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CONSOLIDATED STATEMENTS OF CHANGES IN MEZZANINE AND SHAREHOLDERS’ EQUITY - USD ($) $ in Thousands | Total | Total Shareholders' Equity | Total Shareholders' Equity Leveraged Stock Units (LSUs) | Total Shareholders' Equity Cumulative-effect adjustment from adoption of ASC 2020-06 | Class A Common Stock | Class A Common Stock Performance-Based Restricted Stock Units (PSUs) | Class A Common Stock Leveraged Stock Units (LSUs) | Additional Paid-In Capital | Additional Paid-In Capital Performance-Based Restricted Stock Units (PSUs) | Additional Paid-In Capital Leveraged Stock Units (LSUs) | Additional Paid-In Capital Cumulative-effect adjustment from adoption of ASC 2020-06 | Accumulated Other Comprehensive Loss | Retained Earnings (Accumulated Deficit) | Retained Earnings (Accumulated Deficit) Cumulative-effect adjustment from adoption of ASC 2020-06 | Treasury Stock
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Series A preferred stock , beginning balance (in shares) at Dec. 31, 2020 | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Beginning balance at Dec. 31, 2020 | $ 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Ending balance (in shares) at Dec. 31, 2021 | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Ending balance at Dec. 31, 2021 | $ 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Beginning balance (in shares) at Dec. 31, 2020 |  |  |  |  | 85,895,000 |  |  |  |  |  |  |  |  |  |
Beginning balance at Dec. 31, 2020 |  | $ 619,600 |  |  | $ 859 |  |  | $ 1,229,320 |  |  |  | $ (278) | $ (589,178) |  | $ (21,123)
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation expense |  | 16,711 |  |  |  |  |  | 16,711 |  |  |  |  |  |  |
Exercise of stock options (in shares) |  |  |  |  | 1,490,000 |  |  |  |  |  |  |  |  |  |
Exercise of stock options |  | 13,289 |  |  | $ 15 |  |  | 13,274 |  |  |  |  |  |  |
Restricted stock units vested, net of shares withheld for taxes (in shares) |  |  |  |  | 492,000 |  |  |  |  |  |  |  |  |  |
Restricted stock units vested, net of shares withheld for taxes |  | (3,850) |  |  | $ 5 |  |  | (3,855) |  |  |  |  |  |  |
Shares issued for acquisition (in shares) |  |  |  |  | 1,771,000 |  |  |  |  |  |  |  |  |  |
Shares issued for acquisition |  | 56,626 |  |  | $ 18 |  |  | 56,608 |  |  |  |  |  |  |
Exchange and conversion of 2024 notes (in shares) |  |  |  |  | 1,095,000 |  |  |  |  |  |  |  |  |  |
Exchange and conversion of 2024 notes |  | 28,492 |  |  | $ 11 |  |  | 28,481 |  |  |  |  |  |  |
Class A common stock issued for payment of earn-outs (in shares) |  |  |  |  | 16,000 |  |  |  |  |  |  |  |  |  |
Class A common stock issued for payment of earn-outs |  | 450 |  |  |  |  |  | 450 |  |  |  |  |  |  |
Foreign currency translation adjustment | (84) | (84) |  |  |  |  |  |  |  |  |  | (84) |  |  |
Net loss attributable to common shareholders of Evolent Health, Inc. | $ (37,601) | (37,601) |  |  |  |  |  |  |  |  |  |  | (37,601) |  |
Ending balance (in shares) at Dec. 31, 2021 |  |  |  |  | 90,759,000 |  |  |  |  |  |  |  |  |  |
Ending balance at Dec. 31, 2021 |  | 693,633 |  | $ (66,383) | $ 908 |  |  | 1,340,989 |  |  | $ (106,172) | (362) | (626,779) | $ 39,789 | (21,123)
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounting Standards Update [Extensible Enumeration] | Accounting Standards Update 2020-06 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Ending balance (in shares) at Dec. 31, 2022 | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Ending balance at Dec. 31, 2022 | $ 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation expense |  | 33,981 |  |  |  |  |  | 33,981 |  |  |  |  |  |  |
Exercise of stock options (in shares) |  |  |  |  | 651,000 |  |  |  |  |  |  |  |  |  |
Exercise of stock options |  | 4,452 |  |  | $ 6 |  |  | 4,446 |  |  |  |  |  |  |
Restricted stock units vested, net of shares withheld for taxes (in shares) |  |  |  |  | 496,000 |  |  |  |  |  |  |  |  |  |
Restricted stock units vested, net of shares withheld for taxes |  | (7,086) |  |  | $ 5 |  |  | (7,091) |  |  |  |  |  |  |
Stock units vested, net of shares withheld for taxes (in shares) |  |  |  |  | 459,000 |  |  |  |  |  |  |  |  |  |
Stock units vested, net of shares withheld for taxes |  | (11,232) |  |  | $ 5 |  |  | (11,237) |  |  |  |  |  |  |
Shares issued for acquisition (in shares) |  |  |  |  | 3,742,000 |  |  |  |  |  |  |  |  |  |
Shares issued for acquisition |  | 130,175 |  |  | $ 37 |  |  | 130,138 |  |  |  |  |  |  |
Exchange and conversion of 2024 notes (in shares) |  |  |  |  | 5,394,000 |  |  |  |  |  |  |  |  |  |
Exchange and conversion of 2024 notes |  | 101,857 |  |  | $ 54 |  |  | 101,803 |  |  |  |  |  |  |
Foreign currency translation adjustment | (816) | (816) |  |  |  |  |  |  |  |  |  | (816) |  |  |
Net loss attributable to common shareholders of Evolent Health, Inc. | $ (19,164) | (19,164) |  |  |  |  |  |  |  |  |  |  | (19,164) |  |
Ending balance (in shares) at Dec. 31, 2022 | 101,500,558 |  |  |  | 101,501,000 |  |  |  |  |  |  |  |  |  |
Ending balance at Dec. 31, 2022 | $ 859,417 | 859,417 |  |  | $ 1,015 |  |  | 1,486,857 |  |  |  | (1,178) | (606,154) |  | (21,123)
Increase (Decrease) in Temporary Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of series A preferred stock, net of issuance costs (in shares) | 175,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Issuance of series A preferred stock, net of issuance costs | $ 168,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Net loss attributable to common shareholders of Evolent Health, Inc. | $ 10,427 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Ending balance (in shares) at Dec. 31, 2023 | 175,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Series A preferred stock , Ending balance at Dec. 31, 2023 | $ 178,427 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Increase (Decrease) in Stockholders' Equity [Roll Forward] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Stock-based compensation expense |  | 40,501 |  |  |  |  |  | 40,501 |  |  |  |  |  |  |
Exercise of stock options (in shares) | 1,237,000 |  |  |  | 1,406,000 |  |  |  |  |  |  |  |  |  |
Exercise of stock options |  | 12,519 |  |  | $ 14 |  |  | 12,505 |  |  |  |  |  |  |
Restricted stock units vested, net of shares withheld for taxes (in shares) |  |  |  |  | 630,000 |  |  |  |  |  |  |  |  |  |
Restricted stock units vested, net of shares withheld for taxes |  | (11,317) |  |  | $ 6 |  |  | (11,323) |  |  |  |  |  |  |
Stock units vested, net of shares withheld for taxes (in shares) |  |  |  |  |  | 202,000 | 1,040,000 |  |  |  |  |  |  |  |
Stock units vested, net of shares withheld for taxes | $ (3,975) |  | $ 0 |  |  | $ 2 | $ 10 |  | $ (3,977) | $ (10) |  |  |  |  |
Shares issued for acquisition (in shares) |  |  |  |  | 8,475,000 |  |  |  |  |  |  |  |  |  |
Shares issued for acquisition | 261,271 |  |  |  | $ 85 |  |  | 261,186 |  |  |  |  |  |  |
Exchange and conversion of 2024 notes (in shares) |  |  |  |  | 1,294,000 |  |  |  |  |  |  |  |  |  |
Exchange and conversion of 2024 notes |  | $ 23,073 |  |  | $ 13 |  |  | 23,060 |  |  |  |  |  |  |
Class A common stock issued for payment of earn-outs (in shares) |  |  |  |  | 877,000 |  |  |  |  |  |  |  |  |  |
Class A common stock issued for payment of earn-outs | 28,551 |  |  |  | $ 9 |  |  | 28,542 |  |  |  |  |  |  |
Foreign currency translation adjustment | (79) |  |  |  |  |  |  |  |  |  |  | (79) |  |  |
Net loss attributable to common shareholders of Evolent Health, Inc. | $ (142,260) |  |  |  |  |  |  | (29,220) |  |  |  |  | (113,040) |  |
Ending balance (in shares) at Dec. 31, 2023 | 115,424,833 |  |  |  | 115,425,000 |  |  |  |  |  |  |  |  |  |
Ending balance at Dec. 31, 2023 | $ 1,067,701 |  |  |  | $ 1,154 |  |  | $ 1,808,121 |  |  |  | $ (1,257) | $ (719,194) |  | $ (21,123)

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