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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
_________________________
FORM 8-K
_________________________

CURRENT REPORT
Pursuant to Section 13 or 15(d) of
The Securities Exchange Act of 1934

November 7, 2024
Date of Report (Date of earliest event reported)   

Evolent Health, Inc.
(Exact name of registrant as specified in its charter)
_________________________

Delaware001-3741532-0454912
(State or other jurisdiction of
incorporation or organization)		Commission File Number: (I.R.S. Employer
Identification No.)
1812 N. Moore Street,Suite 1705,Arlington,Virginia,22209
(Address of principal executive offices)(zip code)

  
(571) 389-6000
(Registrant’s telephone number, including area code)
 
Not Applicable
(Former name or former address, if changed since last report.)
_________________________

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
 
☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
 
☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Class A Common Stock of Evolent Health, Inc., par value $0.01 per shareEVHNew York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).


Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐




Item 2.02. Results of Operations and Financial Condition

On November 7, 2024, Evolent Health, Inc. (the "Company") issued a press release announcing its financial results for the quarter ended September 30, 2024, a copy of which is furnished herewith as Exhibit 99.1.

The information, including Exhibit 99.1 hereto, furnished under this Item 2.02 shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject the Company or any other person to liability under that Section, to the liabilities of that section, nor shall it be deemed incorporated by reference into any filing made by the Company under the Exchange Act or the Securities Act of 1933, as amended, except as shall be expressly set forth by specific reference in such a filing.

Item 9.01. Financial Statements and Exhibits.

(d) Exhibits.

Exhibit No.
Description
104The cover page from this Current Report on Form 8-K, formatted as Inline XBRL.



SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
                                



                            
EVOLENT HEALTH, INC.
By: /s/ Jonathan D. Weinberg
Name:Jonathan D. Weinberg
Title:General Counsel and Secretary

Date: November 7, 2024

Exhibit 99.1
evhnewlogo.jpg
Evolent Announces Third Quarter 2024 Results

•Revenue of $621.4 million, an increase of $110.4 million or 21.6%, from the three months ended September 30, 2023.
•Net loss attributable to common shareholders of Evolent Health, Inc. of $(31.2) million and a net loss margin of (5.0)%.
•Adjusted EBITDA of $31.8 million resulting in an Adjusted EBITDA margin of 5.1%.
•Revises outlook for Adjusted EBITDA for 2024.
•Reiterates average annual long-term revenue and average Adjusted EBITDA growth rate targets.
•Announces record six new contract agreements in the quarter.

WASHINGTON (November 7, 2024) – Evolent Health, Inc. (NYSE: EVH), a company that specializes in better health outcomes for people with complex conditions through proven solutions that make health care simpler and more affordable, today announced financial results for the quarter ended September 30, 2024.

Seth Blackley, co-founder and Chief Executive Officer of Evolent stated, “In the face of significant shifts in medical expenses experienced in the managed care industry, we believe the need for Evolent’s solutions is very high – a belief supported by our record new business announcements during the quarter. Outside of our Performance Suite, our diversified business is performing at or better than our expectations. Despite the clinical value we believe our solutions create, our third quarter Adjusted EBITDA result was negatively impacted by losses in our Performance Suite, driven both by new information from our partners regarding claims paid in prior periods and an industry-wide spike in oncology costs during the third quarter. We are taking aggressive actions with the goal of increasing profitability heading into 2025.”

Mr. Blackley continued, “While the team and I are disappointed in our Adjusted EBITDA results this quarter, we believe that our solutions continue to lead the market for managing the cost and quality of complex health conditions – a market we believe will experience strong growth in the decade ahead. As a well-capitalized leader in the space with strong liquidity, we believe we are well positioned to manage the current dynamics and will seek to use this moment to continue to expand our footprint.”

The Company noted a $42 million increase in medical costs in the third quarter relative to its expectations as of August 8, 2024, from two factors: (1) $24 million from new data received and processed from September through early November from some of our partners that included higher paid claims in prior quarters than previous submissions; and (2) $18 million from an acceleration in medical costs in August and September after a period of relatively flat experience between March and July. In its earnings call today, the Company outlined four aggressive steps it is taking with the goal of improving future profitability.

Highlights from the quarter ended September 30, 2024 include (in thousands, except for average PMPM fees and revenue per case):


For the Three Months Ended September 30,
20242023
Financial Results:
Revenue$621,401 $511,015 
Net loss attributable to common shareholders of Evolent Health, Inc.
$(31,231)$(33,196)
Net loss margin(5.0)%(6.5)%
Adjusted EBITDA$31,801 $48,714 
Adjusted EBITDA Margin5.1 %9.5 %
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Average Lives on Platform/Cases
Performance Suite6,916 3,906 
Specialty Technology and Services Suite74,192 72,381 
Administrative Services1,258 1,832 
Cases13 15 
Average Unique Members41,444 41,721 
Average PMPM Fees/ Revenue per Case
Performance Suite$20.97 $27.63 
Specialty Technology and Services Suite0.38 0.37 
Administrative Services15.74 12.50 
Cases3,113 2,490 

The rising medical costs impacting health plans continue to drive robust demand for Evolent’s complex specialty care solutions.

For the third quarter of 2024, the Company announced six new revenue agreements, the largest number of new agreements in a quarter in the Company’s history. These agreements include:

•A letter of agreement for oncology Performance Suite with one of the five largest payers in the country. The Company anticipates this partner to go live with over 200,000 Medicare Advantage members in 2025.
•A new expanded Technology & Services relationship with a south-central regional health plan to include multiple specialties including cardiac imaging, advanced imaging and a variety of MSK solutions for commercial and Medicare Advantage lines of business.
•An existing Evolent client, a large midwest Medicaid health plan, will grow its existing footprint to include Technology & Services offerings including radiology, advanced imaging and MSK.
•An existing regional health plan client that came to Evolent through the acquisition of NIA has purchased select MSK solutions across commercial and Medicaid lines of business.
•Evolent is expanding its relationship with a large national Medicaid health plan, to include general radiology across nine states, predominantly in the midwest and southeast.
•And finally, Evolent’s specialty solutions were included by an existing Blue Cross Blue Shield customer as a part of a successful large-scale self-funded administrative services request for proposal response covering 250,000 members and their families. This new agreement marks a significant entry into the growing employer market.

Financial Results of Evolent Health, Inc.

In our earnings releases, prepared remarks, conference calls, slide presentations and webcasts, we may use or discuss non-GAAP financial measures. Definitions of the non-GAAP financial measures presented herein as well as reconciliations of non-GAAP financial measures to the most directly comparable GAAP financial measures are included in this earnings release. See Financial Statement Presentation and Non-GAAP Financial Measures for more information.

Reported Results

Evolent Health, Inc. reported the following results in accordance with U.S. generally accepted accounting principles (“GAAP”) (in thousands, except for per share data):

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For the Three Months Ended September 30,
20242023
Revenue $621,401 $511,015 
Cost of revenue $540,708 $386,585 
Selling, general and administrative expenses$67,060 $96,567 
Net loss attributable to common shareholders of Evolent Health, Inc.$(31,231)$(33,196)
Net loss margin (5.0)%(6.5)%
Loss per share attributable to common shareholders of Evolent Health, Inc.:
Basic and diluted$(0.27)$(0.30)

Total cash and cash equivalents was $96.6 million as of September 30, 2024.

Adjusted Results

Evolent Health, Inc. reported the following adjusted results (in thousands, except for per share data):

For the Three Months Ended September 30,
20242023
Adjusted cost of revenue $539,591 $386,534 
Adjusted selling, general and administrative expenses $50,009 $75,767 
Adjusted EBITDA $31,801 $48,714 
Adjusted EBITDA margin5.1 %9.5 %
Adjusted income (loss) attributable to common shareholders $4,723 $20,000 
Adjusted income (loss) per common share attributable to common shareholders:
Basic$0.04 $0.18 

Business Outlook    
The Company does not believe it can meaningfully reconcile guidance for non-GAAP Adjusted EBITDA to net income (loss) attributable to common shareholders of Evolent Health, Inc. because the company cannot provide guidance for the more significant reconciling items between net income (loss) attributable to common shareholders of Evolent Health, Inc. and Adjusted EBITDA without unreasonable effort. This is due to the fact that future period non-GAAP guidance includes adjustments for items not indicative of our core operations, and as a result from changes to our business due to acquisitions and other events. Such items may, from time to time, include loss on repayment/extinguishment of debt; gain (loss) from equity method investees, change in fair value of contingent consideration, change in tax receivable agreement liability, other income (expense), gain (loss) on disposal of non-strategic assets, right-of-use asset impairments, repositioning costs, stock-based compensation expense, severance costs, dividends and accretion on Series A Preferred Stock and acquisition-related costs. Such adjustments may be affected by changes in ongoing assumptions, judgements, as well as nonrecurring, unusual or unanticipated charges, expenses or gains (losses) or other items that may not directly correlate to the underlying performance of our business operations. The exact amount of these adjustments are not currently determinable but may be significant.

Fourth Quarter 2024 Guidance

For the three months ended December 31, 2024, revenue is expected to be in the range of $642.0 million to $667.0 million. Adjusted EBITDA is expected to be in the range of $22.0 million to $37.0 million.

Full Year 2024 Guidance

For the year ending December 31, 2024, revenue is expected to be in the range of approximately $2.55 billion to $2.575 billion and Adjusted EBITDA is expected to be in the range of approximately $160.0 million to $175.0 million.

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Additional Outlook Information

While the Company no longer expects to exit 2024 at an Adjusted EBITDA run rate of $300 million, Evolent plans to provide an update in conjunction with the Company’s fourth quarter 2024 earnings report. Based on the data the Company has today, Evolent continues to expect average annual revenue growth in excess of 15% and average Adjusted EBITDA growth of 20% on a long-term basis.

This "Business Outlook" section contains forward-looking statements, and actual results may differ materially. Factors that may cause actual results to differ materially from our current expectations in addition to those set forth above are set forth below in "Forward Looking Statements - Cautionary Language" and Evolent Health, Inc.'s filings with the Securities and Exchange Commission ("SEC").

Web and Conference Call Information

Evolent Health, Inc. will hold a conference call to discuss its financial performance and related matters this evening, November 7, 2024, at 5:00 p.m., Eastern Time. To listen to a live broadcast via the internet and view the accompanying materials, please visit the Company's Investor Relations website at http://ir.evolent.com. To participate by telephone, dial (855) 940-9467, or (412) 317-6034 for international callers, and ask to join the "Evolent Health call." Participants are advised to dial in at least fifteen minutes prior to the call to register. The call will be archived on the company's website for one week and will be available beginning later this evening. Evolent invites all interested parties to attend the conference call.

About Evolent

Evolent specializes in better health outcomes for people with complex conditions through proven solutions that make health care simpler and more affordable. Evolent serves a national base of leading payers and providers and is consistently recognized as a top place to work in health care nationally. Learn more about how Evolent is changing the way health care is delivered by visiting evolent.com.

Contacts:

Seth Frank
Investor Relations
sfrank@evolent.com


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New Revenue Agreements

Beginning with the first quarter of 2024, Evolent began reporting the number of new revenue agreements signed for Performance Suite, Specialty Technology and Services Suite, Administrative Services and Case-based products. A new revenue agreement includes incremental revenue to the Company reflecting contracts for services to both new partner entities, corporations or health plans as well as additional sales to existing partners. New revenue agreements may include incremental services, geographic, or line of business expansions or a combination thereof. The conversion of Specialty Technology and Services Suite contracts to Performance Suite are also included in this definition. The company does not count renewals for existing scope, growth of membership within an existing contract scope or transaction related purchase agreements, if applicable, in this metric.

Lives on Platform and Per Member Per Month (“PMPM”) Fee

Performance Suite Lives on Platform are calculated by summing monthly members covered for specialty care services for contracts not under ASO arrangements, plus members managed by Complex Care in capitation arrangements and divided by the number of months in the period. Specialty Technology and Services Suite Lives on Platform are calculated by summing monthly members covered for oncology, cardiology, musculoskeletal, advanced imaging and other diagnostic specialty care services for contracts under ASO arrangements divided by the number of months in the period. Administrative Services Lives on Platform are calculated by summing monthly members covered for administrative services implementation and core performance services divided by the number of months in the period. Cases are calculated by summing the number of individuals receiving services through our surgery management and advanced care planning programs in a given period. Members covered for more than one category are counted in each category.

Performance Suite Average PMPM fee is defined as revenue pertaining to our Performance Suite during the period reported divided by Performance Suite Lives on Platform for the period divided by the number of months in the period. Specialty Technology and Services Suite Average PMPM fee is defined as revenue pertaining to the Specialty Technology and Services Suite during the period reported divided by Specialty Technology and Services Suite Lives on Platform for the period divided by the number of months in the period. Administrative Services Average PMPM fee is defined as revenue pertaining to the Administrative Services during the period reported divided by the Administrative Services Lives on Platform for the period divided by the number of months in the period. Revenue per Case is calculated by the revenue pertaining to surgery management and advanced care planning programs divided by the number of cases for a given period.

Average Unique Members are calculated by summing members covered by our Performance Suite, Specialty Technology and Services Suite and Administrative Services. In cases where partners cross between multiple solutions, we only capture members from the solution with the maximum number of members.

Management uses Lives on Platform, PMPM fees, Cases, Revenue per Case and Average Unique Members because we believe that they provide insight into the unit economics of our services. We believe that these measures are also useful to investors because they allow further insight into the period over period operational performance.



5


Evolent Health, Inc.
Consolidated Statements of Operations and Comprehensive Income (Loss)
(unaudited, in thousands, except per share data)

For the Three Months Ended September 30,For the Nine Months Ended September 30,
2024202320242023
Revenue$621,401 $511,015 $1,908,199 $1,407,841 
Expenses
Cost of revenue540,708 386,585 1,616,557 1,048,998 
Selling, general and administrative expenses67,060 96,567 215,349 276,682 
Depreciation and amortization expenses29,701 32,404 89,074 93,813 
Loss on disposal of non-strategic assets— 2,097 — 2,097 
Right-of-use assets impairment— — — 24,065 
Change in fair value of contingent consideration200 11,300 9,108 12,047 
Total operating expenses637,669 528,953 1,930,088 1,457,702 
Operating loss(16,268)(17,938)(21,889)(49,861)
Interest income794 1,071 4,714 2,735 
Interest expense(6,010)(14,614)(18,002)(41,967)
Gain (loss) from equity method investees(2,229)684 (3,623)1,262 
Change in tax receivables agreement liability— — (173)(66,184)
Other expense, net(43)(77)(140)(323)
Loss before income taxes(23,756)(30,874)(39,113)(154,338)
Benefit from income taxes(619)(5,550)(292)(74,709)
Loss before preferred dividends and accretion of Series A Preferred Stock(23,137)(25,324)(38,821)(79,629)
Dividends and accretion of Series A Preferred Stock(8,094)(7,872)(24,018)(21,236)
Net loss attributable to common shareholders of Evolent Health, Inc.$(31,231)$(33,196)$(62,839)$(100,865)
Loss per common share
Basic and diluted$(0.27)$(0.30)$(0.55)$(0.91)
Weighted-average common shares outstanding
Basic and diluted114,862 112,282 114,565 110,464 
Comprehensive loss
Net loss attributable to common shareholders of Evolent Health, Inc.$(31,231)$(33,196)$(62,839)$(100,865)
Other comprehensive loss, net of taxes, related to:
Foreign currency translation adjustment(12)(151)(110)(87)
Total comprehensive loss attributable to common shareholders of Evolent Health, Inc.$(31,243)$(33,347)$(62,949)$(100,952)


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Evolent Health, Inc.
Consolidated Balance Sheets
(in thousands, except share data)

  September 30, 2024December 31, 2023
(unaudited)
ASSETS
Current assets:
Cash and cash equivalents$96,583 $192,825 
Restricted cash and restricted investments16,343 13,768 
Accounts receivable, net 407,902 446,749 
Prepaid expenses and other current assets23,183 30,331 
Total current assets544,011 683,673 
Restricted cash and restricted investments14,925 16,864 
Investments and equity method investees8,405 4,895 
Property and equipment, net73,941 78,194 
Right-of-use assets - operating9,244 11,983 
Prepaid expenses and other noncurrent assets3,914 4,028 
Contract cost assets13,203 12,120 
Intangible assets, net696,779 752,009 
Goodwill1,137,342 1,116,542 
Total assets$2,501,764 $2,680,308 
LIABILITIES, MEZZANINE EQUITY AND SHAREHOLDERS’ EQUITY
Liabilities
Current liabilities:
Accounts payable$50,087 $48,246 
Accrued liabilities120,454 149,849 
Operating lease liability - current6,220 9,738 
Accrued compensation and employee benefits31,614 56,385 
Deferred revenue2,621 5,976 
Reserve for claims and performance - based arrangements312,687 404,048 
Total current liabilities523,683 674,242 
Long-term debt, net599,668 597,049 
Other long-term liabilities3,247 3,637 
Tax receivables agreement liability108,105 107,932 
Operating lease liabilities - noncurrent29,318 38,009 
Deferred tax liabilities, net11,892 13,311 
Total liabilities1,275,913 1,434,180 
Mezzanine Equity
Preferred class A common stock - $0.01 par value; 50,000,000 shares authorized; 175,000 issued, respectively187,166 178,427 
Shareholders' Equity
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 116,550,263 and 115,424,833 shares issued, respectively1,166 1,154 
Additional paid-in-capital1,818,024 1,808,121 
Accumulated other comprehensive loss(1,367)(1,257)
Retained earnings (accumulated deficit)(758,015)(719,194)
Treasury stock, at cost; 1,537,582 shares issued, respectively(21,123)(21,123)
Total shareholders' equity1,038,685 1,067,701 
Total liabilities, mezzanine equity and shareholders' equity$2,501,764 $2,680,308 
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Evolent Health, Inc.
Consolidated Statements of Cash Flows
(in thousands, unaudited)

For the Nine Months Ended September 30,
  20242023
Cash Flows Provided by Operating Activities
Net loss before preferred dividends and accretion of Series A preferred stock$(38,821)$(79,629)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities:
Change in fair value of contingent consideration9,108 12,047 
Loss on disposal of non-strategic assets— 2,097 
Loss (gain) from equity method investees3,623 (1,262)
Depreciation and amortization expenses89,074 93,813 
Stock-based compensation expense45,861 29,898 
Deferred tax provision(1,916)(78,196)
Amortization of contract cost assets3,604 8,005 
Amortization of deferred financing costs2,650 2,912 
Right-of-use asset impairment— 24,065 
Change in tax receivables agreement liability173 66,184 
Right-of-use operating assets2,739 11,129 
Other current operating cash inflows (outflows), net180 (120)
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net and contract assets38,844 (112,177)
Prepaid expenses and other current and non-current assets7,751 (16,394)
Contract cost assets(4,687)(3,958)
Accounts payable1,260 (12,628)
Accrued liabilities17,648 27,537 
Operating lease liabilities(12,209)(10,432)
Accrued compensation and employee benefits(24,780)(8,807)
Deferred revenue(3,355)(136)
Reserve for claims and performance-based arrangements(91,361)100,012 
Other long-term liabilities(390)(759)
Net cash and restricted cash provided by operating activities44,996 53,201 
Cash Flows Used In Investing Activities
Cash paid for asset acquisitions and business combinations(16,947)(388,246)
Disposal of non-strategic assets and divestiture of discontinued operations, net— 577 
Return of equity method investments7 870 
Purchases of investments and contributions to equity method investees(7,320)— 
Investments in internal-use software and purchases of property and equipment(18,742)(22,693)
Net cash and restricted cash used in investing activities(43,002)(409,492)
Cash Flows (Used In) Provided by Financing Activities
Changes in working capital balances related to claims processing584 7,925 
Payment of contingent consideration(70,355)— 
Proceeds from stock option exercises3,462 9,183 
Proceeds from issuance of long-term debt, net of offering costs(529)256,063 
Repayment of long-term debt— (47,500)
Proceeds from issuance of preferred stock, net of offering costs— 168,000 
Payment of preferred dividends(15,279)(13,631)
Taxes withheld and paid for vesting of equity awards(15,390)(14,348)
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For the Nine Months Ended September 30,
  20242023
Net cash and restricted cash (used in) provided by financing activities(97,507)365,692 
Effect of exchange rate on cash and cash equivalents and restricted cash(93)(61)
Net (decrease) increase in cash and cash equivalents and restricted cash(95,606)9,340 
Cash and cash equivalents and restricted cash as of beginning-of-period223,457 215,158 
Cash and cash equivalents and restricted cash as of end-of-period$127,851 $224,498 
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Non-GAAP Financial Measures

The Company views the following activities as integral to understanding its non-GAAP financial measures:

•Repositioning costs include severance, termination benefits and related payroll taxes of $1.8 million, dedicated employee costs of $1.2 million, third-party professional services of $4.1 million and office space consolidation costs of $3.5 million for the nine months ended September 30, 2024. Repositioning costs are not part of Evolent’s normal course of business and are incurred when there is a business reason to enact a repositioning plan. Adjusting for these costs gives a better view of the Evolent’s normal operating costs. We only adjust costs that (i) are included within selling, general and administrative expenses on the consolidated statement of operations and comprehensive income (loss), (ii) meet the criteria outlined within the respective repositioning plan and (iii) do not relate to normal business operations or ongoing activities. Our 2023 Repositioning Plan concluded in the second quarter of 2024.
◦Dedicated employee costs primarily include project management and technology staff costs needed to migrate acquired businesses to Evolent’s integrated technology platform and costs related to the consolidation of internal operations, strategies, processes and platforms. Dedicated employee costs are limited to employees that will have no role in ongoing operations and have no planned role at Evolent once the repositioning activities are completed.
◦Professional services costs primarily relate to services provided by a third-party vendor to review our operating model and organizational design in order to improve our profitability, create value through our solutions and invest in strategic opportunities in future periods.
◦Office space consolidation costs include early termination penalties and associated expenses.

•Acquisition-related costs include but are not limited to integration consultants, financial advisory and banking services, external valuation and accounting advisory services, legal fees and transaction bonuses paid to certain employees.

•Purchase accounting adjustments include amortization expense on intangible assets such as corporate trade names, customer, relationships, provider network contracts and existing technology related to acquisitions and business combinations. We believe it is important for the reader to understand that revenue generated from acquisitions is included within revenue in calculating adjusted income to common shareholders however amortization expense from acquired intangible assets is excluded in determining adjusted income to common shareholders because it does not directly relate to the services performed for the Company’s customers.

In addition to disclosing financial results that are determined in accordance with GAAP, we present Adjusted Cost of Revenue, Adjusted Selling, General and Administrative Expenses, Adjusted Income Attributable to Common Shareholders, Adjusted Income per Common Share Attributable to Common Shareholders, Adjusted EBITDA and Adjusted EBITDA Margin, which are all non-GAAP financial measures, as supplemental measures to help investors evaluate our fundamental operational performance.

Adjusted Cost of Revenue and Adjusted Selling, General and Administrative Expenses are defined as cost of revenue and selling, general and administrative expenses calculated in accordance with GAAP, respectively, adjusted to exclude the impact of stock-based compensation expenses, severance costs, acquisition-related costs and repositioning costs. Management believes Adjusted Cost of Revenue and Adjusted Selling, General and Administrative Expenses are useful to investors, because they facilitate an understanding of our long-term operational costs while removing the effect of costs that are not a representative component of the day-to-day operating performance of our business, and are useful to management as supplemental performance measures.

Adjusted EBITDA is defined as net loss attributable to common shareholders of Evolent Health, Inc. before interest income, interest expense, benefit from income taxes, depreciation and amortization expenses, change in the tax receivable agreement liability, gain (loss) from equity method investees, change in fair value of contingent consideration, other income (expense), net, loss on disposal of non-strategic assets, right-of-use assets impairment,
10

repositioning costs, stock-based compensation expense, severance costs, dividends and accretion of Series A Preferred Stock and acquisition-related costs.

Management believes that Adjusted EBITDA is useful to investors because it allows further insight into the period over period operational performance. Management also uses Adjusted EBITDA as a supplemental performance measure because the removal of repositioning costs, acquisition-related costs, severance or non-cash items (e.g. depreciation, amortization, and stock-based compensation expense) allows us to focus on operational performance.

Adjusted EBITDA Margin is as defined Adjusted EBITDA divided by Revenue. Management believes that this measure is useful to investors because it allows further insight into the period over period operational performance. Management also uses Adjusted EBITDA Margin as a supplemental performance measure because it allows the investor to understand operational performance compared to revenues over time.

Adjusted Income Attributable to Common Shareholders is defined as net loss attributable to common shareholders of Evolent Health, Inc. adjusted to exclude gain (loss) from equity method investees, other income (expense), net, benefit from income taxes, change in fair value of contingent consideration, change in tax receivable agreement liability, purchase accounting adjustments, loss on disposal of non-strategic assets, right-of-use asset impairment, repositioning costs, stock-based compensation expense, severance costs, acquisition-related costs and the tax impact of non-GAAP adjustments.

Adjusted Income per Share Attributable to Common Shareholders is defined as Adjusted Income Attributable to Common Shareholders divided by Weighted-Average Common Shares, and reflects the adjustments made in those non-GAAP measures.
Management believes that Adjusted Income Attributable to Common Shareholders and Adjusted Income per Share Attributable to Common Shareholders are useful to investors because excluding non-cash items (e.g. depreciation, amortization and stock-based compensation expenses) allows investors to focus on operational performance. These measures are also useful to management for the same reason.

These adjusted measures do not represent and should not be considered as alternatives to GAAP measurements, and our calculations thereof may not be comparable to similarly entitled measures reported by other companies. A reconciliation of these adjusted measures to their most comparable GAAP financial measures is presented in the tables below. We believe these measures are useful across time in evaluating our fundamental core operating performance.
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Evolent Health, Inc.
Reconciliation of Adjusted Results of Operations
(in thousands, unaudited)

Reconciliation of Adjusted Cost of Revenue to
Cost of Revenue
For the Three Months Ended September 30,For the Nine Months Ended September 30,
2024202320242023
Cost of revenue$540,708 $386,585 $1,616,557 $1,048,998 
Less:
Stock-based compensation1,117 51 3,329 1,633 
Severance costs— — — — 
Adjusted cost of revenue$539,591 $386,534 $1,613,228 $1,047,365 
Reconciliation of Adjusted Selling, General and Administrative Expenses to
Selling, General and Administrative Expenses
For the Three Months Ended September 30,For the Nine Months Ended September 30,
2024202320242023
Selling, general and administrative expenses$67,060 $96,567 $215,349 $276,682 
Less:
Stock-based compensation13,299 10,171 42,532 28,265 
Severance costs1,680 — 2,860 954 
Acquisition-related costs2,072 2,500 2,235 14,220 
Repositioning costs— 8,129 10,599 19,390 
Adjusted selling, general and administrative expenses$50,009 $75,767 $157,123 $213,853 

12

Evolent Health, Inc.
Reconciliation of Adjusted EBITDA to Net Income (Loss)
Attributable to Common Shareholders of Evolent Health, Inc.
(in thousands)
(unaudited)
For the Three Months Ended September 30,For the Nine Months Ended September 30,
2024202320242023
Net loss attributable to common shareholders of Evolent Health, Inc.$(31,231)$(33,196)$(62,839)$(100,865)
Net loss margin(5.0)%(6.5)%(3.3)%(7.2)%
Less:
Interest income794 1,071 4,714 2,735 
Interest expense(6,010)(14,614)(18,002)(41,967)
Benefit from income taxes619 5,550 292 74,709 
Depreciation and amortization expenses(29,701)(32,404)(89,074)(93,813)
Change in tax receivable agreement liability— — (173)(66,184)
Gain (loss) from equity method investees(2,229)684 (3,623)1,262 
Change in fair value of contingent consideration (200)(11,300)(9,108)(12,047)
Other income (expense), net(43)(77)(140)(323)
Loss on disposal of non-strategic assets— (2,097)— (2,097)
Right-of-use assets impairment— — — (24,065)
Repositioning costs— (8,129)(10,599)(19,390)
Stock-based compensation expense(14,416)(10,222)(45,861)(29,898)
Severance costs(1,680)— (2,860)(954)
Dividends and accretion of Series A Preferred Stock(8,094)(7,872)(24,018)(21,236)
Acquisition-related costs(2,072)(2,500)(2,235)(14,220)
Adjusted EBITDA$31,801 $48,714 $137,848 $146,623 
Adjusted EBITDA margin5.1 %9.5 %7.2 %10.4 %

13


Evolent Health, Inc.
Reconciliation of Adjusted Income Attributable to Common Shareholders to
Net Loss Attributable to Common Shareholders
(in thousands, except per share data)
(unaudited)
For the Three Months Ended September 30,For the Nine Months Ended September 30,
2024202320242023
Net loss attributable to common shareholders of Evolent Health, Inc.$(31,231)$(33,196)$(62,839)$(100,865)
Less:
Gain (loss) from equity method investees(2,229)684 (3,623)1,262 
Other income (expense), net(43)(77)(140)(323)
Benefit from income taxes619 5,550 292 74,709 
Change in fair value of contingent consideration(200)(11,300)(9,108)(12,047)
Change in tax receivable agreement liability— — (173)(66,184)
Purchase accounting adjustments(17,189)(30,422)(51,737)(57,532)
Loss on disposal of non-strategic assets— — — (2,097)
Right-of-use asset impairment— — — (24,065)
Repositioning costs— (8,129)(10,599)(19,390)
Stock-based compensation expense(14,416)(10,222)(45,861)(29,898)
Severance costs(1,680)— (2,860)(954)
Acquisition-related costs(2,072)(2,500)(2,235)(14,220)
Tax impact (1)
1,256 5,317 13,273 10,474 
Adjusted income attributable to common shareholders$4,723 $20,000 $49,932 $39,400 
Loss per share attributable to common shareholders
Basic$(0.27)$(0.30)$(0.55)$(0.91)
Adjusted income per share attributable to common shareholders
Basic$0.04 $0.18 $0.44 $0.36 
Weighted-average common shares
Basic114,862 112,282 114,565 110,464 
————————
(1)Non-GAAP financial information for the periods shown are adjusted for an assumed provision for income taxes based on our statutory federal tax rate of 21%. Due to the differences in the tax treatment of items excluded from non-GAAP earnings, our estimated tax rate on non-GAAP income may differ from our GAAP tax rate.
14

FORWARD-LOOKING STATEMENTS - CAUTIONARY LANGUAGE
 
Certain statements made in this report and in other written or oral statements made by us or on our behalf are “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 (“PSLRA”). A forward-looking statement is a statement that is not a historical fact and, without limitation, includes any statement that may predict, forecast, indicate or imply future results, performance or achievements, and may contain words like: “believe,” “anticipate,” “expect,” “estimate,” “aim,” “predict,” “potential,” “continue,” “plan,” “project,” “will,” “should,” “shall,” “may,” “might” and other words or phrases with similar meaning in connection with a discussion of future operating or financial performance. In particular, these include statements relating to our ability to weather current dynamics, continue to expand our footprint, future actions, trends in our businesses, prospective services, new partner additions/expansions, our guidance and business outlook and future performance or financial results, and the closing of pending transactions and the outcome of contingencies, such as legal proceedings. We claim the protection afforded by the safe harbor for forward-looking statements provided by the PSLRA.

These statements are only predictions based on our current expectations and projections about future events. Forward-looking statements involve risks and uncertainties that may cause actual results, level of activity, performance or achievements to differ materially from the results contained in the forward-looking statements. Risks and uncertainties that may cause actual results to vary materially, some of which are described within the forward-looking statements, include, among others:

•risks relating to our ability to efficiently integrate NIA and Machinify into our operations;
•the significant portion of revenue we derive from our largest partners, and the potential loss, non-renewal, termination or renegotiation of our relationship or contract with any significant partner, or multiple partners in the aggregate;
•our ability to terminate certain leases and recognize impairment charges in connection with our repositioning plan;
•evolution of the healthcare regulatory and political framework;
•uncertainty in the health care regulatory framework, including the potential impact of policy changes;
•our ability to offer new and innovative products and services and our ability to keep pace with industry standards, technology and our partners’ needs;
•risks related to completed and future acquisitions, investments, alliances and joint ventures, which could divert management resources, result in unanticipated costs or dilute our stockholders;
•the growth and success of our partners and certain revenues from our engagements, which are difficult to predict and are subject to factors outside of our control, including governmental funding reductions and other policy changes;
•our ability to accurately predict our exposure under performance-based contracts;
•risks relating to our ability to maintain profitability for our total cost of care and performance-based contracts and products, including capitation and risk-bearing contracts;
•our ability to effectively manage our growth and maintain an efficient cost structure, and to successfully implement cost cutting measures;
•changes in general economic conditions nationally and regionally in our markets, including increasing inflationary pressures and economic and business conditions and the impact thereof on the economy resulting from public health emergencies, epidemics, pandemics or contagious diseases;
•risks related to the failure of any bank in which we deposit our funds, which could reduce the amount of cash we have available to meet our cash commitments and make additional investments;
•our ability to recover the significant upfront costs in our partner relationships and develop our partner relationships over time;
•our ability to attract new partners and successfully capture new opportunities;
•the increasing number of risk-sharing arrangements we enter into with our partners could limit or negatively impact our profitability;
•our ability to estimate the size of our target markets for our services;
•our ability to maintain and enhance our reputation and brand recognition;
•consolidation in the health care industry;
•competition which could limit our ability to maintain or expand market share within our industry;
•risks related to audits by CMS and other governmental payers and actions, including whistleblower claims under the False Claims Act;
•our ability to partner with providers due to exclusivity provisions in our contracts in some of our partner and founder contracts;
•risks related to managing our offshore operations and cost reduction goals;
15

•our ability to contain health care costs, implement increases in premium rates on a timely basis, maintain adequate reserves for policy benefits or maintain cost effective provider agreements;
•our dependency on our key personnel, and our ability to attract, hire, integrate and retain key personnel;
•the impact of additional goodwill and intangible asset impairments on our results of operations;
•our indebtedness, our ability to service our indebtedness, and our ability to obtain additional financing on favorable terms or at all;
•our ability to achieve profitability in the future;
•the impact of litigation proceedings, government inquiries, reviews, audits or investigations;
•material weaknesses in the future may impact our ability to conclude that our internal control over financial reporting is not effective and we may be unable to produce timely and accurate financial statements;
•restrictions on the manner in which we access personal data and penalties as a result of privacy and data protection laws;
•liabilities and reputational risks related to our ability to safeguard the security and privacy of confidential data;
•data loss or corruption due to failures or errors in our systems and service disruptions at our data centers;
•adequate protection of our intellectual property, including trademarks;
•risks related to legal proceedings related to any alleged infringement, misappropriation or violation of third-party intellectual property rights;
•our use of “open source” software;
•our ability to protect the confidentiality of our trade secrets, know-how and other proprietary information;
•our reliance on third parties and licensed technologies;
•restrictions on our ability to use, disclose, de-identify or license data and to integrate third-party technologies;
•our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our partners and operating our business;
•our reliance on third-party vendors to host and maintain our technology platform;
•our obligations to make material payments to certain of our pre-IPO investors for certain tax benefits we may claim in the future;
•our ability to utilize benefits under the tax receivables agreement described herein;
•our obligations to make payments under the tax receivables agreement that may be accelerated or may exceed the tax benefits we realize;
•the terms of agreements between us and certain of our pre-IPO investors may contain different terms than comparable agreement we may enter into with unaffiliated third parties;
•the conditional conversion features of the 2025 Notes and the 2029 Notes, which, if triggered, may adversely affect our financial condition and operating results;
•interest rate risk under the Credit Agreement and the terms of our Cumulative Series A Convertible Preferred Shares, par value $0.01 per share (“Series A Preferred Stock”);
•our debt following the NIA acquisition and our ability to meet our obligations;
•our ability to service our debt and pay dividends on our Series A Preferred Stock;
•the potential volatility of our Class A common stock price;
•the potential decline of our Class A common stock price if a substantial number of shares are sold or become available for sale, including those issuable upon conversion of our Series A Preferred Stock;
•our Series A Preferred Stock has rights, preferences and privileges that are not held by and are preferential to the rights of holders of our Class A common stock, and could in the future substantially dilute the ownership interest of holders of our Class A common stock;
•provisions in our certificate of incorporation and by-laws and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;
•the ability of certain of our investors to compete with us without restrictions;
•provisions in our certificate of incorporation which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees; and
•our intention not to pay cash dividends on our Class A common stock.

The risks included here are not exhaustive. Although we believe the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance or achievements. Our Annual Report on Form 10-K for the year ended December 31, 2023 (the "2023 Form 10-K") and other documents filed with the SEC include additional factors that could affect our businesses and financial performance. Moreover, we operate in a rapidly changing and competitive environment. New risk factors emerge from time to time, and it is not possible for management to predict all such risk factors.

16

Further, it is not possible to assess the effect of all risk factors on our businesses or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, investors should not place undue reliance on forward-looking statements as a prediction of actual results. In addition, we undertake no obligation to publicly update any forward-looking statements to reflect events or circumstances that occur after the date of this report except to the extent expressly required by law.

17
v3.24.3
Cover Page Cover Page
Nov. 07, 2024
Document Information [Line Items]  
Title of 12(b) Security Class A Common Stock of Evolent Health, Inc., par value $0.01 per share
Entity Incorporation, State or Country Code DE
Document Type 8-K
Entity Registrant Name Evolent Health, Inc.
City Area Code 571
Local Phone Number 389-6000
Entity File Number 001-37415
Entity Tax Identification Number 32-0454912
Entity Address, Address Line One 1812 N. Moore Street
Entity Address, Address Line Two Suite 1705
Entity Address, City or Town Arlington
Entity Address, State or Province VA
Entity Address, Postal Zip Code 22209
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Entity Emerging Growth Company false
Trading Symbol EVH
Security Exchange Name NYSE
Document Period End Date Nov. 07, 2024
Entity Central Index Key 0001628908
Amendment Flag false
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