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LIFE CARE IS REGISTERED MAGAZINE IN RNI, NO.GUJGUJ/2015/71283
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LIFE CARE IS REGISTERED MAGAZINE IN RNI, NO.GUJGUJ/2015/71283
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Practice Collections +17.3% compared to 1Q’22Implemented Providers +10.3% compared to 1Q’22Company Reiterated Full Year 2023 Guidance
ARLINGTON, Va., May 04, 2023 (GLOBE NEWSWIRE) — Privia Health Group, Inc. (Nasdaq: PRVA) today announced financial results for the first quarter ended March 31, 2023.
Total revenue for the first quarter of 2023 was $386.3 million, compared to total revenue of $313.8 million for the prior year first quarter (+23.1%). Gross Profit for the first quarter of 2023 was $83.0 million, compared to $70.8 million for the prior year first quarter. Operating income for the first quarter of 2023 was $6.7 million, compared to operating loss of $(11.5) million for the prior year first quarter. Net income for the first quarter of 2023 was $7.3 million, or $0.06 per share, compared to net loss of $(17.5) million, or $(0.16) per share, for the first quarter of 2022. Net income for the first quarter of 2023 included $5.4 million in non-cash stock compensation expense and $3.4 million in other expenses. Net loss for the first quarter of 2022 included $24.9 million in non-cash stock compensation expense and $0.3 million in other expenses.
Non-GAAP adjusted net income was $19.3 million, or $0.16 per diluted share, for the first quarter of 2023, compared to $14.8 million, or $0.12 per diluted share, for the prior year first quarter (+30.4%).
Reconciliation of net income (loss) to adjusted net income, as well as other non-GAAP reconciliations, are presented in tables near the end of this press release.
Key operating and non-GAAP financial metrics include:
Practice Collections for the first quarter of 2023 were $658.9 million, compared to $561.9 million for the same period in 2022 (+17.3%).Care Margin for the first quarter of 2023 was $84.0 million, compared to $71.6 million for the same period in 2022 (+17.3%).Platform Contribution for the first quarter of 2023 was $41.4 million, compared to $35.0 million for the same period in 2022 (+18.4%).Adjusted EBITDA for the first quarter of 2023 was $16.9 million, compared to $14.8 million for the same period in 2022 (+13.9%).Implemented Providers for the first quarter of 2023 were 3,716, compared to 3,370 for the same period in 2022 (+10.3%).Value-Based Care Attributed Lives for the first quarter of 2023 were approximately 1,037,000, compared to 848,000 for the same period in 2022 (+22.3%).
The Company’s balance sheet at March 31, 2023 included $311.2 million of cash and cash equivalents and no outstanding bank debt.
Financial and Business Outlook a b c d
Privia Health reiterated its full-year 2023 guidance, as follows:
FY 2022 FY 2023 Guidancea Y – Y % Change
from FY 2022($ in millions)Actual Low High Low HighImplemented Providers 3,606 4,050 4,150 12.3% 15.1%Attributed Lives 856,000 1,050,000 1,150,000 22.7% 34.3%Practice Collections$2,424.1 $2,700 $2,850 11.4% 17.6%GAAP Revenue$1,356.7 $1,550 $1,650 14.3% 21.6%Care Margin$305.6 $350 $365 14.5% 19.4%Platform Contribution$148.5 $160 $168 7.7% 13.1%Adjusted EBITDAc$60.9 $70 $74 15.0% 21.6% Capital expenditures are expected to be less than $1 million in full-year 2023Adjusted EBITDA guidance includes approximately $8-10 million in start-up costs for new geographies and ACOsApproximately 80-90% of Adjusted EBITDA expected to convert to free cash flow (defined as net cash provided by operating activities less capital expenditures) in FY 2023 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.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.Any slight variations in totals due to rounding.
Webcast and Conference Call Information
The Company will host a conference call on May 4, 2023, at 8:45 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/BId6b536fcc2e147ea8e3903ebc60fcde6 to pre-register 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.
In the third quarter of 2022, we changed the definition of Adjusted EBITDA to exclude employer taxes on equity vesting/exercise. In prior periods, this amount was considered de minimis and the Adjusted EBITDA amounts were not adjusted. Employer payroll tax expense related to employee stock transactions are tied to the vesting or exercise of underlying equity awards and the price of our common stock at the time of vesting, which varies in amount from period to period and is dependent on market forces that are often beyond our control. As a result, management excludes this item from our internal operating forecasts and models. Management believes that non-GAAP measures adjusted for employer payroll taxes on employee stock transactions provide investors with a basis to measure our core performance against the performance of other companies without the variability created by employer payroll taxes on employee stock transactions as a result of the stock price at the time of employee exercise.
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 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; and our future operating or financial performance and projections, including our full year guidance for 2022. 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 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 December 31, 2022 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 BorchertSVP, Investor & Corporate CommunicationsIR@priviahealth.com817.783.4841 Privia Health Group, Inc.Condensed Consolidated Statements of Operations (a)Unaudited(in thousands, except share and per share data) For the Three Months Ended March 31, 2023 2022 Revenue$386,276 $313,801 Operating expenses: Provider expense 302,255 242,187 Cost of platform 44,730 41,272 Sales and marketing 5,286 4,661 General and administrative 25,951 36,110 Depreciation and amortization 1,340 1,118 Total operating expenses 379,562 325,348 Operating income (loss) 6,714 (11,547)Interest (income) expense, net (1,813) 232 Income (loss) before provision for income taxes 8,527 (11,779)Provision for income taxes 2,125 6,308 Net income (loss) 6,402 (18,087)Less: loss attributable to non-controlling interests (922) (577)Net income (loss) attributable to Privia Health Group, Inc.$7,324 $(17,510)Net income (loss) per share attributable to Privia Health Group, Inc. stockholders – basic and diluted$0.06 $(0.16)Weighted average common shares outstanding – basic 115,009,010 108,059,064 Weighted average common shares outstanding – diluted 124,328,964 108,059,064
(a) Any slight variations in totals due to rounding.
Privia Health Group, Inc.Condensed Consolidated Balance Sheets (a)(in thousands) March 31, 2023 December 31, 2022Assets(unaudited) Current assets: Cash and cash equivalents$311,229 $347,992 Accounts receivable 260,881 189,604 Prepaid expenses and other current assets 16,667 14,366 Total current assets 588,777 551,962 Non-current assets: Property and equipment, net 3,095 3,386 Right-of-use asset 7,618 8,089 Intangible assets, net 97,637 57,387 Goodwill 135,050 126,938 Deferred tax asset 38,503 40,368 Other non-current assets 4,663 4,683 Total non-current assets 286,566 240,851 Total assets$875,343 $792,813 Liabilities and stockholders’ equity Current liabilities: Accounts payable and accrued expenses$46,300 $52,837 Provider liability 260,368 208,424 Operating lease liabilities, current 3,021 3,013 Total current liabilities 309,689 264,274 Non-current liabilities: Operating lease liabilities, non-current 7,788 8,490 Other non-current liabilities 1,345 1,000 Total non-current liabilities 9,133 9,490 Total liabilities 318,822 273,764 Commitments and contingencies Stockholders’ equity: Common stock 1,159 1,148 Additional paid-in capital 721,486 714,639 Accumulated deficit (209,369) (216,693)Total Privia Health Group, Inc. stockholders’ equity 513,276 499,094 Non-controlling interest 43,245 19,955 Total stockholders’ equity 556,521 519,049 Total liabilities and stockholders’ equity$875,343 $792,813
(a) Any slight variations in totals are due to rounding.
Privia Health Group, Inc.Condensed Consolidated Statements of Cash Flows (a)unaudited(in thousands) For the Three Months Ended March 31, 2023 2022 Cash flows from operating activities Net income (loss)$6,402 $(18,087)Adjustments to reconcile net income (loss) to net cash used in operating activities: Depreciation 291 306 Amortization of intangibles 1,049 812 Amortization of debt issuance costs — 38 Stock-based compensation 5,381 24,881 Deferred tax expense 1,865 6,308 Changes in asset and liabilities: Accounts receivable (71,277) (48,836)Prepaid expenses and other current assets (2,301) (1,694)Other non-current assets and right-of-use asset 493 1,679 Accounts payable and accrued expenses (6,537) (1,742)Provider liability 51,944 31,616 Operating lease liabilities (694) (601)Net cash used in operating activities (13,384) (5,320)Cash from investing activities Purchases of property and equipment — (34)Business Acquisitions, net of cash acquired (24,856) — Net cash used in investing activities (24,856) (34)Cash flows from financing activities Repayment of note payable — (219)Proceeds from exercised stock options 1,477 799 Proceeds from non-controlling interest — 125 Net cash provided by financing activities 1,477 705 Net decrease in cash and cash equivalents (36,763) (4,649)Cash and cash equivalents at beginning of period 347,992 320,577 Cash and cash equivalents at end of period$311,229 $315,928 Supplemental disclosure of cash flow information: Interest paid$22 $368
(a) Any slight variations in totals are due to rounding.
Additional Financial Information
Revenues disaggregated by source:
For the Three Months Ended March 31,(Dollars in Thousands) 2023 2022FFS-patient care$227,789 $204,344FFS-administrative services 26,396 23,006Capitated revenue 78,260 48,330Shared savings 43,928 27,959Care management fees (PMPM) 8,558 8,804Other revenue 1,345 1,358Total Revenue$386,276 $313,801
The Company’s liabilities for unpaid medical claims under at-risk capitation arrangements:
March 31,(Dollars in Thousands) 2023 2022 Balance, beginning of period $28,617 $— Incurred health care costs: Current year 75,632 48,330 Prior years 3,268 — Total claims incurred $78,900 $48,330 Claims paid: Current year (29,716) (33,476)Prior year (28,079) — Total claims paid $(57,795) $(33,476)Adjustments to other claims-related liabilities — — Other service physician service agreement adjustments — — Balance, end of period $49,722 $14,854
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.
For the Three Months Ended March 31,(unaudited; $ in millions) 2023 2022 Implemented Providers (as of end of period)(1) 3,716 3,370Attributed Lives (as of end of period)(2) 1,037,000 848,000Practice Collections(3) $658.9 $561.9 (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 Privia Health and billed for medical services, in both Owned and Non-Owned Medical Groups during that period.(2)Attributed Lives are defined as any patient that a payer deems attributed to Privia Health, in both Owned and Non-Owned Medical Groups, to deliver care as part of a Value Based Care arrangement.(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.(a)Any slight variations in totals are due to rounding.
Non-GAAP Financial Measures (4)(a)
For the Three Months Ended March 31,(unaudited; $ in thousands) 2023 2022 Care Margin $84,021 $71,614 Platform Contribution $41,398 $34,965 Platform Contribution Margin 49.3% 48.8%Adjusted EBITDA $16,864 $14,801 Adjusted EBITDA Margin 20.1% 20.7% (4) 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 attributable to Privia Health Group, Inc. shareholders and subsidiaries excluding non-controlling interests, provision for 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.
(a) Any slight variations in totals are due to rounding.
Reconciliation of Gross Profit to Care Margin(a)
For the Three Months Ended March 31,(unaudited; $ in thousands) 2023 2022 Revenue $ 386,276 $ 313,801 Provider expense (302,255) (242,187)Amortization of intangible assets (1,049) (812)Gross Profit $ 82,972 $ 70,802 Amortization of intangibles assets 1,049 812 Care margin $ 84,021 $ 71,614 (a) Any slight variations in totals are due to rounding.
Reconciliation of Gross Profit to Platform Contribution(a)
For the Three Months Ended March 31,(unaudited; $ in thousands) 2023 2022 Revenue $ 386,276 $ 313,801 Provider expense (302,255) (242,187)Amortization of intangibles assets (1,049) (812)Gross Profit $ 82,972 $ 70,802 Amortization of intangibles assets 1,049 812 Cost of platform (44,730) (41,272)Stock-based compensation(5) 2,107 4,623 Platform contribution $ 41,398 $ 34,965 (a) Slight variations in totals are due to rounding.(5) Amount represents stock-based compensation expense included in Cost of Platform.
Reconciliation of Net Income (Loss) to Adjusted EBITDA(a)
For the Three Months Ended March 31,(unaudited; $ in thousands) 2023 2022 Net income (loss) $ 7,324 $ (17,510)Net loss attributable to non-controlling interests (922) (577)Provision for income taxes 2,125 6,308 Interest (income) expense (1,813) 232 Depreciation and amortization 1,340 1,118 Stock-based compensation 5,381 24,881 Other expenses(6) 3,429 349 Adjusted EBITDA $ 16,864 $ 14,801 (a) Any slight variations in totals are due to rounding.(6) Other expenses include employer taxes on equity vesting/exercises, legal, severance and certain non-recurring costs. Employer taxes on equity vesting/exercises of $0.3 million was recorded for the three months ended March 31, 2023.
Reconciliation of Net Income (Loss) to Adjusted Net Income and Adjusted Net Income Per Share(a)
For the Three Months Ended March 31,(unaudited; $ in thousands) 2023 2022 Net income (loss)$ 7,324 $ (17,510)Stock-based compensation 5,381 24,881 Intangible amortization expense 1,049 812 Provision for income tax 2,125 6,308 Other expenses(6) 3,429 349 Adjusted net income attributable to Privia Health Group, Inc.$ 19,308 $ 14,840 Adjusted net income per share attributable to Privia Health Group, Inc. stockholders – basic$ 0.17 $ 0.14 Adjusted net income per share attributable to Privia Health Group, Inc. stockholders – diluted$ 0.16 $ 0.12 Weighted average common shares outstanding – basic 115,009,010 108,059,064 Weighted average common shares outstanding – diluted 124,328,964 121,481,010 (a) Any slight variations in totals due to rounding.(6) Other expenses include employer taxes on equity vesting/exercises, legal, severance and certain non-recurring costs. Employer taxes on equity vesting/exercises of $0.3 million was recorded for the three months ended March 31, 2023.
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