- Strong First Quarter Performance and Operating Execution
- Reiterated Full-Year 2026 Guidance Reflects Continued Momentum
| Three Months Ended | |||||||||
| (unaudited; $ in millions, except per share amounts) | 2026 | 2025 | Change (%)* | ||||||
| Total revenue | $ | 603.8 | $ | 480.1 | 25.8 | % | |||
| Gross profit | $ | 125.6 | $ | 103.6 | 21.2 | % | |||
| Operating income | $ | 7.4 | $ | 5.2 | 42.2 | % | |||
| Net income a | $ | 3.1 | $ | 4.2 | (27.4 | )% | |||
| Non-GAAP adjusted net income b | $ | 24.3 | $ | 19.9 | 22.3 | % | |||
| Net income per share | $ | 0.02 | $ | 0.03 | (33.3 | )% | |||
| Non-GAAP adjusted net income per share b | $ | 0.19 | $ | 0.16 | 18.8 | % | |||
* Any slight variations in totals are due to rounding.
a. Net income for the three months ended
b. Reconciliations of non-GAAP adjusted net income and other non-GAAP financial measures are presented in tables near the end of this press release.
First Quarter 2026 highlights include:
- Continued strength in same-store growth and new provider additions;
- Practice Collections of
$914.8M , +14.6% versus 1Q’25; and - Adjusted EBITDA c e f of
$36.7M , +36.3% versus 1Q’25.
Key Operating and Non-GAAP Financial Metrics c
| Three Months Ended | |||||||||
| (unaudited; $ in millions) | 2026 | 2025 | Change (%) | ||||||
| Implemented Providers | 5,535 | 4,871 | 13.6 | % | |||||
| Value-Based Care Attributed Lives | 1,606,000 | 1,270,000 | 26.5 | % | |||||
| Practice Collections | $ | 914.8 | $ | 798.6 | 14.6 | % | |||
| Care Margin | $ | 128.7 | $ | 105.3 | 22.3 | % | |||
| Platform Contribution | $ | 67.0 | $ | 51.7 | 29.6 | % | |||
| Adjusted EBITDA | $ | 36.7 | $ | 26.9 | 36.3 | % | |||
c. Reconciliations of Care Margin, Platform Contribution, Adjusted EBITDA and other non-GAAP financial measures are presented in tables near the end of this press release.
Updated Full-Year 2026 Guidance d e f g
| FY 2025 | Initial FY 2026 Guidance at | Updated FY 2026 Guidance at | ||||||||
| ($ in millions) | Actual | Low | High | |||||||
| Implemented Providers | 5,380 | 5,900 | 6,000 | Unchanged | ||||||
| Attributed Lives | 1,541,000 | 1,550,000 | 1,600,000 | 1,600,000 - 1,625,000 | ||||||
| Practice Collections | $ | 3,470.5 | $ | 3,650 | $ | 3,750 | Unchanged | |||
| GAAP Revenue | $ | 2,122.8 | $ | 2,350 | $ | 2,450 | Unchanged | |||
| Care Margin d e f | $ | 462.2 | $ | 515 | $ | 530 | Unchanged | |||
| Platform Contribution d e | $ | 234.8 | $ | 260 | $ | 270 | Unchanged | |||
| Adjusted EBITDA d e f | $ | 125.5 | $ | 145 | $ | 155 | Unchanged | |||
- Expect approximately 80% of Adjusted EBITDA to convert to free cash flow in full-year 2026
- Guidance does not assume any new business development activity
d. Management has not reconciled forward-looking non-GAAP measures to their most directly comparable GAAP measures of Gross Profit, Operating Income and Net Income. This is because the Company cannot predict with reasonable certainty and without unreasonable efforts the ultimate outcome of certain GAAP components of such reconciliations due to market-related assumptions that are not within our control as well as certain legal or advisory costs, tax costs or other costs that may arise. For these reasons, management is unable to assess the probable significance of the unavailable information, which could materially impact the amount of the future directly comparable GAAP measures.
e. See “Key Metrics and Non-GAAP Financial Measures” for more information as to how the Company defines and calculates Implemented Providers, Attributed Lives, Practice Collections, Care Margin, Platform Contribution, and Adjusted EBITDA, and for a reconciliation of the most comparable GAAP measures to Care Margin, Platform Contribution, Adjusted EBITDA, Adjusted Net Income and Adjusted Net Income Per Share.
f. Certain non-recurring or non-cash and other expenses will be treated as an add back in the reconciliation of Net Income to Adjusted EBITDA, and the reconciliation of Net Income to Adjusted Net Income and Adjusted Net Income Per Share, the details of which can be found in the Reconciliation schedules near the end of this and in future quarterly press releases.
g. Any slight variations in totals due to rounding.
Webcast and Conference Call Information
The Company will host a conference call on
This news release and the financial statements contained herein, and the slide presentation for the webcast, are also available on the Privia Health Investor Relations website at ir.priviahealth.com.
About
Privia Health™ is one of the largest physician enablement companies in
Privia’s mission is to transform healthcare delivery to achieve better outcomes, lower costs, and improve the health of communities and the well-being of providers. For more information, visit priviahealth.com.
Non-GAAP Financial Measures
The Company reports and discusses its operating results using financial measures consistent with accounting principles generally accepted in
The Company believes that the non-GAAP financial measures presented in this press release are relevant and provide useful information to the Company's management, investors, and other interested parties about the Company's operating performance because the measures allow them to understand and compare the Company's actual and expected operating results during the prior, current and future periods in a more consistent manner. The non-GAAP measures presented in this press release may not be comparable to similarly titled measures used by other companies. These non-GAAP financial measures are used in addition to and in conjunction with results presented in accordance with GAAP and reflect an additional way of viewing aspects of the Company's operations that, when viewed with GAAP results and the accompanying reconciliations to corresponding GAAP financial measures, provides a more complete understanding of the results of operations and trends affecting the Company's business. These non-GAAP financial measures should be considered as a supplement to, and not as a substitute for, or superior to financial measures calculated in accordance with GAAP.
Safe Harbor Statement
The financial results in this press release reflect preliminary, unaudited results, which are not final until the Company’s Form 10-Q is filed with the Securities and Exchange Commission (“SEC”). This press release contains "forward-looking statements" within the meaning of the
Factors related to these risks and uncertainties include, but are not limited to: the heavily regulated industry in which we operate, and any failure by us or our medical groups to comply with the extensive applicable healthcare laws and government regulations; the complexity of the legal framework governing our relationships with Medical Groups, some of which we do not own, and Privia providers, and the impact of legal challenges or shifting interpretations of applicable laws; the execution of our growth strategy, which may not prove viable and we may not realize expected results; difficulties timely implementing our proprietary end-to-end, cloud-based technology solution for Privia physicians and new medical groups; the high level of competition in our industry; challenges in successfully establishing a presence in new geographic markets; the impact of failures by or service disruptions at key third-party vendors, such as our primary electronic medical record vendor, athenahealth, Inc.; potential decreases in reimbursement rates by governmental and third-party payers, changes to payment terms or challenges negotiating and retaining favorable contracts with private third-party payers, and changes impacting our patient population; the financial and operational impact of our compliance with various complex and changing federal and state privacy and security laws and regulations related to our use, disclosure, and other processing of personal information and protected health information, including the Health Insurance Portability and Accountability Act of 1996; the impact of actual and potential security threats, cybersecurity incidents or privacy or other forms of data breaches involving us, our vendors or other third parties; the continued availability of qualified workforce, including staff at our medical groups, and the continued upward pressure on compensation for such workforce; and other risk factors described in our Annual Report on Form 10-K for the year ended
Contact:
SVP,
IR@priviahealth.com
817.783.4841
Condensed Consolidated Statements of Operations(g) (unaudited) (in thousands, except share and per share data) | |||||||
| For the Three Months Ended | |||||||
| 2026 | 2025 | ||||||
| Revenue | $ | 603,847 | $ | 480,097 | |||
| Operating expenses: | |||||||
| Provider expense | 475,117 | 374,809 | |||||
| Cost of platform | 68,420 | 59,526 | |||||
| Sales and marketing | 8,134 | 6,922 | |||||
| General and administrative | 41,473 | 31,721 | |||||
| Depreciation and amortization | 3,281 | 1,901 | |||||
| Total operating expenses | 596,425 | 474,879 | |||||
| Operating income | 7,422 | 5,218 | |||||
| Interest income, net | 1,888 | 2,931 | |||||
| Income before provision for income taxes | 9,310 | 8,149 | |||||
| Provision for income taxes | 5,600 | 2,103 | |||||
| Net income | 3,710 | 6,046 | |||||
| Less: Net income attributable to non-controlling interests | 646 | 1,826 | |||||
| Net income attributable to | $ | 3,064 | $ | 4,220 | |||
| Net income per share attributable to | $ | 0.02 | $ | 0.03 | |||
| Net income per share attributable to | $ | 0.02 | $ | 0.03 | |||
| Weighted average common shares outstanding – basic | 124,152,526 | 120,623,670 | |||||
| Weighted average common shares outstanding – diluted | 130,878,939 | 127,752,527 | |||||
(g) Any slight variations in totals due to rounding.
Condensed Consolidated Balance Sheets(h) (in thousands) | |||||||
| Assets | (unaudited) | ||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 419,524 | $ | 479,685 | |||
| Accounts receivable | 513,676 | 400,902 | |||||
| Prepaid expenses and other current assets | 32,822 | 30,414 | |||||
| Total current assets | 966,022 | 911,001 | |||||
| Non-current assets: | |||||||
| Property and equipment, net | 384 | 504 | |||||
| Right-of-use assets | 8,307 | 8,794 | |||||
| Intangible assets, net | 212,784 | 215,919 | |||||
| 209,842 | 209,842 | ||||||
| Deferred tax asset | — | 2,274 | |||||
| Other non-current assets | 20,553 | 21,044 | |||||
| Total non-current assets | 451,870 | 458,377 | |||||
| Total assets | $ | 1,417,892 | $ | 1,369,378 | |||
| Liabilities and stockholders’ equity | |||||||
| Current liabilities: | |||||||
| Accounts payable and accrued expenses | $ | 80,555 | $ | 96,804 | |||
| Provider liability | 518,629 | 469,516 | |||||
| Operating lease liabilities, current | 2,114 | 2,200 | |||||
| Total current liabilities | 601,298 | 568,520 | |||||
| Non-current liabilities: | |||||||
| Operating lease liabilities, non-current | 6,907 | 7,331 | |||||
| Deferred tax liability | 254 | — | |||||
| Other non-current liabilities | 3,529 | 2,584 | |||||
| Total non-current liabilities | 10,690 | 9,915 | |||||
| Total liabilities | 611,988 | 578,435 | |||||
| Commitments and contingencies | |||||||
| Stockholders’ equity: | |||||||
| Common stock | 1,257 | 1,236 | |||||
| Additional paid-in capital | 905,048 | 892,291 | |||||
| Accumulated deficit | (153,246 | ) | (156,310 | ) | |||
| 753,059 | 737,217 | ||||||
| Non-controlling interest | 52,845 | 53,726 | |||||
| Total stockholders’ equity | 805,904 | 790,943 | |||||
| Total liabilities and stockholders’ equity | $ | 1,417,892 | $ | 1,369,378 | |||
(h) Any slight variations in totals are due to rounding.
Condensed Consolidated Statements of Cash Flows(i) (unaudited) (in thousands) | |||||||
| For the Three Months Ended | |||||||
| 2026 | 2025 | ||||||
| Cash flows from operating activities | |||||||
| Net income | $ | 3,710 | $ | 6,046 | |||
| Adjustments to reconcile net income to net cash used in operating activities: | |||||||
| Depreciation | 146 | 228 | |||||
| Amortization of intangibles | 3,135 | 1,673 | |||||
| Stock-based compensation | 21,921 | 17,790 | |||||
| Deferred income taxes, net | 2,528 | 1,713 | |||||
| Changes in asset and liabilities: | |||||||
| Accounts receivable, net | (112,774 | ) | (72,548 | ) | |||
| Prepaid expenses and other current assets | (2,408 | ) | (914 | ) | |||
| Other non-current assets and right-of-use assets | 978 | 275 | |||||
| Accounts payable and accrued expenses | (16,249 | ) | (13,850 | ) | |||
| Provider liability | 49,113 | 35,681 | |||||
| Operating lease liabilities | (510 | ) | (155 | ) | |||
| Other long-term liabilities | 945 | — | |||||
| Net cash used in operating activities | (49,465 | ) | (24,061 | ) | |||
| Cash from investing activities | |||||||
| Other | (26 | ) | — | ||||
| Net cash used in investing activities | (26 | ) | — | ||||
| Cash flows from financing activities | |||||||
| Proceeds from exercised stock options | 774 | 2,243 | |||||
| Repurchase of non-controlling interest | (11,444 | ) | — | ||||
| Net cash (used in) provided by financing activities | (10,670 | ) | 2,243 | ||||
| Net decrease in cash and cash equivalents | (60,161 | ) | (21,818 | ) | |||
| Cash and cash equivalents at beginning of period | 479,685 | 491,149 | |||||
| Cash and cash equivalents at end of period | $ | 419,524 | $ | 469,331 | |||
| Supplemental disclosure of cash flow information: | |||||||
| Interest paid | $ | 62 | $ | — | |||
| Income tax paid (refunds received) | $ | 63 | $ | (313 | ) | ||
(i) Any slight variations in totals are due to rounding.
Additional Financial Information
Revenues disaggregated by source:
| For the Three Months Ended | |||||||
| (Dollars in thousands) | 2026 | 2025 | |||||
| FFS-patient care | $ | 391,133 | $ | 311,761 | |||
| FFS-administrative services | 31,403 | 32,255 | |||||
| Capitated revenue | 86,148 | 70,690 | |||||
| Shared savings | 74,962 | 47,912 | |||||
| Care management fees (PMPM) | 17,865 | 15,201 | |||||
| Other revenue | 2,336 | 2,278 | |||||
| Total Revenue | $ | 603,847 | $ | 480,097 | |||
The Company’s liabilities for unpaid medical claims under at-risk capitation arrangements:
| (Dollars in thousands) | 2026 | 2025 | ||||||
| Balance, beginning of period | $ | 78,989 | $ | 66,355 | ||||
| Incurred health care costs: | ||||||||
| Current year | 81,143 | 70,565 | ||||||
| Prior years | 435 | (954 | ) | |||||
| Total claims incurred | $ | 81,578 | $ | 69,611 | ||||
| Claims paid: | ||||||||
| Current year | (2,088 | ) | (10,273 | ) | ||||
| Prior year | (53,239 | ) | (39,332 | ) | ||||
| Total claims paid | $ | (55,327 | ) | $ | (49,605 | ) | ||
| Balance, end of period | $ | 105,240 | $ | 86,361 | ||||
Key Metrics and Non-GAAP Financial Measures
Key Metrics(j)
| For the Three Months Ended | ||||||||
| (unaudited; $ in millions) | 2026 | 2025 | ||||||
| Implemented Providers (as of end of period) (1) | 5,535 | 4,871 | ||||||
| Attributed Lives (as of end of period) (2) | 1,606,000 | 1,270,000 | ||||||
| Practice Collections (3) | $ | 914.8 | $ | 798.6 | ||||
| (1) Implemented Providers is defined as the total of all service professionals at the end of a given period who are credentialed and bill for medical services in both Owned and Non-Owned Medical Groups during that period. | ||||||||
| (2) Attributed Lives are defined as any patient that a payer deems attributed to Privia to deliver care as part of a value-based care arrangement through a provider of primary care or specialty services as of the end of a particular period. | ||||||||
| (3) Practice Collections are defined as the total collections from all practices in all markets and all sources of reimbursement that the Company receives for delivering care and providing Privia Health’s platform and associated services. Practice Collections differ from revenue by including collections from Non-Owned Medical Groups. | ||||||||
| (j) Any slight variations in totals are due to rounding. | ||||||||
Non-GAAP Financial Measures (4)(k)
| For the Three Months Ended | ||||||||
| (unaudited; $ in thousands) | 2026 | 2025 | ||||||
| Care Margin | $ | 128,730 | $ | 105,288 | ||||
| Platform Contribution | $ | 67,033 | $ | 51,733 | ||||
| Platform Contribution Margin | 52.1 | % | 49.1 | % | ||||
| Adjusted EBITDA | $ | 36,691 | $ | 26,915 | ||||
| Adjusted EBITDA Margin | 28.5 | % | 25.6 | % | ||||
(4) In addition to results reported in accordance with GAAP,
| ||||||||
| (k) Any slight variations in totals are due to rounding. | ||||||||
Reconciliation of Gross Profit to Care Margin(l)
| For the Three Months Ended | ||||||||
| (unaudited; $ in thousands) | 2026 | 2025 | ||||||
| Revenue | $ | 603,847 | $ | 480,097 | ||||
| Provider expense | (475,117 | ) | (374,809 | ) | ||||
| Amortization of intangible assets | (3,135 | ) | (1,673 | ) | ||||
| Gross Profit | $ | 125,595 | $ | 103,615 | ||||
| Amortization of intangibles assets | 3,135 | 1,673 | ||||||
| Care Margin | $ | 128,730 | $ | 105,288 | ||||
| (l)Any slight variations in totals are due to rounding. | ||||||||
Reconciliation of Gross Profit to Platform Contribution(m)
| For the Three Months Ended | ||||||||
| (unaudited; $ in thousands) | 2026 | 2025 | ||||||
| Revenue | $ | 603,847 | $ | 480,097 | ||||
| Provider expense | (475,117 | ) | (374,809 | ) | ||||
| Amortization of intangibles assets | (3,135 | ) | (1,673 | ) | ||||
| Gross Profit | $ | 125,595 | $ | 103,615 | ||||
| Amortization of intangibles assets | 3,135 | 1,673 | ||||||
| Cost of platform | (68,420 | ) | (59,526 | ) | ||||
| Stock-based compensation(5) | 6,723 | 5,971 | ||||||
| Platform Contribution | $ | 67,033 | $ | 51,733 | ||||
| (m) Any slight variations in totals are due to rounding. | ||||||||
| (5) Amount represents stock-based compensation expense included in Cost of platform. | ||||||||
Reconciliation of Net Income to Adjusted EBITDA(n)
| For the Three Months Ended | ||||||||
| (unaudited; $ in thousands) | 2026 | 2025 | ||||||
| Net income | $ | 3,064 | $ | 4,220 | ||||
| Net income attributable to non-controlling interests | 646 | 1,826 | ||||||
| Provision for income taxes | 5,600 | 2,103 | ||||||
| Interest income, net | (1,888 | ) | (2,931 | ) | ||||
| Depreciation and amortization | 3,281 | 1,901 | ||||||
| Stock-based compensation | 21,921 | 17,790 | ||||||
| Other expenses(6) | 4,067 | 2,006 | ||||||
| Adjusted EBITDA | $ | 36,691 | $ | 26,915 | ||||
| (n) Any slight variations in totals are due to rounding. | ||||||||
| (6) Other expenses include employer taxes on equity vesting/exercises, severance, contingent and deferred consideration, and other non-recurring expenses. | ||||||||
Reconciliation of Net Income to Adjusted Net Income and Adjusted Net Income Per Share(o)
| For the Three Months Ended | |||||||
| (unaudited; $ in thousands) | 2026 | 2025 (9) | |||||
| Net income | $ | 3,064 | $ | 4,220 | |||
| Stock-based compensation | 21,921 | 17,790 | |||||
| Intangible amortization expense | 3,135 | 1,673 | |||||
| Other expenses(7) | 4,067 | 2,006 | |||||
| Tax effect of adjustments(8) | (7,863 | ) | (5,796 | ) | |||
| Adjusted net income | $ | 24,324 | $ | 19,893 | |||
| Adjusted net income per share attributable to | $ | 0.20 | $ | 0.16 | |||
| Adjusted net income per share attributable to | $ | 0.19 | $ | 0.16 | |||
| Weighted average common shares outstanding – basic | 124,152,526 | 120,623,670 | |||||
| Weighted average common shares outstanding – diluted | 130,878,939 | 127,752,527 | |||||
| (o) Any slight variations in totals due to rounding. | |||||||
| (7) Other expenses include employer taxes on equity vesting/exercises, severance, contingent and deferred consideration, and other non-recurring expenses. | |||||||
| (8) The Company uses a statutory blended tax rate of 27% on the adjustments between Net Income and Adjusted Net Income. | |||||||
| (9) Updated to conform with current year presentation. | |||||||
Source: