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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 _________________________
FORM 10-Q
_________________________

(Mark One)
 QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2020
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)
_________________________
Delaware32-0454912
(State or other jurisdiction of
incorporation or organization)
(I.R.S. Employer
Identification No.)
800 N. Glebe Road,Suite 500,Arlington,Virginia22203
(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 classTrading Symbol(s)Name of each exchange on which registered
Class A Common Stock of Evolent Health, Inc., par value $0.01 per shareEVHNew York Stock Exchange


Indicate by check mark whether the registrant (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 August 1, 2020, there were 85,617,165 shares of the registrant’s Class A common stock outstanding.




Evolent Health, Inc.
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Explanatory Note

In this Quarterly Report on 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 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 potential negative impact of the COVID-19 pandemic;
our pending sale of certain assets of Passport to Molina Healthcare, Inc., which may not be consummated, and the economic benefits we expect to receive as a result of the transaction may not be realized;
the significant portion of revenue we derive from our largest partners, and the potential loss, termination or renegotiation of our relationship or contract with any significant partner, or multiple partners in the aggregate;
the decrease in expected future revenues from Passport, and the value of our investment in Passport;
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 CMS 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 and maintain an efficient cost structure;
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”), NCIS Holdings, Inc. (“New Century Health”), and Passport, which may be difficult to integrate, divert management resources, or result in unanticipated costs or dilute our stockholders;
our ability to consummate opportunities in our pipeline;
risks relating to our ability to maintain profitability for our total cost of care and New Century Health’s performance-based contracts and products, including capitation and risk-bearing contracts;
the growth and success of our partners, which is difficult to predict and is subject to factors outside of our control, including governmental funding reductions and other policy changes, enrollment numbers for our partners’ plans (including in Florida), premium pricing reductions, selection bias in at-risk membership and the ability to control and, if necessary, reduce health care costs;
our ability to attract new partners and successfully capture new growth opportunities;
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;
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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, including with respect to privacy of health information;
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;
True Health New Mexico’s (“True Health”) ability to enter the individual market;
the risk of a significant reduction in the enrollment in our health plan;
our ability to accurately underwrite performance-based risk-bearing 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 impact of additional goodwill and intangible asset impairments on our results of operations;
our indebtedness, our ability to service our indebtedness, the impact of covenants in our credit agreement on our business, our ability to access the delayed draw loan under our credit facility and our ability to obtain additional financing;
our ability to achieve profitability in the future;
the impact of litigation, including the ongoing class action lawsuit;
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 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;
the conditional conversion feature of the 2025 convertible notes, which, if triggered, could require us to settle the 2025 convertible 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;
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; and
our ability to remediate our material weaknesses and to maintain effective internal control over certain instances of one of our claims processing systems.

The risks included here are not exhaustive.  Although we believe the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance or achievements.  Our Annual Report on Form 10-K for the year ended December 31, 2019 (the "2019 Form 10-K"), this Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2020, 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)
  June 30, 2020December 31, 2019
(unaudited)
ASSETS
Current assets:
Cash and cash equivalents$98,272  $101,008  
Restricted cash and restricted investments46,894  20,080  
Accounts receivable, net (1)
95,839  75,667  
Prepaid expenses and other current assets (1)
30,473  28,488  
Investments, at amortized cost834  1,807  
Contract assets2,346  1,751  
Total current assets274,658  228,801  
Restricted cash and restricted investments8,759  8,260  
Investments, at amortized cost16,073  16,751  
Investments in and advances to equity method investees100,216  122,618  
Property and equipment, net88,555  85,155  
Right-of-use assets - operating66,113  72,173  
Customer advance for regulatory capital requirements, net of allowances (1)
39,955  40,000  
Prepaid expenses and other noncurrent assets, net of allowances (1)
6,437  6,253  
Contract assets47  999  
Contract cost assets31,713  36,482  
Intangible assets, net282,913  308,459  
Goodwill354,695  572,064  
Total assets$1,270,134  $1,498,015  
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT)
Liabilities
Current liabilities:
Accounts payable (1)
$73,691  $37,488  
Accrued liabilities (1)
35,305  33,343  
Operating lease liability - current7,474  6,269  
Accrued compensation and employee benefits20,996  34,691  
Deferred revenue13,247  19,828  
Reserve for claims and performance-based arrangements (1)
94,409  61,150  
Total current liabilities245,122  192,769  
Long-term debt, net of discount299,746  293,667  
Other long-term liabilities10,101  11,732  
Operating lease liabilities - noncurrent66,975  68,858  
Deferred tax liabilities, net1,326  1,942  
Total liabilities623,270  568,968  
Commitments and Contingencies (See Note 10)
Shareholders' Equity (Deficit)
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 85,456,905 and 84,588,629 shares issued and outstanding, respectively
855  846  
Additional paid-in-capital1,183,605  1,173,708  
Accumulated other comprehensive income (loss)(391) (234) 
Retained earnings (accumulated deficit)(537,205) (251,962) 
Total shareholders' equity attributable to Evolent Health, Inc.646,864  922,358  
Non-controlling interests  6,689  
Total shareholders' equity (deficit)646,864  929,047  
Total liabilities and shareholders' equity (deficit)$1,270,134  $1,498,015  
(1) See Note 18 for amounts attributable to related parties included in these line items.
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EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) 
(unaudited, in thousands, except per share data)
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue
Transformation services (1)
$755  $1,944  $5,993  $5,297  
Platform and operations services (1)
212,375  144,522  422,275  291,814  
Premiums25,502  45,493  57,649  92,604  
Total revenue238,632  191,959  485,917  389,715  
Expenses
Cost of revenue (exclusive of depreciation and amortization expenses presented separately below) (1)
165,812  108,383  341,465  225,824  
Claims expenses18,144  36,085  41,811  73,842  
Selling, general and administrative expenses (1)
50,511  66,932  105,209  141,770  
Depreciation and amortization expenses15,778  15,292  31,916  29,558  
(Gain) loss on disposal of assets  (9,600) 6,447  (9,600) 
Goodwill impairment215,100    215,100    
Change in fair value of contingent consideration and indemnification asset756  100  (3,062) 200  
Total operating expenses466,101  217,192  738,886  461,594  
Operating loss(227,469) (25,233) (252,969) (71,879) 
Interest income842  842  1,761  1,902  
Interest expense(6,293) (3,620) (12,578) (7,182) 
Impairment of equity method investments    (47,133)   
Gain (loss) from equity method investees25,143  (1,904) 24,731  (2,328) 
Other income (expense), net352  (587) 281  (160) 
Loss before income taxes and non-controlling interests(207,425) (30,502) (285,907) (79,647) 
Provision (benefit) for income taxes(3,904) 1,398  (3,634) 902  
Net loss(203,521) (31,900) (282,273) (80,549) 
Net loss attributable to non-controlling interests  (285)   (2,195) 
Net loss attributable to common shareholders of Evolent Health, Inc.$(203,521) $(31,615) $(282,273) $(78,354) 
Loss per common share
Basic and diluted$(2.38) $(0.38) $(3.32) $(0.97) 
Weighted-average common shares outstanding
Basic and diluted85,349  82,289  84,977  80,820  
Comprehensive loss
Net loss$(203,521) $(31,900) $(282,273) $(80,549) 
Other comprehensive loss, net of taxes, related to:
Foreign currency translation adjustment(4) 11  (157) 35  
Total comprehensive loss(203,525) (31,889) (282,430) (80,514) 
Total comprehensive loss attributable to non-controlling interests  (285)   (2,195) 
Total comprehensive loss attributable to common shareholders of Evolent Health, Inc.$(203,525) $(31,604) $(282,430) $(78,319) 
(1) See Note 18 for amounts attributable to related parties included in these line items.
See accompanying Notes to Consolidated Financial Statements
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EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY (DEFICIT)
(unaudited, in thousands)
For the Three Months Ended June 30, 2020
Class A Common StockClass B Common StockAdditional Paid-In CapitalAccumulated Other Income (Loss)Retained Earnings (Accumulated Deficit)Non-Controlling InterestsTotal Equity (Deficit)
SharesAmountSharesAmount
Balance as of March 31, 202085,450  $855    $  $1,180,288  $(387) $(333,684) $  $847,072  
Stock-based compensation expense—  —  —  —  3,703  —  —  —  3,703  
Exercise of stock options82  1  —  —  442  —  —  —  443  
Restricted stock units vested, net of shares withheld for taxes113  1  —  —  (145) —  —  —  (144) 
Share retirement(188) (2) —  —  (683) —  —  —  (685) 
Foreign currency translation adjustment—  —  —  —  —  (4) —  —  (4) 
Net loss—  —  —  —  —  —  (203,521) —  (203,521) 
Balance as of June 30, 202085,457  $855    $  $1,183,605  $(391) $(537,205)   $646,864  
For the Three Months Ended June 30, 2019
Class A Common StockClass B Common StockAdditional Paid-In CapitalAccumulated Other Income (Loss)Retained Earnings (Accumulated Deficit)Non-Controlling InterestsTotal Equity (Deficit)
SharesAmountSharesAmount
Balance as of March 31, 201979,429  $794  3,190  $31  $1,096,089  $(158) $3,270  $50,100  $1,150,126  
Stock-based compensation expense—  —  —  —  4,362  —  —  —  4,362  
Exercise of stock options93  1  —  —  822  —  —  —  823  
Restricted stock units vested, net of shares withheld for taxes77  1  —  —  (223) —  —  —  (222) 
Class A common stock issued for payment of earn-outs—  —  —  —  —  —  —  —  —  
Amount attributable to NCI from 2019 business combination—  —  —  —  —  —  —  —  —  
Shares issued for equity-method investments and asset acquisitions1,732  18  —  —  23,538  —  —  —  23,556  
Exchange of Class B common stock2,484  24  (2,484) (24) 33,946  —  —  (33,946) —  
Foreign currency translation adjustment—  —  —  —  —  11  —  —  11  
Net loss—  —  —  —  —  —  (31,615) (285) (31,900) 
Reclassification of non-controlling interests—  —  —  —  (209) —  —  209  —  
Balance as of June 30, 201983,815  $838  706  $7  $1,158,325  $(147) $(28,345) $16,078  $1,146,756  









See accompanying Notes to Consolidated Financial Statements
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EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY (DEFICIT)
(unaudited, in thousands)
For the Six Months Ended June 30, 2020
Class A Common StockClass B Common StockAdditional Paid-In CapitalAccumulated Other Income (Loss)Retained Earnings (Accumulated Deficit)Non-Controlling InterestsTotal Equity (Deficit)
SharesAmountSharesAmount
Balance as of December 31, 201984,589  $846    $  $1,173,708  $(234) $(251,962) $6,689  $929,047  
Cumulative-effect adjustment from adoption of ASU 2016-13—  —  —  —  —  —  (2,970) —  (2,970) 
Stock-based compensation expense—  —  —  —  7,211  —  —  —  7,211  
Exercise of stock options90  1  —  —  525  —  —  —  526  
Restricted stock units vested, net of shares withheld for taxes350  4  —  —  (1,335) —  —  —  (1,331) 
Share retirement(188) (2) —  —  (683) —  —  —  (685) 
Class A common stock issued for payment of earn-outs616  6  —  —  4,179  —  —  —  4,185  
Disposal of assets—  —  —  —  —  —  —  (6,689) (6,689) 
Foreign currency translation adjustment—  —  —  —  —  (157) —  —  (157) 
Net loss—  —  —  —  —  —  (282,273) —  (282,273) 
Balance as of June 30, 202085,457  $855    $  $1,183,605  $(391) $(537,205) $  $646,864  
For the Six Months Ended June 30, 2019
Class A Common StockClass B Common StockAdditional Paid-In CapitalAccumulated Other Income (Loss)Retained Earnings (Accumulated Deficit)Non-Controlling InterestsTotal Equity (Deficit)
SharesAmountSharesAmount
Balance as of December 31, 201879,172  $792  3,190  $31  $1,093,174  $(182) $50,009  $45,532  $1,189,356  
Stock-based compensation expense—  —  —  —  8,515  —  —  —  8,515  
Exercise of stock options104  1  —  —  947  —  —  —  948  
Restricted stock units vested, net of shares withheld for taxes280  3  —  —  (2,408) —  —  —  (2,405) 
Class A common stock issued for payment of earn-outs43  —  —  —  800  —  —  —  800  
Amount attributable to NCI from 2019 business combination—  —  —  —  —  —  —  6,500  6,500  
Shares issued for equity-method investments and asset acquisitions1,732  18  —  —  23,538  —  —  —  23,556  
Exchange of Class B common stock2,484  24  (2,484) (24) 33,946  —  —  (33,946) —  
Foreign currency translation adjustment—  —  —  —  —  35  —  —  35  
Net loss—  —  —  —  —  —  (78,354) (2,195) (80,549) 
Reclassification of non-controlling interests—  —  —  —  (187) —  —  187    
Balance as of June 30, 201983,815  $838  706  $7  $1,158,325  $(147) $(28,345) $16,078  $1,146,756  

See accompanying Notes to Consolidated Financial Statements
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EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited, in thousands)
For the Six Months Ended June 30,
  20202019
Cash Flows From (Used In) Operating Activities
Net loss$(282,273) $(80,549) 
Adjustments to reconcile net loss to net cash and restricted cash used in operating activities:
Change in fair value of contingent consideration and indemnification asset(3,062) 200  
Loss (gain) on disposal of assets6,447  (9,600) 
(Income) loss from equity method investees(24,731) 2,328  
Depreciation and amortization expenses31,916  29,558  
Goodwill impairment215,100    
Equity method investments impairment47,133    
Stock-based compensation expense7,211  9,287  
Deferred tax (benefit) provision(892) 782  
Amortization of contract cost assets10,272  2,773  
Amortization of deferred financing costs6,079  4,600  
Interest from customer advance for regulatory capital requirements(1,316)   
Other current operating cash inflows (outflows), net224  527  
Changes in assets and liabilities, net of acquisitions:
Accounts receivable, net and contract assets(23,946) 9,891  
Prepaid expenses and other current and noncurrent assets(3,912) (8,882) 
Contract cost assets(5,503) (8,110) 
Accounts payable11,690  1,025  
Accrued liabilities4,071  (4,167) 
Accrued compensation and employee benefits(10,118) 1,394  
Deferred revenue(6,400) 6,339  
Reserve for claims and performance-based arrangements33,259  5,457  
Right-of-use operating assets3,620  (25,350) 
Operating lease liabilities1,783  28,041  
Other long-term liabilities473  (4,786) 
Net cash and restricted cash from (used in) operating activities17,125  (39,242) 
Cash Flows Used In Investing Activities
Cash paid for asset acquisitions or business combinations  (6,000) 
Customer advance for regulatory capital requirements  (45,400) 
Loan for implementation funding(400) 2,830  
Disposal of non-strategic assets(2,287)   
Investments in and advances to equity method investees  (16,892) 
Purchases of investments(1,447) (7,122) 
Maturities of investments3,099    
Investments in internal-use software and purchases of property and equipment(17,455) (17,739) 
Purchase and maturities of restricted investments108  (493) 
Net cash and restricted cash used in investing activities(18,382) (90,816) 
Cash Flows (Used In) from Financing Activities
Changes in working capital balances related to claims processing on behalf of partners26,715  (119,506) 
Amount received from escrow in asset acquisition  500  
Deferred financing costs related to 2025 Notes  (608) 
Proceeds from stock option exercises526  948  
Taxes withheld and paid for vesting of restricted stock units(1,331) (2,405) 
See accompanying Notes to Consolidated Financial Statements
5


For the Six Months Ended June 30,
  20202019
Net cash and restricted cash from (used in) financing activities25,910  (121,071) 
Effect of exchange rate on cash and cash equivalents and restricted cash26  (29) 
Net increase (decrease) in cash and cash equivalents and restricted cash24,679  (251,158) 
Cash and cash equivalents and restricted cash as of beginning-of-period128,531  388,325  
Cash and cash equivalents and restricted cash as of end-of-period$153,210  $137,167  
See accompanying Notes to Consolidated Financial Statements
6


EVOLENT HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
Note 1. Organization

Evolent Health, Inc. was incorporated in December 2014 in the state of Delaware and through its subsidiaries supports leading health systems and physician organizations as well as health plans to move their business models from traditional fee for service reimbursement to value-based care, which we consider to be integrated clinical and financial responsibility for populations. The Company operates through two segments.

The Company’s Services segment (“Services”) includes clinical and administrative solutions designed to help our partners manage and administer patient health in a more cost-effective manner. We have two clinical solutions: (i) total cost of care management and (ii) specialty care management services, and one administrative solution: comprehensive health plan administrative services. From time to time, we package our solutions under various go-to-market brand names to create product differentiation. Our partners may engage us to provide one type of solution, or multiple types of solutions, depending on specific needs. True Health is our second reportable segment. True Health is a physician-led health plan in New Mexico available through the commercial market for employer-sponsored health coverage and individual market as well as the Federal Employee Health Benefits Program.

Since its inception, the Company has incurred losses from operations. As of June 30, 2020, the Company had unrestricted cash and cash equivalents of $98.3 million. The Company believes it has sufficient liquidity for 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 and subsequent to the offering reorganization at the time of our initial public offering (the “Offering Reorganization”), the financial results of Evolent Health LLC were consolidated in the financial statements of Evolent Health, Inc. Evolent Health, Inc. is a holding company whose principal asset is all of the Class A common units it holds in Evolent Health LLC, and its only business is to act as 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.

Issuances of Common Units

Evolent Health LLC may only issue Class A common units to us, as the sole managing member of Evolent Health LLC. Class B common units may be issued only to persons or entities we permit. Such issuances of Class B common units shall be made in exchange for cash or other consideration. Class B common units may not be transferred as Class B common units except to certain permitted transferees and in accordance with the restrictions on transfer set forth in the third amended and restated operating agreement of Evolent Health LLC. Any such transfer must be accompanied by the transfer of an equal number of shares of our Class B common stock.

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

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 consolidated balance sheet at December 31, 2019, has been derived from audited financial statements as of that date. 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 2019 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 2019 Form 10-K for a complete summary of our significant accounting policies.
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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 consolidated financial statements, estimates are used for, but not limited to, the valuation of assets (including intangibles 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 (including equity method investments), stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, valuation of intangible assets (including goodwill), purchase price allocation in taxable stock transactions and useful lives of intangible assets.

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

Operating Segments

Operating segments are defined as components of a business that may recognize revenue and incur expenses for which discrete financial information is available that is evaluated, on a regular basis, by the chief operating decision maker (“CODM”) to decide how to allocate resources and assess performance. The Company operates through two segments: (1) Services, and (2) True Health. Our Services segment consists of two clinical solutions: (i) total cost of care services and (ii) specialty care management services, and one administrative solution: comprehensive health plan administration services. Our True Health segment consists of a commercial health plan we operate in New Mexico that historically focused on small and large businesses. In 2020, True Health diversified its services to offer coverage for individuals and families as well as the Federal Employee Health Benefits Program. See Note 19 for a discussion of our operating results by segment.

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Restricted Cash and Restricted Investments

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:
June 30, 2020December 31, 2019
Collateral for letters of credit for facility leases (1)
$3,610  $3,610  
Collateral with financial institutions (2)
5,745  5,742  
Claims processing services (3)
44,886  18,171  
Other1,412  817  
Total restricted cash and restricted investments$55,653  $28,340  
Current restricted investments$100  $704  
Current restricted cash46,794  19,376  
Total current restricted cash and restricted investments$46,894  $20,080  
Non-current restricted investments$615  $113  
Non-current restricted cash8,144  8,147  
Total non-current restricted cash and restricted investments$8,759  $8,260  

(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. As of both June 30, 2020 and December 31, 2019, approximately $1.0 million of the collateral amount was held in a trust account and invested in money market funds related to risk-sharing arrangements. The amounts invested in money market funds are considered restricted cash and are carried at fair value, which approximates cost. See Note 17 for discussion of fair value measurement and Note 10 for discussion of our risk-sharing arrangements. As of both June 30, 2020 and December 31, 2019, approximately $4.7 million, of the collateral amounts were held in a FDIC participating bank account.
(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 statements of cash flows.
June 30,
20202019
Cash and cash equivalents$98,272  $92,821  
Restricted cash and restricted investments55,653  45,158  
Restricted investments included in restricted cash and restricted investments(715) (812) 
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows$153,210  $137,167  

Notes Receivable

Notes receivable are carried at the face amount of each note plus accrued interest receivable, less received payments. The Company does not typically carry notes receivable in the course of its regular business, but contributed $40.0 million in the form of an advance for regulatory capital requirements (the “Passport Note”) under an agreement that Passport entered into during the second quarter of 2019. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of the surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. As of June 30, 2020, the outstanding principal balance of the Passport Note was $40.0 million, excluding approximately $2.7 million of accrued interest.

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.
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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 and post-acquisition restructuring costs are recognized separately from the business combination and are expensed as incurred.

Equity Method Investments 

For entities that are not consolidated, but where the Company has significant influence over the operating or financial decisions of the entity, the Company accounts for the investment under the equity method of accounting. In accordance with the equity method of accounting, the Company will recognize its share of earnings or losses of the investee in the period in which they are reported by the investee. The Company also considers whether there are any indicators of other-than-temporary impairment of its investments accounted for under the equity method. These investments are included in investments in and advances to equity method investees on the consolidated balance sheets with income or loss included in loss from equity method investees on the consolidated statements of operations and comprehensive income (loss).

Impairment of Equity Method Investments

The Company considers certain factors to determine if there is a decrease in its investment value for its equity method investments that is other than temporary. The equity method investments will be written down to fair value if there is evidence of a loss in value which is other-than-temporary. The Company may estimate the fair value of its equity method investments by considering recent investee equity transactions, discounted cash flow analysis and recent operating results. If the fair value of the investment is below the carrying amount, management considers several factors when determining whether other-than-temporary impairment has occurred. The estimation of fair value and whether other-than-temporary impairment has occurred requires the application of significant judgment and future results may vary from current assumptions. Refer to Note 15 for additional discussion regarding impairments on equity method investments.

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, which is consistent with the way management evaluates our business. The Company has four reporting units and our annual goodwill impairment review occurs during the fourth quarter of each year. We perform impairment tests between annual tests if an event occurs, or circumstances change, that 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 the six months ended June 30, 2020 and the year ended December 31, 2019.

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.
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The following summarizes the estimated useful lives by asset classification:
Corporate trade name
10-20 years
Customer relationships
10-25 years
Technology5 years
Provider network contracts
4-5 years

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.

Reserves for Claims and Performance-based Arrangements

Reserves for performance-based arrangements and claims for our Services and True Health segments 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. Reserves for claims and performance-based arrangements also reflect estimated amounts owed to NMHC under a reinsurance agreement for 2019 as discussed further in Note 10. The reinsurance agreement was terminated in December 2019. 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.

Leases

As discussed in Note 3, we adopted Accounting Standards Update (“ASU”) 2016-02 effective January 1, 2019. The following reflects our updated policy for 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 balance sheet.

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.

Refer to Note 11 for additional lease disclosures.

Revenue Recognition

Our Services segment derives revenue from two sources: (1) transformation services and (2) platform and operations services. Transformation services consist of implementation services whereby we assist the customer in launching its population health or health plan programs, or implement certain platform and operations services. In certain cases, transformation services can also include revenue associated with our support of certain one-time wind-down activities for clients who are exiting a line of business or population. Platform and operations services generally include multi-year arrangements with customers to provide various population
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health, health plan operations, specialty care management and claims processing services on an ongoing basis, as well as transition or run-out services to customers receiving primarily third-party administration (“TPA”) services. Revenue is recognized when control of the services is transferred to our 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 for our Services segment 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 True Health segment derives revenue from premiums that are earned over the terms of the related insurance policies. True Health also derived revenue in 2019 from reinsurance premiums assumed from NMHC under the terms of the reinsurance agreement (as defined in Note 10). The portion of premiums that will be earned in the future or are received prior to the effectiveness of the policy are deferred and reported as premiums received in advance. These amounts are generally classified as deferred revenue on our consolidated balance sheets.

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

Foreign Currency

The Company formed a subsidiary in India during the first quarter of 2018. The functional currency of our international subsidiary is the Indian Rupee. We translate the financial statements of this subsidiary to U.S. dollars using month-end rates of exchange for assets and liabilities, and monthly average rates of exchange for revenue and expenses. Translation gains and losses are recorded in accumulated other comprehensive income (loss) as a component of shareholders' equity. Foreign currency translation gains and losses did not have a material impact on our consolidated statements of operations and comprehensive income (loss) for the three and six months ended June 30, 2020 and 2019.

Note 3. Recently Issued Accounting Standards

Adoption of New Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-02, Leases, in order to establish the principles to report transparent and economically neutral information about the assets and liabilities that arise from leases. This update introduces a new standard on accounting for leases, including a lessee model that brings most leases on the balance sheet. The new standard also aligns many of the underlying principles of the new lessor model with those in ASC 606. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. In July 2018, the FASB issued ASU 2018-11, which is intended to make targeted improvements to ASU 2016-02. The amendments in ASU 2018-11 provide entities with an additional (and optional) transition method to adopt the new leases standard using an effective date method rather than the earliest comparative period. The requirements of ASU 2018-11 are effective on the same date as the requirements of ASU 2016-02. We adopted ASU 2016-02 as of January 1, 2019, using the modified retrospective approach. Further, we elected the package of practical expedients permitted under the transition guidance within the new standard, which, among other things, allowed us to carry forward the historical lease classification. Adoption of the new standard resulted in the recording of additional right-of-use assets and lease liabilities of approximately $51.4 million and $47.4 million, respectively, on our consolidated balance sheet as of January 1, 2019. The standard had no impact on our results of operations.

In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal Use Software: Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Services Contract. The amendments in this ASU align the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. The update is effective for fiscal years beginning after December 15, 2019, and interim periods within those fiscal years. Early adoption is permitted, including adoption in any interim period. The amendments in this update should be applied either retrospectively or prospectively to all implementation costs incurred after the date of adoption. We adopted the requirements of ASU 2018-15 effective January 1, 2019. There was no material impact to our consolidated balance sheets or results of operations as of or for the year ended December 31, 2019.

In July 2019, the FASB issued ASU 2019-07, Codification Updates to SEC Sections - Amendments to SEC Paragraphs Pursuant to SEC Final Rule Releases No. 33-10532, Disclosure Update and Simplification, and Nos. 33-10231 and 33-10442, Investment
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Company Reporting Modernization and Miscellaneous Updates (SEC Update). ASU 2019-07 clarifies or improves the disclosure and presentation requirements of a variety of codification topics by aligning them with the SEC’s regulations, thereby eliminating redundancies and making the codification easier to apply. The disclosure and presentation amendments included in ASU 2019-07, which were effective upon issuance of the standard and were to be applied prospectively, did not have a material impact on our consolidated financial statements and related disclosures.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments and subsequently issued additional guidance that modified ASU 2016-13. The standard requires an entity to change its accounting approach for measuring and recognizing credit losses on certain financial assets measured at amortized cost, including trade receivables, certain non-trade receivables, contract assets, held-to-maturity securities, customer advances and certain off-balance sheet credit exposures, by replacing the existing “incurred loss” framework with an expected credit loss recognition model.  The new standard results in earlier recognition of credit losses based on past events, current conditions, and reasonable and supportable forecasts.  The standard is effective for entities with fiscal years beginning after December 15, 2019, including interim periods within such fiscal years. We adopted the requirements of this standard effective January 1, 2020 using the modified retrospective approach and recorded a cumulative effect adjustment of $3.0 million to January 1, 2020 retained earnings (accumulated deficit). Results for reporting periods beginning January 1, 2020 reflect the adoption of ASU 2016-13, while prior period amounts were not adjusted and continue to be reported in accordance with our historical accounting practices. In our previous accounting policy for trade receivables and non-trade receivables, we maintained an allowance for doubtful accounts based solely on specific identification. Under the new accounting standard, we maintain our specific identification process but utilize several factors to develop historical losses reserves, including aging schedules, customer creditworthiness, and historical payment experience, which are then adjusted for current conditions and reasonable and supportable forecasts in measurement of the allowance.  In addition, for customer advances and certain off-balance sheet credit exposures, we evaluate the allowance through a discounted cash flow approach.  For held-to-maturity investment securities, we evaluate (i) historical information adjusted for current conditions and reasonable and supportable forecasts and (ii) qualitative factors to determine whether the zero-loss expectation exception applies. Refer to Note 6 for additional disclosures related to current expected credit losses.

In August 2018, the FASB issued ASU 2018-13, Changes to the Disclosure Requirements for Fair Value Measurement. ASU 2018-13 amends Topic 820 to add, remove, and clarify disclosure requirements related to fair value measurement disclosures. This ASU is effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years. We adopted the requirements of this standard effective January 1, 2020 and determined it did not have a material impact on our consolidated financial statements and related disclosures.

Note 4. Transactions
Equity Investments
Passport
On December 30, 2019, Passport, Passport Health Solutions, LLC, a Kentucky nonprofit limited liability company and subsidiary of Passport (“PHS I”), the Company and Justify Holdings, Inc., a Kentucky corporation and a previous subsidiary of the Company (the “Passport Buyer”), closed a transaction whereby Passport Buyer acquired substantially all of the assets and assumed substantially all of the liabilities of Passport and PHS I for $70.0 million in cash and issued a 30% equity interest in the Passport Buyer to the following provider sponsors of Passport: the University of Louisville, the University of Louisville Physicians, the University Medical Center, the Jewish Heritage Fund for Excellence, Norton Healthcare, Inc. and the Louisville/Jefferson County Primary Care Association (collectively, the “Sponsors”). As of December 30, 2019, Justify Holdings, Inc. became Passport Health Plan, Inc. $16.2 million of the cash consideration was placed in escrow until such time as PHS I delivers to the Passport Buyer certain owned real property and improvements. During the three months ended June 30, 2020, the Passport Buyer did not meet certain statutory capital thresholds as a result of the owned real property and improvements not being transferred and $16.2 million was released from escrow and returned to the Passport Buyer. If the transfer of owned real property and improvements does not occur by December 31, 2020, then Passport Buyer and PHS I will mutually agree to dispose and/or transfer the owned real property and improvements.
The Company accounts for its investment in Passport under the equity method of accounting because while it has significant influence over Passport, it shares control over the activities of Passport that most significantly impact Passport’s economic performance. These activities include approval of material provider network additions or deletions and material agreements. Decisions on material providers are assessed frequently by Passport as a key measure in assessing the plan’s current financial Performance as medical costs account for a majority of total plan costs. Accordingly, the approval of the material provider network additions or deletions is deemed an activity that significantly impacts Passport’s operating and financial performance. In addition, we analyzed the Passport transaction to determine if the Company is the primary beneficiary of a variable interest entity (a “VIE”). We considered both the power to direct the activities that most significantly impact the economic performance of the VIE and a variable interest that could potentially be significant to the VIE. The Company determined that its interest in this entity meets the definition of a variable interest, however, the
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Company is not the primary beneficiary since it does not have the power to direct activities that most significantly impact Passport’s performance. Therefore, the Company did not consolidate the VIE.
Passport is currently one of five Medicaid-managed care organizations serving the Commonwealth of Kentucky. Passport’s current contract to provide managed care for Medicaid expires on December 31, 2020. In 2019, Passport submitted a proposal to continue providing managed care for Medicaid in the Commonwealth of Kentucky through December 31, 2024 in response to the ongoing “request for proposal” process (the “RFP”) of the CHFS. While Passport was not initially awarded a Kentucky managed Medicaid contract for the next contract period, the bidding process was reopened, and a revised proposal was submitted during the first quarter of 2020. During May 2020, the CHFS announced that Passport was not awarded a Kentucky managed care Medicaid contract for the next contract period. As a result, we do not expect to receive any material revenue under our management services agreement from Passport Buyer subsequent to December 31, 2020. However, we expect to recover substantially all the value of our investment in Passport. In addition, since Passport was not awarded a new Medicaid contract with CHFS, the Company is required to acquire the Sponsors’ 30% ownership interest in Passport Buyer for $20.0 million within twelve months following December 31, 2020, the expiration of Passport’s current Medicaid contract.
On June 18, 2019, we contributed the Passport Note under an agreement with Passport. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. Additionally, on June 6, 2019, the Company and Passport entered into an Indemnity Agreement (the “Indemnity Agreement”), with an insurance company (the “Surety”). The Surety issued a performance bond in the amount of $25.0 million to secure Passport’s performance under its Medicaid contract with the Kentucky Cabinet of Health and Family Services (“CHFS”). Pursuant to the Indemnity Agreement, the Company and Passport are jointly and severally liable to the Surety in the maximum amount of the bond, plus certain costs of the Surety, in the event of losses arising under the bond. The bond’s original expiry date was June 30, 2020. During the three months ended June 30, 2020, the expiry date was extended to the end of Passport’s current Medicaid contract on December 31, 2020. In connection with the consummation of the transactions, the Sponsors, the Passport Buyer and a subsidiary of the Company entered into a shareholders’ agreement that provides for the governance of the Passport Buyer following the closing, and certain other rights between the parties thereto. The shareholders agreement provides that written consent of majority holders is required for certain significant governance and operational matters, including the appointment, removal or replacement of the Passport Buyer’s chief executive officer, material changes to the provider network and other significant matters.
Loss on Disposal of Assets

During 2019, the Company, through a consolidated subsidiary, entered into an agreement with an unrelated party to provide services and support to providers, independent physician associations, and other provider groups. During the first quarter of 2020, the Company sold its interest in the subsidiary and recorded a loss on disposal of assets of $6.4 million. The Company did not have any continuing involvement with the subsidiary after the consummation of this transaction.

Note 5. Revenue Recognition

Our Services segment derives revenue from two sources: (1) transformation services and (2) platform and operations services.

Transformation Services Revenue
Transformation services consist of implementation services whereby we assist the customer in launching its population health or health plan strategy. In certain cases, transformation services can also include revenue associated with our support of certain one-time wind-down activities for clients who are exiting a line of business or population. The transformation services are usually completed within 12 months. We generally receive a fixed fee for transformation services and recognize revenue over time using an input method based on hours incurred compared to the total estimated hours required to satisfy our performance obligation.
Platform and Operations Services Revenue
Platform and operations services are typically multi-year arrangements with customers to provide various clinical and administrative solutions. Our clinical solutions are designed to lower the medical expenses of our partners and include our total cost of care, population health and specialty care management services; our administrative solutions are designed to provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers receiving primarily TPA services.  Contracts to provide these services may be developed on an integrated basis.  For purposes of revenue disaggregation, we classify contracts including both clinical and administrative solutions into the category corresponding to the majority of services provided under those contracts.

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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 from platform and operations 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 transformation services and platform and operations 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. We are an agent when our role is to arrange for another entity to provide the services to the customer. In these instances, we do not control the service before it is provided and recognize revenue on a net basis. We are the principal when we control the good or service prior to transferring control to the customer. We recognize revenue on a gross basis when we are the principal in the arrangement.
Disaggregation of Revenue
The following table represents Evolent’s Services segment revenue disaggregated by type of services (in thousands), excluding revenues from our True Health segment and from our downside risk sharing arrangements through our insurance subsidiary, which are accounted for under ASC 944, Financial Services-Insurance.
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Services Revenue
Transformation services$755  $1,944  $5,993  $5,297  
Platform and operations services
Clinical solutions161,774  94,573  321,582  191,204  
Administrative solutions50,562  49,058  100,616  99,683  

Transaction Price Allocated to the Remaining Performance Obligations

For contracts with a term greater than one year, we have allocated approximately $108.2 million of transaction price to performance obligations that are unsatisfied as of June 30, 2020. 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 platform and operations revenue, which is primarily derived based on variable consideration as discussed in Note 2. We expect to recognize revenue on approximately 33% and 69% of these remaining performance obligations by December 31, 2020, and December 31, 2021, respectively, with the remaining balance to be recognized thereafter. 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 less or greater than this estimate and the timing of recognition may not be as expected.

Contract Balances

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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 contract 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 (in thousands):
June 30, 2020December 31, 2019
Short-term receivables (1)
$93,066  $71,707  
Long-term receivables (1)
740  709  
Short-term contract assets2,346  1,751  
Long-term contract assets47  999  
Short-term deferred revenue13,247  19,828  
Long-term deferred revenue1,338  1,330  
(1) Excludes pharmacy claims receivable and premiums receivable

Changes in contract assets and deferred revenue for the six months ended June 30, 2020, are as follows (in thousands):
For the Six Months Ended June 30, 2020
Contract assets
Balance as of beginning-of-period$2,750  
Reclassification to receivables, as the right to consideration becomes unconditional(1,477) 
Contract assets recognized, net of reclassification to receivables1,120  
Balance as of end-of-period$2,393  
Deferred revenue
Balance as of beginning-of-period$21,158  
Reclassification to revenue, as a result of performance obligations satisfied(15,538) 
Cash received in advance of satisfaction of performance obligations8,965  
Balance as of end-of-period$14,585  


The amount of revenue recognized from performance obligations satisfied (or partially satisfied) in previous period was $6.5 million and $7.7 million during the three and six months ended June 30, 2020, due primarily to net gain share as well as changes in other estimates.

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 June 30, 2020 and December 31, 2019, the Company had $4.0 million and $4.7 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
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amortization expense of $0.4 million and $0.9 million for the three and six months ended June 30, 2020, respectively, and $0.1 million and $0.2 million for the three and six months ended June 30, 2019.

In our platforms and operations arrangements, 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 June 30, 2020 and December 31, 2019, the Company had $27.7 million and $31.8 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 of $4.3 million and $9.4 million for the three and six months ended June 30, 2020, respectively, and $1.4 million and $2.6 million for the three and six months ended June 30, 2019.

These costs are deferred and then amortized on a straight-line basis over a period of benefit that we have determined to be 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 customer advance for regulatory capital 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, we considered the impact of the COVID-19 pandemic on our customers’ and other third parties’ ability to pay. We did not observe notable increases in delinquencies during the three and six month periods ended June 30, 2020. Given the nature of our business, our past collection experience during recessionary and pre-recessionary periods, and our forecasted impact of the COVID-19 pandemic on our business, we did not record material changes in our allowances due to the COVID-19 pandemic during the three and six month periods ended June 30, 2020.

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. We may employ legal counsel to pursue recovery of defaulted receivables. 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 at June 30, 2020, 59% were current, 28% were past due less than 60 days, with 40% past due less than 120 days. At June 30, 2020, we reported $104.4 million of accounts receivable, certain non-trade accounts receivable included in prepaids and other assets on the consolidated balance sheet and contract assets, net of allowances of $1.5 million. The following table summarizes the changes in allowance for credit losses on our accounts receivables, certain non-trade accounts receivable and contract assets for the six months ended June 30, 2020 (in thousands):
For the Six Months Ended June 30, 2020
Balance as of December 31, 2019$(41) 
Cumulative transition adjustment(2,815) 
Provision for credit losses(260) 
Charge-offs1,575  
Balance as of June 30, 2020$(1,541) 

Investments Held at Amortized Cost

In January 2018, Evolent acquired certain assets from New Mexico Health Connections, including a commercial plan and health plan management services organization. The acquired assets were contributed to a new entity, True Health, which is a wholly-owned
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subsidiary of Evolent. True Health invests in certain debt securities which are classified as held-to-maturity in Evolent’s consolidated financial statements because True Health, as Evolent’s wholly-owned subsidiary, has the intent and ability to hold the securities until their individual maturities. True Health invests in debt securities pursuant to an investment policy governing the nature and type of investments based on the Company’s business strategy, risk tolerance, and investment objectives.

The amortized cost of our investments as of June 30, 2020 and December 31, 2019 (in thousands) and interest income for the three and six months ended June 30, 2020 were as follows:
Amortized CostInterest Income for the Three Months Ended June 30,Interest Income for the Six Months Ended June 30,
June 30, 2020December 31, 20192020201920202019
U.S. Treasury bills$8,909  $10,784  $57  $61  $122  $119  
Corporate bonds1,706  1,705  14  11  29  20  
Collateralized mortgage obligations5,695  5,472  51  17  104  29  
Yankees597  597  6  6  11  11  
Total investments$16,907  $18,558  $128  $95  $266  $179  

The Company reviewed its held-to-maturity investments to determine which types of securities have zero risk of credit loss because payments are guaranteed by a third party. Based on this analysis, the Company determined that the expected credit losses on U.S. Treasury bills and mortgage backed securities from government sponsored enterprise (“GSE”) is zero. The expected credit losses on non-GSE backed securities is considered immaterial.

As of June 30, 2020, all of the Company’s held-to-maturity investments were rated investment-grade or better and all payments of interest or principal are current.

Customer Advance for Regulatory Capital and Notes Receivable

Customer Advance for Regulatory Capital

On June 18, 2019, we contributed the Passport Note under an agreement with Passport. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. The company recorded the Passport Note at amortized cost basis, including accrued interest of $2.7 million, on the consolidated balance sheets and reports principal in customer advance for regulatory capital requirements, net of allowances and accrued interest in prepaid expenses and other non-current assets, net. The Passport Note is subject to a minimum risk-based-capital percentage of 150% and as such, if Passport maintains or exceeds the minimum risk-based-capital percentage, the Company believes Passport has sufficient liquidity to repay all outstanding loan principal and accrued interest.

Evolent evaluated this note and employed a probability of default and loss given default framework which relies on contractual cash flows to determine the exposure at default at any point in the future. The model calculates contractual cash flows for all remaining periods of the note’s contractual life based on terms of the notes and utilize the amortization principles set forth within those terms under the assumption that the note will behave as expected under the contract. Forecasted probability of default rates and loss given default rates are applied in each future contractual period to determine the period-specific amount of default and the associated loss given that default has occurred. Forward looking probability of default and loss given default rates are forecasted using regression-based econometric techniques. Using reasonable and supportable forecasts of relevant macroeconomic conditions, Evolent forecasts expected future risk-based-capital percentages. Evolent utilizes these forecasted risk-based-capital percentages to derive the future probability of default and loss given default rates applied to the future period-specific exposure at default, as calculated based upon contractual loan terms, to derive an excepted loss estimate.

While macroeconomic conditions have deteriorated as of June 30, 2020 compared to December 31, 2019, we determined the changes in economic conditions did not have a material impact on the performance of the Passport Note because there is sufficient risk-based-capital to repay all principal and accrued interest.

At June 30, 2020, we reported $40.0 million of customer advances for regulatory capital, net of allowances of $45 thousand. Principal and all accrued interest is due at maturity of the note on July 1, 2025. While the Company is currently accruing interest on the Passport Note, it may stop accruing interest in the future if the Passport Note borrower is in default of either principal or interest payments.
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Notes Receivable

On September 30, 2019, we entered into an amended agreement with an equity method investee to reduce our maximum funding for operations to $5.0 million (the “Note”) through a line of credit. The Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in monthly payments on April 30, 2019 through the note end date of April 1, 2030. As of June 30, 2020 and December 31, 2019, the equity method investee had drawn $1.4 million and $1.0 million under this Note, respectively. The Company recorded the Note at amortized cost basis, including accrued interest, on the consolidated balance sheets and reports principal in prepaid expenses and other non-current assets, net and accrued interest in prepaid expenses and other current assets, net. The remaining undrawn amount is an off-balance sheet credit commitment which is subject to measurement because the Company does not have the ability to rescind its commitment to extend this credit unconditionally. The allowance associated with the undrawn amounts is recorded in other long-term liabilities on the consolidated balance sheets and will be reclassified from other long-term liabilities to prepaid expenses and other non-current assets on the consolidated balance sheets as the Note is drawn.

Evolent evaluated this note and employed a probability of default and loss given default framework which relies on contractual cash flows to determine the exposure at default at any point in the future. The model calculates contractual cash flows for all remaining periods of the note’s contractual life based on terms of the notes and utilize the amortization principles set forth within those terms under the assumption that the note will behave as expected under the contract. Forecasted probability of default rates and loss given default rates are applied in each future contractual period to determine the period-specific amount of default and the associated loss given that default has occurred.

The probability of default assumption relies upon a set maximum period-specific rate which is derived based upon historical peer-institution loss experience. The loss given default rate for the Note is assumed to be 50% in every period. This assumption relies upon a 50/50 expectation of a good outcome versus a bad outcome given a default event’s occurrence. Under a good outcome, the Company would achieve a 100% recovery of the defaulted balance whereas under a bad outcome the Company would recover 0% of the defaulted balance.

At June 30, 2020, we reported $1.4 million of notes receivable, net of allowances on drawn principal of $14 thousand in prepaid expenses and other non-current assets and allowances on undrawn principal of $37 thousand in other long-term liabilities on the consolidated balance sheets. In addition, as of January 1, 2020 and June 30, 2020, the Note is current on its payments of principal and interest, however the Florida Agency for Healthcare Administration (the “Agency”) reviews requests for payments on a quarterly basis and will only approve the requests when it is satisfied that any repayment will not be reasonably likely to cause the borrower to be unable to meet its insolvency or surplus requirements. Circumstances under which the Agency will approve repayment include, but are not limited to, when the Premium to Surplus ratio is 10 to 1 or below. While the Company is currently accruing interest on the Note, it may stop accruing interest in the future if the Note borrower is in default of either principal or interest payments.

Note 7. Property and Equipment, Net

The following summarizes our property and equipment (in thousands):
  June 30, 2020December 31, 2019
Computer hardware$12,061  $11,604  
Furniture and equipment3,588  3,649  
Internal-use software development costs126,203  112,501  
Leasehold improvements15,537  12,415  
Total property and equipment157,389  140,169  
Accumulated depreciation and amortization expenses(68,834) (55,014) 
Total property and equipment, net$88,555  $85,155  

The Company capitalized $6.4 million and $13.7 million of internal-use software development costs for the three and six months ended June 30, 2020, respectively and $8.2 million and $16.9 million for the three and six months ended June 30, 2019, respectively. The net book value of capitalized internal-use software development costs was $77.1 million and $74.9 million as of June 30, 2020 and December 31, 2019, respectively.

Depreciation expense related to property and equipment was $7.1 million and $13.9 million for the three and six months ended June 30, 2020, respectively, of which amortization expense related to capitalized internal-use software development costs was $6.0 million and $11.6 million, respectively. Depreciation expense related to property and equipment was $5.7 million and $10.9 million
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for the three and six months ended June 30, 2019, respectively, of which $4.5 million and $8.6 million amortization expense related to capitalized internal-use software development costs.

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.

The Company has four reporting units. Our reporting units are not discrete legal entities with discrete full financial statements. 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 during the fourth quarter 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.

2019 Goodwill Impairment Test

During the second half of 2019, the price of our Class A common stock declined significantly. The average closing price per share of our Class A common stock for the period from May 1 to October 31 decreased by $6.59 per common share, or 43.5%, compared to the average closing price for the period from January 1 to April 30. In addition, it was not certain that Passport would be awarded a Kentucky managed Medicaid contract for the next contract period, which was expected to begin on January 1, 2021. Since Passport was not awarded a contract under the RFP, we expect that we will not receive any material revenue under our management services agreement from Passport Buyer subsequent to December 31, 2020 and the value of our investment in Passport and goodwill will be negatively impacted. The non-renewal of Passport’s contract would reduce our medium-term and long-term cash flow projections for one of our reporting units, causing the decline in our stock price to possibly be further prolonged, indicating it is more likely than not that that the fair value of the reporting units is less than the reporting unit’s carrying amounts, triggering an interim quantitative assessment.

In performing our October 31, 2019 impairment test, we estimated the fair value of our reporting units 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, including about revenues, expenses, fixed asset and working capital requirements, the timing of exchanges of our Class B common shares, capital market assumptions, cash flows, the probability of the Passport RFP outcome and discount rates. The fair values determined by the income approach, as described above, were weighted considering future resolution of the Passport RFP result to determine the concluded fair value for each reporting unit. If the probability of Passport being awarded a contract under the RFP increases, it is unlikely to result in a future impairment charge ignoring other events or circumstances, however, if the probability of Passport being awarded a contract under the RFP decreases, we will likely have a future impairment charge.

As of October 31, 2019, we determined that one of our three reporting units in the Services segment had an estimated fair value less than its carrying value. As a result, we recorded a non-cash goodwill impairment charge of $199.8 million in goodwill impairment on our consolidated statements of operations and comprehensive income (loss) for the year ended December 31, 2019. If other indications of impairment exist we may be required to recognize additional impairments in the future as a result of market conditions or other factors related to our performance, including changes in our forecasted results, investment strategy, interest rates or assumptions used as part of the goodwill impairment analysis. Any further impairment charges that we may record in the future could be material to our results of operations.

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2020 Goodwill Impairment Analysis

As of March 31, 2020, the Company assessed whether there were additional events or changes in circumstances since its annual goodwill impairment test that would indicate that it was more likely than not that the fair value of the reporting units was less than the reporting unit’s carrying amounts that would require an additional interim impairment assessment after October 31, 2019. Considering the sharp decrease in the share price of the Company’s Class A common stock during the three months ended March 31, 2020, the Company determined indicators of an impairment were present and we performed an interim goodwill impairment assessment as of March 31, 2020. As a result of this test, the Company determined that there was no goodwill impairment of the reporting unit which recognized an impairment in the year ended December 31, 2019. As of March 31, 2020, the remaining goodwill attributable to the reporting unit from which we recognized a non-cash goodwill impairment charge for the year ended December 31, 2019 was $431.7 million.

During May 2020, the CHFS announced that Passport was not awarded a Kentucky managed Medicaid contract for the next contract period and its Medicaid contract with the CHFS will expire on December 31, 2020. As a result of this announcement, the Company determined there were events or changes in circumstances since its annual goodwill impairment test that would indicate it was more likely than not that the fair value of one of its three reporting units in the Services segment was less than the reporting unit’s carrying amounts.

In performing our interim goodwill impairment analysis, 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, 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.

As of May 31, 2020, we determined that the reporting unit under review had an estimated fair value less than its carrying value. As a result, we recorded a non-cash goodwill impairment charge of $215.1 million on our consolidated statements of operations and comprehensive income (loss) for the three and six months ended June 30, 2020. In addition, the Company reviewed its interim goodwill impairment analysis as of June 30, 2020 and did not identify any additional information or events that would contradict or change the conclusion reached by the Company as of May 31, 2020. As of June 30, 2020, the remaining goodwill attributable to the reporting unit from which we recognized a non-cash goodwill impairment charge for the three and six months ended June 30, 2020 was $214.3 million.

The following table summarizes the changes in the carrying amount of goodwill, by reportable segment, for the periods presented (in thousands):
For the Six Months Ended June 30, 2020
ServicesTrue HealthConsolidated
Balance as of December 31, 2019 (1)
$566,359  $5,705  $572,064  
Goodwill disposal (2)
(2,200)   (2,200) 
Impairment(215,100)   (215,100) 
Foreign currency translation (69)   (69) 
Balance as of June 30, 2020$348,990  $5,705  $354,695  
For the Year Ended December 31, 2019
ServicesTrue HealthConsolidated
Balance as of December 31, 2018 (1)
$762,419  $5,705  $768,124  
Goodwill acquired3,416    3,416  
Measurement period adjustments351    351  
Impairment(199,800)   (199,800) 
Foreign currency translation(27)   (27) 
Balance as of December 31, 2019$566,359  $5,705  $572,064  
(1) Net of cumulative inception to date impairment of $575.5 million and $360.4 million as of June 30, 2020 and December 31, 2019, respectively.
(2) Goodwill written down on disposal of a consolidated subsidiary.
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Intangible Assets, Net

Details of our intangible assets (in thousands) are presented below:
June 30, 2020December 31, 2019
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name13.7$23,300  $5,581  $17,719  14.2$23,300  $4,891  $18,409  
Customer relationships16.6281,219  50,988  230,231  16.8291,519  44,750  246,769  
Technology2.382,922  58,204  24,718  2.082,922  49,760  33,162  
Below market lease, net2.81,118  548  570  2.22,048  1,334  714  
Provider network contracts3.314,475  4,800  9,675  3.712,725  3,320  9,405  
Total intangible assets, net$403,034  $120,121  $282,913  $412,514  $104,055  $308,459  

Amortization expense related to intangible assets was $8.7 million and $18.0 million for the three and six months ended June 30, 2020, respectively. Amortization expense related to intangible assets was $9.6 million and $18.7 million, for the three and six months ended June 30, 2019, respectively.

Future estimated amortization of intangible assets (in thousands) as of June 30, 2020, is as follows:
2020$14,842  
202128,701  
202224,819  
202322,055  
202416,171  
Thereafter176,325  
Total future amortization of intangible assets$282,913  

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 three months ended June 30, 2020, that would require an impairment test for our intangible assets.

Note 9. Long-term Debt

Credit Agreement

On December 30, 2019, 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 and collateral agent, together with the Company (the “Credit Agreement”), pursuant to which the lenders agreed to extend credit to the Borrower in the form of (i) an initial secured term loan in the aggregate principal amount of $75.0 million (the “Initial Term Loan Facility”) and (ii) a delayed draw secured term loan facility in the aggregate principal amount of up to $50.0 million (the “DDTL Facility” and, together with the Initial Term Loan Facility, the “Senior Credit Facilities”), subject to the satisfaction of specified conditions. The Borrower borrowed the loan under the Initial Term Loan Facility on December 30, 2019. In connection with the Credit Agreement, on December 30, 2019, the Company entered into a Security Agreement, by and among the Company, the Borrower, the other guarantors and the collateral agent for the benefit of the secured parties, and a Guarantee Agreement, by the Company and each of the other guarantors in favor of the collateral agent for the benefit of the secured parties. The Senior Credit Facilities are guaranteed by the Company and the Company’s domestic subsidiaries, subject to certain exceptions. The Senior Credit Facilities are secured by a first priority security interest in all of the capital stock of the borrower and each guarantor (other than the Company) and substantially all of the assets of the borrower and each guarantor, subject to certain exceptions.
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The proceeds of the Initial Term Loan were used to finance the Passport transaction and pay fees and expenses incurred in connection therewith. The proceeds of the DDTL Facility may be used, subject to the Company’s satisfaction of specified conditions, to finance the repayment or repurchase of the Company’s 2.00% Convertible Senior Notes due December 1, 2021 and to fund permitted acquisitions.  The Initial Term Loan and any loans under the DDTL Facility will mature on the date that is the earliest of (a) December 30, 2024, (b) 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 (c) the date that is ninety-one (91) days prior to the maturity date of the 2021 Convertible Notes unless certain liquidity conditions are satisfied (the foregoing, the “Maturity Date”). The interest rate for each loan under the Senior Credit Facilities is calculated, at the option of the Borrower, at either the Eurodollar rate plus 8.00%, or the base rate plus 7.00%. A commitment fee of 1.00% per annum is payable by the Borrower quarterly in arrears on the unused portion of the DDTL Facility. The Company recorded $2.0 million and $4.0 million in interest expense related to our Credit Agreement for the three and six months ended June 30, 2020.
Amounts outstanding under the Senior Credit Facilities may be prepaid at the option of the Borrower subject to applicable premiums, including a make-whole premium payable on certain prepayments made prior to the second anniversary of the closing of the Senior Credit Facilities, and a call protection premium payable on the amount prepaid in certain instances as follows: (1) 4.00% of the principal amount so prepaid after the second anniversary of the closing of the Senior Credit Facilities but prior the third anniversary of the closing of the Senior Credit Facilities; (2) 3.00% of the principal amount so prepaid after the third anniversary of the closing of the Senior Credit Facilities but prior the fourth anniversary of the closing of the Senior Credit Facilities; and (3) 2.00% of the principal amount so prepaid after the fourth anniversary of the closing of the Senior Credit Facilities but prior the fifth anniversary of the closing of the Senior Credit Facilities. Amounts outstanding under the Senior 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.
The Senior 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. In addition, the Company is required to comply at certain times with certain financial covenants comprised of a minimum net revenue test and a minimum liquidity test commencing upon closing of the Senior Credit Facilities and a total secured leverage ratio commencing on the last day of the fiscal quarter ending March 31, 2021. 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 Senior Credit Facilities. We incurred $4.7 million of debt issuance costs in connection with this Credit Agreement, which will be included in long-term debt, net of discount on our consolidated balance sheets and will be amortized into interest expense over the life of the agreement. For the three and six months ended June 30, 2020, the Company recorded $0.5 million and $1.1 million in interest expense related to the amortization of the debt discount and the issuance costs.
The Company was in compliance with all applicable covenants as of June 30, 2020.
Warrant Agreement
In conjunction with the Company’s entry into the Credit Agreement, the Company entered into warrant agreements whereby it agreed to sell to the holders of the warrants an aggregate of 1,513,786 shares of Class A common stock at a per share purchase price equal to $8.05. The holders can exercise the warrants at any time until thirty days after the maturity of the Credit Agreement. The Company, at its sole discretion, can elect to pay the holders in cash in an amount determined based on the fair market value of the Class A common stock for the shares of Class A common stock issuable upon exercise of the warrants in lieu of delivering the shares.
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 Company recorded interest expense of $0.7 million and $1.3 million related to the 2025 Notes for the three and six months ended June 30, 2020 and 2019. The 2025 Notes will mature on October 15, 2025, unless earlier repurchased, redeemed or converted in accordance with their terms prior to such date.

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
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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. 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. The equity component recorded within additional paid-in capital will not be remeasured as long as it meets the conditions for equity classification. For the three and six months ended June 30, 2020, the Company recorded $2.1 million and $4.3 million, respectively, and $2.1 million and $4.1 million for the three and six months ended June 30, 2019, respectively, of interest expense related to the amortization of the debt discount and the issuance costs allocated to the debt component.

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.

2021 Notes

In December 2016, the Company issued $125.0 million aggregate principal amount of its 2.00% Convertible Senior Notes due 2021 (the “2021 Notes”) in a private placement to qualified institutional buyers within the meaning of Rule 144A under the Securities Act. The 2021 Notes were issued at par for net proceeds of $120.4 million. We incurred $4.6 million of debt issuance costs in connection with the 2021 Notes, which we are amortizing to non-cash interest expense using the straight-line method over the contractual term of the 2021 Notes, since this method was not materially different from the effective interest method. The closing of the private placement of the 2021 Notes occurred on December 5, 2016.

Holders of the 2021 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year, beginning on June 1, 2017, at a rate equal to 2.00% per annum. The 2021 Notes will mature on December 1, 2021, unless earlier repurchased or converted in accordance with their terms prior to such date. In addition, holders of the 2021 Notes may require the Company to repurchase all or part of their 2021 Notes upon the occurrence of a fundamental change at a price equal to 100.00% of the principal amount of the 2021 Notes being repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental repurchase 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 $0.6 million and $1.2 million and non-cash interest expense related to the amortization of deferred financing costs of $0.3 million and $0.5 million for each of the three and six months ended June 30, 2020 and 2019, respectively.

The 2021 Notes are convertible into shares of the Company’s Class A common stock, based on an initial conversion rate of 41.6082 shares of Class A common stock per $1,000 principal amount of the 2021 Notes, which is equivalent to an initial conversion price of approximately $24.03 per share of the Company’s Class A common stock. In the aggregate, the 2021 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 provision upon a fundamental change under the governing indenture). The conversion rate may be adjusted under certain circumstances.

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The 2021 Notes are convertible, in multiples of $1,000 principal amount, at the option of the holders at any time prior to the close of business on the business day immediately preceding the maturity date. Upon conversion, we will deliver for each $1,000 principal amount of notes converted a number of shares of our Class A common stock equal to the applicable conversion rate (together with a cash payment in lieu of delivering any fractional share) on the third business day following the relevant conversion date.

Convertible Senior Notes Carrying Value

The 2025 Notes and 2021 Notes are recorded on our accompanying consolidated balance sheets at their net carrying values of $111.7 million and $123.7 million, respectively, as of June 30, 2020. However, the 2025 Notes and 2021 Notes are privately traded by qualified institutional buyers (within the meaning of Rule 144A under the Securities Act) and their fair values were $113.6 million and $109.7 million, respectively, based on traded prices on July 2, 2020 and July 1, 2020, respectively, which are Level 2 inputs. As of December 31, 2019, the estimated fair value of the 2025 and 2021 Notes were $122.0 million and $111.3 million, respectively, based on a traded price on December 31, 2019 and December 11, 2019, respectively, which are Level 2 inputs. The 2025 Notes and the 2021 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 (in thousands):
June 30, 2020December 31, 2019
2025 Notes
Carrying value$111,665  $107,169  
Unamortized debt discount and issuance costs allocated to debt60,835  65,331  
Principal amount$172,500  $172,500  
Remaining amortization period (years)5.35.8
2021 Notes
Carrying value$123,697  $123,237  
Unamortized issuance costs1,303  1,763  
Principal amount$125,000  $125,000  
Remaining amortization period (years)1.41.9

Note 10. Commitments and Contingencies

Commitments

Commitments to Equity-Method Investees

The Company has contractual arrangements with certain equity-method investees that will require the Company to provide operating capital and reserve support in the form of debt financing of up to $3.6 million and $4.0 million as of June 30, 2020 and December 31, 2019, respectively, in accordance with the Company’s contribution agreements with certain equity-method investees. These obligations are outside of the Company’s control and payment could be requested during 2020.

During May 2020, the CHFS announced that Passport was not awarded a Kentucky managed Medicaid contract for the next contract period. As a result, the Company is required to acquire the Sponsors’ 30% ownership interest in Passport Buyer for $20.0 million within twelve months following December 31, 2020, the expiration of Passport’s current Medicaid contract. Refer to Note 4 for additional information about the investment in Passport.

Letter of Credit

During the third quarter of 2019, the Company established an irrevocable standby letter of credit with a bank for $1.8 million for the benefit of a regulatory authority and, as such, held $1.8 million in restricted cash and restricted investments as collateral as of both June 30, 2020 and December 31, 2019, respectively. The letter of credit expired on December 31, 2019 and was automatically extended 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.

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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 consolidated financial statements.

During the second quarter of 2019, the Company and Passport, a current customer (collectively the “Indemnitors”), pursuant to a state requirement of all participating Medicaid Managed Care Organizations, entered into the Indemnity Agreement with the Surety. The Surety issued a performance bond in the amount of $25.0 million to secure the customer’s performance under a contract to provide Medicaid Managed Care Services for the benefit of a third party (the “Beneficiary”). Pursuant to the Indemnity Agreement, the Indemnitors are jointly and severally liable to the Surety in the maximum amount of the bond, plus certain costs of the Surety, in the event of losses arising under the bond. The bond’s effective date is July 1, 2019, and original expiry date was June 30, 2020. During the three months ended June 30, 2020, the expiry date was extended to the end of the current Medicaid contract on December 31, 2020. To date, the Company has not incurred any material costs as a result of the Indemnity Agreement and has not accrued any liabilities related to it in the accompanying 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 for the three and six months ended June 30, 2020.

Momentum Registration Rights Agreement

On May 24, 2019, in connection with the GlobalHealth transaction, the Company entered into a registration rights agreement with Momentum Health Holdings, LLC (“MHG”), which granted certain registration rights to MHG as a holder of shares of the Company’s Class A common stock. Pursuant to our contractual obligations under this agreement, we filed a resale prospectus supplement in respect of the registrable shares on May 28, 2019.

The Company will pay certain costs and expenses, other than any underwriting discounts and commissions, in connection with the relevant resale registration statement. We did not incur any material expenses related to the resale registration statement during the three and six months ended June 30, 2020.

Guarantees

As part of our strategy to support certain of our partners in the Next Generation Accountable Care Program, we entered into upside and downside risk-sharing arrangements. Our downside risk-sharing arrangements are limited to our fees and are executed through our wholly-owned captive insurance company. To satisfy the capital requirements of our captive insurance entity as well as state insurance regulators, the Company entered into letters of credit of $5.7 million as of both June 30, 2020 and December 31, 2019, respectively, to secure potential losses related to insurance services. These amounts are in excess of our actuarial assessment of loss.

During the three and six months ended June 30, 2020, the Company entered into a guarantee agreement whereby it agreed to provide support on behalf of Passport Buyer to maintain a minimum risk-based-capital of 150% with the Kentucky Department of Insurance. The maximum exposure is limited to amounts funded to return Passport Buyer to a risk-based-capital of 150%, however as of June 30, 2020, no amounts have been funded under this guarantee.
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Reinsurance Agreements

During the fourth quarter of 2017, the Company entered into a $10.0 million capital-only reinsurance agreement with NMHC which expired on December 31, 2018. The purpose of the capital-only reinsurance was to provide balance sheet support to NMHC. There was no uncertainty to the outcome of the agreement as there was no transfer of underwriting risk to Evolent or True Health, and neither Evolent nor True Health was at risk for any cash payments on behalf of NMHC. As a result, this agreement did not qualify for reinsurance accounting.

During the fourth quarter of 2018, the Company terminated its prior reinsurance agreement with NMHC and entered into a 15-month quota-share reinsurance agreement with NMHC. Under the terms of the new reinsurance agreement, NMHC ceded 90% of its gross premiums to the Company and the Company indemnified NMHC for 90% of its claims liability. The maximum amount of exposure to the Company was capped at 105% of premiums ceded to the Company by NMHC. The new reinsurance agreement qualified for reinsurance accounting due to the deemed risk transfer and, as such, the Company recorded the full amount of the gross reinsurance premiums and claims assumed by the Company within premiums and claims expenses, respectively, and recorded claims-related administrative expenses within selling, general and administrative expenses on our consolidated statements of operations and comprehensive income (loss) from the legal effective date of the Reinsurance Agreement. Amounts owed to NMHC under the reinsurance agreement are recorded within reserves for claims and performance-based arrangements on our consolidated balance sheets. Amounts owed by NMHC under the reinsurance agreement are recorded within accounts receivable, net on our consolidated balance sheets.

During the third quarter of 2019, the Company terminated the new reinsurance agreement with NMHC effective in the fourth quarter of 2019, approximately one and a half months prior to its scheduled end.

The following summarizes premiums and claims assumed under the Reinsurance Agreement (in thousands):
For the Six Months Ended June 30,
20202019
Reinsurance premiums assumed$  $48,828  
Claims assumed  41,424  
Claims-related administrative expenses  8,219  
Decrease in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement  815  
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period  1,243  
Reinsurance payments  1,235  
Receivables for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period$  $823  

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.

Contingencies

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.

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Due to the items noted above, and the fact that Evolent Health, Inc. is in a full valuation allowance position such that the deferred tax assets related to the Company’s historical pre-IPO losses and tax basis increase benefit from exchanges have not been realized, the Company has not recorded a liability pursuant to the TRA.

Litigation Matters

On August 8, 2019, a shareholder of the Company filed a class action complaint against the Company, asserting claims under Section 10(b) and 20(a) of the Securities Exchange Act of 1934, in the United States District Court, Eastern District of Virginia, Alexandria Division. An amended complaint was filed on January 10, 2020. The case, Plymouth County Retirement System v. Evolent Health, Inc., Frank Williams, Nicholas McGrane, Seth Blackley, Christie Spencer, and Steven Wigginton, alleges that the Company’s executives made false or misleading statements regarding its business with Passport. A second amended complaint, which was substantially similar to the amended complaint, was filed on June 8, 2020. The Company filed a motion to dismiss in response on June 22, 2020 and the briefing was completed on July 17, 2020; the parties are now waiting for the court’s decision. Under the Private Securities Litigation Reform Act, PSLRA, all discovery in the case is stayed until the motion to dismiss is decided upon by the court. Based on the Company’s investigation so far, we believe the case has little legal or factual merit. However, the outcome of any litigation is uncertain, and at this early stage, the Company is currently unable to assess the probability of loss or estimate a range of potential loss, if any, associated with this lawsuit.

The Company is not aware of any other legal proceedings or claims as of June 30, 2020, that the Company believes will have, individually or in the aggregate, a material adverse effect on the Company’s financial position or result of operations.

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 June 30, 2020, approximately 95.8% of our $153.2 million of cash and cash equivalents (including restricted cash) were held in bank deposits with FDIC participating banks, approximately 3.8% were held in money market funds and 0.4% 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 has not experienced any realized losses on cash and cash equivalents to date.

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 partner included in our Services segment who represented at least 10.0% of our consolidated trade accounts receivable for the periods presented:
 June 30, 2020December 31, 2019
Cook County Health and Hospitals System56.7 %48.4 %

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 customers of our Services segment who represented at least 10.0% of our consolidated revenue for the periods presented:
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Passport25.2 %13.2 %23.6 %13.1 %
New Mexico Health Connections*13.2 %*13.6 %
Cook County Health and Hospitals Systems19.9 %*19.3 %*
* 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.
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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. 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 2031. 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 a deferred rent asset or liability 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. Certain leases acquired as part of the Valence Health transaction included existing sublease agreements for office locations in Chicago, Illinois.

In connection with various lease agreements, the Company is required to maintain $3.6 million in letters of credit. As of June 30, 2020 and December 31, 2019, the Company held $3.6 million in restricted cash and restricted investments on the consolidated balance sheet as collateral for the letters of credit, respectively.

The following table summarizes our primary office leases as of June 30, 2020 (in thousands):
LocationLease Termination Term (in years)Future Minimum Lease CommitmentsLetter of Credit Amount Required
Arlington, VA11.6$40,203  $1,579  
Riverside, IL 10.846,053  232  
Louisville, KY (1)
0.5    
Pune, India3.32,667    
Brea, CA1.92,093    

(1) Lease payments of $4.1 million for Louisville, KY have been prepaid as of June 30, 2020.

The following table summarizes the components of our lease cost (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Operating lease cost$3,586  $3,838  $6,642  $7,119  
Amortization of right-of-use assets150    299    
Interest expense1    3    
Variable lease cost1,465  1,121  2,517  2,576  
Total lease cost$5,202  $4,959  $9,461  $9,695  

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Maturity of lease liabilities (in thousands) as of June 30, 2020, is as follows:
Operating lease expense(1)
20206,039  
202111,726  
20229,801  
20239,376  
20248,833  
Thereafter56,093  
Total lease payments101,868  
Less:
Interest27,419  
Present value of lease liabilities$74,449  
(1) We have additional operating lease agreements for office space that have not yet commenced as of June 30, 2020. The minimum lease payments for those leases are $0.2 million and the leases will commence during 2020.

Our weighted-average discount rate and our weighted remaining lease terms (in years) are as follows:
June 30, 2020
Weighted average discount rate6.43 %
Weighted average remaining lease term9.6

Note 12. Earnings (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 June 30,For the Six Months Ended June 30,
2020201920202019
Net loss$(203,521) $(31,900) $(282,273) $(80,549) 
Less:
Net loss attributable to non-controlling interests  (285)   (2,195) 
Net loss available for common shareholders - basic and diluted (1)
$(203,521) $(31,615) $(282,273) $(78,354) 
Weighted-average common shares outstanding - basic and diluted (1)
85,349  82,289  84,977  80,820  
Loss per common share
Basic and diluted$(2.38) $(0.38) $(3.32) $(0.97) 
(1) Each Class B common unit of Evolent Health LLC can be exchanged (together with a corresponding number of shares of our Class B common stock) for one share of our Class A common stock. As holders exchange their Class B common shares for Class A common shares, our interest in Evolent Health LLC will increase. Therefore, shares of our Class B common stock are not considered dilutive shares for the purposes of calculating our diluted earnings (loss) per common share as related adjustment to net income (loss) available for common shareholders would equally offset the additional shares, resulting in the same earnings (loss) per common share.

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Anti-dilutive shares (in thousands) excluded from the calculation of weighted-average common shares presented above are presented below:
For the Three Months Ended June 30, 2020For the Six Months Ended June 30,
2020201920202019
Exchangeable Class B common stock  1,080    2,129  
Restricted stock units ("RSUs"), performance-based RSUs and leveraged stock units ("LSUs")554  985  376  1,014  
Stock options711  1,495  841  1,729  
Convertible senior notes10,361  10,361  10,361  10,361  
Total11,626  13,921  11,578  15,233  

Note 13. Stock-based Compensation

Total compensation expense by award type and line item in our consolidated financial statements was as follows (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
  2020201920202019
Award Type
Stock options$638  $903  $1,388  $2,263  
Performance-based stock options  112  75  222  
RSUs2,006  2,630  3,862  5,060  
Performance-based RSUs  388    772  
LSUs1,059  717  1,886  970  
Total compensation expense by award type$3,703  $4,750  $7,211  $9,287  
Line Item
Cost of revenue$526  $891  $918  $1,682  
Selling, general and administrative expenses3,177  3,859  6,293  7,605  
Total compensation expense by financial statement line item$3,703  $4,750  $7,211  $9,287  

No stock-based compensation was capitalized as software development costs for the three and six months ended June 30, 2020 and 2019.

Stock-based awards were granted as follows (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Stock options  18    399  
RSUs164  17  1,140  518  
LSUs140    520  720  

Note 14. 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.

An income tax (benefit) expense of $(3.9) million and $1.4 million was recognized for the three months ended June 30, 2020 and 2019 respectively, which resulted in effective tax rates of 1.9% and (4.6)%, respectively. An income tax (benefit) expense of $(3.6) million and $0.9 million was recognized for the six months ended June 30, 2020 and 2019 respectively, which resulted in effective tax rates of 1.3% and (1.1)%, respectively. On March 27, 2020, in response to the COVID-19 pandemic, the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), was signed into law. The CARES Act allows net operating losses (“NOLs”) incurred in 2018, 2019 and 2020 to be carried back to each of the five preceding taxable years and generate a refund of previously paid federal
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income taxes. The income tax benefit the Company recorded during the three and six months ended June 30, 2020 primarily relates to the reversal of valuation allowance of $2.3 million of deferred tax asset, which was realized when the Company decided during the second quarter of 2020 to carry back New Century Health’s 2018 NOL as part of a federal income tax refund claim for taxes it paid on income in 2013 and 2014. In addition, the Company recognized $1.4 million in income tax benefit due to the difference between the federal tax rate utilized to measure such deferred tax asset and the federal tax rate applicable to the income in the years to which the NOL was carried back. As a result of the NOL carryback, the Company estimates that it will incur additional 2019 income taxes and therefore recognized $0.6 million of income tax expense. The income tax provisions included in the CARES Act, apart from the aforementioned NOL carryback, did not have a material impact on the Company for the three and six months ended June 30, 2020.

The Company and its U.S. subsidiaries continue to record a valuation allowance against its net deferred tax asset, with the exception of a limited amount of indefinite-lived deferred tax assets for which a limited amount of indefinite-lived deferred tax liability provides a source of income. The indefinite-lived deferred tax liability was reduced during the second quarter as a result of the goodwill impairment and the Company recognized a corresponding income tax benefit of $0.8 million.

As of December 31, 2019, the Company had unrecognized tax benefits of $0.8 million that, if recognized, would not affect the effective tax rate due to the valuation allowance against its net deferred tax asset. As of June 30, 2020, there are no changes to the unrecognized tax benefits. 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, 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. See Note 10 above and “Part II - Item 8. Financial Statements and Supplementary Data - Note 13” in our 2019 Form 10-K for discussion of our TRA.

Note 15. Investments In and Advances to 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 below.

As of June 30, 2020 and December 31, 2019, the Company’s economic interests in its equity method investments ranged between 4% and 70%, and voting interests in its equity method investments ranged between 25% and 57%. 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 gains (losses) from these investments was approximately $25.1 million and $24.7 million for the three and six months ended June 30, 2020, respectively, and $(1.9) million and $(2.3) million for the three and six months ended June 30, 2019, 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 for the three and six months ended June 30, 2020 was $71.4 million and $131.3 million, respectively, and $11.0 million and $18.1 million for the three and six months ended June 30, 2019, respectively.

Unconsolidated VIEs

Passport

On December 30, 2019, we completed the acquisition of approximately 70% ownership interest in Passport Buyer, which owns substantially all of the assets and assumed substantially all of the liabilities of Passport. At closing, we contributed approximately $70.0 million in cash and issued a 30% equity interest in the Passport Buyer to the Sponsors. At the closing of the transaction, our economic interest in Passport Buyer was approximately 70% and our voting interest was approximately 57%. As a result of Passport
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not being awarded a new Medicaid contract with CHFS, the Company is required to acquire the Sponsors’ 30% ownership interest in Passport Buyer for $20.0 million within twelve months following December 31, 2020, the expiration of Passport’s current Medicaid contract. Refer to Note 4 for additional information about the investment in Passport.

Global

On May 24, 2019, we completed the acquisition of approximately a 45% ownership interest in MHG, the sole owner of Momentum Health Acquisition, Inc. (“MHA”), which is the sole owner of GlobalHealth Holdings, LLC (“GHH”), which is the sole owner of GlobalHealth, Inc., a health maintenance organization based in the State of Oklahoma that offers, among other things, Medicare Advantage products in the State of Oklahoma. At closing, we contributed approximately $15.0 million in cash and 1,577,841 shares of our Class A common stock to MHG, together with certain of our other assets. The Company recognized $9.6 million non-cash gain on disposal of assets upon the contribution. We also recognized a short-term contingent consideration liability fair valued at $5.9 million at the time of the transaction. At the closing of the transaction, our economic interest in GlobalHealth was approximately 45% and our voting interest was approximately 29%.

As of March 31, 2020, the Oklahoma Insurance Division (“OID”) informed GlobalHealth, Inc. that in response to the COVID-19 pandemic, the OID required GlobalHealth, Inc. to increase its regulatory capital surplus by May 15, 2020. It would otherwise be placed into receivership if additional financing could not be secured. Certain investors agreed to provide liquidity as necessary to increase statutory capital reserves to no lower than 300%. In connection with the investment, GlobalHealth, Inc. transferred 100% of the equity interests in GlobalHealth, Inc. to the new investors for no consideration. Closing of this transaction occurred on May 13, 2020. As a result of this transaction, we recorded a non-cash impairment charge of approximately $47.1 million, representing the total value of our investment, in impairment of equity method investments on the consolidated statements of operations for the three months ended March 31, 2020.

As the Passport and MHG investments represent unconsolidated VIEs to the Company, the assets and liabilities of the investments themselves are not recorded on the Company’s balance sheets. The following table represents the carrying value of the associated assets and liabilities and the associated maximum loss exposure for the unconsolidated VIEs as of the date indicated (in thousands):
June 30, 2020December 31, 2019
Passport BuyerMomentum Health Group, LLCPassport BuyerMomentum Health Group, LLC
Assets:
Current assets$310,977  $  $271,894  $50,729  
Non current assets701    577  39,259  
Total assets$311,678  $  $272,471  $89,988  
Liabilities:
Current liabilities177,757  $  181,206  55,442  
Non current liabilities32    40  44,650  
Total liabilities$177,789  $  $181,246  $100,092  
Investment carrying value$92,797  $  $70,000  $46,456  
Loan and interest receivable42,687    41,387    
Guarantee (1)
25,000    25,000    
Maximum exposure$160,484  $  $136,387  $46,456  

(1) The $25.0 million guarantee to the Passport Buyer does not include a guarantee signed in January 2020 whereby the Company agrees to guarantee Passport Buyer will maintain a minimum risk-based-capital of 150% with the Kentucky Department of Insurance. The maximum exposure is limited to amounts funded to return Passport Buyer to a risk-based-capital of 150%, however as of June 30, 2020, no amounts have been funded under this guarantee.

Summarized Financial Information of Equity Method Investees

The following table represents the aggregated summarized financial information as of and for the dates indicated (in thousands):
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June 30,
2020
December 31,
2019
Current assets$351,805  $356,085  
Non current assets4,612  43,744  
Current liabilities202,259  267,300  
Non current liabilities16,894  57,599  
Non controlling interests97,315  70,535  
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue$575,793  $30,003  $1,194,276  $189,975  
Operating loss40,065  254  34,080  (5,874) 
Net loss39,263  340  27,643  (12,185) 
Net loss attributable to entity25,327  75  17,712  (347) 

Note 16. Non-controlling Interests

Immediately following the Offering Reorganization and IPO in May 2015, the Company owned 70.3% of Evolent Health LLC. The Company’s ownership percentage changes with the issuance of Class A or Class B common stock and Class B Exchanges. In order to account for any changes in the Company’s ownership of Evolent Health LLC, we record a reclassification of equity between non-controlling interests and shareholders’ equity attributable to Evolent Health, Inc.

During 2019, all remaining holders of Class B units executed Class B Exchanges. These Class B Exchanges resulted in the issuance of 3.1 million shares of the Company’s Class A common stock. As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the related Class B units, the Company’s economic interest in Evolent Health LLC increased to 100% immediately following the final Class B Exchange during the quarter, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc. The Company paid $1.3 million on behalf of certain holders of Class B units to satisfy income tax obligations related to certain exchanges.

In May 2019, the Company issued 1.6 million Class A common shares as part of the consideration for the GlobalHealth transaction. For each share of Class A common stock issued by Evolent Health, Inc., the Company received a corresponding Class A common unit from Evolent Health LLC. As a result of the Class A common units (and corresponding Class A common shares) issued as part of the GlobalHealth transaction, the Company’s economic interest in Evolent Health LLC increased from 99.1% to 99.2%, immediately following the transaction.

Changes in non-controlling interests (in thousands) for the periods presented were as follows:
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Non-controlling interests balance as of beginning of period$  $50,100  $6,689  $45,532  
Decrease in non-controlling interests as a result of Class B Exchanges  (33,946)   (33,946) 
Amount attributable to NCI from business combination      6,500  
Net loss attributable to non-controlling interests  (285)   (2,195) 
Reclassification of non-controlling interests  209  (6,689) 187  
Non-controlling interests balance as of end of period$  $16,078  $  $16,078  

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;
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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.

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):
June 30, 2020
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$4,842  $  $  $4,842  
Restricted cash and restricted investments (1)
1,005      1,005  
Total fair value of assets measured on a recurring basis$5,847  $  $  $5,847  
Liabilities
Contingent consideration (2)
$  $  $3,600  $3,600  
Warrants (3)
    4,900  4,900  
Total fair value of liabilities measured on a recurring basis$  $  $8,500  $8,500  
December 31, 2019
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$3,698  $  $  $3,698  
Restricted cash and restricted investments (1)
1,004      1,004  
Total fair value of assets measured on a recurring basis$4,702  $  $  $4,702  
Liabilities
Contingent consideration (2)
$  $  $9,883  $9,883  
Warrants (3)
    7,092  7,092  
Total fair value of liabilities measured on a recurring basis$  $  $16,975  $16,975  
(1) Represents the cash and cash equivalents and restricted cash and restricted investments that were held in money market funds as of June 30, 2020 and December 31, 2019, as presented in the tables above.
(2) Represents the fair value of earn-out consideration related to the Passport, GlobalHealth, Inc. and other transactions, as described in Note 4.
(3) Represents the fair value of 1,513,786 shares issuable under the warrant agreements discussed in Note 9.

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 for the three and six months ended June 30, 2020, 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 strategic alliance with Passport entered into during 2016 included a provision for additional equity consideration contingent upon the Company obtaining new third-party Medicaid business in future periods. The fair value of the contingent equity consideration 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 measurement of the Passport contingent consideration are the five-year risk-adjusted recurring revenue compound annual growth rate (“CAGR”) and the applicable
35


discount rate. A significant increase in the assumed five-year risk-adjusted recurring revenue CAGR projection or decrease in discount rate in isolation would result in a significantly higher fair value of the contingent consideration.

The changes in our contingent consideration, measured at fair value, for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):
For the Six Months Ended June 30,
20202019
Balance as of beginning of period$16,975  $8,800  
Additions  5,900  
Settlements(3,500) (800) 
Realized and unrealized gains (losses), net(4,975) 200  
Balance as of end of period$8,500  $14,100  

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:
June 30, 2020
Fair ValuationSignificantAssumption or
ValueTechniqueUnobservable InputsInput Ranges
Contingent consideration$3,600  Management estimateStock price periodJanuary - June 2020
Warrants$4,900  Black-ScholesStock price volatility61.8 %
Annual risk free rate0.3 %

December 31, 2019
Fair ValuationSignificantAssumption or
ValueTechniqueUnobservable InputsInput Ranges
Passport contingent consideration$3,700  Real options approachRisk-adjusted recurring revenue CAGR93.9 %
(1)
Discount rate/time value
4.8% - 5.3%
GlobalHealth contingent consideration$5,200  Monte Carlo simulationStock price volatility 80.0 %
(2)
Other contingent considerations$983  Management estimateAdjusted EBITDA$19,235  
Warrants$7,092  Black-ScholesStock price volatility55.0 %
Annual risk free rate1.7 %
(1)  The risk-adjusted recurring revenue CAGR is calculated over the five-year period 2017-2021. Given that there was no recurring revenue in 2016 and 2017, the calculation of the 2017 and 2018 growth rates is based on theoretical 2016 and 2017 recurring revenue of $1.0 million, resulting in a higher growth rate.
(2) Equity volatility based on Evolent’s daily stock price returns for a look-back period corresponding to the time until the second test date. The large one-day stock price drop on November 27, 2019, was excluded from the volatility calculation.

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.

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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 2025 Notes and 2021 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 consolidated financial statements.

As discussed in Note 15, the Company has economic interests in several entities that are accounted for under the equity method of accounting, including Passport. 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. Revenues related to the services agreements were approximately $71.4 million and $131.3 million for the three and six months ended June 30, 2020, respectively, and $11.0 million and $18.1 million for the three and six months ended June 30, 2019, respectively.

The Company also works closely 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. We also conduct business with a company in which UPMC holds a significant equity interest.

The following table presents assets and liabilities attributable to our related parties (in thousands):
June 30,
2020
December 31,
2019
Assets
Accounts receivable$7,597  $8,781  
Prepaid expenses - current801  1,592  
Customer advance for regulatory capital requirements, net39,955  40,000  
Prepaid expenses and other noncurrent assets4,813  2,709  
Liabilities
Accounts payable$7,132  $6,429  
Accrued liabilities4,267  2,583  
Reserve for claims and performance-based arrangements  4,264  

The following table presents revenues and expenses attributable to our related parties (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue
Transformation services$  $41  $1,700  $1,200  
Platform and operations services73,885  16,874  141,833  29,818  
Expenses
Cost of revenue (exclusive of depreciation and amortization expenses)(2,171) 6,657  1,076  14,487  
Selling, general and administrative expenses27  386  97  542  

Note 19. Segment Reporting

We define our reportable segments based on the way the CODM, currently the chief executive officer, manages the operations for purposes of allocating resources and assessing performance. We classify our operations into two reportable segments as follows:
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Services, which consists of two clinical solutions: (i) total cost of care management, and (ii) specialty care management services, and one administrative solution: comprehensive health plan administrative services; and
True Health, which consists of a commercial health plan we operate in New Mexico that focuses on individual and family as well as small and large group businesses as well as the Federal Employee Health Benefits Program.

In the ordinary course of business, our reportable segments enter into transactions with one another. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues and expenses recognized by the segment that is the counterparty to the transaction are eliminated in consolidation and do not affect consolidated results.

The CODM uses revenue in accordance with U.S. GAAP and Adjusted EBITDA as the relevant segment performance measures to evaluate the performance of the segments and allocate resources.

Adjusted EBITDA is a segment performance financial measure that offers a useful view of the overall operation of our businesses and may be different than similarly-titled segment performance financial measures used by other companies.

Adjusted EBITDA is defined as EBITDA (net loss attributable to common shareholders of Evolent Health, Inc. before interest income, interest expense, (provision) benefit for income taxes, depreciation and amortization expenses), adjusted to exclude equity method investment impairment, gain (loss) from equity method investees, gain (loss) on disposal of assets, goodwill impairment, changes in fair value of contingent consideration and indemnification asset, other income (expense), net, net 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, acquisition-related costs, and other infrequently occurring adjustments.

Management considers revenue and Adjusted EBITDA to be the appropriate metrics to evaluate and compare the ongoing operating performance of our segments on a consistent basis across reporting periods as they eliminate the effect of items which are not indicative of each segment's core operating performance.

The following tables present our segment information (in thousands):

ServicesTrue HealthIntersegment EliminationsConsolidated
Revenue
For the Three Months Ended June 30, 2020
Services:
Transformation services$755  $  $  $755  
Platform and operations services216,544    (4,169) 212,375  
Services revenue217,299    (4,169) 213,130  
True Health:
Premiums  25,541  (39) 25,502  
Total revenue$217,299  $25,541  $(4,208) $238,632  
For the Three Months Ended June 30, 2019
Services:
Transformation services$1,944  $  $  $1,944  
Platform and operations services147,599    (3,077) 144,522  
Services revenue149,543    (3,077) 146,466  
True Health:
Premiums  45,764  (271) 45,493  
Total revenue$149,543  $45,764  $(3,348) $191,959  
ServicesTrue HealthSegments Total
For the Three Months Ended June 30, 2020
Adjusted EBITDA$10,519  $(1,480) $9,039  
For the Three Months Ended June 30, 2019
Adjusted EBITDA$(8,797) $1,123  $(7,674) 
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ServicesTrue HealthIntersegment
Eliminations
Consolidated
Revenue
For the Six Months Ended June 30, 2020
Services:
Transformation services$5,993  $  $  $5,993  
Platform and operations services432,739    (10,464) 422,275  
Services revenue438,732    (10,464) 428,268  
True Health:
Premiums  57,928  (279) 57,649  
Total revenue$438,732  $57,928  $(10,743) $485,917  
For the Six Months Ended June 30, 2019
Services:
Transformation services$5,297  $  $  $5,297  
Platform and operations services297,949    (6,135) 291,814  
Services revenue303,246    (6,135) 297,111  
True Health:
Premiums  93,140  (536) 92,604  
Total revenue$303,246  $93,140  $(6,671) $389,715  
ServicesTrue HealthSegments Total
For the Six Months Ended June 30, 2020
Adjusted EBITDA$14,395  $(1,729) $12,666  
For the Six Months Ended June 30, 2019
Adjusted EBITDA$(24,296) $1,844  $(22,452) 

The following table presents our reconciliation of segments total Adjusted EBITDA to net loss attributable to Evolent Health, Inc. (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Net loss attributable to common shareholders of Evolent Health, Inc.$(203,521) $(31,615) $(282,273) $(78,354) 
Less:
Interest income842  842  1,761  1,902  
Interest expense(6,293) (3,620) (12,578) (7,182) 
(Provision) benefit for income taxes3,904  (1,398) 3,634  (902) 
Depreciation and amortization expenses(15,778) (15,292) (31,916) (29,558) 
Equity method investment impairment    (47,133)   
Gain (loss) from equity method investees25,143  (1,904) 24,731  (2,328) 
Gain (loss) on disposal of assets  9,600  (6,447) 9,600  
Goodwill impairment(215,100)   (215,100)   
Change in fair value of contingent consideration and indemnification asset(756) (100) 3,062  (200) 
Other income (expense), net352  (587) 281  (160) 
Net loss attributable to non-controlling interests  285    2,195  
Purchase accounting adjustments  (165)   (761) 
Stock-based compensation expense(3,703) (4,750) (7,211) (9,287) 
Severance costs(30) (3,881) (6,133) (14,483) 
Amortization of contract cost assets(767) (776) (1,207) (1,552) 
Acquisition costs(374) (2,195) (683) (3,186) 
Adjusted EBITDA$9,039  $(7,674) $12,666  $(22,452) 

Asset information by segment is not a key measure of performance used by the CODM. Accordingly, we have not disclosed asset information by segment.
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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 specialty care management services. The Company also maintains reserves for claims incurred but not paid related to its capitation arrangement and for its health plan, True Health, in New Mexico.

Reserves for claims and performance-based arrangements for our Services and True Health segments 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. Reserves for claims and performance-based arrangements also reflect estimated amounts owed to NMHC under the reinsurance agreement, as discussed further in Note 10.

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 specialty care management services and True Health, 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 specialty care management services and True Health 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 on an authorization-level basis and also accounts for the impact of copays and deductibles, unit cost and historic discontinuation rates for treatment.

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 for the six months ended June 30, 2020, was as follows (in thousands):
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For the Six Months Ended June 30,
20202019
Services (1)
True Health (3)
Total
Services (1)
True Health (3)
Total
Beginning balance$54,510  $6,640  $61,150  $17,715  $9,880  $27,595  
Incurred costs related to current year204,112  41,584  245,696  $88,261  $73,359  $161,620  
Incurred costs related to prior year(521) 1,351  830  244  483  727  
Paid costs related to current year167,451  33,538  200,989  73,781  26,473  100,254  
Paid costs related to prior year10,029  6,975  17,004  7,837  8,003  15,840  
Change during the year26,111  2,422  28,533  6,887  39,366  46,253  
Other adjustments (2)
4,726    4,726  (187) (40,609) (40,796) 
Ending balance$85,347  $9,062  $94,409  $24,415  $8,637  $33,052  
(1) Costs incurred to provide specialty care management services are recorded within cost of revenue in our statement of operations.
(2) Other adjustments to reserves for claims and performance-based arrangements for Services reflect changes in accrual for amounts payable to facilities and amounts owed to our payer partners for claims paid on our behalf. Other adjustments related to the True Health segment represent premiums received less administrative expenses related to the reinsurance agreement for amounts in 2019. Refer to Note 10 for additional information about the reinsurance agreement.
(3) There is no single or common claim frequency metric used in the health care industry. The Company believes a relevant metric for its health insurance business is the number of customers for whom an insured medical claim was paid. The number of claims processed for the six months ended June 30, 2020 and 2019 were 170,295 and 206,137, respectively.

Note 21. Investments

Our investments are classified as held-to-maturity as we have both the intent and ability to hold the investments until their individual maturities. The amortized cost, gross unrealized gains and losses, and fair value of our investments as measured using Level 2 inputs as of June 30, 2020 and December 31, 2019 (in thousands) were as follows:
June 30, 2020December 31, 2019
Amortized
Cost
Gross UnrealizedFair ValueAmortized
Cost
Gross UnrealizedFair Value
  GainsLossesGainsLosses
U.S. Treasury bills$8,909  $492  $  $9,401  $10,784  $270  $  $11,054  
Corporate bonds1,706  122    1,828  1,705  70    1,775  
Collateralized mortgage obligations5,695  219    5,914  5,472  56  (5) 5,523  
Yankees597  51    648  597  30    627  
Total investments$16,907  $884  $  $17,791  $18,558  $426  $(5) $18,979  

The amortized cost and fair value of our investments by contractual maturities as of June 30, 2020 and December 31, 2019 (in thousands) were as follows:
June 30, 2020December 31, 2019
  Amortized CostFair ValueAmortized CostFair Value
Due in one year or less$836  $845  $1,807  $1,810  
Due after one year through five years16,071  16,946  16,121  16,542  
Due after five years through ten years    630  627  
Total investments$16,907  $17,791  $18,558  $18,979  

When a held-to-maturity investment is in an unrealized loss position, we assess whether or not we expect to recover the entire cost basis of the security, based on our best estimate of the present value of cash flows expected to be collected from the debt security. Factors considered in our analysis include the reasons for the unrealized loss position, the severity and duration of the unrealized loss position, credit worthiness and forecasted performance of the investee. In cases where the estimated present value of future cash flows is less than our cost basis, we recognize an other than temporary impairment and write the investment down to its fair value. The new cost basis would not be changed for subsequent recoveries in fair value.

There were no securities held in an unrealized loss position for more than twelve months as of June 30, 2020 or December 31, 2019. The Company held the following securities (in thousands) in an unrealized loss position for less than twelve months as of December 31, 2019, and expects to recover the entire cost basis of the security:
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June 30, 2020December 31, 2019
Number of SecuritiesFair ValueUnrealized LossesNumber of SecuritiesFair ValueUnrealized Losses
Collateralized mortgage obligations1  $8  $  4  $2,075  $5  

Note 22. Supplemental Cash Flow Information

The following represents supplemental cash flow information (in thousands):
For the Six Months Ended June 30,
  20202019
Supplemental Disclosure of Non-cash Investing and Financing Activities
 Increase to goodwill from measurement period adjustments/business combinations$2,200  $596  
Class A common stock issued for payment of earn-outs4,185  800  
Accrued property and equipment purchases(26) 166  
Consideration for asset acquisitions or business combinations  16,000  
Effects of Leases
 Operating cash flows from operating leases 6,853  6,542  
 Leased assets obtained in exchange for operating lease liabilities (1,354) 30,181  
Effects of Class B Exchanges
Decrease in non-controlling interests as a result of Class B Exchanges  33,946  

Note 23. Subsequent Events

On July 16, 2020, Evolent Health LLC, a Delaware limited liability company (“EVH LLC”) and wholly owned subsidiary of Evolent Health, Inc. (“EVH, Inc.”), and Passport Health Plan, Inc. (formerly known as Justify Holdings, Inc.), a Kentucky corporation (“Passport”), which is owned 70% by EH Holding Company, Inc., a wholly owned subsidiary of EVH LLC (“EH Holding Company”), entered into an Asset Purchase Agreement (the “Molina APA”) with Molina Healthcare, Inc., a Delaware corporation (“Molina”), pursuant to which Passport will sell certain assets to Molina (or its permitted affiliate assignee) as set forth in more detail below.

Background

On May 28, 2019, University Health Care, Inc. (“UHC”), Passport Health Solutions, LLC, a subsidiary of UHC (“PHS”), Passport and EVH, Inc., entered into an Asset Purchase Agreement (the “UHC APA”), pursuant to which Passport would acquire substantially all of the assets and liabilities of UHC and PHS, including the Kentucky Medicaid business of UHC (the “Medicaid Business”), the Kentucky dual eligible special needs business of UHC (the “D-SNP Business”) and certain owned real property and related assets of PHS (the “Real Property”). On December 30, 2019, Passport acquired the Medicaid Business for cash and the issuance of a 30% ownership interest in Passport to the provider sponsors of UHC (the “Sponsors”). On that date, the parties to the UHC APA entered into an amendment to the UHC APA (the “Amendment”) that provided for (i) the transfer of the D-SNP Business at such time as Passport becomes certified as a Medicare Advantage Organization and (ii) the transfer of the Real Property at such time as it becomes free and clear of any encumbrances. Further, pursuant to the Amendment, Passport would administer and assume the financial risk of the D-SNP Business until it is transferred to Passport.

In connection with the closing of the transaction contemplated by the UHC APA, EVH, Inc. and EH Holding Company agreed to purchase the Sponsor’s stock in Passport for $20.0 million on or before December 31, 2021 in the event Passport was not awarded a Medicaid contract pursuant to the request for proposal (the “RFP”) issued by the Kentucky Cabinet for Family Services (“CHFS”) for Medicaid contracts for plan years 2021 through 2024. On May 29, 2020, Passport received notice that it was not awarded a Medicaid contract pursuant to the RFP. Passport will be withdrawing its previously filed protest.

Molina APA

Asset Transfer

Pursuant to the Molina APA and subject to the terms and conditions set forth therein, Passport has agreed to sell to Molina (or its permitted affiliate assignee) certain assets, including the following: (i) certain intellectual property rights of Passport, including trade names (the “IP Assets”); (ii) Passport’s rights under its Medicaid contract with CHFS (the “Medicaid Contract”); (iii) Passport’s rights
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under UHC’s contracts (collectively, the “D-SNP Contract”) with the Commonwealth of Kentucky, Department of Medicaid Services (“DMS”) and Centers for Medicare and Medicaid Services (“CMS”) with respect to the D-SNP Business; (iv) Passport’s rights under certain provider and vendor agreements (the “Provider and Vendor Agreements”); and (v) Passport’s rights under certain real property leases (the “Real Property Leases”). Passport is retaining, among other assets, the following: (i) all cash, cash equivalents and risk based capital; and (ii) all accounts receivable and rights to payment under the Medicaid Contract for services performed prior to the transfer of the Medicaid Contract. In addition, Molina will assume Passport’s obligations under the Medicaid Contract, Provider and Vendor Agreements and Real Property Leases arising following the transfer of such contracts.

The closing of the transactions contemplated by the Molina APA (the “Closing”) will take place on the earlier of (i) September 1, 2020 and (ii) within three business days following receipt of the necessary approvals of certain governmental authorities, including the approval of CHFS and Kentucky Department of Insurance, if required (the “Required Medicaid Approvals”), for the transfer of the Medicaid Contract from Passport to Molina (the “Medicaid Novation”). At the Closing, Passport will transfer to Molina the IP Assets. In addition, if the Required Medicaid Approvals for the Medicaid Novation are obtained prior to the Closing, at the Closing, Passport will transfer to Molina the Medicaid Contract. If the Required Medicaid Approvals for the Medicaid Novation are obtained after the Closing but prior to December 31, 2020, promptly following receipt thereof, Passport will transfer to Molina the Medicaid Contract (the date on which such transfer occurs referred to herein as the “Medicaid Closing”). Subject to the Closing and the receipt of required third party consents, the Provider and Vendor Agreements and the Real Property Leases will transfer to Molina on January 1, 2021. If the Medicaid Novation occurs, EVH LLC and Passport will administer the Medicaid Business on behalf of Molina until January 1, 2021.

Pursuant to the Molina APA, the D-SNP Contract will be transferred to Molina at such time as Molina is certified as a Medicare Advantage Organization and obtains approvals of certain governmental authorities, including CMS and DMS (the “Required D-SNP Approvals”), for the novation of the D-SNP Contract. At the Closing, Molina will assume the financial risk of the D-SNP Business until such time as the D-SNP Business is transferred to Molina or the D-SNP Contract is terminated. Passport and EVH, Inc. will continue to administer the D-SNP Business until January 1, 2021, at which time Molina will be responsible for the administration of the D-SNP Business until the D-SNP Contract is transferred to Molina (the “D-SNP Closing”) or the D-SNP Contract is terminated.

The Closing is conditioned on customary closing conditions related to the accuracy of the representations and warranties of the parties, compliance with covenants, the absence of legal proceedings and the continued effectiveness of the awards issued in connection with the RFP. The Medicaid Closing is conditioned on the receipt of the Required Medicaid Approvals. The D-SNP Closing is conditioned on the receipt of the Required D-SNP Approvals as well as the effectiveness of the D-SNP Contract.

Consideration

At the Closing, Molina will pay Passport $20.0 million in cash that will be placed into escrow until January 1, 2021 (the “Closing Payment”). The Closing Payment is payable regardless of whether the Medicaid Closing or D-SNP Closing has occurred and will be released on January 1, 2021. In the event the Medicaid Closing and/or D-SNP Closing occurs after the Closing, then no further consideration will be payable to Passport as a result of such Medicaid Closing and/or D-SNP Closing.

In addition to the Closing Payment, Passport will be eligible to receive an additional cash payment of up to approximately $40.0 million from Molina based on the number of enrollees above a certain threshold in the D-SNP Business and Molina’s Medicaid plan following the open enrollment period for plan year 2021 (the “Membership Payment”). The Membership Payment is not conditioned on the Medicaid Closing and/or D-SNP Closing.

In the event the Medicaid Closing does not occur by January 1, 2021, Passport is required to repay Molina $7.5 million of the Closing Payment.

Employees

Pursuant to the terms of the Molina APA, on January 1, 2021, Molina will hire substantially all of Passport’s employees and those EVH LLC employees primarily performing services for the Medicaid Business and D-SNP Business.

Indemnification

The Molina APA provides for customary indemnification by the parties, including indemnification for excluded liabilities, assumed liabilities and breaches of representations, warranties and covenants.

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Guarantees

EVH LLC has guaranteed the obligations of Passport and Molina has guaranteed the obligations of its permitted affiliate assignee under the Molina APA.

Concurrently with the execution of the Molina APA, Passport and an affiliate of Molina also entered into a real property purchase agreement with respect to the Real Property (the “Real Property Purchase Agreement”). Under the terms of the Real Property Purchase Agreement, an affiliate of Molina will purchase the Real Property from Passport for $8.0 million, subject to adjustment for certain matters. The closing of the transactions contemplated by the Real Property Purchase Agreement is conditioned on customary real estate closing conditions, including receipt of adequate title, satisfaction of certain matters identified in diligence, survey and environmental reports and Passport’s acquisition of the Real Property from UHC pursuant to the UHC APA.
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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 consolidated financial statements and the accompanying notes to consolidated financial statements presented in “Part 1 – Item 1. Financial Statements” of this Form 10-Q; our 2019 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 2020.

INTRODUCTION
 
Business Overview
 
We are a market leader in the new era of value-based care, in which leading health systems and physician organizations, which we refer to as providers, as well as health plans, which we refer to as payers, are moving their business models from traditional FFS reimbursement to an increasingly integrated clinical and financial responsibility for populations. We refer to our provider and payer customers as partners. 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 founded in 2011 by members of our management team, UPMC, an integrated delivery system based in Pittsburgh, Pennsylvania, and The Advisory Board Company. We provide integrated, technology-enabled services to our national network of leading health systems, physician organizations and national and regional payers across Medicare, Medicaid and commercial markets.

We manage our operations and allocate resources across two reportable segments, our Services segment and our True Health Segment. The Company’s Services segment provides our customers, who we refer to as partners, two clinical solutions: (i) total cost of care services and (ii) specialty care management services, and one administrative solution: comprehensive health plan administration services. These services enable payers and providers to manage patient health in a more cost-effective manner. The Company’s contracts are structured as a combination of monthly member service fees, percentage of plan premiums, shared medical savings arrangements and other performance based arrangements including taking responsibility for all or substantially all of the cost of care. Our True Health segment consists of a commercial health plan we operate in New Mexico that focuses on individual and family as well as small and large businesses. All of our revenue is recognized in the United States and substantially all of our long-lived assets are located in the United States.

We have incurred operating losses since our inception, as we have invested heavily in resources to support our growth. We intend to continue to invest aggressively in the success of our partners, expand our geographic footprint and further develop our capabilities, including through acquisitions and other investments. We also expect to continue to incur operating losses for the foreseeable future and if we are unable to achieve our revenue growth and cost management objectives, we may not be able to achieve profitability. As a result of Passport not being awarded a contract under the RFP, we expect that our medium-term and long-term cash flow projections will be reduced and the recent decline in our stock price may be further prolonged, resulting in additional impairments to goodwill that would be material to our results of operations.

As of the date the financial statements were available to be issued, we believe we have sufficient liquidity for the next 12 months.

Services Overview

Our Services segment includes clinical and administrative solutions designed to help our partners manage and administer patient health in a more cost-effective manner. We have two clinical solutions: (i) total cost of care management, and (ii) specialty care management services, and one administrative solution: comprehensive health plan administrative services. From time to time, we package our solutions under various go-to-market brand names to create product differentiation. Our partners may engage us to provide one type of solution, or multiple types of solutions, depending on specific needs.

Core elements of our total cost of care management services include: (1) Identifi®, our proprietary technology system that aggregates and analyzes data, manages care workflows and engages patients, (2) population health performance, which supports the delivery of patient-centric cost effective care, (3) delivery network alignment, comprising the development of high performance delivery networks and (4) integrated cost and revenue management solutions including PBM and patient risk scoring.

Our specialty care management services support a broad range of specialty care delivery stakeholders during their transition from fee-for-service to value-based care, independent of their stage of maturation and specific market dynamics. We focus on the oncology and
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cardiology markets with the objective of helping providers and payers deliver higher quality, more affordable care and we provide comprehensive quality management, including diagnostics and treatment, for oncology and hematology patients.

Our comprehensive health plan administration services help providers assemble the complete infrastructure required to operate, manage and capitalize on a variety of financial and administrative management services, such as health plan services, risk management, analytics and reporting and leadership and management.

The majority of our Services revenue is derived from recurring multi-year contracts, which we refer to as platform and operations. Platform and operations services accounted for 89.0% and 75.3% of our consolidated revenue for the three months ended June 30, 2020 and 2019, respectively, and 86.9% and 74.9% of our consolidated revenue for the six months ended June 30, 2020 and 2019, respectively. We believe the recurring, multi-year nature of our platform and operations contracts enables us to have strong visibility into future revenue. The amount of revenue in a given platform and operations contract is typically driven by: (i) the number of members that Evolent is contracted to manage, (ii) the population types being served (e.g., Medicare, Medicaid, Commercial), and (iii) the depth and breadth of the services and technology applications that our partners utilize from us. In situations involving clinical solutions, we typically elect to: (iv) participate alongside or co-own risk-sharing arrangements with our partners whereby we share in a portion of the upside and downside clinical performance, or by owning a portion of the underwriting results. We believe performance-based contracts align our partners’ incentives with our own and enables us to capture greater value from our contracts. We believe we are in the early stages of capitalizing on these aligned operating partnerships. We believe our health system partners’ current value-based care arrangements represent a small portion of the health system’s total revenue each year.

Our services business model benefits from scale, as we leverage our purpose-built technology-enabled solutions and centralized resources in conjunction with the growth of our partners’ membership base. While our absolute investment in our centralized resources and technologies will increase over time, we expect it will decrease as a percentage of revenue as we are able to scale this investment across a broader group of partners. We expect to grow with current partners as they increase membership in their existing value-based operations, through expanding the number of services we provide to our existing partners, by adding new partners and by capturing value through risk-sharing arrangements.

As of June 30, 2020, we had contractual relationships with 34 operating partners and a significant portion of our revenue is concentrated with two partners. For three months ended June 30, 2020 and 2019, our revenue from Passport accounted for 25.2% and 13.2% of our total revenue, respectively, and our revenue from Cook County Health and Hospitals Systems accounted for 19.9% and less than 10% of total revenue, respectively. For the six months ended June 30, 2020 and 2019, our revenue from Passport accounted for 23.6% and 13.1% of our total revenue, respectively, and our revenue from Cook County Health and Hospitals Systems accounted for 19.3% and less than 10.0% of total revenue, respectively. As of June 30, 2020 and December 31, 2019, our receivables from Passport accounted for 5.4% and 3.3%, respectively, of our accounts receivable and our receivables from Cook County Health and Hospitals Systems accounted for 56.7% and 48.4% of our accounts receivable, respectively.

As a result of the outcome of the RFP in Kentucky, we expect that we will not receive any material revenue under our management services agreement from Passport subsequent to December 31, 2020.

On July 16, 2020, Evolent, and Passport, entered into an APA with Molina pursuant to which Passport will sell certain assets to Molina (or its permitted affiliate assignee) such as intellectual property rights of Passport and Passport’s rights under its Medicaid contract with CHFS. In addition, Molina will assume Passport’s obligations under the Medicaid contract, provider and vendor agreements and real property leases arising following the transfer of such contracts. The closing of the transactions is expected to take place on the earlier of (i) September 1, 2020 and (ii) within three business days following receipt of the necessary approvals of certain governmental authorities, including the approval of CHFS and Kentucky Department of Insurance, if required, subject to satisfaction of other conditions. Refer to “Part I - Item 1. Financial Statements - Note 23” for additional discussion regarding the sale of certain of Passport’s assets.

The amount of cash we ultimately receive in connection with the transactions contemplated by the Molina APA, the winding up of Passport and related transactions will depend on a variety of factors, including, but not limited to, the closing of the transactions, a successful Medicaid Novation, the retention of membership through open enrollment, and Passport’s performance through the end of plan year 2020.

True Health

True Health is a physician-led health plan in New Mexico available through the commercial market for employer-sponsored health coverage. On January 2, 2018, Evolent acquired certain assets from New Mexico Health Connections, one of the first Consumer Operated and Oriented Plans established following the implementation of the ACA, including a commercial plan and health plan management services organization. The acquired assets were contributed to a new entity, True Health New Mexico, Inc., a wholly-owned subsidiary of Evolent. Our True Health segment derives revenue from premiums earned over the terms of the related insurance
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policies. True Health also derived revenue from reinsurance premiums assumed from NMHC under the terms of the reinsurance agreement which was terminated during the fourth quarter of 2019. Refer to “Part I - Item 1. Financial Statements - Note 10” for additional discussion regarding the Company’s reinsurance agreements.

Our True Health segment operates a commercial health plan in New Mexico. We believe True Health provides an opportunity for us to leverage our services offerings to support True Health and transform the health plan into a value-based provider-centric model of care.

Background and Recent Events

Evolent Health, Inc. is a holding company whose principal asset is all of the Class A common units it holds in Evolent Health LLC, and its only business is to act as sole managing member of Evolent Health LLC. Substantially all of our operations are conducted through Evolent Health LLC and its consolidated subsidiaries. The financial results of Evolent Health LLC are consolidated in the financial statements of Evolent Health, Inc.

Evolent Health’s Response to COVID-19

On March 11, 2020, the World Health Organization (the “WHO”) declared the novel strain of coronavirus (COVID-19) a global pandemic and recommended containment and mitigation measures worldwide. While response to the COVID-19 outbreak continues to rapidly evolve, it has led to aggressive actions to reduce the spread of the disease that have seriously disrupted activities in large segments of the economy. We are continuing to monitor the COVID-19 outbreak and its impact on our business.

Because of the nature of the services we provide, market dynamics in our end markets and with our significant customers, to date the COVID-19 pandemic has not materially impacted our financial condition or results of operations or our outlook. As of June 30, 2020 we had unrestricted cash and cash equivalents of $98.3 million and as of the date the financial statements were available to be issued we believe our current cash balance is sufficient to meet our liquidity needs for the next twelve months. The COVID-19 crisis has also adversely impacted global access to capital and caused significant volatility in financial markets. Significant deterioration of the U.S. and global economies could have a significant adverse impact on our investment income, the value of our investments, or future liquidity needs. Although the impact of the COVID-19 pandemic on our business has not been severe to date, the long-term impact of the pandemic on our partners and the global economy is uncertain and will depend on various factors, including the scope, severity and duration of the pandemic. A prolonged economic downturn or recession resulting from the pandemic could adversely affect many of our partners which could, in turn, adversely impact our business, financial condition and results of operations.

Evolent’s focus throughout this pandemic has been the health and safety of its employees and their families, as well as ensuring that we continue to furnish high quality service to our partners. Evolent has deployed a multi-faceted response to COVID-19, overseen by its Emergency Preparedness Team, led by the General Counsel and Chief Compliance Officer, that focuses on maintaining its workforce in a manner that does not disrupt service delivery or operations. Evolent is closely monitoring and overseeing any issues of noncompliance or deficiencies with client operational service level agreements and continuing to review contractual business requirements in light of state and federal mandates, emergency laws and orders, and available financial support opportunities. Evolent is also mindful of the impact COVID-19 has on its vendors and subcontractors, and we will continue to work with them regarding our collective obligations to Evolent’s clients. We required a COVID-19 Business Continuity Attestation from subcontractors and vendors in April, confirming that operational and financial obligations will be met and aiming to ensure that privacy and security risks or incidents can be mitigated and disclosed in a timely manner. The Company continues to periodically follow up with subcontractors and vendors on this issue.

Summary of Impact of COVID-19

In evaluating the impact of COVID-19 on our Services business, we considered, among other factors, the nature of the services we provide, end market trends and outlook and customer-specific trends. In evaluating our health plan businesses, we focused on possible changes in membership and medical utilization trends.

Services Business

Our two most significant service offerings in terms of revenue are specialty care management and administrative health services.  Because both of these services offerings provide critical services to our clients and their members and have relatively long lead times to implement such services, we currently do not anticipate any material near-term disruption to the relevant contracts as a result of the pandemic.

The three key end-markets we serve are Medicaid, Medicare and Commercial.

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We expect to see changes in membership and medical utilization in our end-markets as a result of the COVID-19 pandemic. The pandemic has resulted in a significant increase in unemployment in the United States. Historically, Medicaid enrollment has increased during periods of rising unemployment as individuals lose access to employer sponsored healthcare and turn to government sponsored healthcare. In addition, with respect to Medicaid, many states (including Florida, Kentucky and Illinois) put in place new rules during the pandemic eliminating the ability of Medicaid health plans to dis-enroll non-paying members, as well as waiving certain eligibility requirements, which together we expect will result in higher membership during the period of the pandemic. We expect to see the opposite trend in the commercial market, where employees who are made redundant lose access to employer sponsored healthcare. We do not expect to see meaningful changes in membership in the Medicare market as a result of COVID-19. In aggregate, as more than 50% of the lives on our platform are currently in Medicaid and we generally earn revenue with respect to those lives based on a per member per month model, we expect to see a net benefit in our business from increased membership in that market in the near-term. We cannot predict the magnitude of this potential benefit, or how long it will last.

With respect to medical utilization, following the declaration of the pandemic by the WHO, many state-wide mandates deferred non-essential medical procedures to allow hospitals to focus on providing care to COVID-19 patients. Across all markets, our partners experienced declines in non-essential care during the three months ended June 30, 2020, offset in part by increased costs for care of COVID-19 patients. These declines reversed in late in the second quarter. We continue to monitor medical utilization trends closely as the pandemic progresses. Beginning late in the first quarter after declaration of the pandemic and continuing into the second quarter, we have seen a modest benefit in our business from lower utilization trends. However, we cannot predict with any certainty the net impact of lower utilization on our business, as it is possible we will experience a surge in utilization if and when consumer behavior changes (for example if the novel coronavirus is controlled by a vaccine or other measures).

Our two largest customers in terms of revenue, Passport and Cook County Health and Hospitals Systems, together accounted for approximately 45.1% and 42.9% of revenue for the three and six months ended June 30, 2020, respectively and both participate in the Medicaid market. During the three and six months ended June 30, 2020, we saw a modest increase in the membership at both health plans; further increases in unemployment in Kentucky or Illinois could result in higher Medicaid enrollments in the future. In addition, during the three months ended June 30, 2020 we saw modestly lower claims volume at both clients tied to State mandates curtailing non-essential care.

Health Plans

Our True Health plan serves approximately 17,000 members in the small and large group market in New Mexico as well as 6,700 members in the individual and federal employee markets in New Mexico. At the end of June 2020, the membership in group plans was not meaningfully changed relative to the year ended December 31, 2019. Beginning at the end of the three months ended March 31, 2020, we observed a decline in medical utilization tied to a state-wide mandate prohibiting non-essential care in the period from March 13, 2020, resulting in slightly lower than expected claims expenses. Of our three equity method health plans, all are in Medicaid. In our Medicaid equity method investees (Passport Health in Kentucky, Lighthouse Health Plan and Miami Children’s Health Plan in Florida), we saw modest increases in membership during the three months ended June 30, 2020 however reduced medical utilization resulted in reduced claims expenses in the same period. While we cannot estimate the magnitude of reduced medical utilization and its impact on our business, we expect this trend to continue until the COVID-19 pandemic moderates.

Overall, we are unable to determine or predict the nature, duration, or scope of the overall impact the COVID-19 pandemic will have on our business, results of operations, liquidity, or capital resources. We are actively monitoring the ongoing situation and may take further actions that change our operations if required by law or that we determine are in the best interests of our employees or partners.

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.

Passport

On December 30, 2019, Passport, PHS I, the Company and Passport Buyer, closed a transaction whereby Passport Buyer acquired substantially all of the assets and assumed substantially all of the liabilities of Passport and PHS I for $70.0 million in cash and issued a 30% equity interest in the Passport Buyer to the Sponsors. As of December 30, 2019, Justify Holdings, Inc. became Passport Health Plan, Inc.

The Company accounts for its investment in Passport under the equity method of accounting because while it has significant influence over Passport, it shares control over the activities of Passport that most significantly impact Passport’s economic performance. These activities include approval of material provider network additions or deletions and material agreements. Decisions on material providers are assessed frequently by Passport as a key measure in assessing the plan’s current financial Performance as medical costs account for a majority of total plan costs. Accordingly, the approval of the material provider network additions or deletions is deemed
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an activity that significantly impacts Passport’s operating and financial performance. As a result of Passport’s unsuccessful bid for the Kentucky Medicaid contract that was expected to commence on January 1, 2021, our accounting for our investment in Passport may change in the future. If we determine that we are required to consolidate Passport’s results in future periods, it will have a material impact on our consolidated balance sheets and statements of operations and other comprehensive income (loss). Refer to “Part I - Item 1. Financial Statements - Note 4” for additional discussion regarding the investment in Passport.

GlobalHealth

As of March 31, 2020, the Oklahoma Insurance Division (“OID”) informed GlobalHealth, Inc. that in response to the COVID-19 pandemic, the OID required GlobalHealth, Inc. to increase its regulatory capital surplus by May 15, 2020. It would otherwise be placed into receivership if additional financing could not be secured. Certain investors agreed to provide liquidity as necessary to increase statutory capital reserves to no lower than 300%. In connection with the investment, GlobalHealth, Inc. transferred 100% of the equity interests in GlobalHealth, Inc. to the new investors for no consideration. Closing of this transaction occurred on May 13, 2020. As a result of this transaction, we recorded a non-cash impairment charge of approximately $47.1 million, representing the total value of our investment, in impairment of equity method investments on the consolidated statements of operations for the three months ended March 31, 2020.

Credit Agreement and Warrants

On December 30, 2019, the Company entered into the Credit Agreement, pursuant to which the lenders agreed to extend credit to the Borrower in the form of the Senior Credit Facilities, subject to the satisfaction of specified conditions. The Borrower borrowed the loan under the Initial Term Loan Facility on December 30, 2019 (the “Initial Term Loan”). The proceeds of the Initial Term Loan were used to finance the Passport transaction, fees and expenses incurred in connection therewith. The proceeds of the DDTL Facility may be used, subject to our satisfaction of specified conditions, to finance the repayment or repurchase of the 2021 Notes and to fund permitted acquisitions.

In conjunction with the Company’s entry into the Credit Agreement, the Company entered into warrant agreements whereby it agreed to sell to the holders of the warrants an aggregate of 1,513,786 shares of Class A common stock at a per share purchase price equal to $8.05. Refer to “Part I - Item 1. Financial Statements - Note 9” for additional discussion relating to the Senior Credit Facilities and warrant agreements.

2019 Class B Exchanges

During 2019, all remaining holders of Class B units executed Class B Exchanges. These Class B Exchanges resulted in the issuance of 3.1 million shares of the Company’s Class A common stock. As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the related Class B units, the Company’s economic interest in Evolent Health LLC increased to 100% immediately following the final Class B Exchange during the quarter, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.

Critical Accounting Policies and Estimates

The MD&A included in our 2019 Form 10-K contains a detailed discussion of our critical accounting policies and estimates. There have been no material changes to our critical accounting policies and estimates since our 2019 Form 10-K, except as discussed below. See “Item 1. Financial Statements - Note 2” in this Form 10-Q for a summary of our significant accounting policies and see “Item 1. Financial Statements - Note 3” in this Form 10-Q for information regarding the Company’s adoption of new accounting standards.

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 2019 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, which is consistent with the way management evaluates our business. The Company has four reporting units and our annual goodwill impairment review occurs during the fourth quarter of each year. We perform impairment tests between annual tests if an
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event occurs, or circumstances change, that 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 “Part I - Item 1. Financial Statements - Note 8” in this Form 10-Q for additional discussion regarding the goodwill impairment tests conducted during the six months ended June 30, 2020 and the year ended December 31, 2019.

Adoption of New Accounting Standards

In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments and subsequently issued additional guidance that modified ASU 2016-13. The standard requires an entity to change its accounting approach for measuring and recognizing credit losses on certain financial assets measured at amortized cost, including trade receivables, certain non-trade receivables, customer advances and certain off-balance sheet credit exposures, by replacing the existing “incurred loss” framework with an expected credit loss recognition model.  The new standard results in earlier recognition of credit losses based on past events, current conditions, and reasonable and supportable forecasts.  The standard is effective for entities with fiscal years beginning after December 15, 2019, including interim periods within such fiscal years. We adopted the requirements of this standard effective January 1, 2020 using the modified retrospective approach and recorded a cumulative effect adjustment of $3.0 million to January 1, 2020 retained earnings (accumulated deficit).  In our previous accounting policy for trade receivables and non-trade receivables, we maintained an allowance for doubtful accounts based on specific identification. Under the new accounting standard, we utilize several factors to develop historical losses, including aging schedules, customer creditworthiness, and historical payment experience, which are then adjusted for current conditions and reasonable and supportable forecasts in measurement of the allowance.  In addition, for customer advances and certain off-balance sheet credit exposures, we evaluate the allowance through a discounted cash flow approach.  Refer to Note 6 for additional disclosures related to current expected credit losses.

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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.

Key Components of our Results of Operations

Revenue

Our services segment derives revenue from three sources: (1) transformation services, (2) platform and operations services and (3) premiums earned.

Transformation Services Revenue

Transformation services consist of implementation services whereby we assist the customer in launching its population health or health plan strategy. In certain cases, transformation services can also include revenue associated with our support of certain one-time wind-down activities for clients who are exiting a line of business or population. The transformation services are usually completed within 12 months. We generally receive a fixed fee for transformation services and recognize revenue over time using an input method based on hours incurred compared to the total estimated hours required to satisfy our performance obligation.
Platform and Operations Services Revenue
Platform and Operations services are typically multi-year arrangements with customers to provide various clinical and administrative solutions.  Our clinical solutions are designed to lower the medical expenses of our partners and include our total cost of care, population health and specialty care management services; our administrative solutions are designed to provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers receiving primarily TPA services.  Contracts to provide these services may be developed on an integrated basis.  For purposes of revenue disaggregation, we classify contracts including both clinical and administrative solutions into the category corresponding to the majority of services provided under those contracts.

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 from platform and operations 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 transformation services and platform and operations 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.

Premiums Earned

Our True Health segment derives revenue from premiums that are earned over the terms of the related insurance policies. The portion of premiums that will be earned in the future or are received prior to the effectiveness of the policy are deferred and reported as premiums received in advance. True Health also derived revenue from reinsurance premiums assumed from NMHC under the terms of the reinsurance agreements, prior to their termination in the fourth quarter of 2019.

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During the third quarter of 2019, the Company terminated the reinsurance agreement with NMHC effective in the fourth quarter of 2019, approximately one and a half months prior to its scheduled end.

In the ordinary course of business, our reportable segments enter into transactions with one another. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues and expenses recognized by the segment that is the counterparty to the transaction are eliminated in consolidation and do not affect consolidated results.

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 clients. Costs consist primarily of 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 healthcare expenditures through performance-based arrangements.

Claims Expenses

Our claims expenses consist of the direct medical expenses incurred by our True Health segment, including expenses incurred related to the reinsurance agreement. Claims expenses are recognized in the period in which services are provided and include amounts that have been paid by us through the reporting date, as well as estimated medical claims and benefits payable for costs that have been incurred but not paid by us as of the reporting date. Claims expenses include, among other items, fee-for-service claims, pharmacy benefits, various other related medical costs and expenses related to our reinsurance agreement. We use judgment to determine the appropriate assumptions for determining the required estimates.

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


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Evolent Health, Inc. Consolidated Results
For the Three Months Ended June 30, 2020Change Over Prior PeriodFor the Six Months Ended June 30,Change Over Prior Period
(in thousands, except percentages)20202019$%20202019$%
Revenue
Services:
Transformation services$755  $1,944  $(1,189) (61.2)%$5,993  $5,297  $696  13.1%
Platform and operations services212,375  144,522  67,853  46.9%422,275  291,814  130,461  44.7%
Total Services213,130  146,466  66,664  45.5%428,268  297,111  131,157  44.1%
True Health:
Premiums25,502  45,493  (19,991) (43.9)%57,649  92,604  (34,955) (37.7)%
Total revenue238,632  191,959  46,673  24.3%485,917  389,715  96,202  24.7%
Expenses
Cost of revenue (exclusive of depreciation and amortization expenses presented separately below)165,812  108,383  57,429  53.0%341,465  225,824  115,641  51.2%
Claims expenses18,144  36,085  (17,941) (49.7)%41,811  73,842  (32,031) (43.4)%
Selling, general and administrative expenses50,511  66,932  (16,421) (24.5)%105,209  141,770  (36,561) (25.8)%
Depreciation and amortization expenses15,778  15,292  486  3.2%31,916  29,558  2,358  8.0%
Loss (gain) on disposal of assets—  (9,600) 9,600  100.0%6,447  (9,600) 16,047  167.2%
Goodwill impairment215,100  —  215,100  100.0%215,100  —  215,100  100.0%
Change in fair value of contingent consideration and indemnification asset756  100  656  656.0%(3,062) 200  (3,262) (1,631.0)%
Total operating expenses466,101  217,192  248,909  114.6%738,886  461,594  277,292  60.1%
Operating loss$(227,469) $(25,233) $(202,236) (801.5)%$(252,969) $(71,879) $(181,090) (251.9)%
Transformation services revenue as a % of total revenue0.3 %1.0 %1.2 %1.4 %
Platform and operations services revenue as a % of total revenue89.0 %75.3 %86.9 %74.9 %
Premiums as a % of total revenue10.7 %23.7 %11.9 %23.8 %
Cost of revenue as a % of services revenue77.8 %74.0 %79.7 %76.0 %
Claims expenses as a % of premiums71.1 %79.3 %72.5 %79.7 %
Selling, general and administrative expenses as a % of total revenue21.2 %34.9 %21.7 %36.4 %

Comparison of the Results for the three months ended June 30, 2020 to 2019

Revenue

Total revenue increased by $46.7 million, or 24.3%, to $238.6 million for the three months ended June 30, 2020 as compared to the same period in 2019.

Transformation services revenue decreased by $(1.2) million, or (61.2)%, to $0.8 million for the three months ended June 30, 2020 as compared to the same period in 2019 due primarily to the timing of implementation activities. Transformation services revenue accounted for 0.3% and 1.0% of our total revenue for the three months ended June 30, 2020 and 2019, respectively.

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Platform and operations services revenue accounted for 89.0% and 75.3% of our total revenue for the three months ended June 30, 2020 and 2019, respectively. Platform and operations services revenue increased by $67.9 million, or 46.9%, to $212.4 million for the three months ended June 30, 2020, as compared to 2019, primarily as a result of additional revenue from existing partners, new partner additions, cross-sell and an increase in our average PMPM fee.

Lives on platform are calculated by summing members on our value-based care and comprehensive health plan administrative platform, as well as members covered for oncology specialty care services and members covered for cardiology specialty care services. Members covered for more than one category are counted in each category. Management uses lives on platform as a supplemental performance measure because we believe that it provides insight into the unit economics of our services. We believe that this measure is also useful to investors because it allows further insight into the period over period operational performance. We ended the quarter with 34 operating partners as of June 30, 2020, as compared to 35 as of June 30, 2019.

Premiums accounted for $25.5 million and $45.5 million, or 10.7% and 23.7% of our total revenue for the three months ended June 30, 2020 and 2019, respectively. Premiums decreased by $(20.0) million, or (43.9)%, to $25.5 million, for three months ended June 30, 2020, as compared to 2019. The decrease is primarily attributable to the termination of the quota-share reinsurance agreement with NMHC signed in the fourth quarter of 2018 and premium rebate accruals driven by minimum medical loss ratio regulations in the state of New Mexico as a result of the impact of COVID-19. Under this reinsurance agreement, NMHC ceded 90% of its gross premiums to the Company and the Company indemnified NMHC for 90% of its claims liability. The agreement qualified for reinsurance accounting due to the deemed risk transfer, and therefore we recorded the gross premiums assumed on our consolidated statements of operations and comprehensive income (loss). Effective in the fourth quarter of 2019, the Company terminated the reinsurance agreement with NMHC and we expect future True Health revenues to be diminished as a result. Refer to “Part I - Item 1. Financial Statements - Note 10” in this Form 10-Q for further discussion of the reinsurance agreement.

Cost of Revenue

Cost of revenue increased by $57.4 million, or 53.0%, to $165.8 million for three months ended June 30, 2020, as compared to 2019. Cost of revenue increased by approximately $52.3 million period over period as a result of growth of our revenue generating services and additional payments related to performance-based arrangements, an increase of $2.2 million increase in professional fees due to the nature and timing of our projects and an increase of $2.9 million in our technology services, TPA fees, personnel costs and other costs period over period. Approximately $0.5 million and $0.9 million of total personnel costs was attributable to stock-based compensation expense for the three months ended June 30, 2020 and 2019, respectively. Cost of revenue represented 77.8% and 74.0% of total services revenue for the three months ended June 30, 2020 and 2019, respectively. Our cost of revenue increased as a percentage of our total services revenue due to a change in the mix of our service offerings during 2019; however, we expect our cost of revenue to decrease as a percentage of total services revenue over the longer-term subject to the composition of our growth.

Claims Expenses

Claims expenses attributable to our True Health segment were $18.1 million for three months ended June 30, 2020, as compared to $36.1 million for the prior period. The decrease is primarily attributable to the quota-share reinsurance agreement with NMHC signed in the fourth quarter of 2018 that terminated in the fourth quarter of 2019 and savings from cancellation of non-essential services such as elective and non-emergency medical services as a result of COVID-19. Claims expenses represented 71.1% and 79.3% of premiums for the three months ended June 30, 2020, as compared to 2019 respectively. We expect future claims expenses to decrease as a percentage of premiums revenue due to the termination of the reinsurance agreement. Refer to “Part I - Item 1. Financial Statements - Note 10” in this Form 10-Q for further discussion of the reinsurance agreement.

Selling, General and Administrative Expenses

Selling, general, and administrative expenses decreased by $16.4 million, or 24.5%, to $50.5 million for the three months ended June 30, 2020, as compared to the three months ended June 30, 2019. During the three months ended June 30, 2020, personnel costs decreased by $12.3 million period over period due to a reduction in employee headcount. Approximately $3.2 million and $3.9 million of total personnel costs were attributable to stock-based compensation expense for the three months ended June 30, 2020, and 2019, respectively. The decrease in our stock-based compensation expense included in total personnel costs was driven primarily by the elimination of performance-based RSU awards. Conversely, technology costs increased by $0.9 million period over period as a result of the growing customer base and service offerings. Legal fees increased by $1.0 million and other costs decreased by $2.3 million for three months ended June 30, 2020, as compared to 2019, respectively, due to the nature and timing of our projects. Transaction, transition and severance costs accounted for approximately $30.0 thousand and $6.0 million of total selling, general and administrative expenses for the three months ended June 30, 2020, and 2019, respectively. Selling, general and administrative expenses represented 21.2% and 34.9% of total revenue for the three months ended June 30, 2020, and 2019, respectively. While our selling, general and administrative expenses are expected to grow as our business grows, we expect them to continue to decrease as a percentage of our total revenue over the long term.

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Depreciation and Amortization Expenses

Depreciation and amortization expenses increased $0.5 million, or 3.2%, to $15.8 million for three months ended June 30, 2020, as compared to the three months ended June 30, 2019. The increase was due primarily to additional depreciation and amortization expenses related to assets acquired through business combinations and asset acquisitions during 2019 and the increase in amortization expense for internal-use software. 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 (including possible future transactions).

Goodwill Impairment

During the three months ended June 30, 2020, we recorded a non-cash impairment charge of $215.1 million on our consolidated statements of operations as we determined that the implied fair value of goodwill of one of the three reporting units in the Services segment was less than the carrying amount. See “Part I - Item 1. Financial Statements - Note 8” for further details of the impairment charge to goodwill.

Loss on Disposal of Assets

During 2019, the Company, through a consolidated subsidiary, entered into an agreement with an unrelated party to provide services and support to providers, independent physician associations, and other provider groups. During the first quarter of 2020, the Company sold its interest in the subsidiary and recorded a loss on disposal of assets of $6.4 million. The Company did not have any continuing involvement with the subsidiary after the consummation of this transaction.

Change in Fair Value of Contingent Consideration and Indemnification Asset

We recorded a (gain) loss on change in fair value of contingent consideration and indemnification asset of $0.8 million and $0.1 million the three months ended June 30, 2020 and 2019, respectively. This variance is the result of changes in the fair values of contingent liabilities acquired as a result of business combinations and asset acquisitions during 2016, 2018 and 2019. See “Part I - Item 1. Financial Statements - Note 17” in this Form 10-Q for further details regarding the fair value of our mark-to-market liabilities.

Comparison of the Results for the Six Months Ended June 30, 2020 to 2019

Revenue

Total revenue increased by $96.2 million, or 24.7%, to $485.9 million for the six months ended June 30, 2020, as compared to the same period in 2019.

Transformation services revenue increased by $0.7 million, or 13.1%, to $6.0 million for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019, due primarily to the timing of implementation activities. Transformation services revenue accounted for 1.2% and 1.4% of our total revenue for the six months ended June 30, 2020 and 2019, respectively.

Platform and operations services revenue accounted for 86.9% and 74.9% of our total revenue for the six months ended June 30, 2020 and 2019, respectively. Platform and operations services revenue increased by $130.5 million, or 44.7%, to $422.3 million for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019, primarily as a result of additional revenue from existing partners, new partner additions, cross-sell and an increase in our average PMPM fee.

Lives on platform are calculated by summing members on our value-based care and comprehensive health plan administrative platform, as well as members covered for oncology specialty care services and members covered for cardiology specialty care services. Members covered for more than one category are counted in each category. Management uses lives on platform as a supplemental performance measure because we believe that it provides insight into the unit economics of our services. We believe that this measure is also useful to investors because it allows further insight into the period over period operational performance. We ended the quarter with 34 operating partners as of June 30, 2020, as compared to 35 as of June 30, 2019.

Premiums accounted for $57.6 million and $92.6 million, or 11.9% and 23.8% of our total revenue for the six months ended June 30, 2020 and 2019, respectively. Premiums decreased by $35.0 million, or 37.7%, to $57.6 million, for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019. The decrease is primarily attributable to the termination of the quota-share reinsurance agreement with NMHC signed in the fourth quarter of 2018. Under this reinsurance agreement, NMHC ceded 90% of its gross premiums to the Company and the Company indemnified NMHC for 90% of its claims liability. The agreement qualified for reinsurance accounting due to the deemed risk transfer, and therefore we recorded the gross premiums assumed on our consolidated
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statements of operations and comprehensive income (loss). Effective in the fourth quarter of 2019, the Company terminated the reinsurance agreement with NMHC and we expect future True Health revenues to be diminished as a result. Refer to “Part I - Item 1. Financial Statements - Note 10” in this Form 10-Q for further discussion of the reinsurance agreement.

Cost of Revenue

Cost of revenue increased by $115.6 million, or 51.2%, to $341.5 million for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019. Cost of revenue increased by approximately $111.9 million period over period as a result of growth of our revenue generating services and additional payments related to performance-based arrangements, an increase in our professional fees of $1.4 million due to the nature and timing of our projects and an increase of $2.4 million in our technology services, TPA fees, personnel costs and other costs period over period. Approximately $0.9 million and $1.7 million of total personnel costs was attributable to stock-based compensation expense for the six months ended June 30, 2020 and 2019, respectively. Cost of revenue represented 79.7% and 76.0% of total services revenue for the six months ended June 30, 2020 and 2019, respectively. Our cost of revenue increased as a percentage of our total services revenue due to a change in the mix of our service offerings during 2019; however, we expect our cost of revenue to decrease as a percentage of total services revenue over the longer-term subject to the composition of our growth.

Claims Expenses

Claims expenses attributable to our True Health segment were $41.8 million for the six months ended June 30, 2020, as compared to $73.8 million for the prior period. The decrease is primarily attributable to the quota-share reinsurance agreement with NMHC signed in the fourth quarter of 2018 that terminated in the fourth quarter of 2019 and savings from cancellation of non-essential services such as elective and non-emergency medical services as a result of COVID-19. Claims expenses represented 72.5% and 79.7% of premiums for the six months ended June 30, 2020, as compared to 2019, respectively. We expect future claims expenses to decrease as a percentage of premiums revenue due to the termination of the reinsurance agreement. Refer to “Part I - Item 1. Financial Statements - Note 10” in this Form 10-Q for further discussion of the reinsurance agreement.

Selling, General and Administrative Expenses

Selling, general, and administrative expenses decreased by $36.6 million, or 25.8%, to $105.2 million for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019. During the six months ended June 30, 2020, personnel costs decreased by $31.2 million period over period due to a reduction in employee headcount. Approximately $6.3 million and $7.6 million of total personnel costs were attributable to stock-based compensation expense for the six months ended June 30, 2020 and 2019, respectively. The decrease in our stock-based compensation expense included in total personnel costs was driven primarily by the elimination of performance-based RSU awards. Conversely, technology costs increased by $2.6 million period over period as a result of the growing customer base and service offerings. Legal fees increased by $2.4 million and other costs decreased by $1.7 million for the six months ended June 30, 2020, as compared to 2019, respectively, due to the nature and timing of our projects. Transaction, transition and severance costs accounted for approximately $6.1 million and $17.6 million of total selling, general and administrative expenses for the six months ended June 30, 2020 and 2019, respectively. Selling, general and administrative expenses represented 21.7% and 36.4% of total revenue for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019, respectively. While our selling, general and administrative expenses are expected to grow as our business grows, we expect them to continue to decrease as a percentage of our total revenue over the long term.

Depreciation and Amortization Expenses

Depreciation and amortization expenses increased $2.4 million, or 8.0%, to $31.9 million for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019. The increase was due primarily to additional depreciation and amortization expenses related to assets acquired through business combinations and asset acquisitions during 2019 and the increase in amortization expense for internal-use software. 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 (including possible future transactions).

Goodwill Impairment

During the six months ended June 30, 2020, we recorded a non-cash impairment charge of $215.1 million on our consolidated statements of operations as we determined that the implied fair value of goodwill of one of the three reporting units in the Services segment was less than the carrying amount. See “Part I - Item 1. Financial Statements - Note 8” for further details of the impairment charge to goodwill.

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Loss on Disposal of Assets

During 2019, the Company, through a consolidated subsidiary, entered into an agreement with an unrelated party to provide services and support to providers, independent physician associations, and other provider groups.  During the first quarter of 2020, the Company sold its interest in the subsidiary and recorded a loss on disposal of assets of $6.4 million. The Company did not have any continuing involvement with the subsidiary after the consummation of this transaction.

Change in Fair Value of Contingent Consideration and Indemnification Asset

We recorded a (gain) loss on change in fair value of contingent consideration and indemnification asset of $(3.1) million and $0.2 million for the six months ended June 30, 2020, as compared to the six months ended June 30, 2019, respectively. This variance is the result of changes in the fair values of contingent liabilities acquired as a result of business combinations and asset acquisitions during 2016, 2018 and 2019. See “Part I - Item 1. Financial Statements - Note 17” in this Form 10-Q for further details regarding the fair value of our mark-to-market liabilities.

Discussion of Non-Operating Results

Interest Income

Interest income consists of interest from investing cash in money market funds, interest from both our short-term and long-term investments, interest earned on the capital-only reinsurance agreement with NMHC and interest from the implementation loan and Passport Note. We recorded interest income of $0.8 million and $1.8 million for the three and six months ended June 30, 2020, respectively, and $0.8 million and $1.9 million for the three and six months ended June 30, 2019, respectively. Interest income decreased during 2020 as a result of lower interest income generated from the capital-only reinsurance agreement with NMHC which was terminated in the fourth quarter of 2019.

Interest Expense

Our interest expense is primarily attributable to our 2021 Notes, 2025 Notes and Credit Agreement with Ares Capital Corporation.  The Company issued its 2021 Notes in December 2016. Holders of the 2021 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year at a rate equal to 2.00% per annum. In addition, we incurred $4.6 million of debt issuance costs in connection with the 2021 Notes, which we are amortizing to non-cash interest expense using the straight-line method over the contractual term of the 2021 Notes. The Company issued its 2025 Notes in October 2018. 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 at a rate equal to 1.50% per annum. The 2025 Notes contain a cash conversion option, which resulted in a debt discount of $71.8 million, allocated to equity. The amount allocated to equity, along with $3.4 million of issuance costs, will be amortized to non-cash interest expense using the effective interest method over the contractual term of the 2025 Notes. The Company entered into the Credit Agreement in December 2019 with Ares Credit Corporation in connection with its acquisition of Passport. Ares Capital Corporation is entitled to cash interest payments, which are payable quarterly in arrears on the last day of each March, June, September and December. The interest rate for each loan under the Senior Credit Facilities is calculated, at the option of the Borrower, at either the eurodollar rate plus 8.00%, or the base rate plus 7.00%. A commitment fee of 1.00% per annum is payable by the Borrower quarterly in arrears on the unused portion of the DDTL Facility.

We recorded interest expense (including amortization of deferred financing costs) of approximately $6.3 million and $12.6 million for the three and six months ended June 30, 2020, respectively, and $3.7 million and $7.1 million for the three and six months ended June 30, 2019. See “Part I - Item 1. Financial Statements - Note 9” in this Form 10-Q for further details.

Impairment of Equity Method Investments

As of March 31, 2020, the Oklahoma Insurance Division (“OID”) informed GlobalHealth, Inc. that in response to the COVID-19 pandemic, the OID required GlobalHealth, Inc. to increase its regulatory capital surplus by May 15, 2020. It would otherwise be placed into receivership if additional financing could not be secured. Certain investors agreed to provide liquidity as necessary to increase statutory capital reserves to no lower than 300%. In connection with the investment, GlobalHealth, Inc. transferred 100% of the equity interests in GlobalHealth, Inc. to the new investors for no consideration. Closing of this transaction occurred on May 13, 2020. As a result of this transaction, we recorded a non-cash impairment charge of approximately $47.1 million, representing the total value of our investment, in impairment of equity method investments on the consolidated statements of operations for the three months ended March 31, 2020.
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Gain (Loss) from Equity Method Investees

The Company has acquired economic interests in several entities that are accounted for under the equity method of accounting. The Company is allocated its proportional share of the investees’ earnings and losses each reporting period. The Company’s proportional share of the gains (losses) from these investments was approximately $25.1 million and $24.7 million for the three and six months ended June 30, 2020, respectively, and $(1.9) million and $(2.3) million for the three and six months ended June 30, 2019, respectively.

Provision (Benefit) for Income Taxes

The Company recorded $3.9 million and $3.6 million in income tax benefit for the three and six months ended June 30, 2020, respectively, which resulted in effective tax rates of 1.9% and 1.3%, respectively. The Company recorded $1.4 million and $0.9 million in income tax expense for the three and six months ended June 30, 2019, respectively, which resulted in effective tax rates of (4.6)% and (1.1)%, respectively. The difference between our effective tax rate and our statutory rate is primarily due to the change in valuation allowance for current year losses. The Company continues to maintain a full valuation allowance recorded against its net deferred tax assets, except for certain indefinite lived components.

Net Income (Loss) Attributable to Non-controlling Interests

For the three and six months ended June 30, 2019, our results reflected net losses of $0.3 million and $2.2 million attributable to non-controlling interests, which represented 1.1% and 3.1% of the operating losses of Evolent Health LLC. See “Part I - Item 1. Financial Statements - Note 16” in this Form 10-Q for additional discussion of our non-controlling interests.

REVIEW OF CONSOLIDATED FINANCIAL CONDITION

Liquidity and Capital Resources

Since its inception, the Company has incurred operating losses and net cash outflows from operations. The Company incurred operating losses of $253.0 million and $71.9 million for the six months ended June 30, 2020 and 2019, respectively. Net cash and restricted cash from (used in) operating activities was $17.1 million and $(39.2) million for the six months ended June 30, 2020 and 2019, respectively.

As of June 30, 2020, the Company had $98.3 million of cash and cash equivalents and $55.7 million in restricted cash and restricted investments.

We believe our current cash and cash equivalents and other sources of liquidity will be sufficient to meet our working capital and capital expenditure requirements for the next twelve months as of the date these financial statements were available to be issued. 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.

Cash Flows

The following summary of cash flows (in thousands) has been derived from our financial statements included in “Part II - Item 8. Financial Statements and Supplementary Data:”
For the Six Months Ended June 30,
  20202019
Net cash and restricted cash from (used in) operating activities$17,125  $(39,242) 
Net cash and restricted cash used in investing activities(18,382) (90,816) 
Net cash and restricted cash from (used in) financing activities25,910  (121,071) 

Operating Activities

Cash flows from operating activities of $17.1 million in the six months ended June 30, 2020 were due primarily to our net loss of $282.3 million, partially offset by non-cash items, including an impairment of goodwill of $215.1 million, an impairment of an equity method investment of $47.1 million, depreciation and amortization expenses of $31.9 million, stock-based compensation expense of $7.2 million and a loss on the disposal of assets of $6.4 million. Our operating cash inflows were affected by the timing of our
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customer and vendor payments. In addition to these non-cash items, increases in accounts payable, accrued liabilities and claims reserves contributed approximately $49.0 million to our cash inflows. Those cash inflows were partially offset by an increase in accounts receivable and contract assets and contract costs assets and a decrease in accrued compensation and employee benefits contributed of approximately $39.6 million.

Cash flows used in operating activities of $39.2 million for the six months ended June 30, 2019, were due primarily to our net loss of $80.5 million, partially offset by non-cash items, including depreciation and amortization expenses of $29.6 million, stock-based compensation expense of $9.3 million and amortization of deferred financing costs and contract costs assets of $7.4 million, as well as non-cash gain on disposal of assets of $9.6 million. Our operating cash outflows were affected by the timing of our customer and vendor payments. Increases in prepaid expenses, contract cost assets and right-of-use operating assets, combined with a decrease in accrued liabilities and other long-term liabilities, contributed approximately $51.3 million to our cash outflows. Those cash outflows were offset by increases in accounts payable, accrued compensation and employee benefits, reserves for claims and performance-based arrangements, deferred revenue and operating lease liabilities, combined with a decrease in accounts receivable and contract assets, of approximately $52.1 million.

Investing Activities

Cash flows used in investing activities of $18.4 million in the six months ended June 30, 2020 were primarily attributable to investments in internal-use software and purchases of property and equipment of $17.5 million, disposal of non-strategic assets of $2.3 million and purchases of investments of $1.4 million, offset in part by maturities of investments of $3.1 million.

Cash flows used in investing activities of $90.8 million for the six months ended June 30, 2019, were primarily attributable to purchases of property and equipment of $17.7 million, cash paid for asset acquisitions, business combinations and equity method investments of $22.9 million, amounts advanced to satisfy regulatory capital requirements of $45.4 million and purchases of investments of $7.1 million, partially offset by a customer’s repayment of advance to satisfy regulatory capital requirements of $2.8 million.

Financing Activities

Cash flows from financing activities of $25.9 million in the six months ended June 30, 2020 were primarily related to a $26.7 million increase in working capital balances held on behalf of our partners for claims processing services. These are pass-through amounts and can fluctuate materially from period to period depending on the timing of when the claims are processed. These cash inflows from claims processing services were, offset, in part by $1.3 million of taxes withheld and paid for vests of restricted stock units.

Cash flows used in financing activities of approximately $121.1 million for the six months ended June 30, 2019, were primarily related to a decrease of $119.5 million in the amount of restricted cash held on behalf of our partners for claims processing services. There was an additional cash outflow of approximately $2.4 million related to taxes withheld and paid for vests of restricted stock units, partially offset by approximately $0.9 million as a result of proceeds from stock options exercises.

Contractual Obligations

Our estimated contractual obligations (in thousands) as of June 30, 2020, were as follows:
20202021-20222023-20242025+Total
Operating leases for facilities$6,003  $21,418  $18,202  $56,093  $101,716  
Passport buyout commitment—  20,000  —  —  20,000  
Purchase obligations related to vendor contracts3,415  6,982  93  —  10,490  
Commitments to equity-method investees3,600  —  —  —  3,600  
Debt interest payments6,433  23,837  21,337  2,588  54,195  
Debt principal repayment—  125,000  75,000  172,500  372,500  
Contingent consideration3,600  —  —  —  3,600  
Total contractual obligations$23,051  $197,237  $114,632  $231,181  $566,101  

During the six months ended June 30, 2020, there were no material changes outside the ordinary course of business to our contractual obligations from the information provided in Item 7 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2019.

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Restricted Cash and Restricted Investments

Restricted cash and restricted investments of $55.7 million is carried at cost and includes cash held on behalf of other entities for pharmacy and claims management services of $44.9 million, collateral for letters of credit required as security deposits for facility leases of $3.6 million, amounts held with financial institutions for risk-sharing arrangements of $5.7 million and other restricted balances as of June 30, 2020. See “Part I - Item 1. Financial Statements - Note 2” for further details of the Company’s restricted cash balances.

Uses of Capital

Our principal uses of cash are in the operation and expansion of our business and the pursuit of strategic acquisitions. The Company does not anticipate paying a cash dividend on our Class A common stock in the foreseeable future.

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OTHER MATTERS

Off-balance Sheet Arrangements

Through June 30, 2020, the Company had not entered into any off-balance sheet arrangements, other than the operating leases and notes receivable noted above, and did not have any holdings in variable interest entities, other than the unconsolidated variable interest entities discussed in “Part I - Item 1. Financial Statements - Note 15” within this Form 10-Q.

Related Party Transactions

In the ordinary course of business, we enter into transactions with related parties. Information regarding transactions and amounts with related parties is discussed in “Part I - Item 1. Financial Statements - Note 18” within this Form 10-Q.

Other Factors Affecting Our Business

In general, our business is subject to a changing social, economic, legal, legislative and regulatory environment. Although the eventual effect on us of the changing environment in which we operate remains uncertain, these factors and others could have a material effect on our results of operations, liquidity and capital resources. Factors that could cause actual results to differ materially from those set forth in this section are described in “Part I - Item 1A. Risk Factors” and “Forward-Looking Statements – Cautionary Language.”

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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 June 30, 2020, the Company had cash and cash equivalents and restricted cash and restricted investments of $153.9 million, which consisted of bank deposits with FDIC participating banks of $146.8 million, bank deposits in international banks of $0.5 million, cash equivalents deposited in a money-market fund of $5.8 million, and $0.7 million of restricted investments that are classified as held-to-maturity investments. In addition, we have investments of $16.2 million, which are classified as held-to-maturity investments.

Changes in interest rates affect the interest earned on our cash and cash equivalents (including restricted cash). Our investments (including restricted investments) are classified as held-to-maturity and therefore are not subject to interest rate risk. 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 June 30, 2020, we had $297.5 million of aggregate principal amount of convertible notes outstanding, which are fixed rate instruments and not subject to fluctuations in interest rates. Conversely, as of June 30, 2020, we had $75.0 million of aggregate principal amount in a secured term loan, which are floating rate instruments and subject to fluctuations in interest rates. 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

Beginning in 2018, we have foreign currency risks related to our revenue and operating expenses denominated in currencies other than the U.S. dollar, primarily the Indian Rupee. 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 foreign currency translation losses of $4 thousand and $0.2 million for the three and six months ended June 30, 2020.

Inflation Risk

We do not believe that inflation has had a material effect on our business, financial condition or results of operations. If our costs were to become subject to significant inflationary pressures, we may not be able to fully offset such higher costs through price increases. Our inability or failure to do so could harm our business, financial condition and results of operations.


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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. Based on such evaluation, and in light of the material weaknesses in the design and operation of our internal control over financial reporting as disclosed in our 2019 Form 10-K, our principal executive officer and principal financial officer have concluded that, as of June 30, 2020, our disclosure controls and procedures were not effective. The Company is implementing remediation efforts to address the material weaknesses as described further in “Plan of Remediation to Address Material Weaknesses in Internal Control over Financial Reporting” below.

We have not experienced any material impact to our internal controls over financial reporting despite the fact that most of our employees are working remotely due to the COVID-19 pandemic. We are continually monitoring and assessing the COVID-19 situation on our internal controls to minimize the impact on their design and operating effectiveness.

Description of Material Weaknesses

A material weakness is a deficiency, or a combination of deficiencies, in internal control over financial reporting such that there is a reasonable possibility that a material misstatement of our annual or interim financial statements will not be prevented or detected on a timely basis.

Management previously identified material weaknesses in its internal controls over financial reporting related to the areas below.

Information and Communication - We did not maintain adequate user access role definitions within certain instances of one of our claims processing systems inherited in an acquisition that supported claims for True Health that are included in claims expense and certain claims for specialty care businesses that are included in our cost of revenue (the “System”) because of inadequate segregation of duties. This was a deficiency in the design of the control.

Control Activities - We did not maintain adequate controls over the set-up and modifications of claims data in the System. We lacked evidence of the operation of controls over claims data received from certain third-party service providers. These were deficiencies in the design and operation of the controls.

None of the control deficiencies resulted in any adjustments to our 2019 annual or interim 2020 consolidated financial statements. However, these deficiencies could result in a material misstatement to our claims expense and cost of revenue account balances that may not be prevented or detected. Accordingly, management has determined that these control deficiencies constitute material weaknesses.

Plan of Remediation to Address Material Weaknesses in Internal Controls over Financial Reporting

During the three months ended June 30, 2020, management designed and implemented system enhancements, role-based access, and updated polices and control procedures related to user access role definitions and segregation of duties within one of our claims processing systems. We are currently testing the operating effectiveness of these newly designed controls.

Management is also actively engaged in developing and implementing remediation efforts to address the material weaknesses in the Control Activities described above. These remediation efforts are ongoing and include or are expected to include the following:

System enhancements, implementation of role-based access, and updated polices and control procedures related to user access role definitions and segregation of duties within certain instances of one of our claims processing systems;
Expanding controls and/or applying other appropriate procedures to address the design and operation of internal controls relating to the set-up and modification of claims data in the System; and
Enhancing procedures for the identification of control activities and monitoring of control performance to ensure that the components of internal control relating to claims data received from certain third-party service providers are present and functioning.

As we continue to evaluate and work to improve our internal control over financial reporting, we may decide to take additional measures to address control deficiencies or modify the remediation plans described above. The material weaknesses cannot be considered remediated until the remediated controls operate effectively for a sufficient period of time and management has concluded, through testing, that these controls are operating effectively.

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Changes in Internal Control over Financial Reporting

We have designed and implemented controls surrounding user access role definitions and segregation of duties within one of our claims processing systems, and are actively developing and implementing certain control activities to remediate the material weaknesses relating to our internal control over financial reporting, as described above. Except as otherwise described herein, there were no changes in our internal control over financial reporting during our most recent fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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 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.


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PART II

Item 1. Legal Proceedings

For information regarding legal proceedings, see “Part I – Item 1. Financial Statements - Note 10 - Commitments and Contingencies - Litigation Matters” of this Form 10-Q.

Item 1A. Risk Factors

Risk factors

Our significant business risks are described in Item 1A to Form 10-K for the year ended December 31, 2019. These risk factors are supplemented for the item 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 pending sale of certain assets of Passport Health Plan, Inc. to Molina Healthcare, Inc. may not be consummated, and the benefits we expect to be received as a result of the transaction may not be realized.

On July 16, 2020, Evolent Health LLC and Passport entered into an asset purchase agreement with Molina Healthcare, Inc., pursuant to which Passport will sell certain assets to Molina Healthcare, Inc. The pending sale is subject to certain conditions to closing, including, but not limited to, approval by certain governmental authorities. We cannot guarantee that the closing will occur on a timely basis or at all. In the event certain governmental approvals are not obtained or certain other conditions are not fulfilled, we may not realize the economic benefits we expect to derive from the transaction or the transaction may otherwise be rescinded. In addition, the closing of the transaction, the transfer of the Medicaid business and the economic benefit we expect to derive from the transaction could be adversely affected by a number of factors including litigation from third parties, the outcome of any protest against the Kentucky Medicaid awards for 2021, the performance of Passport’s business through 2020 and the results of Medicaid open enrollment in the Commonwealth of Kentucky.

Our business may be negatively affected by the ongoing COVID-19 pandemic.

Our operations have been and continue to be affected by the ongoing global COVID-19 pandemic and the resulting volatility and uncertainty it has caused in the U.S. and international markets. The extent to which COVID-19 impacts our business will depend on future developments, which are highly uncertain and cannot be predicted with confidence. Factors that may determine the severity of the impact include the duration of the outbreak, new information which may emerge concerning the severity of COVID-19, employee mobility and productivity and the actions to contain COVID-19 or treat its impact (including federal, state and local directives to remain at home or forced business closures), among others.

The COVID-19 pandemic may impact our business, financial condition, cash flows, or results of operations in a number of ways, including the following:

Our subsidiary True Health New Mexico could experience delays or non-payment of premium as well as membership decreases.
State Medicaid agencies may experience budget pressures as a result of the pandemic which could negatively impact payments to certain of our Medicaid health plan customers and potentially cause us to incur additional bad debt expense.
The impact of the pandemic on certain partners could result in delayed or reduced payments to us.
As our employees and our partners’ employees work from home and access our system remotely, we may be subject to heightened security and privacy risks, including the risks of cyber attacks and privacy incidents.
It has created, and may continue to create, volatility in the capital markets and such volatility could have a negative impact on our ability to access those markets on acceptable terms, or at all.
Significant deterioration of the U.S. and global economies could have a significant adverse impact on our investment income and the value of our investments.

The COVID-19 pandemic may also have the effect of heightening many of the other risks described in the other disclosures, including the risk factors, contained in our other filings with the SEC, such as those relating to our level of indebtedness, our need to generate sufficient cash flows to service our indebtedness and our ability to comply with the covenants contained in the agreements that govern our indebtedness. We cannot at this time predict the impact of the COVID-19 pandemic, but it could materially adversely affect our business, including our financial position, results of operations and/or cash flows.

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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

None.

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Item 6. Exhibits
EVOLENT HEALTH, INC.
Exhibit Index
101.INSXBRL Instance Document
101.SCHXBRL Taxonomy Extension Schema Document
101.CALXBRL Taxonomy Extension Calculation Linkbase Document
101.LABXBRL Taxonomy Extension Label Linkbase Document
101.PREXBRL Taxonomy Extension Presentation Linkbase Document
101.DEFXBRL Taxonomy Extension Definition Linkbase Document
104The cover page from this Quarterly Report on Form 10-Q, formatted as Inline XBRL
† The Company’s request for confidential treatment with respect to certain portions of this exhibit has been accepted.
* 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.

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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:Controller

Dated: August 7, 2020

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exhibit101evh_molinaapa
Exhibit 10.1 [Execution Copy] ASSET PURCHASE AGREEMENT BY AND AMONG PASSPORT HEALTH PLAN, INC., EVOLENT HEALTH LLC, AND MOLINA HEALTHCARE, INC. DATED AS OF JULY 16, 2020 -1-


 
TABLE OF CONTENTS Page ARTICLE I PURCHASE OF ASSETS ........................................................................................................ 2 Section 1.1 Acquired Assets ..................................................................................................... 2 Section 1.2 Excluded Assets ..................................................................................................... 3 Section 1.3 Assumed Liabilities ............................................................................................... 5 Section 1.4 Excluded Liabilities ............................................................................................... 5 Section 1.5 Misdirected Payments ............................................................................................ 5 Section 1.6 Unassignable Contracts .......................................................................................... 5 Section 1.7 Purchase Price. ....................................................................................................... 6 Section 1.8 Allocation .............................................................................................................. 8 ARTICLE II REPRESENTATIONS AND WARRANTIES OF SELLER.................................................. 8 Section 2.1 Organization and Standing ..................................................................................... 8 Section 2.2 Title ........................................................................................................................ 8 Section 2.3 No Undisclosed Liabilities ..................................................................................... 9 Section 2.4 Litigation, Etc ........................................................................................................ 9 Section 2.5 Compliance with Laws. ......................................................................................... 9 Section 2.6 No Conflict With Other Documents .................................................................... 11 Section 2.7 Authority .............................................................................................................. 11 Section 2.8 Absence of Certain Changes ................................................................................ 11 Section 2.9 Governmental Authorizations .............................................................................. 12 Section 2.10 Privacy and Information Security. ....................................................................... 12 Section 2.11 Taxes .................................................................................................................... 13 Section 2.12 Employees and Employee Benefits ..................................................................... 13 Section 2.13 Material Contracts................................................................................................ 16 Section 2.14 Intellectual Property ............................................................................................. 17 Section 2.15 Real Property. ...................................................................................................... 18 Section 2.16 Material Vendors and Top Providers. .................................................................. 18 Section 2.17 Financial Statements ............................................................................................ 19 Section 2.18 Books and Records .............................................................................................. 19 Section 2.19 Insurance .............................................................................................................. 19 Section 2.20 No Finder’s Fee ................................................................................................... 19 Section 2.21 No Other Representations .................................................................................... 19 ARTICLE III REPRESENTATIONS AND WARRANTIES OF Buyer ................................................... 20 Section 3.1 Organization and Standing ................................................................................... 20 -i-


 
Section 3.2 Ability to Operate Medicaid Business ................................................................. 20 Section 3.3 Compliance with Laws. ....................................................................................... 20 Section 3.4 No Conflict With Other Documents .................................................................... 20 Section 3.5 Authority .............................................................................................................. 20 Section 3.6 Litigation, Etc ...................................................................................................... 21 Section 3.7 Financing ............................................................................................................. 21 Section 3.8 Governmental Authorizations .............................................................................. 21 Section 3.9 No Finder’s Fee ................................................................................................... 21 Section 3.10 No Other Representations .................................................................................... 21 ARTICLE IV Certain Covenants ................................................................................................................ 21 Section 4.1 Certain Efforts to Close Transactions .................................................................. 21 Section 4.2 Novations. ............................................................................................................ 22 Section 4.3 Further Assurances .............................................................................................. 23 Section 4.4 Confidentiality. .................................................................................................... 24 Section 4.5 Exclusivity ........................................................................................................... 24 Section 4.6 Conduct of Business Prior to Complete Transfer. ............................................... 24 Section 4.7 Employees. ........................................................................................................... 26 Section 4.8 Other Closing Deliverables .................................................................................. 28 Section 4.9 Transition Services Agreement ............................................................................ 29 Section 4.10 Public Announcements ........................................................................................ 29 Section 4.11 Access; Preservation of Records. ......................................................................... 29 Section 4.12 Notification and Effect of Certain Matters .......................................................... 30 Section 4.13 Transfer Taxes ..................................................................................................... 30 Section 4.14 Restrictive Covenants .......................................................................................... 30 Section 4.15 D-SNP Administrative Services Agreement ........................................................ 31 Section 4.16 2022 D-SNP Bid .................................................................................................. 31 Section 4.17 Seller Name ......................................................................................................... 31 ARTICLE V Closing and Closing Deliveries ............................................................................................. 31 Section 5.1 Closing ................................................................................................................. 31 Section 5.2 Closing Deliveries by Seller ................................................................................ 31 Section 5.3 Closing Deliveries by Buyer ................................................................................ 33 ARTICLE VI CONDITIONS TO OBLIGATIONS TO CLOSE ............................................................... 33 Section 6.1 Conditions to Obligation of Buyer to Closing ..................................................... 33 Section 6.2 Conditions to Obligation of Seller and Evolent to Closing ................................. 34 -ii-


 
Section 6.3 Conditions to Obligation of Each Party to Closing in Connection with the Medicaid Novation .............................................................................................. 35 Section 6.4 Conditions to Obligation of Each Party to Closing in Connection with the D-SNP Novation .................................................................................................. 35 ARTICLE VII INDEMNIFICATION ........................................................................................................ 35 Section 7.1 Survival ................................................................................................................ 35 Section 7.2 Indemnification and Reimbursement By Seller ................................................... 36 Section 7.3 Indemnification and Reimbursement by Buyer ................................................... 36 Section 7.4 Limitations on Indemnification by Seller ............................................................ 37 Section 7.5 Time Limitations.................................................................................................. 37 Section 7.6 Third-Party Claims. ............................................................................................. 37 Section 7.7 Procedure For Indemnification – Other Claims ................................................... 38 Section 7.8 Additional Limitations. ........................................................................................ 38 Section 7.9 Exclusive Remedy ............................................................................................... 39 Section 7.10 Treatment of Indemnification Payments .............................................................. 39 ARTICLE VIII Termination; Unwind ........................................................................................................ 39 Section 8.1 Termination .......................................................................................................... 39 Section 8.2 Effect of Termination ........................................................................................... 40 Section 8.3 Unwind ................................................................................................................ 40 ARTICLE IX GENERAL PROVISIONS .................................................................................................. 41 Section 9.1 Expenses .............................................................................................................. 41 Section 9.2 Assignment; No Third Party Beneficiaries .......................................................... 41 Section 9.3 Notices ................................................................................................................. 41 Section 9.4 Waiver .................................................................................................................. 42 Section 9.5 Entire Agreement; Modification .......................................................................... 42 Section 9.6 Severability .......................................................................................................... 42 Section 9.7 Headings; Construction ........................................................................................ 42 Section 9.8 Governing Law .................................................................................................... 43 Section 9.9 Execution of Agreement; Counterparts ............................................................... 43 Section 9.10 Enforcement of Agreement .................................................................................. 43 Section 9.11 Guarantee. ............................................................................................................ 43 Section 9.12 Waiver of Jury Trial ............................................................................................. 44 -iii-


 
ASSET PURCHASE AGREEMENT This Asset Purchase Agreement (this “Agreement”), made and entered into as of July 16, 2020, is by and among Passport Health Plan, Inc., a Kentucky corporation (“Seller”), Evolent Health LLC, a Delaware limited liability company (“Evolent”), and Molina Healthcare, Inc., a Delaware corporation (“Buyer”). Capitalized terms used herein but not otherwise defined are set forth in Annex A, attached hereto. Buyer, Seller, and Evolent are sometimes referred to herein individually as a “Party” and jointly as the “Parties.” RECITALS A. Seller operates a business that administers and delivers Medicaid managed care benefits in the Commonwealth of Kentucky (the “Medicaid Business”) pursuant to that certain Contract for Medicaid Managed Care Services between the Commonwealth of Kentucky, the Kentucky Cabinet for Health and Family Services (“CHFS”) and Seller, dated July 1, 2015 and as amended, supplemented and renewed from time to time (the “CHFS Medicaid Contract”), and administers and reinsures a business owned and operated by University Health Care, Inc. (“UHC”) that administers and delivers managed care benefits in the Commonwealth of Kentucky through the D- SNP Contract (the “D-SNP Business” and together with the Medicaid Business, the “Business”). B. Seller is a party to that certain Asset Purchase Agreement (the “UHC APA”), dated as of May 28, 2019 and as amended on December 30, 2019 and March 31, 2020, by and among UHC, Passport Health Solutions, LLC (“PHS”), Seller and Evolent Health, Inc., pursuant to which, among other things, Seller acquired the CHFS Medicaid Contract and certain other assets from UHC. C. Pursuant to the terms of the UHC APA, Seller is to acquire, amongst other things, the D-SNP Contract from UHC and certain real property from UHC and PHS subject to the terms and conditions set forth therein. D. Evolent provides administrative and management services for the Business pursuant to that certain Services Agreement, dated as of December 16, 2015, by and between Evolent and Seller (as amended from time to time, the “Services Agreement”), and that certain Administrative Services and Employee Lease Agreement, dated as of December 30, 2019, by and between UHC and Seller (the “UHC Services Agreement”). E. In connection with the Request for Proposal 758 2000000202, published on January 10, 2020, and closed on February 7, 2020 issued by CHFS with respect to the issuance of Medicaid contracts for plan year 2021 and the subsequent years included therein (the “RFP”), Buyer’s Affiliate, Molina Healthcare of Kentucky, Inc., a Kentucky corporation (the “Molina Plan”), was awarded a Medicaid contract. F. Seller’s CHFS Medicaid Contract is anticipated to terminate effective 11:59 p.m. on December 31, 2020. G. Seller has determined that it is in the best interest of its shareholders, the Commonwealth of Kentucky and the Enrollees to consider strategic alternatives for the ownership and operation of the Business and the ownership of the Acquired Assets, including the sale of the Acquired Assets to a qualified owner and operator that will continue the Business’ operations primarily in Louisville, Kentucky. -1-


 
H. The Parties believe that a transaction in which Buyer acquires the Acquired Assets will allow Buyer, working with Seller, to provide continuity of care to the Enrollees in connection with the transition of the Enrollees to a new Medicaid contract effective 12:00 a.m. on January 1, 2021 and Dual Eligible Special Needs Plan contract effective 12:00 a.m. on January 1, 2022. I. Each Party desires that Seller sell, convey, transfer and assign to Buyer, and that Buyer purchase, acquire and accept from Seller the Acquired Assets, and that Buyer assume certain liabilities of Seller or UHC related thereto, all upon and subject to the terms herein. J. Concurrently with the execution and delivery of this Agreement, and as a condition and inducement to the Parties’ willingness to enter into this Agreement, the Parties have entered into the Real Estate Purchase Agreement. AGREEMENT In consideration of the foregoing and the representations, warranties, covenants and agreements in this Agreement and other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, and incorporating the above recitals with and into this Agreement, each Party hereby agrees as follows: ARTICLE I PURCHASE OF ASSETS Section 1.1 Acquired Assets. Upon the terms and subject to the conditions set forth in this Agreement, at the Closing but subject to the terms of the Bill of Sale, Seller shall sell, convey, assign, transfer and deliver to Buyer, and Buyer shall purchase and acquire from Seller, free and clear of any Encumbrances (other than contractual obligations arising following the effectiveness of the applicable Transfer Date under any Contract assumed by Buyer pursuant to the terms hereof), all of Seller’s right, title and interest to the Acquired Assets. “Acquired Assets” means all of the following assets, but excluding any Excluded Asset: (a) all of the Seller’s rights to the following: (i) the Intellectual Property assets set forth on Annex 1.1(a); and (ii) Seller’s trade names, logos, service marks and trademarks and any variation or forms thereof, including the name “Passport Health Plan” (the “Seller Intellectual Property”); (b) subject to the receipt of the Required Medicaid Regulatory Approvals and consummation of the Medicaid Novation, all of Seller’s rights and interests in the CHFS Medicaid Contract to the extent arising on or after the CHFS Medicaid Contract Transfer Date and all rights to provide services to Medicaid Enrollees in Seller’s health plans comprising the Medicaid Business and the corresponding revenues (including bonuses) payable by payors with respect to such Medicaid Enrollees (and other individuals) to the extent such revenues (including bonuses) relate to dates of service that occur on or after the CHFS Medicaid Contract Transfer Date; (c) subject to the receipt of the Required D-SNP Regulatory Approvals and consummation of the D-SNP Novation and the terms of the New Reinsurance Agreement, all of Seller’s or UHC’s rights and interests in the D-SNP Contract to the extent arising on or after the D-SNP Contract Transfer Date and all rights to provide services to D-SNP Enrollees in Seller’s or UHC’s health plans comprising the D-SNP Business and the corresponding revenues (including bonuses) payable by payors with respect to such D-SNP Enrollees (and other individuals) to the extent such revenues (including bonuses) relate to dates of service that occur on or after the D-SNP Contract Transfer Date; -2-


 
(d) all Records relating to the Business and the other Acquired Assets (for the avoidance of doubt, other than the Excluded Records), including all customer, Enrollee, supplier and service provider lists, all employee records (to the extent permitted by applicable Legal Requirements) related to the Seller Employees and Provider records, and similar information used in Seller’s performance and/or administration of the CHFS Medicaid Contract, the D-SNP Contract and/or the Business, all other contact information, mailing lists and similar files; provided, however, that (A) no Records related to the CHFS Medicaid Contract and the D-SNP Contract shall be Acquired Assets unless and until the applicable Required Regulatory Approvals are obtained, (B) all Records will be provided to Buyer in the same format as maintained by Seller (or on behalf of Seller) and only in accordance with and to the extent permitted under applicable Legal Requirements and will not include any personally identifiable health records relating to Enrollees except to the extent required to operate the Business, (C) Buyer’s rights to use the Records shall be subject to any reasonable limitations required in order to comply with applicable Legal Requirements, (D) Seller shall be permitted to retain copies of all such Records, and (E) to the extent that any Records maintained by Seller relate to the Business but do not solely relate to the Business, the Acquired Assets described in this Section 1.1(d) shall only include the portion of such Records that relates specifically to the Business; (e) subject to Section 1.6, each Contract with a Provider (a “Provider Contract”) or other third party set forth on Annex 1.1(e), which such Annex may be updated by Buyer no later than December 29, 2020, subject to the written approval of Seller (which shall not be unreasonably withheld, conditioned or delayed), and each Seller Real Property Lease (collectively, the Contracts (or portions thereof) referred to in subsections (b), (c) and (e) of this Section 1.1 and set forth on Annex 1.1(e) are referred to herein as the “Assumed Contracts”); (f) all furniture, fixtures, and improvements located on the Seller Lessee Real Property; (g) all accounts or notes receivable or any other consideration, rights to payments due or becoming due any Assumed Contract to the extent arising from services performed on or after the applicable Transfer Date of such Assumed Contract, and any security, claim, remedy or other right related to any of the foregoing; (h) all rights to any security deposit with respect to any Seller Lessee Real Property Lease; and (i) all goodwill associated with the foregoing. Notwithstanding the foregoing, in the event the Required Regulatory Approvals are not obtained and the Novations are not consummated prior to the Closing, the Assumed Contracts shall exclude the Contracts (or portions thereof) set forth in subsections (b) and (c) of this Section 1.1) and any goodwill associated therewith; provided, however, in the event the Required Medicaid Regulatory Approvals are obtained and the Medicaid Novation is consummated following the Closing but prior to December 31, 2020, the Contracts referred to in subsections (b) of this Section 1.1 shall become Assumed Contracts on the CHFS Medicaid Contract Transfer Date; and further provided, in the event the Required D-SNP Regulatory Approvals are obtained and the D-SNP Novation is consummated following the Closing, the Contract (or portions thereof) referred to in subsection (c) of this Section 1.1 shall become an Assumed Contract on the D-SNP Contract Transfer Date. Section 1.2 Excluded Assets. Notwithstanding anything herein to the contrary, the following assets are not intended by the Parties to be a part of the transaction contemplated hereunder, are excluded from the Acquired Assets, and are to be retained by Seller (the “Excluded Assets”): -3-


 
(a) in the event the applicable Required Regulatory Approvals are not obtained prior to the Closing and the applicable Novations are not consummated, those assets that are excluded by operation of the final paragraph of Section 1.1; (b) all of Seller’s rights and interests in the CHFS Medicaid Contract to the extent arising prior to the CHFS Medicaid Contract Transfer Date and all rights to provide services to Medicaid Enrollees in Seller’s health plans comprising the Medicaid Business prior to the CHFS Medicaid Contract Transfer Date, and the corresponding revenues (and bonuses) payable by payors with respect to such Medicaid Enrollees (and other individuals) to the extent such revenues (including bonuses) relate to dates of service that occur prior to or on the CHFS Medicaid Contract Transfer Date and, if applicable but subject to the terms of the New Reinsurance Agreement, all of Seller’s rights and interests in the D-SNP Contract to the extent arising prior to the D-SNP Contract Transfer Date and all rights to provide services to D-SNP Enrollees in Seller’s health plans comprising the D-SNP Business prior to the D-SNP Contract Transfer Date, and the corresponding revenues (and bonuses) payable by payors with respect to such D- SNP Enrollees (and other individuals) to the extent such revenues (including bonuses) relate to dates of service that occur prior to or on the D-SNP Contract Transfer Date; (c) all accounts or notes receivable or any other consideration, all rights to payments due or becoming due under any Assumed Contract to the extent arising from services performed prior to the applicable Transfer Date, and any security, claim, remedy or other right related to any of the foregoing; (d) all minute books and seals of Seller, all other documents relating to the organization and existence of Seller, all Tax Returns and Tax Records of Seller and all other Records of Seller to the extent not included the Acquired Assets (collectively, the “Excluded Records”); (e) all Contracts to which Seller is a party or otherwise bound by other than any Assumed Contract (the “Excluded Contracts”), including the Services Agreement and the UHC Services Agreement; (f) all Tax-related identification numbers of Seller; (g) all Tax refunds from Governmental Authorities relating to Seller’s operation of the Business (determined, to the extent necessary to carry out the intent of this Agreement, on an Assumed Contract by Assumed Contract (or Acquired Asset by Acquired Asset) basis) with respect to any Pre-Closing Tax Period, in each case net of any reasonable, documented out-of-pocket costs (including Taxes) of the Buyer or its Affiliates incurred in connection with such refund or credit; (h) all cash, cash equivalents and regulatory capital and all bank accounts, cash accounts, investment accounts, deposit accounts, lockboxes and other similar accounts of Seller; (i) all rights and recoveries that are now, or at any time hereafter may become, due to Seller under any Excluded Contract; (j) all Governmental Authorizations and accreditations; (k) all of Seller’s rights and interests in the UHC APA; (l) all rights in connection with and any assets of Seller’s employee benefit plans, including any Seller Benefit Plan; -4-


 
(m) all other assets of Seller that are not an Acquired Asset; and (n) all rights of Seller under this Agreement or any other Contract executed or delivered by or on behalf of Seller in connection with the transactions contemplated under this Agreement. Section 1.3 Assumed Liabilities. Upon the terms and subject to the conditions set forth in this Agreement, at the Closing, Buyer shall assume and agree to pay, perform and discharge when due all Liabilities arising on or after the applicable Transfer Date under the Assumed Contracts, but excluding any Liability arising as a result of a breach thereof by Seller prior to the applicable Transfer Date (collectively, the “Assumed Liabilities”). For the avoidance of doubt, the Assumed Liabilities shall exclude all claims under the CHFS Medicaid Contract related to periods and dates of service prior to the CHFS Medicaid Contract Transfer Date, including (i) incurred but not reported claims and incurred but not paid claims, (ii) claims run-out, (iii) claims which were erroneously denied or improperly delayed, (iv) claims which were improperly paid for any reason, and (v) any reporting obligations for any period before the Closing. Section 1.4 Excluded Liabilities. Except for the Assumed Liabilities, Buyer will not assume or become obligated with respect to any other Liability of Seller of any nature whatsoever, and Seller shall retain and shall pay, discharge and perform any Liability of Seller that is not an Assumed Liability (the “Excluded Liabilities”). The Excluded Liabilities shall remain the sole responsibility of and shall be retained, paid, performed and discharged solely by Seller. Section 1.5 Misdirected Payments. (a) Seller shall promptly remit to Buyer any monies received by Seller on or after the applicable Transfer Date constituting or in respect of the Acquired Assets and the Assumed Liabilities. Buyer shall promptly remit to Seller any monies received by Buyer on or after the applicable Transfer Date constituting or in respect of the Excluded Assets and any Excluded Liabilities. (b) Solely in the event the Required Medicaid Regulatory Approvals are obtained and the Medicaid Novation is consummated, no more than once every twelve (12) months during the two (2) years following the Closing, Buyer and Seller shall each have the right, upon thirty (30) days’ notice and at such Party’s expense, to audit the other Party’s books and records related to payments and recoveries received from CHFS, CMS (if applicable) or other third parties with respect to the Business following the applicable Transfer Date. Section 1.6 Unassignable Contracts. Seller and Buyer shall use commercially reasonable efforts to obtain, prior to the Closing, and maintain until the applicable Transfer Date, all consents and approvals, and to provide any notices, required with respect to the assignment of the Assumed Contracts to Buyer effective as of the applicable Transfer Date; provided, however, that it shall not be a condition to the Closing that any such consents are received or notice provided with respect to any Assumed Contracts. Notwithstanding anything herein to the contrary, to the extent that Seller’s rights under any Assumed Contract may not be assigned to Buyer as of the applicable Transfer Date because any waiting or notice period has not expired or any required consents or approvals have not been obtained or waived by the applicable third party, then, Seller’s rights in such Contract shall not be assigned and such Contract shall not be an Assumed Contract unless otherwise determined in writing by Buyer in which case Buyer shall indemnify the Seller Indemnified Persons for any liabilities arising out of such determination. In addition, to the extent requested by Buyer, Seller and Buyer shall use commercially reasonable efforts to obtain estoppel letters and, if applicable, subordination and non-disturbance agreements from landlords under the Seller Lessee Real Property Leases. -5-


 
Section 1.7 Purchase Price. (a) At the Closing, Buyer, Seller and Citibank N.A. (the “Escrow Agent”) will enter into an escrow agreement substantially in the form attached hereto as Exhibit A the “Escrow Agreement”) and Buyer shall deposit into a mutually agreeable escrow account a deposit of Twenty Million Dollars ($20,000,000), plus the amount of security deposits with respect to any Seller Lessee Real Property Leases as set forth on Schedule 1.7(a) (the “Closing Purchase Price”) in accordance with the Escrow Agreement. The Closing Purchase Price shall be released to Seller on January 1, 2021; provided, however, if this Agreement is terminated or the transactions contemplated herein are unwound in accordance with ARTICLE VIII, the Closing Purchase Price shall be refunded to Buyer as set forth therein. (b) No later than twenty (20) days following the expiration of the Open Enrollment Period, Seller shall deliver to Buyer the D-SNP Membership File that shows the number of D- SNP Enrollees enrolled in Seller’s or UHC’s D-SNP plan as of the first Business Day immediately following the expiration of the Open Enrollment Period. Seller shall provide any supporting documentation with respect thereto reasonably requested by Buyer. No later than twenty (20) days following the expiration of the Open Enrollment Period, Buyer shall deliver to Seller the CHFS Membership File that shows the number of Medicaid Enrollees enrolled in the Molina Plan’s health plans as of the first Business Day immediately following the expiration of the Open Enrollment Period together with its calculation of the Membership Purchase Price, which shall take into account any dispute that Buyer has with respect to the D-SNP Membership File delivered by Seller to Buyer. Seller shall have ten (10) days to review the CHFS Membership File and in the event Seller delivers a dispute notice to Buyer during such ten (10) day period with respect to the determination of the Membership Purchase Price, the applicable provisions of Section 1.7(c)(ii) and Section 1.7(c)(iii) shall apply mutatis mutandis. If Seller does not deliver a dispute notice during such ten (10) day period, then the Membership Purchase Price calculated by Buyer shall be deemed final, binding and conclusive. In the event the number of Medicaid Enrollees enrolled in the Molina Plan’s health plans and D-SNP Enrollees enrolled in Seller’s or UHC’s D-SNP plan as of the first Business Day immediately following the expiration of the Open Enrollment Period is equal to or less than the Membership Threshold, then the Membership Purchase Price shall be zero. Subject to Section 1.7(c), within three (3) Business Days following the final determination of the Membership Purchase Price, Buyer shall pay the Membership Purchase Price to Seller by wire transfer of immediately available funds to the account(s) designated by Seller. Buyer shall ensure that the Molina Plan shall not take any action, or omit to take any action, in violation of applicable Legal Requirements or otherwise in breach or violation of any Contract to which the Molina Plan is a party which would reasonably be expected to result in a material decrease in the number of Enrollees as of the expiration of the Open Enrollment Period. (c) In the event that the Required Medicaid Regulatory Approvals are obtained and the Medicaid Novation has been consummated prior to January 1, 2021, then: (i) no later than July 31, 2021, Buyer shall deliver to Seller an income statement of the Business (the “Income Statement”) for the period of time between the Closing Date and January 1, 2021 (the “Interim Period”), together with Buyer’s calculation of Operating Income derived therefrom. The Total Medical Expenses set forth on the Income Statement shall reflect the aggregate dollar amount of (A) the total amount of Medical Claims incurred during the Interim Period which are paid by June 30, 2021, (B) all recoveries and repayments of Medical Claims incurred during the Interim Period and paid prior to January 1, 2021 which are applied, credited, offset or received by June 30, 2021 (including repayments or recoveries received or due for overpayments, from reinsurance and stop-loss coverage, subrogation and coordination of benefits), and (C) a good-faith estimate of net Medical Claims outstanding for claims incurred during the Interim Period and that have not been paid by June 30, 2021, which such good faith net estimate shall be prepared in accordance with actuarial sound practices and shall take into account gross payments outstanding less any potential recoveries outstanding. -6-


 
(ii) Seller shall have thirty (30) days from the date on which the Income Statement is delivered to Seller (the “Review Period”) to review the Income Statement and calculation of Operating Income derived therefrom. During such Review Period, Buyer shall (A) provide Seller and its Representatives with reasonable access during normal business hours upon reasonable prior notice to the relevant books, records (including work papers, schedules, memoranda and other documents) and supporting data of the Molina Plan for purposes of their review of the Income Statement and (B) reasonably cooperate with all reasonable written requests of Seller and its Representatives in connection with such review, including by providing all readily available relevant information in connection with Seller’s review of the Income Statement as is reasonably requested in writing by Seller or its Representatives. The Income Statement delivered by Buyer to Seller shall be final, binding and conclusive unless Seller delivers written notice to Buyer prior to 5:00 p.m., Eastern Time, on the last day of the Review Period that it objects to any item or items shown or reflected in the Income Statement (an “Objection Notice”), which Objection Notice shall identify the specific items and calculations that Seller disagrees with and specifies in reasonable detail Seller’s calculation of such amount and Seller’s grounds for such disagreement. The Income Statement of Buyer shall be final, binding and conclusive as to all items and calculations that Seller does not timely disagree with pursuant to this Section 1.7(c)(ii). (iii) If an Objection Notice shall be duly delivered, Buyer and Seller shall, during the thirty (30) days following such delivery, use their good faith efforts to reach agreement on the disputed items or amounts. If Buyer and Seller are unable to reach such agreement during such period, they shall within thirty (30) days cause a neutral independent accounting firm of national renown mutually agreed upon by the Parties (the “Independent Accountant”) promptly to review the disputed items or amounts. The Independent Accountant shall make its determination based exclusively on presentations and supporting material provided by Buyer and Seller promptly following the engagement of the Independent Accountant and not pursuant to any independent review. Conclusions shall be determined by the Independent Accountant within thirty (30) days following delivery of the last brief timely submitted and shall be final, binding and conclusive as to such matters; provided, however, that the Independent Accountant shall select either the position of Buyer or Seller (as contained in the supporting brief) as a resolution for each item or amount disputed and may not impose an alternative resolution with respect to any item or amount disputed and must resolve the matter in accordance with the terms and provisions of this Agreement. The fees, costs and expenses of the Independent Accountant shall be allocated between Buyer, on the one hand, and Seller, on the other hand, based upon the percentage which the portion of the aggregate dollar value of the items set forth in the Objection Notice not awarded to Buyer and Seller bears to the amount actually contested by such Party. For example, if Seller claims that the aggregate appropriate adjustments are $1,000 greater than the amount determined by Buyer and if the Independent Accountant ultimately resolves such items by awarding to Seller $300 of the $1,000 contested, then the fees, costs and expenses of the Independent Accountant shall be allocated 30% (i.e., 300 ÷ 1,000) to Buyer and 70% (i.e., 700 ÷ 1,000) to Seller. Buyer and Seller agree that they will cooperate and assist the Independent Accountant in the preparation of the Income Statement, the calculation of Operating Income and in the conduct of the audits and reviews referred to in this Section 1.7(c)(iii), including the making available to the extent necessary of books, records, work papers and personnel. (iv) Following the final determination of Operating Income, in the event Operating Income is less than Seven Million Five Hundred Thousand Dollars ($7,500,000), Seller shall promptly pay to Buyer an amount equal to such deficiency by wire transfer of immediately available funds to an account(s) designated by Buyer. If Operating Income is equal to or greater than Seven Million Five Hundred Thousand Dollars ($7,500,000), then there will be no payment due under this Section 1.7(c)(iv). Notwithstanding the foregoing, Seller shall not be required to make any payment under this Section 1.7(c)(iv) prior to August 31, 2021. -7-


 
(v) From the Closing Date to January 1, 2021, Buyer shall ensure that the Molina Plan uses commercially reasonable efforts to operate the Business materially consistent with Seller’s operation of the Business in the Ordinary Course of Business prior to the Closing Date. In furtherance of the foregoing, Buyer shall ensure that the Molina Plan uses commercially reasonable efforts to not materially increase the operating expenses set forth on the Example Income Statement. (d) In the event the Required Medicaid Regulatory Approvals are not obtained by January 1, 2021 and the Medicaid Novation does not occur, Seller shall pay to Buyer an amount equal to Seven Million Five Hundred Thousand Dollars ($7,500,000) by wire transfer of immediately available funds to an account(s) designated by Buyer; provided, however, such payment shall not become payable until such time as the Membership Purchase Price is finally determined and in the event such Membership Purchase Price is payable, such Seven Million Five Hundred Thousand Dollars ($7,500,000) payment shall be offset (in whole or in part, as applicable, based on the amount of the Membership Purchase Price) against the Membership Purchase Price. (e) The net amount payable to Seller pursuant to Section 1.7(a), (b) and (d) is referred to herein as the “Purchase Price”. Section 1.8 Allocation. As promptly as practicable after the final determination and payment of the Purchase Price pursuant to Section 1.7, but not later than forty-five (45) days thereafter, Buyer shall deliver to Seller a statement (the “Allocation”), allocating the Purchase Price (plus Assumed Liabilities and amounts paid by Buyer pursuant to the Interim Services Agreement and net of amounts paid to Buyer pursuant to Section 1.7(c) to the extent properly taken into account by Buyer under Section 1060 of the Code (such amount, the “Tax Purchase Price”)) among the Acquired Assets in accordance with Section 1060 of the Code. If, within twenty (20) days after the delivery of the Allocation, Seller notifies Buyer in writing that Seller objects to the allocation set forth in the Allocation, Buyer and Seller shall use good faith efforts to resolve such dispute within twenty (20) days. In the event that Buyer and Seller are unable to resolve such dispute within twenty (20) days, Buyer and Seller shall each report the amount and allocation of the Tax Purchase Price in accordance with its own separate determination. Any adjustments to the Tax Purchase Price shall be allocated consistent with this Section 1.8. All Tax Returns, including without limitation Form 8594 shall be prepared and filed consistently with this Section 1.8. ARTICLE II REPRESENTATIONS AND WARRANTIES OF SELLER Except as set forth in Seller Disclosure Schedules, Seller represents and warrants to Buyer as of the date hereof and as of the Closing as follows: Section 2.1 Organization and Standing. Seller is a corporation duly organized, validly existing and in good standing under the laws of the Commonwealth of Kentucky and is duly qualified to do business and in good standing in each other jurisdiction wherein the conduct of its business or the ownership or operation of its properties and assets requires such qualification. Seller and each Affiliate of Seller, to the extent such Affiliate provides services in connection with the Medicaid Business, owns its assets used in connection with the Medicaid Business, or is otherwise directly engaged in the operation of the Medicaid Business, has all requisite power and authority, including any necessary permit, license, consent, certificate, registration, or accreditation, to carry on its business as it has been and is now being conducted, and to own and operate the Medicaid Business. Section 2.2 Title. At the applicable Transfer Date, Seller will assign or convey as applicable to Buyer, good and marketable title to the Acquired Assets, free and clear of all Encumbrances, other than Permitted Encumbrances. All of the Acquired Assets are in normal repair and working order, -8-


 
ordinary wear and tear excepted. The Acquired Assets are suitable for the purpose for which they are presently used. The Acquired Assets (together with the Excluded Assets) constitute all assets of Seller (i) used or held for use in the Business, and (ii) taking into account the services and assets to be provided under the Management Agreement and the Interim Services Agreement, that are necessary to conduct the Business immediately following the Closing Date in all material respects in the manner the Business is conducted on the date hereof. Section 2.3 No Undisclosed Liabilities. Except as set forth on Schedule 2.3, Seller has no Liabilities regarding the Medicaid Business, other than (a) those retained by Seller under Section 1.4 and (b) liabilities and obligations that would not reasonably be expected to be material to the Medicaid Business. Section 2.4 Litigation, Etc. Except as set forth on Schedule 2.4, (a) there is no Proceeding that is pending, or, to the Knowledge of Seller, has been threatened against Seller (other than disputes with Providers in the Ordinary Course of Business) or any Affiliate of Seller with respect to the Medicaid Business, (b) there is no Order (other than any Order of general applicability) outstanding against, or, to the Knowledge of Seller, investigation or audit by any Governmental Authority involving the Medicaid Business that individually or in the aggregate is or is reasonably expected to be material to the Medicaid Business, and (c) there is not currently in effect, and for the twelve (12) months prior to the date of this Agreement there has not been imposed, any sanction or civil monetary penalty with respect to the Medicaid Business. Seller has not made any material claims for indemnification under the UHC APA and to Seller’s Knowledge, there exists no basis for any such claim, in each case, relating to the Business or the Acquired Assets. Section 2.5 Compliance with Laws. (a) Seller and its Affiliates are, and since the inception of Seller have been, in compliance in all material respects with all Legal Requirements, including all Health Care Laws, and Orders applicable to Seller and the Medicaid Business. Seller meets in all material respects the requirements for participation in, and the receipt of payment from, the health care payment programs in which it participates, is a party to all agreements with CHFS, the Commonwealth of Kentucky and any other necessary Governmental Authority authorizing such participation, and is in compliance in all material respects with the terms of such agreements. (b) Except as set forth on Schedule 2.5(b), since the inception of Seller, neither Seller nor any of its Affiliates has entered into any agreement or settlement (including any corrective action plan, corporate integrity agreement or corporate compliance agreement) with any Governmental Authority with respect to any actual or alleged violation of any applicable Legal Requirements in relation to the operation of the Medicaid Business. (c) Except as set forth on Schedule 2.5(c), since the inception of Seller, neither Seller nor any of its Affiliates has been subject to any Governmental Authority’s imposition of material sanctions on Seller or any of its Affiliates in relation to the operation of the Medicaid Business, or has received any written correspondence from any Governmental Authority: (i) threatening the imposition of material sanctions on Seller or any of its Affiliates in relation to the operation of the Medicaid Business; (ii) alleging or asserting that Seller or any of its Affiliates has materially violated any Legal Requirement in relation to the Medicaid Business; or (iii) requiring, requesting, or seeking to materially adjust, modify or alter Seller or any of its Affiliates operations, activities, services or financial condition in relation to the Medicaid Business. No event has occurred as to Seller, and to Seller’s Knowledge no event has occurred as to any of Seller’s Affiliates, that could reasonably be expected to result in any of the matters described in the immediately preceding sentence. -9-


 
(d) Since the inception of Seller, all material filings with Governmental Authorities with respect to the Medicaid Business, together with any material amendments with respect thereto, in each case that were required to be filed with any Governmental Authority, have been made and were true and correct in all material respects when made (the “Regulatory Filings”). Seller has made available to the Buyer complete and correct copies of all audits by any healthcare regulatory Governmental Authority and all other examinations performed with respect to Seller by any healthcare regulatory Governmental Authority (the “Audit Reports”), other than Audit Reports in the ordinary course requiring no material plan of correction, along with responses and plans of correction with respect thereto. Other than as set forth in the Audit Reports or on Schedule 2.5(d), (A) no material deficiencies have been asserted in writing against Seller or, to Seller’s Knowledge, any of its Affiliates, with respect to the Regulatory Filings, (B) the Regulatory Filings were in compliance in all material respects with applicable Legal Requirements when filed, (C) no material fine or penalty has been imposed on Seller or, to Seller’s Knowledge, any of its Affiliates, as a result of or to settle allegations of any noncompliance with material Legal Requirements, and (D) no similar material audits or material examinations are currently pending or, to the Knowledge of Seller, threatened in writing. (e) Since the inception of Seller, none of Seller or, to Seller’s Knowledge, its Affiliates in connection with the Medicaid Business or the Acquired Assets, (i) have been or is currently excluded, debarred, suspended, or otherwise ineligible to participate in Federal health care programs (as defined at 42 USC 1320a-7b(f)), (ii) have received any written notice threatening any such exclusion, debarment, suspension or ineligibility from participation in Federal health care programs, or (iii) have been or are listed on the HHS-OIG Cumulative Sanctions Report or the General Services Administration List of Parties Excluded from Federal Procurement and Non-Procurement Programs. No event has occurred which would reasonably be expected to result in Seller or its Affiliates becoming excluded, debarred, suspended, or otherwise ineligible to participate in Federal health care programs (as defined at 42 USC 1320a-7b(f)). (f) Since the inception of Seller, neither Seller, nor any Affiliate of Seller that (i) provides services in connection with the Medicaid Business or the Acquired Assets, (ii) owns assets used in connection with the Medicaid Business, or (iii) is otherwise directly engaged in the operation of the Medicaid Business (but as to each such Affiliate of Seller, only with respect to matters relating to or affecting the Medicaid Business), nor to the Knowledge of Seller, any of the directors, officers, agents, or employees of Seller or any such Affiliate of Seller (with respect to matters relating to or affecting the Medicaid Business), in their individual capacities, has directly or indirectly made or offered to make any contribution, gift, bribe, rebate, payoff, influence payment, kickback to any Person, regardless of form: (A) in violation of the federal Anti-Kickback Statute, 42 U.S.C. §1320a-7b, or (B) to obtain or maintain favorable treatment in securing business in material violation of any applicable Legal Requirement. (g) Seller has provided Buyer with a true, correct and complete copy of the CHFS Medicaid Contract. The CHFS Medicaid Contract is legal, valid, binding, enforceable and in full force and effect. Except as set forth on Schedule 2.5(g), Seller has not received or given written notice of, and to the Knowledge of Seller, is not aware of, any material default or claimed, purported or alleged material default, breach or state of facts which, with notice or lapse of time or both, would constitute a material default or breach on the part of any party in the performance or payment of any obligation to be performed or paid by any party under the CHFS Medicaid Contract or would permit termination, material modification, suspension or imposition of sanctions under the CHFS Medicaid Contract. Seller has performed in all material respects all obligations imposed on it to date under the CHFS Medicaid Contract. Seller is not in material breach or default under the CHFS Medicaid Contract, and, to the Knowledge of Seller, no event has occurred which, with notice or lapse of time or both, would constitute a material breach or default by Seller thereunder or permit termination, modification or acceleration thereunder. To the Knowledge of Seller, no other party has repudiated any provision of the CHFS Medicaid Contract. -10-


 
(h) Seller possesses all material Governmental Authorizations required to carry on the Medicaid Business as presently conducted. Schedule 2.5(h) contains a complete and accurate list of each material healthcare Governmental Authorizations of Seller and the Governmental Authority issuing the same. All material applications, notices or other forms required to have been filed for the renewal or extensions of such healthcare Governmental Authorizations have been duly filed on a timely basis with the appropriate Governmental Authority, and neither Seller nor, with respect to Seller, any of its Affiliates has been notified in writing that such renewals or extensions will be withheld or delayed in any material respect. (i) Schedule 2.5(i) contains a list of all written notices of material noncompliance, requests for material remedial action, return of material overpayment or imposition of material fines (whether ultimately paid or otherwise resolved) by any healthcare regulatory Governmental Authority as a result of Seller’s participation in a Program. Seller has completed in all material respects, or is currently in the process of completing in all material respects, all plans of correction or other filed responses to any healthcare regulatory Governmental Authority, including plans of correction or responses to all Audit Reports. Section 2.6 No Conflict With Other Documents. None of the authorization, execution and delivery of this Agreement or any of the instruments, documents, and agreements contemplated herein required to be executed and delivered by Seller or its Affiliates pursuant to this Agreement (the “Seller Related Instruments”) or the performance of the transactions contemplated by this Agreement or the transactions contemplated by the Seller Related Instruments will, with or without notice or the passage of time or both, (a) result in any breach or violation of, or be in conflict with Seller’s or the applicable Affiliates’ Organizational Documents, (b) conflict with or violate any Medicaid Business plan documents, including obligations to Medicaid Enrollees under the CHFS Medicaid Contract, (c) result in any breach of or constitute a default (or an event that with notice or lapse of time or both would become a default) under, or give to others any rights of termination, amendment, acceleration or cancellation of, or require payment under, any Assumed Contract that is a Material Contract or result in the creation of an Encumbrance on any of the Acquired Assets, or (d) conflict with or violate any Legal Requirement or Order applicable to Seller or any applicable Affiliate, except, in the case of clauses (c) and (d), that would not, individually or in the aggregate, reasonably be expected to be material to the Medicaid Business. Section 2.7 Authority. Seller or its applicable Affiliate has all requisite limited liability company or corporate power and authority to execute and deliver this Agreement and the Seller Related Instruments, to perform its obligations hereunder and thereunder and to consummate the transactions contemplated by this Agreement and the transactions contemplated by the Seller Related Instruments. The execution, delivery and performance of this Agreement and the Seller Related Instruments and the consummation of the transactions contemplated by this Agreement and the transactions contemplated by the Seller Related Instruments by Seller or its applicable Affiliate has been duly and validly authorized and approved by all necessary action (corporate or otherwise) of Seller or its applicable Affiliate and no other limited liability company or corporate proceedings on the part of Seller or its applicable Affiliate are necessary to authorize this Agreement or any other Seller Related Instrument or to consummate the transactions contemplated by this Agreement and the transactions contemplated by the Seller Related Instruments. Upon execution and delivery, this Agreement and any Seller Related Instruments are valid and legally binding obligations of Seller and its applicable Affiliate enforceable in accordance with their respective terms. All corporate authorizations required for consummation of the transactions contemplated by this Agreement and the transactions contemplated by the Seller Related Instruments have been received and continue to be in full force and effect. Section 2.8 Absence of Certain Changes. Except as set forth on Schedule 2.8, since the inception of Seller, Seller has operated the Medicaid Business in all material respects in the Ordinary -11-


 
Course of Business and there has not been: (a) any material loss with respect to the CHFS Medicaid Contract or any material change in any CHFS Medicaid Contract; or (b) a Seller Material Adverse Effect. Section 2.9 Governmental Authorizations. The execution, delivery and performance by Seller and its Affiliates of this Agreement and each of the other Seller Related Instruments and the consummation by Seller of the transactions contemplated by this Agreement and the transactions contemplated by the Seller Related Instruments require no consents of, or filings with, any Governmental Authority, other than the consents of, and filings with, the Governmental Authorities listed on Schedule 2.9. Section 2.10 Privacy and Information Security. (a) As to the Medicaid Business, Seller and, to the Knowledge of Seller, each Affiliate of Seller with respect to the Business: (i) are and since inception have been in material compliance with the applicable privacy and security provisions of U.S. Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) (42 U.S.C. Section 1320d et seq.), as amended by the Health Information Technology for Economic and Clinical Health Act (42 U.S.C. Section 17921 et seq.), and other federal and state Legal Requirements governing the security and privacy of individually identifiable information, (collectively, the “Privacy Laws”); (ii) have established and maintained privacy and security policies and procedures as required by the Privacy Laws designed to promote compliance with all applicable Privacy Laws; (iii) have commercially reasonable administrative, technical, and physical safeguards in place that are designed to protect Protected Health Information under its control or in its possession from unauthorized access, use, modification, or disclosure by any person or entity; (iv) have conducted periodic security risk assessments of its systems, hardware, software, encryption, policies and procedures and taken commercially reasonable measures designed to identify and mitigate risks that could compromise the privacy and security of Protected Health Information and/or Personal Information under its control and/or in its possession; (v) have trained all employees who have access to Protected Health Information and Personal Information on privacy and security policies and procedures and maintain records of completion for all employees in compliance with the Privacy Laws; (vi) has entered into a written contract in all circumstances required by the Privacy Laws, including HIPAA-compliant business associate agreements and are in compliance in all material respects with the terms of such contracts;; (vii) except as set forth on Schedule 2.10(a)(vii), have not, since inception, had a material Breach of Unsecured Protected Health Information (as such terms “Breach” and “Unsecured” are defined at 45 C.F.R. § 164.402) or been subject to any material unauthorized access, use, modification, or disclosure of any Personal Information, or any other reportable security incident, or material reportable event with respect to Protected Health Information or Personal Information under any applicable Privacy Laws; -12-


 
(viii) have not, since inception, received any written notices of any inquiry, audit requests, or investigations by any Governmental Authority relating to or alleging a material violation of any applicable Privacy Law by Seller; and (ix) have not received any written or, to Seller’s Knowledge, oral complaints or notices of investigation, from any Person (including any patient, client, or customer) regarding the Medicaid Business or, to Seller’s Knowledge, any of Seller’s agents’, employees’, or contractors’ use or disclosure of, or security practices regarding, Medicaid Enrollees’ Protected Health Information or Personal Information, except such complaints or notices of investigation that would not be material to the Medicaid Business. (b) To the Knowledge of Seller, neither this Agreement nor the consummation of the transactions contemplated by this Agreement hereby will violate any Privacy Laws or privacy policy provided by Seller or any Affiliate of Seller to any Medicaid Enrollee. Section 2.11 Taxes. Seller has timely filed, or caused to be timely filed, taking into account any extensions, all income and other material Tax Returns that were required to be filed by or with respect to the Medicaid Business or Acquired Assets and all such Tax Returns are true, correct and complete in all material respects. Seller has timely paid, or caused to be timely paid (or caused to be timely paid), or made provision for, all income and other material Taxes imposed on or attributable to the Medicaid Business and the Acquired Assets (whether or not shown on a Tax Return as due and owing) to the proper Governmental Authority. There are (i) no asserted or proposed deficiencies or assessments of Taxes from any Governmental Authority with respect to the Medicaid Business or the Acquired Assets, (ii) no ongoing claims, suits, demands, audits, examinations, investigations or similar proceedings by or before any Governmental Authority concerning any Tax liability with respect to the Medicaid Business or the Acquired Assets, and no such action is threatened in writing, (iii) no written requests, agreements, or consents to waive or extend the statutory period of limitations applicable to the assessment of Taxes that have been granted by Seller; and (iv) no Encumbrances for Taxes (other than Permitted Encumbrances) upon the Acquired Assets. Section 2.12 Employees and Employee Benefits (a) Schedule 2.12(a) sets forth the following information (to the extent applicable) (i) with respect to Seller’s employees and the Evolent Employees (collectively, “Seller Employees”), as of the date set forth therein, including each Seller Employee on leave of absence, furlough, or layoff status: name, employer, job title or position (including whether full or part-time), work location (absent the COVID-19 pandemic), salary, hourly rate of pay, or other form of base compensation, annual for 2020 and currently accrued paid time off, vacation, or paid sick leave, and projected target bonus, commission, or other incentive compensation, if any, for the fiscal year ended 2020, and (ii) with respect to Seller’s independent contractors and independent contractors of Evolent or its Affiliates and primarily performing services for the Business (collectively, “Seller Contractors”) as of the date set forth therein: name of individual, party with whom he/she/it has affiliation or relationship, position or title, description of services performed, and compensation arrangement, and (iii) with respect to each such Person, (A) the date of hire or engagement, and (B) if an employee, (1) whether the employee is classified as exempt or non-exempt under the Fair Labor Standards Act or any other applicable wage-and-hour Legal Requirement, (2) whether or not such employee is absent for any reason such as layoff, furlough, leave of absence, or workers’ compensation and, if so, the date such absence began and the anticipated date of return. No representative of Seller or Evolent has made any promises to any Seller Employee or Seller Contractor, with regard to compensation, continued employment or engagement, or other material terms of employment or engagement, other than those that have been reduced to writing and made available to Buyer. -13-


 
(b) Schedule 2.12(b) sets forth an accurate, correct and complete list of all “employee benefit plans” (as such term is defined in Section 3(3) of ERISA, whether or not subject to ERISA), each material employment or consulting agreement or offer letter, each bonus, incentive, deferred compensation, retention, change in control, pension, retirement, welfare, life insurance, illness benefit, disability, vacation, paid time off, fringe benefit, post-employment welfare, profit-sharing, severance, stock purchase, stock option or equity incentive, warrant or other material benefit plan, policy, agreement, arrangement or program, whether or not funded, that are maintained or contributed to by Seller for the benefit of the Seller Employees or to which Seller has any liability with respect to any Seller Employees, including any indirect or contingent Liability due to a relationship with an ERISA Affiliate (collectively, “Seller Benefit Plans”). (c) Except as disclosed on Schedule 2.12(c), no Seller Benefit Plan is (i) a “multiemployer plan,” as such term is defined in Section 3(37) of ERISA, (ii) a plan that is subject to Title IV of ERISA, Section 302 of ERISA or Section 412 of the Code, (iii) a multiple employer plan as defined in Section 413(c) of the Code, or (iv) a “multiple employer welfare arrangement” within the meaning of Section 3(40) of ERISA, and neither Seller, any of its Subsidiaries, nor any ERISA Affiliate of Seller or its Subsidiaries has maintained, contributed to, or been required to contribute to any employee benefit plan of the type or nature as described in clauses (i), (ii), (iii) or (iv) above within the last six (6) years. (d) None of the Seller Benefit Plans that are “welfare benefit plans,” within the meaning of Section 3(1) of ERISA, provide for continuing benefits or coverage after termination or retirement from employment, except for COBRA rights under a “group health plan” as defined in Section 4980B(g) of the Code and Section 607 of ERISA or similar Legal Requirement, and for which the covered individual pays the full cost of coverage. (e) Except as disclosed on Schedule 2.12(e), all Seller Benefit Plans (and all related trust agreements or annuity contracts or any funding instruments) have been maintained and administered in all material respects in accordance with the provisions of ERISA, where applicable, and with the Code and all other applicable Legal Requirements. Neither Seller, any Subsidiary of Seller, nor any ERISA Affiliate nor, to Seller’s Knowledge, any other Person, has engaged in any transaction with respect to any Seller Benefit Plan that would be reasonably likely to subject Seller, any of its Subsidiaries or Buyer to any Tax or penalty (civil or otherwise) imposed by ERISA, the Code or other applicable Legal Requirements. (f) Seller has made available to Buyer the following documents with respect to each Seller Benefit Plan, as applicable: (i) the governing plan document, including all amendments thereto, and all related trust documents and funding instruments, including any group contracts and insurance policies; (ii) a written summary of the material terms of any Seller Benefit Plan that is not set forth in a written document; (iii) the most recent summary plan description together with any summary or summaries of material modifications thereto; (iv) the most recent determination or opinion letter; and (v) the most recently filed annual report (Form 5500 series and all schedules and financial statements attached thereto). (g) Seller and Evolent (solely with respect to the Seller Employees and Seller Contractors), as applicable, have been during the last four (4) years and currently are in material compliance with all applicable Legal Requirements respecting labor relations, employment and employment practices, terms and conditions of employment, and wages and hours, including but not limited to discrimination, harassment, or retaliation in employment, terms and conditions of employment, termination of employment, wages, overtime, tracking and paying correctly for all compensable time worked, meal periods and rest breaks, vacation and paid sick leave, leaves of absence, occupational safety and health, employee whistle- blowing, immigration, employee privacy, workers’ compensation, disability, collective bargaining, -14-


 
secondment, layoffs (including the WARN Act), employment practices, classification of workers as employees or independent contractors, classification of employees as exempt or non-exempt under the Fair Labor Standard Act and comparable state Legal Requirements, and employment record keeping and posting requirements. (h) Except as set forth on Schedule 2.12(h), (i) there is no unfair labor practice complaint pending or, to the Knowledge of Seller, threatened against Seller or Evolent (solely with respect to the Seller Employees and Seller Contractors) before any Governmental Entity, and, to the Knowledge of Seller, there exists no basis for any such complaint, (ii) in the past four (4) years, no present or former employee or independent contractor of Seller or Evolent who is a Person primarily performing services for the Business and who resides or resided in Kentucky or normally works or provides services in Kentucky (absent the COVID-19 pandemic) has filed or provided written notice to Seller or Evolent of, or, to the Knowledge of Seller, threatened to file, any claim against Seller or Evolent on account of or for (A) overtime pay, (B) wages or salary, (C) vacation time or pay in lieu of vacation time off, (D) any violation of any Legal Requirement relating to wages or work hours, or (E) any violation of the relevant Legal Requirements related to the terms and conditions of employees’ employment, and, in each case, to the Knowledge of Seller, there exists no basis for any such claim, and (iii) no Person has filed or given written notice to Seller or Evolent of, or, to the Knowledge of Seller, threatened to file, any claim against Seller or Evolent under or arising out of any Legal Requirements relating to employer-employee relationships, labor relations, employee entitlements, equal employment opportunities, retaliation, harassment, discrimination in employment or employment practices, immigration, or plant closings, and, to the Knowledge of Seller, there exists no basis for any such claim. (i) As of the date hereof, no Seller Employee or Seller Contractor has provided written notice to Seller or Evolent that such Person intends to terminate his, her, or its employment or engagement with Seller or Evolent, as applicable. (j) Neither Seller nor Evolent (with respect to the Seller Employees or Seller Contractors) is subject to any collective bargaining agreement, labor contract, or similar agreement with any labor union, trade union, works council, or other employee representative, and neither Seller nor Evolent (with respect to the Seller Employees or Seller Contractors) is involved in, or, to the Knowledge of Seller, threatened with, any organizing efforts, labor dispute, arbitration, lawsuit, or administrative proceeding relating to labor matters involving the employees of Seller or Evolent. There is no, and during the past four (4) years there has been no, labor dispute, strike, work slowdown, work stoppage, or lockout pending or, to the Knowledge of Seller, threatened against or affecting Seller or Evolent (with respect to the Seller Employees or Seller Contractors). (k) Seller and Evolent (with respect to the Seller Employees or Seller Contractors), as applicable, have withheld and paid to the appropriate Governmental Entity or are holding for payment not yet due to such Governmental Entity all amounts required to be withheld from employees of Seller or Evolent (with respect to the Seller Employees or Seller Contractors), as applicable, and are not liable for any arrears of wages, Taxes, penalties, or other sums for failure to comply with any applicable Legal Requirements relating to the employment of labor. Seller and Evolent (with respect to the Seller Employees or Seller Contractors), as applicable, have paid in full to each of their respective employees or adequately accrued in accordance with GAAP, as applicable, for all earned wages, salaries, commissions, bonuses, benefits, and other compensation due to or on behalf of such employees. (l) To the Knowledge of Seller, no officer, director, employee, independent contractor, or consultant of Seller or Evolent (with respect to the Seller Employees or Seller Contractors) is bound by any Contract that purports to limit the ability of such officer, director, employee, independent contractor, or consultant (i) to engage in or continue or perform any conduct, activity, duties, services, or -15-


 
practice relating to the Business, or (ii) to assign to Seller or Evolent or to any other Person any rights to any invention, improvement, or discovery related to the Business and developed during such Person’s scope and course of employment or other relationship with Seller or Evolent (with respect to the Seller Employees or Seller Contractors), as applicable. Section 2.13 Material Contracts. (a) Schedule 2.13(a) lists, as of the date hereof, each of the following Contracts (each a “Material Contract” but excluding any Seller Benefit Plan) to which Seller is a party or by which it is otherwise bound by, including the name of the counterparty to such Contract and the date thereof (and, in the case of any oral or unwritten Contracts, provides a description of the material terms thereof) and organized in a manner consistent with subsections set forth below: (i) any Contract (other than any Contract with a Provider or Enrollee) involving payments by or to the Business of at least two hundred fifty thousand dollars ($250,000) during the twelve (12) month period prior to May 30, 2020; (ii) any Contract with a Material Vendor; (iii) any Contract with a Top Provider; (iv) any Contract involving the sale of any assets of Seller outside of the Ordinary Course of Business, or the acquisition of any assets of any Person by Seller outside of the Ordinary Course of Business, in any business combination transaction (whether by merger, sale of stock, sale of assets or otherwise) under which obligations of any party thereto remain outstanding; (v) any note, indenture, loan agreement, credit agreement, security agreement, financing agreement, or other evidence of Indebtedness, any guarantee made by Seller in favor of any Person guaranteeing obligations of such Person, or any letter of credit issued for the account of Seller; (vi) any Contract relating to employment or consulting, including all severance agreements, restrictive covenant agreements, employment agreements and consultant agreements and contracts involving leased employees, independent contractors, management services, or support services; (vii) any Contract with any Governmental Authority; (viii) any collective bargaining agreement or contract with any labor union; (ix) any lease for or with respect to real property; (x) any IP License (excluding licenses for off-the-shelf commercial Software and standard non-exclusive licenses granted by Seller to customers, partners and vendors in the ordinary course of business, though these shall otherwise be deemed Material Contracts for purposes of this Agreement); (xi) each third party administrative Contract; -16-


 
(xii) any reinsurance, coinsurance or retrocessation Contract or other Contract involving shared risk arrangements (excluding any Provider Contract); (xiii) any Contract (A) for the administration or management of pharmacy benefits or (B) with a pharmacy or pharmacy company. For the avoidance of doubt, no business associate agreement will be considered a Material Contract. (b) Each Material Contract and each other Assumed Contract (as of the date hereof) is valid and binding and in full force and effect. Neither Seller nor, to the Knowledge of Seller, any other party to any Material Contract or any other Assumed Contract (as of the date hereof), is or since January 1, 2019 has been, in breach or default in any material respect under such Contract, and, since the inception of Seller, Seller has not given to, or received from, any other party to any such Contract, any notice or communication (whether written or oral) regarding any actual or alleged breach of or default under any such Contract by Seller, or any other party to such Contract. There are no renegotiations or outstanding rights to negotiate, any amount to be paid or payable to or by Seller under any such Contract other than with respect to non-material amounts or disputes with Providers in the Ordinary Course of Business, and no Person has made a written demand for such negotiations. True and complete copies of each of the Material Contracts have been delivered to Buyer. Except for certain other Provider Agreements that have been delivered to Buyer, each Provider Contract has been entered into on either the “general provider form” or “hospital services form” Contract provided by Seller to Buyer and there are no material deviations from such forms. Section 2.14 Intellectual Property. (a) Schedule 2.14(a) lists all pending, issued and unexpired (i) patents and patent applications (published or unpublished), (ii) trademark registrations and applications, (iii) Internet domain names and (iv) copyright registrations and applications, in each case, that constitute Seller Intellectual Property (the “IP Registrations”). Seller is the sole and exclusive owner of the IP Registrations, free and clear of any Encumbrance. All IP Registrations are valid, enforceable and subsisting. (b) Seller exclusively owns (beneficially, and of record where applicable) all right, title and interest in and to or has the valid and enforceable right to use, in each case free and clear of all Encumbrances, all Seller Intellectual Property. The Seller Intellectual Property is not subject to any outstanding Order, contract or Proceeding adversely affecting Buyer’s use thereof or rights thereto and is valid, enforceable and subsisting. Except as provided in Schedule 2.14(b), Seller has not granted to any Person or authorized any Person to retain any material rights in any Seller Intellectual Property. (c) Seller and the conduct of the Business do not infringe, misappropriate or otherwise violate, and have not infringed, misappropriated or otherwise violated, any Intellectual Property owned by any other Person. To the Knowledge of Seller, the Seller Intellectual Property owned by Seller has not been infringed upon, misappropriated, diluted or otherwise violated by any other Person. Since the inception of Seller, there has been no litigation, objection, claim or other Proceeding pending, asserted or threatened in writing against Seller concerning the ownership, validity, registrability, enforceability, infringement, misappropriation, violation or use of, or licensed right to use the Seller Intellectual Property. (d) Seller does not own any proprietary Software. (e) Each present or past employee, officer, consultant or any other Person who developed any part of any material Seller Intellectual Property for or on behalf of Seller is a party to a valid and enforceable written Contract that conveys or obligates such Person to convey to Seller any and all right, -17-


 
title, and interest in and to all such Seller Intellectual Property, or otherwise has by operation of law vested in Seller any and all right, title and interest in and to all such Seller Intellectual Property. (f) Seller has taken reasonable actions to maintain the confidentiality, secrecy and value of the Confidential Information and Trade Secrets of Seller included in the Seller Intellectual Property, if any, and neither have been used by or disclosed to any third party, to the Knowledge of Seller, except pursuant to an agreement with commercially reasonable protections of the Confidential Information and Trade Secrets made available to such Person. To the Knowledge of Seller, there has not been any breach by any third party of any confidentiality obligation to Seller with respect to the Confidential Information and Trade Secrets included in the Seller Intellectual Property. (g) Except as set forth in Schedule 2.14(g), the consummation of the transactions contemplated by this Agreement will not result in the loss of any ownership or use rights of Seller (or Buyer after the Closing Date) in any Seller Intellectual Property. Section 2.15 Real Property. (a) Schedule 2.15(a) sets forth a list of all real property leases to which Seller is a party as (sub)lessee (the “Seller Lessee Real Property Leases”), along with the street address of each real property location subject to each of the Seller Lessee Real Property Leases (such real property, the “Seller Lessee Real Property”). (b) Schedule 2.15(b) sets forth a list of all real property leases to which Seller is a party as a (sub)lessor (the “Seller Lessor Real Property Leases” and together with the Seller Lessee Real Property Leases, the “Seller Real Property Leases”), along with the street address of each real property location subject to each of the Seller Real Property Leases (such real property, the “Seller Lessor Real Property” and together with the Seller Lessee Real Property, the “Real Property”). (c) Except for the Seller Real Property Leases identified in Schedules 2.15(a) and 2.15(b) and its rights to acquire the UHC Improvements and UHC Owned Real Property pursuant to the UHC APA (which rights the parties hereby confirm for the avoidance of doubt are not included in the Real Property conveyed pursuant to this Agreement), Seller does not own any interest (fee, leasehold or otherwise) in any real property. Except as set forth in Schedule 2.15(c), Seller (i) enjoys peaceful and undisturbed possession of the Real Property, (ii) has a valid leasehold interest in the Real Property and (iii) has not guaranteed any real property leases. (d) There are no pending or, to the Knowledge of Seller, threatened, eminent domain, condemnation, zoning, or other Proceedings affecting the Real Property that would result in the taking of all or any part of such Real Property or that would prevent or hinder the continued use of such Real Property as currently used in the conduct of the Business. (e) Copies of all deeds or leases, as the case may be, existing title insurance policies, surveys, appraisals, specifications and plans of or pertaining to the UHC Owned Real Property and each parcel of Real Property, to the extent the same are in Seller’s possession, have been delivered to Buyer. Section 2.16 Material Vendors and Top Providers. (a) Schedule 2.16(a) sets forth a true and complete list of each of the top ten (10) vendors of the Business, by volume based on payments made by the Business to such vendor, for the -18-


 
twelve (12) month period prior to May 30, 2020 (collectively, the “Material Vendors”), together with the amount spent by the Business with respect to each such vendor for each such period. (b) Schedule 2.16(b) sets forth a true and complete list of each Provider with respect to which the Business attributed total spend in excess of ten million dollars ($10,000,000) for calendar year 2019 (collectively, the “Top Providers”), together with the amount spent by the Business with respect to each such Provider for such period. (c) Except as set forth in Schedule 2.16(c), no Material Vendor or Top Provider (i) has provided Seller any notice or communication terminating, suspending, or reducing, or specifying an intention to terminate, suspend or reduce in the future, or otherwise reflecting a material change in, the business relationship between such Material Vendor or Top Provider, as applicable, and Seller, or (ii) has cancelled or otherwise terminated any Contract. Section 2.17 Financial Statements. Seller has delivered to Buyer true and correct copies of the audited statements of admitted assets, liabilities, and capital and surplus, revenue and expenses, changes in capital and surplus, and cash flows of Seller for the year ended December 31, 2019 and interim, unaudited statements of admitted assets, liabilities, and capital and surplus, revenue and expenses, changes in capital and surplus, and cash flows for the quarter ended March 31, 2020 (the “Balance Sheet Date” and collectively, the foregoing financial statements are referred to herein as the “Seller Financial Statements”). The Seller Financial Statements were prepared from and are in accordance with the books and records of Seller and present fairly and accurately in all material respects the financial position of Seller, and the results of its operations at the dates and for the periods indicated and have been prepared in conformity with SAP, applied consistently for the periods specified. Seller has not made any material changes to its accounting methods or practices since the Balance Sheet Date. Section 2.18 Books and Records. The books and records that constitute Acquired Assets have been prepared and maintained in good faith and consistently with Seller’s practice for maintaining books and records in its Medicaid Business. Section 2.19 Insurance. Schedule 2.19 sets forth the insurance policies Seller currently maintains with respect to risks associated with its business. Such policies are in full force and effect, and Seller has paid or accrued (to the extent not due and payable) all premiums due, and has otherwise performed in all material respects all of its obligations under, each such policy of insurance. Section 2.20 No Finder’s Fee. There is no investment banker, broker, finder or other intermediary that has been retained by or is authorized to act on behalf of Seller or any of its Affiliates who might be entitled to any fee or commission in connection with the transactions contemplated by this Agreement. Section 2.21 No Other Representations. Seller acknowledges and agrees that, except for the representations and warranties made by Buyer in ARTICLE III, and the other Transaction Documents, neither Buyer nor any other Person is making or has made any representation or warranty, expressed or implied, at law or in equity, with respect to or on behalf of Buyer or any of its Affiliates or in connection with the transactions contemplated by this Agreement. Seller specifically disclaims that it is relying upon or has relied upon any such other representations or warranties that may have been made by any Person, and acknowledges and agrees that Buyer and its Affiliates have specifically disclaimed and do hereby specifically disclaim any such other representations and warranties. -19-


 
ARTICLE III REPRESENTATIONS AND WARRANTIES OF BUYER Buyer hereby represents and warrants to Seller as of the date hereof and as of the Closing as follows: Section 3.1 Organization and Standing. Buyer is a corporation duly organized, validly existing and in good standing under the laws of the state of Delaware and is duly qualified to do business and in good standing in each other jurisdictions wherein the conduct of its business or the ownership or operation of its properties and assets requires such qualification. Buyer has all requisite power and authority to carry on its business as it has been and is now being conducted. Section 3.2 Ability to Operate Medicaid Business. Buyer or its applicable Affiliates are legally and contractually permitted to operate the Business, and hold all required licenses and approvals, and meet all applicable regulatory requirements (subject to the Required Regulatory Approvals, if and as applicable) necessary to legally operate the Business, including the D-SNP Business (but subject to the Molina Plan’s certification by CMS as a Medicare Advantage Organization). Section 3.3 Compliance with Laws. (a) Neither Buyer nor any of its Affiliates is in material violation of any Legal Requirement that would reasonably be expected to impair or delay Buyer’s or its applicable Affiliates’ ability to consummate the transactions contemplated by this Agreement. (b) Since January 1, 2019, none of Buyer or its Affiliates (i) has been or is currently excluded, debarred, suspended, or otherwise ineligible to participate in state or federal programs, including Medicare and Medicaid, (ii) has received any written notice threatening any such exclusion, debarment, suspension or ineligibility, or (iii) has been or are listed on the HHS-OIG Cumulative Sanctions Report or the General Services Administration List of Parties Excluded from Federal Procurement and Non- Procurement Programs. Section 3.4 No Conflict With Other Documents. None of the authorization, execution and delivery of this Agreement or any of the instruments, documents, and agreements contemplated herein required to be executed and delivered by Buyer or its Affiliates pursuant to this Agreement (the “Buyer Related Instruments”) or the performance of the transactions contemplated by this Agreement or by the transactions contemplated by the Buyer Related Instruments will, with or without notice or the passage of time or both, (a) result in any breach or violation of, or be in conflict with Buyer’s or the applicable Affiliates’ Organizational Documents, or (b) conflict with or violate any license, permit, Legal Requirement or Order applicable to Buyer or its Affiliates, except, in the case of clause (b), as would not reasonably be expected to materially impair or delay Buyer’s ability to consummate the transactions contemplated by this Agreement or would reasonably be expected to result in any Liability to Seller. Section 3.5 Authority. Buyer or its applicable Affiliate has all requisite corporate power and authority to execute and deliver this Agreement and the Buyer Related Instruments, to perform its obligations hereunder and thereunder and to consummate the transactions contemplated by this Agreement and the transactions contemplated by the Buyer Related Instruments. The execution, delivery and performance of this Agreement and the Buyer Related Instruments and the consummation of the transactions contemplated by this Agreement and the transactions contemplated by the Buyer Related Instruments by Buyer or its applicable Affiliate have been duly and validly authorized and approved by all necessary action (corporate or otherwise) of Buyer or the applicable Affiliate and no other corporate proceedings on the part of Buyer or such Affiliate are necessary to authorize this Agreement or any other Buyer Related Instrument or to consummate the transactions contemplated by this Agreement and the -20-


 
transactions contemplated by the Buyer Related Instruments. Upon execution and delivery, this Agreement and any Buyer Related Instruments are valid and legally binding obligations of Buyer and its applicable Affiliates enforceable in accordance with their respective terms. All corporate authorizations required for consummation of the transactions contemplated by this Agreement and the transactions contemplated by the Buyer Related Instruments have been received and continue to be in full force and effect. Section 3.6 Litigation, Etc. There is no Proceeding that is pending, or, to the Knowledge of Buyer, has been threatened against Buyer or any Affiliate of Buyer that relates to or affects the transactions contemplated by this Agreement; and there is no Order (other than Orders of general applicability) outstanding against, or, to the Knowledge of Buyer, investigation or audit by any Governmental Authority involving Buyer or any Affiliate of Buyer that would reasonably be expected to materially impair or delay Buyer’s ability to consummate the transactions contemplated by this Agreement. Section 3.7 Financing. Buyer has, and will have, sufficient cash, available lines of credit or other sources of immediately available funds to enable it to consummate the transactions contemplated by this Agreement, including paying in full all amounts required to be paid hereunder by Buyer and with respect to any regulatory capital requirements arising out of the transactions contemplated by this Agreement. Buyer expressly acknowledges and agrees that its obligations hereunder, including its obligations to consummate the transactions contemplated by this Agreement, are not subject to, or conditioned on, receipt of financing. Section 3.8 Governmental Authorizations. The execution, delivery and performance by Buyer of this Agreement and each of the other Buyer Related Instruments and the consummation by Buyer of the transactions contemplated by this Agreement and the transactions contemplated by the Buyer Related Instruments require no consents of, or filings with, any Governmental Authority, other than the consents of, and filings with, the Governmental Authorities listed on Schedule 3.8. Section 3.9 No Finder’s Fee. There is no investment banker, broker, finder or other intermediary that has been retained by or is authorized to act on behalf of Buyer or any of its Affiliates who might be entitled to any fee or commission in connection with the transactions contemplated by this Agreement. Section 3.10 No Other Representations. Buyer acknowledges and agrees that, except for the representations and warranties made by Seller in ARTICLE II and the other Transaction Documents, neither Seller nor any other Person is making or has made any representation or warranty, expressed or implied, at law or in equity, with respect to or on behalf of Seller or any of its Affiliates or in connection with the transactions contemplated by this Agreement. Buyer specifically disclaims that it is relying upon or has relied upon any such other representations or warranties that may have been made by any Person, and acknowledges and agrees that Seller and its Affiliates have specifically disclaimed and do hereby specifically disclaim any such other representations and warranties. ARTICLE IV CERTAIN COVENANTS Section 4.1 Certain Efforts to Close Transactions. Subject to the terms of this Agreement, each Party will use its commercially reasonable efforts to fulfill, and to cause to be satisfied, the conditions in ARTICLE VI (but with no obligation to waive any such condition) and to consummate and effect the transactions contemplated herein, including to cooperate with and assist each other in all reasonable respects in connection with the foregoing. In furtherance of the foregoing, Seller will use its commercially reasonable efforts to fulfill, and to cause to be satisfied, the conditions set forth in the UHC APA as it relates to the UHC D-SNP Closing Conditions and the UHC D-SNP Closing (but with no -21-


 
obligation to waive any such condition) and to consummate and effect the transactions contemplated therein relating thereto. Section 4.2 Novations. (a) Between the date hereof and January 1, 2021 with respect to the Medicaid Novation and December 31, 2021 with respect to the D-SNP Novation (as applicable, the “Pre-Closing Novation Period”), each Party shall use its commercially reasonable efforts to take, or cause to be taken, all actions, and to do, or cause to be done, all things, in each case necessary, proper or advisable under applicable Legal Requirements to consummate and obtain the Novations and to obtain the Required Regulatory Approvals, including (i) preparing and filing as promptly as practicable with any Governmental Authority all documentation to effect all necessary, proper or advisable filings, applications and notices, (ii) obtaining as promptly as practicable and maintaining all consents required to be obtained from any Governmental Authority that are necessary, proper or advisable to consummate the Novations and to obtain the Required Regulatory Approvals, (iii) to the extent permitted by applicable Legal Requirements, furnishing as promptly as practicable to one another or any Governmental Authority any information or documentary materials reasonably requested or required in connection with obtaining and maintaining such Required Regulatory Approvals, and (iv) communicating and cooperating with the other Parties in connection with such matters. Each of Seller and Buyer shall provide the other Party a reasonable opportunity to review in advance drafts of any filing, application or written notice related to the transactions contemplated by this Agreement prior to their submission to any Governmental Authority (and may limit review to outside counsel of Seller or Buyer, as applicable, to protect competitively sensitive information) and shall consider in good faith such Party’s reasonable comments on such draft filings. Promptly after the date hereof, each of the Parties shall provide any required notices to, and make any other required filings or applications with, all Governmental Authorities required to consummate the Novations and the other transactions contemplated hereby and to obtain the Required Regulatory Approvals, including any notifications and filings required to be filed with the DOI, CHFS, the Commonwealth of Kentucky and CMS; provided, however, any filings or applications with respect to the D-SNP Novation will occur at the appropriate time as mutually agreed to by the Parties. (b) Without limiting Section 4.2(a), as promptly as practicable after the date hereof (and in any event within three (3) Business Days following the date hereof), and, in each case, to the extent permitted by applicable Legal Requirements and in accordance with the terms of the CHFS Medicaid Contract and D-SNP Contract in order to consummate the Novations and in order to obtain the Required Regulatory Approvals, (i) Seller shall submit advance notice to CHFS of its request to assign and/or transfer the CHFS Medicaid Contract and (ii) Buyer or its applicable Affiliate shall promptly file a Form A and, if required, a Form E with the DOI in connection with the transactions contemplated hereby. In addition, during the Pre-Closing Novation Period, (A) Seller shall cooperate with Buyer or its applicable Affiliate in its development and submission to CHFS (and any other applicable Governmental Authority) and implement a transition plan, to include a timeline and appropriate notices to Enrollees and all Providers; and (B) subject to applicable Legal Requirements and after consultation with CHFS and the DOI, Seller shall provide notice, in a form reasonably acceptable to Buyer or its applicable Affiliate, to Enrollees of the transactions contemplated by this Agreement. Subject to applicable Legal Requirements and during the Pre- Closing Novation Period, each Party shall furnish to the other party such information and assistance as any other Party may reasonably request in connection with its preparation of the filing or submission of such request, and keep the other party reasonably apprised of any communications with, and inquiries or requests for additional information from any other Governmental Authority. Additionally, during the Pre-Closing Novation Period, each Party shall, to the extent practicable, provide any other Party at least two (2) Business Days’ advance written notice of the time and subject matter of any meetings or material communications with CHFS, the DOI or CMS relating to the transactions contemplated by this Agreement, and the other Parties shall, to the extent practicable and permitted by CHFS, the DOI or CMS, have the right to attend -22-


 
and participate in any such meetings or material conversations. None of Seller or Buyer or their respective Representatives shall agree to participate in any material or substantive meeting or conference (including by telephone) with any Governmental Authority, or any member of the staff of any Governmental Authority, in respect of any filing, proceeding, investigation (including the settlement of any investigation), litigation or other inquiry regarding the transactions contemplated by this Agreement unless, to the extent permitted by such Governmental Authority, it consults with the other Party in advance and allows the other party to participate. (c) Between the date hereof and the earlier of (i) Closing and (ii) September 1, 2020, without Seller’s prior written consent, which shall not be unreasonably withheld, conditioned or delayed, Buyer shall not, and shall cause its Affiliates not to, directly or indirectly (whether by merger, consolidation or otherwise), acquire, purchase, lease or license (or agree to acquire, purchase, lease or license) any business, corporation, partnership, limited liability company, association or other business organization or division or part thereof, or any securities or collection of assets, or enter into any new line of business, if doing so would reasonably be expected to: (i) impose any material delay in the obtaining of, or materially increase the risk of not obtaining, any consent of any Governmental Authority necessary to consummate the Novations or the expiration or termination of any applicable waiting period; (ii) materially increase the risk of any Governmental Authority entering an order prohibiting the Novations; or (iii) materially increase the risk of not being able to remove any such order on appeal or otherwise. For the avoidance of doubt, Buyer or its Affiliates’ entry into a Medicaid contract or Dual Eligible Special Needs Contract in connection with the RFP and any actions taken in connection therewith shall not be a violation of this Section 4.2(c). (d) Notwithstanding anything to the contrary contained herein, each Party acknowledges and agrees that nothing herein shall obligate, or be construed to obligate, any Party or any of their respective Affiliates to, or to agree to, (i) sell, divest, hold separate, discontinue, limit or otherwise dispose of any property or assets of such Person or any of its Affiliates, other than Seller’s obligation to sell the Medicaid Business pursuant to the terms of this Agreement, (ii) defend against any Proceeding challenging this Agreement or the transactions contemplated by this Agreement (provided, however, each Party agrees to defend against any Proceeding challenging this Agreement or the transactions contemplated by this Agreement to the extent it is reasonably expected that the resolution of such Proceeding (without giving effect to any appeal with respect thereto) will occur prior to January 1, 2021), or (iii) agree to any conditions (including in any consent decree) relating to, or changes or restrictions in, the current or future operations or ownership of such Person or any of its Affiliates other than (A) ordinary course regulatory requirements in connection with the Novations and (B) any Open Enrollment Period or special opt-out period (each of the foregoing, a “Burdensome Condition”). (e) Notwithstanding anything to the contrary in this Agreement, nothing contained in this Agreement shall give Buyer, directly or indirectly, the right to control or direct the operations of the Business prior to the Closing. Prior to the Closing, Seller and UHC shall exercise, consistent with the terms and conditions of this Agreement, complete control and supervision over the operations of the Business consistent with Legal Requirements. Section 4.3 Further Assurances. If after the Closing any further action is necessary, proper or desirable to carry out any purpose of this Agreement, then each Party will take such further action (including the execution and delivery of further documents) as any other Party reasonably requests to carry out such purpose. -23-


 
Section 4.4 Confidentiality. (a) Buyer and its Affiliates, on the one hand, and Seller and Evolent and their respective Affiliates, on the other, shall not, without the prior written consent of the other Party, disclose any Confidential Information of such other Party in any manner whatsoever, in whole or in part. The receiving party shall not, without the prior written consent of the disclosing party, use any Confidential Information for any purpose other than evaluating the transactions contemplated hereby or fulfilling its obligations hereunder or otherwise pursuant to any pre-existing contractual arrangement. Each receiving party agrees to transmit the Confidential Information only to Representatives who need to know the Confidential Information in order to fulfill such party’s obligations in connection with the transactions contemplated hereby. In any event, each party will be responsible for any breach of this Section 4.4(a) by any of its Representatives. (b) In the event that the receiving party or its Representatives are required to disclose any Confidential Information by law, regulation or the rules of any applicable securities exchange, or in a Proceeding, by an applicable securities exchange or on advice of counsel, the receiving party agrees to give the disclosing party prompt notice of such requirement and will cooperate with the disclosing party if the disclosing party desires to seek a protective order. If, absent the entry of a protective order, the receiving party or its Representatives are, in the opinion of counsel to such party, legally compelled to disclose such Confidential Information, the receiving party may disclose such information to the persons and to the extent required without liability under this Agreement and such party agrees to cooperate with the disclosing party’s reasonable commercial requests, at the disclosing party’s expense, in its efforts to obtain reliable assurances that confidential treatment will be accorded to such Confidential Information. (c) Notwithstanding anything contained herein to the contrary, effective as of the Closing, all Confidential Information of Seller included in the Acquired Assets will be deemed to be “Confidential Information” of Buyer and will be subject to the protections set forth herein for the benefit of Buyer. Section 4.5 Exclusivity. From the execution of this Agreement until the Closing, Seller agrees that it will not, and will cause each of its Affiliates, directors, officers, managers, employees, agents, consultants, lenders, financing sources, advisors or other Representatives, including legal counsel, accountants and financial advisors, not to, directly or indirectly (a) solicit, initiate or encourage any inquiry, proposal, offer or contact from any Person (other than Buyer and its Affiliates and representatives) relating to any transaction involving (i) the sale of any equity or any assets (other than in the Ordinary Course of Business) of Seller, (ii) any acquisition, divestiture, merger, equity exchange, consolidation, redemption, financing or similar transaction involving Seller or (iii) any similar sale or acquisition transaction or business combination involving Seller (in each case, an “Acquisition Proposal”), or (b) participate in any discussion or negotiation regarding, or furnish any information with respect to, or assist or facilitate in any manner, any Acquisition Proposal or any attempt to make an Acquisition Proposal. Seller shall immediately cease, and cause to be terminated, any and all contacts, discussions and negotiations with third parties regarding any of the foregoing, and Seller will notify Buyer immediately if any Person makes any proposal, offer, inquiry or contact related to an Acquisition Proposal. Section 4.6 Conduct of Business Prior to Complete Transfer. (a) From and after the date hereof until the earlier of (i) the final Transfer Date and (ii) January 1, 2021, except (A) as set forth in Schedule 4.6(a), (B) as consented to in writing by Buyer (such consent to not be unreasonably withheld, conditioned or delayed), or (C) as required by applicable Legal Requirements, Seller shall, other than as contemplated by this Agreement, -24-


 
continue to operate in the Ordinary Course of Business, consistent with past practice, and shall use commercially reasonable efforts to: (i) preserve intact Seller’s present business organization; (ii) preserve Seller’s relationships with Providers, Enrollees, payors, licensors, suppliers, developers, contractors and others to whom it has material contractual obligations or material business dealings or relations; (iii) keep available the services of the employees of Seller or Persons (including independent contractors and leased employees) otherwise servicing the Business; and (iv) comply in all material respects with all applicable Legal Requirements. (b) From and after the date hereof until the earlier of the D-SNP Contract Transfer Date and the termination of the D-SNP Contract in accordance with its terms, except (A) as consented to in writing by Buyer (such consent not to be unreasonably withheld, conditioned or delayed), or (B) as required by applicable Legal Requirements, Seller shall, other than as contemplated by this Agreement including Section 4.15, use commercially reasonable efforts to continue to operate the D-SNP Business in the Ordinary Course of Business, consistent with past practice. (c) From and after the date hereof until (i) with respect to the D-SNP Contract, the earlier of January 1, 2022, the D-SNP Contract Transfer Date and the termination of the D-SNP Contract in accordance with its terms, or (ii) with respect to any other Contract that is an Assumed Contract but which such Contract was not assumed by Buyer at Closing, the earlier of (A) the final Transfer Date with respect to such Assumed Contract and (B) January 1, 2021, unless otherwise consented to by Buyer, which such consent shall not be unreasonably withheld, conditioned or delayed, Seller: (i) shall not, other than in the Ordinary Course of Business, terminate or amend any such Contracts (other than any Contract that terminates in accordance with its terms and not as a result of a breach thereof); (ii) shall not, other than in the Ordinary Course of Business, waive, release or assign any material rights, claims or benefits under such Contracts; (iii) shall not, other than in the Ordinary Course of Business, send notices or communications regarding performance by the counterparty under any such Contracts; and (iv) shall not, other than in the Ordinary Course of Business, dispute or settle any action, suit, case, litigation, claim, hearing, arbitration, investigation or other proceedings before or threatened to be brought before a Governmental Authority relating to any such Contracts. From and after the Closing until (i) with respect to the D-SNP Contract, the earlier of January 1, 2022, the D-SNP Contract Transfer Date and the termination of the D-SNP Contract in accordance with its terms, or (ii) with respect to any other Contract that is an Assumed Contract but which such Contract was not assumed by Buyer at Closing, the earlier of (A) the final Transfer Date with respect to -25-


 
such Assumed Contract and (B) January 1, 2021, unless otherwise consented to by Buyer, which such consent shall not be unreasonably withheld, conditioned or delayed, Seller shall comply in all material respects with such Contracts to which it is a party and shall not take (or fail to take) any action that would reasonably be expected to cause or result in a material breach of, or material default under, any such Contract. For the avoidance of doubt, any Liabilities arising under the Assumed Contracts before the Transfer Date applicable thereto shall in all cases be obligations of Seller. (d) From and after the date hereof until January 1, 2021, neither Seller nor Evolent shall make any changes to the compensation of any Seller Employee, hire any additional Seller Employees or terminate any Seller Employee, in each case other than in the Ordinary Course of Business, without the prior written consent of Buyer. (e) From and after the date hereof until the expiration of the Open Enrollment Period, Buyer shall cause the Molina Plan to comply in all material respects with all applicable Legal Requirements and any Contract with a Governmental Authority to which it is a party. In addition, Buyer shall cause the Molina Plan to use commercially reasonable efforts to become certified by CMS as a Medicare Advantage Organization prior to January 1, 2022. Section 4.7 Employees. (a) Effective on or before January 1, 2021, Buyer or one of its Affiliates shall offer employment to the Seller Employees set forth on Schedule 4.7(a)(i), which schedule shall be mutually agreed to by the Parties promptly following the date hereof and attached hereto, in each case on at at-will basis (such employees who accept such employment with Buyer or its applicable Affiliate, as offered, are referred to herein as the “Early Transferred Employees”). Effective as of January 1, 2021, Buyer or one of its Affiliates shall offer employment to the Seller Employees then employed by Seller or Evolent and providing services on behalf of the Business set forth on Schedule 4.7(a)(ii), which schedule shall be mutually agreed to by the Parties promptly following the date hereof and attached hereto (it being the intent of the Parties that, subject to Section 4.6(d), Buyer or one of its Affiliates will offer employment to all Seller Employees then employed by Seller or Evolent and providing services on behalf of the Business prior to January 1, 2021) subject to mutually agreed upon exclusions for certain executives of Seller),, in each case on an at-will basis (such employees who accept such employment with Buyer or its applicable Affiliate, as offered, are referred to herein as the “Delayed Transferred Employees” and, together with the Early Transferred Employees, the “Transferred Employees”). Prior to January 1, 2021, Seller may update Schedule 4.7(a)(i) (other than with respect to Early Transferred Employees that accept employment with Buyer or one of its Affiliates) and 4.7(a)(ii) to reflect personnel replacements made in the Ordinary Course of Business or with the express written consent of Buyer. (b) Effective as of the applicable Employee Transfer Date, Seller and Evolent shall terminate the employment of such Transferred Employees and Seller and Evolent shall be responsible for (i) the payment of all wages and other remuneration due to the Transferred Employees with respect to their services as employees of Seller or Evolent through the applicable Employee Transfer Date, including, but not limited to, any and all accrued compensation and benefits arising from any salary, wage, benefits, bonus, vacation, sick leave, continuing medical education leave, paid-time off, insurance, employment tax, or similar Liability of Seller or Evolent to any employee or other similar person or entity allocable to services performed prior to the applicable Employee Transfer Date, and (ii) the payment of any termination or severance payments and the provision of health plan continuation coverage (including all administrative and notice obligations) under COBRA, or any other Legal Requirement, with respect to Seller Employees who are not hired by Buyer or one of its Affiliates. Seller or Evolent, as applicable, shall make or cause to -26-


 
be made on behalf of all the Seller Employees all contributions due to be made under each Seller Benefit Plan for all periods prior to the applicable Employee Transfer Date, with respect to such Seller Employee who is an Early Transferred Employees, or January 1, 2021, with respect to all other Seller Employees. Additionally, Seller or Evolent, as applicable, shall take such actions as are necessary to make, or cause each Seller Benefit Plan to make, appropriate distributions to all the employees of Seller or Evolent that are required to be made prior to January 1, 2021, in accordance with such Seller Benefit Plan and applicable Legal Requirements. (c) Seller and Evolent, as applicable, shall be fully responsible for all claims, obligations, and liabilities with respect to any and all employees of Seller and Evolent arising out of or relating to acts or omissions of Seller or Evolent, as applicable, occurring before January 1, 2021, including claims, obligations, and liabilities related to hiring, discipline, or termination, salary, wages, bonuses, or other forms of compensation, severance pay, sick or vacation leave, or any other employment-related leave, workers’ compensation or unemployment benefits, disability benefits, pension benefits, retirement benefits, or any other Plans. Seller and Evolent shall ensure that any bonuses which would have been payable on or after January 1, 2021 for services rendered by the Transferred Employees prior to January 1, 2021 are paid on a pro-rated basis on or before the applicable Employee Transfer Date. For the avoidance of doubt, Seller and Evolent, as applicable, shall be responsible (and Buyer shall have no obligation, responsibility, or liability whatsoever) for any and all such claims, obligations, and liabilities with respect to such Seller Employees that arise out of or relate to acts or omissions of Seller or Evolent, as applicable, occurring prior to January 1, 2021, irrespective of whether the associated or corresponding request for damages, compensation, benefit, attorneys’ fees, costs, or any other item of value is submitted or received after January 1, 2021. (d) Commencing on the applicable Employee Transfer Date and ending on the twelve (12) month anniversary of the applicable Employee Transfer Date (or, if earlier, the date of the Transferred Employee’s termination of employment with Buyer or one of its Affiliates), Buyer shall ensure that Transferred Employees receive compensation (including salary, wages, and opportunities for commissions, bonuses, incentive pay, overtime, and premium pay), severance benefits, and employee welfare and retirement benefits that are, in the aggregate, substantially comparable to those provided to such Transferred Employee immediately prior to such Transferred Employee’s Employee Transfer Date; provided, however, that Buyer shall have the discretion to replace or substitute any equity-based bonus or incentive arrangements with cash bonus programs; provided, further, that neither Buyer nor any of its Affiliates shall be obligated to create or implement any type of employee benefit plans or arrangements that Buyer does not otherwise provide or make available to its or its Affiliates’ similarly-situated employees. (e) For eligibility to participate and vesting purposes under the employee benefit and compensation plans of Buyer and its Affiliates, including vacation policies and severance plans, providing benefits and compensation to any Transferred Employee after such Transferred Employee’s Employee Transfer Date (the “New Plans”), each Transferred Employee shall be credited with his or her years of service with Seller, Evolent, and their Affiliates and respective predecessors before such Transferred Employee’s Employee Transfer Date to the same extent as such Transferred Employee was entitled, before such Transferred Employee’s Employee Transfer Date to credit for such service under any similar and corresponding Seller Benefit Plan in which such Transferred Employee participated or was eligible to participate immediately prior to such Transferred Employee’s Employee Transfer Date (such plans, collectively, the “Old Plans”); provided that the foregoing credit shall not apply: (i) to the extent that its application would result in a duplication of benefits for the same period of service; (ii) under a defined benefit pension plan or retiree medical plan, or (iii) for purposes of qualifying for subsidized early retirement benefits. In addition, and without limiting the generality of the foregoing, Buyer and its Affiliates shall (x) cause each Transferred Employee to be immediately eligible to participate, without any waiting time, in any and all New Plans, (y) cause all pre-existing condition exclusions and actively-at-work -27-


 
requirements in any New Plan providing medical, dental, pharmaceutical and/or vision benefits to any Transferred Employee, to be waived for such employee and his or her covered dependents, unless such conditions would not have been waived under the Old Plan providing corresponding benefits in which such Transferred Employee participated, and (z) use commercially reasonable efforts to cause any eligible expenses incurred by such Transferred Employee and his or her covered dependents during the portion of the plan year of the Old Plan ending on the date such Transferred Employee’s participation in the corresponding New Plan begins to be taken into account under such New Plan for purposes of satisfying all deductible, coinsurance and maximum out-of-pocket requirements applicable to such Transferred Employee and his or her covered dependents for the applicable plan year as if such amounts had been paid in accordance with such New Plan. (f) Buyer shall take the necessary action, including any necessary plan amendments, to cause the tax-qualified defined contribution retirement plan maintained by Buyer or its Affiliates in which the Transferred Employees are eligible to participate (the “Buyer 401(k) Plan”) to permit each Transferred Employee to make rollover contributions of “eligible rollover distributions” (within the meaning of Section 401(a)(31) of the Code, excluding loans), in the form of cash, in an amount equal to the full account balance distributable to such Transferred Employee from the applicable defined contribution plan of Seller, Evolent and its Affiliates in which such Transferred Employee participated to the applicable Buyer 401(k) Plan. (g) Notwithstanding any provision in this Agreement to the contrary, nothing herein is intended to, and shall not be construed to, (i) create any third party beneficiary rights of any kind or nature, including, without limitation, the right of any Transferred Employee or other Person to seek to enforce any right to compensation, benefits, or any other right or privilege of employment with Seller, Evolent or Buyer or any of their respective Affiliates, or (ii) be deemed to be the adoption of, or an amendment to, any employee benefit plan, program, arrangement, contract or practice, or otherwise limit the right of the Parties to amend, modify or terminate any of their respective employee benefit plans, programs, arrangements, contracts or practices. (h) Following the Closing until January 1, 2021, upon the reasonable request of Buyer, Seller and Evolent shall make the Seller Employees who are not Early Transferred Employees who transferred on the Closing Date reasonably available to Buyer and its Affiliates for purposes of (i) training and on-boarding of such employees; (ii) providing reasonable transition support to Buyer and its Affiliates in connection with its assumption of the Business or as otherwise may be reasonably requested by Buyer in connection with its acquisition of the Acquired Assets, including, without limitation, in connection with implementation of the Molina Plan’s new Medicaid contract and, if applicable, Dual Eligible Special Needs Plan contract effective on January 1, 2021 and the Molina Plan’s readiness review in connection therewith; and (iii) for such other purposes as the Parties may reasonably agree to in connection with the transactions contemplated hereby. (i) To the extent the hiring by Buyer or its Affiliates of the Early Transferred Employees or efforts by Seller Employees who are not Early Transferred Employees under Section 4.7(h) above result in a material disruption of operations of Seller or Evolent or lead to material costs or expenses to Seller or Evolent, the Parties agree to negotiate in good faith to reach an agreement on reasonable expense reimbursement as a result of such disruption, cost or expense. Section 4.8 Other Closing Deliverables. From the date of this Agreement through the Closing Date, the Parties shall negotiate in good faith to finalize the other Closing deliverables contemplated by Section 5.2 and Section 5.3 to be agreed upon by the Parties. -28-


 
Section 4.9 Transition Services Agreement. The Parties will negotiate in good faith regarding a 2021 management agreement, on terms consistent with those set forth on Annex 4.9, for certain services to be provided by Evolent to Buyer and its Affiliates such as claims processing and other mutually agreed upon transition services. The Parties shall agree on pricing and scope regarding system access prior to Closing and shall use commercially reasonable efforts to agree on other pricing and scope prior to Closing and in any event, by October 31, 2020. In the event the Parties have failed to reach agreement with respect to pricing within the time frames stated above, they shall mutually engage a reputable national independent third party valuation firm with experience in healthcare services to determine pricing and the determination of such third party valuation firm shall be final and binding on the Parties. Section 4.10 Public Announcements. Unless otherwise required by applicable Legal Requirements or stock exchange requirements (based upon the reasonable advice of counsel), no Party shall make any public announcements in respect of this Agreement or the transactions contemplated thereby or otherwise communicate with any news media without the prior written consent of the other Party (which consent shall not be unreasonably withheld, conditioned or delayed). Promptly following the execution of this Agreement, Seller, Evolent and Buyer may issue a press release, in each case, in a form mutually agreed to by Seller, Evolent and Buyer announcing the execution of this Agreement. Thereafter, each of Seller, Evolent and Buyer hereby agrees to (a) obtain prior approval (which approval shall not be unreasonably withheld, conditioned or delayed) from the other Party prior to issuing any press release or otherwise making any public statement with respect to this Agreement or the terms hereof and (b) provide to the other Party for review and approval (which approval shall not be unreasonably withheld, conditioned, or delayed) a copy of any such press release or statement, and shall not issue any such press release or make any such public statement prior to such consultation, review and approval by the other Party, unless in any such case required by applicable Legal Requirements or securities exchange rules or regulations. Prior to the Closing and subject to applicable Legal Requirements, the Parties will consult with each other concerning the means by which any employee, Provider, customer or supplier of Seller or any other Person having any business relationship with Seller will be informed of the transactions contemplated by this Agreement. Section 4.11 Access; Preservation of Records. (a) From and after the date hereof until January 1, 2021 and subject to applicable Legal Requirements, Seller shall: (i) give Buyer and its Representatives reasonable access to the Records of Seller and its Affiliates relating to the Business, the Acquired Assets and the Enrollees to the extent relevant to the Novations and the orderly transition of the Enrollees (including as necessary to ensure continuity of care to such Enrollees) and (ii) furnish, and cause its Affiliates to furnish, to Buyer and its Representatives such financial and operating data and other information that is in Seller’s and its Affiliates’ possession and in the format maintained by Seller or its applicable Affiliate relating to the Acquired Assets and the Business as such Persons may reasonably request, except, in each case, for information that, if provided, would cause the forfeiture of attorney-client or attorney work product privilege, and information or materials required to be kept confidential by applicable Legal Requirements. The information provided pursuant to this Section 4.11(a) shall be used solely for the purpose of the transactions contemplated by this Agreement, and such information shall be kept confidential by Buyer in accordance with Section 4.4. (b) From and after the Closing, Seller, Evolent and Buyer agree that each of them shall preserve and keep, or cause to be kept, any Records held by them or their Affiliates relating to the Acquired Assets for a period equal to the greater of (a) seven (7) years from the Closing or (b) such period required by applicable Legal Requirements, and shall cause such Records and, in the case of Buyer, personnel to be available during regular business hours to the other as may be reasonably required in connection with: (i) investigating, settling, preparing for the defense or prosecution of, defending or prosecuting any Proceeding by or before any court or other Governmental Authority; (ii) preparing reports to Governmental Authorities; (iii) preparing and delivering any accounting or other statement provided for -29-


 
under this Agreement or otherwise in order to enable Seller, Evolent and Buyer to comply with their respective obligations under this Agreement and each other agreement, document or instrument contemplated hereby or thereby; (iv) preparing Tax Returns or responding to or disputing any Tax inquiry, audit or assessment; provided; or (v) any other commercially reasonable purpose, including, with respect to Seller and Evolent, if applicable, the run-out and winding down of the Business; provided, however, that such access does not unreasonably interfere with normal operations of the Person providing access to the same and shall occur during normal business hours upon reasonable notice, shall be subject to restrictions under applicable Legal Requirements and shall not require disclosure of information subject to attorney- client privilege. Section 4.12 Notification and Effect of Certain Matters. Each Party shall promptly notify the other Parties of (i) any written notice or other written communication from any Person alleging that the consent of such Person is or may be required in connection with the transactions contemplated by this Agreement, (ii) the occurrence or nonoccurrence of any fact or event which would reasonably be likely to cause any conditions set forth in ARTICLE VI not to be satisfied, (iii) any Proceeding pending or threatened against a Party or any of its Affiliates in connection with the transactions contemplated by this Agreement, or (iv) any material written notice or other written communication from any Governmental Authority outside the Ordinary Course of Business relating to the Business or the transactions contemplated hereby; provided, that no such notification, nor the obligation to make such notification shall affect the representations, warranties, covenants, agreements, or conditions to the obligations of any Party hereunder. Section 4.13 Transfer Taxes. Any transfer, documentary, sales, use, stamp, registration and other similar Taxes and fees (including any penalties and interest) (collectively, “Transfer Taxes”) incurred in connection with the transactions contemplated by this Agreement shall be borne equally by Buyer and Seller. The Party responsible under applicable Legal Requirements for filing the Tax Returns with respect to such Transfer Taxes shall prepare and timely file such Tax Returns at such Party’s sole cost and expense and promptly provide a copy of such Tax Return to the other Party. The Seller and the Purchaser shall, and shall cause their respective Affiliates to, cooperate to timely prepare and file any Tax Returns or other filings relating to such Transfer Taxes, including any claim for exemption or exclusion from the application or imposition of any Transfer Taxes. Section 4.14 Restrictive Covenants. (a) For the period from the Closing Date through the two (2) year anniversary of the Closing Date, Seller and Evolent (collectively, the “Seller Group”), shall not, directly or indirectly, solicit, induce or attempt to influence any employee of Buyer or its Affiliates providing services on behalf of the Molina Plan, including, without limitation, any Transferred Employee, to terminate his or her employment relationship with Buyer or its Affiliates, as applicable. No member of the Seller Group shall be prohibited from hiring any person who (i) responds to general solicitations for employment (including through the use of a professional search agency) not directed at Buyer or its Affiliates; or (ii) ceased to be an employee of Buyer or any of its Affiliates before such solicitation for employment. (b) For the period from the Closing Date through the five (5) year anniversary of the Closing Date, the Seller Group shall not, except as expressly contemplated by this Agreement or any transaction document entered into in connection herewith, engage or participate, directly or indirectly, in the ownership, management, development, operation or control of, or the provision of services to, any business that is competitive with the Business (as conducted as of the Closing Date) in the Commonwealth of Kentucky; provided, however, nothing herein shall prohibit (i) any Person from being a passive owner of not more than five percent (5%) of the outstanding stock of any class of a corporation which is publicly traded, so long as such Person has no active participation in the business of such corporation; (ii) any Person from engaging in any line of business or holding any interests in any Person that such Person engages in or -30-


 
holds as of immediately prior to the consummation of the transactions contemplated hereby; or (iii) Evolent from providing back-office services to any business that is competitive with the Business. In addition, for the avoidance of doubt, this Section 4.14 shall not apply to a third party acquirer of Evolent. Section 4.15 D-SNP Administrative Services Agreement. In the event the Required D-SNP Regulatory Approvals are not obtained and the D-SNP Novation is not consummated prior to January 1, 2021, on January 1, 2021 Seller and Buyer or its applicable Affiliate shall enter into an administrative services agreement on terms substantially consistent with the UHC Services Agreement with such additional terms as the Parties mutually agree. Section 4.16 2022 D-SNP Bid. From and after the date hereof until the D-SNP Contract Transfer Date, Seller shall, and shall cause its Affiliates to, reasonably cooperate and work with Buyer and its Affiliates in preparing the 2022 D-SNP Bid. Section 4.17 Seller Name. Seller expressly agrees that, on and after the Closing Date, it shall not have any right, title or interest in any trade names, trademarks, identifying logos or service marks employing the words “Passport Health Plan” or any variation thereof (the “Name”) or any other trademarks, service marks, product line names, trade dress or other intangible assets included in the Acquired Assets or confusingly similar thereto, except for such licensee rights granted to Seller pursuant to the Intellectual Property License Agreement. Seller agrees that without the prior written consent of Buyer, neither it nor any of its Affiliates shall make any use of the Name from and after the Closing Date except in accordance with the Intellectual Property License Agreement. Seller shall also provide Buyer with such assistance as reasonably requested by Buyer in order to effectuate the transfer of trademarks, trade names and domain names within forty-five (45) days following the Closing Date. Additionally, Seller shall file such documents with the applicable Governmental Authorities to change the legal name of Seller to a name that is not similar to the Name promptly following the Closing. ARTICLE V CLOSING AND CLOSING DELIVERIES Section 5.1 Closing. The closing of the acquisition of the Acquired Assets and the assumption by Buyer of the Assumed Liabilities subject in each case to the terms of the Bill of Sale (the “Closing”) and the consummation of the other transactions contemplated hereby will take place by exchange of electronic signatures (the date on which the Closing occurs is referred to herein as the “Closing Date”): on the earlier of (A) September 1, 2020 or (B) within three (3) Business Days following receipt of the Required Medicaid Regulatory Approvals and the Medicaid Novation, and in each case, following satisfaction or waiver of all other conditions to the obligations of the Parties to consummate such transactions (other than conditions that by their nature are to be satisfied at the Closing, but subject to the satisfaction or waiver of such conditions at the Closing); provided, however, that in the event of a Successful Protest on or prior to September 1, 2020, the Closing shall not occur, and this Agreement may be terminated in accordance with Section 8.1(b). Section 5.2 Closing Deliveries by Seller. At the Closing (or such other time as indicated below), Seller will deliver, or cause to be delivered, to Buyer, the following: (a) the Escrow Agreement, duly executed by Seller; (b) a Bill of Sale, Assignment and Assumption Agreement, in a form mutually agreed to by the Parties (the “Bill of Sale”), dated as of the Closing and to be effective as of the applicable Transfer Date of the applicable Acquired Asset; -31-


 
(c) a Master Services Agreement, in substantially the form attached hereto as Exhibit B (the “NCH Master Services Agreement”), duly executed by NCH Management Services, Inc. d/b/a New Century Health; (d) a Reinsurance Agreement (the “New Reinsurance Agreement”), in form and substance reasonably acceptable to the Parties, by and between Buyer or its applicable Affiliate and Seller, duly executed by Seller; (e) an Interim Services Agreement, in substantially the form attached hereto as Exhibit C as modified to implement that certain Memorandum of Understanding by and between Seller and Evolent without regard to the gainshare reflected therein (the “Interim Services Agreement”), duly executed by Evolent; (f) a Services Agreement, in substantially the form attached hereto as Exhibit D (the “Management Agreement”), duly executed by Seller and Evolent; (g) a certificate of the Secretary or other authorized officer of Seller, certifying as to the resolutions or actions of Seller’s board of directors or other governing body and shareholders approving the execution and delivery of this Agreement and each other agreement contemplated hereby to which such Person is a party and the consummation of the transactions contemplated hereby, and certifying to the incumbency of the officer of Seller executing this Agreement and any other documents being executed in connection with the consummation of the transactions contemplated hereby and thereby; (h) a certificate, duly executed by an authorized officer of Seller that each of the conditions set forth in Section 6.1(a) and Section 6.1(b) have been satisfied; (i) evidence of the release of any Encumbrances (other than Permitted Encumbrances) upon the Acquired Assets; (j) a trademark assignment agreement with respect to any registered Trademarks owned by Seller, in a form mutually agreed to by the Parties (the “Trademark Assignment Agreement”), duly executed by Seller; (k) an Intellectual Property License Agreement with respect to the Seller Intellectual Property in substantially the form attached hereto as Exhibit E (the “Intellectual Property License Agreement”), duly executed by Seller; (l) a good standing certificate (or equivalent document) for Seller from the Secretary of State of the jurisdiction of its organization and from the Secretary of State of all other jurisdictions where Seller is qualified to do business as a foreign entity, in each case, dated within five (5) days prior to the Closing Date; (m) if the Required Regulatory Approval(s) are obtained and the Novation(s) are consummated at or prior to the Closing (or if obtained and consummated following the Closing, at such time), such documents and agreements as may be required by CHFS, the DOI, CMS or any other applicable Governmental Authority to reflect the Novation(s) (but subject to the conditions set forth herein); and (n) such other agreements, documents and certificates required to be delivered by Seller or Evolent pursuant to this Agreement at the Closing Date. -32-


 
Section 5.3 Closing Deliveries by Buyer. At the Closing (or such other time as indicated below), Buyer will deliver, or cause to be delivered, to Seller, the following: (a) the Escrow Agreement, duly executed by Buyer and the Escrow Agent; (b) the Bill of Sale, duly executed by Buyer or its applicable Affiliate; (c) the NCH Master Services Agreement, duly executed by Buyer; (d) the New Reinsurance Agreement, duly executed by the Molina Plan; (e) the Interim Services Agreement, duly executed by the Molina Plan; (f) the Management Agreement, duly executed by the Molina Plan; (g) a certificate of the Secretary or other authorized officer of Buyer, certifying as to the resolutions or actions of Buyer’s board of directors or other governing body approving the execution and delivery of this Agreement and each other agreement contemplated hereby to which such Person is a party and the consummation of the transactions contemplated hereby, and certifying to the incumbency of the officer of Buyer executing this Agreement and any other documents being executed in connection with the consummation of the transactions contemplated hereby and thereby; (h) a certificate, duly executed by an authorized officer of Buyer that each of the conditions set forth in Section 6.2(a) and Section 6.2(b) have been satisfied; (i) the Trademark Assignment Agreement, duly executed by Buyer or its applicable Affiliate; (j) the Intellectual Property License Agreement, duly executed by Buyer or its applicable Affiliate; (k) if the Required Regulatory Approval(s) are obtained and the Novation(s) are consummated at or prior to the Closing (or if obtained and consummated following the Closing, at such time), such documents and agreements as may be required by CHFS, the DOI, CMS or any other applicable Governmental Authority to reflect the Novation(s) (but subject to the conditions set forth herein); and (l) such other agreements, documents and certificates required to be delivered by Buyer pursuant to this Agreement at the Closing Date. ARTICLE VI CONDITIONS TO OBLIGATIONS TO CLOSE Section 6.1 Conditions to Obligation of Buyer to Closing. The obligation of Buyer to effect the closing of the transactions contemplated herein with respect to the acquisition of the Acquired Assets and the assumption of the Assumed Liabilities and to consummate the other transaction contemplated to take place at the Closing is subject to the satisfaction at the Closing of all of the following conditions, any one or more of which may be waived by Buyer, in Buyer’s sole discretion: (a) Accuracy of Representations and Warranties. Each representation and warranty of Seller in ARTICLE II (disregarding any materiality or Seller Material Adverse Effect qualifications) shall be true and correct as of the Closing Date as if made on the Closing Date (or, in each -33-


 
case, if any such representation and warranty is expressly stated to have been made as of a specific date, then, for such representation and warranty, as of such specific date), except for any failure of any such representation and warranty to be true and correct that does not have a Seller Material Adverse Effect, except that the Seller Fundamental Representation shall be true and correct in all but de-minimis respects as of the Closing Date (except to the extent any such representation or warranty is expressly made as of an earlier date or time, in which case as of such earlier date or time). (b) Observance and Performance. Seller shall have performed and complied with, in all material respects, all covenants and agreements required by this Agreement to be performed and complied with by Seller on or before the Closing Date, except that with respect to the covenants and agreements set forth in Section 4.5 and Section 4.10 Seller shall have performed and complied with such covenants and agreements in all respects. (c) Closing Deliverables. Seller will have delivered (or caused to be delivered) to Buyer each of the items contemplated to be so delivered by this Agreement, including each item listed in Section 5.2. (d) No Legal Proceedings. No Governmental Authority of competent jurisdiction will have instituted any Proceeding to restrain, prohibit or otherwise challenge the legality or validity of the transactions contemplated herein that has not been dismissed or otherwise resolved in a manner that does not materially and adversely affect the transactions contemplated herein and no injunction, order or decree of any Governmental Authority will be in effect that restrains or prohibits the acquisition of the Acquired Assets or the consummation of the other transactions contemplated herein. (e) No Successful Protest. A Successful Protest shall not have occurred. Section 6.2 Conditions to Obligation of Seller and Evolent to Closing. The obligation of Seller and Evolent to effect the closing of the transactions contemplated herein with respect to the acquisition of the Acquired Assets and the assumption of the Assumed Liabilities and to consummate the other transaction contemplated to take place at the Closing is subject to the satisfaction at the Closing of all of the following conditions, any one or more of which may be waived by Seller, in Seller’s sole discretion: (a) Accuracy of Representations and Warranties. Each of the representations and warranties of Buyer in ARTICLE III of this Agreement (disregarding any materiality qualifications) must be true and correct as of the Closing Date as if made on the Closing Date, except for any failure of any such representation and warranty to be true and correct as would not reasonably be expected to have a material adverse effect on Buyer’s ability to consummate the transactions contemplated hereby, except that the Buyer Fundamental Representation shall be true and correct in all but de-minimis respects as of the Closing Date (except to the extent any such representation or warranty is expressly made as of an earlier date or time, in which case as of such earlier date or time). (b) Observance and Performance. Buyer will have performed and complied with, in all material respects, all covenants and agreements required by this Agreement to be performed and complied with by Buyer on or before the Closing Date except that with respect to the covenants and agreements set forth in Section 4.5 and Section 4.10 Buyer shall have performed and complied with such covenants and agreements in all respects. (c) Closing Deliverables. Buyer will have delivered (or caused to be delivered) to Seller each of the items contemplated to be so delivered by this Agreement, including each item listed in Section 5.3. -34-


 
(d) No Legal Proceedings. No Governmental Authority of competent jurisdiction will have instituted any Proceeding to restrain, prohibit or otherwise challenge the legality or validity of the transactions contemplated herein that has not been dismissed or otherwise resolved in a manner that does not materially and adversely affect the transactions contemplated herein and no injunction, order or decree of any Governmental Authority will be in effect that restrains or prohibits the acquisition of the Acquired Assets or the consummation of the other transactions contemplated herein. Section 6.3 Conditions to Obligation of Each Party to Closing in Connection with the Medicaid Novation. In additional to the conditions set forth in Section 6.1 and Section 6.2, the obligation of each Party to effect the Medicaid Novation is subject to the satisfaction at the Closing of all of the following conditions, any one or more of which may be only be waived by all of the Parties: (a) Required Regulatory Approvals. The approvals, consents, notices and/or authorizations of the Governmental Authorities with respect to the Medicaid Novation set forth on Annex 6.3(a) (the “Required Medicaid Regulatory Approvals”) shall have been obtained and there shall not be any Burdensome Condition. For the avoidance of doubt, the receipt of the Required Medicaid Regulatory Approvals and the consummation of the Medicaid Novation are not a condition to the Closing, and in the event the Required Medicaid Regulatory Approvals and the consummation of the Medicaid Novation is not obtained prior to August 27, 2020, then the Closing shall take place, subject to the conditions set forth in Section 6.1 and Section 6.2, on September 1, 2020 as contemplated by Section 5.1. Section 6.4 Conditions to Obligation of Each Party to Closing in Connection with the D-SNP Novation. In addition to the conditions set forth in Section 6.1 and Section 6.2, the obligation of each Party to effect the D-SNP Novation is subject to the satisfaction at the Closing of all of the following conditions, any one or more of which may be only be waived by all of the Parties: (a) Required Regulatory Approvals. The approvals, consents, notices and/or authorizations of the Governmental Authorities with respect to the D-SNP Novation set forth on Annex 6.4(a) (the “Required D-SNP Regulatory Approvals” and together with the Required Medicaid Regulatory Approval, the “Required Regulatory Approvals”) shall have been obtained and there shall not be any Burdensome Condition. (b) D-SNP Contract. The D-SNP Contract shall be in full force and effect and shall not have been terminated. For the avoidance of doubt, the receipt of the Required D-SNP Regulatory Approvals and the consummation of the D-SNP Novation are not a condition to the Closing, and in the event the Required D- SNP Regulatory Approvals and the consummation of the D-SNP Novation is not obtained prior to August 27, 2020, then the Closing shall take place, subject to the conditions set forth in Section 6.1 and Section 6.2, on September 1, 2020 as contemplated by Section 5.1. ARTICLE VII INDEMNIFICATION Section 7.1 Survival. All representations, warranties, covenants, and obligations in this Agreement, the Schedules attached hereto, the certificates delivered pursuant to ARTICLE VI, and any other certificate or document delivered pursuant to this Agreement will survive the Closing, as applicable, and the consummation of the transactions contemplated hereby, subject to Section 7.5. -35-


 
Section 7.2 Indemnification and Reimbursement By Seller. From and after the Closing, subject to the other provisions of this ARTICLE VII, Seller shall indemnify and hold harmless Buyer and its Affiliates, officers, directors, stockholders, employees, representatives and agents (collectively, the “Buyer Indemnified Persons”), and shall reimburse the Buyer Indemnified Persons, for any loss, Proceeding, liability, claim, damage or expense (including costs of investigation and defense and reasonable attorneys’ fees and expenses), whether or not involving a Third-Party Claim (collectively, “Damages”; provided, however, that Damages shall not include special, consequential or punitive damages except to the extent awarded in connection with a Third-Party Claim or that constitute consequential damages that were probable or reasonably foreseeable and a direct result of the related breach of this Agreement), arising, directly or indirectly, from or in connection with: (a) any breach of any representation or warranty made by Seller in this Agreement, or any certificate delivered by Seller at the Closing pursuant to this Agreement, in each case without giving effect to any of the qualifications as to materiality, Material Adverse Effect or similar qualifications set forth in such representations and warranties; provided, however, such qualifications shall remain in effect with respect to (i) the representations and warranties set forth in (A) the second sentence of Section 2.5(h), (B) Section 2.12(f)(ii), and (C) the second sentence of Section 2.17, and (ii) the defined terms “Material Contract”, “Material Vendor” and “Seller Material Adverse Effect”; (b) any breach of any covenant or agreement contained in this Agreement to be performed or complied with by Seller or Evolent; (c) any Excluded Liabilities; (d) any Liabilities imposed on Buyer solely as a result of Buyer being deemed a successor in interest to Seller (or other similar designation based on any legal theory of successor liability), other than with respect to any Assumed Liability, notwithstanding the intention of the Parties that such Liabilities be retained by Seller; and (e) subject to Buyer’s compliance with its obligations set forth in Section 4.7(d), any Liabilities arising directly or indirectly under the WARN Act or its state or local equivalents, as a result of the transactions contemplated by this Agreement, including, but not limited to, in respect of any plant closing, mass layoff, termination, or relocation by Seller or Evolent, as applicable, of the employment of any of its employees on or prior to the later of (i) the Closing and (ii) January 1, 2021. Section 7.3 Indemnification and Reimbursement by Buyer. From and after the Closing, subject to the other provisions of this ARTICLE VII, Buyer shall indemnify and hold harmless Seller and Evolent and their respective Affiliates, officers, directors, stockholders, employees, representatives and agents (collectively, the “Seller Indemnified Persons”), and shall reimburse the Seller Indemnified Persons for any Damages arising, directly or indirectly, from or in connection with: (a) any breach of any representation or warranty made by Buyer in this Agreement, or any certificate delivered by Buyer at the Closing pursuant to this Agreement, in each case without giving effect to any of the qualifications as to materiality, material adverse effect or similar qualifications set forth in such representations and warranties; (b) any breach of any covenant or agreement contained in this Agreement to be performed or complied with by Buyer; and (c) any Assumed Liabilities provided that such Assumed Liabilities have been assumed by Buyer by operation of this Agreement at the time of any indemnity claim hereunder. -36-


 
Section 7.4 Limitations on Indemnification by Seller. Notwithstanding anything contained herein to the contrary, the obligation of Seller to indemnify the Buyer Indemnified Persons pursuant to Section 7.2 is subject to the following limitations and qualifications: (a) Seller will have no indemnification liability under Section 7.2 until the total amount of Damages incurred by the Buyer Indemnified Persons hereunder exceeds one-half percent (0.5%) of the Purchase Price as finally determined taking into account the Membership Purchase Price (the “Deductible”), in which case Seller will be responsible for the amount of the Damages in excess of the Deductible. (b) The maximum indemnification liability of Seller under Section 7.2(a) will be an amount equal to ten percent (10%) of the Purchase Price as finally determined taking into account the Membership Purchase Price. (c) The limitations set forth in clauses (a) and (b) of this Section 7.4 shall not apply to breaches of Section 2.1, Section 2.2, Section 2.7, and Section 2.20 (the “Seller Fundamental Representations”). (d) The maximum liability of Seller under this ARTICLE VII shall in no event exceed the Purchase Price actually received by Seller hereunder, except in the event of fraud or intentional misrepresentation. Section 7.5 Time Limitations. (a) Seller will have no indemnification liability for the breach of any representation or warranty set forth in ARTICLE II unless, on or before March 31, 2022, Buyer notifies Seller of a claim specifying the factual basis of that claim in reasonable detail to the extent then known by Buyer; provided, however, that any claim with respect to a breach of any Seller Fundamental Representation may be made by Buyer until the expiration of the applicable statute of limitations. (b) Buyer will have no indemnification liability for the breach of any representation or warranty set forth in ARTICLE III unless, on or before March 31, 2022, Seller notifies Buyer of a claim specifying the factual basis of that claim in reasonable detail to the extent then known by Seller; provided, however, that any claim with respect to a breach of any Buyer Fundamental Representation may be made until the expiration of the applicable statute of limitations. (c) All other claims for indemnification shall survive indefinitely. Section 7.6 Third-Party Claims. (a) Promptly after receipt by a Person entitled to indemnity under Section 7.2 or Section 7.3 (an “Indemnified Person”) of notice of the assertion of any claim against any Indemnified Person by a third party (a “Third-Party Claim”), such Indemnified Person shall give prompt notice to the Person obligated to indemnify under such section (an “Indemnifying Person”) of the assertion of such Third-Party Claim, provided that the failure to promptly notify the Indemnifying Person will not relieve the Indemnifying Person of any liability that it may have to any Indemnified Person, except to the extent that the Indemnifying Person demonstrates that the defense of such Third-Party Claim is prejudiced by the Indemnified Person’s failure to give such notice. (b) If an Indemnified Person gives notice to the Indemnifying Person pursuant to Section 7.6(a) of the assertion of a Third-Party Claim, the Indemnifying Person shall be entitled to -37-


 
participate in the defense of such Third-Party Claim and, to the extent that it wishes (unless (i) the Indemnifying Person is also a Person against whom the Third-Party Claim is made and the Indemnified Person determines in good faith that joint representation would be inappropriate or (ii) the Indemnifying Person fails to provide reasonable assurance to the Indemnified Person of its financial capacity to defend such Third-Party Claim and provide indemnification with respect to such Third-Party Claim), to assume the defense of such Third-Party Claim with counsel reasonably satisfactory to the Indemnified Person if the Indemnifying Person delivers written notice to the Indemnified Party within thirty (30) days after its receipt of notice of the assertion of such Third Party Claim. After notice from the Indemnifying Person to the Indemnified Person of its election to assume the defense of such Third-Party Claim, the Indemnifying Person shall not, so long as it diligently conducts such defense, be liable to the Indemnified Person under this ARTICLE VII for any fees of other counsel or any other expenses with respect to the defense of such Third-Party Claim, in each case subsequently incurred by the Indemnified Person in connection with the defense of such Third-Party Claim, other than reasonable costs of investigation. If the Indemnifying Person assumes the defense of a Third-Party Claim, (i) such assumption will conclusively establish for purposes of this Agreement that the claims made in that Third-Party Claim are within the scope of and subject to indemnification, (ii) no compromise or settlement of such Third-Party Claims may be effected by the Indemnifying Person without the Indemnified Person’s consent unless (A) there is no finding or admission of any violation of any Legal Requirement or any violation of the rights of any Person; and (B) the sole relief provided is monetary damages that are paid in full by the Indemnifying Person; (iii) the Indemnified Person shall have no liability with respect to any compromise or settlement of such Third-Party Claims effected without its consent; and (iv) the Indemnified Personal shall be entitled to retain separate co-counsel at its sole cost and expense and participate in the defense of the Third-Party Claim but the Indemnifying Party shall control the investigation, defense and settlement thereof. If notice is given to an Indemnifying Person of the assertion of any Third-Party Claim and the Indemnifying Person does not give notice to the Indemnified Person of its election to assume the defense of such Third-Party Claim, the Indemnifying Person will be bound by any determination made in such Third-Party Claim or any compromise or settlement effected by the Indemnified Person. (c) With respect to any Third-Party Claim subject to indemnification under this ARTICLE VII: (i) both the Indemnified Person and the Indemnifying Person, as the case may be, shall keep the other Person fully informed in all material respects of the status of such Third-Party Claim and any related proceedings at all stages thereof where such Person is not represented by its own counsel, and (ii) the Parties agree to render to each other such assistance as they may reasonably require of each other and to cooperate in good faith with each other to ensure the proper and adequate defense of any Third-Party Claim. (d) Notwithstanding the foregoing, the Indemnifying Person will not be entitled to assume (or retain, as applicable) control of such defense if the claim for indemnification relates to or arises in connection with a Tax which is assessed or proposed to be assessed against Buyer or any of its Affiliates. Section 7.7 Procedure For Indemnification – Other Claims. A claim for indemnification for any matter not involving a Third-Party Claim may be asserted by notice to the Party from whom indemnification is sought, provided that the failure to promptly notify the Indemnifying Person will not relieve the Indemnifying Person of any Liability that it may have to any Indemnified Person, except to the extent that the Indemnifying Person demonstrates that the defense of such claim is prejudiced by the Indemnified Person’s failure to give such notice. Any disputes in respect of such indemnification claim shall be resolved in accordance with the dispute resolution provisions set forth in this Agreement. Section 7.8 Additional Limitations. -38-


 
(a) For purposes of calculating Damages under this ARTICLE VII, (A) such Damages shall be determined without duplication of recovery by reason of the state of facts giving rise to such Damage constituting a breach of more than one (1) representation, warranty, covenant, agreement, (B) such Damages shall be reduced by the amount of any prior or subsequent recovery by an Indemnified Party from any other Person with respect to such Damages (net of any costs or expenses incurred by any such Indemnified Party in connection with securing or obtaining such recovery from such other Person including any applicable deductible, co-payment or retention, any increase in or retrospective or retroactive premiums and all costs of recovery); provided, however, that such Indemnified Party shall promptly reimburse the Indemnifying Party for any subsequent recoveries from such sources if previously indemnified hereunder so as to avoid a double recovery. (b) Each Party shall use its commercially reasonable efforts to mitigate any Damages. Section 7.9 Exclusive Remedy. Except for the remedies of specific performance or injunctive or other equitable relief, the indemnification provisions of this ARTICLE VII will constitute the sole and exclusive available to any Party (and any Seller Indemnified Person or Buyer Indemnified Person, insofar as such person has any rights hereunder) following the Closing for any claim arising out of this Agreement or the transactions contemplated hereby (but excluding for the avoidance of doubt claims arising under the other Transaction Documents) absent fraud. Section 7.10 Treatment of Indemnification Payments. Any payments made pursuant to the indemnification obligations arising under this Agreement shall be treated as an adjustment to the Purchase Price for all Tax purposes. ARTICLE VIII TERMINATION; UNWIND Section 8.1 Termination. This Agreement may be terminated at any time prior to the Closing: (a) By mutual agreement of Buyer and Seller; (b) By Buyer, if a Successful Protest occurs; (c) By either Buyer or Seller, if the Closing shall not have occurred by October 1, 2020 (the “Termination Date”); provided, that, the right to terminate this Agreement under this Section 8.1(c) shall not be available to any Party that has breached in any material respect its obligations under this Agreement in any manner that shall have proximately caused the failure of the Closing to be consummated prior to the Termination Date; (d) By Buyer, in the event there has been a breach of any representation, warranty, covenant or agreement made by Seller or Evolent in this Agreement, or any representation and warranty shall have become untrue after the date of this Agreement, such that Section 6.1(a) or Section 6.1(b) would not be satisfied and such breach or failure to be true is not curable or, if curable, is not cured prior to the earlier of (A) thirty (30) days following notice to Seller from Buyer of such breach or failure and (B) the Termination Date; provided, that, Buyer shall not have the right to terminate this Agreement pursuant to this Section 8.1(d) if Buyer is then in material breach of any of its representations, warranties, covenants or agreements under this Agreement; and -39-


 
(e) By Seller, in the event there has been a breach of any representation, warranty, covenant or agreement made by Buyer in this Agreement, or any representation and warranty shall have become untrue after the date of this Agreement, such that Section 6.2(a) or Section 6.2(b) would not be satisfied and such breach or failure to be true is not curable or, if curable, is not cured prior to the earlier of (A) thirty (30) days following notice to Buyer from Seller of such breach or failure and (B) the Termination Date; provided, that, Seller shall not have the right to terminate this Agreement pursuant to this Section 8.1(e) if Seller is then in material breach of any of its representations, warranties, covenants or agreements under this Agreement. Section 8.2 Effect of Termination. In the event of the termination of this Agreement, this Agreement shall thereafter become void and have no effect (except that the Parties’ obligations pursuant to Sections Section 4.4, ARTICLE VIII and ARTICLE IX shall survive the termination of this Agreement), and no Party shall have any liability to any other Party or its members, shareholders or directors or officers in respect thereof, except that nothing herein will relieve any Party from liability for any willful misconduct or intentional breach of this Agreement prior to such termination. Section 8.3 Unwind. In the event a Successful Protest occurs at any time between the Closing and January 1, 2021, Buyer may elect to rescind the transactions contemplated by this Agreement (a “Successful Protest Unwind”) by delivering written notice to Seller of such election prior to January 1, 2021. If Buyer delivers such notice, the Parties acknowledge and agree that the transactions contemplated by this Agreement shall be rescinded in such manner as shall, as nearly as practicable, restore to all Parties their respective rights, titles, and interests as enjoyed by each of them immediately prior to Closing in and to the cash, properties, rights and interests that were transferred at Closing, and the Parties shall use their respective best efforts to effect the foregoing. Seller shall accept the reconveyance by Buyer or its applicable Affiliate of the Acquired Assets, this Agreement shall terminate in accordance with Section 8.2 and the Closing Purchase Price and the Membership Purchase Price, if applicable, shall be paid to Buyer in accordance with Section 8.3(a) or, if sufficient funds are not available in the Escrow Account, by Seller by wire transfer of immediately available funds to an account(s) designated by Buyer. (a) In the event of a Successful Protest Unwind, the Parties shall execute joint written instructions to effect the distribution of the Closing Purchase Price to Buyer. Alternatively, Buyer may deliver to the Escrow Agent a final, non-appealable order of a court of competent jurisdiction or confirmation by a court of competent jurisdiction of an arbitral award ordering the Escrow Agent to distribute the Closing Purchase Price to Buyer. (b) The Parties shall negotiate in good faith, execute and deliver such documents, and instruments and perform such other acts as may be necessary for the complete implementation of this Section 8.3, including, without limitation, the following: (i) a Bill of Sale, Assignment and Assumption Agreement; (ii) a trademark assignment agreement with respect to any registered Trademarks assigned to Buyer from Seller in connection with this Agreement; (iii) termination of the NCH Master Services Agreement; (iv) Buyer or its applicable Affiliate shall terminate the employment of the Early Transferred Employees and Seller or Evolent shall offer employment to such Early Transferred Employees on an at-will basis on the terms of employment (including compensation, severance benefits and employee welfare and retirement benefits) in effect for such Early Transferred Employees immediately prior to the Employee Transfer Date; and -40-


 
(v) Buyer or its applicable Affiliate shall not offer employment to the Delayed Transferred Employees in accordance with Section 4.7. (c) In the event that any termination or severance payments are owed to any Early Transferred Employees as a result of a Successful Protest Unwind, Seller and Evolent shall be responsible for all such payments. Except as otherwise provided herein, each Party shall be solely responsible for and shall pay all costs and expenses incurred by it in connection with the negotiation, preparation and performance of and compliance with the terms of this Section 8.3. ARTICLE IX GENERAL PROVISIONS Section 9.1 Expenses. Except as set forth above or as otherwise expressly provided in this Agreement, each Party shall bear its respective expenses incurred in connection with the preparation, execution, and performance of this Agreement and the transactions contemplated hereby, including all fees and expenses of its Representatives. Section 9.2 Assignment; No Third Party Beneficiaries. No Party may assign any of its rights or delegate any of its obligations under this Agreement without the prior written consent of the other Party, except that Buyer may assign any or all of its rights and obligations under this Agreement without prior written consent to any of its Subsidiaries or Affiliates, provided that no such assignment shall relieve Buyer of any of its obligations hereunder. Subject to the preceding sentence, this Agreement will apply to, be binding in all respects upon, and inure to the benefit of the successors and permitted assigns of the Parties. Nothing in this Agreement will be construed to give any Person other than the Parties to this Agreement any legal or equitable right under or with respect to this Agreement or any provision of this Agreement, and except such rights as will inure to a successor or permitted assignee pursuant to this Section 9.2 and except with respect to any Seller Indemnified Person or Buyer Indemnified Person. Section 9.3 Notices. All notices, requests and other communications to any party hereunder shall be in writing (including electronic mail (“e-mail”) transmission) and shall be given, If to Seller or Evolent: Evolent Health LLC 800 N. Glebe Road, Suite 500 Arlington, Virginia 22203 Attention: Jonathan Weinberg, General Counsel E-mail: jweinberg@evolenthealth.com with a copy, which will not constitute notice to Seller or Evolent, to: Bass, Berry & Sims PLC 150 Third Avenue South, Suite 2800 Nashville, Tennessee 37201 Attention: Angela Humphreys and Price W. Wilson E-mail:ahumphreys@bassberry.com; pwilson@bassberry.com If to Buyer: Molina Healthcare, Inc. 200 Oceangate, Suite 100 Long Beach, California 90802 -41-


 
Attention: Jeff Barlow, Chief Legal Officer and Burt Park, Deputy General Counsel Email: jeff.barlow@molinahealthcare.com; burt.park@molinahealthcare.com with a copy, which will not constitute notice to Buyer, to: Sheppard Mullin Richter & Hampton, LLP 1901 Avenue of the Stars – 16th Floor Century City, CA 90067 Attention: Aytan Dahukey, Esq. and Eric Klein, Esq. Email: adahukey@sheppardmullin.com; eklein@sheppardmullin.com or such other address or e-mail as such Party may hereafter specify for the purpose by notice to the other Party hereto. All such notices, requests and other communications shall be deemed received on the date of receipt by the recipient thereof if received prior to 5:00 p.m. in the place of receipt and such day is a Business Day in the place of receipt. Otherwise, any such notice, request or communication shall be deemed not to have been received until the next succeeding Business Day in the place of receipt. Section 9.4 Waiver. Neither the failure nor any delay by any Party in exercising any right under this Agreement or the documents referred to in this Agreement will operate as a waiver of such right, and no single or partial exercise of any such right will preclude any other or further exercise of such right or the exercise of any other right. Any waiver hereunder shall be in writing. Section 9.5 Entire Agreement; Modification. This Agreement (together with the Annexes, Schedules and Exhibits attached to this Agreement and the other documents delivered pursuant to this Agreement) constitutes the entire agreement among the Parties and supersedes all prior agreements, whether written or oral, between the Parties with respect to the subject matter hereof and thereof. This Agreement may not be amended except by a written agreement signed by each of the Parties. Section 9.6 Severability. If any provision of this Agreement is held to be invalid or unenforceable for any reason, such provision shall be ineffective to the extent of such invalidity or unenforceability; provided, however, that the remaining provisions will continue in full force and effect without being impaired or invalidated in any way unless such invalid or unenforceable provision or clause is so significant as to materially affect the expectations of Buyer and Seller regarding this Agreement. Otherwise, any invalid or unenforceable provision shall be replaced by Buyer and Seller with a valid provision which most closely approximates the intent and economic effect of the invalid or unenforceable provision. Section 9.7 Headings; Construction. The headings of Articles and Sections in this Agreement are provided for convenience only and will not affect its construction or interpretation. All Annexes, Exhibits and Schedules to this Agreement are incorporated into and constitute an integral part of this Agreement as if fully set forth herein. All words used in this Agreement will be construed to be of such gender or number as the context requires. The word “including” shall be read as “including but not limited to” and otherwise shall be considered illustrative and non-limiting. All references to dollars or “$” in this Agreement will be to U.S. dollars. The language used in the Agreement will be construed, in all cases, according to its fair meaning, and not for or against any party hereto. The Parties acknowledge that each Party has reviewed this Agreement and that rules of construction to the effect that any ambiguities are to be resolved against the drafting Party will not be available in the interpretation of this Agreement. -42-


 
Section 9.8 Governing Law. This Agreement, and any claims that arise out of or result from this Agreement, shall be governed by and construed in accordance with the laws of the State of Delaware without regard to any applicable conflicts of laws. Any action or proceeding seeking to enforce any provision of, or based on any right arising out of, the transactions contemplated by this Agreement must be brought against any of the Parties in a federal or state court located in Delaware. Section 9.9 Execution of Agreement; Counterparts. This Agreement may be executed in one or more counterparts, each of which will be deemed to be an original copy of this Agreement and all of which, when taken together, will be deemed to constitute one and the same agreement. The exchange of copies of this Agreement and of signature pages by facsimile, or by .pdf or similar imaging transmission, will constitute effective execution and delivery of this Agreement as to the Parties and may be used in lieu of the original Agreement for all purposes. Signatures of the Parties transmitted by facsimile, or by .pdf or similar imaging transmission, will be deemed to be their original signatures for any purpose whatsoever. Section 9.10 Enforcement of Agreement. The Parties acknowledge and agree that irreparable damage would occur in the event any of the provisions of this Agreement are not performed in accordance with their specific terms and that any breach of this Agreement could not be adequately compensated by monetary damages. Accordingly, each Party agrees that, in addition to any other right or remedy to which each Party may be entitled, at law or in equity, each Party will be entitled to enforce any provision of this Agreement by a decree of specific performance and to temporary, preliminary and permanent injunctive relief to prevent breaches or threatened breaches of the provisions of this Agreement, without posting any bond or other undertaking. Section 9.11 Guarantee. (a) Evolent hereby guarantees, as a guaranty of payment and not merely as a guaranty of collection, to Buyer the full and prompt payment when due of all obligations and liabilities of Seller under and in accordance with the terms set forth in this Agreement (the “Seller Guaranteed Obligations”). The obligation of Evolent under this Section 9.11(a) is an absolute, unconditional and continuing guaranty of payment of the Seller Guaranteed Obligations and shall survive the Closing and continue to be in full force and be binding upon Evolent until the Seller Guaranteed Obligations, including any payments to be made in connection with a Successful Protest Unwind, have been paid in full. Evolent agrees that its obligations hereunder shall not be affected, modified or impaired upon the happening from time to time of any of the following events, whether or not with notice or consent of Evolent (i) the compromise, settlement, release, change, modification or amendment of any or all of the obligations, duties, covenants or agreements of any party under this Agreement or (ii) the extension of the time for performance or payment of money pursuant to this Agreement, or of the time for performance of any other obligations, covenants or agreements under or arising out of this Agreement. The obligations of Evolent hereunder are not subject to any defense or setoff, counterclaim, recoupment, or termination whatsoever by reason of any provision of applicable Legal Requirements purporting to prohibit payment by Seller of the Seller Guaranteed Obligations or any part thereof. The obligations of Evolent hereunder are not discharged or impaired or otherwise affected by (1) any failure to assert any claim or demand or to enforce any remedy with respect to all or any part of the Seller Guaranteed Obligations, (2) any waiver or modification of, or supplement to, any provision of this Agreement, or (3) any default, failure or delay, willful or otherwise, in the payment or performance of any of the Seller Guaranteed Obligations, or any other circumstance, act, omission or delay that might in any manner or to any extent vary the risk of Buyer or that would otherwise operate as a discharge of Seller as a matter of law or equity (other than the payment in full of the Seller Guaranteed Obligations). To the fullest extent permitted by applicable Legal Requirements, Evolent hereby waives any defense based on the unenforceability of all or any part of the Seller Guaranteed Obligations from any cause, or the cessation from any cause of the liability of Seller, other than the payment in full of -43-


 
the Seller Guaranteed Obligations. Buyer may compromise or adjust any part of the Seller Guaranteed Obligations, make any other accommodation with Seller or exercise any other right or remedy available to it against Seller, without affecting or impairing in any way the liability of Evolent under this Section 9.11(a) prior (and subject to) the payment in full of the Seller Guaranteed Obligations. To the fullest extent permitted by applicable Legal Requirements, Evolent waives any defense arising out of any such election even though that election may operate, pursuant to applicable Legal Requirements, to impair or extinguish any right of reimbursement or subrogation or other right or remedy of Evolent against Seller. (b) To the extent any obligations under this Agreement are assigned by Buyer to one of its subsidiaries or Affiliates, Buyer hereby guarantees, as a guaranty of payment and not merely as a guaranty of collection, to Seller the full and prompt payment when due of all obligations and liabilities so assigned by Buyer under and in accordance with the terms set forth in this Agreement (the “Buyer Guaranteed Obligations”). The obligation of Buyer under this Section 9.11(b) is an absolute, unconditional and continuing guaranty of payment of the Buyer Guaranteed Obligations and shall survive the Closing and continue to be in full force and be binding upon Buyer until the Buyer Guaranteed Obligations have been paid in full. Buyer agrees that its obligations hereunder shall not be affected, modified or impaired upon the happening from time to time of any of the following events, whether or not with notice or consent of Buyer (i) the compromise, settlement, release, change, modification or amendment of any or all of the obligations, duties, covenants or agreements of any party under this Agreement or (ii) the extension of the time for performance or payment of money pursuant to this Agreement, or of the time for performance of any other obligations, covenants or agreements under or arising out of this Agreement. The obligations of Buyer hereunder are not subject to any defense or setoff, counterclaim, recoupment, or termination whatsoever by reason of any provision of applicable Legal Requirements purporting to prohibit payment by Buyer of the Buyer Guaranteed Obligations or any part thereof. The obligations of Buyer hereunder are not discharged or impaired or otherwise affected by (1) any failure to assert any claim or demand or to enforce any remedy with respect to all or any part of the Buyer Guaranteed Obligations, (2) any waiver or modification of, or supplement to, any provision of this Agreement, or (3) any default, failure or delay, willful or otherwise, in the payment or performance of any of the Buyer Guaranteed Obligations, or any other circumstance, act, omission or delay that might in any manner or to any extent vary the risk of Seller or that would otherwise operate as a discharge of Buyer as a matter of law or equity (other than the payment in full of the Buyer Guaranteed Obligations). To the fullest extent permitted by applicable Legal Requirements, Buyer hereby waives any defense based on the unenforceability of all or any part of the Buyer Guaranteed Obligations from any cause, or the cessation from any cause of the liability of Buyer, other than the payment in full of the Buyer Guaranteed Obligations. Seller and Evolent may compromise or adjust any part of the Buyer Guaranteed Obligations, make any other accommodation with Buyer or exercise any other right or remedy available to either of them against an successor to Buyer’s interests or obligations hereunder, without affecting or impairing in any way the liability of Buyer under this Section 9.11(b) prior (and subject to) the payment in full of the Buyer Guaranteed Obligations. To the fullest extent permitted by applicable Legal Requirements, Buyer waives any defense arising out of any such election even though that election may operate, pursuant to applicable Legal Requirements, to impair or extinguish any right of reimbursement or subrogation or other right or remedy of Buyer against any successor to its interests or obligations hereunder. Section 9.12 Waiver of Jury Trial. THE PARTIES HERETO KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVE, TO THE EXTENT PERMITTED BY APPLICABLE LEGAL REQUIREMENTS, ANY RIGHT TO A TRIAL BY JURY OF ANY DISPUTE ARISING UNDER OR RELATING TO THIS AGREEMENT AND AGREE THAT ANY SUCH DISPUTE SHALL BE TRIED BEFORE A JUDGE SITTING WITHOUT A JURY. [Remainder of Page Intentionally Left Blank] -44-


 
IN WITNESS WHEREOF, the Parties have executed this Agreement as of the date first written above. SELLER: PASSPORT HEALTH PLAN, INC. By: Name: Its: EVOLENT: EVOLENT HEALTH LLC By: Name: Its: BUYER: MOLINA HEALTHCARE, INC. By: Name: Its: [Signature Page to Asset Purchase Agreement]


 
ANNEX A DEFINED TERMS Capitalized terms used herein are defined in the provisions of the Agreement set forth below: Defined Term Section Agreement First Paragraph Acquired Assets Section 1.1 Acquisition Proposal Section 4.5 Allocation Section 1.8 Assumed Liabilities Section 1.3 Assumed Contracts Section 1.1(e) Audit Reports Section 2.5(d) Balance Sheet Date Section 2.17 Bill of Sale Section 5.2(b) Burdensome Condition Section 4.2(d) Business Recitals Buyer First Paragraph Buyer 401(k) Plan Section 4.7(f) Buyer Guaranteed Obligations Section 9.11(b) Buyer Indemnified Persons Section 7.2 Buyer Related Instruments Section 3.4 CHFS Recitals CHFS Medicaid Contract Recitals Closing Section 5.1 Closing Date Section 5.1 Closing Purchase Price Section 1.7(a) D-SNP Business Recitals Damages Section 7.2 Deductible Section 7.4(a) Delayed Transferred Employees Section 4.7(a) Early Transferred Employees Section 4.7(a) Evolent First Paragraph Excluded Assets Section 1.2 Excluded Contracts Section 1.2(e) Excluded Liabilities Section 1.4 Excluded Records Section 1.2(d) HIPAA Section 2.10(a)(i) Income Statement Section 1.7(c)(i) Indemnified Person Section 7.6(a) Indemnifying Person Section 7.6(a) Independent Accountant Section 1.7(c)(iii) Intellectual Property License Agreement Section 5.2(k) Interim Period Section 1.7(c)(i) Interim Services Agreement Section 5.2(e) IP Registrations Section 2.14(a) Management Agreement Section 5.2(f) Material Contract Section 2.13(a) Material Vendors Section 2.16(a) Medicaid Business Recitals A-1


 
Defined Term Section Membership Purchase Price Section 1.7(b) Name Section 4.17 NCH Master Services Agreement Section 5.2(c) New Plans Section 4.7(e) New Reinsurance Agreement Section 5.2(d) Objection Notice Section 1.7(c)(ii) Old Plans Section 4.7(e) Party First Paragraph PHS Recitals Pre-Closing Novation Period Section 4.2(a) Privacy Laws Section 2.10(a)(i) Provider Contract Section 1.1(e) Purchase Price Section 1.7 Real Property Section 2.15(a) Regulatory Filings Section 2.5(d) Required D-SNP Regulatory Approvals Section 6.3(a) Required Medicaid Regulatory Approvals Section 6.3(a) Required Regulatory Approvals Section 6.3(a) Review Period Section 1.7(c)(ii) RFP Recitals Seller First Paragraph Seller Benefit Plans Section 2.12(b) Seller Contractors Section 2.12(a) Seller Employees Section 2.12(a) Seller Financial Statements Section 2.17 Seller Fundamental Representations Section 7.4(c) Seller Guaranteed Obligations Section 9.11(b) Seller Indemnified Persons Section 7.3 Seller Intellectual Property Section 2.14(a) Seller Lessee Real Property Section 2.15(a) Seller Lessee Real Property Leases Section 2.15(a) Seller Lessor Real Property Section 2.15(b) Seller Lessor Real Property Leases Section 2.15(b) Seller Real Property Leases Section 2.15(b) Seller Related Instruments Section 2.6 Services Agreement Recitals Successful Protest Unwind Section 8.3 Tax Purchase Price Section 1.8 Termination Date Section 8.1(c) Trademark Assignment Agreement Section 5.2(j) Transfer Taxes Section 4.13 Transferred Employees Section 4.7(a) Third-Party Claim Section 7.6(a) Top Providers Section 2.16(b) UHC Recitals UHC APA Recitals UHC Services Agreement Recitals A-2


 
For purposes of this Agreement, the following terms and variations thereof have the meanings specified or referred to in this Annex A: “2022 D-SNP Bid” means the information required to be submitted to CMS by 42 CFR Subpart F- Submission of Bids, Premiums and Related Information and Plan Approval codified at 42 CFR § 422.250 et seq. and the Part C-Medicare Advantage and 1876 Cost Plan Expansion Application including, but not limited to, pricing, plan benefit packages and formularies, in connection with an application to operate a Medicare Advantage plan in calendar year 2022. “Anthem” means Anthem Kentucky Managed Care Plan, Inc. “Affiliate” means, with respect to any Person, any Person directly or indirectly controlling, controlled by or under common control with such Person; provided, however, that UHC and PHS shall not be deemed Affiliates of Seller or its other Affiliates. “Business Day” means any day other than Saturday or Sunday or any other day which banks in New York are permitted or required to be closed. “Buyer Disclosure Schedules” means the disclosure schedules delivered by Buyer that qualify the representations and warranties of Buyer in ARTICLE III and attached to this Agreement. “CHFS Medicaid Contract Transfer Date” means the date on which the Medicaid Novation occurs. “CHFS Membership File” means the 834 membership file delivered by CHFS or other applicable Governmental Authority that shows the number of Medicaid Enrollees enrolled in the Molina Plan’s health plans. “CMS” means the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services. “COBRA” means the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended. “Code” means the Internal Revenue Code of 1986, as amended. “Confidential Information” means any proprietary or confidential information relating to the business or affairs of Seller, Evolent or Buyer or their respective Subsidiaries and Affiliates, as applicable (whether or not such information is embodied in writing or other physical form), including, without limitation, information relating to: (i) marketing or distribution data, (ii) business methods, plans and efforts, (iii) personnel data, (iv) the identity of, or courses of dealings or contracts with, actual or potential business relations, (v) financial statements or other financial information, (vi) computer databases, software programs and information relating to the nature of the hardware or software and how such hardware or software is used in combination or alone, (vii) servicing methods, equipment, programs, analyses or profit margins, and (viii) information received by such party from a third party subject to the terms of a confidentiality, non-disclosure or similar agreement or with the reasonable expectation that such information would be treated as confidential or proprietary information. Notwithstanding the foregoing, Confidential Information will exclude information that is: (a) generally available to the public other than as a result of improper disclosure by the receiving party, (b) reasonably believed by the receiving party to have been lawfully obtained by the receiving party from a third party under no obligation of confidentiality, (c) independently developed by the receiving party without any use of the Confidential Information, (d) previously known to, developed by or in the possession of the receiving party at the time of receipt thereof from the A-3


 
disclosing party, or (e) approved in writing by the disclosing party for disclosure. Failure to mark information as confidential or proprietary will not adversely affect its status as Confidential Information. “Contract” means any contract, agreement, purchase order, warranty or guarantee, license, use agreement, lease (whether for real estate, a capital lease, an operating lease or other any designation that permits the use of any property—real, personal, intellectual, tangible, intangible or mixed—without transferring the title to the property), instrument or note, in each case that creates a legally binding obligation, and in each case whether oral or written. “DOI” means the Kentucky Department of Insurance. “D-SNP Contract” means that certain State Medicaid Agency Agreement for Medicare Advantage Dual Special Needs Plan by and among the Commonwealth of Kentucky, Department for Medicaid Services and UHC, dated June 19, 2017, and that certain Contract (H9870), effective through December 30,2020, by and between UHC and CMS, in each case, as amended, supplemented and renewed from time to time and including all addendum thereto (including the CMS license agreement) or any successor Contract thereto. “D-SNP Contract Transfer Date” means the date on which the D-SNP Novation occurs. “D-SNP Enrollees” mean individuals who are properly enrolled in a D-SNP plan offered by Seller or UHC, as applicable. “D-SNP Membership File” means the D-SNP membership file compiled by Seller that shows the number of D-SNP Enrollees enrolled in Seller’s or UHC’s D-SNP plan and that takes into account data derived from vendor files as well as information and files provided by CMS. “D-SNP Novation” means the assignment and/or novation of the D-SNP Contract to Buyer or its applicable Affiliate or the entry into a new Contract that supersede and replace the D-SNP Contract. “Employee Transfer Date” means (i) with respect to the Early Transferred Employees, the date on which such Early Transferred Employee is hired by Buyer or its applicable Affiliate, and (ii) with respect to the Delayed Transferred Employees, January 1, 2021. “Encumbrance” means any charge, claim, equitable interest, lien, encumbrance, option, pledge, security interest, mortgage, encroachment, easement or restriction of any kind other than liens for taxes not yet due and payable and inchoate liens. “Enrollees” means collectively, the Medicaid Enrollees and the D-SNP Enrollees. “ERISA” means the Employee Retirement Income Security Act of 1974, as amended. “ERISA Affiliate” means any Person, trade or business, whether or not incorporated, that is treated as a single employer with Seller under Sections 414(b), (c), (m) or (o) of the Code. “Evolent Employees” means those employees of Evolent or its Affiliates primarily performing services for the Business as of the date hereof, and who are set forth on Annex A-1, which such Annex will be updated prior to January 1, 2021, to reflect terminations and replacement hires in the Ordinary Course of Business. “FAC” means the Secretary of the Finance and Administration Cabinet. A-4


 
“GAAP” means United States generally acceptable accounting principles as applied by Seller prior to the Closing Date. “Governmental Authority” means any domestic or foreign federal, state, provincial, local or municipal court, legislature, executive or regulatory authority, agency or commission, or other governmental entity, authority or instrumentality, including, without limitation, any insurance or healthcare regulatory authority or economic development board or authority. “Governmental Authorization” means any domestic or foreign federal, state, provincial special or local license, permit, governmental authorization, certificate of exemption, franchise, accreditation, registration, approval or consent. “Health Care Laws” means all Legal Requirements relating to (a) the licensure, certification, qualification or authority to transact business in connection with the provision of, payment for, or arrangement of, health benefits or health insurance, and the regulation of third-party administrators, utilization review organizations, managed care, third-party payors and persons bearing financial risk for the provision or arrangement of health care items and services; (b) the Programs; (c) the solicitation or acceptance of improper incentives, inducements or remuneration, fraud and abuse, patient inducements, patient referrals or Provider incentives, including, without limitation, the following statutes and all regulations and guidance promulgated thereunder: the Federal anti-kickback law (42 U.S.C. § 1320a-7b), the Stark laws (42 U.S.C. § 1395nn), the Federal False Claims Act (31 U.S.C. §§ 3729, et seq.), the Federal Civil Monetary Penalties Law (42 U.S.C. § 1320a-7a), the Federal Program Fraud Civil Remedies Act (31 U.S.C. § 3801 et seq.), the Federal Health Care Fraud law (18 U.S.C. § 1347), and any similar state Legal Requirements; (d) the administration of healthcare claims or benefits or processing or payment for health care services, treatment, devices or supplies furnished by Providers, including third party administrators, utilization review agents and persons performing quality assurance, credentialing or coordination of benefits; (e) coding, coverage, reimbursement, claims submission, billing and collections related to any Program or otherwise related to insurance fraud; (f) the privacy, security, integrity, accuracy, transmission, storage or other protection of information, including without limitation HIPAA; (g) state insurance, health maintenance organization or managed care (including Medicaid programs), including without limitation those Legal Requirements and regulations pursuant to which Seller is required to be licensed or authorized to transact business as a health maintenance organization in Kentucky; (h) the Patient Protection and Affordable Care Act (Pub. L. 111-148) as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152), and all regulations promulgated thereunder, and (i) any other law or regulation which regulates kickbacks, patient or program charges, recordkeeping, claims process, documentation requirements, medical necessity, referrals, the hiring of employees or acquisition of services or supplies from those who have been excluded from government health care programs, quality, safety, privacy, security, licensure, accreditation or any other aspect of providing health care services applicable to the Business. “Indebtedness” means, with respect to any Person, (i) indebtedness of such Person for borrowed money, whether secured or unsecured, (ii) obligations of such Person for money owed evidenced by notes, bonds, debentures or other similar instruments, (iii) obligations of such Person under conditional sale or other title retention agreements relating to property purchased by such Person, (iv) capital lease obligations of such Person, (v) obligations of such Person under acceptance, letter of credit or similar facilities, (vi) obligations of such Person under interest rate cap, swap, collar or similar transaction or currency hedging transactions, and (vii) guarantees of such Person of any such indebtedness referred to in clauses (i)-(vi). “Intellectual Property” means all domestic and foreign (1) patents and patent applications, and all patents issuing thereon, including, without limitation, utility, model and design patents and certificates of invention, together with all reissue patents, patents of addition, divisionals, provisional applications, A-5


 
renewals, continuations, continuations-in-part, substitutions, additions, extensions, confirmations, re- examinations, and all foreign counterparts of the forgoing which are in the process of being prepared, and all inventions and improvements disclosed therein; (2) trademarks, service marks, trade dress, trade names, brand names, designs, logos, commercial symbols and corporate names, and all registrations, applications and goodwill associated therewith, and the right to recover for past, present and future infringement thereof (collectively, “Trademarks”); (3) copyrights and all works of authorship, whether or not registered or copyrightable, and all applications, registrations, and renewals in connection therewith; (4) software, including, without limitation, computer programs, operating systems, applications, firmware, utilities, tools, data files, databases, graphics, graphical user interfaces, menus, images, icons, forms, methods of processing, software engines, platforms, schematics, interfaces, architecture, file formats, routines, algorithms, video players, transcoding systems, content management systems, data collection tools, any updates, enhancements, replacements, modifications thereof, and any and all specifications and documentation (including, but not limited to, developer notes, comments and annotations) related thereto and all copyrights therein but excluding retail software products (“Software”); (5) domain names, Internet addresses and other computer identifiers, web sites, URLs, web pages, unique phone numbers, registrations for any of the foregoing and similar rights and items; (6) confidential and proprietary information, including without limitation, trade secrets, know-how, formulae, ideas, concepts, discoveries, innovations, improvements, results, reports, information and data, research, laboratory and programmer notebooks, methods, procedures, proprietary technology, operating and maintenance manuals, engineering and other drawings and sketches, customer lists, supplier lists, pricing information, cost information, business manufacturing and production processes and techniques, designs, specifications, and blueprints, financial data, marketing and business data, strategic business and development plans (collectively, “Trade Secrets”); and (7) all other intellectual property and proprietary rights in any form or medium known as of the Closing Date, all copies and tangible embodiments of the foregoing, and all goodwill associated with any of the foregoing. “IP License” means (i) Contracts pursuant to which Seller has acquired rights (including usage rights) to any Seller Intellectual Property; and (ii) licenses or agreements pursuant to which Seller has licensed, granted or transferred any Seller Intellectual Property to a third party. “Knowledge” has the following meaning: an individual will have “Knowledge” of a particular fact or other matter if such individual, or any of his or her direct reports, is actually consciously aware of such fact or matter. “Knowledge of Buyer” (and any similar expression) means Knowledge of the Chief Executive Officer, Chief Operating Officer, Chief Compliance Officer and Chief Financial Officer of the Molina Plan. “Knowledge of Seller” (and any similar expression) means Knowledge of the Chief Executive Officer, Chief Operating Officer, Chief Compliance Officer and Chief Financial Officer of Seller or the Chief Compliance Officer or Chief Operating Officer of Evolent. “Legal Requirement” means any domestic or foreign federal, state, provincial, local or municipal law, ordinance, code, principle of common law, regulation, order or directive. “Liabilities” means any liabilities or obligations whatsoever, whether matured or unmatured, known or unknown, accrued or fixed, absolute or contingent or otherwise. “Medicaid” means the means-tested entitlement program under Title XIX of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth at 42 U.S.C. § 1396, et seq., as the same may be amended, and any successor law in respect thereof, and encompasses each state’s implementation of such program. A-6


 
“Medicaid Enrollees” mean individuals who are properly enrolled in a Medicaid managed care plan offered by the Molina Plan or Seller, as applicable; provided, however, in the event the Molina Plan agrees to transfer any Medicaid Enrollees between the Closing Date and the expiration of the Open Enrollment Period to any third party for consideration, then those transferred Medicaid Enrollees shall be included in the definition of Medicaid Enrollees. “Medicaid Novation” means the assignment and/or novation of the CHFS Medicaid Contract to Buyer or its applicable Affiliate or the entry into a new Contract that supersede and replace the CHFS Medicaid Contract. “Medical Claims” means, with respect to any measurement period, the aggregate dollar amount of claims incurred by the Business with respect to covered medical services provided between the Closing Date and January 1, 2021. “Medicare” means the entitlement program under Title XVIII of the Social Security Act, which provides specified medical benefits to individuals meeting eligibility criteria, as set forth at 42 U.S.C. § 1395, et seq., as the same may be amended, and any successor law in respect thereof. “Membership Purchase Price” has the meaning set forth on Annex 1.7(b). “Membership Threshold” has the meaning set forth on Annex 1.7(b). “Novations” means collectively the Medicaid Novation and the D-SNP Novation “Open Enrollment Period” means the open enrollment period established by CHFS or other applicable Governmental Authority in the ordinary course with respect to plan year 2021 and generally applicable to Medicaid managed care organizations offering Medicaid health plans in the Commonwealth of Kentucky during which an Enrollee may enroll or disenroll (whether by choice or as a result of auto- assignment) from a Medicaid health plan, which is currently anticipated to be from November 1, 2020 through January 31, 2021. “Operating Income” means the operating income generated by the Business during the period of time between the Closing and January 1, 2021 as determined in accordance with GAAP and calculated consistent with the example calculation attached hereto to as Annex A-2 (the “Example Income Statement”). “Order” means any writ, order, injunction, judgment, decree, ruling, assessment or arbitration award of any Governmental Authority. “Ordinary Course of Business” means any action (which includes, for this definition, any failure to take action), condition, circumstance or status of or regarding a Person that is consistent with the past practices of such Person and is taken or exists in the ordinary course of the normal operations of such Person. “Organizational Document” means, for any Person: (a) the articles or certificate of incorporation, formation or organization (as applicable) and the by-laws or similar governing document of such Person; (b) any limited liability company agreement, partnership agreement, operating agreement, stockholder agreement, voting agreement, voting trust agreement or similar document of or regarding such Person; (c) any other charter or similar document adopted or filed in connection with the incorporation, formation, organization or governance of such Person; or (d) any amendment to any of the foregoing. A-7


 
“Person” means any individual, partnership, limited partnership, corporation, business trust, limited liability company, limited liability partnership, joint stock company, trust, unincorporated association, joint venture or other entity, or any Governmental Authority. “Permitted Encumbrance” means any of the following: (a) Encumbrances for Taxes, assessments, charges, levies or other claims not yet delinquent, or the validity of which are being contested in good faith; (b) Encumbrances imposed by Legal Requirements, such as materialmen’s, mechanics’, carriers’, warehousemen’s, workmen’s and repairmen’s liens and other such liens for amounts not yet delinquent, or the validity of which are being contested in good faith; (c) pledges or deposits to secure obligations under workers’ compensation Legal Requirements or similar legislation or to secure public or statutory obligations; (d) non-exclusive licenses for Intellectual Property; and (e) contractual obligations under any Contract assumed by Buyer pursuant to the terms of hereof. “Pre-Closing Tax Period” means any Tax period ending on or before the applicable Transfer Date, it being understood that to the extent necessary to carry out the intent of this Agreement, Pre-Closing Tax Periods ending during the 2020 Tax year shall be determined on an Assumed Contract by Assumed Contract (or an Acquired Asset by Acquired Asset) basis. “Proceeding” means any action, arbitration, hearing, litigation, or suit (whether civil, criminal, administrative, judicial or investigative, whether formal or informal, whether public or private). “Program” means Medicaid, Medicare, TRICARE, the Dual Eligible Special Needs program and any other state or federal healthcare programs. “Provider” means any professional, practitioner, provider or supplier of healthcare services, devices, or supplies to individuals, including, but not limited to, nurses, nurse practitioners, physicians or groups of physicians, hospitals, nursing homes, clinical laboratories, imaging provider, durable medical equipment, prosthetic, orthotics and supplies suppliers, supplemental benefit providers and any other ancillary service providers. “Real Estate Purchase Agreement” means that certain Real Estate Purchase and Sale Agreement, dated as of the date hereof, by and between Seller and Buyer or one of its Affiliates. “Records” means books, records, manuals or other materials or similar information (including customer records, personnel or payroll records, accounting or Tax records, purchase or sale records, price lists, correspondence, quality control records or research or development files). “Reinsurance Agreement” means that certain Indemnity Reinsurance Agreement, dated as of December 30, 2019, by and between Seller and UHC. “Representatives” means, for any Person, such Person’s officers, directors, managers, employees, consultants, agents, financial advisors, attorneys, accountants, other advisors, Affiliates and other representatives. “SAP” means the statutory accounting principles prescribed or permitted by the DOI. “Seller Disclosure Schedules” means the disclosure schedules delivered by Seller that qualify the representations and warranties of Seller in ARTICLE II and attached to this Agreement. “Seller Material Adverse Effect” means any material adverse effect to the Acquired Assets; provided, however, that in determining whether a Seller Material Adverse Effect has or would occur, is A-8


 
reasonably likely to occur, or would reasonably be expected to occur, any change or effect on Seller primarily resulting from, or arising out of, any of the following, (either alone or in combination) shall be excluded and disregarded: (i) changes in, or conditions affecting, interest rates or general economic conditions in the United States; (ii) changes in, or conditions affecting, the industries in which Seller operates; (iii) acts of war, terrorism, hostilities, or other similar events; (iv) natural disasters, pandemics and other similar events beyond the reasonable control of Seller; (v) changes in Legal Requirements or SAP or GAAP, or in the interpretation of the foregoing by any Person other than Seller; (vi) the results of the RFP, including the upcoming termination the CHFS Medicaid Contract and D-SNP Contract, and any changes as a result of the Open Enrollment Period or any special opt-out period; or (vii) any change, effect or circumstance resulting from the announcement or performance of this Agreement. “Subsidiary” of a Person means any corporation or other legal entity of which such Person (either alone or through or together with any other Subsidiary or Subsidiaries) is the general partner or managing entity or of which at least a majority of the stock or other equity interests the holders of which are generally entitled to vote for the election of the board of directors or others performing similar functions of such corporation or other legal entity is directly or indirectly owned or controlled by such Person (either alone or through or together with any other Subsidiary or Subsidiaries). “Successful Protest” has the meaning set forth on Annex 8.3. “Tax” or “Taxes” means all federal, state, local and foreign taxes (including, without limitation, income, gross receipts, profit, alternative minimum, add on minimum, franchise, sales, use, real property, personal property, ad valorem, excise, environmental (whether or not considered a tax under applicable Legal Requirements and including under Section 59A of the Code), occupation, unemployment, disability, payroll, employment, social security, wage withholding and bed taxes) and installments of estimated taxes, assessments, deficiencies, levies, imports, duties, withholdings, or other similar charges of every kind, character or description imposed by any Governmental Authority, and any interest, penalties or additions to tax imposed thereon or in connection therewith. “Tax Returns” means any return, declaration, report, claim for refund, or information return or statement relating to Taxes, including any schedule or attachment thereto, and including any amendment thereof. “Transaction Documents” means this Agreement, all schedules, exhibits and annexes hereto, the Seller Related Instruments and the Buyer Related Instruments, and all of agreements entered into in connection with the execution and delivery of this Agreement and the consummation of the transactions contemplated hereby. “Transfer Date” means with respect to (i) the CHFS Medicaid Contract, the CHFS Medicaid Contract Transfer Date, (ii) the D-SNP Contract, the D-SNP Contract Transfer Date; and (iii) any other Acquired Asset, the effective date of assignment and assumption set forth in the Bill of Sale with respect to such Acquired Asset, which (a) with respect to the Seller Intellectual Property, shall be the Closing Date, (b) with respect to the Assumed Contracts (other than the CHFS Medicaid Contract and the D-SNP Contract) will be January 1, 2021 and (d) with respect to any other Acquired Asset not otherwise addressed above, the applicable Transfer Date of the Acquired Asset to which it relates. A-9


 
“TRICARE” means the program of medical and dental care for members of the United States uniformed services and certain former members of those services, and for their dependents, as set forth at 10 U.S.C. § 1071, et seq., as the same may be amended, and any successor law in respect thereof. “UHC D-SNP Closing” means the D-SNP Closing as defined in the UHC APA. “UHC D-SNP Closing Conditions” means the D-SNP Closing Conditions as defined in the UHC APA. “UHC Improvements” means the Improvements owned by UHC and PHS and as defined in the UHC APA. “UHC Owned Real Property” means the Owned Real Property owned by UHC and PHS and as defined in the UHC APA. “Warn Act” means the Worker Adjustment and Retraining Notification Act of 1988, as amended, or any similar state, local, or non-U.S. law, regulation, or ordinance. A-10


 
Document

Exhibit 31.1
 
Certification Pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002

I, Frank Williams, 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: August 7, 2020/s/ Frank Williams
Name: Frank Williams
Title: Chief Executive Officer


Document

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:August 7, 2020/s/ John Johnson
Name: John Johnson
Title: Chief Financial Officer


Document

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, Frank Williams, 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 June 30, 2020 (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:August 7, 2020/s/ Frank Williams
Name: Frank Williams
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.


Document

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-Q of the Company for the quarter ended June 30, 2020 (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:August 7, 2020/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.


v3.20.2
Cover Page - shares
6 Months Ended
Jun. 30, 2020
Aug. 01, 2020
Cover [Abstract]    
Document Type 10-Q  
Document Quarterly Report true  
Document Period End Date Jun. 30, 2020  
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 $0.01 per share  
Trading Symbol EVH  
Security Exchange Name NYSE  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Large Accelerated Filer  
Entity Small Business false  
Entity Emerging Growth Company false  
Entity Shell Company false  
Entity Common Stock, Shares Outstanding (in shares)   85,617,165
Entity Central Index Key 0001628908  
Amendment Flag false  
Current Fiscal Year End Date --12-31  
Document Fiscal Year Focus 2020  
Document Fiscal Period Focus Q2  
v3.20.2
CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Current assets:    
Cash and cash equivalents $ 98,272 $ 101,008
Restricted cash and restricted investments 46,894 20,080
Accounts receivable, net [1] 95,839 75,667
Prepaid expenses and other current assets [1] 30,473 28,488
Investments, at amortized cost 834 1,807
Contract assets 2,346 1,751
Total current assets 274,658 228,801
Restricted cash and restricted investments 8,759 8,260
Investments, at amortized cost 16,073 16,751
Investments in and advances to equity method investees 100,216 122,618
Property and equipment, net 88,555 85,155
Right-of-use assets - operating 66,113 72,173
Customer advance for regulatory capital requirements, net of allowances [1] 39,955 40,000
Prepaid expenses and other noncurrent assets, net of allowances [1] 6,437 6,253
Contract assets 47 999
Contract cost assets 31,713 36,482
Intangible assets, net 282,913 308,459
Goodwill 354,695 572,064
Total assets 1,270,134 1,498,015
Current liabilities:    
Accounts payable [1] 73,691 37,488
Accrued liabilities [1] 35,305 33,343
Operating lease liability - current 7,474 6,269
Accrued compensation and employee benefits 20,996 34,691
Deferred revenue 13,247 19,828
Reserve for claims and performance-based arrangements [1] 94,409 61,150
Total current liabilities 245,122 192,769
Long-term debt, net of discount 299,746 293,667
Other long-term liabilities 10,101 11,732
Operating lease liabilities - noncurrent 66,975 68,858
Deferred tax liabilities, net 1,326 1,942
Total liabilities 623,270 568,968
Commitments and Contingencies (See Note 10)
Shareholders' Equity (Deficit)    
Additional paid-in-capital 1,183,605 1,173,708
Accumulated other comprehensive income (loss) (391) (234)
Retained earnings (accumulated deficit) (537,205) (251,962)
Total shareholders' equity attributable to Evolent Health, Inc. 646,864 922,358
Non-controlling interests 0 6,689
Total shareholders' equity (deficit) 646,864 929,047
Total liabilities and shareholders' equity (deficit) 1,270,134 1,498,015
Class A Common Stock    
Shareholders' Equity (Deficit)    
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 85,456,905 and 84,588,629 shares issued and outstanding, respectively $ 855 $ 846
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares
Jun. 30, 2020
Dec. 31, 2019
Statement of Financial Position [Abstract]    
Common stock, par value (in dollars per share) $ 0.01 $ 0.01
Common stock, shares authorized (in shares) 750,000,000 750,000,000
Common stock, shares issued (in shares) 85,456,905 84,588,629
Common stock, shares outstanding (in shares) 85,456,905 84,588,629
v3.20.2
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS) - USD ($)
shares in Thousands, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Revenue        
Total revenue $ 238,632 $ 191,959 $ 485,917 $ 389,715
Expenses        
Cost of revenue (exclusive of depreciation and amortization expenses) [1] 165,812 108,383 341,465 225,824
Claims expenses 18,144 36,085 41,811 73,842
Selling, general and administrative expenses [1] 50,511 66,932 105,209 141,770
Depreciation and amortization expenses 15,778 15,292 31,916 29,558
(Gain) loss on disposal of assets 0 (9,600) 6,447 (9,600)
Goodwill impairment 215,100 0 215,100 0
Change in fair value of contingent consideration and indemnification asset 756 100 (3,062) 200
Total operating expenses 466,101 217,192 738,886 461,594
Operating loss (227,469) (25,233) (252,969) (71,879)
Interest income 842 842 1,761 1,902
Interest expense (6,293) (3,620) (12,578) (7,182)
Impairment of equity method investments 0 0 (47,133) 0
Gain (loss) from equity method investees 25,143 (1,904) 24,731 (2,328)
Other income (expense), net 352 (587) 281 (160)
Loss before income taxes and non-controlling interests (207,425) (30,502) (285,907) (79,647)
Provision (benefit) for income taxes (3,904) 1,398 (3,634) 902
Net loss (203,521) (31,900) (282,273) (80,549)
Net loss attributable to non-controlling interests 0 (285) 0 (2,195)
Net loss attributable to common shareholders of Evolent Health, Inc. $ (203,521) $ (31,615) $ (282,273) $ (78,354)
Loss per common share        
Basic and diluted (in dollars per share) $ (2.38) $ (0.38) $ (3.32) $ (0.97)
Weighted-average common shares outstanding        
Basic and diluted (in shares) 85,349 82,289 84,977 80,820
Comprehensive loss        
Net loss $ (203,521) $ (31,900) $ (282,273) $ (80,549)
Other comprehensive loss, net of taxes, related to:        
Foreign currency translation adjustment (4) 11 (157) 35
Total comprehensive loss (203,525) (31,889) (282,430) (80,514)
Total comprehensive loss attributable to non-controlling interests 0 (285) 0 (2,195)
Total comprehensive loss attributable to common shareholders of Evolent Health, Inc. (203,525) (31,604) (282,430) (78,319)
Transformation services        
Revenue        
Total revenue [1] 755 1,944 5,993 5,297
Platform and operations services        
Revenue        
Total revenue [1] 212,375 144,522 422,275 291,814
Premiums        
Revenue        
Total revenue $ 25,502 $ 45,493 $ 57,649 $ 92,604
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY (DEFICIT) - USD ($)
shares in Thousands, $ in Thousands
Total
Cumulative transition adjustment
Common Stock
Class A Common Stock
Common Stock
Class B Common Stock
Additional Paid-In Capital
Accumulated Other Comprehensive Income (Loss)
Retained Earnings (Accumulated Deficit)
Retained Earnings (Accumulated Deficit)
Cumulative transition adjustment
Non-controlling Interests
Beginning balance (in shares) at Dec. 31, 2018     79,172 3,190          
Beginning balance at Dec. 31, 2018 $ 1,189,356   $ 792 $ 31 $ 1,093,174 $ (182) $ 50,009   $ 45,532
Increase (Decrease) in Stockholders' Equity [Roll Forward]                  
Stock-based compensation expense 8,515       8,515        
Exercise of stock options (in shares)     104            
Exercise of stock options 948   $ 1   947        
Restricted stock units vested, net of shares withheld for taxes (in shares)     280            
Restricted stock units vested, net of shares withheld for taxes (2,405)   $ 3   (2,408)        
Class A common stock issued for payment of earn-outs (in shares)     43            
Class A common stock issued for payment of earn-outs 800       800        
Amount attributable to NCI from 2019 business combination 6,500               6,500
Shares issued for equity-method investments and asset acquisitions (in shares)     1,732            
Shares issued for equity-method investments and asset acquisitions 23,556   $ 18   23,538        
Exchange of Class B common stock (in shares)     2,484 (2,484)          
Exchange of Class B common stock     $ 24 $ (24) 33,946       (33,946)
Foreign currency translation adjustment 35         35      
Net loss (80,549)           (78,354)   (2,195)
Reclassification of non-controlling interests 0       (187)       187
Ending balance (in shares) at Jun. 30, 2019     83,815 706          
Ending balance at Jun. 30, 2019 $ 1,146,756   $ 838 $ 7 1,158,325 (147) (28,345)   16,078
Increase (Decrease) in Stockholders' Equity [Roll Forward]                  
Accounting Standards Update [Extensible List] us-gaap:AccountingStandardsUpdate201602Member                
Beginning balance (in shares) at Mar. 31, 2019     79,429 3,190          
Beginning balance at Mar. 31, 2019 $ 1,150,126   $ 794 $ 31 1,096,089 (158) 3,270   50,100
Increase (Decrease) in Stockholders' Equity [Roll Forward]                  
Stock-based compensation expense 4,362       4,362        
Exercise of stock options (in shares)     93            
Exercise of stock options 823   $ 1   822        
Restricted stock units vested, net of shares withheld for taxes (in shares)     77            
Restricted stock units vested, net of shares withheld for taxes (222)   $ 1   (223)        
Shares issued for equity-method investments and asset acquisitions (in shares)     1,732            
Shares issued for equity-method investments and asset acquisitions 23,556   $ 18   23,538        
Exchange of Class B common stock (in shares)     2,484 (2,484)          
Exchange of Class B common stock     $ 24 $ (24) 33,946       (33,946)
Foreign currency translation adjustment 11         11      
Net loss (31,900)           (31,615)   (285)
Reclassification of non-controlling interests         (209)       209
Ending balance (in shares) at Jun. 30, 2019     83,815 706          
Ending balance at Jun. 30, 2019 1,146,756   $ 838 $ 7 1,158,325 (147) (28,345)   16,078
Beginning balance (in shares) at Dec. 31, 2019     84,589 0          
Beginning balance at Dec. 31, 2019 929,047 $ (2,970) $ 846 $ 0 1,173,708 (234) (251,962) $ (2,970) 6,689
Increase (Decrease) in Stockholders' Equity [Roll Forward]                  
Stock-based compensation expense 7,211       7,211        
Exercise of stock options (in shares)     90            
Exercise of stock options 526   $ 1   525        
Restricted stock units vested, net of shares withheld for taxes (in shares)     350            
Restricted stock units vested, net of shares withheld for taxes (1,331)   $ 4   (1,335)        
Share retirement (in shares)     (188)            
Share retirement (685)   $ (2)   (683)        
Class A common stock issued for payment of earn-outs (in shares)     616            
Class A common stock issued for payment of earn-outs 4,185   $ 6   4,179        
Disposal of assets (6,689)               (6,689)
Foreign currency translation adjustment (157)         (157)      
Net loss (282,273)           (282,273)    
Reclassification of non-controlling interests                 (6,689)
Ending balance (in shares) at Jun. 30, 2020     85,457 0          
Ending balance at Jun. 30, 2020 $ 646,864   $ 855 $ 0 1,183,605 (391) (537,205)   0
Increase (Decrease) in Stockholders' Equity [Roll Forward]                  
Accounting Standards Update [Extensible List] us-gaap:AccountingStandardsUpdate201613Member                
Beginning balance (in shares) at Mar. 31, 2020     85,450 0          
Beginning balance at Mar. 31, 2020 $ 847,072   $ 855 $ 0 1,180,288 (387) (333,684)   0
Increase (Decrease) in Stockholders' Equity [Roll Forward]                  
Stock-based compensation expense 3,703       3,703        
Exercise of stock options (in shares)     82            
Exercise of stock options 443   $ 1   442        
Restricted stock units vested, net of shares withheld for taxes (in shares)     113            
Restricted stock units vested, net of shares withheld for taxes (144)   $ 1   (145)        
Share retirement (in shares)     (188)            
Share retirement (685)   $ (2)   (683)        
Foreign currency translation adjustment (4)         (4)      
Net loss (203,521)           (203,521)    
Reclassification of non-controlling interests                 0
Ending balance (in shares) at Jun. 30, 2020     85,457 0          
Ending balance at Jun. 30, 2020 $ 646,864   $ 855 $ 0 $ 1,183,605 $ (391) $ (537,205)   $ 0
v3.20.2
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Cash Flows From (Used In) Operating Activities    
Net loss $ (282,273) $ (80,549)
Adjustments to reconcile net loss to net cash and restricted cash used in operating activities:    
Change in fair value of contingent consideration and indemnification asset (3,062) 200
(Gain) loss on disposal of assets 6,447 (9,600)
(Income) loss from equity method investees (24,731) 2,328
Depreciation and amortization expenses 31,916 29,558
Goodwill impairment 215,100 0
Equity method investments impairment 47,133 0
Stock-based compensation expense 7,211 9,287
Deferred tax (benefit) provision (892) 782
Amortization of contract cost assets 10,272 2,773
Amortization of deferred financing costs 6,079 4,600
Interest from customer advance for regulatory capital requirements (1,316) 0
Other current operating cash inflows (outflows), net 224 527
Changes in assets and liabilities, net of acquisitions:    
Accounts receivable, net and contract assets (23,946) 9,891
Prepaid expenses and other current and noncurrent assets (3,912) (8,882)
Contract cost assets (5,503) (8,110)
Accounts payable 11,690 1,025
Accrued liabilities 4,071 (4,167)
Accrued compensation and employee benefits (10,118) 1,394
Deferred revenue (6,400) 6,339
Reserve for claims and performance-based arrangements 33,259 5,457
Right-of-use operating assets 3,620 (25,350)
Operating lease liabilities 1,783 28,041
Other long-term liabilities 473 (4,786)
Net cash and restricted cash from (used in) operating activities 17,125 (39,242)
Cash Flows Used In Investing Activities    
Cash paid for asset acquisitions or business combinations 0 (6,000)
Customer advance for regulatory capital requirements 0 (45,400)
Loan for implementation funding (400) 2,830
Disposal of non-strategic assets (2,287) 0
Investments in and advances to equity method investees 0 (16,892)
Purchases of investments (1,447) (7,122)
Maturities of investments 3,099 0
Investments in internal-use software and purchases of property and equipment (17,455) (17,739)
Purchase and maturities of restricted investments 108 (493)
Net cash and restricted cash used in investing activities (18,382) (90,816)
Cash Flows (Used In) from Financing Activities    
Changes in working capital balances related to claims processing on behalf of partners 26,715 (119,506)
Amount received from escrow in asset acquisition 0 500
Deferred financing costs related to 2025 Notes 0 (608)
Proceeds from stock option exercises 526 948
Taxes withheld and paid for vesting of restricted stock units (1,331) (2,405)
Net cash and restricted cash from (used in) financing activities 25,910 (121,071)
Effect of exchange rate on cash and cash equivalents and restricted cash 26 (29)
Net increase (decrease) in cash and cash equivalents and restricted cash 24,679 (251,158)
Cash and cash equivalents and restricted cash as of beginning-of-period 128,531 388,325
Cash and cash equivalents and restricted cash as of end-of-period $ 153,210 $ 137,167
v3.20.2
Organization
6 Months Ended
Jun. 30, 2020
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 leading health systems and physician organizations as well as health plans to move their business models from traditional fee for service reimbursement to value-based care, which we consider to be integrated clinical and financial responsibility for populations. The Company operates through two segments.

The Company’s Services segment (“Services”) includes clinical and administrative solutions designed to help our partners manage and administer patient health in a more cost-effective manner. We have two clinical solutions: (i) total cost of care management and (ii) specialty care management services, and one administrative solution: comprehensive health plan administrative services. From time to time, we package our solutions under various go-to-market brand names to create product differentiation. Our partners may engage us to provide one type of solution, or multiple types of solutions, depending on specific needs. True Health is our second reportable segment. True Health is a physician-led health plan in New Mexico available through the commercial market for employer-sponsored health coverage and individual market as well as the Federal Employee Health Benefits Program.

Since its inception, the Company has incurred losses from operations. As of June 30, 2020, the Company had unrestricted cash and cash equivalents of $98.3 million. The Company believes it has sufficient liquidity for 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 and subsequent to the offering reorganization at the time of our initial public offering (the “Offering Reorganization”), the financial results of Evolent Health LLC were consolidated in the financial statements of Evolent Health, Inc. Evolent Health, Inc. is a holding company whose principal asset is all of the Class A common units it holds in Evolent Health LLC, and its only business is to act as 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.

Issuances of Common Units

Evolent Health LLC may only issue Class A common units to us, as the sole managing member of Evolent Health LLC. Class B common units may be issued only to persons or entities we permit. Such issuances of Class B common units shall be made in exchange for cash or other consideration. Class B common units may not be transferred as Class B common units except to certain permitted transferees and in accordance with the restrictions on transfer set forth in the third amended and restated operating agreement of Evolent Health LLC. Any such transfer must be accompanied by the transfer of an equal number of shares of our Class B common stock.
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle
6 Months Ended
Jun. 30, 2020
Accounting Policies [Abstract]  
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle
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 consolidated balance sheet at December 31, 2019, has been derived from audited financial statements as of that date. 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 2019 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 2019 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 consolidated financial statements, estimates are used for, but not limited to, the valuation of assets (including intangibles 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 (including equity method investments), stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, valuation of intangible assets (including goodwill), purchase price allocation in taxable stock transactions and useful lives of intangible assets.

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

Operating Segments

Operating segments are defined as components of a business that may recognize revenue and incur expenses for which discrete financial information is available that is evaluated, on a regular basis, by the chief operating decision maker (“CODM”) to decide how to allocate resources and assess performance. The Company operates through two segments: (1) Services, and (2) True Health. Our Services segment consists of two clinical solutions: (i) total cost of care services and (ii) specialty care management services, and one administrative solution: comprehensive health plan administration services. Our True Health segment consists of a commercial health plan we operate in New Mexico that historically focused on small and large businesses. In 2020, True Health diversified its services to offer coverage for individuals and families as well as the Federal Employee Health Benefits Program. See Note 19 for a discussion of our operating results by segment.
Restricted Cash and Restricted Investments

Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:
June 30, 2020December 31, 2019
Collateral for letters of credit for facility leases (1)
$3,610  $3,610  
Collateral with financial institutions (2)
5,745  5,742  
Claims processing services (3)
44,886  18,171  
Other1,412  817  
Total restricted cash and restricted investments$55,653  $28,340  
Current restricted investments$100  $704  
Current restricted cash46,794  19,376  
Total current restricted cash and restricted investments$46,894  $20,080  
Non-current restricted investments$615  $113  
Non-current restricted cash8,144  8,147  
Total non-current restricted cash and restricted investments$8,759  $8,260  

(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. As of both June 30, 2020 and December 31, 2019, approximately $1.0 million of the collateral amount was held in a trust account and invested in money market funds related to risk-sharing arrangements. The amounts invested in money market funds are considered restricted cash and are carried at fair value, which approximates cost. See Note 17 for discussion of fair value measurement and Note 10 for discussion of our risk-sharing arrangements. As of both June 30, 2020 and December 31, 2019, approximately $4.7 million, of the collateral amounts were held in a FDIC participating bank account.
(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 statements of cash flows.
June 30,
20202019
Cash and cash equivalents$98,272  $92,821  
Restricted cash and restricted investments55,653  45,158  
Restricted investments included in restricted cash and restricted investments(715) (812) 
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows$153,210  $137,167  

Notes Receivable

Notes receivable are carried at the face amount of each note plus accrued interest receivable, less received payments. The Company does not typically carry notes receivable in the course of its regular business, but contributed $40.0 million in the form of an advance for regulatory capital requirements (the “Passport Note”) under an agreement that Passport entered into during the second quarter of 2019. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of the surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. As of June 30, 2020, the outstanding principal balance of the Passport Note was $40.0 million, excluding approximately $2.7 million of accrued interest.

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 and post-acquisition restructuring costs are recognized separately from the business combination and are expensed as incurred.

Equity Method Investments 

For entities that are not consolidated, but where the Company has significant influence over the operating or financial decisions of the entity, the Company accounts for the investment under the equity method of accounting. In accordance with the equity method of accounting, the Company will recognize its share of earnings or losses of the investee in the period in which they are reported by the investee. The Company also considers whether there are any indicators of other-than-temporary impairment of its investments accounted for under the equity method. These investments are included in investments in and advances to equity method investees on the consolidated balance sheets with income or loss included in loss from equity method investees on the consolidated statements of operations and comprehensive income (loss).

Impairment of Equity Method Investments

The Company considers certain factors to determine if there is a decrease in its investment value for its equity method investments that is other than temporary. The equity method investments will be written down to fair value if there is evidence of a loss in value which is other-than-temporary. The Company may estimate the fair value of its equity method investments by considering recent investee equity transactions, discounted cash flow analysis and recent operating results. If the fair value of the investment is below the carrying amount, management considers several factors when determining whether other-than-temporary impairment has occurred. The estimation of fair value and whether other-than-temporary impairment has occurred requires the application of significant judgment and future results may vary from current assumptions. Refer to Note 15 for additional discussion regarding impairments on equity method investments.

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, which is consistent with the way management evaluates our business. The Company has four reporting units and our annual goodwill impairment review occurs during the fourth quarter of each year. We perform impairment tests between annual tests if an event occurs, or circumstances change, that 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 the six months ended June 30, 2020 and the year ended December 31, 2019.

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
10-20 years
Customer relationships
10-25 years
Technology5 years
Provider network contracts
4-5 years

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.

Reserves for Claims and Performance-based Arrangements

Reserves for performance-based arrangements and claims for our Services and True Health segments 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. Reserves for claims and performance-based arrangements also reflect estimated amounts owed to NMHC under a reinsurance agreement for 2019 as discussed further in Note 10. The reinsurance agreement was terminated in December 2019. 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.

Leases

As discussed in Note 3, we adopted Accounting Standards Update (“ASU”) 2016-02 effective January 1, 2019. The following reflects our updated policy for 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 balance sheet.

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.

Refer to Note 11 for additional lease disclosures.

Revenue Recognition

Our Services segment derives revenue from two sources: (1) transformation services and (2) platform and operations services. Transformation services consist of implementation services whereby we assist the customer in launching its population health or health plan programs, or implement certain platform and operations services. In certain cases, transformation services can also include revenue associated with our support of certain one-time wind-down activities for clients who are exiting a line of business or population. Platform and operations services generally include multi-year arrangements with customers to provide various population
health, health plan operations, specialty care management and claims processing services on an ongoing basis, as well as transition or run-out services to customers receiving primarily third-party administration (“TPA”) services. Revenue is recognized when control of the services is transferred to our 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 for our Services segment 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 True Health segment derives revenue from premiums that are earned over the terms of the related insurance policies. True Health also derived revenue in 2019 from reinsurance premiums assumed from NMHC under the terms of the reinsurance agreement (as defined in Note 10). The portion of premiums that will be earned in the future or are received prior to the effectiveness of the policy are deferred and reported as premiums received in advance. These amounts are generally classified as deferred revenue on our consolidated balance sheets.

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

Foreign Currency

The Company formed a subsidiary in India during the first quarter of 2018. The functional currency of our international subsidiary is the Indian Rupee. We translate the financial statements of this subsidiary to U.S. dollars using month-end rates of exchange for assets and liabilities, and monthly average rates of exchange for revenue and expenses. Translation gains and losses are recorded in accumulated other comprehensive income (loss) as a component of shareholders' equity. Foreign currency translation gains and losses did not have a material impact on our consolidated statements of operations and comprehensive income (loss) for the three and six months ended June 30, 2020 and 2019.
v3.20.2
Recently Issued Accounting Standards
6 Months Ended
Jun. 30, 2020
Accounting Policies [Abstract]  
Recently Issued Accounting Standards Recently Issued Accounting Standards
Adoption of New Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-02, Leases, in order to establish the principles to report transparent and economically neutral information about the assets and liabilities that arise from leases. This update introduces a new standard on accounting for leases, including a lessee model that brings most leases on the balance sheet. The new standard also aligns many of the underlying principles of the new lessor model with those in ASC 606. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. In July 2018, the FASB issued ASU 2018-11, which is intended to make targeted improvements to ASU 2016-02. The amendments in ASU 2018-11 provide entities with an additional (and optional) transition method to adopt the new leases standard using an effective date method rather than the earliest comparative period. The requirements of ASU 2018-11 are effective on the same date as the requirements of ASU 2016-02. We adopted ASU 2016-02 as of January 1, 2019, using the modified retrospective approach. Further, we elected the package of practical expedients permitted under the transition guidance within the new standard, which, among other things, allowed us to carry forward the historical lease classification. Adoption of the new standard resulted in the recording of additional right-of-use assets and lease liabilities of approximately $51.4 million and $47.4 million, respectively, on our consolidated balance sheet as of January 1, 2019. The standard had no impact on our results of operations.

In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal Use Software: Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Services Contract. The amendments in this ASU align the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. The update is effective for fiscal years beginning after December 15, 2019, and interim periods within those fiscal years. Early adoption is permitted, including adoption in any interim period. The amendments in this update should be applied either retrospectively or prospectively to all implementation costs incurred after the date of adoption. We adopted the requirements of ASU 2018-15 effective January 1, 2019. There was no material impact to our consolidated balance sheets or results of operations as of or for the year ended December 31, 2019.

In July 2019, the FASB issued ASU 2019-07, Codification Updates to SEC Sections - Amendments to SEC Paragraphs Pursuant to SEC Final Rule Releases No. 33-10532, Disclosure Update and Simplification, and Nos. 33-10231 and 33-10442, Investment
Company Reporting Modernization and Miscellaneous Updates (SEC Update). ASU 2019-07 clarifies or improves the disclosure and presentation requirements of a variety of codification topics by aligning them with the SEC’s regulations, thereby eliminating redundancies and making the codification easier to apply. The disclosure and presentation amendments included in ASU 2019-07, which were effective upon issuance of the standard and were to be applied prospectively, did not have a material impact on our consolidated financial statements and related disclosures.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments and subsequently issued additional guidance that modified ASU 2016-13. The standard requires an entity to change its accounting approach for measuring and recognizing credit losses on certain financial assets measured at amortized cost, including trade receivables, certain non-trade receivables, contract assets, held-to-maturity securities, customer advances and certain off-balance sheet credit exposures, by replacing the existing “incurred loss” framework with an expected credit loss recognition model.  The new standard results in earlier recognition of credit losses based on past events, current conditions, and reasonable and supportable forecasts.  The standard is effective for entities with fiscal years beginning after December 15, 2019, including interim periods within such fiscal years. We adopted the requirements of this standard effective January 1, 2020 using the modified retrospective approach and recorded a cumulative effect adjustment of $3.0 million to January 1, 2020 retained earnings (accumulated deficit). Results for reporting periods beginning January 1, 2020 reflect the adoption of ASU 2016-13, while prior period amounts were not adjusted and continue to be reported in accordance with our historical accounting practices. In our previous accounting policy for trade receivables and non-trade receivables, we maintained an allowance for doubtful accounts based solely on specific identification. Under the new accounting standard, we maintain our specific identification process but utilize several factors to develop historical losses reserves, including aging schedules, customer creditworthiness, and historical payment experience, which are then adjusted for current conditions and reasonable and supportable forecasts in measurement of the allowance.  In addition, for customer advances and certain off-balance sheet credit exposures, we evaluate the allowance through a discounted cash flow approach.  For held-to-maturity investment securities, we evaluate (i) historical information adjusted for current conditions and reasonable and supportable forecasts and (ii) qualitative factors to determine whether the zero-loss expectation exception applies. Refer to Note 6 for additional disclosures related to current expected credit losses.

In August 2018, the FASB issued ASU 2018-13, Changes to the Disclosure Requirements for Fair Value Measurement. ASU 2018-13 amends Topic 820 to add, remove, and clarify disclosure requirements related to fair value measurement disclosures. This ASU is effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years. We adopted the requirements of this standard effective January 1, 2020 and determined it did not have a material impact on our consolidated financial statements and related disclosures.
v3.20.2
Transactions
6 Months Ended
Jun. 30, 2020
Business Combinations [Abstract]  
Transactions Transactions
Equity Investments
Passport
On December 30, 2019, Passport, Passport Health Solutions, LLC, a Kentucky nonprofit limited liability company and subsidiary of Passport (“PHS I”), the Company and Justify Holdings, Inc., a Kentucky corporation and a previous subsidiary of the Company (the “Passport Buyer”), closed a transaction whereby Passport Buyer acquired substantially all of the assets and assumed substantially all of the liabilities of Passport and PHS I for $70.0 million in cash and issued a 30% equity interest in the Passport Buyer to the following provider sponsors of Passport: the University of Louisville, the University of Louisville Physicians, the University Medical Center, the Jewish Heritage Fund for Excellence, Norton Healthcare, Inc. and the Louisville/Jefferson County Primary Care Association (collectively, the “Sponsors”). As of December 30, 2019, Justify Holdings, Inc. became Passport Health Plan, Inc. $16.2 million of the cash consideration was placed in escrow until such time as PHS I delivers to the Passport Buyer certain owned real property and improvements. During the three months ended June 30, 2020, the Passport Buyer did not meet certain statutory capital thresholds as a result of the owned real property and improvements not being transferred and $16.2 million was released from escrow and returned to the Passport Buyer. If the transfer of owned real property and improvements does not occur by December 31, 2020, then Passport Buyer and PHS I will mutually agree to dispose and/or transfer the owned real property and improvements.
The Company accounts for its investment in Passport under the equity method of accounting because while it has significant influence over Passport, it shares control over the activities of Passport that most significantly impact Passport’s economic performance. These activities include approval of material provider network additions or deletions and material agreements. Decisions on material providers are assessed frequently by Passport as a key measure in assessing the plan’s current financial Performance as medical costs account for a majority of total plan costs. Accordingly, the approval of the material provider network additions or deletions is deemed an activity that significantly impacts Passport’s operating and financial performance. In addition, we analyzed the Passport transaction to determine if the Company is the primary beneficiary of a variable interest entity (a “VIE”). We considered both the power to direct the activities that most significantly impact the economic performance of the VIE and a variable interest that could potentially be significant to the VIE. The Company determined that its interest in this entity meets the definition of a variable interest, however, the
Company is not the primary beneficiary since it does not have the power to direct activities that most significantly impact Passport’s performance. Therefore, the Company did not consolidate the VIE.
Passport is currently one of five Medicaid-managed care organizations serving the Commonwealth of Kentucky. Passport’s current contract to provide managed care for Medicaid expires on December 31, 2020. In 2019, Passport submitted a proposal to continue providing managed care for Medicaid in the Commonwealth of Kentucky through December 31, 2024 in response to the ongoing “request for proposal” process (the “RFP”) of the CHFS. While Passport was not initially awarded a Kentucky managed Medicaid contract for the next contract period, the bidding process was reopened, and a revised proposal was submitted during the first quarter of 2020. During May 2020, the CHFS announced that Passport was not awarded a Kentucky managed care Medicaid contract for the next contract period. As a result, we do not expect to receive any material revenue under our management services agreement from Passport Buyer subsequent to December 31, 2020. However, we expect to recover substantially all the value of our investment in Passport. In addition, since Passport was not awarded a new Medicaid contract with CHFS, the Company is required to acquire the Sponsors’ 30% ownership interest in Passport Buyer for $20.0 million within twelve months following December 31, 2020, the expiration of Passport’s current Medicaid contract.
On June 18, 2019, we contributed the Passport Note under an agreement with Passport. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. Additionally, on June 6, 2019, the Company and Passport entered into an Indemnity Agreement (the “Indemnity Agreement”), with an insurance company (the “Surety”). The Surety issued a performance bond in the amount of $25.0 million to secure Passport’s performance under its Medicaid contract with the Kentucky Cabinet of Health and Family Services (“CHFS”). Pursuant to the Indemnity Agreement, the Company and Passport are jointly and severally liable to the Surety in the maximum amount of the bond, plus certain costs of the Surety, in the event of losses arising under the bond. The bond’s original expiry date was June 30, 2020. During the three months ended June 30, 2020, the expiry date was extended to the end of Passport’s current Medicaid contract on December 31, 2020. In connection with the consummation of the transactions, the Sponsors, the Passport Buyer and a subsidiary of the Company entered into a shareholders’ agreement that provides for the governance of the Passport Buyer following the closing, and certain other rights between the parties thereto. The shareholders agreement provides that written consent of majority holders is required for certain significant governance and operational matters, including the appointment, removal or replacement of the Passport Buyer’s chief executive officer, material changes to the provider network and other significant matters.
Loss on Disposal of Assets

During 2019, the Company, through a consolidated subsidiary, entered into an agreement with an unrelated party to provide services and support to providers, independent physician associations, and other provider groups. During the first quarter of 2020, the Company sold its interest in the subsidiary and recorded a loss on disposal of assets of $6.4 million. The Company did not have any continuing involvement with the subsidiary after the consummation of this transaction.
v3.20.2
Revenue Recognition
6 Months Ended
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]  
Revenue Recognition Revenue Recognition
Our Services segment derives revenue from two sources: (1) transformation services and (2) platform and operations services.

Transformation Services Revenue
Transformation services consist of implementation services whereby we assist the customer in launching its population health or health plan strategy. In certain cases, transformation services can also include revenue associated with our support of certain one-time wind-down activities for clients who are exiting a line of business or population. The transformation services are usually completed within 12 months. We generally receive a fixed fee for transformation services and recognize revenue over time using an input method based on hours incurred compared to the total estimated hours required to satisfy our performance obligation.
Platform and Operations Services Revenue
Platform and operations services are typically multi-year arrangements with customers to provide various clinical and administrative solutions. Our clinical solutions are designed to lower the medical expenses of our partners and include our total cost of care, population health and specialty care management services; our administrative solutions are designed to provide comprehensive health plan operations and claims processing services, and also include transition or run-out services to customers receiving primarily TPA services.  Contracts to provide these services may be developed on an integrated basis.  For purposes of revenue disaggregation, we classify contracts including both clinical and administrative solutions into the category corresponding to the majority of services provided under those contracts.
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 from platform and operations 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 transformation services and platform and operations 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. We are an agent when our role is to arrange for another entity to provide the services to the customer. In these instances, we do not control the service before it is provided and recognize revenue on a net basis. We are the principal when we control the good or service prior to transferring control to the customer. We recognize revenue on a gross basis when we are the principal in the arrangement.
Disaggregation of Revenue
The following table represents Evolent’s Services segment revenue disaggregated by type of services (in thousands), excluding revenues from our True Health segment and from our downside risk sharing arrangements through our insurance subsidiary, which are accounted for under ASC 944, Financial Services-Insurance.
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Services Revenue
Transformation services$755  $1,944  $5,993  $5,297  
Platform and operations services
Clinical solutions161,774  94,573  321,582  191,204  
Administrative solutions50,562  49,058  100,616  99,683  

Transaction Price Allocated to the Remaining Performance Obligations

For contracts with a term greater than one year, we have allocated approximately $108.2 million of transaction price to performance obligations that are unsatisfied as of June 30, 2020. 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 platform and operations revenue, which is primarily derived based on variable consideration as discussed in Note 2. We expect to recognize revenue on approximately 33% and 69% of these remaining performance obligations by December 31, 2020, and December 31, 2021, respectively, with the remaining balance to be recognized thereafter. 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 less or greater 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 contract 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 (in thousands):
June 30, 2020December 31, 2019
Short-term receivables (1)
$93,066  $71,707  
Long-term receivables (1)
740  709  
Short-term contract assets2,346  1,751  
Long-term contract assets47  999  
Short-term deferred revenue13,247  19,828  
Long-term deferred revenue1,338  1,330  
(1) Excludes pharmacy claims receivable and premiums receivable

Changes in contract assets and deferred revenue for the six months ended June 30, 2020, are as follows (in thousands):
For the Six Months Ended June 30, 2020
Contract assets
Balance as of beginning-of-period$2,750  
Reclassification to receivables, as the right to consideration becomes unconditional(1,477) 
Contract assets recognized, net of reclassification to receivables1,120  
Balance as of end-of-period$2,393  
Deferred revenue
Balance as of beginning-of-period$21,158  
Reclassification to revenue, as a result of performance obligations satisfied(15,538) 
Cash received in advance of satisfaction of performance obligations8,965  
Balance as of end-of-period$14,585  


The amount of revenue recognized from performance obligations satisfied (or partially satisfied) in previous period was $6.5 million and $7.7 million during the three and six months ended June 30, 2020, due primarily to net gain share as well as changes in other estimates.

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 June 30, 2020 and December 31, 2019, the Company had $4.0 million and $4.7 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 $0.4 million and $0.9 million for the three and six months ended June 30, 2020, respectively, and $0.1 million and $0.2 million for the three and six months ended June 30, 2019.

In our platforms and operations arrangements, 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 June 30, 2020 and December 31, 2019, the Company had $27.7 million and $31.8 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 of $4.3 million and $9.4 million for the three and six months ended June 30, 2020, respectively, and $1.4 million and $2.6 million for the three and six months ended June 30, 2019.

These costs are deferred and then amortized on a straight-line basis over a period of benefit that we have determined to be five years. The period of benefit was based on our technology, the nature of our customer arrangements and other factors.
v3.20.2
Credit Losses
6 Months Ended
Jun. 30, 2020
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 customer advance for regulatory capital 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, we considered the impact of the COVID-19 pandemic on our customers’ and other third parties’ ability to pay. We did not observe notable increases in delinquencies during the three and six month periods ended June 30, 2020. Given the nature of our business, our past collection experience during recessionary and pre-recessionary periods, and our forecasted impact of the COVID-19 pandemic on our business, we did not record material changes in our allowances due to the COVID-19 pandemic during the three and six month periods ended June 30, 2020.

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. We may employ legal counsel to pursue recovery of defaulted receivables. 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 at June 30, 2020, 59% were current, 28% were past due less than 60 days, with 40% past due less than 120 days. At June 30, 2020, we reported $104.4 million of accounts receivable, certain non-trade accounts receivable included in prepaids and other assets on the consolidated balance sheet and contract assets, net of allowances of $1.5 million. The following table summarizes the changes in allowance for credit losses on our accounts receivables, certain non-trade accounts receivable and contract assets for the six months ended June 30, 2020 (in thousands):
For the Six Months Ended June 30, 2020
Balance as of December 31, 2019$(41) 
Cumulative transition adjustment(2,815) 
Provision for credit losses(260) 
Charge-offs1,575  
Balance as of June 30, 2020$(1,541) 

Investments Held at Amortized Cost

In January 2018, Evolent acquired certain assets from New Mexico Health Connections, including a commercial plan and health plan management services organization. The acquired assets were contributed to a new entity, True Health, which is a wholly-owned
subsidiary of Evolent. True Health invests in certain debt securities which are classified as held-to-maturity in Evolent’s consolidated financial statements because True Health, as Evolent’s wholly-owned subsidiary, has the intent and ability to hold the securities until their individual maturities. True Health invests in debt securities pursuant to an investment policy governing the nature and type of investments based on the Company’s business strategy, risk tolerance, and investment objectives.

The amortized cost of our investments as of June 30, 2020 and December 31, 2019 (in thousands) and interest income for the three and six months ended June 30, 2020 were as follows:
Amortized CostInterest Income for the Three Months Ended June 30,Interest Income for the Six Months Ended June 30,
June 30, 2020December 31, 20192020201920202019
U.S. Treasury bills$8,909  $10,784  $57  $61  $122  $119  
Corporate bonds1,706  1,705  14  11  29  20  
Collateralized mortgage obligations5,695  5,472  51  17  104  29  
Yankees597  597    11  11  
Total investments$16,907  $18,558  $128  $95  $266  $179  

The Company reviewed its held-to-maturity investments to determine which types of securities have zero risk of credit loss because payments are guaranteed by a third party. Based on this analysis, the Company determined that the expected credit losses on U.S. Treasury bills and mortgage backed securities from government sponsored enterprise (“GSE”) is zero. The expected credit losses on non-GSE backed securities is considered immaterial.

As of June 30, 2020, all of the Company’s held-to-maturity investments were rated investment-grade or better and all payments of interest or principal are current.

Customer Advance for Regulatory Capital and Notes Receivable

Customer Advance for Regulatory Capital

On June 18, 2019, we contributed the Passport Note under an agreement with Passport. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. The company recorded the Passport Note at amortized cost basis, including accrued interest of $2.7 million, on the consolidated balance sheets and reports principal in customer advance for regulatory capital requirements, net of allowances and accrued interest in prepaid expenses and other non-current assets, net. The Passport Note is subject to a minimum risk-based-capital percentage of 150% and as such, if Passport maintains or exceeds the minimum risk-based-capital percentage, the Company believes Passport has sufficient liquidity to repay all outstanding loan principal and accrued interest.

Evolent evaluated this note and employed a probability of default and loss given default framework which relies on contractual cash flows to determine the exposure at default at any point in the future. The model calculates contractual cash flows for all remaining periods of the note’s contractual life based on terms of the notes and utilize the amortization principles set forth within those terms under the assumption that the note will behave as expected under the contract. Forecasted probability of default rates and loss given default rates are applied in each future contractual period to determine the period-specific amount of default and the associated loss given that default has occurred. Forward looking probability of default and loss given default rates are forecasted using regression-based econometric techniques. Using reasonable and supportable forecasts of relevant macroeconomic conditions, Evolent forecasts expected future risk-based-capital percentages. Evolent utilizes these forecasted risk-based-capital percentages to derive the future probability of default and loss given default rates applied to the future period-specific exposure at default, as calculated based upon contractual loan terms, to derive an excepted loss estimate.

While macroeconomic conditions have deteriorated as of June 30, 2020 compared to December 31, 2019, we determined the changes in economic conditions did not have a material impact on the performance of the Passport Note because there is sufficient risk-based-capital to repay all principal and accrued interest.

At June 30, 2020, we reported $40.0 million of customer advances for regulatory capital, net of allowances of $45 thousand. Principal and all accrued interest is due at maturity of the note on July 1, 2025. While the Company is currently accruing interest on the Passport Note, it may stop accruing interest in the future if the Passport Note borrower is in default of either principal or interest payments.
Notes Receivable

On September 30, 2019, we entered into an amended agreement with an equity method investee to reduce our maximum funding for operations to $5.0 million (the “Note”) through a line of credit. The Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in monthly payments on April 30, 2019 through the note end date of April 1, 2030. As of June 30, 2020 and December 31, 2019, the equity method investee had drawn $1.4 million and $1.0 million under this Note, respectively. The Company recorded the Note at amortized cost basis, including accrued interest, on the consolidated balance sheets and reports principal in prepaid expenses and other non-current assets, net and accrued interest in prepaid expenses and other current assets, net. The remaining undrawn amount is an off-balance sheet credit commitment which is subject to measurement because the Company does not have the ability to rescind its commitment to extend this credit unconditionally. The allowance associated with the undrawn amounts is recorded in other long-term liabilities on the consolidated balance sheets and will be reclassified from other long-term liabilities to prepaid expenses and other non-current assets on the consolidated balance sheets as the Note is drawn.

Evolent evaluated this note and employed a probability of default and loss given default framework which relies on contractual cash flows to determine the exposure at default at any point in the future. The model calculates contractual cash flows for all remaining periods of the note’s contractual life based on terms of the notes and utilize the amortization principles set forth within those terms under the assumption that the note will behave as expected under the contract. Forecasted probability of default rates and loss given default rates are applied in each future contractual period to determine the period-specific amount of default and the associated loss given that default has occurred.

The probability of default assumption relies upon a set maximum period-specific rate which is derived based upon historical peer-institution loss experience. The loss given default rate for the Note is assumed to be 50% in every period. This assumption relies upon a 50/50 expectation of a good outcome versus a bad outcome given a default event’s occurrence. Under a good outcome, the Company would achieve a 100% recovery of the defaulted balance whereas under a bad outcome the Company would recover 0% of the defaulted balance.

At June 30, 2020, we reported $1.4 million of notes receivable, net of allowances on drawn principal of $14 thousand in prepaid expenses and other non-current assets and allowances on undrawn principal of $37 thousand in other long-term liabilities on the consolidated balance sheets. In addition, as of January 1, 2020 and June 30, 2020, the Note is current on its payments of principal and interest, however the Florida Agency for Healthcare Administration (the “Agency”) reviews requests for payments on a quarterly basis and will only approve the requests when it is satisfied that any repayment will not be reasonably likely to cause the borrower to be unable to meet its insolvency or surplus requirements. Circumstances under which the Agency will approve repayment include, but are not limited to, when the Premium to Surplus ratio is 10 to 1 or below. While the Company is currently accruing interest on the Note, it may stop accruing interest in the future if the Note borrower is in default of either principal or interest payments.
v3.20.2
Property and Equipment, Net
6 Months Ended
Jun. 30, 2020
Property, Plant and Equipment [Abstract]  
Property and Equipment, Net Property and Equipment, Net
The following summarizes our property and equipment (in thousands):
  June 30, 2020December 31, 2019
Computer hardware$12,061  $11,604  
Furniture and equipment3,588  3,649  
Internal-use software development costs126,203  112,501  
Leasehold improvements15,537  12,415  
Total property and equipment157,389  140,169  
Accumulated depreciation and amortization expenses(68,834) (55,014) 
Total property and equipment, net$88,555  $85,155  

The Company capitalized $6.4 million and $13.7 million of internal-use software development costs for the three and six months ended June 30, 2020, respectively and $8.2 million and $16.9 million for the three and six months ended June 30, 2019, respectively. The net book value of capitalized internal-use software development costs was $77.1 million and $74.9 million as of June 30, 2020 and December 31, 2019, respectively.

Depreciation expense related to property and equipment was $7.1 million and $13.9 million for the three and six months ended June 30, 2020, respectively, of which amortization expense related to capitalized internal-use software development costs was $6.0 million and $11.6 million, respectively. Depreciation expense related to property and equipment was $5.7 million and $10.9 million
for the three and six months ended June 30, 2019, respectively, of which $4.5 million and $8.6 million amortization expense related to capitalized internal-use software development costs
v3.20.2
Goodwill and Intangible Assets, Net
6 Months Ended
Jun. 30, 2020
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.

The Company has four reporting units. Our reporting units are not discrete legal entities with discrete full financial statements. 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 during the fourth quarter 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.

2019 Goodwill Impairment Test

During the second half of 2019, the price of our Class A common stock declined significantly. The average closing price per share of our Class A common stock for the period from May 1 to October 31 decreased by $6.59 per common share, or 43.5%, compared to the average closing price for the period from January 1 to April 30. In addition, it was not certain that Passport would be awarded a Kentucky managed Medicaid contract for the next contract period, which was expected to begin on January 1, 2021. Since Passport was not awarded a contract under the RFP, we expect that we will not receive any material revenue under our management services agreement from Passport Buyer subsequent to December 31, 2020 and the value of our investment in Passport and goodwill will be negatively impacted. The non-renewal of Passport’s contract would reduce our medium-term and long-term cash flow projections for one of our reporting units, causing the decline in our stock price to possibly be further prolonged, indicating it is more likely than not that that the fair value of the reporting units is less than the reporting unit’s carrying amounts, triggering an interim quantitative assessment.

In performing our October 31, 2019 impairment test, we estimated the fair value of our reporting units 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, including about revenues, expenses, fixed asset and working capital requirements, the timing of exchanges of our Class B common shares, capital market assumptions, cash flows, the probability of the Passport RFP outcome and discount rates. The fair values determined by the income approach, as described above, were weighted considering future resolution of the Passport RFP result to determine the concluded fair value for each reporting unit. If the probability of Passport being awarded a contract under the RFP increases, it is unlikely to result in a future impairment charge ignoring other events or circumstances, however, if the probability of Passport being awarded a contract under the RFP decreases, we will likely have a future impairment charge.

As of October 31, 2019, we determined that one of our three reporting units in the Services segment had an estimated fair value less than its carrying value. As a result, we recorded a non-cash goodwill impairment charge of $199.8 million in goodwill impairment on our consolidated statements of operations and comprehensive income (loss) for the year ended December 31, 2019. If other indications of impairment exist we may be required to recognize additional impairments in the future as a result of market conditions or other factors related to our performance, including changes in our forecasted results, investment strategy, interest rates or assumptions used as part of the goodwill impairment analysis. Any further impairment charges that we may record in the future could be material to our results of operations.
2020 Goodwill Impairment Analysis

As of March 31, 2020, the Company assessed whether there were additional events or changes in circumstances since its annual goodwill impairment test that would indicate that it was more likely than not that the fair value of the reporting units was less than the reporting unit’s carrying amounts that would require an additional interim impairment assessment after October 31, 2019. Considering the sharp decrease in the share price of the Company’s Class A common stock during the three months ended March 31, 2020, the Company determined indicators of an impairment were present and we performed an interim goodwill impairment assessment as of March 31, 2020. As a result of this test, the Company determined that there was no goodwill impairment of the reporting unit which recognized an impairment in the year ended December 31, 2019. As of March 31, 2020, the remaining goodwill attributable to the reporting unit from which we recognized a non-cash goodwill impairment charge for the year ended December 31, 2019 was $431.7 million.

During May 2020, the CHFS announced that Passport was not awarded a Kentucky managed Medicaid contract for the next contract period and its Medicaid contract with the CHFS will expire on December 31, 2020. As a result of this announcement, the Company determined there were events or changes in circumstances since its annual goodwill impairment test that would indicate it was more likely than not that the fair value of one of its three reporting units in the Services segment was less than the reporting unit’s carrying amounts.

In performing our interim goodwill impairment analysis, 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, 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.

As of May 31, 2020, we determined that the reporting unit under review had an estimated fair value less than its carrying value. As a result, we recorded a non-cash goodwill impairment charge of $215.1 million on our consolidated statements of operations and comprehensive income (loss) for the three and six months ended June 30, 2020. In addition, the Company reviewed its interim goodwill impairment analysis as of June 30, 2020 and did not identify any additional information or events that would contradict or change the conclusion reached by the Company as of May 31, 2020. As of June 30, 2020, the remaining goodwill attributable to the reporting unit from which we recognized a non-cash goodwill impairment charge for the three and six months ended June 30, 2020 was $214.3 million.

The following table summarizes the changes in the carrying amount of goodwill, by reportable segment, for the periods presented (in thousands):
For the Six Months Ended June 30, 2020
ServicesTrue HealthConsolidated
Balance as of December 31, 2019 (1)
$566,359  $5,705  $572,064  
Goodwill disposal (2)
(2,200) —  (2,200) 
Impairment(215,100) —  (215,100) 
Foreign currency translation (69) —  (69) 
Balance as of June 30, 2020$348,990  $5,705  $354,695  
For the Year Ended December 31, 2019
ServicesTrue HealthConsolidated
Balance as of December 31, 2018 (1)
$762,419  $5,705  $768,124  
Goodwill acquired3,416  —  3,416  
Measurement period adjustments351  —  351  
Impairment(199,800) —  (199,800) 
Foreign currency translation(27) —  (27) 
Balance as of December 31, 2019$566,359  $5,705  $572,064  
(1) Net of cumulative inception to date impairment of $575.5 million and $360.4 million as of June 30, 2020 and December 31, 2019, respectively.
(2) Goodwill written down on disposal of a consolidated subsidiary.
Intangible Assets, Net

Details of our intangible assets (in thousands) are presented below:
June 30, 2020December 31, 2019
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name13.7$23,300  $5,581  $17,719  14.2$23,300  $4,891  $18,409  
Customer relationships16.6281,219  50,988  230,231  16.8291,519  44,750  246,769  
Technology2.382,922  58,204  24,718  2.082,922  49,760  33,162  
Below market lease, net2.81,118  548  570  2.22,048  1,334  714  
Provider network contracts3.314,475  4,800  9,675  3.712,725  3,320  9,405  
Total intangible assets, net$403,034  $120,121  $282,913  $412,514  $104,055  $308,459  

Amortization expense related to intangible assets was $8.7 million and $18.0 million for the three and six months ended June 30, 2020, respectively. Amortization expense related to intangible assets was $9.6 million and $18.7 million, for the three and six months ended June 30, 2019, respectively.

Future estimated amortization of intangible assets (in thousands) as of June 30, 2020, is as follows:
2020$14,842  
202128,701  
202224,819  
202322,055  
202416,171  
Thereafter176,325  
Total future amortization of intangible assets$282,913  

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 three months ended June 30, 2020, that would require an impairment test for our intangible assets.
v3.20.2
Long-term Debt
6 Months Ended
Jun. 30, 2020
Debt Disclosure [Abstract]  
Long-term Debt Long-term Debt
Credit Agreement

On December 30, 2019, 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 and collateral agent, together with the Company (the “Credit Agreement”), pursuant to which the lenders agreed to extend credit to the Borrower in the form of (i) an initial secured term loan in the aggregate principal amount of $75.0 million (the “Initial Term Loan Facility”) and (ii) a delayed draw secured term loan facility in the aggregate principal amount of up to $50.0 million (the “DDTL Facility” and, together with the Initial Term Loan Facility, the “Senior Credit Facilities”), subject to the satisfaction of specified conditions. The Borrower borrowed the loan under the Initial Term Loan Facility on December 30, 2019. In connection with the Credit Agreement, on December 30, 2019, the Company entered into a Security Agreement, by and among the Company, the Borrower, the other guarantors and the collateral agent for the benefit of the secured parties, and a Guarantee Agreement, by the Company and each of the other guarantors in favor of the collateral agent for the benefit of the secured parties. The Senior Credit Facilities are guaranteed by the Company and the Company’s domestic subsidiaries, subject to certain exceptions. The Senior Credit Facilities are secured by a first priority security interest in all of the capital stock of the borrower and each guarantor (other than the Company) and substantially all of the assets of the borrower and each guarantor, subject to certain exceptions.
The proceeds of the Initial Term Loan were used to finance the Passport transaction and pay fees and expenses incurred in connection therewith. The proceeds of the DDTL Facility may be used, subject to the Company’s satisfaction of specified conditions, to finance the repayment or repurchase of the Company’s 2.00% Convertible Senior Notes due December 1, 2021 and to fund permitted acquisitions.  The Initial Term Loan and any loans under the DDTL Facility will mature on the date that is the earliest of (a) December 30, 2024, (b) 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 (c) the date that is ninety-one (91) days prior to the maturity date of the 2021 Convertible Notes unless certain liquidity conditions are satisfied (the foregoing, the “Maturity Date”). The interest rate for each loan under the Senior Credit Facilities is calculated, at the option of the Borrower, at either the Eurodollar rate plus 8.00%, or the base rate plus 7.00%. A commitment fee of 1.00% per annum is payable by the Borrower quarterly in arrears on the unused portion of the DDTL Facility. The Company recorded $2.0 million and $4.0 million in interest expense related to our Credit Agreement for the three and six months ended June 30, 2020.
Amounts outstanding under the Senior Credit Facilities may be prepaid at the option of the Borrower subject to applicable premiums, including a make-whole premium payable on certain prepayments made prior to the second anniversary of the closing of the Senior Credit Facilities, and a call protection premium payable on the amount prepaid in certain instances as follows: (1) 4.00% of the principal amount so prepaid after the second anniversary of the closing of the Senior Credit Facilities but prior the third anniversary of the closing of the Senior Credit Facilities; (2) 3.00% of the principal amount so prepaid after the third anniversary of the closing of the Senior Credit Facilities but prior the fourth anniversary of the closing of the Senior Credit Facilities; and (3) 2.00% of the principal amount so prepaid after the fourth anniversary of the closing of the Senior Credit Facilities but prior the fifth anniversary of the closing of the Senior Credit Facilities. Amounts outstanding under the Senior 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.
The Senior 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. In addition, the Company is required to comply at certain times with certain financial covenants comprised of a minimum net revenue test and a minimum liquidity test commencing upon closing of the Senior Credit Facilities and a total secured leverage ratio commencing on the last day of the fiscal quarter ending March 31, 2021. 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 Senior Credit Facilities. We incurred $4.7 million of debt issuance costs in connection with this Credit Agreement, which will be included in long-term debt, net of discount on our consolidated balance sheets and will be amortized into interest expense over the life of the agreement. For the three and six months ended June 30, 2020, the Company recorded $0.5 million and $1.1 million in interest expense related to the amortization of the debt discount and the issuance costs.
The Company was in compliance with all applicable covenants as of June 30, 2020.
Warrant Agreement
In conjunction with the Company’s entry into the Credit Agreement, the Company entered into warrant agreements whereby it agreed to sell to the holders of the warrants an aggregate of 1,513,786 shares of Class A common stock at a per share purchase price equal to $8.05. The holders can exercise the warrants at any time until thirty days after the maturity of the Credit Agreement. The Company, at its sole discretion, can elect to pay the holders in cash in an amount determined based on the fair market value of the Class A common stock for the shares of Class A common stock issuable upon exercise of the warrants in lieu of delivering the shares.
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 Company recorded interest expense of $0.7 million and $1.3 million related to the 2025 Notes for the three and six months ended June 30, 2020 and 2019. The 2025 Notes will mature on October 15, 2025, unless earlier repurchased, redeemed or converted in accordance with their terms prior to such date.

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. 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. The equity component recorded within additional paid-in capital will not be remeasured as long as it meets the conditions for equity classification. For the three and six months ended June 30, 2020, the Company recorded $2.1 million and $4.3 million, respectively, and $2.1 million and $4.1 million for the three and six months ended June 30, 2019, respectively, of interest expense related to the amortization of the debt discount and the issuance costs allocated to the debt component.

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.

2021 Notes

In December 2016, the Company issued $125.0 million aggregate principal amount of its 2.00% Convertible Senior Notes due 2021 (the “2021 Notes”) in a private placement to qualified institutional buyers within the meaning of Rule 144A under the Securities Act. The 2021 Notes were issued at par for net proceeds of $120.4 million. We incurred $4.6 million of debt issuance costs in connection with the 2021 Notes, which we are amortizing to non-cash interest expense using the straight-line method over the contractual term of the 2021 Notes, since this method was not materially different from the effective interest method. The closing of the private placement of the 2021 Notes occurred on December 5, 2016.

Holders of the 2021 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year, beginning on June 1, 2017, at a rate equal to 2.00% per annum. The 2021 Notes will mature on December 1, 2021, unless earlier repurchased or converted in accordance with their terms prior to such date. In addition, holders of the 2021 Notes may require the Company to repurchase all or part of their 2021 Notes upon the occurrence of a fundamental change at a price equal to 100.00% of the principal amount of the 2021 Notes being repurchased, plus any accrued and unpaid interest to, but excluding, the fundamental repurchase 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 $0.6 million and $1.2 million and non-cash interest expense related to the amortization of deferred financing costs of $0.3 million and $0.5 million for each of the three and six months ended June 30, 2020 and 2019, respectively.

The 2021 Notes are convertible into shares of the Company’s Class A common stock, based on an initial conversion rate of 41.6082 shares of Class A common stock per $1,000 principal amount of the 2021 Notes, which is equivalent to an initial conversion price of approximately $24.03 per share of the Company’s Class A common stock. In the aggregate, the 2021 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 provision upon a fundamental change under the governing indenture). The conversion rate may be adjusted under certain circumstances.
The 2021 Notes are convertible, in multiples of $1,000 principal amount, at the option of the holders at any time prior to the close of business on the business day immediately preceding the maturity date. Upon conversion, we will deliver for each $1,000 principal amount of notes converted a number of shares of our Class A common stock equal to the applicable conversion rate (together with a cash payment in lieu of delivering any fractional share) on the third business day following the relevant conversion date.

Convertible Senior Notes Carrying Value

The 2025 Notes and 2021 Notes are recorded on our accompanying consolidated balance sheets at their net carrying values of $111.7 million and $123.7 million, respectively, as of June 30, 2020. However, the 2025 Notes and 2021 Notes are privately traded by qualified institutional buyers (within the meaning of Rule 144A under the Securities Act) and their fair values were $113.6 million and $109.7 million, respectively, based on traded prices on July 2, 2020 and July 1, 2020, respectively, which are Level 2 inputs. As of December 31, 2019, the estimated fair value of the 2025 and 2021 Notes were $122.0 million and $111.3 million, respectively, based on a traded price on December 31, 2019 and December 11, 2019, respectively, which are Level 2 inputs. The 2025 Notes and the 2021 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 (in thousands):
June 30, 2020December 31, 2019
2025 Notes
Carrying value$111,665  $107,169  
Unamortized debt discount and issuance costs allocated to debt60,835  65,331  
Principal amount$172,500  $172,500  
Remaining amortization period (years)5.35.8
2021 Notes
Carrying value$123,697  $123,237  
Unamortized issuance costs1,303  1,763  
Principal amount$125,000  $125,000  
Remaining amortization period (years)1.41.9
v3.20.2
Commitments and Contingencies
6 Months Ended
Jun. 30, 2020
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies Commitments and Contingencies
Commitments

Commitments to Equity-Method Investees

The Company has contractual arrangements with certain equity-method investees that will require the Company to provide operating capital and reserve support in the form of debt financing of up to $3.6 million and $4.0 million as of June 30, 2020 and December 31, 2019, respectively, in accordance with the Company’s contribution agreements with certain equity-method investees. These obligations are outside of the Company’s control and payment could be requested during 2020.

During May 2020, the CHFS announced that Passport was not awarded a Kentucky managed Medicaid contract for the next contract period. As a result, the Company is required to acquire the Sponsors’ 30% ownership interest in Passport Buyer for $20.0 million within twelve months following December 31, 2020, the expiration of Passport’s current Medicaid contract. Refer to Note 4 for additional information about the investment in Passport.

Letter of Credit

During the third quarter of 2019, the Company established an irrevocable standby letter of credit with a bank for $1.8 million for the benefit of a regulatory authority and, as such, held $1.8 million in restricted cash and restricted investments as collateral as of both June 30, 2020 and December 31, 2019, respectively. The letter of credit expired on December 31, 2019 and was automatically extended 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 consolidated financial statements.

During the second quarter of 2019, the Company and Passport, a current customer (collectively the “Indemnitors”), pursuant to a state requirement of all participating Medicaid Managed Care Organizations, entered into the Indemnity Agreement with the Surety. The Surety issued a performance bond in the amount of $25.0 million to secure the customer’s performance under a contract to provide Medicaid Managed Care Services for the benefit of a third party (the “Beneficiary”). Pursuant to the Indemnity Agreement, the Indemnitors are jointly and severally liable to the Surety in the maximum amount of the bond, plus certain costs of the Surety, in the event of losses arising under the bond. The bond’s effective date is July 1, 2019, and original expiry date was June 30, 2020. During the three months ended June 30, 2020, the expiry date was extended to the end of the current Medicaid contract on December 31, 2020. To date, the Company has not incurred any material costs as a result of the Indemnity Agreement and has not accrued any liabilities related to it in the accompanying 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 for the three and six months ended June 30, 2020.

Momentum Registration Rights Agreement

On May 24, 2019, in connection with the GlobalHealth transaction, the Company entered into a registration rights agreement with Momentum Health Holdings, LLC (“MHG”), which granted certain registration rights to MHG as a holder of shares of the Company’s Class A common stock. Pursuant to our contractual obligations under this agreement, we filed a resale prospectus supplement in respect of the registrable shares on May 28, 2019.

The Company will pay certain costs and expenses, other than any underwriting discounts and commissions, in connection with the relevant resale registration statement. We did not incur any material expenses related to the resale registration statement during the three and six months ended June 30, 2020.

Guarantees

As part of our strategy to support certain of our partners in the Next Generation Accountable Care Program, we entered into upside and downside risk-sharing arrangements. Our downside risk-sharing arrangements are limited to our fees and are executed through our wholly-owned captive insurance company. To satisfy the capital requirements of our captive insurance entity as well as state insurance regulators, the Company entered into letters of credit of $5.7 million as of both June 30, 2020 and December 31, 2019, respectively, to secure potential losses related to insurance services. These amounts are in excess of our actuarial assessment of loss.

During the three and six months ended June 30, 2020, the Company entered into a guarantee agreement whereby it agreed to provide support on behalf of Passport Buyer to maintain a minimum risk-based-capital of 150% with the Kentucky Department of Insurance. The maximum exposure is limited to amounts funded to return Passport Buyer to a risk-based-capital of 150%, however as of June 30, 2020, no amounts have been funded under this guarantee.
Reinsurance Agreements

During the fourth quarter of 2017, the Company entered into a $10.0 million capital-only reinsurance agreement with NMHC which expired on December 31, 2018. The purpose of the capital-only reinsurance was to provide balance sheet support to NMHC. There was no uncertainty to the outcome of the agreement as there was no transfer of underwriting risk to Evolent or True Health, and neither Evolent nor True Health was at risk for any cash payments on behalf of NMHC. As a result, this agreement did not qualify for reinsurance accounting.

During the fourth quarter of 2018, the Company terminated its prior reinsurance agreement with NMHC and entered into a 15-month quota-share reinsurance agreement with NMHC. Under the terms of the new reinsurance agreement, NMHC ceded 90% of its gross premiums to the Company and the Company indemnified NMHC for 90% of its claims liability. The maximum amount of exposure to the Company was capped at 105% of premiums ceded to the Company by NMHC. The new reinsurance agreement qualified for reinsurance accounting due to the deemed risk transfer and, as such, the Company recorded the full amount of the gross reinsurance premiums and claims assumed by the Company within premiums and claims expenses, respectively, and recorded claims-related administrative expenses within selling, general and administrative expenses on our consolidated statements of operations and comprehensive income (loss) from the legal effective date of the Reinsurance Agreement. Amounts owed to NMHC under the reinsurance agreement are recorded within reserves for claims and performance-based arrangements on our consolidated balance sheets. Amounts owed by NMHC under the reinsurance agreement are recorded within accounts receivable, net on our consolidated balance sheets.

During the third quarter of 2019, the Company terminated the new reinsurance agreement with NMHC effective in the fourth quarter of 2019, approximately one and a half months prior to its scheduled end.

The following summarizes premiums and claims assumed under the Reinsurance Agreement (in thousands):
For the Six Months Ended June 30,
20202019
Reinsurance premiums assumed$—  $48,828  
Claims assumed—  41,424  
Claims-related administrative expenses—  8,219  
Decrease in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement—  815  
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period—  1,243  
Reinsurance payments—  1,235  
Receivables for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period$—  $823  

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.

Contingencies

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 items noted above, and the fact that Evolent Health, Inc. is in a full valuation allowance position such that the deferred tax assets related to the Company’s historical pre-IPO losses and tax basis increase benefit from exchanges have not been realized, the Company has not recorded a liability pursuant to the TRA.

Litigation Matters

On August 8, 2019, a shareholder of the Company filed a class action complaint against the Company, asserting claims under Section 10(b) and 20(a) of the Securities Exchange Act of 1934, in the United States District Court, Eastern District of Virginia, Alexandria Division. An amended complaint was filed on January 10, 2020. The case, Plymouth County Retirement System v. Evolent Health, Inc., Frank Williams, Nicholas McGrane, Seth Blackley, Christie Spencer, and Steven Wigginton, alleges that the Company’s executives made false or misleading statements regarding its business with Passport. A second amended complaint, which was substantially similar to the amended complaint, was filed on June 8, 2020. The Company filed a motion to dismiss in response on June 22, 2020 and the briefing was completed on July 17, 2020; the parties are now waiting for the court’s decision. Under the Private Securities Litigation Reform Act, PSLRA, all discovery in the case is stayed until the motion to dismiss is decided upon by the court. Based on the Company’s investigation so far, we believe the case has little legal or factual merit. However, the outcome of any litigation is uncertain, and at this early stage, the Company is currently unable to assess the probability of loss or estimate a range of potential loss, if any, associated with this lawsuit.

The Company is not aware of any other legal proceedings or claims as of June 30, 2020, that the Company believes will have, individually or in the aggregate, a material adverse effect on the Company’s financial position or result of operations.

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 June 30, 2020, approximately 95.8% of our $153.2 million of cash and cash equivalents (including restricted cash) were held in bank deposits with FDIC participating banks, approximately 3.8% were held in money market funds and 0.4% 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 has not experienced any realized losses on cash and cash equivalents to date.

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 partner included in our Services segment who represented at least 10.0% of our consolidated trade accounts receivable for the periods presented:
 June 30, 2020December 31, 2019
Cook County Health and Hospitals System56.7 %48.4 %

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 customers of our Services segment who represented at least 10.0% of our consolidated revenue for the periods presented:
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Passport25.2 %13.2 %23.6 %13.1 %
New Mexico Health Connections*13.2 %*13.6 %
Cook County Health and Hospitals Systems19.9 %*19.3 %*
* 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.
v3.20.2
Leases
6 Months Ended
Jun. 30, 2020
Leases [Abstract]  
Leases LeasesThe 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. 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 2031. 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 a deferred rent asset or liability 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. Certain leases acquired as part of the Valence Health transaction included existing sublease agreements for office locations in Chicago, Illinois.

In connection with various lease agreements, the Company is required to maintain $3.6 million in letters of credit. As of June 30, 2020 and December 31, 2019, the Company held $3.6 million in restricted cash and restricted investments on the consolidated balance sheet as collateral for the letters of credit, respectively.

The following table summarizes our primary office leases as of June 30, 2020 (in thousands):
LocationLease Termination Term (in years)Future Minimum Lease CommitmentsLetter of Credit Amount Required
Arlington, VA11.6$40,203  $1,579  
Riverside, IL 10.846,053  232  
Louisville, KY (1)
0.5—  —  
Pune, India3.32,667  —  
Brea, CA1.92,093  —  

(1) Lease payments of $4.1 million for Louisville, KY have been prepaid as of June 30, 2020.

The following table summarizes the components of our lease cost (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Operating lease cost$3,586  $3,838  $6,642  $7,119  
Amortization of right-of-use assets150  —  299  —  
Interest expense —   —  
Variable lease cost1,465  1,121  2,517  2,576  
Total lease cost$5,202  $4,959  $9,461  $9,695  
Maturity of lease liabilities (in thousands) as of June 30, 2020, is as follows:
Operating lease expense(1)
20206,039  
202111,726  
20229,801  
20239,376  
20248,833  
Thereafter56,093  
Total lease payments101,868  
Less:
Interest27,419  
Present value of lease liabilities$74,449  
(1) We have additional operating lease agreements for office space that have not yet commenced as of June 30, 2020. The minimum lease payments for those leases are $0.2 million and the leases will commence during 2020.

Our weighted-average discount rate and our weighted remaining lease terms (in years) are as follows:
June 30, 2020
Weighted average discount rate6.43 %
Weighted average remaining lease term9.6
v3.20.2
Earnings (Loss) Per Common Share
6 Months Ended
Jun. 30, 2020
Earnings Per Share [Abstract]  
Earnings (Loss) Per Common Share Earnings (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 June 30,For the Six Months Ended June 30,
2020201920202019
Net loss$(203,521) $(31,900) $(282,273) $(80,549) 
Less:
Net loss attributable to non-controlling interests—  (285) —  (2,195) 
Net loss available for common shareholders - basic and diluted (1)
$(203,521) $(31,615) $(282,273) $(78,354) 
Weighted-average common shares outstanding - basic and diluted (1)
85,349  82,289  84,977  80,820  
Loss per common share
Basic and diluted$(2.38) $(0.38) $(3.32) $(0.97) 
(1) Each Class B common unit of Evolent Health LLC can be exchanged (together with a corresponding number of shares of our Class B common stock) for one share of our Class A common stock. As holders exchange their Class B common shares for Class A common shares, our interest in Evolent Health LLC will increase. Therefore, shares of our Class B common stock are not considered dilutive shares for the purposes of calculating our diluted earnings (loss) per common share as related adjustment to net income (loss) available for common shareholders would equally offset the additional shares, resulting in the same earnings (loss) per common share.
Anti-dilutive shares (in thousands) excluded from the calculation of weighted-average common shares presented above are presented below:
For the Three Months Ended June 30, 2020For the Six Months Ended June 30,
2020201920202019
Exchangeable Class B common stock—  1,080  —  2,129  
Restricted stock units ("RSUs"), performance-based RSUs and leveraged stock units ("LSUs")554  985  376  1,014  
Stock options711  1,495  841  1,729  
Convertible senior notes10,361  10,361  10,361  10,361  
Total11,626  13,921  11,578  15,233  
v3.20.2
Stock-based Compensation
6 Months Ended
Jun. 30, 2020
Share-based Payment Arrangement [Abstract]  
Stock-based Compensation Stock-based Compensation
Total compensation expense by award type and line item in our consolidated financial statements was as follows (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
  2020201920202019
Award Type
Stock options$638  $903  $1,388  $2,263  
Performance-based stock options—  112  75  222  
RSUs2,006  2,630  3,862  5,060  
Performance-based RSUs—  388  —  772  
LSUs1,059  717  1,886  970  
Total compensation expense by award type$3,703  $4,750  $7,211  $9,287  
Line Item
Cost of revenue$526  $891  $918  $1,682  
Selling, general and administrative expenses3,177  3,859  6,293  7,605  
Total compensation expense by financial statement line item$3,703  $4,750  $7,211  $9,287  

No stock-based compensation was capitalized as software development costs for the three and six months ended June 30, 2020 and 2019.

Stock-based awards were granted as follows (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Stock options—  18  —  399  
RSUs164  17  1,140  518  
LSUs140  —  520  720  
v3.20.2
Income Taxes
6 Months Ended
Jun. 30, 2020
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.

An income tax (benefit) expense of $(3.9) million and $1.4 million was recognized for the three months ended June 30, 2020 and 2019 respectively, which resulted in effective tax rates of 1.9% and (4.6)%, respectively. An income tax (benefit) expense of $(3.6) million and $0.9 million was recognized for the six months ended June 30, 2020 and 2019 respectively, which resulted in effective tax rates of 1.3% and (1.1)%, respectively. On March 27, 2020, in response to the COVID-19 pandemic, the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), was signed into law. The CARES Act allows net operating losses (“NOLs”) incurred in 2018, 2019 and 2020 to be carried back to each of the five preceding taxable years and generate a refund of previously paid federal
income taxes. The income tax benefit the Company recorded during the three and six months ended June 30, 2020 primarily relates to the reversal of valuation allowance of $2.3 million of deferred tax asset, which was realized when the Company decided during the second quarter of 2020 to carry back New Century Health’s 2018 NOL as part of a federal income tax refund claim for taxes it paid on income in 2013 and 2014. In addition, the Company recognized $1.4 million in income tax benefit due to the difference between the federal tax rate utilized to measure such deferred tax asset and the federal tax rate applicable to the income in the years to which the NOL was carried back. As a result of the NOL carryback, the Company estimates that it will incur additional 2019 income taxes and therefore recognized $0.6 million of income tax expense. The income tax provisions included in the CARES Act, apart from the aforementioned NOL carryback, did not have a material impact on the Company for the three and six months ended June 30, 2020.

The Company and its U.S. subsidiaries continue to record a valuation allowance against its net deferred tax asset, with the exception of a limited amount of indefinite-lived deferred tax assets for which a limited amount of indefinite-lived deferred tax liability provides a source of income. The indefinite-lived deferred tax liability was reduced during the second quarter as a result of the goodwill impairment and the Company recognized a corresponding income tax benefit of $0.8 million.

As of December 31, 2019, the Company had unrecognized tax benefits of $0.8 million that, if recognized, would not affect the effective tax rate due to the valuation allowance against its net deferred tax asset. As of June 30, 2020, there are no changes to the unrecognized tax benefits. 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, 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. See Note 10 above and “Part II - Item 8. Financial Statements and Supplementary Data - Note 13” in our 2019 Form 10-K for discussion of our TRA.
v3.20.2
Investments In and Advances to Equity Method Investees
6 Months Ended
Jun. 30, 2020
Equity Method Investments and Joint Ventures [Abstract]  
Investments In and Advances to Equity Method Investees Investments In and Advances to 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 below.

As of June 30, 2020 and December 31, 2019, the Company’s economic interests in its equity method investments ranged between 4% and 70%, and voting interests in its equity method investments ranged between 25% and 57%. 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 gains (losses) from these investments was approximately $25.1 million and $24.7 million for the three and six months ended June 30, 2020, respectively, and $(1.9) million and $(2.3) million for the three and six months ended June 30, 2019, 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 for the three and six months ended June 30, 2020 was $71.4 million and $131.3 million, respectively, and $11.0 million and $18.1 million for the three and six months ended June 30, 2019, respectively.

Unconsolidated VIEs

Passport

On December 30, 2019, we completed the acquisition of approximately 70% ownership interest in Passport Buyer, which owns substantially all of the assets and assumed substantially all of the liabilities of Passport. At closing, we contributed approximately $70.0 million in cash and issued a 30% equity interest in the Passport Buyer to the Sponsors. At the closing of the transaction, our economic interest in Passport Buyer was approximately 70% and our voting interest was approximately 57%. As a result of Passport
not being awarded a new Medicaid contract with CHFS, the Company is required to acquire the Sponsors’ 30% ownership interest in Passport Buyer for $20.0 million within twelve months following December 31, 2020, the expiration of Passport’s current Medicaid contract. Refer to Note 4 for additional information about the investment in Passport.

Global

On May 24, 2019, we completed the acquisition of approximately a 45% ownership interest in MHG, the sole owner of Momentum Health Acquisition, Inc. (“MHA”), which is the sole owner of GlobalHealth Holdings, LLC (“GHH”), which is the sole owner of GlobalHealth, Inc., a health maintenance organization based in the State of Oklahoma that offers, among other things, Medicare Advantage products in the State of Oklahoma. At closing, we contributed approximately $15.0 million in cash and 1,577,841 shares of our Class A common stock to MHG, together with certain of our other assets. The Company recognized $9.6 million non-cash gain on disposal of assets upon the contribution. We also recognized a short-term contingent consideration liability fair valued at $5.9 million at the time of the transaction. At the closing of the transaction, our economic interest in GlobalHealth was approximately 45% and our voting interest was approximately 29%.

As of March 31, 2020, the Oklahoma Insurance Division (“OID”) informed GlobalHealth, Inc. that in response to the COVID-19 pandemic, the OID required GlobalHealth, Inc. to increase its regulatory capital surplus by May 15, 2020. It would otherwise be placed into receivership if additional financing could not be secured. Certain investors agreed to provide liquidity as necessary to increase statutory capital reserves to no lower than 300%. In connection with the investment, GlobalHealth, Inc. transferred 100% of the equity interests in GlobalHealth, Inc. to the new investors for no consideration. Closing of this transaction occurred on May 13, 2020. As a result of this transaction, we recorded a non-cash impairment charge of approximately $47.1 million, representing the total value of our investment, in impairment of equity method investments on the consolidated statements of operations for the three months ended March 31, 2020.

As the Passport and MHG investments represent unconsolidated VIEs to the Company, the assets and liabilities of the investments themselves are not recorded on the Company’s balance sheets. The following table represents the carrying value of the associated assets and liabilities and the associated maximum loss exposure for the unconsolidated VIEs as of the date indicated (in thousands):
June 30, 2020December 31, 2019
Passport BuyerMomentum Health Group, LLCPassport BuyerMomentum Health Group, LLC
Assets:
Current assets$310,977  $—  $271,894  $50,729  
Non current assets701  —  577  39,259  
Total assets$311,678  $—  $272,471  $89,988  
Liabilities:
Current liabilities177,757  $—  181,206  55,442  
Non current liabilities32  —  40  44,650  
Total liabilities$177,789  $—  $181,246  $100,092  
Investment carrying value$92,797  $—  $70,000  $46,456  
Loan and interest receivable42,687  —  41,387  —  
Guarantee (1)
25,000  —  25,000  —  
Maximum exposure$160,484  $—  $136,387  $46,456  

(1) The $25.0 million guarantee to the Passport Buyer does not include a guarantee signed in January 2020 whereby the Company agrees to guarantee Passport Buyer will maintain a minimum risk-based-capital of 150% with the Kentucky Department of Insurance. The maximum exposure is limited to amounts funded to return Passport Buyer to a risk-based-capital of 150%, however as of June 30, 2020, no amounts have been funded under this guarantee.

Summarized Financial Information of Equity Method Investees

The following table represents the aggregated summarized financial information as of and for the dates indicated (in thousands):
June 30,
2020
December 31,
2019
Current assets$351,805  $356,085  
Non current assets4,612  43,744  
Current liabilities202,259  267,300  
Non current liabilities16,894  57,599  
Non controlling interests97,315  70,535  
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue$575,793  $30,003  $1,194,276  $189,975  
Operating loss40,065  254  34,080  (5,874) 
Net loss39,263  340  27,643  (12,185) 
Net loss attributable to entity25,327  75  17,712  (347) 
v3.20.2
Non-controlling Interests
6 Months Ended
Jun. 30, 2020
Noncontrolling Interest [Abstract]  
Non-controlling Interests Non-controlling Interests
Immediately following the Offering Reorganization and IPO in May 2015, the Company owned 70.3% of Evolent Health LLC. The Company’s ownership percentage changes with the issuance of Class A or Class B common stock and Class B Exchanges. In order to account for any changes in the Company’s ownership of Evolent Health LLC, we record a reclassification of equity between non-controlling interests and shareholders’ equity attributable to Evolent Health, Inc.

During 2019, all remaining holders of Class B units executed Class B Exchanges. These Class B Exchanges resulted in the issuance of 3.1 million shares of the Company’s Class A common stock. As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the related Class B units, the Company’s economic interest in Evolent Health LLC increased to 100% immediately following the final Class B Exchange during the quarter, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc. The Company paid $1.3 million on behalf of certain holders of Class B units to satisfy income tax obligations related to certain exchanges.

In May 2019, the Company issued 1.6 million Class A common shares as part of the consideration for the GlobalHealth transaction. For each share of Class A common stock issued by Evolent Health, Inc., the Company received a corresponding Class A common unit from Evolent Health LLC. As a result of the Class A common units (and corresponding Class A common shares) issued as part of the GlobalHealth transaction, the Company’s economic interest in Evolent Health LLC increased from 99.1% to 99.2%, immediately following the transaction.

Changes in non-controlling interests (in thousands) for the periods presented were as follows:
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Non-controlling interests balance as of beginning of period$—  $50,100  $6,689  $45,532  
Decrease in non-controlling interests as a result of Class B Exchanges—  (33,946) —  (33,946) 
Amount attributable to NCI from business combination—  —  —  6,500  
Net loss attributable to non-controlling interests—  (285) —  (2,195) 
Reclassification of non-controlling interests—  209  (6,689) 187  
Non-controlling interests balance as of end of period$—  $16,078  $—  $16,078  
v3.20.2
Fair Value Measurement
6 Months Ended
Jun. 30, 2020
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.

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):
June 30, 2020
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$4,842  $—  $—  $4,842  
Restricted cash and restricted investments (1)
1,005  —  —  1,005  
Total fair value of assets measured on a recurring basis$5,847  $—  $—  $5,847  
Liabilities
Contingent consideration (2)
$—  $—  $3,600  $3,600  
Warrants (3)
—  —  4,900  4,900  
Total fair value of liabilities measured on a recurring basis$—  $—  $8,500  $8,500  
December 31, 2019
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$3,698  $—  $—  $3,698  
Restricted cash and restricted investments (1)
1,004  —  —  1,004  
Total fair value of assets measured on a recurring basis$4,702  $—  $—  $4,702  
Liabilities
Contingent consideration (2)
$—  $—  $9,883  $9,883  
Warrants (3)
—  —  7,092  7,092  
Total fair value of liabilities measured on a recurring basis$—  $—  $16,975  $16,975  
(1) Represents the cash and cash equivalents and restricted cash and restricted investments that were held in money market funds as of June 30, 2020 and December 31, 2019, as presented in the tables above.
(2) Represents the fair value of earn-out consideration related to the Passport, GlobalHealth, Inc. and other transactions, as described in Note 4.
(3) Represents the fair value of 1,513,786 shares issuable under the warrant agreements discussed in Note 9.

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 for the three and six months ended June 30, 2020, 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 strategic alliance with Passport entered into during 2016 included a provision for additional equity consideration contingent upon the Company obtaining new third-party Medicaid business in future periods. The fair value of the contingent equity consideration 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 measurement of the Passport contingent consideration are the five-year risk-adjusted recurring revenue compound annual growth rate (“CAGR”) and the applicable
discount rate. A significant increase in the assumed five-year risk-adjusted recurring revenue CAGR projection or decrease in discount rate in isolation would result in a significantly higher fair value of the contingent consideration.

The changes in our contingent consideration, measured at fair value, for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):
For the Six Months Ended June 30,
20202019
Balance as of beginning of period$16,975  $8,800  
Additions—  5,900  
Settlements(3,500) (800) 
Realized and unrealized gains (losses), net(4,975) 200  
Balance as of end of period$8,500  $14,100  

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:
June 30, 2020
Fair ValuationSignificantAssumption or
ValueTechniqueUnobservable InputsInput Ranges
Contingent consideration$3,600  Management estimateStock price periodJanuary - June 2020
Warrants$4,900  Black-ScholesStock price volatility61.8 %
Annual risk free rate0.3 %

December 31, 2019
Fair ValuationSignificantAssumption or
ValueTechniqueUnobservable InputsInput Ranges
Passport contingent consideration$3,700  Real options approachRisk-adjusted recurring revenue CAGR93.9 %
(1)
Discount rate/time value
4.8% - 5.3%
GlobalHealth contingent consideration$5,200  Monte Carlo simulationStock price volatility 80.0 %
(2)
Other contingent considerations$983  Management estimateAdjusted EBITDA$19,235  
Warrants$7,092  Black-ScholesStock price volatility55.0 %
Annual risk free rate1.7 %
(1)  The risk-adjusted recurring revenue CAGR is calculated over the five-year period 2017-2021. Given that there was no recurring revenue in 2016 and 2017, the calculation of the 2017 and 2018 growth rates is based on theoretical 2016 and 2017 recurring revenue of $1.0 million, resulting in a higher growth rate.
(2) Equity volatility based on Evolent’s daily stock price returns for a look-back period corresponding to the time until the second test date. The large one-day stock price drop on November 27, 2019, was excluded from the volatility calculation.

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 2025 Notes and 2021 Notes.
v3.20.2
Related Parties
6 Months Ended
Jun. 30, 2020
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 consolidated financial statements.

As discussed in Note 15, the Company has economic interests in several entities that are accounted for under the equity method of accounting, including Passport. 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. Revenues related to the services agreements were approximately $71.4 million and $131.3 million for the three and six months ended June 30, 2020, respectively, and $11.0 million and $18.1 million for the three and six months ended June 30, 2019, respectively.

The Company also works closely 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. We also conduct business with a company in which UPMC holds a significant equity interest.

The following table presents assets and liabilities attributable to our related parties (in thousands):
June 30,
2020
December 31,
2019
Assets
Accounts receivable$7,597  $8,781  
Prepaid expenses - current801  1,592  
Customer advance for regulatory capital requirements, net39,955  40,000  
Prepaid expenses and other noncurrent assets4,813  2,709  
Liabilities
Accounts payable$7,132  $6,429  
Accrued liabilities4,267  2,583  
Reserve for claims and performance-based arrangements—  4,264  

The following table presents revenues and expenses attributable to our related parties (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue
Transformation services$—  $41  $1,700  $1,200  
Platform and operations services73,885  16,874  141,833  29,818  
Expenses
Cost of revenue (exclusive of depreciation and amortization expenses)(2,171) 6,657  1,076  14,487  
Selling, general and administrative expenses27  386  97  542  
v3.20.2
Segment Reporting
6 Months Ended
Jun. 30, 2020
Segment Reporting [Abstract]  
Segment Reporting Segment ReportingWe define our reportable segments based on the way the CODM, currently the chief executive officer, manages the operations for purposes of allocating resources and assessing performance. We classify our operations into two reportable segments as follows:
Services, which consists of two clinical solutions: (i) total cost of care management, and (ii) specialty care management services, and one administrative solution: comprehensive health plan administrative services; and
True Health, which consists of a commercial health plan we operate in New Mexico that focuses on individual and family as well as small and large group businesses as well as the Federal Employee Health Benefits Program.

In the ordinary course of business, our reportable segments enter into transactions with one another. While intersegment transactions are treated like third-party transactions to determine segment performance, the revenues and expenses recognized by the segment that is the counterparty to the transaction are eliminated in consolidation and do not affect consolidated results.

The CODM uses revenue in accordance with U.S. GAAP and Adjusted EBITDA as the relevant segment performance measures to evaluate the performance of the segments and allocate resources.

Adjusted EBITDA is a segment performance financial measure that offers a useful view of the overall operation of our businesses and may be different than similarly-titled segment performance financial measures used by other companies.

Adjusted EBITDA is defined as EBITDA (net loss attributable to common shareholders of Evolent Health, Inc. before interest income, interest expense, (provision) benefit for income taxes, depreciation and amortization expenses), adjusted to exclude equity method investment impairment, gain (loss) from equity method investees, gain (loss) on disposal of assets, goodwill impairment, changes in fair value of contingent consideration and indemnification asset, other income (expense), net, net 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, acquisition-related costs, and other infrequently occurring adjustments.

Management considers revenue and Adjusted EBITDA to be the appropriate metrics to evaluate and compare the ongoing operating performance of our segments on a consistent basis across reporting periods as they eliminate the effect of items which are not indicative of each segment's core operating performance.

The following tables present our segment information (in thousands):

ServicesTrue HealthIntersegment EliminationsConsolidated
Revenue
For the Three Months Ended June 30, 2020
Services:
Transformation services$755  $—  $—  $755  
Platform and operations services216,544  —  (4,169) 212,375  
Services revenue217,299  —  (4,169) 213,130  
True Health:
Premiums—  25,541  (39) 25,502  
Total revenue$217,299  $25,541  $(4,208) $238,632  
For the Three Months Ended June 30, 2019
Services:
Transformation services$1,944  $—  $—  $1,944  
Platform and operations services147,599  —  (3,077) 144,522  
Services revenue149,543  —  (3,077) 146,466  
True Health:
Premiums—  45,764  (271) 45,493  
Total revenue$149,543  $45,764  $(3,348) $191,959  
ServicesTrue HealthSegments Total
For the Three Months Ended June 30, 2020
Adjusted EBITDA$10,519  $(1,480) $9,039  
For the Three Months Ended June 30, 2019
Adjusted EBITDA$(8,797) $1,123  $(7,674) 
ServicesTrue HealthIntersegment
Eliminations
Consolidated
Revenue
For the Six Months Ended June 30, 2020
Services:
Transformation services$5,993  $—  $—  $5,993  
Platform and operations services432,739  —  (10,464) 422,275  
Services revenue438,732  —  (10,464) 428,268  
True Health:
Premiums—  57,928  (279) 57,649  
Total revenue$438,732  $57,928  $(10,743) $485,917  
For the Six Months Ended June 30, 2019
Services:
Transformation services$5,297  $—  $—  $5,297  
Platform and operations services297,949  —  (6,135) 291,814  
Services revenue303,246  —  (6,135) 297,111  
True Health:
Premiums—  93,140  (536) 92,604  
Total revenue$303,246  $93,140  $(6,671) $389,715  
ServicesTrue HealthSegments Total
For the Six Months Ended June 30, 2020
Adjusted EBITDA$14,395  $(1,729) $12,666  
For the Six Months Ended June 30, 2019
Adjusted EBITDA$(24,296) $1,844  $(22,452) 

The following table presents our reconciliation of segments total Adjusted EBITDA to net loss attributable to Evolent Health, Inc. (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Net loss attributable to common shareholders of Evolent Health, Inc.$(203,521) $(31,615) $(282,273) $(78,354) 
Less:
Interest income842  842  1,761  1,902  
Interest expense(6,293) (3,620) (12,578) (7,182) 
(Provision) benefit for income taxes3,904  (1,398) 3,634  (902) 
Depreciation and amortization expenses(15,778) (15,292) (31,916) (29,558) 
Equity method investment impairment—  —  (47,133) —  
Gain (loss) from equity method investees25,143  (1,904) 24,731  (2,328) 
Gain (loss) on disposal of assets—  9,600  (6,447) 9,600  
Goodwill impairment(215,100) —  (215,100) —  
Change in fair value of contingent consideration and indemnification asset(756) (100) 3,062  (200) 
Other income (expense), net352  (587) 281  (160) 
Net loss attributable to non-controlling interests—  285  —  2,195  
Purchase accounting adjustments—  (165) —  (761) 
Stock-based compensation expense(3,703) (4,750) (7,211) (9,287) 
Severance costs(30) (3,881) (6,133) (14,483) 
Amortization of contract cost assets(767) (776) (1,207) (1,552) 
Acquisition costs(374) (2,195) (683) (3,186) 
Adjusted EBITDA$9,039  $(7,674) $12,666  $(22,452) 

Asset information by segment is not a key measure of performance used by the CODM. Accordingly, we have not disclosed asset information by segment.
v3.20.2
Reserves for Claims and Performance-Based Arrangements
6 Months Ended
Jun. 30, 2020
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 specialty care management services. The Company also maintains reserves for claims incurred but not paid related to its capitation arrangement and for its health plan, True Health, in New Mexico.

Reserves for claims and performance-based arrangements for our Services and True Health segments 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. Reserves for claims and performance-based arrangements also reflect estimated amounts owed to NMHC under the reinsurance agreement, as discussed further in Note 10.

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 specialty care management services and True Health, 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 specialty care management services and True Health 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 on an authorization-level basis and also accounts for the impact of copays and deductibles, unit cost and historic discontinuation rates for treatment.

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 for the six months ended June 30, 2020, was as follows (in thousands):
For the Six Months Ended June 30,
20202019
Services (1)
True Health (3)
Total
Services (1)
True Health (3)
Total
Beginning balance$54,510  $6,640  $61,150  $17,715  $9,880  $27,595  
Incurred costs related to current year204,112  41,584  245,696  $88,261  $73,359  $161,620  
Incurred costs related to prior year(521) 1,351  830  244  483  727  
Paid costs related to current year167,451  33,538  200,989  73,781  26,473  100,254  
Paid costs related to prior year10,029  6,975  17,004  7,837  8,003  15,840  
Change during the year26,111  2,422  28,533  6,887  39,366  46,253  
Other adjustments (2)
4,726  —  4,726  (187) (40,609) (40,796) 
Ending balance$85,347  $9,062  $94,409  $24,415  $8,637  $33,052  
(1) Costs incurred to provide specialty care management services are recorded within cost of revenue in our statement of operations.
(2) Other adjustments to reserves for claims and performance-based arrangements for Services reflect changes in accrual for amounts payable to facilities and amounts owed to our payer partners for claims paid on our behalf. Other adjustments related to the True Health segment represent premiums received less administrative expenses related to the reinsurance agreement for amounts in 2019. Refer to Note 10 for additional information about the reinsurance agreement.
(3) There is no single or common claim frequency metric used in the health care industry. The Company believes a relevant metric for its health insurance business is the number of customers for whom an insured medical claim was paid. The number of claims processed for the six months ended June 30, 2020 and 2019 were 170,295 and 206,137, respectively.
v3.20.2
Investments
6 Months Ended
Jun. 30, 2020
Investments [Abstract]  
Investments Investments
Our investments are classified as held-to-maturity as we have both the intent and ability to hold the investments until their individual maturities. The amortized cost, gross unrealized gains and losses, and fair value of our investments as measured using Level 2 inputs as of June 30, 2020 and December 31, 2019 (in thousands) were as follows:
June 30, 2020December 31, 2019
Amortized
Cost
Gross UnrealizedFair ValueAmortized
Cost
Gross UnrealizedFair Value
  GainsLossesGainsLosses
U.S. Treasury bills$8,909  $492  $—  $9,401  $10,784  $270  $—  $11,054  
Corporate bonds1,706  122  —  1,828  1,705  70  —  1,775  
Collateralized mortgage obligations5,695  219  —  5,914  5,472  56  (5) 5,523  
Yankees597  51  —  648  597  30  —  627  
Total investments$16,907  $884  $—  $17,791  $18,558  $426  $(5) $18,979  

The amortized cost and fair value of our investments by contractual maturities as of June 30, 2020 and December 31, 2019 (in thousands) were as follows:
June 30, 2020December 31, 2019
  Amortized CostFair ValueAmortized CostFair Value
Due in one year or less$836  $845  $1,807  $1,810  
Due after one year through five years16,071  16,946  16,121  16,542  
Due after five years through ten years—  —  630  627  
Total investments$16,907  $17,791  $18,558  $18,979  

When a held-to-maturity investment is in an unrealized loss position, we assess whether or not we expect to recover the entire cost basis of the security, based on our best estimate of the present value of cash flows expected to be collected from the debt security. Factors considered in our analysis include the reasons for the unrealized loss position, the severity and duration of the unrealized loss position, credit worthiness and forecasted performance of the investee. In cases where the estimated present value of future cash flows is less than our cost basis, we recognize an other than temporary impairment and write the investment down to its fair value. The new cost basis would not be changed for subsequent recoveries in fair value.

There were no securities held in an unrealized loss position for more than twelve months as of June 30, 2020 or December 31, 2019. The Company held the following securities (in thousands) in an unrealized loss position for less than twelve months as of December 31, 2019, and expects to recover the entire cost basis of the security:
June 30, 2020December 31, 2019
Number of SecuritiesFair ValueUnrealized LossesNumber of SecuritiesFair ValueUnrealized Losses
Collateralized mortgage obligations $ $—   $2,075  $ 
v3.20.2
Supplemental Cash Flow Information
6 Months Ended
Jun. 30, 2020
Supplemental Cash Flow Elements [Abstract]  
Supplemental Cash Flow Information Supplemental Cash Flow Information
The following represents supplemental cash flow information (in thousands):
For the Six Months Ended June 30,
  20202019
Supplemental Disclosure of Non-cash Investing and Financing Activities
 Increase to goodwill from measurement period adjustments/business combinations$2,200  $596  
Class A common stock issued for payment of earn-outs4,185  800  
Accrued property and equipment purchases(26) 166  
Consideration for asset acquisitions or business combinations—  16,000  
Effects of Leases
 Operating cash flows from operating leases 6,853  6,542  
 Leased assets obtained in exchange for operating lease liabilities (1,354) 30,181  
Effects of Class B Exchanges
Decrease in non-controlling interests as a result of Class B Exchanges—  33,946  
v3.20.2
Subsequent Events
6 Months Ended
Jun. 30, 2020
Subsequent Events [Abstract]  
Subsequent Events Subsequent Events
On July 16, 2020, Evolent Health LLC, a Delaware limited liability company (“EVH LLC”) and wholly owned subsidiary of Evolent Health, Inc. (“EVH, Inc.”), and Passport Health Plan, Inc. (formerly known as Justify Holdings, Inc.), a Kentucky corporation (“Passport”), which is owned 70% by EH Holding Company, Inc., a wholly owned subsidiary of EVH LLC (“EH Holding Company”), entered into an Asset Purchase Agreement (the “Molina APA”) with Molina Healthcare, Inc., a Delaware corporation (“Molina”), pursuant to which Passport will sell certain assets to Molina (or its permitted affiliate assignee) as set forth in more detail below.

Background

On May 28, 2019, University Health Care, Inc. (“UHC”), Passport Health Solutions, LLC, a subsidiary of UHC (“PHS”), Passport and EVH, Inc., entered into an Asset Purchase Agreement (the “UHC APA”), pursuant to which Passport would acquire substantially all of the assets and liabilities of UHC and PHS, including the Kentucky Medicaid business of UHC (the “Medicaid Business”), the Kentucky dual eligible special needs business of UHC (the “D-SNP Business”) and certain owned real property and related assets of PHS (the “Real Property”). On December 30, 2019, Passport acquired the Medicaid Business for cash and the issuance of a 30% ownership interest in Passport to the provider sponsors of UHC (the “Sponsors”). On that date, the parties to the UHC APA entered into an amendment to the UHC APA (the “Amendment”) that provided for (i) the transfer of the D-SNP Business at such time as Passport becomes certified as a Medicare Advantage Organization and (ii) the transfer of the Real Property at such time as it becomes free and clear of any encumbrances. Further, pursuant to the Amendment, Passport would administer and assume the financial risk of the D-SNP Business until it is transferred to Passport.

In connection with the closing of the transaction contemplated by the UHC APA, EVH, Inc. and EH Holding Company agreed to purchase the Sponsor’s stock in Passport for $20.0 million on or before December 31, 2021 in the event Passport was not awarded a Medicaid contract pursuant to the request for proposal (the “RFP”) issued by the Kentucky Cabinet for Family Services (“CHFS”) for Medicaid contracts for plan years 2021 through 2024. On May 29, 2020, Passport received notice that it was not awarded a Medicaid contract pursuant to the RFP. Passport will be withdrawing its previously filed protest.

Molina APA

Asset Transfer

Pursuant to the Molina APA and subject to the terms and conditions set forth therein, Passport has agreed to sell to Molina (or its permitted affiliate assignee) certain assets, including the following: (i) certain intellectual property rights of Passport, including trade names (the “IP Assets”); (ii) Passport’s rights under its Medicaid contract with CHFS (the “Medicaid Contract”); (iii) Passport’s rights
under UHC’s contracts (collectively, the “D-SNP Contract”) with the Commonwealth of Kentucky, Department of Medicaid Services (“DMS”) and Centers for Medicare and Medicaid Services (“CMS”) with respect to the D-SNP Business; (iv) Passport’s rights under certain provider and vendor agreements (the “Provider and Vendor Agreements”); and (v) Passport’s rights under certain real property leases (the “Real Property Leases”). Passport is retaining, among other assets, the following: (i) all cash, cash equivalents and risk based capital; and (ii) all accounts receivable and rights to payment under the Medicaid Contract for services performed prior to the transfer of the Medicaid Contract. In addition, Molina will assume Passport’s obligations under the Medicaid Contract, Provider and Vendor Agreements and Real Property Leases arising following the transfer of such contracts.

The closing of the transactions contemplated by the Molina APA (the “Closing”) will take place on the earlier of (i) September 1, 2020 and (ii) within three business days following receipt of the necessary approvals of certain governmental authorities, including the approval of CHFS and Kentucky Department of Insurance, if required (the “Required Medicaid Approvals”), for the transfer of the Medicaid Contract from Passport to Molina (the “Medicaid Novation”). At the Closing, Passport will transfer to Molina the IP Assets. In addition, if the Required Medicaid Approvals for the Medicaid Novation are obtained prior to the Closing, at the Closing, Passport will transfer to Molina the Medicaid Contract. If the Required Medicaid Approvals for the Medicaid Novation are obtained after the Closing but prior to December 31, 2020, promptly following receipt thereof, Passport will transfer to Molina the Medicaid Contract (the date on which such transfer occurs referred to herein as the “Medicaid Closing”). Subject to the Closing and the receipt of required third party consents, the Provider and Vendor Agreements and the Real Property Leases will transfer to Molina on January 1, 2021. If the Medicaid Novation occurs, EVH LLC and Passport will administer the Medicaid Business on behalf of Molina until January 1, 2021.

Pursuant to the Molina APA, the D-SNP Contract will be transferred to Molina at such time as Molina is certified as a Medicare Advantage Organization and obtains approvals of certain governmental authorities, including CMS and DMS (the “Required D-SNP Approvals”), for the novation of the D-SNP Contract. At the Closing, Molina will assume the financial risk of the D-SNP Business until such time as the D-SNP Business is transferred to Molina or the D-SNP Contract is terminated. Passport and EVH, Inc. will continue to administer the D-SNP Business until January 1, 2021, at which time Molina will be responsible for the administration of the D-SNP Business until the D-SNP Contract is transferred to Molina (the “D-SNP Closing”) or the D-SNP Contract is terminated.

The Closing is conditioned on customary closing conditions related to the accuracy of the representations and warranties of the parties, compliance with covenants, the absence of legal proceedings and the continued effectiveness of the awards issued in connection with the RFP. The Medicaid Closing is conditioned on the receipt of the Required Medicaid Approvals. The D-SNP Closing is conditioned on the receipt of the Required D-SNP Approvals as well as the effectiveness of the D-SNP Contract.

Consideration

At the Closing, Molina will pay Passport $20.0 million in cash that will be placed into escrow until January 1, 2021 (the “Closing Payment”). The Closing Payment is payable regardless of whether the Medicaid Closing or D-SNP Closing has occurred and will be released on January 1, 2021. In the event the Medicaid Closing and/or D-SNP Closing occurs after the Closing, then no further consideration will be payable to Passport as a result of such Medicaid Closing and/or D-SNP Closing.

In addition to the Closing Payment, Passport will be eligible to receive an additional cash payment of up to approximately $40.0 million from Molina based on the number of enrollees above a certain threshold in the D-SNP Business and Molina’s Medicaid plan following the open enrollment period for plan year 2021 (the “Membership Payment”). The Membership Payment is not conditioned on the Medicaid Closing and/or D-SNP Closing.

In the event the Medicaid Closing does not occur by January 1, 2021, Passport is required to repay Molina $7.5 million of the Closing Payment.

Employees

Pursuant to the terms of the Molina APA, on January 1, 2021, Molina will hire substantially all of Passport’s employees and those EVH LLC employees primarily performing services for the Medicaid Business and D-SNP Business.

Indemnification

The Molina APA provides for customary indemnification by the parties, including indemnification for excluded liabilities, assumed liabilities and breaches of representations, warranties and covenants.
Guarantees

EVH LLC has guaranteed the obligations of Passport and Molina has guaranteed the obligations of its permitted affiliate assignee under the Molina APA.

Concurrently with the execution of the Molina APA, Passport and an affiliate of Molina also entered into a real property purchase agreement with respect to the Real Property (the “Real Property Purchase Agreement”). Under the terms of the Real Property Purchase Agreement, an affiliate of Molina will purchase the Real Property from Passport for $8.0 million, subject to adjustment for certain matters. The closing of the transactions contemplated by the Real Property Purchase Agreement is conditioned on customary real estate closing conditions, including receipt of adequate title, satisfaction of certain matters identified in diligence, survey and environmental reports and Passport’s acquisition of the Real Property from UHC pursuant to the UHC APA.
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle (Policies)
6 Months Ended
Jun. 30, 2020
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 consolidated balance sheet at December 31, 2019, has been derived from audited financial statements as of that date. 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 2019 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 consolidated financial statements, estimates are used for, but not limited to, the valuation of assets (including intangibles 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 (including equity method investments), stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, valuation of intangible assets (including goodwill), purchase price allocation in taxable stock transactions and useful lives of intangible assets.
Principles of Consolidation
Principles of Consolidation
 
The consolidated financial statements include the accounts of Evolent Health, Inc. and its subsidiaries. All intercompany accounts and transactions are eliminated in consolidation.
Operating Segments
Operating Segments

Operating segments are defined as components of a business that may recognize revenue and incur expenses for which discrete financial information is available that is evaluated, on a regular basis, by the chief operating decision maker (“CODM”) to decide how to allocate resources and assess performance. The Company operates through two segments: (1) Services, and (2) True Health. Our Services segment consists of two clinical solutions: (i) total cost of care services and (ii) specialty care management services, and one administrative solution: comprehensive health plan administration services. Our True Health segment consists of a commercial health plan we operate in New Mexico that historically focused on small and large businesses. In 2020, True Health diversified its services to offer coverage for individuals and families as well as the Federal Employee Health Benefits Program. See Note 19 for a discussion of our operating results by segment.
Notes Receivable
Notes Receivable

Notes receivable are carried at the face amount of each note plus accrued interest receivable, less received payments. The Company does not typically carry notes receivable in the course of its regular business, but contributed $40.0 million in the form of an advance for regulatory capital requirements (the “Passport Note”) under an agreement that Passport entered into during the second quarter of 2019. The Passport Note carries a fixed interest rate of 6.5% per annum and is required to be repaid, plus accrued interest, in a single payment on July 1, 2025, the maturity date, or earlier, subject to regulatory approval. The Passport Note is required to be repaid out of the surplus in excess of Passport’s obligations to its policyholders, claimant and beneficiary claims and all other creditors. As of June 30, 2020, the outstanding principal balance of the Passport Note was $40.0 million, excluding approximately $2.7 million of accrued interest.
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 and post-acquisition restructuring costs are recognized separately from the business combination and are expensed as incurred.
Equity Method Investments and Impairment of Equity Method Investments
Equity Method Investments 

For entities that are not consolidated, but where the Company has significant influence over the operating or financial decisions of the entity, the Company accounts for the investment under the equity method of accounting. In accordance with the equity method of accounting, the Company will recognize its share of earnings or losses of the investee in the period in which they are reported by the investee. The Company also considers whether there are any indicators of other-than-temporary impairment of its investments accounted for under the equity method. These investments are included in investments in and advances to equity method investees on the consolidated balance sheets with income or loss included in loss from equity method investees on the consolidated statements of operations and comprehensive income (loss).

Impairment of Equity Method Investments

The Company considers certain factors to determine if there is a decrease in its investment value for its equity method investments that is other than temporary. The equity method investments will be written down to fair value if there is evidence of a loss in value which is other-than-temporary. The Company may estimate the fair value of its equity method investments by considering recent investee equity transactions, discounted cash flow analysis and recent operating results. If the fair value of the investment is below the carrying amount, management considers several factors when determining whether other-than-temporary impairment has occurred. The estimation of fair value and whether other-than-temporary impairment has occurred requires the application of significant judgment and future results may vary from current assumptions. Refer to Note 15 for additional discussion regarding impairments on equity method investments.
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, which is consistent with the way management evaluates our business. The Company has four reporting units and our annual goodwill impairment review occurs during the fourth quarter of each year. We perform impairment tests between annual tests if an event occurs, or circumstances change, that 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 the six months ended June 30, 2020 and the year ended December 31, 2019.
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
10-20 years
Customer relationships
10-25 years
Technology5 years
Provider network contracts
4-5 years

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.
Reserves for Claims and Performance-based Arrangements
Reserves for Claims and Performance-based Arrangements

Reserves for performance-based arrangements and claims for our Services and True Health segments 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. Reserves for claims and performance-based arrangements also reflect estimated amounts owed to NMHC under a reinsurance agreement for 2019 as discussed further in Note 10. The reinsurance agreement was terminated in December 2019. 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.
Leases
Leases

As discussed in Note 3, we adopted Accounting Standards Update (“ASU”) 2016-02 effective January 1, 2019. The following reflects our updated policy for 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 balance sheet.

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.

Refer to Note 11 for additional lease disclosures.
Revenue Recognition
Revenue Recognition

Our Services segment derives revenue from two sources: (1) transformation services and (2) platform and operations services. Transformation services consist of implementation services whereby we assist the customer in launching its population health or health plan programs, or implement certain platform and operations services. In certain cases, transformation services can also include revenue associated with our support of certain one-time wind-down activities for clients who are exiting a line of business or population. Platform and operations services generally include multi-year arrangements with customers to provide various population
health, health plan operations, specialty care management and claims processing services on an ongoing basis, as well as transition or run-out services to customers receiving primarily third-party administration (“TPA”) services. Revenue is recognized when control of the services is transferred to our 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 for our Services segment 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 True Health segment derives revenue from premiums that are earned over the terms of the related insurance policies. True Health also derived revenue in 2019 from reinsurance premiums assumed from NMHC under the terms of the reinsurance agreement (as defined in Note 10). The portion of premiums that will be earned in the future or are received prior to the effectiveness of the policy are deferred and reported as premiums received in advance. These amounts are generally classified as deferred revenue on our consolidated balance sheets.

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

The Company formed a subsidiary in India during the first quarter of 2018. The functional currency of our international subsidiary is the Indian Rupee. We translate the financial statements of this subsidiary to U.S. dollars using month-end rates of exchange for assets and liabilities, and monthly average rates of exchange for revenue and expenses. Translation gains and losses are recorded in accumulated other comprehensive income (loss) as a component of shareholders' equity. Foreign currency translation gains and losses did not have a material impact on our consolidated statements of operations and comprehensive income (loss) for the three and six months ended June 30, 2020 and 2019.
Adoption of New Accounting Standards
Adoption of New Accounting Standards

In February 2016, the Financial Accounting Standards Board (“FASB”) issued ASU 2016-02, Leases, in order to establish the principles to report transparent and economically neutral information about the assets and liabilities that arise from leases. This update introduces a new standard on accounting for leases, including a lessee model that brings most leases on the balance sheet. The new standard also aligns many of the underlying principles of the new lessor model with those in ASC 606. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. In July 2018, the FASB issued ASU 2018-11, which is intended to make targeted improvements to ASU 2016-02. The amendments in ASU 2018-11 provide entities with an additional (and optional) transition method to adopt the new leases standard using an effective date method rather than the earliest comparative period. The requirements of ASU 2018-11 are effective on the same date as the requirements of ASU 2016-02. We adopted ASU 2016-02 as of January 1, 2019, using the modified retrospective approach. Further, we elected the package of practical expedients permitted under the transition guidance within the new standard, which, among other things, allowed us to carry forward the historical lease classification. Adoption of the new standard resulted in the recording of additional right-of-use assets and lease liabilities of approximately $51.4 million and $47.4 million, respectively, on our consolidated balance sheet as of January 1, 2019. The standard had no impact on our results of operations.

In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal Use Software: Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Services Contract. The amendments in this ASU align the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. The update is effective for fiscal years beginning after December 15, 2019, and interim periods within those fiscal years. Early adoption is permitted, including adoption in any interim period. The amendments in this update should be applied either retrospectively or prospectively to all implementation costs incurred after the date of adoption. We adopted the requirements of ASU 2018-15 effective January 1, 2019. There was no material impact to our consolidated balance sheets or results of operations as of or for the year ended December 31, 2019.

In July 2019, the FASB issued ASU 2019-07, Codification Updates to SEC Sections - Amendments to SEC Paragraphs Pursuant to SEC Final Rule Releases No. 33-10532, Disclosure Update and Simplification, and Nos. 33-10231 and 33-10442, Investment
Company Reporting Modernization and Miscellaneous Updates (SEC Update). ASU 2019-07 clarifies or improves the disclosure and presentation requirements of a variety of codification topics by aligning them with the SEC’s regulations, thereby eliminating redundancies and making the codification easier to apply. The disclosure and presentation amendments included in ASU 2019-07, which were effective upon issuance of the standard and were to be applied prospectively, did not have a material impact on our consolidated financial statements and related disclosures.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments and subsequently issued additional guidance that modified ASU 2016-13. The standard requires an entity to change its accounting approach for measuring and recognizing credit losses on certain financial assets measured at amortized cost, including trade receivables, certain non-trade receivables, contract assets, held-to-maturity securities, customer advances and certain off-balance sheet credit exposures, by replacing the existing “incurred loss” framework with an expected credit loss recognition model.  The new standard results in earlier recognition of credit losses based on past events, current conditions, and reasonable and supportable forecasts.  The standard is effective for entities with fiscal years beginning after December 15, 2019, including interim periods within such fiscal years. We adopted the requirements of this standard effective January 1, 2020 using the modified retrospective approach and recorded a cumulative effect adjustment of $3.0 million to January 1, 2020 retained earnings (accumulated deficit). Results for reporting periods beginning January 1, 2020 reflect the adoption of ASU 2016-13, while prior period amounts were not adjusted and continue to be reported in accordance with our historical accounting practices. In our previous accounting policy for trade receivables and non-trade receivables, we maintained an allowance for doubtful accounts based solely on specific identification. Under the new accounting standard, we maintain our specific identification process but utilize several factors to develop historical losses reserves, including aging schedules, customer creditworthiness, and historical payment experience, which are then adjusted for current conditions and reasonable and supportable forecasts in measurement of the allowance.  In addition, for customer advances and certain off-balance sheet credit exposures, we evaluate the allowance through a discounted cash flow approach.  For held-to-maturity investment securities, we evaluate (i) historical information adjusted for current conditions and reasonable and supportable forecasts and (ii) qualitative factors to determine whether the zero-loss expectation exception applies. Refer to Note 6 for additional disclosures related to current expected credit losses.

In August 2018, the FASB issued ASU 2018-13, Changes to the Disclosure Requirements for Fair Value Measurement. ASU 2018-13 amends Topic 820 to add, remove, and clarify disclosure requirements related to fair value measurement disclosures. This ASU is effective for fiscal years beginning after December 15, 2019 and interim periods within those fiscal years. We adopted the requirements of this standard effective January 1, 2020 and determined it did not have a material impact on our consolidated financial statements and related disclosures.
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.
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 2025 Notes and 2021 Notes.
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle (Tables)
6 Months Ended
Jun. 30, 2020
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:
June 30, 2020December 31, 2019
Collateral for letters of credit for facility leases (1)
$3,610  $3,610  
Collateral with financial institutions (2)
5,745  5,742  
Claims processing services (3)
44,886  18,171  
Other1,412  817  
Total restricted cash and restricted investments$55,653  $28,340  
Current restricted investments$100  $704  
Current restricted cash46,794  19,376  
Total current restricted cash and restricted investments$46,894  $20,080  
Non-current restricted investments$615  $113  
Non-current restricted cash8,144  8,147  
Total non-current restricted cash and restricted investments$8,759  $8,260  

(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. As of both June 30, 2020 and December 31, 2019, approximately $1.0 million of the collateral amount was held in a trust account and invested in money market funds related to risk-sharing arrangements. The amounts invested in money market funds are considered restricted cash and are carried at fair value, which approximates cost. See Note 17 for discussion of fair value measurement and Note 10 for discussion of our risk-sharing arrangements. As of both June 30, 2020 and December 31, 2019, approximately $4.7 million, of the collateral amounts were held in a FDIC participating bank account.
(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 statements of cash flows.
June 30,
20202019
Cash and cash equivalents$98,272  $92,821  
Restricted cash and restricted investments55,653  45,158  
Restricted investments included in restricted cash and restricted investments(715) (812) 
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows$153,210  $137,167  
Schedule of intangible assets
The following summarizes the estimated useful lives by asset classification:
Corporate trade name
10-20 years
Customer relationships
10-25 years
Technology5 years
Provider network contracts
4-5 years
Details of our intangible assets (in thousands) are presented below:
June 30, 2020December 31, 2019
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name13.7$23,300  $5,581  $17,719  14.2$23,300  $4,891  $18,409  
Customer relationships16.6281,219  50,988  230,231  16.8291,519  44,750  246,769  
Technology2.382,922  58,204  24,718  2.082,922  49,760  33,162  
Below market lease, net2.81,118  548  570  2.22,048  1,334  714  
Provider network contracts3.314,475  4,800  9,675  3.712,725  3,320  9,405  
Total intangible assets, net$403,034  $120,121  $282,913  $412,514  $104,055  $308,459  
v3.20.2
Revenue Recognition (Tables)
6 Months Ended
Jun. 30, 2020
Revenue from Contract with Customer [Abstract]  
Disaggregation of revenue
The following table represents Evolent’s Services segment revenue disaggregated by type of services (in thousands), excluding revenues from our True Health segment and from our downside risk sharing arrangements through our insurance subsidiary, which are accounted for under ASC 944, Financial Services-Insurance.
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Services Revenue
Transformation services$755  $1,944  $5,993  $5,297  
Platform and operations services
Clinical solutions161,774  94,573  321,582  191,204  
Administrative solutions50,562  49,058  100,616  99,683  
Contract with customer, asset and liability
The following table provides information about receivables, contract assets and deferred revenue from contracts with customers (in thousands):
June 30, 2020December 31, 2019
Short-term receivables (1)
$93,066  $71,707  
Long-term receivables (1)
740  709  
Short-term contract assets2,346  1,751  
Long-term contract assets47  999  
Short-term deferred revenue13,247  19,828  
Long-term deferred revenue1,338  1,330  
(1) Excludes pharmacy claims receivable and premiums receivable

Changes in contract assets and deferred revenue for the six months ended June 30, 2020, are as follows (in thousands):
For the Six Months Ended June 30, 2020
Contract assets
Balance as of beginning-of-period$2,750  
Reclassification to receivables, as the right to consideration becomes unconditional(1,477) 
Contract assets recognized, net of reclassification to receivables1,120  
Balance as of end-of-period$2,393  
Deferred revenue
Balance as of beginning-of-period$21,158  
Reclassification to revenue, as a result of performance obligations satisfied(15,538) 
Cash received in advance of satisfaction of performance obligations8,965  
Balance as of end-of-period$14,585  
v3.20.2
Credit Losses (Tables)
6 Months Ended
Jun. 30, 2020
Credit Loss [Abstract]  
Accounts receivable, allowance for credit loss The following table summarizes the changes in allowance for credit losses on our accounts receivables, certain non-trade accounts receivable and contract assets for the six months ended June 30, 2020 (in thousands):
For the Six Months Ended June 30, 2020
Balance as of December 31, 2019$(41) 
Cumulative transition adjustment(2,815) 
Provision for credit losses(260) 
Charge-offs1,575  
Balance as of June 30, 2020$(1,541) 
Held-to-maturity securities, amortized cost and interest income
The amortized cost of our investments as of June 30, 2020 and December 31, 2019 (in thousands) and interest income for the three and six months ended June 30, 2020 were as follows:
Amortized CostInterest Income for the Three Months Ended June 30,Interest Income for the Six Months Ended June 30,
June 30, 2020December 31, 20192020201920202019
U.S. Treasury bills$8,909  $10,784  $57  $61  $122  $119  
Corporate bonds1,706  1,705  14  11  29  20  
Collateralized mortgage obligations5,695  5,472  51  17  104  29  
Yankees597  597    11  11  
Total investments$16,907  $18,558  $128  $95  $266  $179  
v3.20.2
Property and Equipment, Net (Tables)
6 Months Ended
Jun. 30, 2020
Property, Plant and Equipment [Abstract]  
Summary of property and equipment
The following summarizes our property and equipment (in thousands):
  June 30, 2020December 31, 2019
Computer hardware$12,061  $11,604  
Furniture and equipment3,588  3,649  
Internal-use software development costs126,203  112,501  
Leasehold improvements15,537  12,415  
Total property and equipment157,389  140,169  
Accumulated depreciation and amortization expenses(68,834) (55,014) 
Total property and equipment, net$88,555  $85,155  
v3.20.2
Goodwill and Intangible Assets, Net (Tables)
6 Months Ended
Jun. 30, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of goodwill
The following table summarizes the changes in the carrying amount of goodwill, by reportable segment, for the periods presented (in thousands):
For the Six Months Ended June 30, 2020
ServicesTrue HealthConsolidated
Balance as of December 31, 2019 (1)
$566,359  $5,705  $572,064  
Goodwill disposal (2)
(2,200) —  (2,200) 
Impairment(215,100) —  (215,100) 
Foreign currency translation (69) —  (69) 
Balance as of June 30, 2020$348,990  $5,705  $354,695  
For the Year Ended December 31, 2019
ServicesTrue HealthConsolidated
Balance as of December 31, 2018 (1)
$762,419  $5,705  $768,124  
Goodwill acquired3,416  —  3,416  
Measurement period adjustments351  —  351  
Impairment(199,800) —  (199,800) 
Foreign currency translation(27) —  (27) 
Balance as of December 31, 2019$566,359  $5,705  $572,064  
(1) Net of cumulative inception to date impairment of $575.5 million and $360.4 million as of June 30, 2020 and December 31, 2019, respectively.
(2) Goodwill written down on disposal of a consolidated subsidiary.
Schedule of intangible assets details
The following summarizes the estimated useful lives by asset classification:
Corporate trade name
10-20 years
Customer relationships
10-25 years
Technology5 years
Provider network contracts
4-5 years
Details of our intangible assets (in thousands) are presented below:
June 30, 2020December 31, 2019
  Weighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying ValueWeighted- Average Remaining Useful LifeGross Carrying AmountAccumulated AmortizationNet Carrying Value
Corporate trade name13.7$23,300  $5,581  $17,719  14.2$23,300  $4,891  $18,409  
Customer relationships16.6281,219  50,988  230,231  16.8291,519  44,750  246,769  
Technology2.382,922  58,204  24,718  2.082,922  49,760  33,162  
Below market lease, net2.81,118  548  570  2.22,048  1,334  714  
Provider network contracts3.314,475  4,800  9,675  3.712,725  3,320  9,405  
Total intangible assets, net$403,034  $120,121  $282,913  $412,514  $104,055  $308,459  
Schedule of future estimated amortization of intangible assets
Future estimated amortization of intangible assets (in thousands) as of June 30, 2020, is as follows:
2020$14,842  
202128,701  
202224,819  
202322,055  
202416,171  
Thereafter176,325  
Total future amortization of intangible assets$282,913  
v3.20.2
Long-term Debt (Tables)
6 Months Ended
Jun. 30, 2020
Debt Disclosure [Abstract]  
Schedule of convertible debt
The following table summarizes the carrying value of the long-term convertible debt (in thousands):
June 30, 2020December 31, 2019
2025 Notes
Carrying value$111,665  $107,169  
Unamortized debt discount and issuance costs allocated to debt60,835  65,331  
Principal amount$172,500  $172,500  
Remaining amortization period (years)5.35.8
2021 Notes
Carrying value$123,697  $123,237  
Unamortized issuance costs1,303  1,763  
Principal amount$125,000  $125,000  
Remaining amortization period (years)1.41.9
v3.20.2
Commitments and Contingencies (Tables)
6 Months Ended
Jun. 30, 2020
Commitments and Contingencies Disclosure [Abstract]  
Summary of premiums and claims assumed
The following summarizes premiums and claims assumed under the Reinsurance Agreement (in thousands):
For the Six Months Ended June 30,
20202019
Reinsurance premiums assumed$—  $48,828  
Claims assumed—  41,424  
Claims-related administrative expenses—  8,219  
Decrease in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement—  815  
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period—  1,243  
Reinsurance payments—  1,235  
Receivables for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period$—  $823  
Summary of major customers The following table summarizes the partner included in our Services segment who represented at least 10.0% of our consolidated trade accounts receivable for the periods presented:
 June 30, 2020December 31, 2019
Cook County Health and Hospitals System56.7 %48.4 %
The following table summarizes those customers of our Services segment who represented at least 10.0% of our consolidated revenue for the periods presented:
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Passport25.2 %13.2 %23.6 %13.1 %
New Mexico Health Connections*13.2 %*13.6 %
Cook County Health and Hospitals Systems19.9 %*19.3 %*
* Represents less than 10.0% of the respective balance
v3.20.2
Leases (Tables)
6 Months Ended
Jun. 30, 2020
Leases [Abstract]  
Schedule of maturity of lease liabilities
The following table summarizes our primary office leases as of June 30, 2020 (in thousands):
LocationLease Termination Term (in years)Future Minimum Lease CommitmentsLetter of Credit Amount Required
Arlington, VA11.6$40,203  $1,579  
Riverside, IL 10.846,053  232  
Louisville, KY (1)
0.5—  —  
Pune, India3.32,667  —  
Brea, CA1.92,093  —  

(1) Lease payments of $4.1 million for Louisville, KY have been prepaid as of June 30, 2020.
Maturity of lease liabilities (in thousands) as of June 30, 2020, is as follows:
Operating lease expense(1)
20206,039  
202111,726  
20229,801  
20239,376  
20248,833  
Thereafter56,093  
Total lease payments101,868  
Less:
Interest27,419  
Present value of lease liabilities$74,449  
(1) We have additional operating lease agreements for office space that have not yet commenced as of June 30, 2020. The minimum lease payments for those leases are $0.2 million and the leases will commence during 2020.
Schedule of components of lease expense, weighted-average discount rate and weighted-remaining lease terms
The following table summarizes the components of our lease cost (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Operating lease cost$3,586  $3,838  $6,642  $7,119  
Amortization of right-of-use assets150  —  299  —  
Interest expense —   —  
Variable lease cost1,465  1,121  2,517  2,576  
Total lease cost$5,202  $4,959  $9,461  $9,695  
Our weighted-average discount rate and our weighted remaining lease terms (in years) are as follows:
June 30, 2020
Weighted average discount rate6.43 %
Weighted average remaining lease term9.6
v3.20.2
Earnings (Loss) Per Common Share (Tables)
6 Months Ended
Jun. 30, 2020
Earnings Per Share [Abstract]  
Computation of basic and diluted earnings per share
The following table sets forth the computation of basic and diluted earnings per share available for common stockholders (in thousands, except per share data):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Net loss$(203,521) $(31,900) $(282,273) $(80,549) 
Less:
Net loss attributable to non-controlling interests—  (285) —  (2,195) 
Net loss available for common shareholders - basic and diluted (1)
$(203,521) $(31,615) $(282,273) $(78,354) 
Weighted-average common shares outstanding - basic and diluted (1)
85,349  82,289  84,977  80,820  
Loss per common share
Basic and diluted$(2.38) $(0.38) $(3.32) $(0.97) 
(1) Each Class B common unit of Evolent Health LLC can be exchanged (together with a corresponding number of shares of our Class B common stock) for one share of our Class A common stock. As holders exchange their Class B common shares for Class A common shares, our interest in Evolent Health LLC will increase. Therefore, shares of our Class B common stock are not considered dilutive shares for the purposes of calculating our diluted earnings (loss) per common share as related adjustment to net income (loss) available for common shareholders would equally offset the additional shares, resulting in the same earnings (loss) per common share.
Schedule of antidilutive securities excluded from computation of earnings per share
Anti-dilutive shares (in thousands) excluded from the calculation of weighted-average common shares presented above are presented below:
For the Three Months Ended June 30, 2020For the Six Months Ended June 30,
2020201920202019
Exchangeable Class B common stock—  1,080  —  2,129  
Restricted stock units ("RSUs"), performance-based RSUs and leveraged stock units ("LSUs")554  985  376  1,014  
Stock options711  1,495  841  1,729  
Convertible senior notes10,361  10,361  10,361  10,361  
Total11,626  13,921  11,578  15,233  
v3.20.2
Stock-based Compensation (Tables)
6 Months Ended
Jun. 30, 2020
Share-based Payment Arrangement [Abstract]  
Stock-based compensation expense
Total compensation expense by award type and line item in our consolidated financial statements was as follows (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
  2020201920202019
Award Type
Stock options$638  $903  $1,388  $2,263  
Performance-based stock options—  112  75  222  
RSUs2,006  2,630  3,862  5,060  
Performance-based RSUs—  388  —  772  
LSUs1,059  717  1,886  970  
Total compensation expense by award type$3,703  $4,750  $7,211  $9,287  
Line Item
Cost of revenue$526  $891  $918  $1,682  
Selling, general and administrative expenses3,177  3,859  6,293  7,605  
Total compensation expense by financial statement line item$3,703  $4,750  $7,211  $9,287  
Schedule of share-based awards granted
Stock-based awards were granted as follows (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Stock options—  18  —  399  
RSUs164  17  1,140  518  
LSUs140  —  520  720  
v3.20.2
Investments In and Advances to Equity Method Investees Investments In and Advances to Equity Method Investees (Tables)
6 Months Ended
Jun. 30, 2020
Equity Method Investments and Joint Ventures [Abstract]  
Schedule of carrying value of the associated assets and liabilities and the associated maximum loss exposure for the unconsolidated VIEs The following table represents the carrying value of the associated assets and liabilities and the associated maximum loss exposure for the unconsolidated VIEs as of the date indicated (in thousands):
June 30, 2020December 31, 2019
Passport BuyerMomentum Health Group, LLCPassport BuyerMomentum Health Group, LLC
Assets:
Current assets$310,977  $—  $271,894  $50,729  
Non current assets701  —  577  39,259  
Total assets$311,678  $—  $272,471  $89,988  
Liabilities:
Current liabilities177,757  $—  181,206  55,442  
Non current liabilities32  —  40  44,650  
Total liabilities$177,789  $—  $181,246  $100,092  
Investment carrying value$92,797  $—  $70,000  $46,456  
Loan and interest receivable42,687  —  41,387  —  
Guarantee (1)
25,000  —  25,000  —  
Maximum exposure$160,484  $—  $136,387  $46,456  

(1) The $25.0 million guarantee to the Passport Buyer does not include a guarantee signed in January 2020 whereby the Company agrees to guarantee Passport Buyer will maintain a minimum risk-based-capital of 150% with the Kentucky Department of Insurance. The maximum exposure is limited to amounts funded to return Passport Buyer to a risk-based-capital of 150%, however as of June 30, 2020, no amounts have been funded under this guarantee.
Schedule of summarized equity method investees financial information The following table represents the aggregated summarized financial information as of and for the dates indicated (in thousands):
June 30,
2020
December 31,
2019
Current assets$351,805  $356,085  
Non current assets4,612  43,744  
Current liabilities202,259  267,300  
Non current liabilities16,894  57,599  
Non controlling interests97,315  70,535  
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue$575,793  $30,003  $1,194,276  $189,975  
Operating loss40,065  254  34,080  (5,874) 
Net loss39,263  340  27,643  (12,185) 
Net loss attributable to entity25,327  75  17,712  (347) 
v3.20.2
Non-controlling Interests (Tables)
6 Months Ended
Jun. 30, 2020
Noncontrolling Interest [Abstract]  
Schedule of changes in non-controlling interests
Changes in non-controlling interests (in thousands) for the periods presented were as follows:
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Non-controlling interests balance as of beginning of period$—  $50,100  $6,689  $45,532  
Decrease in non-controlling interests as a result of Class B Exchanges—  (33,946) —  (33,946) 
Amount attributable to NCI from business combination—  —  —  6,500  
Net loss attributable to non-controlling interests—  (285) —  (2,195) 
Reclassification of non-controlling interests—  209  (6,689) 187  
Non-controlling interests balance as of end of period$—  $16,078  $—  $16,078  
v3.20.2
Fair Value Measurement (Tables)
6 Months Ended
Jun. 30, 2020
Fair Value Disclosures [Abstract]  
Summary of assets at fair value on recurring basis The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):
June 30, 2020
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$4,842  $—  $—  $4,842  
Restricted cash and restricted investments (1)
1,005  —  —  1,005  
Total fair value of assets measured on a recurring basis$5,847  $—  $—  $5,847  
Liabilities
Contingent consideration (2)
$—  $—  $3,600  $3,600  
Warrants (3)
—  —  4,900  4,900  
Total fair value of liabilities measured on a recurring basis$—  $—  $8,500  $8,500  
December 31, 2019
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$3,698  $—  $—  $3,698  
Restricted cash and restricted investments (1)
1,004  —  —  1,004  
Total fair value of assets measured on a recurring basis$4,702  $—  $—  $4,702  
Liabilities
Contingent consideration (2)
$—  $—  $9,883  $9,883  
Warrants (3)
—  —  7,092  7,092  
Total fair value of liabilities measured on a recurring basis$—  $—  $16,975  $16,975  
(1) Represents the cash and cash equivalents and restricted cash and restricted investments that were held in money market funds as of June 30, 2020 and December 31, 2019, as presented in the tables above.
(2) Represents the fair value of earn-out consideration related to the Passport, GlobalHealth, Inc. and other transactions, as described in Note 4.
(3) Represents the fair value of 1,513,786 shares issuable under the warrant agreements discussed in Note 9.
Summary of liabilities at fair value on recurring basis The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):
June 30, 2020
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$4,842  $—  $—  $4,842  
Restricted cash and restricted investments (1)
1,005  —  —  1,005  
Total fair value of assets measured on a recurring basis$5,847  $—  $—  $5,847  
Liabilities
Contingent consideration (2)
$—  $—  $3,600  $3,600  
Warrants (3)
—  —  4,900  4,900  
Total fair value of liabilities measured on a recurring basis$—  $—  $8,500  $8,500  
December 31, 2019
Level 1Level 2Level 3Total
Assets
Cash and cash equivalents (1)
$3,698  $—  $—  $3,698  
Restricted cash and restricted investments (1)
1,004  —  —  1,004  
Total fair value of assets measured on a recurring basis$4,702  $—  $—  $4,702  
Liabilities
Contingent consideration (2)
$—  $—  $9,883  $9,883  
Warrants (3)
—  —  7,092  7,092  
Total fair value of liabilities measured on a recurring basis$—  $—  $16,975  $16,975  
(1) Represents the cash and cash equivalents and restricted cash and restricted investments that were held in money market funds as of June 30, 2020 and December 31, 2019, as presented in the tables above.
(2) Represents the fair value of earn-out consideration related to the Passport, GlobalHealth, Inc. and other transactions, as described in Note 4.
(3) Represents the fair value of 1,513,786 shares issuable under the warrant agreements discussed in Note 9.
Changes in contingent consideration measured at fair value
The changes in our contingent consideration, measured at fair value, for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):
For the Six Months Ended June 30,
20202019
Balance as of beginning of period$16,975  $8,800  
Additions—  5,900  
Settlements(3,500) (800) 
Realized and unrealized gains (losses), net(4,975) 200  
Balance as of end of period$8,500  $14,100  
Valuation techniques and significant unobservable inputs of Level 3 fair value measurements
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:
June 30, 2020
Fair ValuationSignificantAssumption or
ValueTechniqueUnobservable InputsInput Ranges
Contingent consideration$3,600  Management estimateStock price periodJanuary - June 2020
Warrants$4,900  Black-ScholesStock price volatility61.8 %
Annual risk free rate0.3 %

December 31, 2019
Fair ValuationSignificantAssumption or
ValueTechniqueUnobservable InputsInput Ranges
Passport contingent consideration$3,700  Real options approachRisk-adjusted recurring revenue CAGR93.9 %
(1)
Discount rate/time value
4.8% - 5.3%
GlobalHealth contingent consideration$5,200  Monte Carlo simulationStock price volatility 80.0 %
(2)
Other contingent considerations$983  Management estimateAdjusted EBITDA$19,235  
Warrants$7,092  Black-ScholesStock price volatility55.0 %
Annual risk free rate1.7 %
(1)  The risk-adjusted recurring revenue CAGR is calculated over the five-year period 2017-2021. Given that there was no recurring revenue in 2016 and 2017, the calculation of the 2017 and 2018 growth rates is based on theoretical 2016 and 2017 recurring revenue of $1.0 million, resulting in a higher growth rate.
(2) Equity volatility based on Evolent’s daily stock price returns for a look-back period corresponding to the time until the second test date. The large one-day stock price drop on November 27, 2019, was excluded from the volatility calculation.
v3.20.2
Related Parties (Tables)
6 Months Ended
Jun. 30, 2020
Related Party Transactions [Abstract]  
Schedule of related parties
The following table presents assets and liabilities attributable to our related parties (in thousands):
June 30,
2020
December 31,
2019
Assets
Accounts receivable$7,597  $8,781  
Prepaid expenses - current801  1,592  
Customer advance for regulatory capital requirements, net39,955  40,000  
Prepaid expenses and other noncurrent assets4,813  2,709  
Liabilities
Accounts payable$7,132  $6,429  
Accrued liabilities4,267  2,583  
Reserve for claims and performance-based arrangements—  4,264  

The following table presents revenues and expenses attributable to our related parties (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Revenue
Transformation services$—  $41  $1,700  $1,200  
Platform and operations services73,885  16,874  141,833  29,818  
Expenses
Cost of revenue (exclusive of depreciation and amortization expenses)(2,171) 6,657  1,076  14,487  
Selling, general and administrative expenses27  386  97  542  
v3.20.2
Segment Reporting (Tables)
6 Months Ended
Jun. 30, 2020
Segment Reporting [Abstract]  
Reconciliation of revenue from segments to consolidated
The following tables present our segment information (in thousands):

ServicesTrue HealthIntersegment EliminationsConsolidated
Revenue
For the Three Months Ended June 30, 2020
Services:
Transformation services$755  $—  $—  $755  
Platform and operations services216,544  —  (4,169) 212,375  
Services revenue217,299  —  (4,169) 213,130  
True Health:
Premiums—  25,541  (39) 25,502  
Total revenue$217,299  $25,541  $(4,208) $238,632  
For the Three Months Ended June 30, 2019
Services:
Transformation services$1,944  $—  $—  $1,944  
Platform and operations services147,599  —  (3,077) 144,522  
Services revenue149,543  —  (3,077) 146,466  
True Health:
Premiums—  45,764  (271) 45,493  
Total revenue$149,543  $45,764  $(3,348) $191,959  
ServicesTrue HealthSegments Total
For the Three Months Ended June 30, 2020
Adjusted EBITDA$10,519  $(1,480) $9,039  
For the Three Months Ended June 30, 2019
Adjusted EBITDA$(8,797) $1,123  $(7,674) 
ServicesTrue HealthIntersegment
Eliminations
Consolidated
Revenue
For the Six Months Ended June 30, 2020
Services:
Transformation services$5,993  $—  $—  $5,993  
Platform and operations services432,739  —  (10,464) 422,275  
Services revenue438,732  —  (10,464) 428,268  
True Health:
Premiums—  57,928  (279) 57,649  
Total revenue$438,732  $57,928  $(10,743) $485,917  
For the Six Months Ended June 30, 2019
Services:
Transformation services$5,297  $—  $—  $5,297  
Platform and operations services297,949  —  (6,135) 291,814  
Services revenue303,246  —  (6,135) 297,111  
True Health:
Premiums—  93,140  (536) 92,604  
Total revenue$303,246  $93,140  $(6,671) $389,715  
ServicesTrue HealthSegments Total
For the Six Months Ended June 30, 2020
Adjusted EBITDA$14,395  $(1,729) $12,666  
For the Six Months Ended June 30, 2019
Adjusted EBITDA$(24,296) $1,844  $(22,452) 
Reconciliation of Adjusted EBITDA to net loss
The following table presents our reconciliation of segments total Adjusted EBITDA to net loss attributable to Evolent Health, Inc. (in thousands):
For the Three Months Ended June 30,For the Six Months Ended June 30,
2020201920202019
Net loss attributable to common shareholders of Evolent Health, Inc.$(203,521) $(31,615) $(282,273) $(78,354) 
Less:
Interest income842  842  1,761  1,902  
Interest expense(6,293) (3,620) (12,578) (7,182) 
(Provision) benefit for income taxes3,904  (1,398) 3,634  (902) 
Depreciation and amortization expenses(15,778) (15,292) (31,916) (29,558) 
Equity method investment impairment—  —  (47,133) —  
Gain (loss) from equity method investees25,143  (1,904) 24,731  (2,328) 
Gain (loss) on disposal of assets—  9,600  (6,447) 9,600  
Goodwill impairment(215,100) —  (215,100) —  
Change in fair value of contingent consideration and indemnification asset(756) (100) 3,062  (200) 
Other income (expense), net352  (587) 281  (160) 
Net loss attributable to non-controlling interests—  285  —  2,195  
Purchase accounting adjustments—  (165) —  (761) 
Stock-based compensation expense(3,703) (4,750) (7,211) (9,287) 
Severance costs(30) (3,881) (6,133) (14,483) 
Amortization of contract cost assets(767) (776) (1,207) (1,552) 
Acquisition costs(374) (2,195) (683) (3,186) 
Adjusted EBITDA$9,039  $(7,674) $12,666  $(22,452) 
v3.20.2
Reserves for Claims and Performance-Based Arrangements (Tables)
6 Months Ended
Jun. 30, 2020
Insurance [Abstract]  
Activity in claims reserves Activity in reserves for claims and performance-based arrangements for the six months ended June 30, 2020, was as follows (in thousands):
For the Six Months Ended June 30,
20202019
Services (1)
True Health (3)
Total
Services (1)
True Health (3)
Total
Beginning balance$54,510  $6,640  $61,150  $17,715  $9,880  $27,595  
Incurred costs related to current year204,112  41,584  245,696  $88,261  $73,359  $161,620  
Incurred costs related to prior year(521) 1,351  830  244  483  727  
Paid costs related to current year167,451  33,538  200,989  73,781  26,473  100,254  
Paid costs related to prior year10,029  6,975  17,004  7,837  8,003  15,840  
Change during the year26,111  2,422  28,533  6,887  39,366  46,253  
Other adjustments (2)
4,726  —  4,726  (187) (40,609) (40,796) 
Ending balance$85,347  $9,062  $94,409  $24,415  $8,637  $33,052  
(1) Costs incurred to provide specialty care management services are recorded within cost of revenue in our statement of operations.
(2) Other adjustments to reserves for claims and performance-based arrangements for Services reflect changes in accrual for amounts payable to facilities and amounts owed to our payer partners for claims paid on our behalf. Other adjustments related to the True Health segment represent premiums received less administrative expenses related to the reinsurance agreement for amounts in 2019. Refer to Note 10 for additional information about the reinsurance agreement.
(3) There is no single or common claim frequency metric used in the health care industry. The Company believes a relevant metric for its health insurance business is the number of customers for whom an insured medical claim was paid. The number of claims processed for the six months ended June 30, 2020 and 2019 were 170,295 and 206,137, respectively.
v3.20.2
Investments (Tables)
6 Months Ended
Jun. 30, 2020
Investments [Abstract]  
Summary investment holdings The amortized cost, gross unrealized gains and losses, and fair value of our investments as measured using Level 2 inputs as of June 30, 2020 and December 31, 2019 (in thousands) were as follows:
June 30, 2020December 31, 2019
Amortized
Cost
Gross UnrealizedFair ValueAmortized
Cost
Gross UnrealizedFair Value
  GainsLossesGainsLosses
U.S. Treasury bills$8,909  $492  $—  $9,401  $10,784  $270  $—  $11,054  
Corporate bonds1,706  122  —  1,828  1,705  70  —  1,775  
Collateralized mortgage obligations5,695  219  —  5,914  5,472  56  (5) 5,523  
Yankees597  51  —  648  597  30  —  627  
Total investments$16,907  $884  $—  $17,791  $18,558  $426  $(5) $18,979  
Investments classified by contractual maturity date
The amortized cost and fair value of our investments by contractual maturities as of June 30, 2020 and December 31, 2019 (in thousands) were as follows:
June 30, 2020December 31, 2019
  Amortized CostFair ValueAmortized CostFair Value
Due in one year or less$836  $845  $1,807  $1,810  
Due after one year through five years16,071  16,946  16,121  16,542  
Due after five years through ten years—  —  630  627  
Total investments$16,907  $17,791  $18,558  $18,979  
Unrealized loss positions The Company held the following securities (in thousands) in an unrealized loss position for less than twelve months as of December 31, 2019, and expects to recover the entire cost basis of the security:
June 30, 2020December 31, 2019
Number of SecuritiesFair ValueUnrealized LossesNumber of SecuritiesFair ValueUnrealized Losses
Collateralized mortgage obligations $ $—   $2,075  $ 
v3.20.2
Supplemental Cash Flow Information (Tables)
6 Months Ended
Jun. 30, 2020
Supplemental Cash Flow Elements [Abstract]  
Schedule of cash flow, supplemental disclosures
The following represents supplemental cash flow information (in thousands):
For the Six Months Ended June 30,
  20202019
Supplemental Disclosure of Non-cash Investing and Financing Activities
 Increase to goodwill from measurement period adjustments/business combinations$2,200  $596  
Class A common stock issued for payment of earn-outs4,185  800  
Accrued property and equipment purchases(26) 166  
Consideration for asset acquisitions or business combinations—  16,000  
Effects of Leases
 Operating cash flows from operating leases 6,853  6,542  
 Leased assets obtained in exchange for operating lease liabilities (1,354) 30,181  
Effects of Class B Exchanges
Decrease in non-controlling interests as a result of Class B Exchanges—  33,946  
v3.20.2
Organization (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2020
USD ($)
segment
Dec. 31, 2019
USD ($)
Jun. 30, 2019
USD ($)
Organization, Consolidation and Presentation of Financial Statements [Abstract]      
Number of operating segments | segment 2    
Cash and cash equivalents | $ $ 98,272 $ 101,008 $ 92,821
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle - Operating Segments (Details)
6 Months Ended
Jun. 30, 2020
segment
Accounting Policies [Abstract]  
Number of operating segments 2
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle - Restricted Cash and Restricted Investments (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Jun. 30, 2019
Dec. 31, 2018
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments $ 55,653 $ 28,340 $ 45,158  
Current restricted investments 100 704    
Current restricted cash 46,794 19,376    
Total current restricted cash and restricted investments 46,894 20,080    
Non-current restricted investments 615 113    
Non-current restricted cash 8,144 8,147    
Total non-current restricted cash and restricted investments 8,759 8,260    
Cash and cash equivalents 98,272 101,008 92,821  
Restricted cash and restricted investments 55,653 28,340 45,158  
Restricted investments included in restricted cash and restricted investments (715)   (812)  
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows 153,210 128,531 $ 137,167 $ 388,325
Collateral for letters of credit for facility leases        
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments 3,610 3,610    
Restricted cash and restricted investments 3,610 3,610    
Collateral with financial institutions        
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments 5,745 5,742    
Restricted cash and restricted investments 5,745 5,742    
Claims processing services        
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments 44,886 18,171    
Restricted cash and restricted investments 44,886 18,171    
Other        
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments 1,412 817    
Restricted cash and restricted investments 1,412 817    
Collateral with financial institutions, money market funds        
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments 1,000 1,000    
Restricted cash and restricted investments 1,000 1,000    
Bank time deposits        
Restricted Cash and Cash Equivalents Items [Line Items]        
Total restricted cash and restricted investments 4,700 4,700    
Restricted cash and restricted investments $ 4,700 $ 4,700    
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle - Notes Receivable (Details) - Passport Note - USD ($)
Jun. 30, 2020
Jun. 30, 2019
Jun. 18, 2019
Short-term Debt [Line Items]      
Face amount   $ 40,000,000.0  
Interest rate   6.50% 6.50%
Notes Receivable      
Short-term Debt [Line Items]      
Loans and leases receivable, net amount $ 40,000,000.0    
Interest receivable $ 2,700,000    
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle - Goodwill (Details) - reporting_unit
6 Months Ended
Oct. 31, 2019
Jun. 30, 2020
Accounting Policies [Abstract]    
Number of reporting units for goodwill testing 3 4
v3.20.2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle - Intangible Assets, Net (Details)
6 Months Ended
Jun. 30, 2020
Corporate trade name | Minimum  
Finite-Lived Intangible Assets [Line Items]  
Useful life 10 years
Corporate trade name | Maximum  
Finite-Lived Intangible Assets [Line Items]  
Useful life 20 years
Customer relationships | Minimum  
Finite-Lived Intangible Assets [Line Items]  
Useful life 10 years
Customer relationships | Maximum  
Finite-Lived Intangible Assets [Line Items]  
Useful life 25 years
Technology  
Finite-Lived Intangible Assets [Line Items]  
Useful life 5 years
Provider network contracts | Minimum  
Finite-Lived Intangible Assets [Line Items]  
Useful life 4 years
Provider network contracts | Maximum  
Finite-Lived Intangible Assets [Line Items]  
Useful life 5 years
v3.20.2
Recently Issued Accounting Standards (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Mar. 31, 2020
Dec. 31, 2019
Mar. 31, 2019
Jan. 01, 2019
Dec. 31, 2018
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Operating lease, right-of-use asset $ 66,113     $ 72,173      
Present value of lease liabilities 74,449            
Cumulative effect adjustment $ (646,864) $ (1,146,756) $ (847,072) (929,047) $ (1,150,126)   $ (1,189,356)
Accounting Standards Update [Extensible List] us-gaap:AccountingStandardsUpdate201613Member us-gaap:AccountingStandardsUpdate201602Member          
Cumulative transition adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment       2,970      
Retained Earnings (Accumulated Deficit)              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment $ 537,205 $ 28,345 $ 333,684 251,962 $ (3,270)   $ (50,009)
Retained Earnings (Accumulated Deficit) | Cumulative transition adjustment              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Cumulative effect adjustment       $ 2,970      
Accounting Standards Update 2016-02              
New Accounting Pronouncements or Change in Accounting Principle [Line Items]              
Operating lease, right-of-use asset           $ 51,400  
Present value of lease liabilities           $ 47,400  
v3.20.2
Transactions - Passport (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Dec. 30, 2019
Jun. 06, 2019
Jun. 30, 2020
Jun. 30, 2020
Jun. 30, 2019
Jun. 18, 2019
Passport Note            
Business Acquisition [Line Items]            
Interest rate         6.50% 6.50%
Variable Interest Entity | Passport            
Business Acquisition [Line Items]            
Payments to acquire interest $ 70.0          
Interest in investment 30.00%     30.00%    
Cash consideration in escrow, amount $ 16.2          
Cash consideration released from escrow, amount     $ 16.2      
New Medicaid contract not awarded, requirement to acquire ownership, consideration, amount     $ 20.0 $ 20.0    
New Medicaid contract not awarded, requirement to acquire ownership, term following expiration of current Medicaid contract       12 months    
Performance bond amount   $ 25.0        
Variable Interest Entity | Passport | Passport Note            
Business Acquisition [Line Items]            
Interest rate           6.50%
v3.20.2
Transactions - Loss on Disposal of Assets (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Business Acquisition [Line Items]          
(Gain) loss on disposal of assets $ 0   $ (9,600) $ 6,447 $ (9,600)
Vivant          
Business Acquisition [Line Items]          
(Gain) loss on disposal of assets   $ 6,400      
v3.20.2
Revenue Recognition - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Disaggregation of Revenue [Line Items]        
Total revenue $ 238,632 $ 191,959 $ 485,917 $ 389,715
Transformation services        
Disaggregation of Revenue [Line Items]        
Total revenue [1] 755 1,944 5,993 5,297
Platform and operations services        
Disaggregation of Revenue [Line Items]        
Total revenue [1] 212,375 144,522 422,275 291,814
Services | Transformation services        
Disaggregation of Revenue [Line Items]        
Total revenue 755 1,944 5,993 5,297
Services | Platform and operations services | Clinical solutions        
Disaggregation of Revenue [Line Items]        
Total revenue 161,774 94,573 321,582 191,204
Services | Platform and operations services | Administrative solutions        
Disaggregation of Revenue [Line Items]        
Total revenue $ 50,562 $ 49,058 $ 100,616 $ 99,683
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
Revenue Recognition - Transaction Price Allocated to the Remaining Performance Obligations (Details)
$ in Millions
Jun. 30, 2020
USD ($)
Revenue from Contract with Customer [Abstract]  
Revenue, remaining performance obligation $ 108.2
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2020-07-01  
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]  
Revenue, remaining performance obligation, percentage 33.00%
Revenue, remaining performance obligation, expected timing of satisfaction, period 6 months
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2021-01-01  
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]  
Revenue, remaining performance obligation, percentage 69.00%
Revenue, remaining performance obligation, expected timing of satisfaction, period 1 year
v3.20.2
Revenue Recognition - Contract Balances (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2020
Dec. 31, 2019
Revenue from Contract with Customer [Abstract]      
Short-term receivables $ 93,066 $ 93,066 $ 71,707
Long-term receivables 740 740 709
Short-term contract assets 2,346 2,346 1,751
Long-term contract assets 47 47 999
Short-term deferred revenue 13,247 13,247 19,828
Long-term deferred revenue 1,338 1,338 $ 1,330
Contract Assets Rollforward      
Beginning balance   2,750  
Reclassification to receivables, as the right to consideration becomes unconditional   (1,477)  
Contract assets recognized, net of reclassification to receivables   1,120  
Ending balance 2,393 2,393  
Deferred Revenue Rollforward      
Beginning balance   21,158  
Reclassification to revenue, as a result of performance obligations satisfied   (15,538)  
Cash received in advance of satisfaction of performance obligations   8,965  
Ending balance 14,585 14,585  
Revenue recognized from performed obligations $ 6,500 $ 7,700  
v3.20.2
Revenue Recognition - Contract Costs (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Capitalized Contract Cost [Line Items]          
Contract cost amortization     $ 10,272 $ 2,773  
Capitalized contract cost, amortization period 5 years   5 years    
Bonuses and Commissions          
Capitalized Contract Cost [Line Items]          
Contract cost assets $ 4,000   $ 4,000   $ 4,700
Contract cost amortization 400 $ 100 900 200  
Contract Fulfillment Costs          
Capitalized Contract Cost [Line Items]          
Contract cost assets 27,700   27,700   $ 31,800
Contract cost amortization $ 4,300 $ 1,400 $ 9,400 $ 2,600  
v3.20.2
Credit Losses - Accounts Receivable (Narrative) (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Accounts Receivable, Noncurrent, Past Due [Line Items]    
Percentage of receivables, current 59.00%  
Accounts receivable, net $ 104,400  
Allowance for doubtful accounts $ 1,541 $ 41
Past due less than 60 days    
Accounts Receivable, Noncurrent, Past Due [Line Items]    
Percentage of receivables, past due 28.00%  
Past due less than 120 days    
Accounts Receivable, Noncurrent, Past Due [Line Items]    
Percentage of receivables, past due 40.00%  
v3.20.2
Credit Losses - Schedule of Changes in Allowance for Accounts Receivable (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2020
USD ($)
Adjustment  
Allowance for doubtful accounts, beginning balance $ (41)
Provision for credit losses (260)
Charge-offs 1,575
Allowance for doubtful accounts, ending balance (1,541)
Cumulative transition adjustment  
Adjustment  
Allowance for doubtful accounts, beginning balance $ (2,815)
v3.20.2
Credit Losses - Investments Held at Amortized Cost (Details) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Interest Income $ 128,000 $ 95,000 $ 266,000 $ 179,000  
U.S. Treasury bills          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Interest Income 57,000 61,000 122,000 119,000  
Held-to-maturity, allowance for credit loss 0   0    
Corporate bonds          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Interest Income 14,000 11,000 29,000 20,000  
Collateralized mortgage obligations          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Interest Income 51,000 17,000 104,000 29,000  
Yankees          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Interest Income 6,000 $ 6,000 11,000 $ 11,000  
Level 2          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Amortized Costs 16,907,000   16,907,000   $ 18,558,000
Level 2 | U.S. Treasury bills          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Amortized Costs 8,909,000   8,909,000   10,784,000
Level 2 | Corporate bonds          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Amortized Costs 1,706,000   1,706,000   1,705,000
Level 2 | Collateralized mortgage obligations          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Amortized Costs 5,695,000   5,695,000   5,472,000
Level 2 | Yankees          
Debt Securities, Held-to-maturity, Allowance for Credit Loss [Line Items]          
Amortized Costs $ 597,000   $ 597,000   $ 597,000
v3.20.2
Credit Losses - Customer Advance for Regulatory Capital and Notes Receivable (Details) - USD ($)
Jun. 30, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Jun. 18, 2019
Short-term Debt [Line Items]          
Customer advance for regulatory capital requirements, net of allowances [1] $ 39,955,000 $ 40,000,000      
Customer advances, allowances 45,000        
Long-term debt, net of discount 299,746,000 293,667,000      
Notes receivable, net $ 1,400,000        
Premium ratio to Surplus 10        
Prepaid expenses and other assets          
Short-term Debt [Line Items]          
Notes receivable, allowances $ 14,000        
Other noncurrent liabilities          
Short-term Debt [Line Items]          
Notes receivable, allowances $ 37,000        
Equity Method Investee | Line of Credit          
Short-term Debt [Line Items]          
Interest rate 6.50%        
Face amount     $ 5,000,000.0    
Long-term debt, net of discount $ 1,400,000 $ 1,000,000.0      
Loss given default rate assumed 50.00%        
Passport Note          
Short-term Debt [Line Items]          
Interest rate       6.50% 6.50%
Minimum risk-based capital requirement         150.00%
Face amount       $ 40,000,000.0  
Passport Note | Notes Receivable          
Short-term Debt [Line Items]          
Interest receivable $ 2,700,000        
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
Property and Equipment, Net (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Property and Equipment [Line Items]          
Total property and equipment $ 157,389   $ 157,389   $ 140,169
Accumulated depreciation and amortization expenses (68,834)   (68,834)   (55,014)
Total property and equipment, net 88,555   88,555   85,155
Depreciation expense 7,100 $ 5,700 13,900 $ 10,900  
Capitalized computer software, amortization 6,000 4,500 11,600 8,600  
Computer hardware          
Property and Equipment [Line Items]          
Total property and equipment 12,061   12,061   11,604
Furniture and equipment          
Property and Equipment [Line Items]          
Total property and equipment 3,588   3,588   3,649
Internal-use software development costs          
Property and Equipment [Line Items]          
Total property and equipment 126,203   126,203   112,501
Total property and equipment, net 77,100   77,100   74,900
Capitalized computer software additions 6,400 $ 8,200 13,700 $ 16,900  
Leasehold improvements          
Property and Equipment [Line Items]          
Total property and equipment $ 15,537   $ 15,537   $ 12,415
v3.20.2
Goodwill and Intangible Assets, Net - Impairment Testing (Details)
$ / shares in Units, $ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Oct. 31, 2019
reporting_unit
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
reporting_unit
Oct. 31, 2019
$ / shares
Jun. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Mar. 31, 2020
USD ($)
Dec. 31, 2018
USD ($)
Finite-Lived Intangible Assets [Line Items]                  
Number of reporting units for goodwill testing | reporting_unit 3     4          
Decrease in average closing price per share due to impairment (in dollars per share) | $ / shares         $ 6.59        
Goodwill, impairment testing, percentage share price decrease         43.50%        
Number of reporting units, fair value in excess of carrying amount | reporting_unit 1                
Impairment   $ 215,100 $ 0 $ 215,100   $ 0 $ 199,800    
Goodwill   354,695   354,695     $ 572,064   $ 768,124
Valuation, Income Approach                  
Finite-Lived Intangible Assets [Line Items]                  
Goodwill   $ 214,300   $ 214,300       $ 431,700  
v3.20.2
Goodwill and Intangible Assets, Net - Schedule of Goodwill (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Goodwill [Roll Forward]          
Balance as of beginning of period     $ 572,064 $ 768,124 $ 768,124
Goodwill acquired         3,416
Measurement period adjustments         351
Goodwill disposal $ (2,200)        
Impairment (215,100) $ 0 (215,100) 0 (199,800)
Foreign currency translation (69)       (27)
Balance as of end of period 354,695   354,695   572,064
Cumulative inception to date impairment 575,500   575,500   360,400
Services          
Goodwill [Roll Forward]          
Balance as of beginning of period     566,359 762,419 762,419
Goodwill acquired         3,416
Measurement period adjustments         351
Goodwill disposal (2,200)        
Impairment     (215,100)   (199,800)
Foreign currency translation (69)       (27)
Balance as of end of period 348,990   348,990   566,359
True Health          
Goodwill [Roll Forward]          
Balance as of beginning of period     5,705 $ 5,705 5,705
Goodwill acquired         0
Measurement period adjustments         0
Goodwill disposal 0        
Impairment     0   0
Foreign currency translation 0       0
Balance as of end of period $ 5,705   $ 5,705   $ 5,705
v3.20.2
Goodwill and Intangible Assets, Net - Intangible Assets, Net (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]          
Gross Carrying Amount $ 403,034   $ 403,034   $ 412,514
Accumulated Amortization 120,121   120,121   104,055
Total future amortization of intangible assets 282,913   282,913   $ 308,459
Amortization of intangible assets 8,700 $ 9,600 $ 18,000 $ 18,700  
Corporate trade name          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     13 years 8 months 12 days   14 years 2 months 12 days
Gross Carrying Amount 23,300   $ 23,300   $ 23,300
Accumulated Amortization 5,581   5,581   4,891
Total future amortization of intangible assets 17,719   $ 17,719   $ 18,409
Customer relationships          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     16 years 7 months 6 days   16 years 9 months 18 days
Gross Carrying Amount 281,219   $ 281,219   $ 291,519
Accumulated Amortization 50,988   50,988   44,750
Total future amortization of intangible assets 230,231   $ 230,231   $ 246,769
Technology          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     2 years 3 months 18 days   2 years
Gross Carrying Amount 82,922   $ 82,922   $ 82,922
Accumulated Amortization 58,204   58,204   49,760
Total future amortization of intangible assets 24,718   $ 24,718   $ 33,162
Below market lease, net          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     2 years 9 months 18 days   2 years 2 months 12 days
Gross Carrying Amount 1,118   $ 1,118   $ 2,048
Accumulated Amortization 548   548   1,334
Total future amortization of intangible assets 570   $ 570   $ 714
Provider network contracts          
Finite-Lived Intangible Assets [Line Items]          
Weighted- Average Remaining Useful Life     3 years 3 months 18 days   3 years 8 months 12 days
Gross Carrying Amount 14,475   $ 14,475   $ 12,725
Accumulated Amortization 4,800   4,800   3,320
Total future amortization of intangible assets $ 9,675   $ 9,675   $ 9,405
v3.20.2
Goodwill and Intangible Assets, Net - Amortization of Intangible Assets (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]    
2020 $ 14,842  
2021 28,701  
2022 24,819  
2023 22,055  
2024 16,171  
2024 176,325  
Total future amortization of intangible assets $ 282,913 $ 308,459
v3.20.2
Long-term Debt - Credit Agreement (Details) - USD ($)
3 Months Ended 6 Months Ended
Dec. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Dec. 31, 2016
Initial Term Loan Facility | Secured Debt              
Debt Instrument [Line Items]              
Face amount $ 75,000,000.0            
Credit Agreement | Line of Credit | DDTL Facility              
Debt Instrument [Line Items]              
Maximum borrowing capacity $ 50,000,000.0            
Commitment fee percentage 1.00%            
Convertible Senior Notes due 2021 | Senior Notes              
Debt Instrument [Line Items]              
Face amount   $ 125,000,000   $ 125,000,000   $ 125,000,000 $ 125,000,000.0
Interest rate 2.00%           2.00%
Interest expense   600,000 $ 1,200,000 600,000 $ 1,200,000    
Debt issuance costs             $ 4,600,000
Senior Credit Facilities | Secured Debt              
Debt Instrument [Line Items]              
Interest expense   2,000,000.0   4,000,000.0      
Debt issuance costs $ 4,700,000            
Non-cash amortization of debt discount and debt issuance costs   $ 500,000   $ 1,100,000      
Senior Credit Facilities | Secured Debt | After the Second Anniversary of the Closing of the Senior Credit Facilities but Prior to the Third Anniversary              
Debt Instrument [Line Items]              
Redemption, call protection premium, percentage 4.00%            
Senior Credit Facilities | Secured Debt | After the Third Anniversary of the Closing of the Senior Credit Facilities but Prior to the Fourth Anniversary              
Debt Instrument [Line Items]              
Redemption, call protection premium, percentage 3.00%            
Senior Credit Facilities | Secured Debt | After the Fourth Anniversary of the Closing of the Senior Credit Facilities but Prior to the Fifth Anniversary              
Debt Instrument [Line Items]              
Redemption, call protection premium, percentage 2.00%            
Senior Credit Facilities | Secured Debt | Maximum              
Debt Instrument [Line Items]              
Term 91 days            
Senior Credit Facilities | Secured Debt | Eurodollar              
Debt Instrument [Line Items]              
Basis spread on variable rate 8.00%            
Senior Credit Facilities | Secured Debt | Base Rate              
Debt Instrument [Line Items]              
Basis spread on variable rate 7.00%            
v3.20.2
Long-term Debt - Warrant Agreement (Details) - Class A Common Stock
Dec. 30, 2019
$ / shares
shares
Class of Warrant or Right [Line Items]  
Warrants agreed to be sold (in shares) | shares 1,513,786
Exercise price of warrants or rights (in dollars per share) | $ / shares $ 8.05
Period during which warrants or rights exercisable, after maturity of credit agreement 30 days
v3.20.2
Long-term Debt - 2025 Notes (Details)
$ / shares in Units, shares in Millions
1 Months Ended 3 Months Ended 6 Months Ended
Oct. 31, 2018
USD ($)
shares
$ / shares
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Oct. 24, 2018
USD ($)
Oct. 22, 2018
USD ($)
Debt Instrument [Line Items]                
Carrying amount   $ 299,746,000   $ 299,746,000   $ 293,667,000    
Senior Convertible Notes Due 2025                
Debt Instrument [Line Items]                
Debt issuance costs $ 5,900,000              
Senior Notes | Senior Convertible Notes Due 2025                
Debt Instrument [Line Items]                
Face amount $ 172,500,000 172,500,000   172,500,000   $ 172,500,000 $ 22,500,000 $ 150,000,000.0
Interest rate 1.50%              
Proceeds from issuance of debt $ 166,600,000              
Debt issuance costs $ 3,400,000              
Interest expense   700,000 $ 1,300,000 700,000 $ 1,300,000      
Conversion price (in dollars per share) | $ / shares $ 33.43              
Initial conversion amount (in shares) | shares 5.2              
Carrying amount $ 100,700,000              
Non-cash amortization of debt discount and debt issuance costs   $ 2,100,000 $ 2,100,000 $ 4,300,000 $ 4,100,000      
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              
Repurchase covenant, 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 | Senior Convertible Notes Due 2025 | Common Stock                
Debt Instrument [Line Items]                
Proceeds from issuance of debt $ 71,800,000              
Debt issuance costs $ 2,500,000              
Senior Notes | Senior Convertible Notes Due 2025 | Class A Common Stock | Common Stock                
Debt Instrument [Line Items]                
Initial conversion rate per $ 1000 principal amount 0.0299135              
v3.20.2
Long-term Debt - 2021 Notes (Details)
$ / shares in Units, shares in Millions
1 Months Ended 3 Months Ended 6 Months Ended
Dec. 31, 2016
USD ($)
shares
$ / shares
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Dec. 30, 2019
Debt Instrument [Line Items]              
Amortization of deferred financing costs       $ 6,079,000 $ 4,600,000    
Senior Notes | Convertible Senior Notes due 2021              
Debt Instrument [Line Items]              
Face amount $ 125,000,000.0 $ 125,000,000   125,000,000   $ 125,000,000  
Interest rate 2.00%           2.00%
Proceeds from issuance of debt $ 120,400,000            
Debt issuance costs $ 4,600,000            
Repurchase covenant, repurchase price due to fundamental change as percentage of principal amount 100.00%            
Interest expense   600,000 $ 1,200,000 600,000 1,200,000    
Amortization of deferred financing costs   $ 300,000 $ 500,000 $ 300,000 $ 500,000    
Senior Notes | Convertible Senior Notes due 2021 | Class A Common Stock | Common Stock              
Debt Instrument [Line Items]              
Initial conversion rate per $ 1000 principal amount 0.0416082            
Conversion price (in dollars per share) | $ / shares $ 24.03            
Initial conversion amount (in shares) | shares 5.2            
v3.20.2
Long-term Debt - Convertible Senior Notes Carrying Value (Details) - Senior Notes - USD ($)
6 Months Ended 12 Months Ended
Jun. 30, 2020
Dec. 31, 2019
Oct. 31, 2018
Oct. 24, 2018
Oct. 22, 2018
Dec. 31, 2016
Senior Convertible Notes Due 2025            
Debt Instrument [Line Items]            
Carrying value $ 111,665,000 $ 107,169,000        
Unamortized debt discount and issuance costs allocated to debt 60,835,000 65,331,000        
Principal amount $ 172,500,000 $ 172,500,000 $ 172,500,000 $ 22,500,000 $ 150,000,000.0  
Remaining amortization period (years) 5 years 3 months 18 days 5 years 9 months 18 days        
Senior Convertible Notes Due 2025 | Level 2            
Debt Instrument [Line Items]            
Fair value $ 113,600,000 $ 122,000,000.0        
Convertible Senior Notes due 2021            
Debt Instrument [Line Items]            
Carrying value 123,697,000 123,237,000        
Unamortized debt discount and issuance costs allocated to debt 1,303,000 1,763,000        
Principal amount $ 125,000,000 $ 125,000,000       $ 125,000,000.0
Remaining amortization period (years) 1 year 4 months 24 days 1 year 10 months 24 days        
Convertible Senior Notes due 2021 | Level 2            
Debt Instrument [Line Items]            
Fair value $ 109,700,000 $ 111,300,000        
v3.20.2
Commitments and Contingencies - Additional Information (Details) - USD ($)
3 Months Ended 6 Months Ended
Dec. 30, 2019
Dec. 31, 2018
Dec. 31, 2017
Jun. 30, 2020
Jan. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Restricted Cash and Cash Equivalents Items [Line Items]                
Operating capital support commitment, maximum amount       $ 3,600,000   $ 4,000,000.0    
Restricted funds       $ 55,653,000   28,340,000   $ 45,158,000
Percent of tax savings to be paid       85.00%        
New Mexico Health Connections                
Restricted Cash and Cash Equivalents Items [Line Items]                
Reinsurance arrangement, capital amount     $ 10,000,000.0          
Reinsurance arrangement, term   15 months            
Reinsurance arrangement, percentage of gross premiums ceded   90.00%            
Reinsurance arrangement, percentage of claims liability indemnified   90.00%            
Reinsurance arrangement, maximum amount of insurance risk as a percentage of premiums ceded   105.00%            
Surety Bond                
Restricted Cash and Cash Equivalents Items [Line Items]                
Loss contingency, estimate of possible loss               $ 25,000,000.0
Collateral with financial institutions                
Restricted Cash and Cash Equivalents Items [Line Items]                
Restricted funds       $ 5,745,000   5,742,000    
Restricted cash and investments       $ 5,700,000   5,700,000    
Minimum risk-based capital requirement       150.00%        
Variable Interest Entity | Passport                
Restricted Cash and Cash Equivalents Items [Line Items]                
Interest in investment 30.00%     30.00%        
New Medicaid contract not awarded, requirement to acquire ownership, consideration, amount       $ 20,000,000.0        
New Medicaid contract not awarded, requirement to acquire ownership, term following expiration of current Medicaid contract       12 months        
Minimum risk-based capital requirement         150.00%      
Letter of Credit | Line of Credit                
Restricted Cash and Cash Equivalents Items [Line Items]                
Maximum borrowing capacity             $ 1,800,000  
Letter of Credit | Line of Credit | Restricted Cash For Letters Of Credit                
Restricted Cash and Cash Equivalents Items [Line Items]                
Restricted funds       $ 1,800,000   1,800,000    
Letter of Credit | Line of Credit | Collateral with financial institutions                
Restricted Cash and Cash Equivalents Items [Line Items]                
Restricted funds       $ 1,800,000   $ 1,800,000    
v3.20.2
Commitments and Contingencies - Reinsurance Agreements (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Insurance Loss Reserves [Roll Forward]    
Reinsurance premiums assumed $ 0 $ 48,828
Claims assumed 0 41,424
Claims-related administrative expenses 0 8,219
Decrease in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement 0 815
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period 0 1,243
Reinsurance payments 0 1,235
Receivables for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period $ 0 $ 823
v3.20.2
Commitments and Contingencies - Concentration Risk (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Dec. 31, 2018
Concentration Risk [Line Items]            
Percentage of cash and cash equivalents held with FDIC participating bank 95.80%   95.80%      
Cash and cash equivalents (including restricted cash) $ 153,210 $ 137,167 $ 153,210 $ 137,167 $ 128,531 $ 388,325
Percentage of cash and cash equivalents held in money market funds 3.80%   3.80%      
Percentage of cash held in international banks (less than) 0.40%   0.40%      
Cook County Health and Hospitals System | Customer Concentration Risk | Accounts Receivable | Customer Receivable            
Concentration Risk [Line Items]            
Concentration risk     56.70%   48.40%  
Cook County Health and Hospitals System | Customer Concentration Risk | Revenues            
Concentration Risk [Line Items]            
Concentration risk 19.90%   19.30%      
Passport | Customer Concentration Risk | Revenues            
Concentration Risk [Line Items]            
Concentration risk 25.20% 13.20% 23.60% 13.10%    
New Mexico Health Connections | Customer Concentration Risk | Revenues            
Concentration Risk [Line Items]            
Concentration risk   13.20%   13.60%    
v3.20.2
Leases - Narrative (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Jun. 30, 2019
Lessee, Lease, Description [Line Items]      
Restricted funds $ 55,653 $ 28,340 $ 45,158
Lease Agreements      
Lessee, Lease, Description [Line Items]      
Letters of credit outstanding, amount 3,600    
Restricted funds $ 3,600 $ 3,600  
v3.20.2
Leases - Material Office Leases (Details)
$ in Thousands
Jun. 30, 2020
USD ($)
Lessee, Lease, Description [Line Items]  
Future Minimum Lease Commitments $ 101,868
Arlington, VA  
Lessee, Lease, Description [Line Items]  
Lease Termination Term (in years) 11 years 7 months 6 days
Future Minimum Lease Commitments $ 40,203
Letter of Credit Amount Required $ 1,579
Riverside, IL  
Lessee, Lease, Description [Line Items]  
Lease Termination Term (in years) 10 years 9 months 18 days
Future Minimum Lease Commitments $ 46,053
Letter of Credit Amount Required $ 232
Louisville, KY  
Lessee, Lease, Description [Line Items]  
Lease Termination Term (in years) 6 months
Future Minimum Lease Commitments $ 0
Letter of Credit Amount Required 0
Prepaid rent $ 4,100
Pune, India  
Lessee, Lease, Description [Line Items]  
Lease Termination Term (in years) 3 years 3 months 18 days
Future Minimum Lease Commitments $ 2,667
Letter of Credit Amount Required $ 0
Brea, CA  
Lessee, Lease, Description [Line Items]  
Lease Termination Term (in years) 1 year 10 months 24 days
Future Minimum Lease Commitments $ 2,093
Letter of Credit Amount Required $ 0
v3.20.2
Leases - Components of Lease Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Leases [Abstract]        
Operating lease cost $ 3,586 $ 3,838 $ 6,642 $ 7,119
Amortization of right-of-use assets 150 0 299 0
Interest expense 1 0 3 0
Variable lease cost 1,465 1,121 2,517 2,576
Total lease cost $ 5,202 $ 4,959 $ 9,461 $ 9,695
v3.20.2
Leases - Maturity of Lease Liabilities (Details)
$ in Thousands
Jun. 30, 2020
USD ($)
Leases [Abstract]  
2020 $ 6,039
2021 11,726
2022 9,801
2023 9,376
2024 8,833
Thereafter 56,093
Total lease payments 101,868
Less:  
Interest 27,419
Present value of lease liabilities 74,449
Lessee, operating lease, lease not yet commenced, undiscounted amount $ 200
v3.20.2
Leases - Weighted-average Discount Rate and Weighted-remaining Lease Terms (Details)
Jun. 30, 2020
Leases [Abstract]  
Weighted average discount rate 6.43%
Weighted average remaining lease term 9 years 7 months 6 days
v3.20.2
Earnings (Loss) Per Common Share - Computation of Earnings per Share (Details)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
USD ($)
$ / shares
shares
Jun. 30, 2019
USD ($)
$ / shares
shares
Jun. 30, 2020
USD ($)
$ / shares
shares
Jun. 30, 2019
USD ($)
$ / shares
shares
Class of Stock [Line Items]        
Net loss $ (203,521) $ (31,900) $ (282,273) $ (80,549)
Less:        
Net loss attributable to non-controlling interests 0 (285) 0 (2,195)
Net loss attributable to common shareholders of Evolent Health, Inc. $ (203,521) $ (31,615) $ (282,273) $ (78,354)
Weighted-average common shares outstanding - basic and diluted (in shares) | shares 85,349 82,289 84,977 80,820
Loss per common share        
Basic and diluted (in dollars per share) | $ / shares $ (2.38) $ (0.38) $ (3.32) $ (0.97)
Class B Common Stock        
Loss per common share        
Convertible preferred stock, conversion ratio     1  
v3.20.2
Earnings (Loss) Per Common Share - Antidilutive Securities (Details) - shares
shares in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Number of antidilutive securities excluded from the calculation of earning per share (in shares) 11,626 13,921 11,578 15,233
Exchangeable Class B common stock        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Number of antidilutive securities excluded from the calculation of earning per share (in shares) 0 1,080 0 2,129
Restricted stock units ("RSUs"), performance-based RSUs and leveraged stock units ("LSUs")        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Number of antidilutive securities excluded from the calculation of earning per share (in shares) 554 985 376 1,014
Stock options        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Number of antidilutive securities excluded from the calculation of earning per share (in shares) 711 1,495 841 1,729
Convertible senior notes        
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]        
Number of antidilutive securities excluded from the calculation of earning per share (in shares) 10,361 10,361 10,361 10,361
v3.20.2
Stock-based Compensation - Stock-based Compensation Expense (Details) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense $ 3,703,000 $ 4,750,000 $ 7,211,000 $ 9,287,000
Stock-based compensation capitalized as software development costs 0 0 0 0
Cost of revenue        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense 526,000 891,000 918,000 1,682,000
Selling, general and administrative expenses        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense 3,177,000 3,859,000 6,293,000 7,605,000
Stock options        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense 638,000 903,000 1,388,000 2,263,000
Performance-based stock options        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense 0 112,000 75,000 222,000
RSUs        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense 2,006,000 2,630,000 3,862,000 5,060,000
Performance-based RSUs        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense 0 388,000 0 772,000
LSUs        
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]        
Share-based compensation expense $ 1,059,000 $ 717,000 $ 1,886,000 $ 970,000
v3.20.2
Stock-based Compensation - Schedule of Share-based Awards Granted (Details) - shares
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Stock options        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Granted (in shares) 0 18,000 0 399,000
RSUs        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Granted (in shares) 164,000 17,000 1,140,000 518,000
LSUs        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Granted (in shares) 140,000 0 520,000 720,000
v3.20.2
Income Taxes - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Income Tax Disclosure [Abstract]          
Provision (benefit) for income taxes $ (3,904) $ 1,398 $ (3,634) $ 902  
Effective rate 1.90% (4.60%) 1.30% (1.10%)  
Income tax benefit due to reversal of deferred tax assets valuation allowance $ 2,300   $ 2,300    
Income tax benefit due to difference between federal tax rate in measurement period as compared to the year in which the NOL was carried back 1,400   1,400    
Income tax expense, prior year income taxes 600   600    
Income tax benefit due to goodwill impairment $ 800   $ 800    
Unrecognized tax benefits         $ 800
Tax receivable agreement, percent of cash savings paid to shareholders     85.00%    
v3.20.2
Investments In and Advances to Equity Method Investees - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Dec. 30, 2019
May 24, 2019
Jun. 30, 2020
Mar. 31, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Schedule of Equity Method Investments [Line Items]                
Gain (loss) from equity method investees     $ 25,143   $ (1,904) $ 24,731 $ (2,328)  
Gain on disposal of assets     0   9,600 (6,447) 9,600  
Impairment of equity method investments     0   0 $ 47,133 0  
Passport | Variable Interest Entity                
Schedule of Equity Method Investments [Line Items]                
Equity method investment, ownership percentage 70.00%              
Payments to acquire interest $ 70,000              
Interest in investment 30.00%         30.00%    
Equity method investment, ownership percentage 57.00%              
New Medicaid contract not awarded, requirement to acquire ownership, consideration, amount     20,000     $ 20,000    
New Medicaid contract not awarded, requirement to acquire ownership, term following expiration of current Medicaid contract           12 months    
Global Health | Variable Interest Entity                
Schedule of Equity Method Investments [Line Items]                
Equity method investment, ownership percentage   45.00%            
Payments to acquire interest   $ 15,000            
Equity method investment, ownership percentage   29.00%            
Business acquisition, equity interest issued or issuable, number of shares (in shares)   1,577,841            
Gain on disposal of assets   $ 9,600            
Contingent consideration, liability   $ 5,900            
Statutory capital reserves, liquidity guaranteed by investors       300.00%        
Equity interest to be transferred       100.00%        
Impairment of equity method investments       $ 47,100        
Equity Method Investee | Services Agreements                
Schedule of Equity Method Investments [Line Items]                
Income from long-term services agreement     $ 71,400   $ 11,000 $ 131,300 $ 18,100  
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     70.00%     70.00%   70.00%
Voting interest percentage     57.00%     57.00%   57.00%
v3.20.2
Investments In and Advances to Equity Method Investees - Schedule of Assets and Liabilities and Maximum Loss Exposure of Unconsolidated VIEs (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Jan. 31, 2020
Dec. 31, 2019
ASSETS      
Current assets $ 274,658   $ 228,801
Total assets 1,270,134   1,498,015
Liabilities      
Current liabilities 245,122   192,769
Total liabilities 623,270   568,968
Passport | Variable Interest Entity      
ASSETS      
Current assets 310,977   271,894
Non current assets 701   577
Total assets 311,678   272,471
Liabilities      
Current liabilities 177,757   181,206
Non current liabilities 32   40
Total liabilities 177,789   181,246
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure [Abstract]      
Investment carrying value 92,797   70,000
Loan and interest receivable 42,687   41,387
Guarantee 25,000   25,000
Maximum exposure 160,484   136,387
Minimum risk-based capital requirement   150.00%  
Global Health | Variable Interest Entity      
ASSETS      
Current assets 0   50,729
Non current assets 0   39,259
Total assets 0   89,988
Liabilities      
Current liabilities 0   55,442
Non current liabilities 0   44,650
Total liabilities 0   100,092
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure [Abstract]      
Investment carrying value 0   46,456
Loan and interest receivable 0   0
Guarantee 0   0
Maximum exposure $ 0   $ 46,456
v3.20.2
Investments In and Advances to Equity Method Investees - Summarized Financial Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Balance Sheet Related Disclosures [Abstract]          
Current assets $ 274,658   $ 274,658   $ 228,801
Current liabilities 245,122   245,122   192,769
Non-controlling interests 0   0   6,689
Income Statement Related Disclosures [Abstract]          
Operating loss 227,469 $ 25,233 252,969 $ 71,879  
Net loss 203,521 31,900 282,273 80,549  
Net loss attributable to entity 203,521 31,615 282,273 78,354  
Equity Method Investment, Nonconsolidated Investee or Group of Investees          
Balance Sheet Related Disclosures [Abstract]          
Current assets 351,805   351,805   356,085
Non current assets 4,612   4,612   43,744
Current liabilities 202,259   202,259   267,300
Non current liabilities 16,894   16,894   57,599
Non-controlling interests 97,315   97,315   $ 70,535
Income Statement Related Disclosures [Abstract]          
Revenue 575,793 30,003 1,194,276 189,975  
Operating loss 40,065 254 34,080 (5,874)  
Net loss 39,263 340 27,643 (12,185)  
Net loss attributable to entity $ 25,327 $ 75 $ 17,712 $ (347)  
v3.20.2
Non-controlling Interests (Details) - USD ($)
$ in Thousands, shares in Millions
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
May 31, 2019
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Apr. 30, 2019
May 31, 2015
Stockholders' Equity Attributable to Noncontrolling Interest [Roll Forward]                
Non-controlling interests balance as of beginning of period       $ 6,689        
Net loss attributable to non-controlling interests   $ 0 $ 285 0 $ 2,195      
Reclassification of non-controlling interests         0      
Non-controlling interests balance as of end of period   0   0   $ 6,689    
Non-controlling Interests                
Stockholders' Equity Attributable to Noncontrolling Interest [Roll Forward]                
Non-controlling interests balance as of beginning of period   0 50,100 6,689 45,532 45,532    
Decrease in non-controlling interests as a result of Class B Exchanges   0 (33,946) 0 (33,946)      
Amount attributable to NCI from business combination   0 0 0 6,500      
Net loss attributable to non-controlling interests   0 (285) 0 (2,195)      
Reclassification of non-controlling interests   0 209 (6,689) 187      
Non-controlling interests balance as of end of period   $ 0 $ 16,078 $ 0 $ 16,078 $ 6,689    
Class A Common Stock | Common Stock                
Noncontrolling Interest [Line Items]                
Issuance of common stock (in shares) 1.6         3.1    
Class B Common Stock                
Noncontrolling Interest [Line Items]                
Income tax expense, obligations related to exchanges           $ 1,300    
Evolent Health LLC                
Noncontrolling Interest [Line Items]                
Parent's ownership percentage 99.20%         100.00% 99.10% 70.30%
v3.20.2
Fair Value Measurement - Assets and Liabilities on Recurring Basis (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Liabilities    
Warrants and rights outstanding (in shares) 1,513,786 1,513,786
Fair Value, Recurring    
Assets    
Cash and cash equivalents $ 4,842 $ 3,698
Restricted cash and restricted investments 1,005 1,004
Total fair value of assets measured on a recurring basis 5,847 4,702
Liabilities    
Contingent consideration 3,600 9,883
Warrants 4,900 7,092
Total fair value of liabilities measured on a recurring basis 8,500 16,975
Level 1 | Fair Value, Recurring    
Assets    
Cash and cash equivalents 4,842 3,698
Restricted cash and restricted investments 1,005 1,004
Total fair value of assets measured on a recurring basis 5,847 4,702
Liabilities    
Contingent consideration 0 0
Warrants 0 0
Total fair value of liabilities measured on a recurring basis 0 0
Level 2 | Fair Value, Recurring    
Assets    
Cash and cash equivalents 0 0
Restricted cash and restricted investments 0 0
Total fair value of assets measured on a recurring basis 0 0
Liabilities    
Contingent consideration 0 0
Warrants 0 0
Total fair value of liabilities measured on a recurring basis 0 0
Level 3 | Fair Value, Recurring    
Assets    
Cash and cash equivalents 0 0
Restricted cash and restricted investments 0 0
Total fair value of assets measured on a recurring basis 0 0
Liabilities    
Contingent consideration 3,600 9,883
Warrants 4,900 7,092
Total fair value of liabilities measured on a recurring basis $ 8,500 $ 16,975
v3.20.2
Fair Value Measurement - Additional Information (Details)
12 Months Ended
Dec. 31, 2016
Passport  
Business Acquisition [Line Items]  
Risk-adjusted recurring revenue compound annual growth rate, number of years 5 years
v3.20.2
Fair Value Measurement - Changes in Contingent Consideration and Other (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]    
Balance as of beginning of period $ 16,975 $ 8,800
Additions 0 5,900
Settlements (3,500) (800)
Realized and unrealized gains (losses), net (4,975) 200
Balance as of end of period $ 8,500 $ 14,100
v3.20.2
Fair Value Measurement - Valuation Techniques and Significant Unobservable Inputs (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2019
USD ($)
Dec. 31, 2016
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Dec. 31, 2018
USD ($)
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Fair value $ 16,975   $ 8,500 $ 14,100 $ 8,800
Passport          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Risk-adjusted recurring revenue compound annual growth rate, number of years   5 years      
Fair Value, Recurring          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Warrants 7,092   4,900    
Fair Value, Recurring | Level 3          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Warrants 7,092   4,900    
Fair Value, Recurring | Level 3 | Contingent Consideration Liability | Management estimate | Stock price period          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Fair value     3,600    
Fair Value, Recurring | Level 3 | Warrant | Black-Scholes          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Warrants $ 7,092   $ 4,900    
Fair Value, Recurring | Level 3 | Warrant | Black-Scholes | Stock price period          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Measurement input 0.550   0.618    
Fair Value, Recurring | Level 3 | Warrant | Black-Scholes | Annual risk free rate          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Measurement input 0.017   0.003    
Fair Value, Recurring | Passport | Level 3 | Contingent Consideration Liability | Real options approach          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Fair value $ 3,700        
Fair Value, Recurring | Passport | Level 3 | Contingent Consideration Liability | Real options approach | Risk-adjusted recurring revenue CAGR          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Measurement input 0.939        
Fair Value, Recurring | Passport | Level 3 | Contingent Consideration Liability | Real options approach | Discount rate/time value | Minimum          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Measurement input 0.048        
Fair Value, Recurring | Passport | Level 3 | Contingent Consideration Liability | Real options approach | Discount rate/time value | Maximum          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Measurement input 0.053        
Fair Value, Recurring | Passport | Level 3 | Contingent Consideration Liability | Real Options Approach Valuation Technique 2017-2021 | Risk-adjusted recurring revenue CAGR          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Risk-adjusted recurring revenue compound annual growth rate, number of years 5 years        
Theoretical recurring revenue $ 1,000        
Fair Value, Recurring | Global Health | Level 3 | Contingent Consideration Liability | Monte Carlo simulation | Stock price period          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Fair value $ 5,200        
Measurement input 0.800        
Fair Value, Recurring | Other Transactions | Level 3 | Contingent Consideration Liability | Management estimate | Adjusted EBITDA          
Fair Value Measurement Inputs and Valuation Techniques [Line Items]          
Fair value $ 983        
Measurement input 19,235,000        
v3.20.2
Related Parties - Additional Information (Details) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Equity Method Investee | Services Agreements        
Related Party Transaction [Line Items]        
Income from long-term services agreement $ 71.4 $ 11.0 $ 131.3 $ 18.1
v3.20.2
Related Parties - Assets and Liabilities (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
ASSETS    
Accounts receivable [1] $ 95,839 $ 75,667
Prepaid expenses - current [1] 30,473 28,488
Customer advance for regulatory capital requirements, net [1] 39,955 40,000
Prepaid expenses and other noncurrent assets [1] 6,437 6,253
Liabilities    
Accounts payable [1] 73,691 37,488
Accrued liabilities [1] 35,305 33,343
Affiliated Entity    
ASSETS    
Accounts receivable 7,597 8,781
Prepaid expenses - current 801 1,592
Customer advance for regulatory capital requirements, net 39,955 40,000
Prepaid expenses and other noncurrent assets 4,813 2,709
Liabilities    
Accounts payable 7,132 6,429
Accrued liabilities 4,267 2,583
Reserve for claims and performance-based arrangements $ 0 $ 4,264
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
Related Parties - Revenues and Expenses (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Revenue        
Total revenue $ 238,632 $ 191,959 $ 485,917 $ 389,715
Expenses        
Cost of revenue (exclusive of depreciation and amortization expenses) [1] 165,812 108,383 341,465 225,824
Selling, general and administrative expenses [1] 50,511 66,932 105,209 141,770
Affiliated Entity        
Expenses        
Cost of revenue (exclusive of depreciation and amortization expenses) (2,171) 6,657 1,076 14,487
Selling, general and administrative expenses 27 386 97 542
Transformation services        
Revenue        
Total revenue [1] 755 1,944 5,993 5,297
Transformation services | Affiliated Entity        
Revenue        
Total revenue 0 41 1,700 1,200
Platform and operations services        
Revenue        
Total revenue [1] 212,375 144,522 422,275 291,814
Platform and operations services | Affiliated Entity        
Revenue        
Total revenue $ 73,885 $ 16,874 $ 141,833 $ 29,818
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
Segment Reporting - Additional Information (Details)
6 Months Ended
Jun. 30, 2020
segment
Segment Reporting [Abstract]  
Number of operating segments 2
v3.20.2
Segment Reporting - Revenue from Segments to Consolidated (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues $ 238,632 $ 191,959 $ 485,917 $ 389,715
Adjusted EBITDA 9,039 (7,674) 12,666 (22,452)
Operating segments | Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 217,299 149,543 438,732 303,246
Adjusted EBITDA 10,519 (8,797) 14,395 (24,296)
Operating segments | True Health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 25,541 45,764 57,928 93,140
Adjusted EBITDA (1,480) 1,123 (1,729) 1,844
Intersegment eliminations        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues (4,208) (3,348) (10,743) (6,671)
Adjusted EBITDA 9,039 (7,674) 12,666 (22,452)
Transformation services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues [1] 755 1,944 5,993 5,297
Transformation services | Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 755 1,944 5,993 5,297
Transformation services | Operating segments | Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 755 1,944 5,993 5,297
Transformation services | Operating segments | True Health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 0 0 0 0
Transformation services | Intersegment eliminations        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 0 0 0 0
Platform and operations services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues [1] 212,375 144,522 422,275 291,814
Platform and operations services | Operating segments | Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 216,544 147,599 432,739 297,949
Platform and operations services | Operating segments | True Health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 0 0 0 0
Platform and operations services | Intersegment eliminations        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues (4,169) (3,077) (10,464) (6,135)
Services revenue        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 213,130 146,466 428,268 297,111
Services revenue | Operating segments | Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 217,299 149,543 438,732 303,246
Services revenue | Operating segments | True Health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 0 0 0 0
Services revenue | Intersegment eliminations        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues (4,169) (3,077) (10,464) (6,135)
Premiums        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 25,502 45,493 57,649 92,604
Premiums | Operating segments | Services        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 0 0 0 0
Premiums | Operating segments | True Health        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues 25,541 45,764 57,928 93,140
Premiums | Intersegment eliminations        
Segment Reporting, Revenue Reconciling Item [Line Items]        
Revenues $ (39) $ (271) $ (279) $ (536)
[1] See Note 18 for amounts attributable to related parties included in these line items.
v3.20.2
Segment Reporting - Reconciliation of Adjusted EBITDA (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Segment Reporting [Abstract]          
Net loss attributable to common shareholders of Evolent Health, Inc. $ (203,521) $ (31,615) $ (282,273) $ (78,354)  
Interest income 842 842 1,761 1,902  
Interest expense (6,293) (3,620) (12,578) (7,182)  
(Provision) benefit for income taxes 3,904 (1,398) 3,634 (902)  
Depreciation and amortization expenses (15,778) (15,292) (31,916) (29,558)  
Equity method investments impairment 0 0 (47,133) 0  
Gain (loss) from equity method investees 25,143 (1,904) 24,731 (2,328)  
Gain (loss) on disposal of assets 0 9,600 (6,447) 9,600  
Goodwill impairment (215,100) 0 (215,100) 0 $ (199,800)
Change in fair value of contingent consideration and indemnification asset (756) (100) 3,062 (200)  
Other income (expense), net 352 (587) 281 (160)  
Net loss attributable to non-controlling interests 0 285 0 2,195  
Purchase accounting adjustments 0 (165) 0 (761)  
Stock-based compensation expense (3,703) (4,750) (7,211) (9,287)  
Severance costs (30) (3,881) (6,133) (14,483)  
Amortization of contract cost assets (767) (776) (1,207) (1,552)  
Acquisition costs (374) (2,195) (683) (3,186)  
Adjusted EBITDA $ 9,039 $ (7,674) $ 12,666 $ (22,452)  
v3.20.2
Reserves for Claims and Performance-Based Arrangements (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2020
USD ($)
claim
Jun. 30, 2019
USD ($)
claim
Liability for Unpaid Claims and Claims Adjustment Expense, Period Increase (Decrease) [Abstract]    
Beginning balance $ 61,150 $ 27,595
Incurred costs related to current year 245,696 161,620
Incurred costs related to prior year 830 727
Paid costs related to current year 200,989 100,254
Paid costs related to prior year 17,004 15,840
Change during the year 28,533 46,253
Other adjustments 4,726 (40,796)
Ending balance 94,409 33,052
Services    
Liability for Unpaid Claims and Claims Adjustment Expense, Period Increase (Decrease) [Abstract]    
Beginning balance 54,510 17,715
Incurred costs related to current year 204,112 88,261
Incurred costs related to prior year (521) 244
Paid costs related to current year 167,451 73,781
Paid costs related to prior year 10,029 7,837
Change during the year 26,111 6,887
Other adjustments 4,726 (187)
Ending balance 85,347 24,415
True Health    
Liability for Unpaid Claims and Claims Adjustment Expense, Period Increase (Decrease) [Abstract]    
Beginning balance 6,640 9,880
Incurred costs related to current year 41,584 73,359
Incurred costs related to prior year 1,351 483
Paid costs related to current year 33,538 26,473
Paid costs related to prior year 6,975 8,003
Change during the year 2,422 39,366
Other adjustments 0 (40,609)
Ending balance $ 9,062 $ 8,637
Number of claims processed, including denied claims | claim 170,295 206,137
v3.20.2
Investments - Investment Summary (Details) - Level 2 - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Schedule of Held-to-maturity Securities [Line Items]    
Amortized Costs $ 16,907 $ 18,558
Gross Unrealized Gains 884 426
Gross Unrealized Losses 0 (5)
Fair Value 17,791 18,979
U.S. Treasury bills    
Schedule of Held-to-maturity Securities [Line Items]    
Amortized Costs 8,909 10,784
Gross Unrealized Gains 492 270
Gross Unrealized Losses 0 0
Fair Value 9,401 11,054
Corporate bonds    
Schedule of Held-to-maturity Securities [Line Items]    
Amortized Costs 1,706 1,705
Gross Unrealized Gains 122 70
Gross Unrealized Losses 0 0
Fair Value 1,828 1,775
Collateralized mortgage obligations    
Schedule of Held-to-maturity Securities [Line Items]    
Amortized Costs 5,695 5,472
Gross Unrealized Gains 219 56
Gross Unrealized Losses 0 (5)
Fair Value 5,914 5,523
Yankees    
Schedule of Held-to-maturity Securities [Line Items]    
Amortized Costs 597 597
Gross Unrealized Gains 51 30
Gross Unrealized Losses 0 0
Fair Value $ 648 $ 627
v3.20.2
Investments - Contractual Maturity (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Amortized Cost    
Due in one year or less $ 836 $ 1,807
Due after one year through five years 16,071 16,121
Due after five years through ten years 0 630
Total investments 16,907 18,558
Fair Value    
Due in one year or less 845 1,810
Due after one year through five years 16,946 16,542
Due after five years through ten years 0 627
Total investments $ 17,791 $ 18,979
v3.20.2
Investments - Unrealized Losses (Details)
$ in Thousands
Jun. 30, 2020
USD ($)
security
Dec. 31, 2019
USD ($)
security
Investments [Abstract]    
Unrealized loss for less than twelve months, Number of Securities | security 1 4
Unrealized loss for less than twelve months, Fair Value $ 8 $ 2,075
Unrealized loss for less than twelve months, Unrealized Losses $ 0 $ 5
v3.20.2
Supplemental Cash Flow Information (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Supplemental Disclosure of Non-cash Investing and Financing Activities    
Increase to goodwill from measurement period adjustments/business combinations $ 2,200 $ 596
Class A common stock issued for payment of earn-outs 4,185 800
Accrued property and equipment purchases (26)  
Accrued property and equipment purchases   166
Consideration for asset acquisitions or business combinations 0 16,000
Effects of Leases    
Operating cash flows from operating leases 6,853 6,542
Leased assets obtained in exchange for operating lease liabilities (1,354)  
Leased assets obtained in exchange for operating lease liabilities   30,181
Effects of Class B Exchanges    
Decrease in non-controlling interests as a result of Class B Exchanges $ 0 $ 33,946
v3.20.2
Subsequent Events (Details) - USD ($)
1 Months Ended 6 Months Ended 12 Months Ended
Jan. 01, 2021
Sep. 01, 2020
Dec. 30, 2019
Aug. 07, 2020
Jun. 30, 2020
Dec. 31, 2021
Jul. 16, 2020
Molina | Forecast              
Subsequent Event [Line Items]              
Asset Purchase Agreement, escrow payments   $ 20,000,000.0          
Asset Purchase Agreement, membership payment (up to)           $ 40,000,000.0  
Asset Purchase Agreement, closing payment $ 7,500,000            
Passport | Variable Interest Entity              
Subsequent Event [Line Items]              
Equity method investment, ownership percentage     70.00%        
Interest in investment     30.00%   30.00%    
New Medicaid contract not awarded, requirement to acquire ownership, consideration, amount         $ 20,000,000.0    
Subsequent event | An Affiliate of Molina | Passport              
Subsequent Event [Line Items]              
Real Property Purchase Agreement, consideration       $ 8,000,000.0      
Subsequent event | Passport | Variable Interest Entity              
Subsequent Event [Line Items]              
Equity method investment, ownership percentage             70.00%