Privia Health Group
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Privia Health Group (PRVA) investor relations material

Privia Health Group Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary7 May, 2026

Executive summary

  • Achieved strong first quarter performance with 25.8% year-over-year revenue growth, robust operational execution, and double-digit increases in providers and attributed lives, reinforcing a national presence in primary care across 24 states and D.C.

  • Practice collections increased 14.6% year-over-year to $914.8 million, driven by provider and attribution growth.

  • Adjusted EBITDA rose 36.3% to $36.7 million, reflecting organic growth, acquisitions, and margin expansion.

  • Net income attributable to stockholders was $3.1 million, down from $4.2 million in Q1 2025, primarily due to higher tax rates and increased operating expenses.

  • Maintained a robust balance sheet with $419.5 million in cash and no debt at quarter-end.

Financial highlights

  • Total revenue reached $603.8 million, up 25.8% year-over-year; gross profit rose 21.2% to $125.6 million.

  • Care Margin was $128.7 million (up 22.3%), and Platform Contribution was $67.0 million (up 29.6%), with Platform Contribution Margin improving to 52.1%.

  • Adjusted EBITDA Margin increased to 28.5% from 25.6% year-over-year.

  • Net income per diluted share was $0.02, compared to $0.03 in Q1 2025; adjusted net income per share was $0.19, up from $0.16.

  • Practice Collections totaled $914.8 million, up 14.6% year-over-year.

Outlook and guidance

  • Full-year 2026 guidance reiterated for all major metrics, with Attributed Lives guidance raised to 1.6–1.625 million due to strong Q1 growth.

  • FY2026 revenue expected between $3.65 billion and $3.75 billion; adjusted EBITDA guidance $145 million–$155 million, with approximately 80% conversion to free cash flow.

  • Guidance does not assume new business development activity, though a robust pipeline exists.

  • Management expects continued revenue and margin growth through provider and patient base expansion, new market entries, and increased value-based care penetration.

  • Investments in technology, sales, and operations are planned to support long-term growth and VBC transition.

Why raise lives guidance but not collections?
Reason for lower 2026 FCF conversion guidance
Strategy for CMS Medicare maximum risk lives
Reason for raising only Attributed Lives guidance
Drivers of the 56% shared savings revenue growth
Factors for 80% Adjusted EBITDA to FCF conversion
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