greeksoup/ stock research

Privia Health Group, Inc.: Q4 FY2025 earnings call

What management said about Q4 FY2025, from the documents filed with the SEC on 26 February 2026: press release. Guidance figures: 9 new. The quarter’s numbers.

Key takeaways

  • Full-year revenue and operating income rose: Full-year 2025 revenue was $2,122.8 million, up 22.3%. Operating income was $34.2 million, up 101.6%. Net income attributable to Privia was $22.9 million, or $0.18 per diluted share, up 59.3%. Source
  • Adjusted EBITDA and adjusted EPS rose: Adjusted EBITDA was $125.5 million, up 38.8%. Non-GAAP adjusted net income per diluted share was $0.99, up 26.9%. Source
  • Adjusted EBITDA margin rose: Full-year Adjusted EBITDA margin was 27.2%, against 22.4%, and Platform Contribution margin was 50.8%, against 48.4%. Fourth-quarter Adjusted EBITDA margin was 27.0%, against 23.1%. Source
  • Capitated revenue rose to $308.5 million: Full-year capitated revenue was $308.5 million, against $213.0 million. Fourth-quarter capitated revenue was $71.4 million, against $51.9 million. Source
  • Operating cash flow equalled free cash flow: Net cash provided by operating activities was $163.4 million, against $109.3 million. Free cash flow was also $163.4 million, with no capital expenditures shown for 2025. Source
  • Cash balance with no debt: Cash and cash equivalents were $479.7 million at December 31, 2025, against $491.1 million a year earlier, with no debt. Source

“Each of the Company’s operating and financial performance metrics were at or above the high end of its guidance ranges for 2025, as highlighted below.”

Privia Health Group, Inc., press release

Guidance

AreaPeriodFigureAgainst last quarter
Implemented Providers Sourcefull-year 20265,900 to 6,000New
Attributed Lives Sourcefull-year 20261,550,000 to 1,600,000New
Practice Collections Sourcefull-year 2026$3,650 to $3,750 millionNew
GAAP Revenue Sourcefull-year 2026$2,350 to $2,450 millionNew
Care Margin Sourcefull-year 2026$515 to $530 millionNew
Platform Contribution Sourcefull-year 2026$260 to $270 millionNew
Adjusted EBITDA Sourcefull-year 2026$145 to $155 millionNew
Free cash flow conversion Sourcefull-year 2026approximately 80% of Adjusted EBITDANew
Year-end cash and cash equivalents Sourceend of full-year 2026approximately $600 millionNew

What changed from last quarter

  • New guidance: FY2026 operating and financial guidance issued for implemented providers, attributed lives, Practice Collections, GAAP revenue, Care Margin, Platform Contribution and Adjusted EBITDA. The release says it does not assume new business development activity. Source
  • New: Stated presence is now 24 states plus the District of Columbia, up from 15 states plus the District of Columbia in the November release. Source

Full-year 2025 results

  • Full-year revenue and operating income rose: Full-year 2025 revenue was $2,122.8 million, up 22.3%. Operating income was $34.2 million, up 101.6%. Net income attributable to Privia was $22.9 million, or $0.18 per diluted share, up 59.3%. Source
  • Adjusted EBITDA and adjusted EPS rose: Adjusted EBITDA was $125.5 million, up 38.8%. Non-GAAP adjusted net income per diluted share was $0.99, up 26.9%. Source
  • Practice Collections and providers grew: Practice Collections were $3,470.5 million, up 16.9%. Implemented Providers ended the year at 5,380, up 12.3%. Source

Fourth-quarter results

  • Fourth-quarter revenue rose 17.4%: Fourth-quarter revenue was $541.2 million, up 17.4%, and gross profit was $114.0 million, up 7.4%. Operating income was $11.3 million, up 114.9%. Source
  • Fourth-quarter Adjusted EBITDA up 26.4%: Fourth-quarter Adjusted EBITDA was $31.5 million, up 26.4%. Fourth-quarter net income was $9.2 million, up 108.0%. Source
  • Care Margin and platform contribution grew: Fourth-quarter Care Margin was $116.5 million, up 8.1%. Platform Contribution was $55.1 million, up 3.4%. Source

“Continuing to perform in value-based risk arrangements for positive margin contribution in challenging Medicare Advantage (MA) market;”

Privia Health Group, Inc., press release

Costs and margins

  • Provider and platform costs increased: Full-year provider expense was $1,660.7 million, against $1,332.5 million. Cost of platform was $252.7 million, against $227.0 million. Source
  • Adjusted EBITDA margin rose: Full-year Adjusted EBITDA margin was 27.2%, against 22.4%, and Platform Contribution margin was 50.8%, against 48.4%. Fourth-quarter Adjusted EBITDA margin was 27.0%, against 23.1%. Source
  • Stock compensation and G&A higher: Stock-based compensation was $71.1 million for full-year 2025, against $56.7 million. General and administrative expense was $138.2 million, against $126.2 million. Source

Revenue mix and contracts

  • Capitated revenue rose to $308.5 million: Full-year capitated revenue was $308.5 million, against $213.0 million. Fourth-quarter capitated revenue was $71.4 million, against $51.9 million. Source
  • Fee-for-service revenue increased: FFS-patient care revenue was $1,360.2 million for full-year 2025, against $1,146.2 million. FFS-administrative services revenue was $137.0 million, against $125.4 million. Source
  • Care management and shared savings: Care management fees were $73.1 million, against $64.1 million. Shared savings revenue was $234.8 million, against $179.2 million for full-year 2025 and 2024. Source

Cash, balance sheet and capital

  • Operating cash flow equalled free cash flow: Net cash provided by operating activities was $163.4 million, against $109.3 million. Free cash flow was also $163.4 million, with no capital expenditures shown for 2025. Source
  • Cash balance with no debt: Cash and cash equivalents were $479.7 million at December 31, 2025, against $491.1 million a year earlier, with no debt. Source
  • Acquisitions made up most investing outflow: Acquisitions used $180.4 million net of cash acquired in 2025, against $7.0 million in 2024. Goodwill rose to $209.8 million from $141.6 million. Source
  • Receivables and provider liability rose: Accounts receivable, net, was $400.9 million at year-end, against $316.2 million. Provider liability was $469.5 million, against $364.6 million. Source

2026 focus areas

  • Organic growth in existing states: Management lists organic provider growth in existing states among its key areas of focus in 2026. Source
  • Business development to new states: Management plans disciplined business development to enter new states and expand in existing states to increase addressable market. Source
  • Operating leverage for Adjusted EBITDA growth: Management names operating leverage as a means to drive Adjusted EBITDA growth in 2026. Source

Footprint and provider network

  • Practice network across partners: The company works with medical groups, health plans and health systems. It states 1,300+ physician practices, against 1,340+ in the November release. Source
  • Physicians and advanced practitioners: The company states it rewards 5,300+ physicians and advanced practitioners, up from 5,200+ in the November release. Source
  • Stated mission on healthcare delivery: The company states its mission as transforming healthcare delivery to achieve better outcomes and lower costs, and to improve community health. Source

Coming up, as management said on 26 February 2026

  • Reconciliations in future releases: Details of the non-GAAP add-backs will be found in reconciliation schedules in this and future quarterly releases. Source

Figures management reported

FigureReported
Attributed lives (membership) Source1,541,000
Patient volumes Source5.8+ million patients

Risks management discussed

  • Demand: Management describes the Medicare Advantage market as challenging for value-based risk arrangements. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.