UNITED STATES
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SECURITIES AND EXCHANGE COMMISSION
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WASHINGTON, D.C. 20549
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_________________________
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FORM 10-K
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_________________________
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☒
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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☐
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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Delaware
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32-0454912
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(State or other jurisdiction of
incorporation or organization)
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(I.R.S. Employer
Identification No.)
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800 N. Glebe Road, Suite 500, Arlington, Virginia
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22203
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(Address of principal executive offices)
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(Zip Code)
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Securities registered pursuant to section 12(b) of the Act:
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Title of each class
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Name of each exchange on which registered
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Class A Common Stock, par value $0.01 per share
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New York Stock Exchange
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Item
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Page
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1.
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1A.
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1B.
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4.
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6.
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7.
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7A.
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8.
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9.
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9A.
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9B.
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12.
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14.
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16.
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“2021 Notes” means the $125.0 million aggregate principal amount 2.00% Convertible Senior Notes due 2021, issued by Evolent Health, Inc. in December 2016;
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“2025 Notes” means the $172.5 million aggregate principal amount 1.50% Convertible Senior Notes due 2025, issued by Evolent Health, Inc. in October 2018;
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“ACA” means the Patient Protection and Affordable Care Act;
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“Accordion” means Accordion Health, Inc.;
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“accountable care organizations,” or “ACOs,” means organizations of groups of doctors, hospitals and other health care providers which have come together voluntarily to provide coordinated care to their Medicare patients;
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“Aldera” means Aldera Holdings, Inc.;
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“ASU” means Accounting Standards Update;
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“capitated arrangements” means health care payment arrangements whereby providers are paid a fixed amount of money per patient during a given period of time rather than on a per-service or per-procedure basis;
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“CMS” means the Centers for Medicare and Medicaid Services;
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“DGCL” means General Corporation Law of the State of Delaware;
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“EMR” means electronic medical records;
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“Evolent Health Holdings” means Evolent Health Holdings, Inc., the predecessor to Evolent Health, Inc.;
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“Exchange Act” means the Securities Exchange Act of 1934, as amended;
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“FASB” means the Financial Accounting Standards Board;
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“FFS” means fee-for-service;
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“founders” means the Advisory Board Company (“The Advisory Board”), and the University of Pittsburgh Medical Center (“UPMC”);
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“FTC” means the United States Federal Trade Commission;
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“GAAP” means United States of America generally accepted accounting principles;
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“GPAC” means Georgia Physicians for Accountable Care, LLC;
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“health insurance exchanges” means organizations that provide a marketplace for individuals to purchase standardized and government regulated health insurance policies;
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“HIPAA” means The Health Insurance Portability and Accountability Act;
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“HITECH Act” means The Health Information Technology for Economic and Clinical Health Act;
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“IPO” means our initial public offering of 13.2 million shares of our Class A common stock at a public offering price of $17.00 per share in June 2015;
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“New Century Health” means NCIS Holdings, Inc.;
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“NMHC” means New Mexico Health Connections;
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“NOL” means net operating loss;
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“Note” means notes to consolidated financial statements presented in “Part II – Item 8. Financial Statements and Supplementary Data;”
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“NYSE” means the New York Stock Exchange;
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“Offering Reorganization” means the reorganization undertaken in 2015 prior to our IPO where our predecessor, Evolent Health Holdings, Inc. merged with and into Evolent Health, Inc.;
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“partners” means our customers, unless we indicate otherwise or the context otherwise implies;
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“Passport” means University Health Care, Inc. d./b/a/ Passport Health Plan;
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“pharmacy benefit management,” or “PBM,” means the administration of prescription drug programs, including developing and maintaining a list of medications that are approved to be prescribed, contracting with pharmacies, negotiating discounts and rebates with drug manufacturers and processing prescription drug claim payments;
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“PMPM” means per member per month;
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“population health” means an approach to health care that seeks to improve the health of an entire human population;
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“Ptolemy Capital” means Ptolemy Capital, LLC;
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“RAF” means risk-adjustment factor;
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“RSUs” means restricted stock units;
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“SEC” means the Securities and Exchange Commission;
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“Securities Act” means the Securities Act of 1933, as amended;
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“Series B Reorganization” means our reorganization undertaken in 2013 in connection with a round of equity financing;
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“third-party administration,” or “TPA,” means the processing of insurance claims or the administration of certain aspects of employee benefit plans for a separate entity;
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“True Health” means True Health New Mexico, Inc., a wholly-owned subsidiary of Evolent Health, Inc.;
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“TPG” means TPG Global, LLC and its affiliates including one or both of TPG Growth II BDH, LP and TPG Eagle Holdings, L.P.;
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“TRA” means the Income Tax Receivables Agreement. See “Part II – Item 8. Financial Statements and Supplementary Data - Note 12” for further details of the Tax Receivables Agreement;
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“UR” means utilization review;
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“Valence Health” means Valence Health, Inc., excluding Cicerone Health Solutions, Inc.;
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“value-based care” means a health care management strategy that is focused on high-quality and cost-effective care with the goals of promoting a healthy lifestyle, enhancing the patient experience and reducing preventable hospital admissions and emergency visits; and
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“Vestica” means Vestica Healthcare, LLC.
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the significant portion of revenue we derive from our largest partners, and the potential loss, termination or renegotiation of customer contracts;
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uncertainty relating to expected future revenues from and our relationship with our largest customer, Passport, including as a result of ongoing litigation pertaining to rate adjustments and Passport’s ability to remain solvent, which among other things could result in significantly reduced fees or a significant customer loss in 2019;
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the structural change in the market for health care in the United States;
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uncertainty in the health care regulatory framework, including the potential impact of policy changes;
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uncertainty in the public exchange market;
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the uncertain impact of CMS waivers to Medicaid rules and changes in membership and rates;
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the uncertain impact the results of elections may have on health care laws and regulations;
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our ability to effectively manage our growth, maintain an efficient cost structure;
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our ability to offer new and innovative products and services;
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risks related to completed and future acquisitions, investments, alliances and joint ventures, including the acquisition of assets from NMHC and the acquisitions of Valence Health, Aldera and New Century Health, which may be difficult to integrate, divert management resources, result in unanticipated costs or dilute our stockholders;
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our ability to consummate opportunities in our pipeline;
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certain risks and uncertainties associated with the acquisition of assets from NMHC and the acquisitions of Valence Health, Aldera and New Century Health, including future revenues may be less than expected, the timing and extent of new lives expected to come onto the platform may not occur as expected and the expected results of Evolent may not be impacted as anticipated;
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risks relating to our ability to maintain profitability for our and New Century Health’s performance-based contracts and products;
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the growth and success of our partners, which is difficult to predict and is subject to factors outside of our control, including enrollment numbers for our partner’s plans (including in Florida), premium pricing reductions, selection bias in at-risk membership and the ability to control and, if necessary, reduce health care costs, particularly in New Mexico;
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our ability to attract new partners and succesfully capture new growth opportunities;
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the increasing number of risk-sharing arrangements we enter into with our partners;
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our ability to recover the significant upfront costs in our partner relationships;
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our ability to estimate the size of our target markets;
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our ability to maintain and enhance our reputation and brand recognition;
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consolidation in the health care industry;
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competition which could limit our ability to maintain or expand market share within our industry;
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risks related to governmental payer audits and actions, including whistleblower claims;
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our ability to partner with providers due to exclusivity provisions in our contracts;
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restrictions and penalties as a result of privacy and data protection laws;
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adequate protection of our intellectual property, including trademarks;
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any alleged infringement, misappropriation or violation of third-party proprietary rights;
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our use of “open source” software;
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our ability to protect the confidentiality of our trade secrets, know-how and other proprietary information;
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our reliance on third parties and licensed technologies;
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our ability to use, disclose, de-identify or license data and to integrate third-party technologies;
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data loss or corruption due to failures or errors in our systems and service disruptions at our data centers;
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online security risks and breaches or failures of our security measures;
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our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our users;
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our reliance on third-party vendors to host and maintain our technology platform;
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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;
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the risk of a significant reduction in the enrollment in our health plan;
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our ability to accurately underwrite performance-based contracts;
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risks related to our offshore operations;
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our dependency on our key personnel, and our ability to attract, hire, integrate and retain key personnel;
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the risk of potential future goodwill impairment on our results of operations;
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our indebtedness and our ability to obtain additional financing;
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our ability to achieve profitability in the future;
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the requirements of being a public company;
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our adjusted results may not be representative of our future performance;
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the risk of potential future litigation;
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the impact of changes in accounting principles and guidance on our reported results;
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our holding company structure and dependence on distributions from Evolent Health LLC;
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our obligations to make payments to certain of our pre-IPO investors for certain tax benefits we may claim in the future;
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our ability to utilize benefits under the tax receivables agreement described herein;
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our ability to realize all or a portion of the tax benefits that we currently expect to result from past and future exchanges of Class B common units of Evolent Health LLC for our Class A common stock, and to utilize certain tax attributes of Evolent Health Holdings and an affiliate of TPG;
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distributions that Evolent Health LLC will be required to make to us and to the other members of Evolent Health LLC;
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our obligations to make payments under the tax receivables agreement that may be accelerated or may exceed the tax benefits we realize;
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different interests among our pre-IPO investors, or between us and our pre-IPO investors;
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the terms of agreements between us and certain of our pre-IPO investors;
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the conditional conversion feature of the 2025 Notes, which, if triggered, could require us to settle the 2025 Notes in cash;
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the impact of the accounting method for convertible debt securities that may be settled in cash;
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the potential volatility of our Class A common stock price;
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the potential decline of our Class A common stock price if a substantial number of shares are sold or become available for sale or if a large number of Class B common units are exchanged for shares of Class A common stock;
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provisions in our second amended and restated certificate of incorporation and second amended and restated by-laws and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;
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the ability of certain of our investors to compete with us without restrictions;
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provisions in our second amended and restated 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;
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our intention not to pay cash dividends on our Class A common stock;
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our ability to maintain effective internal control over financial reporting;
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our expectations regarding the additional management attention and costs that will be required as we have transitioned from an “emerging growth company” to a “large accelerated filer”; and
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our lack of public company operating experience.
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Data and integration services:
Data from disparate sources, such as EMRs, and lab and pharmacy data, is collected, assembled, integrated and maintained to provide health care professionals with a holistic view of the patient.
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Clinical and business content:
Clinical and business content is applied to the integrated data to create actionable information to optimize clinical and financial performance.
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EMR integration:
Data and clinical insights from Identifi® are fed back into partner EMRs to improve both provider and patient satisfaction, create workflow efficiencies, promote clinical documentation and coding and provide clinical support at the point-of-care.
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Applications:
A suite of cloud-based applications manages the clinical, financial and operational aspects of the value-based model. Our applications are individually purchased and scale with the clinical, financial and administrative needs of our provider partners. As additional capabilities are required by our partners, they are often deployed as applications through Identifi®.
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Clinical programs
: Care processes and ongoing clinical innovation that enables providers to target the right intervention at the right time for a given patient.
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Specialized care team
: Multi-disciplinary team that is deployed telephonically from a centralized location or throughout a local market to operate clinical programs, engage patients and support physicians.
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Patient engagement
: Integrated technologies and processes that enable outreach to engage patients in their own care process.
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Quality and risk coding
: Engagement of physicians to identify opportunities to close gaps in care and improve clinical documentation efforts.
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High-performance network
: Supporting the capabilities needed to build, maintain and optimize provider- and clinically-integrated networks.
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Value compensation models
: Developing and supporting physician incentive payment programs that are linked to quality outcomes, payer shared savings arrangements and health plan performance.
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Integrated specialty partnerships
: Supporting the technology-enabled strategies, analytics and staff needed to optimize network referral patterns.
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Pharmacy benefit management:
Our team of professionals support the drug component of providers’ plan offerings and bring national buying power and dedicated resources that are tightly integrated with the care delivery model. Differentiated from what we consider to be traditional PBMs, our solution is integrated into patient care and engages population health levers including generic utilization, provider management, and utilization management to reduce unit pharmacy costs.
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Risk adjustment:
Our provider-led risk adjustment solution leverages Identifi® and integrates with partners’ EMRs to minimize disruption to the physician practice and maximize physician engagement. Our prospective and retrospective risk adjustment offerings utilize comprehensive data sources to capture medical history and sophisticated analytics and workflow tools with the aim of increasing the accuracy and efficiency of retrieval and documentation. We believe that through better provider engagement and intelligent use of data, our integrated model drives more accurate documentation of patient acuity, which optimizes reimbursement and improves the quality of care.
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Direct contracts with specialists
facilitates ease of care.
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Comprehensive specialty networks
include multiple downstream subspecialists.
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Dedicated provider operations
provide staff to support practices.
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Clinical response team
provides clinical education on-site to practice staff.
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Dedicated central call center
facilitates referrals and helps to resolve claims issues.
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Established system
of ongoing provider education and training.
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Reduce
unnecessary clinical variation.
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Support
physician clinical decision making of evidence-based therapies.
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Facilitate
total cost-of-care management.
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Decision support portal
delivers specialty specific clinical experience based on assigned roles (e.g. cardiologist vs. oncologist).
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Custom-built rules engine
allows flexibility for multiple specialties and automated decisions based on clinical relevance, considering, for example, rigor levels based on specified payers and providers.
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Workflow capability
facilitates a seamless collaboration within and across organizations, connecting payers and clearing houses for systematic data exchange.
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Nurse triage
system
leverages proprietary technology infrastructure.
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Overall flexibility
enables a new business launch of existing specialty within 60 days.
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Health plan services
: A comprehensive suite of services including third-party administration, enrollment and billing support, medical and utilization management, third-party payment and program integrity support and provider network contracting services. Other health plan related services include sales and marketing, product development, actuarial, and regulatory and compliance.
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Risk management
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The capabilities needed to successfully manage risk from payers, including analysis, data and operational integration with payer processes, and ongoing performance management.
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Analytics and reporting
: The ongoing and ad hoc analytic teams and reports required to measure, inform and improve performance, including population health analytics, market analytics, network evaluation, staffing models, physician effectiveness, clinical delivery optimization and patient engagement.
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Leadership and management
: Our local and national talent assist our partners in effectively managing the performance of their value-based operations.
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A statewide network
of primary care and specialty providers, with an emphasis on primary care coordination.
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Extensive care management and prevention capabilities
leveraging diagnostic and actuarial analysis to drive care and health metrics.
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Focus on community partnerships,
both medical and socioeconomic, to improve individual and population health status and promote trusted collaborations with clinicians in facilitating access to care and working through insurance issues.
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Advanced analytics
aim to avoid costly interventions and complications in the future by focusing on preventative care.
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growth in lives in existing covered populations;
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partners expanding into new lines of value-based care to capture growth in new profit pools;
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partners utilizing our additional capabilities, such as new technology-enabled applications within our value-based services, our specialty care management services and our comprehensive health plan administration services; and
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capturing value created through a variety of value-based arrangements by participating alongside our partners in upside risk sharing arrangements.
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PBM expansion to include additional specialty pharmacy management capabilities;
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health savings account administration;
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on-site or specialty clinic services; and
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consumer engagement and digital outreach.
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Name
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Age
(1)
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Position
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Frank Williams
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52
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Chief Executive Officer and Director
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Seth Blackley
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40
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President and Director
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Nicholas McGrane
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50
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Chief Financial Officer
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Tom Peterson
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49
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Chief Operating Officer
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Jonathan Weinberg
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51
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General Counsel
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Lydia Stone
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43
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Chief Accounting Officer and Corporate Controller
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difficulty integrating the purchased operations, products or technologies;
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substantial unanticipated integration costs, delays and challenges that may arise in integration;
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assimilation of the acquired businesses, which may divert significant management attention and financial resources from our other operations and could disrupt our ongoing business;
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the loss of key customers who are in turn subject to risks and financial dislocation in their businesses;
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the loss of key employees, particularly those of the acquired operations;
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difficulty retaining or developing the acquired business’ customers;
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adverse effects on our existing business relationships with customers, suppliers, other partners, standing with regulators;
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challenges related to the integration and operation of businesses that operate in new geographic areas and new markets or lines of business;
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unanticipated financial losses in the acquired business, including the risk of higher than expected health care costs;
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failure to realize the potential cost savings or other financial benefits or the strategic benefits of the acquisitions, including failure to consummate any proposed or contemplated transaction; and
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liabilities, including acquired litigation, and expenses from the acquired businesses for contractual disputes with customers and other third parties, infringement of intellectual property rights, data privacy violations or other claims and failure to obtain indemnification for such liabilities or claims, and distraction of our personnel in connection with any related proceedings.
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HIPAA expanded protection of the privacy and security of personal health information and required the adoption of standards for the exchange of electronic health information. Among the standards that the Department of Health and Human Services has adopted pursuant to HIPAA are standards for electronic transactions and code sets, unique identifiers for providers, employers, health plans and individuals, security, electronic signatures, privacy and enforcement. Failure to comply with HIPAA could result in fines and penalties that could have a material adverse effect on us.
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The HITECH Act, enacted as part of the American Recovery and Reinvestment Act of 2009, also known as the “Stimulus Bill,” effective February 22, 2010, set forth health information security breach notification requirements and increased penalties for violation of HIPAA. The HITECH Act requires individual notification for all breaches, media notification of breaches for over 500 individuals and at least annual reporting of all breaches to the Department of Health and Human Services. The HITECH Act also replaced the prior penalty system of one tier of penalties of $100 per violation and an annual maximum of $25,000 with a four-tier system of sanctions for breaches. Penalties now range from the original $100 per violation and an annual maximum of $25,000 for the first tier to a minimum of $50,000 per violation and an annual maximum of $1.5 million for the fourth tier. Failure to comply with the HITECH Act could result in fines and penalties that could have a material adverse effect on us.
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Numerous other federal and state laws may apply that restrict the use and protect the privacy and security of individually identifiable information, as well as employee personal information. These include state medical privacy laws, state social security number protection laws and federal and state consumer protection laws. These various laws in many cases are not preempted by HIPAA and may be subject to varying interpretations by the courts and government agencies, creating complex compliance issues for us and our partners and potentially exposing us to additional expense, adverse publicity and liability, any of which could adversely affect our business.
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Federal and state consumer protection laws are increasingly being applied by the FTC and states’ attorneys general to regulate the collection, use, storage and disclosure of personal or individually identifiable information, through websites or otherwise, and to regulate the presentation of website content.
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the scope of rights granted under the license agreement and other interpretation-related issues;
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whether and the extent to which our technology and processes infringe on intellectual property of the licensor that is not subject to the license agreement;
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our obligations with respect to the use of the licensed technology in relation to our services and technologies, and which activities satisfy those obligations;
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whether our activities are in compliance with the restrictions placed upon our rights to use the licensed technology by our licensors; and
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the ownership of inventions and know-how resulting from the joint creation or use of intellectual property by our licensors and us and our partners.
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damage from fire, power loss and other natural disasters;
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telecommunications failures;
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software and hardware errors, failures and crashes;
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security breaches, computer viruses and similar disruptive problems; and
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other potential interruptions.
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finance unanticipated working capital requirements;
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develop or enhance our technological infrastructure and our existing products and services;
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fund strategic relationships, including joint ventures and co-investments;
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fund additional implementation engagements;
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respond to competitive pressures; and
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acquire complementary businesses, technologies, products or services.
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make it difficult for us to satisfy our obligations, including interest payments on any debt obligations;
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limit our ability to obtain additional financing to operate our business;
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require us to dedicate a substantial portion of our cash flow to payments on our debt, reducing our ability to use our cash flow to fund capital expenditures and working capital and other general operational requirements;
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limit our flexibility to plan for and react to changes in our business and the health care industry;
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place us at a competitive disadvantage relative to our competitors;
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limit our ability to pursue acquisitions; and
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increase our vulnerability to general adverse economic and industry conditions, including changes in interest rates or a downturn in our business or the economy.
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economic and political conditions or events;
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market conditions in the broader stock market in general, or in our industry in particular;
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actual or anticipated fluctuations in our quarterly financial reports and results of operations;
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our ability to satisfy our ongoing capital needs and unanticipated cash requirements;
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indebtedness incurred in the future;
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introduction of new products and services by us or our competitors;
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issuance of new or changed securities analysts’ reports or recommendations;
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sales of large blocks of our stock;
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additions or departures of key personnel;
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regulatory developments; and
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litigation and governmental investigations.
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divide our board of directors into three staggered classes of directors that are each elected to three-year terms;
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prohibit stockholder action by written consent;
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authorize the issuance of “blank check” preferred stock that could be issued by our board of directors to increase the number of outstanding shares of capital stock, making a takeover more difficult and expensive;
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prohibit cumulative voting in the election of directors, which would otherwise allow less than a majority of stockholders to elect director candidates;
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provide that special meetings of the stockholders may be called only by or at the direction of the board of directors, the chairman of our board or the chief executive officer;
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require advance notice to be given by stockholders for any stockholder proposals or director nominees;
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require the affirmative vote of holders of at least 75% of the voting power of our outstanding shares of stock to amend certain provisions of our second amended and restated certificate of incorporation and any provision of our second amended and restated by-laws; and
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require the affirmative vote of holders of at least 75% of the voting power of our outstanding shares of stock to remove directors and only for cause.
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•
|
Evolent Health, Inc.’s results for 2015 reflect (i) the investment of Evolent Health, Inc.’s predecessor in its equity method investee, Evolent Health LLC, for the period from January 1, 2015, through June 3, 2015, and (ii) the consolidated results of Evolent Health LLC from the time of the Offering Reorganization, or June 4, 2015, through December 31, 2015; and
|
•
|
Evolent Health, Inc.’s results for 2014 reflect only the investment of Evolent Health, Inc.’s predecessor in its equity method investee, Evolent Health LLC.
|
|
For the Years Ended December 31,
|
||||||||||||||||||
|
2018
|
|
2017
|
|
2016
|
|
2015
|
|
2014
|
||||||||||
Total revenue
|
$
|
627,063
|
|
|
$
|
434,950
|
|
|
$
|
254,188
|
|
|
$
|
96,878
|
|
|
$
|
—
|
|
Goodwill impairment
|
—
|
|
|
—
|
|
|
160,600
|
|
|
—
|
|
|
—
|
|
|||||
Gain on consolidation
|
—
|
|
|
—
|
|
|
—
|
|
|
414,133
|
|
|
—
|
|
|||||
Income (loss) from equity
|
|
|
|
|
|
|
|
|
|
||||||||||
method investees
|
(4,736
|
)
|
|
(1,755
|
)
|
|
(841
|
)
|
|
(28,165
|
)
|
|
(25,246
|
)
|
|||||
Net income (loss)
|
(54,191
|
)
|
|
(69,767
|
)
|
|
(226,778
|
)
|
|
319,814
|
|
|
(25,246
|
)
|
|||||
Per share data:
|
|
|
|
|
|
|
|
|
|
||||||||||
Net income (loss) - basic
|
$
|
(0.68
|
)
|
|
$
|
(0.94
|
)
|
|
$
|
(3.55
|
)
|
|
$
|
13.14
|
|
|
$
|
(13.46
|
)
|
Net income (loss) - diluted
|
(0.68
|
)
|
|
(0.94
|
)
|
|
(3.55
|
)
|
|
6.93
|
|
|
(13.46
|
)
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
As of December 31,
|
||||||||||||||||||
|
2018
|
|
2017
|
|
2016
|
|
2015
|
|
2014
|
||||||||||
Goodwill
|
$
|
768,124
|
|
|
$
|
628,186
|
|
|
$
|
626,569
|
|
|
$
|
608,903
|
|
|
$
|
—
|
|
Investments in and advances
|
|
|
|
|
|
|
|
|
|
||||||||||
to equity method investees
|
6,276
|
|
|
1,531
|
|
|
2,159
|
|
|
—
|
|
|
37,203
|
|
|||||
Total assets
|
1,722,281
|
|
|
1,312,697
|
|
|
1,199,839
|
|
|
1,015,514
|
|
|
37,203
|
|
|||||
Long-term debt, net of discount
|
221,041
|
|
|
121,394
|
|
|
120,283
|
|
|
—
|
|
|
—
|
|
|||||
Redeemable preferred stock
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
39,273
|
|
|||||
Non-controlling interests
|
45,532
|
|
|
35,427
|
|
|
209,588
|
|
|
285,238
|
|
|
—
|
|
|||||
Total equity (deficit)
|
1,189,356
|
|
|
1,046,306
|
|
|
912,114
|
|
|
934,579
|
|
|
(2,070
|
)
|
•
|
Expected volatility - Expected volatility is based on the historical volatility of a peer group of public companies over the most recent period commensurate with the estimated expected term of the Company’s awards due to the limited history of our own stock price.
|
•
|
Expected term - The expected term of the options granted represents the weighted-average period of time from the grant date to the date of exercise, expiration or cancellation based on the midpoint convention.
|
•
|
Dividend rate - The dividend rate is based on the expected dividend rate during the expected life of the option.
|
•
|
Risk-free interest rate - The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the time of the grant.
|
|
For the Years Ended
|
|
Change Over
|
|
For the Years Ended
|
|
Change Over
|
||||||||||||||||||||
|
December 31,
|
|
Prior Period
|
|
December 31,
|
|
Prior Period
|
||||||||||||||||||||
(in thousands, except percentages)
|
2018
(1)
|
|
2017
|
|
$
|
|
%
|
|
2017
|
|
2016
(2)
|
|
$
|
|
%
|
||||||||||||
Revenue
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Services:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Transformation services
|
$
|
32,916
|
|
|
$
|
29,466
|
|
|
$
|
3,450
|
|
|
11.7%
|
|
$
|
29,466
|
|
|
$
|
38,320
|
|
|
$
|
(8,854
|
)
|
|
(23.1)%
|
Platform and operations services
|
500,190
|
|
|
405,484
|
|
|
94,706
|
|
|
23.4%
|
|
405,484
|
|
|
215,868
|
|
|
189,616
|
|
|
87.8%
|
||||||
Total Services
|
533,106
|
|
|
434,950
|
|
|
98,156
|
|
|
22.6%
|
|
434,950
|
|
|
254,188
|
|
|
180,762
|
|
|
71.1%
|
||||||
True Health:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Premiums
|
93,957
|
|
|
—
|
|
|
93,957
|
|
|
—%
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—%
|
||||||
Total revenue
|
627,063
|
|
|
434,950
|
|
|
192,113
|
|
|
44.2%
|
|
434,950
|
|
|
254,188
|
|
|
180,762
|
|
|
71.1%
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Expenses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Cost of revenue (exclusive of
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
depreciation and amortization
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
expenses presented separately below)
|
327,825
|
|
|
269,352
|
|
|
58,473
|
|
|
21.7%
|
|
269,352
|
|
|
155,177
|
|
|
114,175
|
|
|
73.6%
|
||||||
Claims expenses
|
70,889
|
|
|
—
|
|
|
70,889
|
|
|
—%
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—%
|
||||||
Selling, general and
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
administrative expenses
|
235,418
|
|
|
205,670
|
|
|
29,748
|
|
|
14.5%
|
|
205,670
|
|
|
160,692
|
|
|
44,978
|
|
|
28.0%
|
||||||
Depreciation and amortization expenses
|
44,515
|
|
|
32,368
|
|
|
12,147
|
|
|
37.5%
|
|
32,368
|
|
|
17,224
|
|
|
15,144
|
|
|
87.9%
|
||||||
Goodwill impairment
|
—
|
|
|
—
|
|
|
—
|
|
|
—%
|
|
—
|
|
|
160,600
|
|
|
(160,600
|
)
|
|
—%
|
||||||
Change in fair value
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
of contingent consideration
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
and indemnification asset
|
(4,104
|
)
|
|
400
|
|
|
(4,504
|
)
|
|
—%
|
|
400
|
|
|
(2,086
|
)
|
|
2,486
|
|
|
—%
|
||||||
Total operating expenses
|
674,543
|
|
|
507,790
|
|
|
166,753
|
|
|
32.8%
|
|
507,790
|
|
|
491,607
|
|
|
16,183
|
|
|
3.3%
|
||||||
Operating income (loss)
|
$
|
(47,480
|
)
|
|
$
|
(72,840
|
)
|
|
$
|
25,360
|
|
|
34.8%
|
|
$
|
(72,840
|
)
|
|
$
|
(237,419
|
)
|
|
$
|
164,579
|
|
|
69.3%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Transformation services revenue as a
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
% of total revenue
|
5.2
|
%
|
|
6.8
|
%
|
|
|
|
|
|
6.8
|
%
|
|
15.1
|
%
|
|
|
|
|
||||||||
Platform and operations services
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
revenue as a % of total revenue
|
79.8
|
%
|
|
93.2
|
%
|
|
|
|
|
|
93.2
|
%
|
|
84.9
|
%
|
|
|
|
|
||||||||
Premiums as a % of total revenue
|
15.0
|
%
|
|
—
|
%
|
|
|
|
|
|
—
|
%
|
|
—
|
%
|
|
|
|
|
||||||||
Cost of revenue as a %
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
of Services revenue
|
61.5
|
%
|
|
61.9
|
%
|
|
|
|
|
|
61.9
|
%
|
|
61.0
|
%
|
|
|
|
|
||||||||
Claims expenses as a % of premiums
|
75.4
|
%
|
|
—
|
%
|
|
|
|
|
|
—
|
%
|
|
—
|
%
|
|
|
|
|
||||||||
Selling, general and administrative
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
expenses as a % of total revenue
|
37.5
|
%
|
|
47.3
|
%
|
|
|
|
|
|
47.3
|
%
|
|
63.2
|
%
|
|
|
|
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Net cash and restricted cash provided by (used in) operating activities
|
$
|
(20,651
|
)
|
|
$
|
(27,958
|
)
|
|
$
|
(35,510
|
)
|
Net cash and restricted cash provided by (used in) investing activities
|
(160,375
|
)
|
|
(12,265
|
)
|
|
(96,657
|
)
|
|||
Net cash and restricted cash provided by (used in) financing activities
|
274,024
|
|
|
165,557
|
|
|
150,185
|
|
|
Less
|
|
|
|
|
|
More
|
|
|
||||||||||
|
Than
|
|
1 to 3
|
|
3 to 5
|
|
Than
|
|
|
||||||||||
|
1 Year
|
|
Years
|
|
Years
|
|
5 Years
|
|
Total
|
||||||||||
Operating leases for facilities
|
$
|
11,470
|
|
|
$
|
21,147
|
|
|
$
|
14,484
|
|
|
$
|
40,657
|
|
|
$
|
87,758
|
|
Purchase obligations related to vendor contracts
|
6,236
|
|
|
2,417
|
|
|
—
|
|
|
—
|
|
|
8,653
|
|
|||||
Contingent loan commitments
|
11,000
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
11,000
|
|
|||||
Convertible debt interest payments
|
5,142
|
|
|
10,187
|
|
|
5,165
|
|
|
5,101
|
|
|
25,595
|
|
|||||
Convertible debt principal repayment
|
—
|
|
|
125,000
|
|
|
—
|
|
|
172,500
|
|
|
297,500
|
|
|||||
Total
|
$
|
33,848
|
|
|
$
|
158,751
|
|
|
$
|
19,649
|
|
|
$
|
218,258
|
|
|
$
|
430,506
|
|
•
|
Increase our ownership in our consolidated operating subsidiary, Evolent Health LLC. See “Item 8. Financial Statements and Supplementary Data - Note
15
” within this Form 10-K for additional information;
|
•
|
Increase the number of outstanding shares of our Class A common stock. See “Item 8. Financial Statements and Supplementary Data - Note
10
” in this Form 10-K for information relating to potentially dilutive securities and the impact on our historical earnings per share; and
|
•
|
Increase our tax basis in our share of Evolent Health LLC’s tangible and intangible assets and possibly subject us to payments under the TRA agreement. See “Item 8. Financial Statements and Supplementary Data - Note
12
” in this Form 10-K for further information on tax matters related to the exchange of Class B common shares.
|
|
Page
|
|
As of December 31,
|
||||||
|
2018
|
|
2017
|
||||
ASSETS
|
|
|
|
||||
Current assets:
|
|
|
|
||||
Cash and cash equivalents
|
$
|
228,320
|
|
|
$
|
238,433
|
|
Restricted cash and restricted investments
|
154,718
|
|
|
62,398
|
|
||
Accounts receivable, net (amounts related to affiliates: 2018 - $8,519; 2017 - $3,358)
|
80,208
|
|
|
48,947
|
|
||
Prepaid expenses and other current assets (amounts related to affiliates: 2018 - $85; 2017 - $25)
|
22,618
|
|
|
8,404
|
|
||
Notes receivable
|
—
|
|
|
20,000
|
|
||
Contract assets
|
2,102
|
|
|
—
|
|
||
Total current assets
|
487,966
|
|
|
378,182
|
|
||
Restricted cash and restricted investments
|
6,105
|
|
|
3,287
|
|
||
Investments, at amortized cost
|
10,010
|
|
|
—
|
|
||
Investments in and advances to equity method investees
|
6,276
|
|
|
1,531
|
|
||
Property and equipment, net
|
73,628
|
|
|
50,922
|
|
||
Prepaid expenses and other noncurrent assets (amounts related to affiliates: 2018 - $2,500; 2017 - $0
|
15,028
|
|
|
9,328
|
|
||
Contract assets
|
961
|
|
|
—
|
|
||
Contract cost assets
|
19,147
|
|
|
—
|
|
||
Intangible assets, net
|
335,036
|
|
|
241,261
|
|
||
Goodwill
|
768,124
|
|
|
628,186
|
|
||
Total assets
|
$
|
1,722,281
|
|
|
$
|
1,312,697
|
|
|
|
|
|
||||
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT)
|
|
|
|
||||
Liabilities
|
|
|
|
||||
Current liabilities:
|
|
|
|
||||
Accounts payable (amounts related to affiliates: 2018 - $1,564; 2017 - $10,284)
|
$
|
146,760
|
|
|
$
|
42,930
|
|
Accrued liabilities (amounts related to affiliates: 2018 - $798; 2017 - $719)
|
48,957
|
|
|
29,572
|
|
||
Accrued compensation and employee benefits
|
25,460
|
|
|
35,390
|
|
||
Deferred revenue
|
20,584
|
|
|
24,807
|
|
||
Claims reserves
|
27,595
|
|
|
—
|
|
||
Total current liabilities
|
269,356
|
|
|
132,699
|
|
||
Long-term debt, net of discount
|
221,041
|
|
|
121,394
|
|
||
Other long-term liabilities
|
17,090
|
|
|
9,861
|
|
||
Deferred tax liabilities, net
|
25,438
|
|
|
2,437
|
|
||
Total liabilities
|
532,925
|
|
|
266,391
|
|
||
|
|
|
|
||||
Commitments and Contingencies (See Note 9)
|
|
|
|
||||
|
|
|
|
||||
Shareholders' Equity (Deficit)
|
|
|
|
||||
Class A common stock - $0.01 par value; 750,000,000 shares authorized as of December 31, 2018 and 2017;
|
|
|
|
||||
79,172,118 and 74,723,597 shares issued and outstanding as of December 31, 2018 and 2017, respectively
|
792
|
|
|
747
|
|
||
Class B common stock - $0.01 par value; 100,000,000 shares authorized as of December 31, 2018 and 2017;
|
|
|
|
||||
3,190,301 and 2,653,544 shares issued and outstanding as of December 31, 2018 and 2017, respectively
|
31
|
|
|
27
|
|
||
Additional paid-in-capital
|
1,093,174
|
|
|
924,153
|
|
||
Accumulated other comprehensive income (loss)
|
(182
|
)
|
|
—
|
|
||
Retained earnings (accumulated deficit)
|
50,009
|
|
|
85,952
|
|
||
Total shareholders' equity (deficit) attributable to Evolent Health, Inc.
|
1,143,824
|
|
|
1,010,879
|
|
||
Non-controlling interests
|
45,532
|
|
|
35,427
|
|
||
Total shareholders' equity (deficit)
|
1,189,356
|
|
|
1,046,306
|
|
||
Total liabilities and shareholders' equity (deficit)
|
$
|
1,722,281
|
|
|
$
|
1,312,697
|
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Revenue
|
|
|
|
|
|
||||||
Transformation services
(1)
|
$
|
32,916
|
|
|
$
|
29,466
|
|
|
$
|
38,320
|
|
Platform and operations services
(1)
|
500,190
|
|
|
405,484
|
|
|
215,868
|
|
|||
Premiums
|
93,957
|
|
|
—
|
|
|
—
|
|
|||
Total revenue
|
627,063
|
|
|
434,950
|
|
|
254,188
|
|
|||
|
|
|
|
|
|
||||||
Expenses
|
|
|
|
|
|
||||||
Cost of revenue (exclusive of depreciation and amortization
|
|
|
|
|
|
||||||
expenses presented separately below)
(1)
|
327,825
|
|
|
269,352
|
|
|
155,177
|
|
|||
Claims expenses
|
70,889
|
|
|
—
|
|
|
—
|
|
|||
Selling, general and administrative expenses
(1)
|
235,418
|
|
|
205,670
|
|
|
160,692
|
|
|||
Depreciation and amortization expenses
|
44,515
|
|
|
32,368
|
|
|
17,224
|
|
|||
Goodwill impairment
|
—
|
|
|
—
|
|
|
160,600
|
|
|||
Change in fair value of contingent consideration and indemnification asset
|
(4,104
|
)
|
|
400
|
|
|
(2,086
|
)
|
|||
Total operating expenses
|
674,543
|
|
|
507,790
|
|
|
491,607
|
|
|||
Operating income (loss)
|
(47,480
|
)
|
|
(72,840
|
)
|
|
(237,419
|
)
|
|||
Interest income
|
3,440
|
|
|
1,656
|
|
|
970
|
|
|||
Interest expense
|
(5,484
|
)
|
|
(3,636
|
)
|
|
(247
|
)
|
|||
Income (loss) from equity method investees
|
(4,736
|
)
|
|
(1,755
|
)
|
|
(841
|
)
|
|||
Other income (expense), net
|
109
|
|
|
171
|
|
|
4
|
|
|||
Income (loss) before income taxes and non-controlling interests
|
(54,151
|
)
|
|
(76,404
|
)
|
|
(237,533
|
)
|
|||
Provision (benefit) for income taxes
|
40
|
|
|
(6,637
|
)
|
|
(10,755
|
)
|
|||
Net income (loss)
|
(54,191
|
)
|
|
(69,767
|
)
|
|
(226,778
|
)
|
|||
Net income (loss) attributable to non-controlling interests
|
(1,533
|
)
|
|
(9,102
|
)
|
|
(67,036
|
)
|
|||
Net income (loss) attributable to Evolent Health, Inc.
|
$
|
(52,658
|
)
|
|
$
|
(60,665
|
)
|
|
$
|
(159,742
|
)
|
|
|
|
|
|
|
||||||
Earnings (Loss) Available for Common Shareholders
|
|
|
|
|
|
||||||
Basic and diluted
|
$
|
(52,658
|
)
|
|
$
|
(60,665
|
)
|
|
$
|
(159,742
|
)
|
|
|
|
|
|
|
||||||
Earnings (Loss) per Common Share
|
|
|
|
|
|
||||||
Basic and diluted
|
$
|
(0.68
|
)
|
|
$
|
(0.94
|
)
|
|
$
|
(3.55
|
)
|
|
|
|
|
|
|
||||||
Weighted-Average Common Shares Outstanding
|
|
|
|
|
|
||||||
Basic and diluted
|
77,338
|
|
|
64,351
|
|
|
45,031
|
|
|||
|
|
|
|
|
|
||||||
Comprehensive income (loss)
|
|
|
|
|
|
||||||
Net income (loss)
|
$
|
(54,191
|
)
|
|
$
|
(69,767
|
)
|
|
$
|
(226,778
|
)
|
Other comprehensive income (loss), net of taxes, related to:
|
|
|
|
|
|
||||||
Foreign currency translation adjustment
|
(182
|
)
|
|
—
|
|
|
—
|
|
|||
Total comprehensive income (loss)
|
(54,373
|
)
|
|
(69,767
|
)
|
|
(226,778
|
)
|
|||
Total comprehensive income (loss) attributable to non-controlling interests
|
(1,533
|
)
|
|
(9,102
|
)
|
|
(67,036
|
)
|
|||
Total comprehensive income (loss) attributable to Evolent Health, Inc.
|
$
|
(52,840
|
)
|
|
$
|
(60,665
|
)
|
|
$
|
(159,742
|
)
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Cash Flows from Operating Activities
|
|
|
|
|
|
||||||
Net income (loss)
|
$
|
(54,191
|
)
|
|
$
|
(69,767
|
)
|
|
$
|
(226,778
|
)
|
Adjustments to reconcile net income (loss) to net cash and restricted cash
|
|
|
|
|
|
||||||
provided by (used in) operating activities:
|
|
|
|
|
|
||||||
Change in fair value of contingent consideration and indemnification asset
|
(4,104
|
)
|
|
400
|
|
|
(2,086
|
)
|
|||
Loss from lease abandonment
|
—
|
|
|
—
|
|
|
6,456
|
|
|||
(Income) loss from equity method investees
|
4,736
|
|
|
1,755
|
|
|
841
|
|
|||
Depreciation and amortization expenses
|
44,515
|
|
|
32,368
|
|
|
17,224
|
|
|||
Goodwill impairment
|
—
|
|
|
—
|
|
|
160,600
|
|
|||
Stock-based compensation expense
|
17,609
|
|
|
20,437
|
|
|
18,604
|
|
|||
Acceleration of unvested equity awards for Valence Health employees
|
—
|
|
|
—
|
|
|
3,897
|
|
|||
Deferred tax provision (benefit)
|
44
|
|
|
(7,271
|
)
|
|
(10,755
|
)
|
|||
Amortization of contract cost assets
|
2,703
|
|
|
—
|
|
|
—
|
|
|||
Amortization of deferred financing costs
|
2,455
|
|
|
914
|
|
|
—
|
|
|||
Other
|
448
|
|
|
490
|
|
|
916
|
|
|||
Changes in assets and liabilities, net of acquisitions:
|
|
|
|
|
|
||||||
Accounts receivables, net and contract assets
|
(24,503
|
)
|
|
(11,258
|
)
|
|
(11,044
|
)
|
|||
Prepaid expenses and other current and noncurrent assets
|
(14,746
|
)
|
|
2,729
|
|
|
(9,968
|
)
|
|||
Contract cost assets
|
(11,179
|
)
|
|
—
|
|
|
—
|
|
|||
Accounts payable
|
7,598
|
|
|
5,563
|
|
|
(6,371
|
)
|
|||
Accrued liabilities
|
12,180
|
|
|
(2,781
|
)
|
|
15,229
|
|
|||
Accrued compensation and employee benefits
|
(14,571
|
)
|
|
(3,303
|
)
|
|
6,678
|
|
|||
Deferred revenue
|
(1,819
|
)
|
|
3,548
|
|
|
1,200
|
|
|||
Claims reserves
|
8,964
|
|
|
—
|
|
|
—
|
|
|||
Other long-term liabilities
|
3,210
|
|
|
(1,782
|
)
|
|
(153
|
)
|
|||
Net cash and restricted cash provided by (used in) operating activities
|
(20,651
|
)
|
|
(27,958
|
)
|
|
(35,510
|
)
|
|||
Cash Flows from Investing Activities
|
|
|
|
|
|
||||||
Cash paid for asset acquisitions or business combinations
|
(130,241
|
)
|
|
(3,694
|
)
|
|
(82,560
|
)
|
|||
Loan for implementation funding
|
—
|
|
|
(20,000
|
)
|
|
—
|
|
|||
Principal repayment of implementation funding loan
|
20,000
|
|
|
—
|
|
|
—
|
|
|||
Amount received from escrow in asset acquisition
|
500
|
|
|
—
|
|
|
—
|
|
|||
Investments in and advances to equity method investees
|
(9,360
|
)
|
|
(1,128
|
)
|
|
(3,000
|
)
|
|||
Purchases of investments
|
(10,010
|
)
|
|
—
|
|
|
—
|
|
|||
Maturities and sales of investments
|
349
|
|
|
44,210
|
|
|
9,379
|
|
|||
Investments in internal-use software and purchases of property and equipment
|
(39,550
|
)
|
|
(27,848
|
)
|
|
(15,526
|
)
|
|||
Purchase and maturities of restricted investments
|
7,937
|
|
|
(3,805
|
)
|
|
(4,950
|
)
|
|||
Net cash and restricted cash provided by (used in) investing activities
|
(160,375
|
)
|
|
(12,265
|
)
|
|
(96,657
|
)
|
|||
Cash Flows from Financing Activities
|
|
|
|
|
|
||||||
Proceeds from issuance of common stock, net of stock issuance costs
|
—
|
|
|
166,947
|
|
|
—
|
|
|||
Changes in working capital balances related to claims processing on behalf of partners
|
96,153
|
|
|
(4,200
|
)
|
|
28,041
|
|
|||
Proceeds from stock option exercises
|
11,929
|
|
|
4,082
|
|
|
1,259
|
|
|||
Proceeds from issuance of convertible notes, net of issuance costs
|
167,178
|
|
|
—
|
|
|
121,250
|
|
|||
Taxes withheld and paid for vesting of restricted stock units
|
(1,236
|
)
|
|
(1,272
|
)
|
|
(365
|
)
|
|||
Net cash and restricted cash provided by (used in) financing activities
|
274,024
|
|
|
165,557
|
|
|
150,185
|
|
|||
Effect of exchange rate on cash and cash equivalents and restricted cash
|
(36
|
)
|
|
—
|
|
|
—
|
|
|||
Net increase (decrease) in cash and cash equivalents and restricted cash
|
92,962
|
|
|
125,334
|
|
|
18,018
|
|
|||
Cash and cash equivalents and restricted cash as of beginning-of-period
|
295,363
|
|
|
170,029
|
|
|
152,011
|
|
|||
Cash and cash equivalents and restricted cash as of end-of-period
|
$
|
388,325
|
|
|
$
|
295,363
|
|
|
$
|
170,029
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accum-
|
|
|
|
|
|
|
|
||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
ulated
|
|
|
Retained
|
|
|
|
|
||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
Other
|
|
|
Earnings
|
|
|
|
|
||||||||||||||||
|
Class A
|
|
Class B
|
|
Additional
|
|
Comprehensive
|
|
(Accum-
|
|
Non-
|
|
Total
|
||||||||||||||||||||||
|
Common Stock
|
|
Common Stock
|
|
Paid-in
|
|
|
Income
|
|
|
ulated
|
controlling
|
Equity
|
||||||||||||||||||||||
|
Shares
|
|
Amount
|
|
Shares
|
|
Amount
|
|
Capital
|
|
|
(Loss)
|
|
|
Deficit)
|
|
Interests
|
|
(Deficit)
|
||||||||||||||||
Balance as of December 31, 2015
|
41,491
|
|
|
$
|
415
|
|
|
17,525
|
|
|
$
|
175
|
|
|
$
|
342,063
|
|
|
|
$
|
—
|
|
|
|
$
|
306,688
|
|
|
$
|
285,238
|
|
|
$
|
934,579
|
|
Cumulative-effect adjustment from adoption of new accounting principle
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
468
|
|
|
|
—
|
|
|
|
(329
|
)
|
|
(139
|
)
|
|
—
|
|
|||||||
Stock-based compensation expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
16,147
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
16,147
|
|
|||||||
Acceleration of unvested equity awards for Valence Health employees
|
162
|
|
|
2
|
|
|
—
|
|
|
—
|
|
|
3,897
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
3,899
|
|
|||||||
Exercise of stock options
|
221
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,259
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
1,259
|
|
|||||||
Restricted stock units vested, net of shares withheld for taxes
|
84
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2,193
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
2,193
|
|
|||||||
Exchange of Class B common stock
|
2,178
|
|
|
22
|
|
|
(2,178
|
)
|
|
(22
|
)
|
|
28,220
|
|
|
|
—
|
|
|
|
—
|
|
|
(28,220
|
)
|
|
—
|
|
|||||||
Tax impact of Class B common stock exchange
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,606
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
1,606
|
|
|||||||
Issuance of Class A common stock for business combinations
|
8,451
|
|
|
67
|
|
|
—
|
|
|
—
|
|
|
177,715
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
177,782
|
|
|||||||
Tax impact of Class A common stock issued for business combinations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,427
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
1,427
|
|
|||||||
Net income (loss)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
|
—
|
|
|
|
(159,742
|
)
|
|
(67,036
|
)
|
|
(226,778
|
)
|
|||||||
Reclassification of non-controlling interests
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(19,745
|
)
|
|
|
—
|
|
|
|
—
|
|
|
19,745
|
|
|
—
|
|
|||||||
Balance as of December 31, 2016
|
52,587
|
|
|
506
|
|
|
15,347
|
|
|
153
|
|
|
555,250
|
|
|
|
—
|
|
|
|
146,617
|
|
|
209,588
|
|
|
912,114
|
|
|||||||
Stock-based compensation expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
20,437
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
20,437
|
|
|||||||
Exercise of stock options
|
788
|
|
|
28
|
|
|
—
|
|
|
—
|
|
|
4,054
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
4,082
|
|
|||||||
Restricted stock units vested, net of shares withheld for taxes
|
149
|
|
|
2
|
|
|
—
|
|
|
—
|
|
|
(1,274
|
)
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
(1,272
|
)
|
|||||||
Shares released from Valence Health escrow
|
(310
|
)
|
|
(3
|
)
|
|
—
|
|
|
—
|
|
|
911
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
908
|
|
|||||||
Exchange of Class B common stock
|
12,693
|
|
|
126
|
|
|
(12,693
|
)
|
|
(126
|
)
|
|
168,883
|
|
|
|
—
|
|
|
|
—
|
|
|
(168,883
|
)
|
|
—
|
|
|||||||
Tax impact of 2017 Securities Offerings
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
12,857
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
12,857
|
|
|||||||
Issuance of Class A common stock during August 2017 Primary
|
8,816
|
|
|
88
|
|
|
—
|
|
|
—
|
|
|
166,859
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
166,947
|
|
|||||||
Net income (loss)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
|
—
|
|
|
|
(60,665
|
)
|
|
(9,102
|
)
|
|
(69,767
|
)
|
|||||||
Reclassification of non-controlling interests
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(3,824
|
)
|
|
|
—
|
|
|
|
—
|
|
|
3,824
|
|
|
—
|
|
|||||||
Balance as of December 31, 2017
|
74,723
|
|
|
747
|
|
|
2,654
|
|
|
27
|
|
|
924,153
|
|
|
|
—
|
|
|
|
85,952
|
|
|
35,427
|
|
|
1,046,306
|
|
|||||||
Cumulative-effect adjustment from adoption of ASC 606
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
|
—
|
|
|
|
16,715
|
|
|
594
|
|
|
17,309
|
|
|||||||
Stock-based compensation expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
17,221
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
17,221
|
|
|||||||
Exercise of stock options
|
1,720
|
|
|
16
|
|
|
—
|
|
|
—
|
|
|
11,913
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
11,929
|
|
|||||||
Restricted stock units vested, net of shares withheld for taxes
|
212
|
|
|
2
|
|
|
—
|
|
|
—
|
|
|
(1,238
|
)
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
(1,236
|
)
|
|||||||
Issuance of Class B common stock for business combination
|
—
|
|
|
—
|
|
|
3,120
|
|
|
31
|
|
|
40,355
|
|
|
|
—
|
|
|
|
—
|
|
|
42,787
|
|
|
83,173
|
|
|||||||
Equity component of 2025 Notes, net of issuance costs
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
69,378
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
69,378
|
|
|||||||
Exchange of Class B common stock
|
2,584
|
|
|
27
|
|
|
(2,584
|
)
|
|
(27
|
)
|
|
34,682
|
|
|
|
—
|
|
|
|
—
|
|
|
(34,682
|
)
|
|
—
|
|
|||||||
Tax impact of Class B common stock exchange
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
652
|
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
652
|
|
|||||||
Shares released from Valence Health escrow
|
(67
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(1,003
|
)
|
|
|
—
|
|
|
|
—
|
|
|
—
|
|
|
(1,003
|
)
|
|||||||
Foreign currency translation adjustment
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
|
(182
|
)
|
|
|
—
|
|
|
—
|
|
|
(182
|
)
|
|||||||
Net income (loss)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
|
—
|
|
|
|
(52,658
|
)
|
|
(1,533
|
)
|
|
(54,191
|
)
|
|||||||
Reclassification of non-controlling interests
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(2,939
|
)
|
|
|
—
|
|
|
|
—
|
|
|
2,939
|
|
|
—
|
|
|||||||
Balance as of December 31, 2018
|
79,172
|
|
|
$
|
792
|
|
|
3,190
|
|
|
$
|
31
|
|
|
$
|
1,093,174
|
|
|
|
$
|
(182
|
)
|
|
|
$
|
50,009
|
|
|
$
|
45,532
|
|
|
$
|
1,189,356
|
|
|
As of December 31,
|
||||||
|
2018
|
|
2017
|
||||
Collateral for letters of credit
|
|
|
|
||||
for facility leases
(1)
|
$
|
3,710
|
|
|
$
|
3,812
|
|
Collateral with financial institutions
(2)
|
34,142
|
|
|
24,725
|
|
||
Claims processing services
(3)
|
122,439
|
|
|
26,286
|
|
||
Collateral for reinsurance agreement
(4)
|
—
|
|
|
10,000
|
|
||
Other
|
532
|
|
|
862
|
|
||
Total restricted cash
|
|
|
|
||||
and restricted investments
|
160,823
|
|
|
65,685
|
|
||
|
|
|
|
||||
Current restricted investments
|
211
|
|
|
8,150
|
|
||
Current restricted cash
|
154,507
|
|
|
54,248
|
|
||
Total current restricted cash
|
|
|
|
||||
and restricted investments
|
154,718
|
|
|
62,398
|
|
||
|
|
|
|
||||
Noncurrent restricted investments
|
607
|
|
|
605
|
|
||
Noncurrent restricted cash
|
5,498
|
|
|
2,682
|
|
||
Total noncurrent restricted cash
|
|
|
|
||||
and restricted investments
|
$
|
6,105
|
|
|
$
|
3,287
|
|
|
As of December 31,
|
||||||
|
2018
|
|
2017
|
||||
Cash and cash equivalents
|
$
|
228,320
|
|
|
$
|
238,433
|
|
Restricted cash and restricted investments
|
160,823
|
|
|
65,685
|
|
||
Restricted investments included in
|
|
|
|
||||
restricted cash and restricted investments
|
(818
|
)
|
|
(8,755
|
)
|
||
Total cash and cash equivalents and restricted cash
|
|
|
|
||||
shown in the consolidated statements of cash flows
|
$
|
388,325
|
|
|
$
|
295,363
|
|
Computer hardware
|
3 years
|
Furniture and equipment
|
3-7 years
|
Internal-use software development costs
|
5 years
|
Leasehold improvements
|
Shorter of useful life or remaining lease term
|
•
|
Identify the contract(s) with a customer
|
•
|
Identify the performance obligations in the contract
|
•
|
Determine the transaction price
|
•
|
Allocate the transaction price to performance obligations
|
•
|
Recognize revenue when (or as) the entity satisfies a performance obligation
|
Condensed Consolidated Statements of Operations and Comprehensive Income (Loss)
|
|
|
|
|
|
||||||||||
(in thousands)
|
|
|
|
|
|
|
|
|
|
||||||
|
For the Year Ended December 31, 2018
|
|
|||||||||||||
|
|
|
|
Amounts without
|
Impact of
|
||||||||||
|
|
|
|
adoption of
|
adoption
|
||||||||||
|
As Reported
|
|
ASC 606
|
|
Higher/(Lower)
|
||||||||||
Revenue
|
|
|
|
|
|
|
|
|
|
||||||
Transformation services
|
|
$
|
32,916
|
|
|
|
$
|
35,238
|
|
|
|
$
|
(2,322
|
)
|
|
Platform and operations services
|
|
500,190
|
|
|
|
497,284
|
|
|
|
2,906
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
||||||
Expenses
|
|
|
|
|
|
|
|
|
|
||||||
Cost of revenue (exclusive of depreciation and amortization
|
|
|
|
|
|
|
|
|
|
||||||
presented separately below)
|
|
327,825
|
|
|
|
337,080
|
|
|
|
(9,255
|
)
|
|
|||
Selling, general and administrative expenses
|
|
235,418
|
|
|
|
236,173
|
|
|
|
(755
|
)
|
|
|||
Income (loss) before income taxes and non-controlling interests
|
|
(54,151
|
)
|
|
|
(64,745
|
)
|
|
|
10,594
|
|
|
Condensed Consolidated Balance Sheets
|
|
|
|
|
|
|
|
|
|
||||||
(in thousands)
|
|
|
|
|
|
|
|
|
|
||||||
|
As of December 31, 2018
|
|
|||||||||||||
|
|
|
|
Balances without
|
Impact of
|
||||||||||
|
|
|
|
adoption of
|
adoption
|
||||||||||
|
As Reported
|
|
ASC 606
|
|
Higher/(Lower)
|
||||||||||
Assets
|
|
|
|
|
|
|
|
|
|
||||||
Accounts receivable, net
|
|
$
|
80,208
|
|
|
|
$
|
77,197
|
|
|
|
$
|
3,011
|
|
|
Contract assets (current)
|
|
2,102
|
|
|
|
—
|
|
|
|
2,102
|
|
|
|||
Contract assets (noncurrent)
|
|
961
|
|
|
|
—
|
|
|
|
961
|
|
|
|||
Contract cost assets
|
|
19,147
|
|
|
|
—
|
|
|
|
19,147
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
||||||
Liabilities and Shareholders' Equity (Deficit)
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
||||||
Liabilities
|
|
|
|
|
|
|
|
|
|
||||||
Deferred revenue
|
|
$
|
20,584
|
|
|
|
$
|
23,391
|
|
|
|
$
|
(2,807
|
)
|
|
Other long-term liabilities
|
|
17,090
|
|
|
|
16,965
|
|
|
|
125
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
||||||
Shareholders' Equity (Deficit)
|
|
|
|
|
|
|
|
|
|
||||||
Retained earnings (accumulated deficit)
|
|
50,009
|
|
|
|
23,111
|
|
|
|
26,898
|
|
|
|||
Non-controlling interests
|
|
45,532
|
|
|
|
44,527
|
|
|
|
1,005
|
|
|
Purchase consideration:
|
|
||
Cash
|
$
|
124,652
|
|
Fair value of Class B common stock issued
|
83,173
|
|
|
Fair value of contingent consideration
|
3,200
|
|
|
Total consideration
|
$
|
211,025
|
|
|
|
||
Tangible assets acquired:
|
|
||
Cash and cash equivalents
|
$
|
5,963
|
|
Accounts receivable
|
5,559
|
|
|
Prepaid expenses and other current assets
|
7,901
|
|
|
Property and equipment
|
381
|
|
|
Other noncurrent assets
|
148
|
|
|
|
|
||
Identifiable intangible assets acquired:
|
|
||
Customer relationships
|
72,500
|
|
|
Technology
|
27,000
|
|
|
Corporate trade name
|
4,300
|
|
|
Provider network contracts
|
9,600
|
|
|
|
|
||
Liabilities assumed:
|
|
||
Accounts payable
|
1,167
|
|
|
Accrued liabilities
|
1,494
|
|
|
Accrued compensation and employee benefits
|
3,966
|
|
|
Claims reserves
|
18,631
|
|
|
Deferred tax liabilities
|
24,041
|
|
|
Other long-term liabilities
|
6,138
|
|
|
|
|
||
Goodwill
|
133,110
|
|
|
Net assets acquired
|
$
|
211,025
|
|
Purchase consideration
|
|
||
Cash paid to NMHC
|
$
|
10,000
|
|
Cash paid to escrow agent
|
252
|
|
|
Total consideration
|
$
|
10,252
|
|
|
|
||
Identifiable intangible assets acquired and liabilities assumed
|
|
||
Customer relationships
|
$
|
2,700
|
|
Provider network contracts
|
2,300
|
|
|
Above market lease
|
(100
|
)
|
|
Accrued compensation and employee benefits
|
(474
|
)
|
|
|
|
||
Goodwill
|
5,826
|
|
|
Net assets acquired
|
$
|
10,252
|
|
|
|
|
|
Measurement
|
|
|
||||||||
|
As Previously
|
Period
|
|
|
||||||||||
|
Determined
|
Adjustments
|
As Revised
|
|
||||||||||
Purchase consideration:
|
|
|
|
|
|
|
|
|
||||||
Fair value of Class A common stock issued
|
|
$
|
9,864
|
|
|
|
$
|
—
|
|
|
|
$
|
9,864
|
|
Cash for settlement of software license
|
|
7,000
|
|
|
|
—
|
|
|
|
7,000
|
|
|||
Cash
|
|
17,481
|
|
|
|
—
|
|
|
|
17,481
|
|
|||
Total consideration
|
|
$
|
34,345
|
|
|
|
|
|
|
$
|
34,345
|
|
||
|
|
|
|
|
|
|
|
|
||||||
Tangible assets acquired:
|
|
|
|
|
|
|
|
|
||||||
Receivables
|
|
$
|
624
|
|
|
|
$
|
(194
|
)
|
|
|
$
|
430
|
|
Prepaid expenses and other current assets
|
|
272
|
|
|
|
—
|
|
|
|
272
|
|
|||
Property and equipment
|
|
1,065
|
|
|
|
—
|
|
|
|
1,065
|
|
|||
Other non-current assets
|
|
9
|
|
|
|
—
|
|
|
|
9
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Identifiable intangible assets acquired:
|
|
|
|
|
|
|
|
|
||||||
Customer relationships
|
|
7,000
|
|
|
|
—
|
|
|
|
7,000
|
|
|||
Technology
|
|
2,500
|
|
|
|
—
|
|
|
|
2,500
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Liabilities assumed:
|
|
|
|
|
|
|
|
|
||||||
Accounts payable
|
|
429
|
|
|
|
—
|
|
|
|
429
|
|
|||
Accrued liabilities
|
|
1,204
|
|
|
|
205
|
|
|
|
1,409
|
|
|||
Accrued compensation and employee benefits
|
|
605
|
|
|
|
—
|
|
|
|
605
|
|
|||
Deferred revenue
|
|
44
|
|
|
|
—
|
|
|
|
44
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Goodwill
|
|
25,157
|
|
|
|
399
|
|
|
|
25,556
|
|
|||
Net assets acquired
|
|
$
|
34,345
|
|
|
|
|
|
|
$
|
34,345
|
|
|
|
|
|
Measurement
|
|
|
||||||||
|
As Previously
|
Period
|
|
|
||||||||||
|
Determined
|
Adjustments
|
As Revised
|
|
||||||||||
Purchase consideration:
|
|
|
|
|
|
|
|
|
||||||
Fair value of Class A common stock issued
|
|
$
|
159,614
|
|
|
|
$
|
911
|
|
|
|
$
|
160,525
|
|
Fair value of contingent consideration
|
|
2,620
|
|
|
|
—
|
|
|
|
2,620
|
|
|||
Cash
|
|
54,799
|
|
|
|
—
|
|
|
|
54,799
|
|
|||
Total consideration
|
|
$
|
217,033
|
|
|
|
|
|
|
$
|
217,944
|
|
||
|
|
|
|
|
|
|
|
|
||||||
Tangible assets acquired:
|
|
|
|
|
|
|
|
|
||||||
Restricted cash
|
|
$
|
1,829
|
|
|
|
$
|
—
|
|
|
|
$
|
1,829
|
|
Accounts Receivable
|
|
8,587
|
|
|
|
(251
|
)
|
|
|
8,336
|
|
|||
Prepaid expenses and other current assets
|
|
3,465
|
|
|
|
—
|
|
|
|
3,465
|
|
|||
Property and equipment
|
|
6,241
|
|
|
|
—
|
|
|
|
6,241
|
|
|||
Other non-current assets
|
|
313
|
|
|
|
—
|
|
|
|
313
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Favorable leases assumed (net of unfavorable leases)
|
|
4,323
|
|
|
|
(126
|
)
|
|
|
4,197
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Identifiable intangible assets acquired:
|
|
|
|
|
|
|
|
|
||||||
Customer relationships
|
|
69,000
|
|
|
|
—
|
|
|
|
69,000
|
|
|||
Technology
|
|
18,000
|
|
|
|
—
|
|
|
|
18,000
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Liabilities assumed:
|
|
|
|
|
|
|
|
|
||||||
Accounts payable
|
|
5,703
|
|
|
|
—
|
|
|
|
5,703
|
|
|||
Accrued liabilities
|
|
3,865
|
|
|
|
(69
|
)
|
|
|
3,796
|
|
|||
Accrued compensation and employee benefits
|
|
9,200
|
|
|
|
—
|
|
|
|
9,200
|
|
|||
Deferred revenue
|
|
2,022
|
|
|
|
640
|
|
|
|
2,662
|
|
|||
Other long-term liabilities
|
|
2,328
|
|
|
|
—
|
|
|
|
2,328
|
|
|||
Net deferred tax liabilities
|
|
13,316
|
|
|
|
(636
|
)
|
|
|
12,680
|
|
|||
|
|
|
|
|
|
|
|
|
||||||
Goodwill
|
|
141,709
|
|
|
|
1,223
|
|
|
|
142,932
|
|
|||
Net assets acquired
|
|
$
|
217,033
|
|
|
|
|
|
|
$
|
217,944
|
|
Purchase consideration
|
|
||
Fair value of Class A common stock issued
|
$
|
10,450
|
|
Fair value of contingent consideration
|
7,750
|
|
|
Total consideration
|
$
|
18,200
|
|
|
|
||
Tangible assets acquired
|
|
||
Prepaid asset
|
$
|
6,900
|
|
|
|
||
Goodwill
|
11,300
|
|
|
Net assets acquired
|
$
|
18,200
|
|
•
|
Remove transaction costs related to the New Century Health transaction of
$1.6 million
recorded during 2018 and reclassify such amounts to 2017;
|
•
|
Record amortization expenses related to intangible assets beginning on January 1, 2017, for intangibles acquired as part of the New Century Health and True Health transactions;
|
•
|
Record revenue and expenses related to the NMHC MSA beginning January 1, 2017;
|
•
|
Record stock based compensation expense beginning on January 1, 2017, for equity awards granted as part of the New Century Health transaction;
|
•
|
Record the issuance of Class B common shares as part of the New Century Health transaction as of January 1, 2017;
|
•
|
Remove transaction costs related to the Aldera, Valence Health and Passport transactions of
$0.2 million
,
$2.7 million
and
$0.3 million
, respectively, recorded during 2016 and reclassify said amounts to 2015;
|
•
|
Remove one-time items, such as the gain on the release of our contingent liability related to Valence Health of
$2.6 million
, stock-based compensation of
$3.9 million
related to the acceleration of Valence Health’s unvested equity awards and the lease abandonment charge related to the 14
th
Floor Space of
$6.5 million
, recorded during 2016 and reclassify said amounts to 2015;
|
•
|
Record amortization expenses related to intangible assets beginning January 1, 2015, for intangibles related to Valence Health and Aldera;
|
•
|
Record revenue and expenses related to the Valence Health MSA and TSA in 2016 and 2015;
|
•
|
Remove the tax benefit recorded associated with the Valence Health acquisition and reclassify said amounts to 2015;
|
•
|
Record rent expense related to Passport prepaid lease beginning January 1, 2015; and
|
•
|
Record adjustments of income taxes associated with these pro forma adjustments.
|
|
For the Years Ended
|
||||||||||
|
December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Revenue
|
$
|
763,624
|
|
|
$
|
679,323
|
|
|
$
|
361,944
|
|
Net income (loss)
|
(69,337
|
)
|
|
(80,990
|
)
|
|
(225,091
|
)
|
|||
Net income (loss) attributable to non-controlling interests
|
(3,554
|
)
|
|
(11,544
|
)
|
|
(57,433
|
)
|
|||
Net income (loss) attributable to Evolent Health, Inc.
|
(65,783
|
)
|
|
(69,446
|
)
|
|
(167,658
|
)
|
|||
|
|
|
|
|
|
||||||
Net income (loss) per Common Share:
|
|
|
|
|
|
||||||
Basic and diluted
|
$
|
(0.85
|
)
|
|
$
|
(1.08
|
)
|
|
$
|
(3.30
|
)
|
Services Revenue
|
|
|
|
||
Transformation services
|
|
$
|
32,916
|
|
|
Platform and operations services
|
|
492,568
|
|
|
|
|
As of
|
|
|
As of
|
|
||||
|
December 31,
|
January 1,
|
||||||||
|
|
2018
|
|
2018
|
||||||
Short-term receivables
(1)
|
|
$
|
78,380
|
|
|
|
$
|
47,131
|
|
|
Long-term receivables
(1)
|
|
6,550
|
|
|
|
—
|
|
|
||
Short-term contract assets
|
|
2,102
|
|
|
|
3,710
|
|
|
||
Long-term contract assets
|
|
961
|
|
|
|
1,791
|
|
|
||
Short-term deferred revenue
|
|
20,584
|
|
|
|
26,147
|
|
|
||
Long-term deferred revenue
|
|
1,502
|
|
|
|
493
|
|
|
|
As of December 31,
|
||||||
|
2018
|
|
2017
|
||||
Computer hardware
|
$
|
10,421
|
|
|
$
|
5,667
|
|
Furniture and equipment
|
3,187
|
|
|
2,448
|
|
||
Internal-use software development costs
|
81,640
|
|
|
48,557
|
|
||
Leasehold improvements
|
10,118
|
|
|
8,708
|
|
||
Total property and equipment
|
105,366
|
|
|
65,380
|
|
||
Accumulated depreciation and amortization expenses
|
(31,738
|
)
|
|
(14,458
|
)
|
||
Total property and equipment, net
|
$
|
73,628
|
|
|
$
|
50,922
|
|
|
Services
|
|
True Health
|
|
Consolidated
|
|
||||||
Balance as of December 31, 2016
|
$
|
626,569
|
|
|
$
|
—
|
|
|
$
|
626,569
|
|
(1)
|
Measurement period adjustments
(2)
|
1,617
|
|
|
—
|
|
|
1,617
|
|
|
|||
Balance as of December 31, 2017
|
628,186
|
|
|
—
|
|
|
628,186
|
|
|
|||
Goodwill Acquired
(3)
|
134,343
|
|
|
5,826
|
|
|
140,169
|
|
|
|||
Measurement period adjustments
(2)
|
4
|
|
|
(121
|
)
|
|
(117
|
)
|
|
|||
Foreign currency translation
(4)
|
(114
|
)
|
|
—
|
|
|
(114
|
)
|
|
|||
Balance as of December 31, 2018
|
$
|
762,419
|
|
|
$
|
5,705
|
|
|
$
|
768,124
|
|
|
|
As of December 31, 2018
|
||||||||||||
|
Weighted-
|
|
|
|
|
|
|
||||||
|
Average
|
|
Gross
|
|
|
|
Net
|
||||||
|
Remaining
|
|
Carrying
|
Accumulated
|
Carrying
|
||||||||
|
Useful Life
|
|
Amount
|
Amortization
|
Value
|
||||||||
Corporate trade name
(1)
|
15.2
|
|
$
|
23,300
|
|
|
$
|
3,511
|
|
|
$
|
19,789
|
|
Customer relationships
(2)
|
18.1
|
|
281,219
|
|
|
29,184
|
|
|
252,035
|
|
|||
Technology
(3)
|
3.0
|
|
82,922
|
|
|
31,764
|
|
|
51,158
|
|
|||
Below market lease, net
|
4.0
|
|
4,097
|
|
|
3,003
|
|
|
1,094
|
|
|||
Provider network contracts
(4)
|
4.6
|
|
11,900
|
|
|
940
|
|
|
10,960
|
|
|||
Total
|
|
|
$
|
403,438
|
|
|
$
|
68,402
|
|
|
$
|
335,036
|
|
|
As of December 31, 2017
|
||||||||||||
|
Weighted-
|
|
|
|
|
|
|
||||||
|
Average
|
|
Gross
|
|
|
|
Net
|
||||||
|
Remaining
|
|
Carrying
|
Accumulated
|
Carrying
|
||||||||
|
Useful Life
|
|
Amount
|
Amortization
|
Value
|
||||||||
Corporate trade name
|
17.4
|
|
$
|
19,000
|
|
|
$
|
2,454
|
|
|
$
|
16,546
|
|
Customer relationships
|
20.5
|
|
203,500
|
|
|
18,312
|
|
|
185,188
|
|
|||
Technology
|
3.1
|
|
55,802
|
|
|
17,810
|
|
|
37,992
|
|
|||
Below market lease, net
|
4.8
|
|
4,197
|
|
|
2,662
|
|
|
1,535
|
|
|||
Total
|
|
|
$
|
282,499
|
|
|
$
|
41,238
|
|
|
$
|
241,261
|
|
2019
|
$
|
36,498
|
|
2020
|
32,312
|
|
|
2021
|
28,143
|
|
|
2022
|
24,262
|
|
|
2023
|
21,498
|
|
|
Thereafter
|
192,323
|
|
|
Total
|
$
|
335,036
|
|
|
As of December 31,
|
||||||
|
2018
|
|
2017
|
||||
2025 Notes
|
|
|
|
||||
Carrying value
|
$
|
98,730
|
|
|
$
|
—
|
|
Unamortized debt discount and
|
|
|
|
||||
issuance costs allocated to debt
|
73,770
|
|
|
—
|
|
||
Principal amount
|
$
|
172,500
|
|
|
$
|
—
|
|
Remaining amortization period (years)
|
6.8
|
|
|
|
|||
|
|
|
|
||||
2021 Notes
|
|
|
|
||||
Carrying value
|
$
|
122,311
|
|
|
$
|
121,394
|
|
Unamortized issuance costs
|
2,689
|
|
|
3,606
|
|
||
Principal amount
|
$
|
125,000
|
|
|
$
|
125,000
|
|
Remaining amortization period (years)
|
2.9
|
|
|
3.9
|
|
Accrual as of beginning-of-year
|
$
|
6,100
|
|
Abandonment expense
|
—
|
|
|
Impact of lease termination
|
(496
|
)
|
|
Abandonment amortization
|
(1,239
|
)
|
|
Lease cancellation fee
|
(4,365
|
)
|
|
Accrual as of end-of-year
|
$
|
—
|
|
2019
|
$
|
11,470
|
|
2020
|
12,553
|
|
|
2021
|
8,594
|
|
|
2022
|
7,033
|
|
|
2023
|
7,451
|
|
|
Thereafter
|
40,657
|
|
|
Total
|
$
|
87,758
|
|
|
Less
|
|
|
|
|
|
More
|
|
|
||||||||||
|
Than
|
|
1 to 3
|
|
3 to 5
|
|
Than
|
|
|
||||||||||
|
1 Year
|
|
Years
|
|
Years
|
|
5 Years
|
|
Total
|
||||||||||
Purchase obligations related to vendor contracts
|
$
|
6,236
|
|
|
$
|
2,417
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
8,653
|
|
Reinsurance premiums assumed
|
|
$
|
3,242
|
|
|
Claims assumed
|
|
3,934
|
|
|
|
Claims-related administrative expenses
|
|
551
|
|
|
|
(Increase) decrease in claims reserves attributable
|
|
|
|
||
to the Reinsurance Agreement
|
|
(1,243
|
)
|
|
|
Claims reserves attributable to the Reinsurance
|
|
|
|
||
Agreement at the beginning of the year
|
|
—
|
|
|
|
Claims reserves attributable to the Reinsurance
|
|
|
|
||
Agreement at the end of the year
|
|
$
|
1,243
|
|
|
•
|
the timing of the exchanges and the price of the Class A shares at the time of the transaction, triggering a tax basis increase in the Company’s asset and a corresponding benefit to be realized under the TRA; and
|
•
|
the amount and timing of our taxable income - the Company will be required to pay
85%
of the tax savings as and when realized, if any. If the Company does not have taxable income, it will not be required to make payments under the TRA for that taxable year because no tax savings were actually realized.
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Net income (loss)
|
$
|
(54,191
|
)
|
|
$
|
(69,767
|
)
|
|
$
|
(226,778
|
)
|
Less:
|
|
|
|
|
|
||||||
Net income (loss) attributable to non-controlling interests
|
(1,533
|
)
|
|
(9,102
|
)
|
|
(67,036
|
)
|
|||
Net income (loss) available for common shareholders - Basic and diluted
(1)(2)
|
(52,658
|
)
|
|
(60,665
|
)
|
|
(159,742
|
)
|
|||
|
|
|
|
|
|
||||||
Weighted-average common shares outstanding - Basic and diluted
(2)(3)
|
77,338
|
|
|
64,351
|
|
|
45,031
|
|
|||
|
|
|
|
|
|
||||||
Earnings (Loss) per Common Share
|
|
|
|
|
|
||||||
Basic and diluted
|
$
|
(0.68
|
)
|
|
$
|
(0.94
|
)
|
|
$
|
(3.55
|
)
|
|
For the Years Ended December 31,
|
|||||||
|
2018
|
|
2017
|
|
2016
|
|||
Exchangeable Class B common stock
|
1,831
|
|
|
7,285
|
|
|
16,882
|
|
RSUs
|
1,027
|
|
|
525
|
|
|
245
|
|
Stock options
|
2,517
|
|
|
2,829
|
|
|
1,973
|
|
Convertible senior notes
|
6,176
|
|
|
5,201
|
|
|
369
|
|
Total
|
11,551
|
|
|
15,840
|
|
|
19,469
|
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Award Type
|
|
|
|
|
|
||||||
Stock options
|
$
|
9,008
|
|
|
$
|
15,487
|
|
|
$
|
15,647
|
|
Performance-based stock options
|
447
|
|
|
447
|
|
|
374
|
|
|||
RSUs
|
7,766
|
|
|
4,503
|
|
|
2,583
|
|
|||
Performance-based RSUs
|
388
|
|
|
—
|
|
|
—
|
|
|||
Acceleration of unvested equity awards
|
—
|
|
|
—
|
|
|
3,897
|
|
|||
Total
|
$
|
17,609
|
|
|
$
|
20,437
|
|
|
$
|
22,501
|
|
|
|
|
|
|
|
||||||
Line Item
|
|
|
|
|
|
||||||
Cost of revenue
|
$
|
1,475
|
|
|
$
|
1,371
|
|
|
$
|
2,670
|
|
Selling, general and
|
|
|
|
|
|
||||||
administrative expenses
|
16,134
|
|
|
19,066
|
|
|
19,831
|
|
|||
Total
|
$
|
17,609
|
|
|
$
|
20,437
|
|
|
$
|
22,501
|
|
|
As of December 31, 2018
|
|||||
|
|
|
|
Weighted-
|
||
|
|
|
|
Average
|
||
|
|
Expense
|
|
Period
|
||
Stock options
|
|
$
|
10,061
|
|
|
1.13
|
Performance-based stock options
|
|
521
|
|
|
1.17
|
|
RSUs
|
|
16,353
|
|
|
2.27
|
|
Performance-based RSUs
|
|
1,945
|
|
|
1.25
|
|
Total
|
|
$
|
28,880
|
|
|
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Weighted-average fair value
|
|
|
|
|
|
||||||
per option granted
|
$
|
6.30
|
|
|
$
|
8.38
|
|
|
$
|
4.69
|
|
Assumptions:
|
|
|
|
|
|
||||||
Expected term (in years)
|
6.25
|
|
|
6.25
|
|
|
6.25
|
|
|||
Expected volatility
|
38.9
|
%
|
|
42.8
|
%
|
|
45.0
|
%
|
|||
Risk-free interest rate
|
2.6 - 2.9%
|
|
|
1.9 - 2.1%
|
|
|
1.3 - 1.5%
|
|
|||
Dividend yield
|
—
|
%
|
|
—
|
%
|
|
—
|
%
|
|
|
|
|
|
Weighted-
|
|
|
|||||
|
|
|
Weighted-
|
|
Average
|
|
|
|||||
|
|
|
Average
|
|
Remaining
|
|
Aggregate
|
|||||
|
|
|
Exercise
|
|
Contractual
|
|
Intrinsic
|
|||||
|
Shares
|
|
Price
|
|
Term
|
|
Value
|
|||||
Outstanding as of December 31, 2017
|
5,951
|
|
|
$
|
8.38
|
|
|
7.19
|
|
$
|
23,325
|
|
Granted
|
1,054
|
|
|
14.38
|
|
|
|
|
|
|||
Exercised
|
(1,720
|
)
|
|
6.93
|
|
|
|
|
|
|||
Forfeited
|
(196
|
)
|
|
15.98
|
|
|
|
|
|
|||
Outstanding as of December 31, 2018
|
5,089
|
|
|
$
|
9.82
|
|
|
6.86
|
|
$
|
51,556
|
|
|
|
|
|
|
|
|
|
|||||
Vested and expected to vest
|
|
|
|
|
|
|
|
|||||
after December 31, 2018
|
4,959
|
|
|
$
|
9.42
|
|
|
6.77
|
|
$
|
48,435
|
|
|
|
|
|
|
|
|
|
|||||
Exercisable at December 31, 2018
|
2,640
|
|
|
$
|
6.33
|
|
|
5.81
|
|
$
|
35,955
|
|
•
|
one-third of the shares subject to the option award will vest in the event that the average closing price of the Company’s Class A common stock on the NYSE is at least
$13.35
per share for a consecutive ninety day period;
|
•
|
one-third of the shares subject to the option award will vest in the event that the average closing price of the Company’s Class A common stock on the NYSE is at least
$16.43
per share for a consecutive ninety day period; and
|
•
|
one-third of the shares subject to the option award will vest in the event that the average closing price of the Company’s Class A common stock on the NYSE is at least
$19.51
per share for a consecutive ninety day period.
|
•
|
50%
of the shares subject to the option award will vest on March 1, 2019, and
|
•
|
50%
of the shares subject to the option award will vest on March 1, 2020.
|
|
|
|
|
|
Weighted-
|
|
|
|||||
|
|
|
Weighted-
|
|
Average
|
|
|
|||||
|
|
|
Average
|
|
Remaining
|
|
Aggregate
|
|||||
|
|
|
Exercise
|
|
Contractual
|
|
Intrinsic
|
|||||
|
Shares
|
|
Price
|
|
Term
|
|
Value
|
|||||
Outstanding as of December 31, 2017
|
268
|
|
|
$
|
10.27
|
|
|
8.17
|
|
$
|
544
|
|
Outstanding as of December 31, 2018
|
268
|
|
|
10.27
|
|
|
7.17
|
|
2,592
|
|
||
|
|
|
|
|
|
|
|
|||||
Vested and expected to vest
|
|
|
|
|
|
|
|
|||||
after December 31, 2018
|
268
|
|
|
$
|
10.27
|
|
|
7.17
|
|
$
|
2,592
|
|
|
|
|
Weighted-
|
|||
|
|
|
Average
|
|||
|
|
|
Grant-Date
|
|||
|
Shares
|
|
Fair Value
|
|||
Outstanding as of December 31, 2017
|
—
|
|
|
$
|
—
|
|
Granted
|
86
|
|
|
27.04
|
|
|
Outstanding as of December 31, 2018
|
86
|
|
|
$
|
27.04
|
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Current
|
|
|
|
|
|
||||||
Federal
|
$
|
458
|
|
|
$
|
368
|
|
|
$
|
—
|
|
State and local
|
9
|
|
|
266
|
|
|
—
|
|
|||
Foreign
|
251
|
|
|
—
|
|
|
—
|
|
|||
Total current tax expense
|
718
|
|
|
634
|
|
|
—
|
|
|||
Deferred
|
|
|
|
|
|
||||||
Federal
|
(14,820
|
)
|
|
3,202
|
|
|
(9,708
|
)
|
|||
State and local
|
(2,252
|
)
|
|
(3,102
|
)
|
|
(1,138
|
)
|
|||
Foreign
|
(49
|
)
|
|
—
|
|
|
—
|
|
|||
Total deferred tax expense
|
(17,121
|
)
|
|
100
|
|
|
(10,846
|
)
|
|||
Change in valuation allowance
|
16,443
|
|
|
(7,371
|
)
|
|
91
|
|
|||
Total tax expense (benefit)
|
$
|
40
|
|
|
$
|
(6,637
|
)
|
|
$
|
(10,755
|
)
|
|
For the Years Ended December 31,
|
|||||||
|
2018
|
|
2017
|
|
2016
|
|||
U.S. statutory tax rate
|
21.0
|
%
|
|
35.0
|
%
|
|
35.0
|
%
|
U.S. state income taxes, net of U.S. federal tax benefit
|
3.6
|
%
|
|
3.3
|
%
|
|
4.0
|
%
|
Foreign earnings at other than U.S. rates
|
(0.2
|
)%
|
|
—
|
%
|
|
—
|
%
|
Change in valuation allowance
|
(30.4
|
)%
|
|
(34.0
|
)%
|
|
(0.1
|
)%
|
Change in valuation allowance, tax reform
|
—
|
%
|
|
43.7
|
%
|
|
—
|
%
|
Impact of tax reform
|
—
|
%
|
|
(36.0
|
)%
|
|
—
|
%
|
Goodwill impairment
|
—
|
%
|
|
—
|
%
|
|
(18.7
|
)%
|
Gain on contribution
|
—
|
%
|
|
—
|
%
|
|
(5.0
|
)%
|
Non-controlling interest
|
(0.7
|
)%
|
|
(4.6
|
)%
|
|
(11.0
|
)%
|
Excess tax benefits on stock-based compensation
|
3.9
|
%
|
|
3.1
|
%
|
|
0.1
|
%
|
Federal and state R&D tax credits
|
4.5
|
%
|
|
—
|
%
|
|
—
|
%
|
Change in uncertain tax positions
|
(1.1
|
)%
|
|
—
|
%
|
|
—
|
%
|
Other, net
|
(0.7
|
)%
|
|
(1.8
|
)%
|
|
0.2
|
%
|
Effective rate
|
(0.1
|
)%
|
|
8.7
|
%
|
|
4.5
|
%
|
|
As of December 31,
|
||||||
|
2018
|
|
2017
|
||||
Deferred Tax Assets
|
|
|
|
||||
Start-up and organizational costs
|
$
|
160
|
|
|
$
|
185
|
|
Internally developed software costs
|
3,283
|
|
|
3,974
|
|
||
Net operating loss carryforwards
|
76,019
|
|
|
51,197
|
|
||
Federal and state R&D tax credits
|
1,828
|
|
|
—
|
|
||
Other
|
861
|
|
|
(69
|
)
|
||
Subtotal
|
82,151
|
|
|
55,287
|
|
||
Valuation allowance
|
(37,037
|
)
|
|
(53,201
|
)
|
||
Total deferred tax assets
|
45,114
|
|
|
2,086
|
|
||
|
|
|
|
||||
Deferred Tax Liabilities
|
|
|
|
||||
Equity-method investment
|
43,492
|
|
|
4,523
|
|
||
Intangible assets
|
26,710
|
|
|
—
|
|
||
Total deferred tax liabilities
|
70,202
|
|
|
4,523
|
|
||
Net deferred tax assets (liabilities)
|
$
|
(25,088
|
)
|
|
$
|
(2,437
|
)
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Balance at beginning-of-year
|
$
|
53,201
|
|
|
$
|
26,376
|
|
|
$
|
19,974
|
|
Charged to costs and expenses
|
16,443
|
|
|
(7,371
|
)
|
|
91
|
|
|||
Charged to other accounts
(1)
|
(32,607
|
)
|
|
34,196
|
|
|
6,311
|
|
|||
Balance at end-of-year
|
$
|
37,037
|
|
|
$
|
53,201
|
|
|
$
|
26,376
|
|
(1)
|
Amounts charged to other accounts includes a decrease of
$32.6 million
, increase of
$34.2 million
and increase of
$6.3 million
charged to additional paid-in-capital for the years ended
December 31, 2018
,
2017
and
2016
, respectively.
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Balance at beginning-of-year
|
$
|
762
|
|
|
$
|
—
|
|
|
$
|
—
|
|
Gross increases - tax positions in prior period
|
934
|
|
|
1,108
|
|
|
—
|
|
|||
Gross decreases - tax positions in prior period
|
(762
|
)
|
|
—
|
|
|
—
|
|
|||
Gross increases - tax positions in current period
|
—
|
|
|
74
|
|
|
—
|
|
|||
Change in tax rate
|
—
|
|
|
(420
|
)
|
|
—
|
|
|||
Balance at end-of-year
|
$
|
934
|
|
|
$
|
762
|
|
|
$
|
—
|
|
|
For the Years Ended
|
||||||
|
December 31,
|
||||||
|
2018
|
|
2017
|
||||
Non-controlling interests balance as of beginning-of-year
|
$
|
35,427
|
|
|
$
|
209,588
|
|
Cumulative-effect adjustment from adoption of new accounting principle
|
594
|
|
|
—
|
|
||
Decrease in non-controlling interests as a result of Class B Exchanges
|
(34,682
|
)
|
|
(168,883
|
)
|
||
Issuance of Class B common stock for business combination
|
42,787
|
|
|
—
|
|
||
Net income (loss) attributable to non-controlling interests
|
(1,533
|
)
|
|
(9,102
|
)
|
||
Reclassification of non-controlling interests
|
2,939
|
|
|
3,824
|
|
||
Non-controlling interests balance as of end-of-year
|
$
|
45,532
|
|
|
$
|
35,427
|
|
•
|
Level 1 - inputs to the valuation methodology are quoted prices available in active markets for identical instruments as of the reporting date;
|
•
|
Level 2 - inputs to the valuation methodology are other than quoted prices in active markets, which are either directly or indirectly observable as of the reporting date and the fair value can be determined through the use of models or other valuation methodologies; and
|
•
|
Level 3 - inputs to the valuation methodology are unobservable inputs in situations where there is little or no market activity for the asset or liability.
|
|
As of December 31, 2018
|
||||||||||||||
|
Level 1
|
|
Level 2
|
|
Level 3
|
|
Total
|
||||||||
Assets
|
|
|
|
|
|
|
|
||||||||
Cash and cash equivalents
(1)
|
$
|
11,391
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
11,391
|
|
Restricted cash and restricted investments
(1)
|
31,226
|
|
|
—
|
|
|
—
|
|
|
31,226
|
|
||||
Total
|
$
|
42,617
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
42,617
|
|
|
|
|
|
|
|
|
|
||||||||
Liabilities
|
|
|
|
|
|
|
|
||||||||
Contingent consideration
(2)
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
8,800
|
|
|
$
|
8,800
|
|
|
As of December 31, 2017
|
||||||||||||||
|
Level 1
|
|
Level 2
|
|
Level 3
|
|
Total
|
||||||||
Assets
|
|
|
|
|
|
|
|
||||||||
Cash and cash equivalents
(1)
|
$
|
60,535
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
60,535
|
|
Restricted cash and restricted investments
(1)
|
16,575
|
|
|
—
|
|
|
—
|
|
|
16,575
|
|
||||
Total
|
$
|
77,110
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
77,110
|
|
|
|
|
|
|
|
|
|
||||||||
Liabilities
|
|
|
|
|
|
|
|
||||||||
Contingent consideration
(3)
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
8,700
|
|
|
$
|
8,700
|
|
|
For the Years Ended
|
||||||
|
December 31,
|
||||||
|
2018
|
|
2017
|
||||
Balance as of beginning of year
|
$
|
8,700
|
|
|
$
|
8,300
|
|
Additions
(1)
|
3,200
|
|
|
—
|
|
||
Realized and unrealized (gains) losses, net
(2)
|
(3,100
|
)
|
|
400
|
|
||
Balance as of end of year
|
$
|
8,800
|
|
|
$
|
8,700
|
|
|
As of December 31, 2018
|
|
|||||||||
|
Fair
|
|
Valuation
|
|
Significant
|
|
Assumption or
|
|
|||
|
Value
|
|
Technique
|
|
Unobservable Inputs
|
|
Input Ranges
|
|
|||
Passport contingent
|
|
|
|
|
|
|
|
|
|||
consideration
|
$
|
5,600
|
|
|
Real options approach
|
|
Risk-adjusted recurring revenue CAGR
|
|
103.9
|
%
|
(1)
|
|
|
|
|
|
Discount rate/time value
|
|
5.5% - 6.5%
|
|
|
||
|
|
|
|
|
|
|
|
|
|||
New Century Health
|
|
|
|
|
|
|
|
|
|||
contingent consideration
|
$
|
3,200
|
|
|
Real options approach
|
|
Risk-neutral probability exceeds threshold
|
|
39.0
|
%
|
(2)
|
|
|
|
|
|
Risk-neutral probability meets earn-out cap
|
|
24.0
|
%
|
(2)
|
(2)
|
These amounts represent 1) the probability that New Century Health will achieve at least the minimum level of operating results in 2019 to earn any contingent consideration (
39.0%
) and 2) the probability that New Century Health will achieve 2019 operating results in excess of the maximum amount of contingent consideration payable (
24.0%
). The risk-neutral probability rates were determined by projecting theoretical 2019 operating results using a simulation with one million trials.
|
|
As of December 31, 2017
|
|
|||||||||
|
Fair
|
|
Valuation
|
|
Significant
|
|
Assumption or
|
|
|||
|
Value
|
|
Technique
|
|
Unobservable Inputs
|
|
Input Ranges
|
|
|||
Passport contingent
|
|
|
|
|
|
|
|
|
|||
consideration
|
$
|
8,700
|
|
|
Real options approach
|
|
Risk-adjusted recurring revenue CAGR
|
|
92.5
|
%
|
(1)
|
|
|
|
|
|
Discount rate/time value
|
|
2.7% - 4.0%
|
|
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Revenue
|
|
|
|
|
|
||||||
Transformation services
|
$
|
10,540
|
|
|
$
|
597
|
|
|
$
|
482
|
|
Platform and operations services
|
37,490
|
|
|
32,335
|
|
|
34,267
|
|
|||
|
|
|
|
|
|
||||||
Expenses
|
|
|
|
|
|
||||||
Cost of revenue (exclusive of depreciation and amortization expenses)
|
9,451
|
|
|
22,389
|
|
|
22,207
|
|
|||
Selling, general and administrative expenses
|
917
|
|
|
1,153
|
|
|
2,027
|
|
•
|
Services, which consists of our technology-enabled value-based care services, specialty care management services and comprehensive health plan administration services; and
|
•
|
True Health, which consists of a commercial health plan we operate in New Mexico that focuses on small and large businesses.
|
|
|
|
|
|
|
|
Intersegment
|
|
|
|
||||||||||
|
|
Services
|
|
True Health
(1)
|
Eliminations
|
Consolidated
|
||||||||||||||
Adjusted Revenue
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
For the Year Ended December 31, 2018
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Services:
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Adjusted Transformation Services
|
|
$
|
36,571
|
|
|
|
$
|
—
|
|
|
|
$
|
—
|
|
|
|
$
|
36,571
|
|
|
Adjusted Platform and Operations Services
|
|
516,219
|
|
|
|
—
|
|
|
|
(14,325
|
)
|
|
|
501,894
|
|
|
||||
Adjusted Services Revenue
|
|
552,790
|
|
|
|
—
|
|
|
|
(14,325
|
)
|
|
|
538,465
|
|
|
||||
True Health:
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Premiums
|
|
—
|
|
|
|
94,763
|
|
|
|
(806
|
)
|
|
|
93,957
|
|
|
||||
Adjusted Revenue
|
|
552,790
|
|
|
|
94,763
|
|
|
|
(15,131
|
)
|
|
|
632,422
|
|
|
||||
ASC 606 transition adjustment
(2)
|
|
(4,498
|
)
|
|
|
—
|
|
|
|
—
|
|
|
|
(4,498
|
)
|
|
||||
Purchase accounting adjustments
(3)
|
|
(861
|
)
|
|
|
—
|
|
|
|
—
|
|
|
|
(861
|
)
|
|
||||
Total revenue
|
|
$
|
547,431
|
|
|
|
$
|
94,763
|
|
|
|
$
|
(15,131
|
)
|
|
|
$
|
627,063
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
For the Year Ended December 31, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Services:
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Adjusted Transformation Services
|
|
$
|
29,466
|
|
|
|
$
|
—
|
|
|
|
$
|
—
|
|
|
|
$
|
29,466
|
|
|
Adjusted Platform and Operations Services
|
|
406,951
|
|
|
|
—
|
|
|
|
—
|
|
|
|
406,951
|
|
|
||||
Adjusted Services Revenue
|
|
436,417
|
|
|
|
—
|
|
|
|
—
|
|
|
|
436,417
|
|
|
||||
Adjusted Revenue
|
|
436,417
|
|
|
|
—
|
|
|
|
—
|
|
|
|
436,417
|
|
|
||||
Purchase accounting adjustments
(3)
|
|
(1,467
|
)
|
|
|
—
|
|
|
|
—
|
|
|
|
(1,467
|
)
|
|
||||
Total revenue
|
|
$
|
434,950
|
|
|
|
$
|
—
|
|
|
|
$
|
—
|
|
|
|
$
|
434,950
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
For the Year Ended December 31, 2016
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Services:
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Adjusted Transformation Services
|
|
$
|
38,434
|
|
|
|
$
|
—
|
|
|
|
$
|
—
|
|
|
|
$
|
38,434
|
|
|
Adjusted Platform and Operations Services
|
|
217,844
|
|
|
|
—
|
|
|
|
—
|
|
|
|
217,844
|
|
|
||||
Adjusted Services Revenue
|
|
256,278
|
|
|
|
—
|
|
|
|
—
|
|
|
|
256,278
|
|
|
||||
Adjusted Revenue
|
|
256,278
|
|
|
|
—
|
|
|
|
—
|
|
|
|
256,278
|
|
|
||||
Purchase accounting adjustments
(4)
|
|
(2,090
|
)
|
|
|
—
|
|
|
|
—
|
|
|
|
(2,090
|
)
|
|
||||
Total revenue
|
|
$
|
254,188
|
|
|
|
$
|
—
|
|
|
|
$
|
—
|
|
|
|
$
|
254,188
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
Segments
|
|
|
|
|
||||||||
|
|
Services
|
|
True Health
(1)
|
Total
|
|
|
|
||||||||||||
For the Year Ended December 31, 2018
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Adjusted EBITDA
|
|
$
|
21,310
|
|
|
|
$
|
1,915
|
|
|
|
$
|
23,225
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
For the Year Ended December 31, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Adjusted EBITDA
|
|
$
|
(2,204
|
)
|
|
|
$
|
—
|
|
|
|
$
|
(2,204
|
)
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
For the Year Ended December 31, 2016
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Adjusted EBITDA
|
|
$
|
(21,407
|
)
|
|
|
$
|
—
|
|
|
|
$
|
(21,407
|
)
|
|
|
|
|
(1)
|
The True Health segment was created in January 2018.
|
(2)
|
Adjustment to Adjusted Transformation Services Revenue was approximately
$3.7 million
and the adjustment to Adjusted Platform and Operations Services Revenue was approximately
$0.8 million
.
|
(3)
|
Purchase accounting adjustments pertain to Adjusted Platform and Operations Services Revenue. There were
no
purchase accounting adjustments in relation to Adjusted Transformation Services Revenue or True Health premiums revenue.
|
(4)
|
Purchase accounting adjustments of
$2.1 million
include an adjustment of
$0.1 million
to Adjusted Transformation Services Revenue and an adjustment of
$2.0 million
to Adjusted Platform and Operations Services Revenue.
|
|
|
For the Years Ended December 31,
|
||||||||||
|
|
2018
|
|
2017
|
|
2016
|
||||||
Net Income (Loss) Attributable to
|
|
|
|
|
|
|
||||||
Evolent Health, Inc.
|
|
$
|
(52,658
|
)
|
|
$
|
(60,665
|
)
|
|
$
|
(159,742
|
)
|
Less:
|
|
|
|
|
|
|
||||||
Interest income
|
|
3,440
|
|
|
1,656
|
|
|
970
|
|
|||
Interest expense
|
|
(5,484
|
)
|
|
(3,636
|
)
|
|
(247
|
)
|
|||
(Provision) benefit for income taxes
|
|
(40
|
)
|
|
6,637
|
|
|
10,755
|
|
|||
Depreciation and amortization expenses
|
|
(44,515
|
)
|
|
(32,368
|
)
|
|
(17,224
|
)
|
|||
Goodwill impairment
|
|
—
|
|
|
—
|
|
|
(160,600
|
)
|
|||
Impact of lease abandonment
|
|
—
|
|
|
—
|
|
|
(6,456
|
)
|
|||
Income (loss) from equity method investees
|
|
(4,736
|
)
|
|
(1,755
|
)
|
|
(841
|
)
|
|||
Change in fair value of contingent
|
|
|
|
|
|
|
||||||
consideration and indemnification asset
|
|
4,104
|
|
|
(400
|
)
|
|
2,086
|
|
|||
Other income (expense), net
|
|
109
|
|
|
171
|
|
|
4
|
|
|||
Net (income) loss attributable to
|
|
|
|
|
|
|
||||||
non-controlling interests
|
|
1,533
|
|
|
9,102
|
|
|
67,036
|
|
|||
ASC 606 transition adjustments
|
|
(4,498
|
)
|
|
—
|
|
|
—
|
|
|||
Purchase accounting adjustments
|
|
(861
|
)
|
|
(1,467
|
)
|
|
(2,090
|
)
|
|||
Stock-based compensation expense
|
|
(17,609
|
)
|
|
(20,437
|
)
|
|
(22,501
|
)
|
|||
Severance costs
|
|
(2,205
|
)
|
|
—
|
|
|
—
|
|
|||
Amortization of contract cost assets
|
|
(2,456
|
)
|
|
—
|
|
|
—
|
|
|||
Transaction costs
|
|
(2,665
|
)
|
|
(15,964
|
)
|
|
(9,227
|
)
|
|||
Adjusted EBITDA
|
|
$
|
23,225
|
|
|
$
|
(2,204
|
)
|
|
$
|
(21,407
|
)
|
|
Services
(1)
|
True Health
|
|
Total
|
||||||||||
Incurred costs related to current year
|
|
$
|
38,674
|
|
|
|
$
|
70,889
|
|
|
|
$
|
109,563
|
|
Paid costs related to current year
|
|
38,124
|
|
|
|
58,318
|
|
|
|
96,442
|
|
|||
Change during the year
|
|
550
|
|
|
|
12,571
|
|
|
|
13,121
|
|
|||
Other adjustments
(2)
|
|
(1,466
|
)
|
|
|
(2,691
|
)
|
|
|
(4,157
|
)
|
|||
Beginning balance
|
|
18,631
|
|
|
|
—
|
|
|
|
18,631
|
|
|||
Ending balance
|
|
$
|
17,715
|
|
|
|
$
|
9,880
|
|
|
|
$
|
27,595
|
|
|
|
|
Gross
|
|
Gross
|
|
|
||||||||
|
Amortized
|
|
Unrealized
|
|
Unrealized
|
|
Fair
|
||||||||
|
Cost
|
|
Gains
|
|
Losses
|
|
Value
|
||||||||
U.S. Treasury bills
|
$
|
7,982
|
|
|
$
|
120
|
|
|
$
|
—
|
|
|
$
|
8,102
|
|
Corporate bonds
|
887
|
|
|
17
|
|
|
—
|
|
|
904
|
|
||||
Other CMOs
|
545
|
|
|
6
|
|
|
—
|
|
|
551
|
|
||||
Yankees
|
596
|
|
|
11
|
|
|
—
|
|
|
607
|
|
||||
Total investments
|
$
|
10,010
|
|
|
$
|
154
|
|
|
$
|
—
|
|
|
$
|
10,164
|
|
|
Amortized
|
|
Fair
|
||||
|
Cost
|
|
Value
|
||||
Due after one year through five years
|
$
|
9,666
|
|
|
$
|
9,813
|
|
Due after five years through ten years
|
344
|
|
|
351
|
|
||
Total
|
$
|
10,010
|
|
|
$
|
10,164
|
|
|
1st
Quarter |
|
2nd
Quarter |
|
3rd
Quarter |
|
4th
Quarter |
||||||||
2018
|
|
|
|
|
|
|
|
||||||||
Total revenue
|
$
|
139,714
|
|
|
$
|
144,298
|
|
|
$
|
149,947
|
|
|
$
|
193,104
|
|
Total operating expenses
|
153,846
|
|
|
153,264
|
|
|
160,977
|
|
|
206,456
|
|
||||
Net income (loss)
|
(14,065
|
)
|
|
(10,031
|
)
|
|
(12,555
|
)
|
|
(17,540
|
)
|
||||
Net income (loss) attributable to non-controlling interests
|
(439
|
)
|
|
(115
|
)
|
|
(126
|
)
|
|
(853
|
)
|
||||
Net income (loss) attributable to Evolent Health, Inc.
|
(13,626
|
)
|
|
(9,916
|
)
|
|
(12,429
|
)
|
|
(16,687
|
)
|
||||
|
|
|
|
|
|
|
|
||||||||
Earnings (loss) per common share
|
|
|
|
|
|
|
|
||||||||
Basic and Diluted
|
$
|
(0.18
|
)
|
|
$
|
(0.13
|
)
|
|
$
|
(0.16
|
)
|
|
$
|
(0.21
|
)
|
|
|
|
|
|
|
|
|
||||||||
2017
|
|
|
|
|
|
|
|
||||||||
Total revenue
|
$
|
106,238
|
|
|
$
|
107,071
|
|
|
$
|
107,912
|
|
|
$
|
113,729
|
|
Total operating expenses
|
127,693
|
|
|
126,188
|
|
|
121,932
|
|
|
131,977
|
|
||||
Net income (loss)
|
(23,149
|
)
|
|
(19,698
|
)
|
|
(13,129
|
)
|
|
(13,791
|
)
|
||||
Net income (loss) attributable to non-controlling interests
|
(5,137
|
)
|
|
(2,793
|
)
|
|
(541
|
)
|
|
(631
|
)
|
||||
Net income (loss) attributable to Evolent Health, Inc.
|
(18,012
|
)
|
|
(16,905
|
)
|
|
(12,588
|
)
|
|
(13,160
|
)
|
||||
|
|
|
|
|
|
|
|
||||||||
Earnings (loss) per common share
|
|
|
|
|
|
|
|
||||||||
Basic and Diluted
|
$
|
(0.34
|
)
|
|
$
|
(0.28
|
)
|
|
$
|
(0.18
|
)
|
|
$
|
(0.18
|
)
|
|
For the Years Ended December 31,
|
||||||||||
|
2018
|
|
2017
|
|
2016
|
||||||
Supplemental Disclosure of Non-cash Investing and Financing Activities
|
|
|
|
|
|
||||||
Class A and Class B common stock issued in connection with business combinations
|
$
|
83,173
|
|
|
$
|
—
|
|
|
$
|
177,795
|
|
Change in goodwill due to measurement period adjustments related to business combinations
|
(117
|
)
|
|
1,611
|
|
|
—
|
|
|||
Decrease in accrued financing costs related to 2021 Notes
|
—
|
|
|
196
|
|
|
—
|
|
|||
Consideration for asset acquisitions or business combinations
|
500
|
|
|
—
|
|
|
—
|
|
|||
Settlement of escrow related to asset acquisition
|
2,519
|
|
|
—
|
|
|
—
|
|
|||
Settlement of indemnification asset
|
1,004
|
|
|
—
|
|
|
—
|
|
|||
Tax benefit related to Accordion intangible technology
|
—
|
|
|
2,042
|
|
|
—
|
|
|||
Acquisition consideration payable
|
—
|
|
|
—
|
|
|
1,148
|
|
|||
Accrued property and equipment purchases
|
368
|
|
|
229
|
|
|
446
|
|
|||
Accrued deferred financing costs
|
607
|
|
|
—
|
|
|
1,036
|
|
|||
Effects of Class B Exchanges
|
|
|
|
|
|
||||||
Decrease in non-controlling interests as a result of Class B Exchanges
|
34,682
|
|
|
168,883
|
|
|
28,220
|
|
|||
Decrease in deferred tax liability as a result of securities offerings and exchanges
|
652
|
|
|
12,857
|
|
|
1,606
|
|
|||
|
|
|
|
|
|
||||||
Supplemental Disclosures
|
|
|
|
|
|
||||||
Cash paid during the period for interest
|
2,500
|
|
|
2,472
|
|
|
—
|
|
|||
Cash paid during the year for taxes, net
|
343
|
|
|
674
|
|
|
—
|
|
(1)
|
The following financial statements of the registrant and report of independent registered public accounting firm are included of Item 8 hereof:
|
(2)
|
All financial statement schedules for which provision is made in the applicable accounting regulations of the Securities and Exchange Commission either have been included in the Financial Statements, are not required under the related instructions, or are not applicable and therefore have been omitted.
|
(3)
|
The audited financial statements of Evolent Health LLC as of December 31, 2016 and 2015 and for the year ended December 31, 2016 and for the period from June 4, 2015 to December 31, 2015 (Successor Company) and for the period from January 1, 2015 to June 3, 2015 and for the year ended December 31, 2014 (Predecessor Company), which are incorporated herein by reference.
|
(4)
|
The Exhibits listed in the Exhibit Index below are filed with or incorporated by reference into this report.
|
|
||
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
||
|
|
|
|
||
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
||
|
|
|
|
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101.INS
|
|
XBRL Instance Document
|
101.SCH
|
|
XBRL Taxonomy Extension Schema Document
|
101.CAL
|
|
XBRL Taxonomy Extension Calculation Linkbase Document
|
101.LAB
|
|
XBRL Taxonomy Extension Label Linkbase Document
|
101.PRE
|
|
XBRL Taxonomy Extension Presentation Linkbase Document
|
101.DEF
|
|
XBRL Taxonomy Extension Definition Linkbase Document
|
|
Evolent Health, Inc.
|
|
|
|
|
By:
|
/s/ Nicholas McGrane
|
|
Name:
|
Nicholas McGrane
|
|
Title:
|
Chief Financial Officer
|
Signature
|
|
Title
|
|
Date
|
|
|
|
|
|
/s/ Frank Williams
|
|
Chief Executive Officer and Director
|
|
February 28, 2019
|
Frank Williams
|
|
(Principal Executive Officer)
|
|
|
|
|
|
|
|
/s/ Nicholas McGrane
|
|
Chief Financial Officer
|
|
February 28, 2019
|
Nicholas McGrane
|
|
(Principal Financial Officer)
|
|
|
|
|
|
|
|
/s/ Lydia Stone
|
|
Chief Accounting Officer and Corporate Controller
|
|
February 28, 2019
|
Lydia Stone
|
|
(Principal Accounting Officer)
|
|
|
|
|
|
|
|
/s/ Seth Blackley
|
|
President and Director
|
|
February 28, 2019
|
Seth Blackley
|
|
|
|
|
|
|
|
|
|
/s/ David Farner
|
|
Director
|
|
February 28, 2019
|
David Farner
|
|
|
|
|
|
|
|
|
|
/s/ Bruce Felt
|
|
Director
|
|
February 28, 2019
|
Bruce Felt
|
|
|
|
|
|
|
|
|
|
/s/ Matthew Hobart
|
|
Director
|
|
February 28, 2019
|
Matthew Hobart
|
|
|
|
|
|
|
|
|
|
/s/ Diane Holder
|
|
Director
|
|
February 28, 2019
|
Diane Holder
|
|
|
|
|
|
|
|
|
|
/s/ M. Bridget Duffy
|
|
Director
|
|
February 28, 2019
|
M. Bridget Duffy, MD
|
|
|
|
|
|
|
|
|
|
/s/ Michael D’Amato
|
|
Director
|
|
February 28, 2019
|
Michael D’Amato
|
|
|
|
|
|
|
|
|
|
/s/ Norman Payson
|
|
Director
|
|
February 28, 2019
|
Norman Payson, MD
|
|
|
|
|
|
|
|
|
|
/s/ Kenneth Samet
|
|
Director
|
|
February 28, 2019
|
Kenneth Samet
|
|
|
|
|
|
|
|
|
|
/s/ Cheryl Scott
|
|
Director
|
|
February 28, 2019
|
Cheryl Scott
|
|
|
|
|
Cumulative Stock Price Performance
|
Performance Level
|
Payout in Shares as a % of Target Amount
|
33.3%
|
Threshold
|
75%
|
50.0%
|
Target
|
100%
|
100.0%
|
Above Target
|
150%
|
Equal to or greater than 200.0%
|
Maximum
|
200%
|
If to the Company:
|
Evolent Health, Inc.
800 N. Glebe Road, Suite 500
Arlington, VA 22203
Attention: General Counsel
|
|
|
If to you:
|
To your address as most recently supplied to the Company and set forth in the Company’s records
|
Legal Name
|
|
Jurisdiction of Organization
|
Evolent Health LLC
|
|
Delaware
|
NCIS Holdings, Inc.
|
|
Delaware
|
NCH Management Systems, Inc.
|
|
California
|
Evolent Assurance Solutions, LLC
|
|
Vermont
|
EH Holding Company, Inc.
|
|
Delaware
|
True Health New Mexico, Inc.
|
|
New Mexico
|
True Health New York, Inc.
|
|
New York
|
True Health Indiana, Inc.
|
|
Indiana
|
Juntos Health Plan Inc.
|
|
Texas
|
Evolent Health International Private Limited
|
|
India
|
1.
|
I have reviewed this Annual Report on Form 10-K of Evolent Health, Inc.;
|
2.
|
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
|
3.
|
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
|
4.
|
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
|
a.
|
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
|
b.
|
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
|
c.
|
Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
|
d.
|
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
|
5.
|
The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
|
a.
|
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
|
b.
|
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
|
Dated:
|
February 28, 2019
|
/s/ Frank Williams
|
|
|
|
Name: Frank Williams
|
|
|
|
Title: Chief Executive Officer
|
|
1.
|
I have reviewed this Annual Report on Form 10-K of Evolent Health, Inc.;
|
2.
|
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
|
3.
|
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
|
4.
|
The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
|
a.
|
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
|
b.
|
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
|
c.
|
Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
|
d.
|
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
|
5.
|
The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
|
a.
|
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
|
b.
|
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
|
Dated:
|
February 28, 2019
|
/s/ Nicholas McGrane
|
|
|
|
Name: Nicholas McGrane
|
|
|
|
Title: Chief Financial Officer
|
|
1.
|
The Annual Report on Form 10-K of the Company for the year ended
December 31, 2018
(the “Report”), fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934 (15 U.S.C. 78m); and
|
2.
|
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
|
Dated:
|
February 28, 2019
|
/s/ Frank Williams
|
|
|
|
Name: Frank Williams
|
|
|
|
Title: Chief Executive Officer
|
|
1.
|
The Annual Report on Form 10-K of the Company for the year ended
December 31, 2018
(the “Report”), fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934 (15 U.S.C. 78m); and
|
2.
|
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
|
Dated:
|
February 28, 2019
|
/s/ Nicholas McGrane
|
|
|
|
Name: Nicholas McGrane
|
|
|
|
Title: Chief Financial Officer
|
|