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HealthEquity Inc (HQY) Q1 2021 Earnings Call Transcript

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HealthEquity Inc (NASDAQ: HQY)
Q1 2021 Earnings Call
Jun 2, 2020, 4:30 p.m. ET

Contents:

  • Prepared Remarks
  • Questions and Answers
  • Call Participants

Prepared Remarks:

Operator

Welcome to HealthEquity's First Quarter of Fiscal 2021 Earnings Call. Please note that this event is being recorded. Go ahead Mr. Putnam.

Richard Putnam -- Vice President of Investor Relations

Thank you, Joel and good afternoon and welcome to HealthEquity's first quarter of fiscal year 2021 earnings conference call. Joining me today is Jon Kessler, President and CEO; Dr. Steve Neeleman, our Vice Chair and Founder; Darcy Mott, the company's Executive Vice President and CFO; and Ted Bloomberg, our Chief Operating Officer. Before I turn the call over to Jon, I have three important reminders to provide. First, a copy of today's press release is posted earlier this afternoon 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 2nd, 2020 and will include forward-looking statements as defined by the SEC, which include 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 our 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. We also encourage you to review the discussions 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 as well as subsequent recurrent 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.

And third, during this call, we will reference certain non-GAAP financial measures that are defined in our press release. There, you will find additional disclosures regarding these non-GAAP measures, including reconciliations of these measures with comparable GAAP measures. Thank you for your patience. I'll now turn the call over to Mr. Jon Kessler, our CEO.

Jon Kessler -- President and Chief Executive Officer

Thank you, Richard. Hello everyone for joining us and -- hello everyone and thank you for joining us. During the quarter and in the weeks since, our hearts have been filled with prayers for those who are dealing with personal loss, gratitude for those who are fighting the pandemic on the front lines, but also with determination to help drive the recovery and we think the pandemic's short-term disruption and it's hit to financial performance have actually strengthened our culture and they've certainly accelerated our synergy attainment and we believe this moment has permanently accelerated market trends that were already in evidence before the pandemic that favor those like HealthEquity with operating scale, with product depth, with proprietary technology, and with solid cultural foundations.

On the call, I will discuss fiscal Q1 performance against key metrics and strategic implications of the COVID-19 pandemic and its economic fallout. Ted will describe our operational response to the pandemic and Darcy will detail fiscal Q1 and expected operating performance. Steve will join us for market and regulatory color during Q&A. No doubt the pandemic and its economic fallout will hit our results in the near-term. They already have. Fiscal Q1 revenue of $190 million and adjusted EBITDA of $63 million while up 118% and 62% year-over-year respectively were impacted by our members inability to use commuter benefits or spend on healthcare during extended lock down in the second half of Q1 as well as by lower interest yields as anticipated on our Q4 earnings call. And adjusted EBITDA margin of 33% despite these conditions though speaks to the profit potential in our business.

And sales showed resilience as HealthEquity opened 104,000 new HSAs, grew total HSAs to 5.4 million. Similarly, HSA assets held steady at $11.5 billion despite steep market declines and HSA cash grew by $40 million and members continued to contribute. Total accounts, which includes CDBs, fell from 12.8 [Phonetic] million to 12.7 million with new CDBs and new HSAs offset by run-off of CY '19 accounts on the CDB side as anticipated on our Q4 earnings call. Custodial revenue performed as we previously anticipated and the team has kept depository partnerships healthy, adding more than $2 [Phonetic] billion in capacity in just the last six months.

That's a long way of saying we anticipated and hope to give you a hell of a quarter when it started, but the pandemic's impact on our financial performance will fade and it will fade likely with the economy's gradual reopening. More importantly, we believe that the accelerated opportunity is permanent. So we are likewise accelerating achievement of our operating synergies from the WageWorks integration, we're accelerating migration from legacy platforms, and we're accelerating deployment of our total solution for connecting health and wealth to employers and consumers who now more than ever are searching for win-wins. So I'd like to have Ted detail what the team delivered on this course in Q1. Ted?

Ted Bloomberg -- Executive Vice President and Chief Operating Officer

Thanks, Jon. As Jon said, our response to the pandemic is to go faster. So I'd like to tell you what that meant in Q1. The team reached $40 million in achieved net synergies in Q1 and we anticipate achieving our $50 million net synergy target by the end of this year's Q2, six quarters faster than initially promised and before fully achieving the benefits that will come from platform consolidation. Going forward, we will report these incremental benefits, not as stand-alone synergies, but as cost reduction and margin improvement in the ordinary course. The team finished its fourth legacy platform migration and is on track to deliver six to eight more this year. As of today, more than half of HSAs and HSA assets have been migrated. Retention during these migrations has more than met expectations, a testament to the hard work of our service delivery and relationship management teams. Our sales team has built a strong FY '21 sales pipeline despite COVID-19. HSA bundled RFPs are up meaningfully year-over-year. Over one-third of our large managed clients are in cross-sell discussions and we have launched new network partnerships across health plans, retirement providers, and benefits administrators.

We have made good on our promise to bring remarkable purple service to everything we do. In Q1, member call satisfaction scores on legacy WageWorks platforms increased 10 percentage points driven by a strong performance from our front line team members and onshoring calls, a process we will complete this month. The team accomplished all of this while 97% of us were transitioned to remote status, an effort so effective that we believe HealthEquity could maintain a successful remote work posture indefinitely, if needed. In fact, we recently announced internally that three of our smaller offices will not reopen post pandemic. And finally, with all of that, we applied purple spirit and innovation to immediately aid recovery for our members in a few ways.

First, we are excited to formally launch our health savings score program. This is a proprietary algorithm that helps companies and individuals think about their retirement readiness and that of their employees from a health perspective. We are especially happy that the score isn't just a number, it comes with actionable recommendations to improve results. Our pilot clients loved both the score and the recommendations and we are excited to roll it out more broadly. Second, as many of you know, U.S. payrolls fell by 21.9 million workers in April with many additional new jobless claims in May. The newly unemployed are just now beginning to tackle the challenge of staying covered. As one of the largest managers of COBRA and other health benefit continuation programs, if not the largest, we see the present situation as an opportunity for purple leadership. COBRA eligibility confirms multiple options to stay covered, options few consumers fully understand.

So in addition to 24 by 7 live support for our members and with a little help from our friends at The Dave Ramsey Show, we've launched healthequity.com/statecovered, a public resource for consumers to learn about their employer-sponsored government and commercial coverage options. I encourage all of you to check that out. The team did right by commuter members as well, working with hundreds of transit and parking providers nationwide to facilitate refunds for monthly passes not needed and launching what we believe to be the only comprehensive online resource for commuter pass refunds.

Finally, when the IRS authorized disaster relief accounts, within days, our team had a solution ready for our clients and partners. These are things only an organization like HealthEquity with scale, depth, platform ownership, and a strong culture can do and we are proud to be helping our members, clients, partners, and the public in these ways. I will now turn the call over to Darcy to review the financials and outlook.

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Thank you, Ted. I will review our first quarter GAAP and non-GAAP financial results. A reconciliation of the GAAP measures to non-GAAP measures is found in today's press release. Our fiscal first quarter financial results as you know, include the operations of WageWorks, which was acquired in Q3 last year. First quarter revenue grew overall and organically in each of our three categories. Service revenue grew to $111.3 million representing 59% of total revenue in the quarter and 315% year-over-year growth. The increase is primarily attributable to 173% growth in average total accounts from acquisitions including WageWorks and new sales. Custodial revenue grew to $46.9 million in the first quarter representing 25% of revenue in the quarter and 12% year-over-year growth. The increase is primarily attributable to 30% growth in both HSA cash with yield and in HSA investments with yield year-over-year, partially offset by a lower annualized interest rate yield of 2.12% on HSA cash with yield.

Previously, we had provided yield data on legacy HealthEquity HSA cash only. As Ted mentioned, we have now migrated over half of the legacy WageWorks HSA assets to the HealthEquity classic platform. Accordingly, we have adjusted our disclosures to separate HSA cash and investments with yield from those without yield. We will continue this separate disclosure until we have migrated the non-yielding HSA assets to become yielding assets. The HSA cash yield of 2.12% for the quarter is a blended rate for all HSA cash with yield during the quarter. The HSA assets table in today's press release provides additional details.

Interchange revenue grew to $31.8 million representing 17% of total revenue in the quarter and 74% year-over-year growth. The increase is primarily attributable to growth in average total accounts and a negotiated more favorable interchange share offset, as Jon mentioned, by a significant fall off in spend across our platforms in the second half of the quarter. Gross profit nearly doubled, reaching $108.1 million compared to $57.8 million in the first quarter of last year. Gross margin was 57% in the quarter versus 57% for the fourth quarter and 66% for the first quarter of last year. Beyond the change in revenue mix resulting from the WageWorks acquisition, gross margin was impacted in Q1 by the decline in custodial cash yield, loss of high margin interchange revenue, and COVID-19 related expenses associated with the transition of the team to remote work and other activities Ted mentioned.

Operating expenses were $93 million or 49% of revenue including amortization of acquired intangible assets and merger integration expenses, which together represented 17% of revenue. Income from operations was $8.1 million. We had net income for the first quarter of $1.8 million or $0.03 per share on a GAAP EPS basis. Our non-GAAP net income was $30.8 million for the quarter compared to $27.4 million a year ago, a 12% increase. Non-GAAP net income per share was $0.43 per share compared to $0.43 per share last year. Adjusted EBITDA for the quarter increased 62% to $63 million and, as Jon mentioned, adjusted EBITDA margin was 33%. On the balance sheet, as of April 30th, 2020, we had $171 million of cash and cash equivalents with $1.2 billion of debt -- of Term A debt outstanding and no outstanding amounts drawn against our line of credit.

Turning to guidance. As you know, the highly recurring nature of our business typically provides a high degree of visibility to future operating performance. Due to the pandemic, we are providing guidance for our second fiscal quarter ending July 31st, 2020 as we expect that our second quarter results will be more fully impacted by COVID-19 than was our first quarter. With prospects beyond the second quarter currently unclear and with significant uncertainty regarding the pace of reopening and economic recovery, we are withdrawing prior guidance for full fiscal year 2021.

Specific variables that will impact our performance through the remainder of fiscal 2021 include, but are not limited to, members access to and spending on healthcare as shelter-in-place restrictions ease and their use of transit, parking, and other commuter benefits as workplaces partially or fully reopen. The pace of recovery in employment will impact the number of our average total accounts and conversely perhaps, uptake in COBRA and other benefit continuation products among current or new COBRA eligible members. Across these and other variables, there exists a wide range of plausible outcomes for the remainder of fiscal year 2021. Importantly, our guidance for our second quarter ending July 31, 2020 assumes that the conditions observed in April across these and other variables continue through the quarter, i.e., neither significant recovery nor significant further declines.

Under these assumptions, we expect HealthEquity will generate revenue for Q2 fiscal 2021 in a range between $168 million and $173 million. We expect our non-GAAP net income to be between $17 million and $22 million resulting in non-GAAP diluted net income per share between $0.23 and $0.30 per share. We expect HealthEquity's adjusted EBITDA to be between $42 million and $48 million for Q2 fiscal 2021. Today's guidance includes the effect of Q2 of having achieved approximately $40 million in annualized run rate net synergies achieved as of the end of the first quarter as Ted discussed as well as achieving our goal of $50 million in total run rate synergies by the end of Q2. Realization of synergies are expected to be additive to both the top and bottom lines in fiscal year 2021 and beyond.

We expect a yield of approximately 2.10% [Phonetic] on HSA cash with yield during Q2. Our non-GAAP diluted net income per share estimate is based on an estimated diluted weighted average shares outstanding of approximately 73 million shares for the quarter. The outlook for Q2 fiscal 2021 assumes a projected statutory income tax rate of approximately 25%. Our 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.

Jon Kessler -- President and Chief Executive Officer

Thanks, Darcy. This is normally where I have some specific thank yous. In this quarter, there are just too many people to thank for the extraordinary way and remarkable way in which our teammates have taken care of and supported each other during COVID and more recently, the thoughtful way in which they have begun to process the killing of George Floyd and the other recent events involving race in the country.

I think the best thing that we as leaders can do to honor the sacrifices of our team members and the fact that they are able to stay focused during these events and the best way we can honor the trust that you as shareholders place in us is to stay at work and to attain our synergies as fast as we can to permanently accelerate or to take advantage of the permanent acceleration that we see in market trends that really we are very well positioned to capture and to further our mission of connecting health and wealth and to do all of that in a way that leaves us with a stronger culture than coming into this particular crisis and that's what we're going to try and do. So with that, I will stop and welcome your questions.

Questions and Answers:

Operator

Thank you. [Operator Instructions] Your first question comes from Anne Samuel with JP Morgan. Your line is now open.

Anne Samuel -- JP Morgan -- Analyst

Hi guys, thanks for taking the question.

Jon Kessler -- President and Chief Executive Officer

Hey, Anne.

Anne Samuel -- JP Morgan -- Analyst

I know you're not providing full year guidance, but can you help us with how we should be thinking about what the COVID impact is on maybe each of the different business segments to kind of build that up just particularly in 2Q just given, it's a little bit below what we were expecting. Thanks.

Jon Kessler -- President and Chief Executive Officer

Sure, I'll start and then ask Darcy to extrapolate a little bit, maybe extrapolate isn't the right word, but the way to think about it is that the impact, that COVID has had -- that COVID has in Q2 -- is I think what your question was to sort of divide that into the various components of our business.

Anne Samuel -- JP Morgan -- Analyst

Yeah that will be correct, yes.

Jon Kessler -- President and Chief Executive Officer

The biggest impact is -- a way to think about it in Q1 was on spend and the access that individuals didn't have to healthcare spending, particularly in the month of April and the fact that -- and this is where impact goes over to fees that people's use of commuter, which as we all know, we're not commuting right now and that was on top of what we had originally expected, which was obviously the impact to rates that we saw. So those are really the biggest impacts in Q1 that kind of start us off with Q2 and then Darcy, why don't you speak to how you thought about that as we forecasted Q2.

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Yes, so the spend has been the most notable item and even if you look at Q1 results and then fast forward that to Q2, the spend was --we really started to see the impact of it in mid-March, which would kind of, you know, that's basically when the country went on shutdown and so that impacted Q1 and so what we've done for purposes of Q2 as we kind of took that spend rate that we saw in April, which is a full month of basically shut down and we played that out for May, June, July. We acknowledge that that's probably a conservative way to look at it, but we like to be conservative and to see how fast this comes out.

We are tracking spend daily. And Tyson and his team are watching this very closely and so, that's the approach we took with respect to interchange. If you think about the components of interchange though, spend associated with healthcare in HSAs or FSAs or HRAs and then in commuter. In the HSA world, we always encourage people to spend less and save more and so when they don't spend money out of their HSAs, that means the money is still in their accounts and they're still earning interest on it and we're still earning interest on it and so that doesn't concern us really from a long-term perspective, we always encourage people to do that, but to spend it when they need to.

On the FSA and the HRA front, all of those dollars are generally characterized as use it or lose it and I know there's been some delays or extensions of time allowed for spending, but the basic premise is that because the money has already been set aside in some fashion that eventually that spend will come back. When exactly will it come back, we're not exactly sure, but we do believe that that spend will come back. On the commuter portion, which is a relatively smaller portion of the total interchange that we derive, but when that spend doesn't happen in April, it's not going to happen. As people come out and start opening up cities and primarily large metropolitan areas where mass transit starts operating more, then we expect that that will come back, but we don't anticipate that the lost revenue will be recouped. So that's kind of how we looked at it.

There's some service revenue obviously associated with some of those things, particularly like in commuter and so on and so forth that are impacted and the impact of unemployment on our service revenue hasn't really started manifesting itself too much to date. We'll see how things go, but it will probably -- there has been some talk about, well, you'll get more COBRA and maybe that will offset loss in service revenue for those that were unemployed, we don't know how those will exactly align, but we've been fairly conservative, we kind of took a look at what we got out of April and then we, kind of, play that forward. So I don't know if that gives you enough color for, kind of, how we went about giving our guidance for our Q2, but as we always or we try to take a fairly conservative approach and deliver what we say we're going to do.

Anne Samuel -- JP Morgan -- Analyst

That's extremely helpful. Thank you.

Operator

Thank you. Our next question comes from George Hill with Deutsche Bank. Your line is now open.

George Hill -- Deutsche Bank -- Analyst

Hey, good afternoon guys. And I appreciate you taking the question. I guess maybe two things, Jon on the guide, I appreciate that you guys are extrapolating what you saw from April out through the balance of the quarter. Is there any change you'd be willing to comment on May?

And my other question as we think about, kind of, deposits and assets you guys were keen. I guess, can you talk about what is the difference in the balance between, kind of, the market impact of the investments versus with beneficiaries, who are either have job risk or might be losing their jobs. The short question is are you basically seeing people leave their HSAs as an immediate source of funding the -- by healthcare products? Or do you feel like you're generally seeing account balances remain stable? I mean, kind of, any granularity that you have there would be great.

Jon Kessler -- President and Chief Executive Officer

You got it. I will comment a little bit on May recognizing if you, sort of, think about what Darcy said a moment ago. The primary impact issues we are concerned about on the negative side are really around commuter as a whole, plus healthcare in terms of spend. And if I look at May relative to April, and I think this is consistent with other sources that are out there. On the healthcare spend side we're marginally up from April, but it's marginal. Someone asked me yesterday when was -- how many times as any member of your family been to a doctor this month? And the answer is -- so we're marginally up from April, especially in the areas you might expect pharmacy and the like. But it's -- so perhaps April is the low there, but we want to be thoughtful and careful.

With regard to commuter, we're in exactly the same places we really were in April, which is nobody's commuting. And commuter is about $7.5 million of monthly revenue for us, some of that revenue, a modest portion is still coming in for reasons that we could talk about, if anyone is really interested, but the bigger picture is that, that one is going to be out of commission until things start to reopen both and I would remind everyone, it's not just transit, it's also people who drive to work and pay for parking, people who are in ride share type arrangements that kind of thing, but -- and but transit obviously does play a big role.

The second question, oh, let me say, one of the thing about May, which is about COBRA. We are between mid-April and into mid-May and we'll talk about this more if someone wants to ask. We didn't -- we did begin to see the effects of the uptick in the unemployed population, qualified events between mid-April and mid-May were up about it depending on the week between 10% and 30% on a year-over-year basis and whole volume, kind of, followed that. And then in addition, we saw a modest uptick in the percent of those, who are making COBRA elections and that sort of makes sense since the normal year most qualified events are people who are moving to another job or the like in this case, that's not true. As unemployment is stabilized a little bit in recent weeks, our activity there is off its peaks and it's a little early, but those are things that we saw in May.

As to the second part of your question, which was essentially, I appreciate the way you put it, which is our people rating their HSAs, the short answer is you know, that is to say a couple of points; first of all, let me start with the employer side of things. The -- if I look at the first quarter contributions from employers were essentially flat year-over-year, meaning that employers have not -- didn't -- have not taken their contributions off the table, we didn't see that in April either. And with respect to member behavior, our member contribution levels remained strong and of course spending, but out of the accounts has actually declined for some of the reasons we talked about a minute ago with regard to access to healthcare.

So my sense is that people are keeping a level head with regard to their HSAs, we actually added -- grew the number of -- I'm sorry, the number of our members who invest by about 38% and obviously that was much faster than account growth, so that seems like a good thing from a long-term perspective and a good sign that the members are kind of keeping their heads as the market goes up and down and trying to do the right thing for long-term.

George Hill -- Deutsche Bank -- Analyst

Very helpful, thank you.

Jon Kessler -- President and Chief Executive Officer

Thank you.

Operator

Thank you. Our next question comes from Alex Paris with Barrington Research. Your line is now open.

Chris Howe -- Barrington Research -- Analyst

Good afternoon, everyone.

Jon Kessler -- President and Chief Executive Officer

Hi, Alex.

Chris Howe -- Barrington Research -- Analyst

This is Chris sitting in for Alex.

Jon Kessler -- President and Chief Executive Officer

Oh, OK. Hi, Chris, sorry.

Chris Howe -- Barrington Research -- Analyst

So first off, I don't want to be the bearer of news, but assuming in an environment where COVID makes a come back to some extent, similar to what we've seen with the flu later this year and has some impact on Q4, the primary selling season. Can you talk about just the things that are in place, given what you've experienced with your current workforce? And how the company would be able to flex and sustain profitability, I don't want it to have advantage in a certain scenario like that, how the company would be prepared?

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Thank you. It's -- this is a risk management environment, so it's better to be the bearer of hypothetical bad news and have us planned for it. We have a crisis management team that has been in operation since the middle of February that did just tremendous work in teeing up the call for us to go to work from home early in March, early enough that we probably we certainly saved infections and perhaps saved lives. And that group has switched over to beginning to think through or thinking through return to the office.

But to some extent for the reasons you suggest, we intend to be -- we don't use this phrase often slow followers as Steve put it in an email on return to work. We are not that we have any special knowledge, but we are not confident about what the near-term hold for us in terms of not only the ability from a regulatory or whatever perspective of people to stay at the office, but also the ability for that to be a productive environment. And the team has been incredibly productive work from home and so we feel like our best risk mitigation strategy is to maintain that posture and that's generally what we intend to do certainly until further notice. But we do intend to be ready to the pull trigger returning to the office on a phased basis, but we will do that when we feel like the answer -- we have the answers to questions, such as the one you raised.

With regard to selling, well, it's absolutely true that this is a sales cycle that is unique. I think it's worth emphasizing some of the data that Ted offered. And if you kind of think about it, what he said is one-third of our enterprise clients are in cross-sell discussions. The absolute number of RFPs we have is holding its own year-over-year, which is remarkable. But even better from our perspective, more of those RFPs are bundled, which means we're selling more services and in fact three quarters now of our HSA, RFPs include at least one of our CDBs, and that's up from numbers we presented previously both in history pre-transaction and then the early part of the transaction.

And we don't like to talk about win rates at this stage of the year where we can actually see them is in our RFP business, our middle-sized employer business. And our win rates are very good right now and we are really confident that we are taking away business from competitors, and that the combination of breadth and of stability that we can now offer our clients, because what they have want it, is out there and is resonating the market.

So a lot of that sales work for the full fiscal year will be done before next September, but for example, one other and I'll add one other item, the thing that we do get concerned about during that period is how are we educating new potential members and how are we educating existing members during the open enrollment period and to that end, we have also launched and begun communicating to all of our clients about a fully online education effort and though it is online, a lot of it involves real people with real abilities to have back and forth conversation and I think we're going to have certainly the most unique, but the best open enrollment cycle we've ever had in terms of the ability of our members current and members would be to access the educational resources we have whether those are materials or tools or people who are there 24/7 to help them during open enrollment. So I feel like without wanting to minimize the difficulties that a resurgence will create for our entire economy, that at least at HealthEquity, we will be prepared to deliver purple to our members, to our clients, to our partners during the fall.

Richard Putnam -- Vice President of Investor Relations

Thanks, Chris.

Chris Howe -- Barrington Research -- Analyst

Thanks, Jon, appreciate the comments.

Jon Kessler -- President and Chief Executive Officer

Thank you.

Operator

Thank you. Our next question comes from Robert Jones with Goldman Sachs. Your line is now open.

Robert Jones -- Goldman Sachs -- Analyst

Great, thanks for taking the questions. I guess just one clarification around COBRA. It wasn't clear to me what exactly is contemplated. I know you're taking recent trends and obviously trying to extrapolate them into at least 2Q. So I just wanted to make sure I understood how much contribution, if any, is contemplated from COBRA in 2Q and then I guess just taking a step back, Jon, you shared some high level statistics about what you're seeing from your customer base as far as unemployment in recent months or recent weeks. One of the things that makes this obvious macro situation different from prior ones is folks holding on to benefit. So I'm just curious if you'd be willing to share, within the clients that have had layoffs, any perspective as far as those holding on to benefits kind of furloughed situation versus those that had been more severed permanently from those organizations. Thanks.

Jon Kessler -- President and Chief Executive Officer

Yeah. Why don't I -- I'll take the second part of your discussion and then ask Darcy to comment on the -- but why don't we go in order. Darcy would you be willing to comment on the question that was essentially, I'm going to rephrase it as what are you assuming about COBRA for Q2 and then I'll comment on the broader question about the effective unemployment and potential use of direct billing and the like.

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Sure, I think consistent with our past practices, until we see it, we don't count it and so, notwithstanding the fact that people have put out there the possibility that maybe our COBRA revenue will get a spike or start rising. We have not built that into our Q2 guidance. We're watching it carefully to see what qualifying events happen and what kind of uptake we get, but until we start seeing the fruits of that with respect to revenue, we have not included that in the guidance.

Jon Kessler -- President and Chief Executive Officer

So, returning to your broader question. We actually during this period were able to get out a survey across our entire client base. No more perfect than any survey is, but nonetheless with some really interesting results. 59% of our clients are not or have not and are not planning layoffs. Another 49% of our clients either have implemented or are planning to implement either layoffs or furloughs of 25% or less of their workforce and I say that hesitantly since 25% is a huge number, but nonetheless importantly, we feel like our work for -- our client base is not -- nobody is insulated from the level of unemployment we're seeing, but we seem to be in a better spot than some, let's say.

Beyond that, though, relative to your question about COBRA direct billing of -- our clients, 62% say that they plan on continuing coverage for a period of time for those that do end up getting laid off and 93% expect to rehire most if not all of those who are impacted. And what that means is that people are thinking about how to continue benefits during this period, not just because it's a kind thing to do, but actually because it can make a ton of sense versus the alternatives if that person is going to end up back on your workforce anyway. Today, direct billing is a product that we have for that. It's somewhere between 5% and 7% of our COBRA business today. So the way to think about it as a sort of subset of we call COBRA really benefits continuation.

Historically, direct billing has been for retirees where the company will provide some amount of health coverage and retirement for a period of time or as they leave the firm and we'll continue to offer them health benefits, but obviously in this setting, we think there is a possibility that this will grow with regard to those who are in temporary furlough situations and obviously, we see more employers are interested in keeping people on benefits because they expect to rehire them. So we do think there is some potential for growth there and obviously our pipeline in both COBRA broadly and retiree billing in particular is quite healthy, very healthy, but we want to see it and so that's something maybe to think about a little more as we get into the latter half of the year.

Robert Jones -- Goldman Sachs -- Analyst

That's super helpful context. Thanks, Jon.

Jon Kessler -- President and Chief Executive Officer

Thank you.

Operator

Thank you. Our next question comes from Donald Hooker with KeyBanc. Your line is now open.

Donald Hooker -- KeyBanc -- Analyst

Great. Good afternoon. This might be a tough question to answer, but would love to hear your perspective in terms of, as you think about the competitive environment for your services, everyone's feeling pain. I think last quarter we talked a little bit about how with WageWorks your exposure to interest on custodial cash is maybe a little bit less than some of your competitors which could be obviously a relative positive for HealthEquity, can you talk about what you think you might be seeing across other similar service providers to employers and how they are sort of faring as well and competitively?

Jon Kessler -- President and Chief Executive Officer

Yeah, I mean a couple of thoughts, Don. Thank you for the question and I'm going to answer and then since I know Steve has had an opportunity to talk to some of our competitors in the last few weeks, I'm going to ask him to maybe offer some color. First of all, as you referenced, I think the key fact for people to be aware of is that by virtue of the business model that we have evolved to and are continuing to evolve, there are competitors that are far more exposed to the current environment than we are.

The average HSA provider generates about or the average HSA generates about 50%-odd of its margin from -- well actually 50%-odd [Phonetic] revenue from net interest income and as you know from the current quarter we just reported, we generated about 25% of total revenue from gross interest and of that about 23% or so was from the cash side. So we feel like we have an opportunity to kind of come out of this ahead and more broadly as you know, generally when downturns happen, people take a look at their businesses and look at opportunities where they really want to deploy scarce capital and where they don't and so markets consolidate and Don, we're spending a lot of time thinking about how to -- one of the reasons that -- and one of the reasons that we are kind of keeping the gas on integration and those kinds of activities is that we think there are going to be consolidation opportunities.

We're certainly thinking about how to handle those given our capital structure, but we're not going to rush into anything because sometimes it's good to wait to see the tide roll all the way out as it were, but we do think there are going to be those opportunities and we're going to be a winner in that environment and the experience that we've gone through in bringing WageWorks on to the platform and then our prior experience with consolidated M&A I think is really helpful in this regard and I have to say, I have to thank Ted for a lot of that, he's done a great job in the last year on Wage since before we completed the transaction. Steve, do you want to offer any color as you've talked to different competitors in particular the banks and others or they're thinking about this?

Stephen D. Neeleman -- Founder and Vice Chair

Sure, sure. Hey, Don, thanks for the question. And I certainly concur with everything Jon said, I would just add that as you know, there is this broad spectrum of competitors that we deal with, we have banks over 2,000 of them, that are largely, kind of, single product shops, I mean, most of the banks will accumulate some HSAs through their business relationships and some of the direct-to-consumer Thatrelationships and they don't tend to offer a lot of other products. I think, that we started offering a broader suite of products about 12 years to 13 years ago, obviously when Jon joined us Neeleman coming up on what Jon 11 years, a little over 11 years now. He obviously brought the expertise that he had with these consumer record benefits and then that helped us accelerate and that been kind of the Capstone [Phonetic] of that whole acceleration is and with the acquisition of wage, that put us in the competitive position we are in.

So I think that -- now this being a second major downturn since we started the company. Obviously, the recession we saw this same story and then as people start playing out of that and dynamic changed a little bit. So I think it's similar dynamic we -- I think the banks where talk to in different industry groups and things like that on a regular basis are now -- as they're starting to see revenue dropped a little bit when it comes to interest rates, something like that what I think were more opened for the discussions, the companies like HealthEquity that has expanded to offer more benefits, the CDBs, as we call them. I think, now realize that their margins are going to squeeze a little bit on the HSA side of things on the revenue, but it has some other players there, but look we're in constant discussions with these folks.

We think that where we're positioned now being at scale on the HSAs and the CDBs, it allows us to really shine and we've got the team put together, well and just some our sales hurdle today and I'm so impressed with not only what our sales people are doing, but what the whole sales operations team is doing to help do qualified leads and then of course are fantastic people service in the back-end with -- which is always our best, our best-selling point is the services that we've always provided and not just for HSAs, we do it for basically every product now that a consumer could choose. And so I think we're well positioned, I do know that in coming out of the '08 time period, it open the door for some more, kind of, acquisitions just because when you're a single source provider of HSAs only, the time is being a pretty lean for a while, so...

Donald Hooker -- KeyBanc -- Analyst

Interesting. Thank you.

Operator

Thank you. Our next question comes from Jamie Stockton with Wells Fargo. Your line is now open.

Jamie Stockton -- Wells Fargo -- Analyst

Hey, good afternoon and evening. Thanks for taking my question. Maybe just one quick one, the non-HSA accounts, which are primarily from wage. It seems like turn was, kind of, high last quarter may begin this quarter in those accounts. Can you just talk about what your expectations are as we move through the rest of this year? I realize that the environment is making that calculus a little more complicated, but just any color there would be great.

Jon Kessler -- President and Chief Executive Officer

Yes, Jamie, thanks. So we ended the quarter with about 100,000 net CDBs fewer than we had at the end of Q4, and as I think we said in the remarks, but if we did not say it now. That was -- that consisted of the run-off of about 200,000 accounts, give or take that we talked about this at some length on the Q4 call, you'll recall that we had hoped that we could somehow like break those run off accounts out and have just not report them ever in the first place, and we just couldn't do it. So in any event, these are not accounts that left us, they are actually accounts -- the way to think about it is it's the 2019 calendar plan year ending with grace period and the like.

And we'll actually have a few more of those this quarter, because for some employers the grace periods are little longer, but also because the government has given employer the option to extend it and while I think most employers will not do that some will in any event, and we learned some revenue from that potentially. But in any event extent of that factor, which we'll have to get used to, but it will occur every year in the fourth versus first quarter of a little bit of inclusive of those run-off accounts and so forth. If I take that out of the picture, the non-HSA accounts business was up a bit on a sequential basis and certainly relative to where we were concerned about when we first closed the acquisition is doing pretty well.

As I referenced in my comments, I think we are going to have tremendous and I mean it's a funny word to use. But we're going to have a lot of takeaway opportunities in that space. I don't think people are for the most part our competitors are not prepared to execute at scale, they're not prepared to do the kind of things we're doing, whether it's COBRA and some of the efforts that Ted talked about. I mean, I don't think our competitors are prepared to say members of the public, we know there's 20 million of you out there, that are currently were employed yesterday they're employed today and more claims than that, but nonetheless in terms of actual payrolls, we can be of some help, I don't think that our competitors are prepared at scale to do the kind of things that we are doing on the card side that we'll spend may have been down during the quarter, folks will note that interchange actually on a sequential basis was not and maybe we talk about that.

And I don't think that folks are going to be able to do what we are doing on the education side that helps us deliver really high quality -- and service side that helps us deliver that Purple service. So I think we're going to have a lot of takeaway opportunity in those markets over the course of next few years. And I'm actually pretty excited about it.

Jamie Stockton -- Wells Fargo -- Analyst

Okay, thank you.

Operator

Thank you. Our next question comes from Greg Peters with Raymond James. Your line is now open.

Greg Peters -- Raymond James -- Analyst

Good afternoon, Team Purple. First question is on capital structure. Can you guys give us an update on your debt leverage, especially in the context of the revised adjusted EBITDA guidance that we could annualize out for the next couple of quarters?

Jon Kessler -- President and Chief Executive Officer

Yes, I will start this one and then turn over to Darcy. Did I forget to turn it over to Darcy last time, am I isn't it?

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

No.

Jon Kessler -- President and Chief Executive Officer

Well, go ahead, go ahead, Darcy.

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Well, no. So yes, Greg, we obviously watch this very carefully in fact we report this quarterly and just completed the review of our -- just completed quarter over the next several quarters. We get the benefit of the synergies and as we talked about we've derived and will continue to drive synergy benefit going forward. Our cash flows, even just for this quarter if you look at it, we were down $20 million in cash, but a big portion of that was actually the payout of the FY '20 bonuses that impacted cash in this quarter that, that is not a cash drain next in the ensuing quarters in the next periods.

Additionally, if you think about it we devoted a fair amount of cash resources to the integration and merger integration activities that will dissipate as we get through the end of this year. Our cash flow from operations for the first quarter was about $15 million and it would have been more absent the payout, we feel pretty comfortable with our debt covenants and achievement of our debt covenants and the flexibility we have both with respect to capex expense. At the same time, knowing that we have some one-time things that will disappear going forward that will help not only our cash position, but we'll enhance our EBITDA as we get through some of these conversions.

Jon Kessler -- President and Chief Executive Officer

So, Greg, I would just say -- to add to that I -- while I'm always worried about any debt I owe to anyone personally or otherwise, managing to -- we were managing within the existing capital structure to meet our debt obligations and so forth is even in any really plausible scenario with regard to the rest of the year and so forth. I feel fine about what I'm -- I think more focused on and what our Board to focus on as well as we're a growth company and when we took on this debt as part of the WageWorks transaction, it was with the expectation of fairly rapid deleveraging. We're dealing with COVID now as I said I suspect that one way or the other, the impacts of COVID on interchange and the like will fade, less sanguine that the impacts on interest rates will fade very quickly for reasons you and I commiserate on occasion and so I want to think about that and what I don't want to happen is for the fact that we will be managing to our existing debt load and so forth to deter us from being aggressive on our investing whether it's in innovation, whether it's in sales or whether it's in consolidated M&A and I'm not going to be terribly hesitant to encourage us to make changes to capital structure, whatever those changes may be that allow us to do that.

Right now we benefit from the fact that we borrowed money in a very conventional structure at very low rates and we're going to hold on to that with dear life and certainly and so forth, but we're going to do what we can to both continue delevering and also to be aggressive and we'll see what that means as time goes on, but what we're not going to sacrifice is the idea of growing and the idea of being aggressive about what I really believe is an opportunity that this thing has presented to us given the acceleration of trends that were already out there in the market.

Greg Peters -- Raymond James -- Analyst

Got it, thank you for the answer.

Jon Kessler -- President and Chief Executive Officer

There's not a part -- where's like four or five parts.

Greg Peters -- Raymond James -- Analyst

I have five parts, but I'm not allowed to ask them.

Jon Kessler -- President and Chief Executive Officer

All right. Okay. Let's go to the next one. We'll come back -- stay if you want, we'll come back.

Operator

Thank you. Our next question comes from Vikram Kesavabhotla with Guggenheim Securities. Your line is now open.

Vikram Kesavabhotla -- Guggenheim Securities -- Analyst

Yeah, thank you for taking the question. I appreciate all the color you've given so far on the impact to the business, but I'm just curious if we go back to the prior fiscal year guidance range, it seemed like some of the macro trends have been taken into consideration at the time and some of the assumptions that were embedded within that and so I'm just curious if you can talk about what the biggest surprises have been relative to those initial assumptions based on how the market and consumer behavior has evolved here in the last few months. Any color there would be helpful as we try to put the forward commentary into context. Thanks.

Jon Kessler -- President and Chief Executive Officer

Absolutely, Vik. We guided at the outset, we made clear that we were adjusting our guidance to reflect or we reflecting in our guidance about $30 million less revenue from interest from custodial than we would otherwise achieve. In other words, what we knew at the time was that rates were not good and that we sort of wanted to put that in the box and said, all right, here's the effect of that and brought it to you. We said at the time that we taught that other than that, you know, while there might and its sort of funny to think about it now, I don't know, three months plus later, but -- and speaking to you from my living room floor that at the time, I think we were with the general consensus that there might be some period of disruption and commuting and the like, but that it would be relatively short.

And certainly, we were not thinking about people not having long-term access to the healthcare system and therefore, just the ability, the practical ability to spend funds and so I think the biggest thing that has taken us by surprise is what feels like much longer term impairment of revenue from commuter. I'm sure Darcy and Tyson never want me to use the word impairment but I use it in its colloquial sense for our accounting friends, but you know, this is somewhat longer term and longer term maybe three months, longer term maybe six months. I don't really know, but certainly longer than a few weeks issues on the commuter side and then on the healthcare spend side, where that one I wish we had perfect visibility to it.

There are a lot of good reasons to believe that that number will come back, not the least of which is the fact that people on the FSA side, their use or lose type things and though there are some options around that, most employers will I think be reticent to use those options so that spend I think will at the very least is likely to come back to its current -- its prior levels and we may actually see some make up of the spend. I just don't know when and we wanted to call it as we see it and that's what we're doing here. So that was really our thinking. I guess one other thing that has surprised me that's worth mentioning is the adaptability of our team and their ability even during a period where we have some extra money that we have to spend to keep everyone safe and functioning and so forth, their ability to generate synergies that we expected to get later to do so sooner and that's before we've even gotten to the sort of halfway point of migrating all of these various legacy platforms. So that means more to come. So those are the things that have surprised us.

Vikram Kesavabhotla -- Guggenheim Securities -- Analyst

Great, thank you.

Operator

Thank you. Our next question comes from Dave Demko with SVB Leerink. Your line is now open.

Stephanie Demko -- SVB Leerink -- Analyst

Hey, guys. Thank you for taking my questions and Jon, thank you for those closing remarks that touch on everything going on right now.

Jon Kessler -- President and Chief Executive Officer

Yes ma'am.

Stephanie Demko -- SVB Leerink -- Analyst

So the new HSA wins came in better than we expected and better than the recent 1Q trend. So how much of that was execution versus adding in new WageWorks channels or the cross sales?

Jon Kessler -- President and Chief Executive Officer

I think the biggest issue is the cross sales. There were -- and then maybe I'll add one more, which I guess I could call WageWorks channels, but you decide it's just so crystal clear that what we're offering here is what the market wanted and therefore, I think there are folks who we just wouldn't have been in their wheelhouse and now we are and that sort of -- a version of that, part two of the answer is, when you look at, in particular, when you look at the relationships and that our folks have really done a great job with both the national and some of the regional advisory firms that work in benefits.

That's something that kind of leveraged what WageWorks was doing in more of its direct selling activities, but I think as people really understand what we have to offer both in terms of product depth, but also breadth, it's a pretty good thing and we see that in the sentiment of those folks and so forth. So I think that's really what's what's accounting for that is, and again that's also why net of the '19 run offs why CDBs were also up, same reason in a quarter that would normally be pretty flat. So if you have all that going during COVID, that seems OK.

Stephanie Demko -- SVB Leerink -- Analyst

Is there anything you can give just to help kind of quantify how much of the help it was given there are so many puts and takes right now in the quarter.

Jon Kessler -- President and Chief Executive Officer

I don't think so. It's tough to do that on a quarterly basis. Normally when we see, I mean it's just a -- maybe I can just -- maybe I'll -- I just said I don't think so and now I'm going to try to at least do something.

Stephanie Demko -- SVB Leerink -- Analyst

Appreciate it.

Jon Kessler -- President and Chief Executive Officer

I mean, we added 104,000 HSAs in the quarter, we opened 104,000 HSAs and that reflected, if you think about it, it was about 17% more than we opened same period last year and normally, I could look at that and I could say where did those extra 15,000 HSAs come from, give or take and there'll be like an employer that added a bunch of people or some funky thing obviously there weren't a lot of employers adding a lot of people this quarter. And so it's the factors that really are about new sales that had a big impact during the quarter. So that's somewhat helpful to say, I really do think that we got some lift there. Now it will be up, it will be down, certainly every week seems to bring some new challenge and the challenge that we're all dealing with this week that you referenced earlier is a big one and one that people keep asking me what I'm supposed to say and I have no freaking idea what to say or why anyone would think I should know what to say. We haven't figured it out.

Stephanie Demko -- SVB Leerink -- Analyst

Who would've thought that there was anything that can make us forget that we're in the middle of a global pandemic.

Jon Kessler -- President and Chief Executive Officer

Yeah, I mean we haven't figured it out for 400 years. I'm not sure I'm going to though it won't stop me from at least trying, but in any event, I guess I would to bring it back to something a little more mundane, if you had asked me when we last spoke beginning of March when we were just starting to see what COVID would do, if you had given me the opportunity to take the sales pipeline that we have and the sales results that we had in the quarter, I would do that in a heartbeat.

Stephanie Demko -- SVB Leerink -- Analyst

Okay, very helpful. Now this is a little more out of the box question, so it might be Jon or it maybe Steve. So I look at the current environment and the stock market is doing sign, but a lot of the privates out there aren't doing as well. Is there any chance you could see an uptick in HSA asset sales and if there is an uptick in that, is that something you would even consider given you're digesting Wage right now.

Jon Kessler -- President and Chief Executive Officer

The short answer is yes and yes. It's a little bit back to Greg's question in that I feel like, I mean, let me say this, first of all, we know how to do HSA acquisition transactions. The work we're doing on Wage would not prevent us from doing that. It's -- Ted, God love him, he's probably not going to get to talk here at all. He and the team --

Stephanie Demko -- SVB Leerink -- Analyst

Too busy working?

Jon Kessler -- President and Chief Executive Officer

Yeah, that's a good point. He's multi-tasking. He and the team migrated what $1 [Phonetic] billion worth of accounts last week like it was nothing maybe not quite $1 [Phonetic] billion, but you get the idea and that was like the fifth item on our agenda. They're just doing incredible. Now they got a lot more work to do, but the HSA type consolidation transactions I think we would do all day. What we have to think about though is two things. First of all, our capital structure matters and we don't want to live our lives anywhere near the edge, much less on it and so we'll do what we need to do to prevent that. And then second I think we also have to think about the fact that for a lot of these providers and we talk to, it's a small industry, we talk to each other. I don't know that the tide is all the way out in terms of people's digestion of what has occurred.

You know, how many people have you spoken to or have others listening on this call spoken to particularly in private equity who say well, my portfolio is fine but dot, dot, dot, dot, dot, whatever is after that. If I could have a nickel for each one of those. So I think that -- all I can say is in the 2000 and 2008 period, if I look at it, it's sort of took some time for the water to come all the way out. And so we're not jumping in anything just because it's there, but we are absolutely trying to prepare ourselves to be aggressive in that area as well as frankly to be aggressive organically if there are places we can deploy incremental capital with high confidence in the return. So that's a balance to walk, but the way we're walking that balance is to say if the capital structure needs to change to make that happen, we'll be happy -- if we think we can deploy more of public shareholders' money at high return, we will.

Stephanie Demko -- SVB Leerink -- Analyst

All right. Helpful. Thank you, Jon.

Jon Kessler -- President and Chief Executive Officer

Thank you.

Operator

Thank you. Our next question comes from Mark Marcon with Baird. Your line is now open.

Mark Marcon -- Baird -- Analyst

Thanks for taking my question and good afternoon. I was wondering, can you talk a little bit about the competitive environment as it relates to adjusting pricing on a monthly fee basis relative to where interest rates are now. How does that unfold. I mean, you obviously went through it last time and then how do you balance that relative to some of the pressures that the clients are in and your long-term partnership perspective with them.

Jon Kessler -- President and Chief Executive Officer

Okay, Ted, get ready. This is it.

Ted Bloomberg -- Executive Vice President and Chief Operating Officer

My big moment. You go first.

Jon Kessler -- President and Chief Executive Officer

So, let's talk about how we'd rather save people money by selling them more stuff.

Ted Bloomberg -- Executive Vice President and Chief Operating Officer

Okay. I can do that. I was going to answer the question a couple of ways. That was going to be. First, which is we are aggressively out in the marketplace talking to brokers, talking to consultants, talking to clients and prospects about our value proposition that is pretty simply what Jon just said, the more you buy from us, the cheaper it will get on a per unit basis and that's been resonating very powerfully especially in an environment where people are looking at kind of a stronger need for cost savings than maybe they faced six or 12 months ago. So I think that that's, that's answer one.

The second one is -- the second part of your question was how are we handling clients that are kind of in distress and I think two answers to that question. The first one is extreme vigilance. My team and Tyson's team partner literally daily to be sure that we're checking in with clients that are maybe having cash flow issues or that are seeking relief and thus far the volume kind of hasn't really materialized. We've adjudicated those issues where they've come up and we've tried to be as good and purple partners we can, but we haven't experienced a ton of need there and then the second piece is where we think we can win proactively. We are reaching out to especially brokers and representatives at multiple employer organizations and empowering them to offer pricing concessions to their entire book of business in order to win that business and activate that partner.

I was listening to Jon's answer about quantifying where we think our sales wins are coming from and I would just add, although it's not a quantification its just another perhaps anecdote but an important one is legacy Wage had many relationships that legacy HealthEquity simply didn't have right. And so reaching out to and reactivating those relationships sometimes with a pricing story, other times with a service story or a breadth of offering story has been incredibly powerful. So we recognize -- we're not trying to kind of make up dollar for dollar fee revenue versus perhaps short-term lost interest revenue, but we are absolutely trying to use price as a weapon both to drive more volume and broader volume and also to empower our reseller partners to have a really compelling story for us in the marketplace. You think thus far it's early returns, but we feel pretty positive about the results.

Mark Marcon -- Baird -- Analyst

Really appreciate that. And then what do you think some of your competitors are doing that are basically entirely reliant on or to a much greater degree reliant on interest income for their revenue stream. Are they going to adjust or and does that provide an additional opportunity.

Jon Kessler -- President and Chief Executive Officer

Go ahead, Ted.

Ted Bloomberg -- Executive Vice President and Chief Operating Officer

Yeah, thanks. I think you're right, I think it actually provide -- we're looking at it as an opportunity because we do have competitors that are struggling, both because the revenue model is really significantly upended and also candidly because their service model is up ended. Huge kudos goes to our front line service team, but also the infrastructure team, the security team and the operations team that back them up to make sure that our phones work every day and we've had a pretty seamless transition from a service perspective that we think has won us some plaudits in the marketplace as well. Now having said that, we have competitors for whom that perhaps the revenue of this particular business is less relevant. And so, we're keeping an eye on those folks as well, and because -- so there are definitely opportunities for the stronger among us. We're not alone in being stronger.

Mark Marcon -- Baird -- Analyst

Great. Thank you very much.

Jon Kessler -- President and Chief Executive Officer

Thanks, Mark.

Operator

Thank you. Our next question comes from Allen Lutz with Bank of America. Your line is now open.

Allen Lutz -- Bank of America Merrill Lynch -- Analyst

Thanks for taking the question. Darcy, I thought I heard you say that service revenue wasn't maybe as impacted as maybe you thought it would be. I just, I guess a clarification on that. And then for the 2Q guide, is the assumption in that remains stable or that there is some level of deterioration. Obviously, there's a lot of uncertainty around employment trends. Just trying to get a sense of what you're thinking there?

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Yeah, no, just to clarify, no, we believe the service revenue was impacted, particularly, there is an element of the commuter service revenue that if they don't have the account, there is no service revenue associated with that. That was impacted. The part where we anticipated is in the run-off accounts and so we know that there is a run-off element of service revenue that's impacted and just in general, activity in the first quarter. So, yeah, if I came across that I said that service revenue was not impacted, it was impacted and that's also reflected in our Q2 guidance. What was the second part of your question?

Allen Lutz -- Bank of America Merrill Lynch -- Analyst

No that answered it. And then just a quick follow-up before May, before the 10% to 30% uptick in the KPIs for COBRA. What was that business run rating for revenue. Thanks.

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

You know our COBRA business... Go ahead, Jon.

Jon Kessler -- President and Chief Executive Officer

Okay. So COBRA business depending on the month and so forth but running has historically run about $85 million on an annualized basis. There is some seasonality to it, but I want to be clear in saying the uptick that we've seen is in QEs, qualified events, right. A qualified event per se doesn't make us money, it gives us an opportunity to make money, but it also imposes costs we have to serve, but the the opportunities to make money are in seeing more qualified events and perhaps a higher uptake rate on COBRA itself turn into more premium collections and therefore more revenue, but then also, as I mentioned, on the pipeline side for existing clients who don't have COBRA and new clients on the whole, the opportunity to bring those on and therefore just sort of expand the pie. And so I think there are both opportunities there, but I just want to be clear, I don't, it's not the case allen that an increase in QE activity per se produces an increase in revenue, it just may presage it.

Allen Lutz -- Bank of America Merrill Lynch -- Analyst

Got it. Thanks, Jon.

Operator

Thank you. Our next question comes from Sandy Draper with SunTrust. Your line is now open.

Sandy Draper -- SunTrust -- Analyst

Thanks very much and good afternoon. A lot to digest here, I'm going to try to simplify this and see if I've got it right. When I look at the sequential decline in April over January, the $10 million decline. If I just assume that $170 million is sort of the midpoint of your guidance, its a $20 million decline. So, and obviously on one hand, you can just look and say well, that makes sense, because you've got a, you're assuming a full quarter of COVID impact versus last quarter where it was partial, but when I think about the moving parts, custodial revenue should be relatively stable.

That actually performed a little bit better and as you pointed out, Jon, your interchange revenue actually was up sequentially, but it sounds like now you're expecting that to be down and then I would assume another step down in service. So I'm just trying to think the -- a $20 million decline, how to think about that of the first quarter when interchange revenue was stable. So I'm just going to think about the puts and takes that -- I get the whole idea of the whole full quarter impact, but it just seems like it's going to be a little bit different in terms of the three segments and I'm just trying to see why that's happening. Thank you.

Jon Kessler -- President and Chief Executive Officer

Yeah, I'll start and if Darcy wants to chime in. Sounds good. First of all, you've done your usual excellent job of of taking a lot of information and distilling it to its essence. If I think about Q2 versus Q1, on a sequential basis, the primary impacts are really full quarter impacts on interchange and service fees. The reason that interchange -- we would expect interchange fees to decline Q2 over Q1 is that they always do and if we looked at the two, they did in legacy HealthEquity and certainly if I pro forma the two companies, though I understand Wage didn't report it this way, that would be true and the reason it is true is because during Q1, you're dealing with new plan years, you're also dealing with grace period on the FSA side to get spending and then also, we have more HSA members and we have more -- and obviously more FSA members in this case, who are new and then also the HSA members who get employer contributions, which is most of them, spend a little more. So, Q1 is always a very good interchange quarter. It comes down in Q2 a little bit more in Q3 and then comes back around.

At least historically, that was the case. And so that's a big part of it. The reason that notwithstanding the fact that we saw the drop in spend that we talked about earlier, the reason that -- the other reason that Q1 interchange was higher and this will be true in Q2 and for a long time to come I'm pleased to say is that as the quarter turned, we saw a change in the interchange yield for lack of a better term that we have negotiated with our card partners at Visa. We talked about this a little bit on the last call, the card network, so we invited all of them to take a look at our book once the acquisition was done and I think it's fair to say they like what they saw in terms of the growth potential of the book as well as the way we handle our business in terms of how we relate to the card networks and try and make things efficient for them.

Came in with very aggressive proposals and very thoughtful proposals and we ended up deciding to remain with Visa and so you're starting to see in Q1 and we'll continue to see that, well, again, while short-term spend is impacted, this is a synergy we said we would realize and in terms of actual -- because we said we would achieve and in terms of actually achieving it, the job is done, the job is more than done and so that will be a bit of a tailwind for us as spend returns. Darcy, you want to add?

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Yeah and then just to even make that point even further, if you go back historically, Sandy and look at interchange revenue on even just on a HealthEquity stand-alone basis, there is a pretty good uplift from Q4 to Q1 almost every year and the reason for that is, one, we've added a bunch of new accounts in the fourth quarter that are now spending in the first quarter and there is a certain element of people whether it's in an HSA or an FSA who will spend some of that money, maybe their employer loads their money into their account in January and so then they have some things that they want to spend maybe elective or whatever and they go spend it if they plan on doing that. So our first quarter is always our largest spend and largest interchange revenue number. That did not really change with the merger.

The same is largely true for FSAs. People, they go through their open enrollment, they've identified how much they are putting aside and the interesting thing about an FSA or an HRA is you can spend that money before you actually have it deducted from your payroll. So there's a lot of spend that happens in first quarter and then as Jon said it goes down Q2, down in Q3 and then it comes back up in Q4 primarily a function of the kind of the January effect of the new accounts coming on board. And so even though we had an increase in interchange revenue from Q4 to Q1, we expected a lot more and it's masked by the decrease in spend that we normally would have seen in Q1.

Sandy Draper -- SunTrust -- Analyst

Got it. That's really helpful commentary from both you guys. Thanks so much.

Operator

Thank you. I'm not showing any further questions at this time. I would now like to turn the call back over to Jon Kessler for closing remarks.

Jon Kessler -- President and Chief Executive Officer

Yeah, thanks, everybody. We're going to keep working our butts off at it and try and be as transparent as we possibly can about how things are going and take it one quarter at a time from here and hopefully between now and the next time we speak both -- there will be a few less clouds in the sky, but also maybe we'll all be a little more enlightened by then. So with that, I hope everyone has a great rest of the week and stay safe, stay sane. I guess we were going with safe before all this, now let's throw in an extra dose of sane and, and thank you. Thanks, operator.

Operator

[Operator Closing Remarks]

Duration: 86 minutes

Call participants:

Richard Putnam -- Vice President of Investor Relations

Jon Kessler -- President and Chief Executive Officer

Ted Bloomberg -- Executive Vice President and Chief Operating Officer

Darcy Mott -- Executive Vice President, Treasurer and Chief Financial Officer

Stephen D. Neeleman -- Founder and Vice Chair

Anne Samuel -- JP Morgan -- Analyst

George Hill -- Deutsche Bank -- Analyst

Chris Howe -- Barrington Research -- Analyst

Robert Jones -- Goldman Sachs -- Analyst

Donald Hooker -- KeyBanc -- Analyst

Jamie Stockton -- Wells Fargo -- Analyst

Greg Peters -- Raymond James -- Analyst

Vikram Kesavabhotla -- Guggenheim Securities -- Analyst

Stephanie Demko -- SVB Leerink -- Analyst

Mark Marcon -- Baird -- Analyst

Allen Lutz -- Bank of America Merrill Lynch -- Analyst

Sandy Draper -- SunTrust -- Analyst

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This article is a transcript of this conference call produced for The Motley Fool. While we strive for our Foolish Best, there may be errors, omissions, or inaccuracies in this transcript. As with all our articles, The Motley Fool does not assume any responsibility for your use of this content, and we strongly encourage you to do your own research, including listening to the call yourself and reading the company's SEC filings. Please see our Terms and Conditions for additional details, including our Obligatory Capitalized Disclaimers of Liability.

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