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Discontinued Operations
12 Months Ended
Dec. 31, 2021
Discontinued Operations and Disposal Groups [Abstract]  
Discontinued Operations Discontinued Operations
On January 11, 2021, Evolent Health LLC, EH Holdings and True Health, each wholly owned subsidiaries of the Company, entered into a Stock Purchase Agreement (the “True Health SPA”) with Bright Health Management, Inc. (“Bright HealthCare”), pursuant to which EH Holdings agreed to sell all of its equity interests in True Health to Bright HealthCare. Closing of the transactions contemplated by the True Health SPA occurred on March 31, 2021 (the “True Health Closing”) and the Company has had no continuing involvement with True Health subsequent to the closing except a pre-existing services agreement for claims processing and other health plan administrative functions.

As of the first quarter of 2021, the Company determined that True Health met the discontinued operations criteria under ASC 205, and as such, True Health assets and liabilities as of December 31, 2020, and the results of operations for all periods presented are classified as discontinued operations and are not included in continuing operations in the consolidated financial statements.
During the year ended December 31, 2021, the Company recorded purchase prices adjustments to the True Health Closing of $8.7 million which are included in loss from discontinued operations on the consolidated statements of operations and comprehensive income (loss).

The following table summarizes the results of operations of the Company’s True Health business, which are included in loss from discontinued operations in the consolidated statements of operations and comprehensive income (loss) for the years ended December 31, 2021, 2020 and 2019:
For the Year Ended December 31,
202120202019
Revenue
Platform and operations$38 $356 $145 
Premiums44,795 117,377 171,742 
Total revenue44,833 117,733 171,887 
Expenses
Cost of revenue (exclusive of depreciation and amortization expenses presented separately below) (1)
5,885 18,343 6,633 
Claims expenses33,954 87,951 135,774 
Selling, general and administrative expenses (2)
5,764 18,576 26,617 
Depreciation and amortization expenses160 640 590 
Total operating expenses45,763 125,510 169,614 
Operating income (loss)(930)(7,777)2,273 
Interest income112 531 581 
Interest expense(4)(12)21 
Other loss(25)(1)(3)
Income (loss) before income taxes and non-controlling interests(847)(7,259)2,872 
Benefit (provision) for income taxes(326)(1,185)1,259 
Net income (loss)$(521)$(6,074)$1,613 
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(1)Cost of revenue includes intercompany expenses between the Company and True Health that are recorded in income from continuing operations in the consolidated statements of operations and comprehensive income (loss) related to an existing services agreement for claims processing and other health plan administrative functions of $2.8 million, $13.6 million and $6.6 million for the years ended December 31, 2021, 2020 and 2019, respectively.
(2)Selling, general and administrative expenses includes intercompany expenses between the Company and True Health that are recorded in income from continuing operations on the consolidated statements of operations and comprehensive income (loss) related to an existing services agreement for claims processing and other health plan administrative functions of $1.1 million, $6.4 million and $6.0 million for the years ended December 31, 2021, 2020 and 2019, respectively.

The consolidated statements of cash flows for all periods have not been adjusted to separately disclose cash flows related to discontinued operations. Cash flows related to the True Health business during the year ended December 31, 2021, 2020 and 2019 were as follows:

For the Year Ended December 31,
202120202019
Cash flows provided by (used in) operating activities$5,002 $6,852 $(6,642)
Cash flows (used in) provided by investing activities(2,494)2,636 (7,172)
Cash flows used in financing activities— — (2,500)

The following table summarizes the current and long-term assets and liabilities of the discontinued True Health business in the consolidated balance sheets as of December 31, 2020:

ASSETS
Current assets:
Cash and cash equivalents$21,488 
Restricted cash and restricted investments63 
Accounts receivable, net3,437 
Prepaid expenses and other current assets5,198 
Investments, at amortized cost3,728 
Total current assets33,914 
Restricted cash and restricted investments616 
Investments, at amortized cost10,919 
Prepaid expenses and other noncurrent assets59 
Intangible assets, net3,080 
Goodwill5,705 
Total assets$54,293 
LIABILITIES
Current liabilities:
Accounts payable (1)
93 
Accrued liabilities11,265 
Accrued compensation and employee benefits1,115 
Deferred revenue4,140 
Reserve for claims and performance-based arrangements9,858 
Total current liabilities26,471 
Other long-term liabilities128 
Deferred tax liabilities, net49 
Total liabilities$26,648 
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(1)Accounts payable excludes $1.5 million between the Company and True Health related to an existing services agreement for claims processing and other health plan administrative functions as of December 31, 2020.