Evolent Health Q1 Revenue Rises to $496M; New $200M Oncology, Imaging Deals

EVHEVH

Evolent Health reported Q1 revenue of $496.2 million, improved net loss margin to (5.4)% from (14.9)% and adjusted EBITDA of $22.1 million. The company secured a $200 million annual oncology and cardiology expansion and an advanced imaging contract covering approximately 4.5 million lives, both slated to go live in Q3.

1. Financial Results

Evolent Health generated $496.2 million in revenue for the quarter ended March 31, 2026, up from $483.6 million a year earlier. Net loss attributable to common shareholders improved to $(26.6) million, narrowing the loss margin to 5.4% from 14.9%, while adjusted EBITDA declined to $22.1 million, yielding a 4.4% margin.

2. Major Contract Wins

During Q1, Evolent signed two new healthcare agreements: an advanced imaging solution contract covering approximately 4.5 million lives across Commercial, Medicaid and Medicare lines, and an oncology and cardiology services expansion expected to generate over $200 million in annual revenue. Both agreements are subject to state regulatory approvals and are scheduled to commence in the third quarter.

3. Strategic Outlook

CEO Seth Blackley highlighted on-time oncology launches with Highmark and Aetna and emphasized AI-driven growth opportunities as priorities through 2027. Evolent ended Q1 with $142.0 million in cash and cash equivalents and is focused on extending its market leadership in complex specialty care while meeting commitments to shareholders, employees and customers.

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