Evolent Health, Inc. - Quarter Report: 2017 September (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 September 30, 2017
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, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated filer ☒ Non-accelerated filer ☐ (Do not check if a smaller reporting company)
Smaller reporting company ☐ Emerging growth company ☒
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13 (a) of the Exchange Act. ☒
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒
As of November 6, 2017, there were 74,683,776 shares of the registrant’s Class A common stock outstanding and 2,653,544 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, Organizational Transactions, 2016 Secondary Offering and Other Equity Transactions - Organizational Transactions” in our Annual Report on Form 10-K for the year ended December 31, 2016 (the “2016 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 subsidiaries. Evolent Health LLC, a subsidiary of Evolent Health, Inc. through which we conduct our operations, has owned all of our operating assets and substantially all of our business since inception. Evolent Health, Inc. is a holding company and its principal asset is all of the Class A common units of Evolent Health LLC.
For more information about the Offering Reorganization, refer to “Part I - Item 1. Business - Initial Public Offering, Organizational Transactions, 2016 Secondary Offering and Other Equity Transactions - Organizational Transactions” in our 2016 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:
• | the structural change in the market for health care in the United States; |
• | uncertainty in the health care regulatory framework; |
• | the uncertain impact the results of the 2016 presidential and congressional elections may have on health care laws and regulations; |
• | our ability to effectively manage our growth; |
• | the significant portion of revenue we derive from our largest partners, and the potential loss, termination or renegotiation of customer contracts; |
• | our ability to offer new and innovative products and services; |
• | risks related to completed and future acquisitions, investments and alliances, including the pending acquisitions of New Mexico Health Connections and Premier Health Plan, Inc., the acquisitions of Valence Health, Inc., excluding Cicerone Health Solutions, Inc. (“Valence Health”), and Aldera Holdings, Inc. (“Aldera”), which may be difficult to integrate, divert management resources, result in unanticipated costs or dilute our stockholders; |
• | certain risks and uncertainties associated with the pending acquisitions of New Mexico Health Connections and Premier Health Plan, Inc. and the acquisition of Valence Health, including future revenues may be less than expected, the timing and extent of new lives expected to come onto the platform may not occur as expected and the expected results of Evolent may not be impacted as anticipated; |
• | 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; |
• | the increasing number of risk-sharing arrangements we enter into with our partners; |
• | our ability to recover the significant upfront costs in our partner relationships; |
• | our ability to estimate the size of our target market; |
• | our ability to maintain and enhance our reputation and brand recognition; |
• | consolidation in the health care industry; |
• | competition which could limit our ability to maintain or expand market share within our industry; |
• | our ability to partner with providers due to exclusivity provisions in our contracts; |
• | restrictions and penalties as a result of privacy and data protection laws; |
• | adequate protection of our intellectual property, including trademarks; |
• | any alleged infringement, misappropriation or violation of third-party proprietary rights; |
• | our use of “open source” software; |
• | our ability to protect the confidentiality of our trade secrets, know-how and other proprietary information; |
• | our reliance on third parties and licensed technologies; |
• | our ability to use, disclose, de-identify or license data and to integrate third-party technologies; |
1
• | data loss or corruption due to failures or errors in our systems and service disruptions at our data centers; |
• | online security risks and breaches or failures of our security measures; |
• | our reliance on Internet infrastructure, bandwidth providers, data center providers, other third parties and our own systems for providing services to our users; |
• | our reliance on third-party vendors to host and maintain our technology platform; |
• | our dependency on our key personnel, and our ability to attract, hire, integrate and retain key personnel; |
• | the risk of potential future goodwill impairment on our results of operations; |
• | our indebtedness and our ability to obtain additional financing; |
• | our ability to achieve profitability in the future; |
• | the requirements of being a public company; |
• | our adjusted results may not be representative of our future performance; |
• | the risk of potential future litigation; |
• | 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 described herein; |
• | our ability to realize all or a portion of the tax benefits that we currently expect to result from past and future exchanges of Class B common units of Evolent Health LLC for our Class A common stock, and to utilize certain tax attributes of Evolent Health Holdings and an affiliate of TPG; |
• | distributions that Evolent Health LLC will be required to make to us and to the other members of Evolent Health LLC; |
• | our obligations to make payments under the tax receivables agreement that may be accelerated or may exceed the tax benefits we realize; |
• | different interests among our pre-IPO investors, or between us and our pre-IPO investors; |
• | the terms of agreements between us and certain of our pre-IPO investors; |
• | the 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 are exchanged for shares of Class A common stock; |
• | provisions in our second 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 second amended and restated certificate of incorporation which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees; |
• | our intention not to pay cash dividends on our Class A common stock; |
• | our ability to remediate the material weakness in our internal control over financial reporting; |
• | our status as an “emerging growth company” and |
• | our lack of public company operating experience. |
The risks included here are not exhaustive. Although we believe the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance or achievements. Our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2017, 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 | |||||||||
September 30, | December 31, | |||||||||
2017 | 2016 | |||||||||
ASSETS | ||||||||||
Current assets: | ||||||||||
Cash and cash equivalents | $ | 287,143 | $ | 134,563 | ||||||
Restricted cash and restricted investments | 5,070 | 34,416 | ||||||||
Accounts receivable, net (amounts related to affiliates: 2017 - $5,740; 2016 - $8,258) | 43,972 | 40,635 | ||||||||
Prepaid expenses and other current assets (amounts related to affiliates: 2017 - $37; 2016 - $4,507) | 16,144 | 11,011 | ||||||||
Investments, at amortized cost | — | 44,341 | ||||||||
Total current assets | 352,329 | 264,966 | ||||||||
Restricted cash and restricted investments | 11,862 | 6,000 | ||||||||
Investments in and advances to affiliates | 712 | 2,159 | ||||||||
Property and equipment, net | 46,930 | 31,179 | ||||||||
Prepaid expenses and other non-current assets | 9,364 | 10,043 | ||||||||
Intangible assets, net | 249,492 | 258,923 | ||||||||
Goodwill | 628,341 | 626,569 | ||||||||
Total assets | $ | 1,299,030 | $ | 1,199,839 | ||||||
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT) | ||||||||||
Liabilities | ||||||||||
Current liabilities: | ||||||||||
Accounts payable (amounts related to affiliates: 2017 - $12,120; 2016 - $13,480) | $ | 27,292 | $ | 43,892 | ||||||
Accrued liabilities (amounts related to affiliates: 2017 - $796; 2016 - $3,211) | 21,094 | 29,160 | ||||||||
Accrued compensation and employee benefits | 30,987 | 38,408 | ||||||||
Deferred revenue | 26,094 | 20,481 | ||||||||
Total current liabilities | 105,467 | 131,941 | ||||||||
Long-term debt, net of discount | 121,164 | 120,283 | ||||||||
Other long-term liabilities | 9,982 | 14,655 | ||||||||
Deferred tax liabilities, net | 6,638 | 20,846 | ||||||||
Total liabilities | 243,251 | 287,725 | ||||||||
Commitments and Contingencies (See Note 9) | ||||||||||
Shareholders' Equity (Deficit) | ||||||||||
Class A common stock - $0.01 par value; 750,000,000 shares authorized; 74,657,870 and 52,586,899 | ||||||||||
shares issued and outstanding as of September 30, 2017, and December 31, 2016, respectively | 747 | 506 | ||||||||
Class B common stock - $0.01 par value; 100,000,000 shares authorized; 2,653,544 and 15,346,981 | ||||||||||
shares issued and outstanding as of September 30, 2017, and December 31, 2016, respectively | 27 | 153 | ||||||||
Additional paid-in-capital | 919,962 | 555,250 | ||||||||
Retained earnings (accumulated deficit) | 99,111 | 146,617 | ||||||||
Total shareholders' equity (deficit) attributable to Evolent Health, Inc. | 1,019,847 | 702,526 | ||||||||
Non-controlling interests | 35,932 | 209,588 | ||||||||
Total shareholders' equity (deficit) | 1,055,779 | 912,114 | ||||||||
Total liabilities and shareholders' equity (deficit) | $ | 1,299,030 | $ | 1,199,839 |
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 Nine | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Revenue | |||||||||||||||
Transformation (1) | $ | 8,204 | $ | 7,757 | $ | 23,799 | $ | 26,259 | |||||||
Platform and operations (1) | 99,708 | 52,453 | 297,422 | 139,918 | |||||||||||
Total revenue | 107,912 | 60,210 | 321,221 | 166,177 | |||||||||||
Expenses | |||||||||||||||
Cost of revenue (exclusive of depreciation and amortization | |||||||||||||||
expenses presented separately below) (1) | 68,281 | 33,905 | 203,804 | 95,294 | |||||||||||
Selling, general and administrative expenses (1) | 45,834 | 38,398 | 150,474 | 103,101 | |||||||||||
Depreciation and amortization expenses | 7,717 | 3,746 | 21,236 | 10,728 | |||||||||||
Goodwill impairment | — | — | — | 160,600 | |||||||||||
Loss on change in fair value of contingent consideration | 100 | — | 300 | — | |||||||||||
Total operating expenses | 121,932 | 76,049 | 375,814 | 369,723 | |||||||||||
Operating income (loss) | (14,020 | ) | (15,839 | ) | (54,593 | ) | (203,546 | ) | |||||||
Interest income | 411 | 255 | 813 | 805 | |||||||||||
Interest expense | (880 | ) | — | (2,781 | ) | — | |||||||||
Income (loss) from affiliates | (369 | ) | (448 | ) | (1,446 | ) | (462 | ) | |||||||
Other income (expense), net | 15 | 1 | 21 | 4 | |||||||||||
Income (loss) before income taxes and non-controlling interests | (14,843 | ) | (16,031 | ) | (57,986 | ) | (203,199 | ) | |||||||
Provision (benefit) for income taxes | (1,714 | ) | (256 | ) | (2,009 | ) | (1,614 | ) | |||||||
Net income (loss) | (13,129 | ) | (15,775 | ) | (55,977 | ) | (201,585 | ) | |||||||
Net income (loss) attributable to non-controlling interests | (541 | ) | (4,567 | ) | (8,471 | ) | (59,250 | ) | |||||||
Net income (loss) attributable to Evolent Health, Inc. | $ | (12,588 | ) | $ | (11,208 | ) | $ | (47,506 | ) | $ | (142,335 | ) | |||
Earnings (Loss) Available for Common Shareholders | |||||||||||||||
Basic | $ | (12,588 | ) | $ | (11,208 | ) | $ | (47,506 | ) | $ | (142,335 | ) | |||
Diluted | (12,588 | ) | (11,208 | ) | (47,506 | ) | (142,335 | ) | |||||||
Earnings (Loss) per Common Share | |||||||||||||||
Basic | $ | (0.18 | ) | $ | (0.26 | ) | $ | (0.78 | ) | $ | (3.34 | ) | |||
Diluted | (0.18 | ) | (0.26 | ) | (0.78 | ) | (3.34 | ) | |||||||
Weighted-Average Common Shares Outstanding | |||||||||||||||
Basic | 70,328 | 43,110 | 60,867 | 42,632 | |||||||||||
Diluted | 70,328 | 43,110 | 60,867 | 42,632 |
(1) | Amounts related to affiliates included above are as follows (see Note 16): | |||||||||||||||
Revenue | ||||||||||||||||
Transformation | $ | 352 | $ | 67 | $ | 597 | $ | 169 | ||||||||
Platform and operations | 9,411 | 8,636 | 24,764 | 24,342 | ||||||||||||
Expenses | ||||||||||||||||
Cost of revenue (exclusive of depreciation and amortization expenses) | 5,299 | 3,723 | 17,382 | 14,209 | ||||||||||||
Selling, general and administrative expenses | 514 | 531 | 1,038 | 1,298 |
See accompanying Notes to Consolidated Financial Statements
4
EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited, in thousands)
For the Nine | |||||||
Months Ended | |||||||
September 30, | |||||||
2017 | 2016 | ||||||
Cash Flows from Operating Activities | |||||||
Net income (loss) | $ | (55,977 | ) | $ | (201,585 | ) | |
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities: | |||||||
Undistributed losses from affiliates | 1,446 | 462 | |||||
Depreciation and amortization expenses | 21,236 | 10,728 | |||||
Goodwill impairment | — | 160,600 | |||||
Stock-based compensation expense | 16,172 | 13,844 | |||||
Deferred tax provision (benefit) | (2,668 | ) | (1,614 | ) | |||
Amortization of deferred financing costs | 685 | — | |||||
Other | 388 | 443 | |||||
Changes in assets and liabilities, net of acquisitions: | |||||||
Accounts receivables, net | (5,075 | ) | (1,605 | ) | |||
Prepaid expenses and other current assets | (5,125 | ) | (112 | ) | |||
Accounts payable, net of change in restricted cash and restricted investments | 10,591 | (3,692 | ) | ||||
Accrued liabilities | (11,075 | ) | 6,165 | ||||
Accrued compensation and employee benefits | (7,707 | ) | (638 | ) | |||
Deferred revenue | 4,835 | 2,882 | |||||
Other long-term liabilities | (1,719 | ) | 117 | ||||
Net cash provided by (used in) operating activities | (33,993 | ) | (14,005 | ) | |||
Cash Flows from Investing Activities | |||||||
Cash paid for asset acquisition or business combination | (3,694 | ) | (14,000 | ) | |||
Maturities and sales of investments | 44,210 | 4,099 | |||||
Investments in and advances to affiliates | — | (3,000 | ) | ||||
Purchases of property and equipment | (21,349 | ) | (11,116 | ) | |||
Change in restricted cash and restricted investments | (2,164 | ) | 1,194 | ||||
Net cash provided by (used in) investing activities | 17,003 | (22,823 | ) | ||||
Cash Flows from Financing Activities | |||||||
Proceeds from issuance of common stock, net of stock issuance costs | 166,947 | — | |||||
Proceeds from stock option exercises | 3,802 | 1,244 | |||||
Taxes withheld and paid for vesting of restricted stock units | (1,179 | ) | (365 | ) | |||
Net cash provided by (used in) financing activities | 169,570 | 879 | |||||
Net increase (decrease) in cash and cash equivalents | 152,580 | (35,949 | ) | ||||
Cash and cash equivalents as of beginning-of-period | 134,563 | 145,726 | |||||
Cash and cash equivalents as of end-of-period | $ | 287,143 | $ | 109,777 |
Supplemental Disclosure of Non-cash Investing and Financing Activities | |||||||
Accrued property and equipment purchases | $ | 83 | $ | 374 | |||
Class A common stock issued in connection with business combinations | — | 10,534 | |||||
Increase to goodwill from measurement period adjustments related to business combinations | 1,766 | — | |||||
Decrease in accrued financing costs related to 2021 Notes | 196 | — | |||||
Tax benefit related to Accordion intangible technology | 2,042 | — | |||||
Effects of the 2017 and 2016 Securities Offerings | |||||||
Decrease in non-controlling interests as a result of Class B Exchanges | 168,883 | 28,220 | |||||
Decrease in deferred tax liability as a result of securities offerings | 12,992 | 1,606 | |||||
Supplemental Disclosures | |||||||
Cash paid during the period for interest | 1,222 | — | |||||
Cash paid during the period for taxes | — | — |
See accompanying Notes to Consolidated Financial Statements
5
EVOLENT HEALTH, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN SHAREHOLDERS’ EQUITY (DEFICIT)
(unaudited, in thousands)
Retained | |||||||||||||||||||||||||||||
Earnings | |||||||||||||||||||||||||||||
Class A | Class B | Additional | (Accum- | Non- | Total | ||||||||||||||||||||||||
Common Stock | Common Stock | Paid-in | ulated | controlling | Equity | ||||||||||||||||||||||||
Shares | Amount | Shares | Amount | Capital | Deficit) | Interests | (Deficit) | ||||||||||||||||||||||
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 | (329 | ) | (139 | ) | — | |||||||||||||||||||
Stock-based compensation expense | — | — | — | — | 16,147 | — | — | 16,147 | |||||||||||||||||||||
Acceleration of unvested equity awards for Valence Health | |||||||||||||||||||||||||||||
employees | 162 | 2 | — | — | 3,897 | — | — | 3,899 | |||||||||||||||||||||
Exercise of stock options | 221 | — | — | — | 1,259 | — | — | 1,259 | |||||||||||||||||||||
Restricted stock units vested, net of shares withheld for taxes | 84 | — | — | — | 2,193 | — | — | 2,193 | |||||||||||||||||||||
Exchange of Class B common stock | 2,178 | 22 | (2,178 | ) | (22 | ) | 28,220 | — | (28,220 | ) | — | ||||||||||||||||||
Tax impact of Class B common stock exchange | — | — | — | — | 1,606 | — | — | 1,606 | |||||||||||||||||||||
Issuance of Class A common stock for business combinations | 8,451 | 67 | — | — | 177,715 | — | — | 177,782 | |||||||||||||||||||||
Tax impact of Class A common stock issued for | |||||||||||||||||||||||||||||
business combinations | — | — | — | — | 1,427 | — | — | 1,427 | |||||||||||||||||||||
Reclassification of non-controlling interests | — | — | — | — | (19,745 | ) | — | 19,745 | — | ||||||||||||||||||||
Net income (loss) | — | — | — | — | — | (159,742 | ) | (67,036 | ) | (226,778 | ) | ||||||||||||||||||
Balance as of December 31, 2016 | 52,587 | 506 | 15,347 | 153 | 555,250 | 146,617 | 209,588 | 912,114 | |||||||||||||||||||||
Stock-based compensation expense | — | — | — | — | 16,172 | — | — | 16,172 | |||||||||||||||||||||
Exercise of stock options | 734 | 28 | — | — | 3,774 | — | — | 3,802 | |||||||||||||||||||||
Restricted stock units vested, net of shares withheld for taxes | 138 | 2 | — | — | (1,181 | ) | — | — | (1,179 | ) | |||||||||||||||||||
Shares released from Valence Health escrow | (310 | ) | (3 | ) | — | — | 911 | — | — | 908 | |||||||||||||||||||
Exchange of Class B common stock | 12,693 | 126 | (12,693 | ) | (126 | ) | 168,883 | — | (168,883 | ) | — | ||||||||||||||||||
Tax impact of 2017 Securities Offerings | — | — | — | — | 12,992 | — | — | 12,992 | |||||||||||||||||||||
Issuance of Class A common stock during August 2017 Primary | 8,816 | 88 | — | — | 166,859 | — | — | 166,947 | |||||||||||||||||||||
Reclassification of non-controlling interests | — | — | — | — | (3,698 | ) | — | 3,698 | — | ||||||||||||||||||||
Net income (loss) | — | — | — | — | — | (47,506 | ) | (8,471 | ) | (55,977 | ) | ||||||||||||||||||
Balance as of September 30, 2017 | 74,658 | $ | 747 | 2,654 | $ | 27 | $ | 919,962 | $ | 99,111 | $ | 35,932 | $ | 1,055,779 |
See accompanying Notes to Consolidated Financial Statements
6
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, who 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 defined and discussed in our 2016 Form 10-K.
Prior to our initial public offering (“IPO”) in June 2015 and the offering reorganization we undertook in connection therewith, Evolent Health Holdings did not control Evolent Health LLC, our operating subsidiary company due to certain participating rights granted to our investor, TPG Global, LLC and certain of its affiliates (“TPG”). However, Evolent Health Holdings was able to exert significant influence on Evolent Health LLC and, accordingly, accounted for its investment in Evolent Health LLC using the equity method of accounting through June 3, 2015. Subsequent to the offering reorganization which occurred on June 4, 2015, (the “Offering Reorganization”), the financial results of Evolent Health LLC have been consolidated in the financial statements of Evolent Health, Inc. As of September 30, 2017, the Company owned 96.6% of the economic interests and 100% of the voting rights in Evolent Health LLC, and is the sole managing member of Evolent Health LLC.
Since its inception, the Company has incurred losses from operations. As of September 30, 2017, the Company had cash and cash equivalents of $287.1 million. The Company believes it has sufficient liquidity for the next twelve months as of the date the financial statements were available to be issued.
2. Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle
Basis of Presentation
In our opinion, the accompanying unaudited interim consolidated financial statements include all adjustments, consisting of normal recurring adjustments, which are necessary to fairly state our financial position, results of operations, and cash flows. The Consolidated Balance Sheet at December 31, 2016, has been derived from audited financial statements as of that date. The interim consolidated results of operations are not necessarily indicative of the results that may occur for the full fiscal year. Certain footnote disclosures normally included in financial statements prepared in accordance with United States of America generally accepted accounting principles (“GAAP”) have been omitted pursuant to instructions, rules, and regulations prescribed by the United States Securities and Exchange Commission (“SEC”). The disclosures provided herein should be read in conjunction with the audited financial statements and notes thereto included in our 2016 Form 10-K.
Summary of Significant Accounting Policies
Certain GAAP policies that significantly affect the determination of our financial position, results of operations and cash flows, are summarized below. See “Part II - Item 8. Financial Statements and Supplementary Data - Note 2” in our 2016 Form 10-K for a complete summary of our significant accounting policies.
Accounting Estimates and Assumptions
The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions affecting the reported amounts of assets and liabilities and the disclosures of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenue and expenses for the reporting period. Those estimates are inherently subject to change and actual results could differ from those estimates. In the accompanying consolidated financial statements, estimates are used for, but not limited to, the valuation of assets, liabilities, consideration related to business combinations and asset acquisitions, revenue recognition including discounts and credits, estimated selling prices for deliverables in multiple element arrangements, contingent payments, allowance for doubtful accounts, depreciable lives of assets, impairment of long lived assets (including equity method investments), stock-based compensation, deferred income taxes and valuation allowance, contingent liabilities, valuation of intangible assets (including goodwill), purchase price allocation in taxable stock transactions and the useful lives of intangible assets.
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Principles of Consolidation
The consolidated financial statements include the accounts of Evolent Health, Inc. and its subsidiaries. All inter-company accounts and transactions are eliminated in consolidation.
Operating Segments
Operating segments are defined as components of a business that earn revenue and incur expenses for which discrete financial information is available that is evaluated, on a regular basis, by the chief operating decision maker (“CODM”) to decide how to allocate resources and assess performance. The Company’s CODM, the Chief Executive Officer, allocates resources at a consolidated level and therefore the Company views its operations and manages its business as one operating segment. All of the Company’s revenue is generated in the United States and all assets are located in the United States.
Restricted Cash and Restricted Investments
Restricted cash and restricted investments include cash and investments used to collateralize various contractual obligations (in thousands) as follows:
As of | As of | |||||||||
September 30, | December 31, | |||||||||
2017 | 2016 | |||||||||
Collateral for letters of credit | ||||||||||
for facility leases (1) | $ | 3,813 | $ | 4,852 | ||||||
Collateral with financial institutions (2) | 8,150 | 4,950 | ||||||||
Pharmacy benefit management | ||||||||||
and claims processing services (3) | 4,840 | 30,555 | ||||||||
Other | 129 | 59 | ||||||||
Total restricted cash | ||||||||||
and restricted investments | 16,932 | 40,416 | ||||||||
Non-current restricted investments (2) | 8,150 | 4,950 | ||||||||
Non-current restricted cash (1) | 3,712 | 1,050 | ||||||||
Total non-current restricted cash | ||||||||||
and restricted investments | 11,862 | 6,000 | ||||||||
Current restricted cash | ||||||||||
and restricted investments | $ | 5,070 | $ | 34,416 |
(1) Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 9 for further discussion of our lease commitments.
(2) Represents collateral for letters of credit held with financial institutions for risk-sharing arrangements. The collateral amount is invested in restricted certificates of deposit with original maturities in excess of 12 months. The restricted investments are classified as held-to-maturity and stated at amortized cost. Fair value of the certificates of deposit is determined using Level 2 inputs and approximates amortized cost as of September 30, 2017. See Note 9 for further discussion of our risk-sharing arrangements.
(3) Represents cash held on behalf of partners to process PBM and other claims.
Property and Equipment, Net
Property and equipment are carried at cost less accumulated depreciation and amortization. Depreciation and amortization of property and equipment are computed using the straight-line method over the shorter of the estimated useful lives of the assets or the lease term. Based on the current competitive environment and constantly changing landscape for similar technology, effective September 1, 2017, the Company changed its estimate of the useful life of internal-use software from 7 years to 5 years. This change in useful life has been accounted for as a change in accounting estimate and will be applied to all new internal-use software. This change in estimate will also be applied prospectively to the remaining carrying amounts of existing internal-use software. For these existing assets the useful lives were adjusted at the individual asset level and will be amortized over a period of time such that the carrying value is fully amortized 5 years from the date the individual assets were initially placed in service. Refer to Note 6 for additional discussion regarding the change in estimate related to our property and equipment.
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The following summarizes the updated estimated useful lives by asset classification:
Computer hardware | 3 years |
Furniture and equipment | 3 years |
Internal-use software development costs | 5 years |
Leasehold improvements | Shorter of useful life or remaining lease term |
When an item is sold or retired, the cost and related accumulated depreciation or amortization is eliminated and the resulting gain or loss, if any, is recorded in our Consolidated Statements of Operations.
We periodically review the carrying value of our long-lived assets, including property and equipment, for impairment whenever events or circumstances indicate that the carrying amount of such assets may not be fully recoverable. For long-lived assets to be held and used, impairments are recognized when the carrying amount of a long-lived asset group is not recoverable and exceeds fair value. The carrying amount of a long-lived asset group is not recoverable if it exceeds the sum of the undiscounted cash flows expected to result from the use and eventual disposition of the asset group. An impairment loss is measured as the amount by which the carrying amount of a long-lived asset group exceeds its fair value.
Intangible Assets, Net
Identified intangible assets are recorded at their estimated fair values at the date of acquisition and are amortized over their respective estimated useful lives using a method of amortization that reflects the pattern in which the economic benefits of the intangible assets are used. Based on the current competitive environment and constantly changing landscape for similar technology, effective September 1, 2017, the Company changed its estimate of the useful life of intangible technology from a range of 5-7 years to 5 years. This change in useful life has been accounted for as a change in accounting estimate and will be applied to all new intangible technology, provided the facts and circumstances of the intangible technology do not suggest otherwise. This change in estimate will also be applied prospectively to the remaining carrying amounts of existing technology assets. For these existing assets the useful lives were adjusted at the individual asset level and will be amortized over a period of time such that the carrying value is fully amortized 5 years from the date the individual assets were initially capitalized. Refer to Note 7 for additional discussion regarding the change in estimate related to our intangible assets.
The following summarizes the updated estimated useful lives by asset classification:
Corporate trade name | 20 years |
Customer relationships | 15-25 years |
Technology | 5 years |
Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the asset’s carrying value. The Company evaluates recoverability by determining whether the undiscounted cash flows expected to result from the use and eventual disposition of that asset or group exceed the carrying value at the evaluation date. If the undiscounted cash flows are not sufficient to cover the carrying value, the Company measures an impairment loss as the excess of the carrying amount of the long-lived asset or group over its fair value. See Note 7 for additional discussion regarding our intangible assets.
Goodwill
We recognize the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired as goodwill. Goodwill is not amortized, but is reviewed at least annually for indications of impairment, with consideration given to financial performance and other relevant factors. We perform impairment tests of goodwill at our single reporting unit level, which is consistent with the way management evaluates our business. Acquisitions to date have been complementary to the Company’s core business, and therefore goodwill is assigned to our single reporting unit to reflect the synergies arising from each business combination.
As discussed in Note 3, we adopted Accounting Standards Update (“ASU”) 2017-04, Intangibles-Goodwill and Other - Simplifying the Test for Goodwill Impairment, effective January 1, 2017. The adoption resulted in an update to our accounting policy for goodwill impairment. Under the updated policy, we perform a one-step test in our evaluation of the carrying value of goodwill, if qualitative factors determine it is necessary to complete a goodwill impairment test. In the evaluation, the fair value of the relevant reporting unit is determined and compared to the carrying value. If the fair value is greater than the carrying value, then the carrying value is deemed to be recoverable, and no further action is required. If the fair value estimate is less than the carrying value, goodwill is considered impaired for the amount by which the carrying amount exceeds the reporting unit’s fair value and a charge is reported in
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impairment of goodwill on our Consolidated Statements of Operations. See Note 7 for additional discussion regarding goodwill impairment tests.
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. We adopted ASU 2016-09 with an effective date of January 1, 2016, and elected to recognize share-based award forfeitures as they occur. The adoption of ASU 2016-09 resulted in a cumulative effect reduction to beginning retaining earnings of $0.5 million as of January 1, 2016, and an increase in net income (loss) of approximately $0.1 million for the three months ended March 31, 2016. See “Part II - Item 8. Financial Statements and Supplementary Data - Note 18” in our 2016 Form 10-K for further information about the impact of the adoption.
Immaterial Correction of an Error in Previously Issued Financial Statements
Subsequent to the filing of the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2017, the Company identified an error related to the classification of restricted cash and restricted investments on our Consolidated Statement of Cash Flows.
Accordingly, the Company corrected this error by revising the classification of certain changes in restricted cash and restricted investments within the Consolidated Statement of Cash Flows.
The following table summarizes the impact of the correction of the error to the Company’s Consolidated Statement of Cash Flows for the six months ended June 30, 2017 (in thousands):
As Reported | Correction | As Revised | ||||||||||
Cash Flows from Operating Activities | ||||||||||||
Changes in assets and liabilities, net of acquisitions: | ||||||||||||
Accounts receivables, net | $ | (5,247 | ) | $ | (2,655 | ) | $ | (7,902 | ) | |||
Accounts payable, net of change in restricted | ||||||||||||
cash and restricted investments | (2,514 | ) | 9,555 | 7,041 | ||||||||
Net cash provided by (used in) operating activities | (44,712 | ) | 6,900 | (37,812 | ) | |||||||
Cash Flows from Investing Activities | ||||||||||||
Change in restricted cash and restricted investments | 3,200 | (6,900 | ) | (3,700 | ) | |||||||
Net cash provided by (used in) investing activities | 7,739 | (6,900 | ) | 839 |
The Company assessed the materiality of the misstatement both quantitatively and qualitatively and determined the correction of this error to be immaterial to all prior consolidated financial statements taken as a whole. The Company will revise our Consolidated Statements of Cash Flows for the six months ended June 30, 2017, in future filings to reflect the correction of the error.
3. Recently Issued Accounting Standards
Adoption of New Accounting Standards
In May 2017, the FASB issued ASU 2017-09, Compensation-Stock Compensation - Scope of Modification Accounting. The purpose of the ASU is to limit the circumstances in which an entity applies modification accounting to share-based awards by setting criteria whereby an entity would be precluded from applying modification accounting guidance in Topic 718. The ASU also removes guidance in Topic 718 stating that modification accounting is not required when an entity adds an anti-dilution provision if that modification is not made in contemplation of an equity restructuring. The amendments are effective for annual periods, and interim periods within those annual periods, beginning after December 15, 2017. Early adoption is permitted, including adoption in any interim periods. The amendments should be applied prospectively to an award modified on or after the adoption date. We adopted this standard, effective June 1, 2017. The adoption of this ASU may have an impact if we have a modification to our share-based awards at a future date. There was no impact of the adoption for the three and nine months ended September 30, 2017.
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In January 2017, the FASB issued ASU 2017-01, Business Combinations - Clarifying the Definition of a Business. The purpose of the ASU is to add guidance to assist entities with evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. The ASU provides a screen to determine when an integrated set of assets and activities is not a business. The ASU also provides a framework to assist entities in evaluating whether both an input and a substantive process are present. The amendments are effective for annual periods beginning after December 15, 2017, including interim periods within those periods. The amendments should be applied prospectively on or after the effective date. Early adoption is permitted for transactions for which the acquisition date occurs before the issuance date or effective date of the amendments, only when the transaction has not been reported in financial statements that have been issued or made available for issuance. We adopted this standard during June 2017, in conjunction with the acquisition of Accordion Health, Inc. (see Note 4). The adoption had an impact on our financial statements with respect to the accounting for the Accordion Health, Inc. acquisition, and we anticipate it will have an impact if we engage in future business combinations or asset acquisitions.
In January 2017, the FASB issued ASU 2017-04, Intangibles-Goodwill and Other - Simplifying the Test for Goodwill Impairment. The purpose of the ASU is to simplify the subsequent measurement of goodwill. The ASU eliminates Step 2 from the goodwill impairment test. An entity no longer will determine goodwill impairment by calculating the implied fair value of goodwill by assigning the fair value of a reporting unit to all of its assets and liabilities as if that reporting unit had been acquired in a business combination. This update is effective for annual or any interim goodwill impairment tests in fiscal years beginning after December 15, 2019. Early adoption is permitted for interim or annual goodwill impairment tests performed on testing dates after January 1, 2017. We believe this newly adopted principle is preferable as it reduces the complexity of performing a goodwill impairment test. As a result, we adopted this standard effective January 1, 2017. Our updated accounting policy for goodwill impairment is described in Note 2. While the adoption of this ASU may have a material impact in determining the results of future goodwill impairment tests and thus impact our consolidated financial statements in the future, there was no impact of the adoption during the three and nine months ended September 30, 2017.
In March 2016, the FASB issued ASU 2016-07, Investments-Equity Method and Joint Ventures - Simplifying the Transition to the Equity Method of Accounting. The purpose of this ASU is to eliminate the requirement to retroactively adopt the equity method of accounting when an investment qualifies for the equity method as a result of an increase in the level of ownership interest or degree of influence. The amendments require that the equity method investor add the cost of acquiring the additional interest in the investee to the current basis of the investor’s previously held interest and adopt the equity method of accounting as of the date the investment becomes qualified for equity method accounting. Therefore, upon qualifying for the equity method of accounting, no retroactive adjustment of the investment is required. The amendments in this ASU are effective for all entities for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2016. We adopted this standard effective January 1, 2017. The adoption did not have a material impact on our financial statements for the three and nine months ended September 30, 2017.
In March 2016, the FASB issued ASU 2016-06, Derivatives and Hedging - Contingent Put and Call Options in Debt Instruments. The purpose of this ASU is to clarify the requirements for assessing whether contingent call (put) options that can accelerate the payment of principal on debt instruments are clearly and closely rated to their debt hosts. An entity performing the assessment under the amendments in the ASU is required to assess the embedded call (put) options solely in accordance with the four-step decision sequence. For public business entities, the amendments in this ASU are effective for financial statements issued for fiscal years beginning after December 15, 2016, and interim periods within those fiscal years. We adopted this standard effective January 1, 2017. The adoption did not have a material impact on our financial statements for the three and nine months ended September 30, 2017.
Future Adoption of New Accounting Standards
In November 2016, the FASB issued ASU 2016-18, Statement of Cash Flows: Restricted Cash. The purpose of the ASU is to reduce diversity in practice regarding the classification and presentation of changes in restricted cash on the statement of cash flows. The amendments in the ASU require that a statement of cash flows explain the change during the period in the total of cash, cash equivalents, and amounts generally described as restricted cash or restricted cash equivalents. Therefore, amounts generally described as restricted cash and restricted cash equivalents should be included with cash and cash equivalents when reconciling the beginning-of-period and end-of-period total amounts shown on the statement of cash flows. The amendments are effective for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years. Early adoption is permitted, including adoption in an interim period. The amendments in this ASU should be applied using a retrospective transition method to each period presented. We intend to adopt the requirements of this standard during the fourth quarter of 2017, and are currently evaluating the impact of the adoption on our Consolidated Statements of Cash Flows.
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In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows - Classification of Certain Cash Receipts and Cash Payments. This ASU provides updated guidance on eight specific cash flow issues to reduce diversity in practice in how certain cash receipts and cash payments are presented and classified in the statement of cash flows. The amendments are effective for public business entities for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years. Early adoption is permitted, including adoption in an interim period. If an entity early adopts the amendments in an interim period, any adjustments should be reflected as of the beginning of the fiscal year that includes that interim period. We intend to adopt the requirements of this standard during the fourth quarter of 2017, and are currently evaluating the impact of the adoption on our Consolidated Statements of Cash Flows.
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 intend to 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 intend to 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 services in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. The FASB defines a five-step process that systematically identifies the various components of the revenue recognition process, culminating with the recognition of revenue upon satisfaction of an entity’s performance obligations. By completing all five steps of the process, the core principles of revenue recognition will be achieved. 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: 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. The guidance permits two methods of adoption: i) the full retrospective method applying the standard to each prior reporting period presented, or ii) the modified retrospective method with a cumulative effect of initially applying the guidance recognized at the date of initial application. The standard also allows entities to apply certain practical expedients at their discretion. We intend to adopt this standard effective January 1, 2018, using the modified retrospective method with a cumulative catch up adjustment and providing additional disclosures comparing results to previous rules. In our efforts to adopt this ASU, we have formulated an implementation team that is currently engaged in the assessment and implementation process. We are continuing to review our contracts with customers to identify potential differences that could result from applying the new guidance. As we complete our overall assessment, we anticipate modifying certain accounting policies and practices, principally as it relates to the capitalization of certain customer setup costs which have historically been expensed as incurred. We also expect to implement specific controls over the evaluation of the impact, including our calculation of the cumulative effect of adopting ASU 2014-09. We will continue to identify any needed changes to our accounting policies and practices, business processes, systems and controls to support the new revenue recognition and disclosure requirements. We are still in the process of quantifying the overall impact of the adoption of the new standard to our consolidated financial statements and will continue our evaluation through the date of adoption.
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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. Transactions
New Mexico Health Connections
On September 25, 2017, the Company entered into an agreement with New Mexico Health Connections (“NMHC”) to acquire assets related to NMHC’s commercial business for approximately $10.3 million. The assets include a health plan management services organization with a tenured leadership team and employee base with extensive experience working locally with providers to run NMHC’s suite of preventive, disease and care management programs. The assets will be contributed to a new entity, True Health New Mexico, Inc., a wholly-owned subsidiary of Evolent Health. The legacy NMHC will continue to operate as an independent non-profit health care organization operating throughout the state of New Mexico, offering individual health insurance products. Once completed, this transaction will allow the Company to create a new subsidiary that will leverage our platform to support a value-based, provider-centric model of care throughout the state of New Mexico. Consideration for the transaction will include an initial cash payment of $10.0 million, with a further $0.3 million to be held in escrow. Consummation of the transaction is subject to customary closing conditions, including approval by the New Mexico Office of Superintendent of Insurance. The Company expects to complete the transaction on December 31, 2017, and to commence operations of the health plans beginning January 1, 2018, but we cannot assure that the transaction will be completed on this timetable, or at all.
Business Combinations
Aldera
On November 1, 2016, the Company completed the acquisition of Aldera, including 100% of the voting equity interests. The acquisition provides control over Aldera, a key vendor and the primary software provider for the Valence Health third-party administration (“TPA”) platform. The merger consideration, net of certain closing and post-closing adjustments was $34.3 million based on the closing price of the Company’s Class A common stock on the New York Stock Exchange (the “NYSE”) on November 1, 2016, and consisted of approximately 0.5 million shares of the Company’s Class A common stock, $17.5 million in cash and $7.0 million related to the settlement of a prepaid software license. As a result of the Class A common stock issued for the Aldera transaction, the Company’s ownership of Evolent Health LLC increased from 77.2% to 77.4%, immediately after the acquisition, as the Company was issued Class A membership units in Evolent Health LLC in exchange for the contribution of Aldera to Evolent Health LLC post-acquisition.
Prior to the acquisition of Aldera, Evolent entered into a perpetual license agreement for development rights and use of Aldera proprietary software for $7.0 million. Upon closing the acquisition of Aldera, the Company concluded that the $7.0 million prepaid asset recorded by Evolent and the deferred revenue balance recorded by Aldera for the perpetual software license should be assessed as a prepayment for a software license that was effectively settled upon acquisition and was eliminated in the post-combination consolidated financial statements. No gain or loss was recognized on settlement as management determined the $7.0 million license fee to be priced at fair value and the license agreement did not include a settlement provision. The Company increased the consideration transferred for the acquisition of Aldera by $7.0 million for the effective settlement of the prepaid software license at the recorded amount, which brought the total consideration paid for the acquisition to $34.3 million.
The Company incurred approximately $0.2 million in transaction costs related to the Aldera acquisition, which were recorded within “Selling, general and administrative expenses” on our Consolidated Statements of Operations for the year ended December 31, 2016. The Company incurred approximately $1.8 million in transaction, severance and transition costs related to the Aldera acquisition during the nine months ended September 30, 2017, which were recorded within “Selling, general and administrative expenses” on our Consolidated Statements of Operations. The Company accounted for the transaction as a business combination using purchase accounting.
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During the nine months ended September 30, 2017, the Company recorded net measurement period adjustments of approximately $0.4 million. The purchase price allocation, as previously determined, the measurement period adjustments and the purchase price allocation, as revised, are as follows (in thousands):
Measurement | ||||||||||||||
As Previously | Period | |||||||||||||
Determined | Adjustments | As Revised | ||||||||||||
Purchase consideration: | ||||||||||||||
Fair value of Class A common stock issued | $ | 9,864 | $ | — | $ | 9,864 | ||||||||
Cash for settlement of software license | 7,000 | — | 7,000 | |||||||||||
Cash | 17,481 | — | 17,481 | |||||||||||
Total consideration | $ | 34,345 | $ | 34,345 | ||||||||||
Tangible assets acquired: | ||||||||||||||
Receivables | $ | 624 | $ | (194 | ) | $ | 430 | |||||||
Prepaid expenses and other current assets | 272 | — | 272 | |||||||||||
Property and equipment | 1,065 | — | 1,065 | |||||||||||
Other non-current assets | 9 | — | 9 | |||||||||||
Identifiable intangible assets acquired: | ||||||||||||||
Customer relationships | 7,000 | — | 7,000 | |||||||||||
Technology | 2,500 | — | 2,500 | |||||||||||
Liabilities assumed: | ||||||||||||||
Accounts payable | 429 | — | 429 | |||||||||||
Accrued liabilities | 1,204 | 205 | 1,409 | |||||||||||
Accrued compensation and employee benefits | 605 | — | 605 | |||||||||||
Deferred revenue | 44 | — | 44 | |||||||||||
Goodwill | 25,157 | 399 | 25,556 | |||||||||||
Net assets acquired | $ | 34,345 | $ | 34,345 |
The fair value of the receivables acquired, as revised, shown in the table above, approximates the gross contractual amounts deemed receivable by management. Identifiable intangible assets associated with technology and customer relationships will be amortized on a straight-line basis over their estimated useful lives of 5 and 15 years, respectively. The technology is related to source code for licensed software used to support the third party administration platform offered to Aldera’s clients. The fair value of the intangible assets was primarily determined using the income approach. The income approach estimates fair value for an asset based on the present value of cash flows projected to be generated by the asset. Projected cash flows are discounted at a required rate of return that reflects the relative risk of achieving the cash flows and the time value of money. Goodwill is calculated as the difference between the acquisition date fair value of the total consideration and the fair value of the net assets acquired, and represents the future economic benefits that we expect to achieve as a result of the acquisition. The goodwill is attributable primarily to the acquired assembled workforce and expected cost and revenue synergies. Goodwill is considered an indefinite lived asset. The transaction was a taxable business combination for the Company and the amount of goodwill determined for tax purposes is deductible upon the beginning of the amortization period for tax purposes.
The amounts above reflect management’s estimate of the fair value of the tangible and intangible assets acquired and liabilities assumed based on a valuation performed using currently available information, inclusive of the measurement period adjustments. During the nine months ended September 30, 2017, the Company recorded certain measurement period adjustments that primarily impacted receivables, accrued liabilities and goodwill. These adjustments resulted in a net $0.4 million increase to goodwill, as reflected in the purchase price allocation table above. The purchase price allocation for Aldera was finalized as of September 30, 2017, and we do not expect any additional measurement period adjustments.
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Valence Health
On October 3, 2016, the Company completed its acquisition of Valence Health, including 100% of the voting equity interests. Valence Health, based in Chicago, Illinois, was founded in 1996 and provides value-based administration, population health and advisory services. In its 20 year history, Valence Health developed particular expertise in the Medicaid and pediatric markets. The addition of Valence Health strengthens the Company’s operational capabilities and provides increased scale and client diversification.
The merger consideration, net of certain closing and post-closing adjustments was $217.9 million based on the closing price of the Company’s Class A common stock on the NYSE on October 3, 2016, and consisted of 6.8 million shares of the Company’s Class A common stock and $54.8 million in cash. The shares issued to Valence Health stockholders represented approximately 10.5% of the Company’s issued and outstanding Class A common stock and Class B common stock immediately following the transaction. As a result of the Class A common stock issued for the Valence Health transaction, the Company’s ownership in Evolent Health LLC increased from 74.6% to 77.2%, immediately after the acquisition, as the Company was issued Class A membership units in Evolent Health LLC in exchange for the contribution of Valence Health to Evolent Health LLC post acquisition. The transaction also included an earn-out of up to $12.4 million, fair valued at $2.6 million as of October 3, 2016, payable by January 30, 2017, in the Company’s Class A common stock, tied to new business activity contracted on or before December 31, 2016. The fair value was determined by assigning probabilities to potential business activity in the pipeline as of the acquisition date. As of December 31, 2016, Valence Health had not contracted sufficient business to be eligible for payment of the earn-out consideration. As a result, the Company recorded a gain of $2.6 million in accordance with the release of the contingent liability for the year ended December 31, 2016, which is recorded within “(Gain) loss on change in value of contingent consideration” on our Consolidated Statements of Operations. The Company incurred approximately $2.7 million of transaction costs related to the Valence Health acquisition for the year ended December 31, 2016. Approximately $2.6 million of the transaction costs are recorded within “Selling, general and administrative expenses” and less than $0.1 million are recorded within “Cost of revenue” on our Consolidated Statements of Operations. The Company incurred approximately $5.9 million of transaction, severance and transition costs related to the Valence Health acquisition for the nine months ended September 30, 2017. Approximately $1.5 million of these costs are recorded within “Selling, general and administrative expenses” and approximately $4.4 million are recorded within “Cost of revenue” on our Consolidated Statements of Operations. The Company accounted for the transaction as a business combination using purchase accounting.
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The purchase price was allocated to the assets acquired and liabilities assumed based on their estimated fair values as of October 3, 2016. During the nine months ended September 30, 2017, the Company recorded net measurement period adjustments of approximately $1.4 million. The purchase price allocation, as previously determined, the measurement period adjustments and the purchase price allocation, as revised, are as follows (in thousands):
Measurement | ||||||||||||||
As Previously | Period | |||||||||||||
Determined | Adjustments | As Revised | ||||||||||||
Purchase consideration: | ||||||||||||||
Fair value of Class A common stock issued | $ | 159,614 | $ | 911 | $ | 160,525 | ||||||||
Fair value of contingent consideration | 2,620 | — | 2,620 | |||||||||||
Cash | 54,799 | — | 54,799 | |||||||||||
Total consideration | $ | 217,033 | $ | 217,944 | ||||||||||
Tangible assets acquired: | ||||||||||||||
Restricted cash | $ | 1,829 | $ | — | $ | 1,829 | ||||||||
Accounts Receivable | 8,587 | (251 | ) | 8,336 | ||||||||||
Prepaid expenses and other current assets | 3,465 | — | 3,465 | |||||||||||
Property and equipment | 6,241 | — | 6,241 | |||||||||||
Other non-current assets | 313 | — | 313 | |||||||||||
Favorable leases assumed (net of unfavorable leases) | 4,323 | (126 | ) | 4,197 | ||||||||||
Identifiable intangible assets acquired: | ||||||||||||||
Customer relationships | 69,000 | — | 69,000 | |||||||||||
Technology | 18,000 | — | 18,000 | |||||||||||
Liabilities assumed: | ||||||||||||||
Accounts payable | 5,703 | — | 5,703 | |||||||||||
Accrued liabilities | 3,865 | — | 3,865 | |||||||||||
Accrued compensation and employee benefits | 9,200 | — | 9,200 | |||||||||||
Deferred revenue | 2,022 | 640 | 2,662 | |||||||||||
Other long-term liabilities | 2,328 | — | 2,328 | |||||||||||
Net deferred tax liabilities | 13,316 | (550 | ) | 12,766 | ||||||||||
Goodwill | 141,709 | 1,378 | 143,087 | |||||||||||
Net assets acquired | $ | 217,033 | $ | 217,944 |
The fair value of the receivables acquired, as revised, shown in the table above, approximates the gross contractual amounts due under contracts of $9.1 million, of which $0.8 million is expected to be uncollectible. Identifiable intangible assets associated with customer relationships and technology will be amortized on a straight-line basis over their preliminary estimated useful lives of 20 and 5 years, respectively. The customer relationships are primarily attributable to long-term existing contracts with current customers. The technology is an existing platform Valence Health uses to provide services to customers. The fair value of the intangible assets was primarily determined using the income approach. The income approach estimates fair value for an asset based on the present value of cash flows projected to be generated by the asset. Projected cash flows are discounted at a required rate of return that reflects the relative risk of achieving the cash flows and the time value of money. Goodwill is calculated as the difference between the acquisition date fair value of the total consideration and the fair value of the net assets acquired, and represents the future economic benefits that we expect to achieve as a result of the acquisition. The goodwill is attributable primarily to the acquired assembled workforce and expected cost and revenue synergies. Goodwill is considered an indefinite lived asset. The merger was structured as a tax-free reorganization and, therefore, the Company received carryover basis in the assets and liabilities acquired; accordingly, the Company recognized net deferred tax liabilities associated with the difference between the book basis and the tax basis for the assets and liabilities acquired, as well as the Valence Health net operating loss tax carryforward received in the merger, in the amount of $13.3 million, resulting in additional goodwill. The purchased and additional goodwill created due to the increase in the deferred tax liability were not deductible for tax purposes. The Company contributed the acquired assets and liabilities of Valence Health to Evolent Health LLC, resulting in a taxable gain of $52.7 million for the Company, not recognized for financial reporting purposes.
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The amounts above reflect management’s preliminary estimate of the fair value of the tangible and intangible assets acquired and liabilities assumed based on a valuation performed using currently available information, inclusive of measurement period adjustments. The Company recorded various measurement period adjustments that resulted in a $1.4 million net increase to goodwill during the nine months ended September 30, 2017, including an adjustment to increase deferred revenue and goodwill by approximately $0.6 million during the nine months ended September 30, 2017. Approximately $0.2 million of this adjustment was recorded as revenue during the three months ended March 31, 2017, with the remainder recorded as revenue during the second quarter of 2017. In addition, during the second quarter of 2017, the Company reached an agreement to finalize the net working capital (“NWC”) settlement related to the Valence Health transaction. Per the executed settlement agreement, the Company received 0.2 million shares of its Class A Common Stock previously held in escrow. The fair value of the NWC settlement was approximately $0.9 million less than the Company’s previously recorded estimate and, accordingly, the Company recorded a measurement period adjustment to increase purchase price and goodwill by approximately $0.9 million. The Company also recorded adjustments to accounts receivable and intangible assets, which resulted in a $0.4 million increase to goodwill. During the third quarter of 2017, the Company filed the 2016 pre-acquisition tax return for Valence Health, resulting in an adjustment to decrease deferred tax liabilities and goodwill by approximately $0.6 million due to updates in certain estimates that were made as of the transaction date. Any remaining necessary adjustments are expected to be finalized within one year from the date of acquisition.
Our results for the year ended December 31, 2016, included approximately $3.9 million in stock compensation expense related to the acceleration of unvested Valence Health equity awards that vested upon the close of the Valence Health acquisition. The expense was related to Valence Health employees that remained with the Company following the close of the acquisition.
As previously discussed in “Part II - Item 8. Financial Statements and Supplementary Data - Note 4” of our 2016 Form 10-K, immediately following the Valence Health acquisition, the Company decided to abandon and sublet its rented space at 540 W. Madison Street, Suite 1400, Chicago, Illinois (the “14th Floor Space”). Therefore, our results from operations for the year ended December 31, 2016, included a lease abandonment expense of approximately $6.5 million in conjunction with a rental space acquired as part of the Valence Health acquisition, based on remaining lease payments and expected future sublease income. During the second quarter of 2017, the Company reached an agreement to terminate the lease for the 14th Floor Space, effective September 2017. The Company continued making rent payments until September 1, 2017, at which point it paid a one-time lease cancellation and related brokerage fee. Remaining cash outflows related to the 14th Floor Space were estimated to be approximately $4.8 million as of June 30, 2017, while the remaining balance of the initial $6.5 million lease abandonment liability recorded after the Valence Health acquisition was approximately $5.3 million as of June 30, 2017, prior to adjustments pertaining to the lease cancellation fees. As such, the Company recorded a one-time adjustment of $0.5 million to reduce the lease abandonment liability, from $5.3 million to $4.8 million, as of June 30, 2017. The adjustment was recorded as a reduction to our rent expense within “Selling, general and administrative expenses” on our Consolidated Statements of Operations for the nine months ended September 30, 2017. The Company made regular rent payments until September 1, 2017, at which point it paid a one-time lease cancellation and related brokerage fee of $4.4 million. There is no remaining lease abandonment liability related to the 14th Floor Space as of September 30, 2017.
In conjunction with our acquisition of Valence Health on October 3, 2016, we also signed a Master Service Agreement (the “MSA”), as well as a Transition Service Agreement (the “TSA”) with Cicerone Health Solutions, Inc., the surviving Valence Health, Inc. state insurance cooperative business not acquired by Evolent (“CHS”). The MSA and the TSA are at market rates and, therefore, there is no allocation of purchase price to these arrangements.
The terms of the MSA stipulate that the Company will provide service information technology, system configuration and medical management services to CHS’s state insurance cooperative clients until December 31, 2018. Based on management’s analysis, the terms of the MSA are at fair market value.
Under the terms of the TSA, the Company will provide back office information technology support to CHS and CHS will provide back office finance and human resources support to Evolent until December 31, 2017. Additionally, employees of both entities will have mutual employee health care claims administration through a self-funded plan. Based on management’s analysis, the terms of the TSA are at fair market value.
Passport
On February 1, 2016, the Company entered into a strategic alliance with University Health Care, Inc. 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 approximately 0.3 million 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 incurred approximately $0.3 million in transaction costs related to the Passport acquisition for the year ended December 31, 2016.
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The transaction costs were recorded within “Selling, general and administrative expenses” on our Consolidated Statements of Operations. 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 initially valued at $7.8 million. 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 contingent consideration of $8.6 million and $8.3 million is a mark-to-market liability recorded within “Other long-term liabilities” on our Consolidated Balance Sheets as of September 30, 2017, and December 31, 2016. We recorded a re-measurement loss of approximately $0.3 million during the nine months ended September 30, 2017, and $0.5 million during the fourth quarter of 2016, based on changes in the underlying assumptions of the fair value calculation. 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 15.
The purchase price was allocated to the assets acquired based on their fair values as of February 1, 2016, as follows (in thousands):
Purchase Consideration | |||
Fair value of Class A common stock issued | $ | 10,450 | |
Fair value of contingent consideration | 7,750 | ||
Total consideration | $ | 18,200 | |
Tangible assets acquired | |||
Prepaid asset | $ | 6,900 | |
Goodwill | 11,300 | ||
Net assets acquired | $ | 18,200 |
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 to the Company. 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 business combination for the Company and the amount of goodwill determined for tax purposes is deductible upon the beginning of the amortization period for tax purposes.
Pro Forma Financial Information (Unaudited)
The unaudited pro forma Consolidated Statements of Operations presented below gives effect to (1) the Aldera transaction as if it had occurred on January 1, 2015, (2) the Valence Health transaction as if it had occurred on January 1, 2015, and (3) the Passport transaction as if it had occurred on January 1, 2015. The following pro forma information includes adjustments to:
• | remove transaction costs related to the Passport transaction of $0.3 million recorded during the nine months ended September 30, 2016, and reclassify said amounts to the nine months ended September 30, 2015; |
• | record amortization expenses related to intangible assets beginning January 1, 2015, for intangible assets related to Valence Health and Aldera; |
• | record revenue and expenses related to the Valence Health MSA and TSA agreements for the nine months ended September 30, 2016; and |
• | record rent expense related to Passport prepaid lease beginning January 1, 2015. |
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This pro forma data is presented for informational purposes only and does not purport to be indicative of the results of future operations or of the results that would have occurred had the transactions described above occurred in the specified prior periods. The pro forma adjustments are based on available information and assumptions that the Company believes are reasonable to reflect the impact of these transactions on the Company’s historical financial information on a pro forma basis (in thousands, except per share data).
For the Three | For the Nine | |||||||||
Months Ended | Months Ended | |||||||||
September 30, | September 30, | |||||||||
2016 | 2016 | |||||||||
Revenue | $ | 91,936 | $ | 262,233 | ||||||
Net income (loss) | (16,247 | ) | (205,483 | ) | ||||||
Net income (loss) attributable | ||||||||||
to non-controlling interests | (4,067 | ) | (52,604 | ) | ||||||
Net income (loss) attributable | ||||||||||
to Evolent Health, Inc. | (12,180 | ) | (152,879 | ) | ||||||
Net income (loss) available to | ||||||||||
common shareholders: | ||||||||||
Basic | (0.24 | ) | (3.04 | ) | ||||||
Diluted | (0.24 | ) | (3.04 | ) |
Securities Offerings
August 2017 Primary Offering
In August 2017, the Company completed a primary offering of 8.8 million shares of its Class A common stock at a price to the public of $19.85 per share and a corresponding price to the underwriters of $19.01 per share (the “August 2017 Primary”). This offering resulted in net cash proceeds to the Company of approximately $166.9 million (gross proceeds of $175 million, net of $8.1 million in underwriting discounts and stock issuance costs). For each share of Class A common stock issued by Evolent Health, Inc., the Company received a corresponding Class A common unit from Evolent Health LLC in exchange for contributing the issuance proceeds to Evolent Health LLC. As a result of the Class A common stock and Class A common units issued during the August 2017 Primary, the Company’s economic interest in Evolent Health LLC increased from 96.1% to 96.6% immediately following the August 2017 Primary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
Secondary Offerings
Certain affiliates of TPG (“TPG”), The Advisory Board Company (“The Advisory Board”), UPMC and Ptolemy Capital, LLC (“Ptolemy Capital”) (together, the “Investor Stockholders”) have an existing exchange right that allows receipt of newly-issued shares of the Company’s Class A common stock in exchange (a “Class B Exchange”) for an equal number of shares of the Company’s Class B common stock (which are subsequently canceled) and an equal number of Evolent Health LLC’s Class B common units (“Class B units”). Class B units received by the Company from relevant Investor Stockholders are simultaneously exchanged for an equivalent number of Class A units of Evolent Health LLC, and Evolent Health LLC cancels the Class B units it receives in the Class B Exchange. The cancellation of the Class B units results in an increase in the Company’s economic interest in Evolent Health LLC. The Company did not receive any proceeds from Class B exchanges or the sale of Class A common stock in the secondary offerings described below.
The Investor Stockholders initiated several Class B Exchanges as part of various secondary offerings during 2017 and 2016, thus increasing the Company’s economic interest in Evolent Health LLC, as discussed below.
June 2017 Secondary Offering
In June 2017, the Company completed a secondary offering of 4.5 million shares of its Class A common stock at a price to the underwriters of $25.87 per share (the “June 2017 Secondary”).
The shares sold in the June 2017 Secondary consisted of 0.7 million existing shares of the Company’s Class A common stock owned and held by certain Investor Stockholders and 3.8 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
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As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the June 2017 Secondary, the Company’s economic interest in Evolent Health LLC increased from 90.5% to 96.1% immediately following the June 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
May 2017 Secondary Offering
In May 2017, the Company completed a secondary offering of 7.0 million shares of its Class A common stock at a price to the underwriters of $24.30 per share (the “May 2017 Secondary”). The shares were sold by the Investor Stockholders and certain management selling stockholders (together with the Investor Stockholders, the “Selling Stockholders”).
The shares sold in the May 2017 Secondary consisted of 3.1 million existing shares of the Company’s Class A common stock owned and held by the Selling Stockholders, 3.8 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges and 0.1 million shares issued upon the exercise of options by certain management selling stockholders.
As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the May 2017 Secondary, the Company’s economic interest in Evolent Health LLC increased from 84.9% to 90.5% immediately following the May 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
March 2017 Secondary Offering
In March 2017, the Company completed a secondary offering of 7.5 million shares of its Class A common stock at a price to the underwriters of $19.53 per share (the “March 2017 Secondary”).
The shares sold in the March 2017 Secondary consisted of 3.1 million existing shares of the Company’s Class A common stock owned and held by the Investor Stockholders and 4.4 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the March 2017 Secondary, the Company’s economic interest in Evolent Health LLC increased from 77.4% to 83.9% immediately following the March 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
In connection with the March 2017 Secondary, the underwriters exercised, in full, their option to purchase an additional 1.1 million shares of Class A common stock (the “March 2017 Option to Purchase Additional Shares”) from the Investor Stockholders at a price of $19.53 per share. The March 2017 Option to Purchase Additional Shares closed in May 2017.
The shares sold in the March 2017 Option to Purchase Additional Shares consisted of 0.5 million existing shares of the Company’s Class A common stock owned and held by certain Investor Stockholders. It also included 0.6 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
As a result of the Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the March 2017 Option to Purchase Additional Shares, the Company’s economic interest in Evolent Health LLC increased from 83.9% to 84.9% immediately following the March 2017 Option to Purchase Additional Shares, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
The June 2017 Secondary, May 2017 Secondary, March 2017 Secondary and March 2017 Option to Purchase Additional Shares are collectively referred to as the “2017 Secondary Offerings.”
September 2016 Secondary
In September 2016, the Company completed a secondary offering of 8.6 million shares of its Class A common stock at a price to the public of $22.50 per share, including the exercise in full by the underwriters of their option to purchase additional shares (the “September 2016 Secondary”).
The shares sold in the September 2016 Secondary consisted of 6.4 million existing shares of the Company’s Class A common stock owned and held by the Selling Stockholders and 2.2 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
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As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the September 2016 Secondary, the Company’s economic interest in Evolent Health LLC increased from 71.0% to 74.6% immediately following the September 2016 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
The Company’s economic interest in Evolent Health LLC will increase if further Class B Exchanges occur.
Asset Acquisitions
Accordion Health, Inc.
On June 8, 2017, the Company entered into an agreement to acquire Accordion Health, Inc. (“Accordion”) for $3.2 million (the “Accordion Purchase Agreement”). Accordion provides technology that the Company believes enhances its risk-adjustment factor (“RAF”) services to its partners. In addition to technology assets, the software development team from Accordion joined Evolent as full-time employees. Under the terms of the Accordion Purchase Agreement, members of the software development team will be eligible for an additional $0.8 million earn-out, contingent upon the completion of specified software development targets.
We accounted for the transaction as an asset acquisition as substantially all of the fair value of the gross assets acquired was concentrated in a single identified asset, thus satisfying the requirements of the screen test introduced in ASU 2017-01. The assets acquired in the transaction were measured based on the amount of cash paid to Accordion, including transaction costs, as the fair value of the assets given was more readily determinable than the fair value of the assets received. We classified and designated the identifiable assets acquired as a $3.3 million technology intangible asset, inclusive of approximately $0.1 million of capitalized transaction costs. We also assessed and determined the useful life of the acquired intangible assets to be five years, subject to amortization. The Company will account for the contingent earn-out as a post-acquisition expense as the specified software development targets are achieved. The transaction was a taxable stock acquisition and the Company recognized deferred tax liability of $2.0 million related to the book-tax basis difference in the acquired asset, which resulted in a $2.0 million increase in the value of the intangible asset. The additional deferred tax liability represents a future source of taxable income that enables the Company to release some of its previously established valuation allowance, the reduction of which is accounted for outside of acquisition accounting, resulting in income tax benefit.
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, the Company paid $7.5 million to acquire certain assets from Vestica to further align our interests with one of our existing partners. Vestica can earn an additional $4.0 million in consideration, which is being held in escrow, based on certain future events. 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, which assumes renewal of acquired customer contracts. The transaction was a taxable asset purchase.
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5. Investments
Our investments are classified as held-to-maturity as we have both the intent and ability to hold the investments until their individual maturities. All of our held-to-maturity investments had matured as of September 30, 2017. The following table summarizes the amortized cost, gross unrealized gains and losses, and fair value of our investments as measured using Level 2 inputs as of December 31, 2016 (in thousands):
Gross | Gross | ||||||||||||||
Amortized | Unrealized | Unrealized | Fair | ||||||||||||
Costs | Gains | Losses | Value | ||||||||||||
U.S. Treasury bills | $ | 28,119 | $ | 116 | $ | 27 | $ | 28,208 | |||||||
Corporate bonds | 16,222 | 81 | 8 | 16,295 | |||||||||||
Total investments | $ | 44,341 | $ | 197 | $ | 35 | $ | 44,503 |
The following table summarizes the amortized cost and fair value of our investments by contractual maturities as of December 31, 2016 (in thousands):
As of December 31, 2016 | |||||||||
Amortized | Fair | ||||||||
Costs | Value | ||||||||
Due in one year or less | $ | 44,341 | $ | 44,503 |
The following table summarizes our held-to-maturity securities that had been in a continuous unrealized loss position for less than twelve months as of December 31, 2016 (in thousands, except number of securities):
Number of | Fair | Unrealized | |||||||||
Securities | Value | Losses | |||||||||
U.S. Treasury bills | 1 | $ | 4,002 | $ | 1 |
We did not hold any securities in a continuous unrealized loss position for twelve months or longer as of December 31, 2016.
When a held-to-maturity investment is in an unrealized loss position, we assess whether or not we expect to recover the entire cost basis of security, based on our best estimate of the present value of cash flows expected to be collected from the debt security. Factors considered in our analysis include the reasons for the unrealized loss position, the severity and duration of the unrealized loss position, credit worthiness and forecasted performance of the investee. In cases where the estimated present value of future cash flows is less than our cost basis, we recognize an other than temporary impairment and write the investment down to its fair value. The new cost basis would not be changed for subsequent recoveries in fair value. No investments were written down during the three and nine months ended September 30, 2017.
6. Property and Equipment, Net
The following summarizes our property and equipment (in thousands):
As of | As of | |||||||||
September 30, | December 31, | |||||||||
2017 | 2016 | |||||||||
Computer hardware | $ | 5,436 | $ | 4,474 | ||||||
Furniture and equipment | 2,448 | 2,448 | ||||||||
Internal-use software development costs | 41,879 | 21,385 | ||||||||
Leasehold improvements | 8,446 | 8,108 | ||||||||
Total property and equipment | 58,209 | 36,415 | ||||||||
Accumulated depreciation and amortization | (11,279 | ) | (5,236 | ) | ||||||
Total property and equipment, net | $ | 46,930 | $ | 31,179 |
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The Company capitalized $8.4 million and $20.4 million of internal-use software development costs for the three and nine months ended September 30, 2017, respectively, and $3.6 million and $10.7 million for the three and nine months ended September 30, 2016, respectively. The net book value of capitalized internal-use software development costs was $37.6 million and $19.9 million as of September 30, 2017, and December 31, 2016, respectively.
Depreciation expense related to property and equipment was $2.3 million and $6.0 million for the three and nine months ended September 30, 2017, respectively, of which amortization expense related to capitalized internal-use software development costs was $1.2 million and $2.8 million, respectively. Depreciation expense related to property and equipment was $0.9 million and $2.4 million for the three and nine months ended September 30, 2016, respectively, of which amortization expense related to capitalized internal-use software development costs was $0.4 million and $0.9 million, respectively.
As discussed in Note 2, the Company changed its estimate of the useful life of internal-use software from 7 years to 5 years, effective September 1, 2017. This change in useful life has been accounted for as a change in accounting estimate and will be applied to all new internal-use software. Remaining carrying amounts of existing internal-use software will be amortized prospectively over a maximum of 5 years, or the remaining useful lives if less than 5 years. The change in estimated useful life increased net loss by approximately $0.2 million for the three and nine months ended September 30, 2017.
7. Goodwill and Intangible Assets, Net
Goodwill
Goodwill has an estimated indefinite life and is not amortized; rather, it is reviewed for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable.
Our annual goodwill impairment review occurs during the fourth quarter of each fiscal year. We performed our 2016 evaluation on October 31, 2016, as further described in our 2016 Form 10-K. Our qualitative assessment did not identify sufficient indicators of impairment to require a Step 1 evaluation.
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.
We did not identify any qualitative factors that would trigger a Step 1 test during the nine months ended September 30, 2017. During the fourth quarter of 2017, we will perform our annual impairment test. If we determine that qualitative factors indicate it is necessary to perform a Step 1 goodwill impairment test, we will perform a test to evaluate the carrying value of our goodwill. One of the qualitative factors we will evaluate is whether there is a sustained decrease in our share price. Subsequent to September 30, 2017, our Class A common stock has traded at levels that, if sustained, could represent a sustained decrease in share price and, as a result, could trigger a Step 1 test. If we perform a Step 1 test, we may be required to write down a material portion of our $628.3 million of goodwill as of September 30, 2017, on our Consolidated Balance Sheet and record a charge in impairment of goodwill on our Consolidated Statements of Operations for the relevant periods. Any impairment charges that we may record in the future could be material to our results of operations and financial condition.
As discussed in Notes 2 and 3, we adopted ASU 2017-04 effective January 1, 2017, thus changing our policy with regard to goodwill impairment testing. Following the adoption, we will perform a one-step test for goodwill impairment. The discussion below of our goodwill impairment testing during the first quarter of 2016 was performed using a two-step method under our previous policy.
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 decline in common stock price observed during the first quarter of 2016 did represent a sustained decline and, 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
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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.
The following table summarizes the changes in the carrying amount of goodwill (in thousands):
For the Nine | ||||||||||
Months | For the Year | |||||||||
Ended | Ended | |||||||||
September 30, | December 31, | |||||||||
2017 | 2016 | |||||||||
Balance as of beginning-of-period | $ | 626,569 | $ | 608,903 | ||||||
Goodwill Acquired (1) | — | 178,266 | ||||||||
Measurement period adjustments (2) | 1,772 | — | ||||||||
Goodwill Impairment | — | (160,600 | ) | |||||||
Balance as of end-of-period | $ | 628,341 | $ | 626,569 |
(1) Represents goodwill acquired as a result of the Passport, Valence Health and Aldera transactions, as discussed in Note 4.
(2) Represents measurement period adjustments related to Valence Health and Aldera, as discussed in Note 4.
Intangible Assets, Net
As part of the Offering Reorganization, intangible assets of $169.0 million were recorded on our Consolidated Balance Sheets. We recorded additional intangible assets of $108.3 million related to our acquisitions in 2016, as discussed in Note 4.
Details of our intangible assets (in thousands) are presented below:
As of September 30, 2017 | ||||||||||||||
Weighted- | ||||||||||||||
Average | Gross | Net | ||||||||||||
Remaining | Carrying | Accumulated | Carrying | |||||||||||
Useful Life | Amount | Amortization | Value | |||||||||||
Corporate trade name | 17.7 | $ | 19,000 | $ | 2,217 | $ | 16,783 | |||||||
Customer relationships | 20.7 | 203,500 | 15,988 | 187,512 | ||||||||||
Technology | 3.3 | 56,157 | 14,664 | 41,493 | ||||||||||
Below market lease, net | 8.5 | 4,197 | 493 | 3,704 | ||||||||||
Total | $ | 282,854 | $ | 33,362 | $ | 249,492 |
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As of December 31, 2016 | ||||||||||||||
Weighted- | ||||||||||||||
Average | Gross | Net | ||||||||||||
Remaining | Carrying | Accumulated | Carrying | |||||||||||
Useful Life | Amount | Amortization | Value | |||||||||||
Corporate trade name | 18.4 | $ | 19,000 | $ | 1,505 | $ | 17,495 | |||||||
Customer relationships | 21.5 | 203,500 | 9,018 | 194,482 | ||||||||||
Technology | 5.2 | 50,500 | 7,753 | 42,747 | ||||||||||
Below market lease, net | 9.4 | 4,323 | 124 | 4,199 | ||||||||||
Total | $ | 277,323 | $ | 18,400 | $ | 258,923 |
Amortization expense related to intangible assets was $5.3 million and $15.0 million for the three and nine months ended September 30, 2017, respectively, and $2.7 million and $7.9 million for the three and nine months ended September 30, 2016, respectively.
As discussed in Note 2, the Company changed its estimate of the useful life of intangible technology from a range of 5-7 years to 5 years, effective September 1, 2017. This change in useful life has been accounted for as a change in accounting estimate and will be applied to all new similar intangible technology, as applicable. Remaining carrying amounts of existing intangible technology will be amortized prospectively over a maximum of 5 years, or the remaining useful lives if less than 5 years. The change in estimated useful life increased net loss by approximately $0.3 million for the three and nine months ended September 30, 2017.
Intangible assets are reviewed for impairment if circumstances indicate the Company may not be able to recover the asset’s carrying value. As discussed above, during the first quarter of 2016, our single reporting unit failed the Step 1 test for goodwill impairment, thus triggering an impairment analysis of the carrying value of our intangible asset group. In conjunction with the impairment testing of the carrying value of our goodwill in 2016, we performed an analysis to determine whether the carrying amount of our intangible asset group was recoverable. We performed a Step 1 test, which required management to compare the total undiscounted future cash flows of the intangible asset group to the current carrying amount. The total undiscounted cash flows included only the future cash flows that are directly associated with and that were expected to arise as a result of the use and eventual disposal of the asset group. Based on our Step 1 test, we concluded the carrying amount of our intangible asset group was recoverable given the pre-tax, undiscounted cash flows exceeded the carrying value of the intangible asset group.
8. Long-term Debt
In December 2016, the Company issued $125.0 million aggregate principal amount of its 2.00% Convertible Senior Notes due 2021 (the “2021 Notes”) in a private placement to qualified institutional buyers within the meaning of Rule 144A under the Securities Act of 1933, as amended. The 2021 Notes were issued at par for net proceeds of $120.4 million. We incurred $4.6 million of debt issuance costs in connection with the 2021 Notes during the fourth quarter of 2016, which we are amortizing to non-cash interest expense using the straight line method over the contractual term of the 2021 Notes, since this method was not materially different from the effective interest method. The closing of the private placement of the 2021 Notes occurred on December 5, 2016.
Holders of the 2021 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year, beginning on June 1, 2017, at a rate equal to 2.00% per annum. The 2021 Notes will mature on December 1, 2021, unless earlier repurchased or converted in accordance with their terms prior to such date. In addition, holders of the 2021 Notes may require the Company to repurchase their 2021 Notes upon the occurrence of a fundamental change at a price equal to 100.00% of the principal amount of the 2021 Notes being repurchased, plus any accrued and unpaid interest. Upon maturity, and at the option of the holders of the 2021 Notes, the principal amount of the notes may be settled via shares of the Company’s Class A common stock. For the three and nine months ended September 30, 2017, the Company recorded approximately $0.6 million and $1.9 million, respectively, in interest expense and $0.2 million and $0.7 million, respectively, in non-cash interest expense related to the amortization of deferred financing costs.
The 2021 Notes are convertible into shares of the Company’s Class A common stock, based on an initial conversion rate of 41.6082 shares of Class A common stock per $1,000 principal amount of the 2021 Notes, which is equivalent to an initial conversion price of approximately $24.03 per share of the Company’s Class A common stock. In the aggregate, the 2021 Notes are initially convertible into 5.2 million shares of the Company’s Class A common stock (excluding any shares issuable by the Company upon a conversion in connection with a make-whole provision upon a fundamental change under the indenture between Evolent Health, Inc. and U.S. Bank National Association, as trustee, related to the 2.00% convertible senior notes due 2021, dated as of December 5, 2016).
The 2021 Notes are convertible, in multiples of $1,000 principal amount, at the option of the holders at any time prior to the close of business on the business day immediately preceding the maturity date. Upon conversion, we will deliver for each $1,000 principal
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amount of notes converted a number of shares of our Class A common stock equal to the applicable conversion rate (together with a cash payment in lieu of delivering any fractional share) on the third business day following the relevant conversion date.
Convertible Senior Notes Carrying Value
While the 2021 Notes are recorded on our accompanying unaudited interim consolidated balance sheets at their net carrying value of $121.2 million as of September 30, 2017, the 2021 Notes are privately traded by qualified institutional buyers (within the meaning of Rule 144A under the Securities Act of 1933, as amended) and their fair value was $142.4 million, based on a traded price on September 29, 2017, a Level 2 input. As of December 31, 2016, the estimated fair value of the 2021 Notes was $125.0 million, which approximated cost as there were no significant movements in interest rates between the issuance date and December 31, 2016. The 2021 Notes also have embedded conversion options and contingent interest provisions.
The following table summarizes the carrying value of the long-term debt (in thousands):
As of | As of | |||||||||
September 30, | December 31, | |||||||||
2017 | 2016 | |||||||||
Carrying value | $ | 121,164 | $ | 120,283 | ||||||
Unamortized discount | 3,836 | 4,717 | ||||||||
Principal amount | $ | 125,000 | $ | 125,000 | ||||||
Remaining amortization period (years) | 4.2 | 4.9 |
9. Commitments and Contingencies
UPMC Reseller Agreement
The Company and UPMC are parties to a reseller, services and non-competition agreement, dated August 31, 2011, which was amended and restated by the parties on June 27, 2013 (as amended through the date hereof, the “UPMC Reseller Agreement”). Under the terms of the UPMC Reseller Agreement, UPMC has appointed the Company as a non-exclusive reseller of certain services, subject to certain conditions and limitations specified in the UPMC Reseller Agreement. In consideration for the Company’s obligations under the UPMC Reseller Agreement and subject to certain conditions described therein, UPMC has agreed not to sell certain products and services directly to the Company’s customers and top prospects.
The Advisory Board Reseller Agreement
The Company and The Advisory Board are parties to a services, reseller, and non-competition agreement, dated August 31, 2011, which was amended and restated by the parties on June 27, 2013, and May 1, 2015 (as so amended, “The Advisory Board Reseller Agreement”). Under the terms of The Advisory Board Reseller Agreement, The Advisory Board provides 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 right to collect certain fees for specified referrals. Pursuant to the Advisory Board Reseller Agreement, Evolent entered into a services agreement with The Advisory Board in October 2016 whereby The Advisory Board will provide certain services to the Company in conjunction with risk adjustment services provided to one of our customers.
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 NOLs. 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 |
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• | 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, and the fact that the Company is in a full valuation allowance position such that the deferred tax assets related to the Company’s historical pre-IPO losses and tax basis increase benefit from exchanges have not been realized, the Company has not recorded a liability pursuant to the TRA.
Litigation Matters
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. In connection with the Valence Health acquisition, the Company acquired certain in-process litigation; however, the Company is indemnified by the Valence Health sellers for certain matters and therefore has no potential material exposure. 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. The Company is not aware of any legal proceedings or claims as of September 30, 2017, or December 31, 2016, that the Company believes will have, individually or in the aggregate, a material adverse effect on the Company’s financial position or result of operations.
Commitments
Lease Commitments
The Company has entered into lease agreements for its office locations in Arlington, Virginia, Chicago, Illinois, Lisle, Illinois and San Francisco, California. In addition, certain leases acquired as part of the Valence Health transaction included existing sublease agreements for office locations in Chicago, Illinois. Total rental expense, net of sublease income, on operating leases was $3.0 million and $8.0 million for the three and nine months ended September 30, 2017, respectively, and $1.1 million and $3.4 million for the three and nine months ended September 30, 2016, respectively.
In connection with various lease agreements, the Company is required to maintain $3.8 million in letters of credit and, as such, held $3.8 million in restricted cash and restricted investments as collateral for the letters of credit as of September 30, 2017.
As previously discussed in “Part II - Item 8. Financial Statements and Supplementary Data - Note 4” of our 2016 Form 10-K, immediately following the Valence Health acquisition, the Company decided to abandon and sublet its rented space at 540 W. Madison Street, Suite 1400, Chicago, Illinois. Therefore, our results from operations for the year ended December 31, 2016, included a lease abandonment expense of approximately $6.5 million in conjunction with a rental space acquired as part of the Valence Health acquisition, based on remaining lease payments and expected future sublease income. During the second quarter of 2017, the Company reached an agreement to terminate the lease for the 14th Floor Space, effective September 2017. Remaining cash outflows related to the 14th Floor Space were estimated to be approximately $4.8 million as of June 30, 2017, while the remaining balance of the initial $6.5 million lease abandonment liability recorded after the Valence Health acquisition was approximately $5.3 million as of June 30, 2017, excluding adjustments pertaining to the lease cancellation fees. As such, the Company recorded a one-time adjustment of $0.5 million to reduce the lease abandonment liability, from $5.3 million to $4.8 million, as of June 30, 2017. The adjustment was recorded as a reduction to our rent expense within “Selling, general and administrative expenses” on our Consolidated Statements of Operations for the nine months ended September 30, 2017. The Company made regular rent payments until September 1, 2017, at which point it paid a one-time lease cancellation and related brokerage fee of $4.4 million. There is no remaining lease abandonment liability related to the 14th Floor Space as of September 30, 2017.
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The following table presents a roll forward of the lease abandonment liability (in thousands):
For the Nine | ||||||||||
Months | For the Year | |||||||||
Ended | Ended | |||||||||
September 30, | December 31, | |||||||||
2017 | 2016 | |||||||||
Accrual as of beginning-of-period | $ | 6,100 | $ | — | ||||||
Abandonment expense | — | 6,460 | ||||||||
Impact of lease termination | (496 | ) | — | |||||||
Abandonment amortization | (1,239 | ) | (360 | ) | ||||||
Lease cancellation fee | (4,365 | ) | — | |||||||
Accrual as of end-of-period | $ | — | $ | 6,100 |
Indemnifications
The Company’s customer agreements generally include a provision by which the Company agrees to defend its partners against third party claims (a) for death, bodily injury, or damage to personal property caused by Company negligence or willful misconduct, (b) by former or current Company employees arising from such managed service agreements, (c) for intellectual property infringement under specified conditions and (d) for Company violation of applicable laws, and to indemnify them against any damages and costs awarded in connection with such claims. To date, the Company has not incurred any material costs as a result of such indemnities and has not accrued any liabilities related to such obligations in the accompanying consolidated financial statements.
Registration rights agreement
We entered into a registration rights agreement with The Advisory Board, UPMC, TPG and another investor to register for sale under the Securities Act, shares of our Class A common stock, including those delivered in exchange for Class B common stock and Class B common units. Subject to certain conditions and limitations, this agreement provides these investors with certain demand, piggyback and shelf registration rights. The registration rights granted under the registration rights agreement will terminate upon the date the holders of shares that are a party thereto no longer hold any such shares that are entitled to registration rights. Pursuant to our contractual obligations under this agreement, we filed a registration statement on Form S-3 with the SEC on July 28, 2016, which was declared effective on August 12, 2016.
Pursuant to certain terms of the registration rights agreement, the Investor Stockholders sold 19.7 million shares of the Company’s Class A common stock during the 2017 Secondary Offerings and 8.6 million shares of the Company’s Class A common stock during the September 2016 Secondary Offering, as discussed in Note 4. Pursuant to the terms of the registration rights agreement, we incurred $0.3 million and $1.5 million in expenses related to the 2017 Secondary Offerings for the three and nine months ended September 30, 2017, and $2.1 million in expenses related to the September 2016 Secondary Offering for the three and nine months ended September 30, 2016. The expenses were recorded within “Selling, general and administrative expenses” on our Consolidated Statements of Operations.
We will continue to 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.
Guarantees
As part of our strategy to support certain of our partners in the Next Generation Accountable Care Program, we entered into upside and downside risk sharing arrangements. Our downside risk-sharing arrangements are limited to our fees and are executed through our wholly-owned captive insurance company. To satisfy the capital requirements of our insurance entity as well as state insurance regulators, Evolent entered into letters of credit of $8.2 million to secure potential losses related to insurance services. This amount is in excess of our actuarial assessment of loss.
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Credit and Concentration Risk
The Company is subject to significant concentrations of credit risk related to cash and cash equivalents and accounts receivable. As of September 30, 2017, approximately 74.2% of our $295.9 million of cash and cash equivalents (including restricted cash) were held in bank deposits with FDIC participating banks and approximately 25.8% were held in money market funds. While the Company maintains its cash and cash equivalents with financial institutions with high credit ratings, it often maintains these deposits in federally insured financial institutions in excess of federally insured limits. The Company has not experienced any realized losses on cash and cash equivalents to date.
The following table summarizes those partners who represented at least 10.0% of our trade accounts receivable for the periods presented:
As of | As of | |||||||
September 30, | December 31, | |||||||
2017 | 2016 | |||||||
Customer B | 14.2 | % | * | |||||
Customer E | 13.9 | % | 14.3 | % |
* Represents less than 10.0% of the respective balance
In addition, the Company is subject to significant concentration of revenue risk as a substantial portion of our revenue is derived from a small number of contractual relationships with our operating partners.
The following table summarizes those partners who represented at least 10.0% of our revenue for the periods presented:
For the Three | For the Nine | ||||||||||
Months Ended | Months Ended | ||||||||||
September 30, | September 30, | ||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||
Customer A | 19.0 | % | 24.9 | % | 18.5 | % | 18.7 | % | |||
Customer B | * | * | 10.0 | % | * | ||||||
Customer C | * | 15.3 | % | * | 16.5 | % | |||||
Customer D | * | 14.3 | % | * | 14.7 | % |
* Represents less than 10.0% of the respective balance
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10. 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 Nine | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Net income (loss) | $ | (13,129 | ) | $ | (15,775 | ) | $ | (55,977 | ) | $ | (201,585 | ) | |||
Less: | |||||||||||||||
Net income (loss) attributable to non-controlling interests | (541 | ) | (4,567 | ) | (8,471 | ) | (59,250 | ) | |||||||
Net income (loss) available for common shareholders (1) (2) | $ | (12,588 | ) | $ | (11,208 | ) | $ | (47,506 | ) | $ | (142,335 | ) | |||
Weighted-average common shares outstanding (2) (3) | 70,328 | 43,110 | 60,867 | 42,632 | |||||||||||
Earnings (Loss) per Common Share | |||||||||||||||
Basic | $ | (0.18 | ) | $ | (0.26 | ) | $ | (0.78 | ) | $ | (3.34 | ) | |||
Diluted | (0.18 | ) | (0.26 | ) | (0.78 | ) | (3.34 | ) |
(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 Nine | ||||||||||
Months Ended | Months Ended | ||||||||||
September 30, | September 30, | ||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||
Exchangeable Class B common stock | 2,654 | 17,145 | 8,846 | 17,397 | |||||||
Restricted stock units ("RSUs") | 577 | 416 | 557 | 196 | |||||||
Stock options and performance-based stock options | 2,976 | 3,193 | 3,031 | 1,672 | |||||||
Convertible senior notes | 5,201 | — | 5,201 | — | |||||||
Total | 11,408 | 20,754 | 17,635 | 19,265 |
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11. Stock-based Compensation
Total compensation expense by award type and line item in our consolidated financial statements were as follows (in thousands):
For the Three | For the Nine | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Award Type | |||||||||||||||
Stock options | $ | 4,291 | $ | 3,961 | $ | 12,452 | $ | 11,700 | |||||||
Performance-based stock options | 113 | 113 | 335 | 261 | |||||||||||
RSUs | 1,304 | 725 | 3,385 | 1,883 | |||||||||||
Total | $ | 5,708 | $ | 4,799 | $ | 16,172 | $ | 13,844 | |||||||
Line Item | |||||||||||||||
Cost of revenue | $ | 401 | $ | 369 | $ | 1,143 | $ | 1,219 | |||||||
Selling, general and | |||||||||||||||
administrative expenses | 5,307 | 4,430 | 15,029 | 12,625 | |||||||||||
Total | $ | 5,708 | $ | 4,799 | $ | 16,172 | $ | 13,844 |
No stock-based compensation in the totals above was capitalized as software development costs for the three and nine months ended September 30, 2017 and 2016, respectively.
Stock-based awards granted were as follows:
For the Three | For the Nine | ||||||||||
Months Ended | Months Ended | ||||||||||
September 30, | September 30, | ||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||
Stock options | 84,249 | — | 961,313 | 900,000 | |||||||
Performance-based stock options | — | — | — | 267,770 | |||||||
RSUs | 37,361 | 32,238 | 461,494 | 445,569 |
As discussed in Note 2, the Company adopted ASU 2016-09 with an effective date of January 1, 2016, and elected to recognize share-based award forfeitures as they occur. The adoption of ASU 2016-09 had an immaterial impact to our financial condition and results of operations as of and for the three and nine months ended September 30, 2016.
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 when the amount of cash taxes paid was impacted by the windfalls and shortfalls. 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 Statements of Operations without regard to the impact on cash taxes paid. For the three and nine months ended September 30, 2017 and 2016, the Company recognized an immaterial discrete tax benefit related to net windfall tax benefits from share-based compensation, which increased the net operating loss (“NOL”) deferred tax asset and our valuation allowance.
12. 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 $1.7 million and $2.0 million in income tax benefit for the three and nine months ended September 30, 2017, which resulted in effective tax rates of 11.6% and 3.5%, respectively. The Company recorded $0.3 million and $1.6 million in income tax benefit for the three and nine months ended September 30, 2016, which resulted in effective tax rates of 1.6% and 0.8%, respectively. Approximately $2.1 million of the income tax benefit recorded during the three months ended September 30, 2017, relates primarily to the change in estimate of indefinite lived components as part of the outside basis difference in our partnership interest in Evolent Health LLC related to the equity transactions as further disclosed in Note 4. These components, as well as components reversing outside of the net operating loss carryover period, are not considered a source of future taxable income for
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realizing the deferred tax assets, and with the exception of those, the Company continues to record a valuation allowance against the net deferred tax assets. The company recorded a change in estimate of $0.7 million in federal alternative minimum and state income tax liability and corresponding income tax expense in connection to its 2016 tax return filings during the third quarter of 2017.
As a result of the increase in our ownership of Evolent Health LLC following the August 2017 Primary and 2017 Secondary Offerings discussed in Note 4 above, the Company reduced the indefinite portion of the deferred tax liability related to the book basis compared to the tax basis in our partnership interest in Evolent Health LLC by $13.1 million for the nine months ended September 30, 2017. The effect of this change in the deferred tax liability was recorded as $12.8 million of additional paid-in capital and $0.3 million of income tax benefit.
As a result of the increase in our ownership of Evolent Health LLC following the September 2016 Secondary discussed in Note 4 above, the Company reduced the indefinite portion of the deferred tax liability related to the book basis compared to the tax basis in our partnership interest in Evolent Health LLC by $1.6 million for the three and nine months ended September 30, 2016. The effect of this change in the deferred tax liability was recorded as additional paid-in capital.
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.
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 9 above and “Part II - Item 8. Financial Statements and Supplementary Data - Note 12” in our 2016 Form 10-K for discussion of our TRA.
13. 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 represented a 27% economic interest and a 28% voting interest in GPAC at the date of the transaction. As of September 30, 2017, the Company owned a 26% 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. Evolent Health, Inc.’s proportional share of the losses of GPAC was approximately $0.4 million and $1.4 million for the three and nine months ended September 30, 2017, and $0.4 million and $0.5 million for the three and nine months ended September 30, 2016, respectively.
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 was less than $0.1 million and $0.4 million for the three and nine months ended September 30, 2017, respectively, and approximately $0.1 million for the three and nine months ended September 30, 2016.
14. Non-controlling Interests
In connection with the closing of the IPO, we used the net proceeds of the IPO to purchase 13.2 million newly-issued Class A common units in Evolent Health LLC. Additionally, we acquired 2.1 million Class A common units in Evolent Health LLC, at $17.00 per unit, as a result of the merger of the TPG affiliate with and into Evolent Health, Inc. as described in our 2016 Form 10-K. Immediately following the Offering Reorganization and IPO, the Company owned 70.3% of Evolent Health LLC.
During the year ended December 31, 2016, the Company issued shares of its Class A common stock to acquire Passport, Valence Health and Aldera. For each share of Class A common stock issued by the Company, we received a reciprocal number of Class A common units from Evolent Health LLC in exchange for contributing the acquired entities to Evolent Health LLC. As a result, our economic interest in Evolent Health LLC increased during the year from 70.3% to 70.8% due to Class A common shares issued for the acquisition of Passport and from 74.6% to 77.4% as a result of Class A common shares issued for the acquisitions of Valence Health and Aldera. In order to account for the change in our ownership interest in Evolent Health LLC, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
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In addition, the Company completed a secondary offering of 8.6 million shares of its Class A common stock at a price to the public of $22.50 per share in September 2016. The shares sold in the September 2016 Secondary consisted of 6.4 million existing shares of the Company’s Class A common stock owned and held by the Selling Stockholders and 2.2 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges. As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the September 2016 Secondary, the Company’s economic interest in Evolent Health LLC increased from 71.0% to 74.6% as of September 22, 2016, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
Further, the Company completed the 2017 Secondary Offerings during the nine months ended September 30, 2017. The shares sold in the 2017 Secondary Offerings consisted of 20.1 million shares of the Company’s Class A common stock, consisting of 7.4 million existing shares of the Company’s Class A common stock owned and held by certain Selling Stockholders, 12.6 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges and 0.1 million shares issued upon the exercise of options by certain management selling stockholders. As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the 2017 Secondary Offerings, the Company’s economic interest in Evolent Health LLC increased from 77.4% to 96.1% immediately following the June 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
In addition, the Company issued 8.8 million shares of its Class A Common Stock during the August 2017 Primary for net proceeds of $166.9 million. For each share of Class A common stock issued by Evolent Health, Inc., the Company received a corresponding Class A common unit from Evolent Health LLC in exchange for contributing the issuance proceeds to Evolent Health LLC. As a result of the Class A common stock and Class A common units issued in conjunction with the August 2017 Primary, the Company’s economic interest in Evolent Health LLC increased from 96.1% to 96.6% immediately following the August 2017 Primary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
As of September 30, 2017, and December 31, 2016, we owned 96.6% and 77.4% of the economic interests in Evolent Health LLC, respectively. See Note 4 for further discussion of our August 2017 Primary and 2017 Secondary Offerings.
Changes in non-controlling interests (in thousands) for the periods presented were as follows:
For the Three | For the Nine | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Non-controlling interests as of beginning-of-period | $ | 34,680 | $ | 230,416 | $ | 209,588 | $ | 285,238 | |||||||
Cumulative-effect adjustment from adoption of new accounting principle | — | — | — | (139 | ) | ||||||||||
Decrease in non-controlling interests as a result of Class B Exchanges | — | (28,220 | ) | (168,883 | ) | (28,220 | ) | ||||||||
Reclassification of non-controlling interests | 1,793 | — | 3,698 | — | |||||||||||
Net income (loss) attributable to non-controlling interests | (541 | ) | (4,567 | ) | (8,471 | ) | (59,250 | ) | |||||||
Non-controlling interests as of end-of-period | $ | 35,932 | $ | 197,629 | $ | 35,932 | $ | 197,629 |
15. Fair Value Measurement
GAAP defines fair value as the price that would be received from the sale of an asset or paid to transfer a liability (an exit price) assuming an orderly transaction in the most advantageous market at the measurement date. GAAP also establishes a hierarchical disclosure framework which prioritizes and ranks the level of observability of inputs used in measuring fair value. These tiers include:
• | Level 1 - inputs to the valuation methodology are quoted prices available in active markets for identical instruments as of the reporting date; |
• | Level 2 - inputs to the valuation methodology are other than quoted prices in active markets, which are either directly or indirectly observable as of the reporting date and the fair value can be determined through the use of models or other valuation methodologies; and |
• | Level 3 - inputs to the valuation methodology are unobservable inputs in situations where there is little or no market activity for the asset or liability. |
In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, the level within the fair value hierarchy is based on the lowest level of input that is significant to the fair value measurement. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the particular asset or liability being measured.
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Recurring Fair Value Measurements
In accordance with GAAP, certain assets and liabilities are required to be recorded at fair value on a recurring basis. The following table summarizes the Company’s assets and liabilities measured at fair value on a recurring basis (in thousands):
As of September 30, 2017 | |||||||||||||||
Level 1 | Level 2 | Level 3 | Total | ||||||||||||
Assets | |||||||||||||||
Cash and cash equivalents (1) | $ | 76,408 | $ | — | $ | — | $ | 76,408 | |||||||
Liabilities | |||||||||||||||
Contingent consideration (2) | — | — | 8,600 | 8,600 |
As of December 31, 2016 | |||||||||||||||
Level 1 | Level 2 | Level 3 | Total | ||||||||||||
Assets | |||||||||||||||
Cash and cash equivalents (1) | $ | 1,128 | $ | — | $ | — | $ | 1,128 | |||||||
Liabilities | |||||||||||||||
Contingent consideration (2) | — | — | 8,300 | 8,300 |
(1) Represents the cash and cash equivalents that were held in a money market fund as of September 30, 2017, and December 31, 2016, as presented in the tables above.
(2) Represents the contingent earn-out consideration related to the Passport acquisition as described further in Note 4.
The Company recognizes any transfers between levels within the hierarchy as of the beginning of the reporting period. There were no transfers between fair value levels for the three and nine month periods ended September 30, 2017 and 2016, respectively.
In the absence of observable market prices, the fair value is based on the best information available and involves a significant degree of judgment, taking into consideration a combination of internal and external factors, including the appropriate risk adjustments for non-performance and liquidity risks.
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. The significant unobservable inputs used in the fair value measurement of the Passport contingent consideration are the five-year risk-adjusted recurring revenue compound annual growth rate (“CAGR”) and the applicable discount rate. A significant increase in the assumed five-year risk-adjusted recurring revenue CAGR projection or decrease in discount rate in isolation would result in a significantly higher fair value of the contingent consideration.
The changes in our contingent consideration, measured at fair value, for which the Company uses Level 3 inputs to determine fair value are as follows (in thousands):
For the Three | For the Nine | ||||||||||||||
Months Ended | Months Ended | ||||||||||||||
September 30, | September 30, | ||||||||||||||
2017 | 2016 | 2017 | 2016 | ||||||||||||
Balance as of beginning-of-period | $ | 8,500 | $ | 7,750 | $ | 8,300 | $ | — | |||||||
Additions | — | — | — | 7,750 | |||||||||||
Realized and unrealized (gains) losses, net | 100 | — | 300 | — | |||||||||||
Balance as of end-of-period | $ | 8,600 | $ | 7,750 | $ | 8,600 | $ | 7,750 |
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The following table summarizes the fair value (in thousands), valuation techniques and significant unobservable inputs of our Level 3 fair value measurements as of the periods presented:
As of September 30, 2017 | |||||||||||
Fair | Valuation | Significant | Assumption or | ||||||||
Value | Technique | Unobservable Inputs | Input Ranges | ||||||||
Contingent consideration (1) | $ | 8,600 | Real options approach | Risk-adjusted recurring revenue CAGR | 92.5 | % | (2) | ||||
Discount rate/time value | 2.7% - 4.0% |
(1) Related to additional Passport earn-out consideration as described further in Note 4.
(2) The risk-adjusted recurring revenue CAGR is calculated over the five-year period 2017-2021. Given that there was no recurring revenue in 2016 and 2017, the calculation of the 2017 and 2018 growth rate is based on a theoretical 2016 and 2017 recurring revenue of $1.0 million, resulting in a higher growth rate. The risk-adjusted recurring revenue CAGR over the period 2019-2021 is 19.2%.
As of December 31, 2016 | |||||||||||
Fair | Valuation | Significant | Assumption or | ||||||||
Value | Technique | Unobservable Inputs | Input Ranges | ||||||||
Contingent consideration (1) | $ | 8,300 | Real options approach | Risk-adjusted recurring revenue CAGR | 97.0 | % | (2) | ||||
Discount rate/time value | 2.5% - 4.5% |
(1) Related to additional Passport earn-out consideration as described further in Note 4.
(2) The risk-adjusted recurring revenue CAGR is calculated over the five-year period 2017-2021. Given that there was no recurring revenue in 2016, the calculation of the 2017 growth rate was based on a theoretical 2016 recurring revenue of $1.0 million, resulting in a higher growth rate. The risk-adjusted recurring revenue CAGR over the period 2018-2021 was 50.8%.
Nonrecurring Fair Value Measurements
In addition to the assets and liabilities that are recorded at fair value on a recurring basis, the Company records certain assets and liabilities at fair value on a nonrecurring basis as required by GAAP. Generally, assets are recorded at fair value on a nonrecurring basis as a result of impairment charges. This includes goodwill, intangible assets, property, plant and equipment, held-to-maturity investments and equity method investments. While not carried at fair value on a recurring basis, these items are continually monitored for indicators of impairment that would indicate current carrying value is greater than fair value. In those situations, the assets are considered impaired and written down to current fair value. Refer to Notes 4, 5, 6, 7 and 13 for further discussion of assets measured at fair value on a nonrecurring basis.
Other Fair Value Disclosures
The carrying amounts of cash and cash equivalents (those not held in a money market fund), restricted cash, receivables, prepaid expenses, accounts payable, accrued liabilities and accrued compensation approximate their fair values because of the relatively short-term maturities of these items and financial instruments.
Refer to Note 8 for information regarding the fair value of the 2021 Notes.
16. Related Parties
As discussed in Note 13, Evolent owned a 26% economic interest in GPAC as of September 30, 2017, 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 TPA services) relating to certain customer commitments. We also conduct business with a company in which UPMC holds a significant equity interest. Our founding investors and their related businesses are considered related parties and the balances and/or transactions with them were reported on our consolidated financial statements.
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Additionally, we issued shares of our stock to certain of our partners while concurrently entering into revenue contracts with those partners. Those partners are 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 a significant equity interest in Evolent Health, Inc.
17. Subsequent Events
Acquisition of Premier Health Plan, Inc.
On October 31, 2017, the Company entered into an agreement with Premier Health Insuring Corporation (“PHIC”), a subsidiary of Premier Health Partners, an existing Evolent customer, to acquire Premier Health Plan, Inc. (“Premier Health”). Premier Health currently offers and operates large group commercial and individual and family medical insurance plans in Ohio. As part of the agreement, PHIC will contribute its Medicare Advantage business to Premier Health immediately prior to the closing of the transaction. Consideration for the transaction is estimated at approximately $31.0 million, payable in a combination of cash and Evolent Health Class A common stock. Consummation of the transaction is subject to certain closing conditions, including federal and state regulatory approvals. The Company expects to consummate the transaction at the end of 2017 or early 2018, and to commence operations of the health plans thereafter, but we cannot assure you that the transaction will be completed on this timetable or at all.
Implementation Funding Agreement
On October 25, 2017, the Company entered into an agreement with a current customer and contributed $20.0 million in the form of an implementation funding loan (the “Implementation Fund”) shortly thereafter. The Implementation Fund is expected to support implementation services to assist the customer in expanding its Medicaid membership. The Implementation Fund carries a fixed interest rate of 2.5% per annum and the terms of the agreement governing the Implementation Fund require it to be repaid in ten equal installments of $2.0 million, plus accrued interest, during 2018.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following Management’s Discussion and Analysis of Financial Condition and Results of Operations (“MD&A”) is intended to help the reader understand the Company’s financial condition and results of operations. The MD&A is provided as a supplement to, and should be read in conjunction with, our consolidated financial statements and the accompanying notes to consolidated financial statements (“Notes”) presented in “Item 1. Financial Statements” our 2016 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 2017.
INTRODUCTION
Background and Recent Events
Evolent Health, Inc. is a holding company whose principal asset is all of the Class A common units it holds in Evolent Health LLC, and its only business is to act as sole managing member of Evolent Health LLC. Substantially all of our operations are conducted through Evolent Health LLC and its consolidated subsidiaries. The financial results of Evolent Health LLC are consolidated in the financial statements of Evolent Health, Inc.
Acquisition of New Mexico Health Connections
On September 25, 2017, the Company entered into an agreement with New Mexico Health Connections (“NMHC”) to acquire assets related to NMHC’s commercial business for approximately $10.3 million. The assets include a health plan management services organization with a tenured leadership team and employee base with extensive experience working locally with providers to run NMHC’s suite of preventive, disease and care management programs. The assets will be contributed to a new entity, True Health New Mexico, Inc., a wholly-owned subsidiary of Evolent Health. The legacy NMHC will continue to operate as an independent non-profit health care organization operating throughout the state of New Mexico, offering individual health insurance products. Once completed, this transaction will allow the Company to create a new subsidiary that will leverage our platform to support a value-based, provider-centric model of care throughout the state of New Mexico. Consideration for the transaction will include an initial cash payment of $10.0 million, with a further $0.3 million to be held in escrow. Consummation of the transaction is subject to customary closing conditions, including approval by the New Mexico Office of Superintendent of Insurance. The Company expects to complete the transaction on December 31, 2017, and to commence operations of the health plans beginning January 1, 2018, but we cannot assure that the transaction will be completed on this timetable, or at all.
Acquisition of Premier Health Plan, Inc.
On October 31, 2017, the Company entered into an agreement with Premier Health Insuring Corporation (“PHIC”), a subsidiary of Premier Health Partners, an existing Evolent customer, to acquire Premier Health Plan, Inc. (“Premier Health”). Premier Health currently offers and operates large group commercial and individual and family medical insurance plans in Ohio. As part of the agreement, PHIC will contribute its Medicare Advantage business to Premier Health immediately prior to the closing of the transaction. Consideration for the transaction is estimated at approximately $31.0 million, payable in a combination of cash and Evolent Health Class A common stock. Consummation of the transaction is subject to certain closing conditions, including federal and state regulatory approvals. The Company expects to consummate the transaction at the end of 2017 or early 2018, and to commence operations of the health plans thereafter, but we cannot assure you that the transaction will be completed on this timetable or at all.
Implementation Funding Agreement
On October 25, 2017, the Company entered into an agreement with a current customer and contributed $20.0 million in the form of an implementation funding loan (the “Implementation Fund”) shortly thereafter. The Implementation Fund is expected to support implementation services to assist the customer in expanding its Medicaid membership. The Implementation Fund carries a fixed interest rate of 2.5% per annum and the terms of the agreement governing the Implementation Fund require it to be repaid in ten equal installments of $2.0 million, plus accrued interest, during 2018.
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Securities Offerings
August 2017 Primary Offering
In August 2017, the Company completed a primary offering of 8.8 million shares of its Class A common stock at a price to the public of $19.85 per share and a corresponding price to the underwriters of $19.01 per share (the “August 2017 Primary”). This offering resulted in net cash proceeds to the Company of approximately $166.9 million (gross proceeds of $175 million, net of $8.1 million in underwriting discounts and stock issuance costs). For each share of Class A common stock issued by Evolent Health, Inc., the Company received a corresponding Class A common unit from Evolent Health LLC in exchange for contributing the issuance proceeds to Evolent Health LLC. As a result of the Class A common stock and Class A common units issued during the August 2017 Primary, the Company’s economic interest in Evolent Health LLC increased from 96.1% to 96.6% immediately following the August 2017 Primary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
2017 Secondary Offerings
Certain affiliates of TPG (“TPG”), The Advisory Board Company (“The Advisory Board”), UPMC and Ptolemy Capital, LLC (“Ptolemy Capital”) (together, the “Investor Stockholders”) have an existing exchange right that allows receipt of newly-issued shares of the Company’s Class A common stock in exchange (a “Class B Exchange”) for an equal number of shares of the Company’s Class B common stock (which are subsequently canceled) and an equal number of Evolent Health LLC’s Class B common units (“Class B units”). Class B units received by the Company from relevant Investor Stockholders are simultaneously exchanged for an equivalent number of Class A units of Evolent Health LLC, and Evolent Health LLC cancels the Class B units it receives in the Class B Exchange. The cancellation of the Class B units results in an increase in the Company’s economic interest in Evolent Health LLC. The Company did not receive any proceeds from Class B exchanges or the sale of Class A common stock in the secondary offerings described below.
The Investor Stockholders initiated several Class B Exchanges as part of various secondary offerings during 2017, thus increasing the Company’s economic interest in Evolent Health LLC, as discussed below.
June 2017 Secondary Offering
In June 2017, the Company completed a secondary offering of 4.5 million shares of its Class A common stock at a price to the underwriters of $25.87 per share (the “June 2017 Secondary”).
The shares sold in the June 2017 Secondary consisted of 0.7 million existing shares of the Company’s Class A common stock owned and held by certain Investor Stockholders and 3.8 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the June 2017 Secondary, the Company’s economic interest in Evolent Health LLC increased from 90.5% to 96.1% immediately following the June 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
May 2017 Secondary Offering
In May 2017, the Company completed a secondary offering of 7.0 million shares of its Class A common stock at a price to the underwriters of $24.30 per share (the “May 2017 Secondary”). The shares were sold by the Investor Stockholders and certain management selling stockholders (together with the Investor Stockholders, the “Selling Stockholders”).
The shares sold in the May 2017 Secondary consisted of 3.1 million existing shares of the Company’s Class A common stock owned and held by the Selling Stockholders, 3.8 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges and 0.1 million shares issued upon the exercise of options by certain management selling stockholders.
As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the May 2017 Secondary, the Company’s economic interest in Evolent Health LLC increased from 84.9% to 90.5% immediately following the May 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
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March 2017 Secondary Offering
In March 2017, the Company completed a secondary offering of 7.5 million shares of its Class A common stock at a price to the underwriters of $19.53 per share (the “March 2017 Secondary”).
The shares sold in the March 2017 Secondary consisted of 3.1 million existing shares of the Company’s Class A common stock owned and held by the Investor Stockholders and 4.4 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the March 2017 Secondary, the Company’s economic interest in Evolent Health LLC increased from 77.4% to 83.9% immediately following the March 2017 Secondary, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
In connection with the March 2017 Secondary, the underwriters exercised, in full, their option to purchase an additional 1.1 million shares of Class A common stock (the “March 2017 Option to Purchase Additional Shares”) from the Investor Stockholders at a price of $19.53 per share. The March 2017 Option to Purchase Additional Shares closed in May 2017.
The shares sold in the March 2017 Option to Purchase Additional Shares consisted of 0.5 million existing shares of the Company’s Class A common stock owned and held by certain Investor Stockholders. It also included 0.6 million newly-issued shares of the Company’s Class A common stock received by certain Investor Stockholders pursuant to Class B Exchanges.
As a result of the Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units during the March 2017 Option to Purchase Additional Shares, the Company’s economic interest in Evolent Health LLC increased from 83.9% to 84.9% immediately following the March 2017 Option to Purchase Additional Shares, and, accordingly, we reclassified a portion of our non-controlling interests into shareholders’ equity attributable to Evolent Health, Inc.
The June 2017 Secondary, May 2017 Secondary, March 2017 Secondary and March 2017 Option to Purchase Additional Shares are collectively referred to as the “2017 Secondary Offerings.”
The Company’s economic interest in Evolent Health LLC will increase if further Class B Exchanges occur.
Asset Acquisitions
Accordion Health, Inc.
On June 8, 2017, the Company entered into an agreement to acquire Accordion Health, Inc. (“Accordion”) for $3.2 million (the “Accordion Purchase Agreement”). Accordion provides technology that the Company believes enhances its risk-adjustment factor (“RAF”) services to its partners. In addition to technology assets, the software development team from Accordion joined Evolent as full-time employees. Under the terms of the Accordion Purchase Agreement, members of the software development team will be eligible for an additional $0.8 million earn-out, contingent upon the completion of specified software development targets.
We accounted for the transaction as an asset acquisition as substantially all of the fair value of the gross assets acquired was concentrated in a single identified asset, thus satisfying the requirements of the screen test introduced in ASU 2017-01. The assets acquired in the transaction were measured based on the amount of cash paid to Accordion, including transaction costs, as the fair value of the assets given was more readily determinable than the fair value of the assets received. We classified and designated the identifiable assets acquired as a $3.3 million technology intangible asset, inclusive of approximately $0.1 million of capitalized transaction costs. We also assessed and determined the useful live of the acquired intangible assets to be five years, subject to amortization. The Company will account for the contingent earn-out as a post-acquisition expense as the specified software development targets are achieved. The transaction was a taxable stock acquisition and the Company recognized deferred tax liability of approximately $2.0 million related to the book-tax basis difference in the acquired asset, which resulted in an income tax benefit related to the reduction in the Company’s previously established valuation allowance (the reduction of which is accounted for outside of acquisition accounting). This amount was recorded as an intangible asset.
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Business Overview
We are a market leader and a pioneer in the new era of health care 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 (“FFS”) 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 health care payment and delivery. We believe the pace of this convergence is accelerating, driven by price pressure in traditional FFS health care, a market environment that is incentivizing value-based care models 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 health care delivery costs, their primary position with consumers and their strong local brand.
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 service 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. Certain contracts in the platform and operations phase can range from three to ten years in length, while others are shorter in duration, depending on the nature of the services. 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 or other reasons by our partners after a notice period has passed, though certain partners would be required to pay us a termination fee in certain circumstances. In addition, at times our contracts may be renegotiated or amended to change the nature and price of the services and/or the time period over which they are provided.
As of September 30, 2017, we had over 25 operating partners, and a significant portion of our revenue is concentrated with several partners. Our two largest partners, Passport and MDWise, Inc., comprised 18.5% and 10.0%, respectively, of our revenue for the nine months ended September 30, 2017, or 28.5% in the aggregate.
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 may 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 the date the financial statements were available to be issued, 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.
Critical Accounting Policies and Estimates
The MD&A included in our 2016 Form 10-K contains a detailed discussion of our critical accounting policies and estimates. There have been no material changes to our critical accounting policies and estimates since our 2016 Form 10-K, except as discussed below. See “Item 1. Financial Statements - Note 2” in this Form 10-Q for a summary of our significant accounting policies and see “Item 1. Financial Statements - Note 3” in this Form 10-Q for information regarding the Company’s adoption of new accounting standards.
The Company adopted Accounting Standards Update (“ASU”) 2017-04, Intangibles-Goodwill and Other - Simplifying the Test for Goodwill Impairment, effective January 1, 2017. The adoption resulted in an update to our accounting policy for goodwill impairment. Under the updated policy, we perform a one-step test in our evaluation of the carrying value of goodwill, if qualitative factors determine it is necessary to complete a goodwill impairment test. In the evaluation, the fair value of the relevant reporting unit is determined and compared to the carrying value. If the fair value is greater than the carrying value, then the carrying value is deemed to be recoverable, and no further action is required. If the fair value estimate is less than the carrying value, goodwill is considered impaired for the amount by which the carrying amount exceeds the reporting unit’s fair value and a charge is reported in impairment of goodwill on our Consolidated Statements of Operations.
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Goodwill has an estimated indefinite life and is not amortized; rather, it is reviewed for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of the asset may not be recoverable.
Our annual goodwill impairment review occurs during the fourth quarter of each fiscal year. We performed our 2016 evaluation on October 31, 2016, as further described in our 2016 Form 10-K. Our qualitative assessment did not identify sufficient indicators of impairment to require a Step 1 evaluation.
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.
We did not identify any qualitative factors that would trigger a Step 1 test during the nine months ended September 30, 2017. During the fourth quarter of 2017, we will perform our annual impairment test. If we determine that qualitative factors indicate it is necessary to perform a Step 1 goodwill impairment test, we will perform a test to evaluate the carrying value of our goodwill. One of the qualitative factors we will evaluate is whether there is a sustained decrease in our share price. Subsequent to September 30, 2017, our Class A common stock has traded at levels that, if sustained, could represent a sustained decrease in share price and, as a result, could trigger a Step 1 test. If we perform a Step 1 test, we may be required to write down a material portion of our $628.3 million of goodwill as of September 30, 2017, on our Consolidated Balance Sheet and record a charge in impairment of goodwill on our Consolidated Statements of Operations for the relevant periods. Any impairment charges that we may record in the future could be material to our results of operations and financial condition.
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RESULTS OF OPERATIONS
Evolent Health, Inc. is a holding company and its principal asset is all of the Class A common units in Evolent Health LLC, which has owned all of our operating assets and substantially all of our business since inception. The financial results of Evolent Health LLC are consolidated in the financial statements of Evolent Health, Inc.
Key Components of our Results of Operations
Revenue
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 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, 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, or may be terminated or renegotiated in other circumstances. 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), expenses for TPA support and other services, as well as other professional fees.
Selling, general and administrative expenses
Our selling, general and administrative expenses consist of employee-related expenses (including compensation, benefits and stock-based compensation) for selling and marketing, corporate development, finance, legal, human resources, corporate information technology, professional fees and other corporate expenses associated with these functional areas. Selling, general and administrative expenses also include costs associated with our centralized infrastructure and research and development activities to support our network development capabilities, 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 Vestica, Valence Health, Aldera and Accordion transactions and depreciation of property and equipment, including the amortization of capitalized software.
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Evolent Health, Inc. Results
For the Three | For the Nine | ||||||||||||||||||||||||||
Months Ended | Change Over | Months Ended | Change Over | ||||||||||||||||||||||||
September 30, | Prior Period | September 30, | Prior Period | ||||||||||||||||||||||||
(in thousands) | 2017 | 2016 | $ | % | 2017 | 2016 | $ | % | |||||||||||||||||||
Revenue | |||||||||||||||||||||||||||
Transformation | $ | 8,204 | $ | 7,757 | $ | 447 | 5.8% | $ | 23,799 | $ | 26,259 | $ | (2,460 | ) | (9.4)% | ||||||||||||
Platform and operations | 99,708 | 52,453 | 47,255 | 90.1% | 297,422 | 139,918 | 157,504 | 112.6% | |||||||||||||||||||
Total revenue | 107,912 | 60,210 | 47,702 | 79.2% | 321,221 | 166,177 | 155,044 | 93.3% | |||||||||||||||||||
Expenses | |||||||||||||||||||||||||||
Cost of revenue (exclusive of | |||||||||||||||||||||||||||
depreciation and amortization | |||||||||||||||||||||||||||
expenses presented separately below) | 68,281 | 33,905 | 34,376 | 101.4% | 203,804 | 95,294 | 108,510 | 113.9% | |||||||||||||||||||
Selling, general and | |||||||||||||||||||||||||||
administrative expenses | 45,834 | 38,398 | 7,436 | 19.4% | 150,474 | 103,101 | 47,373 | 45.9% | |||||||||||||||||||
Depreciation and amortization expenses | 7,717 | 3,746 | 3,971 | 106.0% | 21,236 | 10,728 | 10,508 | 97.9% | |||||||||||||||||||
Goodwill impairment | — | — | — | —% | — | 160,600 | (160,600 | ) | (100.0)% | ||||||||||||||||||
Loss on change in fair value | |||||||||||||||||||||||||||
of contingent consideration | 100 | — | 100 | 100.0% | 300 | — | 300 | 100.0% | |||||||||||||||||||
Total operating expenses | 121,932 | 76,049 | 45,883 | 60.3% | 375,814 | 369,723 | 6,091 | 1.6% | |||||||||||||||||||
Operating income (loss) | $ | (14,020 | ) | $ | (15,839 | ) | $ | 1,819 | 11.5% | $ | (54,593 | ) | $ | (203,546 | ) | $ | 148,953 | 73.2% | |||||||||
Transformation revenue as | |||||||||||||||||||||||||||
a % of total revenue | 7.6 | % | 12.9 | % | 7.4 | % | 15.8 | % | |||||||||||||||||||
Platform and operations revenue | |||||||||||||||||||||||||||
as a % of total revenue | 92.4 | % | 87.1 | % | 92.6 | % | 84.2 | % | |||||||||||||||||||
Cost of revenue as a % | |||||||||||||||||||||||||||
of total revenue | 63.3 | % | 56.3 | % | 63.4 | % | 57.3 | % | |||||||||||||||||||
Selling, general and administrative | |||||||||||||||||||||||||||
expenses as a % of total revenue | 42.5 | % | 63.8 | % | 46.8 | % | 62.0 | % |
Comparison of the Results for the Three Months Ended September 30, 2017 to 2016
Revenue
Total revenue increased by $47.7 million, or 79.2%, to $107.9 million for the three months ended September 30, 2017, as compared to the same period in 2016.
Transformation revenue increased by $0.4 million, or 5.8%, to $8.2 million for the three months ended September 30, 2017, as compared to the same period in 2016, due primarily to the timing of work being performed on existing contracts and timing of new contracts executed with new and existing partners. Transformation revenue accounted for 7.6% and 12.9% of our total revenue for the three months ended September 30, 2017, and 2016, respectively. Over time, we expect transformation revenue to continue to decrease as a percentage of total revenue.
Platform and operations revenue accounted for 92.4% and 87.1% of our total revenue for the three months ended September 30, 2017 and 2016, respectively. Platform and operations revenue increased by $47.3 million, or 90.1%, to $99.7 million for the three months ended September 30, 2017, as compared to the same period in 2016, primarily as a result of additional revenue from business combinations and aggregate enrollment growth of 84.7% from approximately 1.5 million lives on our platform as of September 30, 2016, to approximately 2.7 million lives on our platform as of September 30, 2017. We ended the quarter with over 25 revenue-producing partners compared to 13 as of September 30, 2016.
Cost of Revenue
Cost of revenue increased by $34.4 million, or 101.4%, to $68.3 million for the three months ended September 30, 2017, as compared to the same period in 2016. Cost of revenue increased period over period as a result of our business combinations during the fourth
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quarter of 2016. We incurred additional personnel costs and professional fees of $22.8 million and $3.2 million, respectively, to support our growing customer base and service offerings. Approximately $0.4 million of total personnel costs was attributable to stock-based compensation expense for the three months ended September 30, 2017 and 2016. Additionally, our technology services, TPA fees and other costs increased by $8.3 million period over period. The increase is attributable to costs to support our growth. Cost of revenue represented 63.3% and 56.3% of total revenue for the three months ended September 30, 2017 and 2016, respectively. Our cost of revenue increased as a percentage of our total revenue as we integrated new businesses acquired during the fourth quarter of 2016; however, we expect our cost of revenue to decrease as a percentage of total revenue going forward.
Selling, General and Administrative Expenses
Selling, general, and administrative expenses increased by $7.4 million, or 19.4%, to $45.8 million for the three months ended September 30, 2017, as compared to the same period in 2016. During the three months ended September 30, 2017, we incurred additional selling, general, and administrative expenses due partially to growth in our business resulting from our business combinations during the fourth quarter of 2016. Our selling, general and administrative expenses period over period also increased as a result of additional personnel costs, including investments in business development, research and development and general overhead, of $6.0 million. Approximately $5.3 million and $4.4 million of total personnel costs were attributable to stock-based compensation expense for the three months ended September 30, 2017 and 2016, respectively. Additionally, technology costs, lease costs and other costs related to our growth increased $1.6 million, $1.7 million and $1.4 million, respectively, period over period, as a result of the growing customer base and service offerings and the 2016 business combinations mentioned above. These amounts were offset by a decrease in professional fees and legal fees of $0.4 million and $2.8 million, respectively, period over period. Transaction and other acquisition-related costs accounted for approximately $0.4 million and $4.4 million of total selling, general, and administrative expenses for the three months ended September 30, 2017 and 2016, respectively. Selling, general and administrative expenses represented 42.5% and 63.8% of total revenue for the three months ended September 30, 2017 and 2016, respectively. 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.
Depreciation and Amortization Expenses
Depreciation and amortization expenses increased $4.0 million, or 106.0%, to $7.7 million for the three months ended September 30, 2017, as compared to the same period in 2016. The increase was due primarily to additional depreciation and amortization expenses related to assets acquired through business combinations and asset acquisitions subsequent to the third quarter of 2016 and the continued capitalization of internal-use software. We expect depreciation and amortization expenses to increase in future periods as we continue to capitalize internal-use software and amortize intangible assets resulting from asset acquisitions and business combinations (including possible future transactions).
Loss on change in fair value of contingent consideration
Loss on change in fair value of contingent consideration was $0.1 million for the three months ended September 30, 2017, as compared to zero for the same period in 2016. This increase was the result of changes in value of mark-to-market contingent liabilities acquired through business combinations during 2016. See “Item 1. Financial Statements - Note 15” for further details regarding the fair value of our mark-to-market contingent liabilities.
Comparison of the Results for the Nine Months Ended September 30, 2017 to 2016
Revenue
Total revenue increased by $155.0 million, or 93.3%, to $321.2 million for the nine months ended September 30, 2017, as compared to the same period in 2016.
Transformation revenue decreased by $2.5 million, or 9.4%, to $23.8 million for the nine months ended September 30, 2017, as compared to the same period in 2016, due primarily to the timing of work being performed on existing contracts and timing of new contracts executed with new and existing partners. Transformation revenue accounted for 7.4% and 15.8% of our total revenue for the nine months ended September 30, 2017, and 2016, respectively. Over time, we expect transformation revenue to continue to decrease as a percentage of total revenue.
Platform and operations revenue accounted for 92.6% and 84.2% of our total revenue for the nine months ended September 30, 2017 and 2016, respectively. Platform and operations revenue increased by $157.5 million, or 112.6%, to $297.4 million for the nine months ended September 30, 2017, as compared to the same period in 2016, primarily as a result of additional revenue from business combinations and aggregate enrollment growth of 84.7% from approximately 1.5 million lives on our platform as of September 30,
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2016, to approximately 2.7 million lives on our platform as of September 30, 2017. We ended the quarter with over 25 revenue-producing partners compared to 13 as of September 30, 2016.
Cost of Revenue
Cost of revenue increased by $108.5 million, or 113.9%, to $203.8 million for the nine months ended September 30, 2017, as compared to the same period in 2016. Cost of revenue primarily increased period over period as a result of our business combinations during the fourth quarter of 2016. We incurred additional personnel costs and professional fees of $70.3 million and $17.1 million, respectively, to support our growing customer base and service offerings. Approximately $1.1 million and $1.2 million of total personnel costs was attributable to stock-based compensation expense for the nine months ended September 30, 2017 and 2016, respectively. Additionally, our technology costs, TPA fees and other costs increased by $21.1 million period over period. The increase is attributable to costs to support our growth. Cost of revenue represented 63.4% and 57.3% of total revenue for the nine months ended September 30, 2017 and 2016, respectively. Our cost of revenue increased as a percentage of our total revenue as we integrated the new businesses acquired during the fourth quarter of 2016; however, we expect our cost of revenue to decrease as a percentage of total revenue going forward.
Selling, General and Administrative Expenses
Selling, general, and administrative expenses increased by $47.4 million, or 45.9%, to $150.5 million for the nine months ended September 30, 2017, as compared to the same period in 2016. During the nine months ended September 30, 2017, we incurred additional selling, general, and administrative expenses due primarily to growth in our business resulting from our business combinations during the fourth quarter of 2016. Our selling, general and administrative expenses period over period also increased as a result of additional personnel costs, including investments in business development, research and development and general overhead, of $27.8 million. Approximately $15.0 million and $12.6 million of total personnel costs were attributable to stock-based compensation expense for the nine months ended September 30, 2017 and 2016, respectively. Additionally, our professional fees, technology costs, lease costs and other costs related to our growth increased $6.2 million, $4.8 million, $4.3 million and $4.3 million, respectively, period over period, primarily as a result of the 2016 business combinations mentioned above. Transaction and other acquisition-related costs accounted for approximately $5.6 million and $4.6 million of total selling, general, and administrative expenses for the nine months ended September 30, 2017 and 2016, respectively. Selling, general and administrative expenses represented 46.8% and 62.0% of total revenue for the nine months ended September 30, 2017 and 2016, respectively. 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.
Depreciation and Amortization Expenses
Depreciation and amortization expenses increased $10.5 million, or 97.9%, to $21.2 million for the nine months ended September 30, 2017, as compared to the same period in 2016. The increase was due primarily to additional depreciation and amortization expenses related to assets acquired through business combinations and asset acquisitions subsequent to the third quarter of 2016 and the continued capitalization of internal-use software. We expect depreciation and amortization expenses to increase in future periods as we continue to capitalize internal-use software and amortize intangible assets resulting from asset acquisitions and business combinations (including possible future transactions).
Goodwill impairment
During the 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 “Item 1. Financial Statements - Note 7” for further details of the impairment charge to goodwill.
Loss on change in fair value of contingent consideration
Loss on change in fair value of contingent consideration was $0.3 million for the nine months ended September 30, 2017, as compared to zero for the same period in 2016. This increase was the result of changes in value of mark-to-market contingent liabilities acquired through business combinations during 2016. See “Item 1. Financial Statements - Note 15” for further details regarding the fair value of our mark-to-market contingent liabilities.
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Discussion of Non-Operating Results
Interest income (expense), net
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.
In December 2016, the Company issued $125.0 million aggregate principal amount of its 2.00% Convertible Senior Notes due 2021 (the “2021 Notes”). Holders of the 2021 Notes are entitled to cash interest payments, which are payable semiannually in arrears on June 1 and December 1 of each year, beginning on June 1, 2017, at a rate equal to 2.00% per annum. In addition, we incurred $4.6 million of debt issuance costs in connection with the 2021 Notes, which we are amortizing to non-cash interest expense using the straight line method over the contractual term of the 2021 Notes. We recorded interest expense (including amortization of deferred financing costs) of approximately $0.9 million and $2.6 million related to our 2021 Notes for the three and nine months ended September 30, 2017, respectively. See “Item 1. Financial Statements - Note 8” for further details of our convertible debt offering. Interest expense also includes amortization of bond premiums related to our investments.
Income (loss) from affiliate
During the second quarter of 2016, the Company acquired an equity stake in GPAC for $3.0 million. The Company will be allocated its proportional share of GPAC’s profits and losses for each reporting period. Evolent Health, Inc.’s proportional share of the losses of GPAC was $0.4 million and $1.4 million for the three and nine months ended September 30, 2017, and $0.4 million and $0.5 million for the three and nine months ended September 30, 2016, respectively.
Provision (benefit) for income taxes
Our income tax expense and benefit relates to federal and state jurisdictions in the United States. The Company recorded $1.7 million and $2.0 million in income tax benefit for the three and nine months ended September 30, 2017, which resulted in effective tax rates of 11.6% and 3.5%, respectively. The Company recorded $0.3 million and $1.6 million in income tax benefit for the three and nine months ended September 30, 2016, which resulted in effective tax rates of 1.6% and 0.8%, respectively. 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 the non-controlling interest, and the impact of certain tax deduction limits related to meals and entertainment and other permanent nondeductible expenses. In addition, the Company maintains a full valuation allowance recorded against its net deferred tax assets, with the exception of indefinite lived components and components expected to reverse outside of the net operating loss carryover period as part of the outside basis difference in our partnership interest in Evolent Health LLC.
As discussed in “Item 1. Financial Statements - Note 4,” pursuant to the August 2017 Primary and 2017 Secondary Offerings, the Company increased its ownership in Evolent Health LLC from 77.4% to 96.6% as of September 30, 2017. As a result, the Company reduced the indefinite portion of the deferred tax liability related to the book basis compared to the tax basis in our partnership interest in Evolent Health LLC by $13.1 million for the nine months ended September 30, 2017. The effect of this change in the deferred tax liability was recorded as $12.8 million of additional paid-in capital and $0.3 million of income tax benefit.
During the three and nine months ended September 30, 2017, 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. As of September 30, 2017, the Company had $6.6 million of deferred tax liability that would not provide a source of income to recognize the deferred tax assets
Net income (loss) attributable to non-controlling interests
We consolidate the results of Evolent Health LLC as we have 100% of the voting rights of the entity; however, as of September 30, 2017, we owned only 96.6% of the economic rights of the results of operations of Evolent Health LLC and, therefore, eliminate the non-controlling interest from our results of operations. For the three and nine months ended September 30, 2017, our results reflect net losses of $0.5 million and $8.5 million, respectively, attributable to non-controlling interests, which represents 3.9% and 15.5% of the operating losses of Evolent Health LLC. For the corresponding periods in 2016, our results reflect net losses of $4.6 million and $59.3 million attributable to non-controlling interests, respectively, which represents 28.8% and 29.1%, of the operating losses of Evolent Health LLC. The Company’s economic interest in Evolent Health LLC increased as compared to the prior period as a result of the Class B Exchanges in connection with the 2017 Secondary Offerings, as well as our issuance of shares of Class A common stock in conjunction with business combinations and the August 2017 Primary.
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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 $14.0 million and $54.6 million for the three and nine months ended September 30, 2017, respectively, and operating losses of $15.8 million and $203.5 million for the three and nine months ended September 30, 2016, respectively. Net cash used in operating activities was $34.0 million and $14.0 million for the nine months ended September 30, 2017 and 2016, respectively. As of September 30, 2017, the Company had $287.1 million of cash and cash equivalents.
We believe our current cash, cash equivalents and other sources of liquidity will be sufficient to meet our working capital and capital expenditure requirements for at least the next twelve months as of the date the financial statements were available to be issued. Our future capital requirements will depend on many factors, including our rate of revenue growth, the expansion of our sales and marketing activities and the timing and extent of our spending to support our acquisition and 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 Restricted Investments and Investments
As of September 30, 2017, the Company had $287.1 million of cash and cash equivalents and $16.9 million in restricted cash and restricted investments.
Cash Flows
The following summary of cash flows (in thousands) has been derived from our financial statements included in “Item 1. Financial Statements:”
For the Nine | |||||||
Months Ended | |||||||
September 30, | |||||||
2017 | 2016 | ||||||
Net cash provided by (used in) operating activities | $ | (33,993 | ) | $ | (14,005 | ) | |
Net cash provided by (used in) investing activities | 17,003 | (22,823 | ) | ||||
Net cash provided by (used in) financing activities | 169,570 | 879 |
Operating Activities
Cash flows used in operating activities of $34.0 million for the nine months ended September 30, 2017, were due primarily to our net loss of $56.0 million, partially offset by non-cash items, including depreciation and amortization expenses of $21.2 million and stock-based compensation expense of $16.2 million. Our operating cash outflows were affected by the timing of our customer and vendor payments, including the timing of pass-through payments related to PBM programs. Decreases in accrued liabilities, accrued compensation and employee benefits and other long-term liabilities, combined with an increase in accounts receivable and prepaid expenses and other current assets, contributed approximately $30.7 million to our cash outflows. Those cash outflows were partially offset by increases in deferred revenue and accounts payable of approximately $15.4 million.
Cash flows used in operating activities of $14.0 million for the nine months ended September 30, 2016, were due primarily to our net loss of $201.6 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.
Investing Activities
Cash flows provided by investing activities of $17.0 million for the nine months ended September 30, 2017, were due primarily to maturities of investments of $44.2 million, offset by purchases of property and equipment of $21.3 million, an increase in restricted cash and restricted investments of $2.2 million and cash paid to acquire intangible technology assets of $3.7 million.
Cash flows used in investing activities of $22.8 million for the nine months ended September 30, 2016, were due primarily to $11.5 million used in the acquisition of Vestica as described in “Item 1. Financial Statements - Note 4,” $3.0 million used to acquire an equity investment in GPAC as described in “Item 1. Financial Statements - Note 13” and a $2.5 million advance payment towards the Aldera merger consideration as described in “Item 1. Financial Statements - Note 4.” Purchases of property and equipment resulted in a further cash outflow of $11.1 million, which was partially offset by the maturity of securities in the amount of $4.1 million and a $1.2 million reduction in restricted cash due to an amendment to our line of credit.
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Financing Activities
Cash flows provided by financing activities of approximately $169.6 million for the nine months ended September 30, 2017, were primarily related to proceeds of $166.9 million from the August 2017 Primary. Stock option exercises during the quarter resulted in additional proceeds of $3.8 million, which were offset by $1.2 million of taxes withheld and paid for vests of restricted stock units.
Cash flows provided by financing activities of $0.9 million for the nine months ended September 30, 2016, were related to proceeds from stock option exercises during the period, offset by taxes withheld and paid for vests of restricted stock units.
Contractual Obligations
Our contractual obligations (in thousands) as of September 30, 2017, were as follows:
Less | More | ||||||||||||||||||
Than | 1 to 3 | 3 to 5 | Than | ||||||||||||||||
1 Year | Years | Years | 5 Years | Total | |||||||||||||||
Operating leases for facilities | $ | 8,299 | $ | 14,273 | $ | 6,439 | $ | 14,358 | $ | 43,369 | |||||||||
Purchase obligations | 1,754 | 294 | — | — | 2,048 | ||||||||||||||
2021 Notes interest payments | 2,496 | 4,992 | 3,774 | — | 11,262 | ||||||||||||||
2021 Notes principal repayment | — | — | 125,000 | — | 125,000 | ||||||||||||||
Total | $ | 12,549 | $ | 19,559 | $ | 135,213 | $ | 14,358 | $ | 181,679 |
During the nine months ended September 30, 2017, there were no material changes outside the ordinary course of business to our contractual obligations set forth above.
Restricted Cash and Restricted Investments
Restricted cash and restricted investments of $16.9 million as of September 30, 2017, includes cash held on behalf of other entities for pharmacy and claims management services of $4.8 million, collateral for letters of credit required as security deposits for facility leases of $3.8 million, letters of credit held with financial institutions for risk-sharing arrangements of $8.2 million and other restricted balances. Restricted investments are stated at amortized cost. See “Item 1. Financial Statements - Note 2” for further details of the Company’s restricted cash and restricted investments balances.
Uses of Capital
Our principal uses of cash are in the operation and expansion of our business and the pursuit of strategic acquisitions. The Company does not anticipate paying a cash dividend on our Class A common stock in the foreseeable future.
Immaterial Correction of an Error in Previously Issued Financial Statements
Subsequent to the filing of the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2017, the Company identified an error related to the classification of restricted cash and restricted investments on our Consolidated Statement of Cash Flows.
Accordingly, the Company corrected this error by revising the classification of certain changes in restricted cash and restricted investments within the Consolidated Statement of Cash Flows.
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The following table summarizes the impact of the correction of the error to the Company’s Consolidated Statement of Cash Flows for the six months ended June 30, 2017 (in thousands):
As Reported | Correction | As Revised | ||||||||||
Cash Flows from Operating Activities | ||||||||||||
Changes in assets and liabilities, net of acquisitions: | ||||||||||||
Accounts receivables, net | $ | (5,247 | ) | $ | (2,655 | ) | $ | (7,902 | ) | |||
Accounts payable, net of change in restricted | ||||||||||||
cash and restricted investments | (2,514 | ) | 9,555 | 7,041 | ||||||||
Net cash provided by (used in) operating activities | (44,712 | ) | 6,900 | (37,812 | ) | |||||||
Cash Flows from Investing Activities | ||||||||||||
Change in restricted cash and restricted investments | 3,200 | (6,900 | ) | (3,700 | ) | |||||||
Net cash provided by (used in) investing activities | 7,739 | (6,900 | ) | 839 |
The Company assessed the materiality of the misstatement both quantitatively and qualitatively and determined the correction of this error to be immaterial to all prior consolidated financial statements taken as a whole. The Company will revise our Consolidated Statements of Cash Flows for the six months ended June 30, 2017, in future filings to reflect the correction of the error.
OTHER MATTERS
Off-balance Sheet Arrangements
Through September 30, 2017, the Company had not entered into any off-balance sheet arrangements, other than the operating leases noted above, and did not have 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 pre-IPO investors, TPG, UPMC and The Advisory Board. Information regarding transactions and amounts with related parties is discussed in Note 16 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 27, 2017.
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 2016 Form 10-K and “Forward-Looking Statements – Cautionary Language” above.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
We are exposed to market risks in the ordinary course of our business. Market risk represents the risk of loss that may impact our financial position due to adverse changes in financial market prices and rates.
Interest Rate Risk
As of September 30, 2017, cash and cash equivalents and restricted cash and restricted investments was $304.1 million, which consisted of bank deposits with FDIC participating banks of $219.5 million, cash equivalents deposited in a money-market fund of $76.4 million and $8.2 million of restricted investments held in certificates of deposits with original maturities in excess of 12 months. The cash on deposit with banks is not susceptible to interest rate risk. Our restricted investments are classified as held-to-maturity and therefore are not subject to interest rate risk.
We do not enter into investments for trading or speculative purposes and have not used any derivative financial instruments to manage our interest rate risk exposure.
As of September 30, 2017, we had $121.2 million, net of deferred offering costs, of aggregate principal amount of convertible notes outstanding, which are fixed rate instruments. Therefore, our results of operations are not subject to fluctuations in interest rates relating to our convertible notes.
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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 “Class B Exchange”). 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; |
• | Increase the number of outstanding shares of our Class A common stock. See “Item 1. Financial Statements - Note 10” 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 12” in our 2016 Form 10-K for further information on tax matters related to the exchange of Class B common shares. |
For example, as discussed in the “Item 1. Financial Statements - Note 4” above, 12.6 million shares of the Company’s Class A common stock were issued to certain Investor Stockholders pursuant to Class B Exchanges relating to multiple secondary offerings during the nine months ended September 30, 2017. As a result of these Class B Exchanges and Evolent Health LLC’s cancellation of the Class B units triggered by the 2017 Secondary Offerings, the Company’s economic interest in Evolent Health LLC increased from 77.4% to 96.1% immediately following the June 2017 Secondary.
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Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of our principal executive officer and principal financial officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on such evaluation, and in light of the material weakness in the design and operation of our internal control over financial reporting as disclosed in our 2016 Form 10-K, our principal executive officer and principal financial officer have concluded that, as of September 30, 2017, 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 “Plan of Remediation to Address Material Weakness in Internal Control over Financial Reporting” below. As a result of the remediation efforts taken to date, and the implementation of certain other substantive and analytical review procedures as of and for the three and nine months ended September 30, 2017, we believe that the consolidated financial statements included in this Quarterly Report on Form 10-Q fairly present, in all material respects, our financial position, results of operations and cash flows for the periods presented.
Description of Material Weakness
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. This material weakness resulted in the misstatement of the Consolidated Statement of Cash Flows and in the revision of the Company’s consolidated financial statements for the quarter ended June 30, 2017, as discussed in Item 1. Financial Statements - Note 2 in this Quarterly Report on Form 10-Q. Additionally, this material weakness could result in a misstatement of account balances or disclosures that would result in a material misstatement to the annual or interim consolidated financial statements that would not be prevented or detected.
Plan of Remediation to Address Material Weakness in Internal Control over Financial Reporting
Management is actively engaged in the implementation of remediation efforts to address the underlying causes of the material weakness. Management’s remediation activities to date include the following:
• | hired additional full-time accounting resources and financial planning and analysis resources with experience to address complex, non-routine transactions: |
• | during 2015 we hired a senior director of revenue and technical accounting, a director of financial reporting, a manager of revenue and a senior revenue accountant; |
• | during 2016 we hired an associate director of revenue; |
• | during 2017 we hired an associate director of accounting and a senior director of tax; |
• | from December 31, 2014, to September 30, 2017, our finance and accounting headcount increased from 9 to over 30. |
• | expanded finance and accounting staff, including additional senior resources, to allow for the reallocation of responsibilities across our accounting department based on potential risk and complexity of transactions and/or tasks to be reviewed; |
• | strengthened our review procedures and controls and formalized documentation of the reviews surrounding complex, non-routine transactions; |
• | implemented additional monitoring programs, which included the formation of a disclosure committee comprised of members of our executive committee and finance and accounting leadership; |
• | implemented training programs for various processes to train employees in respect of our established processes and controls, especially with regard to complex, non-routine transactions; |
• | engaged our actuarial department to assist in the review of significant estimates in various areas, including incurred but not reported liabilities; |
• | implemented a new contract management process to facilitate the documentation and review of complex contracts by appropriate accounting personnel and relevant company stakeholders; and |
• | engaged external technical accounting experts to aid with accounting for complex, non-routine transactions. |
The process of implementing and maintaining an effective team and process over complex, non-routine transactions is a continuous effort that requires us to anticipate and react to changes in our business and the economic and regulatory environments. During 2017, we completed the hiring of further senior, technical personnel identified as part of our remediation plan and will continue to supplement resources in response to changes in our business. Responsibilities for these key personnel include the accounting for complex and non-routine transactions. We are in the process of establishing and formalizing our processes and controls surrounding the complex and non-routine transactions that gave rise to the material weakness. We are also in the process of finalizing and concluding on the design effectiveness of related controls and have begun testing of the operating effectiveness of related controls. The material weakness will not be considered remediated until the applicable remedial controls operate for a sufficient period of time and management concludes, through testing, that these controls are operating effectively.
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Changes in Internal Control over Financial Reporting
There were no changes in our internal control over financial reporting, other than those disclosed under “Plan of Remediation 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 Officer, does not expect that our disclosure controls and procedures or our internal controls will prevent all errors and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the Company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions. Over time, controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.
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PART II – OTHER INFORMATION
Item 1. Legal Proceedings
Information regarding reportable legal proceedings is contained in Note 9 in “Part 1 – Item 1. Financial Statements.”
Item 1A. Risk Factors
Part II, Item 1A. “Risk Factors” in our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2017, and other documents filed with the SEC include discussions our risk factors. There have been no material changes from the risk factors described in our Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2017.
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.
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.
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: | Chief Accounting Officer and Controller |
Dated: November 9, 2017
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EVOLENT HEALTH, INC.
Exhibit Index for the Report on Form 10-Q
For the Quarter Ended September 30, 2017
* | ||
* | ||
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