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Privia Health Reports Fourth Quarter and Full-Year 2023 Financial Results

Privia Health Group, Inc.
Privia Health Group, Inc.
  • Achieved All 2023 Operating and Financial Guidance Metrics

  • Implemented Providers +19.4% compared to Year-End 2022

  • Introduces Full-Year 2024 Guidance

  • Proactive Steps to Limit Downside Risk Arrangements in Current Medicare Advantage Environment for More Favorable Contract Structures and Margin Contribution

ARLINGTON, Va., Feb. 27, 2024 (GLOBE NEWSWIRE) -- Privia Health Group, Inc. (Nasdaq: PRVA) today announced financial and operating results for the fourth quarter and full year ended December 31, 2023. The Company achieved each of its full-year guidance metrics for 2023, as highlighted below.

Full-Year Performance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the Years Ended December 31,

 

 

($ in millions, except per share amounts)

 

2023

 

2022

 

Change (%)

 

 

 

 

 

 

 

 

Total revenue

 

$

1,657.7

 

 

$

1,356.7

 

 

22.2

%

Gross profit

 

$

353.8

 

 

$

302.3

 

 

17.0

%

Operating income (loss)

 

$

20.6

 

 

$

(19.1

)

 

nm

Net income (loss)a

 

$

23.1

 

 

$

(8.6

)

 

nm

Non-GAAP adjusted net incomeb

 

$

81.5

 

 

$

63.7

 

 

27.9

%

Net income (loss) per share

 

$

0.20

 

 

$

(0.08

)

 

nm

Non-GAAP adjusted net income per share

 

$

0.64

 

 

$

0.52

 

 

23.1

%

 

 

 

 

 

 

 

 

a.

Net income for full-year 2023 included $37.1 million in non-cash stock compensation expense and $7.9 million in legal, non-recurring, and other expenses. Net loss for full-year 2022 included $67.4 million in non-cash stock compensation expense and $8.0 million in legal, non-recurring, and other expenses.

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.

 

Highlights from 2023 include:

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  • Record new provider signings with Implemented Providers increasing 19.4% from year-end 2022;

  • Gross provider retention of 98+%;

  • Strong fee-for-service collections, value-based care performance and new markets growth offset an approximate $110 million Practice Collections headwind due to the restructuring of a capitation contract announced in 1Q’23;

  • Three new market entries – Connecticut, South Carolina and Washington;

  • Strong Platform Contribution performance helped absorb incremental new market entry costs; and

  • Adjusted EBITDA growth of 18.7% compared to full-year 2022.

Key Operating and Non-GAAP Financial Metrics

 

 

 

 

 

 

 

For the Years Ended December 31,

 

 

($ in millions)

 

2023

 

2022

 

Change (%)

 

 

 

 

 

 

 

Implemented Providers

 

 

4,305

 

 

 

3,606

 

 

19.4

%

Value-Based Care Attributed Lives

 

 

1,120,000

 

 

 

856,000

 

 

30.8

%

Practice Collections

 

$

2,839.0

 

 

$

2,424.1

 

 

17.1

%

Care Margin

 

$

359.2

 

 

$

305.6

 

 

17.5

%

Platform Contribution

 

$

173.5

 

 

$

148.5

 

 

16.8

%

Adjusted EBITDA

 

$

72.2

 

 

$

60.9

 

 

18.7

%

 

 

 

 

 

 

 

Full-Year 2023 Actual Performance versus Guidance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initial FY 2023 Guidancec

Updated FY 2023 Guidance

 

FY 2023

($ in millions)

Low

 

High

 

at January 8, 2024

 

Actual

Implemented Providers

 

4,050

 

 

 

4,150

 

 

Above High End

 

 

4,305

 

Attributed Lives

 

1,050,000

 

 

 

1,150,000

 

 

Midpoint

 

 

1,120,000

 

Practice Collections

$

2,700

 

 

$

2,850

 

 

Midpoint

 

$

2,839.0

 

GAAP Revenue

$

1,550

 

 

$

1,650

 

 

Mid to High End

 

$

1,657.7

 

Care Margin

$

350

 

 

$

365

 

 

Mid to High End

 

$

359.2

 

Platform Contribution

$

160

 

 

$

168

 

 

Above High End

 

$

173.5

 

Adjusted EBITDAd

$

70

 

 

$

74

 

 

Mid to High End

 

$

72.2

 

 

 

 

 

 

 

 

 

 

c.

Management had not reconciled forward-looking non-GAAP measures to their most directly comparable GAAP measures of Gross Profit and Net Income. This is because the Company could not have predicted with reasonable certainty and without unreasonable efforts the ultimate outcome of certain GAAP components of such reconciliations due to market-related assumptions not within our control as well as certain legal or advisory costs, tax costs or other costs that have arisen. For these reasons, management is unable to assess the probable significance of the unavailable information, which could materially impact the amount of the directly comparable GAAP measures.

d.

Reconciliations of non-GAAP adjusted net income and other non-GAAP financial measures are presented in tables near the end of this press release.

 

Fourth Quarter Performance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the Three Months Ended December 31,

 

 

($ in millions, except per share amounts)

 

2023

 

2022

 

Change (%)

 

 

 

 

 

 

 

 

Total revenue

 

$

440.8

 

 

$

364.4

 

 

21.0

%

Gross profit

 

$

90.0

 

 

$

79.2

 

 

13.6

%

Operating income

 

$

1.4

 

 

$

2.2

 

 

nm

Net incomee

 

$

2.8

 

 

$

17.8

 

 

nm

Non-GAAP adjusted net incomef

 

$

20.3

 

 

$

16.1

 

 

26.1

%

Net income per share

 

$

0.02

 

 

 

0.14

 

 

nm

Non-GAAP adjusted net income per share

 

$

0.15

 

 

$

0.13

 

 

15.4

%

 

 

 

 

 

 

 

 

e.

Net income for the fourth quarter of 2023 included $11.7 million in non-cash stock compensation expense and $2.4 million in legal and other expenses. Net income for the fourth quarter of 2022 included $9.2 million in non-cash stock compensation expense and $1.7 million in legal and other expenses.

f.

Reconciliations of non-GAAP adjusted net income and other non-GAAP financial measures are presented in tables near the end of this press release.

 

Key Operating and Non-GAAP Financial Metrics

 

 

 

 

 

 

 

For the Three Months Ended December 31,

 

 

($ in millions)

 

2023

 

2022

 

Change (%)

 

 

 

 

 

 

 

Practice Collections

 

$

756.6

 

 

$

634.8

 

 

19.2

%

Care Margin

 

$

91.5

 

 

$

80.1

 

 

14.2

%

Platform Contribution

 

$

42.3

 

 

$

39.1

 

 

8.2

%

Adjusted EBITDA

 

$

17.3

 

 

$

14.3

 

 

21.1

%

 

 

 

 

 

 

 

Capital Resources and Cash Flow

The Company's balance sheet at December 31, 2023 included $389.5 million of cash and cash equivalents and no debt, compared to cash and cash equivalents of $348.0 million and no debt at December 31, 2022.

Net cash provided by operating activities for the year ended December 31, 2023 was $80.8 million compared to $47.2 million in the prior year (+71.2%). Capital expenditures were $0.1 million for the year ended December 31, 2023, compared to $0.1 million in the prior year. The Company invested $42.9 million in 2023 on business acquisitions to enter new states.

2024 Financial and Business Outlook g h i

Privia Health’s key actions and areas of focus in 2024 include:

  • Increasing density and scale in existing geographies through organic provider growth;

  • Limiting downside-risk arrangements in a challenging Medicare Advantage (MA) market;

    • Renegotiating MA capitation arrangements for more favorable contract structures and margin contribution expected to reduce capitated practice collections by approximately $198 million year-over-year due to revenue recognition rules as 19,900 attributed lives move to upside/downside risk arrangements;

    • Exiting Delaware ACO (~12,000 attributed lives in the Medicare Shared Savings Program), effective January 1, 2024;

  • Achieving operating leverage to drive Adjusted EBITDA growth, and converting 80% of Adjusted EBITDA to Free Cash Flow (defined as net cash provided by operating activities less purchases of property and equipment); and

  • Continuing to pursue business development efforts to enter new states and increase overall addressable market.

The Company’s 2024 operating and financial guidance is as follows:

 

FY 2023

 

FY 2024 Guidanceg

Y-Y % Change from FY 2023

($ in millions)

Actual

 

Low

 

High

 

Low

 

High

Implemented Providers

 

4,305

 

 

 

4,650

 

 

 

4,750

 

 

8.0

%

 

10.3

%

Attributed Lives

 

1,120,000

 

 

 

1,150,000

 

 

 

1,200,000

 

 

2.7

%

 

7.1

%

Practice Collections

$

2,839.0

 

 

$

2,775

 

 

$

2,875

 

 

(2.3

)%

 

1.3

%

GAAP Revenue

$

1,657.7

 

 

$

1,600

 

 

$

1,675

 

 

(3.5

)%

 

1.0

%

Care Margin

$

359.2

 

 

$

388

 

 

$

400

 

 

8.0

%

 

11.4

%

Platform Contribution

$

173.5

 

 

$

180

 

 

$

188

 

 

3.8

%

 

8.4

%

Adjusted EBITDAh

$

72.2

 

 

$

85

 

 

$

90

 

 

17.7

%

 

24.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  • Practice Collections guidance includes reduction of approximately $198 million from renegotiated Medicare Advantage capitation agreements, and assumes minimal year-over-year increase in Shared Savings accruals

  • Adjusted EBITDA guidance includes approximately $10-12 million in start-up costs for new geographies announced in last 15 months

  • Capital expenditures are expected to be less than $1 million in full-year 2024

  • Approximately 80% of Adjusted EBITDA expected to convert to free cash flow in FY 2024

  • Effective tax rate expected to be approximately 27-28%

g.

Management has not reconciled forward-looking non-GAAP measures to their most directly comparable GAAP measures of Gross Profit 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

h.

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.

 

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 financial press releases.

i.

Any slight variations in totals due to rounding.

 

 

Webcast and Conference Call Information

The Company will host a conference call on February 27, 2024, at 8:00 am ET to discuss these results and management’s outlook for future financial and operational performance. You can visit ir.priviahealth.com/news-and-events/events-and-presentations to listen to the call via live webcast. The webcast will be archived and available for replay for on-demand listening shortly after the completion of the call under the same link. If you wish to participate in the live conference call, then please go to https://register.vevent.com/register/BI4f3d577f597e4536bc0d4c9f66d273ff to preregister and obtain your dial-in number and passcode.

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

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. Our platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients 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 United States ("GAAP"). From time to time, in press releases, financial presentations, earnings conference calls or otherwise, the Company may disclose certain non-GAAP financial measures. The non-GAAP financial measures presented in this press release should not be viewed as alternatives or substitutes for the Company's reported GAAP results. A reconciliation to the most directly comparable GAAP financial measure is set forth in the tables that accompany this release.

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-K is filed with the Securities and Exchange Commission (“SEC”). This press release contains "forward-looking statements" within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. Such statements relate to our current expectations, projections and assumptions about our business, the economy and future events or conditions. They do not relate strictly to historical or current facts. Forward-looking statements can be identified by words such as “aims,” “anticipates,” "assumes," “believes,” “estimates,” “expects,” “forecasts,” “future,” “intends,” “likely,” “may,” “outlook,” “plans,” “potential,” “projects,” “seeks,” “strategy,” “targets,” “trends,” “will,” “would,” “could,” “should,” and variations of such terms and similar expressions and references to guidance, although some forward-looking statements may be expressed differently. In particular, these include statements relating to, among other things, our future actions, business plans, objectives and prospects; expectations for new health system and other partnerships, including to enter Ohio; and our future operating or financial performance and projections, including our full year guidance for 2024. Factors or events that could cause actual results to differ may emerge from time to time and are difficult to predict. Should known or unknown risks or uncertainties materialize, or should underlying assumptions prove inaccurate, actual results may differ materially from past results and those anticipated, estimated or projected. We caution you not to place undue reliance upon any of these forward-looking statements.

Factors related to these risks and uncertainties include, but are not limited to: compliance with applicable healthcare laws and government regulations in the heavily regulated industry in which the Company operates; the Company’s dependence on relationships with its medical groups, some of which the Company does not own; the Company’s growth strategy, which may not prove viable and the Company may not realize expected results; the Company’s inability to enter into a definitive agreement for its partnership in Ohio; difficulties implementing the Company’s proprietary end-to-end, cloud-based technology solution for Privia physicians and new medical groups; the high level of competition in the Company’s industry and the Company’s failure to compete and innovate; challenges in successfully establishing a presence in new geographic markets; the Company’s reliance on its electronic medical record vendor, which the Privia Technology Solution is integrated and built upon; changes in the payer mix of patients and potential decreases in the Company’s reimbursement rates as a result of consolidation among commercial payers; the Company’s use, disclosure, and other processing of personally identifiable information, including health information, is subject to the Health Insurance Portability and Accountability Act of 1996 and other federal and state privacy and security regulations; and those factors referenced in Part II, Item 1A, other important factors discussed under the caption “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023 and the Company’s subsequent Quarterly Reports on Form 10-Q. All information in this press release is as of the date of the release, and the Company undertakes no duty to update this information unless required by law.

Contact:
Robert Borchert
SVP, Investor & Corporate Communications
IR@priviahealth.com
817.783.4841

 

Privia Health Group, Inc.
Condensed Consolidated Statements of Operations(j)
(in thousands, except share and per share data)

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

 

2023

 

2022

 

2023

 

2022

 

(unaudited)

 

(unaudited)

 

(unaudited)

 

 

Revenue

$

440,828

 

 

$

364,424

 

 

$

1,657,737

 

 

$

1,356,660

 

 

 

 

 

 

 

 

 

Operating expenses:

 

 

 

 

 

 

 

Provider expense

 

349,378

 

 

 

284,368

 

 

 

1,298,573

 

 

 

1,051,040

 

Cost of platform

 

52,409

 

 

 

43,343

 

 

 

197,663

 

 

 

170,838

 

Sales and marketing

 

6,249

 

 

 

5,173

 

 

 

24,732

 

 

 

19,741

 

General and administrative

 

29,600

 

 

 

28,156

 

 

 

109,587

 

 

 

129,592

 

Depreciation and amortization

 

1,772

 

 

 

1,135

 

 

 

6,533

 

 

 

4,571

 

Total operating expenses

 

439,408

 

 

 

362,175

 

 

 

1,637,088

 

 

 

1,375,782

 

Operating income (loss)

 

1,420

 

 

 

2,249

 

 

 

20,649

 

 

 

(19,122

)

Interest (income) expense, net

 

(2,848

)

 

 

(1,152

)

 

 

(8,372

)

 

 

(542

)

Income (loss) before provision for (benefit from) income taxes

 

4,268

 

 

 

3,401

 

 

 

29,021

 

 

 

(18,580

)

Provision for (benefit from) income taxes

 

1,944

 

 

 

(13,447

)

 

 

7,993

 

 

 

(6,516

)

Net income (loss)

 

2,324

 

 

 

16,848

 

 

 

21,028

 

 

 

(12,064

)

Less: Loss attributable to non-controlling interests

 

(514

)

 

 

(928

)

 

 

(2,051

)

 

 

(3,479

)

Net income (loss) income attributable to Privia Health Group, Inc.

$

2,838

 

 

$

17,776

 

 

$

23,079

 

 

$

(8,585

)

Net income (loss) income per share attributable to Privia Health Group, Inc. stockholders – basic

$

0.02

 

 

$

0.16

 

 

$

0.20

 

 

$

(0.08

)

Net income (loss) income per share attributable to Privia Health Group, Inc. stockholders – diluted

$

0.02

 

 

$

0.14

 

 

$

0.19

 

 

$

(0.08

)

Weighted average common shares outstanding – basic

 

118,109,663

 

 

 

114,364,180

 

 

 

116,731,406

 

 

 

110,695,266

 

Weighted average common shares outstanding – diluted

 

124,831,553

 

 

 

124,142,657

 

 

 

124,686,067

 

 

 

110,695,266

 

(j) Any slight variations in totals due to rounding.

 

Privia Health Group, Inc.
Condensed Consolidated Balance Sheets(k)
(in thousands)

 

 

 

 

 

December 31, 2023

 

December 31, 2022

Assets

(unaudited)

 

 

Current assets:

 

 

 

Cash and cash equivalents

$

389,511

 

 

$

347,992

 

Accounts receivable

 

290,768

 

 

 

189,604

 

Prepaid expenses and other current assets

 

20,525

 

 

 

14,366

 

Total current assets

 

700,804

 

 

 

551,962

 

Non-current assets:

 

 

 

Property and equipment, net

 

2,325

 

 

 

3,386

 

Right-of-use asset

 

6,612

 

 

 

8,089

 

Intangible assets, net

 

107,630

 

 

 

57,387

 

Goodwill

 

138,749

 

 

 

126,938

 

Deferred tax asset

 

35,200

 

 

 

40,368

 

Other non-current assets

 

8,580

 

 

 

4,683

 

Total non-current assets

 

299,096

 

 

 

240,851

 

Total assets

$

999,900

 

 

$

792,813

 

 

 

 

 

Liabilities and stockholders’ equity

 

 

 

Current liabilities:

 

 

 

Accounts payable and accrued expenses

$

57,831

 

 

$

52,837

 

Provider liability

 

326,078

 

 

 

208,424

 

Operating lease liabilities, current

 

3,043

 

 

 

3,013

 

Total current liabilities

 

386,952

 

 

 

264,274

 

Non-current liabilities:

 

 

 

Operating lease liabilities, non-current

 

5,246

 

 

 

8,490

 

Other non-current liabilities

 

313

 

 

 

1,000

 

Total non-current liabilities

 

5,559

 

 

 

9,490

 

Total liabilities

 

392,511

 

 

 

273,764

 

Commitments and contingencies

 

 

 

Stockholders’ equity:

 

 

 

Common stock

 

1,182

 

 

 

1,148

 

Additional paid-in capital

 

753,869

 

 

 

714,639

 

Accumulated deficit

 

(193,614

)

 

 

(216,693

)

Total Privia Health Group, Inc. stockholders’ equity

 

561,437

 

 

 

499,094

 

Non-controlling interest

 

45,952

 

 

 

19,955

 

Total stockholders’ equity

 

607,389

 

 

 

519,049

 

Total liabilities and stockholders’ equity

$

999,900

 

 

$

792,813

 

(k) Any slight variations in totals are due to rounding.

 

Privia Health Group, Inc.
Condensed Consolidated Statements of Cash Flows(l)
(in thousands)

 

 

 

For the Years Ended December 31,

 

2023

 

2022

 

(unaudited)

 

 

Cash flows from operating activities

 

 

 

Net income (loss)

$

21,028

 

 

$

(12,064

)

Adjustments to reconcile loss to net cash provided by operating activities:

 

 

 

Depreciation

 

1,174

 

 

 

1,220

 

Amortization of intangibles

 

5,359

 

 

 

3,351

 

Amortization of debt issuance costs

 

 

 

 

687

 

Stock-based compensation

 

37,098

 

 

 

67,359

 

Deferred tax expense (benefit)

 

7,465

 

 

 

(7,004

)

Changes in asset and liabilities:

 

 

 

Accounts receivable

 

(96,877

)

 

 

(72,202

)

Prepaid expenses and other current assets

 

(6,159

)

 

 

(5,669

)

Other non-current assets and right-of-use asset

 

(2,418

)

 

 

1,383

 

Accounts payable and accrued expenses

 

4,994

 

 

 

6,852

 

Provider liability

 

113,367

 

 

 

67,716

 

Operating lease liabilities

 

(3,214

)

 

 

(2,433

)

Other long-term liabilities

 

(1,032

)

 

 

(2,000

)

Net cash provided by operating activities

 

80,785

 

 

 

47,196

 

Cash flows from investing activities

 

 

 

Purchases of property and equipment

 

(113

)

 

 

(104

)

Business acquisitions, net of cash acquired

 

(42,858

)

 

 

 

Net cash used in investing activities

 

(42,971

)

 

 

(104

)

Cash flows from financing activities

 

 

 

Repurchase of non-controlling interest

 

(5,694

)

 

 

 

Proceeds from non-controlling interest

 

659

 

 

 

125

 

Repayment of note payable

 

 

 

 

(33,250

)

Proceeds from exercised stock options

 

8,740

 

 

 

13,448

 

Net cash provided by (used in) financing activities

 

3,705

 

 

 

(19,677

)

Net increase in cash and cash equivalents

 

41,519

 

 

 

27,415

 

Cash and cash equivalents at beginning of period

 

347,992

 

 

 

320,577

 

Cash and cash equivalents at end of period

$

389,511

 

 

$

347,992

 

 

 

 

 

Supplemental disclosure of cash flow information:

 

 

 

Interest paid

$

40

 

 

$

713

 

Income taxes paid

$

1,040

 

 

$

307

 

(l) Any slight variations in totals are due to rounding.

Additional Financial Information

Revenues disaggregated by source:

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(Dollars in Thousands)

2023

 

2022

 

2023

 

2022

FFS-patient care

$

272,343

 

 

$

231,624

 

 

$

976,688

 

 

$

869,165

 

FFS-administrative services

 

29,741

 

 

 

23,018

 

 

 

113,154

 

 

 

94,929

 

Capitated revenue

 

85,248

 

 

 

57,687

 

 

 

338,729

 

 

 

218,463

 

Shared savings

 

39,838

 

 

 

42,319

 

 

 

170,143

 

 

 

132,615

 

Care management fees (PMPM)

 

10,615

 

 

 

8,023

 

 

 

50,519

 

 

 

35,541

 

Other revenue

 

3,043

 

 

 

1,754

 

 

 

8,504

 

 

 

5,947

 

Total Revenue

$

440,828

 

 

$

364,425

 

 

$

1,657,737

 

 

$

1,356,660

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Company’s liabilities for unpaid medical claims under at-risk capitation arrangements:

 

 

 

 

 

December 31,

(Dollars in Thousands)

 

2023

 

2022

Balance, beginning of period

 

$

28,617

 

 

$

 

Incurred health care costs

 

 

 

 

Current year

 

 

334,383

 

 

 

218,199

 

Prior years

 

 

2,436

 

 

 

 

Total claims incurred

 

$

336,819

 

 

$

218,199

 

Claims Paid

 

 

 

 

Current year

 

$

(270,810

)

 

$

(189,582

)

Prior years

 

 

(27,488

)

 

 

 

Total claims paid

 

$

(298,298

)

 

$

(189,582

)

Balance, end of period

 

$

67,138

 

 

$

28,617

 

 

 

 

 

 

 

 

 

 

Key Metrics and Non-GAAP Financial Measures

Privia Health reviews a number of operating and financial metrics, including the following key metrics and non-GAAP financial measures, to evaluate the Company’s business, measure performance, identify trends affecting the Company’s business, formulate business plans, and make strategic decisions.

Key Metrics(m)

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(unaudited; $ in millions)

 

2023

 

2022

 

2023

 

2022

 

 

 

 

 

 

 

 

 

Implemented Providers(n)

 

 

4,305

 

 

 

3,606

 

 

 

4,305

 

 

 

3,606

 

Attributed Lives(o)

 

 

1,120,000

 

 

 

856,000

 

 

 

1,120,000

 

 

 

856,000

 

Practice Collections(p)

 

$

756.6

 

 

$

634.8

 

 

$

2,839.0

 

 

$

2,424.1

 

 

 

 

 

 

 

 

 

 

(m)Any slight variations in totals are due to rounding.

(n)Implemented Providers is defined as the total of all service professionals on Privia Health’s platform at the end of a given period who are credentialed by Privia Health and billed for medical services, in both Owned and Non-Owned Medical Groups during that period.

(o)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 services as of the end of a particular period.

(p)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.

 

Non-GAAP Financial Measures (q)(r)

 

 

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(unaudited; $ in thousands)

 

2023

 

2022

 

2023

 

2022

 

 

 

 

 

 

 

 

 

Care Margin

 

$

91,450

 

 

$

80,056

 

 

$

359,164

 

 

$

305,620

 

Platform Contribution

 

$

42,282

 

 

$

39,089

 

 

$

173,481

 

 

$

148,540

 

Platform Contribution Margin

 

 

46.2

%

 

 

48.8

%

 

 

48.3

%

 

 

48.6

%

Adjusted EBITDA

 

$

17,279

 

 

$

14,265

 

 

$

72,228

 

 

$

60,852

 

Adjusted EBITDA Margin

 

 

18.9

%

 

 

17.8

%

 

 

20.1

%

 

 

19.9

%

 

 

 

 

 

 

 

 

 

(q)In addition to results reported in accordance with GAAP, Privia Health discloses Care Margin, Platform Contribution, Platform Contribution margin, Adjusted EBITDA and Adjusted EBITDA margin, which are non-GAAP financial measures. Each are defined as follows:

  • Care Margin is Gross Profit excluding amortization of intangible assets.

  • Platform Contribution is Gross Profit, excluding amortization of intangible assets, less Cost of platform and excluding stock-based compensation expense included in Cost of platform.

  • Platform Contribution margin is Platform Contribution divided by Care Margin.

  • Adjusted EBITDA is net income (loss) attributable to Privia Health Group, Inc. shareholders and subsidiaries excluding non-controlling interests, provision for (benefit from) income taxes, interest income, interest expense, depreciation and amortization, stock-based compensation, employer taxes on equity vesting/exercises, severance charges and other nonrecurring expenses.

  • Adjusted EBITDA Margin is Adjusted EBITDA divided by Care Margin.

(r)Any slight variations in totals are due to rounding.

 

Reconciliation of Gross Profit to Care Margin(s)

 

 

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(unaudited; $ in thousands)

 

2023

 

2022

 

2023

 

2022

Revenue

 

$

440,828

 

 

$

364,424

 

 

$

1,657,737

 

 

$

1,356,660

 

Provider expense

 

 

(349,378

)

 

 

(284,368

)

 

 

(1,298,573

)

 

 

(1,051,040

)

Amortization of intangible assets

 

 

(1,477

)

 

 

(842

)

 

 

(5,359

)

 

 

(3,351

)

Gross Profit

 

$

89,973

 

 

$

79,214

 

 

$

353,805

 

 

$

302,269

 

Amortization of intangible assets

 

 

1,477

 

 

 

842

 

 

 

5,359

 

 

 

3,351

 

Care margin

 

$

91,450

 

 

$

80,056

 

 

$

359,164

 

 

$

305,620

 

(s)Any slight variations in totals are due to rounding.

 

Reconciliation of Gross Profit to Platform Contribution(t)

 

 

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(unaudited; $ in thousands)

 

2023

 

2022

 

2023

 

2022

Revenue

 

$

440,828

 

 

$

364,424

 

 

$

1,657,737

 

 

$

1,356,660

 

Provider expense

 

 

(349,378

)

 

 

(284,368

)

 

 

(1,298,573

)

 

 

(1,051,040

)

Amortization of intangible assets

 

 

(1,477

)

 

 

(842

)

 

 

(5,359

)

 

 

(3,351

)

Gross Profit

 

 

89,973

 

 

 

79,214

 

 

 

353,805

 

 

 

302,269

 

Amortization of intangible assets

 

 

1,477

 

 

 

842

 

 

 

5,359

 

 

 

3,351

 

Cost of platform

 

 

(52,409

)

 

 

(43,343

)

 

 

(197,663

)

 

 

(170,838

)

Stock-based compensation(u)

 

 

3,241

 

 

 

2,376

 

 

 

11,980

 

 

 

13,758

 

Platform Contribution

 

$

42,282

 

 

$

39,089

 

 

$

173,481

 

 

$

148,540

 

(t)Any slight variations in totals are due to rounding.

(u)Amount represents stock-based compensation expense included under Cost of Platform.

 

Reconciliation of Net Income (Loss) to Adjusted EBITDA(v)

 

 

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(unaudited; $ in thousands)

 

2023

 

2022

 

2023

 

2022

Net income (loss)

 

$

2,838

 

 

$

17,776

 

 

$

23,079

 

 

$

(8,585

)

Net (loss) attributable to non-controlling interests

 

 

(514

)

 

 

(928

)

 

 

(2,051

)

 

 

(3,479

)

Provision for (benefit from) income taxes

 

 

1,944

 

 

 

(13,447

)

 

 

7,993

 

 

 

(6,516

)

Interest expense

 

 

(2,848

)

 

 

(1,152

)

 

 

(8,372

)

 

 

(542

)

Depreciation and amortization

 

 

1,772

 

 

 

1,135

 

 

 

6,533

 

 

 

4,571

 

Stock-based compensation

 

 

11,669

 

 

 

9,175

 

 

 

37,098

 

 

 

67,359

 

Other expenses(w)

 

 

2,418

 

 

 

1,706

 

 

 

7,948

 

 

 

8,044

 

Adjusted EBITDA

 

$

17,279

 

 

$

14,265

 

 

$

72,228

 

 

$

60,852

 

 

 

 

 

 

 

 

 

 

(v)Any slight variations in totals are due to rounding.

(w)Other expenses include employer taxes on equity vesting/exercises, legal, severance and certain non-recurring costs. Employer taxes on equity vesting/exercises of $1.6 million and $3.2 million were recorded for the years ended December 31, 2023 and 2022, respectively.

 

Reconciliation of Net Income (Loss) to Adjusted Net Income and Adjusted Net Income Per Share(x)

 

 

 

 

 

For the Three Months Ended December 31,

 

For the Years Ended December 31,

(unaudited; $ in thousands)

2023

 

2022

 

2023

 

2022

Net income (loss)

$

2,838

 

 

$

17,776

 

 

$

23,079

 

 

$

(8,585

)

Stock-based compensation

 

11,669

 

 

 

9,175

 

 

 

37,098

 

 

 

67,359

 

Intangible amortization expense

 

1,477

 

 

 

842

 

 

 

5,359

 

 

 

3,351

 

Provision for (benefit from) income tax

 

1,944

 

 

 

(13,447

)

 

 

7,993

 

 

 

(6,516

)

Other expenses(y)

 

2,418

 

 

 

1,706

 

 

 

7,948

 

 

 

8,044

 

Adjusted net income attributable to Privia Health Group, Inc.

$

20,346

 

 

$

16,052

 

 

$

81,477

 

 

$

63,653

 

Adjusted net income per share attributable to Privia Health Group, Inc. stockholders – basic

$

0.16

 

 

$

0.14

 

 

$

0.69

 

 

$

0.58

 

Adjusted net income per share attributable to Privia Health Group, Inc. stockholders – diluted

$

0.15

 

 

$

0.13

 

 

$

0.64

 

 

$

0.52

 

Weighted average common shares outstanding – basic

 

118,109,663

 

 

 

114,364,180

 

 

 

116,731,406

 

 

 

110,695,266

 

Weighted average common shares outstanding – diluted

 

124,924,442

 

 

 

124,142,657

 

 

 

125,084,821

 

 

 

122,952,853

 

(x)Any slight variations in totals due to rounding.

(y)Other expenses include employer taxes on equity vesting/exercises, legal, severance and certain non-recurring costs. Employer taxes on equity vesting/exercises of $1.6 million and $3.2 million were recorded for the years ended December 31, 2023 and 2022, respectively.