Provider and Attribution Growth
Implemented providers reached 5,535, a 13.6% increase year-over-year, with sequential growth of +155 from year-end 2025. Total value‑based attributed lives rose to ~1.6 million, up 26.5% year‑over‑year, driven by new provider signings and the addition of the Evolent ACO business.
Strong Revenue / Practice Collections Expansion
Practice collections for Q1 were $914.8 million, a 14.6% increase year‑over‑year, supported by provider growth, value‑based performance, and ambulatory utilization trends.
Material Adjusted EBITDA Growth and Margin Improvement
Adjusted EBITDA increased 36.3% year‑over‑year to $36.7 million. Adjusted EBITDA represented 28.5% of care margin, a 290 basis‑point expansion, demonstrating operating leverage across the platform.
Balance Sheet Strength and Cash / Cash Conversion Targets
Ended Q1 with $219.5 million in cash and no debt after typical Q1 outflows. Management reiterated a target to convert ~80% of full‑year adjusted EBITDA to free cash flow and reiterated full‑year guidance (with attributed lives range raised).
Attributed Lives by Payer — Diversified Mix with Strong Growth
Commercial attributed lives reached ~913,000 (+>17% YoY). CMS Medicare attributed lives increased ~62% YoY; Medicare Advantage and Medicaid attribution rose ~20% and ~36% YoY, respectively. The platform serves ~130+ commercial and government contracts.
M&A / Integration Momentum and Large Pipeline
Integration of the Evolent assets is ahead of schedule (tech and team integration progressing). Management highlighted a robust business development pipeline and the ability to acquire a range of assets (medical groups, ACOs, service entities) to grow density and scale.
Technology Leadership and AI Initiatives
New Chief Technology Officer hire with experience from Optum Insights; company is deploying generative AI across corporate, care‑center operations (prior auth, coding, referrals), and care delivery (chart prep, clinical decision support). Management expects AI-driven efficiency to help achieve long‑term EBITDA/care margin targets (30–35%).
Track Record of Multi‑Year EBITDA Growth
Over the last two years, Privia's EBITDA growth rate averaged ~32%. Management said achieving the midpoint of 2026 guidance would result in EBITDA more than doubling over the last three years, implying ~20% EBITDA growth at the $150 million midpoint.