- to meet our partners where they are with regard to how we distribute, when we're distributing to our partners. And there are -- there's -- there are times when partners are very interested in kind of embedding the product more deeply. And then there are times when they're more interested in conveying independents. And those things kind of come and go for each partner.
At HealthEquity, we have primarily not been a shop that -- and we're using private label, but let's understand. It's a little more broad than that. It's really about the depth at which we can embed the product into the services of our partners, right? We have -- that has not been our thing. You got to choose what you're going to do and so forth. And there are certain elements that will probably never be our thing. We don't sell software. We sell a service that software enables. That kind of thing.
But what Further has done and what, through the magic of APIs, we will be doing together is -- I shouldn't say the magic of APIs. It's not magic, but it's -- sometimes it's like ball bearings, it's all APIs. And I think that what it really gives us the opportunity to do as we migrate is to meet partners where they are. And sometimes, partners want to do more kind of embedding of a product, label or otherwise, and sometimes less. And I just think that's a great opportunity.
The primary place that this has been utilized is in the health plan segment, right, where you've seen some clients make round trips on this, of partners make round tips on this topic. But I think there's opportunity across what we do where we can leverage the best of what we do as well as our partner -- as well as doing more than 1 plus 1 makes 2 with our partners. And so I guess, I see this as useful from a technology perspective, useful certainly competitively to the extent that it's something we couldn't offer. There are absolutely partners that we would love to have partnered with us, but we just haven't had this capability. And we want to be wherever an HSA is.
So that's kind of the idea is -- and sometimes being wherever an HSA is means we brought on real depth on the CDB side, so we could deal with clients who want to buy Total Solution. And then sometimes it means partnering in different ways. And then sometimes, as here, it means being able to be -- offer whatever level of solution our partners want at the point that they want it to help drive our strategy but also their strategy.
Donald Houghton Hooker - VP & Equity Research Analyst
Great. And then maybe -- yes.
Jon Kessler - President, CEO & Director
Go ahead, Steve.
Stephen D. Neeleman - Founder & Vice Chairman
Just going to make one comment. Just real quick. It's interesting that even among health plans, some segments they want to have it more completely branded on to the health plan. Whereas like, for example, large employers tend to say they don't really want the -- they may have multiple health plans. It doesn't make sense to have a health plan's brand on the HSA or the CDB solution. Whereas when you get into smaller businesses and individuals, maybe it makes more sense. So to Jon's point, this just creates optimal flexibility as we partner with these health plans. So -- but Jon said it well.
Donald Houghton Hooker - VP & Equity Research Analyst
All right. That's intriguing. And then maybe real quick, can you give us a quick update on your perspective on the employment picture at your employers? I think last year, we were worried about unemployment. Things like these are raging back. Is there a tailwind here for you guys? What's in your guidance?
Jon Kessler - President, CEO & Director
Yes. I think -- I mean, our guidance simply reflects the broad macro consensus. I mean what I would say is that just now, this is just me putting on my ill -- a very ill-fitting macroeconomist hat. I think the unemployment rate is declining faster than the employment market is healing. And the source of that is twofold. One is you have workers that are never going to reenter the workforce. And that seems pretty clear from the data, and -- or they will reenter very slowly whenever it is that they absolutely have to or they try something else or whatever. But there's probably 3 million workers that will never -- or at least there's a good chance they will never return to the workforce. And that's why the unemployment rate is declining faster than jobs are growing.
And then secondly, there has been some real dislocation in certain industries that's real, and it's going to take some time to heal. So I guess, my point would be we are absolutely following the macro consensus. And this is -- this item absolutely is one factor that should help the underlying market heal. And if we can take the kind of share this year that we took last year with a healed market, that would be absolutely fantastic.
But it's also worth noting, I think, just that the headline doesn't tell the full story. We are still not back at the level of jobs that we had pre-pandemic, and we're still probably 5 million, 6 million short of that. So there's still some wood to chop, and it's going to -- the gains are going to be harder to get from here.
Operator
Our next question comes from Stephanie Davis with SVB Leerink.
Stephanie July Davis - MD of Healthcare Technology and Distribution
Congrats on the quarter and the transactions, and count me in on team shorts as well. It is very (inaudible).
Jon Kessler - President, CEO & Director
All right.
Stephanie July Davis - MD of Healthcare Technology and Distribution
Could you walk me through the change in your guidance and how we should think about the impact to it? And how much of that was offset by yield versus service revenues as you guys remain conservative on Commuter versus maybe something else, some other bucket of conservatism?
Jon Kessler - President, CEO & Director
Tyson? Or Tye?
Tyson Murdock - Executive VP & CFO
No, thanks for the question. When I think about the raise on guidance, I really think about we had a reasonable quarter coming out of Q1. That was good. It was still a pandemic quarter, obviously. So you still have the issues with Commuter. You still -- you have spend coming back. And so that's a positive thing. You've got FSA accounts rolling off based on some of the timing and the legislation pushing those out. So some of that spend goes away. And then you got the COBRA effort in there. So it's really a balance among all those different items to really push that guidance up a little bit. And so we thought that's exactly where right now, we think that we're going to be. And there's a lot to be learned over the course of the remainder of the year about how the business returns from that. So those are some of the things that I'm taking into account as I think about it.
And I don't know, Jon, Ted, do you guys have anything to add?
Jon Kessler - President, CEO & Director
No.
Stephanie July Davis - MD of Healthcare Technology and Distribution
All right. Then thinking about those pockets of upside that you could have, I was hoping you would dive a little more into the COBRA business. And any kind of early inclines you're seeing on the recent policy change on reimbursement?
Tyson Murdock - Executive VP & CFO
Yes. There, we're particularly busy. And so we did -- actually, I mean, the team, as Ted outlined, made significant efforts to get in front of our clients' customers to help them be within the regulations and start to get all the commitments for the notification efforts that needed to occur and get those out. And certainly, we will generate revenue during Q2, namely getting those out. And then you'll see the after effect of that and potentially the people who actually uptake COBRA. But there has been a significant effect on that. You see the costs, you see the revenue that will come in, in Q2. Not necessarily going to give amounts. Some of that in the initial guidance and some of that now in this -- in the uptick of guidance here as well.
Operator
Our next question comes from Sean Dodge with RBC Capital Markets.
Sean Wilfred Dodge - Analyst
On maybe going back to the acquisition, the Fifth Third HSA, so 149,000 accounts holding $407 million of assets. Are there any other details you can share with us to help us understand the potential incremental revenue that will add? Are there monthly account fees similar to HealthEquity? How much is invested versus cash? And any difference in the yields those assets are earning?
Jon Kessler - President, CEO & Director
Yes. I mean a couple of things. I mean, first of all, we say we'll either at close or next quarter or whatever, at some point shortly thereafter, we will reflect this in our guidance and then you'll have it. And we would sort of encourage you to do the same.
But all that having been said, I think, typically, when we acquire portfolios, the per account fees are lower than sort of health equity average per account fees for an HSA because that's something that they will have relied on more readily and also because, in this case, certainly, because the average balance is higher. I mean if you do the math, the average balance in these accounts is well over $3,000. So -- and then, I guess -- so that's probably one factor. I mean we'll obviously place the assets. And so we'll place them at then current prevailing yields. And we'll see how that goes when it's time to do it.
And then the spend, the interchange side is pretty typical for our accounts. So that's a little bit of information. I guess, fundamentally, I would say, Sean, that we'll try and reflect this in our guidance as soon as it closes. The challenge of doing so in advance sort of boils down to we don't know the close date.
Sean Wilfred Dodge - Analyst
Got it. Okay. And then maybe just quickly on COBRA. Tyson, you said there was a little bit of activity revenue related to some of the notifications in the second quarter. If we think about the improving employment picture, the employment recovery, does that impact your view on how many end up actually being in a position where they would need or opt to take COVID -- or not COVID, COBRA in the latter half of the year?
Jon Kessler - President, CEO & Director
We don't think too many people are going to opt to take COVID. I think it would suggest that it is very early days, but not by us. Or not by all of us.
I mean I'll take a shot at this. I mean, look, I think this is kind of one of the unknowns that has led us -- that's factored into our guidance for the remainder of the year. And it's an interesting year with more than the usual number of moving pieces. And so the real answer is we don't know. And when we don't know, we try to forecast what we can see. And that's what we've tried to do both in terms of costs and revenues.
And you could -- someone could announce that exactly that argument and say, well, wait a minute, if everyone has jobs, then -- and there's some truth to that. So we'll -- look, one way or the other, this thing is not going to be the all in all of human existence in one direction or the other. The best thing about it is that some people who need to get taken care of will be taken care of. And hopefully, we have shown our clients that will work our butts off to do that, whether the revenue impact or profitability is material or not.
Operator
Our next question comes from Mark Marcon with Baird.
Mark Steven Marcon - Senior Research Analyst
Congrats on the quarter. Wondering if you can talk a little bit about with the increased number of deposit partners that you've talked to, how should we think about the typical premium that you're going to get as it relates to the effective yield relative to, say, 3- to 5-year jumbo CDs? How is that looking now?
Jon Kessler - President, CEO & Director
Yes. I mean it's a little bit hard to know, Mark, because there's not much placement occurring right now. We're in a season where there's a lot of talking and the rubber meets the road a little later in the year. But what, I guess, I will say is that the trick to obtaining a premium period is having -- is, one, having competition for your money; and two, having a track record of delivering because, at the end of the day, nothing -- none of these agreements are real until the money moves.
And so those are things that help us. There are a lot of discussions going on with different parties. And unfortunately, I think this is one of those where -- and again, obviously, most of the impact would be -- or all the impact would be in future years since most of our placements will occur late in the year. But nonetheless, it's something we work pretty hard at every year. And certainly, having more places to put that money makes us somewhat more optimistic that we can catch as much of the benefit of having it as there is.
Mark Steven Marcon - Senior Research Analyst
Okay. I mean just to follow up on that, I mean, it does seem -- you did say that current placements are coming in at an effective yield that's less than what's rolling off. Do you -- are you getting the sense, though, that, that bottom end is starting to move up? So as we think about, not necessarily for the full year for next year, but just in terms of sequentially that by the end of this year, we're probably getting -- we're going to be getting closer to the bottom in terms of the effective yield.
Jon Kessler - President, CEO & Director
Yes. I mean the gap has clearly narrowed in both directions, right? So I think you're trying to ask, has there been a narrowing on the other side, that is the demand side. And the answer is yes.
Mark Steven Marcon - Senior Research Analyst
Okay. Great. And then interchange really picked up nicely. Can you talk a little bit about just the sequential monthly acceleration that you're seeing there? Because that looks -- I mean, that's where things were really strong relative to expectations. So can you talk a little bit about that just the pace of the rebound there?
Jon Kessler - President, CEO & Director
Tyson?
Tyson Murdock - Executive VP & CFO
Yes. That was a real bright spot. As we closed every single month, we would see that things were largely normalized, if not even a little better in some cases, relative to the different places where people spend and particularly in the area of people going and getting medical procedures, which was the one that was sort of lagged and the one that has the most amount of spend to be trapped (inaudible)
Yes, we saw that, it was very consistent (inaudible) walked through the quarter. And so that was nice to see that. Nice to see it was better than what we even expected. Of course, the Commuter interchange is clearly still not there (inaudible)
Jon Kessler - President, CEO & Director
Just to add, Mark, here, just for others. I know you know this very well because we've talked about many times. But that interchange still has a seasonal component to it. And so for example, we will -- in the first quarter, we benefit from the fact that we have accounts that are ending -- in this case, they're from 2 years ago, but nonetheless, are ending their grace period, right, where -- and all that kind of thing that we will not have in future quarters. And that will be reflected in both total accounts as well as interchange.
So -- and of course, people have topped off their accounts at the beginning of the year and all that. So we were certainly pleased to see it. And I think relative to our kind of pre-pandemic levels, we kind of feel like health care spend is kind of back to where it was. But that's still -- there's still going to be some seasonality in Q2 and in particular, in Q3, that folks should be thinking about as they model the full year.
Operator
Our next question comes from Sandy Draper with Truist Securities.
Alexander Yearley Draper - MD of Equity Research
Jon, since you're bringing up the '80s, it sounds like there may be a Fetzer valve that's stuck in the Commuter benefits.
Jon Kessler - President, CEO & Director
Roughly.
Alexander Yearley Draper - MD of Equity Research
So a lot of my questions have been asked, but maybe just following up on that, the comment about the stronger spend. I did notice for the first time in a while, we actually saw the cash per account was down sequentially, have been building. Is that just because we're starting to see some spend? And just would love your thoughts on how you see that interchange of if the interchange revenue is going up, should we make sure we're being -- taking the offset of that and some of that money is going to be coming out of the cash balances.
Jon Kessler - President, CEO & Director
Yes. It's a really important point, Sandy. Thank you for making it. We're thrilled with the aggregate balance growth, just thrilled. And thrilled that, that is a function of not just market growth -- driven primarily market growth, but also of growth, meaning net asset value growth, but also of people continuing to put more into the accounts than they're taking out. And a case could certainly have been made that we would see in this quarter balanced declines as people sort of began to spend again. We see that. So I think what the biggest thing that's happening is just the continued move towards investing.
And as we've talked about many, many, many times, while that has a trade-off in terms of individual dollars, like we saw on this quarter, it also has the effect of people tending to put more money in and stick around, and that money grows faster and so forth in the aggregate. So that's good for the business. And I kind of relate it to a little bit to predictions about the long term of the business. For the sector as a whole to achieve its full potential, more people have to be looking at these long-term accounts. And that's going to mean the investment balances growing quicker than the cash balances. And so seeing that at this level in this quarter, even in a quarter where we still had substantial increase in spend, on a sequential basis, seems pretty good.
But it is something -- but it is -- as you say, it is something that we all have to factor in. And certainly, we have tried to factor into our thinking about guidance for the full year.
Alexander Yearley Draper - MD of Equity Research
Okay. Great. Well, I actually don't have a follow-up, so I'll try to keep the call to an hour.
Jon Kessler - President, CEO & Director
I know you will. I'm sure Sandy is wearing shorts.
Alexander Yearley Draper - MD of Equity Research
Yes, I'm wearing shorts.
Jon Kessler - President, CEO & Director
Marcon is our only maybe non-shorts guy. And maybe -- I mean, maybe Peters. Peters might not be wearing shorts, even though he said he was wearing shorts. I forgot to say...
Operator
We have a last question in queue, gentlemen, Allen Lutz with Bank of America.
Allen Charles Lutz - Associate
Going back to the service revenue, I guess, we know that the Commuter segment is causing a big impact there. But historically, you look at fiscal 2019 fiscal 2020, sequentially in fiscal 2020, that was down slightly. So can you just remind us, as we think about the service line item heading into the second quarter, what are the puts and takes in investment community there?
Jon Kessler - President, CEO & Director
Tyson, you want to get that one?
Tyson Murdock - Executive VP & CFO
Yes. I do think it goes back to just thinking about how we underwrite deals and thinking about amount of assets, right? The fees associated to it and then the bundling aspect of it as well. And so there -- when you think about HSAs and how we price those relative to account balances, and a good example is the one that Jon just pointed out, which was the Fifth Third deal and the amount of those accounts that we're bringing over. And there's a lot of revenue to be generated off those accounts that increases the size of the sale. And so that moves that revenue down into that custodial line item.
But if you really think about the whole aspect of our custodial and service revenue line items, it's almost starting to feel (inaudible) when I think about the deals that we're signing off on as a blended (inaudible) because I'm thinking (inaudible) to that particular customer. And that's even more so true when you think about bundling sales together and finding opportunities to have more problem there, essentially being able to get better pricing on certain things in the service fee area to increase the amount of margin that we're able to take off of those.
So I think you'll continue to see that a little bit. And to the extent that, like Jon said, over the long term, we can get rates to rebound. That creates a huge opportunity for us. And I think it's not going to be anything that's going to be an extreme amount of a decrease relative to that service revenue line item. We certainly manage it every single day. I'm signing to each one of those deals. We're thinking about how we negotiate them and so on and so forth.
Operator
Thank you. And this concludes Q&A. I would like to turn the call back to Jon Kessler for his final thoughts.
Jon Kessler - President, CEO & Director
Well, you've gotten as much thought out of me as you're going to get. Thanks, everyone. Look forward to seeing some of you or at least on video shortly and maybe soon in person, who knows. Thanks, all.
Operator
Thank you for participating in today's program. This concludes the conference, and you may now disconnect. Have a great day.