Investor Relations

Press Release

Press Release

Evolent Health Announces Fourth Quarter and Full Year 2018 Results

Feb 26, 2019

WASHINGTON, Feb. 26, 2019 /PRNewswire/ -- Evolent Health, Inc. (NYSE: EVH), a company providing an integrated value-based care platform to the nation's leading physician and payer organizations, today announced financial results for the quarter and full year ended December 31, 2018.

Highlights from the fourth quarter and full year 2018 announcement include (all comparisons are to the quarter and full year ended December 31, 2017):

Quarter ended December 31, 2018:

  • GAAP revenue of $193.1 million, an increase of 69.8%; Adjusted Revenue of $193.3 million, an increase of 69.6%
  • Net income (loss) attributable to Evolent Health, Inc. of $(16.7) million, Adjusted EBITDA of $5.6 million
  • Lives on platform of approximately 3.6 million, an increase of 32.9%

Full year ended December 31, 2018:

  • GAAP revenue of $627.1 million, an increase of 44.2%; Adjusted Revenue of $632.4 million, an increase of 44.9%
  • Net income (loss) attributable to Evolent Health, Inc. of $(52.7) million, Adjusted EBITDA of $23.2 million
  • Acquisition of assets of New Mexico Health Connections
  • Acquisition of New Century Health
  • New partnerships entered in 2018 included Baptist Health Care, Lee Health, Torrance Health IPA and SOMOS IPA

Additional announcements:

  • Evolent adds two new provider partners: Empower Healthcare Solutions and River City Medical Group.

Frank Williams, chief executive officer of Evolent Health, Inc., commented, "Overall, we are pleased with our results for the quarter and the calendar year, having achieved our key operational and financial objectives while advancing our position as the preferred partner for providers moving to value-based care."

Evolent ended 2018 at the high end of its anticipated range for new partnerships and expanded its presence in New York, Florida, California and several other markets. In the aggregate, the company added approximately 800,000 lives to its platform bringing the total life count to approximately 3.6 million as of December 31, 2018, representing 32.9% growth over the prior year. The company also completed the acquisition of New Century Health, a specialty care management company that uses evidence-based care to manage complex specialties, including cancer and cardiovascular care.

Mr. Williams commented, "We are excited to add two new partners to our national network: Empower Healthcare Solutions in Arkansas and River City Medical Group in northern California. We look forward to leveraging our deep Medicaid expertise, proprietary technology and health plan administration services platform to drive strong clinical and financial results for these partners as we help them serve Medicaid beneficiaries in their communities."

Mr. Williams continued, "We enter 2019 encouraged by the recent policy changes in Medicare and Medicaid and the positive medium-term implications for the movement to value-based care. Increased market interest is also reflected in the breadth and depth of our current pipeline. At the same time, we do anticipate lower growth in the first half of 2019 due to the wind-down of a few of our health plan relationships, as well as lower than expected membership growth from our newly launched Medicaid plans in Florida."

Mr. Williams added, "Looking ahead, we are focused on several key areas to set up a strong second half in 2019, consistent with our long-term strategic and financial objectives. First, continuing our investment in driving clinical performance improvement across the Evolent network, which represents a key point of differentiation in the market. Second, putting in place a leaner cost structure that optimizes operational performance and is consistent with our long-term growth strategy. Third, driving membership growth in our partners' Medicaid plans in Florida and leveraging their strong provider brands in their respective regions. Finally, working diligently toward deal closure across several late-stage pipeline opportunities in Medicare ACO, Medicare Advantage, Medicaid and New Century Health specialty care management."

Mr. Williams concluded, "Overall, we remain confident that, with strong execution on our key priorities, we can set up a strong second half in 2019 and into 2020 and continue to solidify our position as a leader in the market movement to value-based care."

Financial Results of Evolent Health, Inc.

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

Reported Results

Evolent Health, Inc. reported the following United States of America generally accepted accounting principles ("GAAP") results:

  • Revenue of $193.1 million and $113.7 million for the three months ended December 31, 2018 and 2017, respectively, an increase of 69.8%. Revenue of $627.1 million and $435.0 million for the years ended December 31, 2018 and 2017, respectively, an increase of 44.2%.
    • Services revenue of $171.3 million for the three months ended December 31, 2018, before intersegment eliminations of $(3.4) million. Services revenue of $547.4 million for the year ended December 31, 2018, before intersegment eliminations of $(14.3) million; and
    • True Health premiums revenue of $25.4 million for the three months ended December 31, 2018, before intersegment eliminations of $(0.2) million. True Health premiums revenue of $94.8 million for the year ended December 31, 2018, before intersegment eliminations of $(0.8) million.
  • Cost of revenue of $112.8 million and $65.5 million for the three months ended December 31, 2018 and 2017, respectively, an increase of 72.1%. Cost of revenue of $327.8 million and $269.4 million for the years ended December 31, 2018 and 2017, respectively, an increase of 21.7%.
  • Claims expenses of $18.8 million for the three months ended December 31, 2018. Claims expenses of $70.9 million for the year ended December 31, 2018.
  • Selling, general and administrative expenses of $62.9 million and $55.2 million for the three months ended December 31, 2018 and 2017, respectively, an increase of 14.0%. Selling, general and administrative expenses of $235.4 million and $205.7 million for the years ended December 31, 2018 and 2017, respectively, an increase of 14.5%.
  • Net income (loss) attributable to Evolent Health, Inc. of $(16.7) million and $(13.2) million for the three months ended December 31, 2018 and 2017, respectively. Net income (loss) attributable to Evolent Health, Inc. of $(52.7) million and $(60.7) million for the years ended December 31, 2018 and 2017, respectively.
  • Earnings (loss) available to common shareholders, basic and diluted, of $(16.7) million and $(13.2) million for the three months ended December 31, 2018 and 2017, respectively.
  • Earnings (loss) available to common shareholders, basic and diluted, of $(52.7) million and $(60.7) million for the years ended December 31, 2018 and 2017, respectively.
  • Earnings (loss) available to common shareholders, per basic and diluted share, of $(0.21) and $(0.18) for the three months ended December 31, 2018 and 2017, respectively.
  • Earnings (loss) available to common shareholders, per basic and diluted share, of $(0.68) and $(0.94) for the full years ended December 31, 2018 and 2017, respectively.

Adjusted Results

  • Adjusted Revenue of $193.3 million and $114.0 million for the three months ended December 31, 2018 and 2017, respectively, an increase of 69.6%. Adjusted Revenue of $632.4 million and $436.4 million for the years ended December 31, 2018 and 2017, respectively, an increase of 44.9%.
    • Adjusted Services Revenue of $171.5 million for the three months ended December 31, 2018, before intersegment eliminations of $(3.4) million. Adjusted Services Revenue of $552.8 million for the year ended December 31, 2018, before intersegment eliminations of $(14.3) million; and
    • True Health premiums revenue of $25.4 million for the three months ended December 31, 2018, before intersegment eliminations of $(0.2) million. True Health premiums revenue of $94.8 million for the year ended December 31, 2018, before intersegment eliminations of $(0.8) million.
  • Adjusted Cost of Revenue of $111.8 million and $64.2 million for the three months ended December 31, 2018 and 2017, respectively, an increase of 74.3%. Adjusted Cost of Revenue of $323.4 million and $262.5 million for the years ended December 31, 2018 and 2017, respectively, an increase of 23.2%.
  • Claims expenses of $18.8 million for the three months ended December 31, 2018. Claims expenses of $70.9 million for the year ended December 31, 2018.
  • Adjusted selling, general and administrative expenses of $57.1 million and $46.3 million for the three months ended December 31, 2018 and 2017, respectively, an increase of 23.2%. Adjusted selling, general and administrative expenses of $214.9 million and $176.1 million for the years ended December 31, 2018 and 2017, respectively, an increase of 22.0%;
  • Adjusted EBITDA of $5.6 million and $3.5 million for the three months ended December 31, 2018 and 2017, respectively. Adjusted EBITDA of $23.2 million and $(2.2) million for the years ended December 31, 2018 and 2017, respectively.
  • Adjusted Earnings (Loss) Available to Class A and Class B Shareholders of $(5.4) million and $(3.1) million for the three months ended December 31, 2018 and 2017, respectively.
  • Adjusted Earnings (Loss) Available to Class A and Class B Shareholders of $(9.4) million and $(24.8) million for the years ended December 31, 2018 and 2017, respectively.
  • Adjusted Earnings (Loss) per Share Available to Class A and Class B Shareholders of $(0.07) and $(0.04) for the three months ended December 31, 2018 and 2017, respectively.
  • Adjusted Earnings (Loss) per Share Available to Class A and Class B Shareholders of $(0.12) and $(0.35) for the years ended December 31, 2018 and 2017, respectively.

Total cash and cash equivalents and investments as of December 31, 2018, was $238.3 million.

Business Outlook

We are not providing forward looking guidance for GAAP reported financial measures. A reconciliation of forward looking non-GAAP financial measures to the most comparable GAAP financial measure is provided in the "Guidance Reconciliation" table below. For the full year 2019, Adjusted Revenue is expected to be in the range of approximately $805.0 million to $880.0 million. The components of Adjusted Revenue include Adjusted Services Revenue, which is forecasted to be approximately $650.0 million to $710.0 million, and True Health premiums revenue, which is forecasted to be approximately $170.0 million to $190.0 million; intersegment eliminations are forecasted to be approximately $(15.0) to $(20.0) million for the full year. Adjusted EBITDA for the full year is expected to be breakeven to $15.0 million.

For the three months ended March 31, 2019, Adjusted Revenue is expected to be in the range of approximately $188.0 million to $197.0 million. The components of Adjusted Revenue include Adjusted Services Revenue, which is forecasted to be approximately $149.0 million to $153.0 million, and True Health premiums revenue, which is forecasted to be approximately $42.5 million to $47.5 million; intersegment eliminations are forecasted to be approximately $(3.8) million for the quarter. Adjusted EBITDA is expected to be in the range of approximately $(16.0) million to $(14.0) million.

This "Business Outlook" section contains forward-looking statements, and actual results may differ materially. Factors that may cause actual results to differ materially from our current expectations are set forth below in "Forward Looking Statements - Cautionary Language" and Evolent Health, Inc.'s filings with the Securities and Exchange Commission ("SEC"). A reconciliation of forward looking non-GAAP financial measures to the most comparable GAAP financial measure is provided in the "Guidance Reconciliation" table below.

Web and Conference Call Information

As previously announced, Evolent Health, Inc. will hold a conference call to discuss its fourth quarter and full year performance this evening, February 26, 2019, at 5:00 p.m., Eastern Time. The conference call will be available via live webcast on the Company's Investor Relations website at http://ir.evolenthealth.com. To participate by telephone, dial 855.940.9467 or 412.317.6034 for international callers, and ask to join the Evolent Health call. Participants are advised to dial in at least fifteen minutes prior to the call to register. The call will be archived on the company's website for one week and will be available beginning later this evening. Evolent Health invites all interested parties to attend the conference call.

Evolent Health Logo (PRNewsfoto/Evolent Health)

About Evolent Health

Evolent Health partners with leading provider and payer organizations to achieve superior clinical and financial results in value-based care and under full-risk arrangements. With a provider heritage and over 20 years of health plan administration experience, Evolent operates in more than 30 U.S. health care markets, actively managing care across Medicare, Medicaid, commercial and self-funded adult and pediatric populations. With the experience to drive change, Evolent confidently stands by a commitment to achieve results. For more information, visit www.evolenthealth.com

Contacts:

Bob East

Kim Conquest

443.213.0500

540.435.2095

Investor Relations

Media Relations

InvestorRelations@evolenthealth.com

KConquest@evolenthealth.com

Financial Statement Presentation

Evolent Health, Inc. is a holding company and its principal asset is all of the Class A common units in its operating subsidiary, 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.

Non-GAAP Financial Measures

In addition to disclosing financial results that are determined in accordance with GAAP, we present and discuss Adjusted Revenue, Adjusted Services Revenue, Adjusted Transformation Services Revenue, Adjusted Platform and Operations Services Revenue, Adjusted Cost of Revenue, Adjusted Selling, General and Administrative Expenses, Adjusted Depreciation and Amortization Expenses, Adjusted Total Operating Expenses, Adjusted Operating Income (Loss), Adjusted EBITDA, Services Adjusted EBITDA, True Health Adjusted EBITDA, Adjusted Earnings (Loss) Available to Class A and Class B Shareholders, Adjusted Earnings (Loss) per Share Available to Class A and Class B Shareholders and Adjusted Weighted-Average Class A and Class B Shares, which are all non-GAAP financial measures, as supplemental measures to help investors evaluate our fundamental operational performance.

Adjusted Transformation Services Revenue and Adjusted Platform and Operations Services Revenue are defined as transformation services revenue and platform and operations services revenue, respectively, before the effect of intersegment eliminations and adjusted to exclude the impact of purchase accounting adjustments. In addition, the company's Adjusted Transformation Services Revenue and Adjusted Platform and Operations Services Revenue for the year ended December 31, 2018, include a $4.5 million adjustment related to revenue that was contracted for prior to 2018 and that was properly excluded from revenue in our 2017 results under the revenue recognition rules then in effect under Accounting Standards Codification ("ASC") 605. On January 1, 2018, we adopted the new revenue recognition rules under ASC 606 using the modified retrospective method, which required us to include this $4.5 million as part of the cumulative transition adjustment to beginning retained earnings as of January 1, 2018. Under ASC 605, and based on proportionate performance revenue recognition, we would have recognized an additional $4.5 million in revenue during 2018, primarily within our Adjusted Transformation Services Revenue. The company has therefore included this revenue, and related profit, in its adjusted results for the year ended December 31, 2018, as they had not been previously reported prior to 2018 and the contracts are expected to be completed within 2018. This is a one-time adjustment and it will not reoccur in future periods.

Adjusted Services Revenue is defined as the sum of Adjusted Transformation Services Revenue and Adjusted Platform and Operations Services Revenue. Adjusted Revenue is defined as the sum of Adjusted Services Revenue and True Health premiums revenue, less relevant intersegment eliminations. Management uses Adjusted Revenue, Adjusted Services Revenue, Adjusted Transformation Services Revenue and Adjusted Platform and Operations Services Revenue as supplemental performance measures because they reflect a complete view of the operational results. The measures are also useful to investors because they reflect the full view of our operational performance in line with how we generate our long term forecasts.

Adjusted Cost of Revenue and Adjusted Selling, General and Administrative Expenses are defined as cost of revenue and selling, general and administrative expenses, respectively, adjusted to exclude the impact of stock-based compensation expenses, severance costs, amortization of contract cost assets recorded as a result of a one-time ASC 606 transition adjustment, transaction costs related to acquisitions and business combinations, securities offerings and other one-time adjustments. Management uses Adjusted Cost of Revenue and Adjusted Selling, General and Administrative Expenses as supplemental performance measures, which are also useful to investors, because they facilitate an understanding of our long term operational costs while removing the effect of costs that are one-time (e.g. transaction costs) and non-cash (e.g. stock-based compensation expenses) in nature. Additionally, these supplemental performance measures facilitate understanding a breakdown of our Adjusted Total Operating Expenses.

Adjusted Depreciation and Amortization Expenses is defined as depreciation and amortization expenses adjusted to exclude the impact of amortization expenses related to intangible assets acquired through acquisitions and business combinations. Management uses Adjusted Depreciation and Amortization Expenses as a supplemental performance measure because it reflects a complete view of the operational results. The measure is also useful to investors because it facilitates understanding a breakdown of our Adjusted Total Operating Expenses.

Adjusted Total Operating Expenses is defined as the sum of Adjusted Cost of Revenue, Adjusted Selling, General and Administrative Expenses and Adjusted Depreciation and Amortization Expenses, and reflects the adjustments made in those non-GAAP measures. Adjusted Total Operating Expenses is further adjusted to exclude the impact of one-time adjustments, such as goodwill impairment, severance costs, and items arising from acquisitions and business combinations, such as changes in fair value of contingent consideration and indemnification assets.

Adjusted Operating Income (Loss) is defined as Adjusted Revenue less Adjusted Total Operating Expenses, and reflects the adjustments made in those non-GAAP measures.

Adjusted EBITDA is the sum of Services Adjusted EBITDA and True Health Adjusted EBITDA and is defined as EBITDA (net income (loss) attributable to Evolent Health, Inc. before interest income, interest expense, (provision) benefit for income taxes, depreciation and amortization expenses), adjusted to exclude, changes in fair value of contingent consideration and indemnification assets, income (loss) from equity method investees, other income (expense), net, net (income) loss attributable to non-controlling interests, purchase accounting adjustments, stock-based compensation expenses, severance costs, amortization of contract cost assets recorded as a result of a one-time ASC 606 transition adjustment, transaction costs related to acquisitions and business combinations and other one-time adjustments (which for the year ended December 31, 2018, includes the ASC 606 transition adjustment described above). Management uses Adjusted EBITDA as a supplemental performance measure because the removal of transaction costs, one-time or non-cash items (e.g. depreciation, amortization and stock-based compensation expenses) allows us to focus on operational performance. We believe that this measure is also useful to investors because it allows further insight into the period over period operational performance in a manner that is comparable to other organizations in our industry and in the market in general.

Adjusted Earnings (Loss) Available to Class A and Class B Shareholders is defined as earnings (loss) available to common shareholders adjusted to exclude, income (loss) from equity method investees, (provision) benefit for income taxes, changes in fair value of contingent consideration and indemnification assets, net (income) loss attributable to non-controlling interests, purchase accounting adjustments, stock-based compensation expenses, severance costs, amortization of contract cost assets recorded as a result of a one-time ASC 606 transition adjustment, transaction costs related to acquisitions and business combinations and other one-time adjustments (which for the year ended December 31, 2018, includes the ASC transition adjustment described above).

Adjusted Weighted-Average Class A and Class B Shares is defined as weighted average common shares (diluted) adjusted to include, in periods of net loss, the dilutive or potentially dilutive effect of the assumed conversion of Class B common shares to Class A common shares.

Adjusted Earnings (Loss) per Share Available to Class A and Class B Shareholders is defined as Adjusted Earnings (Loss) Available to Class A and Class B Shareholders divided by Adjusted Weighted-Average Class A and Class B Shares, and reflects the adjustments made in those non-GAAP measures.

Management uses Adjusted Earnings (Loss) Available to Class A and Class B Shareholders, Adjusted Weighted-Average Class A and Class B Shares and Adjusted Earnings (Loss) per Share Available to Class A and Class B Shareholders because these performance measures represent our core operating performance distributed amongst all of our investors which is not represented by the GAAP results across time due to our complex equity structure.  We believe that these measures are also useful to investors for the same reason.

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

 

Evolent Health, Inc.

Consolidated Statements of Operations and Comprehensive Income (Loss)

(unaudited)


(in thousands, except per share data)

For the Three


For the Years


Months Ended


Ended


December 31,


December 31,


2018


2017


2018


2017

Revenue








Transformation services

$

8,966



$

5,666



$

32,916



$

29,466


Platform and operations services

158,932



108,063



500,190



405,484


Premiums

25,206





93,957




Total revenue

193,104



113,729



627,063



434,950










Expenses








Cost of revenue (exclusive of depreciation and amortization








expenses presented separately below)

112,836



65,549



327,825



269,352


Claims expenses

18,764





70,889




Selling, general and administrative expenses

62,923



55,196



235,418



205,670


Depreciation and amortization expenses

14,633



11,132



44,515



32,368


Change in fair value of contingent consideration








and indemnification asset

(2,700)



100



(4,104)



400


Total operating expenses

206,456



131,977



674,543



507,790


Operating income (loss)

(13,352)



(18,248)



(47,480)



(72,840)


Interest income

522



843



3,440



1,656


Interest expense

(2,923)



(855)



(5,484)



(3,636)


Income (loss) from equity method investees

(1,949)



(309)



(4,736)



(1,755)


Other Income (expense), net

173



150



109



171


Income (loss) before income taxes








and non-controlling interests

(17,529)



(18,419)



(54,151)



(76,404)


Provision (benefit) for income taxes

11



(4,628)



40



(6,637)


Net income (loss)

(17,540)



(13,791)



(54,191)



(69,767)


Net income (loss) attributable to non-controlling interests

(853)



(631)



(1,533)



(9,102)


Net income (loss) attributable to Evolent Health, Inc.

$

(16,687)



$

(13,160)



$

(52,658)



$

(60,665)










Earnings (Loss) Available to Common Shareholders







Basic and Diluted

$

(16,687)



$

(13,160)



$

(52,658)



$

(60,665)










Earnings (Loss) per Common Share








Basic and Diluted

$

(0.21)



$

(0.18)



$

(0.68)



$

(0.94)










Weighted-Average Common Shares Outstanding







Basic and Diluted

78,723



74,689



77,338



64,351










Comprehensive income (loss)








Net income (loss)

(17,540)



(13,791)



(54,191)



(69,767)


Other comprehensive income (loss), net of taxes, related to:

Foreign currency translation adjustment

82





(182)




Total comprehensive income (loss)

(17,458)



(13,791)



(54,373)



(69,767)


Total comprehensive income (loss) attributable to








non-controlling interests

(853)



(631)



(1,533)



(9,102)


Total comprehensive income (loss) attributable to

Evolent Health, Inc.

(16,605)



(13,160)



(52,840)



(60,665)


 

Evolent Health, Inc.

Condensed Consolidated Balance Sheets

(unaudited)


(in thousands)

As of


December 31,


2018


2017

Cash and cash equivalents

$

228,320



$

238,433


Restricted cash

160,005



56,930


Restricted investments

818



8,755


Note receivable



20,000


Total current assets

487,966



378,182


Investments, at amortized cost

10,010




Intangible assets, net

335,036



241,261


Goodwill

768,124



628,186


Total assets

1,722,281



1,312,697






Accounts payable

146,760



42,930


Long-term debt, net of discount

221,041



121,394


Total liabilities

532,925



266,391


Total shareholders' equity (deficit) attributable




to Evolent Health, Inc.

1,143,824



1,010,879


Non-controlling interests

45,532



35,427


Total liabilities and shareholders' equity (deficit)

1,722,281



1,312,697


 

Evolent Health, Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited)


(in thousands)

For the Years


Ended


December 31,


2018


2017

Net cash and restricted cash provided by (used in) operating activities

$

(20,651)



$

(27,958)


Net cash and restricted cash provided by (used in) investing activities

(160,375)



(12,265)


Net cash and restricted cash provided by (used in) financing activities

274,024



165,557


Effect of exchange rate on cash and cash equivalents and restricted cash

(36)








Net increase (decrease) in cash and cash equivalents and restricted cash

92,962



125,334


Cash and cash equivalents and restricted cash as of beginning-of-year

295,363



170,029


Cash and cash equivalents and restricted cash as of end-of-year

$

388,325



$

295,363


 

Evolent Health, Inc.

Reconciliation of Adjusted Results of Operations

(unaudited)


(in thousands)

For the Three Months Ended December 31, 2018



For the Three Months Ended December 31, 2017























Evolent Health, Inc.


Evolent Health, Inc.


Evolent




Evolent



Evolent




Evolent


as Reported


as Adjusted


Health, Inc.




Health, Inc.



Health, Inc.




Health, Inc.


Change Over Prior Period


Change Over Prior Period


as Reported


Adjustments


as Adjusted



as Reported


Adjustments


as Adjusted


$


%


$


%

Revenue





















Transformation services

$

8,966



$



$

8,966




$

5,666



$



$

5,666



$

3,300



58.2

%


$

3,300



58.2

%

Platform and operations services (1)

158,932



214



159,146




108,063



243



108,306



50,869



47.1

%


50,840



46.9

%

Premiums

25,206





25,206










25,206



%


25,206



%

Total revenue

193,104



214



193,318




113,729



243



113,972



79,375



69.8

%


79,346



69.6

%

Expenses





















Cost of revenue (exclusive of





















depreciation and amortization





















expenses presented





















separately below) (2)

112,836



(987)



111,849




65,549



(1,377)



64,172



47,287



72.1

%


47,677



74.3

%

Claims expenses

18,764





18,764










18,764



%


18,764



%

Selling, general and





















administrative expenses (3)

62,923



(5,848)



57,075




55,196



(8,879)



46,317



7,727



14.0

%


10,758



23.2

%

Depreciation and amortization





















expenses (4)

14,633



(5,884)



8,749




11,132



(4,395)



6,737



3,501



31.4

%


2,012



29.9

%

Change in fair value of contingent





















consideration (5)

(2,700)



2,700






100



(100)





(2,800)



(2,800.0)

%




%

Total operating expenses

206,456



(10,019)



196,437




131,977



(14,751)



117,226



74,479



56.4

%


79,211



67.6

%

Operating income (loss)

$

(13,352)



$

10,233



$

(3,119)




$

(18,248)



$

14,994



$

(3,254)



$

4,896



26.8

%


$

135



4.1

%






















Total operating expenses as a





















percentage of total revenue

106.9

%




101.6

%



116.0

%




102.9

%










(1)

Adjustments to platform and operations services revenue include deferred revenue purchase accounting adjustments of approximately $0.2 million and $0.2 million for the three months ended December 31, 2018 and 2017, respectively, resulting from our acquisitions and business combinations.

(2)

Adjustments to cost of revenue include $0.3 million and $0.2 million in stock-based compensation expense for the three months ended December 31, 2018 and 2017, respectively. The adjustments also include approximately $0.6 million related to the amortization of contract cost assets recorded as a result of the one-time ASC 606 transition adjustment for the three months ended December 31, 2018. Adjustments also include transaction costs of approximately $1.1 million for the three months ended December 31, 2017, resulting from acquisitions and business combinations.

(3)

Adjustments to selling, general and administrative expenses include $4.7 million and $4.0 million in stock-based compensation expense for the three months ended December 31, 2018 and 2017, respectively. Adjustments also include transaction costs of $0.4 million and $4.8 million for the three months ended December 31, 2018 and 2017, respectively, resulting from acquisitions and business combinations and costs relating to our securities offerings. Adjustments for the three months ended December 31, 2018, also include $0.7 million of one-time severance costs.

(4)

Adjustments to depreciation and amortization expenses of approximately $5.9 million and $4.4 million for the three months ended December 31, 2018 and 2017, respectively, relate to amortization of intangible assets acquired via asset acquisitions and business combinations.

(5)

The adjustment represents changes in the fair value of contingent consideration associated with a business combination completed in 2016.

 

Evolent Health, Inc.

Reconciliation of Adjusted Results of Operations

(unaudited)


(in thousands)

For the Year Ended December 31, 2018



For the Year Ended December 31, 2017























Evolent Health, Inc.


Evolent Health, Inc.


Evolent




Evolent



Evolent




Evolent


as Reported


as Adjusted


Health, Inc.




Health, Inc.



Health, Inc.




Health, Inc.


Change Over Prior Period


Change Over Prior Period


as Reported


Adjustments

as Adjusted



as Reported


Adjustments

as Adjusted


$


%


$


%

Revenue





















Transformation services (1)

$

32,916



$

3,655



$

36,571




$

29,466



$



$

29,466



$

3,450



11.7

%


$

7,105



24.1

%

Platform and operations services (1)

500,190



1,704



501,894




405,484



1,467



406,951



94,706



23.4

%


94,943



23.3

%

Premiums

93,957





93,957










93,957



%


93,957



%

Total revenue

627,063



5,359



632,422




434,950



1,467



436,417



192,113



44.2

%


196,005



44.9

%

Expenses





















Cost of revenue (exclusive of





















depreciation and amortization





















expenses presented





















separately below) (2)

327,825



(4,426)



323,399




269,352



(6,850)



262,502



58,473



21.7

%


60,897



23.2

%

Claims expenses

70,889





70,889










70,889



%


70,889



%

Selling, general and





















administrative expenses (3)

235,418



(20,509)



214,909




205,670



(29,551)



176,119



29,748



14.5

%


38,790



22.0

%

Depreciation and amortization





















expenses (4)

44,515



(14,028)



30,487




32,368



(11,452)



20,916



12,147



37.5

%


9,571



45.8

%

Change in fair value of contingent





















consideration and indemnification asset (5)

(4,104)



4,104






400



(400)





(4,504)



(1,126.0)

%




%

Total operating expenses

674,543



(34,859)



639,684




507,790



(48,253)



459,537



166,753



32.8

%


180,147



39.2

%

Operating income (loss)

$

(47,480)



$

40,218



$

(7,262)




$

(72,840)



$

49,720



$

(23,120)



$

25,360



34.8

%


$

15,858



68.6

%






















Total operating expenses as a





















percentage of total revenue

107.6

%




101.1

%



116.7

%




105.3

%










(1)

Adjustments to transformation services revenue and platform and operations services revenue for the year ended December 31, 2018, include approximately $3.7 million and $0.8 million, respectively, resulting from our transition adjustments related to the implementation of ASC 606. Adjustments to platform and operations services revenue also include deferred revenue purchase accounting adjustments of approximately $0.9 million and $1.5 million for the years ended December 31, 2018 and 2017, respectively, resulting from our acquisitions and business combinations.

(2)

Adjustments to cost of revenue include $1.5 million and $1.4 million in stock-based compensation expense for the years ended December 31, 2018 and 2017, respectively. The adjustments also include $2.3 million related to the amortization of contract cost assets recorded as a result of the one-time ASC 606 transition adjustment and $0.7 million of one-time severance costs for the year ended December 31, 2018. Adjustments for the year ended December 31, 2017 also include transaction costs of approximately $5.5 million resulting from acquisitions and business combinations.

(3)

Adjustments to selling, general and administrative expenses include $16.1 million and $19.1 million in stock-based compensation expense for the years ended December 31, 2018 and 2017, respectively. Adjustments also include transaction costs of $2.8 million and $10.5 million for the years ended December 31, 2018 and 2017, respectively, resulting from acquisitions and business combinations and costs relating to our securities offerings. The adjustments also include $0.1 million related to the amortization of contract cost assets recorded as a result of the one-time ASC 606 transition adjustment and $1.6 million of one-time severance costs for the year ended December 31, 2018.

(4)

Adjustments to depreciation and amortization expenses of approximately $14.0 million and $11.5 million for the years ended December 31, 2018 and 2017, respectively, related to amortization of intangible assets acquired via asset acquisitions and business combinations.

(5)

The adjustment represents changes in the fair value of contingent consideration and the settlement of an indemnification asset associated with the business combinations completed in 2016.


 

Evolent Health, Inc.

Segment Results

(unaudited)









Intersegment






Services


True Health (1)

Eliminations

Consolidated

Adjusted Revenue













Three Months Ended December 31, 2018













Services:













Adjusted Transformation Services


$

8,966




$




$




$

8,966



Adjusted Platform and Operations Services


162,522







(3,376)




159,146



Adjusted Services Revenue


171,488







(3,376)




168,112



True Health:













Premiums





25,410




(204)




25,206



Adjusted Revenue


171,488




25,410




(3,580)




193,318



Purchase accounting adjustments (2)


(214)










(214)



Total revenue


$

171,274




$

25,410




$

(3,580)




$

193,104
















Three Months Ended December 31, 2017













Services:













Adjusted Transformation Services


$

5,666




$




$




$

5,666



Adjusted Platform and Operations Services


108,306










108,306



Adjusted Services Revenue


113,972










113,972



Adjusted Revenue


113,972










113,972



Purchase accounting adjustments (2)


(243)










(243)



Total revenue


$

113,729




$




$




$

113,729
























Segments







Services


True Health (1)

Total




Three Months Ended December 31, 2018













Adjusted EBITDA


$

4,635




$

995




$

5,630



















Three Months Ended December 31, 2017













Adjusted EBITDA


$

3,483




$




$

3,483







(1)

The True Health segment was created in January 2018.

(2)

Purchase accounting adjustments pertain to Adjusted Platform and Operations Services Revenue. There were no purchase accounting adjustments in relation to Adjusted Transformation Services Revenue or True Health premiums revenue.

 

Evolent Health, Inc.

Segment Results

(unaudited)









Intersegment






Services


True Health (1)

Eliminations

Consolidated

Adjusted Revenue













For the Year Ended December 31, 2018













Services:













Adjusted Transformation Services


$

36,571




$




$




$

36,571



Adjusted Platform and Operations Services


516,219







(14,325)




501,894



Adjusted Services Revenue


552,790







(14,325)




538,465



True Health:













Premiums





94,763




(806)




93,957



Adjusted Revenue


552,790




94,763




(15,131)




632,422



ASC 606 transition adjustment (2)


(4,498)










(4,498)



Purchase accounting adjustments (3)


(861)










(861)



Total revenue


$

547,431




$

94,763




$

(15,131)




$

627,063
















For the Year Ended December 31, 2017













Services:













Adjusted Transformation Services


$

29,466




$




$




$

29,466



Adjusted Platform and Operations Services


406,951










406,951



Adjusted Services Revenue


436,417










436,417



Adjusted Revenue


436,417










436,417



Purchase accounting adjustments (3)


(1,467)










(1,467)



Total revenue


$

434,950




$




$




$

434,950
























Segments







Services


True Health (1)

Total




For the Year Ended December 31, 2018













Adjusted EBITDA


$

21,310




$

1,915




$

23,225



















For the Year Ended December 31, 2017













Adjusted EBITDA


$

(2,204)




$




$

(2,204)







(1)

The True Health segment was created in January 2018.

(2)

Adjustment to Adjusted Transformation Services Revenue was approximately $3.7 million and the adjustment to Adjusted Platform and Operations Services Revenue was approximately $0.8 million. See "Non-GAAP Financial Measures" above for more information on adjustments pertaining to the implementation of ASC 606.

(3)

Purchase accounting adjustments pertain to Adjusted Platform and Operations Services Revenue. There were no purchase accounting adjustments in relation to Adjusted Transformation Services Revenue or True Health premiums revenue.

 

Evolent Health, Inc.

Reconciliation of Adjusted EBITDA to Net Income (Loss)

Attributable to Evolent Health, Inc.

(unaudited)


(in thousands)

For the Three


For the Years


Months Ended


Ended


December 31,


December 31,


2018


2017


2018


2017

Net Income (Loss) Attributable to








Evolent Health, Inc.

$

(16,687)



$

(13,160)



$

(52,658)



$

(60,665)


Less:








Interest income

522



843



3,440



1,656


Interest expense

(2,923)



(855)



(5,484)



(3,636)


(Provision) benefit for income taxes

(11)



4,628



(40)



6,637


Depreciation and amortization expenses

(14,633)



(11,132)



(44,515)



(32,368)


EBITDA

358



(6,644)



(6,059)



(32,954)


Less:








Income (loss) from equity method investees

(1,949)



(309)



(4,736)



(1,755)


Change in fair value of contingent








consideration and indemnification asset

2,700



(100)



4,104



(400)


Other income (expense), net

173



150



109



171


Net (income) loss attributable to








non-controlling interests

853



631



1,533



9,102


ASC 606 transition adjustments





(4,498)




Purchase accounting adjustments

(214)



(243)



(861)



(1,467)


Stock-based compensation expense

(5,049)



(4,265)



(17,609)



(20,437)


Severance costs

(716)





(2,205)




Amortization of contract cost assets

(658)





(2,456)




Transaction costs

(412)



(5,991)



(2,665)



(15,964)


Adjusted EBITDA

$

5,630



$

3,483



$

23,225



$

(2,204)


 

Evolent Health, Inc.

Reconciliation of Adjusted Earnings (Loss) Available to Class A and Class B

Shareholders to Earnings (Loss) Available to Common Shareholders

(unaudited)


(in thousands, except per share data)

For the Three


For the Years


Months Ended


Ended


December 31,


December 31,


2018


2017


2018


2017

Earnings (Loss) Available to








Common Shareholders - Basic and Diluted (a)

$

(16,687)



$

(13,160)



$

(52,658)



$

(60,665)


Less:








Income (loss) from equity method investees

(1,949)



(309)



(4,736)



(1,755)


(Provision) benefit for income taxes



4,600



136



6,594


Change in fair value of contingent consideration








and indemnification asset

2,700



(100)



4,104



(400)


Net (income) loss attributable to








non-controlling interests

853



631



1,533



9,102


ASC 606 transition adjustment





(4,498)




Purchase accounting adjustments

(6,098)



(4,638)



(14,889)



(13,007)


Stock-based compensation expense

(5,049)



(4,265)



(17,609)



(20,437)


Severance costs

(716)





(2,205)




Amortization of contract cost assets

(658)





(2,456)




Transaction costs

(412)



(5,991)



(2,665)



(15,964)










Adjusted Earnings (Loss) Available








to Class A and Class B Shareholders (b)

$

(5,358)



$

(3,088)



$

(9,373)



$

(24,798)










Earnings (Loss) per Share Available








to Common Shareholders - Basic and Diluted (a) (1)

$

(0.21)



$

(0.18)



$

(0.68)



$

(0.94)










Adjusted Earnings (Loss) per Share Available








to Class A and Class B Shareholders (b) (2)

$

(0.07)



$

(0.04)



$

(0.12)



$

(0.35)










Weighted-average common shares - basic

78,723



74,689



77,338



64,351


Weighted-average common shares - diluted

78,723



74,689



77,338



64,351


Adjusted Weighted-Average Class A








and Class B Shares (3)

82,274



77,343



79,169



71,636



(1)

For periods of net loss, shares used in both the basic and diluted earnings per share calculation represent basic shares as using diluted shares would be anti-dilutive.

(2)

Represents Adjusted Earnings (Loss) Available to Class A and Class B Shareholders divided by Adjusted Weighted-Average Class A and Class B Shares as described in footnote 3 below.

(3)

Represents the weighted-average common shares (diluted) adjusted to include, in periods of net loss, the dilutive or potentially dilutive effect of the assumed conversion of Class B common shares to Class A common shares. See the reconciliation of Adjusted Weighted-Average Class A and Class B Shares to diluted weighted-average common shares on the following page.


 

Evolent Health, Inc.

Reconciliation of Adjusted Weighted-Average Class A and Class B

Shares to Diluted Weighted-Average Common Shares

(unaudited)


(in thousands)

For the Three


For the Years


Months Ended


Ended


December 31,


December 31,


2018


2017


2018


2017

Weighted-average common shares - diluted

78,723



74,689



77,338



64,351


Assumed conversion of Class B common








shares to Class A common shares

3,551



2,654



1,831



7,285


Adjusted Weighted-Average Class A and Class B Shares

82,274



77,343



79,169



71,636


 

Evolent Health, Inc.

Guidance Reconciliation

(unaudited)


(in thousands)

For the Three

For the Twelve


Months Ended

Months Ended


March 31,

December 31,


2019

2019

Services revenue


$

150,750




$

679,000



Purchase accounting adjustments


250




1,000



Adjusted Services Revenue


151,000




680,000



Premiums revenue


45,000




180,000



Intersegment eliminations


(3,750)




(17,500)



Adjusted Revenue


$

192,250




$

842,500










Net Income (Loss) Attributable to







Evolent Health, Inc.


$

(47,200)




$

(102,500)



Less:







Interest income


500




2,000



Interest expense


(3,000)




(12,000)



Depreciation and amortization expenses


(14,600)




(58,000)



EBITDA


(30,100)




(34,500)



Less:







Income (loss) from equity method investees


(2,000)




(8,000)



Net (income) loss attributable to







non-controlling interests


1,850




3,700



Purchase accounting adjustments


(250)




(1,000)



Stock-based compensation expense


(5,000)




(20,000)



Severance costs


(8,000)




(10,000)



Amortization of contract cost assets


(700)




(2,700)



Transaction costs


(1,000)




(4,000)



Adjusted EBITDA


$

(15,000)




$

7,500




The guidance reconciliation provided above reconciles the midpoint of the respective guidance ranges to the most comparable GAAP measure.

FORWARD-LOOKING STATEMENTS - CAUTIONARY LANGUAGE

Certain statements made in this release 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 future actions, trends in our businesses, prospective services, future performance or financial results 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:

  • the significant portion of revenue we derive from our largest partners, and the potential loss, termination or renegotiation of customer contracts;
  • uncertainty relating to expected future revenues from and our relationship with our largest customer, Passport, including as a result of ongoing litigation pertaining to rate adjustments and Passport's ability to remain solvent, which among other things could result in significantly reduced fees or a significant customer loss in 2019;
  • the structural change in the market for health care in the United States;
  • uncertainty in the health care regulatory framework, including the potential impact of policy changes;
  • uncertainty in the public exchange market;
  • the uncertain impact of Centers for Medicare and Medicaid Services waivers to Medicaid rules and changes in membership and rates;
  • the uncertain impact the results of elections may have on health care laws and regulations;
  • our ability to effectively manage our growth, drive a leaner cost structure and reorient our growth strategy toward new opportunities;
  • our ability to offer new and innovative products and services;
  • risks related to completed and future acquisitions, investments, alliances and joint ventures, including the acquisition of assets from New Mexico Health Connections ("NMHC") and the acquisitions of Valence Health, Inc., excluding Cicerone Health Solutions, Inc. ("Valence Health"), Aldera Holdings, Inc. ("Aldera") and NCIS Holdings, Inc. ("New Century Health"), which may be difficult to integrate, divert management resources, result in unanticipated costs or dilute our stockholders;
  • our ability to consummate opportunities in our pipeline;
  • certain risks and uncertainties associated with the acquisition of assets from NMHC and the acquisitions of Valence Health, Aldera and New Century Health, including future revenues may be less than expected, the timing and extent of new lives expected to come onto the platform may not occur as expected and the expected results of Evolent may not be impacted as anticipated;
  • risks relating to our ability to maintain profitability for our and New Century Health's performance-based contracts and products;
  • the growth and success of our partners, which is difficult to predict and is subject to factors outside of our control, including enrollment numbers for our partner's plans (including Florida), premium pricing reductions, selection bias in at-risk membership and the ability to control and, if necessary, reduce health care costs, particularly in New Mexico;
  • our ability to attract new partners;
  • the increasing number of risk-sharing arrangements we enter into with our partners;
  • our ability to recover the significant upfront costs in our partner relationships;
  • our ability to estimate the size of our target markets;
  • 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 governmental payer audits and actions, including whistleblower claims;
  • our ability to partner with providers due to exclusivity provisions in our contracts;
  • restrictions and penalties as a result of privacy and data protection laws;
  • adequate protection of our intellectual property, including trademarks;
  • any alleged infringement, misappropriation or violation of third-party proprietary 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;
  • our ability to use, disclose, de-identify or license data and to integrate third-party technologies;
  • data loss or corruption due to failures or errors in our systems and service disruptions at our data centers;
  • online security risks and breaches or failures of our security measures;
  • our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our users;
  • our reliance on third-party vendors to host and maintain our technology platform;
  • 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;
  • the risk of a significant reduction in the enrollment in our health plan;
  • our ability to accurately underwrite performance-based contracts;
  • risks related to our offshore operations;
  • our dependency on our key personnel, and our ability to attract, hire, integrate and retain key personnel;
  • the risk of potential future goodwill impairment on our results of operations;
  • our indebtedness and our ability to obtain additional financing;
  • our ability to achieve profitability in the future;
  • the requirements of being a public company;
  • our adjusted results may not be representative of our future performance;
  • the risk of potential future litigation;
  • the impact of changes in accounting principles and guidance on our reported results;
  • our holding company structure and dependence on distributions from Evolent Health LLC;
  • our obligations to make 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;
  • our ability to realize all or a portion of the tax benefits that we currently expect to result from past and future exchanges of Class B common units of Evolent Health LLC for our Class A common stock, and to utilize certain tax attributes of Evolent Health Holdings and an affiliate of TPG;
  • distributions that Evolent Health LLC will be required to make to us and to the other members of Evolent Health LLC;
  • our obligations to make payments under the tax receivables agreement that may be accelerated or may exceed the tax benefits we realize;
  • different interests among our pre-IPO investors, or between us and our pre-IPO investors;
  • the terms of agreements between us and certain of our pre-IPO investors;
  • the conditional conversion feature of the 2025 Notes, which, if triggered, could require us to settle the 2025 Notes in cash;
  • the impact of the accounting method for convertible debt securities that may be settled in cash;
  • 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 or if a large number of Class B common units are exchanged for shares of Class A common stock;
  • provisions in our second amended and restated certificate of incorporation and second amended and restated by-laws and provisions of Delaware law that discourage or prevent strategic transactions, including a takeover of us;
  • the ability of certain of our investors to compete with us without restrictions;
  • provisions in our second amended and restated certificate of incorporation which could limit our stockholders' ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees;
  • our intention not to pay cash dividends on our Class A common stock;
  • our ability to maintain effective internal control over financial reporting;
  • our expectations regarding the additional management attention and costs that will be required as we have transitioned from an "emerging growth company" to a "large accelerated filer"; and
  • our lack of public company operating experience.

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 Quarterly Report on Form 10-Q for the quarter ended September 30, 2018, 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 release.

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SOURCE Evolent Health, Inc.