SEC Info  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Evolent Health, Inc. – ‘10-K’ for 12/31/19 – ‘R30’

On:  Monday, 3/2/20, at 6:11am ET   ·   For:  12/31/19   ·   Accession #:  1628908-20-32   ·   File #:  1-37415

Previous ‘10-K’:  ‘10-K’ on 2/28/19 for 12/31/18   ·   Next:  ‘10-K’ on 2/26/21 for 12/31/20   ·   Latest:  ‘10-K’ on 2/23/24 for 12/31/23   ·   2 References:   

Find Words in Filings emoji
 
  in    Show  and   Hints

  As Of               Filer                 Filing    For·On·As Docs:Size

 3/02/20  Evolent Health, Inc.              10-K       12/31/19  150:20M

Annual Report   —   Form 10-K   —   Sect. 13 / 15(d) – SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-K        Annual Report                                       HTML   2.78M 
 2: EX-4.8      Instrument Defining the Rights of Security Holders  HTML     64K 
 3: EX-21.1     Subsidiaries List                                   HTML     42K 
 4: EX-23.1     Consent of Experts or Counsel                       HTML     40K 
 5: EX-23.2     Consent of Experts or Counsel                       HTML     40K 
 6: EX-31.1     Certification -- §302 - SOA'02                      HTML     48K 
 7: EX-31.2     Certification -- §302 - SOA'02                      HTML     48K 
 8: EX-32.1     Certification -- §906 - SOA'02                      HTML     42K 
 9: EX-32.2     Certification -- §906 - SOA'02                      HTML     42K 
133: R1          Cover Page                                          HTML    105K  
79: R2          Consolidated Balance Sheets                         HTML    162K 
30: R3          Consolidated Balance Sheets (Parenthetical)         HTML     52K 
112: R4          Consolidated Statements of Operations and           HTML    138K  
                Comprehensive Income (Loss)                                      
134: R5          Consolidated Statements of Changes in               HTML    144K  
                Shareholders' Equity (Deficit)                                   
80: R6          Consolidated Statements of Cash Flows               HTML    166K 
31: R7          Organization                                        HTML     48K 
115: R8          Basis of Presentation, Summary of Significant       HTML    149K  
                Accounting Policies and Change in Accounting                     
                Principle                                                        
132: R9          Recently Issued Accounting Standards                HTML     51K  
136: R10         Transactions                                        HTML    155K  
84: R11         Revenue Recognition                                 HTML     94K 
38: R12         Property and Equipment, Net                         HTML     58K 
55: R13         Goodwill and Intangible Assets, Net                 HTML    127K 
137: R14         Long-term Debt                                      HTML     97K  
85: R15         Commitments and Contingencies                       HTML    108K 
39: R16         Leases                                              HTML     80K 
56: R17         Earnings (Loss) Per Common Share                    HTML     76K 
135: R18         Stock-based Compensation                            HTML    186K  
86: R19         Income Taxes                                        HTML    202K 
28: R20         Employee Benefit Plans                              HTML     43K 
82: R21         Investments In and Advances to Equity Method        HTML     97K 
                Investees                                                        
130: R22         Non-controlling Interests                           HTML     73K  
113: R23         Fair Value Measurement                              HTML    168K  
29: R24         Related Parties                                     HTML     76K 
83: R25         Segment Reporting                                   HTML    173K 
131: R26         Reserves for Claims and performance-Based           HTML     98K  
                Arrangements                                                     
114: R27         Investments                                         HTML    105K  
33: R28         Quarterly Results of Operations (Unaudited)         HTML     93K 
81: R29         Supplemental Cash Flow Information                  HTML     83K 
53: R30         Basis of Presentation, Summary of Significant       HTML    245K 
                Accounting Policies and Change in Accounting                     
                Principle (Policies)                                             
37: R31         Basis of Presentation, Summary of Significant       HTML    140K 
                Accounting Policies and Change in Accounting                     
                Principle (Tables)                                               
88: R32         Transactions (Tables)                               HTML     90K 
139: R33         Revenue Recognition (Tables)                        HTML     74K  
52: R34         Property and Equipment, Net (Tables)                HTML     58K 
36: R35         Goodwill and Intangible Assets, Net (Tables)        HTML    120K 
87: R36         Long-term Debt (Tables)                             HTML     58K 
138: R37         Commitments and Contingencies (Tables)              HTML     78K  
54: R38         Leases (Tables)                                     HTML     75K 
34: R39         Earnings (Loss) Per Common Share (Tables)           HTML     79K 
75: R40         Stock-based Compensation (Tables)                   HTML    167K 
27: R41         Income Taxes (Tables)                               HTML    192K 
100: R42         Investments In and Advances to Equity Method        HTML     90K  
                Investees Investments In and Advances to Equity                  
                Method Investees (Tables)                                        
120: R43         Non-controlling Interests (Tables)                  HTML     55K  
73: R44         Fair Value Measurement (Tables)                     HTML    219K 
25: R45         Related Parties (Tables)                            HTML     71K 
99: R46         Segment Reporting (Tables)                          HTML    170K 
118: R47         Reserves for Claims and performance-Based           HTML     91K  
                Arrangements (Tables)                                            
76: R48         Investments (Tables)                                HTML    106K 
22: R49         Quarterly Results of Operations (Unaudited)         HTML     93K 
                (Tables)                                                         
46: R50         Supplemental Cash Flow Information (Tables)         HTML     82K 
65: R51         Organization (Details)                              HTML     45K 
140: R52         Basis of Presentation, Summary of Significant       HTML     41K  
                Accounting Policies and Change in Accounting                     
                Principle - Operating Segments (Details)                         
91: R53         Basis of Presentation, Summary of Significant       HTML     89K 
                Accounting Policies and Change in Accounting                     
                Principle - Restricted Cash and Restricted                       
                Investments (Details)                                            
48: R54         Basis of Presentation, Summary of Significant       HTML     57K 
                Accounting Policies and Change in Accounting                     
                Principle - Notes Receivable (Details)                           
66: R55         Basis of Presentation, Summary of Significant       HTML     52K 
                Accounting Policies and Change in Accounting                     
                Principle - Estimated Useful Life of Property,                   
                Plant and Equipment (Details)                                    
141: R56         Basis of Presentation, Summary of Significant       HTML     44K  
                Accounting Policies and Change in Accounting                     
                Principle - Research and Development Costs                       
                (Details)                                                        
92: R57         Basis of Presentation, Summary of Significant       HTML     42K 
                Accounting Policies and Change in Accounting                     
                Principle - Goodwill (Details)                                   
50: R58         Basis of Presentation, Summary of Significant       HTML     53K 
                Accounting Policies and Change in Accounting                     
                Principle - Intangible Assets, Net (Details)                     
62: R59         Basis of Presentation, Summary of Significant       HTML     43K 
                Accounting Policies and Change in Accounting                     
                Principle - Impairment of Equity Method                          
                Investments (Details)                                            
126: R60         Basis of Presentation, Summary of Significant       HTML     45K  
                Accounting Policies and Change in Accounting                     
                Principle - Revenue Recognition (Details)                        
104: R61         Basis of Presentation, Summary of Significant       HTML     45K  
                Accounting Policies and Change in Accounting                     
                Principle - Stock-based Compensation (Details)                   
18: R62         Recently Issued Accounting Standards (Details)      HTML     47K 
67: R63         Transactions - Passport (Details)                   HTML     71K 
129: R64         Transactions - New Century Health (Details)         HTML    144K  
107: R65         Transactions - New Mexico Health Connections        HTML     83K  
                (Details)                                                        
21: R66         Transactions - Pro Forma Information (Unaudited)    HTML     55K 
                (Details)                                                        
70: R67         Transactions - Securities Offerings and Sales       HTML    143K 
                (Details)                                                        
122: R68         Transactions - Asset Acquisitions (Details)         HTML     53K  
109: R69         Revenue Recognition - Disaggregation of Revenue     HTML     59K  
                (Details)                                                        
98: R70         Revenue Recognition - Transaction Price Allocated   HTML     45K 
                to the Remaining Performance Obligations (Details)               
147: R71         Revenue Recognition - Contract Balances (Details)   HTML     80K  
60: R72         Revenue Recognition - Contract Costs (Details)      HTML     52K 
44: R73         Property and Equipment, Net (Details)               HTML     68K 
95: R74         Goodwill and Intangible Assets, Net - Impairment    HTML     59K 
                Testing (Details)                                                
144: R75         Goodwill and Intangible Assets, Net - Schedule of   HTML     63K  
                Goodwill (Details)                                               
57: R76         Goodwill and Intangible Assets, Net - Intangible    HTML     71K 
                Assets, Net (Details)                                            
41: R77         Goodwill and Intangible Assets, Net - Amortization  HTML     57K 
                of Intangible Assets (Details)                                   
94: R78         Long-term Debt - Credit Agreement (Details)         HTML     84K 
149: R79         Long-term Debt - Warrant Agreement (Details)        HTML     47K  
97: R80         Long-term Debt - 2025 Notes (Details)               HTML     92K 
146: R81         Long-term Debt - 2021 Notes (Details)               HTML     78K  
59: R82         Long-term Debt - Convertible Senior Notes Carrying  HTML     73K 
                Value (Details)                                                  
43: R83         Commitments and Contingencies - Additional          HTML     95K 
                Information (Details)                                            
96: R84         Commitments and Contingencies - Purchase            HTML     49K 
                Obligations (Details)                                            
145: R85         Commitments and Contingencies - Reinsurance         HTML     54K  
                Agreements (Details)                                             
58: R86         Commitments and Contingencies - Concentration Risk  HTML     65K 
                (Details)                                                        
42: R87         Leases - Narratives (Details)                       HTML     51K 
93: R88         Leases - Material Office Leases (Details)           HTML     63K 
148: R89         Leases - Components of Lease Expense (Details)      HTML     52K  
127: R90         Leases - Maturity of Lease Liabilities (Details)    HTML     62K  
105: R91         Leases - Weighted-average Discount Rate and         HTML     44K  
                Weighted-remaining Lease Terms (Details)                         
19: R92         Earnings (Loss) Per Common Share - Computation of   HTML     74K 
                Earnings per Share (Details)                                     
68: R93         Earnings (Loss) Per Common Share - Antidilutive     HTML     54K 
                Securities (Details)                                             
128: R94         Stock-based Compensation - 2011 and 2015 Equity     HTML     64K  
                Incentive Plans (Details)                                        
106: R95         Stock-based Compensation - Stock-based              HTML     63K  
                Compensation Expense (Details)                                   
20: R96         Stock-based Compensation - Unrecognized             HTML     59K 
                Compensation Expense (Details)                                   
69: R97         Stock-based Compensation - Stock Options (Details)  HTML     74K 
124: R98         Stock-based Compensation - Stock Option Activity    HTML     95K  
                (Details)                                                        
111: R99         Stock-based Compensation - Performance-based Stock  HTML    115K  
                Option Awards (Details)                                          
23: R100        Stock-based Compensation - Restricted Stock Units   HTML     85K 
                (Details)                                                        
77: R101        Stock-based Compensation - Leveraged Stock Units    HTML     75K 
                (Details)                                                        
116: R102        Stock-based Compensation - Leveraged Stock Units    HTML     62K  
                Activity (Details)                                               
101: R103        Stock-based Compensation - Performance-based RSUs   HTML     65K  
                (Details)                                                        
24: R104        Income Taxes - Narrative (Details)                  HTML     95K 
78: R105        Income Taxes - Schedule of Loss Before Provision    HTML     48K 
                for Income Taxes (Details)                                       
117: R106        Income Taxes - Income Tax Expense (Benefit)         HTML     75K  
                (Details)                                                        
102: R107        Income Taxes - Reconciliation of Statutory Rate to  HTML     86K  
                Effective Tax Rate (Details)                                     
26: R108        Income Taxes - Deferred Tax Assets and Liabilities  HTML    105K 
                (Details)                                                        
74: R109        Income Taxes - Changes in Valuation Allowance       HTML     51K 
                (Details)                                                        
63: R110        Income Taxes - Changes In Unrecognized Tax          HTML     56K 
                Benefits (Details)                                               
51: R111        Employee Benefit Plans (Details)                    HTML     42K 
90: R112        Investments In and Advances to Equity Method        HTML     87K 
                Investees (Details)                                              
143: R113        Investments In and Advances to Equity Method        HTML     75K  
                Investees - Schedule of Assets and Liabilities and               
                Maximum Loss Exposure of Unconsolidated VIEs                     
                (Details)                                                        
61: R114        Investments In and Advances to Affiliates -         HTML     77K 
                Summarized Financial Information (Details)                       
49: R115        Non-controlling Interests (Details)                 HTML    155K 
89: R116        Fair Value Measurement - Assets and Liabilities on  HTML     84K 
                Recurring Basis (Details)                                        
142: R117        Fair Value Measurement (Details)                    HTML     50K  
64: R118        Fair Value Measurement - Changes in Contingent      HTML     51K 
                Consideration and Other (Details)                                
45: R119        Fair Value Measurement - Valuation Techniques and   HTML    100K 
                Significant Unobservable Inputs (Details)                        
110: R120        Related Parties (Details)                           HTML     45K  
123: R121        Related Parties - Assets and Liabilities (Details)  HTML     68K  
72: R122        Related Parties - Revenues and Expenses (Details)   HTML     68K 
17: R123        Segment Reporting (Details)                         HTML    109K 
108: R124        Segment Reporting - Reconciliation of Adjusted      HTML     98K  
                EBITDA (Details)                                                 
121: R125        Reserves for Claims and performance-Based           HTML     70K  
                Arrangements - Claims Reserves (Details)                         
71: R126        Investments - Investment Summary (Details)          HTML     63K 
15: R127        Investments - Contractual Maturity (Details)        HTML     66K 
103: R128        Investments - Unrealized Losses (Details)           HTML     49K  
125: R129        Quarterly Results of Operations (Unaudited)         HTML     68K  
                (Details)                                                        
150: R130        Supplemental Cash Flow Information (Details)        HTML     94K  
47: R9999       Uncategorized Items - evh12311910-k.htm             HTML     42K 
40: XML         IDEA XML File -- Filing Summary                      XML    285K 
32: XML         XBRL Instance -- evh12311910-k_htm                   XML   5.24M 
119: EXCEL       IDEA Workbook of Financial Reports                  XLSX    198K  
11: EX-101.CAL  XBRL Calculations -- evh-20191231_cal                XML    432K 
12: EX-101.DEF  XBRL Definitions -- evh-20191231_def                 XML   1.64M 
13: EX-101.LAB  XBRL Labels -- evh-20191231_lab                      XML   3.24M 
14: EX-101.PRE  XBRL Presentations -- evh-20191231_pre               XML   2.23M 
10: EX-101.SCH  XBRL Schema -- evh-20191231                          XSD    330K 
16: JSON        XBRL Instance as JSON Data -- MetaLinks              667±  1.06M 
35: ZIP         XBRL Zipped Folder -- 0001628908-20-000032-xbrl      Zip    748K 


‘R30’   —   Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle (Policies)


This is an IDEA Financial Report.  [ Alternative Formats ]



 
v3.19.3.a.u2
Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle (Policies)
12 Months Ended
Accounting Policies [Abstract]  
Basis of presentation

Basis of Presentation

The consolidated financial statements of the Company are prepared in accordance with U.S. GAAP. Our consolidated financial statements include the accounts of all subsidiaries.

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, allowance for doubtful accounts, 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 our technology-enabled clinical solutions including total cost of care services and specialty care management services and 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 is diversifying 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.
Cash and cash equivalents
Cash and Cash Equivalents

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

Restricted cash and restricted investments
Restricted Cash and Restricted Investments

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

 
 
2019
 
2018
Collateral for letters of credit for facility leases (1)
$
3,610

 
$
3,710

Collateral with financial institutions (2)
5,742

 
34,142

Claims processing services (3)
18,171

 
122,439

Other
817

 
532

Total restricted cash and restricted investments
$
28,340

 
$
160,823

 
 
 
 
Current restricted investments
$
704

 
$
211

Current restricted cash
19,376

 
154,507

Total current restricted cash and restricted investments
$
20,080

 
$
154,718

 
 
 
 
Non-current restricted investments
$
113

 
$
607

Non-current restricted cash
8,147

 
5,498

Total non-current restricted cash and restricted investments
$
8,260

 
$
6,105


(1) Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 10 for further discussion of our lease commitments.
(2) Represents collateral held with financial institutions for risk-sharing and other arrangements. As of December 31, 2019 and 2018, approximately $1.0 million and $31.2 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 9 for discussion of our risk-sharing arrangements. As of December 31, 2019 and 2018, approximately $4.7 million and $2.9 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.
 
 
2019
 
2018
Cash and cash equivalents
$
101,008

 
$
228,320

Restricted cash and restricted investments
28,340

 
160,823

Restricted investments included in restricted cash and restricted investments
(817
)
 
(818
)
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows
$
128,531

 
$
388,325


Accounts receivable and allowances
Accounts Receivable and Allowances

Accounts receivable are recorded and carried at the original invoiced amount less an allowance for any potential uncollectible amounts. We make estimates for the allowance for doubtful accounts and allowance for unbilled receivables based upon our assessment of various factors, including historical experience, the age of the accounts receivable balances, credit quality of our customers, current economic conditions, and other factors that may affect our ability to collect from customers.

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 with 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 December 31, 2019, the outstanding principal balance of the Passport Note was $40.0 million, excluding approximately $1.4 million of accrued interest.
Property and equipment, net
Property and Equipment, Net

Property and equipment are carried at cost less accumulated depreciation and amortization. Depreciation and amortization of property and equipment are computed using the straight-line method over the shorter of the estimated useful lives of the assets or the lease term. The following summarizes the estimated useful lives by asset classification:

Computer hardware
3 years
Computer software
1 year
Furniture and equipment
3-7 years
Internal-use software development costs
5 years
Leasehold improvements
Shorter of useful life or remaining lease term

When an item is sold or retired, the cost and related accumulated depreciation or amortization is eliminated and the resulting gain or loss, if any, is recorded in gain (loss) on disposal of assets on our consolidated statements of operations and comprehensive income (loss).

We periodically review the carrying value of our long-lived assets, including property and equipment, for impairment whenever events or circumstances indicate that the carrying amount of such assets may not be fully recoverable. For long-lived assets to be held and used, impairments are recognized when the carrying amount of a long-lived asset group is not recoverable and exceeds fair value. The carrying amount of a long-lived asset group is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset group. An impairment loss is measured as the amount by which the carrying amount of a long-lived asset group exceeds its fair value.

Software development costs
Software Development Costs

The Company capitalizes the cost of developing internal-use software, consisting primarily of personnel and related expenses (including stock-based compensation and employee taxes and benefits) for employees and third parties who devote time to their respective projects. Internal-use software costs are capitalized during the application development stage – when the research stage is complete and management has committed to a project to develop software that will be used for its intended purpose. Any costs incurred during subsequent efforts to significantly upgrade and enhance the functionality of the software are also capitalized. Capitalized software costs are included in property and equipment, net on our Consolidated Balance Sheets. Amortization of internal-use software costs are recorded on a straight-line basis over their estimated useful life and begin once the project is substantially complete and the software is ready for its intended purpose.
Research and development costs
Research and Development Costs

Research and development costs consist primarily of personnel and related expenses (including stock-based compensation and employee taxes and benefits) for employees engaged in research and development activities as well as third-party fees. All such costs are expensed as incurred. We focus our research and development efforts on activities that support our technology infrastructure, clinical program development, data analytics and network development capabilities. Research and development costs are recorded within selling, general and administrative expenses on our consolidated statements of operations and comprehensive income (loss) and were $19.8 million, $18.2 million and $17.2 million for the years ended December 31, 2019, 2018 and 2017, respectively.
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
Investments in and advances to equity method investees

The Company uses the equity method to account for investments in companies if the investment provides the Company with the ability to exercise significant influence over operating and financial policies of the investee. Consolidated net income includes Evolent’s proportionate share of the net income or loss of these companies. Judgment regarding the level of influence over each equity method investment includes considering key factors such as ownership interest, representation on the board of directors or similar governing body, participation in policy-making decisions and material intercompany transactions.

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. There was no material impairment recorded for the years ended December 31, 2019, 2018 and 2017.

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).
Goodwill
Goodwill

In January 2017, the FASB issued ASU 2017-04, Intangibles-Goodwill and Other - Simplifying the Test for Goodwill Impairment. We adopted this standard effective January 1, 2017. Our updated accounting policy for goodwill impairment is described within this Note. In January 2017, the FASB issued ASU 2017-01, Business Combinations - Clarifying the Definition of a Business. We adopted this standard during June 2017, in conjunction with the acquisition of Accordion Health, Inc. The adoption had an impact on our financial statements with respect to the accounting for the Accordion Health, Inc. acquisition.

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 7 for additional discussion regarding the goodwill impairment tests conducted during 2019 and 2018.
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 Company acquired additional intangible assets in conjunction with strategic acquisitions made during 2019. Information regarding the determination and allocation of the fair value of the recently acquired assets and liabilities is further described within Note 4.

The following summarizes the estimated useful lives by asset classification:

Corporate trade name
10-20 years
Customer relationships
10-25 years
Technology
5 years
Provider network contracts
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 7 for additional discussion regarding our intangible assets.
Reserves for claim 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 as discussed further in Note 9. 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.

Long-term debt
Long-term Debt

Convertible notes and amounts borrowed under our credit agreement are carried at cost, net of debt discounts and issuance costs, as long-term debt on the consolidated balance sheets. The debt discounts and issuance costs are amortized to interest expense on the consolidated statements of operations and comprehensive income (loss) using the straight-line method over the contractual term of the note if that method is not materially different from the effective interest rate method. Cash interest payments are due either quarterly or semi-annually in arrears and we accrue interest expense monthly based on the annual coupon rate. See Note 8 for further discussion regarding our convertible notes and credit agreement.
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 10 for additional lease disclosures.
Revenue recognition and cost of revenue
Revenue Recognition

In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers, in order to clarify the principles of recognizing revenue. The Company adopted the standard effective January 1, 2018, using the modified retrospective method for only contracts that were not completed at the date of initial application. Results for reporting periods beginning after January 1, 2018 are presented under ASC 606, while prior period amounts are not adjusted and continue to be reported in accordance with our historic accounting under ASC Topic 605, Revenue Recognition (“ASC 605”).

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 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. 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 derives revenue from reinsurance premiums assumed from NMHC under the terms of the reinsurance agreement (as defined in Note 9). 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.

In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers, in order to clarify the principles of recognizing revenue. This standard establishes the core principle of recognizing revenue to depict the transfer of promised goods or services in an
amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The FASB defines a five-step process that systematically identifies the various components of the revenue recognition process, culminating with the recognition of revenue upon satisfaction of an entity’s performance obligations. By completing all five steps of the process, the core principles of revenue recognition will be achieved. The new revenue standard (including updates) is effective for annual and interim reporting periods beginning after December 15, 2017, with early adoption permitted only as of annual reporting periods beginning after December 15, 2016. The guidance permits two methods of adoption: i) the full retrospective method applying the standard to each prior reporting period presented, or ii) the modified retrospective method with a cumulative effect of initially applying the guidance recognized at the date of initial application. The standard also allows entities to apply certain practical expedients at their discretion. The Company adopted the standard effective January 1, 2018, using the modified retrospective method for only contracts that were not completed at the date of initial application. Results for reporting periods beginning after January 1, 2018 are presented under ASC 606, while prior period amounts are not adjusted and continue to be reported in accordance with our historic accounting under ASC Topic 605, Revenue Recognition (“ASC 605”). The adoption of this standard resulted in changes related to revenue recognition for contracts that contain certain features, such as variable consideration. These changes generally accelerate revenue recognition. In addition, certain customer setup costs, which have historically been expensed as incurred, will now be capitalized. Evolent recognized the cumulative effect of applying the new revenue standard as a $17.3 million adjustment to the opening balance of retained earnings, including non-controlling interests, in the first quarter of 2018, primarily as a result of capitalization of expenses related to contract acquisition and fulfillment costs and acceleration of revenue due to variable consideration estimation.

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

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 capitated arrangements.

Claims expenses
Claims Expenses

Our claims expenses consist of the direct medical expenses incurred by our True Health segment. 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.
Stock-based compensation
Stock-based Compensation

The Company sponsors a stock-based incentive plan that provides for the issuance of stock-based awards to employees, vendors and non-employee directors of the Company or its consolidated subsidiaries. Our stock-based awards generally vest over a four-year period and stock options expire ten years from the date of grant.

We expense the fair value of stock-based awards granted under our incentive compensation plans. Fair value of stock options is determined using a Black-Scholes options valuation methodology. The fair value of the awards is expensed over the performance or service period, which generally corresponds to the vesting period, on a straight-line basis and is recognized as an increase to additional paid-in capital. Stock-based compensation expense is reflected in cost of revenue and selling, general and administrative expenses in our consolidated statements of operations and comprehensive income (loss). Additionally, and if applicable, we capitalize personnel expenses attributable to the development of internal-use software, which include stock-based compensation costs. We recognize share-based award forfeitures as they occur.

Income taxes
Income Taxes

Deferred income taxes are recognized, based on enacted rates, when assets and liabilities have different values for financial statement and tax reporting purposes. A valuation allowance is recorded to the extent required. Considerable judgment and the use of estimates are required in determining whether a valuation allowance is necessary and, if so, the amount of such valuation allowance. In evaluating the need for a valuation allowance, we consider many factors, including: the nature and character of the deferred tax assets and liabilities; taxable income in prior carryback years; future reversals of temporary differences; the length of time carryovers can be utilized; and any tax planning strategies we would employ to avoid a tax benefit from expiring unused.

We use a recognition threshold and a measurement attribute for the financial statement recognition and measurement of uncertain tax positions taken or expected to be taken in a tax return. For those benefits to be recognized, a tax position must be more-likely-than-not to be sustained upon examination by taxing authorities. We recognize interest and penalties accrued on any unrecognized tax exposures as a component of income tax expense, when applicable. As of December 31, 2019 and 2018, our identified balance of uncertain income
tax positions would not have a material impact to the consolidated financial statements. We are subject to taxation in various jurisdictions in the U.S. and India and remain subject to examination by taxing jurisdictions for the year 2011 and all subsequent periods due to the availability of NOL carryforwards.

We are a holding company and our assets consist of our direct ownership in Evolent Health LLC, for which we are the managing member. Prior to the Class B unit exchanges on December 26, 2019, Evolent Health LLC was classified as a partnership for U.S. federal and applicable state and local income tax purposes and, as such, was not subject to U.S. federal, state and local income taxes. Taxable income or loss generated by Evolent Health LLC was allocated to holders of its units, including us, on a pro rata basis. Accordingly, we were subject to U.S. federal, state and local income taxes with respect to our allocable share of any taxable income of Evolent Health LLC. As a result of the 2019 Class B units exchanges, we became the sole owner of Evolent Health LLC and its entity classification changed from a partnership to an entity disregarded as separate from its owner for U.S. federal, state and local income tax purposes. Following the Class B units exchanges, any taxable income or loss generated by Evolent Health LLC is reportable and taxable only on the Company’s federal, state and local income tax returns. Evolent Health LLC has direct ownership in corporate subsidiaries, which are subject to U.S. and foreign taxes with respect to their own operations during 2019.

Earnings (loss) per share
Earnings (Loss) per Share

Basic earnings (loss) per share is computed by dividing net income (loss) available to Class A common shareholders by the weighted-average number of Class A common shares outstanding.

For periods of net income, and when the effects are not anti-dilutive, we calculate diluted earnings per share by dividing net income available to Class A common shareholders by the weighted average number of Class A common shares plus the weighted average number of Class A common shares assuming the conversion of our convertible notes, as well as the impact of all potential dilutive common shares, consisting primarily of common stock options and unvested restricted stock awards using the treasury stock method and our exchangeable Class B common stock. For periods of net loss, shares used in the diluted earnings (loss) per share calculation represent basic shares as using potentially dilutive shares would be anti-dilutive.
Fair value measurement
Fair Value Measurement

Fair value is the price that would be received from the sale of an asset or paid to transfer a liability assuming an orderly transaction in the most advantageous market at the measurement date. Our consolidated balance sheets include various financial instruments (primarily cash not held in money-market funds, restricted cash, accounts receivable, accounts payable, accrued expenses and other liabilities) that are carried at cost and that approximate fair value.

See Note 17 for further discussion regarding fair value measurement.
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 8 for information regarding the fair value of the 2025 Notes and 2021 Notes.

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.
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 years ended December 31, 2019 and 2018.
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.

Future 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 will result 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 will record a cumulative effect adjustment 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.  We are finalizing the impact of the adoption of this ASU but we currently do not anticipate a material impact on our financial position and results of operations.

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 are currently evaluating the impact of the adoption on our consolidated financial statements and related disclosures.

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘10-K’ Filing    Date    Other Filings
7/1/25
Filed on:3/2/204
1/1/20
For Period end:12/31/198-K
12/26/19
12/15/19
1/1/19
12/31/1810-K
12/15/18
1/1/18
12/15/17
1/1/17
12/15/16
 List all Filings 


2 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 6/15/21  Evolent Health, Inc.              S-8         6/15/21    4:87K
 2/26/21  Evolent Health, Inc.              10-K       12/31/20  152:19M
Top
Filing Submission 0001628908-20-000032   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
AboutPrivacyRedactionsHelp — Wed., May 15, 12:50:19.1pm ET