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Earnings analysis · 10-Q

EVH earnings analysis

Filed May 7, 2026 · Our reading of the company's report

The latest report

Evolent Health, Inc. reported Q1 2026 revenue of $496.2 million, a 2.6% increase from $483.6 million in the prior year, although significantly below consensus estimates of $533.6 million. The company incurred a net loss…

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Evolent Health, Inc. reported Q1 2026 revenue of $496.2 million, a 2.6% increase from $483.6 million in the prior year, although significantly below consensus estimates of $533.6 million. The company incurred a net loss of $26.6 million compared to a loss of $72.3 million in the same period last year, signifying an improvement in profitability. Management maintains full-year revenue guidance of $2.4 billion to $2.6 billion.

Read the original on SEC.gov

Gross and operating margin

How much of each revenue dollar the business keeps.

26% Gross margin Operating margin May 2022 May 2026

One point per quarterly or annual filing. Both margins are shares of that report's revenue.

From revenue to operating profit

Where each $100 of revenue went in this report.

Of every $100 of revenue Cost of sales $83 Operating expenses $19 Left as operating profit $-2

Cost of sales, operating expenses, and what remained. Figures are rounded to whole dollars.

How we read each report

Our analysis across the last few reports.

Read as bullish Read as bearish May 2022 May 2026

Our model's reading of each filing, not the share price or the market's reaction. Annual and quarterly reports each occupy one position.

Reported figures

Earnings per share
$-0.24
Segment
Performance Suite
Segment
Specialty Technology and Services Suite
Segment
Administrative Services

What stood out

  • Revenue Increases Despite Loss

    Q1 2026 revenue reached $496.2 million, up 2.6% from $483.6 million in Q1 2025.

  • Net Loss Improves Compard to Last Year

    Net loss decreased to $26.6 million from $72.3 million in Q1 2025.

  • Operating Loss Widens

    Operating loss was $10.6 million compared to a loss of $1.6 million in the prior year.

  • Performance Suite Revenue Growth

    Performance Suite revenue increased to $323.3 million from $245.2 million year-over-year.

  • Cost of Revenue Ratio Up

    Cost of revenue was 83.1% of total revenue in Q1 2026 versus 78.8% in Q1 2025.

  • SG&A Expenses Decrease

    SG&A expenses fell to $72.8 million, down 7.1% from $78.4 million in Q1 2025.

What to watch

  • High Medical Expense Ratio

    Medical Expense Ratio rose to 93.3% from 68.0% year-over-year, indicating increasing healthcare costs.

  • Regulatory Changes Impacting Membership

    Changes due to the One Big Beautiful Bill Act may lead to lower membership in Medicaid and Health Exchanges.

  • Increased Debt Financing Costs

    Interest expenses rose to $16.9 million in Q1 2026, from $10.4 million in Q1 2025 due to new borrowings.

Management's outlook

Management reiterated full-year revenue guidance of $2.4 billion to $2.6 billion.

Earlier filings 4

10-K · February 25, 2026

Evolent describes itself as a market leader in specialty, value-based care management (oncology, cardiology, musculoskeletal) with an integrated tech-enabled platform (Identifi®, CarePro™) and claims to grow via…

10-Q · November 7, 2025

Evolent reported revenue of $479.5M for Q3 2025, down 22.8% year-over-year, while operating income turned positive to $0.9M versus an operating loss of $16.3M in Q3 2024. Gross margin expanded to 20.8% (cost of revenue…

10-Q · August 11, 2025

Evolent reported revenue of $444.3M for the quarter ended June 30, 2025, down 31.3% year-over-year driven primarily by contractual updates in the Performance Suite. Gross margin expanded (cost of revenue fell to 77.4%…

10-Q · November 8, 2024

Revenue rose 21.6% year-over-year to $621.4M in Q3 2024, driven by Performance Suite growth, but cost pressure in specialty claims pushed cost of revenue to $540.7M (87.0% of revenue), compressing gross margin to ~13.0%…

This is our reading of a public filing, not the filing itself. Analysis can contain errors; check the source document for full context.