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Commitments and Contingencies | 12 Months Ended
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Dec. 31, 2021
Commitments and Contingencies Disclosure [Abstract] |
Commitments and Contingencies | Commitments and Contingencies Commitments Letters of Credit As of December 31, 2021 and 2020, the Company was party to irrevocable standby letters of credit with a bank for $15.4 million and $8.3 million, respectively, for the benefit of a regulatory authorities, real estate and risk-sharing agreements. As such, we held $15.4 million and $8.3 million in restricted cash and restricted investments as collateral as of December 31, 2021 and December 31, 2020, respectively. The letters of credit have current expiration dates between January 2022 and March 2032 and will automatically extend without amendment for an additional one-year period and will continue to automatically extend after each one-year term from the expiry date unless the bank elects not to extend beyond the initial or any extended expiry date. Indemnifications The Company’s customer agreements generally include a provision by which the Company agrees to defend its partners against third-party claims (a) for death, bodily injury, or damage to personal property caused by Company negligence or willful misconduct, (b) by former or current Company employees arising from such managed service agreements, (c) for intellectual property infringement under specified conditions and (d) for Company violation of applicable laws, and to indemnify them against any damages and costs awarded in connection with such claims. To date, the Company has not incurred any material costs as a result of such indemnities and has not accrued any liabilities related to such obligations in the accompanying consolidated financial statements. Pre-IPO Investor Registration Rights Agreement We entered into a registration rights agreement with The Advisory Board, UPMC, TPG and another investor to register for sale under the Securities Act shares of our Class A common stock, including those delivered in exchange for Class B common stock and Class B common units. Subject to certain conditions and limitations, this agreement provides these investors with certain demand, piggyback and shelf registration rights. The registration rights granted under the registration rights agreement will terminate upon the date the holders of shares that are a party thereto no longer hold any such shares that are entitled to registration rights. Pursuant to our contractual obligations under this agreement, we filed a registration statement on Form S-3 with the SEC on July 28, 2016, which was declared effective on August 12, 2016. We will pay all expenses relating to any demand, piggyback or shelf registration, other than underwriting discounts and commissions and any transfer taxes, subject to specified conditions and limitations. The registration rights agreement includes customary indemnification provisions, including indemnification of the participating holders of shares of Class A common stock and their directors, officers and employees by us for any losses, claims, damages or liabilities in respect thereof and expenses to which such holders may become subject under the Securities Act, state law or otherwise. We did not incur any expenses related to secondary offerings or other sales of shares by our investor stockholders during the years ended December 31, 2021, 2020 and 2019, respectively. Guarantees In connection with the Molina Closing, the Company continued to provide administrative support services relating to the Passport Medicaid Contract to Molina through the end of 2020. Following the Molina Closing, EVH Passport began working with regulatory authorities including the Kentucky Department of Insurance (“KY DOI”) regarding the wind down of its operations throughout 2021. As part of that wind down process, the Company, as the parent of EVH Passport, entered into a guarantee for the benefit of the KY DOI to satisfy any EVH Passport liability or obligation in the event EVH Passport is not able to meet its wind down liabilities or obligations. As of December 31, 2021, no amounts have been funded under this guarantee. Reinsurance Agreements As part of the Passport Closing, EVH Passport and UHC entered into an agreement that provided for the administration and assumption of the financial risks by EVH Passport of the D-SNP Business until such time as EVH Passport became certified as a Medicare Advantage Organization and the D-SNP Business could be transferred to EVH Passport. On October 1, 2020, the D-SNP Business was transferred from UHC to EVH Passport. At the Molina Closing, Molina and EVH Passport entered into an agreement that provided for the assumption of the financial risks by Molina of the D-SNP Business until such time as Molina’s Kentucky health plan becomes certified as a Medicare Advantage Organization and the D-SNP Business is transferred to Molina. The Company and EVH Passport continued to administer the D-SNP Business until January 1, 2021, at which time Molina became responsible for its administration until the D-SNP Business was officially transferred to Molina effective September 1, 2021. The following summarizes premiums and claims assumed under the Reinsurance Agreements for the years ended December 31, 2021, 2020 and 2019 (in thousands):
| For the Year Ended December 31,
| 2021 |  | 2020 |  | 2019
Reinsurance premiums assumed | $ | 23,179 |  |  | $ | 19,130 |  |  | $ | 83,325 |
Reinsurance premiums ceded | (1,614) |  |  | (3,275) |  |  | — |
Claims assumed | 20,468 |  |  | 14,812 |  |  | 72,594 |
Claims ceded | — |  |  | (422) |  |  | — |
Claims-related administrative expenses | 2,159 |  |  | — |  |  | 14,024 |
Increase (decrease) in reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement | 2,166 |  |  | 1,465 |  |  | (3,293) |
Reserves for claims and performance-based arrangements attributable to the Reinsurance Agreement at the beginning of the period | 4,002 |  |  | — |  |  | 1,243 |
Impact of consolidation on payable for claims and performance-based arrangements attributable to the Reinsurance Agreement | — |  |  | (502) |  |  | — |
Reinsurance payments paid (received) | 6,078 |  |  | (3,039) |  |  | 4,536 |
Payable for claims and performance-based arrangements attributable to the Reinsurance Agreement at the end of the period | $ | 90 |  |  | $ | 4,002 |  |  | $ | — |
UPMC Reseller Agreement The Company and UPMC are parties to a reseller, services and non-competition agreement, dated August 31, 2011, which was amended and restated by the parties on June 27, 2013 (as amended through the date hereof, the “UPMC Reseller Agreement”). Under the terms of the UPMC Reseller Agreement, UPMC has appointed the Company as a non-exclusive reseller of certain services, subject to certain conditions and limitations specified in the UPMC Reseller Agreement. In consideration for the Company’s obligations under the UPMC Reseller Agreement and subject to certain conditions described therein, UPMC has agreed not to sell certain products and services directly to a defined list of 20 of the Company’s customers. Contingencies Tax Receivables Agreement In connection with the Offering Reorganization, the Company entered into the Tax Receivables Agreement (the “TRA”) with certain of its investors, which provides for the payment by the Company to these investors of 85% of the amount of the tax benefits, if any, that the Company is deemed to realize as a result of increases in our tax basis related to exchanges of Class B common units as well as tax benefits attributable to the future utilization of pre-IPO NOLs. Due to the items noted above, and the fact that Evolent Health, Inc. is in a full valuation allowance position such that the deferred tax assets related to the Company’s historical pre-IPO losses and tax basis increase benefit from exchanges have not been realized, the Company has not recorded a liability pursuant to the TRA. Litigation Matters We are engaged from time to time in certain legal disputes arising in the ordinary course of business, including employment claims. When the likelihood of a loss contingency becomes probable and the amount of the loss can be reasonably estimated, we accrue a liability for the loss contingency. We continue to review accruals and adjust them to reflect ongoing negotiations, settlements, rulings, advice of legal counsel, and other relevant information. To the extent new information is obtained, and our views on the probable outcomes of claims, suits, assessments, investigations or legal proceedings change, changes in our accrued liabilities would be recorded in the period in which such determination is made. On August 8, 2019, a shareholder of the Company filed a class action complaint against the Company, asserting claims under Section 10(b) and 20(a) of the Securities Exchange Act of 1934, in the United States District Court, Eastern District of Virginia, Alexandria Division. An amended complaint was filed on January 10, 2020, a second amended complaint was filed on June 8, 2020, and a third amended complaint, now titled Plymouth County Retirement System v. Evolent Health, Inc., Frank Williams, Nicholas McGrane, Seth Blackley, was filed on December 2, 2021. The case alleges that the Company’s executives made false or misleading statements regarding its business with Passport. The Company filed a motion to dismiss the second amended complaint, and the Eastern District of Virginia granted in part and denied in part the motion on March 24, 2021. The case entered the discovery phase, but discovery is again stayed pending a decision on the company’s third motion to dismiss, which was filed December 17, 2021. Briefing on the motion to dismiss was completed on February 10, 2022, and oral argument will be held on March 11, 2022. Based on the Company’s investigation, we believe the case has little legal or factual merit. However, the outcome of any litigation is uncertain. On June 8, 2021, a shareholder of the Company filed a derivative action in the Delaware Chancery Court against some current and former Board members and against the Company as a nominal defendant, alleging that the Company’s Board was negligent in its oversight of the Company’s relationship with Passport Health Plan. The case is Lincolnshire Police Pension Fund, derivatively on behalf of Evolent Health, Inc., v. Blackley, Williams, Scott, Holder, Farner, D’Amato, Duffy, Felt, Samet, Hobart, and Payson, and Evolent Health, Inc. The Company and the Director-Defendants filed a motion to dismiss the complaint on August 27, 2021, and Plaintiffs responded by filing an amended complaint on October 26, 2021. Defendants filed a motion to dismiss the amended complaint on December 17, 2021. Subsequently, the parties agreed to stay the case pending the decision on the Company’s motion to dismiss the third amended complaint, currently pending in Plymouth County Retirement System v. Evolent Health, Frank Williams, Nicky McGrane, and Seth Blackley, in federal district court. Based on the Company’s investigation, we believe the case has little legal or factual merit. However, the outcome of any litigation is uncertain. 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 December 31, 2021, approximately 99.4% of our $354.9 million of cash and cash equivalents, restricted cash and restricted investments were held in bank deposits with FDIC participating banks and approximately 0.6% were held in international banks. While the Company maintains its cash and cash equivalents with financial institutions with high credit ratings, it often maintains these deposits in federally insured financial institutions in excess of federally insured limits. The Company has not experienced any realized losses on cash and cash equivalents to date. The Company is also subject to significant concentration of accounts receivable risk as a substantial portion of our trade accounts receivable is derived from a small number of our partners. The following table summarizes the partners who represented at least 10.0% of our consolidated trade accounts receivable as of December 31, 2021 and December 31, 2020:
| As of December 31,
| 2021 |  | 2020
Cook County Health and Hospitals System | * |  | 61.5 | %
Florida Blue Medicare, Inc. (1) | 46.4 | % |  | N/A
Molina Healthcare | 10.4 | % |  | *
———————— (1)Customer added during the year ended December 31, 2021. 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 consolidated revenue for the years ended December 31, 2021, 2020 and 2019:
| For the Year Ended December 31,
| 2021 (1) |  | 2020 (1) |  | 2019 (1)
Cook County Health and Hospitals Systems | 28.0% |  | 22.3 | % |  | 11.6 | %
New Mexico Health Connections | * |  | * |  | 13.4 | %
Florida Blue Medicare, Inc. (2) | 14.1 | % |  | N/A |  | N/A
Passport (3) | * |  | 19.0 | % |  | 23.0 | %
———————— (1)The denominator excludes $44.8 million, $117.4 million and $171.7 million of True Health premium revenue reclassified to discontinued operations for the years ended December 31, 2021, 2020 and 2019, respectively. (2)Customer added during the year ended December 31, 2021. (3)Represents revenues from EVH Passport/UHC through the Molina Closing. Subsequent to the Molina Closing on September 1, 2020, the Company has not received any material revenue from EVH Passport. However, as part of the Molina Closing, we entered into a new contract with Molina on similar terms to our prior services contract with EVH Passport through December 31, 2020 which accounted for approximately 9.7% of our consolidated revenues for the year ended December 31, 2020. * Represents less than 10.0% of the respective balance We derive a significant portion of our revenues from our largest partners. The loss, termination or renegotiation of our relationship or contract with any significant partner or multiple partners in the aggregate could have a material adverse effect on the Company's financial condition and results of operations.

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