greeksoup/ stock research

Privia Health Group, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 5 November 2026: press release. Guidance figures: 7 raised, 1 narrowed, 1 new. The quarter’s numbers.

Key takeaways

  • Revenue rose 13.2% in quarter: Third-quarter revenue was $657.0 million against $580.4 million. Nine-month revenue was $1,893.4 million, up 19.7% from $1,581.7 million. Source
  • Adjusted EBITDA rose 6.3% in quarter: Adjusted EBITDA was $40.6 million against $38.2 million. Nine-month Adjusted EBITDA was $114.7 million, up 21.9% from $94.1 million. Source
  • Shared savings revenue fell in quarter: Shared savings revenue was $68.8 million in the third quarter against $80.0 million. Nine-month shared savings were $212.7 million, up from $187.9 million. Source
  • Attributed lives reached 1,676,000: Value-based care attributed lives were 1,676,000 at quarter end, up 19.2% from 1,406,000 a year earlier. Source
  • Platform margin narrowed in quarter: Platform Contribution margin was 53.5% in the third quarter against 56.3% a year earlier. Nine-month margin was 52.6% against 52.0%. Source
  • Adjusted EBITDA margin fell in quarter: Adjusted EBITDA margin was 29.4% against 30.5%. Nine-month margin was 28.8% against 27.2%. The company defines this margin as Adjusted EBITDA divided by Care Margin. Source
  • MSSP business bought for cash: Privia paid approximately $36 million at closing from balance sheet cash for the American Choice MSSP business, which closed at the end of October. Source
  • Montana partnership ends with 69 providers: The Montana partnership supports 69 providers and about $23 million of annual Practice Collections. No material Adjusted EBITDA impact is expected in 2027. Source
  • Operating cash flow negative for nine months: Net cash used in operating activities was $19.4 million for nine months, against $35.9 million provided a year earlier. Accounts receivable rose $221.8 million. Source

“The transaction is expected to have minimal impact on all key metrics in 2026 and positively contribute to Attributed Lives and Adjusted EBITDA in 2027.”

Privia Health Group, Inc., press release

Guidance

AreaPeriodFigureAgainst last quarter
Implemented providers SourceFY 20265,900 to 6,000, high endRaised from 5,900 to 6,000
Attributed lives SourceFY 20261,675,000 - 1,690,000Raised from 1,625,000 - 1,650,000
Practice Collections ($ millions) SourceFY 20263,900 - 3,950Raised from 3,650 - 3,750
GAAP revenue ($ millions) SourceFY 20262,500 - 2,550Raised from 2,350 - 2,450
Care Margin ($ millions) SourceFY 2026535 - 540Raised from 515 - 530
Platform Contribution ($ millions) SourceFY 2026280 - 285Raised from 260 - 270
Adjusted EBITDA ($ millions) SourceFY 2026154 - 157Raised from 145 - 155
Adjusted EBITDA to free cash flow conversion SourceFY 2026approximately 70%Narrowed, top end cut from 70-80%
Cash and cash equivalents at year end SourceEnd of 2026at least $520 millionNew

What changed from last quarter

  • Guidance raised: Full-year 2026 guidance was raised to above the high end of prior ranges for all key financial metrics. Source
  • Guidance lowered: Free cash flow conversion guidance moved from 70-80% of Adjusted EBITDA in the August update to approximately 70%, with the MSSP settlement timing assumption retained.
  • New guidance: Year-end 2026 cash and cash equivalents guidance of at least $520 million was given for the first time. Source
  • New: Company announced the acquisition of the American Choice Healthcare MSSP business from Cano Health, adding Medicare Shared Savings Program lives. Source
  • Ended: Partnership with Surgery Partners in Montana ends effective January 2027. Source

Third-quarter and nine-month results

  • Revenue rose 13.2% in quarter: Third-quarter revenue was $657.0 million against $580.4 million. Nine-month revenue was $1,893.4 million, up 19.7% from $1,581.7 million. Source
  • Operating income rose 42.6%: Third-quarter operating income was $20.5 million against $14.4 million. Nine-month operating income was $39.7 million against $23.0 million. Source
  • Quarterly net income attributable rose: Third-quarter net income attributable to Privia was $13.5 million against $6.9 million, or $0.10 diluted per share against $0.05. Stock compensation was $14.0 million. Source
  • Adjusted EBITDA rose 6.3% in quarter: Adjusted EBITDA was $40.6 million against $38.2 million. Nine-month Adjusted EBITDA was $114.7 million, up 21.9% from $94.1 million. Source
  • Nine-month net income rose 85.9%: Nine-month net income attributable to Privia was $25.6 million against $13.8 million. Nine-month diluted EPS was $0.19 against $0.11. Source
  • Adjusted diluted EPS rose 10.5%: Third-quarter non-GAAP adjusted net income per diluted share was $0.21 against $0.19. Nine-month figure was $0.59 against $0.51. Source

Revenue mix by source

  • Patient-care fee-for-service grew most: FFS-patient care revenue was $433.1 million in the third quarter against $352.6 million, and $1,236.9 million for nine months against $995.8 million. Source
  • Shared savings revenue fell in quarter: Shared savings revenue was $68.8 million in the third quarter against $80.0 million. Nine-month shared savings were $212.7 million, up from $187.9 million. Source
  • Capitated revenue rose in quarter: Capitated revenue was $99.5 million against $90.9 million. Nine-month capitated revenue was $280.8 million against $237.1 million. Source
  • Care management fees fell in quarter: Care management fees (PMPM) were $19.4 million in the third quarter against $21.0 million. Nine-month figure was $58.0 million against $53.1 million. Source

“Guidance does not assume any new business development activity”

Privia Health Group, Inc., press release

Value-based care footprint and providers

  • Attributed lives reached 1,676,000: Value-based care attributed lives were 1,676,000 at quarter end, up 19.2% from 1,406,000 a year earlier. Source
  • Implemented providers rose 12.2%: Implemented providers were 5,893 at quarter end, against 5,250 a year earlier. Source
  • Company describes its presence: The company describes its presence as 25 states and the District of Columbia, with a physician-led governance structure. Source

Care margin and cost lines

  • Care Margin rose 10.3% in quarter: Care Margin was $138.1 million against $125.2 million. Nine-month Care Margin was $399.0 million, up 15.4% from $345.7 million. Source
  • Platform margin narrowed in quarter: Platform Contribution margin was 53.5% in the third quarter against 56.3% a year earlier. Nine-month margin was 52.6% against 52.0%. Source
  • Adjusted EBITDA margin fell in quarter: Adjusted EBITDA margin was 29.4% against 30.5%. Nine-month margin was 28.8% against 27.2%. The company defines this margin as Adjusted EBITDA divided by Care Margin. Source
  • Provider expense rose in quarter: Provider expense was $518.9 million in the third quarter against $455.2 million. General and administrative expense was $34.5 million against $39.6 million. Source
  • Gross profit rose 9.9% in quarter: Gross profit was $134.7 million in the third quarter against $122.6 million, and $389.3 million for nine months against $339.0 million. Source

Acquisition and Montana exit

  • MSSP business bought for cash: Privia paid approximately $36 million at closing from balance sheet cash for the American Choice MSSP business, which closed at the end of October. Source
  • Acquired ACO covers 36,000 lives: The acquired ACO will care for more than 36,000 attributed lives in the Medicare Shared Savings Program. Source
  • Montana partnership ends with 69 providers: The Montana partnership supports 69 providers and about $23 million of annual Practice Collections. No material Adjusted EBITDA impact is expected in 2027. Source

Cash flow and cash balance

  • Cash balance held with no debt: Cash and cash equivalents were $446.3 million at September 30, 2026, with no debt. The balance does not reflect the acquisition closed at the end of October. Source
  • Operating cash flow negative for nine months: Net cash used in operating activities was $19.4 million for nine months, against $35.9 million provided a year earlier. Accounts receivable rose $221.8 million. Source
  • Provider liability and receivables rose: Provider liability was $572.5 million and accounts receivable was $623.6 million at September 30, 2026, against $469.5 million and $400.9 million at December 31, 2025. Source
  • Acquisitions and noncontrolling buyout cash: Business acquisitions used $11.4 million of cash in nine months, against $89.1 million a year earlier. Repurchase of non-controlling interest used $11.4 million. Source

Medical claims liabilities

  • Capitation claims liability rose: Unpaid medical claims liability under at-risk capitation was $105.4 million at September 30, 2026, against $76.4 million a year earlier. Source
  • Current-year capitation costs rose: Current-year incurred health care costs under at-risk capitation were $271.7 million against $228.4 million. Prior-year reductions totaled $12.4 million. Source
  • Prior-year reconciliations reduced liabilities: Standard prior-year reconciliations reduced liabilities and receivables. The company said the net impact was not material to results. Source

Coming up, as management said on 5 November 2026

  • Acquired lives start January 2027: Acquired ACO lives begin in ten existing Privia states and three new states on January 1, 2027. Source

Figures management reported

FigureReported
Attributed lives (value-based care membership) Source1,676,000 at September 30, 2026, against 1,406,000
Patients served (company description) Source6.3+ million patients

Risks management discussed

  • Financial: Guided cash conversion and year-end cash depend on the timing of the 2025 MSSP cash settlement and provider disbursements, based on current accruals. Source

Earlier plans management reported on

  • Ahead: Management states that the November update raised all key financial metrics above the high end of the prior guidance. 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.