Q4 2025 Revenue and EBITDA Beat
Q4 revenue of $469 million and adjusted EBITDA of $37.8 million, which exceeded the midpoint of guidance.
Full-Year 2025 Baseline Results
After adjusting for the ACO divestiture, baseline FY2025 revenue was $1.77 billion and adjusted EBITDA would have been approximately $141 million.
Ambitious 2026 Revenue Growth Outlook (~30%)
Company is forecasting approximately 30% revenue growth for 2026 with $2.4–$2.6 billion guidance (midpoint ~$2.5B).
Large New Performance Suite Cohort ($900M)
2026 Performance Suite launches expected to generate approximately $900 million of revenue (37% of 2026 revenue), an increase from a prior estimate of $550 million, driven by membership shifts and scope expansion.
Oncology as Core Growth Driver (65% of Revenue)
Evolent expects roughly 65% of company revenue from oncology in 2026, up from 36% in 2025 — signaling rapid concentration and growth in the oncology product.
High Retention and Contract Migration to Enhanced Model
Retained specialty T&S logos covering over 98% of 2025 revenue; ~90% of Performance Suite revenue now under the enhanced Performance Suite model; signed major new customers including Highmark (go-live May 1) expected to contribute >$550M in 2026 and >$800M in 2027.
MER Improvement in 2025 vs 2024
2025 medical expense ratio (MER) was 89% (excluding ECP), an improvement of just under 700 basis points versus 2024, attributed to pathway management and physician engagement.
Efficiency and AI Savings
Exceeded the previously announced $20 million annualized Q4 2025 savings; targeting ~ $50 million of efficiency savings in 2026 (including $20 million realized in 2025) and additional SG&A/AI/automation reductions; non-claims expense base expected to be ~$675M in 2026, ~ $90M lower than 2025 (includes $40M from divestiture and ~$50M efficiencies).
Balance Sheet and Net Debt Position
Ended the year with net debt of $782 million, below the expected range of $805M–$840M, and no debt maturities until late 2029.
Operational and Clinical Wins
AI-driven auto-authorization improvements (chest CT +11 points; cervical spine MRI +16 points) and a Blue Cross partner reported ~40% reduction in hospitalizations and ER visits from the new cancer navigation solution.