- Practice Collections +7.4% compared to 1Q’23
- Implemented Providers +17.3% compared to 1Q’23
- Company Reiterated Full Year 2024 Guidance
For the Three Months Ended | |||||||||||
($ in millions, except per share amounts) | 2024 | 2023 | Change (%) | ||||||||
Total revenue | $ | 415.2 | $ | 386.3 | 7.5 | % | |||||
Gross profit | $ | 93.4 | $ | 83.0 | 12.5 | % | |||||
Operating income | $ | 0.8 | $ | 6.7 | (87.7 | ) | % | ||||
Net income a | $ | 3.0 | $ | 7.3 | (59.3 | ) | % | ||||
Non-GAAP adjusted net income b | $ | 22.5 | $ | 19.3 | 16.6 | % | |||||
Net income per share | $ | 0.03 | $ | 0.06 | (50.0 | ) | % | ||||
Non-GAAP adjusted net income per share | $ | 0.18 | $ | 0.16 | 12.5 | % |
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 2024 highlights include:
- Practice Collections of
$707.7M , +7.4% versus 1Q’23, which includes a year-over-year reduction due to a shift of capitation risk exposure for improved economic terms; - Adjusted EBITDA of
$19.9M , +18.1% versus 1Q’23; - Continued strength in same-store growth and new provider additions, +17.3% versus 1Q’23; and
- Strong sales and business development pipeline.
Key Operating and Non-GAAP Financial Metrics
For the Three Months Ended | |||||||||||
($ in millions) | 2024 | 2023 | Change (%) | ||||||||
Implemented Providers | 4,359 | 3,716 | 17.3 | % | |||||||
Value-Based Care Attributed Lives | 1,143,000 | 1,037,000 | 10.2 | % | |||||||
Practice Collections | $ | 707.7 | $ | 658.9 | 7.4 | % | |||||
Care Margin | $ | 94.9 | $ | 84.0 | 13.0 | % | |||||
Platform Contribution | $ | 44.7 | $ | 41.4 | 8.1 | % | |||||
Adjusted EBITDA | $ | 19.9 | $ | 16.9 | 18.1 | % |
Financial and Business Outlook c d e f
FY 2023 | FY 2024 Guidance c | 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 | 3.7% | 8.4% | |||||||
Adjusted EBITDAe | $ | 72.2 | $ | 85 | $ | 90 | 17.7% | 24.7% |
- 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 18 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%
c. | Management has not reconciled forward-looking non-GAAP measures to their most directly comparable GAAP measures of gross margin, 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. |
d. | 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. |
e. | 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. |
f. | 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 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 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
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 successfully enter new markets; 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 discussed under the caption “Risk Factors” in the Company’s 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 | |||||||
2024 | 2023 | ||||||
Revenue | $ | 415,243 | $ | 386,276 | |||
Operating expenses: | |||||||
Provider expense | 320,336 | 302,255 | |||||
Cost of platform | 54,057 | 44,730 | |||||
Sales and marketing | 6,085 | 5,286 | |||||
General and administrative | 32,121 | 25,951 | |||||
Depreciation and amortization | 1,821 | 1,340 | |||||
Total operating expenses | 414,420 | 379,562 | |||||
Operating income | 823 | 6,714 | |||||
Interest income, net | (2,984 | ) | (1,813 | ) | |||
Income before provision for income taxes | 3,807 | 8,527 | |||||
Provision for income taxes | 751 | 2,125 | |||||
Net income | 3,056 | 6,402 | |||||
Less: Net income (loss) attributable to non-controlling interests | 72 | (922 | ) | ||||
Net income attributable to | $ | 2,984 | $ | 7,324 | |||
Net income per share attributable to | $ | 0.03 | $ | 0.06 | |||
Net income per share attributable to | $ | 0.02 | $ | 0.06 | |||
Weighted average common shares outstanding – basic | 118,505,320 | 115,009,010 | |||||
Weighted average common shares outstanding – diluted | 125,053,404 | 124,328,964 | |||||
(g) Any slight variations in totals due to rounding. |
Condensed Consolidated Balance Sheets(h) | |||||||
(in thousands) | |||||||
Assets | (unaudited) | ||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 351,136 | $ | 389,511 | |||
Accounts receivable | 346,088 | 290,768 | |||||
Prepaid expenses and other current assets | 30,916 | 20,525 | |||||
Total current assets | 728,140 | 700,804 | |||||
Non-current assets: | |||||||
Property and equipment, net | 2,038 | 2,325 | |||||
Operating right-of-use asset | 6,159 | 6,612 | |||||
Intangible assets, net | 106,103 | 107,630 | |||||
139,457 | 138,749 | ||||||
Deferred tax asset | 34,337 | 35,200 | |||||
Other non-current assets | 15,352 | 8,580 | |||||
Total non-current assets | 303,446 | 299,096 | |||||
Total assets | $ | 1,031,586 | $ | 999,900 | |||
Liabilities and stockholders’ equity | |||||||
Current liabilities: | |||||||
Accounts payable and accrued expenses | $ | 50,651 | $ | 57,831 | |||
Provider liability | 350,286 | 326,078 | |||||
Operating lease liabilities, current | 2,861 | 3,043 | |||||
Total current liabilities | 403,798 | 386,952 | |||||
Non-current liabilities: | |||||||
Operating lease liabilities, non-current | 4,651 | 5,246 | |||||
Other non-current liabilities | 313 | 313 | |||||
Total non-current liabilities | 4,964 | 5,559 | |||||
Total liabilities | 408,762 | 392,511 | |||||
Commitments and contingencies | |||||||
Stockholders’ equity: | |||||||
Common stock | 1,187 | 1,182 | |||||
Additional paid-in capital | 766,243 | 753,869 | |||||
Accumulated deficit | (190,630 | ) | (193,614 | ) | |||
576,800 | 561,437 | ||||||
Non-controlling interest | 46,024 | 45,952 | |||||
Total stockholders’ equity | 622,824 | 607,389 | |||||
Total liabilities and stockholders’ equity | $ | 1,031,586 | $ | 999,900 | |||
(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 | |||||||
2024 | 2023 | ||||||
Cash flows from operating activities | |||||||
Net income | $ | 3,056 | $ | 6,402 | |||
Adjustments to reconcile net income to net cash used in operating activities: | |||||||
Depreciation | 294 | 291 | |||||
Amortization of intangibles | 1,527 | 1,049 | |||||
Stock-based compensation | 11,904 | 5,381 | |||||
Deferred tax expense | 863 | 1,865 | |||||
Changes in asset and liabilities: | |||||||
Accounts receivable | (55,320 | ) | (71,277 | ) | |||
Prepaid expenses and other current assets | (10,391 | ) | (2,301 | ) | |||
Other non-current assets and right-of-use asset | (1,321 | ) | 493 | ||||
Accounts payable and accrued expenses | (7,180 | ) | (6,537 | ) | |||
Provider liability | 24,208 | 51,944 | |||||
Operating lease liabilities | (777 | ) | (694 | ) | |||
Net cash used in operating activities | (33,137 | ) | (13,384 | ) | |||
Cash from investing activities | |||||||
Business acquisitions, net of cash acquired | (707 | ) | (24,856 | ) | |||
Other | (5,006 | ) | — | ||||
Net cash used in investing activities | (5,713 | ) | (24,856 | ) | |||
Cash flows from financing activities | |||||||
Proceeds from exercised stock options | 475 | 1,477 | |||||
Net cash provided by financing activities | 475 | 1,477 | |||||
Net decrease in cash and cash equivalents | (38,375 | ) | (36,763 | ) | |||
Cash and cash equivalents at beginning of period | 389,511 | 347,992 | |||||
Cash and cash equivalents at end of period | $ | 351,136 | $ | 311,229 | |||
Supplemental disclosure of cash flow information: | |||||||
Interest paid | $ | 93 | $ | 22 | |||
Income tax refunds received | $ | (230 | ) | $ | (5 | ) | |
(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) | 2024 | 2023 | |||||
FFS-patient care | $ | 274,823 | $ | 227,789 | |||
FFS-administrative services | 29,076 | 26,396 | |||||
Capitated revenue | 51,304 | 78,260 | |||||
Shared savings | 47,464 | 43,928 | |||||
Care management fees (PMPM) | 10,603 | 8,558 | |||||
Other revenue | 1,973 | 1,345 | |||||
Total Revenue | $ | 415,243 | $ | 386,276 |
The Company’s liabilities for unpaid medical claims under at-risk capitation arrangements:
(Dollars in Thousands) | 2024 | 2023 | |||||
Balance, beginning of period | $ | 67,138 | $ | 28,617 | |||
Incurred health care costs: | |||||||
Current year | 51,040 | 75,632 | |||||
Prior years | 600 | 3,268 | |||||
Total claims incurred | $ | 51,640 | $ | 78,900 | |||
Claims paid: | |||||||
Current year | (2,072 | ) | (29,716 | ) | |||
Prior year | (42,185 | ) | (28,079 | ) | |||
Total claims paid | $ | (44,257 | ) | $ | (57,795 | ) | |
Balance, end of period | $ | 74,521 | $ | 49,722 |
Key Metrics and Non-GAAP Financial Measures
Key Metrics(j)
For the Three Months Ended | |||||||
(unaudited; $ in millions) | 2024 | 2023 | |||||
Implemented Providers (as of end of period) (1) | 4,359 | 3,716 | |||||
Attributed Lives (as of end of period) (2) | 1,143,000 | 1,037,000 | |||||
Practice Collections (3) | $ | 707.7 | $ | 658.9 | |||
(1) 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 | |||||||
(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 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) | 2024 | 2023 | |||||
Care Margin | $ | 94,907 | $ | 84,021 | |||
Platform Contribution | $ | 44,737 | $ | 41,398 | |||
Platform Contribution Margin | 47.1 | % | 49.3 | % | |||
Adjusted EBITDA | $ | 19,922 | $ | 16,864 | |||
Adjusted EBITDA Margin | 21.0 | % | 20.1 | % |
(4) In addition to results reported in accordance with GAAP, | ||
• | 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 attributable to | |
• | Adjusted EBITDA Margin is Adjusted EBITDA divided by Care Margin. | |
(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) | 2024 | 2023 | |||||
Revenue | $ | 415,243 | $ | 386,276 | |||
Provider expense | (320,336 | ) | (302,255 | ) | |||
Amortization of intangible assets | (1,527 | ) | (1,049 | ) | |||
Gross Profit | $ | 93,380 | $ | 82,972 | |||
Amortization of intangibles assets | 1,527 | 1,049 | |||||
Care margin | $ | 94,907 | $ | 84,021 | |||
(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) | 2024 | 2023 | |||||
Revenue | $ | 415,243 | $ | 386,276 | |||
Provider expense | (320,336 | ) | (302,255 | ) | |||
Amortization of intangibles assets | (1,527 | ) | (1,049 | ) | |||
Gross Profit | $ | 93,380 | $ | 82,972 | |||
Amortization of intangibles assets | 1,527 | 1,049 | |||||
Cost of platform | (54,057 | ) | (44,730 | ) | |||
Stock-based compensation(5) | 3,887 | 2,107 | |||||
Platform Contribution | $ | 44,737 | $ | 41,398 | |||
(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) | 2024 | 2023 | |||||
Net income | $ | 2,984 | $ | 7,324 | |||
Net income (loss) attributable to non-controlling interests | 72 | (922 | ) | ||||
Provision for income taxes | 751 | 2,125 | |||||
Interest income, net | (2,984 | ) | (1,813 | ) | |||
Depreciation and amortization | 1,821 | 1,340 | |||||
Stock-based compensation | 11,904 | 5,381 | |||||
Other expenses(6) | 5,374 | 3,429 | |||||
Adjusted EBITDA | $ | 19,922 | $ | 16,864 | |||
(n) Any slight variations in totals are due to rounding. | |||||||
(6) Other expenses include employer taxes on equity vesting/exercises, severance and certain non-recurring costs. |
Reconciliation of Net Income to Adjusted Net Income and Adjusted Net Income Per Share(o)
For the Three Months Ended | |||||||
(unaudited; $ in thousands) | 2024 | 2023 | |||||
Net income | $ | 2,984 | $ | 7,324 | |||
Stock-based compensation | 11,904 | 5,381 | |||||
Intangible amortization expense | 1,527 | 1,049 | |||||
Provision for income tax | 751 | 2,125 | |||||
Other expenses(7) | 5,374 | 3,429 | |||||
Adjusted net income | $ | 22,540 | $ | 19,308 | |||
Adjusted net income per share attributable to | $ | 0.19 | $ | 0.17 | |||
Adjusted net income per share attributable to | $ | 0.18 | $ | 0.16 | |||
Weighted average common shares outstanding – basic | 118,505,320 | 115,009,010 | |||||
Weighted average common shares outstanding – diluted | 125,053,404 | 124,328,964 | |||||
(o) Any slight variations in totals due to rounding. | |||||||
(7) Other expenses include employer taxes on equity vesting/exercises, severance and certain non-recurring costs. | |||||||
Source:
2024 GlobeNewswire, Inc., source