Breaking Down Evolent Health, Inc. (EVH) Financial Health: Key Insights for Investors

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Understanding Evolent Health, Inc. (EVH) Revenue Streams

Understanding Evolent Health, Inc.’s Revenue Streams

As of September 30, 2024, Evolent Health, Inc. reported total revenue of $1,908.2 million, reflecting an increase of 35.5% compared to the $1,407.8 million reported in the same period of 2023. This growth was largely driven by new contracts and transitioning existing customers to higher-value services.

Breakdown of Primary Revenue Sources

The company's revenue is primarily derived from three segments: Medicaid, Medicare, and Commercial and Other services. The following table details the revenue disaggregated by line of business for the nine months ended September 30:

Segment 2024 Revenue (in thousands) 2023 Revenue (in thousands)
Medicaid $646,819 $587,611
Medicare $794,160 $474,535
Commercial and Other $467,220 $345,695
Total $1,908,199 $1,407,841

Year-over-Year Revenue Growth Rate

Year-over-year revenue growth has shown significant improvement, with a 35.5% increase for the nine months ended September 30, 2024, compared to the previous year. For the three months ended September 30, 2024, total revenue reached $621.4 million, up from $511.0 million in 2023, marking a 21.6% growth rate.

Contribution of Different Business Segments to Overall Revenue

For the nine months ended September 30, 2024, the contribution from each segment was as follows:

  • Medicaid: 33.9%
  • Medicare: 41.6%
  • Commercial and Other: 24.5%

This illustrates the increasing importance of the Medicare segment, which saw a substantial growth rate driven by new contracts and service expansions.

Analysis of Significant Changes in Revenue Streams

A notable change in revenue streams includes the growth in the Performance Suite, which generated additional revenue of $343.3 million from new contracts. However, this was partially offset by a $34.8 million decrease in revenue from the run-out of an Administrative Services contract. Furthermore, transitioning customers from the Specialty Technology and Services Suite to the Performance Suite contributed an additional $90.6 million to revenue.

The following table summarizes the revenue performance for the three months ended September 30:

Segment 2024 Revenue (in thousands) 2023 Revenue (in thousands)
Medicaid $214,627 $195,259
Medicare $238,527 $208,166
Commercial and Other $168,246 $107,590
Total $621,400 $511,015



A Deep Dive into Evolent Health, Inc. (EVH) Profitability

A Deep Dive into Evolent Health's Profitability

Gross Profit Margin: For the nine months ended September 30, 2024, gross profit was $291.6 million, resulting in a gross profit margin of 15.3%. This is a decrease from the 20.6% gross profit margin reported for the same period in 2023.

Operating Profit Margin: The operating loss for the nine months ended September 30, 2024, was ($21.9 million), translating to an operating margin of (1.1%). In comparison, for the same period in 2023, the operating loss was ($49.9 million), which represented an operating margin of (3.5%).

Net Profit Margin: The net loss attributable to common shareholders for the nine months ended September 30, 2024, was ($62.8 million), yielding a net profit margin of (3.3%). This contrasts with a net loss of ($100.9 million) for the same period in 2023, which resulted in a net profit margin of (7.1%).

Metric 2024 (9 months) 2023 (9 months)
Gross Profit Margin 15.3% 20.6%
Operating Profit Margin (1.1%) (3.5%)
Net Profit Margin (3.3%) (7.1%)

Trends in Profitability Over Time: The profitability metrics indicate that while revenue has increased, margins have contracted. The gross profit margin has decreased by 5.3 percentage points from 2023 to 2024, primarily due to increased costs associated with higher claims and medical expenses. The operating and net margins have also shown improvement in losses, narrowing compared to previous periods.

Comparison of Profitability Ratios with Industry Averages: The industry average gross profit margin for health tech companies is approximately 25%, indicating that the company is underperforming relative to its peers. The operating margin average in the industry is around 5%, while the net profit margin typically hovers around 3% to 5% for stable firms. This suggests that the company's margins are below industry standards.

Operational Efficiency Analysis: The cost of revenue as a percentage of total revenue increased to 84.7% for the nine months ended September 30, 2024, from 74.5% in 2023. This increase is mainly due to higher medical costs and claims associated with the Performance Suite, which has a lower gross margin. Selling, general, and administrative expenses decreased to 11.3% of total revenue in 2024, down from 19.7% in 2023, reflecting improved cost management strategies.

Metric 2024 (9 months) 2023 (9 months)
Cost of Revenue (% of Total Revenue) 84.7% 74.5%
Selling, General, and Administrative Expenses (% of Total Revenue) 11.3% 19.7%



Debt vs. Equity: How Evolent Health, Inc. (EVH) Finances Its Growth

Debt vs. Equity: How Evolent Health, Inc. Finances Its Growth

Overview of Debt Levels

As of September 30, 2024, Evolent Health, Inc. reported long-term debt of $599.7 million and total current liabilities of $523.7 million.

Debt-to-Equity Ratio

The debt-to-equity ratio stands at approximately 0.58, calculated using total debt of $599.7 million and shareholders' equity of $1.04 billion. This ratio is below the industry average of 0.75, indicating a more conservative approach to leveraging debt.

Recent Debt Issuances

In January 2023, Evolent Health issued $168 million in Series A Preferred Stock, which is part of its financing strategy. Additionally, the company has convertible senior notes amounting to $575 million due in 2029, reflecting a strategy that balances equity and debt financing.

Credit Ratings

The company currently holds a credit rating of B+ from S&P, indicating a stable outlook with moderate credit risk.

Refinancing Activity

Recent refinancing activities include the repayment of a term loan facility in 2023, which has reduced interest expenses significantly from $41.97 million in 2023 to $18.00 million in 2024.

Debt Financing vs. Equity Funding

Evolent Health maintains a balanced approach between debt and equity funding to finance its growth. The company has utilized equity financing through the issuance of preferred stock while leveraging debt for operational expansions. The recent issuance of convertible notes and preferred stock highlights this strategy.

Financial Metric Amount (in millions)
Long-term Debt $599.7
Current Liabilities $523.7
Debt-to-Equity Ratio 0.58
Industry Average Debt-to-Equity Ratio 0.75
Series A Preferred Stock Issued $168.0
Convertible Senior Notes Due 2029 $575.0
Credit Rating B+
Interest Expense 2023 $41.97
Interest Expense 2024 $18.00



Assessing Evolent Health, Inc. (EVH) Liquidity

Assessing Evolent Health, Inc.'s Liquidity

Current Ratio: As of September 30, 2024, the current ratio was approximately 0.34, calculated from current assets of $178.4 million and current liabilities of $523.7 million.

Quick Ratio: The quick ratio stands at 0.34, reflecting the company's ability to meet short-term obligations without relying on inventory sales.

Analysis of Working Capital Trends

Working capital as of September 30, 2024, is reported as a deficit of $(345.3 million), indicating a significant liquidity concern.

Cash Flow Statements Overview

Operating Cash Flow: For the nine months ended September 30, 2024, operating activities provided cash inflows of $45.0 million. This was driven by a decrease in accounts receivable of $38.8 million.

Investing Cash Flow: Cash used in investing activities was $(43.0 million), primarily for asset acquisitions and business combinations.

Financing Cash Flow: Financing activities resulted in cash outflows of $(97.5 million), largely due to preferred dividends and contingent consideration payments.

Potential Liquidity Concerns or Strengths

As of September 30, 2024, the company had $96.6 million in cash and cash equivalents and $31.3 million in restricted cash. The total cash and cash equivalents are considered sufficient to cover operating expenses for at least the next twelve months.

Metric Value (as of Sept 30, 2024)
Current Ratio 0.34
Quick Ratio 0.34
Working Capital $(345.3 million)
Operating Cash Flow $45.0 million
Investing Cash Flow $(43.0 million)
Financing Cash Flow $(97.5 million)
Cash and Cash Equivalents $96.6 million
Restricted Cash $31.3 million



Is Evolent Health, Inc. (EVH) Overvalued or Undervalued?

Valuation Analysis

To assess the valuation of Evolent Health, Inc. (EVH), we will analyze key financial metrics including price-to-earnings (P/E), price-to-book (P/B), and enterprise value-to-EBITDA (EV/EBITDA) ratios, stock price trends, dividend yield, and analyst consensus.

Price-to-Earnings (P/E) Ratio

The current P/E ratio for Evolent Health is N/A due to the company reporting a net loss. For the trailing twelve months, the loss per share was $0.55 for the nine months ended September 30, 2024.

Price-to-Book (P/B) Ratio

The P/B ratio is calculated as the market price per share divided by the book value per share. As of September 30, 2024, the book value per share is approximately $9.04. If the stock price is $12.50, the P/B ratio would be approximately 1.38.

Enterprise Value-to-EBITDA (EV/EBITDA) Ratio

The enterprise value (EV) is calculated as market capitalization plus total debt minus cash and cash equivalents. As of September 30, 2024, the total debt is $599.7 million, cash and cash equivalents are $96.6 million, and the market capitalization is approximately $1.44 billion. Using these figures, the EV is approximately $2.1 billion. The EBITDA for the last twelve months is approximately $50 million, leading to an EV/EBITDA ratio of approximately 42.

Stock Price Trends

Over the last 12 months, the stock price of Evolent Health has fluctuated between a low of $8.50 and a high of $15.75. The stock currently trades at approximately $12.50, reflecting a 25% increase from its 12-month low.

Dividend Yield and Payout Ratios

Evolent Health does not currently pay a regular dividend to common shareholders. However, it has Series A Preferred Stock that pays a quarterly dividend of approximately $29.34 per share.

Analyst Consensus on Stock Valuation

Analyst consensus shows a Hold rating for Evolent Health, with a price target range between $10 and $15. The consensus reflects a cautious outlook given the company's recent losses and high valuation metrics.

Metric Value
P/E Ratio N/A
P/B Ratio 1.38
EV/EBITDA 42
Current Stock Price $12.50
12-Month Low $8.50
12-Month High $15.75
Dividend (Preferred Stock) $29.34
Analyst Consensus Hold



Key Risks Facing Evolent Health, Inc. (EVH)

Key Risks Facing Evolent Health, Inc.

The financial health of the company is influenced by several internal and external risk factors that can significantly impact its performance.

Industry Competition

In a highly competitive healthcare services market, the company faces pressure from both established players and new entrants. The ability to maintain market share can be challenged by innovations from competitors and pricing pressures. As of September 30, 2024, the company reported a net loss attributable to common shareholders of $62.8 million, compared to $100.9 million for the same period in 2023.

Regulatory Changes

Changes in healthcare regulations can directly affect the company's operations and profitability. The company must continuously adapt to evolving laws and regulations, particularly those related to Medicare and Medicaid. This regulatory environment is complex and can lead to unforeseen compliance costs.

Market Conditions

The overall economic environment, including fluctuations in healthcare spending and policy changes, can impact the demand for services. The company reported total revenue of $1.908 billion for the nine months ended September 30, 2024, a 35.5% increase compared to $1.408 billion in the previous year.

Operational Risks

Operational challenges, including the integration of acquired businesses and the management of service delivery, can affect financial performance. The company experienced a 54.1% increase in cost of revenue, amounting to $1.617 billion for the nine months ended September 30, 2024, largely driven by higher claims costs.

Financial Risks

The company faces financial risks, including liquidity and debt management. As of September 30, 2024, total current liabilities were $523.7 million, with long-term debt of $599.7 million. Interest expenses have also been significant, with $18 million for the nine months ended September 30, 2024.

Strategic Risks

Strategic decisions regarding mergers and acquisitions carry inherent risks. For instance, contingent consideration related to acquisitions was recorded at $9.1 million for the nine months ended September 30, 2024. The company must carefully evaluate these strategic moves to avoid overextending its resources.

Mitigation Strategies

  • Investment in Technology: The company is focusing on technology enhancements to improve service delivery and operational efficiency.
  • Financial Management: Active management of cash flow and working capital is crucial. As of September 30, 2024, the company had $96.6 million in cash and cash equivalents.
  • Regulatory Compliance: Ongoing assessment and alignment with regulatory changes to minimize compliance risks.
Risk Type Description Financial Impact
Competition Increased pressure from rivals in the healthcare sector Net loss of $62.8 million in 2024
Regulatory Changes Adapting to new healthcare regulations affecting operations Potential compliance costs
Market Conditions Fluctuations in healthcare spending Total revenue of $1.908 billion in 2024
Operational Risks Challenges in service delivery and integration of acquisitions Cost of revenue increased to $1.617 billion
Financial Risks Liquidity and debt management challenges Total current liabilities of $523.7 million
Strategic Risks Risks associated with mergers and acquisitions Contingent consideration of $9.1 million



Future Growth Prospects for Evolent Health, Inc. (EVH)

Growth Opportunities

The financial health of the company reveals several potential growth opportunities that are pivotal for investors to consider. These opportunities stem from product innovations, market expansions, strategic acquisitions, and partnerships.

Key Growth Drivers

  • Product Innovations: The company has reported significant revenue growth from its Performance Suite, which generated $1,344.9 million for the nine months ended September 30, 2024, compared to $840.2 million in the same period of 2023.
  • Market Expansions: The total revenue increased by 35.5%, reaching $1.908 billion for the nine months ended September 30, 2024, up from $1.408 billion in the previous year.
  • Acquisitions: The acquisition of Machinify in August 2024 is expected to enhance service offerings and operational capabilities.

Future Revenue Growth Projections

Future revenue growth is projected to continue, with analysts estimating an annual growth rate of approximately 25% over the next five years. This growth is anticipated due to the increasing demand for healthcare technology solutions.

Earnings Estimates

For the fiscal year 2024, earnings per share are expected to improve to $(0.55), compared to $(0.91) in 2023, indicating a trend towards profitability.

Strategic Initiatives and Partnerships

Recent strategic initiatives include the expansion of partnerships with major healthcare providers, which have resulted in a $90.6 million revenue increase from transitioning customers to the Performance Suite.

Competitive Advantages

The company maintains a competitive edge through its innovative technology and established market presence. The Performance Suite's average PMPM (per member per month) fee was $21.48 for the nine months ended September 30, 2024, down from $25.56 in the previous year, reflecting adjustments in service scope but still positioning the company well against competitors.

Metrics 2024 (9 Months) 2023 (9 Months) Growth (%)
Total Revenue $1,908.2 million $1,407.8 million 35.5%
Performance Suite Revenue $1,344.9 million $840.2 million 60.0%
Average PMPM Fee $21.48 $25.56 -15.2%
Net Loss $(62.8 million) $(100.9 million) 37.8%
Earnings Per Share $(0.55) $(0.91) 39.6%

Investors should closely monitor these growth opportunities as they can significantly impact the company's future financial performance and stock value.

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Resources:

  1. Evolent Health, Inc. (EVH) Financial Statements – Access the full quarterly financial statements for Q3 2024 to get an in-depth view of Evolent Health, Inc. (EVH)' financial performance, including balance sheets, income statements, and cash flow statements.
  2. SEC Filings – View Evolent Health, Inc. (EVH)' latest filings with the U.S. Securities and Exchange Commission (SEC) for regulatory reports, annual and quarterly filings, and other essential disclosures.