<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <!-- Generated by Workiva -->
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001644244</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001628908</issuerCik>
      <issuerName>Evolent Health, Inc.</issuerName>
      <secFileNumber>001-37415</secFileNumber>
      <issuerAddress>
        <com:street1>800 North Glebe Road, Suite 500</com:street1>
        <com:city>Arlington</com:city>
        <com:stateOrCountry>VA</com:stateOrCountry>
        <com:zipCode>22203</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>5713896000</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>UPMC</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Stockholder</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>JP Morgan Securities</name>
        <address>
          <com:street1>390 Madison Avenue</com:street1>
          <com:street2>6th Floor</com:street2>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10017</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>1180153</noOfUnitsSold>
      <aggregateMarketValue>405984434</aggregateMarketValue>
      <noOfUnitsOutstanding>112667704</noOfUnitsOutstanding>
      <approxSaleDate>05/08/2023</approxSaleDate>
      <securitiesExchangeName>NYSE</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <acquiredDate>06/05/2015</acquiredDate>
      <natureOfAcquisitionTransaction>Private Investment as Founding Stockholder</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>14726172</amountOfSecuritiesAcquired>
      <paymentDate>06/05/2015</paymentDate>
      <natureOfPayment>Cash and Convertable Note</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/03/2023</saleDate>
      <amountOfSecuritiesSold>3586</amountOfSecuritiesSold>
      <grossProceeds>118378</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/09/2023</saleDate>
      <amountOfSecuritiesSold>1200</amountOfSecuritiesSold>
      <grossProceeds>39600</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/13/2023</saleDate>
      <amountOfSecuritiesSold>200</amountOfSecuritiesSold>
      <grossProceeds>6600</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/14/2023</saleDate>
      <amountOfSecuritiesSold>42991</amountOfSecuritiesSold>
      <grossProceeds>1420423</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/15/2023</saleDate>
      <amountOfSecuritiesSold>106000</amountOfSecuritiesSold>
      <grossProceeds>3551509</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/16/2023</saleDate>
      <amountOfSecuritiesSold>128481</amountOfSecuritiesSold>
      <grossProceeds>4358911</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/17/2023</saleDate>
      <amountOfSecuritiesSold>16025</amountOfSecuritiesSold>
      <grossProceeds>530626</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/23/2023</saleDate>
      <amountOfSecuritiesSold>426000</amountOfSecuritiesSold>
      <grossProceeds>530626</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/24/2023</saleDate>
      <amountOfSecuritiesSold>200186</amountOfSecuritiesSold>
      <grossProceeds>6981126</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>UPMC</name>
        <address>
          <com:street1>U.S Steel Tower</com:street1>
          <com:street2>600 Grant Steet, Suite 5838</com:street2>
          <com:city>Pittsburgh</com:city>
          <com:stateOrCountry>PA</com:stateOrCountry>
          <com:zipCode>15219</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Class A Common Shares</securitiesClassTitle>
      <saleDate>02/27/2023</saleDate>
      <amountOfSecuritiesSold>2768764</amountOfSecuritiesSold>
      <grossProceeds>92199841</grossProceeds>
    </securitiesSoldInPast3Months>
    <noticeSignature>
      <noticeDate>05/08/2023</noticeDate>
      <signature>/s/ J.P. Morgan Securities LLC as agent and attorney-in-fact for UPMC</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
