Evolent Health, Inc. - Quarter Report: 2016 June (Form 10-Q)
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, 2016
OR
☐ | Transition Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 |
For the transition period from to
Commission File Number: 001-37415
_________________________
Evolent Health, Inc.
(Exact name of registrant as specified in its charter)
_________________________
Delaware | 32-0454912 |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
800 N. Glebe Road, Suite 500, Arlington, Virginia | 22203 |
(Address of principal executive offices) | (Zip Code) |
(571) 389-6000
(Registrant’s telephone number, including area code)
Not Applicable
(Former name, former address and former fiscal year, if changed since last report.)
_________________________
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 ☒ No ☐
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files). Yes ☒ No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer ☐ Accelerated filer ☐ Non-accelerated filer ☒ (Do not check if a smaller reporting company)
Smaller reporting company ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
As of August 5, 2016, there were 42,685,401 shares of the registrant’s Class A common stock outstanding and 17,524,596 shares of the registrant's Class B common stock outstanding.
Evolent Health, Inc.
Table of Contents
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E-1 |
Explanatory Note
In this Quarterly Report on Form 10-Q, unless the context otherwise requires, “Evolent,” the “Company,” “we,” “our” and “us” refer to (1) prior to the completion of the Offering Reorganization described in “Part I - Item 1. Business - Initial Public Offering and Organizational Transactions - the Offering Reorganization in our Annual Report on Form 10-K for the year ended December 31, 2015, as amended, filed with the SEC on February 29, 2016 ("2015 Form 10-K"), Evolent Health Holdings, Inc., our predecessor, (including its operating subsidiary, Evolent Health LLC), and (2) after giving effect to such reorganization, Evolent Health, Inc. and its consolidated subsidiary, Evolent Health LLC. Evolent Health LLC 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. As described below under “Part I - Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations - Results of Operations,” the financial statements of Evolent Health, Inc. for the three and six months ended June 30, 2015, do not reflect a complete view of the operational results for those periods. Evolent Health, Inc.'s results reflect only the investment of Evolent Health, Inc.'s predecessor in its equity method investee, Evolent Health LLC, for the period from January 1, 2015, through June 3, 2015.
For more information about the Offering Reorganization, refer to “Part I - Item 1. Business - Initial Public Offering and Organizational Transactions” in our 2015 Form 10-K.
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:
• | certain risks and uncertainties associated with the proposed acquisition of Valence Health, Inc., excluding its contracts serving state insurance cooperatives (“Valence Health”), including: |
▪ | revenues of Valence Health before and after the merger may be less than expected, and expected results of Evolent may not be impacted as anticipated; |
▪ | uncertainties related to the timing of the receipt of required regulatory approvals for the merger; |
▪ | the ability of Evolent and Valence Health to satisfy the closing conditions of the merger; |
▪ | the occurrence of any change that could give rise to the termination of the merger agreement; |
▪ | our ability to implement integration plans for the merger and to recognize the anticipated growth, benefits, cost savings and synergies of the merger; |
▪ | the risks that the merger and the other transactions contemplated by the merger agreement disrupt current plans and operations and the potential difficulties in retention of any members of senior management of Valence Health and any other key employees that Evolent is interested in retaining after the closing of the merger; |
▪ | the limitations placed on the ability of Evolent and Valence Health to operate their respective businesses by the merger agreement; |
▪ | the effect of the announcement of the merger on Evolent’s and Valence Health’s business relationships, customers, suppliers, other partners, standing with regulators, operating results and businesses generally; |
▪ | the amount of any costs, fees, expenses, impairments and charges related to the merger; and |
▪ | the market price for our Class A common stock potentially being affected, following the merger, by factors that historically have not affected the market price for our Class A common stock; |
• | the structural change in the market for healthcare in the United States; |
• | our ability to effectively manage our growth; |
• | the significant portion of revenue we derive from our largest partners; |
• | our ability to offer new and innovative products and services; |
• | the growth and success of our partners, which is difficult to predict and is subject to factors outside of our control, including premium pricing reductions and the ability to control and, if necessary, reduce health care costs; |
• | our ability to attract new partners; |
• | our ability to recover the significant upfront costs in our partner relationships; |
• | our ability to estimate the size of our target market; |
1
• | our ability to maintain and enhance our reputation and brand recognition; |
• | consolidation in the healthcare industry; |
• | competition which could limit our ability to maintain or expand market share within our industry; |
• | our ability to partner with providers due to exclusivity provisions in our contracts; |
• | uncertainty in the healthcare regulatory framework; |
• | restrictions and penalties as a result of privacy and data protection laws; |
• | adequate protection of our intellectual property; |
• | any alleged infringement, misappropriation or violation of third-party proprietary rights; |
• | our use of “open source” software; |
• | our ability to protect the confidentiality of our trade secrets, know-how and other proprietary information; |
• | our reliance on third parties; |
• | 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; |
• | breaches or failures of our security measures; |
• | our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our users; |
• | our dependency on our key personnel, and our ability to attract, hire, integrate and retain key personnel; |
• | risks related to future acquisition opportunities; |
• | the risk of potential future goodwill impairment on our results of operations; |
• | our future indebtedness and our ability to obtain additional financing; |
• | our ability to achieve profitability in the future; |
• | the requirements of being a public company; |
• | our adjusted results may not be representative of our future performance; |
• | the risk of potential future litigation; |
• | our ability to remediate the material weakness in our internal control over financial reporting; |
• | our holding company structure and dependence on distributions from Evolent Health LLC; |
• | our obligations to make payments to certain of our pre-IPO investors for certain tax benefits we may claim in the future; |
• | our ability to utilize benefits under the tax receivables agreement; |
• | our ability to realize all or a portion of the tax benefits that we currently expect to result from future exchanges of Class B common units of Evolent Health LLC for our Class A common stock, and to utilize certain tax attributes of Evolent Health Holdings and an affiliate of TPG; |
• | distributions that Evolent Health LLC will be required to make to us and to the other members of Evolent Health LLC; |
• | our obligations to make payments under the tax receivables agreement that may be accelerated or may exceed the tax benefits we realize; |
• | different interests among our pre-IPO investors, or between us and our pre-IPO investors; |
• | the terms of agreements between us and certain of our pre-IPO investors; |
• | our exemption from certain corporate governance requirements due to our status as a “controlled company” within the meaning of the New York Stock Exchange rules; |
• | 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 become available for sale or if a large number of Class B common units is exchanged for shares of Class A common stock; |
• | provisions in our amended and restated certificate of incorporation and 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 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 status as an “emerging growth company.” |
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 2015 Form 10-K and other documents filed with the SEC include additional factors that could affect our businesses and financial performance. Moreover, we operate in a rapidly changing and competitive environment. New risk factors emerge from time to time, and it is not possible for management to predict all such risk factors.
Further, it is not possible to assess the effect of all risk factors on our businesses or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. Given these risks and uncertainties, investors should not place undue reliance on forward-looking statements as a prediction of actual results. In addition, we disclaim any obligation to update any forward-looking statements to reflect events or circumstances that occur after the date of this report.
2
PART I – FINANCIAL INFORMATION
Item 1. Financial Statements
EVOLENT HEALTH, INC.
CONSOLIDATED BALANCE SHEETS
(unaudited, in thousands, except share data)
As of | As of | ||||||
June 30, | December 31, | ||||||
2016 | 2015 | ||||||
ASSETS | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 105,138 | $ | 145,726 | |||
Restricted cash | 2,205 | 4,703 | |||||
Accounts receivable, net (amounts related to affiliates: 2016 - $10,171; 2015 - $10,185) | 30,337 | 20,381 | |||||
Prepaid expenses and other current assets (amounts related to affiliates: 2016 - $1,125; 2015 - $1,220) | 5,300 | 4,208 | |||||
Investments, at amortized cost | 27,577 | 9,445 | |||||
Total current assets | 170,557 | 184,463 | |||||
Restricted cash | 1,579 | 1,582 | |||||
Investments, at amortized cost | 24,207 | 44,618 | |||||
Investments in and advances to affiliates | 2,986 | — | |||||
Property and equipment, net | 18,468 | 12,796 | |||||
Intangible assets, net | 165,442 | 163,152 | |||||
Goodwill | 459,703 | 608,903 | |||||
Prepaid expenses and other non-current assets | 9,859 | — | |||||
Total assets | $ | 852,801 | $ | 1,015,514 | |||
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT) | |||||||
Liabilities | |||||||
Current liabilities: | |||||||
Accounts payable (amounts related to affiliates: 2016 - $11,689; 2015 - $13,311) | $ | 12,375 | $ | 16,699 | |||
Accrued liabilities (amounts related to affiliates: 2016 - $1,131; 2015 - $828) | 8,513 | 6,047 | |||||
Accrued compensation and employee benefits | 16,991 | 21,925 | |||||
Deferred revenue | 18,848 | 14,835 | |||||
Total current liabilities | 56,727 | 59,506 | |||||
Other long-term liabilities | 7,972 | 111 | |||||
Deferred tax liabilities, net | 19,958 | 21,318 | |||||
Total liabilities | 84,657 | 80,935 | |||||
Commitments and Contingencies (See Note 8) | |||||||
Shareholders' Equity (Deficit) | |||||||
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 42,669,458 and 41,491,498 | |||||||
shares issued and outstanding as of June 30, 2016, and December 31, 2015, respectively | 426 | 415 | |||||
Class B common stock - $0.01 par value; 100,000,000 shares authorized; 17,524,596 | |||||||
shares issued and outstanding as of June 30, 2016, and December 31, 2015 | 175 | 175 | |||||
Additional paid-in-capital | 361,895 | 342,063 | |||||
Retained earnings (accumulated deficit) | 175,232 | 306,688 | |||||
Total shareholders' equity (deficit) attributable to Evolent Health, Inc. | 537,728 | 649,341 | |||||
Non-controlling interests | 230,416 | 285,238 | |||||
Total equity (deficit) | 768,144 | 934,579 | |||||
Total liabilities and shareholders' equity (deficit) | $ | 852,801 | $ | 1,015,514 |
See accompanying Notes to Consolidated Financial Statements
3
EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited, in thousands, except per share data)
(unaudited, in thousands, except per share data)
For the Three | For the Six | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
June 30, | June 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Revenue | |||||||||||||||
Transformation (1) | $ | 10,388 | $ | 2,703 | $ | 18,502 | $ | 2,703 | |||||||
Platform and operations (1) | 46,130 | 7,711 | 87,465 | 7,711 | |||||||||||
Total revenue | 56,518 | 10,414 | 105,967 | 10,414 | |||||||||||
Expenses | |||||||||||||||
Cost of revenue (exclusive of depreciation and amortization | |||||||||||||||
expenses presented separately below) (1) | 32,779 | 7,887 | 61,445 | 7,887 | |||||||||||
Selling, general and administrative expenses (1) | 32,756 | 13,082 | 65,115 | 13,082 | |||||||||||
Depreciation and amortization expenses | 3,612 | 984 | 6,983 | 984 | |||||||||||
Goodwill impairment | — | — | 160,600 | — | |||||||||||
Total operating expenses | 69,147 | 21,953 | 294,143 | 21,953 | |||||||||||
Operating income (loss) | (12,629 | ) | (11,539 | ) | (188,176 | ) | (11,539 | ) | |||||||
Interest income (expense), net | 272 | 13 | 551 | 13 | |||||||||||
Gain on consolidation | — | 414,133 | — | 414,133 | |||||||||||
Income (loss) from affiliates | (14 | ) | (16,846 | ) | (14 | ) | (28,165 | ) | |||||||
Other income (expense), net | 1 | — | 2 | — | |||||||||||
Income (loss) before income taxes and non-controlling interests | (12,370 | ) | 385,761 | (187,637 | ) | 374,442 | |||||||||
Provision (benefit) for income taxes | (371 | ) | 29,273 | (1,359 | ) | 29,273 | |||||||||
Net income (loss) | (11,999 | ) | 356,488 | (186,278 | ) | 345,169 | |||||||||
Net income (loss) attributable to non-controlling interests | (3,612 | ) | (3,424 | ) | (54,822 | ) | (3,424 | ) | |||||||
Net income (loss) attributable to Evolent Health, Inc. | $ | (8,387 | ) | $ | 359,912 | $ | (131,456 | ) | $ | 348,593 | |||||
Earnings (Loss) Available for Common Shareholders | |||||||||||||||
Basic | $ | (8,387 | ) | $ | 359,018 | $ | (131,456 | ) | $ | 346,409 | |||||
Diluted | (8,387 | ) | 356,488 | (131,456 | ) | 345,169 | |||||||||
Earnings (Loss) per Common Share | |||||||||||||||
Basic | $ | (0.20 | ) | $ | 25.69 | $ | (3.10 | ) | $ | 40.69 | |||||
Diluted | (0.20 | ) | 9.73 | (3.10 | ) | 10.96 | |||||||||
Weighted-Average Common Shares Outstanding | |||||||||||||||
Basic | 42,594 | 13,976 | 42,390 | 8,513 | |||||||||||
Diluted | 42,594 | 36,643 | 42,390 | 31,488 |
(1) | Amounts related to affiliates included above are as follows (see Note 15): | |||||||||||||||
Revenue | ||||||||||||||||
Transformation | $ | 58 | $ | 49 | $ | 102 | $ | 49 | ||||||||
Platform and operations | 8,704 | 3,928 | 15,706 | 3,928 | ||||||||||||
Expenses | ||||||||||||||||
Cost of revenue (exclusive of depreciation and amortization) | 5,358 | 1,833 | 10,486 | 1,833 | ||||||||||||
Selling, general and administrative expenses | 384 | 251 | 767 | 251 |
See accompanying Notes to Consolidated Financial Statements
4
EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited, in thousands)
For the Six | |||||||
Months Ended | |||||||
June 30, | |||||||
2016 | 2015 | ||||||
Cash Flows from Operating Activities | |||||||
Net income (loss) | $ | (186,278 | ) | $ | 345,169 | ||
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | |||||||
Gain on consolidation | — | (414,133 | ) | ||||
(Income) loss from affiliates | 14 | 28,165 | |||||
Depreciation and amortization expenses | 6,983 | 984 | |||||
Goodwill impairment | 160,600 | — | |||||
Stock-based compensation expense | 9,513 | 6,154 | |||||
Deferred tax provision (benefit) | (1,360 | ) | 29,273 | ||||
Other | 276 | 24 | |||||
Changes in assets and liabilities: | |||||||
Accounts receivables, net | (9,956 | ) | 10,165 | ||||
Prepaid expenses and other current assets | (429 | ) | (1,007 | ) | |||
Accounts payable | (2,975 | ) | (1,113 | ) | |||
Accrued liabilities | 2,524 | 949 | |||||
Accrued compensation and employee benefits | (4,934 | ) | (2,629 | ) | |||
Deferred revenue | 4,013 | (7,809 | ) | ||||
Other long-term liabilities | 91 | — | |||||
Net cash provided by (used in) operating activities | (21,918 | ) | (5,808 | ) | |||
Cash Flows from Investing Activities | |||||||
Cash acquired upon consolidation of affiliate | — | 13,065 | |||||
Cash paid in connection with acquisition | (14,500 | ) | — | ||||
Maturities and sales of investments | 2,100 | 4,000 | |||||
Purchases of property and equipment | (7,260 | ) | (1,015 | ) | |||
Change in restricted cash | 1,194 | — | |||||
Net cash provided by (used in) investing activities | (18,466 | ) | 16,050 | ||||
Cash Flows from Financing Activities | |||||||
Proceeds from initial public offering, net of offering costs | — | 209,087 | |||||
Proceeds from stock option exercises | 114 | 38 | |||||
Taxes withheld for vesting of restricted stock units | (318 | ) | — | ||||
Net cash provided by (used in) financing activities | (204 | ) | 209,125 | ||||
Net increase (decrease) in cash and cash equivalents | (40,588 | ) | 219,367 | ||||
Cash and cash equivalents as of beginning-of-period | 145,726 | — | |||||
Cash and cash equivalents as of end-of-period | $ | 105,138 | $ | 219,367 | |||
Supplemental Disclosure of Non-cash Investing and Financing Activities | |||||||
Non-cash contribution of common stock to Evolent Health LLC prior to the Offering Reorganization | $ | — | $ | 21,810 | |||
Accrued property and equipment purchases | 98 | — | |||||
Stock issued in connection with business combinations | 10,534 | — | |||||
Effects of the Offering Reorganization: | |||||||
Reclassification of deferred offering costs acquired to additional paid-in capital | — | 3,154 | |||||
Conversion of existing equity as part of the Offering Reorganization | — | 39,014 | |||||
Issuance of Class B common stock | — | 196 | |||||
Assumption of non-controlling interest as a result of merger with TPG affiliate | — | 34,875 |
See accompanying Notes to Consolidated Financial Statements
5
EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY (DEFICIT) AND REDEEMABLE PREFERRED STOCK
(unaudited, in thousands)
Retained | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Series A Redeemable | Series B Redeemable | Series B-1 Redeemable | Series A | Class A | Class B | Additional | (Accum- | Non- | Total | ||||||||||||||||||||||||||||||||||||||||||||||||
Preferred Stock | Preferred Stock | Preferred Stock | Preferred Stock | Common Stock | Common Stock | Paid-in | ulated | controlling | Equity | ||||||||||||||||||||||||||||||||||||||||||||||||
Shares | Amount | Shares | Amount | Shares | Amount | Shares | Amount | Shares | Amount | Shares | Amount | Capital | Deficit) | Interests | (Deficit) | ||||||||||||||||||||||||||||||||||||||||||
Balance as of December 31, 2014 | 7,900 | $ | 12,847 | 6,468 | $ | 24,833 | 360 | $ | 1,593 | 7,400 | $ | 2 | 4,048 | $ | 1 | — | $ | — | $ | 23,733 | $ | (25,806 | ) | $ | — | $ | (2,070 | ) | |||||||||||||||||||||||||||||
Non-cash issuance of common stock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
to Evolent Health LLC | — | — | — | — | — | — | — | — | — | — | — | — | 21,810 | — | — | 21,810 | |||||||||||||||||||||||||||||||||||||||||
Net income (loss) prior to the Offering | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reorganization | — | — | — | — | — | — | — | — | — | — | — | — | — | (28,165 | ) | — | (28,165 | ) | |||||||||||||||||||||||||||||||||||||||
Effects of the Offering Reorganization: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Conversion of existing equity | (7,900 | ) | (12,847 | ) | (6,468 | ) | (24,833 | ) | (360 | ) | (1,593 | ) | (7,400 | ) | (2 | ) | 22,128 | 261 | — | — | 39,014 | — | — | 39,273 | |||||||||||||||||||||||||||||||||
Issuance of Class B common stock | — | — | — | — | — | — | — | — | — | — | 19,576 | 196 | (196 | ) | — | 332,793 | 332,793 | ||||||||||||||||||||||||||||||||||||||||
Merger with TPG affiliate | — | — | — | — | — | — | — | — | 2,051 | 21 | (2,051 | ) | (21 | ) | 34,875 | — | (34,875 | ) | — | ||||||||||||||||||||||||||||||||||||||
Issuance of Class A common stock | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
sold in initial public offering, net of | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
offering costs | — | — | — | — | — | — | — | — | 13,225 | 132 | — | — | 205,801 | — | — | 205,933 | |||||||||||||||||||||||||||||||||||||||||
Tax effect of Offering Reorganization | — | — | — | — | — | — | — | — | — | — | — | — | 2,144 | — | — | 2,144 | |||||||||||||||||||||||||||||||||||||||||
Stock-based compensation expense | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
subsequent to the Offering Reorganization | — | — | — | — | — | — | — | — | — | — | — | — | 14,730 | — | — | 14,730 | |||||||||||||||||||||||||||||||||||||||||
Exercise of stock options | — | — | — | — | — | — | — | — | 39 | — | — | — | 152 | — | — | 152 | |||||||||||||||||||||||||||||||||||||||||
Net income (loss) subsequent to the | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Offering Reorganization | — | — | — | — | — | — | — | — | — | — | — | — | — | 360,659 | (12,680 | ) | 347,979 | ||||||||||||||||||||||||||||||||||||||||
Balance as of December 31, 2015 | — | — | — | — | — | — | — | — | 41,491 | 415 | 17,525 | 175 | 342,063 | 306,688 | 285,238 | 934,579 | |||||||||||||||||||||||||||||||||||||||||
Cumulative-effect adjustment from | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
adoption of new accounting principle | — | — | — | — | — | — | — | — | — | — | — | — | 468 | — | — | 468 | |||||||||||||||||||||||||||||||||||||||||
Stock-based compensation expense | — | — | — | — | — | — | — | — | — | — | — | — | 9,045 | — | — | 9,045 | |||||||||||||||||||||||||||||||||||||||||
Exercise of stock options | — | — | — | — | — | — | — | — | 45 | — | — | — | 114 | — | — | 114 | |||||||||||||||||||||||||||||||||||||||||
Restricted stock units vested, net of shares | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
withheld for taxes | — | — | — | — | — | — | — | — | 66 | — | — | — | (318 | ) | — | — | (318 | ) | |||||||||||||||||||||||||||||||||||||||
Issuance of common stock for | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
business combination | — | — | — | — | — | — | — | — | 1,067 | 11 | — | — | 10,523 | — | — | 10,534 | |||||||||||||||||||||||||||||||||||||||||
Net income (loss) | — | — | — | — | — | — | — | — | — | — | — | — | — | (131,456 | ) | (54,822 | ) | (186,278 | ) | ||||||||||||||||||||||||||||||||||||||
Balance as of June 30, 2016 | — | $ | — | — | $ | — | — | $ | — | — | $ | — | 42,669 | $ | 426 | 17,525 | $ | 175 | $ | 361,895 | $ | 175,232 | $ | 230,416 | $ | 768,144 |
See accompanying Notes to Consolidated Financial Statements
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EVOLENT HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
1. Organization
Evolent Health, Inc. was incorporated in December 2014 in the state of Delaware, and is a managed services firm that supports leading health systems and physician organizations in their migration toward value-based care and population health management. The Company’s services include providing our customers, which we refer to as partners, with a population management platform, integrated data and analytics capabilities, pharmacy benefit management ("PBM") services and comprehensive health plan administration services. Together these services enable health systems to manage patient health in a more cost-effective manner. The Company’s contracts are structured as a combination of advisory fees, monthly member service fees, percentage of plan premiums and shared medical savings arrangements. The Company's headquarters is located in Arlington, Virginia.
Our predecessor, Evolent Health Holdings, Inc. ("Evolent Health Holdings"), merged with and into Evolent Health, Inc. in connection with the Offering Reorganization. As a result, the consolidated financial statements of Evolent Health, Inc. reflect the historical accounting of Evolent Health Holdings.
Prior to the organizational transactions noted below, due to certain participating rights granted to our investor, TPG Global, LLC and its affiliates (“TPG”), Evolent Health Holdings did not control Evolent Health LLC, our operating subsidiary company, but was able to exert significant influence and, accordingly, accounted for its investment in Evolent Health LLC using the equity method of accounting through June 3, 2015. Subsequent to the organizational transactions and initial public offering (“IPO”) described below, we own 70.9% of Evolent Health LLC, hold 100% of the voting rights, are the sole managing member and, therefore, control its operations. Accordingly, the financial results of Evolent Health LLC are consolidated in the financial statements of Evolent Health, Inc. subsequent to the Offering Reorganization.
Initial Public Offering
On June 5, 2015, we completed an IPO of 13.2 million shares of our Class A common stock at a public offering price of $17.00 per share. We received $209.1 million in proceeds, net of underwriting discounts and commissions. Offering expenses incurred were $3.2 million which were recorded as a reduction of proceeds from the offering. We used the net proceeds to purchase newly-issued Class A common units from Evolent Health LLC, our consolidated subsidiary. Evolent Health LLC will use the net proceeds for working capital and other general corporate and strategic purposes. See Note 4 for further details surrounding the IPO and related transactions.
Organizational Transactions
In connection with the IPO, we completed the following organizational transactions (the “Offering Reorganization”) as further described in Note 4:
• | We amended and restated our certificate of incorporation to, among other things, authorize two classes of common stock - Class A common stock and Class B exchangeable common stock. Both classes of stock will vote together as a single class. |
• | We acquired, by merger, an affiliate of a member of Evolent Health LLC, for which we issued 2.1 million shares of Class A common stock. |
• | We issued shares of our Class B exchangeable common stock to certain existing members of Evolent Health LLC. |
Since its inception, the Company has incurred losses from operations. As of June 30, 2016, the Company had cash and cash equivalents of $105.1 million. The Company believes it has sufficient liquidity for the next twelve months as of June 30, 2016.
2. Basis of Presentation and Summary of Significant Accounting Policies
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, 2015, 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 disclosure normally included in financial statements prepared in accordance with United States of America generally accepted accounting principles ("GAAP") has been omitted pursuant to instructions, rules, and regulations prescribed by the United States Securities and Exchange Commission ("SEC"). We believe that the disclosures provided herein are adequate to make the information
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presented not misleading when these unaudited interim consolidated financial statements are read in conjunction with the audited financial statements and notes thereto included in our 2015 Form 10-K.
As discussed in Note 4, amounts for the three and six months ended June 30, 2015, presented in our unaudited consolidated financial statements and notes to unaudited consolidated financial statements for those periods include the historical operations of our predecessor entity, Evolent Health Holdings, which did not consolidate the operations of Evolent Health LLC for the entire three and six month periods. The amounts as of and for the three and six months ended June 30, 2016, reflect our operations, which consolidate the operations of Evolent Health LLC.
All inter-company accounts and transactions have been eliminated in consolidation.
Summary of Significant Accounting Policies
Certain GAAP policies, which significantly affect the determination of our financial position, results of operations and cash flows, are summarized in our 2015 Form 10-K unless otherwise updated below.
Restricted Cash
Restricted cash is carried at cost, which approximates fair value, and includes cash used to collateralize various contractual obligations (in thousands) as follows:
As of | As of | |||||||
June 30, | December 31, | |||||||
2016 | 2015 | |||||||
Letters of credit for facility leases | $ | 2,516 | $ | 3,710 | ||||
Pharmacy benefit management services | 1,169 | 2,479 | ||||||
Other | 99 | 96 | ||||||
Total restricted cash | 3,784 | 6,285 | ||||||
Non-current restricted cash | 1,579 | 1,582 | ||||||
Current restricted cash | $ | 2,205 | $ | 4,703 |
Change in Accounting Principle
In March 2016, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2016-09, which simplifies several aspects of the accounting for employee share-based payment transactions, including accounting for income taxes, forfeitures and statutory tax withholding requirements, as well as classification in the statement of cash flows. The Company elected to early adopt ASU 2016-09 during the second quarter of 2016.
ASU 2016-09 requires that certain amendments resulting from the adoption of the new pronouncement be applied using a modified-retrospective transition method by means of a cumulative-effect adjustment to retained earnings as of the beginning of the period in which the guidance is adopted. Therefore, the Company adjusted retained earnings on January 1, 2016, for amendments related to an accounting policy election to recognize share-based award forfeitures as they occur rather than applying an estimated forfeiture rate.
The following table summarizes the impact of the change in accounting principle to the Company's Consolidated Statement of Operations for the three months ended March 31, 2016 (in thousands):
As Reported | Adjustments | As Adjusted | ||||||||||
Cost of revenue (exclusive of depreciation and amortization expenses) | $ | 28,562 | $ | 104 | $ | 28,666 | ||||||
Selling, general and administrative expenses | 32,095 | 263 | 32,358 | |||||||||
Total operating expenses | 224,628 | 367 | 224,995 | |||||||||
Operating income (loss) | (175,179 | ) | (367 | ) | (175,546 | ) | ||||||
Income (loss) before income taxes and non-controlling interests | (174,900 | ) | (367 | ) | (175,267 | ) | ||||||
Net income (loss) | (173,912 | ) | (367 | ) | (174,279 | ) | ||||||
Net income (loss) attributable to non-controlling interests | (51,100 | ) | (110 | ) | (51,210 | ) | ||||||
Net income (loss) attributable to Evolent Health, Inc. | (122,812 | ) | (257 | ) | (123,069 | ) |
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The following table summarizes the impact of the change in accounting principle to the Company's Consolidated Balance Sheets, including the net amount charged to retained earnings as of March 31, 2016 (in thousands):
As Reported | Adjustments | As Adjusted | ||||||||||
Retained earnings (accumulated deficit) | $ | 183,876 | $ | (257 | ) | (1) | $ | 183,619 | ||||
Total shareholders' equity (deficit) attributable to Evolent Health, Inc. | 541,524 | (257 | ) | 541,267 | ||||||||
Non-controlling interests | 234,138 | (110 | ) | 234,028 | ||||||||
Total equity (deficit) | 775,662 | (367 | ) | 775,295 | ||||||||
Total liabilities and shareholders' equity (deficit) | 856,463 | (367 | ) | 856,096 |
(1) Includes a cumulative-effect adjustment to beginning retained earnings of $0.5 million and an adjustment of $0.1 million for the three months ended March 31, 2016, related to the policy election to recognize share-based award forfeitures as they occur, as opposed to applying an estimated forfeiture rate. Approximately $0.1 million of the net adjustment was allocated to non-controlling interest.
In addition, the adoption of ASU 2016-09 changed how the Company recognizes excess tax benefits ("windfalls") or deficiencies ("shortfalls") related to share-based compensation. Prior to the adoption of ASU 2016-09, these windfalls and shortfalls were credited or charged, respectively, to additional paid-in capital in the Company's Consolidated Balance Sheets. Under the revised standard, these windfalls and shortfalls are recognized prospectively as discrete tax benefit or discrete tax expense, respectively, in the Company's Consolidated Statement of Operations. For the six months ended June 30, 2016, the Company did not recognize a discrete tax benefit related to net windfall tax benefits from share-based compensation, as the Company does not expect to realize these excess tax deductions in 2016 by reduction of taxes payable, and valuation allowance is necessary.
3. Recently Issued Accounting Standards
Adoption of New Accounting Standards
In March 2016, the FASB issued ASU 2016-09, Compensation – Stock Compensation: Improvements to Employee Share-Based Payment Accounting. The update simplifies several aspects of the accounting for employee share-based payment transactions, including accounting for income taxes, forfeitures and statutory tax withholding requirements, as well as classification in the statement of cash flows. This standard is effective for annual periods beginning after December 15, 2016, and interim periods within those annual periods, with early adoption permitted for any interim or annual period. The Company elected to early adopt this ASU during the second quarter of 2016, as described in Note 2 above.
Future Adoption of New Accounting Standards
In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses: Measurement of Credit Losses on Financial Instruments. With respect to assets measured at amortized cost, such as held-to-maturity assets, the update requires presentation of the amortized cost net of a credit loss allowance. The update eliminates the probable initial recognition threshold that was previously required prior to recognizing a credit loss on financial instruments. The credit loss estimate can now reflect an entity's current estimate of all future expected credit losses as opposed to the previous standard, when an entity only considered past events and current conditions. With respect to available for sale debt securities, the update requires that credit losses be presented as an allowance rather than as a write-down. The update is effective for fiscal years beginning after December 15, 2019, including interim periods within those fiscal years. Early adoption is permitted as of the fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. We will adopt the requirements of this standard effective January 1, 2020 and are currently evaluating the impact of the adoption on our financial condition and results of operations.
In February 2016, the 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, the FASB’s new revenue recognition standard (e.g., those related to evaluating when profit can be recognized). The standard also requires lessors to increase the transparency of their exposure to changes in value of their residual assets and how they manage that exposure. The ASU is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Early application is permitted. We will adopt the requirements of this standard effective January 1, 2019, and are currently evaluating the impact of the adoption on our financial condition and results of operations.
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
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services in an amount that reflects the consideration 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 obligation. By completing all five steps of the process, the core principles of revenue recognition will be achieved. In March 2016, the FASB issued an update to the new revenue standard (ASU 2014-09) in the form of ASU 2016-08, which amended the principal-versus-agent implementation guidance and illustrations in the new revenue guidance. The update clarifies that an entity should evaluate whether it is the principal or the agent for each specified good or service promised in a contract with a customer. In April 2016, the FASB issued another update to the new revenue standard in the form of ASU 2016-10, which amended the guidance on identifying performance obligations and the implementation guidance on licensing. These ASUs were followed by two further updates issued during May 2016, including ASU 2016-11, which rescinds certain SEC guidance, such as the adoption of ASUs 2014-09 and 2014-16, including accounting for consideration given by a vendor to a customer, and ASU 2016-12, which is intended to clarify the objective of the collectability criterion while identifying the contract(s) with a customer. The new revenue standard (including updates) will be 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. We will adopt the requirements of this standard effective January 1, 2018, and, while we are evaluating the impact to our financial condition and results of operations, we expect the adoption of this ASU to require the inclusion of additional disclosures surrounding the nature and timing of our revenue.
In August 2014, the FASB issued ASU 2014-15, Presentation of Financial Statements – Going Concern: Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. This standard requires management to assess an entity’s ability to continue as a going concern by incorporating and expanding upon certain principles that are currently in U.S. auditing standards by requiring an assessment for a period of one year after the date that the financial statements are issued. Further, based on certain conditions and circumstances, additional disclosures may be required. This standard is effective beginning with the first annual period ending after December 15, 2016, and for all annual and interim periods thereafter. Early application is permitted. The Company does not expect this standard to have an impact on the Company’s financial statements or related disclosures.
We have evaluated all other issued and unadopted ASUs and believe the adoption of these standards will not have a material impact on our results of operations, financial position, or cash flows.
4. Acquisitions and Business Combinations
Business Combinations
Passport
On February 1, 2016, the Company entered into a strategic alliance with University Health Care d/b/a Passport Health Plan (“Passport”), a nonprofit community-based and provider-sponsored health plan administering Kentucky Medicaid and federal Medicare Advantage benefits to over 280,000 Kentucky Medicaid and Medicare Advantage beneficiaries. As part of the transaction, we issued 1.1 million Class A common shares to acquire capabilities and assets from Passport to enable us to build out a Medicaid Center of Excellence based in Louisville, Kentucky. Additional equity consideration of up to $10.0 million may be earned by Passport should we obtain new third party Medicaid businesses in future periods. This transaction also includes a 10-year arrangement under which we will provide various health plan management and managed care services to Passport. The Company has accounted for the transactions with Passport as a business combination using purchase accounting.
The fair value of the total consideration transferred in connection with the close of the transaction was $18.2 million, of which the Class A common shares were valued at $10.5 million and the contingent equity consideration was valued at $7.8 million. The contingent consideration is recorded within "Other long-term liabilities" on our consolidated balance sheets. The fair value of the shares issued was determined based on the closing price of the Company’s Class A common stock on the NYSE as of February 1, 2016, and the quantity of shares issued was determined under a pricing collar set forth in the purchase agreement. 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. Key assumptions include the discount rate and the probability-adjusted recurring revenue forecast. A further discussion of the fair value measurement of the contingent consideration is provided in Note 14.
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The purchase price was allocated to the assets acquired based on their estimated fair values as of February 1, 2016, as follows (in thousands):
Purchase price | $ | 18,200 | ||
Less amount allocated to prepaid asset | 6,900 | |||
Goodwill | $ | 11,300 |
The prepaid asset is related to an acquired facility license agreement as the Company was provided with leased facilities which house the acquired Passport employees at no future cost. The fair value of the acquired facility license agreement was determined by comparing the current market value of similar lease spaces to the facilities occupied by the acquired Passport personnel to obtain a market value of the occupied space, with the present value of the determined market value of the occupied space classified as the acquired facility license agreement prepaid asset. The goodwill is attributable partially to the acquired assembled workforce. The transaction was a taxable event for the Company and the amount of goodwill determined for tax purposes is deductible.
Results for the three and six months ended June 30, 2016, include revenues and related expenses from our services agreement with Passport and amortization of the acquired intangibles for the period February 1, 2016, through June 30, 2016. The Consolidated Statements of Operations includes $9.7 million and $16.1 million of revenues and $(1.0) million and $(1.4) million of net income (loss) attributable to Passport for the three and six months ended June 30, 2016, respectively.
The Offering Reorganization
Evolent Health, Inc. was incorporated as a Delaware corporation on December 12, 2014, for the purpose of pursuing the Company’s IPO. Immediately prior to the completion of the IPO in June 2015, we amended and restated our certificate of incorporation to, among other things, authorize two classes of common stock, Class A common stock and Class B common stock. Each share of our Class A common stock and Class B common stock entitles its holder to one vote on all matters to be voted on by stockholders, and holders of Class A common stock and holders of Class B common stock vote together as a single class on all matters presented to stockholders for their vote or approval (except as otherwise required by law). Pursuant to the Offering Reorganization:
• | Evolent Health Holdings merged with and into Evolent Health, Inc. and the surviving corporation of the merger was Evolent Health, Inc.; |
• | An affiliate of TPG merged with and into Evolent Health, Inc. and the surviving corporation of the merger was Evolent Health, Inc.; |
• | Each of the then-existing stockholders of Evolent Health Holdings received four shares of our Class A common stock and the right to certain payments under the Tax Receivables Agreement ("TRA") in exchange for each share of Class A common stock held in Evolent Health Holdings; |
• | TPG received 2.1 million shares of Class A common stock of Evolent Health, Inc., together with the right to certain payments under the TRA in exchange for 100% of the equity that it held in its affiliate that was merged with Evolent Health, Inc.; and |
• | We issued shares of our Class B common stock and the right to certain payments under the TRA to The Advisory Board Company ("The Advisory Board"), TPG and another investor each of which was a member of Evolent Health LLC prior to the Offering Reorganization. |
The existing shareholders of Evolent Health Holdings held the same economic and voting interest before and after the merger of Evolent Health Holdings with and into Evolent Health, Inc., which represents a transaction among entities with a high degree of common ownership. As such, the merger is viewed as non-substantive and the consolidated financial statements of Evolent Health, Inc. reflect the historical accounting of Evolent Health Holdings except that the legal capital reflects the capital of Evolent Health, Inc.
In addition, in connection with the Offering Reorganization, Evolent Health LLC amended and restated its operating agreement to establish two classes of equity (voting Class A common units and non-voting Class B common units); after the amendment, the pre-reorganization members of Evolent Health LLC (other than Evolent Health, Inc.) hold 100% of the Class B common units and Evolent Health, Inc. holds the Class A voting common units. Evolent Health LLC’s Class B common units 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 of June 30, 2016, we own 70.9% of the economic interests and 100% of the voting rights in Evolent Health LLC. Our operations will continue to be conducted through Evolent Health LLC and subsequent to the Offering Reorganization the financial results of Evolent Health LLC are 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.
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Pro Forma Financial Information (Unaudited)
The unaudited pro forma statement of operations data presented below gives effect to (1) the Passport transaction as if it had occurred on January 1, 2015, and (2) the consolidation of Evolent Health LLC as if it had occurred on January 1, 2014. The following pro forma information includes adjustments to:
• | Remove transaction costs related to the Passport transaction of $0.2 million recorded during the six months ended June 30, 2016, and reclassify said amounts to the six months ended June 30, 2015; |
• | Remove transaction costs related to the Passport transaction of $0.2 million recorded in the fourth quarter of 2015 and reclassify said amounts to the six months ended June 30, 2015; |
• | Remove the gain recognized upon the consolidation of the previously held equity method investment in 2015 and reclassify said amount to 2014; |
• | Remove transaction costs related to the Offering Reorganization of $1.2 million in 2015 and reclassify said amount to 2014; |
• | Record amortization expenses related to intangible assets beginning January 1, 2014, for intangibles related to the Offering Reorganization; |
• | Record rent expense related to Passport prepaid lease beginning January 1, 2015; and |
• | Record adjustments of income taxes associated with these pro forma adjustments. |
This pro forma data is presented for informational purposes only and does not purport to be indicative of the results of future operations or of the results that would have occurred had the transactions described above occurred in the specified prior periods. The pro forma adjustments were based on available information and assumptions that the Company believes are reasonable to reflect the impact of these transactions on the Company's historical financial information on a pro forma basis (in thousands).
For the Three | For the Six | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
June 30, | June 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Revenue | $ | 56,518 | $ | 44,676 | $ | 109,160 | $ | 89,826 | |||||||
Net income (loss) | (11,999 | ) | (30,886 | ) | (184,031 | ) | (45,481 | ) | |||||||
Net income (loss) attributable | |||||||||||||||
to non-controlling interests | (3,612 | ) | (11,828 | ) | (53,845 | ) | (17,930 | ) | |||||||
Net income (loss) attributable | |||||||||||||||
to Evolent Health, Inc. | (8,387 | ) | (19,058 | ) | (130,186 | ) | (27,551 | ) | |||||||
Net income (loss) available to | |||||||||||||||
common shareholders: | |||||||||||||||
Basic | (0.20 | ) | (0.61 | ) | (3.06 | ) | (0.94 | ) | |||||||
Diluted | (0.20 | ) | (0.61 | ) | (3.06 | ) | (0.94 | ) |
Acquisitions
Vestica
On March 1, 2016, the Company entered into an Asset Purchase Agreement between Vestica Healthcare, LLC ("Vestica") and Evolent Health, LLC. As part of the transaction, we paid $7.5 million to acquire certain assets from Vestica to further align our interests with one of our existing partners. In addition, Vestica can earn an additional $4.0 million in consideration based on certain future events, which is being held in escrow. This transaction also includes an arrangement under which Vestica will continue to perform certain services on our behalf related to the acquired assets.
We accounted for the transaction as an asset acquisition where the assets acquired were measured based on the amount of cash paid to Vestica as well as transaction costs incurred as the fair value of the assets given was more readily determinable than the fair value of the assets received. We classified and designated identifiable assets acquired and we assessed and determined the useful lives of the acquired intangible assets subject to amortization. As a result, we recorded a $7.5 million customer relationship intangible asset with a useful life of thirteen years. The transaction was a taxable event.
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5. Investments
The amortized cost, gross unrealized gains and losses, and fair value of our investments as measured using Level 2 inputs (in thousands) were as follows:
As of June 30, 2016 | As of December 31, 2015 | ||||||||||||||||||||||||||||||||||||||
Gross | Gross | Gross | Gross | ||||||||||||||||||||||||||||||||||||
Amortized | Unrealized | Unrealized | Fair | Amortized | Unrealized | Unrealized | Fair | ||||||||||||||||||||||||||||||||
Costs | Gains | Losses | Value | Costs | Gains | Losses | Value | ||||||||||||||||||||||||||||||||
U.S. Treasury bills | $ | 28,213 | $ | 139 | $ | — | $ | 28,352 | $ | 28,306 | $ | 115 | $ | 181 | $ | 28,240 | |||||||||||||||||||||||
Corporate bonds | 23,571 | 120 | 3 | 23,688 | 25,757 | 110 | 80 | 25,787 | |||||||||||||||||||||||||||||||
Total investments | $ | 51,784 | $ | 259 | $ | 3 | $ | 52,040 | $ | 54,063 | $ | 225 | $ | 261 | $ | 54,027 |
The amortized cost and fair value of our investments by contractual maturities (in thousands) were as follows:
As of June 30, 2016 | As of December 31, 2015 | ||||||||||||||
Amortized | Fair | Amortized | Fair | ||||||||||||
Cost | Value | Cost | Value | ||||||||||||
Due in one year or less | $ | 27,577 | $ | 27,697 | $ | 9,445 | $ | 9,451 | |||||||
Due after one year through five years | 24,207 | 24,343 | 44,618 | 44,576 | |||||||||||
Total | $ | 51,784 | $ | 52,040 | $ | 54,063 | $ | 54,027 |
As of June 30, 2016, and December 31, 2015, the Company did not hold any securities in an unrealized loss position for more than 12 months. The aggregate fair value of securities held by the Company in an unrealized loss position for less than 12 months as of June 30, 2016, and December 31, 2015, was $8.8 million and $49.9 million, respectively. As of June 30, 2016, securities held by the Company which were in an unrealized loss position for less than 12 months consisted of 5 corporate bonds.
Our investments are classified as held-to-maturity as we have both the intent and ability to hold the investments until their individual maturities. There were no identified events or changes in circumstances that had a significant adverse effect on the values of these investments. If there was evidence of a decline in fair value below the amortized cost basis which is other than temporary the cost basis of the individual security would be written down to fair value as a new cost basis and the amount of the write-down would be included in earnings. The new cost basis would not be changed for subsequent recoveries in fair value.
6. Property and Equipment, Net
The following summarizes our property and equipment (in thousands):
As of | As of | |||||||
June 30, | December 31, | |||||||
2016 | 2015 | |||||||
Computer hardware | $ | 251 | $ | 232 | ||||
Furniture and equipment | 1,604 | 1,604 | ||||||
Internal-use software development costs | 13,506 | 6,363 | ||||||
Leasehold improvements | 5,830 | 5,830 | ||||||
Total property and equipment | 21,191 | 14,029 | ||||||
Accumulated depreciation and amortization | (2,723 | ) | (1,233 | ) | ||||
Total property and equipment, net | $ | 18,468 | $ | 12,796 |
We had no property and equipment prior to the Offering Reorganization.
The Company capitalized $3.7 million and $7.1 million of internal-use software development costs for the three and six months ended June 30, 2016, respectively, and $1.0 million of internal-use software development costs for the three and six months ended June 30, 2015. The net book value of capitalized internal-use software development costs was $13.0 million and $6.3 million as of June 30, 2016, and December 31, 2015, respectively.
Depreciation expense related to property and equipment was $0.8 million and $1.5 million for the three and six months ended June 30, 2016, respectively, and $0.2 million for the three and six months ended June 30, 2015, of which amortization expense related to
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capitalized internal-use software development costs was $0.3 million and $0.5 million for the three and six months ended June 30, 2016, respectively, and less than $0.1 million for the three and six months ended June 30, 2015.
7. Goodwill and Intangible Assets, Net
Goodwill
As part of the Offering Reorganization, we recorded $608.9 million in goodwill on our Consolidated Balance Sheets. 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.
In interim periods between annual goodwill reviews, we also evaluate qualitative factors that could cause us to believe our estimated fair value of our single reporting unit may be lower than the carrying value and trigger a Step 1 test 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, revenue and earnings, (iv) a sustained decrease in share price and (v) other relevant entity-specific events including changes in strategy, partners, or litigation. As a result of the Offering Reorganization, we revalued our consolidated balance sheet to the market value of our IPO share price of $17.00.
Subsequent to our 2015 annual impairment testing in the fourth quarter of 2015, our common stock price declined significantly, reaching our historic low in the first quarter of 2016. During the three months ended March 31, 2016, our common stock traded between $8.48 and $12.32, or an average common stock price of $10.33 compared to an average common stock price of $19.51 and $14.73 during the three month periods ended September 30, 2015, and December 31, 2015, respectively. A sustained decline in our common stock price and the resulting impact on our market capitalization is one of several qualitative factors we consider each quarter when evaluating whether events or changes in circumstances indicate it is more likely than not that a potential goodwill impairment exists. We concluded that the further decline in common stock price observed during the first quarter of 2016 did represent a sustained decline and that triggering events occurred during the period requiring an interim goodwill impairment test as of March 31, 2016. As such, we performed a Step 1 impairment test of our goodwill as of March 31, 2016.
Step 1 Results
To determine the implied fair value for our single reporting unit, we used both a market multiple valuation approach (“market approach”) and a discounted cash flow valuation approach (“income approach”). In determining the estimated fair value, we considered the level of our Class A common stock price and assumptions that we believed market participants would make in valuing our reporting unit, including a control premium, as well as discounted cash flow calculations of management’s estimates of future financial performance and management’s long-term plans. This analysis also required us to make judgments about revenues, expenses, fixed asset and working capital requirements, the timing of exchanges of our Class B common shares, capital market assumptions and discount rates.
In our March 31, 2016, Step 1 test, our most sensitive assumption for purposes of the market approach was our estimate of the control premium, and the most sensitive assumption related to the income approach, other than our cash flows, was the discount rate. As of March 31, 2016, our single reporting unit failed the Step 1 analysis as we determined that its implied fair value was less than its carrying value based on the weighting of the fair values determined under both the market and income approaches. As fair value was less than carrying value, we performed a Step 2 test to determine the implied fair value of our goodwill.
Step 2 Results
In our March 31, 2016, Step 2 test, the fair value of all assets and liabilities were estimated, including our tangible assets (corporate trade name, customer relationships and technology) for the purpose of deriving an estimate of the implied fair value of goodwill. The implied fair value of goodwill was then compared to the carrying amount of goodwill resulting in an impairment charge of $160.6 million on our Consolidated Statements of Operations.
The impairment was driven primarily by the sustained decline in our share price as our estimates of our future cash flows and the control premium have remained consistent, combined with an increase in the discount rate period over period. As noted above, our determination of fair value used a weighting of the fair values determined under both the market and income approaches, with the market approach driving the significant reduction in overall firm value and related impairment of goodwill.
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Intangible Assets, Net
Details of our intangible assets (in thousands) are presented below:
As of June 30, 2016 | ||||||||||||||||
Weighted- | ||||||||||||||||
Average | Gross | Net | ||||||||||||||
Remaining | Carrying | Accumulated | Carrying | |||||||||||||
Useful Life | Amount | Amortization | Value | |||||||||||||
Corporate trade name | 18.9 | $ | 19,000 | $ | 1,029 | $ | 17,971 | |||||||||
Customer relationships | 23.3 | 127,500 | 5,389 | 122,111 | ||||||||||||
Technology | 5.9 | 30,000 | 4,640 | 25,360 | ||||||||||||
Total | $ | 176,500 | $ | 11,058 | $ | 165,442 |
As of December 31, 2015 | ||||||||||||||||
Weighted- | ||||||||||||||||
Average | Gross | Net | ||||||||||||||
Remaining | Carrying | Accumulated | Carrying | |||||||||||||
Useful Life | Amount | Amortization | Value | |||||||||||||
Corporate trade name | 19.4 | $ | 19,000 | $ | 554 | $ | 18,446 | |||||||||
Customer relationships | 24.4 | 120,000 | 2,797 | 117,203 | ||||||||||||
Technology | 6.4 | 30,000 | 2,497 | 27,503 | ||||||||||||
Total | $ | 169,000 | $ | 5,848 | $ | 163,152 |
We had no intangible assets prior to the Offering Reorganization.
We recorded additional customer relationship intangible assets of $7.5 million in relation to the closing of the Vestica transaction during the first quarter of 2016.
Amortization expense related to intangible assets was $2.6 million and $5.2 million for the three and six months ended June 30, 2016, respectively, and $0.8 million for the three and six months ended June 30, 2015.
8. Commitments and Contingencies
UPMC Reseller Agreement
The Company and the University of Pittsburgh Medical Center ("UPMC") are parties to a Reseller, Services and Non-Competition Agreement, dated August 31, 2011 (the “Original UPMC Reseller Agreement”), which was amended and restated by the parties on June 27, 2013 (as amended, 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 the Company’s customers and top prospects.
The Advisory Board Company Reseller Agreement
The Company and The Advisory Board are parties to a Services, Reseller, and Non-Competition Agreement, dated August 31, 2011 (the “Original Advisory Board Reseller Agreement”), which was amended and restated by the parties on June 27, 2013, and May 1, 2015 (as so amended, the “Advisory Board Company Reseller Agreement”). Under the terms of the Advisory Board Company Reseller Agreement, The Advisory Board shall provide certain services to the Company on an as-requested basis. In addition, The Advisory Board has a right of first offer to provide certain specified services during the term of the Agreement and has the rights to collect certain fees for specified referrals.
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Contingencies
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 net operating losses ("NOL"s). These payment obligations are obligations of the Company. For purposes of the TRA, the benefit deemed realized by the Company will be computed by comparing its actual income tax liability to the amount of such taxes that the Company would have been required to pay had there been no increase to the tax basis of the assets of the Company as a result of the exchanges or had the Company had no NOL carryforward balance. The actual amount and timing of any payments under the TRA will vary depending upon a number of factors, including:
• | The timing of the exchanges and the price of the Class A shares at the time of the transaction, triggering a tax basis increase in the Company's asset and a corresponding benefit to be realized under the TRA; and |
• | The amount and timing of our taxable income - the Company will be required to pay 85% of the tax savings as and when realized, if any. If the Company does not have taxable income, it will not be required to make payments under the TRA for that taxable year because no tax savings were actually realized. |
Due to the items noted above, the fact that no share exchanges have occurred as of June 30, 2016, and that the Company’s historical losses have not been utilized, the Company has not recorded a liability pursuant to the TRA.
Litigation Matters
We are engaged from time to time in certain legal disputes arising in the ordinary course of business, including employment claims. When the likelihood of a loss contingency becomes probable and the amount of the loss can be reasonably estimated, we accrue a liability for the loss contingency. We continue to review accruals and adjust them to reflect ongoing negotiations, settlements, rulings, advice of legal counsel, and other relevant information. To the extent new information is obtained, and our views on the probable outcomes of claims, suits, assessments, investigations, or legal proceedings change, changes in our accrued liabilities would be recorded in the period in which such determination is made. We had no material accruals as of June 30, 2016, and December 31, 2015.
Commitments
Lease Commitments
The Company has entered into lease agreements for its office location in Arlington, Virginia. In connection with these lease agreements, the Company is required to maintain a $2.5 million letter of credit, which declines annually throughout the term of the lease. As of June 30, 2016, the restricted funds held in connection with the lease were $2.5 million.
Total rental expense on operating leases was $1.1 million and $2.2 million for the three and six months ended June 30, 2016, respectively, and $0.4 million for the three and six months ended June 30, 2015.
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 financial statements.
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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 of 1933, as amended ("Securities Act"), shares of our Class A common stock, including those delivered in exchange for Class B common units in the circumstances described above. 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. See Note 16 below.
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.
Credit and Concentration Risk
The Company is subject to significant concentrations of credit risk related to cash and cash equivalents, investments and accounts receivable. The Company's cash and cash equivalents and investments are held at financial institutions that management believes to be of high credit quality. While the Company maintains its cash and cash equivalents and investments 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 losses on cash and cash equivalents or investments to date.
The following table summarizes those partners who represented at least 10% of our revenue for the periods presented:
For the Three | For the Six | ||||||||||
Months Ended | Months Ended | ||||||||||
June 30, | June 30, | ||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||
Customer A | 17.1 | % | * | 15.1 | % | * | |||||
Customer B | 16.2 | % | 17.3 | % | 17.2 | % | 17.3 | % | |||
Customer C | 15.5 | % | 11.4 | % | 14.9 | % | 11.4 | % | |||
Customer D | * | 10.2 | % | * | 10.2 | % | |||||
Customer E | * | 10.6 | % | * | 10.6 | % | |||||
Customer F | * | 16.2 | % | * | 16.2 | % | |||||
Customer G | * | 15.4 | % | * | 15.4 | % |
* Represents less than 10.0% of the respective balance
The following table summarizes those partners who represented at least 10% of our trade accounts receivable for the periods presented:
As of | As of | |||||
June 30, | December 31, | |||||
2016 | 2015 | |||||
Customer B | 10.6 | % | 12.9 | % | ||
Customer C | 18.7 | % | * | |||
Customer D | * | 11.4 | % | |||
Customer E | 38.6 | % | 28.1 | % | ||
Customer F | * | 23.2 | % |
* Represents less than 10.0% of the respective balance
The Company is subject to significant concentration risk as materially all of our cash and cash equivalents are held in a single money market fund. As of June 30, 2016, $83.4 million of cash and cash equivalents were held in a money market fund.
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9. 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 | For the Six | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
June 30, | June 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Net income (loss) | $ | (11,999 | ) | $ | 356,488 | $ | (186,278 | ) | $ | 345,169 | |||||
Less: | |||||||||||||||
Net income (loss) attributable to non-controlling interests | (3,612 | ) | (3,424 | ) | (54,822 | ) | (3,424 | ) | |||||||
Undeclared cumulative preferred dividends | — | 894 | — | 2,184 | |||||||||||
Net income (loss) available for common shareholders - Basic | (8,387 | ) | 359,018 | (131,456 | ) | 346,409 | |||||||||
Add: | |||||||||||||||
Net income (loss) attributable to non-controlling interests | — | (3,424 | ) | — | (3,424 | ) | |||||||||
Undeclared cumulative preferred dividends converted during the period | — | 894 | — | 2,184 | |||||||||||
Net income (loss) available for common shareholders - Diluted (1) (2) | $ | (8,387 | ) | $ | 356,488 | $ | (131,456 | ) | $ | 345,169 | |||||
Weighted-average common shares outstanding - Basic | 42,594 | 13,976 | 42,390 | 8,513 | |||||||||||
Dilutive effect of options | — | 1,854 | — | 1,509 | |||||||||||
Assumed conversion of convertible preferred stock at beginning-of-period | — | 15,806 | — | 18,949 | |||||||||||
Assumed conversion of Class B common shares to Class A common shares | — | 5,007 | — | 2,517 | |||||||||||
Weighted-average common shares outstanding - Diluted (2)(3) | 42,594 | 36,643 | 42,390 | 31,488 | |||||||||||
Earnings (Loss) per Common Share | |||||||||||||||
Basic | $ | (0.20 | ) | $ | 25.69 | $ | (3.10 | ) | $ | 40.69 | |||||
Diluted | (0.20 | ) | 9.73 | (3.10 | ) | 10.96 |
(1) | For periods of net loss, net income (loss) available for common shareholders is the same for both basic and diluted purposes. |
(2) | 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. |
(3) | For periods of net loss, shares used in the earnings (loss) per common share calculation represent basic shares as using diluted shares would be anti-dilutive. |
Anti-dilutive shares (in thousands) excluded from the calculation of weighted-average common shares presented above are presented below:
For the Three | For the Six | ||||||||||
Months Ended | Months Ended | ||||||||||
June 30, | June 30, | ||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||
Exchangeable Class B common stock | 17,525 | — | 17,525 | — | |||||||
Restricted stock and restricted stock units | 158 | — | 85 | — | |||||||
Options | 1,353 | — | 904 | — | |||||||
Total | 19,036 | — | 18,514 | — |
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10. Stock-based Compensation
Total compensation expense (in thousands) by award type and line item in our consolidated financial statements (in thousands) were as follows:
For the Three | For the Six | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
June 30, | June 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Award Type | |||||||||||||||
Stock options | $ | 4,044 | $ | 1,166 | $ | 8,341 | $ | 1,166 | |||||||
Restricted stock | — | 4,875 | — | 4,875 | |||||||||||
Restricted stock units ("RSU") | 665 | 113 | 1,172 | 113 | |||||||||||
Total | $ | 4,709 | $ | 6,154 | $ | 9,513 | $ | 6,154 | |||||||
Line Item | |||||||||||||||
Cost of revenue | $ | 406 | $ | 409 | $ | 905 | $ | 409 | |||||||
Selling, general and | |||||||||||||||
administrative expenses | 4,303 | 5,745 | 8,608 | 5,745 | |||||||||||
Total | $ | 4,709 | $ | 6,154 | $ | 9,513 | $ | 6,154 |
No stock-based compensation in the totals above was capitalized as software development costs for the three and six months ended June 30, 2016. Less than $0.1 million of stock-based compensation included in the totals above was capitalized as software development costs for the three and six months ended June 30, 2015. We did not recognize stock compensation in 2015 prior to the Offering Reorganization.
As described in Note 2, the Company elected to early adopt ASU 2016-09 during the second quarter of 2016. This resulted in additional stock compensation expense of approximately $0.4 million for the three months ended March 31, 2016.
Stock-based awards granted were as follows:
For the Three | For the Six | ||||||||||
Months Ended | Months Ended | ||||||||||
June 30, | June 30, | ||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||
Stock options | 42,870 | 803,243 | 1,167,770 | 1,789,243 | |||||||
RSUs | 27,618 | 318,336 | 413,331 | 318,336 |
11. 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.
The Company recorded $0.4 million and $1.4 million in income tax benefit for the three and six months ended June 30, 2016, respectively, which resulted in effective tax rates of 3.0% and 0.7%, respectively. As of December 31, 2015, $6.2 million of our book and tax basis difference deferred tax liability was expected to reverse outside of our NOL carryforward period. Current tax losses generated in 2016 by the Company allow this deferred tax liability to become a source of income for the realization of our deferred tax assets, which resulted in recording a tax benefit of $0.4 million as of June 30, 2016. For the three and six months ended June 30, 2015, the effective tax rates were 7.6% and 7.8%, respectively, due to changes in our deferred tax liability related to the increased difference in the book basis compared to the tax basis in our partnership interest in Evolent Health LLC, resulting in $29.3 million in income tax provision.
As of each applicable period-end, the Company has not recognized any uncertain tax positions, penalties or interest as we have concluded that no such positions exist. The Company is not currently subject to income tax audits in any U.S. or state jurisdictions for any tax year.
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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 11 in our 2015 Form 10-K for a detailed discussion of our TRA.
12. Investments In and Advances to Affiliates
Georgia Physicians for Accountable Care LLC
During the second quarter of 2016, the Company acquired 21,429 Class B Units of Georgia Physicians for Accountable Care, LLC (“GPAC”) for $3.0 million in cash. The investment represents a 27% economic interest and a 28% voting interest in GPAC. The Company has determined it has significant influence but that it does not have control over GPAC. Accordingly, the investment is accounted for under the equity method of accounting and the Company will be allocated its proportional share of GPAC's profits and losses for each reporting period. For the three and six months ended June 30, 2016, Evolent Health, Inc.'s proportional share of the losses of GPAC was less than $0.1 million.
Concurrently, the Company also signed a long-term services agreement with GPAC to provide certain management, operational and support services to help GPAC manage elements of its service offerings. Revenue related to the long-term services agreement for the three and six months ended June 30, 2016, was less than $0.1 million.
Evolent Health LLC
Prior to the Offering Reorganization, we did not control Evolent Health LLC, but were able to exert significant influence and, accordingly, accounted for our investment in Evolent Health LLC using the equity method of accounting. Subsequent to the Offering Reorganization, the Company consolidates the results of operations of Evolent Health LLC.
The allocation of profits and losses to the shareholders of Evolent Health LLC were based upon the second amended and restated operating agreement of Evolent Health LLC. As part of recording our equity portion of the losses of Evolent Health LLC, the Company applied the hypothetical liquidation at book value basis of accounting which allocates profits and losses to the members based upon the value that would accrue to each member at each period end based upon a theoretical liquidation at book value at that time.
During the three and six months ended June 30, 2015, Evolent Health, Inc.'s proportional share of the losses of Evolent Health LLC was $16.8 million and $28.2 million, respectively, which included $0.3 million and $0.8 million, respectively, related to the amortization of a basis differential.
The following is a summary of the operating results of Evolent Health LLC (in thousands) for the periods that it was accounted for as an equity method investment:
April 1, | January 1, | |||||||
2015 | 2015 | |||||||
through | through | |||||||
June 3, | June 3, | |||||||
2015 | 2015 | |||||||
Total revenue | $ | 24,774 | $ | 61,814 | ||||
Cost of revenue (exclusive of | ||||||||
depreciation and amortization) | 18,385 | 44,839 | ||||||
Gross profit | 6,389 | 16,975 | ||||||
Operating income (loss) | (24,771 | ) | (44,119 | ) | ||||
Net income (loss) | (24,764 | ) | (44,079 | ) |
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13. Non-controlling Interests
Prior to the Offering Reorganization, we did not consolidate Evolent Health LLC, and therefore did not allocate our profits and losses to non-controlling interests. As of June 30, 2016, we owned 70.9% of Evolent Health LLC. Changes in non-controlling interests (in thousands) were:
For the Three | For the Six | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
June 30, | June 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Non-controlling interests as of beginning-of-period | $ | 234,028 | $ | — | $ | 285,238 | $ | — | |||||||
Increase in non-controlling interests as a result of the Offering | |||||||||||||||
Reorganization | — | 332,793 | — | 332,793 | |||||||||||
Decrease in non-controlling interests as a result of the merger | |||||||||||||||
of the TPG affiliate with and into Evolent Health, Inc. | — | (34,875 | ) | — | (34,875 | ) | |||||||||
Net income (loss) attributable to non-controlling interests | (3,612 | ) | (3,424 | ) | (54,822 | ) | (3,424 | ) | |||||||
Non-controlling interests as of end-of-period | $ | 230,416 | $ | 294,494 | $ | 230,416 | $ | 294,494 |
14. Fair Value Measurement
Our Consolidated Balance Sheets include various financial instruments (primarily restricted cash, investments, accounts receivable,
accounts payable, accrued expenses, deferred revenue, other current liabilities and other long-term liabilities) that are carried at cost and that approximate fair value. 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. GAAP 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 financial instrument.
The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):
As of June 30, 2016 | |||||||||||||||
Level 1 | Level 2 | Level 3 | Total | ||||||||||||
Assets | |||||||||||||||
Cash and cash equivalents (1) | $ | 83,420 | $ | — | $ | — | $ | 83,420 | |||||||
U.S. Treasury bills (2) | — | 28,352 | — | 28,352 | |||||||||||
Corporate bonds (2) | — | 23,688 | — | 23,688 | |||||||||||
Total | $ | 83,420 | $ | 52,040 | $ | — | $ | 135,460 | |||||||
Liabilities | |||||||||||||||
Contingent consideration (3) | $ | — | $ | — | $ | 7,766 | $ | 7,766 | |||||||
Total | $ | — | $ | — | $ | 7,766 | $ | 7,766 |
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As of December 31, 2015 | |||||||||||||||
Level 1 | Level 2 | Level 3 | Total | ||||||||||||
Assets | |||||||||||||||
Cash and cash equivalents (1) | $ | 122,328 | $ | — | $ | — | $ | 122,328 | |||||||
U.S. Treasury bills (2) | — | 28,240 | — | 28,240 | |||||||||||
Corporate bonds (2) | — | 25,787 | — | 25,787 | |||||||||||
Total | $ | 122,328 | $ | 54,027 | $ | — | $ | 176,355 |
(1) Represents the cash and cash equivalents that were held in a money market fund as of June 30, 2016, and December 31, 2015, as
presented in the tables above.
(2) Our investments are classified as held-to-maturity and therefore are carried at amortized cost. Fair value of the investments are
included within footnote disclosures only. See Note 5 for further discussion of our held-to-maturity securities.
(3) Related to the contingent earn-out consideration for Passport Health as described further in Note 4.
There were no transfers between fair value levels for the three and six month periods ended June 30, 2016 and 2015, respectively.
As discussed in Note 4, the strategic alliance with Passport includes a provision for additional equity consideration contingent upon the Company obtaining new third party Medicaid business in future periods. Management engaged an external valuation firm to provide a valuation consistent with the guidance found in ASC 820, Fair Value Measurement. Management reviewed and agreed with the methodology applied and conclusions reached by the external valuation firm.
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 significant unobservable inputs used in the fair value measurement of the Company’s contingent consideration are expected recurring revenue projections for Passport and the applicable discount rate. A significant decrease in the assumed recurring revenue projections or increase in discount rate in isolation would result in a significantly lower 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 Three | |||
Months Ended | |||
June 30, 2016 | |||
Balance as of beginning of period | $ | 7,766 | |
Balance as of end of period | $ | 7,766 |
For the Six | |||
Months Ended | |||
June 30, 2016 | |||
Balance as of beginning of period | $ | — | |
Additions | 7,766 | ||
Balance as of end of period | $ | 7,766 |
The Company did not have any Level 3 assets or liabilities as of June 30, 2015.
The following table summarizes the fair value (in thousands), valuation techniques and significant unobservable inputs of our Level 3 fair value measurements as of June 30, 2016:
Fair | Valuation | Significant | Assumption or | ||||||
Value | Technique | Unobservable Inputs | Input Ranges | ||||||
Contingent consideration (1) | $ | 7,766 | Real options approach | Risk-adjusted expected growth rates | 22.8% - 282.2% | ||||
Discount rate/time value | 3.4% - 5.6% |
(1) Related to additional Passport earn-out consideration as described further in Note 4.
The Company did not hold any assets or liabilities that had Level 3 inputs as of June 30, 2015, or December 31, 2015.
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15. Related Parties
As discussed in Note 12, Evolent acquired a 27% economic interest in GPAC during the second quarter of 2016 and is considered to have significant influence. As a result, the Company accounts for the investment under the equity method of accounting and is allocated its proportional share of GPAC's profits and losses for each reporting period. In addition, the Company signed a long-term services agreement with GPAC to provide certain management, operational and support services to help GPAC manage elements of its service offerings.
The Company also works closely with both of its founding investors, The Advisory Board and UPMC. The relationship with The Advisory Board is centered on providing certain specified services and making valuable connections with CEOs of health systems that could become partners. The Company’s relationship with UPMC is a subcontractor relationship where UPMC has agreed to execute certain tasks (primarily third-party administration or “TPA” services) relating to certain customer commitments. We also conduct business with a company in which UPMC holds a significant equity interest.
Additionally, prior to the Offering Reorganization, we issued shares of our stock to certain of our partners while concurrently entering into revenue contracts with those partners. Those partners were considered related parties and the balances and/or transactions with them were reported on our consolidated financial statements for the periods in which they held an equity interest in Evolent Health, Inc. Subsequent to December 31, 2015, only one of our partners holds an equity interest in Evolent Health, Inc. That same partner represents a significant portion of our revenue and has a member of their management on our board of directors. That partner, our founding investors and their related businesses are considered related parties and the balances and/or transactions with them are reported on our consolidated financial statements.
16. Subsequent Events
On July 12, 2016, the Company entered into an agreement to acquire the majority of Valence Health. Valence Health provides value-based care solutions for hospitals, health systems and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Consideration for the transaction will include both cash and shares of Evolent Class A common stock. Pursuant to the terms of the agreement, the Company is expected to pay an aggregate of approximately $142.8 million to $144.1 million in consideration based on the closing price of the Company's Class A common stock on the New York Stock Exchange on July 12, 2016, consisting of 5.3 million to 5.8 million shares of the Company's Class A common stock and approximately $35.0 million to $44.0 million in cash. We expect to pay the cash portion of the consideration with cash on hand. The aggregate consideration payable in the transaction is subject to certain post-closing adjustments based on working capital, indebtedness, certain liabilities and transaction expenses as of the closing date of the transaction. The Company will also pay additional contingent share consideration, if earned, in the form of an earn-out of up to $50.0 million payable in shares of the Company’s Class A common stock, the payment of which is subject to the satisfaction of certain conditions and the achievement of new business activity completed by the acquired portion of Valence Health over the balance of calendar year 2016 impacting 2017 results. Shares of Class A common stock to be issued in relation to the earn-out are limited to 3.9 million shares with full payment, if any, to be made by January 30, 2017. The shares of Class A common stock to be paid at closing and any shares payable under the earn-out are expected to be issued in transactions exempt from registration under the Securities Act of 1933, as amended.
The consummation of the acquisition is subject to closing conditions, including, among others, the approval of Valence Health’s stockholders, the absence of certain legal impediments to the consummation of the transaction, the receipt of specified consents and approvals, the early termination or expiration of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 and, subject to materiality exceptions, the accuracy of representations and warranties made by the Company and Valence Health, respectively, and compliance by the Company and Valence Health with their respective obligations under the merger agreement. The transaction is not subject to any financing condition and is expected to close prior to November 10, 2016.
On July 28, 2016, we filed a registration statement on Form S-3 under the Securities Act of 1933, as amended, to register the possible resale of 44,028,589 shares of our Class A common stock by certain selling stockholders. The shares of Class A common stock included in this registration statement include shares to be issued upon the exchange of an equivalent number of Class B common units (together with an equal number of shares of our Class B common stock) of our operating subsidiary, Evolent Health LLC, by certain selling stockholders pursuant to their contractual rights under an exchange agreement. Please refer to our 2015 Form 10-K for further information about the IPO and rights of our Class A common stock and Class B common unit holders.
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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 as of June 30, 2016, compared with December 31, 2015, and the results of operations for the three and six months ended June 30, 2016, compared with the corresponding periods in 2015. 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 (“Notes”) presented in “Item 1. Financial Statements” our 2015 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 2016.
INTRODUCTION
Background and Recent Events
Evolent was originally organized as a corporation in August 2011 and was capitalized through contributions of cash and intangible assets in exchange for preferred stock.
On September 23, 2013, Evolent Health, Inc. undertook a reorganization (the “Series B Reorganization”) in which Evolent Health Holdings was formed and Evolent Health, Inc. converted into Evolent Health LLC, a limited liability company. Evolent Health Holdings did not control Evolent Health LLC after the Series B Reorganization, but was able to exert significant influence and, accordingly, accounted for its investment in Evolent Health LLC using the equity method of accounting.
Evolent Health, Inc., the registrant, was incorporated as a Delaware corporation on December 12, 2014, for the purpose of the Company’s IPO. Immediately prior to the completion of the IPO in June 2015, we amended and restated our certificate of incorporation to, among other things, authorize two classes of common stock, Class A common stock and Class B common stock. Pursuant to the Offering Reorganization, Evolent Health, Inc. merged with Evolent Health Holdings and an affiliate of TPG. In accordance with the terms of the mergers, each of the then-existing stockholders of Evolent Health Holdings, including UPMC, The Advisory Board, TPG, as well as certain other entities, existing partners and employees, received a certain number of shares of our Class A common stock in exchange for each share of common stock it held in Evolent Health Holdings, and TPG received a certain number of shares of our Class A common stock in exchange for 100% of the equity that it held in its affiliate that was merged with Evolent Health, Inc. In addition, pursuant to the Offering Reorganization, we issued shares of our Class B common stock to TPG and The Advisory Board, each of which was a member of Evolent Health LLC prior to the Offering Reorganization. Shares of our Class B common stock vote together with shares of our Class A common stock as a single class, except as otherwise required by law or pursuant to our amended and restated certificate of incorporation or amended and restated bylaws. 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 and is otherwise non-transferable pursuant to an exchange agreement.
Substantially all of our operations will continue to be conducted through Evolent Health LLC, and subsequent to the Offering Reorganization, the financial results of Evolent Health LLC are 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.
Business Overview
We are a market leader and a pioneer in the new era of healthcare delivery and payment, in which leading providers are taking on increasing clinical and financial responsibility for the populations they serve. Our purpose-built platform, powered by our technology, proprietary processes and integrated services, enables providers to migrate their economic orientation from fee-for-service reimbursement to value-based payment models. By partnering with providers to accelerate their path to value-based care, we enable our provider partners to expand their market opportunity, diversify their revenue streams, grow market share and improve the quality of the care they provide.
We consider value-based care to be the necessary convergence of healthcare payment and delivery. We believe the pace of this convergence is accelerating, driven by price pressure in traditional fee-for-service ("FFS") healthcare, a regulatory environment that is incentivizing value-based care models, a rapid expansion of retail insurance driven by the emergence of the organizations that provide a marketplace for individuals to purchase standardized and government regulated health insurance policies ("health insurance exchanges") and innovation in data and technology. We believe providers are positioned to lead this transition to value-based care because of their control over large portions of healthcare delivery costs, their primary position with consumers and their strong local brand.
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We market and sell our services primarily to major providers throughout the United States. We typically work with our partners in two phases. In the transformation phase, we initially work with our partners to develop a strategic plan for their transition to a value-based care model which includes sizing the market opportunity for our partner and creating a Blueprint for executing that opportunity. During the second portion of the transformation phase, which typically lasts twelve to fifteen months, we generally work with our partner to implement the Blueprint by establishing the resources necessary to launch its strategy and capitalize on the opportunity. During the transformation phase, we seek to enter into long-term agreements which we call the platform and operations phase and for which we deliver a wide range of services that support our partner in the execution of its new strategy. Contracts in the platform and operations phase can range from three to ten years in length. In the platform and operations phase, we establish a local market presence and embed our resources alongside our partners. Revenue from these long-term contracts is not guaranteed because certain of these contracts are terminable for convenience by our partners after a notice period has passed, and certain partners would be required to pay us a termination fee in certain circumstances.
As of June 30, 2016, we had entered into long-term contractual relationships with thirteen partners and a significant portion of our revenue is concentrated with several partners. Our three largest partners, Indiana University Health, Passport Health Plan and MedStar Health, Inc., comprised 17.2%, 15.1% and 14.9%, respectively, of our revenue for the six months ended June 30, 2016, or 47.2% in the aggregate.
On February 1, 2016, the Company entered into a strategic alliance with University Health Care, Inc. d/b/a Passport Health Plan (“Passport”), a leading nonprofit community-based and provider-sponsored health plan administering Kentucky Medicaid and federal Medicare Advantage benefits to over 280,000 Kentucky Medicaid and Medicare Advantage beneficiaries. As part of the transaction, we issued 1.1 million Class A common shares to acquire capabilities and assets from Passport to enable us to build out a Medicaid Center of Excellence based in Louisville, Kentucky. Additional equity consideration of up to $10.0 million may be earned by Passport should we obtain new third party Medicaid business in future periods. This transaction also includes a 10-year arrangement under which we will provide various health plan management and managed care services to the Passport. We believe the Medicaid Center of Excellence, which combines Passport’s capabilities with our existing capabilities and technology platform, will enhance our ability to further expand into the growing market in provider-sponsored, community-based Medicaid health plans throughout the United States. See Note 4 in "Item 1. Financial Statements" for details of the accounting for this transaction. Passport comprised 15.1% of our revenue for the six months ended June 30, 2016, and we expect the 10-year service arrangement will continue to contribute significantly to our future operations.
On July 12, 2016, the Company entered into an agreement to acquire the majority of Valence Health. Valence Health provides value-based care solutions for hospitals, health systems and physicians to help them achieve clinical and financial rewards for more effectively managing patient populations. Consideration for the transaction will include both cash and shares of Evolent Class A common stock. Pursuant to the terms of the agreement, the Company is expected to pay an aggregate of approximately $142.8 million to $144.1 million in consideration based on the closing price of the Company's Class A common stock on the New York Stock Exchange on July 12, 2016, consisting of 5.3 million to 5.8 million shares of the Company's Class A common stock and approximately $35.0 million to $44.0 million in cash. We expect to pay the cash portion of the consideration with cash on hand. The aggregate consideration payable in the transaction is subject to certain post-closing adjustments based on working capital, indebtedness, certain liabilities and transaction expenses as of the closing date of the transaction. The Company will also pay additional contingent share consideration, if earned, in the form of an earn-out of up to $50.0 million payable in shares of the Company’s Class A common stock, the payment of which is subject to the satisfaction of certain conditions and the achievement of new business activity completed by the acquired portion of Valence Health over the balance of calendar year 2016 impacting 2017 results. Shares of Class A common stock to be issued in relation to the earn-out are limited to 3.9 million shares with full payment, if any, to be made by January 30, 2017. The transaction is expected to close prior to November 10, 2016, pending regulatory approval and other closing conditions, and we will finalize the accounting for this transaction upon close. We expect the acquisition of Valence Health to contribute significantly to our future operations.
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. We also expect to continue to incur operating losses for the foreseeable future and may need to raise additional capital through equity and debt financings in order to fund our operations. Additional funds may not be available on terms favorable to us or at all. If we are unable to achieve our revenue growth and cost management objectives, we may not be able to achieve profitability. As of June 30, 2016, we believe we have sufficient liquidity for the next twelve months.
We manage our operations and allocate resources as a single reportable segment. All of our revenue is recognized in the United States and all of our long-lived assets are located in the United States.
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Critical Accounting Policies and Estimates
The MD&A included in our 2015 Form 10-K contains a detailed discussion of our critical accounting policies and estimates. The following information updates the “Critical Accounting Policies and Estimates” provided in our 2015 Form 10-K and, accordingly, should be read in conjunction with the “Critical Accounting Policies and Estimates” discussed in our 2015 Form 10-K.
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 on October 31 for indications of impairment, with consideration given to financial performance and other relevant factors. We perform a two-step test in our evaluation of the carrying value of goodwill, if qualitative factors determine it is necessary to complete the two-step goodwill impairment test. In Step 1 of the evaluation, the fair value 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 Step 2 is not required. If the fair value estimate is less than the carrying value, it is an indicator that impairment may exist, and Step 2 is required. In Step 2, the implied fair value of goodwill is determined. The fair value as determined in Step 1 is assigned to the entity’s net assets (recognized and unrecognized) as if the entity was acquired in a business combination as of the date of the impairment test. If the implied fair value of goodwill is lower than its carrying amount, goodwill is impaired and written down to its fair value; and a charge is reported in impairment of goodwill on our Consolidated Statements of Operations.
Factors could cause us to believe our estimated fair value of our single reporting unit may be lower than the carrying value and trigger a Step 1 test, but may not require a Step 2 test if the fair value of the reporting unit is greater than its carrying value. In the event a Step 2 test is conducted, it may not result in goodwill impairment because the implied fair value of goodwill may exceed our carrying amount of goodwill. The implied fair value of goodwill is most sensitive to our estimates of revenue growth, expense management, working capital investment, margins and discount rates.
In interim periods between annual goodwill reviews, we also evaluate qualitative factors that could cause us to believe our estimated fair value of our single reporting unit may be lower than the carrying value and trigger a Step 1 test 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, revenue and earnings, (iv) a sustained decrease in share price and (v) other relevant entity-specific events including changes in strategy, partners, or litigation. As a result of the Offering Reorganization, we revalued our consolidated balance sheet to the market value of our IPO share price of $17.00.
Subsequent to our 2015 annual impairment testing in the fourth quarter of 2015, our common stock price declined significantly, reaching our historic low in the first quarter of 2016. During the three months ended March 31, 2016, our common stock traded between $8.48 and $12.32, or an average common stock price of $10.33 compared to an average common stock price of $19.51 and $14.73 during the three month periods ended September 30, 2015, and December 31, 2015, respectively. A sustained decline in our common stock price and the resulting impact on our market capitalization is one of several qualitative factors we consider each quarter when evaluating whether events or changes in circumstances indicate it is more likely than not that a potential goodwill impairment exists. We concluded that the further decline in common stock price observed during the first quarter of 2016 did represent a sustained decline and that triggering events occurred during the period requiring an interim goodwill impairment test as of March 31, 2016. As such, we performed a Step 1 impairment test of our goodwill as of March 31, 2016.
Step 1 Results
To determine the implied fair value for our single reporting unit, we used both a market multiple valuation approach (“market approach”) and a discounted cash flow valuation approach (“income approach”). In determining the estimated fair value, we considered the level of our Class A common stock price and assumptions that we believed market participants would make in valuing our reporting unit, including a control premium, as well as discounted cash flow calculations of management’s estimates of future financial performance and management’s long-term plans. This analysis also required us to make judgments about revenues, expenses, fixed asset and working capital requirements, the timing of exchanges of our Class B common shares, capital market assumptions and discount rates.
In our March 31, 2016, Step 1 test, our most sensitive assumption for purposes of the market approach was our estimate of the control premium, and the most sensitive assumption related to the income approach, other than our cash flows, was the discount rate. As of March 31, 2016, our single reporting unit failed the Step 1 analysis as we determined that its implied fair value was less than its carrying value based on the weighting of the fair values determined under both the market and income approaches. As fair value was less than carrying value, we performed a Step 2 test to determine the implied fair value of our goodwill.
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Step 2 Results
In our Step 2 test, the fair value of all assets and liabilities were estimated, including our tangible assets (corporate trade name, customer relationships and technology) for the purpose of deriving an estimate of the implied fair value of goodwill. The implied fair value of goodwill was then compared to the carrying amount of goodwill resulting in an impairment charge of $160.6 million on our Consolidated Statements of Operations.
The impairment was driven primarily by the sustained decline in our share price as our estimates of our future cash flows and the control premium have remained consistent, combined with an increase in the discount rate period over period. As noted above, our determination of fair value used a weighting of the fair values determined under both the market and income approaches, with the market approach driving the significant reduction in overall firm value and related impairment of goodwill.
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 or interest rates. Any further impairment charges that we may record in the future could be material to our results of operations.
Stock-based Compensation
In March 2016, the FASB issued ASU 2016-09, which simplifies several aspects of the accounting for employee share-based payment transactions, including accounting for income taxes, forfeitures and statutory tax withholding requirements, as well as classification in the statement of cash flows. The Company elected to early adopt ASU 2016-09 during the second quarter of 2016.
ASU 2016-09 requires that amendments resulting from the adoption of the new pronouncement be applied using a modified-retrospective transition method by means of a cumulative-effect adjustment to retained earnings as of the beginning of the period in which the guidance is adopted. Therefore, the Company adjusted retained earnings on January 1, 2016, for amendments related to an accounting policy election to recognize share-based award forfeitures as they occur rather than applying an estimated forfeiture rate.
In adopting ASU 2016-09, we recorded adjustments to beginning retained earnings as of January 1, 2016, and retained earnings, cost of revenue and selling general and administrative expenses as of and for the three months ended March 31, 2016. The amounts were immaterial to our Consolidated Balance Sheets and Results of Operations.
In addition, the adoption of ASU 2016-09 changed how the Company recognizes excess tax benefits ("windfalls") or deficiencies ("shortfalls") related to share-based compensation. Prior to adopting the new pronouncement, these windfalls and shortfalls were credited or charged, respectively, to additional paid-in capital in the Company's Consolidated Balance Sheets. Under ASU 2016-09, these windfalls and shortfalls are recognized prospectively as discrete tax benefit or discrete tax expense, respectively, in the Company's Consolidated Statement of Operations. For the six months ended June 30, 2016, the Company did not recognize a discrete tax benefit related to net windfall tax benefits from share-based compensation, as the Company does not expect to realize these excess tax deductions in 2016 by reduction of taxes payable, and valuation allowance is necessary.
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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 its operating subsidiary, Evolent Health LLC, which has owned all of our operating assets and substantially all of our business since inception. Prior to the Offering Reorganization on June 4, 2015, the predecessor of Evolent Health, Inc. accounted for Evolent Health LLC as an equity method investment. The financial results of Evolent Health LLC have been consolidated in the financial statements of Evolent Health, Inc. following the Offering Reorganization. As a result, the financial statements of Evolent Health, Inc. for the three and six months ended June 30, 2015, do not reflect a complete view of the operational results for those periods.
Key Components of our Results of Operations
Revenue
We derive our revenue from two sources: transformation and platform and operations services. We collect a fixed fee from our partners during the transformation phase and revenue is recognized based upon proportionate performance over the life of the engagement. Transformation revenue can fluctuate based on both the timing of when contracts are executed with partners, the scope of the delivery and the timing of work being performed. During the platform and operations phase, our revenue structure shifts to a primarily variable fee structure which typically includes a monthly payment that is calculated based on a specified rate, or per member per month ("PMPM"), multiplied by the number of members that our partners are managing under a value-based care arrangement or a percentage of plan premiums. The platform and operations agreements often include contingent fees such as service level agreements, shared medical savings arrangements and other performance measures which are recognized when the amount is estimable and there is evidence to support meeting the criteria. In some cases, we recognize revenue when the cash is received as we have limited data to support our estimate. Our platform and operations revenue may vary based on the nature of the population, the timing of new populations transitioning to our platform and the type of services being utilized by our partners. After a specified period, certain of our platform and operations contracts are terminable for convenience by our partners after a notice period has passed and the partner has paid a termination fee. We also have arrangements with multiple deliverables (including both transformation and platform and operations components) and we evaluate the deliverables to determine whether they represent a separate unit of accounting. Revenue is then allocated to the units of accounting based on each unit’s relative selling price.
Cost of revenue (exclusive of depreciation and amortization)
Our cost of revenue includes direct expenses and shared resources that perform services in direct support of clients. Costs consist primarily of employee related expenses (including compensation, benefits and stock-based compensation), TPA support and other services provided by one of our investors, UPMC, as well as other professional fees.
Selling, general and administrative expenses
Our selling, general and administrative expenses consist primarily 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, 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 the transactions closed during the first quarter of 2016, depreciation of property and equipment and amortization of bond premiums.
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Evolent Health, Inc. Results
For the Three | Change | For the Six | Change | |||||||||||||||||
Months Ended | Over Prior | Months Ended | Over Prior | |||||||||||||||||
June 30, | Period (1) | June 30, | Period (1) | |||||||||||||||||
(in thousands) | 2016 | 2015 | % | 2016 | 2015 | % | ||||||||||||||
Revenue | ||||||||||||||||||||
Transformation | $ | 10,388 | $ | 2,703 | 284.3 | % | $ | 18,502 | $ | 2,703 | N/A | |||||||||
Platform and operations | 46,130 | 7,711 | N/A | 87,465 | 7,711 | N/A | ||||||||||||||
Total revenue | 56,518 | 10,414 | N/A | 105,967 | 10,414 | N/A | ||||||||||||||
Expenses | ||||||||||||||||||||
Cost of revenue (exclusive of depreciation | ||||||||||||||||||||
and amortization expenses presented | ||||||||||||||||||||
separately below) | 32,779 | 7,887 | N/A | 61,445 | 7,887 | N/A | ||||||||||||||
Selling, general and administrative expenses | 32,756 | 13,082 | 150.4 | % | 65,115 | 13,082 | N/A | |||||||||||||
Depreciation and amortization expenses | 3,612 | 984 | 267.1 | % | 6,983 | 984 | N/A | |||||||||||||
Goodwill impairment | — | — | N/A | 160,600 | — | N/A | ||||||||||||||
Total operating expenses | 69,147 | 21,953 | 215.0 | % | 294,143 | 21,953 | N/A | |||||||||||||
Operating income (loss) | $ | (12,629 | ) | $ | (11,539 | ) | 9.4 | % | $ | (188,176 | ) | $ | (11,539 | ) | N/A | |||||
Transformation revenue as | ||||||||||||||||||||
a % of total revenue | 18.4 | % | 26.0 | % | 17.5 | % | 26.0 | % | ||||||||||||
Platform and operations revenue | ||||||||||||||||||||
as a % of total revenue | 81.6 | % | 74.0 | % | 82.5 | % | 74.0 | % | ||||||||||||
Cost of revenue as a % | ||||||||||||||||||||
of total revenue | 58.0 | % | 75.7 | % | 58.0 | % | 75.7 | % | ||||||||||||
Selling, general and administrative | ||||||||||||||||||||
expenses as a % of total revenue | 58.0 | % | 125.6 | % | 61.4 | % | 125.6 | % |
(1) | As a result of the Offering Reorganization, the operational results for the three and six months ended June 30, 2015, do not reflect a complete view of the Company's operations for those periods. Therefore, we believe that a comparison of the three and six month periods ended June 30, 2016, which reflect the full operations of Evolent Health LLC for those respective periods, to the three and six month periods ended June 30, 2015, would not yield a meaningful comparison for the reader. As such, we have excluded the presentation of certain changes from the table above and denoted them with "N/A." See "Part II - Item 8. Financial Statements and Supplementary Data - Note 4" in our 2015 Form 10-K and Note 4 in this Form 10-Q for additional details of the Offering Reorganization. |
Evolent Health, Inc.'s results for the three and six months ended June 30, 2016, reflect a complete view of the operational results as the results of operations of Evolent Health LLC have been included for the full period. Revenue for the three and six months ended June 30, 2016, was $56.5 million and $106.0 million, respectively, as compared to $10.4 million in the same periods in the prior year.
Transformation revenue for the three and six months ended June 30, 2016, was $10.4 million and $18.5 million, respectively, as compared to $2.7 million in the same periods in the prior year. Platform and operations revenue for the three and six months ended June 30, 2016, was $46.1 million and $87.5 million, respectively, as compared to $7.7 million in the same periods in the prior year. Cost of revenue for the three and six months ended June 30, 2016, was $32.8 million and $61.4 million, respectively, as compared to $7.9 million in the same periods in the prior year. Selling, general and administrative expenses for the three and six months ended June 30, 2016, was $32.8 million and $65.1 million, respectively, as compared to $13.1 million in the same periods in the prior year. Depreciation and amortization expenses for the three and six months ended June 30, 2016, was $3.6 million and $7.0 million, respectively, as compared to $1.0 million in the same periods in the prior year. Revenue and operating expenses increased over the prior year periods as a result of the consolidation of Evolent Health LLC.
Goodwill impairment
During the first quarter of 2016 we recorded an impairment charge of $160.6 million on our Consolidated Statements of Operations as the implied fair value of goodwill was less than the carrying amount. See "Critical Accounting Policies and Estimates" above for further details of the impairment charge to goodwill.
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Interest income (expense), net
As a result of the Offering Reorganization, the cash and cash equivalents and investments of Evolent Health LLC are now consolidated and reflected on our Consolidated Balance Sheets. Interest income consists of interest from investing cash in money market funds and interest from both our short-term and long-term investments. We expect our average cash and cash equivalents to decline in future periods as we use those funds for operations.
Gain on consolidation
As part of the Offering Reorganization and as a result of gaining control of Evolent Health LLC, we recognized a gain of $414.1 million for the three and six months ended June 30, 2015. We accounted for obtaining control of Evolent Health LLC as a step acquisition and, accordingly, recognized the fair value of Evolent Health LLC’s assets and liabilities as of the effective date of the Offering Reorganization, including goodwill of $608.9 million and intangible assets of $169.0 million (consisting of $19.0 million, $120.0 million and $30.0 million for the corporate trade name, existing customer relationships and existing technology, respectively).
Income (loss) from affiliate
During the second quarter of 2016, the Company acquired an equity stake in GPAC for $3.0 million in cash. The Company will be allocated its proportional share of GPAC's profits and losses for each reporting period. For the three and six months ended June 30, 2016, Evolent Health, Inc.'s proportional share of the losses of GPAC was less than $0.1 million.
Evolent Health, Inc.’s proportionate share of the losses of Evolent Health LLC for the three and six months ended June 30, 2015, was $16.8 million and $28.2 million, respectively, which included $0.3 million and $0.8 million, respectively, related to the amortization of a basis differential.
As a result of the Offering Reorganization, the financial results of Evolent Health LLC are now consolidated and reflected in our financial results. As such, we did not recognize income (loss) from the Evolent Health LLC affiliate in the three and six month periods ended June 30, 2016.
Provision (benefit) for income taxes
Our income tax benefit relates to federal and state jurisdictions in the United States. The difference between our effective tax rate and our statutory rate is due primarily to the fact that we have certain permanent items which include, but are not limited to, income attributable to non-controlling interests and the impact of certain tax deduction limits related to meals and entertainment and other permanent nondeductible expenses. The Company reports taxes only on its share of Evolent Health LLC's income and the consolidated income tax benefit therefore excludes earnings allocable to non-controlling interests. The Company expects this factor will continue to impact the consolidated effective tax rate until all Class B common units and shares are exchanged for Class A common shares of Evolent Health, Inc.
The Company recorded $0.4 million and $1.4 million in income tax benefit for the three and six months ended June 30, 2016, respectively, compared to an income tax provision of $29.3 million for the three and six months ended June 30, 2015. As of December 31, 2015, $6.2 million of our book and tax basis difference deferred tax liability was expected to reverse outside of our NOL carryforward period. Current tax losses generated in 2016 by the Company allow this deferred tax liability to become a source of income for the realization of our deferred tax assets, while the Company still maintains its valuation allowance. As a result, the Company recorded income tax benefits of $0.4 million and $1.4 million for the three and six ended June 30, 2016, respectively, and expects to continue to generate such tax benefits in future periods.
During the three and six months ended June 30, 2016, management examined all sources of taxable income that may be available for the realization of its net deferred tax assets. Given the Company’s cumulative loss position, management concluded that there are no current sources of taxable income and we are currently reflecting a full valuation allowance in our financial statements.
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Net income (loss) attributable to non-controlling interests
As a result of the Offering Reorganization and as of June 4, 2015, we now consolidate the results of Evolent Health LLC as we have 100% of the voting rights of the entity; however, as of June 30, 2016, we own 70.9% of the economic rights of the results of operations of Evolent Health LLC and eliminate the non-controlling interest from our results of operations. For the three and six months ended June 30, 2016, our results reflect net losses of $3.6 million and $54.8 million, respectively, attributable to non-controlling interests, which represents 28.6% and 29.1% of the operating losses of Evolent Health LLC, respectively. For the corresponding periods in 2015, our results reflect a net loss of $3.4 million attributable to non-controlling interests, which represents 29.7% of the operating losses of Evolent Health LLC for the three and six months ended June 30, 2015.
As the Company's results for the three and six months ended June 30, 2015, do not reflect a complete view of Evolent Health LLC's operations for those periods, we believe that a comparison of results beyond the discussion provided above would not be meaningful for the reader and, as such, have provided a comparison of our Adjusted Results below. See "Evolent Health, Inc. Adjusted Results" for further discussion of the adjusted operating results.
NON-GAAP FINANCIAL MEASURES
As described above, Evolent Health, Inc. is a holding company and its principal asset is all of the Class A common units in its operating subsidiary, Evolent Health LLC, which has owned all of our operating assets and substantially all of our business since inception. Prior to the Offering Reorganization on June 4, 2015, the predecessor of Evolent Health, Inc. accounted for Evolent Health LLC as an equity method investment. The financial results of Evolent Health LLC have been consolidated in the financial statements of Evolent Health, Inc. following the Offering Reorganization. As a result, the financial statements of Evolent Health, Inc. for the three and six months ended June 30, 2015, do not reflect a complete view of the operational results for the respective periods. In order to provide a consistent presentation for the periods before and after June 4, 2015, and effectively provide comparative results, the adjusted results of Evolent Health, Inc. presented and discussed below reflect the Offering Reorganization as if it had occurred on January 1, 2015, and therefore include the operations of Evolent Health LLC for the period from January 1, 2015, through June 3, 2015, as well as for the period from June 4, 2015, through June 30, 2015, when the results were consolidated. Including Evolent Health LLC’s results for this period is not consistent with GAAP and should not be considered as an alternative to comparable GAAP measures. The non-GAAP measures below reflect certain income statement line items as adjusted to reflect results from operations for the three and six month periods ended June 30, 2015, as if the Offering Reorganization had occurred on January 1, 2015. The presentation also reflects other adjustments.
In addition to disclosing financial results that are determined in accordance with GAAP, we present and discuss Adjusted Revenue, Adjusted Transformation Revenue, Adjusted Platform and Operations Revenue, Adjusted Cost of Revenue, Adjusted Selling, General and Administrative Expenses, Adjusted Depreciation and Amortization Expenses and Adjusted Operating Income (Loss), which are all non-GAAP financial measures, as supplemental measures to help investors evaluate our fundamental operational performance. We believe these measures are useful across time in evaluating our fundamental core operating performance. Management also uses certain of these measures to manage our business, including in preparing its annual operating budget, financial projections and compensation plans. We believe that certain of these measures are also useful to investors because similar measures are frequently used by securities analysts, investors and other interested parties in their evaluation of companies in similar industries.
Adjusted Revenue, Adjusted Transformation Revenue and Adjusted Platform and Operations Revenue are defined as revenue, transformation revenue, and platform and operations revenue, respectively, adjusted to include revenue, transformation revenue and platform and operations revenue, as applicable, of Evolent Health LLC for periods prior to the Offering Reorganization, and to exclude the impact of purchase accounting adjustments. Management uses Adjusted Revenue, Adjusted Transformation Revenue and Adjusted Platform and Operations Revenue as supplemental performance measures because they reflect a complete view of the operational results. The measures are also useful to investors because they reflect the full view of our operational performance in line with how we generate our long term forecasts.
Adjusted Cost of Revenue and Adjusted Selling, General and Administrative Expenses are defined as cost of revenue and selling, general and administrative expenses, respectively, adjusted to include cost of revenue and adjusted selling, general and administrative expenses, as applicable, of Evolent Health LLC for periods prior to the Offering Reorganization, and to exclude the impact of stock-based compensation expenses and transaction costs related to acquisitions and business combinations, the Offering Reorganization and IPO. Management uses Adjusted Cost of Revenue and Adjusted Selling, General and Administrative Expenses as supplemental performance measures which are also useful to investors because they facilitate an understanding of our long term operational costs while removing the effect of costs that are one time (transaction costs) or non-cash (stock-based compensation expenses) in nature. Additionally, these supplemental performance measures facilitate an understanding a breakdown of our Adjusted Total Operating Expenses.
Adjusted Depreciation and Amortization Expenses is defined as depreciation and amortization expenses adjusted to include depreciation and amortization expenses of Evolent Health LLC for periods prior to the Offering Reorganization. Management uses
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Adjusted Depreciation and Amortization Expenses as a supplemental performance measure because it reflects a complete view of the operational results. The measure is also useful to investors because it facilitates understanding a breakdown of our Adjusted Total Operating Expenses.
Adjusted Total Operating Expenses is defined as the sum of Adjusted Cost of Revenue, Adjusted Selling, General and Administrative Expenses and Adjusted Depreciation and Amortization Expenses, and reflects the adjustments made in those non-GAAP measures.
Adjusted Operating Income (Loss) is defined as Adjusted Revenue less Adjusted Total Operating Expenses, and reflects the adjustments made in those non-GAAP measures.
These adjusted measures do not represent and should not be considered as alternatives to GAAP measurements, and our calculations thereof may not be comparable to similarly entitled measures reported by other companies. A reconciliation of these adjusted measures to their most comparable GAAP financial measures is presented in the tables below.
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Evolent Health, Inc. Adjusted Results
For the Three Months Ended June 30, 2016 | For the Three Months Ended June 30, 2015 | |||||||||||||||||||||||||||||||||||||||||
Add: | Evolent Health, Inc. | |||||||||||||||||||||||||||||||||||||||||
Evolent | Evolent | Evolent | Evolent | Evolent | as Adjusted | |||||||||||||||||||||||||||||||||||||
Health, Inc. | Health, Inc. | Health, Inc. | Health LLC | Health, Inc. | Change Over Prior Period * | |||||||||||||||||||||||||||||||||||||
(in thousands) | as Reported | Adjustments | as Adjusted | as Reported | Operations (1) | Adjustments | as Adjusted | $ | % | |||||||||||||||||||||||||||||||||
Revenue | ||||||||||||||||||||||||||||||||||||||||||
Transformation (2) | $ | 10,388 | $ | — | $ | 10,388 | $ | 2,703 | $ | 5,380 | $ | 364 | $ | 8,447 | $ | 1,941 | 23.0 | % | ||||||||||||||||||||||||
Platform and operations (2) | 46,130 | — | 46,130 | 7,711 | 19,394 | 911 | 28,016 | 18,114 | 64.7 | % | ||||||||||||||||||||||||||||||||
Total revenue | 56,518 | — | 56,518 | 10,414 | 24,774 | 1,275 | 36,463 | 20,055 | 55.0 | % | ||||||||||||||||||||||||||||||||
Expenses | ||||||||||||||||||||||||||||||||||||||||||
Cost of revenue (exclusive of | ||||||||||||||||||||||||||||||||||||||||||
depreciation and amortization | ||||||||||||||||||||||||||||||||||||||||||
presented separately below) (3) | 32,779 | (636 | ) | 32,143 | 7,887 | 18,385 | (1,343 | ) | 24,929 | 7,214 | 28.9 | % | ||||||||||||||||||||||||||||||
Selling, general and | ||||||||||||||||||||||||||||||||||||||||||
administrative expenses (4) | 32,756 | (4,475 | ) | 28,281 | 13,082 | 30,006 | (21,306 | ) | 21,782 | 6,499 | 29.8 | % | ||||||||||||||||||||||||||||||
Depreciation and amortization | ||||||||||||||||||||||||||||||||||||||||||
expenses | 3,612 | — | 3,612 | 984 | 1,154 | — | 2,138 | 1,474 | 68.9 | % | ||||||||||||||||||||||||||||||||
Total operating expenses | 69,147 | (5,111 | ) | 64,036 | 21,953 | 49,545 | (22,649 | ) | 48,849 | 15,187 | 31.1 | % | ||||||||||||||||||||||||||||||
Operating income (loss) | $ | (12,629 | ) | $ | 5,111 | $ | (7,518 | ) | $ | (11,539 | ) | $ | (24,771 | ) | $ | 23,924 | $ | (12,386 | ) | $ | 4,868 | 39.3 | % | |||||||||||||||||||
Transformation revenue as | ||||||||||||||||||||||||||||||||||||||||||
a % of total revenue | 18.4 | % | 18.4 | % | 26.0 | % | 23.2 | % | ||||||||||||||||||||||||||||||||||
Platform and operations revenue | ||||||||||||||||||||||||||||||||||||||||||
as a % of total revenue | 81.6 | % | 81.6 | % | 74.0 | % | 76.8 | % | ||||||||||||||||||||||||||||||||||
Cost of revenue as a % | ||||||||||||||||||||||||||||||||||||||||||
of total revenue | 58.0 | % | 56.9 | % | 75.7 | % | 68.4 | % | ||||||||||||||||||||||||||||||||||
Selling, general and administrative | ||||||||||||||||||||||||||||||||||||||||||
expenses as a % of total revenue | 58.0 | % | 50.0 | % | 125.6 | % | 59.7 | % |
(1) | Represents the operational results of Evolent Health LLC for the period April 1, 2015, through June 3, 2015. |
(2) | As part of the Offering Reorganization and as a result of gaining control of Evolent Health LLC, we recorded the fair value of deferred revenue resulting in a $4.9 million reduction to the book value. See "Part II - Item 8. Financial Statements and Supplementary Data - Note 4" in our 2015 Form 10-K and Note 4 in this Form 10-Q for additional details of the Offering Reorganization. Adjustments to transformation revenue and platform and operations revenue relate to purchase accounting adjustments which reflect the portion of the adjustment that would have been recognized in the respective period. |
(3) | Adjustments to cost of revenue include $0.4 million and $1.3 million in stock-based compensation expense for the three months ended June 30, 2016 and 2015, respectively. Stock-based compensation expense includes the value of equity awards granted to employees and non-employee directors of the Company or Evolent Health LLC. |
(4) | Adjustments to selling, general and administrative expenses include $4.3 million and $18.5 million in stock-based compensation expense for the three months ended June 30, 2016 and 2015, respectively. Stock-based compensation expense includes the value of equity awards granted to employees and non-employee directors of the Company or Evolent Health LLC. Adjustments also include transaction costs of $0.2 million and $2.8 million for the three months ended June 30, 2016 and 2015, respectively, resulting from acquisitions and business combinations and costs relating to our Offering Reorganization and IPO. |
* The dollar and percentage changes over prior period based on GAAP results are not presented as the GAAP results of Evolent Health, Inc. for the three months ended June 30, 2015 do
not reflect a complete view of the operational results for the period as described in “Evolent Health, Inc. Adjusted Results.”
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For the Six Months Ended June 30, 2016 | For the Six Months Ended June 30, 2015 | |||||||||||||||||||||||||||||||||||||||||
Add: | Evolent Health, Inc. | |||||||||||||||||||||||||||||||||||||||||
Evolent | Evolent | Evolent | Evolent | Evolent | as Adjusted | |||||||||||||||||||||||||||||||||||||
Health, Inc. | Health, Inc. | Health, Inc. | Health LLC | Health, Inc. | Change Over Prior Period * | |||||||||||||||||||||||||||||||||||||
(in thousands) | as Reported | Adjustments | as Adjusted | as Reported | Operations (1) | Adjustments | as Adjusted | $ | % | |||||||||||||||||||||||||||||||||
Revenue | ||||||||||||||||||||||||||||||||||||||||||
Transformation (2) | $ | 18,502 | $ | 87 | $ | 18,589 | $ | 2,703 | $ | 15,755 | $ | 364 | $ | 18,822 | $ | (233 | ) | (1.2 | )% | |||||||||||||||||||||||
Platform and operations (2) | 87,465 | — | 87,465 | 7,711 | 46,059 | 911 | 54,681 | 32,784 | 60.0 | % | ||||||||||||||||||||||||||||||||
Total revenue | 105,967 | 87 | 106,054 | 10,414 | 61,814 | 1,275 | 73,503 | 32,551 | 44.3 | % | ||||||||||||||||||||||||||||||||
Expenses | ||||||||||||||||||||||||||||||||||||||||||
Cost of revenue (exclusive of | ||||||||||||||||||||||||||||||||||||||||||
depreciation and amortization | ||||||||||||||||||||||||||||||||||||||||||
presented separately below) (3) | 61,445 | (1,145 | ) | 60,300 | 7,887 | 44,839 | (1,783 | ) | 50,943 | 9,357 | 18.4 | % | ||||||||||||||||||||||||||||||
Selling, general and | ||||||||||||||||||||||||||||||||||||||||||
administrative expenses (4) | 65,115 | (8,825 | ) | 56,290 | 13,082 | 58,457 | (29,884 | ) | 41,655 | 14,635 | 35.1 | % | ||||||||||||||||||||||||||||||
Depreciation and amortization | ||||||||||||||||||||||||||||||||||||||||||
expenses | 6,983 | — | 6,983 | 984 | 2,637 | — | 3,621 | 3,362 | 92.8 | % | ||||||||||||||||||||||||||||||||
Goodwill impairment (5) | 160,600 | (160,600 | ) | — | — | — | — | — | — | N/A | ||||||||||||||||||||||||||||||||
Total operating expenses | 294,143 | (170,570 | ) | 123,573 | 21,953 | 105,933 | (31,667 | ) | 96,219 | 27,354 | 28.4 | % | ||||||||||||||||||||||||||||||
Operating income (loss) | $ | (188,176 | ) | $ | 170,657 | $ | (17,519 | ) | $ | (11,539 | ) | $ | (44,119 | ) | $ | 32,942 | $ | (22,716 | ) | $ | 5,197 | 22.9 | % | |||||||||||||||||||
Transformation revenue as | ||||||||||||||||||||||||||||||||||||||||||
a % of total revenue | 17.5 | % | 17.5 | % | 26.0 | % | 25.6 | % | ||||||||||||||||||||||||||||||||||
Platform and operations revenue | ||||||||||||||||||||||||||||||||||||||||||
as a % of total revenue | 82.5 | % | 82.5 | % | 74.0 | % | 74.4 | % | ||||||||||||||||||||||||||||||||||
Cost of revenue as a % | ||||||||||||||||||||||||||||||||||||||||||
of total revenue | 58.0 | % | 56.9 | % | 75.7 | % | 69.3 | % | ||||||||||||||||||||||||||||||||||
Selling, general and administrative | ||||||||||||||||||||||||||||||||||||||||||
expenses as a % of total revenue | 61.4 | % | 53.1 | % | 125.6 | % | 56.7 | % |
(1) | Represents the operational results of Evolent Health LLC for the period January 1, 2015, through June 3, 2015. |
(2) | As part of the Offering Reorganization and as a result of gaining control of Evolent Health LLC, we recorded the fair value of deferred revenue resulting in a $4.9 million reduction to the book value. See "Part II - Item 8. Financial Statements and Supplementary Data - Note 4" in our 2015 Form 10-K and Note 4 in this Form 10-Q for additional details of the Offering Reorganization. Adjustments to transformation revenue and platform and operations revenue relate to purchase accounting adjustments which reflect the portion of the adjustment that would have been recognized in the respective period. |
(3) | Adjustments to cost of revenue include $0.9 million and $1.8 million in stock-based compensation expense for the six months ended June 30, 2016 and 2015, respectively. Stock-based compensation expense includes the value of equity awards granted to employees and non-employee directors of the Company or Evolent Health LLC. |
(4) | Adjustments to selling, general and administrative expenses include $8.6 million and $26.1 million in stock-based compensation expense for the six months ended June 30, 2016 and 2015, respectively. Stock-based compensation expense includes the value of equity awards granted to employees and non-employee directors of the Company or Evolent Health LLC. Adjustments also include transaction costs of $0.2 million and $3.8 million for the six months ended June 30, 2016 and 2015, respectively, resulting from acquisitions and business combinations and costs relating to our Offering Reorganization and IPO. |
(5) | The adjustment represents a write down of goodwill as described in "Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations - Critical Accounting Policies and Estimates." |
* The dollar and percentage changes over prior period based on GAAP results are not presented as the GAAP results of Evolent Health, Inc. for the three months ended June 30, 2015 do
not reflect a complete view of the operational results for the period as described in “Evolent Health, Inc. Adjusted Results.”
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Comparison of the Adjusted Results of the Three Months Ended June 30, 2016 to 2015
Adjusted Revenue
Adjusted Revenue increased by $20.1 million or 55.0%, to $56.5 million for three months ended June 30, 2016, as compared to the same period in 2015.
Adjusted Transformation Revenue accounted for 18.4% and 23.2% of our total Adjusted Revenue for the three months ended June 30, 2016 and 2015, respectively. Adjusted Transformation Revenue increased by $1.9 million, or 23.0%, for the three months ended June 30, 2016, as compared to the same period in 2015, due primarily to the timing of work being performed on existing contracts and timing of new contracts executed with new and existing partners. Over time, we expect Adjusted Transformation Revenue to decrease as a percentage of total Adjusted Revenue as we expect Adjusted Transformation Revenue to be relatively stable as we seek to add a similar number of partners each year combined with the higher growth we are experiencing in our platform and operations revenues.
Adjusted Platform and Operations Revenue increased by $18.1 million, or 64.7%, for the three months ended June 30, 2016, as compared to the same period in 2015, primarily as a result of enrollment growth of 134.8% from approximately 0.6 million lives on our platform as of June 30, 2015, to approximately 1.4 million lives on our platform as of June 30, 2016. We ended the quarter with thirteen partners in the platform and operations phase as compared to ten as of June 30, 2015.
Adjusted Cost of Revenue
Adjusted Cost of Revenue increased $7.2 million to $32.1 million, or 56.9% of Adjusted Revenue, for the three months ended June 30, 2016, as compared to $24.9 million, or 68.4% of Adjusted Revenue, for the same period in 2015. The increase in our Adjusted Cost of Revenue period over period was due primarily to additional personnel costs, professional fees and TPA fees of $2.5 million, $2.5 million and $1.3 million, respectively, to support our growing customer base and service offerings. Additional increases of $0.8 million in costs to support of our growth period over period were due to recruitment, retention and other general costs. Our Adjusted Cost of Revenue decreased as a percentage of our total Adjusted Revenue period over period due primarily to scale economics with our existing clients. We expect this trend to continue over the long term.
Adjusted Selling, General and Administrative Expenses
Adjusted Selling, General and Administrative Expenses increased $6.5 million, or 29.8%, to $28.3 million, or 50.0% of Adjusted Revenue, for the three months ended June 30, 2016, as compared to $21.8 million, or 59.7% of Adjusted Revenue, for the three months ended June 30, 2015. The increase in our Adjusted Selling, General and Administrative Expenses period over period was due primarily to additional personnel costs, including investments in business development, research and development and general overhead of $5.1 million. Additionally, our professional fees, rental costs and insurance costs related to our growth increased $0.8 million, $0.3 million and $0.2 million, respectively period over period. While our selling, general and administrative expenses are expected to grow as our business grows, we expect them to decrease as a percentage of our total revenue over the long term.
Adjusted Depreciation and Amortization Expenses
Adjusted Depreciation and Amortization Expenses increased $1.5 million or 68.9%, to $3.6 million for the three months ended June 30, 2016, as compared to $2.1 million in the same period in 2015. The increase in Adjusted Depreciation and Amortization Expenses was due primarily to the amortization of the intangible assets recorded as a result of the Offering Reorganization in 2015 and the transactions closed in the first quarter of 2016. We expect depreciation and amortization expenses to increase in future periods as we continue to capitalize internal-use software.
Comparison of the Adjusted Results of the Six Months Ended June 30, 2016 to 2015
Adjusted Revenue
Adjusted Revenue increased by $32.6 million or 44.3%, to $106.1 million for the six months ended June 30, 2016, as compared to the same period in 2015.
Adjusted Transformation Revenue accounted for 17.5% and 25.6% of our total Adjusted Revenue for the six months ended June 30, 2016 and 2015, respectively. Adjusted Transformation Revenue decreased $0.2 million, or 1.2%, for the six months ended June 30, 2016, as compared to the same period in 2015, due primarily to the timing of work being performed on existing contracts and timing of new contracts executed with new and existing partners. Over time, we expect Adjusted Transformation Revenue to decrease as a percentage of total Adjusted Revenue as we expect Adjusted Transformation Revenue to be relatively stable as we seek to add a similar number of partners each year combined with the higher growth we are experiencing in our platform and operations revenues.
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Adjusted Platform and Operations Revenue increased by $32.8 million, or 60.0%, for the six months ended June 30, 2016, as compared to the same period in 2015, primarily as a result of enrollment growth of 134.8% from approximately 0.6 million lives on our platform as of June 30, 2015, to approximately 1.4 million lives on our platform as of June 30, 2016.
Adjusted Cost of Revenue
Adjusted Cost of Revenue increased $9.4 million to $60.3 million, or 56.9% of Adjusted Revenue, for the six months ended June 30, 2016, as compared to $50.9 million, or 69.3% of Adjusted Revenue, for the same period in 2015. The increase in our Adjusted Cost of Revenue period over period was due primarily to additional personnel costs, professional fees and other general costs of $4.6 million, $2.9 million and $1.7 million, respectively, to support our growing customer base and service offerings. Our Adjusted Cost of Revenue decreased as a percentage of our total Adjusted Revenue in 2016 due primarily to scale economics with our existing clients. We expect this trend to continue over the long term.
Adjusted Selling, General and Administrative Expenses
Adjusted Selling, General and Administrative Expenses increased $14.6 million, or 35.1%, to $56.3 million, or 53.1% of Adjusted Revenue, for the six months ended June 30, 2016, as compared to $41.7 million, or 56.7% of Adjusted Revenue, for the six months ended June 30, 2015. The increase in our Adjusted Selling, General and Administrative Expenses period over period was due primarily to additional personnel costs, including investments in business development, research and development and general overhead of $10.6 million. Additionally, our professional fees, technology service costs, rental costs, insurance costs and other costs related to our growth increased $1.3 million, $1.0 million, $0.7 million, $0.5 million and $0.5 million, respectively, period over period. While our selling, general and administrative expenses are expected to grow as our business grows, we expect them to decrease as a percentage of our total revenue over the long term.
Adjusted Depreciation and Amortization Expenses
Adjusted Depreciation and Amortization Expenses increased $3.4 million to $7.0 million for the six months ended June 30, 2016, as compared to $3.6 million in the same period in 2015. The increase in Adjusted Depreciation and Amortization Expenses was due primarily to the amortization of the intangible assets recorded as a result of the Offering Reorganization in 2015 and the transactions closed in the first quarter of 2016. We expect depreciation and amortization expenses to increase in future periods as we continue to capitalize internal-use software.
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 $12.6 million and $188.2 million for the three and six months ended June 30, 2016, respectively, and operating losses of $11.5 million for the three and six months ended June 30, 2015. Net cash used in operating activities was $21.9 million and $5.8 million for the six months ended June 30, 2016 and 2015, respectively. As of June 30, 2016, the Company had $105.1 million of cash and cash equivalents.
We believe our current cash, short-term investments and other sources of liquidity will be sufficient to meet our working capital and capital expenditure requirements for the next 12 months. Our future capital requirements will depend on many factors, including our rate of revenue growth, the expansion of our sales and marketing activities and the timing and extent of our spending to support our investment efforts and expansion into other markets. We may also seek to invest in, or acquire complementary businesses, applications or technologies.
Cash and Cash Equivalents, Restricted Cash and Investments
As of June 30, 2016, the Company had $105.1 million of cash and cash equivalents, $3.8 million in restricted cash and $51.8 million of investments.
Cash Flows
We did not have cash flows from operating, investing or financing activities prior to the Offering Reorganization on June 4, 2015.
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Operating Activities
Cash flows used in operating activities of $21.9 million for the six months ended June 30, 2016, were due primarily to our net loss of $186.3 million, offset by non-cash items including goodwill impairment of $160.6 million. Our operating cash outflows were also driven by the timing of customer and vendor payments, including the timing of payments related to PBM services, partially offset by an increase in deferred revenue during the period.
Cash flows used in operating activities of $5.8 million for the six months ended June 30, 2015, were due primarily to the Company's net income of $345.2 million, along with the addition of certain non-cash items, such as loss from affiliates of $28.2 million, and a change in our deferred tax provision of $29.3 million. These amounts were offset by the non-cash gain from the Offering Reorganization of $414.1 million.
Investing Activities
Cash flows used in investing activities of $18.5 million for the six months ended June 30, 2016, were due primarily to $11.5 million used in the acquisition of Vestica, as described in Note 4 in "Item 1. Financial Statements," and $3.0 million used to acquire an equity investment in GPAC as described in Note 12 in "Item 1. Financial Statements." Purchases of property and equipment resulted in a further cash outflow of $7.3 million, which was partially offset by the maturity of securities in the amount of $2.1 million and a $1.2 million reduction in restricted cash due to an amendment to our line of credit.
Cash flows provided by investing activities of $16.1 million for the six months ended June 30, 2015, were due primarily to proceeds received from the consolidation of Evolent Health LLC of approximately $13.1 million and maturities and sales of investments of $4.0 million. These amounts were offset by purchases of property and equipment in the amount of $1.0 million during the period.
Financing Activities
Cash flows used by financing activities of approximately $0.2 million for the six months ended June 30, 2016, were primarily related to proceeds from stock option exercises during the quarter, offset by taxes withheld for restricted stock vests.
Cash flows provided by financing activities of $209.1 million for the six months ended June 30, 2015, were primarily attributable to proceeds from the initial public offering, net of related offering costs.
Contractual Obligations
Our contractual obligations (in thousands) as of June 30, 2016, were as follows:
Less | |||||||||||||||
Than | 1 to 3 | 3 to 5 | |||||||||||||
1 Year | Years | Years | Total | ||||||||||||
Operating leases for facilities | $ | 3,294 | $ | 6,837 | $ | 5,363 | $ | 15,494 | |||||||
Purchase obligations | 2,928 | 1,170 | — | 4,098 | |||||||||||
Total | $ | 6,222 | $ | 8,007 | $ | 5,363 | $ | 19,592 |
During the six months ended June 30, 2016, there were no material changes outside the ordinary course of business in the contractual obligations set forth above.
Restricted Cash and Letters of Credit
Restricted cash of $3.8 million is carried at cost and includes $2.5 million in collateral for letters of credit required as security deposits for facility leases, $1.2 million in pharmacy benefit management services and $0.1 million in other restricted balances as of June 30, 2016.
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 have any outstanding debt and 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, 2016, the Company had not entered into any off-balance sheet arrangements, other than the operating leases noted above, or had any holdings in variable interest entities.
Related Party Transactions
In the ordinary course of business, we enter into transactions with related parties, including our partners and our existing investors, TPG, UPMC and The Advisory Board. Information regarding transactions and amounts with related parties is discussed in Note 15 in our notes to consolidated financial statements included in "Item 1. Financial Statements" as well as under the heading "Certain Relationships and Related Party Transactions" in our proxy statement on Schedule 14A filed with the SEC on April 28, 2016.
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” in our 2015 Form 10-K and “Forward-Looking Statements – Cautionary Language” above.
Recent Accounting Pronouncements
See Note 3 in our notes to consolidated financial statements included in "Item 1. Financial Statements" for a discussion of recent accounting pronouncements that have been implemented during the periods presented or that have been issued and are to be implemented in the future.
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, 2016, cash and cash equivalents and restricted cash was $108.9 million, which consisted of bank deposits with FDIC participating banks of $25.5 million and cash equivalents deposited in a money-market fund of $83.4 million. Additionally, as of June 30, 2016, we held $51.8 million in investments. The cash on deposit with banks is not susceptible to interest rate risk. Our investments are classified as held-to-maturity and therefore are not subject to interest rate risk.
As of June 30, 2016, the Company did not have any indebtedness. 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.
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.
Equity Market Risk
We have exposure to equity market risk related to the potential exchange of our Class B common shares. Pursuant to and subject to the terms of an exchange agreement and the third amended and restated LLC agreement of Evolent Health LLC, holders of our Class B common shares may at any time and from time to time exchange their Class B common shares, together with an equal number of Class B common units of Evolent Health LLC, for shares of our Class A common stock on a one-to-one basis. A decision to exchange these shares may be, in part, driven by equity market conditions and, more specifically, the price of our Class A common stock. An exchange of our Class B common shares would:
• | Increase our ownership in our consolidated operating subsidiary, Evolent Health LLC. See "Item 1. Financial Statements - Note 4” for additional information; |
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• | Increase the number of outstanding shares of our Class A common shares. See “Item 1. Financial Statements - Note 9” for information relating to potentially dilutive securities and the impact on our historical earnings per share; and |
• | Increase our tax basis in our share of Evolent Health LLC’s tangible and intangible assets and possibly subject us to payments under the TRA agreement. See “Part II - Item 8. Financial Statements and Supplementary Data - Note 11” in our 2015 Form 10-K for further information on tax matters related to the exchange of Class B common shares. |
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 ("Exchange Act")), 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 weakness in the design and operation of our internal control over financial reporting relating to our financial statement close process as disclosed in our 2015 Form 10-K, our principal executive officer and principal financial officer have concluded that, as of June 30, 2016, our disclosure controls and procedures were not effective. The company has continued to take steps to address the underlying causes of the material weakness as described further in “Remediation Efforts to Address Material Weakness in Internal Control over Financial Reporting” below. As a result of the remediation taken to date, and the implementation of certain other substantive and analytical review procedures as of and for the three and six months ended June 30, 2016, we believe that the consolidated financial statements included in this Quarterly Report on Form 10-Q fairly state, in all material respects, our financial position, results of operations and cash flows for the periods presented.
Remediation Efforts to Address Material Weakness in Internal Control over Financial Reporting
The material weakness that we identified resulted from an insufficient complement of resources with an appropriate level of accounting knowledge, experience and training to address accounting for complex, non-routine transactions. We are currently in the process of remediating the material weakness and have taken and continue to take steps that we believe will address the underlying causes of the material weakness, primarily by hiring additional accounting and finance personnel with technical accounting and financial reporting experience, enhancing our training programs within our accounting and finance department, enhancing our internal review procedures during the financial statement close process and implementing an improved control environment. During the preparation of this quarterly report, our management has implemented certain additional substantive and analytical review procedures to ensure that information required to be disclosed by us in this report is recorded, processed, summarized and reported, within the time periods specified in the Commission’s rules and forms.
Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting, other than those disclosed under “Remediation Efforts to Address Material Weakness in Internal Control over Financial Reporting” above, 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 Offer, does not expect that our disclosure controls and procedures or our internal controls will prevent all error 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 – OTHER INFORMATION
Item 1. Legal Proceedings
Information regarding reportable legal proceedings is contained in Note 8 in “Part I – Item 1. Financial Statements.”
Item 1A. Risk Factors
Part I, Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2015 includes a discussion of our risk factors. The information presented below updates, and should be read in conjunction with, the risk factors and information disclosed in our Form 10-K. Except as presented below, there have been no material changes from the risk factors described in our Form 10-K.
We may make acquisitions, investments and alliances, including the pending acquisition of Valence Health, which may be difficult to integrate, divert management resources, result in unanticipated costs or dilute our stockholders.
Part of our business strategy is to acquire or invest in companies, products or technologies that complement our current products and services, enhance our market coverage or technical capabilities or offer growth opportunities. As an example, in February 2016 we entered into a strategic alliance with a leading nonprofit community-based and provider-sponsored health plan administering Kentucky Medicaid and federal Medicare Advantage benefits. More recently, on July 12, 2016, we entered into an agreement to acquire the majority of Valence Health Inc.’s business, subject to closing conditions including regulatory approvals, the timing or certainty of which cannot be predicted. We cannot assure you that the transaction will close on a timely basis or at all.
The pending acquisition of Valence Health, as well as future acquisitions, investments and alliances could pose numerous risks to our operations, including:
• | difficulty integrating the purchased operations, products or technologies; |
• | substantial unanticipated integration costs, delays and challenges that may arise in integration; |
• | assimilation of the acquired businesses, which may divert significant management attention and financial resources from our other operations and could disrupt our ongoing business; |
• | the loss of key employees, particularly those of the acquired operations; |
• | difficulty retaining or developing the acquired business’ customers; |
• | adverse effects on our existing business relationships with customers, suppliers, other partners, standing with regulators; |
• | challenges related to the integration of businesses that operate in new geographic areas and new markets; |
• | failure to realize the potential cost savings or other financial benefits or the strategic benefits of the acquisitions, including failure to consummate the Valence Health acquisition or any other proposed or contemplated transaction; |
• | liabilities from the acquired businesses for infringement of intellectual property rights, data privacy violations or other claims and failure to obtain indemnification for such liabilities or claims. |
We may be unable to complete acquisitions or integrate the operations, products or personnel gained through the pending Valence Health acquisition or any other such transaction without a material adverse effect on our business, financial condition and results of operations. Transaction agreements may impose limitations on our ability, or as is the case in the pending Valence Health acquisition, the ability of the business to be acquired, to conduct business. Events outside our control, including operating changes or regulatory changes, could also adversely affect our ability to realize anticipated revenues, synergies, benefits and cost savings. In addition, revenues of Valence Health prior to and after consummation of the acquisition may be less than expected. Any integration may be unpredictable, or subject to delays or changed circumstances, and we and any targets may not perform in accordance with our expectations.
In connection with these acquisitions, investments or alliances, we could incur significant costs, debt, amortization expenses related to intangible assets or large and immediate write-offs or other impairments or charges, assume liabilities or issue stock that would dilute our current stockholders’ ownership. For example, upon consummation of the Valence Health acquisition, as part of the closing consideration we expect to issue from 5.3 million to 5.8 million shares of the Company’s Class A common stock, with up to 3.9 million additional shares of Class A common stock potentially payable in an earn-out. In addition, the market price for our Class A common stock could be affected, following the consummation of the Valence Health acquisition or any other transaction, by factors that have not historically affected the market price for our Class A common stock.
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The growth of our business relies, in part, on the growth and success of our partners and certain revenues from our engagements, which are difficult to predict and are subject to factors outside of our control.
We enter into agreements with our partners under which a significant portion of our fees are variable, including fees which are dependent upon the number of members that are covered by our partner’s healthcare plan each month, expansion of our partners and the services that we provide, as well as performance-based metrics. The number of members covered by a partner’s healthcare plan is often impacted by factors outside of our control, such as the actions of our partner or third parties. Accordingly, revenue under these agreements is unpredictable. If the number of members covered by one or more of our partner’s plans were to be reduced by a material amount, such decrease would lead to a decrease in our revenue, which could harm our business, financial condition and results of operations. In addition, growth forecasts of our partners are subject to significant uncertainty and are based on assumptions and estimates that may prove to be inaccurate. Even if the markets in which our partners compete meet the size estimates and growth forecasted, their health plan membership could fail to grow at similar rates, if at all. In addition, a portion of the revenue under certain of our long-term contracts is tied to the customer’s continued participation in specified payer programs over which we have no control. If the customer ceases to participate in any such program, such decision would lead to a decrease in our expected revenue under the relevant contract.
In addition, the transition to value-based care may be challenging for our partners. For example, fully capitated provider risk arrangements have had a history of financial challenges for providers. Our partners may also have difficulty in value-based care if premium pricing is under pressure. Furthermore, revenue under our partner contracts may differ from our projections because of the termination of the contract for cause or at specified life cycle events, or because of fee reductions that are occasionally given after the contract is initially signed.
Our partners derive a substantial portion of their revenue from third-party private and governmental payers, including, in the case of Passport, Medicaid. Revenue under certain of our agreements, including our agreement with Passport, could be negatively impacted as a result of governmental funding reductions impacting government sponsored programs, changes in reimbursement rates, and premium pricing reductions, as well as the inability of our partners to control and, if necessary, reduce health care costs, all of which are out of our control. Because certain of our partners’ revenues are highly reliant on third-party payor reimbursement funding rates and mechanisms, overall reductions of rates from such payors could adversely impact the liquidity of our partners, resulting in their inability to make payments to us on agreed payment terms.
We have recorded a significant amount of goodwill, and we may never realize the full value of our intangible assets, causing us to record impairments that may negatively affect our results of operations.
Our total assets include substantial goodwill. At June 30, 2016, we had $448.3 million of goodwill on our Consolidated Balance Sheet associated with the Offering Reorganization. Goodwill represents 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. Goodwill is not amortized, but is reviewed at least annually for indications of impairment, with consideration given to financial performance and other relevant factors. In the first quarter of 2016, we recorded an impairment charge of $160.6 million on our Consolidated Statements of Operations.
While our annual goodwill impairment test is conducted at October 31, we have processes to monitor for interim triggering events. Under GAAP, we review our goodwill for impairment when events or changes in circumstances indicate the carrying value may not be recoverable. Factors that may be considered a change in circumstances indicating that the carrying value of our goodwill may not be recoverable include macroeconomic conditions, industry and market considerations, our overall financial performance including an analysis of our current and projected cash flows, revenue and earnings, a sustained decrease in our share price and other relevant entity-specific events including changes in strategy, customers or litigation.
Subsequent to our 2015 annual impairment testing in the fourth quarter of 2015, our common stock price declined significantly, reaching our historic low in the first quarter of 2016. During the three months ended March 31, 2016, our common stock traded between $8.48 and $12.32, or an average common stock price of $10.33 compared to an average common stock price of $19.51 and $14.73 during the three month periods ended September 30, 2015, and December 31, 2015, respectively. A sustained decline in our common stock price and the resulting impact on our market capitalization is one of several qualitative factors we consider each quarter when evaluating whether events or changes in circumstances indicate it is more likely than not that a potential goodwill impairment exists. We concluded that the further decline in common stock price observed during the first quarter of 2016 did represent a sustained decline and that triggering events occurred during this period requiring an interim goodwill impairment test as of March 31, 2016, ultimately resulting in an impairment charge of $160.6 million. A detailed discussion of our impairment testing is included in “Part II - Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations - Critical Accounting Policies”.
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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 or interest rates. Any further impairment charges that we may record in the future could be material to our results of operations.
If a substantial number of shares become available for sale and are sold in a short period of time, the market price of our Class A common stock could decline.
If our existing stockholders sell substantial amounts of our Class A common stock in the public market, the market price of our Class A common stock could decrease significantly. The perception in the public market that our existing stockholders might sell shares of Class A common stock could also depress our market price. As of August 5, 2016, there were 42,685,401 shares of Class A common stock outstanding. In addition, approximately 2.7 million options that are held by our employees are currently exercisable or will be exercisable in 2016. Certain of our executive officers, directors and employees are subject to the holding period requirements of Rule 144. After the holding periods have elapsed and, in the case of restricted stock, after the shares have vested, additional shares will be eligible for sale in the public market. The market price of shares of our Class A common stock may drop significantly when the restrictions on resale by our existing stockholders lapse.
In connection with the pending acquisition of Valence Health, we expect to issue 5.3 million to 5.8 million shares of our Class A common stock upon consummation of the acquisition and up to 3.9 million shares of Class A common stock may be issued under an earn-out in transaction exempt from registration under the Securities Act. See “Part I - Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations - Business Overview” for additional information. The market price of shares of our Class A common stock may drop significantly as a result of the consummation of the acquisition.
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
Not applicable.
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Item 6. Exhibits
The exhibits included in this report are listed in the Exhibit Index beginning on page E-1, which is incorporated herein by reference.
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Signatures
Pursuant to the requirements 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.
By: | /s/ Nicholas McGrane | |
Name: | Nicholas McGrane | |
Title: | Chief Financial Officer | |
By: | /s/ Lydia Stone | |
Name: | Lydia Stone | |
Title: | Principal Accounting Officer and Controller |
Dated: August 9, 2016
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EVOLENT HEALTH, INC.
Exhibit Index for the Report on Form 10-Q
For the Quarter Ended June 30, 2016
2.1 | * | Agreement and Plan of Merger, dated July 12, 2016, by and among Evolent Health, Inc., Electra Merger Sub, LLC, |
Valence Health, Inc. and North Bridge Growth Management Company LLC and Philip Kamp, in their capacity as | ||
securityholders' representative, filed as Exhibit 2.1 to the Company's Report on Form 8-K filed with the SEC on | ||
July 14, 2016, and incorporated herein by reference | ||
3.1 | Amended and Restated Certificate of Incorporation of Evolent Health, Inc., filed as Exhibit 3.1 to the Company's | |
Report on Form 8-K with the SEC on June 15, 2016, and incorporated herein by reference | ||
3.2 | Amended and Restated By-laws of Evolent Health, Inc., filed as Exhibit 3.1 to the Report on Form 8-K filed with | |
the SEC on May 6, 2016, and incorporated herein by reference | ||
31.1 | Certification of the Chief Executive Officer pursuant to section 302 of the Sarbanes-Oxley Act of 2002 | |
31.2 | Certification of the Chief Financial Officer pursuant to section 302 of the Sarbanes-Oxley Act of 2002 | |
32.1 | Certification of the Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 | |
of the Sarbanes-Oxley Act of 2002 | ||
32.2 | Certification of the Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 | |
of the Sarbanes-Oxley Act of 2002 | ||
99.1 | Unaudited Pro Forma Combined Financial Information of Evolent Health, Inc. for the Year Ended | |
December 31, 2015 | ||
101.INS | XBRL Instance Document | |
101.SCH | XBRL Taxonomy Extension Schema Document | |
101.CAL | XBRL Taxonomy Extension Calculation Linkbase Document | |
101.LAB | XBRL Taxonomy Extension Label Linkbase Document | |
101.PRE | XBRL Taxonomy Extension Presentation Linkbase Document | |
101.DEF | XBRL Taxonomy Extension Definition Linkbase Document | |
* | 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 | ||
E-1