10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 _________________________

FORM 10-Q

_________________________

(Mark One)

S     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2023

OR 

☐     TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from              to               

Commission File Number:  001-37415

_________________________

Evolent Health, Inc.

(Exact name of registrant as specified in its charter)

_________________________

Delaware							32-0454912
(State or other jurisdiction of incorporation or organization)							(I.R.S. Employer Identification No.)
800 N. Glebe Road	,	Suite 500	,	Arlington	,	Virginia	22203
(Address of principal executive offices)							(Zip Code)

                           (571) 389-6000

Registrant’s telephone number, including area code

                         _________________________        

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Trading Symbol(s)	Name of each exchange on which registered
Class A Common Stock of Evolent Health, Inc., par value $0.01 per share	EVH	New York Stock Exchange

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes S No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes S No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company.  See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer S Accelerated filer ☐ Non-accelerated filer ☐ Smaller reporting company ☐ Emerging growth company ☐

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

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No  S

As of October 27, 2023, there were 114,959,689 shares of the registrant’s Class A common stock outstanding.

Evolent Health, Inc.

Table of Contents

Item		Page
	PART I
1.	Financial Statements	1
2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	40
3.	Quantitative and Qualitative Disclosures About Market Risk	54
4.	Controls and Procedures	55
	PART II
1	Legal Proceedings	56
1A.	Risk Factors	56
2.	Unregistered Sales of Equity Securities and Use of Proceeds	57
3.	Defaults Upon Senior Securities	57
4.	Mine Safety Disclosures	57
5.	Other Information	57
6.	Exhibits	58
	Signatures	59

Explanatory Note

In this Quarterly Report on Form 10-Q, unless the context otherwise requires, “Evolent,” the “Company,” “we,” “our” and “us” refer to Evolent Health, Inc. and its consolidated subsidiaries. Evolent Health LLC, a subsidiary of Evolent Health, Inc. through which we conduct our operations, has owned all of our operating assets and substantially all of our business since inception. Evolent Health, Inc. is a holding company and its principal asset is all of the Class A common units of Evolent Health LLC.

FORWARD-LOOKING STATEMENTS - CAUTIONARY LANGUAGE

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

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

•risks relating to our ability to efficiently integrate NIA into our operations;

•the financial information of NIA and the pro forma financial information of NIA may not be indicative of future results or our financial condition;

•the significant portion of revenue we derive from our largest partners, and the potential loss, non-renewal, termination or renegotiation of our relationship or contract with any significant partner, or multiple partners in the aggregate;

•our ability to terminate certain leases and recognize impairment charges in connection with our repositioning plan;

•evolution of the healthcare regulatory and political framework;

•uncertainty in the health care regulatory framework, including the potential impact of policy changes;

•our ability to offer new and innovative products and services and our ability to keep pace with industry standards, technology and our partners’ needs;

•risks related to completed and future acquisitions, investments, alliances and joint ventures, including our acquisitions of IPG and NIA, which could divert management resources, result in unanticipated costs or dilute our stockholders;

•the financial benefits we expect to receive as a result of the sale of certain assets of Passport to Molina Healthcare, Inc. may not be realized;

•the growth and success of our partners and certain revenues from our engagements, which are difficult to predict and are subject to factors outside of our control, including governmental funding reductions and other policy changes;

•risks relating to our ability to maintain profitability for our total cost of care and performance-based contracts and products, including capitation and risk-bearing contracts;

•our ability to effectively manage our growth and maintain an efficient cost structure, and to successfully implement cost cutting measures;

•changes in general economic conditions nationally and regionally in our markets, including increasing inflationary pressures and economic and business conditions and the impact thereof on the economy resulting from public health emergencies, epidemics, pandemics or contagious diseases such as the COVID-19 pandemic;

•risks related to the failure of any bank in which we deposit our funds, which could reduce the amount of cash we have available to meet our cash commitments and make additional investments;

•our ability to recover the significant upfront costs in our partner relationships and develop our partner relationships over time;

•our ability to attract new partners and successfully capture new opportunities;

•the increasing number of risk-sharing arrangements we enter into with our partners could limit or negatively impact our profitability;

i

•our ability to estimate the size of our target markets for our services;

•our ability to maintain and enhance our reputation and brand recognition;

•consolidation in the health care industry;

•competition which could limit our ability to maintain or expand market share within our industry;

•risks related to audits by CMS and other governmental payers and actions, including whistleblower claims under the False Claims Act;

•our ability to partner with providers due to exclusivity provisions in our contracts in some of our partner and founder contracts;

•risks related to managing our offshore operations and cost reduction goals;

•our ability to contain health care costs, implement increases in premium rates on a timely basis, maintain adequate reserves for policy benefits or maintain cost effective provider agreements;

•our dependency on our key personnel, and our ability to attract, hire, integrate and retain key personnel;

•the impact of additional goodwill and intangible asset impairments on our results of operations;

•our indebtedness, our ability to service our indebtedness, and our ability to obtain additional financing on favorable terms or at all;

•our ability to achieve profitability in the future;

•the impact of litigation proceedings, government inquiries, reviews, audits or investigations;

•material weaknesses in the future may impact our ability to conclude that our internal control over financial reporting is not effective and we may be unable to produce timely and accurate financial statements;

•restrictions on the manner in which we access personal data and penalties as a result of privacy and data protection laws;

•liabilities and reputational risks related to our ability to safeguard the security and privacy of confidential data;

•data loss or corruption due to failures or errors in our systems and service disruptions at our data centers;

•adequate protection of our intellectual property, including trademarks;

•risks related to legal proceedings related to any alleged infringement, misappropriation or violation of third-party intellectual property rights;

•our use of “open source” software;

•our ability to protect the confidentiality of our trade secrets, know-how and other proprietary information;

•our reliance on third parties and licensed technologies;

•restrictions on our ability to use, disclose, de-identify or license data and to integrate third-party technologies;

•our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our partners;

•our reliance on third-party vendors to host and maintain our technology platform;

•our obligations to make material payments to certain of our pre-IPO investors for certain tax benefits we may claim in the future;

•our ability to utilize benefits under the tax receivables agreement described herein;

•our obligations to make payments under the tax receivables agreement that may be accelerated or may exceed the tax benefits we realize;

•the terms of agreements between us and certain of our pre-IPO investors may contain different terms than comparable agreement we may enter into with unaffiliated third parties;

•the conditional conversion features of the 2025 convertible notes, which, if triggered, could require us to settle the 2025 convertible notes in cash;

•interest rate risk under the Credit Agreement and the terms of our Series A Preferred Stock;

•our debt following the NIA acquisition and our ability to meet our obligations;

•our ability to service our debt and pay dividends on our Series A Preferred Stock;

•the potential volatility of our Class A common stock price;

•the potential decline of our Class A common stock price if a substantial number of shares are sold or become available for sale, including those issuable upon conversion of our Series A Preferred Stock;

•our Series A Preferred Stock has rights, preferences and privileges that are not held by and are preferential to the rights of holders of our Class A common stock, and could in the future substantially dilute the ownership interest of holders of our Class A common stock;

•provisions in our certificate of incorporation and by-laws and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;

•the ability of certain of our investors to compete with us without restrictions;

•provisions in our certificate of incorporation which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees; and

•our intention not to pay cash dividends on our Class A common stock.

The risks included here are not exhaustive. Although we believe the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance or achievements. Our Annual Report on Form 10-K for

ii

the year ended December 31, 2022 (the "2022 Form 10-K") and other documents filed with the SEC include additional factors that could affect our businesses and financial performance. Moreover, we operate in a rapidly changing and competitive environment. New risk factors emerge from time to time, and it is not possible for management to predict all such risk factors.

Further, it is not possible to assess the effect of all risk factors on our businesses or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, investors should not place undue reliance on forward-looking statements as a prediction of actual results. In addition, we disclaim any obligation to update any forward-looking statements to reflect events or circumstances that occur after the date of this report.

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PART I - FINANCIAL INFORMATION

Item 1. Financial Statements

EVOLENT HEALTH, INC.

CONSOLIDATED BALANCE SHEETS

(in thousands, except share data)

	September 30, 2023		December 31, 2022
	(unaudited)
ASSETS
Current assets:
Cash and cash equivalents	$	184,536	$	188,200
Restricted cash and restricted investments	23,208		14,492
Accounts receivable, net (1)	394,232		254,684
Prepaid expenses and other current assets (1)	36,822		20,678
Total current assets	638,798		478,054
Restricted cash and restricted investments	16,754		12,466
Investments in equity method investees	4,867		4,475
Property and equipment, net	79,902		87,874
Right-of-use assets - operating	17,406		49,027
Prepaid expenses and other noncurrent assets (1)	3,264		2,378
Contract cost assets	13,413		17,461
Intangible assets, net	777,668		442,784
Goodwill	1,117,543		722,774
Total assets	$	2,669,615	$	1,817,293
LIABILITIES, MEZZANINE EQUITY AND SHAREHOLDERS’ EQUITY
Liabilities
Current liabilities:
Accounts payable (1)	$	51,776	$	57,174
Accrued liabilities (1)	193,961		111,198
Operating lease liability - current	12,966		7,122
Accrued compensation and employee benefits	50,095		52,460
Deferred revenue	5,763		5,758
Short-term debt, net	991		—
Reserve for claims and performance - based arrangements	299,742		199,730
Total current liabilities	615,294		433,442
Long-term debt, net	599,947		412,986
Other long-term liabilities	3,978		4,744
Tax receivables agreement liability	112,134		45,950
Operating lease liabilities - noncurrent	39,650		56,010
Deferred tax liabilities, net	26,913		4,744
Total liabilities	1,397,916		957,876
Commitments and Contingencies (See Note 10)
Mezzanine Equity
Preferred class A common stock - $0.01 par value; 50,000,000 shares authorized; 175,000 and 0 shares issued, respectively	175,606		—
Shareholders' Equity
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 114,789,963 and 101,500,558 shares issued, respectively	1,148		1,015

1

Additional paid-in-capital	1,803,116		1,486,857
Accumulated other comprehensive loss	(1,265)		(1,178)
Retained earnings (accumulated deficit)	(685,783)		(606,154)
Treasury stock, at cost; 1,537,582 shares issued, respectively	(21,123)		(21,123)
Total shareholders' equity	1,096,093		859,417
Total liabilities, mezzanine equity and shareholders' equity	$	2,669,615	$	1,817,293

(1) See Note 18 for amounts attributable to related parties included in these line items.

See accompanying Notes to Consolidated Financial Statements

2

EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)
(unaudited, in thousands, except per share data)

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue(1)	$	511,015	$	352,585	$	1,407,841	$	969,581
Expenses
Cost of revenue (1)	386,585		266,617		1,048,998		736,061
Selling, general and administrative expenses (1)	96,567		68,521		276,682		186,408
Depreciation and amortization expenses	32,404		17,196		93,813		47,414
Loss on disposal of assets	2,097		—		2,097		—
Right-of-use assets impairment	—		—		24,065		—
Change in fair value of contingent consideration	11,300		(12,700)		12,047		(5,822)
Total operating expenses	528,953		339,634		1,457,702		964,061
Operating income (loss)	(17,938)		12,951		(49,861)		5,520
Interest income	1,071		425		2,735		765
Interest expense	(14,614)		(4,754)		(41,967)		(9,143)
Gain from equity method investees	684		1,392		1,262		3,940
Loss on repayment on long-term debt, net	—		(10,192)		—		(10,192)
Change in tax receivables agreement liability	—		(42,870)		(66,184)		(42,870)
Other income (expense), net	(77)		(345)		(323)		130
Loss before income taxes	(30,874)		(43,393)		(154,338)		(51,850)
Benefit from income taxes	(5,550)		(45,516)		(74,709)		(44,498)
Income (loss) from continuing operations	(25,324)		2,123		(79,629)		(7,352)
Loss from discontinued operations, net of tax (2)	—		—		—		(463)
Income (loss) before preferred dividends and accretion of Series A Preferred Stock	(25,324)		2,123		(79,629)		(7,815)
Dividends and accretion of Series A Preferred Stock	(7,872)		—		(21,236)		—
Net income (loss) attributable to common shareholders of Evolent Health, Inc.	$	(33,196)	$	2,123	$	(100,865)	$	(7,815)
Income (loss) per common share
Basic:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Basic income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)
Diluted:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Diluted income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)
Weighted-average common shares outstanding
Basic	112,282		95,286		110,464		91,643
Diluted	112,282		99,308		110,464		91,643
Comprehensive income (loss)
Net income (loss) attributable to common shareholders of Evolent Health, Inc.	$	(33,196)	$	2,123	$	(100,865)	$	(7,815)
Other comprehensive income (loss), net of taxes, related to:
Foreign currency translation adjustment	(151)		(262)		(87)		(682)
Total comprehensive income (loss) attributable to common shareholders of Evolent Health, Inc.	$	(33,347)	$	1,861	$	(100,952)	$	(8,497)

————————

(1)See Note 18 for amounts attributable to unconsolidated related parties included in these line items.

(2)Includes $(0.5) million loss on disposal for of discontinued operations for the nine months ended September 30, 2022.

See accompanying Notes to Consolidated Financial Statements.

3

EVOLENT HEALTH, INC.

CONSOLIDATED STATEMENTS OF CHANGES IN MEZZANINE EQUITY AND SHAREHOLDERS’ EQUITY

(unaudited, in thousands)

	For the Three Months Ended September 30, 2023
	Mezzanine Equity			Shareholders’ Equity
	Series A Preferred Stock			Class A Common Stock			Additional Paid-In Capital		Accumulated Other Comprehensive Income (Loss)		Retained Earnings (Accumulated Deficit)		Treasury Stock		Total Shareholders’ Equity
	Shares	Amount		Shares	Amount
Balance as of June 30, 2023	175	$	172,829	113,083	$	1,131	$	1,774,784	$	(1,114)	$	(660,459)	$	(21,123)	$	1,093,219
Stock-based compensation expense	—	—		—	—		10,222		—		—		—		10,222
Exercise of stock options	—	—		330	3		4,526		—		—		—		4,529
Restricted stock units vested, net of shares withheld for taxes	—	—		83	1		(1,604)		—		—		—		(1,603)
Exchange of 2024 Notes	—	—		1,294	13		23,060		—		—		—		23,073
Foreign currency translation adjustment	—	—		—	—		—		(151)		—		—		(151)
Net loss attributable to common shareholders of Evolent Health, Inc.	—	2,777		—	—		(7,872)		—		(25,324)		—		(33,196)
Balance as of September 30, 2023	175	$	175,606	114,790	$	1,148	$	1,803,116	$	(1,265)	$	(685,783)	$	(21,123)	$	1,096,093
	For the Three Months Ended September 30, 2022
	Mezzanine Equity			Shareholders’ Equity
	Series A Preferred Stock			Class A Common Stock			Additional Paid-In Capital		Accumulated Other Comprehensive Income (Loss)		Retained Earnings (Accumulated Deficit)		Treasury Stock		Total Shareholders’ Equity
	Shares	Amount		Shares	Amount
Balance as of June 30, 2022	—	—		91,657	$	916	$	1,231,005	$	(782)	$	(596,928)	$	(21,123)	$	613,088
Stock-based compensation expense	—	—		—	—		6,992		—		—		—		6,992
Exercise of stock options	—	—		317	4		2,967		—		—		—		2,971
Restricted stock units vested, net of shares withheld for taxes	—	—		50	1		(949)		—		—		—		(948)
Exchange of 2024 Notes	—	—		5,394	54		101,945		—		—		—		101,999
Shares issued for acquisition	—	—		3,742	37		130,138		—		—		—		130,175
Foreign currency translation adjustment	—	—		—	—		—		(262)		—		—		(262)
Net income attributable to common shareholders of Evolent Health, Inc.	—	—		—	—		—		—		2,123		—		2,123
Balance as of September 30, 2022	—	$	—	101,160	$	1,012	$	1,472,098	$	(1,044)	$	(594,805)	$	(21,123)	$	856,138

See accompanying Notes to Consolidated Financial Statements

4

	For the Nine Months Ended September 30, 2023
	Mezzanine Equity			Shareholders’ Equity
	Series A Preferred Stock			Class A Common Stock			Additional Paid-In Capital		Accumulated Other Comprehensive Income (Loss)		Retained Earnings (Accumulated Deficit)		Treasury Stock		Total Shareholders’ Equity
	Shares	Amount		Shares	Amount
Balance as of December 31, 2022	—	$	—	101,501	$	1,015	$	1,486,857	$	(1,178)	$	(606,154)	$	(21,123)	$	859,417
Stock-based compensation expense	—	—		—	—		29,898		—		—		—		29,898
Exercise of stock options	—	—		1,106	11		9,172		—		—		—		9,183
Restricted stock units vested, net of shares withheld for taxes	—	—		575	5		(10,378)		—		—		—		(10,373)
Performance stock units vested, net of shares withheld for taxes	—	—		202	2		(3,977)		—		—		—		(3,975)
Leveraged stock units vested, net of shares withheld for taxes	—	—		760	8		(8)		—		—		—		—
2024 Note conversion	—	—		1,294	13		23,060		—		—		—		23,073
Shares issued for acquisition	—	—		8,475	85		261,186		—		—		—		261,271
Class A common stock issued for payment of earn-outs	—	—		877	9		28,542		—		—		—		28,551
Issuance of series A preferred stock, net of issuance costs	175	168,000		—	—		—		—		—		—		—
Foreign currency translation adjustment	—	—		—	—		—		(87)		—		—		(87)
Net loss attributable to common shareholders of Evolent Health, Inc.	—	7,606		—	—		(21,236)		—		(79,629)		—		(100,865)
Balance as of September 30, 2023	175	$	175,606	114,790	$	1,148	$	1,803,116	$	(1,265)	$	(685,783)	$	(21,123)	$	1,096,093
	For the Nine Months Ended September 30, 2022
	Mezzanine Equity			Shareholders’ Equity
	Series A Preferred Stock			Class A Common Stock			Additional Paid-In Capital		Accumulated Other Comprehensive Income (Loss)		Retained Earnings (Accumulated Deficit)		Treasury Stock		Total Shareholders’ Equity
	Shares	Amount		Shares	Amount
Balance as of December 31, 2021	—	—		90,759	$	908	$	1,340,989	$	(362)	$	(626,779)	$	(21,123)	$	693,633
Cumulative-effect adjustment from adoption of ASC 2020-06	—	—		—	—		(106,172)		—		39,789		—		(66,383)
Stock-based compensation expense	—	—		—	—		19,350		—		—		—		19,350
Exercise of stock options	—	—		354	3		3,277		—		—		—		3,280
Restricted stock units vested, net of shares withheld for taxes	—	—		452	5		(6,192)		—		—		—		(6,187)
Leveraged stock units vested, net of shares withheld for taxes	—	—		459	5		(11,237)		—		—		—		(11,232)
Exchange of 2024 Notes	—	—		5,394	54		101,945								101,999
Shares issued for acquisition	—	—		3,742	37		130,138								130,175
Foreign currency translation adjustment	—	—		—	—		—		(682)		—		—		(682)
Net loss attributable to common shareholders of Evolent Health, Inc.	—	—		—	—		—		—		(7,815)		—		(7,815)
Balance as of September 30, 2022	—	$	—	101,160	1,012		1,472,098		(1,044)		(594,805)		(21,123)		856,138

See accompanying Notes to Consolidated Financial Statements

5

EVOLENT HEALTH, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)

	For the Nine Months Ended September 30,
	2023		2022
Cash Flows Provided by (Used In) Operating Activities
Net loss before dividends declared and accretion of Series A preferred stock	$	(79,629)	$	(7,815)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities:
Change in fair value of contingent consideration	12,047		(5,822)
Loss on disposal of assets	2,097		—
Loss on discontinued operations	—		463
Gain from equity method investees	(1,262)		(3,940)
Depreciation and amortization expenses	93,813		47,414
Stock-based compensation expense	29,898		19,350
Deferred tax benefit	(78,196)		(46,385)
Amortization of contract cost assets	8,005		14,768
Amortization of deferred financing costs	2,912		1,762
Loss on extinguishment/repayment of debt, net	—		10,192
Right-of-use asset impairment	24,065		—
Change in tax receivables agreement liability	66,184		42,870
Right-of-use operating assets	11,129		831
Operating lease liabilities	(10,432)		(1,223)
Other current operating cash outflows, net	(120)		2,163
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net and contract assets	(112,177)		(34,796)
Prepaid expenses and other current and non-current assets	(16,394)		(2,409)
Contract cost assets	(3,958)		(6,732)
Accounts payable	(12,628)		5,936
Accrued liabilities	27,537		(27,903)
Accrued compensation and employee benefits	(8,807)		(14,451)
Deferred revenue	(136)		(4,741)
Reserve for claims and performance-based arrangements	100,012		(35,596)
Other long-term liabilities	(759)		(1,184)
Net cash and restricted cash provided by (used in) operating activities	53,201		(47,248)
Cash Flows Used In Investing Activities
Cash paid for asset acquisitions and business combinations	(388,246)		(245,021)
Proceeds from transfer of membership and release of Passport escrow	—		22,969
Disposal of non-strategic assets and divestiture of discontinued operations, net	577		(9,164)
Return of equity method investments	870		4,175
Investments in internal-use software and purchases of property and equipment	(22,693)		(27,618)
Net cash and restricted cash used in investing activities	(409,492)		(254,659)
Cash Flows Provided by Financing Activities
Changes in working capital balances related to claims processing on behalf of partners	7,925		(48,322)
Proceeds from stock option exercises	9,183		3,280
Proceeds from issuance of long-term debt, net of offering costs	256,063		219,740
Repayment of long-term debt	(47,500)		—
Distributions to Sponsors	—		(14,884)
Proceeds from issuance of preferred stock, net of offering costs	168,000		—
Payment of preferred dividends	(13,631)		—

See accompanying Notes to Consolidated Financial Statements

6

	For the Nine Months Ended September 30,
	2023		2022
Taxes withheld and paid for vesting of equity awards	(14,348)		(17,419)
Net cash and restricted cash provided by financing activities	365,692		142,395
Effect of exchange rate on cash and cash equivalents and restricted cash	(61)		(612)
Net increase (decrease) in cash and cash equivalents and restricted cash	9,340		(160,124)
Cash and cash equivalents and restricted cash as of beginning-of-period	215,158		354,942
Cash and cash equivalents and restricted cash as of end-of-period	$	224,498	$	194,818

See accompanying Notes to Consolidated Financial Statements

7

EVOLENT HEALTH, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 1. Organization

Evolent Health, Inc. was incorporated in December 2014 in the state of Delaware and through its subsidiaries supports healthcare entities to improve the quality of care delivered for people with complex conditions through proven solutions that make health care simpler and more affordable.

The Company made organizational changes, including re-evaluating its reportable segments, as a result of growth in our value-based specialty care business, both organically and through acquisitions. Effective during the three months ended March 31, 2023, the Company changed its reportable segments to reflect changes in the way its chief operating decision maker evaluates the performance of its operations, develops strategy and allocates capital resources. Specifically, the Company collapsed its previous Evolent Health Services and Clinical Solutions segments into one segment. The Company's historical disclosures have been recast to be consistent with the current presentation.

As of September 30, 2023, the Company had unrestricted cash and cash equivalents of $184.5 million. The Company believes it has sufficient liquidity for at least the next twelve months as of the date the financial statements were available to be issued.

The Company’s headquarters is located in Arlington, Virginia.

Evolent Health LLC Governance

Our operations are conducted through Evolent Health LLC. Evolent Health, Inc. is a holding company whose only business is to act as the sole managing member of Evolent Health LLC. As such, it controls Evolent Health LLC’s business and affairs and is responsible for the management of its business.

Note 2. Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles

Basis of Presentation

In our opinion, the accompanying unaudited interim consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to fairly state our financial position, results of operations and cash flows. The interim consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain footnote disclosures normally included in financial statements prepared in accordance with United States of America generally accepted accounting principles (“GAAP”) have been omitted pursuant to instructions, rules and regulations prescribed by the United States Securities and Exchange Commission (“SEC”). The disclosures provided herein should be read in conjunction with the audited financial statements and notes thereto included in our 2022 Form 10-K.

Summary of Significant Accounting Policies

Certain GAAP policies that significantly affect the determination of our financial position, results of operations and cash flows, are summarized below. See “Part II - Item 8. Financial Statements and Supplementary Data - Note 2” in our 2022 Form 10-K for a complete summary of our significant accounting policies.

Accounting Estimates and Assumptions

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions affecting the reported amounts of assets and liabilities and the disclosures of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenue and expenses for the reporting period. Those estimates are inherently subject to change and actual results could differ from those estimates. In the accompanying interim consolidated financial statements, estimates are used for, but not limited to, the valuation of assets (including intangibles assets, goodwill and long-lived assets), liabilities, consideration related to business combinations and asset acquisitions, revenue recognition (including variable consideration), estimated selling prices for performance obligations in contracts with multiple performance obligations, reserves for claims and performance-based arrangements, credit losses, depreciable lives of assets, impairment of long-lived assets, stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, purchase price allocation in taxable stock transactions and useful lives of intangible assets.

8

Principles of Consolidation

The interim consolidated financial statements include the accounts of Evolent Health, Inc. and its subsidiaries. All intercompany accounts and transactions are eliminated in consolidation.

Cash and Cash Equivalents

We consider all highly liquid instruments with original maturities of three months or less to be cash equivalents. The Company holds materially all of our cash in bank deposits with FDIC participating banks, at cost, which approximates fair value.

Restricted Cash and Restricted Investments

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:

	September 30, 2023		December 31, 2022
Collateral for letters of credit for facility leases (1)	$	2,132	$	2,269
Collateral with financial institutions (2)	16,128		10,912
Claims processing services (3)	21,702		13,777
Total restricted cash and restricted investments	$	39,962	$	26,958
Current restricted cash	$	23,208	$	14,492
Total current restricted cash and restricted investments	$	23,208	$	14,492
Non-current restricted cash	$	16,754	$	12,466
Total non-current restricted cash and restricted investments	$	16,754	$	12,466

————————

(1)Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 11 for further discussion of our lease commitments.

(2)Represents collateral held with financial institutions for risk-sharing and other arrangements which are held in a FDIC participating bank account. See Note 17 for discussion of fair value measurement.

(3)Represents cash held by the Company related to claims processing services on behalf of partners. These are pass-through amounts and can fluctuate materially from period to period depending on the timing of when the claims are processed.

The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

	September 30,
	2023		2022
Cash and cash equivalents	$	184,536	$	156,756
Restricted cash and restricted investments	39,962		38,062
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows	$	224,498	$	194,818

Business Combinations

Companies acquired during each reporting period are reflected in the results of the Company effective from their respective dates of acquisition through the end of the reporting period. The Company allocates the fair value of purchase consideration to the assets acquired and liabilities assumed based on their estimated fair values at the acquisition date. Our estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. Critical estimates used to value certain identifiable assets include, but are not limited to, expected long-term revenues, future expected operating expenses, cost of capital and appropriate discount rates.

The excess of the fair value of purchase consideration over the fair value of the assets acquired and liabilities assumed in the acquired entity is recorded as goodwill. Goodwill is assigned to the reporting unit that benefits from the synergies arising from the business combination. If the Company obtains new information about facts and circumstances that existed as of the acquisition date during the measurement period, which may be up to one year from the acquisition date, the Company may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded on the Company's consolidated statements of operations and comprehensive income (loss).

9

For contingent consideration recorded as a liability, the Company initially measures the amount at fair value as of the acquisition date and adjusts the liability, if needed, to fair value at each reporting period. Changes in the fair value of contingent consideration, other than measurement period adjustments, are recognized as operating income or expense. Acquisition-related expenses are recognized separately from the business combination and are expensed as incurred. See Note 4 for additional discussion regarding business combinations.

Goodwill

We recognize the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired as goodwill. Goodwill is not amortized, but is reviewed at least annually for indications of impairment, with consideration given to financial performance and other relevant factors. We perform impairment tests of goodwill at a reporting unit level on October 31 of each year. We perform impairment tests between annual tests if an event occurs, or circumstances change, that we believe would more likely than not reduce the fair value of a reporting unit below its carrying amount.

Our goodwill impairment analysis first assesses qualitative factors to determine whether events or circumstances existed that would lead the Company to conclude it is more likely than not that the fair value of a reporting unit is below its carrying amount. If the Company determines that it is more likely than not that the fair value of a reporting unit is below the carrying amount, a quantitative goodwill assessment is required. In the quantitative evaluation, the fair value of the relevant reporting unit is determined and compared to the carrying value. If the fair value is greater than the carrying value, then the carrying value is deemed to be recoverable and no further action is required. If the fair value estimate is less than the carrying value, goodwill is considered impaired for the amount by which the carrying amount exceeds the reporting unit’s fair value and a charge is reported in goodwill impairment on our consolidated statements of operations and comprehensive income (loss). See Note 8 for additional discussion regarding the goodwill impairment tests conducted during 2022.

Intangible Assets, Net

Identified intangible assets are recorded at their estimated fair values at the date of acquisition and are amortized over their respective estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are used.

The following summarizes the estimated useful lives by asset classification:

Corporate trade name	1 year
Customer relationships	11 - 25 years
Technology	5 years
Provider network contracts	3 - 5 years

As part of the organizational changes as a result of growth in our value-based specialty care business, we will sunset several corporate trade names and replace them with Evolent signifying our adoption and launch of a unified brand. As a result, we re-evaluated the useful lives of our intangible assets and accelerated amortization such that all corporate trade names will be fully amortized by December 2024.

Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the asset’s carrying value. The Company evaluates recoverability by determining whether the undiscounted cash flows expected to result from the use and eventual disposition of that asset or group exceed the carrying value at the evaluation date. If the undiscounted cash flows are not sufficient to cover the carrying value, the Company measures an impairment loss as the excess of the carrying amount of the long-lived asset or group over its fair value. See Note 8 for additional discussion regarding our intangible assets.

Research and Development Costs

Research and development costs consist primarily of personnel and related expenses (including stock-based compensation and employee taxes and benefits) for employees engaged in research and development activities as well as third-party fees. All such costs are expensed as incurred. We focus our research and development efforts on activities that support our technology infrastructure, clinical program development, data analytics and network development capabilities. Research and development costs are recorded within cost of revenue and selling, general and administrative expenses on our consolidated statements of operations and comprehensive income (loss).

10

Reserves for Claims and Performance-based Arrangements

Reserves for claims and performance-based arrangements reflect estimates of payments under performance-based arrangements and the ultimate cost of claims that have been incurred but not reported, including expected development on reported claims, those that have been reported but not yet paid (reported claims in process) and other medical care expenses and services payable that are primarily composed of accruals for incentives and other amounts payable to health care professionals and facilities. The Company uses actuarial principles and assumptions that are consistently applied in each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.

The process of estimating reserves involves a considerable degree of judgment by the Company and, as of any given date, is inherently uncertain. The methods for making such estimates and for establishing the resulting liability are continually reviewed and adjustments are reflected in current results of operations in the period in which they are identified as experience develops or new information becomes known. See Note 20 for additional discussion regarding our reserves for claims and performance-based arrangements.

Right of Offset

Certain customer arrangements give the Company the legal right to net payment for amounts due from customers and claims payable. As of both September 30, 2023 and December 31, 2022, approximately 59% and 47%, respectively, of gross accounts receivable has been netted against claims payable in lieu of cash receipt. Furthermore, as of September 30, 2023, approximately 18% of our accounts receivable, net could ultimately be settled on a net basis, once the criteria for netting have been met.

Leases

The Company enters into various office space, data center and equipment lease agreements in conducting its normal business operations. At the inception of any contract, the Company evaluates the agreement to determine whether the contract contains a lease. If the contract contains a lease, the Company then evaluates the term and whether the lease is an operating or finance lease. Most leases include one or more options to renew or may have a termination option. The Company determines whether these options are reasonably certain to be exercised at the inception of the lease. The rent expense is recognized on a straight-line basis in the consolidated statements of operations and comprehensive income (loss) over the terms of the respective leases. Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheets.

As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. Further, the Company treats all lease and non-lease components as a single combined lease component for all classes of underlying assets.

The Company also enters into sublease agreements for some of its leased office space. Rental income attributable to subleases is immaterial and is offset against rent expense over the terms of the respective leases.

The Company reviews long-lived assets, which include operating lease right-of-use asset assets, for impairment when facts or circumstances indicate the carrying amount of an asset or asset group may not be recoverable. If impairment indicators are present and the estimated future undiscounted cash flows are less than the carrying value of the assets, the carrying values are reduced to the estimated fair value. Fair values are determined based on quoted market values, discounted cash flows and external market data, as applicable.

During the nine months ended September 30, 2023, the Company decommissioned its Chicago, IL lease and wrote off the associated right-of-use asset, recognizing an impairment charge of $24.1 million in right-of-use assets impairment on the consolidated statements of operations.

During the nine months ended September 30, 2023, the Company terminated a portion its Arlington, VA lease effective December 31, 2023 and recognized the impact of a $6.5 million termination penalty in its operating lease liability - current on its consolidated balance sheet. The termination payment will consist of two payments of $3.25 million to be paid on October 1, 2023 and April 1, 2024.

Refer to Note 11 for additional lease disclosures.

11

Revenue Recognition

Our revenue contracts are typically multi-year arrangements with customers to provide solutions designed to lower the medical expenses of our partners and include our total cost of care and specialty care management services, provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers.

We use the following 5-step model, outlined in Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), to determine revenue recognition from our contracts with customers:

• 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

See Note 5 for further discussion of our policies related to revenue recognition.

Series A Senior Convertible Preferred Shares

In accordance with ASC 480, Distinguishing Liabilities from Equity, the shares of Series A Senior Convertible Preferred Shares are classified within temporary equity, as events outside the Company’s control triggers such shares to become redeemable. Costs associated with the issuance of redeemable preferred stock are presented as discounts to the fair value of the redeemable preferred stock and are amortized using the effective interest method, over the term of the respective series of preferred shares. Refer to Note 12 - Convertible Preferred Equity for further discussion.

Note 3. Recently Issued Accounting Standards

Adoption of New Accounting Standards

In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity. The ASU simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU removes the separation models for convertible debt with a cash conversion feature or convertible instruments with a beneficial conversion feature and no longer permits the use of the treasury stock method from calculating earnings per share. As a result, after adopting the ASU’s guidance, we do not separately present in equity an embedded conversion feature of such debt. Instead, we account for a convertible debt instrument wholly as debt unless (i) a convertible instrument contains features that require bifurcation as a derivative or (ii) a convertible debt instrument was issued at a substantial premium. Additionally, the ASU removes certain conditions for equity classification related to contracts in an entity’s own equity (e.g., warrants) and amends certain guidance related to the computation of earnings per share for convertible instruments and contracts on an entity’s own equity. The Company adopted the standard using a modified retrospective method on January 1, 2022, with adjustments which increased retained earnings by $39.8 million, reduced additional paid-in capital by $106.2 million and increased the net carrying amount of the 2024 and 2025 Notes by $25.1 million and $41.3 million, respectively.

In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This ASU clarifies that an acquirer of a business should recognize and measure contract assets and contract liabilities in a business combination in accordance with ASC Topic 606, Revenue from Contracts with Customers. The Company adopted this standard starting in the first quarter of 2023, which did not have a material impact on our consolidated financial statements.

Note 4. Transactions

Business Combinations

National Imaging Associates Inc.

On January 20, 2023, the Company completed its acquisition of NIA, including all of the issued and outstanding shares of capital stock of NIA as well as certain assets held by Magellan Health, Inc. (“Magellan”) and certain of its subsidiaries that were used in the Magellan Specialty Health Division. NIA is a specialty benefit management organization that focuses on managing cost and quality in the areas of radiology, musculoskeletal, physical medicine and genetics. The transaction is expected to accelerate our strategy to become a leading provider of value-based specialty care solutions as well as diversify our revenue streams with a larger customer portfolio.

12

Total acquisition consideration, net of cash on hand and certain closing adjustments, was $715.7 million, based on the closing price of the Company’s Class A common stock on the NYSE on January 20, 2023. The acquisition consideration consisted of approximately $387.8 million of cash consideration (inclusive of certain post-closing adjustments), 8,474,576 shares of the Company’s Class A common stock, fair valued at $261.3 million as of January 20, 2023, and an earn-out consisting of additional consideration of up to $150.0 million payable in cash and, at the Company’s election, up to 50% in shares of the Company’s Class A common stock (the “Contingent Consideration”). As of January 20, 2023, the Contingent Consideration is fair valued at $66.6 million. See Note 17 for additional information regarding the fair value determination of the earn-out consideration.

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of January 20, 2023, as follows (in thousands):

Purchase consideration:
Cash	$	387,823
Fair value of Class A common stock issued	261,271
Fair value of contingent consideration	66,600
Total consideration	$	715,694
Tangible assets acquired:
Accounts receivable	$	28,065
Prepaid expenses and other current assets	675
Total tangible assets acquired	28,740
Identifiable intangible assets acquired:
Customer relationships	345,100
Technology	50,700
Corporate trade name	8,200
Total identifiable intangible assets acquired	404,000
Liabilities assumed:
Accrued liabilities	5,409
Accrued compensation and employee benefits	6,173
Deferred tax liabilities, net	100,486
Deferred revenue	142
Total liabilities assumed	112,210
Goodwill (1)	395,164
Net assets acquired	$	715,694

————————

(1)Goodwill acquired does not include $(0.4) million of measurement period adjustments. See Note 8 for additional information.

13

The fair value of the receivables acquired, as shown in the table above, approximates the gross contractual amounts and is expected to be collectible in full. Identifiable intangible assets associated with customer relationships, technology and the corporate trade name will be amortized on a straight-line basis over their preliminary estimated useful lives of 15 years, 5 years, and 2 years, respectively. The customer relationships are primarily attributable to existing contracts with current customers. The technology consists primarily of proprietary software that supports NIA’s core business applications and specialty business. The corporate trade name reflects the value that we believe the NIA brand name carries in the market. The fair value of the intangible assets was determined using the income approach and the relief from royalty approach. The income approach estimates fair value for an asset based on the present value of cash flows projected to be generated by the asset. Projected cash flows are discounted at a required rate of return that reflects the relative risk of achieving the cash flows and the time value of money. The relief from royalty approach estimates the fair value of an asset by calculating how much an entity would have to spend to lease a similar asset. Goodwill is calculated as the difference between the acquisition date fair value of the total consideration and the fair value of the net assets acquired and represents the future economic benefits that we expect to achieve as a result of the acquisition. The Company received carryover tax basis in the assets and liabilities acquired; accordingly, the Company recognized net deferred tax liabilities associated with the difference between the book basis and the tax basis for the assets and liabilities acquired. The goodwill is not deductible for tax purposes. Additionally, a discrete tax benefit of $56.1 million was recorded in the consolidated statements of operations and comprehensive income (loss) for the nine months ended September 30, 2023, to account for the valuation allowance release primarily related to the acquired intangible assets, which resulted in a deferred tax liability that provided a source of income supporting realization of other deferred tax assets.

The amounts above reflect management’s preliminary estimate of the fair value of the tangible and intangible assets acquired and liabilities assumed. As of September 30, 2023, we had not finalized the determination of fair values allocated to the acquired intangible assets and deferred tax liability. Any necessary adjustments will be finalized within one year from the date of acquisition.

We have included the financial results of NIA in our consolidated financial statements from January 20, 2023. The consolidated statements of operations and comprehensive income (loss) include $167.5 million of revenues and $1.4 million of net loss attributable to NIA for the nine months ended September 30, 2023.

Implantable Provider Group

On August 1, 2022, the Company completed its acquisition of IPG, including 100% of the voting equity interests. IPG is a leader in providing surgical management solutions for musculoskeletal conditions. The transaction is expected to accelerate our strategy to become a leading provider of value-based specialty care solutions as well as diversify our revenue streams with a larger customer portfolio. The transaction is expected to deepen our capabilities, allowing us to cross-sell across customers and enhance our value proposition to partners.

Total acquisition consideration, net of cash on hand and certain closing adjustments, was $461.7 million, based on the closing price of the Company’s Class A common stock on the NYSE on August 1, 2022. The acquisition consideration consisted of $256.5 million of cash consideration, 3.7 million shares of Class A common stock, fair valued at $130.2 million as of August 1, 2022, and an earn-out of up to $87.0 million, fair valued at $75.0 million as of August 1, 2022 is payable in cash and/or shares of the Company’s Class A Common Stock, at the Company’s option. See Note 17 for additional information regarding the fair value determination of the earn-out consideration.

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of August 1, 2022, as follows (in thousands):

Purchase consideration:
Cash	$	256,488
Fair value of Class A common stock issued	130,175
Fair value of contingent consideration	75,000
Total consideration	$	461,663
Tangible assets acquired:
Accounts receivable	34,155
Prepaid expenses and other current assets	636
Other non-current assets	1,393
Total tangible assets acquired	36,184

14

Identifiable intangible assets acquired:
Customer relationships	154,000
Technology	23,900
Corporate trade name	17,800
Total identifiable intangible assets acquired	195,700
Liabilities assumed:
Accounts payable	7,997
Accrued liabilities	8,083
Accrued compensation and employee benefits	423
Deferred tax liabilities, net	48,671
Deferred revenue	321
Operating lease liabilities	1,323
Total liabilities assumed	66,818
Goodwill	296,597
Net assets acquired	$	461,663

The fair value of the receivables acquired, as shown in the table above, approximates the gross contractual amounts and is expected to be collectible in full. Identifiable intangible assets associated with customer relationships, technology and the corporate trade name will be amortized on a straight-line basis over their preliminary estimated useful lives of 20 years, 5 years, and 15 years, respectively. The customer relationships are primarily attributable to existing contracts with current customers. The technology consists primarily of a proprietary customer relationship management and analytics platform that supports reporting to payors with respect to medical device pricing and associated analytics. The corporate trade name reflects the value that we believe the IPG brand name carries in the market. The fair value of the intangible assets was determined using the income approach and the relief from royalty approach. The income approach estimates fair value for an asset based on the present value of cash flows projected to be generated by the asset. Projected cash flows are discounted at a required rate of return that reflects the relative risk of achieving the cash flows and the time value of money. The relief from royalty approach estimates the fair value of an asset by calculating how much an entity would have to spend to lease a similar asset. Goodwill is calculated as the difference between the acquisition date fair value of the total consideration and the fair value of the net assets acquired and represents the future economic benefits that we expect to achieve as a result of the acquisition. The Company received carryover tax basis in the assets and liabilities acquired; accordingly, the Company recognized net deferred tax liabilities associated with the difference between the book basis and the tax basis for the assets and liabilities acquired. The goodwill is not deductible for tax purposes. Additionally, a discrete tax benefit of $46.8 million was recorded in the consolidated statements of operations and comprehensive income (loss) for the year December 31, 2022, to account for the valuation allowance release primarily related to the acquired intangible assets, which resulted in a deferred tax liability that provided a source of income supporting realization of other deferred tax assets.

Pro forma financial information (unaudited)

The following unaudited condensed pro forma information presents combined financial information as if the acquisition of NIA had been effective as of January 1, 2022, the beginning of the 2022 fiscal year. The unaudited pro forma financial information includes adjustments to historical amounts including amortization of acquired intangible assets, depreciation of acquired property and equipment, interest expense for the financing of the transaction, alignment of NIA’s revenue recognition policy, and the associated income tax effects as if NIA had been included in the Company’s results of operations.

This pro forma data is presented for informational purposes only and does not purport to be indicative of the results of future operations or of the results that would have occurred had the transactions described above occurred in the specified prior periods. The pro forma adjustments are based on available information and assumptions that the Company believes are reasonable to reflect the impact of these transactions on the Company’s historical financial information on a pro forma basis (in thousands).

15

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue	$	511,015	$	414,809	$	1,419,266	$	1,163,944
Net loss attributable to common shareholders of Evolent Health, Inc.	(33,196)		(19,986)		(94,851)		(47,193)

Pro forma financial information has not been presented for the IPG acquisition as the impact to the Company’s interim consolidated financial statements was not material.

Note 5. Revenue Recognition

Our revenue contracts are typically multi-year arrangements with customers to provide solutions designed to lower the medical expenses of our partners and include our total cost of care and specialty care management services, provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers.

Our performance obligation in these arrangements is to provide an integrated suite of services, including access to our platform that is customized to meet the specialized needs of our customers and members. Generally, we will apply the series guidance to the performance obligation as we have determined that each time increment is distinct. We primarily utilize a variable fee structure for these services that typically includes a monthly payment that is calculated based on a specified per member per month rate, multiplied by the number of members that our partners are managing under a value-based care arrangement or a percentage of plan premiums. Our arrangements may also include other variable fees related to service level agreements, shared medical savings arrangements and other performance measures. Variable consideration is estimated using the most likely amount based on our historical experience and best judgment at the time. Due to the nature of our arrangements, certain estimates may be constrained if it is probable that a significant reversal of revenue will occur when the uncertainty is resolved. We recognize revenue over time using the time elapsed output method. Fixed consideration is recognized ratably over the contract term. In accordance with the series guidance, we allocate variable consideration to the period to which the fees relate.

Contracts with Multiple Performance Obligations

Our contracts with customers may contain multiple performance obligations, primarily when the customer has requested both implementation and on going services as these services are distinct from one another. When a contract has multiple performance obligations, we allocate the transaction price to each performance obligation based on the relative standalone selling price using the expected cost margin approach. This approach requires estimates regarding both the level of effort it will take to satisfy the performance obligation as well as fees that will be received under the variable pricing model. We also take into consideration customer demographics, current market conditions, the scope of services and our overall pricing strategy and objectives when determining the standalone selling price.

Principal vs. Agent

We occasionally use third parties to assist in satisfying our performance obligations. In order to determine whether we are the principal or agent in the arrangement, we review each third-party relationship on a contract by contract basis. As we integrate goods and services provided by third parties into our overall service, we control the services provided to the customer prior to its delivery. As such, we are the principal and we will recognize revenue on a gross basis. In certain cases, we act as an agent and do not control the services from third parties before it is delivered to the customer, thereby recognizing revenue on a net basis.

Disaggregation of Revenue

The following table represents Evolent’s revenue disaggregated by end-market and product type:

16

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Medicaid	$	195,259	$	139,718	$	587,611	$	410,226
Medicare	208,166		117,967		474,535		336,365
Commercial and other	107,590		94,900		345,695		222,990
Total	$	511,015	$	352,585	$	1,407,841	$	969,581
Performance Suite	$	323,722	$	204,727	$	840,171	$	583,976
Specialty Technology and Services Suite	81,230		12,400		223,598		38,854
Administrative Services	68,713		107,328		229,534		306,544
Cases	37,350		28,130		114,538		40,207
Total	$	511,015	$	352,585	$	1,407,841	$	969,581

Transaction Price Allocated to the Remaining Performance Obligations

For contracts with a term greater than one year, we have allocated approximately $22.0 million of transaction price to performance obligations that are unsatisfied as of September 30, 2023. We do not include variable consideration that is allocated entirely to a wholly unsatisfied performance obligation accounted for under the series guidance in the calculation. As a result, the balance represents the value of the fixed consideration in our long-term contracts that we expect will be recognized as revenue in a future period and excludes the majority of our revenue, which is primarily derived based on variable consideration as discussed in Note 2. We expect to recognize revenue on approximately 50%, 84% and 100% of these remaining performance obligations by December 31, 2023, 2024 and 2025, respectively. However, because our existing contracts may be canceled or renegotiated including for reasons outside our control, the amount of revenue that we actually receive may be more or less than this estimate and the timing of recognition may not be as expected.

Contract Balances

Contract balances consist of accounts receivable, contract assets and deferred revenue. Contract assets are recorded when the right to consideration for services is conditional on something other than the passage of time. Contract assets relating to unbilled receivables are transferred to accounts receivable when the right to consideration becomes unconditional. We classify contract assets as current or non-current based on the timing of our rights to the unconditional payments. Our contract assets are generally classified as current and recorded within prepaid expenses and other current assets on our consolidated balance sheets. Our current accounts receivables are classified within accounts receivable, net on our consolidated balance sheets and our non-current accounts receivable are classified within prepaid expenses and other non-current assets on our consolidated balance sheets.

Deferred revenue includes advance customer payments and billings in excess of revenue recognized. We classify deferred revenue as current or non-current based on the timing of when we expect to recognize revenue. Our current deferred revenue is recorded within deferred revenue on our consolidated balance sheets and non-current deferred revenue is recorded within other long-term liabilities on our consolidated balance sheets.

The following table provides information about receivables, contract assets and deferred revenue from contracts with customers as of September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
Short-term receivables (1)	$	393,782	$	246,209
Short-term deferred revenue	5,763		5,758
Long-term deferred revenue	1,513		2,533

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(1)Excludes pharmacy claims receivable and premiums receivable.

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Changes in deferred revenue for the nine months ended September 30, 2023, are as follows (in thousands):

Deferred revenue
Balance as of beginning-of-period	$	8,291
Reclassification to revenue, as a result of performance obligations satisfied	(5,272)
Cash received in advance of satisfaction of performance obligations	4,257
Balance as of end of period	$	7,276

The amount of revenue, excluding customer discounts of $1.6 million and $4.5 million for the three and nine months ended September 30, 2023, respectively, recognized from performance obligations satisfied (or partially satisfied) in a previous period was $28.6 million and $51.4 million for the three and nine months ended September 30, 2023, respectively, due primarily to net gain share as well as changes in other estimates.

The amount of revenue recognized from performance obligations satisfied (or partially satisfied) in a previous period was $10.4 million and $56.4 million for the three and nine months ended September 30, 2022, respectively.

Contract Cost Assets

Certain bonuses and commissions earned by our sales team are considered incremental costs of obtaining a contract with a customer that we expect to be recoverable. The capitalized contract acquisition costs are classified as non-current assets and recorded within contract cost assets on our consolidated balance sheets. Amortization expense is recorded within selling, general and administrative expenses on the accompanying consolidated statements of operations and comprehensive income (loss). As of September 30, 2023 and 2022, the Company had $2.8 million and $3.6 million, respectively, of contract acquisition cost assets, net of accumulated amortization recorded in contract cost assets on the consolidated balance sheets. In addition, the Company recorded amortization expense of $0.3 million and $1.0 million for the three and nine months ended September 30, 2023, respectively, and $0.3 million and $2.0 million for the three and nine months ended September 30, 2022, respectively.

In our revenue contracts, we incur certain costs related to the implementation of our platform before we begin to satisfy our performance obligation to the customer. The costs, which we expect to recover, are considered costs to fulfill a contract. Our contract fulfillment costs primarily include our employee labor costs and third-party vendor costs. The capitalized contract fulfillment costs are classified as non-current and recorded within contract cost assets on our consolidated balance sheets. Amortization expense is recorded within cost of revenue on the accompanying consolidated statements of operations and comprehensive income (loss). As of September 30, 2023 and 2022, the Company had $10.6 million and $21.0 million, respectively, of contract fulfillment cost assets, net of accumulated amortization recorded in contract cost assets on the consolidated balance sheets. In addition, the Company recorded amortization expense including the acceleration of amortization of contract costs for certain customers of $2.0 million and $7.0 million for the three and nine months ended September 30, 2023, respectively, and $1.3 million and $12.8 million for the three and nine months ended September 30, 2022, respectively.

These costs are deferred and then amortized on a straight-line basis over a period of benefit that we have determined to be the shorter of the contract term or five years. The period of benefit was based on our technology, the nature of our customer arrangements and other factors.

Note 6. Credit Losses

We are exposed to credit losses primarily through our accounts receivable from revenue transactions, investments held at amortized cost and other notes receivable. We estimate expected credit losses based on past events, current conditions and reasonable and supportable forecasts. Expected credit losses are measured over the remaining contractual life of these assets. As part of our consideration of current and forward-looking economic conditions, current inflationary pressures on our customers’ and other third parties’ ability to pay, we did not observe notable increases in delinquencies during the three months ended September 30, 2023.

Accounts Receivable from Revenue Transactions

Accounts receivable represent the amounts owed to the Company for goods or services provided to customers or third parties. Current accounts receivables are classified within accounts receivable, net on the Company’s consolidated balance sheets, while non-current accounts receivables are classified within prepaid expenses and other noncurrent assets on the Company’s consolidated balance sheets.

We monitor our ongoing credit exposure through active review of counterparty balances against contract terms, due dates and business strategy. Our activities include timely account reconciliation, dispute resolution and payment confirmation. In addition, the Company will establish a general reserve based on delinquency rates. Historical loss rates are determined for each delinquency bucket in 30-day

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past-due intervals and then applied to the composition of the reporting date balance based on delinquency. The allowance implied from application of the historical loss rates is then adjusted, as necessary, for current conditions and reasonable and supportable forecasts.

Based on an aging analysis of our trade accounts receivable, non-trade accounts receivable and contract assets as of September 30, 2023, 65% were current, 16% were past due less than 60 days, with 26% past due less than 120 days and at December 31, 2022, 67% was current, 21% was past due less than 60 days, with 29% past due less than 120 days. As of September 30, 2023 and December 31, 2022, in total we reported on the consolidated balance sheet $424.1 million and $269.1 million of accounts receivable, certain non-trade accounts receivable included in prepaid expenses and other current assets, net of allowances of $18.5 million and $10.2 million, respectively. The following table summarizes the changes in allowance for credit losses on our accounts receivables, certain non-trade accounts receivable and contract assets (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance as of beginning of period	$	(10,180)	$	(3,374)
Acquisitions	(240)		(5,269)
Provision for credit losses	(10,814)		(1,134)
Charge-offs	2,701		422
Balance as of end of period	$	(18,533)	$	(9,355)

Note 7. Property and Equipment, Net

The following summarizes our property and equipment (in thousands):

	September 30, 2023		December 31, 2022
Computer hardware	$	32,271	$	30,092
Furniture and equipment	3,950		4,214
Internal-use software development costs	207,253		189,119
Leasehold improvements	11,177		14,926
Total property and equipment	254,651		238,351
Accumulated depreciation and amortization expenses	(174,749)		(150,477)
Total property and equipment, net	$	79,902	$	87,874

The Company capitalized $4.3 million and $18.1 million for the three and nine months ended September 30, 2023, respectively, and $8.0 million and $21.5 million for the three and nine months ended September 30, 2022, respectively, of internal-use software development costs. The net book value of capitalized internal-use software development costs was $71.8 million and $73.7 million as of September 30, 2023 and December 31, 2022, respectively.

Depreciation expense related to property and equipment was $8.5 million and $24.8 million for the three and nine months ended September 30, 2023, respectively, and $7.7 million and $23.1 million for the three and nine months ended September 30, 2022, respectively, of which amortization expense related to capitalized internal-use software development costs was $6.6 million and $20.1 million for the three and nine months ended September 30, 2023, respectively and $6.4 million and $19.6 million for the three and nine months ended September 30, 2022, respectively.

Note 8. Goodwill and Intangible Assets, Net

Goodwill

Goodwill has an estimated indefinite life and is not amortized; rather, it is reviewed for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable.

Our assets and liabilities are employed in and relate to the operations of our reporting units. Therefore, the equity carrying value and future cash flows must be estimated each time a goodwill impairment analysis is performed on a reporting unit. As a result, our assets, liabilities and cash flows are assigned to reporting units using reasonable and consistent allocation methodologies.

Our annual goodwill impairment review occurs on October 31 of each fiscal year. We evaluate qualitative factors that could cause us to believe the estimated fair value of each of our reporting units may be lower than the carrying value and trigger a quantitative

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assessment, including, but not limited to (i) macroeconomic conditions, (ii) industry and market considerations, (iii) our overall financial performance, including an analysis of our current and projected cash flows, revenues and earnings, (iv) a sustained decrease in share price and (v) other relevant entity-specific events including changes in management, strategy, partners, or litigation.

We did not identify any qualitative factors that would trigger a quantitative goodwill impairment test during the nine months ended September 30, 2023. We will perform our annual impairment test as of October 31, 2023.

2022 Goodwill Impairment Test

On October 31, 2022, the Company performed its annual goodwill impairment test for fiscal year 2022. As a result of BHG announcing its plan to exit its IFP line of business in 2023, thus negatively impacting the Company’s future revenues from such partner, the Company elected to forego the qualitative assessment and proceeded directly to the quantitative assessment of the goodwill impairment test for that specific reporting unit. In doing so, we estimated the fair value of the reporting unit by considering an income approach. In determining the estimated fair value using the income approach, we projected future cash flows based on management’s estimates and long-term plans and applied a discount rate based on the Company’s weighted average cost of capital. This analysis required us to make judgments about revenues, expenses, fixed asset and working capital requirements, capital market assumptions, cash flows and discount rates. The quantitative analysis of the Evolent Health Services reporting unit showed that the fair value exceeded the carrying value. Contracts with our customers may be cancelled or renegotiated and future revenue growth is dependent on winning new contracts. Further, the impairment analysis is particularly sensitive to changes in the projected revenue growth rates and expenses and the discount rate. Changes in these key assumptions such as a significant unfavorable change to our forecasted cash flows due to being unsuccessful in winning certain contracts or certain of our contracts being cancelled or renegotiated by our customers, could result in a revision of management’s estimates and could result in impairment charges in the future, which could be material to our results of operations. We will continue to monitor for such changes in facts or circumstances, which may be indicators of potential impairment triggers.

For the remaining reporting units, after assessing the totality of events and circumstances including the results of our previous valuations, no events occurred or circumstances changed during the period under consideration that would, more likely than not, reduce the fair value of any reporting unit below their carrying amount. Therefore, the Company concluded that the quantitative assessment was not required. For all reporting units, it was determined that as of October 31, 2022, no impairment of goodwill had occurred.

Change in Goodwill

The following table summarizes the changes in the carrying amount of goodwill, for the periods presented (in thousands):

Balance as of December 31, 2022(1)	$	722,774
Goodwill acquired(2)	395,164
Measurement period adjustment	(391)
Foreign currency translation	(4)
Balance as of September 30, 2023	$	1,117,543
Balance as of December 31, 2021(1)	$	426,297
Goodwill acquired(2)	296,597
Foreign currency translation	(104)
Balance as of September 30, 2022	$	722,790

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(1)Net of cumulative inception to date impairment of $575.5 million as of December 31, 2022 and 2021.

(2)Goodwill acquired from the addition of NIA in January 2023 and IPG in August 2022.

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Intangible Assets, Net

Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

	September 30, 2023							December 31, 2022
	Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Corporate trade name	1.3	$	51,965	$	24,786	$	27,179	12.7	$	43,600	$	11,726	$	31,874
Customer relationships	14.7	810,119		127,473		682,646		15.8	465,019		92,760		372,259
Technology	3.0	162,522		97,817		64,705		2.7	111,822		80,255		31,567
Below market lease, net	0.0	1,218		1,218		—		0.3	1,218		1,151		67
Provider network contracts	0.6	18,192		15,054		3,138		1.3	18,851		11,834		7,017
Total intangible assets, net		$	1,044,016	$	266,348	$	777,668		$	640,510	$	197,726	$	442,784

Amortization expense related to intangible assets was $23.8 million and $68.9 million for the three and nine months ended September 30, 2023, respectively, and $9.5 million and $24.3 million for the three and nine months ended September 30, 2022, respectively.

Future estimated amortization of intangible assets (in thousands) as of September 30, 2023, is as follows:

2023	$	22,011
2024	87,242
2025	63,647
2026	63,299
2027	60,558
Thereafter	480,911
Total future amortization of intangible assets	$	777,668

As part of the organizational changes as a result of growth in our value-based specialty care business, we will sunset several corporate trade names and replace them with Evolent signifying our adoption and launch of a unified brand. As a result, we accelerated amortization such that all corporate trade names will be fully amortized by December 2024.

Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the assets’ carrying value. We did not identify any circumstances during the three and nine months ended September 30, 2023, that would require an impairment test for our intangible assets.

Note 9. Long-term Debt

Credit Agreement

On August 1, 2022 (the “IPG Closing Date”), the Company entered into a credit agreement, by and among the Company, Evolent Health LLC, as the borrower (the “Borrower”), certain subsidiaries of the Company, as guarantors, the lenders from time to time party thereto, and Ares Capital Corporation, as administrative agent, collateral agent and revolver agent (the “Existing Credit Agreement” and as modified by the Amendment (defined below), the “Credit Agreement”), pursuant to which the lenders agreed to extend credit to the Borrower in the form of (i) initial term loans in an aggregate principal amount of $175.0 million (the “Initial Term Loan Facility”) and (ii) revolving credit commitments in an aggregate principal amount of $50.0 million (the “Initial Revolving Facility”), the availability of which shall be determined by reference to the lesser of $50.0 million and a borrowing base calculation. The Borrowers borrowed full amount under the Initial Term Loan Facility and the Initial Revolving Facility on the IPG Closing Date. A closing fee of

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(a) 2.00% of the aggregate amount of the commitments in respect of the Initial Term Loan Facility and (b) 2.00% of the aggregate amount of the commitments in respect of the Initial Revolving Facility was paid as of the IPG Closing Date.

On January 20, 2023, (“the NIA Closing Date”), the Company entered into Amendment No. 1 to the Credit Agreement (the “Amendment”), pursuant to which the lenders agreed to extend credit to the Borrower in the form of (i) additional revolving commitments in an aggregate principal amount equal to $25.0 million (the “Incremental Revolving Facility” and together with the Initial Revolving Facility, the Revolving Facility”), and (ii) additional term loans in an aggregate principal amount equal to $240.0 million, (the “Incremental Term Loan Facility” and together with the Initial Term Loan Facility, the “Term Loan Facility”; the Revolving Facility and the Term Loan Facility are collectively referred to herein as the “Credit Facilities”). The Borrowers borrowed the full amount under the Incremental Term Loan Facility and the Incremental Revolving Facility on the NIA Closing Date to finance, together with the proceeds from the sale of the Series A Preferred Stock, the cash consideration payable in connection with the NIA acquisition on the NIA Closing Date and pay transaction fees and expenses. A closing fee of (a) 3.00% of the aggregate amount of the commitments in respect of the Incremental Term Loan Facility and (b) 3.00% of the aggregate amount of the commitments in respect of the Incremental Revolving Facility was paid as of the NIA Closing Date.

The Credit Facilities are guaranteed by the Company and the Company’s domestic subsidiaries, subject to certain customary exceptions. The Credit Facilities are secured by a first priority security interest in all of the capital stock of each borrower and guarantor (other than the Company) and substantially all of the assets of each borrower and guarantor, subject to certain customary exceptions.

All loans under the Credit Facilities will mature on the date that is the earliest of (a) the sixth anniversary of the NIA Closing Date, (b) the date on which the commitments are voluntarily terminated pursuant to the terms of the Credit Agreement, (c) the date on which all amounts outstanding under the Credit Agreement have been declared or have automatically become due and payable under the terms of the Credit Agreement and (d) the date that is ninety-one (91) days prior to the maturity date of any Junior Debt (as defined in the Existing Credit Agreement) unless certain liquidity conditions are satisfied.

The interest rate for the Loans is calculated, at the option of the Borrowers, (a) in the case of the Term Loan Facility, at either the Adjusted Term SOFR Rate (as defined in the Credit Agreement) plus 6.00%, or the base rate plus 5.00% and (b) in the case of the Revolving Facility, at either the Adjusted Term SOFR Rate plus 4.00%, or the base rate plus 3.00%. A closing fee of (a) 2.00% of the aggregate amount of the commitments in respect of the Incremental Term Loan Facility and (b) 2.00% of the aggregate amount of the commitments in respect of the Incremental Revolving Facility was paid as of the NIA Closing Date. The Company recorded $12.9 million and $36.6 million in interest expense related to our Credit Agreement for the three and nine months ended September 30, 2023, respectively.

Amounts outstanding under the Credit Facilities may be prepaid at the option of the Company, subject to the following prepayment premium (the “Prepayment Premium”) on amounts greater than a certain threshold: (1) 3.00% of the principal amount so prepaid after the NIA Closing Date but prior to the first anniversary of the NIA Closing Date; (2) 2.00% of the principal amount so prepaid after the first anniversary of the closing but prior to the second anniversary of the NIA Closing Date; (3) 1.00% of the principal amount so prepaid after the second anniversary of the NIA Closing Date but prior to the third anniversary of the NIA Closing Date; and (4) 0.00% of the principal amount so prepaid on or after the third anniversary of the NIA Closing Date. Amounts outstanding under the Credit Facility are subject to mandatory prepayment upon the occurrence of certain events and conditions, including non-ordinary course asset dispositions, receipt of certain casualty proceeds, issuances of certain debt obligations and a change of control transaction, in each case, subject to application of the Prepayment Premium.

The Credit Facilities contain customary borrowing conditions, affirmative, negative and reporting covenants, representations and warranties, and events of default, including cross-defaults to other material indebtedness. If an event of default occurs, the lenders would be entitled to take enforcement action, including foreclosure on collateral and acceleration of amounts owed under the Loans. We incurred $14.4 million of debt issuance costs in connection with the Loans, which was included in long-term debt, net of discount on our consolidated balance sheets and amortized into interest expense over the life of the Credit Agreement. The Company recorded $0.6 million and $1.8 million in interest expense related to the amortization of the debt discount and the issuance costs for the three and nine months ended September 30, 2023, respectively.

During the nine months ended September 30, 2023, the Company repaid $37.5 million under the Revolving Facility and $10.0 million under the Initial Term Loan Facility. As of September 30, 2023, there is $405.0 million outstanding under the Term Loan Facility and $37.5 million outstanding under the Revolving Facility.

2024 Notes

In August 2020, the Company issued $117.1 million aggregate principal amount of its 3.50% Convertible Senior Notes due 2024 (the “2024 Notes”) in privately negotiated exchange and/or subscription agreements, with certain holders of its outstanding 2021 Notes and

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certain new investors. The Company issued $84.2 million aggregate principal amount of 2024 Notes in exchange for $84.2 million aggregate principal amount of the 2021 Notes and an aggregate cash payment of $2.5 million, and issued $32.8 million aggregate principal amount of New Notes for cash at par. We incurred $3.0 million of debt issuance costs in connection with the 2024 Notes, which we are amortizing to non-cash interest expense using the straight-line method over the contractual term of the 2024 Notes, since this method was not materially different from the effective interest method. The closing of the private placement of the 2024 Notes occurred on August 19, 2020.

Holders of the 2024 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year, beginning on December 1, 2020, at a rate equal to 3.50% per annum. The 2024 Notes will mature on December 1, 2024, unless earlier repurchased, redeemed or converted in accordance with their terms prior to such date. Upon maturity the principal amount of the notes may be settled via shares of the Company’s Class A common stock. We recorded interest expense of $0.2 million and $0.6 million for the three and nine months ended September 30, 2023, respectively and $0.5 million and $2.5 million for the three and nine months ended September 30, 2022, respectively.

The 2024 Notes are convertible into cash, shares of the Company's Class A common stock, or a combination of cash and shares of the Company's Class A common stock, at the Company's election, based on an initial conversion rate of 54.8667 shares of Class A common stock per $1,000 principal amount of the 2024 Notes, which is equivalent to an initial conversion price of approximately $18.23 per share of the Company’s Class A common stock. In the aggregate, the 2024 Notes are initially convertible into 6.4 million shares of the Company’s Class A common stock (excluding any shares issuable by the Company upon a conversion in connection with a make-whole provision upon a fundamental change or a notice of redemption under the governing indenture). The conversion rate may be adjusted under certain circumstances. Upon conversion, the Company will pay or deliver, as the case may be, cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election.

The option to settle the 2024 Notes in cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election, resulted in a bifurcation of the carrying value of the 2024 Notes into a debt component and an equity component prior to the adoption of ASU 2020-06. The debt component was determined to be $78.9 million, before issuance costs, based on the fair value of a nonconvertible debt instrument with the same term. The equity component was determined to be $38.1 million before issuance costs and was recorded within additional paid-in capital. Issuance costs of $1.7 million and $1.3 million were allocated to the debt and equity components in proportion to the allocation of proceeds. Along with the equity component of $38.1 million, $1.7 million of issuance costs was amortized to interest expense on the consolidated statements of operations and comprehensive income (loss) using the effective interest method.

On January 1, 2022, we adopted ASU 2020-06 using the retrospective transition method. As a result, prior period financial information and disclosures are not adjusted and continue to be reported under the accounting standards that were in effect prior to the adoption of ASU 2020-06. The adoption of ASU 2020-06 resulted in the combination of the debt and equity components of the 2024 Notes into a single debt instrument recorded in long term debt, net on the consolidated balance sheet. This resulted in a $38.1 million decrease in additional paid-in capital and a $1.3 million increase in additional paid-in capital from the previously bifurcated equity component from deferred financing fees, respectively, and an $11.7 million decrease to the January 1, 2022 accumulated deficit, representing the cumulative non-cash interest expense recognized related to the amortization of the debt discount associated with the bifurcated equity component of the 2024 Notes. These adjustments resulted in an increase of $25.1 million to the debt component of the 2024 Notes. Additionally, the allocation of the issuance costs to the equity component and all issuance costs related to the 2024 Notes are being amortized to interest expense using the effective interest method over the contractual term of the 2024 Notes which is included in the cumulative adjustment to the opening balance of accumulated deficit. The Company recorded interest expense related to the amortization of the issuance costs of $46.3 thousand and $0.1 million for the three and nine months ended September 30, 2023, respectively and $0.1 million and $0.5 million for the three and nine months ended September 30, 2022, respectively.

Holders of the 2024 Notes may require the Company to repurchase all or part of their notes upon the occurrence of a fundamental change at a price equal to 100.0% of the principal amount of the notes being repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental change repurchase date. The Company may not redeem the 2024 Notes prior to March 1, 2023. The Company may redeem for cash all or any portion of the 2024 Notes, at its option, on or after March 1, 2023, if the last reported sale price of the Company’s Class A common stock has been at least 130.0% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption, at a redemption price equal to 100.0% of the principal amount of the notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.

On August 11, 2022, the Company entered into exchange agreements with certain holders of the 2024 Notes. Pursuant to the agreements, these holders exchanged $92.8 million in aggregate principal amount of such notes for shares of the Company’s Class A

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common stock. On August 17 and 18, 2022, the Company consummated the exchanges and issued an aggregate of 5,394,165 shares of Class A common stock to the holders.

The August 2022 exchanges of the 2024 Notes for Class A common stock resulted in a $10.2 million loss on extinguishment/repayment of debt, net, on the consolidated statements of operations and comprehensive income (loss).

On August 2, 2023, the Company issued a notice of redemption to the holders of its outstanding 2024 Notes, pursuant to which it redeemed the outstanding Notes for cash at a price of 100% of the principal amount of the 2024 Notes, plus accrued and unpaid interest, if any, on October 13, 2023 (the “Redemption Date”). Prior to the Redemption Date, the holders of the 2024 Notes were entitled to convert to shares of the Company’s Class A Common Stock at a rate of 55.6153 shares per $1,000 principal amount of 2024 Notes.

During the three months ended September 30, 2023, certain holders of the 2024 Notes converted $23.3 million in aggregate principal amount of such notes to 1.3 million shares of the Company’s Class A common stock. As of September 30, 2023, $1.0 million aggregate principal amount of the 2024 Notes was outstanding. On October 13, 2023, the Company had satisfied all of its remaining obligations under the 2024 Notes.

2025 Notes

In October 2018, the Company issued $172.5 million aggregate principal amount of its 1.50% Convertible Senior Notes due 2025 (the “2025 Notes”) in a private placement to qualified institutional buyers within the meaning of Rule 144A under the Securities Act of 1933, as amended (the “Securities Act”). The 2025 Notes were issued at par for net proceeds of $166.6 million. We incurred $5.9 million of debt issuance costs in connection with the 2025 Notes. The closing of the private placement of $150.0 million aggregate principal amount of the 2025 Notes occurred on October 22, 2018 and the Company completed the offering and sale of an additional $22.5 million aggregate principal amount of the 2025 Notes on October 24, 2018, pursuant to the initial purchasers’ exercise in full of their option to purchase additional notes.

Holders of the 2025 Notes are entitled to cash interest payments, which are payable semiannually in arrears on April 15 and October 15 of each year, beginning on April 15, 2019, at a rate equal to 1.50% per annum. The 2025 Notes will mature on October 15, 2025, unless earlier repurchased, redeemed or converted in accordance with their terms prior to such date. The Company recorded interest expense of $0.6 million and $1.9 million for the three and nine months ended September 30, 2023 and 2022, respectively.

Prior to the close of business on the business day immediately preceding April 15, 2025, the 2025 Notes will be convertible at the option of the holders only upon the satisfaction of certain conditions, as described in the indenture, dated as of October 22, 2018, between the Company and U.S. Bank National Association, as trustee. At any time on or after April 15, 2025, until the close of business on the business day immediately preceding the maturity date, holders may convert, at their option, all or any portion of their notes at the conversion rate.

The 2025 Notes will be convertible at an initial conversion rate of 29.9135 shares of Class A common stock per $1,000 principal amount of notes, which is equivalent to an initial conversion price of approximately $33.43 per share of the Company’s Class A common stock. In the aggregate, the 2025 Notes are initially convertible into 5.2 million shares of the Company’s Class A common stock (excluding any shares issuable by the Company upon a conversion in connection with a make-whole fundamental change or a notice of redemption as described in the governing indenture). The conversion rate may be adjusted under certain circumstances. Upon conversion, the Company will pay or deliver, as the case may be, cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election.

The option to settle the 2025 Notes in cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election, resulted in a bifurcation of the carrying value of the 2025 Notes into a debt component and an equity component prior to the adoption of ASU 2020-06. The debt component was determined to be $100.7 million, before issuance costs, based on the fair value of a nonconvertible debt instrument with the same term. The equity component was determined to be $71.8 million, before issuance costs, and was recorded within additional paid-in capital. The equity component is the difference between the aggregate principal amount of the debt and the debt component. Issuance costs of $3.4 million and $2.5 million are allocated to the debt and equity components in proportion to the allocation of proceeds. Along with the equity component of $71.8 million, $3.4 million of issuance costs will be amortized to interest expense on the consolidated statements of operations and comprehensive income (loss) using the effective interest method over the contractual term of the 2025 Notes.

On January 1, 2022, we adopted ASU 2020-06 using the retrospective transition method. As a result, prior period financial information and disclosures are not adjusted and continue to be reported under the accounting standards that were in effect prior to the adoption of ASU 2020-06. The adoption of ASU 2020-06 resulted in the combination of the debt and equity components of the 2024 Notes into a single debt instrument recorded in long term debt, net on the consolidated balance sheet. This resulted in a $71.8 million

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decrease in additional paid-in capital and a $2.5 million increase in additional paid-in capital from the previously bifurcated equity component from deferred financing fees, respectively, and a $28.1 million decrease to the January 1, 2022 accumulated deficit, representing the cumulative non-cash interest expense recognized related to the amortization of the debt discount associated with the bifurcated equity component of the 2025 Notes. These adjustments resulted in an increase of $41.3 million to the debt component of the 2025 Notes. Additionally, the allocation of the issuance costs to the equity component and all issuance costs related to the 2025 Notes are being amortized to interest expense using the effective interest method over the contractual term of the 2025 Notes which is included in the cumulative adjustment to the opening balance of accumulated deficit. The Company recorded interest expense related to the amortization of the issuance costs of $0.4 million and $1.0 million for the three and nine months ended September 30, 2023, and 2022, respectively.

Holders of the 2025 Notes may require the Company to repurchase all or part of their notes upon the occurrence of a fundamental change at a price equal to 100.0% of the principal amount of the notes being repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental change repurchase date. The Company may not redeem the 2025 Notes prior to October 20, 2022. The Company may redeem for cash all or any portion of the 2025 Notes, at its option, on or after October 20, 2022, if the last reported sale price of the Company’s Class A common stock has been at least 130.0% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption, at a redemption price equal to 100.0% of the principal amount of the notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.

Convertible Senior Notes Carrying Value

The 2024 Notes and 2025 Notes are recorded on our accompanying consolidated balance sheets at their net carrying values as of September 30, 2023. However, the 2024 Notes and 2025 Notes are privately traded by qualified institutional buyers (within the meaning of Rule 144A under the Securities Act) and their fair values are Level 2 inputs. The 2024 Notes and 2025 Notes also have embedded conversion options and contingent interest provisions, which have not been recorded as separate financial instruments. The following table summarizes the carrying value of the long-term convertible debt as of September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
2024 Notes
Carrying value	$	991	$	23,925
Unamortized debt discount and issuance costs	9		356
Principal amount	$	1,000	$	24,281
Remaining amortization period (years)	0.0		1.9
Fair value(1)	N/A		$	38,000
2025 Notes
Carrying value	$	169,848	$	168,885
Unamortized debt discount and issuance costs	2,652		3,615
Principal amount	$	172,500	$	172,500
Remaining amortization period (years)	2.0		2.8
Fair value(1)	$	183,066	$	185,546

————————

(1)Fair values for notes are derived from available trading prices closest to the respective balance sheet date. All remaining principal outstanding under the 2024 Notes as of September 30, 2023 were repaid in October 2023.

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Note 10. Commitments and Contingencies

Commitments

Letters of Credit

As of September 30, 2023 and December 31, 2022, the Company was party to irrevocable standby letters of credit with a bank for $17.9 million and $13.1 million, respectively, for the benefit of regulatory authorities, real estate and risk-sharing agreements. As such, we held $17.9 million and $13.1 million, respectively, in restricted cash and restricted investments as collateral as of September 30, 2023 and December 31, 2022, respectively. The letters of credit have current expiration dates between November 2023 and March 2032 and will automatically extend without amendment for an additional one-year period and will continue to automatically extend after each one-year term from the expiry date unless the bank elects not to extend beyond the initial or any extended expiry date.

Indemnifications

The Company’s customer agreements generally include a provision by which the Company agrees to defend its partners against third-party claims (a) for death, bodily injury, or damage to personal property caused by Company negligence or willful misconduct, (b) by former or current Company employees arising from such managed service agreements, (c) for intellectual property infringement under specified conditions and (d) for Company violation of applicable laws, and to indemnify them against any damages and costs awarded in connection with such claims. To date, the Company has not incurred any material costs as a result of such indemnities and has not accrued any liabilities related to such obligations in the accompanying interim consolidated financial statements.

Pre-IPO Investor Registration Rights Agreement

We entered into a registration rights agreement with The Advisory Board, UPMC, TPG and another investor to register for sale under the Securities Act shares of our Class A common stock, including those delivered in exchange for Class B common stock and Class B common units. Subject to certain conditions and limitations, this agreement provides these investors with certain demand, piggyback and shelf registration rights. The registration rights granted under the registration rights agreement will terminate upon the date the holders of shares that are a party thereto no longer hold any such shares that are entitled to registration rights. Pursuant to our contractual obligations under this agreement, we filed a registration statement on Form S-3 with the SEC on July 28, 2016, which was declared effective on August 12, 2016.

We will pay all expenses relating to any demand, piggyback or shelf registration, other than underwriting discounts and commissions and any transfer taxes, subject to specified conditions and limitations. The registration rights agreement includes customary indemnification provisions, including indemnification of the participating holders of shares of Class A common stock and their directors, officers and employees by us for any losses, claims, damages or liabilities in respect thereof and expenses to which such holders may become subject under the Securities Act, state law or otherwise. We did not incur any expenses related to secondary offerings or other sales of shares by our investor stockholders during the three and nine months ended September 30, 2023, respectively.

Guarantees

On July 16, 2020, EVH Passport, Evolent Health LLC and Molina Healthcare, Inc. (“Molina”) entered into an Asset Purchase Agreement (the “Molina APA”), which contemplated the sale by EVH Passport to Molina of certain assets, including certain intellectual property rights of EVH Passport and EVH Passport’s rights under the Passport Medicaid Contract. On September 1, 2020, EVH Passport and Molina consummated the transactions contemplated by the Molina APA (the “Molina Closing”) and the Passport Medicaid Contract was novated to Molina. In connection with the Molina Closing, the Company continued to provide administrative support services relating to the Passport Medicaid Contract to Molina through the end of 2020. Following the Molina Closing, EVH Passport began working with regulatory authorities including the Kentucky Department of Insurance (“KY DOI”) regarding the wind down of its operations throughout 2021, 2022 and a portion of 2023. The wind down process is now complete and on October 10, 2023, the KY DOI approved our application to surrender our certificate of authority. As part of that wind down process, the Company, as the parent of EVH Passport, entered into a guarantee for the benefit of the KY DOI to satisfy any EVH Passport liability or obligation in the event EVH Passport is not able to meet its wind down liabilities or obligations. As of September 30, 2023, no amounts have been funded under this guarantee.

UPMC Reseller Agreement

The Company and UPMC are parties to a reseller, services and non-competition agreement, dated August 31, 2011, which was amended and restated by the parties on June 27, 2013 (as amended through the date hereof, the “UPMC Reseller Agreement”). Under

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the terms of the UPMC Reseller Agreement, UPMC has appointed the Company as a non-exclusive reseller of certain services, subject to certain conditions and limitations specified in the UPMC Reseller Agreement. In consideration for the Company’s obligations under the UPMC Reseller Agreement and subject to certain conditions described therein, UPMC has agreed not to sell certain products and services directly to a defined list of 20 of the Company’s customers.

Tax Receivables Agreement

In connection with the Offering Reorganization, the Company entered into the Tax Receivables Agreement (the “TRA”) with certain of its investors, which provides for the payment by the Company to these investors of 85% of the amount of the tax benefits, if any, that the Company is deemed to realize as a result of increases in our tax basis related to exchanges of Class B common units as well as tax benefits attributable to the future utilization of pre-IPO NOLs.

Due to the reduction in the Company’s valuation allowance primarily resulting from deferred tax liabilities established as part of the NIA acquisition, the Company has recorded the remaining TRA liability of $66.2 million for the nine months ended September 30, 2023, resulting in a total TRA liability of $112.1 million as of September 30, 2023.

We will assess the realizability of the deferred tax assets at each reporting period, and a change in our estimate of our liability associated with the tax receivable agreement may result as additional information becomes available, including results of operations in future periods. The realizability of the deferred tax assets is evaluated based on all positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax planning strategies and recent results of operations.

Contingencies

Litigation Matters

We are engaged from time to time in certain legal disputes arising in the ordinary course of business, including employment claims. When the likelihood of a loss contingency becomes probable and the amount of the loss can be reasonably estimated, we accrue a liability for the loss contingency. We continue to review accruals and adjust them to reflect ongoing negotiations, settlements, rulings, advice of legal counsel, and other relevant information. To the extent new information is obtained, and our views on the probable outcomes of claims, suits, assessments, investigations or legal proceedings change, changes in our accrued liabilities would be recorded in the period in which such determination is made.

On June 8, 2021, a shareholder of the Company filed a derivative action in the Delaware Chancery Court against some current and former Board members and against the Company as a nominal defendant, alleging that the Company’s Board was negligent in its oversight of the Company’s relationship with Passport Health Plan. The case is Lincolnshire Police Pension Fund, derivatively on behalf of Evolent Health, Inc., v. Blackley, Williams, Scott, Holder, Farner, D’Amato, Duffy, Felt, Samet, Hobart, and Payson, and Evolent Health, Inc. (“Derivative Action”). The Company and the Director-Defendants filed a motion to dismiss the complaint on August 27, 2021, and Plaintiffs responded by filing an amended complaint on October 26, 2021. Defendants filed a motion to dismiss the amended complaint on December 17, 2021. Plaintiffs filed a motion to dismiss the case without prejudice, which was granted by the Delaware Chancery Court on January 5, 2023. On April 6, 2023, a shareholder of the Company sent a letter to the Company’s Board (the “Demand”) requesting that the Company’s Board, among other things, investigate alleged wrongdoing and commence litigation for breach of fiduciary duty against the individuals named as defendants in the Derivative Action. The Company’s Board considers it appropriate to investigate, evaluate, and consider the issues and matters raised in the Demand, and will work with outside counsel to do so. The Company cannot currently estimate the loss or the range of possible losses it may experience in connection with this request.

Credit and Concentration Risk

The Company is subject to significant concentrations of credit risk related to cash and cash equivalents and accounts receivable. As of September 30, 2023, approximately 98.7% of our $224.5 million of cash and cash equivalents, restricted cash and restricted investments were held in either bank deposits with FDIC participating banks or overnight sweep accounts invested in money-market funds and approximately 1.3% were held in international banks. While the Company maintains its cash and cash equivalents with financial institutions with high credit ratings, it often maintains these deposits in federally insured financial institutions in excess of federally insured limits. The Company is closely monitoring ongoing events involving limited liquidity, defaults, non-performance or other adverse developments that affect financial institutions or other companies in the financial services industry or the financial services industry generally. The Company has not experienced any realized losses on cash and cash equivalents to date; however, no assurances can be provided.

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The Company is also subject to significant concentration of accounts receivable risk as a substantial portion of our trade accounts receivable is derived from a small number of our partners. The following table summarizes the partners who represented at least 10.0% of our consolidated short-term trade accounts receivable, excluding pharmacy claims receivable and premiums receivable:

	September 30, 2023	December 31, 2022
Cook County Health and Hospitals System	41.2%	42.5%
Center for Medicare & Medicaid Services	14.1%	*
Molina Healthcare	10.6%	12.0%
Bright Health Management, Inc.	*	11.3%

————————

*     Represents less than 10.0% of the respective balance.

In addition, the Company is subject to significant concentration of revenue risk as a substantial portion of our revenue is derived from a small number of contractual relationships with our operating partners.

The following table summarizes those partners who represented at least 10.0% of our consolidated revenue:

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Cook County Health and Hospitals Systems	15.7%	21.2%	16.8%	23.0%
Humana Health Insurance Company of Florida, Inc.	13.7%	*	*	*
Molina Healthcare	12.9%	*	14.2%	*
Florida Blue Medicare, Inc.	*	13.7%	10.9%	12.5%

————————

*     Represents less than 10.0% of the respective balance

We derive a significant portion of our revenues from our largest partners. The loss, termination or renegotiation of our relationship or contract with any significant partner or multiple partners in the aggregate could have a material adverse effect on the Company's financial condition and results of operations. 

Note 11. Leases

The Company enters into various office space, data center, and equipment lease agreements in conducting its normal business operations. At the inception of any contract, the Company evaluates the agreement to determine whether the contract contains a lease. If the contract contains a lease, the Company then evaluates the term and whether the lease is an operating or finance lease. Most leases include one or more options to renew or may have a termination option. The Company determines whether these options are reasonably certain to be exercised or not at the inception of the lease. In addition, some leases contain escalation clauses. The rent expense is recognized on a straight-line basis in the consolidated statements of operations and comprehensive income (loss) over the term of the lease. Leases with an initial term of 12 months or less are not recorded on our consolidated balance sheets.

As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. Further, the Company treats all lease and non-lease components as a single combined lease component for all classes of underlying assets. The Company also enters into sublease agreements for some of its leased office space. Immaterial rental income attributable to subleases is offset against rent expense over the terms of the respective leases.

The Company leases office space and computer and other equipment under operating lease agreements expiring at various dates through 2032. Under the lease agreements, in addition to base rent, the Company is generally responsible for operating and maintenance costs and related fees. Several of these agreements include tenant improvement allowances, rent holidays or rent escalation clauses. When such items are included in a lease agreement, we record such items in Right-of-use assets and Operating lease liabilities on our consolidated balance sheets equal to the difference between rent expense and future minimum lease payments due. The rent expense related to these items is recognized on a straight-line basis over the terms of the leases. The Company’s primary office location is in Arlington, Virginia, which has served as its corporate headquarters since 2013. The Arlington, Virginia office lease expires in January 2032.

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In connection with various lease agreements, the Company is required to maintain $2.1 million and $2.3 million in letters of credit as of September 30, 2023 and December 31, 2022, respectively. As of September 30, 2023 and December 31, 2022, the Company held $2.1 million and $2.3 million in restricted cash and restricted investments on the consolidated balance sheet as collateral for the letters of credit, respectively.

During the nine months ended September 30, 2023, the Company terminated a portion of its Arlington, VA lease effective December 31, 2023 and recognized the impact of a $6.5 million termination penalty in its operating lease liability - current on its consolidated balance sheet. The termination payment will consist of two payments of $3.25 million to be paid on October 1, 2023 and April 1, 2024.

Right-of-Use Asset Impairment

During the nine months ended September 30, 2023, the Company decommissioned its Chicago, IL lease and wrote off the associated right-of-use asset, recognizing an impairment charge of $24.1 million in right-of-use assets impairment on the consolidated statements of operations and comprehensive income (loss).

The following table summarizes our primary office leases as of September 30, 2023 (in thousands, other than term):

Location	Lease Termination Term (in years)	Future Minimum Lease Commitments		Letter of Credit Amount Required
Arlington, VA	8.3	$	15,511	$	1,579
Edison, NJ	2.6	1,351		222
Makati City, Philippines	4.7	3,089		—
Alpharetta, GA	2.0	951		—
Pune, India	4.5	2,602		—
Brea, CA	3.7	3,546		—

The following table summarizes the components of our lease expense (in thousands):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Operating lease cost	$	5,026	$	2,221	$	5,239	$	6,726
Variable lease cost	1,407		1,599		4,528		4,096
Total lease cost	$	6,433	$	3,820	$	9,767	$	10,822

Maturity of lease liabilities (in thousands) as of September 30, 2023, is as follows:

	Operating lease expense
2023	$	5,713
2024	12,476
2025	8,881
2026	8,034
2027	7,525
Thereafter	21,317
Total lease payments	63,946
Less:
Interest	11,330
Present value of lease liabilities	$	52,616

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Our weighted-average discount rate and our weighted remaining lease terms (in years) are as follows:

	September 30, 2023
Weighted average discount rate	6.80	%
Weighted average remaining lease term	5.9

Note 12. Convertible Preferred Equity

In connection with the NIA closing, on January 20, 2023, the Company entered into a Securities Purchase Agreement (Series A Convertible Preferred Shares) with the Purchasers listed on Schedule I thereto (the “Securities Purchase Agreement”) pursuant to which the Company offered and sold to the Purchasers an aggregate 175,000 shares of the Company’s newly created Cumulative Series A Preferred Shares, par value $0.01 (the “Series A Preferred Stock”), at a purchase price of $960.00 per share, resulting in total gross proceeds to the Company of $168.0 million. The proceeds from the offer and sale of the Series A Preferred Stock were used, together with the proceeds from the Priority ABL Incremental Facility and Term Loan Incremental Facility, to finance the cash consideration payable at Closing and pay transaction fees and expenses.

The Series A Preferred Stock ranks senior with respect to dividend and liquidation rights to the Company’s Class A common stock, par value $0.01 per share and all future series of the Company’s preferred stock. Each share of Series A Preferred Stock has an initial liquidation preference of $1,000.00 per share.

Regular dividends on the Series A Preferred Stock will be paid quarterly in cash in arrears at a rate per annum equal to Adjusted Term SOFR (as defined in the Certificate of Designations (as defined below)) plus 6.00%. The liquidation preference of the Series A Preferred Stock will increase on the last day of each calendar quarter by the amount of any accrued and unpaid regular dividends that have not been paid in cash on the relevant dividend payment date. The regular dividend rate will also increase by 2.0% per annum upon the occurrence and during the continuance of certain triggering events, including a breach of the protective covenants contained in the Investor Rights Agreement or the Company’s failure to pay any regular dividends in cash. Holders of Series A Preferred Stock are also entitled to participate in and receive any dividends declared or paid on the Class A Common Stock on an as-converted basis.

Each holder of Series A Preferred Stock has the right, at its option, to convert its shares of Series A Preferred Stock into shares of Class A Common Stock at an initial conversion price per share of $40.00 of the then-current liquidation preference per share, subject to customary anti-dilution adjustments.

Holders of Series A Preferred Stock are not entitled to vote on any matters, except as required by law and for certain consent rights set forth in the Certificate of Designations.

The Company may not redeem the Series A Preferred Stock at its option prior to January 20, 2025. At any time on or after January 20, 2025, the Company may redeem any or all of the Series A Preferred Stock then outstanding for cash at a redemption price per share equal to 165.00% of the then-current liquidation preference of the Series A Preferred Stock, plus all accrued and unpaid dividends on the Series A Preferred Stock being redeemed.

If not earlier redeemed, at any time on or after January 20, 2030, at the request of the holders of a majority of the convertible preferred stock, the Company will redeem all shares of Series A Preferred Stock then outstanding for cash at a redemption price per share equal to 150.00% of the then-current liquidation preference per share of the Series A Preferred Stock, plus all accrued and unpaid dividends on the Series A Preferred Stock being redeemed.

Upon the occurrence of a refinancing or replacement of the entirety of the indebtedness under the Credit Agreement prior to its maturity that is provided solely by lenders who are not affiliates or approved funds of Ares, the Company will be required to redeem all shares of Series A Preferred Stock then outstanding for cash at a redemption price per share equal to 165.00% of the then-current liquidation preference of the Series A Preferred Stock, plus all accrued and unpaid dividends on the Series A Preferred Stock being redeemed, plus, solely in the event such refinancing or replacement is consummated prior to January 20, 2025, the aggregate amount of dividends per share which would have otherwise been payable on the Series A Preferred Stock from the date of redemption until January 20, 2025.

If the Company undergoes a Change of Control (as defined in the Existing Credit Agreement), the Company will be required to redeem all shares of Series A Preferred Stock then outstanding for cash at a price per share equal to the greater of (x) 150.00% of the then-current liquidation preference per share of the Series A Preferred Stock, if such redemption occurs prior to January 20, 2025, and 135.00% of the then-current liquidation preference per share of the Series A Preferred Stock, if such redemption occurs on or after January 20, 2025, and (y) the value of the Class A Common Stock issuable upon conversion of a share of Series A Preferred Stock,

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which value shall be determined based on the value attributed to the Class A Common Stock in connection with such Change of Control.

In connection with the NIA closing, the Company entered into an Investors Rights Agreement with the Purchasers named in Schedule I thereto (the “Investors Rights Agreement”). The Investors Rights Agreement contains certain restrictions on the transfer of the Series A Preferred Stock and certain protective covenants in favor of the Purchasers. These covenants include, among other things, covenants limiting the incurrence of Funded Debt (as defined in the Investors Rights Agreement), the ability to make restricted payments and the ability to issue additional indebtedness senior to the Series A Preferred Stock. Each of these covenants is subject to certain exceptions set forth in the Investors Rights Agreement.

In connection with the NIA closing, on January 20, 2023, the Company entered into a Registration Rights Agreement with the Stockholders named in Schedule I thereto, which granted certain registration rights to Ares in respect of the shares of the Company’s Class A Common Stock issuable upon conversion of the Series A Preferred Stock.

The Company accreted $2.8 million and $7.6 million of deferred issuance costs in additional paid-in-capital on the consolidated balance sheets for the three and nine months ended September 30, 2023, respectively.

The Company paid dividends related to the Series A Preferred Stock as presented below during the nine months ended September 30, 2023:

For the Three Month Period Ended	Payment Date	Dividends Per Share		Total Amount Paid
March 31, 2023	3/28/2023	$	20.86	$	3,650,500
June 30, 2023	6/27/2023	27.91		4,884,250
September 30, 2023	9/28/2023	29.12		5,096,000

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Note 13. Loss Per Common Share

The following table sets forth the computation of basic and diluted earnings per share available for common stockholders (in thousands, except per share data):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Income (loss) from continuing operations	$	(25,324)	$	2,123	$	(79,629)	$	(7,352)
Loss from discontinued operations, net of tax (2)	—		—		—		(463)
Income (loss) before preferred dividends and accretion of Series A Preferred Stock	(25,324)		2,123		(79,629)		(7,815)
Dividends and accretion of Series A Preferred Stock	(7,872)		—		(21,236)		—
Net income (loss) attributable to common shareholders of Evolent Health, Inc.	$	(33,196)	$	2,123	$	(100,865)	$	(7,815)
Weighted-average common shares outstanding - basic	112,282		95,286		110,464		91,643
Incremental diluted shares from stock options	—		1,915		—		—
Incremental diluted shares from restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")	—		2,107		—		—
Weighted-average common shares outstanding - diluted	112,282		99,308		110,464		91,643
Income (loss) per common share
Basic:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Basic income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)
Diluted:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Diluted income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)

Basic net loss per common share is calculated using the weighted average number of common shares outstanding during the period. Diluted net earnings per common share, if any, gives effect to diluted stock options (calculated based on the treasury stock method), shares issuable upon debt conversion (calculated using an as-if converted method).

Anti-dilutive shares excluded from the calculation of weighted-average common shares presented above are presented below (in thousands):

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")	1,045	—	1,311	1,818
Stock options	603	—	933	1,858
Series A Preferred Stock	4,375	—	4,375	—
Convertible senior notes	5,997	9,007	6,301	10,714
Total	12,020	9,007	12,920	14,390

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Note 14. Stock-based Compensation

Total compensation expense by award type and line item in our interim consolidated financial statements was as follows (in thousands):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Award Type
Stock options	$	—	$	78	$	74	$	331
RSUs	6,312		4,830		20,704		12,778
LSUs	78		387		439		1,544
PSUs	3,832		1,697		8,681		4,697
Total compensation expense by award type	$	10,222	$	6,992	$	29,898	$	19,350
Line Item
Cost of revenue	$	51	$	1,024	$	1,633	$	2,986
Selling, general and administrative expenses	10,171		5,968		28,265		16,364
Total compensation expense by financial statement line item	$	10,222	$	6,992	$	29,898	$	19,350

No stock-based compensation was capitalized as software development costs during the three and nine months ended September 30, 2023 and 2022, respectively.

Stock-based awards were granted as follows (in thousands):

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
RSUs	183	87	1,236	1,067
PSUs	110	—	542	479

Note 15. Income Taxes

For interim periods, we recognize an income tax provision (benefit) based on our estimated annual effective tax rate expected for the full year, adjusted for discrete items recognized during the interim period. Discrete items (e.g., significant or unusual items) are separately recognized in the quarter during which they occur and can cause the effective tax rate to vary from quarter to quarter.

An income tax benefit of $5.6 million and $74.7 million was recognized for the three and nine months ended September 30, 2023, respectively, which resulted in effective tax rates of 18.0% and 48.4%, respectively. An income tax benefit of $45.5 million and $44.5 million was recognized for the three and nine months ended September 30, 2022, respectively, which resulted in effective tax rates of 104.9% and 85.8%, respectively. The income tax benefit recorded during the nine months ended September 30, 2023, primarily relates to the $56.1 million reduction in the valuation allowance resulting from deferred tax liabilities established as part of the NIA acquisition accounting. The income tax benefit recorded during the three and nine months ended September 30, 2022, primarily related to the $46.8 million reduction in the valuation allowance resulting from deferred tax liabilities established as part of the IPG acquisition accounting, partially offset by state and foreign taxes.

As of September 30, 2023, the Company had unrecognized tax benefits of $1.6 million that, if recognized, would affect the overall effective tax rate. The Company is not currently subject to income tax audits in any U.S., state, or foreign jurisdictions for any tax year.

Tax Receivables Agreement

In connection with the Offering Reorganization, the Company entered into the TRA with certain of its investors, which provides for the payment by the Company to these investors of 85% of the amount of the tax benefits that the Company is deemed to realize as a result of increases in our tax basis related to exchanges of Class B common units as well as tax benefits attributable to the future utilization of pre-IPO NOLs. See Note 10 above for discussion of our TRA.

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Note 16. Investments in Equity Method Investees

The Company holds ownership interests in joint ventures and other entities which are accounted for under the equity method. The Company evaluates its interests in these entities to determine whether they meet the definition of a VIE and whether the Company is required to consolidate these entities. A VIE is consolidated by its primary beneficiary, which is the party that has both (i) the power to direct the activities that most significantly impact the economic performance of the VIE and (ii) a variable interest that could potentially be significant to the VIE. To determine whether or not a variable interest the Company holds could potentially be significant to the VIE, the Company considers both qualitative and quantitative factors regarding the nature, size and form of the Company's involvement with the VIE. The Company has determined that its interests in these entities meet the definition of a variable interest, however, the Company is not the primary beneficiary since it does not have the power to direct activities, therefore, the Company did not consolidate the VIEs.

As of September 30, 2023 and December 31, 2022, the Company’s economic interests in its equity method investments ranged between 4% and 34% and 4% and 38%, respectively, and voting interests in its equity method investments ranged between 25% and 34% and 25% and 40% respectively. The Company determined that it has significant influence over these entities but that it does not have control over any of the entities. Accordingly, the investments are accounted for under the equity method of accounting and the Company is allocated its proportional share of the entities’ earnings and losses for each reporting period. The Company’s proportional share of the gain from these investments was approximately $0.7 million and $1.3 million for the three and nine months ended September 30, 2023, respectively, and $1.4 million and $3.9 million for the three and nine months ended September 30, 2022, respectively.

The Company signed services agreements with certain of the aforementioned entities to provide certain management, operational and support services to help manage elements of their service offerings. Revenue related to these services agreements were $5.0 million and $14.4 million for the three and nine months ended September 30, 2023, respectively, and $5.0 million and $12.5 million for the three and nine months ended September 30, 2022, respectively.

Note 17. Fair Value Measurement

GAAP defines fair value as the price that would be received from the sale of an asset or paid to transfer a liability (an exit price) assuming an orderly transaction in the most advantageous market at the measurement date. GAAP also establishes a hierarchical disclosure framework which prioritizes and ranks the level of observability of inputs used in measuring fair value. These tiers include:

•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.

In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, the level within the fair value hierarchy is based on the lowest level of input that is significant to the fair value measurement. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the particular asset or liability being measured. These items are recorded in accrued liabilities on our consolidated balance sheets.

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Recurring Fair Value Measurements

In accordance with GAAP, certain assets and liabilities are required to be recorded at fair value on a recurring basis. The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):

	September 30, 2023
	Level 1		Level 2		Level 3		Total
Liabilities
Contingent consideration(1)	$	—	$	—	$	124,600	$	124,600
Total fair value of liabilities measured on a recurring basis	$	—	$	—	$	124,600	$	124,600

	December 31, 2022
	Level 1		Level 2		Level 3		Total
Liabilities
Contingent consideration	$	—	$	—	$	78,000	$	78,000
Total fair value of liabilities measured on a recurring basis	$	—	$	—	$	78,000	$	78,000

————————

(1) Represents the fair value of earn-out consideration related to the IPG and NIA transactions as described in Note 4.

The Company recognizes any transfers between levels within the hierarchy as of the beginning of the reporting period. There were no transfers between fair value levels during the three and nine months ended September 30, 2023, and 2022, respectively.

In the absence of observable market prices, the fair value is based on the best information available and involves a significant degree of judgment, taking into consideration a combination of internal and external factors, including the appropriate risk adjustments for non-performance and liquidity risks.

The acquisitions of NIA and IPG include a provision for additional equity consideration, at the Company’s option, contingent upon the Company obtaining certain performance metrics. The earnout period for the NIA contingent consideration is the year ending December 31, 2023, and the earnout period for IPG is the nine months ended September 30, 2023. The fair value of the contingent equity considerations was estimated based on the real options approach, a form of the income approach, which estimated the probability of the Company achieving future revenues under the agreement. The significant unobservable inputs used in the fair value measurements of the NIA and IPG contingent considerations are the risk-neutral (probability weighted) earnout consideration and the applicable discount rate. A significant increase in the risk-neutral (probability weighted) earnout consideration or decrease in discount rate in isolation would result in a significantly higher fair value of the contingent consideration.

The changes in our liabilities measured at fair value for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance as of beginning of period	$	78,000	$	28,700
Additions	66,600		75,000
Settlements	(32,047)		—
Total (gain) loss, net	12,047		(8,000)
Balance as of end of period	$	124,600	$	95,700

The following table summarizes the fair value (in thousands), valuation techniques and significant unobservable inputs of our Level 3 fair value measurements as of the periods presented:

	September 30, 2023
	Fair		Valuation	Significant	Assumption or
	Value		Technique	Unobservable Inputs	Input Ranges
Contingent consideration	$	124,600	Real options approach	Risk-neutral expected earnout consideration	$	124,600
				Weighted average discount rate	8.80%

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	December 31, 2022
	Fair		Valuation	Significant	Assumption or
	Value		Technique	Unobservable Inputs	Input Ranges
Contingent consideration	$	78,000	Real options approach	Risk-neutral expected earnout consideration	$	77,946
				Weighted average discount rate	9.85% - 10.01%

Nonrecurring Fair Value Measurements

In addition to the assets and liabilities that are recorded at fair value on a recurring basis, the Company records certain assets and liabilities at fair value on a nonrecurring basis as required by GAAP. Generally, assets are recorded at fair value on a nonrecurring basis as a result of impairment charges. This includes assets and liabilities recorded in business combinations or asset acquisitions, goodwill, intangible assets, property, plant and equipment, held-to-maturity investments and equity method investments. While not carried at fair value on a recurring basis, these items are continually monitored for indicators of impairment that would indicate current carrying value is greater than fair value. In those situations, the assets are considered impaired and written down to current fair value.

Other Fair Value Disclosures

The carrying amounts of cash and cash equivalents (those not held in a money market fund), restricted cash, receivables, prepaid expenses, accounts payable, accrued liabilities and accrued compensation approximate their fair values because of the relatively short-term maturities of these items and financial instruments.

See Note 9 for information regarding the fair value of the 2024 Notes and 2025 Notes.

Note 18. Related Parties

The entities described below are considered related parties and the balances and/or transactions with them are reported in our interim consolidated financial statements.

As discussed in Note 16, the Company had economic interests in several entities that are accounted for under the equity method of accounting. The Company has allocated its proportional share of the investees’ earnings and losses each reporting period. In addition, Evolent has entered into services agreements with certain of the entities to provide certain management, operational and support services to help the entities manage elements of their service offerings.

The Company also works with UPMC, one of its founding investors. The Company’s relationship with UPMC is a subcontractor relationship where UPMC has agreed to execute certain tasks (primarily TPA services) relating to certain customer commitments. This relationship is currently in wind-down.

The following table presents assets and liabilities attributable to our related parties (in thousands):

	September 30, 2023		December 31, 2022
Assets
Accounts receivable, net	$	8,152	$	8,787
Liabilities
Accounts payable	$	747	$	27
Accrued liabilities	—		192

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The following table presents revenues and expenses attributable to our related parties (in thousands):

	For the Three Months Ended September 30, 2023				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue	$	49,695	$	36,321	$	143,902	$	111,195
Expenses
Cost of revenue	42,300		30,121		121,882		93,266
Selling, general and administrative expenses	699		443		1,938		745

Note 19. Repositioning and Other Changes

We continually assess opportunities to improve operational effectiveness and efficiency to better align our expenses with revenues, while continuing to make investments in our solutions, systems and people that we believe are important to our long-term goals.

During the second quarter of 2023, the Company implemented a broad set of repositioning initiatives designed to further align the Company’s assets and talent towards the value-based specialty care opportunity, with the intent of streamlining its operations and supporting the goal of realizing long-term sustainable earnings growth. These initiatives include making organizational changes across the business that resulted in severance, terminated benefits and related payroll taxes and dedicated employee costs associated with recent acquisitions as well as third-party professional fees. Dedicated employee costs primarily include project management and technology staff costs needed to migrate acquired businesses to Evolent’s integrated technology platform and costs related to the consolidation of brands, internal operations, strategies, processes and platforms. Dedicated employee costs are limited to employees that will have no role in ongoing operations and have no planned role at Evolent once the repositioning activities are completed. Professional services costs primarily relate to services provided by a third-party vendor to review our operating model and organizational design in order to improve our profitability, create value through our solutions and invest in strategic opportunities in future periods.

As of September 30, 2023, the Company estimates total repositioning charges of $38.6 million which will be recorded in selling, general and administrative expenses on the consolidated statement of operations. The repositioning program is anticipated to be substantially complete by the first half of 2024.

The following table provides a summary of our total costs associated with the Repositioning Plan for the three and nine months ended September 30, 2023, by major type of cost (in thousands):

	Incurred				Total Amount Expected to be Incurred in the Repositioning Plan
	For the Three Months Ended September 30, 2023		For the Nine Months Ended September 30, 2023
Severance and termination benefits	$	1,826	$	6,563	$	9,563
Dedicated employee costs	2,325		4,062		8,099
Professional services	3,978		8,765		14,466
Office space consolidation	—		—		6,500
Total	$	8,129	$	19,390	$	38,628

Note 20. Reserve for Claims and Performance-Based Arrangements

The Company maintains reserves for its liabilities related to payments to providers and pharmacies under performance-based arrangements related to its total cost of care and specialty care management services.

Reserves for claims and performance-based arrangements reflect actual payments under performance-based arrangements and the ultimate cost of claims that have been incurred but not reported, including expected development on reported claims, those that have been reported but not yet paid (reported claims in process), and other medical care expenses and services payable that are primarily composed of accruals for incentives and other amounts payable to health care professionals and facilities.

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The Company uses actuarial principles and assumptions that are consistently applied each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.

This liability predominately consists of incurred but not reported amounts and reported claims in process including expected development on reported claims. The liability for reserves related to its total cost of care and specialty care management services is primarily calculated using "completion factors" developed by comparing the claim incurred date to the date claims were paid. Completion factors are impacted by several key items including changes in: 1) electronic (auto-adjudication) versus manual claim processing, 2) provider claims submission rates, 3) membership and 4) the mix of products.

The Company’s policy for reserves related to its total cost of care and specialty care management services is to use historical completion factors combined with an analysis of current trends and operational factors to develop current estimates of completion factors. The Company estimates the liability for claims incurred in each month by applying the current estimates of completion factors to the current paid claims data. This approach implicitly assumes that historical completion rates will be a useful indicator for the current period.

For more recent months, and for newer lines of business where there is not sufficient paid claims history to develop completion factors, the Company expects to rely more heavily on medical cost trend and expected loss ratio analysis that reflects expected claim payment patterns and other relevant operational considerations, or authorization analysis. Medical cost trend is primarily impacted by medical service utilization and unit costs that are affected by changes in the level and mix of medical benefits offered, including inpatient, outpatient and pharmacy, the impact of copays and deductibles, changes in provider practices and changes in consumer demographics and consumption behavior. Authorization analysis projects costs based on authorizations per thousand members basis and assigning an average cost per authorization. This is also adjusted for the impact of copays, deductibles, unit cost and historic discontinuation rates for treatment are considered.

For each reporting period, the Company compares key assumptions used to establish the reserves for claims and performance-based arrangements to actual experience. When actual experience differs from these assumptions, reserves for claims and performance-based arrangements are adjusted through current period net income. Additionally, the Company evaluates expected future developments and emerging trends that may impact key assumptions. The process used to determine this liability requires the Company to make critical accounting estimates that involve considerable judgment, reflecting the variability inherent in forecasting future claim payments. These estimates are highly sensitive to changes in the Company's key assumptions, specifically completion factors and medical cost trends.

Activity in reserves for claims and performance-based arrangements was as follows (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance, beginning of period	$	199,730	$	171,294
Incurred health care costs:
Current year to date period	628,251		471,502
Prior year to date period	(36,248)		(8,154)
Total claims incurred	592,003		463,348
Claims paid related to:
Current year to date period	(364,709)		(369,708)
Prior year to date period	(127,282)		(129,236)
Total claims paid	(491,991)		(498,944)
Balance, end of period	$	299,742	$	135,698

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Note 21. Supplemental Cash Flow Information

The following represents supplemental cash flow information (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Supplemental Disclosure of Non-cash Investing and Financing Activities
Accrued property and equipment purchases	$	322	$	1,014
Increase/decrease to goodwill from measurement period adjustments/business combinations	(391)		—
Class A common stock issued in connection with business combinations	261,271		130,175
Class A common stock issued in connection with debt repayment	23,073		101,999
Accrued net working capital adjustment with business combinations	—		791
Effects of Leases
Operating cash flows from operating leases	9,587		14,453
Leased assets disposed of (obtained in) exchange for operating lease liabilities	6,956		4,305

Note 22. Subsequent Events

The Company issued a notice of redemption to the holders of its outstanding 2024 Notes on August 2, 2023 pursuant to which it redeemed the outstanding 2024 Notes for cash at a price of 100% of the principal amount of the 2024 Notes, plus accrued and unpaid interest if any, on October 13, 2023. As of September 30, 2023, all but $1.0 million of principal of the outstanding 2024 Notes were converted to shares of the Company’s Class A common stock at a rate of 55.6153 shares per $1,000 principal amount of the 2024 Notes, which was recorded in short-term debt, net on the consolidated balance sheet. On October 13, 2023, the Company had satisfied all of its remaining obligations under the 2024 Note.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to help the reader understand the Company’s financial condition and results of operations. The MD&A is provided as a supplement to, and should be read in conjunction with our interim consolidated financial statements and the accompanying notes to our interim consolidated financial statements presented in “Part I – Item 1. Financial Statements” of this Form 10-Q; our 2022 Form 10-K, including the sections entitled “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations”; and our current reports on Form 8-K filed in 2023.

INTRODUCTION

Business Overview

We are a market leader in the new era of value-based care, in which the delivery of health care is increasingly funded by at-risk payment models. We provide integrated solutions to both health care providers, including independent physicians and health systems, as well as payers, including health plans and other risk-bearing organizations, with a common end: to improve health care quality and outcomes while reducing cost. We consider value-based care to be the necessary convergence of health care payment and delivery. We believe the pace of this convergence is accelerating, driven by price pressure in traditional FFS health care, a market environment that is incentivizing value-based care models, growth in consumer-focused insurance programs, such as Medicare Advantage and managed Medicaid, and innovation in data and technology.

We were an early innovator in value-based care, founded in 2011 by members of our management team, UPMC, an integrated delivery system based in Pittsburgh, Pennsylvania, and The Advisory Board Company.

Segment Update

Between 2020 and 2022, we significantly grew our value-based specialty care business, both organically and through acquisitions. Given the pace of our growth, what we believe to be our high level of competitive differentiation, and the size of potential opportunities in the specialty care market, we began a process in 2023 of revising the way we manage the business, evaluate performance and allocate resources, resulting in an updated segment structure comprised of one segment. We now provide a broad spectrum of specialty care management services in oncology, cardiology, musculoskeletal markets and holistic total cost of care improvement along with an integrated platform for health plan administration and value-based business infrastructure under one go to market package. We began reporting under this new segment structure as of January 1, 2023. Prior year information has been adjusted to reflect the change in segment reporting.

All of our revenue is recognized in the United States and substantially all of our long-lived assets are located in the United States.

Recent Events

Impact of Inflation

We experience pricing pressures in the form of competitive prices in addition to rising costs for certain inflation-sensitive operating expenses such as labor, employee benefits and facility leases. We do not believe these impacts were material to our revenues or net income during the nine months ended September 30, 2023. However, significant sustained inflation driven by the macroeconomic environment or other factors could negatively impact our margins, profitability and results of operations in future periods.

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Customers

The following table summarizes those partners who represented at least 10.0% of our consolidated revenue:

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Cook County Health and Hospitals Systems	15.7%	21.2%	16.8%	23.0%
Humana Health Insurance Company of Florida, Inc.	13.7%	*	*	*
Molina Healthcare	12.9%	*	14.2%	*
Florida Blue Medicare, Inc.	*	13.7%	10.9%	12.5%

————————

*     Represents less than 10.0% of the respective balance

Transactions

The Company has undertaken several transactions, some of which may impact year-to-year comparisons. The following is a discussion of certain of those transactions.

Acquisition of NIA

On November 17, 2022, Evolent Health LLC, a wholly owned subsidiary of the Company, and the Company entered into a definitive agreement for the Company to acquire NIA. On January 20, 2023, we consummated the acquisition of NIA for $387.8 million in cash consideration, which was financed in part with $265.0 million in debt borrowed from affiliates of Ares Capital Corporation and the proceeds from the sale of an aggregate 175,000 shares of the Company’s Series A Preferred Stock, resulting in gross proceeds of $168.0 million, and stock consideration of 8.5 million shares of Class A common stock issued to the seller. NIA reports into Evolent’s specialty care management offering. Refer to “Part I - Item 1. Financial Statements - Note 4” for additional discussion regarding the NIA acquisition.

Credit Agreement Amendment

On January 20, 2023, (“the NIA Closing Date”), the Company entered into Amendment No. 1 to the Credit Agreement (the “Amendment”), pursuant to which the lenders agreed to extend credit to the Borrower in the form (i) additional revolving commitments in an aggregate principal amount equal to $25.0 million (the “Incremental Revolving Facility” and together with the Initial Revolving Facility, the “Revolving Facility”), and (ii) additional term loans in an aggregate principal amount equal to $240.0 million (the “Incremental Term Loan Facility” and together with the Initial Term Loan Facility, the “Term Loan Facility”; the Revolving Facility and the Term Loan Facility are collectively referred to herein as the “Credit Facilities”). The Borrowers borrowed full amount under the Incremental Term Loan Facility and the Incremental Revolving Facility on the NIA Closing Date to finance, together with the proceeds from the sale of the Series A Preferred Stock, the cash consideration payable in connection with the NIA acquisition on the NIA Closing Date and pay transaction fees and expenses. A closing fee of (a) 3.00% of the aggregate amount of the commitments in respect of the Incremental Term Loan Facility and (b) 3.00% of the aggregate amount of the commitments in respect of the Incremental Revolving Facility was paid as of the NIA Closing Date. Refer to “Part I - Item 1. Financial Statements - Note 9” for additional discussion regarding the amendment to the Credit Agreement.

Series A Preferred Stock

In connection with the consummation of the acquisition of NIA, on January 20, 2023, we entered into a Securities Purchase Agreement pursuant to which the Company offered and sold an aggregate 175,000 shares of Series A Preferred Stock, at a purchase price of $960.00 per share, resulting in total gross proceeds to us of $168.0 million. The proceeds from the offer and sale of the Series A Preferred Stock were used, together with the proceeds from the Priority ABL Incremental Facility and Term Loan Incremental Facility, to finance the cash consideration payable for the acquisition of NIA and pay transaction fees and expenses. Refer to “Part II - Item 8. Financial Statements - Note 12” for additional discussion regarding the sale of Series A Preferred Stock.

Repositioning Costs

During the second quarter of 2023, the Company implemented a broad set of repositioning initiatives designed to further align the Company’s assets and talent towards the value-based specialty care opportunity, with the intent of streamlining its operations and supporting the goal of realizing long-term sustainable earnings growth. These initiatives include making organizational changes across the business that resulted in severance, terminated benefits and related payroll taxes and dedicated employee costs associated with recent acquisitions as well as third-party professional fees. Dedicated employee costs primarily include project management and

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technology staff costs needed to migrate acquired businesses to Evolent’s integrated technology platform and costs related to the consolidation of brands, internal operations, strategies, processes and platforms. Dedicated employee costs are limited to employees that will have no role in ongoing operations and have no planned role at Evolent once the repositioning activities are completed. Professional services costs primarily relate to services provided by a third-party vendor to review our operating model and organizational design in order to improve our profitability, create value through our solutions and invest in strategic opportunities in future periods.

As of September 30, 2023, the Company estimates total repositioning charges of $38.6 million which will be recorded in selling, general and administrative expenses on the consolidated statement of operations. The repositioning program is anticipated to be substantially complete by the first half of 2024.

The following table provides a summary of our total costs associated with the Repositioning Plan for the three and nine months ended September 30, 2023, by major type of cost (in thousands):

	Incurred				Total Amount Expected to be Incurred in the Repositioning Plan
	For the Three Months Ended September 30, 2023		For the Nine Months Ended September 30, 2023
Severance and termination benefits	$	1,826	$	6,563	$	9,563
Dedicated employee costs	2,325		4,062		8,099
Professional services	3,978		8,765		14,466
Office space consolidation	—		—		6,500
Total	$	8,129	$	19,390	$	38,628

Critical Accounting Policies and Estimates

Certain GAAP policies that significantly affect the determination of our financial position, results of operations and cash flows, are summarized below. See “Part II - Item 8. Financial Statements and Supplementary Data - Note 2” in our 2022 Form 10-K for a complete summary of our significant accounting policies.

Goodwill

We recognize the excess of the purchase price plus the fair value of any non-controlling interests in the acquiree over the fair value of identifiable net assets acquired as goodwill. Goodwill is not amortized, but is reviewed at least annually for indications of impairment, with consideration given to financial performance and other relevant factors. We perform impairment tests of goodwill at a reporting unit level. We perform impairment tests between annual tests if an event occurs, or circumstances change, that we believe would more likely than not reduce the fair value of a reporting unit below its carrying amount.

Our goodwill impairment analysis first assesses qualitative factors to determine whether events or circumstances existed that would lead the Company to conclude it is more likely than not that the fair value of a reporting unit is below its carrying amount. Qualitative factors include macroeconomic, industry and market considerations, overall financial performance, industry, legal and other relevant events and factors affecting the reporting unit. Additionally, as part of this assessment, we may perform a quantitative analysis to support the qualitative factors above by applying sensitivities to assumptions and inputs used in measuring a reporting unit’s fair value.

If the Company determines that it is more likely than not that the fair value of a reporting unit is below the carrying amount, a quantitative goodwill assessment is required. In the quantitative evaluation, the fair value of the relevant reporting unit is determined and compared to the carrying value. If the fair value is greater than the carrying value, then the carrying value is deemed to be recoverable and no further action is required. If the fair value estimate is less than the carrying value, goodwill is considered impaired for the amount by which the carrying amount exceeds the reporting unit’s fair value and a charge is reported in goodwill impairment on our consolidated statements of operations and comprehensive income (loss). We use discounted cash flow analyses and market multiple analyses in order to estimate reporting unit fair values. Discounted cash flow analyses rely on significant judgement and assumptions about expected future cash flows, weighted-average cost of capital, discount rates, expected long-term growth rates and operating margins. These assumptions are based on estimates of future revenue and earnings after considering such factors as general economic and market conditions which drive key assumptions of revenue growth rates, operating margins, capital expenditures and working capital requirements. The weighted average cost of capital is based on market-based factors/inputs but also considers the specific risk characteristics of the reporting unit’s cash flow forecast. A significant change to these estimates and assumptions could cause the estimated fair values of our reporting units and intangible assets to decline and increase the risk of an impairment charge to

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earnings. Intangible assets with finite lives are assessed for impairment whenever events or changes in circumstances indicate that the carrying value may not be recoverable.

We did not identify any qualitative factors that would trigger a quantitative goodwill impairment test during the nine months ended September 30, 2023. We will perform our annual impairment test as of October 31, 2023.

2022 Goodwill Impairment Test

On October 31, 2022, the Company performed its annual goodwill impairment test for fiscal year 2022. As a result of BHG announcing its plan to exit its IFP line of business in 2023, thus negatively impacting the Company’s future revenues from such partner, the Company elected to forego the qualitative assessment and proceed directly to the quantitative assessment of the goodwill impairment test for that specific reporting unit. In doing so, we estimated the fair value of the reporting unit by considering a discounted cash flow valuation approach (“income approach”). In determining the estimated fair value using the income approach, we projected future cash flows based on management’s estimates and long-term plans and applied a discount rate based on the Company’s weighted average cost of capital. This analysis required us to make judgments about revenues, expenses, fixed asset and working capital requirements, capital market assumptions, cash flows and discount rates. The quantitative analysis of the reporting unit showed that the fair value exceeded the carrying value. Contracts with our customers may be cancelled or renegotiated and future revenue growth is dependent on winning new contracts. Further, the impairment analysis is particularly sensitive to changes in the projected revenue growth rates and expenses and the discount rate. Changes in these key assumptions such as a significant unfavorable change to our forecasted cash flows due to being unsuccessful in winning certain contracts or certain of our contracts being cancelled or renegotiated by our customers, could result in a revision of management’s estimates and could result in impairment charges in the future, which could be material to our results of operations. We will continue to monitor for such changes in facts or circumstances, which may be indicators of potential impairment triggers.

For the remaining reporting units, after assessing the totality of events and circumstances including the results of our previous valuations, no events occurred or circumstances changed during the period under consideration that would, more likely than not, reduce the fair value of any reporting unit below their carrying amount. Therefore, the Company concluded that the quantitative assessment was not required. For all reporting units, it was determined that as of October 31, 2022, no impairment of goodwill had occurred.

Adoption of New Accounting Standards

In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity. The ASU simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU removes the separation models for convertible debt with a cash conversion feature or convertible instruments with a beneficial conversion feature and no longer permits the use of the treasury stock method from calculating earnings per share. As a result, after adopting the ASU’s guidance, we will not separately present in equity an embedded conversion feature of such debt. Instead, we will account for a convertible debt instrument wholly as debt unless (i) a convertible instrument contains features that require bifurcation as a derivative or (ii) a convertible debt instrument was issued at a substantial premium. Additionally, the ASU removes certain conditions for equity classification related to contracts in an entity’s own equity (e.g., warrants) and amends certain guidance related to the computation of earnings per share for convertible instruments and contracts on an entity’s own equity. The Company adopted the standard using a modified retrospective method as of January 1, 2022, with adjustments which reduced additional paid-in capital by $106.2 million and increased retained earnings by $39.8 million and increased the net carrying amount of the 2024 Notes and 2025 Notes by $25.1 million and $41.3 million.

In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This ASU clarifies that an acquirer of a business should recognize and measure contract assets and contract liabilities in a business combination in accordance with ASC Topic 606, Revenue from Contracts with Customers. The Company adopted this standard starting in the first quarter of 2023, which did not have a material impact on our consolidated financial statements.

RESULTS OF OPERATIONS

Evolent Health, Inc. is a holding company and its principal asset is all of the Class A common units in Evolent Health LLC, which has owned all of our operating assets and substantially all of our business since inception. The financial results of Evolent Health LLC are consolidated in the financial statements of Evolent Health, Inc.

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Key Components of our Results of Operations

Revenue

Our revenue contracts are typically multi-year arrangements with customers to provide solutions designed to lower the medical expenses of our partners and include our total cost of care and specialty care management services, provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers.

Our performance obligation in these arrangements is to provide an integrated suite of services, including access to our platform that is customized to meet the specialized needs of our customers and members. Generally, we will apply the series guidance to the performance obligation as we have determined that each time increment is distinct. We primarily utilize a variable fee structure for these services that typically includes a monthly payment that is calculated based on a specified per member per month rate, multiplied by the number of members that our partners are managing under a value-based care arrangement or a percentage of plan premiums. Our arrangements may also include other variable fees related to service level agreements, shared medical savings arrangements and other performance measures. Variable consideration is estimated using the most likely amount based on our historical experience and best judgment at the time.

We enter into capitation arrangements that may include performance-based arrangements and/or gainshare features. We occasionally use third parties to assist in satisfying our performance obligations. In order to determine whether we are the principal or agent in the arrangement, we review each third-party relationship on a contract by contract basis. As we integrate goods and services provided by third parties into our overall service, we control the services provided to the customer prior to its delivery. As such, we are the principal and we will recognize revenue on a gross basis. In certain cases, we act as an agent and do not control the services from third parties before it is delivered to the customer, thereby recognizing revenue on a net basis.

Due to the nature of our arrangements, certain estimates may be constrained if it is probable that a significant reversal of revenue will occur when the uncertainty is resolved. We recognize revenue from services over time using the time elapsed output method. Fixed consideration is recognized ratably over the contract term. In accordance with the series guidance, we allocate variable consideration to the period to which the fees relate.

Contracts with Multiple Performance Obligations

Our contracts with customers may contain multiple performance obligations, primarily when the customer has requested both implementation and ongoing services as these services are distinct from one another. When a contract has multiple performance obligations, we allocate the transaction price to each performance obligation based on the relative standalone selling price using the expected cost margin approach. This approach requires estimates regarding both the level of effort it will take to satisfy the performance obligation as well as fees that will be received under the variable pricing model. We also take into consideration customer demographics, current market conditions, the scope of services and our overall pricing strategy and objectives when determining the standalone selling price.

Cost of Revenue (exclusive of depreciation and amortization)

Our cost of revenue includes direct expenses and shared resources that perform services in direct support of customers. Costs consist primarily of claims expense, employee-related expenses (including compensation, benefits and stock-based compensation), expenses for TPA support and other services, as well as other professional fees. In certain cases, our cost of revenue also includes claims and capitation payments to providers and payments for pharmaceutical treatments and other health care expenditures through performance-based arrangements.

Selling, General and Administrative Expenses

Our selling, general and administrative expenses consist of employee-related expenses (including compensation, benefits and stock-based compensation) for selling and marketing, corporate development, finance, legal, human resources, corporate information technology, professional fees and other corporate expenses associated with these functional areas. Selling, general and administrative expenses also include costs associated with our centralized infrastructure and research and development activities to support our network development capabilities, claims processing services, including PBM administration, technology infrastructure, clinical program development and data analytics.

Depreciation and Amortization Expense

Depreciation and amortization expenses consist of the amortization of intangible assets associated with the step up in fair value of Evolent Health LLC’s assets and liabilities for the Offering Reorganization, amortization of intangible assets recorded as part of our

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various business combinations and asset acquisitions and depreciation of property and equipment, including the amortization of capitalized software.

Lives on Platform and PMPM Fees

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

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

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

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

Due to our change in segments during the first quarter of 2023, the Company changed its presentation of Lives on Platform to reflect the membership that corresponds to quarterly revenue. The Company recast periods prior to the first quarter of 2023 to reflect the current presentation of Lives on Platform, PMPM fees, Cases and Revenue per Case. The current Performance Suite maps to the prior disclosure of the Clinical Solutions Performance Suite. The current Specialty Technology and Services Suite maps to the prior disclosure of the Clinical Solutions New Century Health Technology and Services Suite. The current Administrative Services maps to the prior disclosure of Evolent Health Services segment. There has been no change in the presentation of Cases from prior period.

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Evolent Health, Inc. Consolidated Results

(in thousands, except percentages)	For the Three Months Ended September 30, 2023						Change Over Prior Period			For the Nine Months Ended September 30,						Change Over Prior Period
	2023			2022			$		%	2023			2022			$		%
Revenue	$	511,015		$	352,585		$	158,430	44.9%	$	1,407,841		$	969,581		$	438,260	45.2%
Expenses
Cost of revenue	386,585			266,617			119,968		45.0%	1,048,998			736,061			312,937		42.5%
Selling, general and administrative expenses	96,567			68,521			28,046		40.9%	276,682			186,408			90,274		48.4%
Depreciation and amortization expenses	32,404			17,196			15,208		88.4%	93,813			47,414			46,399		97.9%
Loss on disposal of assets	2,097			—			2,097		—%	2,097			—			2,097		—%
Right-of-use assets impairment	—			—			—		—%	24,065			—			24,065		—%
Change in fair value of contingent consideration	11,300			(12,700)			24,000		189.0%	12,047			(5,822)			17,869		306.9%
Total operating expenses	528,953			339,634			189,319		55.7%	1,457,702			964,061			493,641		51.2%
Operating income (loss)	$	(17,938)		$	12,951		$	(30,889)	(238.5)%	$	(49,861)		$	5,520		$	(55,381)	(1,003.3)%
Cost of revenue as a % of revenue	75.7		%	75.6		%				74.5		%	75.9		%
Selling, general and administrative expenses as a % of revenue	18.9		%	19.4		%				19.7		%	19.2		%

Comparison of the Results for Three Months Ended September 30, 2023 to 2022

Revenue

Total revenue increased by $158.4 million, or 44.9%, to $511.0 million for the three months ended September 30, 2023, as compared to 2022. This increase is primarily due to $70.6 million from our acquisitions of and launches of new integrated products with NIA and IPG and $87.8 million from the addition of new partners and expansion with existing partners.

The following table represents Evolent’s revenue disaggregated by end-market (in thousands):

	For the Three Months Ended September 30,
	2023		2022
Medicaid	$	195,259	$	139,718
Medicare	208,166		117,967
Commercial and other	107,590		94,900
Total	$	511,015	$	352,585

The following table represents the Company’s Lives on Platform, Cases, PMPM fees and revenue per case for the three months ended September 30, 2023 and 2022 (Lives on Platform in thousands):

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	Average Lives on Platform/ Cases		Average PMPM Fees / Revenue per Case
	For the Three Months Ended September 30,		For the Three Months Ended September 30,
	2023	2022	2023		2022
Performance Suite	3,906	2,527	$	27.63	$	27.02
Specialty Technology and Services Suite	72,381	14,851	0.37		0.29
Administrative Services	1,832	2,099	12.50		16.41
Cases	15	13	2,490		2,201
Average Unique Members	41,721	16,625

Cost of Revenue

Cost of revenue increased by $120.0 million, or 45.0%, to $386.6 million for the three months ended September 30, 2023, as compared to 2022, principally as a result of the growth in our revenue. The increase included approximately $88.9 million from higher claims cost from acquisitions and transition from ASO to risk based contracts for certain customers, $22.0 million of higher personnel costs due to increased headcount from the acquisition of NIA, employee benefit, bonus accruals for employees and severance payments to former employees, network gainshare expenses of $8.8 million, and $9.1 million of surgical management costs. These increases were offset in part by a decrease of $6.5 million in professional fees due primarily to lower costs incurred for contracts that went live during the quarter and third-party service fees for existing customers and third party staffing fees.

Approximately $51.0 thousand and $1.0 million of total personnel costs in costs of revenue was attributable to stock-based compensation expense for the three months ended September 30, 2023, and 2022, respectively. Cost of revenue represented 75.7% and 75.6% of total revenue for the three months ended September 30, 2023, and 2022, respectively. We expect our cost of revenue to decrease as a percentage of total revenue over the longer-term subject to the composition of our growth.

Selling, General and Administrative Expenses

Selling, general, and administrative expenses increased by $28.0 million, or 40.9%, to $96.6 million for the three months ended September 30, 2023, as compared to 2022, principally as a result of our acquisitions and employee costs across all business units. The increase was primarily driven by $11.4 million of higher personnel costs due to increased headcount, employee benefit, bonus accruals for employees and severance payments to former employees, higher stock compensation of $4.2 million due to the achievement and change in projected achievement of certain performance measurements, severance costs and acquisition-related costs of $2.5 million, and bad debt expense of $3.2 million.

Approximately $10.2 million and $6.0 million of total personnel costs were attributable to stock-based compensation expense for the three months ended September 30, 2023, and 2022, respectively. Acquisition and severance costs accounted for approximately $2.5 million and $3.6 million of total selling, general and administrative expenses for the three months ended September 30, 2023, and 2022, respectively. Selling, general and administrative expenses represented 18.9% and 19.4% of total revenue for the three months ended September 30, 2023, as compared to 2022, respectively. While our selling, general and administrative expenses are expected to grow as we integrate NIA operations and implement our repositioning plan, we expect them to decrease as a percentage of our total revenue over the long-term due to cost saving initiatives.

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Depreciation and Amortization Expenses

Depreciation and amortization expenses increased $15.2 million, or 88.4%, to $32.4 million for the three months ended September 30, 2023, as compared to 2022 due primarily to $12.3 million of amortization of intangible assets acquired through our acquisitions and $1.9 million of accelerated amortization of trade name intangibles due to our consolidation of trade names under Evolent. We expect depreciation and amortization expenses to increase in future periods as we continue to capitalize internal-use software and amortize intangible assets resulting from asset acquisitions and business combinations.

Change in Fair Value of Contingent Consideration

We recorded a loss (gain) on change in fair value of contingent consideration of $11.3 million for the three months ended September 30, 2023, related to the liabilities acquired as a result of the acquisitions of NIA in January 2023 and IPG in August 2022, and $(12.7) million for the three months ended September 30, 2022, primarily related to liabilities acquired as a result of the acquisition of Vital Decisions. See “Part I - Item 1. Financial Statements - Note 17” in this Form 10-Q for more information related to changes in the fair value of contingent consideration.

Comparison of the Results for Nine Months Ended September 30, 2023 to 2022

Revenue

Total revenue increased by $438.3 million, or 45.2%, to $1,407.8 million for the nine months ended September 30, 2023, as compared to 2022. This increase is primarily due to $243.2 million from our acquisitions of and launches of new integrated products with NIA and IPG and $195.1 million from the addition of new partners and expansion with existing partners.

The following table represents Evolent’s revenue disaggregated by end-market (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Medicaid	$	587,611	$	410,226
Medicare	474,535		336,365
Commercial and other	345,695		222,990
Total	$	1,407,841	$	969,581

The following table represents the Company’s Lives on Platform, Cases, PMPM fees and revenue per case for the nine months ended September 30, 2023 and 2022 (Lives on Platform in thousands):

	Average Lives on Platform/ Cases		Average PMPM Fees / Revenue per Case
	For the Nine Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023		2022
Performance Suite	3,653	2,051	$	25.56	$	31.64
Specialty Technology and Services Suite	68,613	14,763	0.36		0.29
Administrative Services	1,837	2,083	13.88		16.35
Cases	46	24	2,517		1,700
Average Unique Members	41,594	16,011

Cost of Revenue

Cost of revenue increased by $312.9 million, or 42.5%, to $1,049.0 million for the nine months ended September 30, 2023, as compared to 2022, principally as a result of the growth in our revenue. The increase included approximately $198.1 million from higher claims cost from acquisitions and transition from ASO to risk based contracts for certain customers, $78.2 million of higher personnel costs due to increased headcount from our acquisitions, employee benefit, bonus accruals for employees and severance payments to former employees and $57.9 million of surgical management costs at IPG. These increases were offset in part by a decrease of $22.1 million in professional fees due primarily to the termination of external staffing contracts and other customer

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focused services and a decrease of $9.9 million from a decrease in TPA fees from the wind down of contracts. Approximately $1.6 million and $3.0 million of total personnel costs in costs of revenue was attributable to stock-based compensation expense for the nine months ended September 30, 2023, and 2022, respectively. Cost of revenue represented 74.5% and 75.9% of total revenue for the nine months ended September 30, 2023, and 2022, respectively. We expect our cost of revenue to decrease as a percentage of total revenue over the longer-term subject to the composition of our growth.

Selling, General and Administrative Expenses

Selling, general, and administrative expenses increased by $90.3 million, or 48.4%, to $276.7 million for the nine months ended September 30, 2023, as compared to 2022, principally as a result of our acquisitions and employee costs across all business units. The increase was primarily driven by the NIA transition services administration fee of $23.2 million, higher personnel fees due to increased headcount from the acquisition of NIA and expected benefit accruals to employees of $22.0 million, higher stock compensation of $11.9 million due to the achievement and change in projected achievement of certain performance measurements, higher bad debt expense of $4.4 million due to collection timing from our customers, technology services due to higher headcount of $2.8 million, $1.0 million of severance costs and acquisition costs of $14.2 million.

Approximately $28.3 million and $16.4 million of total personnel costs were attributable to stock-based compensation expense for the nine months ended September 30, 2023, and 2022, respectively. Acquisition and severance costs accounted for approximately $15.2 million and $7.5 million of total selling, general and administrative expenses for the nine months ended September 30, 2023, and 2022, respectively. Selling, general and administrative expenses represented 19.7% and 19.2% of total revenue for the nine months ended September 30, 2023, as compared to 2022, respectively. While our selling, general and administrative expenses are expected to grow as we integrate NIA operations and implement our repositioning plan, we expect them to decrease as a percentage of our total revenue over the long-term due to cost saving initiatives.

Depreciation and Amortization Expenses

Depreciation and amortization expenses increased $46.4 million, or 97.9%, to $93.8 million for the nine months ended September 30, 2023, as compared to 2022 due primarily to $40.0 million of amortization of intangible assets acquired through our acquisitions and $4.5 million of accelerated amortization of trade name intangibles due to our consolidation of trade names under Evolent. We expect depreciation and amortization expenses to increase in future periods as we continue to capitalize internal-use software and amortize intangible assets resulting from asset acquisitions and business combinations.

Right-of-Use Asset Impairment

During the nine months ended September 30, 2023, the Company decommissioned its Chicago, IL lease and wrote off the associated right-of-use asset, recognizing an impairment charge of $24.1 million in right-of-use assets impairment on the consolidated statements of operations.

Change in Fair Value of Contingent Consideration

We recorded a loss (gain) on change in fair value of contingent consideration of $12.0 million for the nine months ended September 30, 2023, related to the liabilities acquired as a result of the acquisitions of NIA in January 2023 and IPG in August 2022, and $(5.8) million for the nine months ended September 30, 2022, primarily related to liabilities acquired as a result of the acquisition of Vital Decisions and IPG. See “Part I - Item 1. Financial Statements - Note 17” in this Form 10-Q for more information related to changes in the fair value of contingent consideration.

Discussion of Non-Operating Results

Interest Expense

Our interest expense is primarily attributable to our Credit Agreement with Ares Capital Corporation as well as the 2024 Notes and 2025 Convertible Notes. We recorded interest expense (including amortization of deferred financing costs) of approximately $14.6 million and $42.0 million for the three and nine months ended September 30, 2023, respectively, and $4.8 million and $9.1 million for the three and nine months ended September 30, 2022, respectively. The increase in interest expense for the three and nine months ended September 30, 2023, as compared to 2022, is driven primarily by $10.5 million and $35.4 million of interest expense incurred on our Loans to fund the NIA and IPG acquisitions, offset by decreases of $0.6 million and $2.5 million due to the exchange of our 2024 Notes in August 2022. We expect interest expense to increase during 2023, however, we are focused on deleveraging the balance

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sheet in the long-term thereby decreasing interest expense. See “Part I - Item 1. Financial Statements - Note 9” in this Form 10-Q for more information related to interest expense.

Loss on Repayment of Long-Term Debt, Net

On August 11, 2022, the Company entered into exchange agreements with certain holders of the 2024 Notes. Pursuant to the agreements, these holders exchanged $92.8 million in aggregate principal amount of such notes for shares of the Company’s Class A common stock. On August 17 and 18, 2022, the Company consummated the exchanges and issued an aggregate of 5,394,165 shares of Class A common stock to the holders. The August 2022 exchanges of the 2024 Notes resulted in a $10.2 million loss on repayment of debt, net, on the consolidated statements of operations and comprehensive income (loss).

Change in Tax Receivables Agreement Liability

Due to the reduction in the Company’s valuation allowance primarily resulting from deferred tax liabilities established as part of the NIA acquisition, the Company has recorded the remaining TRA liability of $66.2 million for the nine months ended September 30, 2023, resulting in a total TRA liability of $112.1 million as of September 30, 2023.

Benefit from Income Taxes

An income tax benefit of $5.6 million and $74.7 million was recognized for the three and nine months ended September 30, 2023, respectively, which resulted in effective tax rates of 18.0% and 48.4%, respectively. An income tax benefit of $45.5 million and $44.5 million was recognized for the three and nine months ended September 30, 2022, respectively, which resulted in effective tax rates of 104.9% and 85.8%, respectively.

REVIEW OF CONSOLIDATED FINANCIAL CONDITION

Liquidity and Capital Resources

The Company reported net loss attributable to common shareholders of Evolent Health, Inc. of $(100.9) million and $(7.8) million for the nine months ended September 30, 2023, and 2022, respectively. Net cash and restricted cash provided by (used in) operating activities was $53.2 million and $(47.2) million for the nine months ended September 30, 2023, and 2022, respectively.

As of September 30, 2023, the Company had $184.5 million of cash and cash equivalents and $40.0 million in restricted cash and restricted investments.

We believe our current cash and cash equivalents will be sufficient to meet our working capital and capital expenditure requirements for at least the next twelve months. Our future capital requirements will depend on many factors, including our rate of revenue growth, the expansion of our sales and marketing activities and the timing and extent of our spending to support our investment efforts and expansion into other markets. We may also seek to invest in, or acquire complementary businesses, applications or technologies, which may require us to seek sources of financing.

Cash Flows

The following summary of cash flows (in thousands) has been derived from our financial statements included in “Part I - Item 1. Financial Statements - Consolidated Statements of Cash Flows:”

	For the Nine Months Ended September 30,
	2023		2022
Net cash and restricted cash provided by (used in) operating activities	$	53,201	$	(47,248)
Net cash and restricted cash used in investing activities	(409,492)		(254,659)
Net cash and restricted cash provided by financing activities	365,692		142,395

Operating Activities

Cash flows provided by operating activities of $53.2 million for the nine months ended September 30, 2023 were primarily due to our net loss of $79.6 million, non-cash items including depreciation and amortization expenses of $93.8 million, stock-based compensation expense of $29.9 million, deferred tax benefit of $(78.2) million, impairment of the right-of-use asset connected to our Chicago, IL office lease of $24.1 million and change in our tax receivables liability of $66.2 million. Our operating cash inflows were affected by the timing of our customer and vendor payments primarily driven by lower cash receipts from certain customers of approximately $98.4 million and additional increases in accounts receivable from our acquisition of NIA of $38.5 million combined

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with a reduction of our accrued compensation and employee benefits due to end of year bonus payments and severance of $(8.8) million, offset in part by higher reserve for claims and performance-based arrangements of $100.0 million and restricted cash held for claims processing services of $7.9 million.

Cash flows used in operating activities of $47.2 million for the nine months ended September 30, 2022 were primarily due to our net loss of $7.8 million, non-cash items including depreciation and amortization expenses of $47.4 million, stock-based compensation expense of $19.4 million, deferred tax benefit of $(46.4) million, amortization of contract cost assets of $14.8 million, loss on extinguishment of debt of $10.2 million, change in fair value of contingent consideration of $(5.8) million and change in our tax receivables liability of $42.9 million. Our operating cash outflows were affected by the timing of our customer and vendor payments driven by increases in accounts receivables and reductions in reserves for claims and performance-based arrangements, accrued compensation and employee benefits and accrued liabilities contributed approximately $112.7 million to our cash outflows.

Investing Activities

Cash flows used in investing activities of $409.5 million in the nine months ended September 30, 2023 were primarily attributable to $388.2 million paid for the acquisition of NIA and $22.7 million of investments in internal-use software and purchases of property and equipment.

Cash flows used in investing activities of $254.7 million in the nine months ended September 30, 2022 were primarily attributable to $245.0 million paid for the acquisition of IPG, $9.2 million paid for a purchase price adjustment related to our disposal of True Health New Mexico and $27.6 million of investments in internal-use software and purchases of property and equipment offset, in part by $23.0 million from the transfer of membership and release of Passport escrow and $4.2 million from returns from our equity method investments.

Financing Activities

Cash flows provided by financing activities of $365.7 million in the nine months ended September 30, 2023, were primarily related to $256.1 million received from our Acquisition Facilities in connection with our Credit Agreement and $168.0 million from the issuance of preferred equity, offset in part, by $47.5 million of cash outflows related to the payment on our Acquisition Facilities, $13.6 million of preferred dividends paid on our Series A Preferred Stock and $14.3 million from withholding taxes paid in respect of vested restricted stock units that were net settled.

Cash flows used in financing activities of $142.4 million in the nine months ended September 30, 2022 were primarily related to $219.7 million received from our 2022 Credit Agreement offset in part by $48.3 million of cash outflows related to claims processing services on behalf of partners and $17.4 million from taxes withheld for restricted stock unit vesting.

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Contractual and Other Obligations

We believe that the amount of cash and cash equivalents on hand and cash flows from operations will be adequate for us to execute our business strategy and meet anticipated requirements for lease obligations, capital expenditures working capital and debt service for 2023. Our estimated contractual obligations (in thousands) as of September 30, 2023, were as follows:

	2023		2024-2025		2026-2027		2028+		Total
Operating leases for facilities	$	8,963	$	18,107	$	15,559	$	21,317	$	63,946
Purchase obligations related to vendor contracts	5,456		6,453		1,466		—		13,375
Convertible notes interest payments	1,306		5,175		—		—		6,481
Convertible notes principal repayment	1,000		172,500		—		—		173,500
Contingent consideration	46,900		77,700		—		—		124,600
Total contractual obligations	$	63,625	$	279,935	$	17,025	$	21,317	$	381,902

As of September 30, 2023, we had $405.0 million of aggregate principal amount in a secured term loan, $37.5 million of aggregate principal amount in a secured revolving credit facility. All Loans under the Credit Agreement will mature in 2029. The interest rate for all Loans will be calculated, at the option of the borrowers, (a) in the case of a term loan, at either the Adjusted Term SOFR Rate (as defined in the Credit Agreement) plus 6.00%, or the base rate plus 5.00% and (b) in the case of a revolving loan, at either the Adjusted Term SOFR Rate plus 4.00%, or the base rate plus 3.00%.

Also, as of September 30, 2023, we had 175,000 shares of the Company’s newly created Cumulative Series A Convertible Preferred Shares. Regular dividends on the Series A Preferred Stock will be paid quarterly in cash in arrears at a rate per annum equal to Adjusted Term SOFR (as defined in the Certificate of Designations) plus 6.00%. The regular dividend rate will also increase by 2.0% per annum upon the occurrence and during the continuance of certain triggering events.

Accounts Receivable, net

Accounts receivable are recorded and carried at the original invoiced amount less an allowance for any potential uncollectible amounts. During the nine months ended September 30, 2023, accounts receivable, net, increased due primarily to the timing of cash receipts from certain customers combined with $28.1 million of receivables acquired as part of the NIA acquisition.

Restricted Cash and Restricted Investments

Restricted cash and restricted investments of $40.0 million is carried at cost and includes cash held on behalf of other entities for pharmacy and claims management services of $21.7 million, collateral for letters of credit required as security deposits for facility leases of $2.1 million, amounts held with financial institutions for risk-sharing arrangements of $16.1 million as of September 30, 2023. See “Part I - Item 1. Financial Statements - Note 2” for further details of the Company’s restricted cash balances.

Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets are carried at cost and includes prepaid expenses and non-trade accounts receivable. During the three and nine months ended September 30, 2023, prepaid insurance increased as a result of higher premiums and acquisition of NIA.

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Goodwill and Intangible Assets

We recognize the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired as goodwill. Identified intangible assets are recorded at their estimated fair values at the date of acquisition and are amortized over their respective estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are used. As part of our acquisition of NIA in January 2023 we added $404.0 million of intangible assets and $395.2 million of goodwill. As part of our acquisition of IPG in August 2022, we added $195.7 million of intangible assets and $296.6 million of goodwill. See “Part I - Item 1. Financial Statements - Note 4” for further details of the Company’s restricted cash balances.

Tax Receivables Agreement

In connection with the Offering Reorganization, we entered into the TRA with the holders of Class B common units. The agreement requires us to pay to such holders 85% of the cash savings, if any, in U.S. federal, state and local, and foreign income tax (as applicable) we realize as a result of any deductions attributable to the increase in tax basis following the Class B Exchanges or deductions attributable to imputed interest or future increases in tax basis following payments made under the TRA. Additionally, pursuant to the same agreement we will pay the former stockholders of Evolent Health Holdings 85% of the amount of the cash savings, if any, in U.S. federal, state and local, and foreign income tax that we realize as a result of the utilization of the NOLs of Evolent Health Holdings (and the affiliate of TPG) attributable to periods prior to the Offering Reorganization, approximately $79.3 million, as well as deductions attributable to imputed interest on any payments made under the agreement. Payments under the TRA are due within 100 days of filing the Company’s annual U.S. Federal income tax return. The Company has recorded a TRA liability of $112.1 million as of September 30, 2023. See “Part I - Item 1. Financial Statements - Note 15” for further details of the Company’s TRA.

Uses of Capital

Our principal uses of cash are in the operation and expansion of our business, payment of interest on our convertible debt and secured borrowings and payment of preferred dividends. The Company does not anticipate paying a cash dividend on our Class A common stock in the foreseeable future.

53

Item 3. Quantitative and Qualitative Disclosures About Market Risk

We are exposed to market risks in the ordinary course of our business. Market risk represents the risk of loss that may impact our financial position due to adverse changes in financial market prices and rates.

Interest Rate Risk

As of September 30, 2023, the Company had cash and cash equivalents and restricted cash and restricted investments of $224.5 million, which consisted of bank deposits with FDIC participating banks of $221.6 million and bank deposits in international banks of $2.9 million.

Changes in interest rates affect the interest earned on our cash and cash equivalents (including restricted cash). We do not enter into investments for trading or speculative purposes and have not used any derivative financial instruments to manage our interest rate risk exposure.

As of September 30, 2023, we had $173.5 million of aggregate principal amount of convertible notes outstanding, which are fixed rate instruments and not subject to fluctuations in interest rates. In addition, as of September 30, 2023, we had $405.0 million of aggregate principal amount in a secured term loan, $37.5 million of aggregate principal amount in a secured revolving credit facility and $175.0 million of Series A Preferred Stock outstanding, all of which are floating rate instruments based on the SOFR and subject to fluctuations in interest rates. In the case of (a) the term loan, interest is calculated at either the Adjusted Term SOFR Rate (as defined in the Credit Agreement) plus 6.00%, or the base rate plus 5.00%, (b) in the case of a revolving loan, interest is calculated at either the Adjusted Term SOFR Rate plus 4.00%, or the base rate plus 3.00% and (c) in the case of the Series A Preferred Stock, dividends are to be paid quarterly in cash in arrears at a rate per annum equal to Adjusted Term SOFR (as defined in the Certificate of Designation) plus 6.00%. For every 1% increase in SOFR, the Company would record additional interest expense of $4.4 million per annum and preferred dividends of $1.8 million per annum.

Refer to the discussion in “Part I - Item 1. Financial Statements - Note 9” for additional information on our long-term debt.

Foreign Currency Exchange Risk

We have foreign currency risks related to our operating expenses denominated in currencies other than the U.S. dollar, primarily the Indian Rupee and the Philippine Peso. In general, we are a net payor of currencies other than the U.S. dollar. Accordingly, changes in exchange rates, and in particular a strengthening of the U.S. dollar, may, in the future, negatively affect our operating results as expressed in U.S. dollars. At this time, we have not entered into, but in the future, we may enter into, derivatives or other financial instruments in an attempt to hedge our foreign currency exchange risk. It is difficult to predict the effect hedging activities would have on our results of operations. We recognized a foreign currency translation loss of $0.2 million and $0.1 million for the three and nine months ended September 30, 2023, respectively, and $0.3 million and $0.7 million for the three and nine months ended September 30, 2022, respectively.

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Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our principal executive officer and principal financial officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, as of the end of the period covered by this Quarterly Report on Form 10-Q. The Chief Executive Officer (“CEO”) and the Chief Financial Officer (“CFO”), with assistance from other members of management, have reviewed the effectiveness of our disclosure controls and procedures as of September 30, 2023, based on their evaluation, have concluded that the disclosure controls and procedures were effective as of such date.

Changes in Internal Control over Financial Reporting

On January 20, 2023, we completed the acquisition of NIA. Under guidelines established by the SEC, companies are permitted to exclude acquisitions from their assessment of internal controls over financial reporting during the first year of an acquisition while integrating the acquired company. In conducting our evaluation of the effectiveness of our internal controls over financial reporting, we excluded NIA from our evaluation for the period ended September 30, 2023. NIA was acquired during the first quarter of 2023 and is a wholly-owned subsidiary whose total assets excluded from management's assessment represent 32.1% and total revenues excluded from management's assessment represent 11.9% of the related consolidated financial statement amounts as of and for the nine months ended September 30, 2023. We are in the process of integrating NIA into our system of internal controls over financial reporting.

Other than the foregoing, there have been no changes in our internal control over financial reporting that occurred in the quarterly period covered by this report that materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.

In addition, based on our evaluation, management concluded that our internal control over financial reporting was effective as of December 31, 2022.

Inherent Limitations of Internal Controls

Our management, including our principal executive officer and principal financial officer, does not expect that our disclosure controls and procedures or our internal controls over financial reporting will prevent all errors and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected. Although inherent limitations of internal controls will continue to be present, proper SOD controls and a whistle blower hotline are in place across the organization to minimize these limitations.

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PART II

Item 1. Legal Proceedings

The discussion of legal proceedings included within “Part I – Item 1. Financial Statements - Note 10 - Commitments and Contingencies - Litigation Matters” is incorporated by reference into this Item 1.

Item 1A. Risk Factors

Our significant business risks are described in Item 1A to our Annual Report on Form 10-K for the year ended December 31, 2022 (the “2022 Form 10-K”). These risk factors are supplemented for the items described below. The risks and uncertainties we describe are not the only ones facing us. Additional risks and uncertainties not presently known to us or that we currently deem immaterial may also impair our business or operations. Any adverse effect on our business, financial condition or operating results could result in a decline in the value of our securities and the loss of all or part of your investment.

Our business is subject to online security risks, and if we are unable to safeguard the security and privacy of confidential data, we may face significant liabilities and our reputation and business will be harmed.

Our services involve the collection, storage and analysis of confidential information, including intellectual property and personal information of employees, health providers and others, as well as protected health information of our partners’ patients. Because of the extreme sensitivity of this information, the security and privacy features of our computer, network, and communications systems infrastructure are very important. In certain cases, we provide such information to third parties, for example, to the service providers who provide hosting services for our technology platform, and we may be unable to control the use of such information or the security and privacy protections employed by such third parties. We may be required to expend significant capital and other resources to protect against security breaches and/or privacy incidents or to alleviate problems caused by security breaches and/or privacy incidents. Despite our implementation of security and privacy measures designed to help ensure data security and compliance with applicable laws and rules, our facilities and systems, and those of our third-party providers, are vulnerable to threats. Furthermore, our increased use of mobile and cloud technologies, including as a result of the shift to work-from-home arrangements as a result of the COVID-19 pandemic, has heightened these cybersecurity and privacy risks, including risks from cyber-attacks such as phishing, spam emails, hacking, social engineering, and malicious software including harmful malware and ransomware. Threat actors regularly attempt to gain access to our information and infrastructure through various techniques. These threats include cyber-attacks, the use of harmful malware or ransomware, security breaches, acts of vandalism or theft (including by employees), computer viruses, misplaced or lost data, programming and/or human errors, power outages, protected health information leakage from implementing third-party technology to process and share data, hardware failures or other similar events. To date we have not experienced a cybersecurity incident that has resulted in any material impact on our business, operations or financial results or on our ability to service our partners or run our business. However, past and future incidents, including if we are unable to effectively resolve breaches in a timely manner, could result in damage to the market perception of the effectiveness of our security and privacy measures and we could lose sales and partners, which could have a material adverse effect on our business, operations, and financial results. A cyber-attack that bypasses our, or our third-party providers’, security systems successfully could require us to expend significant resources to remediate any damage, and prevent future occurrences, interrupt our operations, damage our reputation and our relationship with our partners, expose us or other third parties to a risk of loss or misuse of confidential information, reduce demand for our products and services or subject us to significant liability through litigation as well as regulatory action.

Cyber-attacks continue to evolve in sophistication and volume and may remain undetected for an extended period. In addition, techniques used to obtain unauthorized access to information or to sabotage information technology systems change frequently. We have seen, and will continue to see, industry-wide vulnerabilities, such as the Log4j vulnerability reported in December 2021, which have and could in the future affect our or other parties’ systems. We expect to continue to experience such vulnerabilities in the future.

The costs of attempting to protect against cybersecurity risks and the costs of responding to cyber-attacks are significant. This could require us to expend significant resources to continue to modify or enhance our protective measures and to remediate any damage. While we maintain insurance covering certain security and privacy damages and claim expenses, we may not carry insurance or maintain coverage sufficient to compensate for all liability and such insurance may not be available for renewal on acceptable terms or at all, and in any event, insurance coverage would not address the reputational damage that could result from a security incident.

New data security and privacy laws and regulations are being implemented rapidly and are evolving, and we may not be able to timely comply with such requirements, and such requirements may not be compatible with our current processes. For example, regulators in the United States and globally are also inquiring more about and imposing greater monetary fines for privacy violations. In the last year, the FTC has announced that it will begin enforcing the Health Breach Notification Rule, and entered into a consent order with a $1.5 million fine. The FTC and many states (including California, Utah, Colorado, Virginia and Connecticut) have specific

56

requirements for collecting and processing certain data including data minimization, data de-identification, opt out rights, deletion and sharing. Changing our processes could be time consuming and expensive, and failure to timely implement required changes could subject us to liability for non-compliance.

The failure of any bank in which we deposit our funds could reduce the amount of cash we have available to pay distributions and make additional investments.

The Federal Deposit Insurance Corporation only insures amounts up to $250,000 per depositor. It is likely that we will have cash and cash equivalents and restricted cash deposited in certain financial institutions in excess of federally insured levels. Recently, we have seen the abrupt failure of more than one regional bank. Although we did not experience any loss related to these failures, if any of the banking institutions in which we deposit funds ultimately fails, we may lose any amounts of our deposits over federally insured levels. The loss of our deposits could reduce the amount of cash we have available to distribute or invest and could result in a decline in our value.

Failure to accurately underwrite performance-based contracts could result in a reduction in profitability for our specialty care management solution.

Our specialty care management solutions derive a portion of their revenue from arrangements under which they assume responsibility for a portion of the total cost of treatments (for oncology, cardiology, radiology, musculoskeletal, physical medicine, and genetics patients) in exchange for a fixed fee. These are typically referred to as “performance-based contracts”. If the Company is unable to accurately underwrite the health care cost risk for New Century Health and NIA and control associated costs, for example due to changes in the delivery system; changes in utilization patterns, including post-pandemic as we may experience increased utilization due to higher demand for elective procedures that were not performed during the pandemic; changes in the number of members seeking treatment; unforeseen fluctuations in claims backlogs; unforeseen increases in the costs of the services; the occurrence of catastrophes; regulatory changes; and changes in benefit plan design, the Company’s profitability could decline. Moreover, costs of providing oncology, cardiology, radiology, musculoskeletal, physical medicine, genetics and other specialties are very hard to predict, in part as a result of rapidly changing utilization of new and existing drugs and changing diagnostic and therapeutic protocols. When generic drugs are not available or there are shortages, this has increased and in the future may increase our costs, and has impacted and in the future may impact our profitability. Further, the competitive environment for our performance-based products, and customer demands or expectations as to margin levels could result in pricing pressures which could cause us to reduce our rates. A reduction in performance-based contract rates which are not accompanied by a reduction in covered services or expected underlying care trend could result in a decrease of our profitability and operating margins.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

Not applicable.

Item 3. Defaults Upon Senior Securities

Not applicable.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

On August 30, 2023, Seth Blackley, the Company’s Chief Executive Officer and a member of the Company’s Board of Directors, adopted a new trading plan for the sale of securities that is intended to satisfy the affirmative defense conditions of Rule 10b5-1 of the Securities Exchange Act of 1934 (the “Blackley Plan”). The first possible trade date under the Blackley Plan is December 5, 2023, and the end date of the Blackley Plan is May 31, 2024. The Blackley Plan is solely for the sale of securities to satisfy applicable tax withholding and other obligations upon the vesting of LSUs granted on June 4, 2020, and accordingly the aggregate amount of securities that may be sold is currently unknown as the number will vary based on the market price of the Company’s Class A common stock at the time of vesting.

57

Item 6. Exhibits

EVOLENT HEALTH, INC.

Exhibit Index

2.1*	Amendment No. 1 to Stock and Asset Purchase Agreement dated January 20, 2023, by and among Evolent Health, Inc., Evolent Health LLC, and Magellan Health, Inc. which was filed as Exhibit 2.6 to the Company’s Annual Report on Form 10-K filed with the SEC on February 24, 2023, and incorporated herein by reference.
2.2*	Amendment No. 2 to Stock and Asset Purchase Agreement dated February 17, 2023, by and among Evolent Health, Inc., Evolent Health LLC, and Magellan Health, Inc. which was filed as Exhibit 2.7 to the Company’s Annual Report on Form 10-K filed with the SEC on February 24, 2023, and incorporated herein by reference.
31.1	Certification of the Chief Executive Officer pursuant to section 302 of the Sarbanes-Oxley Act of 2002.
31.2	Certification of the Chief Financial Officer pursuant to section 302 of the Sarbanes-Oxley Act of 2002.
32.1	Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2	Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
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
104	The cover page from this Annual Report on Form 10-K, formatted as Inline XBRL

————————

* The Company agrees to furnish supplementally to the SEC a copy of any omitted schedule or exhibit upon the request of the SEC in accordance with Item 601(b)(2) of Regulation S-K.

58

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

EVOLENT HEALTH, INC.
Registrant
By:	/s/ John Johnson
Name:	John Johnson
Title:	Chief Financial Officer
By:	/s/ Aammaad Shams
Name:	Aammaad Shams
Title:	Chief Accounting Officer and Controller

Dated: November 2, 2023

59

EX-31.1

Exhibit 31.1

Certification Pursuant to Section 302 of the

Sarbanes-Oxley Act of 2002

I, Seth Blackley, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q 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:	November 2, 2023	/s/ Seth Blackley
		Name: Seth Blackley
		Title: Chief Executive Officer

EX-31.2

Exhibit 31.2

Certification Pursuant to Section 302 of the

Sarbanes-Oxley Act of 2002

I, John Johnson, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q 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:	November 2, 2023	/s/ John Johnson
		Name: John Johnson
		Title: Chief Financial Officer

EX-32.1

Exhibit 32.1

Certification Pursuant to 18 U.S.C. Section 1350,

As Adopted Pursuant to Section 906

Of the Sarbanes-Oxley Act of 2002

I, Seth Blackley, Chief Executive Officer of Evolent Health, Inc. (the “Company”), certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that:

1.The Quarterly Report on Form 10-Q of the Company for the quarter ended September 30, 2023 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) 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:	November 2, 2023	/s/ Seth Blackley
		Name: Seth Blackley
		Title: Chief Executive Officer

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

EX-32.2

Exhibit 32.2

Certification Pursuant to 18 U.S.C. Section 1350,

As Adopted Pursuant to Section 906

Of the Sarbanes-Oxley Act of 2002

I, John Johnson, Chief Financial Officer of Evolent Health, Inc. (the “Company”), certify, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, 18 U.S.C. Section 1350, that:

1.The Quarterly Report on Form 10-K of the Company for the quarter ended September 30, 2023 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) 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:	November 2, 2023	/s/ John Johnson
		Name: John Johnson
		Title: Chief Financial Officer

A signed original of this written statement required by Section 906 has been provided to the Company and will be retained by the Company and furnished to the Securities and Exchange Commission or its staff upon request.

XML

Cover - shares	9 Months Ended
	Sep. 30, 2023	Oct. 27, 2023
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	001-37415
Entity Registrant Name	Evolent Health, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	32-0454912
Entity Address, Address Line One	800 N. Glebe Road
Entity Address, Address Line Two	Suite 500
Entity Address, City or Town	Arlington
Entity Address, State or Province	VA
Entity Address, Postal Zip Code	22203
City Area Code	571
Local Phone Number	389-6000
Title of 12(b) Security	Class A Common Stock of Evolent Health, Inc., par value $0.01 per share
Trading Symbol	EVH
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding (in shares)		114,959,689
Entity Central Index Key	0001628908
Current Fiscal Year End Date	--12-31
Amendment Flag	false
Document Year Focus	2023
Document Fiscal Period Focus	Q3

XML

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands		Sep. 30, 2023	Dec. 31, 2022
Current assets:
Cash and cash equivalents		$ 184,536	$ 188,200
Restricted cash and restricted investments		23,208	14,492
Accounts receivable, net	[1]	394,232	254,684
Prepaid expenses and other current assets	[1]	36,822	20,678
Total current assets		638,798	478,054
Restricted cash and restricted investments		16,754	12,466
Investments in equity method investees		4,867	4,475
Property and equipment, net		79,902	87,874
Right-of-use assets - operating		17,406	49,027
Prepaid expenses and other noncurrent assets	[1]	3,264	2,378
Contract cost assets		13,413	17,461
Intangible assets, net		777,668	442,784
Goodwill		1,117,543	722,774
Total assets		2,669,615	1,817,293
Current liabilities:
Accounts payable	[1]	51,776	57,174
Accrued liabilities	[1]	193,961	111,198
Operating lease liability - current		12,966	7,122
Accrued compensation and employee benefits		50,095	52,460
Deferred revenue		5,763	5,758
Short-term debt, net		991	0
Reserve for claims and performance - based arrangements		299,742	199,730
Total current liabilities		615,294	433,442
Long-term debt, net		599,947	412,986
Other long-term liabilities		3,978	4,744
Tax receivables agreement liability		112,134	45,950
Operating lease liabilities - noncurrent		39,650	56,010
Deferred tax liabilities, net		26,913	4,744
Total liabilities		1,397,916	957,876
Commitments and Contingencies (See Note 10)
Mezzanine Equity
Preferred class A common stock - $0.01 par value; 50,000,000 shares authorized; 175,000 and 0 shares issued, respectively		175,606	0
Shareholders' Equity
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 114,789,963 and 101,500,558 shares issued, respectively		1,148	1,015
Additional paid-in-capital		1,803,116	1,486,857
Accumulated other comprehensive loss		(1,265)	(1,178)
Retained earnings (accumulated deficit)		(685,783)	(606,154)
Treasury stock, at cost; 1,537,582 shares issued, respectively		(21,123)	(21,123)
Total shareholders' equity		1,096,093	859,417
Total liabilities, mezzanine equity and shareholders' equity		$ 2,669,615	$ 1,817,293

[1] See Note 18 for amounts attributable to related parties included in these line items.

XML

CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Sep. 30, 2023	Dec. 31, 2022
Mezzanine Equity
Preferred class A common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred class A common stock, shares authorized	50,000,000	50,000,000
Preferred class A common stock, shares issued	175,000	0
Shareholders' Equity
Class A common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Class A common stock, shares authorized	750,000,000	750,000,000
Class A common stock, shares issued	114,789,963	101,500,558
Treasury stock, shares issued	1,537,582	1,537,582

XML

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) - USD ($) shares in Thousands, $ in Thousands		3 Months Ended		9 Months Ended
		Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Statement [Abstract]
Revenue	[1]	$ 511,015	$ 352,585	$ 1,407,841	$ 969,581
Expenses
Cost of revenue	[1]	386,585	266,617	1,048,998	736,061
Selling, general and administrative expenses	[1]	96,567	68,521	276,682	186,408
Depreciation and amortization expenses		32,404	17,196	93,813	47,414
Loss on disposal of assets		2,097	0	2,097	0
Right-of-use assets impairment		0	0	24,065	0
Change in fair value of contingent consideration		11,300	(12,700)	12,047	(5,822)
Total operating expenses		528,953	339,634	1,457,702	964,061
Operating income (loss)		(17,938)	12,951	(49,861)	5,520
Interest income		1,071	425	2,735	765
Interest expense		(14,614)	(4,754)	(41,967)	(9,143)
Gain from equity method investees		684	1,392	1,262	3,940
Loss on repayment on long-term debt, net		0	(10,192)	0	(10,192)
Change in tax receivables agreement liability		0	(42,870)	(66,184)	(42,870)
Other income (expense), net		(77)	(345)	(323)	130
Loss before income taxes		(30,874)	(43,393)	(154,338)	(51,850)
Benefit from income taxes		(5,550)	(45,516)	(74,709)	(44,498)
Income (loss) from continuing operations		(25,324)	2,123	(79,629)	(7,352)
Loss from discontinued operations, net of tax	[2]	0	0	0	(463)
Income (loss) before preferred dividends and accretion of Series A Preferred Stock		(25,324)	2,123	(79,629)	(7,815)
Dividends and accretion of Series A Preferred Stock		(7,872)	0	(21,236)	0
Net income (loss) attributable to common shareholders of Evolent Health, Inc. - Basic		(33,196)	2,123	(100,865)	(7,815)
Net income (loss) attributable to common shareholders of Evolent Health, Inc., Inc. - Diluted		$ (33,196)	$ 2,123	$ (100,865)	$ (7,815)
Basic:
Continuing operations (in dollars per share)		$ (0.30)	$ 0.02	$ (0.91)	$ (0.08)
Discontinued operations (in dollars per share)		0	0	0	(0.01)
Basic income (loss) per share attributable to common shareholders of Evolent Health, Inc, (in dollars per share)		(0.30)	0.02	(0.91)	(0.09)
Diluted:
Continuing operations (in dollars per share)		(0.30)	0.02	(0.91)	(0.08)
Discontinued operations (in dollars per share)		0	0	0	(0.01)
Diluted income (loss) per share attributable to common shareholders of Evolent Health, Inc, (in dollars per share)		$ (0.30)	$ 0.02	$ (0.91)	$ (0.09)
Weighted-average common shares outstanding
Basic (in shares)		112,282	95,286	110,464	91,643
Diluted (in shares)		112,282	99,308	110,464	91,643
Comprehensive income (loss)
Net income (loss) attributable to common shareholders of Evolent Health, Inc.		$ (33,196)	$ 2,123	$ (100,865)	$ (7,815)
Other comprehensive income (loss), net of taxes, related to:
Foreign currency translation adjustment		(151)	(262)	(87)	(682)
Total comprehensive income (loss) attributable to common shareholders of Evolent Health, Inc.		$ (33,347)	$ 1,861	$ (100,952)	$ (8,497)

[1] See Note 18 for amounts attributable to unconsolidated related parties included in these line items.

[2] Includes $(0.5) million loss on disposal for of discontinued operations for the nine months ended September 30, 2022.

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CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) (Parenthetical) $ in Millions	9 Months Ended
	Sep. 30, 2022 USD ($)
Income Statement [Abstract]
Loss on disposal of discontinued operations	$ (0.5)

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CONSOLIDATED STATEMENTS OF CHANGES IN MEZZANINE EQUITY AND SHAREHOLDERS’ EQUITY - USD ($) $ in Thousands	Total	Performance-Based Restricted Stock Units (PSUs)	Leveraged Stock Units (LSUs)	Cumulative-effect adjustment from adoption of ASC 2020-06	Class A Common Stock	Class A Common Stock Performance-Based Restricted Stock Units (PSUs)	Class A Common Stock Leveraged Stock Units (LSUs)	Additional Paid-In Capital	Additional Paid-In Capital Performance-Based Restricted Stock Units (PSUs)	Additional Paid-In Capital Leveraged Stock Units (LSUs)	Additional Paid-In Capital Cumulative-effect adjustment from adoption of ASC 2020-06	Accumulated Other Comprehensive Income (Loss)	Retained Earnings (Accumulated Deficit)	Retained Earnings (Accumulated Deficit) Cumulative-effect adjustment from adoption of ASC 2020-06	Treasury Stock
Beginning balance (in shares) at Dec. 31, 2021					90,759,000
Beginning balance at Dec. 31, 2021	$ 693,633			$ (66,383)	$ 908			$ 1,340,989			$ (106,172)	$ (362)	$ (626,779)	$ 39,789	$ (21,123)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based compensation expense	19,350							19,350
Exercise of stock options (in shares)					354,000
Exercise of stock options	3,280				$ 3			3,277
Restricted stock units vested, net of shares withheld for taxes (in shares)					452,000
Restricted stock units vested, net of shares withheld for taxes	(6,187)				$ 5			(6,192)
Stock units vested, net of shares withheld for taxes (in shares)					459,000
Stock units vested, net of shares withheld for taxes	(11,232)				$ 5			(11,237)
Exchange and conversion of 2024 notes (in shares)					5,394,000
Exchange and conversion of 2024 notes	101,999				$ 54			101,945
Shares issued for acquisition (in shares)					3,742,000
Shares issued for acquisition	130,175				$ 37			130,138
Foreign currency translation adjustment	(682)											(682)
Net loss attributable to common shareholders of Evolent Health, Inc.	(7,815)												(7,815)
Ending balance (in shares) at Sep. 30, 2022					101,160,000
Ending balance at Sep. 30, 2022	856,138				$ 1,012			1,472,098				(1,044)	(594,805)		(21,123)
Beginning balance (in shares) at Jun. 30, 2022					91,657,000
Beginning balance at Jun. 30, 2022	613,088				$ 916			1,231,005				(782)	(596,928)		(21,123)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based compensation expense	6,992							6,992
Exercise of stock options (in shares)					317,000
Exercise of stock options	2,971				$ 4			2,967
Restricted stock units vested, net of shares withheld for taxes (in shares)					50,000
Restricted stock units vested, net of shares withheld for taxes	(948)				$ 1			(949)
Exchange and conversion of 2024 notes (in shares)					5,394,000
Exchange and conversion of 2024 notes	101,999				$ 54			101,945
Shares issued for acquisition (in shares)					3,742,000
Shares issued for acquisition	130,175				$ 37			130,138
Foreign currency translation adjustment	(262)											(262)
Net loss attributable to common shareholders of Evolent Health, Inc.	2,123												2,123
Ending balance (in shares) at Sep. 30, 2022					101,160,000
Ending balance at Sep. 30, 2022	$ 856,138				$ 1,012			1,472,098				(1,044)	(594,805)		(21,123)
Beginning balance (in shares) at Dec. 31, 2022	0
Beginning balance at Dec. 31, 2022	$ 0
Increase (Decrease) in Temporary Equity [Roll Forward]
Issuance of series A preferred stock, net of issuance costs (in shares)	175,000
Issuance of series A preferred stock, net of issuance costs	$ 168,000
Net loss attributable to common shareholders of Evolent Health, Inc.	$ 7,606
Ending balance (in shares) at Sep. 30, 2023	175,000
Ending balance at Sep. 30, 2023	$ 175,606
Beginning balance (in shares) at Dec. 31, 2022	101,500,558				101,501,000
Beginning balance at Dec. 31, 2022	$ 859,417				$ 1,015			1,486,857				(1,178)	(606,154)		(21,123)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based compensation expense	29,898							29,898
Exercise of stock options (in shares)					1,106,000
Exercise of stock options	9,183				$ 11			9,172
Restricted stock units vested, net of shares withheld for taxes (in shares)					575,000
Restricted stock units vested, net of shares withheld for taxes	(10,373)				$ 5			(10,378)
Stock units vested, net of shares withheld for taxes (in shares)						202,000	760,000
Stock units vested, net of shares withheld for taxes		$ (3,975)	$ 0			$ 2	$ 8		$ (3,977)	$ (8)
Class A common stock issued for payment of earn-outs (in shares)					877,000
Class A common stock issued for payment of earn-outs	28,551				$ 9			28,542
Exchange and conversion of 2024 notes (in shares)					1,294,000
Exchange and conversion of 2024 notes	23,073				$ 13			23,060
Shares issued for acquisition (in shares)					8,475,000
Shares issued for acquisition	261,271				$ 85			261,186
Foreign currency translation adjustment	(87)											(87)
Net loss attributable to common shareholders of Evolent Health, Inc.	$ (100,865)							(21,236)					(79,629)
Ending balance (in shares) at Sep. 30, 2023	114,789,963				114,790,000
Ending balance at Sep. 30, 2023	$ 1,096,093				$ 1,148			1,803,116				(1,265)	(685,783)		(21,123)
Beginning balance (in shares) at Jun. 30, 2023	175,000
Beginning balance at Jun. 30, 2023	$ 172,829
Increase (Decrease) in Temporary Equity [Roll Forward]
Net loss attributable to common shareholders of Evolent Health, Inc.	$ 2,777
Ending balance (in shares) at Sep. 30, 2023	175,000
Ending balance at Sep. 30, 2023	$ 175,606
Beginning balance (in shares) at Jun. 30, 2023					113,083,000
Beginning balance at Jun. 30, 2023	1,093,219				$ 1,131			1,774,784				(1,114)	(660,459)		(21,123)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Stock-based compensation expense	10,222							10,222
Exercise of stock options (in shares)					330,000
Exercise of stock options	4,529				$ 3			4,526
Restricted stock units vested, net of shares withheld for taxes (in shares)					83,000
Restricted stock units vested, net of shares withheld for taxes	(1,603)				$ 1			(1,604)
Exchange and conversion of 2024 notes (in shares)					1,294,000
Exchange and conversion of 2024 notes	23,073				$ 13			23,060
Foreign currency translation adjustment	(151)
Net loss attributable to common shareholders of Evolent Health, Inc.	$ (33,196)							(7,872)					(25,324)
Ending balance (in shares) at Sep. 30, 2023	114,789,963				114,790,000
Ending balance at Sep. 30, 2023	$ 1,096,093				$ 1,148			$ 1,803,116				$ (1,265)	$ (685,783)		$ (21,123)

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash Flows Provided by (Used In) Operating Activities
Net loss before dividends declared and accretion of Series A preferred stock	$ (79,629)	$ (7,815)
Adjustments to reconcile net loss to net cash and restricted cash provided by (used in) operating activities:
Change in fair value of contingent consideration	12,047	(5,822)
Loss on disposal of assets	2,097	0
Loss on discontinued operations	0	463
Gain from equity method investees	(1,262)	(3,940)
Depreciation and amortization expenses	93,813	47,414
Stock-based compensation expense	29,898	19,350
Deferred tax benefit	(78,196)	(46,385)
Amortization of contract cost assets	8,005	14,768
Amortization of deferred financing costs	2,912	1,762
Loss on extinguishment/repayment of debt, net	0	10,192
Right-of-use asset impairment	24,065	0
Change in tax receivables agreement liability	66,184	42,870
Right-of-use operating assets	11,129	831
Operating lease liabilities	(10,432)	(1,223)
Other current operating cash outflows, net	(120)	2,163
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net and contract assets	(112,177)	(34,796)
Prepaid expenses and other current and non-current assets	(16,394)	(2,409)
Contract cost assets	(3,958)	(6,732)
Accounts payable	(12,628)	5,936
Accrued liabilities	27,537	(27,903)
Accrued compensation and employee benefits	(8,807)	(14,451)
Deferred revenue	(136)	(4,741)
Reserve for claims and performance-based arrangements	100,012	(35,596)
Other long-term liabilities	(759)	(1,184)
Net cash and restricted cash provided by (used in) operating activities	53,201	(47,248)
Cash Flows Used In Investing Activities
Cash paid for asset acquisitions and business combinations	(388,246)	(245,021)
Proceeds from transfer of membership and release of Passport escrow	0	22,969
Disposal of non-strategic assets and divestiture of discontinued operations, net	577	(9,164)
Return of equity method investments	870	4,175
Investments in internal-use software and purchases of property and equipment	(22,693)	(27,618)
Net cash and restricted cash used in investing activities	(409,492)	(254,659)
Cash Flows Provided by Financing Activities
Changes in working capital balances related to claims processing on behalf of partners	7,925	(48,322)
Proceeds from stock option exercises	9,183	3,280
Proceeds from issuance of long-term debt, net of offering costs	256,063	219,740
Repayment of long-term debt	(47,500)	0
Distributions to Sponsors	0	(14,884)
Proceeds from issuance of preferred stock, net of offering costs	168,000	0
Payment of preferred dividends	(13,631)	0
Taxes withheld and paid for vesting of equity awards	(14,348)	(17,419)
Net cash and restricted cash provided by financing activities	365,692	142,395
Effect of exchange rate on cash and cash equivalents and restricted cash	(61)	(612)
Net increase (decrease) in cash and cash equivalents and restricted cash	9,340	(160,124)
Cash and cash equivalents and restricted cash as of beginning-of-period	215,158	354,942
Cash and cash equivalents and restricted cash as of end-of-period	$ 224,498	$ 194,818

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Organization

9 Months Ended

Sep. 30, 2023

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Organization

Organization

Evolent Health, Inc. was incorporated in December 2014 in the state of Delaware and through its subsidiaries supports healthcare entities to improve the quality of care delivered for people with complex conditions through proven solutions that make health care simpler and more affordable.

The Company made organizational changes, including re-evaluating its reportable segments, as a result of growth in our value-based specialty care business, both organically and through acquisitions. Effective during the three months ended March 31, 2023, the Company changed its reportable segments to reflect changes in the way its chief operating decision maker evaluates the performance of its operations, develops strategy and allocates capital resources. Specifically, the Company collapsed its previous Evolent Health Services and Clinical Solutions segments into one segment. The Company's historical disclosures have been recast to be consistent with the current presentation.

As of September 30, 2023, the Company had unrestricted cash and cash equivalents of $184.5 million. The Company believes it has sufficient liquidity for at least the next twelve months as of the date the financial statements were available to be issued.

The Company’s headquarters is located in Arlington, Virginia.

Evolent Health LLC Governance

Our operations are conducted through Evolent Health LLC. Evolent Health, Inc. is a holding company whose only business is to act as the sole managing member of Evolent Health LLC. As such, it controls Evolent Health LLC’s business and affairs and is responsible for the management of its business.

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles

Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles

Basis of Presentation

In our opinion, the accompanying unaudited interim consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to fairly state our financial position, results of operations and cash flows. The interim consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain footnote disclosures normally included in financial statements prepared in accordance with United States of America generally accepted accounting principles (“GAAP”) have been omitted pursuant to instructions, rules and regulations prescribed by the United States Securities and Exchange Commission (“SEC”). The disclosures provided herein should be read in conjunction with the audited financial statements and notes thereto included in our 2022 Form 10-K.

Summary of Significant Accounting Policies

Certain GAAP policies that significantly affect the determination of our financial position, results of operations and cash flows, are summarized below. See “Part II - Item 8. Financial Statements and Supplementary Data - Note 2” in our 2022 Form 10-K for a complete summary of our significant accounting policies.

Accounting Estimates and Assumptions

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions affecting the reported amounts of assets and liabilities and the disclosures of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenue and expenses for the reporting period. Those estimates are inherently subject to change and actual results could differ from those estimates. In the accompanying interim consolidated financial statements, estimates are used for, but not limited to, the valuation of assets (including intangibles assets, goodwill and long-lived assets), liabilities, consideration related to business combinations and asset acquisitions, revenue recognition (including variable consideration), estimated selling prices for performance obligations in contracts with multiple performance obligations, reserves for claims and performance-based arrangements, credit losses, depreciable lives of assets, impairment of long-lived assets, stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, purchase price allocation in taxable stock transactions and useful lives of intangible assets.

Principles of Consolidation

The interim consolidated financial statements include the accounts of Evolent Health, Inc. and its subsidiaries. All intercompany accounts and transactions are eliminated in consolidation.

Cash and Cash Equivalents

We consider all highly liquid instruments with original maturities of three months or less to be cash equivalents. The Company holds materially all of our cash in bank deposits with FDIC participating banks, at cost, which approximates fair value.

Restricted Cash and Restricted Investments

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:

	September 30, 2023		December 31, 2022
Collateral for letters of credit for facility leases (1)	$	2,132	$	2,269
Collateral with financial institutions (2)	16,128		10,912
Claims processing services (3)	21,702		13,777
Total restricted cash and restricted investments	$	39,962	$	26,958
Current restricted cash	$	23,208	$	14,492
Total current restricted cash and restricted investments	$	23,208	$	14,492
Non-current restricted cash	$	16,754	$	12,466
Total non-current restricted cash and restricted investments	$	16,754	$	12,466

————————

(1)Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 11 for further discussion of our lease commitments.

(2)Represents collateral held with financial institutions for risk-sharing and other arrangements which are held in a FDIC participating bank account. See Note 17 for discussion of fair value measurement.

(3)Represents cash held by the Company related to claims processing services on behalf of partners. These are pass-through amounts and can fluctuate materially from period to period depending on the timing of when the claims are processed.

The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

	September 30,
	2023		2022
Cash and cash equivalents	$	184,536	$	156,756
Restricted cash and restricted investments	39,962		38,062
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows	$	224,498	$	194,818

Business Combinations

Companies acquired during each reporting period are reflected in the results of the Company effective from their respective dates of acquisition through the end of the reporting period. The Company allocates the fair value of purchase consideration to the assets acquired and liabilities assumed based on their estimated fair values at the acquisition date. Our estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. Critical estimates used to value certain identifiable assets include, but are not limited to, expected long-term revenues, future expected operating expenses, cost of capital and appropriate discount rates.

The excess of the fair value of purchase consideration over the fair value of the assets acquired and liabilities assumed in the acquired entity is recorded as goodwill. Goodwill is assigned to the reporting unit that benefits from the synergies arising from the business combination. If the Company obtains new information about facts and circumstances that existed as of the acquisition date during the measurement period, which may be up to one year from the acquisition date, the Company may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded on the Company's consolidated statements of operations and comprehensive income (loss).

For contingent consideration recorded as a liability, the Company initially measures the amount at fair value as of the acquisition date and adjusts the liability, if needed, to fair value at each reporting period. Changes in the fair value of contingent consideration, other than measurement period adjustments, are recognized as operating income or expense. Acquisition-related expenses are recognized separately from the business combination and are expensed as incurred. See Note 4 for additional discussion regarding business combinations.

Goodwill

We recognize the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired as goodwill. Goodwill is not amortized, but is reviewed at least annually for indications of impairment, with consideration given to financial performance and other relevant factors. We perform impairment tests of goodwill at a reporting unit level on October 31 of each year. We perform impairment tests between annual tests if an event occurs, or circumstances change, that we believe would more likely than not reduce the fair value of a reporting unit below its carrying amount.

Our goodwill impairment analysis first assesses qualitative factors to determine whether events or circumstances existed that would lead the Company to conclude it is more likely than not that the fair value of a reporting unit is below its carrying amount. If the Company determines that it is more likely than not that the fair value of a reporting unit is below the carrying amount, a quantitative goodwill assessment is required. In the quantitative evaluation, the fair value of the relevant reporting unit is determined and compared to the carrying value. If the fair value is greater than the carrying value, then the carrying value is deemed to be recoverable and no further action is required. If the fair value estimate is less than the carrying value, goodwill is considered impaired for the amount by which the carrying amount exceeds the reporting unit’s fair value and a charge is reported in goodwill impairment on our consolidated statements of operations and comprehensive income (loss). See Note 8 for additional discussion regarding the goodwill impairment tests conducted during 2022.

Intangible Assets, Net

Identified intangible assets are recorded at their estimated fair values at the date of acquisition and are amortized over their respective estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are used.

The following summarizes the estimated useful lives by asset classification:

Corporate trade name	1 year
Customer relationships	11 - 25 years
Technology	5 years
Provider network contracts	3 - 5 years

As part of the organizational changes as a result of growth in our value-based specialty care business, we will sunset several corporate trade names and replace them with Evolent signifying our adoption and launch of a unified brand. As a result, we re-evaluated the useful lives of our intangible assets and accelerated amortization such that all corporate trade names will be fully amortized by December 2024.

Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the asset’s carrying value. The Company evaluates recoverability by determining whether the undiscounted cash flows expected to result from the use and eventual disposition of that asset or group exceed the carrying value at the evaluation date. If the undiscounted cash flows are not sufficient to cover the carrying value, the Company measures an impairment loss as the excess of the carrying amount of the long-lived asset or group over its fair value. See Note 8 for additional discussion regarding our intangible assets.

Research and Development Costs

Research and development costs consist primarily of personnel and related expenses (including stock-based compensation and employee taxes and benefits) for employees engaged in research and development activities as well as third-party fees. All such costs are expensed as incurred. We focus our research and development efforts on activities that support our technology infrastructure, clinical program development, data analytics and network development capabilities. Research and development costs are recorded within cost of revenue and selling, general and administrative expenses on our consolidated statements of operations and comprehensive income (loss).

Reserves for Claims and Performance-based Arrangements

Reserves for claims and performance-based arrangements reflect estimates of payments under performance-based arrangements and the ultimate cost of claims that have been incurred but not reported, including expected development on reported claims, those that have been reported but not yet paid (reported claims in process) and other medical care expenses and services payable that are primarily composed of accruals for incentives and other amounts payable to health care professionals and facilities. The Company uses actuarial principles and assumptions that are consistently applied in each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.

The process of estimating reserves involves a considerable degree of judgment by the Company and, as of any given date, is inherently uncertain. The methods for making such estimates and for establishing the resulting liability are continually reviewed and adjustments are reflected in current results of operations in the period in which they are identified as experience develops or new information becomes known. See Note 20 for additional discussion regarding our reserves for claims and performance-based arrangements.

Right of Offset

Certain customer arrangements give the Company the legal right to net payment for amounts due from customers and claims payable. As of both September 30, 2023 and December 31, 2022, approximately 59% and 47%, respectively, of gross accounts receivable has been netted against claims payable in lieu of cash receipt. Furthermore, as of September 30, 2023, approximately 18% of our accounts receivable, net could ultimately be settled on a net basis, once the criteria for netting have been met.

Leases

The Company enters into various office space, data center and equipment lease agreements in conducting its normal business operations. At the inception of any contract, the Company evaluates the agreement to determine whether the contract contains a lease. If the contract contains a lease, the Company then evaluates the term and whether the lease is an operating or finance lease. Most leases include one or more options to renew or may have a termination option. The Company determines whether these options are reasonably certain to be exercised at the inception of the lease. The rent expense is recognized on a straight-line basis in the consolidated statements of operations and comprehensive income (loss) over the terms of the respective leases. Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheets.

As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. Further, the Company treats all lease and non-lease components as a single combined lease component for all classes of underlying assets.

The Company also enters into sublease agreements for some of its leased office space. Rental income attributable to subleases is immaterial and is offset against rent expense over the terms of the respective leases.

The Company reviews long-lived assets, which include operating lease right-of-use asset assets, for impairment when facts or circumstances indicate the carrying amount of an asset or asset group may not be recoverable. If impairment indicators are present and the estimated future undiscounted cash flows are less than the carrying value of the assets, the carrying values are reduced to the estimated fair value. Fair values are determined based on quoted market values, discounted cash flows and external market data, as applicable.

During the nine months ended September 30, 2023, the Company decommissioned its Chicago, IL lease and wrote off the associated right-of-use asset, recognizing an impairment charge of $24.1 million in right-of-use assets impairment on the consolidated statements of operations.

During the nine months ended September 30, 2023, the Company terminated a portion its Arlington, VA lease effective December 31, 2023 and recognized the impact of a $6.5 million termination penalty in its operating lease liability - current on its consolidated balance sheet. The termination payment will consist of two payments of $3.25 million to be paid on October 1, 2023 and April 1, 2024.

Refer to Note 11 for additional lease disclosures.

Revenue Recognition

Our revenue contracts are typically multi-year arrangements with customers to provide solutions designed to lower the medical expenses of our partners and include our total cost of care and specialty care management services, provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers.

We use the following 5-step model, outlined in Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), to determine revenue recognition from our contracts with customers:

• 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

See Note 5 for further discussion of our policies related to revenue recognition.

Series A Senior Convertible Preferred Shares

In accordance with ASC 480, Distinguishing Liabilities from Equity, the shares of Series A Senior Convertible Preferred Shares are classified within temporary equity, as events outside the Company’s control triggers such shares to become redeemable. Costs associated with the issuance of redeemable preferred stock are presented as discounts to the fair value of the redeemable preferred stock and are amortized using the effective interest method, over the term of the respective series of preferred shares. Refer to Note 12 - Convertible Preferred Equity for further discussion.

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Recently Issued Accounting Standards

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Recently Issued Accounting Standards

Recently Issued Accounting Standards

Adoption of New Accounting Standards

In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity. The ASU simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU removes the separation models for convertible debt with a cash conversion feature or convertible instruments with a beneficial conversion feature and no longer permits the use of the treasury stock method from calculating earnings per share. As a result, after adopting the ASU’s guidance, we do not separately present in equity an embedded conversion feature of such debt. Instead, we account for a convertible debt instrument wholly as debt unless (i) a convertible instrument contains features that require bifurcation as a derivative or (ii) a convertible debt instrument was issued at a substantial premium. Additionally, the ASU removes certain conditions for equity classification related to contracts in an entity’s own equity (e.g., warrants) and amends certain guidance related to the computation of earnings per share for convertible instruments and contracts on an entity’s own equity. The Company adopted the standard using a modified retrospective method on January 1, 2022, with adjustments which increased retained earnings by $39.8 million, reduced additional paid-in capital by $106.2 million and increased the net carrying amount of the 2024 and 2025 Notes by $25.1 million and $41.3 million, respectively.

In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This ASU clarifies that an acquirer of a business should recognize and measure contract assets and contract liabilities in a business combination in accordance with ASC Topic 606, Revenue from Contracts with Customers. The Company adopted this standard starting in the first quarter of 2023, which did not have a material impact on our consolidated financial statements.

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Transactions

9 Months Ended

Sep. 30, 2023

Business Combination and Asset Acquisition [Abstract]

Transactions

Transactions

Business Combinations

National Imaging Associates Inc.

On January 20, 2023, the Company completed its acquisition of NIA, including all of the issued and outstanding shares of capital stock of NIA as well as certain assets held by Magellan Health, Inc. (“Magellan”) and certain of its subsidiaries that were used in the Magellan Specialty Health Division. NIA is a specialty benefit management organization that focuses on managing cost and quality in the areas of radiology, musculoskeletal, physical medicine and genetics. The transaction is expected to accelerate our strategy to become a leading provider of value-based specialty care solutions as well as diversify our revenue streams with a larger customer portfolio.

Total acquisition consideration, net of cash on hand and certain closing adjustments, was $715.7 million, based on the closing price of the Company’s Class A common stock on the NYSE on January 20, 2023. The acquisition consideration consisted of approximately $387.8 million of cash consideration (inclusive of certain post-closing adjustments), 8,474,576 shares of the Company’s Class A common stock, fair valued at $261.3 million as of January 20, 2023, and an earn-out consisting of additional consideration of up to $150.0 million payable in cash and, at the Company’s election, up to 50% in shares of the Company’s Class A common stock (the “Contingent Consideration”). As of January 20, 2023, the Contingent Consideration is fair valued at $66.6 million. See Note 17 for additional information regarding the fair value determination of the earn-out consideration.

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of January 20, 2023, as follows (in thousands):

Purchase consideration:
Cash	$	387,823
Fair value of Class A common stock issued	261,271
Fair value of contingent consideration	66,600
Total consideration	$	715,694
Tangible assets acquired:
Accounts receivable	$	28,065
Prepaid expenses and other current assets	675
Total tangible assets acquired	28,740
Identifiable intangible assets acquired:
Customer relationships	345,100
Technology	50,700
Corporate trade name	8,200
Total identifiable intangible assets acquired	404,000
Liabilities assumed:
Accrued liabilities	5,409
Accrued compensation and employee benefits	6,173
Deferred tax liabilities, net	100,486
Deferred revenue	142
Total liabilities assumed	112,210
Goodwill (1)	395,164
Net assets acquired	$	715,694

————————

(1)Goodwill acquired does not include $(0.4) million of measurement period adjustments. See Note 8 for additional information.

The fair value of the receivables acquired, as shown in the table above, approximates the gross contractual amounts and is expected to be collectible in full. Identifiable intangible assets associated with customer relationships, technology and the corporate trade name will be amortized on a straight-line basis over their preliminary estimated useful lives of 15 years, 5 years, and 2 years, respectively. The customer relationships are primarily attributable to existing contracts with current customers. The technology consists primarily of proprietary software that supports NIA’s core business applications and specialty business. The corporate trade name reflects the value that we believe the NIA brand name carries in the market. The fair value of the intangible assets was determined using the income approach and the relief from royalty approach. The income approach estimates fair value for an asset based on the present value of cash flows projected to be generated by the asset. Projected cash flows are discounted at a required rate of return that reflects the relative risk of achieving the cash flows and the time value of money. The relief from royalty approach estimates the fair value of an asset by calculating how much an entity would have to spend to lease a similar asset. Goodwill is calculated as the difference between the acquisition date fair value of the total consideration and the fair value of the net assets acquired and represents the future economic benefits that we expect to achieve as a result of the acquisition. The Company received carryover tax basis in the assets and liabilities acquired; accordingly, the Company recognized net deferred tax liabilities associated with the difference between the book basis and the tax basis for the assets and liabilities acquired. The goodwill is not deductible for tax purposes. Additionally, a discrete tax benefit of $56.1 million was recorded in the consolidated statements of operations and comprehensive income (loss) for the nine months ended September 30, 2023, to account for the valuation allowance release primarily related to the acquired intangible assets, which resulted in a deferred tax liability that provided a source of income supporting realization of other deferred tax assets.

The amounts above reflect management’s preliminary estimate of the fair value of the tangible and intangible assets acquired and liabilities assumed. As of September 30, 2023, we had not finalized the determination of fair values allocated to the acquired intangible assets and deferred tax liability. Any necessary adjustments will be finalized within one year from the date of acquisition.

We have included the financial results of NIA in our consolidated financial statements from January 20, 2023. The consolidated statements of operations and comprehensive income (loss) include $167.5 million of revenues and $1.4 million of net loss attributable to NIA for the nine months ended September 30, 2023.

Implantable Provider Group

On August 1, 2022, the Company completed its acquisition of IPG, including 100% of the voting equity interests. IPG is a leader in providing surgical management solutions for musculoskeletal conditions. The transaction is expected to accelerate our strategy to become a leading provider of value-based specialty care solutions as well as diversify our revenue streams with a larger customer portfolio. The transaction is expected to deepen our capabilities, allowing us to cross-sell across customers and enhance our value proposition to partners.

Total acquisition consideration, net of cash on hand and certain closing adjustments, was $461.7 million, based on the closing price of the Company’s Class A common stock on the NYSE on August 1, 2022. The acquisition consideration consisted of $256.5 million of cash consideration, 3.7 million shares of Class A common stock, fair valued at $130.2 million as of August 1, 2022, and an earn-out of up to $87.0 million, fair valued at $75.0 million as of August 1, 2022 is payable in cash and/or shares of the Company’s Class A Common Stock, at the Company’s option. See Note 17 for additional information regarding the fair value determination of the earn-out consideration.

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of August 1, 2022, as follows (in thousands):

Purchase consideration:
Cash	$	256,488
Fair value of Class A common stock issued	130,175
Fair value of contingent consideration	75,000
Total consideration	$	461,663
Tangible assets acquired:
Accounts receivable	34,155
Prepaid expenses and other current assets	636
Other non-current assets	1,393
Total tangible assets acquired	36,184

Identifiable intangible assets acquired:
Customer relationships	154,000
Technology	23,900
Corporate trade name	17,800
Total identifiable intangible assets acquired	195,700
Liabilities assumed:
Accounts payable	7,997
Accrued liabilities	8,083
Accrued compensation and employee benefits	423
Deferred tax liabilities, net	48,671
Deferred revenue	321
Operating lease liabilities	1,323
Total liabilities assumed	66,818
Goodwill	296,597
Net assets acquired	$	461,663

The fair value of the receivables acquired, as shown in the table above, approximates the gross contractual amounts and is expected to be collectible in full. Identifiable intangible assets associated with customer relationships, technology and the corporate trade name will be amortized on a straight-line basis over their preliminary estimated useful lives of 20 years, 5 years, and 15 years, respectively. The customer relationships are primarily attributable to existing contracts with current customers. The technology consists primarily of a proprietary customer relationship management and analytics platform that supports reporting to payors with respect to medical device pricing and associated analytics. The corporate trade name reflects the value that we believe the IPG brand name carries in the market. The fair value of the intangible assets was determined using the income approach and the relief from royalty approach. The income approach estimates fair value for an asset based on the present value of cash flows projected to be generated by the asset. Projected cash flows are discounted at a required rate of return that reflects the relative risk of achieving the cash flows and the time value of money. The relief from royalty approach estimates the fair value of an asset by calculating how much an entity would have to spend to lease a similar asset. Goodwill is calculated as the difference between the acquisition date fair value of the total consideration and the fair value of the net assets acquired and represents the future economic benefits that we expect to achieve as a result of the acquisition. The Company received carryover tax basis in the assets and liabilities acquired; accordingly, the Company recognized net deferred tax liabilities associated with the difference between the book basis and the tax basis for the assets and liabilities acquired. The goodwill is not deductible for tax purposes. Additionally, a discrete tax benefit of $46.8 million was recorded in the consolidated statements of operations and comprehensive income (loss) for the year December 31, 2022, to account for the valuation allowance release primarily related to the acquired intangible assets, which resulted in a deferred tax liability that provided a source of income supporting realization of other deferred tax assets.

Pro forma financial information (unaudited)

The following unaudited condensed pro forma information presents combined financial information as if the acquisition of NIA had been effective as of January 1, 2022, the beginning of the 2022 fiscal year. The unaudited pro forma financial information includes adjustments to historical amounts including amortization of acquired intangible assets, depreciation of acquired property and equipment, interest expense for the financing of the transaction, alignment of NIA’s revenue recognition policy, and the associated income tax effects as if NIA had been included in the Company’s results of operations.

This pro forma data is presented for informational purposes only and does not purport to be indicative of the results of future operations or of the results that would have occurred had the transactions described above occurred in the specified prior periods. The pro forma adjustments are based on available information and assumptions that the Company believes are reasonable to reflect the impact of these transactions on the Company’s historical financial information on a pro forma basis (in thousands).

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue	$	511,015	$	414,809	$	1,419,266	$	1,163,944
Net loss attributable to common shareholders of Evolent Health, Inc.	(33,196)		(19,986)		(94,851)		(47,193)

Pro forma financial information has not been presented for the IPG acquisition as the impact to the Company’s interim consolidated financial statements was not material.

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Revenue Recognition

9 Months Ended

Sep. 30, 2023

Revenue from Contract with Customer [Abstract]

Revenue Recognition

Revenue Recognition

Our revenue contracts are typically multi-year arrangements with customers to provide solutions designed to lower the medical expenses of our partners and include our total cost of care and specialty care management services, provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers.

Our performance obligation in these arrangements is to provide an integrated suite of services, including access to our platform that is customized to meet the specialized needs of our customers and members. Generally, we will apply the series guidance to the performance obligation as we have determined that each time increment is distinct. We primarily utilize a variable fee structure for these services that typically includes a monthly payment that is calculated based on a specified per member per month rate, multiplied by the number of members that our partners are managing under a value-based care arrangement or a percentage of plan premiums. Our arrangements may also include other variable fees related to service level agreements, shared medical savings arrangements and other performance measures. Variable consideration is estimated using the most likely amount based on our historical experience and best judgment at the time. Due to the nature of our arrangements, certain estimates may be constrained if it is probable that a significant reversal of revenue will occur when the uncertainty is resolved. We recognize revenue over time using the time elapsed output method. Fixed consideration is recognized ratably over the contract term. In accordance with the series guidance, we allocate variable consideration to the period to which the fees relate.

Contracts with Multiple Performance Obligations

Our contracts with customers may contain multiple performance obligations, primarily when the customer has requested both implementation and on going services as these services are distinct from one another. When a contract has multiple performance obligations, we allocate the transaction price to each performance obligation based on the relative standalone selling price using the expected cost margin approach. This approach requires estimates regarding both the level of effort it will take to satisfy the performance obligation as well as fees that will be received under the variable pricing model. We also take into consideration customer demographics, current market conditions, the scope of services and our overall pricing strategy and objectives when determining the standalone selling price.

Principal vs. Agent

We occasionally use third parties to assist in satisfying our performance obligations. In order to determine whether we are the principal or agent in the arrangement, we review each third-party relationship on a contract by contract basis. As we integrate goods and services provided by third parties into our overall service, we control the services provided to the customer prior to its delivery. As such, we are the principal and we will recognize revenue on a gross basis. In certain cases, we act as an agent and do not control the services from third parties before it is delivered to the customer, thereby recognizing revenue on a net basis.

Disaggregation of Revenue

The following table represents Evolent’s revenue disaggregated by end-market and product type:

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Medicaid	$	195,259	$	139,718	$	587,611	$	410,226
Medicare	208,166		117,967		474,535		336,365
Commercial and other	107,590		94,900		345,695		222,990
Total	$	511,015	$	352,585	$	1,407,841	$	969,581
Performance Suite	$	323,722	$	204,727	$	840,171	$	583,976
Specialty Technology and Services Suite	81,230		12,400		223,598		38,854
Administrative Services	68,713		107,328		229,534		306,544
Cases	37,350		28,130		114,538		40,207
Total	$	511,015	$	352,585	$	1,407,841	$	969,581

Transaction Price Allocated to the Remaining Performance Obligations

For contracts with a term greater than one year, we have allocated approximately $22.0 million of transaction price to performance obligations that are unsatisfied as of September 30, 2023. We do not include variable consideration that is allocated entirely to a wholly unsatisfied performance obligation accounted for under the series guidance in the calculation. As a result, the balance represents the value of the fixed consideration in our long-term contracts that we expect will be recognized as revenue in a future period and excludes the majority of our revenue, which is primarily derived based on variable consideration as discussed in Note 2. We expect to recognize revenue on approximately 50%, 84% and 100% of these remaining performance obligations by December 31, 2023, 2024 and 2025, respectively. However, because our existing contracts may be canceled or renegotiated including for reasons outside our control, the amount of revenue that we actually receive may be more or less than this estimate and the timing of recognition may not be as expected.

Contract Balances

Contract balances consist of accounts receivable, contract assets and deferred revenue. Contract assets are recorded when the right to consideration for services is conditional on something other than the passage of time. Contract assets relating to unbilled receivables are transferred to accounts receivable when the right to consideration becomes unconditional. We classify contract assets as current or non-current based on the timing of our rights to the unconditional payments. Our contract assets are generally classified as current and recorded within prepaid expenses and other current assets on our consolidated balance sheets. Our current accounts receivables are classified within accounts receivable, net on our consolidated balance sheets and our non-current accounts receivable are classified within prepaid expenses and other non-current assets on our consolidated balance sheets.

Deferred revenue includes advance customer payments and billings in excess of revenue recognized. We classify deferred revenue as current or non-current based on the timing of when we expect to recognize revenue. Our current deferred revenue is recorded within deferred revenue on our consolidated balance sheets and non-current deferred revenue is recorded within other long-term liabilities on our consolidated balance sheets.

The following table provides information about receivables, contract assets and deferred revenue from contracts with customers as of September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
Short-term receivables (1)	$	393,782	$	246,209
Short-term deferred revenue	5,763		5,758
Long-term deferred revenue	1,513		2,533

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(1)Excludes pharmacy claims receivable and premiums receivable.

Changes in deferred revenue for the nine months ended September 30, 2023, are as follows (in thousands):

Deferred revenue
Balance as of beginning-of-period	$	8,291
Reclassification to revenue, as a result of performance obligations satisfied	(5,272)
Cash received in advance of satisfaction of performance obligations	4,257
Balance as of end of period	$	7,276

The amount of revenue, excluding customer discounts of $1.6 million and $4.5 million for the three and nine months ended September 30, 2023, respectively, recognized from performance obligations satisfied (or partially satisfied) in a previous period was $28.6 million and $51.4 million for the three and nine months ended September 30, 2023, respectively, due primarily to net gain share as well as changes in other estimates.

The amount of revenue recognized from performance obligations satisfied (or partially satisfied) in a previous period was $10.4 million and $56.4 million for the three and nine months ended September 30, 2022, respectively.

Contract Cost Assets

Certain bonuses and commissions earned by our sales team are considered incremental costs of obtaining a contract with a customer that we expect to be recoverable. The capitalized contract acquisition costs are classified as non-current assets and recorded within contract cost assets on our consolidated balance sheets. Amortization expense is recorded within selling, general and administrative expenses on the accompanying consolidated statements of operations and comprehensive income (loss). As of September 30, 2023 and 2022, the Company had $2.8 million and $3.6 million, respectively, of contract acquisition cost assets, net of accumulated amortization recorded in contract cost assets on the consolidated balance sheets. In addition, the Company recorded amortization expense of $0.3 million and $1.0 million for the three and nine months ended September 30, 2023, respectively, and $0.3 million and $2.0 million for the three and nine months ended September 30, 2022, respectively.

In our revenue contracts, we incur certain costs related to the implementation of our platform before we begin to satisfy our performance obligation to the customer. The costs, which we expect to recover, are considered costs to fulfill a contract. Our contract fulfillment costs primarily include our employee labor costs and third-party vendor costs. The capitalized contract fulfillment costs are classified as non-current and recorded within contract cost assets on our consolidated balance sheets. Amortization expense is recorded within cost of revenue on the accompanying consolidated statements of operations and comprehensive income (loss). As of September 30, 2023 and 2022, the Company had $10.6 million and $21.0 million, respectively, of contract fulfillment cost assets, net of accumulated amortization recorded in contract cost assets on the consolidated balance sheets. In addition, the Company recorded amortization expense including the acceleration of amortization of contract costs for certain customers of $2.0 million and $7.0 million for the three and nine months ended September 30, 2023, respectively, and $1.3 million and $12.8 million for the three and nine months ended September 30, 2022, respectively.

These costs are deferred and then amortized on a straight-line basis over a period of benefit that we have determined to be the shorter of the contract term or five years. The period of benefit was based on our technology, the nature of our customer arrangements and other factors.

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Credit Losses

9 Months Ended

Sep. 30, 2023

Credit Loss [Abstract]

Credit Losses

Credit Losses

We are exposed to credit losses primarily through our accounts receivable from revenue transactions, investments held at amortized cost and other notes receivable. We estimate expected credit losses based on past events, current conditions and reasonable and supportable forecasts. Expected credit losses are measured over the remaining contractual life of these assets. As part of our consideration of current and forward-looking economic conditions, current inflationary pressures on our customers’ and other third parties’ ability to pay, we did not observe notable increases in delinquencies during the three months ended September 30, 2023.

Accounts Receivable from Revenue Transactions

Accounts receivable represent the amounts owed to the Company for goods or services provided to customers or third parties. Current accounts receivables are classified within accounts receivable, net on the Company’s consolidated balance sheets, while non-current accounts receivables are classified within prepaid expenses and other noncurrent assets on the Company’s consolidated balance sheets.

We monitor our ongoing credit exposure through active review of counterparty balances against contract terms, due dates and business strategy. Our activities include timely account reconciliation, dispute resolution and payment confirmation. In addition, the Company will establish a general reserve based on delinquency rates. Historical loss rates are determined for each delinquency bucket in 30-day

past-due intervals and then applied to the composition of the reporting date balance based on delinquency. The allowance implied from application of the historical loss rates is then adjusted, as necessary, for current conditions and reasonable and supportable forecasts.

Based on an aging analysis of our trade accounts receivable, non-trade accounts receivable and contract assets as of September 30, 2023, 65% were current, 16% were past due less than 60 days, with 26% past due less than 120 days and at December 31, 2022, 67% was current, 21% was past due less than 60 days, with 29% past due less than 120 days. As of September 30, 2023 and December 31, 2022, in total we reported on the consolidated balance sheet $424.1 million and $269.1 million of accounts receivable, certain non-trade accounts receivable included in prepaid expenses and other current assets, net of allowances of $18.5 million and $10.2 million, respectively. The following table summarizes the changes in allowance for credit losses on our accounts receivables, certain non-trade accounts receivable and contract assets (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance as of beginning of period	$	(10,180)	$	(3,374)
Acquisitions	(240)		(5,269)
Provision for credit losses	(10,814)		(1,134)
Charge-offs	2,701		422
Balance as of end of period	$	(18,533)	$	(9,355)

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Property and Equipment, Net

9 Months Ended

Sep. 30, 2023

Property, Plant and Equipment [Abstract]

Property and Equipment, Net

Property and Equipment, Net

The following summarizes our property and equipment (in thousands):

	September 30, 2023		December 31, 2022
Computer hardware	$	32,271	$	30,092
Furniture and equipment	3,950		4,214
Internal-use software development costs	207,253		189,119
Leasehold improvements	11,177		14,926
Total property and equipment	254,651		238,351
Accumulated depreciation and amortization expenses	(174,749)		(150,477)
Total property and equipment, net	$	79,902	$	87,874

The Company capitalized $4.3 million and $18.1 million for the three and nine months ended September 30, 2023, respectively, and $8.0 million and $21.5 million for the three and nine months ended September 30, 2022, respectively, of internal-use software development costs. The net book value of capitalized internal-use software development costs was $71.8 million and $73.7 million as of September 30, 2023 and December 31, 2022, respectively.

Depreciation expense related to property and equipment was $8.5 million and $24.8 million for the three and nine months ended September 30, 2023, respectively, and $7.7 million and $23.1 million for the three and nine months ended September 30, 2022, respectively, of which amortization expense related to capitalized internal-use software development costs was $6.6 million and $20.1 million for the three and nine months ended September 30, 2023, respectively and $6.4 million and $19.6 million for the three and nine months ended September 30, 2022, respectively.

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Goodwill and Intangible Assets, Net

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Intangible Assets, Net

Goodwill and Intangible Assets, Net

Goodwill

Goodwill has an estimated indefinite life and is not amortized; rather, it is reviewed for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable.

Our assets and liabilities are employed in and relate to the operations of our reporting units. Therefore, the equity carrying value and future cash flows must be estimated each time a goodwill impairment analysis is performed on a reporting unit. As a result, our assets, liabilities and cash flows are assigned to reporting units using reasonable and consistent allocation methodologies.

Our annual goodwill impairment review occurs on October 31 of each fiscal year. We evaluate qualitative factors that could cause us to believe the estimated fair value of each of our reporting units may be lower than the carrying value and trigger a quantitative

assessment, including, but not limited to (i) macroeconomic conditions, (ii) industry and market considerations, (iii) our overall financial performance, including an analysis of our current and projected cash flows, revenues and earnings, (iv) a sustained decrease in share price and (v) other relevant entity-specific events including changes in management, strategy, partners, or litigation.

We did not identify any qualitative factors that would trigger a quantitative goodwill impairment test during the nine months ended September 30, 2023. We will perform our annual impairment test as of October 31, 2023.

2022 Goodwill Impairment Test

On October 31, 2022, the Company performed its annual goodwill impairment test for fiscal year 2022. As a result of BHG announcing its plan to exit its IFP line of business in 2023, thus negatively impacting the Company’s future revenues from such partner, the Company elected to forego the qualitative assessment and proceeded directly to the quantitative assessment of the goodwill impairment test for that specific reporting unit. In doing so, we estimated the fair value of the reporting unit by considering an income approach. In determining the estimated fair value using the income approach, we projected future cash flows based on management’s estimates and long-term plans and applied a discount rate based on the Company’s weighted average cost of capital. This analysis required us to make judgments about revenues, expenses, fixed asset and working capital requirements, capital market assumptions, cash flows and discount rates. The quantitative analysis of the Evolent Health Services reporting unit showed that the fair value exceeded the carrying value. Contracts with our customers may be cancelled or renegotiated and future revenue growth is dependent on winning new contracts. Further, the impairment analysis is particularly sensitive to changes in the projected revenue growth rates and expenses and the discount rate. Changes in these key assumptions such as a significant unfavorable change to our forecasted cash flows due to being unsuccessful in winning certain contracts or certain of our contracts being cancelled or renegotiated by our customers, could result in a revision of management’s estimates and could result in impairment charges in the future, which could be material to our results of operations. We will continue to monitor for such changes in facts or circumstances, which may be indicators of potential impairment triggers.

For the remaining reporting units, after assessing the totality of events and circumstances including the results of our previous valuations, no events occurred or circumstances changed during the period under consideration that would, more likely than not, reduce the fair value of any reporting unit below their carrying amount. Therefore, the Company concluded that the quantitative assessment was not required. For all reporting units, it was determined that as of October 31, 2022, no impairment of goodwill had occurred.

Change in Goodwill

The following table summarizes the changes in the carrying amount of goodwill, for the periods presented (in thousands):

Balance as of December 31, 2022(1)	$	722,774
Goodwill acquired(2)	395,164
Measurement period adjustment	(391)
Foreign currency translation	(4)
Balance as of September 30, 2023	$	1,117,543
Balance as of December 31, 2021(1)	$	426,297
Goodwill acquired(2)	296,597
Foreign currency translation	(104)
Balance as of September 30, 2022	$	722,790

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(1)Net of cumulative inception to date impairment of $575.5 million as of December 31, 2022 and 2021.

(2)Goodwill acquired from the addition of NIA in January 2023 and IPG in August 2022.

Intangible Assets, Net

Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

	September 30, 2023							December 31, 2022
	Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Corporate trade name	1.3	$	51,965	$	24,786	$	27,179	12.7	$	43,600	$	11,726	$	31,874
Customer relationships	14.7	810,119		127,473		682,646		15.8	465,019		92,760		372,259
Technology	3.0	162,522		97,817		64,705		2.7	111,822		80,255		31,567
Below market lease, net	0.0	1,218		1,218		—		0.3	1,218		1,151		67
Provider network contracts	0.6	18,192		15,054		3,138		1.3	18,851		11,834		7,017
Total intangible assets, net		$	1,044,016	$	266,348	$	777,668		$	640,510	$	197,726	$	442,784

Amortization expense related to intangible assets was $23.8 million and $68.9 million for the three and nine months ended September 30, 2023, respectively, and $9.5 million and $24.3 million for the three and nine months ended September 30, 2022, respectively.

Future estimated amortization of intangible assets (in thousands) as of September 30, 2023, is as follows:

2023	$	22,011
2024	87,242
2025	63,647
2026	63,299
2027	60,558
Thereafter	480,911
Total future amortization of intangible assets	$	777,668

As part of the organizational changes as a result of growth in our value-based specialty care business, we will sunset several corporate trade names and replace them with Evolent signifying our adoption and launch of a unified brand. As a result, we accelerated amortization such that all corporate trade names will be fully amortized by December 2024.

Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the assets’ carrying value. We did not identify any circumstances during the three and nine months ended September 30, 2023, that would require an impairment test for our intangible assets.

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Long-term Debt

9 Months Ended

Sep. 30, 2023

Debt Disclosure [Abstract]

Long-term Debt

Long-term Debt

Credit Agreement

On August 1, 2022 (the “IPG Closing Date”), the Company entered into a credit agreement, by and among the Company, Evolent Health LLC, as the borrower (the “Borrower”), certain subsidiaries of the Company, as guarantors, the lenders from time to time party thereto, and Ares Capital Corporation, as administrative agent, collateral agent and revolver agent (the “Existing Credit Agreement” and as modified by the Amendment (defined below), the “Credit Agreement”), pursuant to which the lenders agreed to extend credit to the Borrower in the form of (i) initial term loans in an aggregate principal amount of $175.0 million (the “Initial Term Loan Facility”) and (ii) revolving credit commitments in an aggregate principal amount of $50.0 million (the “Initial Revolving Facility”), the availability of which shall be determined by reference to the lesser of $50.0 million and a borrowing base calculation. The Borrowers borrowed full amount under the Initial Term Loan Facility and the Initial Revolving Facility on the IPG Closing Date. A closing fee of

(a) 2.00% of the aggregate amount of the commitments in respect of the Initial Term Loan Facility and (b) 2.00% of the aggregate amount of the commitments in respect of the Initial Revolving Facility was paid as of the IPG Closing Date.

On January 20, 2023, (“the NIA Closing Date”), the Company entered into Amendment No. 1 to the Credit Agreement (the “Amendment”), pursuant to which the lenders agreed to extend credit to the Borrower in the form of (i) additional revolving commitments in an aggregate principal amount equal to $25.0 million (the “Incremental Revolving Facility” and together with the Initial Revolving Facility, the Revolving Facility”), and (ii) additional term loans in an aggregate principal amount equal to $240.0 million, (the “Incremental Term Loan Facility” and together with the Initial Term Loan Facility, the “Term Loan Facility”; the Revolving Facility and the Term Loan Facility are collectively referred to herein as the “Credit Facilities”). The Borrowers borrowed the full amount under the Incremental Term Loan Facility and the Incremental Revolving Facility on the NIA Closing Date to finance, together with the proceeds from the sale of the Series A Preferred Stock, the cash consideration payable in connection with the NIA acquisition on the NIA Closing Date and pay transaction fees and expenses. A closing fee of (a) 3.00% of the aggregate amount of the commitments in respect of the Incremental Term Loan Facility and (b) 3.00% of the aggregate amount of the commitments in respect of the Incremental Revolving Facility was paid as of the NIA Closing Date.

The Credit Facilities are guaranteed by the Company and the Company’s domestic subsidiaries, subject to certain customary exceptions. The Credit Facilities are secured by a first priority security interest in all of the capital stock of each borrower and guarantor (other than the Company) and substantially all of the assets of each borrower and guarantor, subject to certain customary exceptions.

All loans under the Credit Facilities will mature on the date that is the earliest of (a) the sixth anniversary of the NIA Closing Date, (b) the date on which the commitments are voluntarily terminated pursuant to the terms of the Credit Agreement, (c) the date on which all amounts outstanding under the Credit Agreement have been declared or have automatically become due and payable under the terms of the Credit Agreement and (d) the date that is ninety-one (91) days prior to the maturity date of any Junior Debt (as defined in the Existing Credit Agreement) unless certain liquidity conditions are satisfied.

The interest rate for the Loans is calculated, at the option of the Borrowers, (a) in the case of the Term Loan Facility, at either the Adjusted Term SOFR Rate (as defined in the Credit Agreement) plus 6.00%, or the base rate plus 5.00% and (b) in the case of the Revolving Facility, at either the Adjusted Term SOFR Rate plus 4.00%, or the base rate plus 3.00%. A closing fee of (a) 2.00% of the aggregate amount of the commitments in respect of the Incremental Term Loan Facility and (b) 2.00% of the aggregate amount of the commitments in respect of the Incremental Revolving Facility was paid as of the NIA Closing Date. The Company recorded $12.9 million and $36.6 million in interest expense related to our Credit Agreement for the three and nine months ended September 30, 2023, respectively.

Amounts outstanding under the Credit Facilities may be prepaid at the option of the Company, subject to the following prepayment premium (the “Prepayment Premium”) on amounts greater than a certain threshold: (1) 3.00% of the principal amount so prepaid after the NIA Closing Date but prior to the first anniversary of the NIA Closing Date; (2) 2.00% of the principal amount so prepaid after the first anniversary of the closing but prior to the second anniversary of the NIA Closing Date; (3) 1.00% of the principal amount so prepaid after the second anniversary of the NIA Closing Date but prior to the third anniversary of the NIA Closing Date; and (4) 0.00% of the principal amount so prepaid on or after the third anniversary of the NIA Closing Date. Amounts outstanding under the Credit Facility are subject to mandatory prepayment upon the occurrence of certain events and conditions, including non-ordinary course asset dispositions, receipt of certain casualty proceeds, issuances of certain debt obligations and a change of control transaction, in each case, subject to application of the Prepayment Premium.

The Credit Facilities contain customary borrowing conditions, affirmative, negative and reporting covenants, representations and warranties, and events of default, including cross-defaults to other material indebtedness. If an event of default occurs, the lenders would be entitled to take enforcement action, including foreclosure on collateral and acceleration of amounts owed under the Loans. We incurred $14.4 million of debt issuance costs in connection with the Loans, which was included in long-term debt, net of discount on our consolidated balance sheets and amortized into interest expense over the life of the Credit Agreement. The Company recorded $0.6 million and $1.8 million in interest expense related to the amortization of the debt discount and the issuance costs for the three and nine months ended September 30, 2023, respectively.

During the nine months ended September 30, 2023, the Company repaid $37.5 million under the Revolving Facility and $10.0 million under the Initial Term Loan Facility. As of September 30, 2023, there is $405.0 million outstanding under the Term Loan Facility and $37.5 million outstanding under the Revolving Facility.

2024 Notes

In August 2020, the Company issued $117.1 million aggregate principal amount of its 3.50% Convertible Senior Notes due 2024 (the “2024 Notes”) in privately negotiated exchange and/or subscription agreements, with certain holders of its outstanding 2021 Notes and

certain new investors. The Company issued $84.2 million aggregate principal amount of 2024 Notes in exchange for $84.2 million aggregate principal amount of the 2021 Notes and an aggregate cash payment of $2.5 million, and issued $32.8 million aggregate principal amount of New Notes for cash at par. We incurred $3.0 million of debt issuance costs in connection with the 2024 Notes, which we are amortizing to non-cash interest expense using the straight-line method over the contractual term of the 2024 Notes, since this method was not materially different from the effective interest method. The closing of the private placement of the 2024 Notes occurred on August 19, 2020.

Holders of the 2024 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year, beginning on December 1, 2020, at a rate equal to 3.50% per annum. The 2024 Notes will mature on December 1, 2024, unless earlier repurchased, redeemed or converted in accordance with their terms prior to such date. Upon maturity the principal amount of the notes may be settled via shares of the Company’s Class A common stock. We recorded interest expense of $0.2 million and $0.6 million for the three and nine months ended September 30, 2023, respectively and $0.5 million and $2.5 million for the three and nine months ended September 30, 2022, respectively.

The 2024 Notes are convertible into cash, shares of the Company's Class A common stock, or a combination of cash and shares of the Company's Class A common stock, at the Company's election, based on an initial conversion rate of 54.8667 shares of Class A common stock per $1,000 principal amount of the 2024 Notes, which is equivalent to an initial conversion price of approximately $18.23 per share of the Company’s Class A common stock. In the aggregate, the 2024 Notes are initially convertible into 6.4 million shares of the Company’s Class A common stock (excluding any shares issuable by the Company upon a conversion in connection with a make-whole provision upon a fundamental change or a notice of redemption under the governing indenture). The conversion rate may be adjusted under certain circumstances. Upon conversion, the Company will pay or deliver, as the case may be, cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election.

The option to settle the 2024 Notes in cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election, resulted in a bifurcation of the carrying value of the 2024 Notes into a debt component and an equity component prior to the adoption of ASU 2020-06. The debt component was determined to be $78.9 million, before issuance costs, based on the fair value of a nonconvertible debt instrument with the same term. The equity component was determined to be $38.1 million before issuance costs and was recorded within additional paid-in capital. Issuance costs of $1.7 million and $1.3 million were allocated to the debt and equity components in proportion to the allocation of proceeds. Along with the equity component of $38.1 million, $1.7 million of issuance costs was amortized to interest expense on the consolidated statements of operations and comprehensive income (loss) using the effective interest method.

On January 1, 2022, we adopted ASU 2020-06 using the retrospective transition method. As a result, prior period financial information and disclosures are not adjusted and continue to be reported under the accounting standards that were in effect prior to the adoption of ASU 2020-06. The adoption of ASU 2020-06 resulted in the combination of the debt and equity components of the 2024 Notes into a single debt instrument recorded in long term debt, net on the consolidated balance sheet. This resulted in a $38.1 million decrease in additional paid-in capital and a $1.3 million increase in additional paid-in capital from the previously bifurcated equity component from deferred financing fees, respectively, and an $11.7 million decrease to the January 1, 2022 accumulated deficit, representing the cumulative non-cash interest expense recognized related to the amortization of the debt discount associated with the bifurcated equity component of the 2024 Notes. These adjustments resulted in an increase of $25.1 million to the debt component of the 2024 Notes. Additionally, the allocation of the issuance costs to the equity component and all issuance costs related to the 2024 Notes are being amortized to interest expense using the effective interest method over the contractual term of the 2024 Notes which is included in the cumulative adjustment to the opening balance of accumulated deficit. The Company recorded interest expense related to the amortization of the issuance costs of $46.3 thousand and $0.1 million for the three and nine months ended September 30, 2023, respectively and $0.1 million and $0.5 million for the three and nine months ended September 30, 2022, respectively.

Holders of the 2024 Notes may require the Company to repurchase all or part of their notes upon the occurrence of a fundamental change at a price equal to 100.0% of the principal amount of the notes being repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental change repurchase date. The Company may not redeem the 2024 Notes prior to March 1, 2023. The Company may redeem for cash all or any portion of the 2024 Notes, at its option, on or after March 1, 2023, if the last reported sale price of the Company’s Class A common stock has been at least 130.0% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption, at a redemption price equal to 100.0% of the principal amount of the notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.

On August 11, 2022, the Company entered into exchange agreements with certain holders of the 2024 Notes. Pursuant to the agreements, these holders exchanged $92.8 million in aggregate principal amount of such notes for shares of the Company’s Class A

common stock. On August 17 and 18, 2022, the Company consummated the exchanges and issued an aggregate of 5,394,165 shares of Class A common stock to the holders.

The August 2022 exchanges of the 2024 Notes for Class A common stock resulted in a $10.2 million loss on extinguishment/repayment of debt, net, on the consolidated statements of operations and comprehensive income (loss).

On August 2, 2023, the Company issued a notice of redemption to the holders of its outstanding 2024 Notes, pursuant to which it redeemed the outstanding Notes for cash at a price of 100% of the principal amount of the 2024 Notes, plus accrued and unpaid interest, if any, on October 13, 2023 (the “Redemption Date”). Prior to the Redemption Date, the holders of the 2024 Notes were entitled to convert to shares of the Company’s Class A Common Stock at a rate of 55.6153 shares per $1,000 principal amount of 2024 Notes.

During the three months ended September 30, 2023, certain holders of the 2024 Notes converted $23.3 million in aggregate principal amount of such notes to 1.3 million shares of the Company’s Class A common stock. As of September 30, 2023, $1.0 million aggregate principal amount of the 2024 Notes was outstanding. On October 13, 2023, the Company had satisfied all of its remaining obligations under the 2024 Notes.

2025 Notes

In October 2018, the Company issued $172.5 million aggregate principal amount of its 1.50% Convertible Senior Notes due 2025 (the “2025 Notes”) in a private placement to qualified institutional buyers within the meaning of Rule 144A under the Securities Act of 1933, as amended (the “Securities Act”). The 2025 Notes were issued at par for net proceeds of $166.6 million. We incurred $5.9 million of debt issuance costs in connection with the 2025 Notes. The closing of the private placement of $150.0 million aggregate principal amount of the 2025 Notes occurred on October 22, 2018 and the Company completed the offering and sale of an additional $22.5 million aggregate principal amount of the 2025 Notes on October 24, 2018, pursuant to the initial purchasers’ exercise in full of their option to purchase additional notes.

Holders of the 2025 Notes are entitled to cash interest payments, which are payable semiannually in arrears on April 15 and October 15 of each year, beginning on April 15, 2019, at a rate equal to 1.50% per annum. The 2025 Notes will mature on October 15, 2025, unless earlier repurchased, redeemed or converted in accordance with their terms prior to such date. The Company recorded interest expense of $0.6 million and $1.9 million for the three and nine months ended September 30, 2023 and 2022, respectively.

Prior to the close of business on the business day immediately preceding April 15, 2025, the 2025 Notes will be convertible at the option of the holders only upon the satisfaction of certain conditions, as described in the indenture, dated as of October 22, 2018, between the Company and U.S. Bank National Association, as trustee. At any time on or after April 15, 2025, until the close of business on the business day immediately preceding the maturity date, holders may convert, at their option, all or any portion of their notes at the conversion rate.

The 2025 Notes will be convertible at an initial conversion rate of 29.9135 shares of Class A common stock per $1,000 principal amount of notes, which is equivalent to an initial conversion price of approximately $33.43 per share of the Company’s Class A common stock. In the aggregate, the 2025 Notes are initially convertible into 5.2 million shares of the Company’s Class A common stock (excluding any shares issuable by the Company upon a conversion in connection with a make-whole fundamental change or a notice of redemption as described in the governing indenture). The conversion rate may be adjusted under certain circumstances. Upon conversion, the Company will pay or deliver, as the case may be, cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election.

The option to settle the 2025 Notes in cash or shares of the Company’s Class A common stock, or a combination of cash and shares of the Company’s Class A common stock, at the Company’s election, resulted in a bifurcation of the carrying value of the 2025 Notes into a debt component and an equity component prior to the adoption of ASU 2020-06. The debt component was determined to be $100.7 million, before issuance costs, based on the fair value of a nonconvertible debt instrument with the same term. The equity component was determined to be $71.8 million, before issuance costs, and was recorded within additional paid-in capital. The equity component is the difference between the aggregate principal amount of the debt and the debt component. Issuance costs of $3.4 million and $2.5 million are allocated to the debt and equity components in proportion to the allocation of proceeds. Along with the equity component of $71.8 million, $3.4 million of issuance costs will be amortized to interest expense on the consolidated statements of operations and comprehensive income (loss) using the effective interest method over the contractual term of the 2025 Notes.

On January 1, 2022, we adopted ASU 2020-06 using the retrospective transition method. As a result, prior period financial information and disclosures are not adjusted and continue to be reported under the accounting standards that were in effect prior to the adoption of ASU 2020-06. The adoption of ASU 2020-06 resulted in the combination of the debt and equity components of the 2024 Notes into a single debt instrument recorded in long term debt, net on the consolidated balance sheet. This resulted in a $71.8 million

decrease in additional paid-in capital and a $2.5 million increase in additional paid-in capital from the previously bifurcated equity component from deferred financing fees, respectively, and a $28.1 million decrease to the January 1, 2022 accumulated deficit, representing the cumulative non-cash interest expense recognized related to the amortization of the debt discount associated with the bifurcated equity component of the 2025 Notes. These adjustments resulted in an increase of $41.3 million to the debt component of the 2025 Notes. Additionally, the allocation of the issuance costs to the equity component and all issuance costs related to the 2025 Notes are being amortized to interest expense using the effective interest method over the contractual term of the 2025 Notes which is included in the cumulative adjustment to the opening balance of accumulated deficit. The Company recorded interest expense related to the amortization of the issuance costs of $0.4 million and $1.0 million for the three and nine months ended September 30, 2023, and 2022, respectively.

Holders of the 2025 Notes may require the Company to repurchase all or part of their notes upon the occurrence of a fundamental change at a price equal to 100.0% of the principal amount of the notes being repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental change repurchase date. The Company may not redeem the 2025 Notes prior to October 20, 2022. The Company may redeem for cash all or any portion of the 2025 Notes, at its option, on or after October 20, 2022, if the last reported sale price of the Company’s Class A common stock has been at least 130.0% of the conversion price then in effect for at least 20 trading days (whether or not consecutive) during any 30 consecutive trading day period (including the last trading day of such period) ending on, and including, the trading day immediately preceding the date on which the Company provides notice of redemption, at a redemption price equal to 100.0% of the principal amount of the notes to be redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.

Convertible Senior Notes Carrying Value

The 2024 Notes and 2025 Notes are recorded on our accompanying consolidated balance sheets at their net carrying values as of September 30, 2023. However, the 2024 Notes and 2025 Notes are privately traded by qualified institutional buyers (within the meaning of Rule 144A under the Securities Act) and their fair values are Level 2 inputs. The 2024 Notes and 2025 Notes also have embedded conversion options and contingent interest provisions, which have not been recorded as separate financial instruments. The following table summarizes the carrying value of the long-term convertible debt as of September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
2024 Notes
Carrying value	$	991	$	23,925
Unamortized debt discount and issuance costs	9		356
Principal amount	$	1,000	$	24,281
Remaining amortization period (years)	0.0		1.9
Fair value(1)	N/A		$	38,000
2025 Notes
Carrying value	$	169,848	$	168,885
Unamortized debt discount and issuance costs	2,652		3,615
Principal amount	$	172,500	$	172,500
Remaining amortization period (years)	2.0		2.8
Fair value(1)	$	183,066	$	185,546

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(1)Fair values for notes are derived from available trading prices closest to the respective balance sheet date. All remaining principal outstanding under the 2024 Notes as of September 30, 2023 were repaid in October 2023.

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments and Contingencies

Commitments

Letters of Credit

As of September 30, 2023 and December 31, 2022, the Company was party to irrevocable standby letters of credit with a bank for $17.9 million and $13.1 million, respectively, for the benefit of regulatory authorities, real estate and risk-sharing agreements. As such, we held $17.9 million and $13.1 million, respectively, in restricted cash and restricted investments as collateral as of September 30, 2023 and December 31, 2022, respectively. The letters of credit have current expiration dates between November 2023 and March 2032 and will automatically extend without amendment for an additional one-year period and will continue to automatically extend after each one-year term from the expiry date unless the bank elects not to extend beyond the initial or any extended expiry date.

Indemnifications

The Company’s customer agreements generally include a provision by which the Company agrees to defend its partners against third-party claims (a) for death, bodily injury, or damage to personal property caused by Company negligence or willful misconduct, (b) by former or current Company employees arising from such managed service agreements, (c) for intellectual property infringement under specified conditions and (d) for Company violation of applicable laws, and to indemnify them against any damages and costs awarded in connection with such claims. To date, the Company has not incurred any material costs as a result of such indemnities and has not accrued any liabilities related to such obligations in the accompanying interim consolidated financial statements.

Pre-IPO Investor Registration Rights Agreement

We entered into a registration rights agreement with The Advisory Board, UPMC, TPG and another investor to register for sale under the Securities Act shares of our Class A common stock, including those delivered in exchange for Class B common stock and Class B common units. Subject to certain conditions and limitations, this agreement provides these investors with certain demand, piggyback and shelf registration rights. The registration rights granted under the registration rights agreement will terminate upon the date the holders of shares that are a party thereto no longer hold any such shares that are entitled to registration rights. Pursuant to our contractual obligations under this agreement, we filed a registration statement on Form S-3 with the SEC on July 28, 2016, which was declared effective on August 12, 2016.

We will pay all expenses relating to any demand, piggyback or shelf registration, other than underwriting discounts and commissions and any transfer taxes, subject to specified conditions and limitations. The registration rights agreement includes customary indemnification provisions, including indemnification of the participating holders of shares of Class A common stock and their directors, officers and employees by us for any losses, claims, damages or liabilities in respect thereof and expenses to which such holders may become subject under the Securities Act, state law or otherwise. We did not incur any expenses related to secondary offerings or other sales of shares by our investor stockholders during the three and nine months ended September 30, 2023, respectively.

Guarantees

On July 16, 2020, EVH Passport, Evolent Health LLC and Molina Healthcare, Inc. (“Molina”) entered into an Asset Purchase Agreement (the “Molina APA”), which contemplated the sale by EVH Passport to Molina of certain assets, including certain intellectual property rights of EVH Passport and EVH Passport’s rights under the Passport Medicaid Contract. On September 1, 2020, EVH Passport and Molina consummated the transactions contemplated by the Molina APA (the “Molina Closing”) and the Passport Medicaid Contract was novated to Molina. In connection with the Molina Closing, the Company continued to provide administrative support services relating to the Passport Medicaid Contract to Molina through the end of 2020. Following the Molina Closing, EVH Passport began working with regulatory authorities including the Kentucky Department of Insurance (“KY DOI”) regarding the wind down of its operations throughout 2021, 2022 and a portion of 2023. The wind down process is now complete and on October 10, 2023, the KY DOI approved our application to surrender our certificate of authority. As part of that wind down process, the Company, as the parent of EVH Passport, entered into a guarantee for the benefit of the KY DOI to satisfy any EVH Passport liability or obligation in the event EVH Passport is not able to meet its wind down liabilities or obligations. As of September 30, 2023, no amounts have been funded under this guarantee.

UPMC Reseller Agreement

The Company and UPMC are parties to a reseller, services and non-competition agreement, dated August 31, 2011, which was amended and restated by the parties on June 27, 2013 (as amended through the date hereof, the “UPMC Reseller Agreement”). Under

the terms of the UPMC Reseller Agreement, UPMC has appointed the Company as a non-exclusive reseller of certain services, subject to certain conditions and limitations specified in the UPMC Reseller Agreement. In consideration for the Company’s obligations under the UPMC Reseller Agreement and subject to certain conditions described therein, UPMC has agreed not to sell certain products and services directly to a defined list of 20 of the Company’s customers.

Tax Receivables Agreement

In connection with the Offering Reorganization, the Company entered into the Tax Receivables Agreement (the “TRA”) with certain of its investors, which provides for the payment by the Company to these investors of 85% of the amount of the tax benefits, if any, that the Company is deemed to realize as a result of increases in our tax basis related to exchanges of Class B common units as well as tax benefits attributable to the future utilization of pre-IPO NOLs.

Due to the reduction in the Company’s valuation allowance primarily resulting from deferred tax liabilities established as part of the NIA acquisition, the Company has recorded the remaining TRA liability of $66.2 million for the nine months ended September 30, 2023, resulting in a total TRA liability of $112.1 million as of September 30, 2023.

We will assess the realizability of the deferred tax assets at each reporting period, and a change in our estimate of our liability associated with the tax receivable agreement may result as additional information becomes available, including results of operations in future periods. The realizability of the deferred tax assets is evaluated based on all positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax planning strategies and recent results of operations.

Contingencies

Litigation Matters

We are engaged from time to time in certain legal disputes arising in the ordinary course of business, including employment claims. When the likelihood of a loss contingency becomes probable and the amount of the loss can be reasonably estimated, we accrue a liability for the loss contingency. We continue to review accruals and adjust them to reflect ongoing negotiations, settlements, rulings, advice of legal counsel, and other relevant information. To the extent new information is obtained, and our views on the probable outcomes of claims, suits, assessments, investigations or legal proceedings change, changes in our accrued liabilities would be recorded in the period in which such determination is made.

On June 8, 2021, a shareholder of the Company filed a derivative action in the Delaware Chancery Court against some current and former Board members and against the Company as a nominal defendant, alleging that the Company’s Board was negligent in its oversight of the Company’s relationship with Passport Health Plan. The case is Lincolnshire Police Pension Fund, derivatively on behalf of Evolent Health, Inc., v. Blackley, Williams, Scott, Holder, Farner, D’Amato, Duffy, Felt, Samet, Hobart, and Payson, and Evolent Health, Inc. (“Derivative Action”). The Company and the Director-Defendants filed a motion to dismiss the complaint on August 27, 2021, and Plaintiffs responded by filing an amended complaint on October 26, 2021. Defendants filed a motion to dismiss the amended complaint on December 17, 2021. Plaintiffs filed a motion to dismiss the case without prejudice, which was granted by the Delaware Chancery Court on January 5, 2023. On April 6, 2023, a shareholder of the Company sent a letter to the Company’s Board (the “Demand”) requesting that the Company’s Board, among other things, investigate alleged wrongdoing and commence litigation for breach of fiduciary duty against the individuals named as defendants in the Derivative Action. The Company’s Board considers it appropriate to investigate, evaluate, and consider the issues and matters raised in the Demand, and will work with outside counsel to do so. The Company cannot currently estimate the loss or the range of possible losses it may experience in connection with this request.

Credit and Concentration Risk

The Company is subject to significant concentrations of credit risk related to cash and cash equivalents and accounts receivable. As of September 30, 2023, approximately 98.7% of our $224.5 million of cash and cash equivalents, restricted cash and restricted investments were held in either bank deposits with FDIC participating banks or overnight sweep accounts invested in money-market funds and approximately 1.3% were held in international banks. While the Company maintains its cash and cash equivalents with financial institutions with high credit ratings, it often maintains these deposits in federally insured financial institutions in excess of federally insured limits. The Company is closely monitoring ongoing events involving limited liquidity, defaults, non-performance or other adverse developments that affect financial institutions or other companies in the financial services industry or the financial services industry generally. The Company has not experienced any realized losses on cash and cash equivalents to date; however, no assurances can be provided.

The Company is also subject to significant concentration of accounts receivable risk as a substantial portion of our trade accounts receivable is derived from a small number of our partners. The following table summarizes the partners who represented at least 10.0% of our consolidated short-term trade accounts receivable, excluding pharmacy claims receivable and premiums receivable:

	September 30, 2023	December 31, 2022
Cook County Health and Hospitals System	41.2%	42.5%
Center for Medicare & Medicaid Services	14.1%	*
Molina Healthcare	10.6%	12.0%
Bright Health Management, Inc.	*	11.3%

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*     Represents less than 10.0% of the respective balance.

In addition, the Company is subject to significant concentration of revenue risk as a substantial portion of our revenue is derived from a small number of contractual relationships with our operating partners.

The following table summarizes those partners who represented at least 10.0% of our consolidated revenue:

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Cook County Health and Hospitals Systems	15.7%	21.2%	16.8%	23.0%
Humana Health Insurance Company of Florida, Inc.	13.7%	*	*	*
Molina Healthcare	12.9%	*	14.2%	*
Florida Blue Medicare, Inc.	*	13.7%	10.9%	12.5%

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*     Represents less than 10.0% of the respective balance

We derive a significant portion of our revenues from our largest partners. The loss, termination or renegotiation of our relationship or contract with any significant partner or multiple partners in the aggregate could have a material adverse effect on the Company's financial condition and results of operations.

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Leases

9 Months Ended

Sep. 30, 2023

Leases [Abstract]

Leases

Leases

The Company enters into various office space, data center, and equipment lease agreements in conducting its normal business operations. At the inception of any contract, the Company evaluates the agreement to determine whether the contract contains a lease. If the contract contains a lease, the Company then evaluates the term and whether the lease is an operating or finance lease. Most leases include one or more options to renew or may have a termination option. The Company determines whether these options are reasonably certain to be exercised or not at the inception of the lease. In addition, some leases contain escalation clauses. The rent expense is recognized on a straight-line basis in the consolidated statements of operations and comprehensive income (loss) over the term of the lease. Leases with an initial term of 12 months or less are not recorded on our consolidated balance sheets.

As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. Further, the Company treats all lease and non-lease components as a single combined lease component for all classes of underlying assets. The Company also enters into sublease agreements for some of its leased office space. Immaterial rental income attributable to subleases is offset against rent expense over the terms of the respective leases.

The Company leases office space and computer and other equipment under operating lease agreements expiring at various dates through 2032. Under the lease agreements, in addition to base rent, the Company is generally responsible for operating and maintenance costs and related fees. Several of these agreements include tenant improvement allowances, rent holidays or rent escalation clauses. When such items are included in a lease agreement, we record such items in Right-of-use assets and Operating lease liabilities on our consolidated balance sheets equal to the difference between rent expense and future minimum lease payments due. The rent expense related to these items is recognized on a straight-line basis over the terms of the leases. The Company’s primary office location is in Arlington, Virginia, which has served as its corporate headquarters since 2013. The Arlington, Virginia office lease expires in January 2032.

In connection with various lease agreements, the Company is required to maintain $2.1 million and $2.3 million in letters of credit as of September 30, 2023 and December 31, 2022, respectively. As of September 30, 2023 and December 31, 2022, the Company held $2.1 million and $2.3 million in restricted cash and restricted investments on the consolidated balance sheet as collateral for the letters of credit, respectively.

During the nine months ended September 30, 2023, the Company terminated a portion of its Arlington, VA lease effective December 31, 2023 and recognized the impact of a $6.5 million termination penalty in its operating lease liability - current on its consolidated balance sheet. The termination payment will consist of two payments of $3.25 million to be paid on October 1, 2023 and April 1, 2024.

Right-of-Use Asset Impairment

During the nine months ended September 30, 2023, the Company decommissioned its Chicago, IL lease and wrote off the associated right-of-use asset, recognizing an impairment charge of $24.1 million in right-of-use assets impairment on the consolidated statements of operations and comprehensive income (loss).

The following table summarizes our primary office leases as of September 30, 2023 (in thousands, other than term):

Location	Lease Termination Term (in years)	Future Minimum Lease Commitments		Letter of Credit Amount Required
Arlington, VA	8.3	$	15,511	$	1,579
Edison, NJ	2.6	1,351		222
Makati City, Philippines	4.7	3,089		—
Alpharetta, GA	2.0	951		—
Pune, India	4.5	2,602		—
Brea, CA	3.7	3,546		—

The following table summarizes the components of our lease expense (in thousands):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Operating lease cost	$	5,026	$	2,221	$	5,239	$	6,726
Variable lease cost	1,407		1,599		4,528		4,096
Total lease cost	$	6,433	$	3,820	$	9,767	$	10,822

Maturity of lease liabilities (in thousands) as of September 30, 2023, is as follows:

	Operating lease expense
2023	$	5,713
2024	12,476
2025	8,881
2026	8,034
2027	7,525
Thereafter	21,317
Total lease payments	63,946
Less:
Interest	11,330
Present value of lease liabilities	$	52,616

Our weighted-average discount rate and our weighted remaining lease terms (in years) are as follows:

	September 30, 2023
Weighted average discount rate	6.80	%
Weighted average remaining lease term	5.9

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Convertible Preferred Equity

9 Months Ended

Sep. 30, 2023

Temporary Equity Disclosure [Abstract]

Convertible Preferred Equity

Convertible Preferred Equity

In connection with the NIA closing, on January 20, 2023, the Company entered into a Securities Purchase Agreement (Series A Convertible Preferred Shares) with the Purchasers listed on Schedule I thereto (the “Securities Purchase Agreement”) pursuant to which the Company offered and sold to the Purchasers an aggregate 175,000 shares of the Company’s newly created Cumulative Series A Preferred Shares, par value $0.01 (the “Series A Preferred Stock”), at a purchase price of $960.00 per share, resulting in total gross proceeds to the Company of $168.0 million. The proceeds from the offer and sale of the Series A Preferred Stock were used, together with the proceeds from the Priority ABL Incremental Facility and Term Loan Incremental Facility, to finance the cash consideration payable at Closing and pay transaction fees and expenses.

The Series A Preferred Stock ranks senior with respect to dividend and liquidation rights to the Company’s Class A common stock, par value $0.01 per share and all future series of the Company’s preferred stock. Each share of Series A Preferred Stock has an initial liquidation preference of $1,000.00 per share.

Regular dividends on the Series A Preferred Stock will be paid quarterly in cash in arrears at a rate per annum equal to Adjusted Term SOFR (as defined in the Certificate of Designations (as defined below)) plus 6.00%. The liquidation preference of the Series A Preferred Stock will increase on the last day of each calendar quarter by the amount of any accrued and unpaid regular dividends that have not been paid in cash on the relevant dividend payment date. The regular dividend rate will also increase by 2.0% per annum upon the occurrence and during the continuance of certain triggering events, including a breach of the protective covenants contained in the Investor Rights Agreement or the Company’s failure to pay any regular dividends in cash. Holders of Series A Preferred Stock are also entitled to participate in and receive any dividends declared or paid on the Class A Common Stock on an as-converted basis.

Each holder of Series A Preferred Stock has the right, at its option, to convert its shares of Series A Preferred Stock into shares of Class A Common Stock at an initial conversion price per share of $40.00 of the then-current liquidation preference per share, subject to customary anti-dilution adjustments.

Holders of Series A Preferred Stock are not entitled to vote on any matters, except as required by law and for certain consent rights set forth in the Certificate of Designations.

The Company may not redeem the Series A Preferred Stock at its option prior to January 20, 2025. At any time on or after January 20, 2025, the Company may redeem any or all of the Series A Preferred Stock then outstanding for cash at a redemption price per share equal to 165.00% of the then-current liquidation preference of the Series A Preferred Stock, plus all accrued and unpaid dividends on the Series A Preferred Stock being redeemed.

If not earlier redeemed, at any time on or after January 20, 2030, at the request of the holders of a majority of the convertible preferred stock, the Company will redeem all shares of Series A Preferred Stock then outstanding for cash at a redemption price per share equal to 150.00% of the then-current liquidation preference per share of the Series A Preferred Stock, plus all accrued and unpaid dividends on the Series A Preferred Stock being redeemed.

Upon the occurrence of a refinancing or replacement of the entirety of the indebtedness under the Credit Agreement prior to its maturity that is provided solely by lenders who are not affiliates or approved funds of Ares, the Company will be required to redeem all shares of Series A Preferred Stock then outstanding for cash at a redemption price per share equal to 165.00% of the then-current liquidation preference of the Series A Preferred Stock, plus all accrued and unpaid dividends on the Series A Preferred Stock being redeemed, plus, solely in the event such refinancing or replacement is consummated prior to January 20, 2025, the aggregate amount of dividends per share which would have otherwise been payable on the Series A Preferred Stock from the date of redemption until January 20, 2025.

If the Company undergoes a Change of Control (as defined in the Existing Credit Agreement), the Company will be required to redeem all shares of Series A Preferred Stock then outstanding for cash at a price per share equal to the greater of (x) 150.00% of the then-current liquidation preference per share of the Series A Preferred Stock, if such redemption occurs prior to January 20, 2025, and 135.00% of the then-current liquidation preference per share of the Series A Preferred Stock, if such redemption occurs on or after January 20, 2025, and (y) the value of the Class A Common Stock issuable upon conversion of a share of Series A Preferred Stock,

which value shall be determined based on the value attributed to the Class A Common Stock in connection with such Change of Control.

In connection with the NIA closing, the Company entered into an Investors Rights Agreement with the Purchasers named in Schedule I thereto (the “Investors Rights Agreement”). The Investors Rights Agreement contains certain restrictions on the transfer of the Series A Preferred Stock and certain protective covenants in favor of the Purchasers. These covenants include, among other things, covenants limiting the incurrence of Funded Debt (as defined in the Investors Rights Agreement), the ability to make restricted payments and the ability to issue additional indebtedness senior to the Series A Preferred Stock. Each of these covenants is subject to certain exceptions set forth in the Investors Rights Agreement.

In connection with the NIA closing, on January 20, 2023, the Company entered into a Registration Rights Agreement with the Stockholders named in Schedule I thereto, which granted certain registration rights to Ares in respect of the shares of the Company’s Class A Common Stock issuable upon conversion of the Series A Preferred Stock.

The Company accreted $2.8 million and $7.6 million of deferred issuance costs in additional paid-in-capital on the consolidated balance sheets for the three and nine months ended September 30, 2023, respectively.

The Company paid dividends related to the Series A Preferred Stock as presented below during the nine months ended September 30, 2023:

For the Three Month Period Ended	Payment Date	Dividends Per Share		Total Amount Paid
March 31, 2023	3/28/2023	$	20.86	$	3,650,500
June 30, 2023	6/27/2023	27.91		4,884,250
September 30, 2023	9/28/2023	29.12		5,096,000

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Loss Per Common Share

9 Months Ended

Sep. 30, 2023

Earnings Per Share [Abstract]

Loss Per Common Share

Loss Per Common Share

The following table sets forth the computation of basic and diluted earnings per share available for common stockholders (in thousands, except per share data):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Income (loss) from continuing operations	$	(25,324)	$	2,123	$	(79,629)	$	(7,352)
Loss from discontinued operations, net of tax (2)	—		—		—		(463)
Income (loss) before preferred dividends and accretion of Series A Preferred Stock	(25,324)		2,123		(79,629)		(7,815)
Dividends and accretion of Series A Preferred Stock	(7,872)		—		(21,236)		—
Net income (loss) attributable to common shareholders of Evolent Health, Inc.	$	(33,196)	$	2,123	$	(100,865)	$	(7,815)
Weighted-average common shares outstanding - basic	112,282		95,286		110,464		91,643
Incremental diluted shares from stock options	—		1,915		—		—
Incremental diluted shares from restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")	—		2,107		—		—
Weighted-average common shares outstanding - diluted	112,282		99,308		110,464		91,643
Income (loss) per common share
Basic:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Basic income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)
Diluted:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Diluted income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)

Basic net loss per common share is calculated using the weighted average number of common shares outstanding during the period. Diluted net earnings per common share, if any, gives effect to diluted stock options (calculated based on the treasury stock method), shares issuable upon debt conversion (calculated using an as-if converted method).

Anti-dilutive shares excluded from the calculation of weighted-average common shares presented above are presented below (in thousands):

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")	1,045	—	1,311	1,818
Stock options	603	—	933	1,858
Series A Preferred Stock	4,375	—	4,375	—
Convertible senior notes	5,997	9,007	6,301	10,714
Total	12,020	9,007	12,920	14,390

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Stock-based Compensation

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Stock-based Compensation

Stock-based Compensation

Total compensation expense by award type and line item in our interim consolidated financial statements was as follows (in thousands):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Award Type
Stock options	$	—	$	78	$	74	$	331
RSUs	6,312		4,830		20,704		12,778
LSUs	78		387		439		1,544
PSUs	3,832		1,697		8,681		4,697
Total compensation expense by award type	$	10,222	$	6,992	$	29,898	$	19,350
Line Item
Cost of revenue	$	51	$	1,024	$	1,633	$	2,986
Selling, general and administrative expenses	10,171		5,968		28,265		16,364
Total compensation expense by financial statement line item	$	10,222	$	6,992	$	29,898	$	19,350

No stock-based compensation was capitalized as software development costs during the three and nine months ended September 30, 2023 and 2022, respectively.

Stock-based awards were granted as follows (in thousands):

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
RSUs	183	87	1,236	1,067
PSUs	110	—	542	479

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Income Taxes

9 Months Ended

Sep. 30, 2023

Income Tax Disclosure [Abstract]

Income Taxes

Income Taxes

For interim periods, we recognize an income tax provision (benefit) based on our estimated annual effective tax rate expected for the full year, adjusted for discrete items recognized during the interim period. Discrete items (e.g., significant or unusual items) are separately recognized in the quarter during which they occur and can cause the effective tax rate to vary from quarter to quarter.

An income tax benefit of $5.6 million and $74.7 million was recognized for the three and nine months ended September 30, 2023, respectively, which resulted in effective tax rates of 18.0% and 48.4%, respectively. An income tax benefit of $45.5 million and $44.5 million was recognized for the three and nine months ended September 30, 2022, respectively, which resulted in effective tax rates of 104.9% and 85.8%, respectively. The income tax benefit recorded during the nine months ended September 30, 2023, primarily relates to the $56.1 million reduction in the valuation allowance resulting from deferred tax liabilities established as part of the NIA acquisition accounting. The income tax benefit recorded during the three and nine months ended September 30, 2022, primarily related to the $46.8 million reduction in the valuation allowance resulting from deferred tax liabilities established as part of the IPG acquisition accounting, partially offset by state and foreign taxes.

As of September 30, 2023, the Company had unrecognized tax benefits of $1.6 million that, if recognized, would affect the overall effective tax rate. The Company is not currently subject to income tax audits in any U.S., state, or foreign jurisdictions for any tax year.

Tax Receivables Agreement

In connection with the Offering Reorganization, the Company entered into the TRA with certain of its investors, which provides for the payment by the Company to these investors of 85% of the amount of the tax benefits that the Company is deemed to realize as a result of increases in our tax basis related to exchanges of Class B common units as well as tax benefits attributable to the future utilization of pre-IPO NOLs. See Note 10 above for discussion of our TRA.

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Investments in Equity Method Investees

9 Months Ended

Sep. 30, 2023

Equity Method Investments and Joint Ventures [Abstract]

Investments in Equity Method Investees

Investments in Equity Method Investees

The Company holds ownership interests in joint ventures and other entities which are accounted for under the equity method. The Company evaluates its interests in these entities to determine whether they meet the definition of a VIE and whether the Company is required to consolidate these entities. A VIE is consolidated by its primary beneficiary, which is the party that has both (i) the power to direct the activities that most significantly impact the economic performance of the VIE and (ii) a variable interest that could potentially be significant to the VIE. To determine whether or not a variable interest the Company holds could potentially be significant to the VIE, the Company considers both qualitative and quantitative factors regarding the nature, size and form of the Company's involvement with the VIE. The Company has determined that its interests in these entities meet the definition of a variable interest, however, the Company is not the primary beneficiary since it does not have the power to direct activities, therefore, the Company did not consolidate the VIEs.

As of September 30, 2023 and December 31, 2022, the Company’s economic interests in its equity method investments ranged between 4% and 34% and 4% and 38%, respectively, and voting interests in its equity method investments ranged between 25% and 34% and 25% and 40% respectively. The Company determined that it has significant influence over these entities but that it does not have control over any of the entities. Accordingly, the investments are accounted for under the equity method of accounting and the Company is allocated its proportional share of the entities’ earnings and losses for each reporting period. The Company’s proportional share of the gain from these investments was approximately $0.7 million and $1.3 million for the three and nine months ended September 30, 2023, respectively, and $1.4 million and $3.9 million for the three and nine months ended September 30, 2022, respectively.

The Company signed services agreements with certain of the aforementioned entities to provide certain management, operational and support services to help manage elements of their service offerings. Revenue related to these services agreements were $5.0 million and $14.4 million for the three and nine months ended September 30, 2023, respectively, and $5.0 million and $12.5 million for the three and nine months ended September 30, 2022, respectively.

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Fair Value Measurement

9 Months Ended

Sep. 30, 2023

Fair Value Disclosures [Abstract]

Fair Value Measurement

Fair Value Measurement

GAAP defines fair value as the price that would be received from the sale of an asset or paid to transfer a liability (an exit price) assuming an orderly transaction in the most advantageous market at the measurement date. GAAP also establishes a hierarchical disclosure framework which prioritizes and ranks the level of observability of inputs used in measuring fair value. These tiers include:

•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.

In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, the level within the fair value hierarchy is based on the lowest level of input that is significant to the fair value measurement. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the particular asset or liability being measured. These items are recorded in accrued liabilities on our consolidated balance sheets.

Recurring Fair Value Measurements

In accordance with GAAP, certain assets and liabilities are required to be recorded at fair value on a recurring basis. The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):

	September 30, 2023
	Level 1		Level 2		Level 3		Total
Liabilities
Contingent consideration(1)	$	—	$	—	$	124,600	$	124,600
Total fair value of liabilities measured on a recurring basis	$	—	$	—	$	124,600	$	124,600

	December 31, 2022
	Level 1		Level 2		Level 3		Total
Liabilities
Contingent consideration	$	—	$	—	$	78,000	$	78,000
Total fair value of liabilities measured on a recurring basis	$	—	$	—	$	78,000	$	78,000

————————

(1) Represents the fair value of earn-out consideration related to the IPG and NIA transactions as described in Note 4.

The Company recognizes any transfers between levels within the hierarchy as of the beginning of the reporting period. There were no transfers between fair value levels during the three and nine months ended September 30, 2023, and 2022, respectively.

In the absence of observable market prices, the fair value is based on the best information available and involves a significant degree of judgment, taking into consideration a combination of internal and external factors, including the appropriate risk adjustments for non-performance and liquidity risks.

The acquisitions of NIA and IPG include a provision for additional equity consideration, at the Company’s option, contingent upon the Company obtaining certain performance metrics. The earnout period for the NIA contingent consideration is the year ending December 31, 2023, and the earnout period for IPG is the nine months ended September 30, 2023. The fair value of the contingent equity considerations was estimated based on the real options approach, a form of the income approach, which estimated the probability of the Company achieving future revenues under the agreement. The significant unobservable inputs used in the fair value measurements of the NIA and IPG contingent considerations are the risk-neutral (probability weighted) earnout consideration and the applicable discount rate. A significant increase in the risk-neutral (probability weighted) earnout consideration or decrease in discount rate in isolation would result in a significantly higher fair value of the contingent consideration.

The changes in our liabilities measured at fair value for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance as of beginning of period	$	78,000	$	28,700
Additions	66,600		75,000
Settlements	(32,047)		—
Total (gain) loss, net	12,047		(8,000)
Balance as of end of period	$	124,600	$	95,700

The following table summarizes the fair value (in thousands), valuation techniques and significant unobservable inputs of our Level 3 fair value measurements as of the periods presented:

	September 30, 2023
	Fair		Valuation	Significant	Assumption or
	Value		Technique	Unobservable Inputs	Input Ranges
Contingent consideration	$	124,600	Real options approach	Risk-neutral expected earnout consideration	$	124,600
				Weighted average discount rate	8.80%

	December 31, 2022
	Fair		Valuation	Significant	Assumption or
	Value		Technique	Unobservable Inputs	Input Ranges
Contingent consideration	$	78,000	Real options approach	Risk-neutral expected earnout consideration	$	77,946
				Weighted average discount rate	9.85% - 10.01%

Nonrecurring Fair Value Measurements

In addition to the assets and liabilities that are recorded at fair value on a recurring basis, the Company records certain assets and liabilities at fair value on a nonrecurring basis as required by GAAP. Generally, assets are recorded at fair value on a nonrecurring basis as a result of impairment charges. This includes assets and liabilities recorded in business combinations or asset acquisitions, goodwill, intangible assets, property, plant and equipment, held-to-maturity investments and equity method investments. While not carried at fair value on a recurring basis, these items are continually monitored for indicators of impairment that would indicate current carrying value is greater than fair value. In those situations, the assets are considered impaired and written down to current fair value.

Other Fair Value Disclosures

The carrying amounts of cash and cash equivalents (those not held in a money market fund), restricted cash, receivables, prepaid expenses, accounts payable, accrued liabilities and accrued compensation approximate their fair values because of the relatively short-term maturities of these items and financial instruments.

See Note 9 for information regarding the fair value of the 2024 Notes and 2025 Notes.

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Related Parties

9 Months Ended

Sep. 30, 2023

Related Party Transactions [Abstract]

Related Parties

Related Parties

The entities described below are considered related parties and the balances and/or transactions with them are reported in our interim consolidated financial statements.

As discussed in Note 16, the Company had economic interests in several entities that are accounted for under the equity method of accounting. The Company has allocated its proportional share of the investees’ earnings and losses each reporting period. In addition, Evolent has entered into services agreements with certain of the entities to provide certain management, operational and support services to help the entities manage elements of their service offerings.

The Company also works with UPMC, one of its founding investors. The Company’s relationship with UPMC is a subcontractor relationship where UPMC has agreed to execute certain tasks (primarily TPA services) relating to certain customer commitments. This relationship is currently in wind-down.

The following table presents assets and liabilities attributable to our related parties (in thousands):

	September 30, 2023		December 31, 2022
Assets
Accounts receivable, net	$	8,152	$	8,787
Liabilities
Accounts payable	$	747	$	27
Accrued liabilities	—		192

The following table presents revenues and expenses attributable to our related parties (in thousands):

	For the Three Months Ended September 30, 2023				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue	$	49,695	$	36,321	$	143,902	$	111,195
Expenses
Cost of revenue	42,300		30,121		121,882		93,266
Selling, general and administrative expenses	699		443		1,938		745

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Repositioning and Other Changes

9 Months Ended

Sep. 30, 2023

Restructuring and Related Activities [Abstract]

Repositioning and Other Changes

Repositioning and Other Changes

We continually assess opportunities to improve operational effectiveness and efficiency to better align our expenses with revenues, while continuing to make investments in our solutions, systems and people that we believe are important to our long-term goals.

During the second quarter of 2023, the Company implemented a broad set of repositioning initiatives designed to further align the Company’s assets and talent towards the value-based specialty care opportunity, with the intent of streamlining its operations and supporting the goal of realizing long-term sustainable earnings growth. These initiatives include making organizational changes across the business that resulted in severance, terminated benefits and related payroll taxes and dedicated employee costs associated with recent acquisitions as well as third-party professional fees. Dedicated employee costs primarily include project management and technology staff costs needed to migrate acquired businesses to Evolent’s integrated technology platform and costs related to the consolidation of brands, internal operations, strategies, processes and platforms. Dedicated employee costs are limited to employees that will have no role in ongoing operations and have no planned role at Evolent once the repositioning activities are completed. Professional services costs primarily relate to services provided by a third-party vendor to review our operating model and organizational design in order to improve our profitability, create value through our solutions and invest in strategic opportunities in future periods.

As of September 30, 2023, the Company estimates total repositioning charges of $38.6 million which will be recorded in selling, general and administrative expenses on the consolidated statement of operations. The repositioning program is anticipated to be substantially complete by the first half of 2024.

The following table provides a summary of our total costs associated with the Repositioning Plan for the three and nine months ended September 30, 2023, by major type of cost (in thousands):

	Incurred				Total Amount Expected to be Incurred in the Repositioning Plan
	For the Three Months Ended September 30, 2023		For the Nine Months Ended September 30, 2023
Severance and termination benefits	$	1,826	$	6,563	$	9,563
Dedicated employee costs	2,325		4,062		8,099
Professional services	3,978		8,765		14,466
Office space consolidation	—		—		6,500
Total	$	8,129	$	19,390	$	38,628

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Reserves for Claims and Performance-Based Arrangements

9 Months Ended

Sep. 30, 2023

Insurance [Abstract]

Reserves for Claims and Performance-Based Arrangements

Reserve for Claims and Performance-Based Arrangements

The Company maintains reserves for its liabilities related to payments to providers and pharmacies under performance-based arrangements related to its total cost of care and specialty care management services.

Reserves for claims and performance-based arrangements reflect actual payments under performance-based arrangements and the ultimate cost of claims that have been incurred but not reported, including expected development on reported claims, those that have been reported but not yet paid (reported claims in process), and other medical care expenses and services payable that are primarily composed of accruals for incentives and other amounts payable to health care professionals and facilities.

The Company uses actuarial principles and assumptions that are consistently applied each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.

This liability predominately consists of incurred but not reported amounts and reported claims in process including expected development on reported claims. The liability for reserves related to its total cost of care and specialty care management services is primarily calculated using "completion factors" developed by comparing the claim incurred date to the date claims were paid. Completion factors are impacted by several key items including changes in: 1) electronic (auto-adjudication) versus manual claim processing, 2) provider claims submission rates, 3) membership and 4) the mix of products.

The Company’s policy for reserves related to its total cost of care and specialty care management services is to use historical completion factors combined with an analysis of current trends and operational factors to develop current estimates of completion factors. The Company estimates the liability for claims incurred in each month by applying the current estimates of completion factors to the current paid claims data. This approach implicitly assumes that historical completion rates will be a useful indicator for the current period.

For more recent months, and for newer lines of business where there is not sufficient paid claims history to develop completion factors, the Company expects to rely more heavily on medical cost trend and expected loss ratio analysis that reflects expected claim payment patterns and other relevant operational considerations, or authorization analysis. Medical cost trend is primarily impacted by medical service utilization and unit costs that are affected by changes in the level and mix of medical benefits offered, including inpatient, outpatient and pharmacy, the impact of copays and deductibles, changes in provider practices and changes in consumer demographics and consumption behavior. Authorization analysis projects costs based on authorizations per thousand members basis and assigning an average cost per authorization. This is also adjusted for the impact of copays, deductibles, unit cost and historic discontinuation rates for treatment are considered.

For each reporting period, the Company compares key assumptions used to establish the reserves for claims and performance-based arrangements to actual experience. When actual experience differs from these assumptions, reserves for claims and performance-based arrangements are adjusted through current period net income. Additionally, the Company evaluates expected future developments and emerging trends that may impact key assumptions. The process used to determine this liability requires the Company to make critical accounting estimates that involve considerable judgment, reflecting the variability inherent in forecasting future claim payments. These estimates are highly sensitive to changes in the Company's key assumptions, specifically completion factors and medical cost trends.

Activity in reserves for claims and performance-based arrangements was as follows (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance, beginning of period	$	199,730	$	171,294
Incurred health care costs:
Current year to date period	628,251		471,502
Prior year to date period	(36,248)		(8,154)
Total claims incurred	592,003		463,348
Claims paid related to:
Current year to date period	(364,709)		(369,708)
Prior year to date period	(127,282)		(129,236)
Total claims paid	(491,991)		(498,944)
Balance, end of period	$	299,742	$	135,698

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Supplemental Cash Flow Information

9 Months Ended

Sep. 30, 2023

Supplemental Cash Flow Elements [Abstract]

Supplemental Cash Flow Information

Supplemental Cash Flow Information

The following represents supplemental cash flow information (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Supplemental Disclosure of Non-cash Investing and Financing Activities
Accrued property and equipment purchases	$	322	$	1,014
Increase/decrease to goodwill from measurement period adjustments/business combinations	(391)		—
Class A common stock issued in connection with business combinations	261,271		130,175
Class A common stock issued in connection with debt repayment	23,073		101,999
Accrued net working capital adjustment with business combinations	—		791
Effects of Leases
Operating cash flows from operating leases	9,587		14,453
Leased assets disposed of (obtained in) exchange for operating lease liabilities	6,956		4,305

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Subsequent Events	9 Months Ended
	Sep. 30, 2023
Subsequent Events [Abstract]
Subsequent Events	Subsequent EventsThe Company issued a notice of redemption to the holders of its outstanding 2024 Notes on August 2, 2023 pursuant to which it redeemed the outstanding 2024 Notes for cash at a price of 100% of the principal amount of the 2024 Notes, plus accrued and unpaid interest if any, on October 13, 2023. As of September 30, 2023, all but $1.0 million of principal of the outstanding 2024 Notes were converted to shares of the Company’s Class A common stock at a rate of 55.6153 shares per $1,000 principal amount of the 2024 Notes, which was recorded in short-term debt, net on the consolidated balance sheet. On October 13, 2023, the Company had satisfied all of its remaining obligations under the 2024 Note.

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Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Pay vs Performance Disclosure
Net Income (Loss)	$ (25,324)	$ 2,123	$ (79,629)	$ (7,815)

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Insider Trading Arrangements	3 Months Ended	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2023
Trading Arrangements, by Individual
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false
Seth Blackley [Member]
Trading Arrangements, by Individual
Material Terms of Trading Arrangement		On August 30, 2023, Seth Blackley, the Company’s Chief Executive Officer and a member of the Company’s Board of Directors, adopted a new trading plan for the sale of securities that is intended to satisfy the affirmative defense conditions of Rule 10b5-1 of the Securities Exchange Act of 1934 (the “Blackley Plan”). The first possible trade date under the Blackley Plan is December 5, 2023, and the end date of the Blackley Plan is May 31, 2024. The Blackley Plan is solely for the sale of securities to satisfy applicable tax withholding and other obligations upon the vesting of LSUs granted on June 4, 2020, and accordingly the aggregate amount of securities that may be sold is currently unknown as the number will vary based on the market price of the Company’s Class A common stock at the time of vesting.
Name	Seth Blackley
Title	Company’s Chief Executive Officer and a member of the Company’s Board of Directors
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	August 30, 2023
Arrangement Duration	178 days

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles (Policies)

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Basis of Presentation

Basis of Presentation

In our opinion, the accompanying unaudited interim consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to fairly state our financial position, results of operations and cash flows. The interim consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain footnote disclosures normally included in financial statements prepared in accordance with United States of America generally accepted accounting principles (“GAAP”) have been omitted pursuant to instructions, rules and regulations prescribed by the United States Securities and Exchange Commission (“SEC”). The disclosures provided herein should be read in conjunction with the audited financial statements and notes thereto included in our 2022 Form 10-K.

Accounting Estimates and Assumptions

Accounting Estimates and Assumptions

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions affecting the reported amounts of assets and liabilities and the disclosures of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenue and expenses for the reporting period. Those estimates are inherently subject to change and actual results could differ from those estimates. In the accompanying interim consolidated financial statements, estimates are used for, but not limited to, the valuation of assets (including intangibles assets, goodwill and long-lived assets), liabilities, consideration related to business combinations and asset acquisitions, revenue recognition (including variable consideration), estimated selling prices for performance obligations in contracts with multiple performance obligations, reserves for claims and performance-based arrangements, credit losses, depreciable lives of assets, impairment of long-lived assets, stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, purchase price allocation in taxable stock transactions and useful lives of intangible assets.

Principles of Consolidation

Principles of Consolidation

The interim consolidated financial statements include the accounts of Evolent Health, Inc. and its subsidiaries. All intercompany accounts and transactions are eliminated in consolidation.

Cash and Cash Equivalents

Cash and Cash EquivalentsWe consider all highly liquid instruments with original maturities of three months or less to be cash equivalents. The Company holds materially all of our cash in bank deposits with FDIC participating banks, at cost, which approximates fair value.

Restricted Cash and Restricted Investments

Restricted Cash and Restricted Investments

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:

	September 30, 2023		December 31, 2022
Collateral for letters of credit for facility leases (1)	$	2,132	$	2,269
Collateral with financial institutions (2)	16,128		10,912
Claims processing services (3)	21,702		13,777
Total restricted cash and restricted investments	$	39,962	$	26,958
Current restricted cash	$	23,208	$	14,492
Total current restricted cash and restricted investments	$	23,208	$	14,492
Non-current restricted cash	$	16,754	$	12,466
Total non-current restricted cash and restricted investments	$	16,754	$	12,466

————————

(1)Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 11 for further discussion of our lease commitments.

(2)Represents collateral held with financial institutions for risk-sharing and other arrangements which are held in a FDIC participating bank account. See Note 17 for discussion of fair value measurement.

(3)Represents cash held by the Company related to claims processing services on behalf of partners. These are pass-through amounts and can fluctuate materially from period to period depending on the timing of when the claims are processed.

The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

	September 30,
	2023		2022
Cash and cash equivalents	$	184,536	$	156,756
Restricted cash and restricted investments	39,962		38,062
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows	$	224,498	$	194,818

Business Combinations

Business Combinations

Companies acquired during each reporting period are reflected in the results of the Company effective from their respective dates of acquisition through the end of the reporting period. The Company allocates the fair value of purchase consideration to the assets acquired and liabilities assumed based on their estimated fair values at the acquisition date. Our estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. Critical estimates used to value certain identifiable assets include, but are not limited to, expected long-term revenues, future expected operating expenses, cost of capital and appropriate discount rates.

The excess of the fair value of purchase consideration over the fair value of the assets acquired and liabilities assumed in the acquired entity is recorded as goodwill. Goodwill is assigned to the reporting unit that benefits from the synergies arising from the business combination. If the Company obtains new information about facts and circumstances that existed as of the acquisition date during the measurement period, which may be up to one year from the acquisition date, the Company may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period or final determination of the values of assets acquired or liabilities assumed, whichever comes first, any subsequent adjustments are recorded on the Company's consolidated statements of operations and comprehensive income (loss).

For contingent consideration recorded as a liability, the Company initially measures the amount at fair value as of the acquisition date and adjusts the liability, if needed, to fair value at each reporting period. Changes in the fair value of contingent consideration, other than measurement period adjustments, are recognized as operating income or expense. Acquisition-related expenses are recognized separately from the business combination and are expensed as incurred.

Goodwill

Goodwill

We recognize the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired as goodwill. Goodwill is not amortized, but is reviewed at least annually for indications of impairment, with consideration given to financial performance and other relevant factors. We perform impairment tests of goodwill at a reporting unit level on October 31 of each year. We perform impairment tests between annual tests if an event occurs, or circumstances change, that we believe would more likely than not reduce the fair value of a reporting unit below its carrying amount.

Our goodwill impairment analysis first assesses qualitative factors to determine whether events or circumstances existed that would lead the Company to conclude it is more likely than not that the fair value of a reporting unit is below its carrying amount. If the Company determines that it is more likely than not that the fair value of a reporting unit is below the carrying amount, a quantitative goodwill assessment is required. In the quantitative evaluation, the fair value of the relevant reporting unit is determined and compared to the carrying value. If the fair value is greater than the carrying value, then the carrying value is deemed to be recoverable and no further action is required. If the fair value estimate is less than the carrying value, goodwill is considered impaired for the amount by which the carrying amount exceeds the reporting unit’s fair value and a charge is reported in goodwill impairment on our consolidated statements of operations and comprehensive income (loss).

Intangible Assets, Net

Intangible Assets, Net

Identified intangible assets are recorded at their estimated fair values at the date of acquisition and are amortized over their respective estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are used.

The following summarizes the estimated useful lives by asset classification:

Corporate trade name	1 year
Customer relationships	11 - 25 years
Technology	5 years
Provider network contracts	3 - 5 years

As part of the organizational changes as a result of growth in our value-based specialty care business, we will sunset several corporate trade names and replace them with Evolent signifying our adoption and launch of a unified brand. As a result, we re-evaluated the useful lives of our intangible assets and accelerated amortization such that all corporate trade names will be fully amortized by December 2024.

Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the asset’s carrying value. The Company evaluates recoverability by determining whether the undiscounted cash flows expected to result from the use and eventual disposition of that asset or group exceed the carrying value at the evaluation date. If the undiscounted cash flows are not sufficient to cover the carrying value, the Company measures an impairment loss as the excess of the carrying amount of the long-lived asset or group over its fair value. See Note 8 for additional discussion regarding our intangible assets.

Research and Development Costs

Research and Development Costs

Research and development costs consist primarily of personnel and related expenses (including stock-based compensation and employee taxes and benefits) for employees engaged in research and development activities as well as third-party fees. All such costs are expensed as incurred. We focus our research and development efforts on activities that support our technology infrastructure, clinical program development, data analytics and network development capabilities. Research and development costs are recorded within cost of revenue and selling, general and administrative expenses on our consolidated statements of operations and comprehensive income (loss).

Reserves for Claims and Performance-based Arrangements

Reserves for Claims and Performance-based Arrangements

Reserves for claims and performance-based arrangements reflect estimates of payments under performance-based arrangements and the ultimate cost of claims that have been incurred but not reported, including expected development on reported claims, those that have been reported but not yet paid (reported claims in process) and other medical care expenses and services payable that are primarily composed of accruals for incentives and other amounts payable to health care professionals and facilities. The Company uses actuarial principles and assumptions that are consistently applied in each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.

The process of estimating reserves involves a considerable degree of judgment by the Company and, as of any given date, is inherently uncertain. The methods for making such estimates and for establishing the resulting liability are continually reviewed and adjustments are reflected in current results of operations in the period in which they are identified as experience develops or new information becomes known.

Right of Offset

Right of Offset

Certain customer arrangements give the Company the legal right to net payment for amounts due from customers and claims payable. As of both September 30, 2023 and December 31, 2022, approximately 59% and 47%, respectively, of gross accounts receivable has been netted against claims payable in lieu of cash receipt. Furthermore, as of September 30, 2023, approximately 18% of our accounts receivable, net could ultimately be settled on a net basis, once the criteria for netting have been met.

Leases

Leases

The Company enters into various office space, data center and equipment lease agreements in conducting its normal business operations. At the inception of any contract, the Company evaluates the agreement to determine whether the contract contains a lease. If the contract contains a lease, the Company then evaluates the term and whether the lease is an operating or finance lease. Most leases include one or more options to renew or may have a termination option. The Company determines whether these options are reasonably certain to be exercised at the inception of the lease. The rent expense is recognized on a straight-line basis in the consolidated statements of operations and comprehensive income (loss) over the terms of the respective leases. Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheets.

As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. Further, the Company treats all lease and non-lease components as a single combined lease component for all classes of underlying assets.

The Company also enters into sublease agreements for some of its leased office space. Rental income attributable to subleases is immaterial and is offset against rent expense over the terms of the respective leases.

The Company reviews long-lived assets, which include operating lease right-of-use asset assets, for impairment when facts or circumstances indicate the carrying amount of an asset or asset group may not be recoverable. If impairment indicators are present and the estimated future undiscounted cash flows are less than the carrying value of the assets, the carrying values are reduced to the estimated fair value. Fair values are determined based on quoted market values, discounted cash flows and external market data, as applicable.

Revenue Recognition

Revenue Recognition

Our revenue contracts are typically multi-year arrangements with customers to provide solutions designed to lower the medical expenses of our partners and include our total cost of care and specialty care management services, provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers.

We use the following 5-step model, outlined in Accounting Standards Codification (“ASC”) Topic 606, Revenue from Contracts with Customers (“ASC 606”), to determine revenue recognition from our contracts with customers:

• 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

Our performance obligation in these arrangements is to provide an integrated suite of services, including access to our platform that is customized to meet the specialized needs of our customers and members. Generally, we will apply the series guidance to the performance obligation as we have determined that each time increment is distinct. We primarily utilize a variable fee structure for these services that typically includes a monthly payment that is calculated based on a specified per member per month rate, multiplied by the number of members that our partners are managing under a value-based care arrangement or a percentage of plan premiums. Our arrangements may also include other variable fees related to service level agreements, shared medical savings arrangements and other performance measures. Variable consideration is estimated using the most likely amount based on our historical experience and best judgment at the time. Due to the nature of our arrangements, certain estimates may be constrained if it is probable that a significant reversal of revenue will occur when the uncertainty is resolved. We recognize revenue over time using the time elapsed output method. Fixed consideration is recognized ratably over the contract term. In accordance with the series guidance, we allocate variable consideration to the period to which the fees relate.

Contracts with Multiple Performance Obligations

Our contracts with customers may contain multiple performance obligations, primarily when the customer has requested both implementation and on going services as these services are distinct from one another. When a contract has multiple performance obligations, we allocate the transaction price to each performance obligation based on the relative standalone selling price using the expected cost margin approach. This approach requires estimates regarding both the level of effort it will take to satisfy the performance obligation as well as fees that will be received under the variable pricing model. We also take into consideration customer demographics, current market conditions, the scope of services and our overall pricing strategy and objectives when determining the standalone selling price.

Principal vs. Agent

We occasionally use third parties to assist in satisfying our performance obligations. In order to determine whether we are the principal or agent in the arrangement, we review each third-party relationship on a contract by contract basis. As we integrate goods and services provided by third parties into our overall service, we control the services provided to the customer prior to its delivery. As such, we are the principal and we will recognize revenue on a gross basis. In certain cases, we act as an agent and do not control the services from third parties before it is delivered to the customer, thereby recognizing revenue on a net basis.

Series A Senior Convertible Preferred Shares

Series A Senior Convertible Preferred SharesIn accordance with ASC 480, Distinguishing Liabilities from Equity, the shares of Series A Senior Convertible Preferred Shares are classified within temporary equity, as events outside the Company’s control triggers such shares to become redeemable. Costs associated with the issuance of redeemable preferred stock are presented as discounts to the fair value of the redeemable preferred stock and are amortized using the effective interest method, over the term of the respective series of preferred shares.

Adoption of New Accounting Standards

Adoption of New Accounting Standards

In August 2020, the FASB issued ASU 2020-06, Accounting for Convertible Instruments and Contracts in an Entity’s Own Equity. The ASU simplifies the accounting for certain financial instruments with characteristics of liabilities and equity, including convertible instruments and contracts in an entity’s own equity. Specifically, the ASU removes the separation models for convertible debt with a cash conversion feature or convertible instruments with a beneficial conversion feature and no longer permits the use of the treasury stock method from calculating earnings per share. As a result, after adopting the ASU’s guidance, we do not separately present in equity an embedded conversion feature of such debt. Instead, we account for a convertible debt instrument wholly as debt unless (i) a convertible instrument contains features that require bifurcation as a derivative or (ii) a convertible debt instrument was issued at a substantial premium. Additionally, the ASU removes certain conditions for equity classification related to contracts in an entity’s own equity (e.g., warrants) and amends certain guidance related to the computation of earnings per share for convertible instruments and contracts on an entity’s own equity. The Company adopted the standard using a modified retrospective method on January 1, 2022, with adjustments which increased retained earnings by $39.8 million, reduced additional paid-in capital by $106.2 million and increased the net carrying amount of the 2024 and 2025 Notes by $25.1 million and $41.3 million, respectively.

In October 2021, the FASB issued ASU 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This ASU clarifies that an acquirer of a business should recognize and measure contract assets and contract liabilities in a business combination in accordance with ASC Topic 606, Revenue from Contracts with Customers. The Company adopted this standard starting in the first quarter of 2023, which did not have a material impact on our consolidated financial statements.

Fair Value Measurement

Fair Value Measurement

GAAP defines fair value as the price that would be received from the sale of an asset or paid to transfer a liability (an exit price) assuming an orderly transaction in the most advantageous market at the measurement date. GAAP also establishes a hierarchical disclosure framework which prioritizes and ranks the level of observability of inputs used in measuring fair value. These tiers include:

•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.

In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, the level within the fair value hierarchy is based on the lowest level of input that is significant to the fair value measurement. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the particular asset or liability being measured. These items are recorded in accrued liabilities on our consolidated balance sheets.

Nonrecurring Fair Value Measurements

In addition to the assets and liabilities that are recorded at fair value on a recurring basis, the Company records certain assets and liabilities at fair value on a nonrecurring basis as required by GAAP. Generally, assets are recorded at fair value on a nonrecurring basis as a result of impairment charges. This includes assets and liabilities recorded in business combinations or asset acquisitions, goodwill, intangible assets, property, plant and equipment, held-to-maturity investments and equity method investments. While not carried at fair value on a recurring basis, these items are continually monitored for indicators of impairment that would indicate current carrying value is greater than fair value. In those situations, the assets are considered impaired and written down to current fair value.

Other Fair Value Disclosures

The carrying amounts of cash and cash equivalents (those not held in a money market fund), restricted cash, receivables, prepaid expenses, accounts payable, accrued liabilities and accrued compensation approximate their fair values because of the relatively short-term maturities of these items and financial instruments.

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles (Tables)

9 Months Ended

Sep. 30, 2023

Accounting Policies [Abstract]

Schedule of Restricted Cash and Cash Equivalents

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:

	September 30, 2023		December 31, 2022
Collateral for letters of credit for facility leases (1)	$	2,132	$	2,269
Collateral with financial institutions (2)	16,128		10,912
Claims processing services (3)	21,702		13,777
Total restricted cash and restricted investments	$	39,962	$	26,958
Current restricted cash	$	23,208	$	14,492
Total current restricted cash and restricted investments	$	23,208	$	14,492
Non-current restricted cash	$	16,754	$	12,466
Total non-current restricted cash and restricted investments	$	16,754	$	12,466

————————

(1)Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 11 for further discussion of our lease commitments.

(2)Represents collateral held with financial institutions for risk-sharing and other arrangements which are held in a FDIC participating bank account. See Note 17 for discussion of fair value measurement.

(3)Represents cash held by the Company related to claims processing services on behalf of partners. These are pass-through amounts and can fluctuate materially from period to period depending on the timing of when the claims are processed.

Schedule of Cash and Cash Equivalents

The following table provides a reconciliation of cash and cash equivalents and restricted cash reported within the consolidated balance sheets that sum to the total of the same amounts shown in the consolidated statements of cash flows (in thousands):

	September 30,
	2023		2022
Cash and cash equivalents	$	184,536	$	156,756
Restricted cash and restricted investments	39,962		38,062
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows	$	224,498	$	194,818

Schedule of Estimated Useful Lives Intangible Assets

The following summarizes the estimated useful lives by asset classification:

Corporate trade name	1 year
Customer relationships	11 - 25 years
Technology	5 years
Provider network contracts	3 - 5 years

Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

	September 30, 2023							December 31, 2022
	Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Corporate trade name	1.3	$	51,965	$	24,786	$	27,179	12.7	$	43,600	$	11,726	$	31,874
Customer relationships	14.7	810,119		127,473		682,646		15.8	465,019		92,760		372,259
Technology	3.0	162,522		97,817		64,705		2.7	111,822		80,255		31,567
Below market lease, net	0.0	1,218		1,218		—		0.3	1,218		1,151		67
Provider network contracts	0.6	18,192		15,054		3,138		1.3	18,851		11,834		7,017
Total intangible assets, net		$	1,044,016	$	266,348	$	777,668		$	640,510	$	197,726	$	442,784

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Transactions (Tables)

9 Months Ended

Sep. 30, 2023

Business Combination and Asset Acquisition [Abstract]

Schedule of Allocation of Purchase Price

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of January 20, 2023, as follows (in thousands):

Purchase consideration:
Cash	$	387,823
Fair value of Class A common stock issued	261,271
Fair value of contingent consideration	66,600
Total consideration	$	715,694
Tangible assets acquired:
Accounts receivable	$	28,065
Prepaid expenses and other current assets	675
Total tangible assets acquired	28,740
Identifiable intangible assets acquired:
Customer relationships	345,100
Technology	50,700
Corporate trade name	8,200
Total identifiable intangible assets acquired	404,000
Liabilities assumed:
Accrued liabilities	5,409
Accrued compensation and employee benefits	6,173
Deferred tax liabilities, net	100,486
Deferred revenue	142
Total liabilities assumed	112,210
Goodwill (1)	395,164
Net assets acquired	$	715,694

————————

(1)Goodwill acquired does not include $(0.4) million of measurement period adjustments. See Note 8 for additional information.

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of August 1, 2022, as follows (in thousands):

Purchase consideration:
Cash	$	256,488
Fair value of Class A common stock issued	130,175
Fair value of contingent consideration	75,000
Total consideration	$	461,663
Tangible assets acquired:
Accounts receivable	34,155
Prepaid expenses and other current assets	636
Other non-current assets	1,393
Total tangible assets acquired	36,184

Identifiable intangible assets acquired:
Customer relationships	154,000
Technology	23,900
Corporate trade name	17,800
Total identifiable intangible assets acquired	195,700
Liabilities assumed:
Accounts payable	7,997
Accrued liabilities	8,083
Accrued compensation and employee benefits	423
Deferred tax liabilities, net	48,671
Deferred revenue	321
Operating lease liabilities	1,323
Total liabilities assumed	66,818
Goodwill	296,597
Net assets acquired	$	461,663

Schedule of Net Assets Acquired

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of January 20, 2023, as follows (in thousands):

Purchase consideration:
Cash	$	387,823
Fair value of Class A common stock issued	261,271
Fair value of contingent consideration	66,600
Total consideration	$	715,694
Tangible assets acquired:
Accounts receivable	$	28,065
Prepaid expenses and other current assets	675
Total tangible assets acquired	28,740
Identifiable intangible assets acquired:
Customer relationships	345,100
Technology	50,700
Corporate trade name	8,200
Total identifiable intangible assets acquired	404,000
Liabilities assumed:
Accrued liabilities	5,409
Accrued compensation and employee benefits	6,173
Deferred tax liabilities, net	100,486
Deferred revenue	142
Total liabilities assumed	112,210
Goodwill (1)	395,164
Net assets acquired	$	715,694

————————

(1)Goodwill acquired does not include $(0.4) million of measurement period adjustments. See Note 8 for additional information.

The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of August 1, 2022, as follows (in thousands):

Purchase consideration:
Cash	$	256,488
Fair value of Class A common stock issued	130,175
Fair value of contingent consideration	75,000
Total consideration	$	461,663
Tangible assets acquired:
Accounts receivable	34,155
Prepaid expenses and other current assets	636
Other non-current assets	1,393
Total tangible assets acquired	36,184

Identifiable intangible assets acquired:
Customer relationships	154,000
Technology	23,900
Corporate trade name	17,800
Total identifiable intangible assets acquired	195,700
Liabilities assumed:
Accounts payable	7,997
Accrued liabilities	8,083
Accrued compensation and employee benefits	423
Deferred tax liabilities, net	48,671
Deferred revenue	321
Operating lease liabilities	1,323
Total liabilities assumed	66,818
Goodwill	296,597
Net assets acquired	$	461,663

Schedule of Pro Forma Adjustments

The pro forma adjustments are based on available information and assumptions that the Company believes are reasonable to reflect the impact of these transactions on the Company’s historical financial information on a pro forma basis (in thousands).

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue	$	511,015	$	414,809	$	1,419,266	$	1,163,944
Net loss attributable to common shareholders of Evolent Health, Inc.	(33,196)		(19,986)		(94,851)		(47,193)

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Revenue Recognition (Tables)

9 Months Ended

Sep. 30, 2023

Revenue from Contract with Customer [Abstract]

Schedule of Disaggregation of Revenue

The following table represents Evolent’s revenue disaggregated by end-market and product type:

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Medicaid	$	195,259	$	139,718	$	587,611	$	410,226
Medicare	208,166		117,967		474,535		336,365
Commercial and other	107,590		94,900		345,695		222,990
Total	$	511,015	$	352,585	$	1,407,841	$	969,581
Performance Suite	$	323,722	$	204,727	$	840,171	$	583,976
Specialty Technology and Services Suite	81,230		12,400		223,598		38,854
Administrative Services	68,713		107,328		229,534		306,544
Cases	37,350		28,130		114,538		40,207
Total	$	511,015	$	352,585	$	1,407,841	$	969,581

Schedule of Contract with Customer, Asset and Liability

The following table provides information about receivables, contract assets and deferred revenue from contracts with customers as of September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
Short-term receivables (1)	$	393,782	$	246,209
Short-term deferred revenue	5,763		5,758
Long-term deferred revenue	1,513		2,533

————————

(1)Excludes pharmacy claims receivable and premiums receivable.

Changes in deferred revenue for the nine months ended September 30, 2023, are as follows (in thousands):

Deferred revenue
Balance as of beginning-of-period	$	8,291
Reclassification to revenue, as a result of performance obligations satisfied	(5,272)
Cash received in advance of satisfaction of performance obligations	4,257
Balance as of end of period	$	7,276

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Credit Losses (Tables)

9 Months Ended

Sep. 30, 2023

Credit Loss [Abstract]

Schedule of Changes in Allowance for Accounts Receivable

The following table summarizes the changes in allowance for credit losses on our accounts receivables, certain non-trade accounts receivable and contract assets (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance as of beginning of period	$	(10,180)	$	(3,374)
Acquisitions	(240)		(5,269)
Provision for credit losses	(10,814)		(1,134)
Charge-offs	2,701		422
Balance as of end of period	$	(18,533)	$	(9,355)

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Property and Equipment, Net (Tables)

9 Months Ended

Sep. 30, 2023

Property, Plant and Equipment [Abstract]

Schedule of Property and Equipment

The following summarizes our property and equipment (in thousands):

	September 30, 2023		December 31, 2022
Computer hardware	$	32,271	$	30,092
Furniture and equipment	3,950		4,214
Internal-use software development costs	207,253		189,119
Leasehold improvements	11,177		14,926
Total property and equipment	254,651		238,351
Accumulated depreciation and amortization expenses	(174,749)		(150,477)
Total property and equipment, net	$	79,902	$	87,874

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Goodwill and Intangible Assets, Net (Tables)

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes the changes in the carrying amount of goodwill, for the periods presented (in thousands):

Balance as of December 31, 2022(1)	$	722,774
Goodwill acquired(2)	395,164
Measurement period adjustment	(391)
Foreign currency translation	(4)
Balance as of September 30, 2023	$	1,117,543
Balance as of December 31, 2021(1)	$	426,297
Goodwill acquired(2)	296,597
Foreign currency translation	(104)
Balance as of September 30, 2022	$	722,790

————————

(1)Net of cumulative inception to date impairment of $575.5 million as of December 31, 2022 and 2021.

(2)Goodwill acquired from the addition of NIA in January 2023 and IPG in August 2022.

Schedule of Intangible Assets Details

The following summarizes the estimated useful lives by asset classification:

Corporate trade name	1 year
Customer relationships	11 - 25 years
Technology	5 years
Provider network contracts	3 - 5 years

Details of our intangible assets (in thousands, except weighted-average useful lives) are presented below:

	September 30, 2023							December 31, 2022
	Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value		Weighted- Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Value
Corporate trade name	1.3	$	51,965	$	24,786	$	27,179	12.7	$	43,600	$	11,726	$	31,874
Customer relationships	14.7	810,119		127,473		682,646		15.8	465,019		92,760		372,259
Technology	3.0	162,522		97,817		64,705		2.7	111,822		80,255		31,567
Below market lease, net	0.0	1,218		1,218		—		0.3	1,218		1,151		67
Provider network contracts	0.6	18,192		15,054		3,138		1.3	18,851		11,834		7,017
Total intangible assets, net		$	1,044,016	$	266,348	$	777,668		$	640,510	$	197,726	$	442,784

Schedule of Future Estimated Amortization of Intangible Assets

Future estimated amortization of intangible assets (in thousands) as of September 30, 2023, is as follows:

2023	$	22,011
2024	87,242
2025	63,647
2026	63,299
2027	60,558
Thereafter	480,911
Total future amortization of intangible assets	$	777,668

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Long-term Debt (Tables)

9 Months Ended

Sep. 30, 2023

Debt Disclosure [Abstract]

Schedule of Convertible Debt

The following table summarizes the carrying value of the long-term convertible debt as of September 30, 2023 and December 31, 2022 (in thousands):

	September 30, 2023		December 31, 2022
2024 Notes
Carrying value	$	991	$	23,925
Unamortized debt discount and issuance costs	9		356
Principal amount	$	1,000	$	24,281
Remaining amortization period (years)	0.0		1.9
Fair value(1)	N/A		$	38,000
2025 Notes
Carrying value	$	169,848	$	168,885
Unamortized debt discount and issuance costs	2,652		3,615
Principal amount	$	172,500	$	172,500
Remaining amortization period (years)	2.0		2.8
Fair value(1)	$	183,066	$	185,546

————————

(1)Fair values for notes are derived from available trading prices closest to the respective balance sheet date. All remaining principal outstanding under the 2024 Notes as of September 30, 2023 were repaid in October 2023.

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2023

Commitments and Contingencies Disclosure [Abstract]

Schedule of Major Customers

The following table summarizes the partners who represented at least 10.0% of our consolidated short-term trade accounts receivable, excluding pharmacy claims receivable and premiums receivable:

	September 30, 2023	December 31, 2022
Cook County Health and Hospitals System	41.2%	42.5%
Center for Medicare & Medicaid Services	14.1%	*
Molina Healthcare	10.6%	12.0%
Bright Health Management, Inc.	*	11.3%

————————

*     Represents less than 10.0% of the respective balance.

The following table summarizes those partners who represented at least 10.0% of our consolidated revenue:

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Cook County Health and Hospitals Systems	15.7%	21.2%	16.8%	23.0%
Humana Health Insurance Company of Florida, Inc.	13.7%	*	*	*
Molina Healthcare	12.9%	*	14.2%	*
Florida Blue Medicare, Inc.	*	13.7%	10.9%	12.5%

————————

*     Represents less than 10.0% of the respective balance

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Leases (Tables)

9 Months Ended

Sep. 30, 2023

Leases [Abstract]

Schedule of Primary Office Leases and Maturity of Lease Liabilities

The following table summarizes our primary office leases as of September 30, 2023 (in thousands, other than term):

Location	Lease Termination Term (in years)	Future Minimum Lease Commitments		Letter of Credit Amount Required
Arlington, VA	8.3	$	15,511	$	1,579
Edison, NJ	2.6	1,351		222
Makati City, Philippines	4.7	3,089		—
Alpharetta, GA	2.0	951		—
Pune, India	4.5	2,602		—
Brea, CA	3.7	3,546		—

Maturity of lease liabilities (in thousands) as of September 30, 2023, is as follows:

	Operating lease expense
2023	$	5,713
2024	12,476
2025	8,881
2026	8,034
2027	7,525
Thereafter	21,317
Total lease payments	63,946
Less:
Interest	11,330
Present value of lease liabilities	$	52,616

Schedule of Components of Lease Expense, Weighted-Average Discount Rate and Weighted-remaining Lease Terms

The following table summarizes the components of our lease expense (in thousands):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Operating lease cost	$	5,026	$	2,221	$	5,239	$	6,726
Variable lease cost	1,407		1,599		4,528		4,096
Total lease cost	$	6,433	$	3,820	$	9,767	$	10,822

Our weighted-average discount rate and our weighted remaining lease terms (in years) are as follows:

	September 30, 2023
Weighted average discount rate	6.80	%
Weighted average remaining lease term	5.9

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Convertible Preferred Equity (Tables)

9 Months Ended

Sep. 30, 2023

Temporary Equity Disclosure [Abstract]

Schedule Of Temporary Equity Dividends Declared

The Company paid dividends related to the Series A Preferred Stock as presented below during the nine months ended September 30, 2023:

For the Three Month Period Ended	Payment Date	Dividends Per Share		Total Amount Paid
March 31, 2023	3/28/2023	$	20.86	$	3,650,500
June 30, 2023	6/27/2023	27.91		4,884,250
September 30, 2023	9/28/2023	29.12		5,096,000

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Loss Per Common Share (Tables)

9 Months Ended

Sep. 30, 2023

Earnings Per Share [Abstract]

Schedule of Computation of Basic and Diluted Earnings Per Share

The following table sets forth the computation of basic and diluted earnings per share available for common stockholders (in thousands, except per share data):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Income (loss) from continuing operations	$	(25,324)	$	2,123	$	(79,629)	$	(7,352)
Loss from discontinued operations, net of tax (2)	—		—		—		(463)
Income (loss) before preferred dividends and accretion of Series A Preferred Stock	(25,324)		2,123		(79,629)		(7,815)
Dividends and accretion of Series A Preferred Stock	(7,872)		—		(21,236)		—
Net income (loss) attributable to common shareholders of Evolent Health, Inc.	$	(33,196)	$	2,123	$	(100,865)	$	(7,815)
Weighted-average common shares outstanding - basic	112,282		95,286		110,464		91,643
Incremental diluted shares from stock options	—		1,915		—		—
Incremental diluted shares from restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")	—		2,107		—		—
Weighted-average common shares outstanding - diluted	112,282		99,308		110,464		91,643
Income (loss) per common share
Basic:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Basic income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)
Diluted:
Continuing operations	$	(0.30)	$	0.02	$	(0.91)	$	(0.08)
Discontinued operations	—		—		—		(0.01)
Diluted income (loss) per share attributable to common shareholders of Evolent Health, Inc.	$	(0.30)	$	0.02	$	(0.91)	$	(0.09)

Schedule of Antidilutive Securities Excluded From Computation of Earnings Per Share

Anti-dilutive shares excluded from the calculation of weighted-average common shares presented above are presented below (in thousands):

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
Restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")	1,045	—	1,311	1,818
Stock options	603	—	933	1,858
Series A Preferred Stock	4,375	—	4,375	—
Convertible senior notes	5,997	9,007	6,301	10,714
Total	12,020	9,007	12,920	14,390

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Stock-based Compensation (Tables)

9 Months Ended

Sep. 30, 2023

Share-Based Payment Arrangement [Abstract]

Schedule of Stock-Based Compensation Expense

Total compensation expense by award type and line item in our interim consolidated financial statements was as follows (in thousands):

	For the Three Months Ended September 30,				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Award Type
Stock options	$	—	$	78	$	74	$	331
RSUs	6,312		4,830		20,704		12,778
LSUs	78		387		439		1,544
PSUs	3,832		1,697		8,681		4,697
Total compensation expense by award type	$	10,222	$	6,992	$	29,898	$	19,350
Line Item
Cost of revenue	$	51	$	1,024	$	1,633	$	2,986
Selling, general and administrative expenses	10,171		5,968		28,265		16,364
Total compensation expense by financial statement line item	$	10,222	$	6,992	$	29,898	$	19,350

Schedule of Share-Based Awards Granted

Stock-based awards were granted as follows (in thousands):

	For the Three Months Ended September 30,		For the Nine Months Ended September 30,
	2023	2022	2023	2022
RSUs	183	87	1,236	1,067
PSUs	110	—	542	479

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Fair Value Measurement (Tables)

9 Months Ended

Sep. 30, 2023

Fair Value Disclosures [Abstract]

Schedule of Assets and Liabilities on Recurring Basis

The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):

	September 30, 2023
	Level 1		Level 2		Level 3		Total
Liabilities
Contingent consideration(1)	$	—	$	—	$	124,600	$	124,600
Total fair value of liabilities measured on a recurring basis	$	—	$	—	$	124,600	$	124,600

	December 31, 2022
	Level 1		Level 2		Level 3		Total
Liabilities
Contingent consideration	$	—	$	—	$	78,000	$	78,000
Total fair value of liabilities measured on a recurring basis	$	—	$	—	$	78,000	$	78,000

————————

(1) Represents the fair value of earn-out consideration related to the IPG and NIA transactions as described in Note 4.

Schedule of Changes in Contingent Consideration Measured at Fair Value

The changes in our liabilities measured at fair value for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance as of beginning of period	$	78,000	$	28,700
Additions	66,600		75,000
Settlements	(32,047)		—
Total (gain) loss, net	12,047		(8,000)
Balance as of end of period	$	124,600	$	95,700

Schedule of Valuation Techniques and Significant Unobservable Inputs

The following table summarizes the fair value (in thousands), valuation techniques and significant unobservable inputs of our Level 3 fair value measurements as of the periods presented:

	September 30, 2023
	Fair		Valuation	Significant	Assumption or
	Value		Technique	Unobservable Inputs	Input Ranges
Contingent consideration	$	124,600	Real options approach	Risk-neutral expected earnout consideration	$	124,600
				Weighted average discount rate	8.80%

	December 31, 2022
	Fair		Valuation	Significant	Assumption or
	Value		Technique	Unobservable Inputs	Input Ranges
Contingent consideration	$	78,000	Real options approach	Risk-neutral expected earnout consideration	$	77,946
				Weighted average discount rate	9.85% - 10.01%

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Related Parties (Tables)

9 Months Ended

Sep. 30, 2023

Related Party Transactions [Abstract]

Schedule of Related Parties

The following table presents assets and liabilities attributable to our related parties (in thousands):

	September 30, 2023		December 31, 2022
Assets
Accounts receivable, net	$	8,152	$	8,787
Liabilities
Accounts payable	$	747	$	27
Accrued liabilities	—		192

The following table presents revenues and expenses attributable to our related parties (in thousands):

	For the Three Months Ended September 30, 2023				For the Nine Months Ended September 30,
	2023		2022		2023		2022
Revenue	$	49,695	$	36,321	$	143,902	$	111,195
Expenses
Cost of revenue	42,300		30,121		121,882		93,266
Selling, general and administrative expenses	699		443		1,938		745

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Repositioning and Other Changes (Tables)

9 Months Ended

Sep. 30, 2023

Restructuring and Related Activities [Abstract]

Schedule of Costs Associated with the Repositioning Plan

The following table provides a summary of our total costs associated with the Repositioning Plan for the three and nine months ended September 30, 2023, by major type of cost (in thousands):

	Incurred				Total Amount Expected to be Incurred in the Repositioning Plan
	For the Three Months Ended September 30, 2023		For the Nine Months Ended September 30, 2023
Severance and termination benefits	$	1,826	$	6,563	$	9,563
Dedicated employee costs	2,325		4,062		8,099
Professional services	3,978		8,765		14,466
Office space consolidation	—		—		6,500
Total	$	8,129	$	19,390	$	38,628

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Reserves for Claims and Performance-Based Arrangements (Tables)

9 Months Ended

Sep. 30, 2023

Insurance [Abstract]

Schedule of Activity in Claims Reserves

Activity in reserves for claims and performance-based arrangements was as follows (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Balance, beginning of period	$	199,730	$	171,294
Incurred health care costs:
Current year to date period	628,251		471,502
Prior year to date period	(36,248)		(8,154)
Total claims incurred	592,003		463,348
Claims paid related to:
Current year to date period	(364,709)		(369,708)
Prior year to date period	(127,282)		(129,236)
Total claims paid	(491,991)		(498,944)
Balance, end of period	$	299,742	$	135,698

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Supplemental Cash Flow Information (Tables)

9 Months Ended

Sep. 30, 2023

Supplemental Cash Flow Elements [Abstract]

Schedule of Supplemental Cash Flow Information

The following represents supplemental cash flow information (in thousands):

	For the Nine Months Ended September 30,
	2023		2022
Supplemental Disclosure of Non-cash Investing and Financing Activities
Accrued property and equipment purchases	$	322	$	1,014
Increase/decrease to goodwill from measurement period adjustments/business combinations	(391)		—
Class A common stock issued in connection with business combinations	261,271		130,175
Class A common stock issued in connection with debt repayment	23,073		101,999
Accrued net working capital adjustment with business combinations	—		791
Effects of Leases
Operating cash flows from operating leases	9,587		14,453
Leased assets disposed of (obtained in) exchange for operating lease liabilities	6,956		4,305

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Organization (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2023 USD ($) segment	Dec. 31, 2022 USD ($)	Sep. 30, 2022 USD ($)
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Number of reportable segments | segment	1
Cash and cash equivalents | $	$ 184,536	$ 188,200	$ 156,756

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles - Restricted Cash and Restricted Investments (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022
Restricted Cash and Cash Equivalents Items [Line Items]
Total restricted cash and restricted investments	$ 39,962	$ 26,958	$ 38,062
Current restricted cash	23,208	14,492
Total current restricted cash and restricted investments	23,208	14,492
Non-current restricted cash	16,754	12,466
Total non-current restricted cash and restricted investments	16,754	12,466
Collateral for letters of credit for facility leases
Restricted Cash and Cash Equivalents Items [Line Items]
Total restricted cash and restricted investments	2,132	2,269
Collateral with financial institutions
Restricted Cash and Cash Equivalents Items [Line Items]
Total restricted cash and restricted investments	16,128	10,912
Claims processing services
Restricted Cash and Cash Equivalents Items [Line Items]
Total restricted cash and restricted investments	$ 21,702	$ 13,777

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles - Cash Reconciliation (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022	Dec. 31, 2021
Accounting Policies [Abstract]
Cash and cash equivalents	$ 184,536	$ 188,200	$ 156,756
Restricted cash and restricted investments	39,962	26,958	38,062
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows	$ 224,498	$ 215,158	$ 194,818	$ 354,942

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles - Intangible Assets, Net (Details)	Sep. 30, 2023
Corporate trade name
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible asset, useful life	1 year
Customer relationships | Minimum
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible asset, useful life	11 years
Customer relationships | Maximum
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible asset, useful life	25 years
Technology
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible asset, useful life	5 years
Provider network contracts | Minimum
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible asset, useful life	3 years
Provider network contracts | Maximum
Finite-Lived Intangible Assets [Line Items]
Finite-lived intangible asset, useful life	5 years

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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($) payment	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) option_to_renew_lease payment	Sep. 30, 2022 USD ($)	Dec. 31, 2022
Accounting Policies [Abstract]
Accounts receivable netted against claims payable	59.00%		59.00%		47.00%
Accounts receivable, net eligible for net basis settlement	18.00%		18.00%
Number of leases option | option_to_renew_lease			1
Right-of-use assets impairment	$ 0	$ 0	$ 24,065	$ 0
Loss on termination of lease			$ 6,500
Number of lease termination payment | payment	2		2
Termination payment paid	$ 3,250		$ 3,250

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Recently Issued Accounting Standards (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Jun. 30, 2023	Dec. 31, 2022	Sep. 30, 2022	Jun. 30, 2022	Jan. 01, 2022	Dec. 31, 2021	Aug. 31, 2020	Oct. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity	$ 1,096,093	$ 1,093,219	$ 859,417	$ 856,138	$ 613,088		$ 693,633
2024 Notes | Senior Notes
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Long-term debt, net								$ 78,900
2025 Notes | Senior Notes
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Long-term debt, net									$ 100,700
Cumulative-effect adjustment from adoption of ASC 2020-06
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity							(66,383)
Retained Earnings
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity	(685,783)	(660,459)	(606,154)	(594,805)	(596,928)		(626,779)
Retained Earnings | Cumulative-effect adjustment from adoption of ASC 2020-06
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity							39,789
Additional Paid-In Capital
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity	$ 1,803,116	$ 1,774,784	$ 1,486,857	$ 1,472,098	$ 1,231,005		1,340,989
Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity							$ (106,172)
Accounting Standards Update 2020-06 | Cumulative-effect adjustment from adoption of ASC 2020-06 | 2024 Notes | Senior Notes
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Long-term debt, net						$ 25,100
Accounting Standards Update 2020-06 | Cumulative-effect adjustment from adoption of ASC 2020-06 | 2025 Notes | Senior Notes
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Long-term debt, net						41,300
Accounting Standards Update 2020-06 | Retained Earnings | Cumulative-effect adjustment from adoption of ASC 2020-06
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity						39,800
Accounting Standards Update 2020-06 | Retained Earnings | Cumulative-effect adjustment from adoption of ASC 2020-06 | 2024 Notes | Senior Notes
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity						11,700
Accounting Standards Update 2020-06 | Retained Earnings | Cumulative-effect adjustment from adoption of ASC 2020-06 | 2025 Notes | Senior Notes
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity						28,100
Accounting Standards Update 2020-06 | Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Stockholders' equity						$ (106,200)

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Transactions - Narrative (Details) - USD ($)				3 Months Ended		9 Months Ended		12 Months Ended
		Jan. 20, 2023	Aug. 01, 2022	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Business Acquisition [Line Items]
Cash						$ 388,246,000	$ 245,021,000
Discrete tax benefit				$ 5,550,000	$ 45,516,000	74,709,000	44,498,000
Revenue	[1]			511,015,000	352,585,000	1,407,841,000	969,581,000
Net income (loss) attributable to common shareholders of Evolent Health, Inc.				$ (25,324,000)	$ 2,123,000	$ (79,629,000)	$ (7,815,000)
Corporate trade name
Business Acquisition [Line Items]
Estimated useful life				1 year		1 year
NIA
Business Acquisition [Line Items]
Total consideration		$ 715,694,000
Cash		387,823,000
Fair value of Class A common stock issued		261,271,000
Contingent consideration arrangements (up to)		$ 150,000,000
Percentage of contingent consideration allowed to be paid in equity interest (up to)		50.00%
Contingent consideration		$ 66,600,000
Goodwill, expected tax deductible amount		$ 0
Discrete tax benefit						$ 56,100,000
Revenue						167,500,000
Net income (loss) attributable to common shareholders of Evolent Health, Inc.						$ 1,400,000
NIA | Common Class A
Business Acquisition [Line Items]
Equity interest issued or issuable, number of shares (in shares)		8,474,576
NIA | Customer relationships
Business Acquisition [Line Items]
Estimated useful life		15 years
NIA | Technology
Business Acquisition [Line Items]
Estimated useful life		5 years
NIA | Corporate trade name
Business Acquisition [Line Items]
Estimated useful life		2 years
IPG
Business Acquisition [Line Items]
Total consideration			$ 461,663,000
Cash			$ 256,488,000
Equity interest issued or issuable, number of shares (in shares)			3,700,000
Fair value of Class A common stock issued			$ 130,175,000
Contingent consideration arrangements (up to)			87,000,000
Contingent consideration			75,000,000
Goodwill, expected tax deductible amount			$ 0
Discrete tax benefit								$ 46,800,000
Voting interests acquired			100.00%
IPG | Customer relationships
Business Acquisition [Line Items]
Estimated useful life			20 years
IPG | Technology
Business Acquisition [Line Items]
Estimated useful life			5 years
IPG | Corporate trade name
Business Acquisition [Line Items]
Estimated useful life			15 years

[1] See Note 18 for amounts attributable to unconsolidated related parties included in these line items.

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Transactions - Allocation of Acquisition Cost (Details) - USD ($) $ in Thousands			5 Months Ended	9 Months Ended
	Jan. 20, 2023	Aug. 01, 2022	Jun. 30, 2023	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	Dec. 31, 2021
Purchase consideration:
Cash				$ 388,246	$ 245,021
Liabilities assumed:
Goodwill				1,117,543	$ 722,790	$ 722,774	$ 426,297
Measurement period adjustment				$ (391)
NIA
Purchase consideration:
Cash	$ 387,823
Fair value of Class A common stock issued	261,271
Fair value of contingent consideration	66,600
Total consideration	715,694
Tangible assets acquired:
Accounts receivable	28,065
Prepaid expenses and other current assets	675
Total tangible assets acquired	28,740
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired	404,000
Liabilities assumed:
Accrued liabilities	5,409
Accrued compensation and employee benefits	6,173
Deferred tax liabilities, net	100,486
Deferred revenue	142
Total liabilities assumed	112,210
Goodwill	395,164
Net assets acquired	715,694
Measurement period adjustment			$ (400)
NIA | Customer relationships
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired	345,100
NIA | Technology
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired	50,700
NIA | Corporate trade name
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired	$ 8,200
IPG
Purchase consideration:
Cash		$ 256,488
Fair value of Class A common stock issued		130,175
Fair value of contingent consideration		75,000
Total consideration		461,663
Tangible assets acquired:
Accounts receivable		34,155
Prepaid expenses and other current assets		636
Other non-current assets		1,393
Total tangible assets acquired		36,184
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired		195,700
Liabilities assumed:
Accounts payable		7,997
Accrued liabilities		8,083
Accrued compensation and employee benefits		423
Deferred tax liabilities, net		48,671
Deferred revenue		321
Operating lease liabilities		1,323
Total liabilities assumed		66,818
Goodwill		296,597
Net assets acquired		461,663
IPG | Customer relationships
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired		154,000
IPG | Technology
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired		23,900
IPG | Corporate trade name
Identifiable intangible assets acquired:
Total identifiable intangible assets acquired		$ 17,800

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Transactions - Pro Forma Information (Details) - NIA - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Business Acquisition [Line Items]
Revenue	$ 511,015	$ 414,809	$ 1,419,266	$ 1,163,944
Net loss attributable to common shareholders of Evolent Health, Inc.	$ (33,196)	$ (19,986)	$ (94,851)	$ (47,193)

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Revenue Recognition - Disaggregation of Revenue (Details) - USD ($) $ in Thousands		3 Months Ended		9 Months Ended
		Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Disaggregation of Revenue [Line Items]
Revenue	[1]	$ 511,015	$ 352,585	$ 1,407,841	$ 969,581
Evolent Health Services Segment
Disaggregation of Revenue [Line Items]
Revenue		511,015	352,585	1,407,841	969,581
Evolent Health Services Segment | Performance Suite
Disaggregation of Revenue [Line Items]
Revenue		323,722	204,727	840,171	583,976
Evolent Health Services Segment | Specialty Technology and Services Suite
Disaggregation of Revenue [Line Items]
Revenue		81,230	12,400	223,598	38,854
Evolent Health Services Segment | Administrative Services
Disaggregation of Revenue [Line Items]
Revenue		68,713	107,328	229,534	306,544
Evolent Health Services Segment | Cases
Disaggregation of Revenue [Line Items]
Revenue		37,350	28,130	114,538	40,207
Evolent Health Services Segment | Medicaid
Disaggregation of Revenue [Line Items]
Revenue		195,259	139,718	587,611	410,226
Evolent Health Services Segment | Medicare
Disaggregation of Revenue [Line Items]
Revenue		208,166	117,967	474,535	336,365
Evolent Health Services Segment | Commercial and other
Disaggregation of Revenue [Line Items]
Revenue		$ 107,590	$ 94,900	$ 345,695	$ 222,990

[1] See Note 18 for amounts attributable to unconsolidated related parties included in these line items.

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Revenue Recognition - Transaction Price Allocated to the Remaining Performance Obligations (Details) $ in Millions	Sep. 30, 2023 USD ($)
Revenue from Contract with Customer [Abstract]
Performance obligation	$ 22.0
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-10-01 | December 31, 2023
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Remaining performance obligation, percentage	50.00%
Remaining performance obligation, expected timing of satisfaction, period	3 months
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-10-01 | December 31, 2024
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Remaining performance obligation, percentage	84.00%
Remaining performance obligation, expected timing of satisfaction, period	15 months
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-10-01 | December 31, 2025
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Remaining performance obligation, percentage	100.00%
Remaining performance obligation, expected timing of satisfaction, period	27 months

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Revenue Recognition - Contract Balances (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Revenue from Contract with Customer [Abstract]
Short-term receivables	$ 393,782		$ 393,782		$ 246,209
Short-term deferred revenue	5,763		5,763		5,758
Long-term deferred revenue	1,513		1,513		$ 2,533
Deferred revenue
Balance as of beginning-of-period			8,291
Reclassification to revenue, as a result of performance obligations satisfied			(5,272)
Cash received in advance of satisfaction of performance obligations			4,257
Balance as of end of period	7,276		7,276
Revenue	1,600		4,500
Revenue recognized from performed obligations	$ 28,600	$ 10,400	$ 51,400	$ 56,400

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Revenue Recognition - Contract Costs (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Capitalized Contract Cost [Line Items]
Contract cost amortization			$ 8,005	$ 14,768
Amortization period	5 years		5 years
Bonuses and Commissions
Capitalized Contract Cost [Line Items]
Contract cost assets	$ 2,800	$ 3,600	$ 2,800	3,600
Contract cost amortization	300	300	1,000	2,000
Contract Fulfillment Costs
Capitalized Contract Cost [Line Items]
Contract cost assets	10,600	21,000	10,600	21,000
Contract cost amortization	$ 2,000	$ 1,300	$ 7,000	$ 12,800

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Credit Losses - Accounts Receivable (Narrative) (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022	Dec. 31, 2021
Accounts Receivable, Noncurrent, Past Due [Line Items]
Percentage of receivables, current	65.00%	67.00%
Accounts receivable, net	$ 424,100	$ 269,100
Allowance for doubtful accounts, current	$ 18,533	$ 10,180	$ 9,355	$ 3,374
Past due less than 60 days
Accounts Receivable, Noncurrent, Past Due [Line Items]
Percentage of receivables, past due	16.00%	21.00%
Past due less than 120 days
Accounts Receivable, Noncurrent, Past Due [Line Items]
Percentage of receivables, past due	26.00%	29.00%

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Credit Losses - Schedule of Changes in Allowance for Accounts Receivable (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Accounts Receivable, Allowance for Credit Loss [Roll Forward]
Balance as of beginning of period	$ (10,180)	$ (3,374)
Acquisitions	(240)	(5,269)
Provision for credit losses	(10,814)	(1,134)
Charge-offs	2,701	422
Balance as of end of period	$ (18,533)	$ (9,355)

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Property and Equipment, Net (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Property and Equipment [Line Items]
Total property and equipment	$ 254,651		$ 254,651		$ 238,351
Accumulated depreciation and amortization expenses	(174,749)		(174,749)		(150,477)
Total property and equipment, net	79,902		79,902		87,874
Net capitalized internal-use software development costs	71,800		71,800		73,700
Depreciation expense	8,500	$ 7,700	24,800	$ 23,100
Capitalized computer software, amortization	6,600	6,400	20,100	19,600
Computer hardware
Property and Equipment [Line Items]
Total property and equipment	32,271		32,271		30,092
Furniture and equipment
Property and Equipment [Line Items]
Total property and equipment	3,950		3,950		4,214
Internal-use software development costs
Property and Equipment [Line Items]
Total property and equipment	207,253		207,253		189,119
Capitalized computer software additions	4,300	$ 8,000	18,100	$ 21,500
Leasehold improvements
Property and Equipment [Line Items]
Total property and equipment	$ 11,177		$ 11,177		$ 14,926

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Goodwill and Intangible Assets, Net - Impairment Testing (Details)	Oct. 31, 2022 USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill impairment	$ 0

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Goodwill and Intangible Assets, Net - Schedule of Goodwill (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	Dec. 31, 2021
Goodwill [Roll Forward]
Balance as of beginning of period	$ 722,774	$ 426,297
Goodwill acquired	395,164	296,597
Measurement period adjustment	(391)
Foreign currency translation	(4)	(104)
Balance as of end of period	$ 1,117,543	$ 722,790
Cumulative inception to date impairment			$ 575,500	$ 575,500

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Goodwill and Intangible Assets, Net - Intangible Assets, Net (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 1,044,016		$ 1,044,016		$ 640,510
Accumulated Amortization	266,348		266,348		197,726
Net Carrying Value	777,668		777,668		$ 442,784
Amortization of intangible assets	23,800	$ 9,500	$ 68,900	$ 24,300
Corporate trade name
Finite-Lived Intangible Assets [Line Items]
Weighted- Average Remaining Useful Life			1 year 3 months 18 days		12 years 8 months 12 days
Gross Carrying Amount	51,965		$ 51,965		$ 43,600
Accumulated Amortization	24,786		24,786		11,726
Net Carrying Value	27,179		$ 27,179		$ 31,874
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Weighted- Average Remaining Useful Life			14 years 8 months 12 days		15 years 9 months 18 days
Gross Carrying Amount	810,119		$ 810,119		$ 465,019
Accumulated Amortization	127,473		127,473		92,760
Net Carrying Value	682,646		$ 682,646		$ 372,259
Technology
Finite-Lived Intangible Assets [Line Items]
Weighted- Average Remaining Useful Life			3 years		2 years 8 months 12 days
Gross Carrying Amount	162,522		$ 162,522		$ 111,822
Accumulated Amortization	97,817		97,817		80,255
Net Carrying Value	64,705		$ 64,705		$ 31,567
Below market lease, net
Finite-Lived Intangible Assets [Line Items]
Weighted- Average Remaining Useful Life			0 years		3 months 18 days
Gross Carrying Amount	1,218		$ 1,218		$ 1,218
Accumulated Amortization	1,218		1,218		1,151
Net Carrying Value	0		$ 0		$ 67
Provider network contracts
Finite-Lived Intangible Assets [Line Items]
Weighted- Average Remaining Useful Life			7 months 6 days		1 year 3 months 18 days
Gross Carrying Amount	18,192		$ 18,192		$ 18,851
Accumulated Amortization	15,054		15,054		11,834
Net Carrying Value	$ 3,138		$ 3,138		$ 7,017

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Goodwill and Intangible Assets, Net - Amortization of Intangible Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]
2023	$ 22,011
2024	87,242
2025	63,647
2026	63,299
2027	60,558
Thereafter	480,911
Net Carrying Value	$ 777,668	$ 442,784

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Long-term Debt - 2022 Credit Agreement (Details) $ in Millions			3 Months Ended	9 Months Ended
	Jan. 20, 2023 USD ($) day	Aug. 01, 2022 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2023 USD ($)
Secured Debt | 2022 Credit Facilities
Debt Instrument [Line Items]
Interest expense			$ 12.9	$ 36.6
Unamortized debt discount and issuance costs		$ 14.4
Amortization of the debt discount and the issuance costs			0.6	1.8
Secured Debt | Line of Credit
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 240.0	$ 175.0
Closing fee percentage	3.00%	2.00%
Number of days prior to any junior debt maturity | day	91
Commitment fee percentage		2.00%
Amount outstanding			405.0	405.0
Secured Debt | Line of Credit | Secured Overnight Financing Rate (SOFR)
Debt Instrument [Line Items]
Basis spread on variable rate		6.00%
Secured Debt | Line of Credit | Base Rate
Debt Instrument [Line Items]
Basis spread on variable rate		5.00%
Revolving Credit Facility | Line of Credit
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 25.0	$ 50.0
Closing fee percentage	3.00%	2.00%
Commitment fee percentage		2.00%
Amount outstanding			$ 37.5	37.5
Revolving Credit Facility | Line of Credit | 2022 Credit Facilities
Debt Instrument [Line Items]
Repaid under the revolving credit facility				37.5
Revolving Credit Facility | Line of Credit | Secured Overnight Financing Rate (SOFR)
Debt Instrument [Line Items]
Basis spread on variable rate		4.00%
Revolving Credit Facility | Line of Credit | Base Rate
Debt Instrument [Line Items]
Basis spread on variable rate		3.00%
2022 Credit Facilities | Line of Credit
Debt Instrument [Line Items]
Prepayment penalty prior to first anniversary of closing date (in percent)		3.00%
Prepayment penalty after first anniversary of closing date but prior to second anniversary of closing date (in percent)		2.00%
Prepayment penalty after second anniversary of closing date but prior to third anniversary of closing date (in percent)		1.00%
Prepayment penalty on or after third anniversary of closing date (in percent)		0.00%
Initial Term Loan Facility | Line of Credit | 2022 Credit Facilities
Debt Instrument [Line Items]
Repaid under the revolving credit facility				$ 10.0

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Long-term Debt - 2024 Notes (Details)				1 Months Ended		3 Months Ended		9 Months Ended
	Aug. 02, 2023	Aug. 18, 2022 shares	Aug. 11, 2022 USD ($)	Aug. 31, 2022 USD ($)	Aug. 31, 2020 USD ($) shares $ / shares	Sep. 30, 2023 USD ($) shares	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Jun. 30, 2023 USD ($)	Dec. 31, 2022 USD ($)	Jun. 30, 2022 USD ($)	Jan. 01, 2022 USD ($)	Dec. 31, 2021 USD ($)
Debt Instrument [Line Items]
Stockholders' equity						$ 1,096,093,000	$ 856,138,000	$ 1,096,093,000	$ 856,138,000	$ 1,093,219,000	$ 859,417,000	$ 613,088,000		$ 693,633,000
Amortization of deferred financing costs								2,912,000	1,762,000
Loss on extinguishment/repayment of debt, net						0	10,192,000	0	10,192,000
Cumulative-effect adjustment from adoption of ASC 2020-06
Debt Instrument [Line Items]
Stockholders' equity														(66,383,000)
Class A Common Stock
Debt Instrument [Line Items]
Stockholders' equity						1,148,000	1,012,000	1,148,000	1,012,000	1,131,000	1,015,000	916,000		908,000
Additional Paid-In Capital
Debt Instrument [Line Items]
Stockholders' equity						1,803,116,000	1,472,098,000	1,803,116,000	1,472,098,000	1,774,784,000	1,486,857,000	1,231,005,000		1,340,989,000
Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06
Debt Instrument [Line Items]
Stockholders' equity														(106,172,000)
Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Stockholders' equity													$ (106,200,000)
Retained Earnings (Accumulated Deficit)
Debt Instrument [Line Items]
Stockholders' equity						(685,783,000)	(594,805,000)	(685,783,000)	(594,805,000)	$ (660,459,000)	(606,154,000)	$ (596,928,000)		(626,779,000)
Retained Earnings (Accumulated Deficit) | Cumulative-effect adjustment from adoption of ASC 2020-06
Debt Instrument [Line Items]
Stockholders' equity														$ 39,789,000
Retained Earnings (Accumulated Deficit) | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Stockholders' equity													39,800,000
Senior Notes
Debt Instrument [Line Items]
Payments of debt issuance costs					$ 2,500,000
2024 Notes | Senior Notes
Debt Instrument [Line Items]
Face amount					$ 117,100,000	1,000,000		1,000,000			$ 24,281,000
Interest rate					3.50%
Debt conversion, converted instrument, amount					$ 84,200,000
Debt conversion, original debt, amount			$ 92,800,000			23,300,000
Debt issuance costs					$ 3,000,000
Interest expense						200,000	500,000	600,000	2,500,000
Repurchase covenant, repurchase price due to fundamental change as percentage of principal amount	100.00%
Conversion price (in dollars per share) | $ / shares					$ 18.23
Initial conversion amount (in shares) | shares					6,400,000
Long-term debt, net					$ 78,900,000
Debt issuance costs, net, debt component					$ 1,700,000
Amortization of deferred financing costs						$ 46,300	$ 100,000	$ 100,000	$ 500,000
Repurchase covenant, repurchase price due to fundamental change as percentage of principal amount					100.00%
Repurchase covenant, sale price as a percentage of conversion price					130.00%
Repurchase covenant, trading days, minimum					20 days
Consecutive trading days, minimum					30 days
Repurchase covenant, repurchase price due to change in sale price as percentage of conversion price					100.00%
Loss on extinguishment/repayment of debt, net				$ 10,200,000
Debt conversion issued (in shares) | shares		5,394,165				1,300,000
2024 Notes | Senior Notes | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Long-term debt, net													25,100,000
2024 Notes | Senior Notes | Class A Common Stock
Debt Instrument [Line Items]
Debt issuance costs					$ 1,300,000
Proceeds from issuance of debt					$ 38,100,000
2024 Notes | Senior Notes | Class A Common Stock | Common Class A
Debt Instrument [Line Items]
Initial conversion rate	0.0548667				0.0548667
2024 Notes | Senior Notes | Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06 | Equity Component of Long Term Debt
Debt Instrument [Line Items]
Stockholders' equity													(38,100,000)
2024 Notes | Senior Notes | Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06 | Deferred Financing Fees
Debt Instrument [Line Items]
Stockholders' equity													1,300,000
2024 Notes | Senior Notes | Retained Earnings (Accumulated Deficit) | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Stockholders' equity													$ 11,700,000
2021 Notes | Senior Notes
Debt Instrument [Line Items]
Debt conversion, original debt, amount					$ 84,200,000
New Notes | Senior Notes
Debt Instrument [Line Items]
Debt conversion, converted instrument, amount					$ 32,800,000

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Long-term Debt - 2025 Notes (Details) $ / shares in Units, shares in Millions	1 Months Ended	3 Months Ended		9 Months Ended
	Oct. 31, 2018 USD ($) shares $ / shares	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Jun. 30, 2023 USD ($)	Dec. 31, 2022 USD ($)	Jun. 30, 2022 USD ($)	Jan. 01, 2022 USD ($)	Dec. 31, 2021 USD ($)	Oct. 24, 2018 USD ($)	Oct. 22, 2018 USD ($)
Debt Instrument [Line Items]
Stockholders' equity		$ 1,096,093,000	$ 856,138,000	$ 1,096,093,000	$ 856,138,000	$ 1,093,219,000	$ 859,417,000	$ 613,088,000		$ 693,633,000
Amortization of deferred financing costs				2,912,000	1,762,000
Cumulative-effect adjustment from adoption of ASC 2020-06
Debt Instrument [Line Items]
Stockholders' equity										(66,383,000)
Class A Common Stock
Debt Instrument [Line Items]
Stockholders' equity		1,148,000	1,012,000	1,148,000	1,012,000	1,131,000	1,015,000	916,000		908,000
Additional Paid-In Capital
Debt Instrument [Line Items]
Stockholders' equity		1,803,116,000	1,472,098,000	1,803,116,000	1,472,098,000	1,774,784,000	1,486,857,000	1,231,005,000		1,340,989,000
Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06
Debt Instrument [Line Items]
Stockholders' equity										(106,172,000)
Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Stockholders' equity									$ (106,200,000)
Retained Earnings (Accumulated Deficit)
Debt Instrument [Line Items]
Stockholders' equity		(685,783,000)	(594,805,000)	(685,783,000)	(594,805,000)	$ (660,459,000)	(606,154,000)	$ (596,928,000)		(626,779,000)
Retained Earnings (Accumulated Deficit) | Cumulative-effect adjustment from adoption of ASC 2020-06
Debt Instrument [Line Items]
Stockholders' equity										$ 39,789,000
Retained Earnings (Accumulated Deficit) | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Stockholders' equity									39,800,000
2025 Notes
Debt Instrument [Line Items]
Debt issuance costs	$ 5,900,000
Senior Notes | 2025 Notes
Debt Instrument [Line Items]
Face amount	$ 172,500,000	172,500,000		172,500,000			$ 172,500,000				$ 22,500,000	$ 150,000,000
Interest rate	1.50%
Proceeds from issuance of debt	$ 166,600,000
Debt issuance costs	$ 3,400,000
Interest expense		600,000	600,000	1,900,000	1,900,000
Conversion price (in dollars per share) | $ / shares	$ 33.43
Initial conversion amount (in shares) | shares	5.2
Carrying amount	$ 100,700,000
Amortization of deferred financing costs		$ 400,000	$ 400,000	$ 1,000,000	$ 1,000,000
Repurchase covenant, repurchase price due to fundamental change as percentage of principal amount	100.00%
Repurchase covenant, sale price as a percentage of conversion price (at least)	130.00%
Repurchase covenant, trading days, minimum	20 days
Consecutive trading days, minimum	30 days
Repurchase covenant, repurchase price due to change in sale price as percentage of conversion price	100.00%
Senior Notes | 2025 Notes | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Carrying amount									41,300,000
Senior Notes | 2025 Notes | Class A Common Stock
Debt Instrument [Line Items]
Proceeds from issuance of debt	$ 71,800,000
Debt issuance costs	$ 2,500,000
Senior Notes | 2025 Notes | Class A Common Stock | Common Class A
Debt Instrument [Line Items]
Initial conversion rate	0.0299135
Senior Notes | 2025 Notes | Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06 | Equity Component of Long Term Debt
Debt Instrument [Line Items]
Stockholders' equity									(71,800,000)
Senior Notes | 2025 Notes | Additional Paid-In Capital | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06 | Deferred Financing Fees
Debt Instrument [Line Items]
Stockholders' equity									2,500,000
Senior Notes | 2025 Notes | Retained Earnings (Accumulated Deficit) | Cumulative-effect adjustment from adoption of ASC 2020-06 | Accounting Standards Update 2020-06
Debt Instrument [Line Items]
Stockholders' equity									$ 28,100,000

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Long-term Debt - Convertible Senior Notes Carrying Value (Details) - Senior Notes - USD ($)	Sep. 30, 2023	Dec. 31, 2022	Aug. 31, 2020	Oct. 31, 2018	Oct. 24, 2018	Oct. 22, 2018
2024 Notes
Debt Instrument [Line Items]
Carrying value	$ 991,000	$ 23,925,000
Unamortized debt discount and issuance costs	9,000	356,000
Principal amount	$ 1,000,000	$ 24,281,000	$ 117,100,000
Remaining amortization period (years)	0 years	1 year 10 months 24 days
2024 Notes | Level 2
Debt Instrument [Line Items]
Fair value		$ 38,000,000
2025 Notes
Debt Instrument [Line Items]
Carrying value	$ 169,848,000	168,885,000
Unamortized debt discount and issuance costs	2,652,000	3,615,000
Principal amount	$ 172,500,000	$ 172,500,000		$ 172,500,000	$ 22,500,000	$ 150,000,000
Remaining amortization period (years)	2 years	2 years 9 months 18 days
2025 Notes | Level 2
Debt Instrument [Line Items]
Fair value	$ 183,066,000	$ 185,546,000

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Commitments and Contingencies - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($)	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) customer	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Restricted Cash and Cash Equivalents Items [Line Items]
Automatic extension period			1 year
Automatic extension after each period			1 year
Percent of tax savings to be paid	85.00%		85.00%
Recognition of remaining TRA liability	$ 0	$ 42,870	$ 66,184	$ 42,870
Tax receivables agreement liability	$ 112,134		$ 112,134		$ 45,950
Percentage of cash and cash equivalents held with FDIC participating bank	98.70%		98.70%
Total restricted cash and restricted investments	$ 224,498	$ 194,818	$ 224,498	$ 194,818	215,158	$ 354,942
Percentage of cash held in international banks	1.30%		1.30%
UPMC Reseller Agreement
Restricted Cash and Cash Equivalents Items [Line Items]
Number of customers | customer			20
Letter of Credit | Line of Credit
Restricted Cash and Cash Equivalents Items [Line Items]
Maximum borrowing capacity	$ 17,900		$ 17,900		13,100
Letter of Credit | Line of Credit | Collateral with financial institutions
Restricted Cash and Cash Equivalents Items [Line Items]
Restricted cash and restricted investments	$ 17,900		$ 17,900		$ 13,100

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Commitments and Contingencies - Credit and Concentration Risk (Details) - Customer Concentration Risk	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Cook County Health and Hospitals System | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk			41.20%		42.50%
Cook County Health and Hospitals System | Revenues
Concentration Risk [Line Items]
Concentration risk	15.70%	21.20%	16.80%	23.00%
Center for Medicare & Medicaid Services | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk			14.10%
Molina Healthcare | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk			10.60%		12.00%
Molina Healthcare | Revenues
Concentration Risk [Line Items]
Concentration risk	12.90%		14.20%
Bright Health Management, Inc. | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk					11.30%
Humana Health Insurance Company of Florida, Inc. | Revenues
Concentration Risk [Line Items]
Concentration risk	13.70%
Florida Blue Medicare, Inc. | Revenues
Concentration Risk [Line Items]
Concentration risk		13.70%	10.90%	12.50%

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Leases - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023 USD ($) payment	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) option_to_renew_lease payment	Sep. 30, 2022 USD ($)	Dec. 31, 2022 USD ($)
Lessee, Lease, Description [Line Items]
Number of leases option | option_to_renew_lease			1
Loss on termination of lease			$ 6,500
Number of lease termination payment | payment	2		2
Termination payment paid	$ 3,250		$ 3,250
Right-of-use assets impairment	0	$ 0	24,065	$ 0
Lease Agreements
Lessee, Lease, Description [Line Items]
Letters of credit outstanding, amount	2,100		2,100		$ 2,300
Restricted cash and restricted investments	$ 2,100		$ 2,100		$ 2,300

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Leases - Primary Office Leases (Details) $ in Thousands	Sep. 30, 2023 USD ($)
Lessee, Lease, Description [Line Items]
Future Minimum Lease Commitments	$ 63,946
Arlington, VA
Lessee, Lease, Description [Line Items]
Lease Termination Term (in years)	8 years 3 months 18 days
Future Minimum Lease Commitments	$ 15,511
Letter of Credit Amount Required	$ 1,579
Edison, NJ
Lessee, Lease, Description [Line Items]
Lease Termination Term (in years)	2 years 7 months 6 days
Future Minimum Lease Commitments	$ 1,351
Letter of Credit Amount Required	$ 222
Makati City, Philippines
Lessee, Lease, Description [Line Items]
Lease Termination Term (in years)	4 years 8 months 12 days
Future Minimum Lease Commitments	$ 3,089
Letter of Credit Amount Required	$ 0
Alpharetta, GA
Lessee, Lease, Description [Line Items]
Lease Termination Term (in years)	2 years
Future Minimum Lease Commitments	$ 951
Letter of Credit Amount Required	$ 0
Pune, India
Lessee, Lease, Description [Line Items]
Lease Termination Term (in years)	4 years 6 months
Future Minimum Lease Commitments	$ 2,602
Letter of Credit Amount Required	$ 0
Brea, CA
Lessee, Lease, Description [Line Items]
Lease Termination Term (in years)	3 years 8 months 12 days
Future Minimum Lease Commitments	$ 3,546
Letter of Credit Amount Required	$ 0

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Leases - Components of Lease Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Leases [Abstract]
Operating lease cost	$ 5,026	$ 2,221	$ 5,239	$ 6,726
Variable lease cost	1,407	1,599	4,528	4,096
Total lease cost	$ 6,433	$ 3,820	$ 9,767	$ 10,822

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Leases - Maturity of Lease Liabilities (Details) $ in Thousands	Sep. 30, 2023 USD ($)
Leases [Abstract]
2023	$ 5,713
2024	12,476
2025	8,881
2026	8,034
2027	7,525
Thereafter	21,317
Total lease payments	63,946
Less:
Interest	11,330
Present value of lease liabilities	$ 52,616

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Leases - Weighted-average Discount Rate and Weighted-remaining Lease Terms (Details)	Sep. 30, 2023
Leases [Abstract]
Weighted average discount rate	6.80%
Weighted average remaining lease term	5 years 10 months 24 days

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Convertible Preferred Equity - Narratives (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Millions		3 Months Ended	9 Months Ended
	Jan. 20, 2023	Sep. 30, 2023	Sep. 30, 2023	Dec. 31, 2022
Temporary Equity [Line Items]
Aggregate shares of preferred stock sold (in shares)			175
Preferred class A common stock, par value (in dollars per share)		$ 0.01	$ 0.01	$ 0.01
Class A common stock, par value (in dollars per share)		$ 0.01	$ 0.01	$ 0.01
Series A Preferred Stock
Temporary Equity [Line Items]
Aggregate shares of preferred stock sold (in shares)	175
Preferred class A common stock, par value (in dollars per share)	$ 0.01
Purchase price (in dollars per share)	$ 960.00
Gross proceeds from sale of temporary equity	$ 168.0
Liquidation preference (in dollars per share)	$ 1,000
Annual increase in dividend rate	2.00%
Conversion price (in dollar per share)	$ 40.00
Accretion of Series A preferred stock		$ 2.8	$ 7.6
Series A Preferred Stock | Called by company on or after January 20, 2025
Temporary Equity [Line Items]
Redemption price percentage	165.00%
Series A Preferred Stock | Called by holder on or after January 20, 2030
Temporary Equity [Line Items]
Redemption price percentage	150.00%
Series A Preferred Stock | Refinancing or replacement of debt
Temporary Equity [Line Items]
Redemption price percentage	165.00%
Series A Preferred Stock | Change of control prior to January 20, 2025
Temporary Equity [Line Items]
Redemption price percentage	150.00%
Series A Preferred Stock | Change of control after January 20, 2025
Temporary Equity [Line Items]
Redemption price percentage	135.00%
Series A Preferred Stock | Secured Overnight Financing Rate (SOFR)
Temporary Equity [Line Items]
Quarterly dividend rate, basis spread on variable rate	6.00%
Common Class A
Temporary Equity [Line Items]
Class A common stock, par value (in dollars per share)	$ 0.01

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Convertible Preferred Equity - Schedule of Dividends Declared (Details) - USD ($)				9 Months Ended
	Sep. 28, 2023	Jun. 27, 2023	Mar. 28, 2023	Sep. 30, 2023	Sep. 30, 2022
Dividends Payable [Line Items]
Total Amount Paid				$ 13,631,000	$ 0
Series A Preferred Stock
Dividends Payable [Line Items]
Dividends paid (in dollars per share)	$ 29.12	$ 27.91	$ 20.86
Total Amount Paid	$ 5,096,000	$ 4,884,250	$ 3,650,500

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Loss Per Common Share - Computation of Earnings per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands		3 Months Ended		9 Months Ended
		Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Earnings Per Share [Abstract]
Income (loss) from continuing operations		$ (25,324)	$ 2,123	$ (79,629)	$ (7,352)
Loss from discontinued operations, net of tax	[1]	0	0	0	(463)
Income (loss) before preferred dividends and accretion of Series A Preferred Stock		(25,324)	2,123	(79,629)	(7,815)
Dividends and accretion of Series A Preferred Stock		(7,872)	0	(21,236)	0
Net income (loss) attributable to common shareholders of Evolent Health, Inc. - Basic		(33,196)	2,123	(100,865)	(7,815)
Net income (loss) attributable to common shareholders of Evolent Health, Inc., Inc. - Diluted		$ (33,196)	$ 2,123	$ (100,865)	$ (7,815)
Weighted-average common shares outstanding - basic (in shares)		112,282	95,286	110,464	91,643
Incremental diluted shares from stock options (in shares)		0	1,915	0	0
Incremental diluted shares from restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs") (in shares)		0	2,107	0	0
Weighted-average common shares outstanding - diluted (in shares)		112,282	99,308	110,464	91,643
Basic:
Continuing operations (in dollars per share)		$ (0.30)	$ 0.02	$ (0.91)	$ (0.08)
Discontinued operations (in dollars per share)		0	0	0	(0.01)
Basic income (loss) per share attributable to common shareholders of Evolent Health, Inc, (in dollars per share)		(0.30)	0.02	(0.91)	(0.09)
Diluted:
Continuing operations (in dollars per share)		(0.30)	0.02	(0.91)	(0.08)
Discontinued operations (in dollars per share)		0	0	0	(0.01)
Diluted income (loss) per share attributable to common shareholders of Evolent Health, Inc, (in dollars per share)		$ (0.30)	$ 0.02	$ (0.91)	$ (0.09)

[1] Includes $(0.5) million loss on disposal for of discontinued operations for the nine months ended September 30, 2022.

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Loss Per Common Share - Antidilutive Securities (Details) - shares shares in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	12,020	9,007	12,920	14,390
Restricted stock units ("RSUs"), performance-based RSUs (“PSUs”) and leveraged stock units ("LSUs")
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	1,045	0	1,311	1,818
Stock options
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	603	0	933	1,858
Series A Preferred Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	4,375	0	4,375	0
Convertible senior notes
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total	5,997	9,007	6,301	10,714

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Stock-based Compensation - Stock-based Compensation Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	$ 10,222	$ 6,992	$ 29,898	$ 19,350
Cost of revenue
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	51	1,024	1,633	2,986
Selling, general and administrative expenses
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	10,171	5,968	28,265	16,364
Stock options
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	0	78	74	331
RSUs
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	6,312	4,830	20,704	12,778
LSUs
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	78	387	439	1,544
PSUs
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Total compensation expense by financial statement line item	$ 3,832	$ 1,697	$ 8,681	$ 4,697

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Stock-based Compensation - Narrative (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Share-Based Payment Arrangement [Abstract]
Stock-based compensation capitalized	$ 0	$ 0	$ 0	$ 0

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Stock-based Compensation - Schedule of Stock-Based Awards Granted (Details) - shares shares in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
RSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (in shares)	183	87	1,236	1,067
PSUs
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted (in shares)	110	0	542	479

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Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Tax Disclosure [Abstract]
Benefit from income taxes	$ (5,550)	$ (45,516)	$ (74,709)	$ (44,498)
Effective tax rate	18.00%	104.90%	48.40%	85.80%
Reduction of valuation allowance		$ 46,800	$ 56,100	$ 46,800
Unrecognized tax benefits	$ 1,600		$ 1,600
Amount of tax benefit percent			85.00%

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Investments in Equity Method Investees (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Schedule of Equity Method Investments [Line Items]
Gain from equity method investees	$ 684	$ 1,392	$ 1,262	$ 3,940
Equity Method Investee | Services Agreements
Schedule of Equity Method Investments [Line Items]
Revenue related to services agreements	$ 5,000	$ 5,000	$ 14,400	$ 12,500
Minimum
Schedule of Equity Method Investments [Line Items]
Economic interest percentage	4.00%		4.00%		4.00%
Voting interest percentage	25.00%		25.00%		25.00%
Maximum
Schedule of Equity Method Investments [Line Items]
Economic interest percentage	34.00%		34.00%		38.00%
Voting interest percentage	34.00%		34.00%		40.00%

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Fair Value Measurement - Assets and Liabilities on Recurring Basis (Details) - Fair Value, Recurring - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Liabilities
Contingent consideration	$ 124,600	$ 78,000
Total fair value of liabilities measured on a recurring basis	124,600	78,000
Level 1
Liabilities
Contingent consideration	0	0
Total fair value of liabilities measured on a recurring basis	0	0
Level 2
Liabilities
Contingent consideration	0	0
Total fair value of liabilities measured on a recurring basis	0	0
Level 3
Liabilities
Contingent consideration	124,600	78,000
Total fair value of liabilities measured on a recurring basis	$ 124,600	$ 78,000

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Fair Value Measurement - Changes in Contingent Consideration and Other (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance as of beginning of period	$ 78,000	$ 28,700
Additions	66,600	75,000
Settlements	(32,047)	0
Total (gain) loss, net	12,047	(8,000)
Balance as of end of period	$ 124,600	$ 95,700
Fair Value Recurring Basis Unobservable Input Reconciliation Liability Gain Loss Statement Of Income Extensible List Not Disclosed Flag	Total (gain) loss, net	Total (gain) loss, net

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Fair Value Measurement - Valuation Techniques and Significant Unobservable Inputs (Details) - Fair Value, Recurring $ in Thousands	Sep. 30, 2023 USD ($)	Dec. 31, 2022 USD ($)
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value	$ 124,600	$ 78,000
Level 3
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value	$ 124,600	$ 78,000
Level 3 | Risk-neutral expected earnout consideration
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Assumption or input ranges	124,600	77,946
Level 3 | Discount rate
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Assumption or input ranges	0.0880
Level 3 | Discount rate | Minimum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Assumption or input ranges		0.0985
Level 3 | Discount rate | Maximum
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Assumption or input ranges		0.1001

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Related Parties - Assets and Liabilities (Details) - USD ($) $ in Thousands		Sep. 30, 2023	Dec. 31, 2022
Assets
Accounts receivable, net	[1]	$ 394,232	$ 254,684
Liabilities
Accounts payable	[1]	51,776	57,174
Accrued liabilities	[1]	193,961	111,198
Related Party
Assets
Accounts receivable, net		8,152	8,787
Liabilities
Accounts payable		747	27
Accrued liabilities		$ 0	$ 192

[1] See Note 18 for amounts attributable to related parties included in these line items.

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Related Parties - Revenues and Expenses (Details) - USD ($) $ in Thousands		3 Months Ended		9 Months Ended
		Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Expenses
Selling, general and administrative expenses	[1]	$ 96,567	$ 68,521	$ 276,682	$ 186,408
Related Party
Related Party Transaction [Line Items]
Revenue		49,695	36,321	143,902	111,195
Expenses
Cost of revenue		42,300	30,121	121,882	93,266
Selling, general and administrative expenses		$ 699	$ 443	$ 1,938	$ 745

[1] See Note 18 for amounts attributable to unconsolidated related parties included in these line items.

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Repositioning and Other Changes (Details) - Repositioning Plan $ in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2023 USD ($)	Sep. 30, 2023 USD ($)
Restructuring Cost and Reserve [Line Items]
Expected cost of restructuring	$ 38,628	$ 38,628
Restructuring charges	8,129	19,390
Severance and termination benefits
Restructuring Cost and Reserve [Line Items]
Expected cost of restructuring	9,563	9,563
Restructuring charges	1,826	6,563
Dedicated employee costs
Restructuring Cost and Reserve [Line Items]
Expected cost of restructuring	8,099	8,099
Restructuring charges	2,325	4,062
Professional services
Restructuring Cost and Reserve [Line Items]
Expected cost of restructuring	14,466	14,466
Restructuring charges	3,978	8,765
Office space consolidation
Restructuring Cost and Reserve [Line Items]
Expected cost of restructuring	6,500	6,500
Restructuring charges	$ 0	$ 0

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Reserves for Claims and Performance-Based Arrangements (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Balance, beginning of period	$ 199,730	$ 171,294
Incurred health care costs:
Current year to date period	628,251	471,502
Prior year to date period	(36,248)	(8,154)
Total claims incurred	592,003	463,348
Claims paid related to:
Current year to date period	(364,709)	(369,708)
Prior year to date period	(127,282)	(129,236)
Total claims paid	(491,991)	(498,944)
Balance, end of period	$ 299,742	$ 135,698

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Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Supplemental Disclosure of Non-cash Investing and Financing Activities
Accrued property and equipment purchases	$ 322	$ 1,014
Increase/decrease to goodwill from measurement period adjustments/business combinations	(391)	0
Class A common stock issued in connection with business combinations	261,271	130,175
Class A common stock issued in connection with debt repayment	23,073	101,999
Accrued net working capital adjustment with business combinations	0	791
Effects of Leases
Operating cash flows from operating leases	9,587	14,453
Leased assets disposed of (obtained in) exchange for operating lease liabilities	$ 6,956	$ 4,305

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Subsequent Events (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Subsequent Event [Line Items]
Short-term debt, net	$ 991	$ 0
2024 Notes | Senior Notes
Subsequent Event [Line Items]
Short-term debt, net	$ 1,000

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Label	Element	Value
Accounting Standards Update [Extensible Enumeration]	us-gaap_AccountingStandardsUpdateExtensibleList	Accounting Standards Update 2020-06 [Member]