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Evolent Health, Inc. (EVH)

Q1 2016 Earnings Call· Fri, May 13, 2016

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Transcript

Operator

Operator

Welcome to Evolent Health’s Earnings Conference Call for the Quarter Ended March 31, 2016. As a reminder, this conference call is being recorded. Your host for the call today is Mr. Frank Williams, Chief Executive Officer of Evolent Health. This call will be archived and available beginning later this evening for the next 90 days via the webcast on the Company’s website in the section entitled Investor Relations. Here is some important introductory information. This call contains forward-looking statements under the U.S. Federal Securities Laws. These statements are subject to risks and uncertainties that could cause actual results to differ materially from historical experience or present expectations. A description of some of the risks and uncertainties can be found in the reports that are filed with the Securities and Exchange Commission, including cautionary statements included in the current and periodic filings. For additional information on the Company’s results and outlook, please refer to its first quarter news release. As a reminder, the financial statements of Evolent Health Inc. for the three months ended March 31, 2015 do not reflect a complete view of the operational results for those periods due to the reorganization completed in connection with our initial public offering in June. Prior to the reorganization, Evolent Health Inc. had no operations. In order to provide consistent and comparable metrics for the periods before and after June 4, 2015, the adjusted results of Evolent Health Inc. presented and discussed in our press release reflect the reorganization as if it had occurred on the January 1, 2015. The adjusted results include the operations of Evolent Health LLC for the period from January 1, 2015 through March 31, 2015 as well as certain other adjustments. Reconciliations of adjusted results to GAAP results are available in the press release and 8-K we filed. At this time, I will turn the conference over to the Company’s Chief Executive Officer, Mr. Frank Williams. Please go ahead, sir

Frank Williams

Chief Executive Officer

Thank you and good evening. I am Frank Williams, Chief Executive Officer of Evolent Health, and I am joined this evening by Nicky McGrane, our Chief Financial Officer. We have a three-part agenda for today’s call. First, I will open with a summary of our performance for the quarter covering our financial results and an overview of what we are seeing in the market. Nicky, will then take us through a more detailed review of the financials and I will close with some additional thoughts on the quarter and an update on our development priorities for 2016. As always, we will be happy to take questions at the end of the call. From a financial perspective our total adjusted revenue for the quarter ended March 31, 2016 increase 33.7% to $49.5 million compared to adjusted revenue of $37 million for the quarter ended March 31, 2015. Adjusted EBITDA for the quarter ended March 31, 2016 was negative $6.6 million compared to adjusted EBITDA of negative $8.8 million for the quarter ended March 31, 2015. We now have more than $1.2 million total lives on the platform as of March 31, 2016 up 160% year-over-year. All in all we’re pleased with our results for the quarter as we’ve had strong operational and financial performance and continue to make significant strides in solidifying our position as a leader in supporting the provider movement to value-based care. In terms of the overall market environment we’re continuing to see increasing pressure from healthcare purchasers who are looking for higher value lower cost alternatives. Whereas the market momentum at the tail end of last year was driven by aggressive activity from CMS and Medicare. This year we’re also seeing a number of innovative employers pushing for higher value neural network offerings with providers. In several…

Nicholas McGrane

Management

Thanks, Frank. Today, I’ll cover our first quarter financials and our outlook for Q2 and the remainder of 2016. We are off to a strong start in 2016 led by the ongoing growth in the number of lives on our platform and continued momentum in leveraging the investments we’ve made to capitalizing the long-term opportunities we see a head. Overall, first quarter results exceeded our expectations with respect to adjusted results. Adjusted revenue increased 33.7% to $49.5 million up from $37 million in the same period of the prior year. Adjusted EBITDA for the quarter was negative $6.6 million up from negative $8.8 million last year. For the quarter just ended adjusted loss available for common shareholders was negative $9.7 million or negative $0.16 per share. These compared to an adjusted loss available for common shareholders of negative $11.6 million or negative $0.43 per share in the same period of the prior year. The reconciliation of our GAAP results to adjusted results are available in the press release and the 8-K we filed today. The primary differences between GAAP and our adjusted results for the quarter are as follows; $0.1 million in revenue adjustments to remove the results of purchase accounting, $4.4 million in stock-based compensation expense, $0.1 million in transaction related expenses and $0.1 million in adjustments to remove the results of a tax benefits tied to purchase accounting. In addition, this quarter we incurred an impairments to goodwill of $160.6 million. Evolent Health Inc. was established at the time of the IPO in June of last year and our goodwill reflects our stock price at that time. As we have experienced a sustained decline in our share price this is impaired the carrying value of a goodwill based on commonly accepted valuation methodology. The impairment is non-cash and…

Frank Williams

Chief Executive Officer

Thanks, Nicky. I want to close with a few updates on our pipeline, our product development focus, and our organization overall. With the macro factors that I discussed earlier, we are seeing strong inbound interest across four primary areas. The first is organizations that are committed long-term to value and are interested in launching their own branded health plans. Second, our organizations who want to gain more experience and risk and are evaluating the viability of models like next generation ACO and MSSP tracks in the wake of CMS policy announcement. Third, our providers who see a significant opportunity in Medicaid from both a financial and mission perspective and need help in working across a broader network to catalyze opportunity. And finally, we are seeing direct outreach from providers looking to respond to innovative employers who are asking for a different approach to care delivery anchored in a population health philosophy. We continue to organize our capabilities around these discrete areas in order to build efficiency, scale and to drive results. That’s the benefit of developing a broad integrated platform. As we announce more and more clinical and financial data, we are able to analyze, adopt, and deploy what’s working, so we can drive improved outcomes with greater speed and build confidence in the overall growth strategy. On the product development front, one area I thought I would highlight is our recent focus on specialty pharmacy. Specialty drug costs are significant driver of increasing costs in the system today accounting for nearly one-third of all drugs span and 2.5 times the level of price increase versus traditional drugs. Historically, pharmacy benefit management has tended to focus on specialty drugs that are covered as part of the prescription drug benefit of the health plan. However, we know that about half of…

Operator

Operator

Thank you. We will now begin the question-and-answer session. [Operator Instructions] And our first question will come from Robert Jones of Goldman Sachs. Please go ahead.

Robert Jones

Analyst · Goldman Sachs. Please go ahead

Great. Thanks for the question guys. Congratulations first off on the Georgia Physicians ACO announcement. I believe this is the first physician led organization you guys have signed up, so I guess it that right and then should we think about this type of organization as you guys broadening out that type of clients that you’re working with. And I guess just – how long those lines maybe you could help us think about that ACO opportunity for Evolent?

Nicholas McGrane

Management

Sure. Good question. If you think about our work historically in almost every situation and market that we’re working and we are working quite collaboratively with physician organizations in some cases with employed physicians, some times with independent IPA’s and so it’s very consistent with the work we’ve done historically, however you’re correct it’s the first time we’ve had a direct contractual relationship with a physician organization. So I don’t see it as a shift in strategy. I think you’re right that it does represent an opportunity for us in markets where the physicians are organized decent size group and are committed to risk and ultimately need support for the types of populations that they’re going after. So I don’t think you’d see us working with a small physician group, but there are obviously several organizations around the country that have hundreds of physicians organized into a network and where I think our service offering is quite applicable. And this is an exciting opportunity for us. It’s a great physician organization, very well regarded across the state of Georgia already have about 70,000 lives that they are managing undervalue based arrangements today and an ability to expand that over time. So I do think it’s something we can build on and definitely will enhance our approach from a business development perspective.

Robert Jones

Analyst · Goldman Sachs. Please go ahead

Got it. And then Frank, if I could just follow-up I was interested in your comments around the PBM offering related specifically to the specialty spend on the medical side. Without getting I guess too far into the actual offering or the approach I’m just curious you know because this is a major focus for managed care companies obviously as well. What is it that the offering or that Evolent brings to the table that the current managed care companies that are managing this medical expense within specialty can currently do?

Frank Williams

Chief Executive Officer

Yes, I mean I think one of the most important things in managing this area is really engaging the physicians and that takes a process of involving them and understanding, what are the alternatives in a particular clinical category? What are the costs involved? What do the clinical outcomes suggest in terms of the use of this drug and the ultimate benefit the patients going to get from an outcomes perspective? So one is making sure that that education process happens and the physicians have the context around the drug its impact and not only on the clinical side, but also on the cost side as well. I think there’s a role obviously for us to be active when you think about delegating UM and having it being driven by the providers with the expertise we bring from our pharmacy team. So, obviously if we’re more engaged in that process and more engaged with the docs, we’re doing disease modeling, we’re monitoring patients, we’re providing alerts and education to providers in a much more integrated way that has a huge benefit. It is definitely an area of increased cost, I think traditionally no fault of the payers, but it is definitely viewed as punitive and you can do this and you can’t do that versus having providers engaged on Board and then having a set of resources that they trust that are really helping them to make better decisions where the cost and the clinical value is taken into consideration in managing the patient.

Robert Jones

Analyst · Goldman Sachs. Please go ahead

Got it. And then just to clarify Frank. Is this a separate offering it’s currently being sold or is this just part of the PBM offering?

Frank Williams

Chief Executive Officer

Its part of our PBM offering now at times there are certain functions that we start out with and working with the clients and sometimes will add on additional functions. So there may be situations where we’re working with them in specific areas, but we’re actually expanding what we’re doing and including specialty in some of the UM delegation but it is part of our broad offering in PBM.

Robert Jones

Analyst · Goldman Sachs. Please go ahead

Got it. I will stop there. Thanks so much.

Frank Williams

Chief Executive Officer

Thank you.

Operator

Operator

The next question will be from Ryan Daniels of William Blair. Please go ahead.

Ryan Daniels

Analyst · William Blair. Please go ahead

Hey, guys thanks for taking the questions. Frank one for you just curious if you could comment on some of the momentum you may be seeing around the market either inside or outside of your client based around the next gen ACO program is those applications come up for due date shortly?

Frank Williams

Chief Executive Officer

Yes, I think as we’ve talked about previously, we view this as one of – if not the best payer deal in the country in terms of – the terms both upside and downside, the level of data sharing, the ability for providers to execute and do well, we’ve obviously spent a lot of time educating our current client base as well as new, we have a client who is – few that are pursuing both next gen in MSSP currently, so we have some early experience. And if you look from a business development organization perspective we have several provider systems that are putting in the initial application. There’s obviously a few rounds to go through and they need to get approved, but I believe it will be a significant opportunity and we’re hopeful that, several organizations will get approved as we head into the fall and again a great place to start in terms of getting experience where there is significant downside risk and I think that’s why organizations are interested in having the support of Evolent and then obviously building on that into other populations over time. But it’s been exciting development and pushing the market and as you asked you know several organizations now evaluating participation.

Ryan Daniels

Analyst · William Blair. Please go ahead

Okay. Appreciate that color. And then, Nicky mentioned this in his prepared comments this was clearly the biggest net new lives additions in the history of the company. Can you talk a little bit about that process in more detail I guess any particular insights on how the platform scaling, how your shared services are scaling in such a short-period and does that give you maybe more comfort to take on even more business going forward or you still balancing the new starts with driving margin expansion?

Nicholas McGrane

Management

Yes, I’d say the nice thing about the additional lives as it does highlight our sources of growth. Some of those lives are coming from existing customers, so we’re expanding off a base that we built, that’s obviously highly scalable both for the customer and for us. And then a big chunk of the lives coming from a new relationship where we do have to be prepared to bring that client on and do it relatively rapidly, so we’re successfully managing the lives under risk arrangements. I think the great news is all the investment we’ve made across the last several years in building the national platform model and working across several markets, working out a lot of the things, the historical relationship and benefit that we had in having UPMC as a partner. All of those things have come together to create a very scalable platform and I would say if you look at sort of our metrics operationally how fast are we getting people live, how many of the data connection points that we already have experienced with, the mix of clinical programs that are built-out that the client really needs from the outset, it feels like we’re in a very strong position to scale and how capacity and I think you see that in just how smoothly these recent implementations have gone.

Ryan Daniels

Analyst · William Blair. Please go ahead

Okay. Perfect. And then one final question, I’ll hop off, just with the GPAC agreement given that that’s in the same market as Piedmont WellStar, which is kind of winding down as we’ve all know over the next few years. Does that give you an opportunity to better arbitrage shifting local market talent there and maybe protect the margins a little bit more than you would have expected six months ago?

Nicholas McGrane

Management

As you suggested PW was winding down across this year, GPAC doesn’t have a major presence really in the Atlanta market although they do and over 100 counties simply get some presence there, but smaller. So I don’t see a lot of geographical overlap. That said, I think we do everything we can where we have a local market presence and can leverage that either in another region and surely we’ll look to take advantage of those opportunities. I don’t think it would have a major impact here, because we’ve been sort of well ahead of the curve and how we’ve managed the PW relationship. But you should definitely think that across the organization where we can use resources and support multiple markets and do it in an efficient way. It has huge benefits for the client as you have experienced staff, it’s scalable and leverageable, but it also as you suggest it has benefits from a cost perspective as well.

Ryan Daniels

Analyst · William Blair. Please go ahead

Okay. Perfect. Thanks for the color and congrats on a strong start to the year.

Nicholas McGrane

Management

Thanks.

Operator

Operator

The next question will come from Jamie Stockton of Wells Fargo. Please go ahead.

Jamie Stockton

Analyst · Wells Fargo. Please go ahead

Yes. Good evening. Thanks for taking the questions. I guess maybe the first one just to circle back on the direct-to-physician market opportunity that you talked about, when you think about the number of lives that you hope to ultimately address that are at risk, can you ballpark a percentage of those lives that you think might come from relationships like Georgia Physicians where it’s really a physician organization not necessarily a health system that you’re working with?

Nicholas McGrane

Management

I think that’s a little tough to estimate. I think if you look at our current pipeline because of our lineage and historical focus the bulk of those are focused on direct health system relationships. Now as we suggested, in many of those relationships IPAs, large physician organizations are part of the delivery mechanism and we’re integrating those two things together. Same thing goes on the physician side, we’d be working very collaboratively with hospital partners ultimately to deliver across the episode of care. I think if you look across the country, there are not as many groups around the country that are sophisticated aggressively going after risk or very large in size. And so if you were asking me to estimate, you could see again that portion of our business growing. I think it could be a meaningful segment, but really our focus just given that hospitals have acquired 60% of primary care physicians and close to 15% to 20% specialist, we believe in most markets that’s the best organizing principal and again the why our platform is really been oriented and as you suggest that again a good new channel for us, but a little early to estimate exactly what percentage would come from there.

Jamie Stockton

Analyst · Wells Fargo. Please go ahead

Okay. That’s great. Maybe another somewhat big picture question. It seems like I have read and heard about health systems talking about the care management function lately and how scalable it is as they look to increase the number of lives that they have in risk-based contracts? Could you give us some sense for over the history of Evolent how you feel like the way you are bringing care management into these health systems has become maybe more scalable and not as labor intensive or can you give us some examples of things that you guys are working on to make the care management function as scalable as possible?

Frank Williams

Chief Executive Officer

Sure. It sounds like you’ve been reading care manager weekly which I know is quite an exciting publication.

Jamie Stockton

Analyst · Wells Fargo. Please go ahead

Yes.

Frank Williams

Chief Executive Officer

Just kidding. You know honesty, I think what we have seen traditionally is there are many situations where care managers are deployed sometimes by payers, sometimes by the health system and yet they’re not integrated with the physician group, they’re not using technology that embeds into decision support and into their workflow, they’re focused on the wrong clinical areas, they don’t have the right care pathway or the tools to communicate effectively with other providers across the continuum of care. And then there’s a broad cultural issue of – is the whole team on Board and is the care manager able to be effective. And so I think we’ve tried to attack that problem in a very holistic way. I think the investment in the Identifi platform has been critical because in one place you’ve embedded all the data that you need to stratify the risk of a patient. You’ve been able to embed the clinical program. You’re able to drive that directly into workflow. You’re able to organize the tasks of the care manager in a given day on the most productive areas and you’re able to monitor what’s our progress, are we’re getting to all our high priority patients. And then there’s all the soft things which are important, but the upfront investment and working with the physician organization to get the system right and to make sure that the care manager is not sitting by themselves in the office, but it’s really part of the integrated care team. So I think if you look at the investments in the technology platform in building clinical knowledge and driving into workflow and decisions support and then all the other elements we bring to get physicians on Board and to get the care team working together. That’s ultimately what drives performance and frankly we’ve seen situations where there is an existing care management team in place didn’t have those tools. And then once we put the tools in place and we will engage the physicians dramatic improvements and performance highly scalable and we’re constantly monitoring the impact of everything that we’re doing and feeding net back in to make sure that time is spent on the most important task. So I think it is a lot of the investment and we’re seeing the returns and we’re going to see more and more returns as we continue to analyze the clinical and financial data.

Jamie Stockton

Analyst · Wells Fargo. Please go ahead

Okay. That’s great. Thank you.

Operator

Operator

The next question will come from Richard Close of Canaccord Genuity. Please go ahead.

Richard Close

Analyst · Canaccord Genuity. Please go ahead

Thank you for taking the questions. Congratulations. Obviously, pleasantly surprised on the lives on the platform and I was wondering if you could just breakdown the additions in the quarter between maybe existing customers and then I believe Passport. And then I think Nicky mentioned you have 12 PNO at the end of the quarter and one coming on here in April, so just trying to think about how the lives on the platform are going to ramp throughout the rest of the year?

Nicholas McGrane

Management

Thanks, Richard. Yes, it was obviously a very strong quarter in terms of adds kind of north of a half a million. We’ve laid out the Passport in the region a 60% of that number. And of the rest of the number that it’s a good mix of existing clients. We had two new clients come on the platform as well so north of 60% in the aggregate will be coming from new clients, but very solid performance, notably we’ve talked about MedStar in particular very strong performance there and across the board or existing clients. So a nice mix of existing of new and existing in the quarter. I would say as we look over the course of the year, we’ve talked about lives in this sort of 1.2 to 1.4 range and we’re obviously north of 1.2 today. And as we look at each individual client there are opportunities over the course of the year to continue to add lives. And so it will be fairly well distributed over the rest of the year. So nicely distributed across the year.

Richard Close

Analyst · Canaccord Genuity. Please go ahead

And then with the addition of this Georgia Physician group, is there anything different in terms of how we should think about that ramping or is that pretty much similar from as compared to our health system in terms of ramp?

Frank Williams

Chief Executive Officer

It will be very similar, 2016 in the near-term will be focusing on more of the implementation activities, the lives will come out of platform in later day but it will come out at a similar fashion to traditional customer.

Richard Close

Analyst · Canaccord Genuity. Please go ahead

Another question I have is you know a couple companies have talked about larger deals out there. Maybe not direct comps to you guys but larger deals out there, taking longer sales process, taking longer implementations, taking longer and I wonder if you guys can talk a little bit about that, are you still seeing similar timelines or any change in the timelines over the last several quarters?

Frank Williams

Chief Executive Officer

I would just say having been in the industry for a long time. When you do see budget pressure then that can slow sales cycles and in our case the budget pressure actually drives the urgency and need for our service because it implying that organizations really do need to start moving to value based arrangements and they’ve got pressure on the pay-per-service side. So I think in general where we see some market pressure that’s going to be helpful to our business. I think if you look at sales cycles what is true. If you think about organizations you know signing on for 5-year, 7-year and 10-year relationship. These are big deals they represent the growth strategy for the entire health system, it’s important to get them right. And so it takes time to put that process together. And we want to make sure we invest the time upfront so that expectations are clear. So we know we can be successful over the long-term. And if you look at cycle time, today versus when we launch the company. I would say it’s very similar. It’s not something you generally are going to do in 30 days, it take several months and you’re obviously working with the board and the executive team and more on a number of those discussions today. You’ve got to push them all the way through. But I wouldn’t say we’ve seen any real changes in cycle time from either an implementation or a sales perspective.

Richard Close

Analyst · Canaccord Genuity. Please go ahead

And my final question for Nicky, talk a little bit about the gross margin and the trends as we go throughout this year should the first quarter be used as a proxy or should we see improvement off of first quarter?

Nicholas McGrane

Management

Richard, we sort of talked about a 40% gross margin over the course of the year, you know obviously we came in a little bit ahead of that here. I would say that the 40% in this zone is where we will be going to quarter-over-quarter this year. And I think people talked about very strong Q4 of last year and we talked about that on the few sort of once you know year-end adjustments that were factored into that. But I would say low-40s is a good place to think about for the full-year.

Richard Close

Analyst · Canaccord Genuity. Please go ahead

Okay. Thank you. Great thanks.

Frank Williams

Chief Executive Officer

Thanks.

Operator

Operator

The next question will come from Charles Rhyee of Cowen and company. Please go ahead.

Charles Rhyee

Analyst · Cowen and company. Please go ahead

Yes, hey, thanks for taking the question guys. I wanted to ask about obviously you guys Frank you talked a little bit about the next generation ACO program as well. I was curious about your ability to participate in some of these other programs like the complete joint replacement as well as BPCI which I think is still sort of a closed program. Just curious how you’re positioned for that program, when I think it’s suppose to open up again I guess maybe at the end of this year or next year.

Frank Williams

Chief Executive Officer

Yes, what I would say is our approach has been to put in place an integrated platform that can apply to all of your performance based business. So that would include joint replacement, it would include bundles, it would include duels, it would include go down a full list. Occasionally, there maybe something that comes up in a particular state that we have to do some preparatory work based on state requirements. But the whole idea of making the upfront investment was so you could apply it flexibly and yet have the tools, the scale with which to execute, so you’re efficient from provider investment perspective. So I would say what we tend to do is look across the range of populations that we see coming things like bundles, things like next-gen. We do make a decision about how much do we want to invest in specialization around that population based on market size, based on ability to execute et cetera and you might see us make more investments in something like next-gen and we might make in a very discrete program that we think doesn’t have the scale to really justify a full investment. But that’s really how we’ve been treating it and I would say we’re well positioned to accommodate most of the performance based population risk arrangements that you see that are out there.

Charles Rhyee

Analyst · Cowen and company. Please go ahead

Okay. Thank you for that. If I could follow-up, you talked about the scaleable nature, how you feel about the platform here. When you guys are deploying just curious as to – how much are you able to sort of standardize the way you deliver and the way you actually implement each client. Are you able to – because it sounds like a lot of the organizations are different and obviously with the GPAC, it’s a physician organization. Does that change the way you deploy the solution?

Frank Williams

Chief Executive Officer

Yes. So I think you’re correct in suggesting and healthcare continues to be a local business, every strategy is different based on the local market dynamics. I think what we found is there are a core set of processes and infrastructure elements that apply 95% to all of those situations. So I think the solution that you build when we look at our recent deployments, as I mentioned earlier, we can see that. One, we’ve already connected into the various physician EMRs that we need to pull data from, so we don’t need to build those connections again. The clinical rule set is largely built. Now surely we would give it to the providers to review, they can make adjustments, they can alter their own rules, but generally they’re accepting 90% of what we put together and then they’re doing some level of customization. The physician network composition generally are going to have employed physicians, they are going to have a IPA that you’re working with and so we’ve seen most of that across the markets we’re working in today and we’re like come across something new. If we do come across something new then we have to make a decision is this something that, we think is going to be a applicable to 30, 40, 50 customers and therefore we want to make the investment or is it a one-off that in some way we want the client to handle. Medicaid as we mentioned, next-gen are examples of places where we have felt that specific content, specific capabilities deployed across the platform make a lot of sense, then they’re going to have a huge yield for clients. And so you will see us be selective in where we’re investing. But the good news is I think we are seeing a lot of scalability. You have to have some amount of customization for provider organizations. It’s just the way physicians and clinical enterprises are wired, but most of it ends up being relatively standardized and they’re making some additions and subtractions and again the implementations become more straightforward at that point.

Charles Rhyee

Analyst · Cowen and company. Please go ahead

Thank you. And Nicky just to clarify things someone asked earlier about the cadence of lives coming on, should we just kind of think about that the range that you’ve given and then is it really kind of Jan 1, July 1, kind of phenomenon or should we think of the lives going to ramping up ratably over time?

Nicholas McGrane

Management

It’s more the latter Charles, it’s not as clean cut as January 1, July 1, I would think about it more across the quarters as opposed to a point in time.

Charles Rhyee

Analyst · Cowen and company. Please go ahead

Okay. Great, thanks a lot.

Operator

Operator

Our next question will come from Steve Halper of FBR. Please go ahead.

Steven Halper

Analyst · FBR. Please go ahead

Hi, could you just comment on the 417,000 Medicaid lives that you about April 1, I wasn’t really clear what you’re referring to?

Nicholas McGrane

Management

Hi, Steve, it’s Nicky. So I mean that’s the combination of Passport which is Medicaid population in Kentucky and then we also took on a significant Medicaid population of existing client at MedStar. So it’s a combination of those two that they makes up that number.

Steven Halper

Analyst · FBR. Please go ahead

Okay. Super. That’s included in the 1.2, it’s not like something happened after March 31.

Nicholas McGrane

Management

No, that’s included in it.

Steven Halper

Analyst · FBR. Please go ahead

There was saying like you’re beginning at April 1 with these additions during the quarter.

Frank Williams

Chief Executive Officer

Yes. I’m not 100% positive on the April 1, yes, those the 417,000 lives are included in the life count the 1.2 million lives at the quarter end.

Steven Halper

Analyst · FBR. Please go ahead

Okay. Thank you very much for the clarification.

Frank Williams

Chief Executive Officer

Thanks.

Operator

Operator

And our next question will come from David Larsen of Leerink Partners. Please go ahead.

David Larsen

Analyst · Leerink Partners. Please go ahead

Hey, guys. Congratulations on a good quarter. Nicky, the revenue came in higher than we were modeling where they one-time benefits in the figure this quarter?

Nicholas McGrane

Management

No, nothing like that this quarter. And just across the Board slight upticks across the Board.

David Larsen

Analyst · Leerink Partners. Please go ahead

Okay. And then the. PMPM figure declined a bid can you maybe talk about the nature of that please?

Nicholas McGrane

Management

Sure. I think this is in line with the longer-term trend we’ve talked about which is – we’ve expected – we’ve been talking about this for a while in terms of the longer-term trajectory of the PMPM and so it wasn’t surprising to us to see it tick down from Q4 into Q1 and I would say as we look across the course of the year we’ll continue to see that progression and we’ve talked about where we’re going to the see the low double-digit is sort of the point where we are sort of flatten out on the PMPM, but yes, this is very much in line with what we expect and just what we’ve always talked about in terms of mix.

David Larsen

Analyst · Leerink Partners. Please go ahead

Okay. The mix of the lives coming on the platform in the quarter caused that trend and it’s totally in line with expectations. Okay, great. And then can you talk a bit about value based arrangement so for this Georgia Physicians customer. I think you said there’s 70,000 patients in value-based care arrangements. I mean can you use the Identifi platform to enable providers to manage members in these value-based care contracts or is it typically the value-based care and risk. I mean is there a market there for value-based types of arrangements only?

Nicholas McGrane

Management

No, I would say when value-based arrangements by the way I mean were using a loose term can incorporate both upside and downside risk. Sometimes they are upside only bonuses and which maybe what you’re referring to, but the Identifi platform if you think about it a physician organization and health system regardless of the type of contract. Some of their payment is based on quality metrics on their performance as well as various cost metrics. So in cases where there is lots of downside risk obviously the Identifi platform can really help and the healthcare model we built in clinical knowledge space and making sure that you’re managing across the episode of care and focusing your resources in the right areas all the things that we talked about earlier. But the nice thing about it is it also applies to more basic contracts where you might have a set of quality bonuses involved, but you still need to do a lot of the same activities to drive the result and get the payment. So the nice thing is and again just to repeat it and why use the word integrated a lot is because you’ll see a lot of organization put up five different systems and 20 different care management activities going on across the organization. What we really believe is you want one system that can do your quality scores, it can manage major risk arrangements, and they can help physicians and support them in getting their quality bonuses. And therefore, it’s incorporating your best clinical knowledge. It’s scalable because you’re able to use your care management resources across those activities in a very focused way and ultimately delivers better results. So again the answer I think it can apply to all of them for the Georgia Group, they obviously have contracts and have meaningful incentives attached, they also have a desire to enter new arrangements and so you know our clinical knowledge combined with what is a fabulous aligned physician group and the Identifi tool we’re hoping can deliver against those metrics and make a big difference from a financial perspective.

David Larsen

Analyst · Leerink Partners. Please go ahead

Okay that’s very helpful. So when Medicare says that they want 90% of their dollars tied to performance by 2018. Any physician that is seeing patients covered by Medicare the Identifi platform could basically further their efforts. So you know the market for the Identifi platform is really any doc that is seeing Medicare patients?

Frank Williams

Chief Executive Officer

Yes. So although as we talked about earlier, we have not been you know this is a fairly. integrated platform, it’s a sizable investment. It’s not something you would go sell to an individual physician office. I think the nice thing those if you think about a health system that has you know hundreds of physicians, independence employed physicians that they’re trying to build deeper relationships with relative to the health system. If Identifi can help them with their basic quality scores and quality bonuses with things like macro as a very meaningful direction that they’re going in terms of moving physicians to performance based payments. It is a big part of the value proposition of Identifi and the broader Evolent platform. And it is a way for health systems to extend a lot of value to network physicians whether those are independents or ones that are employed or in larger organized groups. It also obviously could be applied to an IPA or a large physician group that has a reasonable amount of risk.

David Larsen

Analyst · Leerink Partners. Please go ahead

Great. Thanks very much. Congrats on a great quarter.

Frank Williams

Chief Executive Officer

Thank you.

Nicholas McGrane

Management

Thank you, David.

Operator

Operator

And the final question tonight will be from Mike Newshel of JPMorgan. Please go ahead.

Michael Newshel

Analyst · JPMorgan. Please go ahead

Thanks for filling me in guys. Quickly can you just update us on your confidence level on hitting your original target of breakeven EBITDA by the end of next year? And if there is an opportunity to pull that milestone earlier into the year – you actually have that visibility?

Frank Williams

Chief Executive Officer

I mean I’ll just start and Nicky can comment. Look we’re quite confident we’re quite committed to it, as we’ve been from the outset. I think as I mentioned earlier we’re seeing, scalability come in our operations as you know we’ve grown our revenue base and customer base. We’ve got strong performance this year on both the top and bottom line. And we’re quite optimistic about our ability to hit it and as to whether we can pull it forward. We haven’t made any statements about that at this point. You should know we’re being very aggressive about driving efficiency within the organization. And making sure that, we feel very good about scalability and as we get updates and see how we progress across the year we’ll keep you informed but right now we feel very comfortable with our original commitment.

Michael Newshel

Analyst · JPMorgan. Please go ahead

Okay. Thank you very much.

Operator

Operator

And ladies and gentlemen, this will conclude our question-and-answer session. I would like to hand the conference back over to Frank Williams for any closing comments.

Frank Williams

Chief Executive Officer

Well I think that’s a wrap on the call. We appreciate everyone participating and as I said we look forward to seeing many of you across the coming weeks. Thanks again.

Operator

Operator

Ladies and gentlemen the conference has now concluded. Thank you for attending today’s presentation. You may now disconnect your lines.