Cover
Cover - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2023 | Feb. 23, 2024 | Jun. 30, 2023 | |
Cover [Abstract] | |||
Document Type | 10-K | ||
Document Annual Report | true | ||
Document Period End Date | Dec. 31, 2023 | ||
Current Fiscal Year End Date | --12-31 | ||
Document Transition Report | false | ||
Entity File Number | 001-40365 | ||
Entity Registrant Name | Privia Health Group, Inc. | ||
Entity Incorporation, State or Country Code | DE | ||
Entity Tax Identification Number | 81-3599420 | ||
Entity Address, Address Line One | 950 N. Glebe Rd., | ||
Entity Address, Address Line Two | Suite 700 | ||
Entity Address, City or Town | Arlington, | ||
Entity Address, State or Province | VA | ||
Entity Address, Postal Zip Code | 22203 | ||
City Area Code | 571 | ||
Local Phone Number | 366-8850 | ||
Title of 12(b) Security | Common Stock, $0.01 par value per share | ||
Trading Symbol | PRVA | ||
Security Exchange Name | NASDAQ | ||
Entity Well-known Seasoned Issuer | Yes | ||
Entity Voluntary Filers | No | ||
Entity Current Reporting Status | Yes | ||
Entity Interactive Data Current | Yes | ||
Entity Filer Category | Large Accelerated Filer | ||
Entity Small Business | false | ||
Entity Emerging Growth Company | false | ||
ICFR Auditor Attestation Flag | true | ||
Document Financial Statement Error Correction | false | ||
Entity Shell Company | false | ||
Entity Common Stock, Shares Outstanding | 118,568,826 | ||
Entity Public Float | $ 2,200 | ||
Documents Incorporated by Reference | Portions of the information called for by Part III of this Annual Report on Form 10-K is hereby incorporated by reference from the proxy statement for the registrant’s 2024 annual meeting of stockholders, which proxy statement will be filed with the Securities and Exchange Commission no later than 120 days after the registrant’s fiscal year ended December 31, 2023. | ||
Entity Central Index Key | 0001759655 | ||
Amendment Flag | false | ||
Document Fiscal Period Focus | FY | ||
Document Fiscal Year Focus | 2023 |
Audit Information
Audit Information | 12 Months Ended |
Dec. 31, 2023 | |
Auditor Information [Abstract] | |
Auditor Name | PricewaterhouseCoopers LLP |
Auditor Location | Baltimore, Maryland |
Auditor Firm ID | 238 |
Consolidated Balance Sheets
Consolidated Balance Sheets - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 |
Current assets: | ||
Cash and cash equivalents | $ 389,511 | $ 347,992 |
Accounts receivable | 290,768 | 189,604 |
Prepaid expenses and other current assets | 20,525 | 14,366 |
Total current assets | 700,804 | 551,962 |
Non-current assets: | ||
Property and equipment, net | 2,325 | 3,386 |
Right-of-use asset | 6,612 | 8,089 |
Intangible assets, net | 107,630 | 57,387 |
Goodwill | 138,749 | 126,938 |
Deferred tax asset | 35,200 | 40,368 |
Other non-current assets | 8,580 | 4,683 |
Total non-current assets | 299,096 | 240,851 |
Total assets | 999,900 | 792,813 |
Current liabilities: | ||
Accounts payable and accrued expenses | 57,831 | 52,837 |
Provider liability | 326,078 | 208,424 |
Operating lease liabilities, current | 3,043 | 3,013 |
Total current liabilities | 386,952 | 264,274 |
Non-current liabilities: | ||
Operating lease liabilities, non-current | 5,246 | 8,490 |
Other non-current liabilities | 313 | 1,000 |
Total non-current liabilities | 5,559 | 9,490 |
Total liabilities | 392,511 | 273,764 |
Commitments and contingencies (Note 14) | ||
Stockholders’ equity: | ||
Common stock, $0.01 par value, 1,000,000,000 and 1,000,000,000 shares authorized; 118,216,979 and 114,690,808 shares issued and outstanding at December 31, 2023 and December 31, 2022, respectively | 1,182 | 1,148 |
Additional paid-in capital | 753,869 | 714,639 |
Accumulated deficit | (193,614) | (216,693) |
Total Privia Health Group, Inc. stockholders’ equity | 561,437 | 499,094 |
Non-controlling interest | 45,952 | 19,955 |
Total stockholders’ equity | 607,389 | 519,049 |
Total liabilities and stockholders’ equity | $ 999,900 | $ 792,813 |
Consolidated Balance Sheets (Pa
Consolidated Balance Sheets (Parenthetical) - $ / shares | Dec. 31, 2023 | Mar. 02, 2023 | Dec. 31, 2022 |
Statement of Financial Position [Abstract] | |||
Common stock, par value (in dollars per share) | $ 0.01 | $ 0.01 | $ 0.01 |
Common stock, shares authorized (in shares) | 1,000,000,000 | 1,000,000,000 | |
Common stock, shares issued (in shares) | 118,216,979 | 114,690,808 | |
Common stock, shares outstanding (in shares) | 118,216,979 | 114,690,808 |
Consolidated Statements of Oper
Consolidated Statements of Operations - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Income Statement [Abstract] | |||
Revenue | $ 1,657,737 | $ 1,356,660 | $ 966,220 |
Operating expenses: | |||
Provider expense | 1,298,573 | 1,051,040 | 727,827 |
Cost of platform | 197,663 | 170,838 | 174,731 |
Sales and marketing | 24,732 | 19,741 | 22,750 |
General and administrative | 109,587 | 129,592 | 255,884 |
Depreciation and amortization | 6,533 | 4,571 | 2,464 |
Total operating expenses | 1,637,088 | 1,375,782 | 1,183,656 |
Operating income (loss) | 20,649 | (19,122) | (217,436) |
Interest (income) expense, net | (8,372) | (542) | 1,070 |
Income (loss) before provision for (benefit from) income taxes | 29,021 | (18,580) | (218,506) |
Provision for (benefit from) income taxes | 7,993 | (6,516) | (27,857) |
Net income (loss) | 21,028 | (12,064) | (190,649) |
Less: Loss attributable to non-controlling interests | (2,051) | (3,479) | (2,419) |
Net income (loss) income attributable to Privia Health Group, Inc. | $ 23,079 | $ (8,585) | $ (188,230) |
Net income (loss) income per share attributable to Privia Health Group, Inc. stockholders – basic (in dollars per share) | $ 0.20 | $ (0.08) | $ (1.83) |
Net income (loss) income per share attributable to Privia Health Group, Inc. stockholders – diluted (in dollars per share) | $ 0.19 | $ (0.08) | $ (1.83) |
Weighted average common shares outstanding - basic (in shares) | 116,731,406 | 110,695,266 | 102,952,370 |
Weighted average common shares outstanding – diluted (in shares) | 124,686,067 | 110,695,266 | 102,952,370 |
Consolidated Statements of Stoc
Consolidated Statements of Stockholders’ Equity - USD ($) $ in Thousands | Total | Total Stockholders’ Equity attributable to Privia Health Group, Inc. | Common Stock | Additional Paid-in Capital | Accumulated Deficit | Non-controlling Interest |
Beginning Balance (in shares) at Dec. 31, 2020 | 95,985,817 | |||||
Beginning Balance at Dec. 31, 2020 | $ 143,652 | $ 146,748 | $ 960 | $ 165,666 | $ (19,878) | $ (3,096) |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | ||||||
Issuance of common stock upon closing of initial public offering (in shares) | 9,725,000 | |||||
Issuance of common stock upon closing of initial public offering | 210,994 | 210,994 | $ 97 | 210,897 | ||
Issuance of common stock upon exercise of stock options and vesting of restricted stock units (in shares) | 2,126,924 | |||||
Issuance of common stock upon exercise of stock options and vesting of restricted stock units | 3,829 | 3,829 | $ 21 | 3,808 | ||
Stock-based compensation expense | 253,531 | 253,531 | 253,531 | |||
Contributed non-controlling interest | 28,824 | 28,824 | ||||
Net income (loss) | (190,649) | (188,230) | (188,230) | (2,419) | ||
Ending Balance (in shares) at Dec. 31, 2021 | 107,837,741 | |||||
Ending Balance at Dec. 31, 2021 | 450,181 | 426,872 | $ 1,078 | 633,902 | (208,108) | 23,309 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | ||||||
Issuance of common stock upon exercise of stock options and vesting of restricted stock units (in shares) | 6,853,067 | |||||
Issuance of common stock upon exercise of stock options and vesting of restricted stock units | 13,448 | 13,448 | $ 70 | 13,378 | ||
Stock-based compensation expense | 67,359 | 67,359 | 67,359 | |||
Contributed non-controlling interest | 125 | 125 | ||||
Net income (loss) | $ (12,064) | (8,585) | (8,585) | (3,479) | ||
Ending Balance (in shares) at Dec. 31, 2022 | 114,690,808 | 114,690,808 | ||||
Ending Balance at Dec. 31, 2022 | $ 519,049 | 499,094 | $ 1,148 | 714,639 | (216,693) | 19,955 |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | ||||||
Issuance of common stock upon exercise of stock options and vesting of restricted stock units (in shares) | 3,526,171 | |||||
Issuance of common stock upon exercise of stock options and vesting of restricted stock units | 8,740 | 8,740 | $ 34 | 8,706 | ||
Stock-based compensation expense | 37,098 | 37,098 | 37,098 | |||
Repurchase of non-controlling interest | (5,694) | (8,871) | (8,871) | 3,177 | ||
Contributed non-controlling interest | 24,871 | 24,871 | ||||
Tax effect related to purchase of non-controlling interest | 2,297 | 2,297 | 2,297 | |||
Net income (loss) | $ 21,028 | 23,079 | 23,079 | (2,051) | ||
Ending Balance (in shares) at Dec. 31, 2023 | 118,216,979 | 118,216,979 | ||||
Ending Balance at Dec. 31, 2023 | $ 607,389 | $ 561,437 | $ 1,182 | $ 753,869 | $ (193,614) | $ 45,952 |
Consolidated Statements of Cash
Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Cash flows from operating activities | |||
Net income (loss) | $ 21,028 | $ (12,064) | $ (190,649) |
Adjustments to reconcile net (loss) income to net cash provided by operating activities: | |||
Depreciation | 1,174 | 1,220 | 1,152 |
Amortization of intangibles | 5,359 | 3,351 | 1,312 |
Amortization of debt issuance costs | 0 | 687 | 157 |
Stock-based compensation | 37,098 | 67,359 | 253,531 |
Debt Issuance costs Amortization | 0 | 0 | 0 |
Deferred tax expense (benefit) | 7,465 | (7,004) | (28,411) |
Changes in asset and liabilities: | |||
Accounts receivable | (96,877) | (72,202) | (14,642) |
Prepaid expenses and other current assets | (6,159) | (5,669) | (1,269) |
Other non-current assets and right-of-use asset | (2,418) | 1,383 | (9,680) |
Accounts payable and accrued expenses | 4,994 | 6,852 | 1,262 |
Provider liability | 113,367 | 67,716 | 33,897 |
Operating lease liabilities | (3,214) | (2,433) | 13,936 |
Other long-term liabilities | (1,032) | (2,000) | (5,538) |
Net cash provided by operating activities | 80,785 | 47,196 | 55,058 |
Cash flows from investing activities | |||
Purchases of property and equipment | (113) | (104) | (547) |
Business acquisitions, net of cash acquired | (42,858) | 0 | (32,228) |
Net cash used in investing activities | (42,971) | (104) | (32,775) |
Cash flows from financing activities | |||
Proceeds from initial public offering | 0 | 0 | 223,685 |
Payments of underwriting fees, net of discounts and offering costs | 0 | 0 | (12,691) |
Repurchase of non-controlling interest | (5,694) | 0 | 0 |
Proceeds from non-controlling interest | 659 | 125 | 0 |
Repayment of note payable | 0 | (33,250) | (875) |
Proceeds from exercised stock options | 8,740 | 13,448 | 3,829 |
Debt issuance costs | 0 | 0 | (287) |
Net cash provided by (used in) financing activities | 3,705 | (19,677) | 213,661 |
Net increase in cash and cash equivalents | 41,519 | 27,415 | 235,944 |
Cash and cash equivalents at beginning of period | 347,992 | 320,577 | 84,633 |
Cash and cash equivalents at end of period | 389,511 | 347,992 | 320,577 |
Supplemental disclosure of cash flow information: | |||
Interest paid | 40 | 713 | 888 |
Income taxes paid | $ 1,040 | $ 307 | $ 504 |
Organization and Summary of Sig
Organization and Summary of Significant Accounting Policies | 12 Months Ended |
Dec. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Organization and Summary of Significant Accounting Policies | Organization and Summary of Significant Accounting Policies Organization Privia Health Group, Inc. (“Privia Health”, “Privia”, or the “Company”) 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 care settings (the “Privia Platform”). As of December 31, 2023, Privia operated in fifteen markets: 1) the Mid-Atlantic Region (states of Virginia, Maryland and the District of Columbia); 2) Georgia; 3) Gulf Coast Region (Houston, Texas); 4) North Texas (Dallas/Fort Worth, Texas); 5) West Texas (Abilene, Texas); 6) Central Florida; 7) Tennessee 8) California; 9) Montana; 10) Ohio; 11) North Carolina; 12) Delaware; 13) Connecticut; 14) Washington state; and 15) South Carolina. In our standard Privia Medical Group model, medical groups are formed in a market with the primary purpose to operate as a physician group practice with healthcare services being furnished through physician members (“Privia Physicians”) and non-physician clinicians (together, “Privia Providers”) supervised by Privia Physicians. Privia Physicians typically enter into a PMSA with a medical group, which requires the Privia Physician to provide healthcare services through and on behalf of the medical group. In conjunction with the PMSA, the medical group enters a Support Services Agreement (“SSA”) with the Privia Physician’s historic practice entity (“Affiliated Practice”) whereby the Affiliated Practice provides certain subcontracted services to the medical group to allow the medical group to operate at the practice location. The Company does not own any Affiliated Practice, nor does the Company have risk of loss related to the Affiliated Practices; rather, they are typically owned by certain Privia Physicians. The Company’s ownership varies by state, creating three types of medical groups: Owned Medical Groups, Non-Owned Medical Groups and Friendly Medical Groups (which are also Non-Owned Medical Groups). The Company majority owns Owned Medical Groups in those markets where medical group ownership is allowed with Privia Physicians owning, in the aggregate, the minority interest in the medical group. In other markets where state regulations do not allow the Company to own the medical group, the Companies “Non-Owned Medical Groups” are either (a) 100% owned by the Privia Physicians or (b) majority owned, indirectly through a professional entity (“Nominee PC”), by a licensed physician holding a Privia leadership position (such physician leader, a “Nominee Physician” and each such Non-Owned Medical Group owned in this manner, a “Friendly Medical Group”). Currently, the Company has Friendly Medical Groups in Tennessee, West Texas, Washington state and South Carolina. The Company has entered into a restriction agreement with each of its Nominee Physicians and their respective Nominee PCs, which provides the Company the right to direct the transfer of each Nominee PC’s ownership in the Friendly Medical Groups to other licensed physicians, among other matters. Owned Medical Groups and Friendly Medical Groups are consolidated into the Company, while Non-Owned Medical Groups are not. For Non-Owned Medical Groups and Friendly Medical Groups, please refer to the discussion of “Variable Interest Entities” for further discussion. The Company also forms local management companies to provide administrative and management services (“MSOs”) to the medical groups through a Management Services Agreement (“MSA”) in each market. The Company owns 100% of all MSOs, except four where the Company is at least the majority owner. Within each market, Privia has three different sources of revenue: 1) Fee-for-service (“FFS”) revenue consisting of: a) FFS-patient care revenue which is primarily earned through Owned Medical Groups and b) FFS-administrative services revenue which is primarily earned by owned MSOs from Non-Owned Medical Groups through the MSAs; 2) VBC revenue consisting of: a) Capitated revenue, b) shared savings and c) care management fees (“PMPM”) all of which are primarily earned through Company-owned Accountable Care Organizations (“ACOs”) in each market ; and 3) Other revenue which is earned from services provided to patients of both Owned and Non-Owned Medical Groups. Basis of Presentation The consolidated financial statements are prepared in accordance with United States generally accepted accounting principles (“GAAP”) and include the accounts of the Company and its subsidiaries. Amounts shown on the consolidated statements of operations within the operating expense categories of provider expense, cost of platform, selling and marketing, and general and administrative are recorded exclusive of depreciation and amortization. All significant intercompany transactions are eliminated in consolidation. Variable Interest Entities Management evaluates the Company’s ownership, contractual, and other interests in entities to determine if it has any variable interest in a variable interest entity (“VIE”). These evaluations are complex, involve judgment, and the use of estimates and assumptions based on available historical information, among other factors. If the Company determines that an entity in which it holds a contractual or ownership interest is a VIE and that the Company is the primary beneficiary, the Company consolidates such entity in its consolidated financial statements. The primary beneficiary of a VIE is the party that meets both of the following criteria: (i) has the power to make decisions that most significantly affect the economic performance of the VIE; and (ii) has the obligation to absorb losses or the right to receive benefits that in either case could potentially be significant to the VIE. Management performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change. Changes in consolidation status are applied prospectively. The Company evaluated its relationship with (a) Non-Owned Medical Groups and their Affiliated Practices, (b) Friendly Medical Groups and their Affiliated Practices, and (c) Affiliated Practices associated with Owned Medical Groups to determine if any of these entities should be subject to consolidation. The Company does not have ownership interest in any Affiliated Practices (whether those of Owned Medical Groups, Non-Owned Medical Groups or Friendly Medical Groups); nor does the Company have an ownership in Non-Owned Medical Groups or Friendly Medical Groups. The PMSA and support services agreement (“SSA”) entered by Non-Owned Medical Groups and Friendly Medical Groups with their Privia Physician members and the Affiliated Practices are not contractual relationships within Privia’s legal structure. The only contractual relationship between Privia and Non-Owned Medical Groups is established through the MSA. For Friendly Medical Groups, in addition to the MSA, the Company has a contractual relationship, evidenced by a restriction agreement (each a “Restriction Agreement”) with its Nominee Physicians and their respective Nominee PCs. Management has determined, based on the provisions of the MSAs between the Company and Non-Owned Medical Groups, and after considering the requirements of Accounting Standards Codification (“ASC”) Topic 810, Consolidation (“ASC 810”), the Company is not required to consolidate the financial position or results of operations of the Affiliated Practices associated with Owned Medical Groups; nor is it required to consolidate the financial position or results of operations of Non-Owned Medical Groups (and, therefore, the Company is not required to consolidate the Affiliated Practices of the Non-Owned Medical Groups). However, management has determined, based on the provisions of the Restriction Agreement by and among the Company, the Nominee Physicians and their respective Nominee PCs, the governing documents of the Friendly Medical Groups, and after considering the requirements of ASC 810, that the Company should consolidate the financial position or results of operations of the Friendly Medical Groups and the Nominee PCs, but not the Affiliated Practices of the Friendly Medical Groups. ASC 810 requires the Company to consolidate the financial position, results of operations and cash flows of a Non-Owned Medical Group affiliated by means of a service agreement if the Non-Owned Medical Group is a VIE and the Company is its primary beneficiary. A Non-Owned Medical Group would be considered a VIE if (a) it is thinly capitalized (i.e., the equity is not sufficient to fund the Non-Owned Medical Group’s activities without additional subordinated financial support) or (b) the equity holders of the Non-Owned Medical Group as a group have one of the following four characteristics: (i) lack the power to direct the activities that most significantly affect the Non-Owned Medical Group’s economic performance, (ii) possess non-substantive voting rights, (iii) lack the obligation to absorb the Non-Owned Medical Group’s expected losses, or (iv) lack the right to receive the Non-Owned Medical Group’s expected residual returns. The characteristics of both (a) and (b) do not exist and as such the Non-Owned Medical Groups do not represent VIEs. Accordingly, the Company has not consolidated the financial position, results of operations or cash flows of the Non-Owned Medical Groups that are affiliated with the Company by means of a service agreement for the years ended December 31, 2023, 2022 and 2021. Each time that it enters into a new service agreement or enters into a material amendment to an existing service agreement, the Company considers whether the terms of that agreement or amendment would change the elements it considers in accordance with the VIE guidance. The same analysis was performed for the Affiliated Practices of Owned Medical Groups, which have contractual relationships with Privia through the SSA, and the Company determined they do not represent VIEs as they do not meet the criteria in ASC 810 for similar reasons outlined above. The Company, however, does meet the criteria for consolidation of the Nominee PCs and the Friendly Medical Groups based on the discussion above. In February 2023, the Company announced a partnership with Community Medical Group, the largest Clinically Integrated Network (“CIN”) in Connecticut with approximately 1,100 multi-specialty providers, to launch Privia Quality Network Connecticut (“PQN-CT”). The Company performed an analysis as noted above and determined that PQN- CT does not represent a VIE as it does not meet the criteria in ASC 810, but the entity is consolidated because Privia owns a majority of the voting interest in the entity. Privia Medical Group – West Texas, PLLC, (“PMG West Texas”) is a physician-owned Medical Group, with PMG West Texas Holdings, PLLC (“Friendly WTX PC”), a Texas professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG West Texas. The Company has a contractual relationship with Friendly WTX PC through a Restriction Agreement. The VIE analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (ii) and (iv) and as such, PMG West Texas and Friendly WTX PC do represent VIEs and are consolidated as they do meet the criteria in ASC 810. Privia Medical Group Tennessee, PLLC (“PMG-TN”) is a physician-owned Medical Group, with PMG-TN Physicians, PLLC, a Tennessee professional limited liability company entirely owned by a licensed physician with a leadership role in the Company (“Friendly TN PC”), owning majority membership interests therein and having governance and control rights via the governing documents of PMG-TN. Again, the same analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (ii) and (iv) and as such, PMG-TN and Friendly TN PC do represent VIEs as they do meet the criteria in ASC 810. Privia Medical Group Washington, PLLC, (“PMG WA”) is a physician-owned Medical Group, with PMG Washington Holdings, PLLC (“Friendly WA PC”), a Washington professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG WA. The Company has a contractual relationship with Friendly WA PC through a Restriction Agreement. The VIE analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (i), (ii) and (iv) and as such, PMG WA and Friendly WA PC do represent VIEs and are consolidated as they do meet the criteria in ASC 810. Privia Medical Group South Carolina, LLC, (“PMG SC”) is a physician-owned Medical Group, with PMG South Carolina Holdings, PLLC (“Friendly SC PC”), a South Carolina professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG SC. The Company has a contractual relationship with Friendly SC PC through a Restriction Agreement. The VIE analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (i), (ii) and (iv) and as such PMG SC and Friendly SC PC represent VIEs and are consolidated as they meet the criteria in ASC 810. The aggregated carrying value of the current VIE assets and liabilities included in the consolidated balance sheets after elimination of intercompany transactions and balances were $6.2 million and $6.2 million, respectively, as of December 31, 2023 and $1.4 million and $1.4 million respectively, as of December 31, 2022. Total revenues and operating expenses were $61.1 million and $61.1 million, respectively, as of December 31, 2023, $34.9 million and $34.9 million, respectively, as of December 31, 2022, and $5.8 million and $5.8 million, respectively, as of December 31, 2021. Use of Estimates The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenue, expenses, and related disclosure. On an on-going basis the Company evaluates significant estimates and assumptions, including, but not limited to, revenue recognition, stock-based compensation, estimated useful lives of assets, intangible assets subject to amortization, and the computation of income taxes. Future events and their effects cannot be predicted with certainty; accordingly, the Company’s accounting estimates require the exercise of judgment. The accounting estimates used in the preparation of the financial statements will change as new events occur, as more experience is acquired, as additional information is obtained, and as the Company’s operating environment changes. Management evaluates and updates assumptions and estimates on an ongoing basis. Actual results may differ from these estimates under different assumptions or conditions. Operating Segments The Company determined in accordance with ASC 280, Segment Reporting (“ASC 280”) that the Company operates in and reports as a single operating segment, and therefore one reporting segment – Privia Health Group, Inc. Refer to Note 17 “Segment Financial Information” for additional information concerning the Company’s services. Cash and Cash Equivalents The Company considers all unrestricted, liquid financial instruments purchased with original maturity dates of three months or less to be cash equivalents. Cash equivalents are stated at cost which approximates fair value. Accounts Receivable Substantially all of the Company’s accounts receivable relate to providing health care services to patients whose costs are primarily paid by federal and state governmental authorities or commercial insurance companies. The Company reports accounts receivable at an amount equal to the consideration the Company expects to receive in exchange for providing healthcare services to patients, which is estimated using historical reimbursement rates and an analysis of past experience to estimate potential adjustments. Management writes-off receivables when they are deemed uncollectible because of circumstances that affect the ability of payers and self-pay patients to make payments as they occur. While write-offs of customer accounts have historically been within management’s expectations and the provisions established, management cannot guarantee that future write-offs will be consistent with historical experience, which could result in material differences when compared to the Company’s allowances and related provisions. Unearned Revenue The Company records unearned revenue, which is a contract liability, when it has an obligation to provide services and payment is received in advance of performance of those services. Property and Equipment, Net Property and equipment consist of furniture and fixtures, leasehold improvements, and computer hardware and software and are stated at cost, with the exception of assets acquired through acquisitions, which are recorded at fair value, less accumulated depreciation and amortization. Depreciation is recognized on a straight-line method over the assets’ estimated useful lives, which for leasehold improvements are the lesser of the lease terms or the life of the asset, and three Internal-Use Software The Company capitalizes costs related to internal-use software during the application development stage including consulting costs and compensation expenses related to employees who devote time to development projects. Costs incurred in the preliminary stages of development activities and post implementation activities are expensed in the period incurred and included in cost of platform expense in the consolidated statements of operations. The Company also capitalizes costs related to specific upgrades and enhancements when it is probable the expenditures will result in additional functionality. The Company records capitalized software development costs in property and equipment, net. Capitalized internal-use software costs are amortized on a straight-line basis over the software’s estimated useful life. Business Combinations Accounting for business combinations requires us to allocate the fair value of purchase considerations to the tangible assets acquired, liabilities assumed, and intangible assets acquired based on their estimated fair values, which were determined primarily using the income method. The excess of the fair value of purchase consideration over the fair values of these identified assets and liabilities is recorded as goodwill. Such valuations require us to make significant estimates and assumptions, especially at the acquisition date with respect to intangible assets. Significant estimates in valuing certain intangible assets include, but are not limited to, revenue growth rates, medical claims expense, cost of care expenses, operating expenses, discount rate, contract terms and useful life from acquired assets. Our estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. Allocation of purchase consideration to identifiable assets and liabilities affects the Company’s amortization expense, as acquired finite-lived intangible assets are amortized over the useful life, whereas any indefinite lived intangible assets, including goodwill, are not amortized. During the measurement period, which is not to exceed one year from the acquisition date, the Company may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period, any subsequent adjustments are recorded to earnings. During the years ended December 31, 2023 and 2021, the Company completed several acquisitions to strengthen its current market share in existing markets or to expand into new markets. The consideration paid for each of the acquisitions was derived through arm’s length negotiations. Each of the Company’s acquisitions was accounted for using the acquisition method pursuant to the requirements of FASB ASC Topic 805, Business Combinations (“ASC 805”) . The results of operations of the acquisitions have been included in the Company’s consolidated financial statements since their respective date of acquisition. For additional details, refer to Note 3 “Business Combinations.” Impairment of Long-Lived Assets Long-lived assets consist of property and equipment. Long-lived assets to be held and used are tested for recoverability whenever events or changes in business circumstances indicate that the carrying amount of the assets may not be fully recoverable. Factors that the Company considers in deciding when to perform an impairment review include significant underperformance of the business in relation to expectations, significant negative industry or economic trends and significant changes or planned changes in the use of the assets. If an impairment review is performed to evaluate a long-lived asset group for recoverability, the Company compares forecasts of undiscounted cash flows expected to result from the use and eventual disposition of the long-lived asset group to its carrying value. An impairment loss can be recognized in loss from operations when estimated undiscounted future cash flows expected to result from the use of an asset group are less than its carrying amount. The impairment loss is based on the excess of the carrying value of the impaired asset group over its fair value, determined based on discounted cash flows. The Company did not record any impairment losses on long-lived assets during the years ended December 31, 2023, 2022 or 2021. Goodwill Goodwill represents the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired. The Company performs a qualitative assessment on goodwill at least annually or more frequently if events or changes in circumstances indicate that the carrying value of goodwill may not be recoverable. If it is determined in the qualitative assessment that the fair value of a reporting unit is more likely than not below its carrying amount, then the Company will perform a quantitative impairment test. The quantitative goodwill impairment test is performed by comparing the fair value of a reporting unit with its carrying amount. Any excess in the carrying value of a reporting unit’s goodwill over its fair value is recognized as an impairment loss, limited to the total amount of goodwill allocated to that reporting unit. The Company completes a single assessment of Goodwill as it has one reporting unit. For the years ended December 31, 2023, 2022 and 2021, there was no impairment loss related to goodwill. For additional details, refer to Note 4 “Goodwill and Intangible Assets, Net.” Intangible Assets, net Definite-lived intangible assets represent the estimated fair value of intangible assets acquired. Amortization is calculated using the straight-line method over the estimated useful lives of the intangible assets which are as follows: Trade names 20 years Consumer customer relationships 10 - 24 years Management Service Agreement 16 years Physician network 15 years Payer contracts 17 - 22 years MSO Service Agreement 21 years The Company reviews the carrying value of its finite-lived intangible assets for impairment whenever events and circumstances indicate that the carrying value of an asset may not be recoverable from the estimated future cash flows expected to result from its use and eventual disposition. If these future undiscounted cash flows are less than the carrying value of the asset, then the carrying amount of the asset is written down to its fair value, based on the related estimated discounted future cash flows. The factors considered by management in performing this assessment include current operating results; trends and prospects; the manner in which the intangible assets are used; and the effects of obsolescence, demand, competition and other economic factors. Based on this assessment, no impairment was recorded for the years ended December 31, 2023, 2022 and 2021. For additional details, refer to Note 4 “Goodwill and Intangible Assets, Net.” Debt Issuance Costs Debt issuance costs represent costs incurred to issue the Company’s note payable and are recorded as a direct reduction to the Company’s note payable. These costs are amortized over the term of the applicable indebtedness using the effective interest method. Amortization is included in interest expense in the accompanying consolidated statements of operations. Revenue Recognition The Company derives revenues from the following three sources: (i) FFS revenue, (ii) VBC revenue and (iii) other revenue from additional services offered by Privia to its Privia Providers or directly to patients or employers. To determine revenue recognition for arrangements that an entity determines are within the scope of ASC 606, the Company performs the following five steps: i. Identify the contract(s) with a customer; ii. Identify the performance obligations in the contract; iii. Determine the transaction price; iv. Allocate the transaction price to the performance obligations in the contract; and v. Recognize revenue as the entity satisfies a performance obligation. FFS Revenue FFS-patient care The Company’s FFS-patient care revenue is primarily generated from providing healthcare services to patients. Providing medical services to patients represents the Company’s performance obligation under these third-party payer agreements, and accordingly, the transaction price is allocated entirely to that one performance obligation. The Company recognizes revenue as services are rendered and approved by the Privia Providers, which is typically a single day for each service. The Company receives payment for services from third-party payers, as well as from patients who have health insurance, but are also financially responsible for some or all of the service in the form of co-pays, coinsurance or deductibles. Patients who do not have health insurance are required to pay for their services in full. FFS-patient care revenue is reported net of provisions for contractual allowances from third-party payers and patients. The Company has certain agreements with third-party payers that provide for reimbursement at amounts different from the Company’s standard billing rates. The differences between the estimated reimbursement rates and the standard billing rates are accounted for as contractual adjustments, which are deducted from gross revenue to arrive at FFS-patient care revenue. The Company determines the Company’s estimate of implicit price concessions based on the Company’s historical collection experience with classes of patients using a portfolio approach as a practical expedient to account for patient contracts as collective groups rather than individually. The financial statement effects of using this practical expedient are not materially different from an individual contract approach. Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to revenue in the period of the change. For the years ended December 31, 2023, 2022 and 2021, changes in the Company’s estimates of implicit price concessions, contractual adjustments, and expected payments for performance obligations satisfied in prior periods were not significant. With respect to the Company’s treatment of revenue from Owned Medical Groups and Friendly Medical Groups, it is necessary to assess whether the Company is the principal or the agent with respect to FFS-patient care revenue in light of the fact that healthcare services are furnished by Privia Providers rather than employees of the Owned Medical Groups. ASC 606-10-55-37A indicates that an entity is a principal if it obtains control of a right to a service to be performed by another party, which gives the entity the ability to direct that party to perform the services to the customer on the entity’s behalf. The Owned Medical Groups, which are each majority-owned and controlled by us, own the contractual relationships with the patients and the third-party payers, and they direct Privia Providers to perform healthcare services on the Company’s behalf. Although the Company is prohibited by law from interfering in the physician-patient relationship or making clinical care decisions, the Company’s Owned Medical Groups are responsible for the fulfillment of healthcare services to patients. Further, the Company employs Chief Medical Officers and Medical Directors who provide clinical oversight and direction over the clinical affairs of the Owned Medical Groups. In addition, the Owned Medical Group provides the care coordination activities, patient outreach and education activities, and sets quality standards for Privia Providers. The Company also verifies that Privia Providers have the proper qualifications (e.g., correct licenses, certificates, etc.) for the Company’s Owned Medical Groups, for the Company and as a delegate on behalf of certain third-party payers. In addition to oversight of health care services, the Owned Medical Group is also the party primarily responsible for providing the services to patients and maintains discretion in establishing pricing for all services through agreements with patients and their insurance payers. The Owned Medical Groups negotiate and enter into provider agreements with third-party payer insurance companies, which outline the obligations of the Owned Medical Group and the third-party payers in connection with providing patient care services to covered patients. This includes setting the reimbursement rate for all services provided by the Owned Medical Groups. In assessing who is the principal in providing the patient care services, the Company considered who controls the provision of patient care services. As a result of the Company’s oversight of Owned Medical Groups (including setting the expectations for the Owned Medical Group’s patients and the commercial payers’ expectations of the Owned Medical Groups) and the contractual relationships with patients and their third-party payers, the Company is the principal in these relationships. FFS-administrative services The Company’s FFS-administrative services business provides administration and management services pursuant to MSA with Non-Owned Medical Groups. The Company’s MSAs with the Non-Owned Medical Groups range from 5 – 20 years in duration and outline the terms and conditions of the administration and management services to be provided, which includes revenue cycle management services such as billings and collections, as well as other services, including, but not limited to, payer contracting, information technology services and accounting and treasury services. In certain MSAs, the Company is paid administrative fees equal to the cost of supplying certain services as outlined in the MSAs, and if applicable, a margin is added to the cost of certain services. The margin, if applicable, is fixed based on the MSAs; however, the cost of supplying certain services can fluctuate during the life of the MSAs. In certain MSAs, the Company is paid a percentage of net collections. The percentage is fixed per the MSAs; however, the net collections can fluctuate during the life of the contract. Under each MSA, there is a single performance obligation to provide a series of administration and management services required for the contract period. The Company believes that each Non-Owned Medical Group receives the management and administrative services each day and has concluded that an output method is appropriate for recognizing administrative services fee revenue. Administrative fees are reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for the provision of administration and management services to the Non-Owned Medical Groups. In addition, certain of the Company’s MSAs include rebates to the customers in the event that certain conditions occur. The Compa |
Revenue Recognition
Revenue Recognition | 12 Months Ended |
Dec. 31, 2023 | |
Revenue from Contract with Customer [Abstract] | |
Revenue Recognition | Revenue Recognition The following table presents the Company’s revenues disaggregated by source: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 2021 FFS-patient care $ 976,688 $ 869,165 $ 772,482 FFS-administrative services 113,154 94,929 68,805 Capitated revenue 338,729 218,463 — Shared savings 170,143 132,615 83,016 Care management fees (PMPM) 50,519 35,541 36,503 Other revenue 8,504 5,947 5,414 Total Revenue $ 1,657,737 $ 1,356,660 $ 966,220 Fee-for-service (“FFS”) patient care is primarily generated from third-party payers with which the Company has established contractual billing arrangements. The following table presents the approximate percentages by source of net revenue received for healthcare services the Company provided for the periods indicated: For the Years Ended December 31, 2023 2022 2021 Commercial insurers 70 % 70 % 69 % Government payers 15 % 16 % 17 % Patient 15 % 14 % 14 % 100 % 100 % 100 % FFS-administrative services revenue is earned through the Company’s MSA with Non-Owned Medical Groups primarily based on a fixed percentage of net collections on patient care generated by those medical groups. VBC revenue is primarily earned through contracts for Capitated revenue, Shared savings and Care management fees. Capitated revenue is generated through what is typically known as an “at-risk contract.” At-risk capitation refers to a model in which the Company receives a fixed monthly payment from the third-party payer in exchange for providing healthcare services to attributed beneficiaries. The Company is responsible for providing or paying for the cost of healthcare services required by those attributed beneficiaries for a set of services. At-risk Capitated revenue is recorded at the total amount gross in revenues because the Company is acting as a principal in arranging for, providing, and controlling the managed healthcare services provided to the attributed lives. Shared savings revenue and Care management fees are generated through contracts with large commercial payer organizations and the U.S. Federal Government. Contract Asset The Company has the following contract assets: (Dollars in Thousands) December 31, 2023 December 31, 2022 Balances for contracts with customers Accounts receivable $ 290,768 $ 189,604 Remaining Performance Obligations |
Business Combinations
Business Combinations | 12 Months Ended |
Dec. 31, 2023 | |
Business Combination and Asset Acquisition [Abstract] | |
Business Combinations | Business Combinations During February 2023, the Company entered into the Connecticut market through the acquisition of Privia Quality Network Connecticut (“PQN-CT”), whereby Privia acquired a 51% ownership interest in PQN-CT. The acquisition was accounted for using the acquisition method pursuant to the requirements of ASC 805. The results of operations of the acquisition have been included in the Company’s consolidated financial statements since the date of acquisition. During August 2023, the Company launched Washington Friendly Medical Group, a physician-owned Medical Group, with Washington Nominee PC, an entity entirely owned by a Nominee Physician, owning majority membership interest and having governance and control rights via the governing documents of Washington Friendly Medical Group. The Company has a contractual relationship with the Washington Nominee PC and its Nominee Physician owner through a Restriction Agreement. Washington Nominee PC owns 51% interest in Washington Friendly Medical Group. The results of operations of the acquisition have been included in the Company’s consolidated financial statements since the date of acquisition. During October 2023, the Company acquired Privia Medical Group South Carolina, LLC, (“PMG SC”). PMG SC is a physician-owned Medical Group, with PMG South Carolina Holdings, PLLC (“Friendly SC PC”), a South Carolina professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG SC. The Company has a contractual relationship with Friendly SC PC through a Restriction Agreement. PMG SC owns 51% interest in Friendly SC PC. The results of operations of the acquisition have been included in the Company’s consolidated financial statements since the date of acquisition. The purchase price for the acquisitions noted above was allocated as follows: (Dollars in thousands) Total Acquisitions for the Year Ended December 31, 2023 Total Acquisitions for the Year Ended December 31, 2021 Cash paid, net of cash acquired $ 42,858 $ 32,228 Contingent payables 344 2,942 Total consideration $ 43,202 $ 35,170 Accounts receivable, lease receivable, prepaids, and other current assets $ — $ 4,735 Fixed assets — 292 Accounts payable and other current liabilities assumed — (5,378) Payer contract and physician network intangibles 55,603 4,270 Management services agreement intangible — 51,800 Goodwill 11,811 8,275 Fair value of non-controlling interests (24,212) (28,824) Total acquired net assets $ 43,202 $ 35,170 |
Goodwill and Intangible Assets,
Goodwill and Intangible Assets, Net | 12 Months Ended |
Dec. 31, 2023 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Goodwill and Intangible Assets, Net | Goodwill and Intangible Assets, Net For the purposes of the goodwill impairment assessment, the Company as a whole is considered to be the reporting unit. The Company recognizes the excess of the purchase price, plus the fair value of any non-controlling interests in the acquiree, over the fair value of identifiable net assets acquired as goodwill. The Company performs a qualitative assessment on goodwill at least annually or more frequently if events or changes in circumstances indicate that the carrying value of goodwill may not be recoverable. If it is determined in the qualitative assessment that the fair value of a reporting unit is more likely than not below its carrying amount, then the Company will perform a quantitative impairment test. The quantitative goodwill impairment test is performed by comparing the fair value of a reporting unit with its carrying amount. Any excess in the carrying value of a reporting unit’s goodwill over its fair value is recognized as an impairment loss, limited to the total amount of goodwill allocated to that reporting unit. The Company’s carrying value of goodwill at December 31, 2023 and 2022 is $138.7 million and $126.9 million, respectively. No indicators of impairment were identified during the years ended December 31, 2023, 2022, and 2021. During the year ended December 31, 2023, Privia entered into three new markets resulting in the recording of goodwill. During February 2023, the Company entered into the Connecticut market through the acquisition of Privia Quality Network Connecticut (“PQN-CT”), whereby Privia acquired majority ownership in PQN-CT. During August 2023, the Company entered into the Washington market through the launch of Washington Friendly Medical Group in affiliation with Walla Walla Clinic, a multi-specialty group practice with more than 50 providers and 3 care center locations. During October 2023, the Company entered into the South Carolina market through the acquisition of Privia Medical Group South Carolina, LLC (“PMG SC”), whereby Privia acquired majority ownership in PMG SC. During the year ended December 31, 2023, the Company recorded Goodwill of $11.8 million in connection with PQN-CT, Washington Friendly Medical Group and PMG SC, which represents the excess of the purchase price over the fair value of the net assets acquired. A summary of the Company’s intangible assets is as follows: December 31, 2023 December 31, 2022 (Dollars in thousands) Intangible Accumulated Intangible Accumulated Trade names $ 4,600 $ 2,147 $ 4,600 $ 1,917 Consumer customer relationships 3,100 2,566 3,100 2,291 Management Service Agreement 2,200 1,134 2,200 997 Physician network 7,446 362 1,520 127 Payer contracts 52,427 2,184 2,750 164 MSO Service Agreement 51,800 5,550 51,800 3,087 121,573 $ 13,943 65,970 $ 8,583 Less accumulated amortization (13,943) (8,583) Intangible assets, net $ 107,630 $ 57,387 The remaining weighted average life of all amortizable intangible assets is approximately 18.3 years at December 31, 2023. Amortization expense for intangible assets was approximately $5.4 million for the year ended December 31, 2023, $3.4 million for the year ended December 31, 2022 and $1.3 million for the year ended December 31, 2021, respectively. Estimated amortization expense for the Company’s intangible assets for the following five years is as follows: (Dollars in Thousands) 2024 $ 6,023 2025 5,857 2026 5,857 2027 5,857 2028 5,857 Thereafter 78,179 Total $ 107,630 |
Leases
Leases | 12 Months Ended |
Dec. 31, 2023 | |
Leases [Abstract] | |
Leases | Leases The Company leases office space under various operating lease agreements. The initial terms of these leases range from 2 to 9 years and generally provide for periodic rent increases and renewal options. The components of lease expense were as follows: (Dollars in Thousands) For the Years Ended December 31, 2023 2022 Operating lease cost $ 2,696 $ 2,669 Cash paid for amounts included in the measurement of lease liabilities - operating leases $ 3,861 $ 2,971 Weighted-average remaining lease term - operating leases 3.8 Years 4.4 Years Weighted-average discount rate - operating leases 2.7 % 3.0 % New ROU assets recognized in exchange for new lease liabilities $ — $ 147 The aggregate future lease payments for operating leases in the years subsequent to December 31, 2023 are as follows: (Dollars in Thousands) 2024 $ 2,904 2025 2,401 2026 1,762 2027 814 2028 399 Thereafter 402 Total future lease payments 8,682 Imputed interest (393) Total $ 8,289 |
Property and Equipment, Net
Property and Equipment, Net | 12 Months Ended |
Dec. 31, 2023 | |
Property, Plant and Equipment [Abstract] | |
Property and Equipment, Net | Property and Equipment, Net A summary of the Company’s property and equipment, net is as follows: (Dollars in Thousands) December 31, 2023 December 31, 2022 Furniture and fixtures $ 1,402 $ 1,402 Computer equipment 1,686 1,657 Leasehold improvements 4,939 4,855 8,027 7,914 Less accumulated depreciation and amortization (5,702) (4,528) Property and equipment, net $ 2,325 $ 3,386 |
Account Payable and Accrued Exp
Account Payable and Accrued Expenses | 12 Months Ended |
Dec. 31, 2023 | |
Payables and Accruals [Abstract] | |
Account Payable and Accrued Expenses | Account Payable and Accrued Expenses Accounts payable and accrued expenses consisted of the following: (Dollars in Thousands) December 31, 2023 December 31, 2022 Accounts payable $ 7,882 $ 6,731 Accrued employee compensation and benefits 5,973 6,177 Bonuses payable 15,073 15,203 Other accrued expenses 28,903 24,726 Total accounts payable and accrued expenses $ 57,831 $ 52,837 |
Provider Liability
Provider Liability | 12 Months Ended |
Dec. 31, 2023 | |
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract] | |
Provider Liability | Provider Liability Provider liability, previously referred to as “Physician and Practice liability”, represents costs payable to physicians, hospitals and other ancillary providers, including both Privia physicians, their related physician practices, and providers the Company has contracted with through payer partners. Those costs include amounts that have not yet been paid for physician guaranteed payments and other required distributions pursuant to the service agreements as well as medical claims costs for services provided to attributed beneficiaries for which the Company is financially responsible under at-risk Capitated revenue arrangements whether paid directly by the Company or indirectly by payers with whom the Company has contracted. Provider expenses are recognized in the period in which services are provided and include estimates of claims that have been incurred but have either not yet been received, processed, or paid and as such, not reported. Provider liability estimates are developed using actuarial methods commonly used by health insurance actuaries that include a number of factors and assumptions including medical service utilization trends, changes in membership, observed medical cost trends, historical claim payment patterns and other factors. Each period, the Company re-examines previously established provider liability estimates based on actual claim submissions and other changes in facts and circumstances. As more complete claims information becomes available, the Company adjusts its estimates and recognizes those changes in estimates in the period in which the change is identified. The difference between the estimated liability and the actual settlements of claims is recognized in the period in which the claims are settled. The Company’s physician and practice liability balance represents management’s best estimate of its liability for unpaid Provider expenses as of December 31, 2023. The Company uses judgment to determine the appropriate assumptions for developing the required estimates. The Company’s liabilities for unpaid medical claims under at-risk capitation arrangements, which are included in Provider liability in the Company’s consolidated balance sheets, were as follows: (Dollars in Thousands) December 31, 2023 December 31, 2022 Balance, beginning of period $ 28,617 $ — Incurred health care costs: Current year 334,383 218,199 Prior years 2,436 — Total claim incurred 336,819 218,199 Claims paid: Current year (270,810) (189,582) Prior year (27,488) — Total claims paid (298,298) (189,582) Balance, end of period $ 67,138 $ 28,617 |
Debt
Debt | 12 Months Ended |
Dec. 31, 2023 | |
Debt Disclosure [Abstract] | |
Debt | Debt On November 15, 2019, the Company entered into a Credit Agreement (the “Original Credit Agreement”) by and among Privia Health, LLC, as the borrower, PH Group Holdings Corp. and certain subsidiaries of Privia Health, LLC, as guarantors, Silicon Valley Bank, as administrative agent and collateral agent (the “Administrative Agent”). On August 27, 2021, the Company and certain of its subsidiaries entered into an assumption agreement and third amendment (the “Third Amendment”) to the Original Credit Agreement (as amended by the Third Amendment, the “Credit Agreement”). Pursuant to the Third Amendment, the Company became the parent guarantor under the Credit Agreement and granted the Administrative Agent a first-priority security interest on substantially all of its real and personal property, subject to permitted liens. On March 16, 2023, the Company provided notice to terminate the Credit Agreement. As of March 16, 2023, the Company had no borrowings and no letters of credit outstanding under the Credit Agreement. The Company did not incur any early termination penalties in connection with the termination of the Credit Agreement. On November 16, 2023, Privia Health Group, Inc., PH Group Holdings Corp., and Privia Health, LLC, as borrower, (collectively, the “Privia Parties”) entered into a credit agreement (the “Revolving Credit Agreement”) with Wells Fargo Bank, National Association, as issuing lender, and certain other lenders, pursuant to which the Privia Parties established a $125 million five-year senior secured revolving credit facility (the “Revolving Credit Facility”). The Revolving Credit Agreement bears interest at a base rate plus applicable margin, with the base rate being the higher of the Prime Rate or the Federal Funds Rate plus 0.50%. In no event will the base rate be less than 1.0% The Revolving Credit Facility, which expires in November 2028, provides for revolving loans and the issuance of letters of credit in an aggregate amount of $125 million. On a quarterly basis, the Company pays a commitment fee on the unused Revolving Credit Facility (0.20% per annum). The proceeds of these loans and the letters of credit issued under the Revolving Credit Facility may be used for capital expenditures, expenses related to transactions and general corporate purposes. The Revolving Credit Agreement contains customary affirmative, negative and financial covenants, and customary events of default. The occurrence of an event of default under the Revolving Credit Agreement may cause the unpaid principal and accrued interest, and all other obligations under the Revolving Credit Agreement to become immediately due and payable. As of December 31, 2023, no amounts were outstanding under the Revolving Credit Facility. Substantially all of the Company’s real and personal property serve as collateral under the above debt arrangements. |
Income Taxes
Income Taxes | 12 Months Ended |
Dec. 31, 2023 | |
Income Tax Disclosure [Abstract] | |
Income Taxes | Income Taxes The provision for (benefit from) income taxes for years ending December 31, 2023, 2022 and 2021 are as follows: December 31, (Dollars in Thousands) 2023 2022 2021 Current: Federal $ — $ — $ — State and Local 528 509 345 Total current 528 509 345 Deferred: Federal 6,221 (5,478) (23,650) State and Local 1,244 (1,547) (4,552) Total deferred 7,465 (7,025) (28,202) Total provision for (benefit from) incomes taxes $ 7,993 $ (6,516) $ (27,857) Deferred taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Deferred tax assets and deferred tax liabilities as of December 31, 2023 and 2022 are as follows: (Dollars in Thousands) December 31, 2023 December 31, 2022 Deferred tax assets Net operating loss carryforwards $ 22,071 $ 25,610 Stock compensation 19,598 22,808 Lease liability 2,581 3,010 Other accruals 74 437 Total gross tax assets 44,324 51,865 Less: valuation allowance — — Total deferred tax assets 44,324 51,865 Deferred tax liabilities Fixed and intangible assets (7,302) (9,418) Right-of-use asset (1,822) (2,079) Total deferred tax liabilities (9,124) (11,497) Deferred tax assets, net $ 35,200 $ 40,368 For the years ended December 31, 2023 and 2022, the Company completed an assessment of the likelihood of realizing all or some portion of its net deferred tax assets. Based on an analysis of the positive and negative evidence, the Company determined it was more likely than not that the Company will be in a position to realize the benefits of the deferred tax asset as a result of consistent profitability excluding non-recurring stock compensation charges in connection with the Company's IPO. As such, no valuation allowance was recorded in either year. As of December 31, 2023, the Company has generated federal and state net operating loss carryforwards of approximately $89.0 million and $63.7 million (post-apportioned state NOL) respectively, that begin to expire in 2034. The following is a reconciliation of income tax computed at the U.S. federal statutory income tax rate to the benefit from income taxes: Amount Percent December 31, December 31, (Dollars in Thousands) 2023 2022 2021 2023 2022 2021 Tax provision (benefit) computed at Federal statutory income tax rate $ 6,094 $ (3,901) $ (45,806) 21.0 % 21.0 % 21.0 % Stock compensation (22) (2,241) 21,399 (0.1) 12.1 (9.8) State tax expense, net of Federal benefit 2,140 (707) (4,280) 7.4 3.8 2.0 Rate change (115) (538) 10 (0.4) 2.9 — Non-controlling interest 331 722 488 1.1 (3.9) (0.2) Other (435) 149 332 (1.5) (0.8) (0.2) Provision for (benefit from) income taxes $ 7,993 $ (6,516) $ (27,857) 27.5 % 35.1 % 12.8 % The stock compensation impacting the income tax provision are primarily attributable to stock-based compensation expense that is not deductible under Section 162(m) offset by tax deductible stock based compensation. The 2022, 2021, and 2020 federal and state income tax returns are within the statute of limitations (“SOL”) and are currently not under examination by any federal or state tax authority. The Company assesses the uncertainty in its income tax positions to determine whether a tax position of the Company is more likely than not to be sustained upon examination, including resolution of any related appeals of litigation processes, based on the technical merits of the position. For the tax position meeting the more-likely-than-not threshold, the tax amount recognized in the financial statements is reduced by the largest benefit that has a greater than 50% likelihood of being realized upon the ultimate settlement with the relevant taxing authority. As of December 31, 2023, 2022, and 2021, the Company had not recorded any reserves for uncertain tax positions or related interest and penalties. |
Stockholders_ Equity
Stockholders’ Equity | 12 Months Ended |
Dec. 31, 2023 | |
Equity [Abstract] | |
Stockholders’ Equity | Stockholders’ Equity Novant Health Private Placement On March 2, 2023, the Company entered into a strategic alignment agreement (the “Equity Alignment Agreement”) with ChoiceHealth, Inc. (“Novant Sub”), a subsidiary of Novant Health, Inc. (“Novant Health”), in connection with the strategic partnership between the Company and Novant Health entered into in November 2022 to launch Privia Medical Group — North Carolina. Pursuant to the Equity Alignment Agreement, Novant Sub will be entitled to receive, and the Company agreed to issue, shares of the Company’s common stock, par value $0.01 per share (the “Common Stock”), to Novant Sub any time each of the following events occurs, in the following amounts: 1. The Company will issue 745,712 shares of Common Stock to Novant Sub each time Privia Medical Group — North Carolina implements 1,000 providers in specified markets in North Carolina. 2. The Company will issue 372,856 shares of Common Stock to Novant Sub each time the Company and Novant Health enter a new state pursuant to a mutually agreed business plan developed for such state. 3. The Company will issue 745,712 shares of Common Stock to Novant Sub each time the partnership between the Company and Novant Health for each new state implements 1,000 providers in specified core markets in such state. The Equity Alignment Agreement will renew every four years, subject to the delivery of a third-party valuation opinion. The renewal will be required to use the same issuance triggers, but the number of shares may be adjusted to be consistent with the valuation opinion. The number of shares of Common Stock issuable to Novant Sub under the Equity Alignment Agreement and all renewals of the Equity Alignment Agreement will be subject to a total cap equal to 19.9% of the total number of shares of Common Stock outstanding as of the effective date of the Equity Alignment Agreement and as of the effective date of all renewals, whichever is lowest. PH Group Holdings Corp Stock Option Plan The PH Group Holdings Corp. Stock Option Plan (the PH Group Option Plan) was created on January 17, 2014. The employees of the Company and its subsidiaries, consultants of the Company and the employees of Brighton Health Plan Services Holdings Corp. (BHPS) (a wholly-owned subsidiary of BHG Holdings) and its subsidiaries who have performed services for the Company were the participants of the PH Group Option Plan. The aggregate number of shares of common stock for which options may be granted under the PH Group Option Plan shall not exceed 4,229,850 shares. Effective August 11, 2016, the PH Group Option Plan was transferred to its parent and became the PH Group Parent Corp. Stock Option Plan (the “PH Parent Option Plan” or “Prior Plan”). All other terms in the PH Group Option Plan remained unchanged in the PH Parent Option Plan at the effective date of the transfer. Effective August 28, 2018, the PH Parent Option Plan was amended and restated to increase the aggregate number of shares of common stock for which options may be granted from 4,229,850 shares to 18,985,846 shares. On April 1, 2021, contingent on the consummation of the IPO, the Board of Directors approved a modification to the PH Group Parent Corp. Stock Option Plan of the vesting conditions of certain outstanding stock option grants to certain employees and consultants. The modification accelerated by one year any time vested options that were not previously 100% vested and modified the vesting condition of the performance based options to vest 60% at IPO, 20% 12 months after IPO and 20% 18 months after the IPO. The modification also accelerated the CEO’s time based options by an additional four months such that 100% of his time based options are vested. We recognized stock-based compensation of $195.1 million in the second quarter of 2021 related to these modifications. 2021 Omnibus Incentive Plan On April 6, 2021, the Company approved the Privia Health Group, Inc. 2021 Omnibus Incentive Plan (the “Plan”) which permits awards up to 10,278,581 shares of the Company’s common stock. The Plan also provides for an automatic increase on the first day of each fiscal year following the effective date of the Plan by an amount equal to the lesser of (i) 5% of outstanding shares on December 31 of the immediately preceding fiscal year or (ii) such number of shares as determined by the Company’s Compensation Committee in its discretion. The Plan provides for the granting of stock options at a price equal to at least 100% of the fair market value of the Company’s common stock as of the date of grant. The Plan also provides for the granting of Stock Appreciation Rights, Restricted Stock, Restricted Stock Units (“RSUs”), Performance Awards and other cash-based or other stock-based awards, all which must be granted at not less than the fair market value of the Company’s common stock as of the date of grant. Participants in the Plan may include employees, consultants, other service providers and non-employee directors. On the effective date of the IPO, the Company issued 1,183,871 restricted stock units at the offering price and 3,683,217 options, with an exercise price equal to the offering price. These issuances are expected to generate stock-based compensation expense of $62.3 million to be recognized over the next four years starting on the effective date of the IPO as both the restricted stock units and stock options vest. The 2021 Plan is intended as the successor to and continuation of the PH Parent Option Plan. No additional stock awards will be granted under the PH Parent Option Plan. 2021 Employee Stock Purchase Plan In April 2021, the Company’s Board of Directors approved the Company’s 2021 Employee Stock Purchase Plan (“2021 ESPP”). The 2021 ESPP became effective upon the execution of the underwriting agreement for the Company’s IPO in April 2021. Per the 2021 ESPP, shares may be newly issued shares, treasury shares or shares acquired on the open market. The Compensation Committee may elect to increase the total number of Shares available for purchase under the 2021 ESPP as of the first day of each Company fiscal year following the effective date of the 2021 ESPP in an amount equal to up to one percent (1%) of the shares issued and outstanding on the immediately preceding December 31; provided that the maximum number of shares that may be issued under the Plan in any event shall be 10,278,581 shares. As of the IPO, the Company has reserved 1,027,858 shares of common stock for issuance under the 2021 ESPP. As of December 31, 2023, no shares have been issued under this plan. Stock option activity For the Options granted under the Plan, Privia used a Black-Scholes option pricing model to determine the fair value. Option valuation models require several inputs, such as the expected stock price volatility, the fair value of the stock, the risk free rate, the expected term of the award and the dividend yield. Below outlines the assumptions used in the Black-Scholes modeling and calculation of the option fair value. • Volatility - The Company determines volatility based on the historical stock volatilities of a group of publicly listed guideline companies over a period equal to the expected terms of the options, as the Company does not have sufficient trading history to determine the volatility of the Company’s common stock. • Fair value of common stock - Prior to the IPO in April 2021, the Company estimated the fair value of the Company’s common stock using various valuation methodologies, including valuation analyses performed by third-party valuation firms. After the IPO, the Company used the publicly quoted price as the fair value of the Company’s common stock. • Risk-free interest rate - The Company bases the risk-free interest rate used in the Black-Scholes option-pricing model on the implied yield available on U.S. Treasury zero-coupon issues with an equivalent expected term of the options for each option group. • Expected term - The expected term represents the period that the Company’s stock-based awards are expected to be outstanding. The expected term assumption is based on the simplified method in which the expected term is equal to the average of the stock-based award’s weighted-average vesting period and its contractual term. The Company expects to continue using the simplified method until sufficient information about historical behavior is available. • Dividend yield - The Company has not declared or paid any cash dividend and does not currently plan to pay a cash dividend in the foreseeable future. Consequently, the Company used an expected dividend yield of zero. The Company estimated the fair value of stock option grants using a Black-Scholes option pricing model with the following assumptions presented on a weighted-average basis (no stock options granted for the year ended December 31, 2023): For the Year Ended December 31, 2022 Expected term in years 6.25 Years Expected stock price volatility 44.0% Risk-Free interest rate 2.4% Expected dividend yield —% The following table summarizes stock option activity under the PH Parent Option Plan and Plan: Number of Shares Weighted- Weighted- Aggregate Intrinsic Outstanding at January 1, 2021 18,300,959 $ 2.01 7.82 $ — Granted 3,753,317 23.15 Exercised (1,935,302) 2.02 Forfeited (202,772) 10.87 Outstanding at December 31, 2021 19,916,202 $ 5.90 9.36 $ 398,117 Granted 93,793 26.35 Exercised (6,675,810) 2.01 Forfeited (157,464) 19.42 Outstanding at December 31, 2022 13,176,721 $ 7.86 9.02 $ 197,695 Granted — — Exercised (3,104,257) 2.82 Forfeited (251,710) 22.78 Balance at December 31, 2023 9,820,754 $ 9.06 7.90 $ 138,028 Exercisable at December 31, 2023 7,610,203 $ 5.01 8.09 $ 137,529 RSU Activity The following table summarizes the RSU activity under the Plan: Number of Shares Grant Date Fair Value Outstanding at January 1, 2021 — $ — Granted 1,199,315 23.19 Vested (195,652) 23.00 Forfeited (18,762) 23.00 Unvested and outstanding at December 31, 2021 984,901 $ 23.23 Granted 1,679,107 24.16 Vested (175,300) 23.68 Forfeited (84,044) 24.32 Unvested and outstanding at December 31, 2022 2,404,664 $ 23.81 Granted 1,161,301 27.50 Vested (425,076) 24.11 Forfeited (193,787) 24.43 Unvested and outstanding at December 31, 2023 2,947,102 $ 25.18 PSU Activity The following table summarizes the PSU activity under the Plan: Number of Shares Grant Date Fair Value Unvested and outstanding at January 1, 2023 — $ — Granted (1)(2) 781,132 31.91 Vested — — Forfeited (5,103) 27.61 Unvested and outstanding at December 31, 2023 776,029 $ 31.94 (1) During the twelve months ended December 31, 2023, Privia awarded RSUs in the form of PSUs to certain executive officers, market leaders and employees which vest after three years, subject to continued employment of the recipients and the achievement of certain performance metric targets. The Company has identified certain performance metrics associated with these awards and certain targets will be fully established at a future date. The Company has determined that the service inception date precedes the grant date for these awards as (a) the awards were authorized prior to establishing an accounting grant date, (b) the recipients began providing services prior to the grant date, and (c) there are performance conditions that, if not met by the accounting grant date, will result in the forfeiture of the awards. As the service inception date precedes the accounting grant date, the Company recognizes stock-based compensation expense over the requisite service period based on the fair value at each reporting date. (2) During the twelve months ended December 31, 2023, Privia awarded RSUs in the form of PSUs which vest after four years, subject to continued employment and the achievement of certain market performance metric targets. The fair value of the PSUs are determined using a Monte Carlo valuation model as of the grant date and the stock-based compensation is recognized on a straight-line basis over the requisite service period. Stock-based compensation expense Total stock-based compensation expense was approximately $37.1 million, $67.4 million and $253.5 million for the years ended December 31, 2023, 2022, 2021 respectively. A tax benefit of approximately $2.4 million and $11.2 million for the years ended December 31, 2023 and 2022, respectively, was included in the Company’s net operating loss carry-forward that could potentially reduce future tax liabilities. At December 31, 2023, there was approximately $79.4 million of unrecognized stock-based compensation expense related to unvested options, RSUs and PSUs, net of forfeitures, that is expected to be recognized over a weighted-average period of 1.2 years. As of December 31, 2023, the total intrinsic value of options exercised and the total fair value of shares vested for the 2023 period was approximately $74.7 million and $14.6 million, respectively. Stock-based compensation expense was classified in the consolidated statements of operations as follows: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 2021 Cost of platform $ 11,980 $ 13,758 $ 43,888 Sales and marketing 2,475 2,711 8,944 General and administrative 22,643 50,890 200,699 Total stock-based compensation $ 37,098 $ 67,359 $ 253,531 |
Employee Benefit Plans
Employee Benefit Plans | 12 Months Ended |
Dec. 31, 2023 | |
Retirement Benefits [Abstract] | |
Employee Benefit Plans | Employee Benefit Plans The Company has a voluntary 401(k) savings plan that provides a 3.0% safe harbor contribution to all employees. In addition, a minimum profit-sharing contribution is required to satisfy year end plan testing. The profit-sharing contribution was approximately 1.4% in 2023, 2022 and 2021. The Company made contributions of approximately $4.7 million, $4.1 million and $2.3 million for the years ended December 31, 2023, 2022 and 2021, respectively, recorded within cost of platform, sales and marketing and general and administrative expenses in the accompanying consolidated statements of operations. |
Related-Party Transactions
Related-Party Transactions | 12 Months Ended |
Dec. 31, 2023 | |
Related Party Transactions [Abstract] | |
Related-Party Transactions | Related-Party Transactions On November 3, 2022, the Company announced a joint venture and strategic partnership with Novant Health Enterprises, a division of Novant Health, to launch Privia Medical Group – North Carolina for independent providers throughout North Carolina. A member of our board of directors is a member of the board of trustees of Novant Health. No revenue or expense was recognized related to Novant Health for the years ended December 31, 2023 and 2022. |
Commitment and Contingencies
Commitment and Contingencies | 12 Months Ended |
Dec. 31, 2023 | |
Commitments and Contingencies Disclosure [Abstract] | |
Commitments and Contingencies | Commitments and Contingencies There are no material commitments and contingencies as of December 31, 2023 and 2022. |
Concentrations of Credit Risk
Concentrations of Credit Risk | 12 Months Ended |
Dec. 31, 2023 | |
Risks and Uncertainties [Abstract] | |
Concentrations of Credit Risk | Concentrations of Credit Risk Our financial instruments that are potentially subject to concentrations of credit risk consist primarily of cash, cash equivalents, and accounts receivable. While the Company’s cash and cash equivalents are managed by reputable financial institutions, the Company’s cash balances with the individual institutions may at times exceed the federally insured limits. At December 31, 2023, substantially all of the Company’s cash and cash equivalents were held at two financial institutions. The following table provides the Company’s revenue concentrations with respect to major payers as a percentage of the Company’s total revenues: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 2021 Payer A 30 % 32 % 31 % Payer B 15 % 16 % 17 % Payer C 11 % 10 % 10 % The following table provides the Company’s concentrations of credit risk with respect to major payers as a percentage of receivables, net: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 Payer A 23 % 21 % Payer B 18 % 19 % Payer C 14 % 15 % |
Net Income (Loss) Per Share
Net Income (Loss) Per Share | 12 Months Ended |
Dec. 31, 2023 | |
Earnings Per Share [Abstract] | |
Net Income (Loss) Per Share | Net Income (Loss) Per Share A reconciliation of net income (loss) available to common shareholders and the number of shares in the calculation of basic and diluted earnings (loss) income per share was calculated as follows: For the Years Ended December 31, (in thousands, except for share and per share amounts) 2023 2022 2021 Net income (loss) attributable to Privia Health Group, Inc. common stockholders $ 23,079 $ (8,585) $ (188,230) Weighted average common shares outstanding - basic 116,731,406 110,695,266 102,952,370 Weighted average common share outstanding - diluted 124,686,067 110,695,266 102,952,370 Earnings (loss) per share attributable to Privia Health Group, Inc. common stockholders – basic $ 0.20 $ (0.08) $ (1.83) Earnings (loss) per share attributable to Privia Health Group, Inc. common stockholders – diluted $ 0.19 $ (0.08) $ (1.83) The treasury stock method is used to consider the effect of the potentially dilutive stock options. The following weighted-average outstanding shares of potentially dilutive securities were excluded from computation of diluted loss per share attributable to common shareholders for the period presented because including them would have been antidilutive: For the Years Ended December 31, 2023 2022 2021 Potentially dilutive stock options to purchase common stock, RSUs and PSUs 5,589,224 15,581,385 20,901,103 Total potentially dilutive shares 5,589,224 15,581,385 20,901,103 |
Segment Financial Information
Segment Financial Information | 12 Months Ended |
Dec. 31, 2023 | |
Segment Reporting [Abstract] | |
Segment Financial Information | Segment Financial Information The Company determined in accordance with ASC Topic 280, Segment Reporting (“ASC 280”), that the Company operates in and reports as a single operating segment, which is to care for its patients’ needs. Operating segments are identified as components of an enterprise where separate discrete financial information is available for evaluation by the chief operating decision maker (“CODM”), or decision-making group, who reviews financial operating results on a regular basis for the purpose of allocating resources and evaluating financial performance. The Company defines its CODM as its Chief Executive Officer, who regularly reviews financial operating results on a consolidated basis for purposes of allocating resources and evaluating financial performance. Although the Company derives its revenues from a number of different geographic regions, the Company neither allocates resources based on the operating results from the individual regions, nor manages each individual region as a separate business unit. The Company’s CODM manages the operations on a consolidated basis to make decisions about overall corporate resource allocation and to assess overall corporate profitability. As of December 31, 2023 and 2022, all of the Company’s long-lived assets were located in the United States. |
Pay vs Performance Disclosure
Pay vs Performance Disclosure - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Pay vs Performance Disclosure | |||
Net Income (Loss) Attributable to Parent | $ 23,079 | $ (8,585) | $ (188,230) |
Insider Trading Arrangements
Insider Trading Arrangements | 3 Months Ended |
Dec. 31, 2023 | |
Trading Arrangements, by Individual | |
Rule 10b5-1 Arrangement Adopted | false |
Non-Rule 10b5-1 Arrangement Adopted | false |
Rule 10b5-1 Arrangement Terminated | false |
Non-Rule 10b5-1 Arrangement Terminated | false |
Organization and Summary of S_2
Organization and Summary of Significant Accounting Policies (Policies) | 12 Months Ended |
Dec. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Basis of Presentation | Basis of Presentation The consolidated financial statements are prepared in accordance with United States generally accepted accounting principles (“GAAP”) and include the accounts of the Company and its subsidiaries. Amounts shown on the consolidated statements of operations within the operating expense categories of provider expense, cost of platform, selling and marketing, and general and administrative are recorded exclusive of depreciation and amortization. |
Consolidation | All significant intercompany transactions are eliminated in consolidation. |
Variable Interest Entities | Variable Interest Entities Management evaluates the Company’s ownership, contractual, and other interests in entities to determine if it has any variable interest in a variable interest entity (“VIE”). These evaluations are complex, involve judgment, and the use of estimates and assumptions based on available historical information, among other factors. If the Company determines that an entity in which it holds a contractual or ownership interest is a VIE and that the Company is the primary beneficiary, the Company consolidates such entity in its consolidated financial statements. The primary beneficiary of a VIE is the party that meets both of the following criteria: (i) has the power to make decisions that most significantly affect the economic performance of the VIE; and (ii) has the obligation to absorb losses or the right to receive benefits that in either case could potentially be significant to the VIE. Management performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change. Changes in consolidation status are applied prospectively. The Company evaluated its relationship with (a) Non-Owned Medical Groups and their Affiliated Practices, (b) Friendly Medical Groups and their Affiliated Practices, and (c) Affiliated Practices associated with Owned Medical Groups to determine if any of these entities should be subject to consolidation. The Company does not have ownership interest in any Affiliated Practices (whether those of Owned Medical Groups, Non-Owned Medical Groups or Friendly Medical Groups); nor does the Company have an ownership in Non-Owned Medical Groups or Friendly Medical Groups. The PMSA and support services agreement (“SSA”) entered by Non-Owned Medical Groups and Friendly Medical Groups with their Privia Physician members and the Affiliated Practices are not contractual relationships within Privia’s legal structure. The only contractual relationship between Privia and Non-Owned Medical Groups is established through the MSA. For Friendly Medical Groups, in addition to the MSA, the Company has a contractual relationship, evidenced by a restriction agreement (each a “Restriction Agreement”) with its Nominee Physicians and their respective Nominee PCs. Management has determined, based on the provisions of the MSAs between the Company and Non-Owned Medical Groups, and after considering the requirements of Accounting Standards Codification (“ASC”) Topic 810, Consolidation (“ASC 810”), the Company is not required to consolidate the financial position or results of operations of the Affiliated Practices associated with Owned Medical Groups; nor is it required to consolidate the financial position or results of operations of Non-Owned Medical Groups (and, therefore, the Company is not required to consolidate the Affiliated Practices of the Non-Owned Medical Groups). However, management has determined, based on the provisions of the Restriction Agreement by and among the Company, the Nominee Physicians and their respective Nominee PCs, the governing documents of the Friendly Medical Groups, and after considering the requirements of ASC 810, that the Company should consolidate the financial position or results of operations of the Friendly Medical Groups and the Nominee PCs, but not the Affiliated Practices of the Friendly Medical Groups. ASC 810 requires the Company to consolidate the financial position, results of operations and cash flows of a Non-Owned Medical Group affiliated by means of a service agreement if the Non-Owned Medical Group is a VIE and the Company is its primary beneficiary. A Non-Owned Medical Group would be considered a VIE if (a) it is thinly capitalized (i.e., the equity is not sufficient to fund the Non-Owned Medical Group’s activities without additional subordinated financial support) or (b) the equity holders of the Non-Owned Medical Group as a group have one of the following four characteristics: (i) lack the power to direct the activities that most significantly affect the Non-Owned Medical Group’s economic performance, (ii) possess non-substantive voting rights, (iii) lack the obligation to absorb the Non-Owned Medical Group’s expected losses, or (iv) lack the right to receive the Non-Owned Medical Group’s expected residual returns. The characteristics of both (a) and (b) do not exist and as such the Non-Owned Medical Groups do not represent VIEs. Accordingly, the Company has not consolidated the financial position, results of operations or cash flows of the Non-Owned Medical Groups that are affiliated with the Company by means of a service agreement for the years ended December 31, 2023, 2022 and 2021. Each time that it enters into a new service agreement or enters into a material amendment to an existing service agreement, the Company considers whether the terms of that agreement or amendment would change the elements it considers in accordance with the VIE guidance. The same analysis was performed for the Affiliated Practices of Owned Medical Groups, which have contractual relationships with Privia through the SSA, and the Company determined they do not represent VIEs as they do not meet the criteria in ASC 810 for similar reasons outlined above. The Company, however, does meet the criteria for consolidation of the Nominee PCs and the Friendly Medical Groups based on the discussion above. In February 2023, the Company announced a partnership with Community Medical Group, the largest Clinically Integrated Network (“CIN”) in Connecticut with approximately 1,100 multi-specialty providers, to launch Privia Quality Network Connecticut (“PQN-CT”). The Company performed an analysis as noted above and determined that PQN- CT does not represent a VIE as it does not meet the criteria in ASC 810, but the entity is consolidated because Privia owns a majority of the voting interest in the entity. Privia Medical Group – West Texas, PLLC, (“PMG West Texas”) is a physician-owned Medical Group, with PMG West Texas Holdings, PLLC (“Friendly WTX PC”), a Texas professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG West Texas. The Company has a contractual relationship with Friendly WTX PC through a Restriction Agreement. The VIE analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (ii) and (iv) and as such, PMG West Texas and Friendly WTX PC do represent VIEs and are consolidated as they do meet the criteria in ASC 810. Privia Medical Group Tennessee, PLLC (“PMG-TN”) is a physician-owned Medical Group, with PMG-TN Physicians, PLLC, a Tennessee professional limited liability company entirely owned by a licensed physician with a leadership role in the Company (“Friendly TN PC”), owning majority membership interests therein and having governance and control rights via the governing documents of PMG-TN. Again, the same analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (ii) and (iv) and as such, PMG-TN and Friendly TN PC do represent VIEs as they do meet the criteria in ASC 810. Privia Medical Group Washington, PLLC, (“PMG WA”) is a physician-owned Medical Group, with PMG Washington Holdings, PLLC (“Friendly WA PC”), a Washington professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG WA. The Company has a contractual relationship with Friendly WA PC through a Restriction Agreement. The VIE analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (i), (ii) and (iv) and as such, PMG WA and Friendly WA PC do represent VIEs and are consolidated as they do meet the criteria in ASC 810. Privia Medical Group South Carolina, LLC, (“PMG SC”) is a physician-owned Medical Group, with PMG South Carolina Holdings, PLLC (“Friendly SC PC”), a South Carolina professional limited liability company entirely owned by a licensed physician with a leadership role in the Company, owning majority membership interests and having governance and control rights via the governing documents of PMG SC. The Company has a contractual relationship with Friendly SC PC through a Restriction Agreement. The VIE analysis was performed, and the Company determined that characteristic (b) exists as a result of meeting (i), (ii) and (iv) and as such PMG SC and Friendly SC PC represent VIEs and are consolidated as they meet the criteria in ASC 810. |
Use of Estimates | Use of Estimates |
Operating Segments | Operating Segments The Company determined in accordance with ASC 280, Segment Reporting |
Cash and Cash Equivalents | Cash and Cash Equivalents |
Accounts Receivable | Accounts Receivable Substantially all of the Company’s accounts receivable relate to providing health care services to patients whose costs are primarily paid by federal and state governmental authorities or commercial insurance companies. The Company reports accounts receivable at an amount equal to the consideration the Company expects to receive in exchange for providing healthcare services to patients, which is estimated using historical reimbursement rates and an analysis of past experience to estimate potential adjustments. |
Unearned Revenue, Revenue Recognition and Provider Expense | Unearned Revenue Revenue Recognition The Company derives revenues from the following three sources: (i) FFS revenue, (ii) VBC revenue and (iii) other revenue from additional services offered by Privia to its Privia Providers or directly to patients or employers. To determine revenue recognition for arrangements that an entity determines are within the scope of ASC 606, the Company performs the following five steps: i. Identify the contract(s) with a customer; ii. Identify the performance obligations in the contract; iii. Determine the transaction price; iv. Allocate the transaction price to the performance obligations in the contract; and v. Recognize revenue as the entity satisfies a performance obligation. FFS Revenue FFS-patient care The Company’s FFS-patient care revenue is primarily generated from providing healthcare services to patients. Providing medical services to patients represents the Company’s performance obligation under these third-party payer agreements, and accordingly, the transaction price is allocated entirely to that one performance obligation. The Company recognizes revenue as services are rendered and approved by the Privia Providers, which is typically a single day for each service. The Company receives payment for services from third-party payers, as well as from patients who have health insurance, but are also financially responsible for some or all of the service in the form of co-pays, coinsurance or deductibles. Patients who do not have health insurance are required to pay for their services in full. FFS-patient care revenue is reported net of provisions for contractual allowances from third-party payers and patients. The Company has certain agreements with third-party payers that provide for reimbursement at amounts different from the Company’s standard billing rates. The differences between the estimated reimbursement rates and the standard billing rates are accounted for as contractual adjustments, which are deducted from gross revenue to arrive at FFS-patient care revenue. The Company determines the Company’s estimate of implicit price concessions based on the Company’s historical collection experience with classes of patients using a portfolio approach as a practical expedient to account for patient contracts as collective groups rather than individually. The financial statement effects of using this practical expedient are not materially different from an individual contract approach. Subsequent changes to the estimate of the transaction price (determined on a portfolio basis when applicable) are generally recorded as adjustments to revenue in the period of the change. For the years ended December 31, 2023, 2022 and 2021, changes in the Company’s estimates of implicit price concessions, contractual adjustments, and expected payments for performance obligations satisfied in prior periods were not significant. With respect to the Company’s treatment of revenue from Owned Medical Groups and Friendly Medical Groups, it is necessary to assess whether the Company is the principal or the agent with respect to FFS-patient care revenue in light of the fact that healthcare services are furnished by Privia Providers rather than employees of the Owned Medical Groups. ASC 606-10-55-37A indicates that an entity is a principal if it obtains control of a right to a service to be performed by another party, which gives the entity the ability to direct that party to perform the services to the customer on the entity’s behalf. The Owned Medical Groups, which are each majority-owned and controlled by us, own the contractual relationships with the patients and the third-party payers, and they direct Privia Providers to perform healthcare services on the Company’s behalf. Although the Company is prohibited by law from interfering in the physician-patient relationship or making clinical care decisions, the Company’s Owned Medical Groups are responsible for the fulfillment of healthcare services to patients. Further, the Company employs Chief Medical Officers and Medical Directors who provide clinical oversight and direction over the clinical affairs of the Owned Medical Groups. In addition, the Owned Medical Group provides the care coordination activities, patient outreach and education activities, and sets quality standards for Privia Providers. The Company also verifies that Privia Providers have the proper qualifications (e.g., correct licenses, certificates, etc.) for the Company’s Owned Medical Groups, for the Company and as a delegate on behalf of certain third-party payers. In addition to oversight of health care services, the Owned Medical Group is also the party primarily responsible for providing the services to patients and maintains discretion in establishing pricing for all services through agreements with patients and their insurance payers. The Owned Medical Groups negotiate and enter into provider agreements with third-party payer insurance companies, which outline the obligations of the Owned Medical Group and the third-party payers in connection with providing patient care services to covered patients. This includes setting the reimbursement rate for all services provided by the Owned Medical Groups. In assessing who is the principal in providing the patient care services, the Company considered who controls the provision of patient care services. As a result of the Company’s oversight of Owned Medical Groups (including setting the expectations for the Owned Medical Group’s patients and the commercial payers’ expectations of the Owned Medical Groups) and the contractual relationships with patients and their third-party payers, the Company is the principal in these relationships. FFS-administrative services The Company’s FFS-administrative services business provides administration and management services pursuant to MSA with Non-Owned Medical Groups. The Company’s MSAs with the Non-Owned Medical Groups range from 5 – 20 years in duration and outline the terms and conditions of the administration and management services to be provided, which includes revenue cycle management services such as billings and collections, as well as other services, including, but not limited to, payer contracting, information technology services and accounting and treasury services. In certain MSAs, the Company is paid administrative fees equal to the cost of supplying certain services as outlined in the MSAs, and if applicable, a margin is added to the cost of certain services. The margin, if applicable, is fixed based on the MSAs; however, the cost of supplying certain services can fluctuate during the life of the MSAs. In certain MSAs, the Company is paid a percentage of net collections. The percentage is fixed per the MSAs; however, the net collections can fluctuate during the life of the contract. Under each MSA, there is a single performance obligation to provide a series of administration and management services required for the contract period. The Company believes that each Non-Owned Medical Group receives the management and administrative services each day and has concluded that an output method is appropriate for recognizing administrative services fee revenue. Administrative fees are reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for the provision of administration and management services to the Non-Owned Medical Groups. In addition, certain of the Company’s MSAs include rebates to the customers in the event that certain conditions occur. The Company estimates the transaction price using the most likely amount methodology and amounts are included in the net transaction price to the extent that it is probable that a significant reversal will not occur once any uncertainty associated with the variable consideration is subsequently resolved. The Company reduces the amount of FFS – administrative services revenue by the amount of any rebates earned by its customers. Rebates of $2.7 million have been recorded for the years ended December 31, 2023 and 2022, respectively. No rebates were recorded for the year ended December 31, 2021. VBC Revenue The Company’s VBC business consists of its clinically integrated network and ACOs which bring together independent physician practices within the Company medical groups to focus on sharing data, improving care coordination, and collaborating on initiatives to improve outcomes and lower healthcare spending. The Company has contracts with the U.S. federal government and large payer organizations that are multi-year in nature typically ranging from three Capitated Revenue Capitated revenue consists of capitation fees earned under contracts with various Medicare Advantage payers (“Payers”) in at-risk capitation arrangements. The Company is entitled to monthly fees to provide a defined range of healthcare services for Medicare Advantage health plan members (“attributed beneficiaries” or “attributed lives”) attributed to the Company’s contracted physicians (typically primary care). Monthly fees are determined as a percentage of the premium payers receive from the Centers for Medicare & Medicaid Services (“CMS”) for these attributed beneficiaries. In at-risk arrangements, the Company generally accepts financial risk for beneficiaries attributed to its contracted physicians and, therefore, is responsible for the cost of contracted healthcare services required by those beneficiaries in accordance with the terms of each agreement. Fees are recorded gross in revenue because the Company is acting as a principal in coordinating and controlling the range of services provided (other than clinical decisions) under its Capitated revenue contracts with payers. Capitated revenue contracts with payers are generally multi-year arrangements and have a single monthly stand ready performance obligation, as defined by ASC Topic 606, Revenue from Contracts with Customers (“ASC 606”), to provide all aspects of necessary medical care to members for the contracted period. The Company recognizes revenue in the month in which the eligible beneficiary is entitled to receive healthcare benefits during the contract term. The transaction price for the Company’s capitation contracts is a fixed percentage of premium per attributed life with periodic adjustment, as the monthly fees to which the Company is entitled are subject to periodic adjustments under CMS’s risk adjustment payment methodology. CMS deploys a risk adjustment model that determines premiums paid to all payers according to each attributed life’s health status and certain demographic factors. Under this risk adjustment methodology, CMS calculates the risk adjusted premium payment using diagnosis data from various settings. The Company and healthcare providers collect and submit diagnosis data to payers (and ultimately to CMS) to be utilized in the determination of risk adjustments and such data is used by the Company to estimate any adjustments to the Capitated revenue earned that may increase or decrease revenue in subsequent periods pursuant to contractual terms. Such adjustments are estimated using the most likely amount methodology and amounts are only included in revenue to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. Capitated revenue fees are also subject to adjustment for incentives or penalties based on the achievement of certain quality metrics defined in the Company’s contracts with payers. The Company recognizes incentive revenue as earned using the most likely amount methodology and only to the extent it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. Neither the Company nor any of its affiliates are a registered insurance company as state law in the states in which the Company operates do not require such registration for risk bearing providers. Shared Savings Under the shared savings basis, the Company is offered financial incentives to increase their accountability for the cost, quality and efficiency of the care provided to the population of attributed members. The Company is paid the financial incentives when, for a given twelve-month measurement period, their performance on quality of care and utilization meets or exceeds the standards set by the payers as outlined in the contracts and when savings are achieved for medical costs associated with the population of attributed members. The payers analyze the activities during the measurement period using the agreed upon benchmarks, metrics and performance criteria to determine the appropriate payments to the Company. The Company estimates the transaction price by analyzing the activities during the relevant time period in contemplation of the agreed upon benchmarks, metrics, performance criteria, inflation trend factors, risks ratio adjustments, and attribution criteria based on those and any other contractually defined factors. Revenue is not recorded until the price can be estimated by the Company and to the extent that it is probable that a significant reversal will not occur once any uncertainty associated with the variable consideration is subsequently resolved. Revenue is recorded during the period when the services were provided during a pre-set twelve-month annual measurement period. Care management Under the per member per month (“PMPM”) basis, the Company is paid a PMPM rate for each covered individual who is attributed by the payer to the Company (“attributed members”). The Company records revenue in the month for which the PMPM rate applies and the member was attributed. The PMPM rate is based on a predetermined monthly contractual rate for each attributed member regardless of the volume of care coordination services provided under the contracts with the payers. The PMPM rate varies based on payer and product. Revenue is reported at the amount that reflects the consideration to which the Company expects to be entitled in exchange for the provision of care coordination services to its population of attributed members. The Company’s contracts with payers have a single performance obligation that consists of a series of services for the provision of care coordination services for the population of attributed members for the duration of the contract. The transaction price for the contracts is entirely variable, as it is primarily based on a PMPM rate on monthly attributed membership, which can fluctuate during the life of the contract. The majority of the Company’s net PMPM transaction price relates specifically to its efforts to transfer the service for a distinct increment of the series and is recognized as revenue in the month in which attributed members are entitled to care coordination services. Other Revenue The remainder of the Company’s revenue is derived from leveraging the Company’s existing base of providers and patients to deliver value-oriented services such as concierge services, virtual visits, virtual scribes and coding, clinical trials, behavioral health management, and partnerships with self-insured employers to offer direct primary care to their employees. Provider Expense Provider expense, previously referred to as “Physician and Practice expense”, are amounts accrued or payments made to physicians, hospitals and other service providers, including Privia physicians, their related physician practices, and providers the Company has contracted with through payer partners. Those costs include physician guaranteed payments and other required distributions pursuant to the service agreements as well as medical claims costs for services provided to attributed beneficiaries under at-risk Capitated revenue arrangements for which the Company is financially responsible whether paid directly by the Company or indirectly by payers with whom the Company has contracted. Provider expenses are recognized in the period in which services are provided. |
Property and Equipment, Net | Property and Equipment, Net three |
Internal-Use Software | Internal-Use Software |
Business Combinations | Business Combinations Accounting for business combinations requires us to allocate the fair value of purchase considerations to the tangible assets acquired, liabilities assumed, and intangible assets acquired based on their estimated fair values, which were determined primarily using the income method. The excess of the fair value of purchase consideration over the fair values of these identified assets and liabilities is recorded as goodwill. Such valuations require us to make significant estimates and assumptions, especially at the acquisition date with respect to intangible assets. Significant estimates in valuing certain intangible assets include, but are not limited to, revenue growth rates, medical claims expense, cost of care expenses, operating expenses, discount rate, contract terms and useful life from acquired assets. Our estimates of fair value are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable and, as a result, actual results may differ from estimates. Allocation of purchase consideration to identifiable assets and liabilities affects the Company’s amortization expense, as acquired finite-lived intangible assets are amortized over the useful life, whereas any indefinite lived intangible assets, including goodwill, are not amortized. During the measurement period, which is not to exceed one year from the acquisition date, the Company may record adjustments to the assets acquired and liabilities assumed, with the corresponding offset to goodwill. Upon the conclusion of the measurement period, any subsequent adjustments are recorded to earnings. During the years ended December 31, 2023 and 2021, the Company completed several acquisitions to strengthen its current market share in existing markets or to expand into new markets. The consideration paid for each of the acquisitions was derived through arm’s length negotiations. Each of the Company’s acquisitions was accounted for using the acquisition method pursuant to the requirements of FASB ASC Topic 805, Business Combinations (“ASC 805”) . The results of operations of the acquisitions have been included in the Company’s consolidated financial statements since their respective date of acquisition. For additional details, refer to Note 3 “Business Combinations.” |
Impairment of Long-Lived Assets | Impairment of Long-Lived Assets |
Goodwill | Goodwill |
Intangible Assets, net | Intangible Assets, net Definite-lived intangible assets represent the estimated fair value of intangible assets acquired. Amortization is calculated using the straight-line method over the estimated useful lives of the intangible assets which are as follows: Trade names 20 years Consumer customer relationships 10 - 24 years Management Service Agreement 16 years Physician network 15 years Payer contracts 17 - 22 years MSO Service Agreement 21 years |
Debt Issuance Costs | Debt Issuance Costs |
Fair Value of Financial Instruments | Fair Value of Financial Instruments The Company’s financial instruments consist primarily of cash and cash equivalents, accounts receivable, other receivables, accounts payable, and debt. The Company considers the carrying values of cash and cash equivalents, accounts receivable, other receivables, accounts payable, debt to related parties and debt to be indicative of their respective fair values. The carrying amount for debt is deemed to approximate fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. A three level hierarchy for fair value measurements exists based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. The three levels are defined as follows: Level 1—inputs to the valuation methodology are quoted prices (unadjusted) for identical assets or liabilities in active markets. Level 2—inputs to the valuation methodology include quoted prices for similar assets or liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument. Level 3—inputs to the valuation methodology are unobservable and significant to the fair value measurement. |
Non-Controlling Interest | Non-Controlling Interest |
Income Taxes | Income Taxes The Company accounts for income taxes in accordance with the provisions of ASC Topic 740, Income Taxes (“ASC 740”). ASC 740 requires that income tax accounts be computed using the asset and liability method. Deferred tax assets and liabilities are recognized for the tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which the temporary differences are expected to be recovered or settled. Under ASC 740, the effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Should the Company determine that it is more likely than not that some portion or all of its deferred tax assets will not be realized, a valuation allowance to the deferred tax assets would be established in the period such determination was made. State corporate taxes were calculated based on a blended rate calculated based on the Company’s allocation and apportionment to the states. Calculation under the blended rate does not result in a material difference. ASC 740 requires an entity to recognize the financial statement impact of a tax position when it is more likely than not that the position will be sustained upon examination. If the tax position meets the more likely than not recognition threshold, the tax effect is recognized at the largest amount of the benefit that has greater than a fifty percent likelihood of being realized upon ultimate settlement. ASC 740 also provides guidance for classification, interest and penalties, accounting in interim periods, disclosure, and transition. ASC 740 requires that a liability created for unrecognized tax benefits be presented as a separate liability and not combined with deferred tax liabilities or assets. At December 31, 2023, and 2022, the Company believes it has appropriately accounted for any unrecognized tax benefits. To the extent the Company prevails in matters for which a liability for an unrecognized tax benefit is established or is required to pay amounts in excess of the liability, the Company’s effective tax rate in a given financial statement period may be affected. As there are no uncertain tax positions, the Company does not have any accrued interest or penalties associated with any unrecognized tax benefits. The Company and its subsidiaries file income tax returns in the U.S. federal jurisdiction and in various state jurisdictions. As of |
Provider Liability | Provider Liability |
Leases | Leases The Company accounts for its leases in accordance with ASU 2016-2, Leases (Topic 842). The Company evaluates whether a contract is or contains a lease at the inception of the contract. Upon lease commencement, which is defined as the date on which a lessor makes the underlying asset available to the Company for use, the Company classifies the lease as either an operating or finance lease. The Company’s leases primarily consist of operating leases for office space in certain states in which the Company operates. The Company also has operating leases for equipment, which are not significant. Right-of-use assets represent the Company’s right to use an underlying asset for the lease term and lease liabilities represent the Company’s obligation to make lease payments arising from the lease. Lease liabilities are measured at the present value of the remaining, fixed lease payments at lease commencement. The Company uses its incremental borrowing rate, adjusted for the effects of collateralization, based on the information available at the later of adoption, inception, or modification in determining the present value of lease payments. Right-of-use assets are measured at an amount equal to the initial lease liability, plus any prepaid lease payments (less any incentives received) and initial direct costs, at the lease commencement date. The Company has elected to account for lease and non-lease components as a single lease component for its facility leases. As a result, the fixed payments that would otherwise be allocated to the non-lease components are accounted for as lease payments and are included in the measurement of the Company’s right-of-use asset and lease liability. Lease expense for lease payments is recognized on a straight-line basis over the lease term in general and administrative expense on the consolidated statements of operations. The Company does not recognize a lease liability or right-of-use asset on the balance sheet for short-term leases. Instead, the Company recognizes short-term lease payments as an expense on a straight-line basis over the lease term. A short-term lease is defined as a lease that, at the commencement date, has a lease term of 12 months or less and does not include an option to purchase the underlying asset that the lessee is reasonably certain to exercise. When determining whether a lease qualifies as a short-term lease, the Company evaluates the lease term and the purchase option in the same manner as all other leases. |
Cost of Platform | Cost of Platform |
Sales and Marketing | Sales and Marketing Sales and marketing expenses consist of employee-related expenses, including salaries, stock-based compensation, commissions, and employee benefits costs, for all of the Company’s employees, engaged in marketing, sales, community outreach, and sales support. These employee-related expenses capture all costs for both the Company’s field-based and corporate sales and marketing teams. Sales and marketing expenses also include central and community-based advertising to generate greater awareness, engagement, and |
General and Administrative | General and Administrative |
Stock-Based Compensation | Stock-Based Compensation The Company accounts for share-based compensation in accordance with the expense recognition provisions of ASC 718, Compensation–Stock Compensation The Company issued certain performance stock units ("PSUs") during the second quarter of 2023. The awards will vest based on the satisfaction of certain service conditions, performance-based conditions, and/or market conditions. The Company has identified certain performance metrics associated with some of these awards and certain targets will be fully established at a future date. For the awards with performance-based conditions where the target will be fully established at a future date, the Company has determined that the service inception date precedes the grant date for these awards as (a) the awards were authorized prior to establishing an accounting grant date, (b) the recipients began providing services prior to the grant date, and (c) there are performance conditions that, if not met by the accounting grant date, will result in the forfeiture of the awards. As the service inception date precedes the accounting grant date, the Company recognizes stock-based compensation expense over the requisite service period based on the estimated fair value at each reporting date. For the awards that are solely based on employment and the achievement of certain market performance metric targets, which have already been determined, the fair value of the PSUs are determined using a Monte Carlo valuation model as of the grant date and recognize stock-based compensation on a straight-line basis over the requisite service period. |
Net Income (Loss) per Share Attributable to Common Stockholders | Net Income (Loss) per Share Attributable to Common Stockholders Basic net income (loss) per share attributable to common stockholders is calculated by dividing the net income (loss) attributable to common stockholders by the weighted-average number of shares of common stock outstanding for the period. |
Recently Adopted Accounting Pronouncements and Recently Issued Accounting Pronouncements Pending Adoption | Recently Adopted Accounting Pronouncements None. Recently Issued Accounting Pronouncements Pending Adoption In November 2023, the FASB issued Accounting Standards Update No. 2023-07, Segment Reporting - Improvements to Reportable Segment Disclosures . The amendments require disclosure of incremental segment information on an annual and interim basis. The amendments also require companies with a single reportable segment to provide all disclosures required by this amendment and all existing segment disclosures in Accounting Standards Codification 280, Segment Reporting . The amendments are effective for fiscal years beginning after December 15, 2023, and interim periods beginning after December 15, 2024. The Company does not expect the adoption of the amendments to have a significant impact on its financial statements. In December 2023, the FASB issued Accounting Standards Update No. 2023-09, Income Taxes - Improvements to Income Tax Disclosures . The amendments require (i) enhanced disclosures in connection with an entity's effective tax rate reconciliation and (ii) income taxes paid disaggregated by jurisdiction. The amendments are effective for annual periods beginning after December 15, 2024. The Company does not expect the adoption of the amendments to have a significant impact on its financial statements. |
Organization and Summary of S_3
Organization and Summary of Significant Accounting Policies (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Schedule of Finite-Lived Intangible Assets | Definite-lived intangible assets represent the estimated fair value of intangible assets acquired. Amortization is calculated using the straight-line method over the estimated useful lives of the intangible assets which are as follows: Trade names 20 years Consumer customer relationships 10 - 24 years Management Service Agreement 16 years Physician network 15 years Payer contracts 17 - 22 years MSO Service Agreement 21 years A summary of the Company’s intangible assets is as follows: December 31, 2023 December 31, 2022 (Dollars in thousands) Intangible Accumulated Intangible Accumulated Trade names $ 4,600 $ 2,147 $ 4,600 $ 1,917 Consumer customer relationships 3,100 2,566 3,100 2,291 Management Service Agreement 2,200 1,134 2,200 997 Physician network 7,446 362 1,520 127 Payer contracts 52,427 2,184 2,750 164 MSO Service Agreement 51,800 5,550 51,800 3,087 121,573 $ 13,943 65,970 $ 8,583 Less accumulated amortization (13,943) (8,583) Intangible assets, net $ 107,630 $ 57,387 |
Revenue Recognition (Tables)
Revenue Recognition (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Revenue from Contract with Customer [Abstract] | |
Schedule of Revenue Disaggregation | The following table presents the Company’s revenues disaggregated by source: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 2021 FFS-patient care $ 976,688 $ 869,165 $ 772,482 FFS-administrative services 113,154 94,929 68,805 Capitated revenue 338,729 218,463 — Shared savings 170,143 132,615 83,016 Care management fees (PMPM) 50,519 35,541 36,503 Other revenue 8,504 5,947 5,414 Total Revenue $ 1,657,737 $ 1,356,660 $ 966,220 For the Years Ended December 31, 2023 2022 2021 Commercial insurers 70 % 70 % 69 % Government payers 15 % 16 % 17 % Patient 15 % 14 % 14 % 100 % 100 % 100 % |
Schedule of Contract with Customer, Contract Asset, Contract Liability, and Receivable | The Company has the following contract assets: (Dollars in Thousands) December 31, 2023 December 31, 2022 Balances for contracts with customers Accounts receivable $ 290,768 $ 189,604 |
Business Combinations (Tables)
Business Combinations (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Business Combination and Asset Acquisition [Abstract] | |
Schedule of Business Acquisitions, by Acquisition | The purchase price for the acquisitions noted above was allocated as follows: (Dollars in thousands) Total Acquisitions for the Year Ended December 31, 2023 Total Acquisitions for the Year Ended December 31, 2021 Cash paid, net of cash acquired $ 42,858 $ 32,228 Contingent payables 344 2,942 Total consideration $ 43,202 $ 35,170 Accounts receivable, lease receivable, prepaids, and other current assets $ — $ 4,735 Fixed assets — 292 Accounts payable and other current liabilities assumed — (5,378) Payer contract and physician network intangibles 55,603 4,270 Management services agreement intangible — 51,800 Goodwill 11,811 8,275 Fair value of non-controlling interests (24,212) (28,824) Total acquired net assets $ 43,202 $ 35,170 |
Goodwill and Intangible Asset_2
Goodwill and Intangible Assets, Net (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Schedule of Finite-Lived Intangible Assets | Definite-lived intangible assets represent the estimated fair value of intangible assets acquired. Amortization is calculated using the straight-line method over the estimated useful lives of the intangible assets which are as follows: Trade names 20 years Consumer customer relationships 10 - 24 years Management Service Agreement 16 years Physician network 15 years Payer contracts 17 - 22 years MSO Service Agreement 21 years A summary of the Company’s intangible assets is as follows: December 31, 2023 December 31, 2022 (Dollars in thousands) Intangible Accumulated Intangible Accumulated Trade names $ 4,600 $ 2,147 $ 4,600 $ 1,917 Consumer customer relationships 3,100 2,566 3,100 2,291 Management Service Agreement 2,200 1,134 2,200 997 Physician network 7,446 362 1,520 127 Payer contracts 52,427 2,184 2,750 164 MSO Service Agreement 51,800 5,550 51,800 3,087 121,573 $ 13,943 65,970 $ 8,583 Less accumulated amortization (13,943) (8,583) Intangible assets, net $ 107,630 $ 57,387 |
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense | Estimated amortization expense for the Company’s intangible assets for the following five years is as follows: (Dollars in Thousands) 2024 $ 6,023 2025 5,857 2026 5,857 2027 5,857 2028 5,857 Thereafter 78,179 Total $ 107,630 |
Leases (Tables)
Leases (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Leases [Abstract] | |
Schedule of Components of Lease Expense | The components of lease expense were as follows: (Dollars in Thousands) For the Years Ended December 31, 2023 2022 Operating lease cost $ 2,696 $ 2,669 Cash paid for amounts included in the measurement of lease liabilities - operating leases $ 3,861 $ 2,971 Weighted-average remaining lease term - operating leases 3.8 Years 4.4 Years Weighted-average discount rate - operating leases 2.7 % 3.0 % New ROU assets recognized in exchange for new lease liabilities $ — $ 147 |
Schedule of Operating Lease Future Payments | The aggregate future lease payments for operating leases in the years subsequent to December 31, 2023 are as follows: (Dollars in Thousands) 2024 $ 2,904 2025 2,401 2026 1,762 2027 814 2028 399 Thereafter 402 Total future lease payments 8,682 Imputed interest (393) Total $ 8,289 |
Property and Equipment, Net (Ta
Property and Equipment, Net (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Property, Plant and Equipment [Abstract] | |
Schedule of Property, Plant and Equipment | A summary of the Company’s property and equipment, net is as follows: (Dollars in Thousands) December 31, 2023 December 31, 2022 Furniture and fixtures $ 1,402 $ 1,402 Computer equipment 1,686 1,657 Leasehold improvements 4,939 4,855 8,027 7,914 Less accumulated depreciation and amortization (5,702) (4,528) Property and equipment, net $ 2,325 $ 3,386 |
Account Payable and Accrued E_2
Account Payable and Accrued Expenses (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Payables and Accruals [Abstract] | |
Schedule of Accounts Payable and Accrued Expenses | Accounts payable and accrued expenses consisted of the following: (Dollars in Thousands) December 31, 2023 December 31, 2022 Accounts payable $ 7,882 $ 6,731 Accrued employee compensation and benefits 5,973 6,177 Bonuses payable 15,073 15,203 Other accrued expenses 28,903 24,726 Total accounts payable and accrued expenses $ 57,831 $ 52,837 |
Provider Liability (Tables)
Provider Liability (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Liability for Unpaid Claims and Claims Adjustment Expense, Activity in Liability [Abstract] | |
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense | The Company’s liabilities for unpaid medical claims under at-risk capitation arrangements, which are included in Provider liability in the Company’s consolidated balance sheets, were as follows: (Dollars in Thousands) December 31, 2023 December 31, 2022 Balance, beginning of period $ 28,617 $ — Incurred health care costs: Current year 334,383 218,199 Prior years 2,436 — Total claim incurred 336,819 218,199 Claims paid: Current year (270,810) (189,582) Prior year (27,488) — Total claims paid (298,298) (189,582) Balance, end of period $ 67,138 $ 28,617 |
Income Taxes (Tables)
Income Taxes (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Income Tax Disclosure [Abstract] | |
Schedule of (Benefit From) Provision For Income Taxes | The provision for (benefit from) income taxes for years ending December 31, 2023, 2022 and 2021 are as follows: December 31, (Dollars in Thousands) 2023 2022 2021 Current: Federal $ — $ — $ — State and Local 528 509 345 Total current 528 509 345 Deferred: Federal 6,221 (5,478) (23,650) State and Local 1,244 (1,547) (4,552) Total deferred 7,465 (7,025) (28,202) Total provision for (benefit from) incomes taxes $ 7,993 $ (6,516) $ (27,857) |
Schedule of Deferred Tax Assets and Liabilities | Deferred taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Deferred tax assets and deferred tax liabilities as of December 31, 2023 and 2022 are as follows: (Dollars in Thousands) December 31, 2023 December 31, 2022 Deferred tax assets Net operating loss carryforwards $ 22,071 $ 25,610 Stock compensation 19,598 22,808 Lease liability 2,581 3,010 Other accruals 74 437 Total gross tax assets 44,324 51,865 Less: valuation allowance — — Total deferred tax assets 44,324 51,865 Deferred tax liabilities Fixed and intangible assets (7,302) (9,418) Right-of-use asset (1,822) (2,079) Total deferred tax liabilities (9,124) (11,497) Deferred tax assets, net $ 35,200 $ 40,368 |
Schedule of Effective Income Tax Rate Reconciliation | The following is a reconciliation of income tax computed at the U.S. federal statutory income tax rate to the benefit from income taxes: Amount Percent December 31, December 31, (Dollars in Thousands) 2023 2022 2021 2023 2022 2021 Tax provision (benefit) computed at Federal statutory income tax rate $ 6,094 $ (3,901) $ (45,806) 21.0 % 21.0 % 21.0 % Stock compensation (22) (2,241) 21,399 (0.1) 12.1 (9.8) State tax expense, net of Federal benefit 2,140 (707) (4,280) 7.4 3.8 2.0 Rate change (115) (538) 10 (0.4) 2.9 — Non-controlling interest 331 722 488 1.1 (3.9) (0.2) Other (435) 149 332 (1.5) (0.8) (0.2) Provision for (benefit from) income taxes $ 7,993 $ (6,516) $ (27,857) 27.5 % 35.1 % 12.8 % |
Stockholders_ Equity (Tables)
Stockholders’ Equity (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Equity [Abstract] | |
Schedule of Fair Value of Stock Option | The Company estimated the fair value of stock option grants using a Black-Scholes option pricing model with the following assumptions presented on a weighted-average basis (no stock options granted for the year ended December 31, 2023): For the Year Ended December 31, 2022 Expected term in years 6.25 Years Expected stock price volatility 44.0% Risk-Free interest rate 2.4% Expected dividend yield —% |
Schedule of Stock Option, Activity | The following table summarizes stock option activity under the PH Parent Option Plan and Plan: Number of Shares Weighted- Weighted- Aggregate Intrinsic Outstanding at January 1, 2021 18,300,959 $ 2.01 7.82 $ — Granted 3,753,317 23.15 Exercised (1,935,302) 2.02 Forfeited (202,772) 10.87 Outstanding at December 31, 2021 19,916,202 $ 5.90 9.36 $ 398,117 Granted 93,793 26.35 Exercised (6,675,810) 2.01 Forfeited (157,464) 19.42 Outstanding at December 31, 2022 13,176,721 $ 7.86 9.02 $ 197,695 Granted — — Exercised (3,104,257) 2.82 Forfeited (251,710) 22.78 Balance at December 31, 2023 9,820,754 $ 9.06 7.90 $ 138,028 Exercisable at December 31, 2023 7,610,203 $ 5.01 8.09 $ 137,529 |
Schedule of Restricted Stock Unit, Activity | The following table summarizes the RSU activity under the Plan: Number of Shares Grant Date Fair Value Outstanding at January 1, 2021 — $ — Granted 1,199,315 23.19 Vested (195,652) 23.00 Forfeited (18,762) 23.00 Unvested and outstanding at December 31, 2021 984,901 $ 23.23 Granted 1,679,107 24.16 Vested (175,300) 23.68 Forfeited (84,044) 24.32 Unvested and outstanding at December 31, 2022 2,404,664 $ 23.81 Granted 1,161,301 27.50 Vested (425,076) 24.11 Forfeited (193,787) 24.43 Unvested and outstanding at December 31, 2023 2,947,102 $ 25.18 The following table summarizes the PSU activity under the Plan: Number of Shares Grant Date Fair Value Unvested and outstanding at January 1, 2023 — $ — Granted (1)(2) 781,132 31.91 Vested — — Forfeited (5,103) 27.61 Unvested and outstanding at December 31, 2023 776,029 $ 31.94 (1) During the twelve months ended December 31, 2023, Privia awarded RSUs in the form of PSUs to certain executive officers, market leaders and employees which vest after three years, subject to continued employment of the recipients and the achievement of certain performance metric targets. The Company has identified certain performance metrics associated with these awards and certain targets will be fully established at a future date. The Company has determined that the service inception date precedes the grant date for these awards as (a) the awards were authorized prior to establishing an accounting grant date, (b) the recipients began providing services prior to the grant date, and (c) there are performance conditions that, if not met by the accounting grant date, will result in the forfeiture of the awards. As the service inception date precedes the accounting grant date, the Company recognizes stock-based compensation expense over the requisite service period based on the fair value at each reporting date. (2) During the twelve months ended December 31, 2023, Privia awarded RSUs in the form of PSUs which vest after four years, subject to continued employment and the achievement of certain market performance metric targets. The fair value of the PSUs are determined using a Monte Carlo valuation model as of the grant date and the stock-based compensation is recognized on a straight-line basis over the requisite service period. |
Schedule of Disclosure of Share-based Compensation Arrangements by Share-based Payment Award | Stock-based compensation expense was classified in the consolidated statements of operations as follows: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 2021 Cost of platform $ 11,980 $ 13,758 $ 43,888 Sales and marketing 2,475 2,711 8,944 General and administrative 22,643 50,890 200,699 Total stock-based compensation $ 37,098 $ 67,359 $ 253,531 |
Concentrations of Credit Risk (
Concentrations of Credit Risk (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Risks and Uncertainties [Abstract] | |
Schedules of Concentration of Risk, by Risk Factor | The following table provides the Company’s revenue concentrations with respect to major payers as a percentage of the Company’s total revenues: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 2021 Payer A 30 % 32 % 31 % Payer B 15 % 16 % 17 % Payer C 11 % 10 % 10 % The following table provides the Company’s concentrations of credit risk with respect to major payers as a percentage of receivables, net: For the Years Ended December 31, (Dollars in Thousands) 2023 2022 Payer A 23 % 21 % Payer B 18 % 19 % Payer C 14 % 15 % |
Net Income (Loss) Per Share (Ta
Net Income (Loss) Per Share (Tables) | 12 Months Ended |
Dec. 31, 2023 | |
Earnings Per Share [Abstract] | |
Schedule of Net Income (Loss) Per Share | A reconciliation of net income (loss) available to common shareholders and the number of shares in the calculation of basic and diluted earnings (loss) income per share was calculated as follows: For the Years Ended December 31, (in thousands, except for share and per share amounts) 2023 2022 2021 Net income (loss) attributable to Privia Health Group, Inc. common stockholders $ 23,079 $ (8,585) $ (188,230) Weighted average common shares outstanding - basic 116,731,406 110,695,266 102,952,370 Weighted average common share outstanding - diluted 124,686,067 110,695,266 102,952,370 Earnings (loss) per share attributable to Privia Health Group, Inc. common stockholders – basic $ 0.20 $ (0.08) $ (1.83) Earnings (loss) per share attributable to Privia Health Group, Inc. common stockholders – diluted $ 0.19 $ (0.08) $ (1.83) |
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share | The following weighted-average outstanding shares of potentially dilutive securities were excluded from computation of diluted loss per share attributable to common shareholders for the period presented because including them would have been antidilutive: For the Years Ended December 31, 2023 2022 2021 Potentially dilutive stock options to purchase common stock, RSUs and PSUs 5,589,224 15,581,385 20,901,103 Total potentially dilutive shares 5,589,224 15,581,385 20,901,103 |
Organization and Summary of S_4
Organization and Summary of Significant Accounting Policies - Narrative (Details) | 12 Months Ended | |||
Dec. 31, 2023 USD ($) segment group market company | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | Feb. 28, 2023 provider | |
Subsidiary, Sale of Stock [Line Items] | ||||
Number of markets in which entity operates | market | 15 | |||
Number of types of medical groups | group | 3 | |||
MSO, ownership percentage | 100% | |||
Number of MSOs where the company is at least the majority owner | company | 4 | |||
Number of providers acquired | provider | 1,100 | |||
Current assets | $ 700,804,000 | $ 551,962,000 | ||
Current liabilities | 386,952,000 | 264,274,000 | ||
Revenue | 1,657,737,000 | 1,356,660,000 | $ 966,220,000 | |
Total operating expenses | $ 1,637,088,000 | 1,375,782,000 | 1,183,656,000 | |
Number of operating segments | segment | 1 | |||
Number of reportable segments | segment | 1 | |||
Number of reporting unit | segment | 1 | |||
Administrative Services | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Revenue | $ 2,700,000 | 2,700,000 | 0 | |
Minimum | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Estimated useful life | 3 years | |||
Minimum | Management Services Agreements | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Revenue, period of recognition | 5 years | |||
Minimum | Government contract | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Revenue, period of recognition | 3 years | |||
Maximum | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Estimated useful life | 7 years | |||
Maximum | Management Services Agreements | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Revenue, period of recognition | 20 years | |||
Maximum | Government contract | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Revenue, period of recognition | 5 years | |||
Variable Interest Entity, Primary Beneficiary | PMG West Texas And PMG-TN | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Current assets | $ 6,200,000 | 1,400,000 | ||
Current liabilities | 6,200,000 | 1,400,000 | ||
Revenue | 61,100,000 | 34,900,000 | 5,800,000 | |
Total operating expenses | $ 61,100,000 | $ 34,900,000 | $ 5,800,000 | |
Non-Owned Medical Groups | Privia Physicians | ||||
Subsidiary, Sale of Stock [Line Items] | ||||
Ownership percent | 100% |
Organization and Summary of S_5
Organization and Summary of Significant Accounting Policies - Finite-Lived Intangible Assets (Details) | Dec. 31, 2023 |
Trade names | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 20 years |
Consumer customer relationships | Minimum | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 10 years |
Consumer customer relationships | Maximum | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 24 years |
Management services agreement | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 16 years |
Management services agreement | Business Support | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 21 years |
Physician network | Abilene | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 15 years |
Payer contracts | Minimum | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 17 years |
Payer contracts | Maximum | |
Finite-Lived Intangible Assets [Line Items] | |
Useful life | 22 years |
Revenue Recognition - Schedule
Revenue Recognition - Schedule of Revenue Desegregation (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Disaggregation of Revenue [Line Items] | |||
Revenue | $ 1,657,737 | $ 1,356,660 | $ 966,220 |
FFS-patient care | |||
Disaggregation of Revenue [Line Items] | |||
Revenue | 976,688 | 869,165 | 772,482 |
FFS-administrative services | |||
Disaggregation of Revenue [Line Items] | |||
Revenue | 113,154 | 94,929 | 68,805 |
Capitated revenue | |||
Disaggregation of Revenue [Line Items] | |||
Revenue | 338,729 | 218,463 | 0 |
Shared savings | |||
Disaggregation of Revenue [Line Items] | |||
Revenue | 170,143 | 132,615 | 83,016 |
Care management fees (PMPM) | |||
Disaggregation of Revenue [Line Items] | |||
Revenue | 50,519 | 35,541 | 36,503 |
Other revenue | |||
Disaggregation of Revenue [Line Items] | |||
Revenue | $ 8,504 | $ 5,947 | $ 5,414 |
Revenue Recognition - Percentag
Revenue Recognition - Percentages By Source of Net Operating Revenue (Details) - Customer Concentration Risk | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Revenue from Contract with Customer Benchmark | Commercial insurers | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 70% | 70% | 69% |
Revenue Benchmark | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 100% | 100% | 100% |
Revenue Benchmark | Government payers | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 15% | 16% | 17% |
Revenue Benchmark | Patient | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 15% | 14% | 14% |
Revenue Recognition - Schedul_2
Revenue Recognition - Schedule of Contract Assets and Liabilities (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 |
Revenue from Contract with Customer [Abstract] | ||
Accounts receivable | $ 290,768 | $ 189,604 |
Business Combinations - Narrati
Business Combinations - Narrative (Details) | Aug. 31, 2023 | Feb. 28, 2023 |
Washington Friendly Medical Group | Washington Nominee PC | ||
Business Acquisition, Contingent Consideration [Line Items] | ||
Ownership percent | 51% | |
Privia Quality Network Connecticut (“PQN-CT”) | ||
Business Acquisition, Contingent Consideration [Line Items] | ||
Percentage of voting interests acquired | 51% |
Business Combinations (Details)
Business Combinations (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Business Acquisition, Contingent Consideration [Line Items] | |||
Cash paid, net of cash acquired | $ 42,858 | $ 0 | $ 32,228 |
Goodwill | 138,749 | $ 126,938 | |
BPMC | |||
Business Acquisition, Contingent Consideration [Line Items] | |||
Cash paid, net of cash acquired | 42,858 | 32,228 | |
Contingent payables | 344 | 2,942 | |
Total consideration | 43,202 | 35,170 | |
Accounts receivable, lease receivable, prepaids, and other current assets | 0 | 4,735 | |
Fixed assets | 0 | 292 | |
Accounts payable and other current liabilities assumed | 0 | (5,378) | |
Goodwill | 11,811 | 8,275 | |
Fair value of non-controlling interests | (24,212) | (28,824) | |
Total acquired net assets | 43,202 | 35,170 | |
BPMC | Payer contracts | |||
Business Acquisition, Contingent Consideration [Line Items] | |||
Payer contract and physician network intangibles | 55,603 | 4,270 | |
BPMC | Management Service Agreement | |||
Business Acquisition, Contingent Consideration [Line Items] | |||
Payer contract and physician network intangibles | $ 0 | $ 51,800 |
Goodwill and Intangible Asset_3
Goodwill and Intangible Assets, Net - Narrative (Details) $ in Thousands | 1 Months Ended | 12 Months Ended | ||
Aug. 31, 2023 location provider | Dec. 31, 2023 USD ($) market | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($) | |
Finite-Lived Intangible Assets [Line Items] | ||||
Goodwill | $ 138,749 | $ 126,938 | ||
Number of markets entity operates | market | 3 | |||
Number of providers | provider | 50 | |||
Number of care center locations | location | 3 | |||
Amortization period | 18 years 3 months 18 days | |||
Intangible amortization expense | $ 5,359 | $ 3,351 | $ 1,312 | |
Privia Quality Network Connecticut (“PQN-CT”) | ||||
Finite-Lived Intangible Assets [Line Items] | ||||
Goodwill | $ 11,800 |
Goodwill and Intangible Asset_4
Goodwill and Intangible Assets, Net - Schedule Of Intangible Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 |
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | $ 121,573 | $ 65,970 |
Less accumulated amortization | 13,943 | 8,583 |
Total | 107,630 | 57,387 |
Trade names | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | 4,600 | 4,600 |
Less accumulated amortization | 2,147 | 1,917 |
Consumer customer relationships | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | 3,100 | 3,100 |
Less accumulated amortization | 2,566 | 2,291 |
Management Service Agreement | Management Service Agreement | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | 2,200 | 2,200 |
Less accumulated amortization | 1,134 | 997 |
Management Service Agreement | MSO Service Agreement | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | 51,800 | 51,800 |
Less accumulated amortization | 5,550 | 3,087 |
Physician network | Physician network | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | 7,446 | 1,520 |
Less accumulated amortization | 362 | 127 |
Payer contracts | ||
Finite-Lived Intangible Assets [Line Items] | ||
Finite lived intangible assets, gross | 52,427 | 2,750 |
Less accumulated amortization | $ 2,184 | $ 164 |
Goodwill and Intangible Asset_5
Goodwill and Intangible Assets, Net - Schedule of Amortization Of Intangible Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 |
Goodwill and Intangible Assets Disclosure [Abstract] | ||
2024 | $ 6,023 | |
2025 | 5,857 | |
2026 | 5,857 | |
2027 | 5,857 | |
2028 | 5,857 | |
Thereafter | 78,179 | |
Total | $ 107,630 | $ 57,387 |
Leases - Narrative (Details)
Leases - Narrative (Details) - Office space | Dec. 31, 2023 |
Minimum | |
Lessee, Lease, Description [Line Items] | |
Lease term | 2 years |
Maximum | |
Lessee, Lease, Description [Line Items] | |
Lease term | 9 years |
Leases - Components of Lease Ex
Leases - Components of Lease Expense (Details) - USD ($) $ in Thousands | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Leases [Abstract] | ||
Operating lease cost | $ 2,696 | $ 2,669 |
Cash paid for amounts included in the measurement of lease liabilities - operating leases | $ 3,861 | $ 2,971 |
Weighted-average remaining lease term - operating leases | 3 years 9 months 18 days | 4 years 4 months 24 days |
Weighted-average discount rate - operating leases | 2.70% | 3% |
New ROU assets recognized in exchange for new lease liabilities | $ 0 | $ 147 |
Leases - Schedule Of Future Lea
Leases - Schedule Of Future Lease Payment (Details) $ in Thousands | Dec. 31, 2023 USD ($) |
Leases [Abstract] | |
2024 | $ 2,904 |
2025 | 2,401 |
2026 | 1,762 |
2027 | 814 |
2028 | 399 |
Thereafter | 402 |
Total future lease payments | 8,682 |
Imputed interest | (393) |
Total | $ 8,289 |
Property and Equipment, Net - S
Property and Equipment, Net - Schedule of Property Plant And Equipment (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Property, Plant and Equipment [Line Items] | |||
Property and equipment gross | $ 8,027 | $ 7,914 | |
Less accumulated depreciation and amortization | (5,702) | (4,528) | |
Property and equipment, net | 2,325 | 3,386 | |
Amortization and depreciation | 1,200 | 1,200 | $ 1,200 |
Furniture and fixtures | |||
Property, Plant and Equipment [Line Items] | |||
Property and equipment gross | 1,402 | 1,402 | |
Computer equipment | |||
Property, Plant and Equipment [Line Items] | |||
Property and equipment gross | 1,686 | 1,657 | |
Leasehold improvements | |||
Property, Plant and Equipment [Line Items] | |||
Property and equipment gross | $ 4,939 | $ 4,855 |
Account Payable and Accrued E_3
Account Payable and Accrued Expenses (Details) - USD ($) $ in Thousands | Dec. 31, 2023 | Dec. 31, 2022 |
Payables and Accruals [Abstract] | ||
Accounts payable | $ 7,882 | $ 6,731 |
Accrued employee compensation and benefits | 5,973 | 6,177 |
Bonuses payable | 15,073 | 15,203 |
Other accrued expenses | 28,903 | 24,726 |
Total accounts payable and accrued expenses | $ 57,831 | $ 52,837 |
Provider Liability - Unpaid Cla
Provider Liability - Unpaid Claims (Details) - USD ($) $ in Thousands | 12 Months Ended | |
Dec. 31, 2023 | Dec. 31, 2022 | |
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] | ||
Beginning balance | $ 208,424 | |
Claims paid: | ||
Ending balance | 326,078 | $ 208,424 |
At-Risk Capitation Arrangements | ||
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] | ||
Beginning balance | 28,617 | 0 |
Incurred health care costs: | ||
Current year | 334,383 | 218,199 |
Prior years | 2,436 | 0 |
Total claim incurred | 336,819 | 218,199 |
Claims paid: | ||
Current year | (270,810) | (189,582) |
Prior year | (27,488) | 0 |
Total claims paid | (298,298) | (189,582) |
Ending balance | $ 67,138 | $ 28,617 |
Debt (Details)
Debt (Details) - USD ($) | Nov. 16, 2023 | Dec. 31, 2023 | Mar. 16, 2023 |
Original Credit Agreement | |||
Line of Credit Facility [Line Items] | |||
Letters of credit outstanding | $ 0 | ||
Line of Credit | Fed Funds Effective Rate Overnight Index Swap Rate | Revolving Credit Agreement | |||
Line of Credit Facility [Line Items] | |||
Basis spread on variable rate | 0.50% | ||
Floor rate | 1% | ||
Revolving Credit Facility | Line of Credit | Original Credit Agreement | |||
Line of Credit Facility [Line Items] | |||
Long term debt amount outstanding | $ 0 | ||
Revolving Credit Facility | Line of Credit | Revolving Credit Agreement | |||
Line of Credit Facility [Line Items] | |||
Maximum borrowing capacity | $ 125,000,000 | ||
Debt instrument, term | 5 years | ||
Unused capacity, commitment fee percentage | 0.20% | ||
Line of credit outstanding | $ 0 |
Income Taxes - Schedule of Inco
Income Taxes - Schedule of Income Tax Expense (Benefit) (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Current: | |||
Federal | $ 0 | $ 0 | $ 0 |
State and Local | 528 | 509 | 345 |
Total current | 528 | 509 | 345 |
Deferred: | |||
Federal | 6,221 | (5,478) | (23,650) |
State and Local | 1,244 | (1,547) | (4,552) |
Total deferred | 7,465 | (7,025) | (28,202) |
Total provision for (benefit from) incomes taxes | $ 7,993 | $ (6,516) | $ (27,857) |
Income Taxes - Schedule of Defe
Income Taxes - Schedule of Deferred Tax Assets And Liabilities (Details) - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 |
Deferred tax assets | ||
Net operating loss carryforwards | $ 22,071,000 | $ 25,610,000 |
Stock compensation | 19,598,000 | 22,808,000 |
Lease liability | 2,581,000 | 3,010,000 |
Other accruals | 74,000 | 437,000 |
Total gross tax assets | 44,324,000 | 51,865,000 |
Less: valuation allowance | 0 | 0 |
Total deferred tax assets | 44,324,000 | 51,865,000 |
Deferred tax liabilities | ||
Fixed and intangible assets | (7,302,000) | (9,418,000) |
Right-of-use asset | (1,822,000) | (2,079,000) |
Total deferred tax liabilities | (9,124,000) | (11,497,000) |
Deferred tax assets, net | $ 35,200,000 | $ 40,368,000 |
Income Taxes - Narrative (Detai
Income Taxes - Narrative (Details) - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 |
Income Tax Disclosure [Abstract] | ||
Valuation allowance | $ 0 | $ 0 |
Net operating loss carryforwards, federal | 89,000,000 | |
Net operating loss carryforwards, state | $ 63,700,000 |
Income Taxes - Schedule of Effe
Income Taxes - Schedule of Effective Income Tax Reconciliation (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Amount | |||
Tax provision (benefit) computed at Federal statutory income tax rate | $ 6,094 | $ (3,901) | $ (45,806) |
Stock compensation | (22) | (2,241) | 21,399 |
State tax expense, net of Federal benefit | 2,140 | (707) | (4,280) |
Rate change | (115) | (538) | 10 |
Non-controlling interest | 331 | 722 | 488 |
Other | (435) | 149 | 332 |
Total provision for (benefit from) incomes taxes | $ 7,993 | $ (6,516) | $ (27,857) |
Percent | |||
Tax provision (benefit) computed at Federal statutory income tax rate | 21% | 21% | 21% |
Stock compensation | (0.10%) | 12.10% | (9.80%) |
State tax expense, net of Federal benefit | 7.40% | 3.80% | 2% |
Rate change | (0.40%) | 2.90% | 0% |
Non-controlling interest | 1.10% | (3.90%) | (0.20%) |
Other | (1.50%) | (0.80%) | (0.20%) |
Provision for (benefit from) income taxes | 27.50% | 35.10% | 12.80% |
Stockholders_ Equity - Narrativ
Stockholders’ Equity - Narrative (Details) $ / shares in Units, $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended | |||||||||
Mar. 02, 2023 provider $ / shares shares | Apr. 06, 2021 USD ($) shares | Apr. 01, 2021 | Apr. 30, 2021 shares | Jun. 30, 2022 USD ($) | Dec. 31, 2023 USD ($) $ / shares shares | Dec. 31, 2022 USD ($) $ / shares shares | Dec. 31, 2021 USD ($) shares | Aug. 31, 2023 provider | Aug. 28, 2018 shares | Aug. 27, 2018 shares | Jan. 17, 2014 shares | |
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Common stock, par value (in dollars per share) | $ / shares | $ 0.01 | $ 0.01 | $ 0.01 | |||||||||
Number of providers | provider | 50 | |||||||||||
Common stock, shares authorized (in shares) | 1,000,000,000 | 1,000,000,000 | ||||||||||
Number of options granted | 0 | 93,793 | 3,753,317 | |||||||||
Unrecognized share-based compensation expense | $ | $ 79,400 | |||||||||||
Period for recognition | 1 year 2 months 12 days | |||||||||||
Common stock, shares issued (in shares) | 118,216,979 | 114,690,808 | ||||||||||
Share based payment expense | $ | $ 37,098 | $ 67,359 | $ 253,531 | |||||||||
Share based payment expense, tax benefit | $ | 2,400 | $ 11,200 | ||||||||||
Fair value of shares vested | $ | 74,700 | |||||||||||
Intrinsic value of options exercised | $ | $ 14,600 | |||||||||||
Equity Alignment Agreement | Novant Health, Inc | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Equity alignment agreement will renew period | 4 years | |||||||||||
Award percentage of total common stock issued and outstanding (up to) | 19.90% | |||||||||||
Agreement Condition One | Equity Alignment Agreement | Novant Health, Inc | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of shares issued in transaction | 745,712 | |||||||||||
Agreement Condition One | Affiliated Entity | Equity Alignment Agreement | Privia Medical Group Tennessee, PLLC | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of providers | provider | 1,000 | |||||||||||
Agreement Condition Two | Equity Alignment Agreement | Novant Health, Inc | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of shares issued in transaction | 372,856 | |||||||||||
Agreement Condition Three | Equity Alignment Agreement | Novant Health, Inc | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of shares issued in transaction | 745,712 | |||||||||||
Agreement Condition Three | Affiliated Entity | Equity Alignment Agreement | Privia Medical Group Tennessee, PLLC | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of providers | provider | 1,000 | |||||||||||
2021 Omnibus Incentive Plan | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Common stock, shares authorized (in shares) | 10,278,581 | |||||||||||
Award percentage increase | 5% | |||||||||||
Options grant price percent of fair market value of company stock price (at least) | 100% | |||||||||||
Number of options granted | 3,683,217 | |||||||||||
Unrecognized share-based compensation expense | $ | $ 62,300 | |||||||||||
Period for recognition | 4 years | |||||||||||
2021 ESPP | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of shares authorized | 10,278,581 | |||||||||||
Award percentage of total common stock issued and outstanding (up to) | 1% | |||||||||||
Common stock, shares issued (in shares) | 1,027,858 | 0 | 0 | |||||||||
Chief Executive Officer | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Accelerated vesting, percent | 100% | |||||||||||
At IPO | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Accelerated vesting, percent | 60% | |||||||||||
12months after IPO | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Accelerated vesting, percent | 20% | |||||||||||
Accelerated vesting, period | 12 months | |||||||||||
18 months after IPO | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Accelerated vesting, percent | 20% | |||||||||||
Accelerated vesting, period | 18 months | |||||||||||
Options | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of shares authorized | 18,985,846 | 4,229,850 | 4,229,850 | |||||||||
Period of acceleration | 1 year | |||||||||||
Accelerated cost | $ | $ 195,100 | |||||||||||
Options | Chief Executive Officer | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Period of acceleration | 4 months | |||||||||||
Restricted Stock Units (RSUs) | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of instruments granted | 1,161,301 | 1,679,107 | 1,199,315 | |||||||||
Restricted Stock Units (RSUs) | 2021 Omnibus Incentive Plan | ||||||||||||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | ||||||||||||
Number of instruments granted | 1,183,871 |
Stockholders_ Equity - Schedule
Stockholders’ Equity - Schedule of Fair Value of Stock Option (Details) - Options | 12 Months Ended |
Dec. 31, 2022 | |
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | |
Expected term in years | 6 years 3 months |
Expected stock price volatility | 44% |
Risk-Free interest rate | 2.40% |
Expected dividend yield | 0% |
Stockholders_ Equity - Schedu_2
Stockholders’ Equity - Schedule of Options Activity (Details) - USD ($) $ / shares in Units, $ in Thousands | 12 Months Ended | |||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Number of Shares | ||||
Beginning balance (in shares) | 13,176,721 | 19,916,202 | 18,300,959 | |
Granted (in shares) | 0 | 93,793 | 3,753,317 | |
Exercised (in shares) | (3,104,257) | (6,675,810) | (1,935,302) | |
Forfeited (in shares) | (251,710) | (157,464) | (202,772) | |
Ending balance (in shares) | 9,820,754 | 13,176,721 | 19,916,202 | 18,300,959 |
Number of Shares, Exercisable options (in shares) | 7,610,203 | |||
Weighted- Average Exercise Price | ||||
Beginning balance (in dollars per share) | $ 7.86 | $ 5.90 | $ 2.01 | |
Granted (in dollars per share) | 0 | 26.35 | 23.15 | |
Exercised (in dollars per share) | 2.82 | 2.01 | 2.02 | |
Forfeited (in dollars per share) | 22.78 | 19.42 | 10.87 | |
Ending balance (in dollars per share) | 9.06 | $ 7.86 | $ 5.90 | $ 2.01 |
Weighted-Average Exercise Price, Exercisable options (in dollars per share) | $ 5.01 | |||
Weighted-Average Remaining Contractual Life | 7 years 10 months 24 days | 9 years 7 days | 9 years 4 months 9 days | 7 years 9 months 25 days |
Weighted-Average Remaining Contractual Life, Exercisable options | 8 years 1 month 2 days | |||
Aggregate Intrinsic Value | $ 138,028 | $ 197,695 | $ 398,117 | $ 0 |
Aggregate Intrinsic Value, Exercisable options | $ 137,529 |
Stockholders_ Equity - Schedu_3
Stockholders’ Equity - Schedule of Restricted Stock Unit Activity (Details) - $ / shares | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Restricted Stock Units (RSUs) | |||
Number of Shares | |||
Beginning balance (in shares) | 2,404,664 | 984,901 | 0 |
Granted (in shares) | 1,161,301 | 1,679,107 | 1,199,315 |
Vested (in shares) | (425,076) | (175,300) | (195,652) |
Forfeited (in shares) | (193,787) | (84,044) | (18,762) |
Ending balance (in shares) | 2,947,102 | 2,404,664 | 984,901 |
Grant Date Fair Value | |||
Beginning balance (in dollars per share) | $ 23.81 | $ 23.23 | $ 0 |
Granted (in dollars per share) | 27.50 | 24.16 | 23.19 |
Vested (in dollars per share) | 24.11 | 23.68 | 23 |
Forfeited (in dollars per share) | 24.43 | 24.32 | 23 |
Ending balance (in dollars per share) | $ 25.18 | $ 23.81 | $ 23.23 |
Phantom Share Units (PSUs) | |||
Number of Shares | |||
Beginning balance (in shares) | 0 | ||
Granted (in shares) | 781,132 | ||
Vested (in shares) | 0 | ||
Forfeited (in shares) | (5,103) | ||
Ending balance (in shares) | 776,029 | 0 | |
Grant Date Fair Value | |||
Beginning balance (in dollars per share) | $ 0 | ||
Granted (in dollars per share) | 31.91 | ||
Vested (in dollars per share) | 0 | ||
Forfeited (in dollars per share) | 27.61 | ||
Ending balance (in dollars per share) | $ 31.94 | $ 0 | |
Award vesting period | 4 years | ||
Phantom Share Units (PSUs) | Executive Officers, Market Leaders And Employees | |||
Grant Date Fair Value | |||
Award vesting period | 3 years |
Stockholders_ Equity - Schedu_4
Stockholders’ Equity - Schedule of Stock-Based Compensation Expense (Details) - USD ($) $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | |||
Total stock-based compensation | $ 37,098 | $ 67,359 | $ 253,531 |
Cost of platform | |||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | |||
Total stock-based compensation | 11,980 | 13,758 | 43,888 |
Sales and marketing | |||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | |||
Total stock-based compensation | 2,475 | 2,711 | 8,944 |
General and administrative | |||
Share-based Compensation Arrangement by Share-based Payment Award [Line Items] | |||
Total stock-based compensation | $ 22,643 | $ 50,890 | $ 200,699 |
Employee Benefit Plans (Details
Employee Benefit Plans (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Retirement Benefits [Abstract] | |||
Safe harbor contribution, percent | 3% | ||
Profit sharing contribution percent | 1.40% | 1.40% | 1.40% |
Plan contribution | $ 4.7 | $ 4.1 | $ 2.3 |
Concentrations of Credit Risk -
Concentrations of Credit Risk - Narrative (Details) | 12 Months Ended |
Dec. 31, 2023 institution | |
Risks and Uncertainties [Abstract] | |
Number of institutions in which company holds its cash and cash equivalents | 2 |
Concentrations of Credit Risk_2
Concentrations of Credit Risk - Schedules of Concentration of Risk (Details) - Customer Concentration Risk | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Revenue | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 100% | 100% | 100% |
Payer A | Revenue | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 30% | 32% | 31% |
Payer A | Financing Receivable | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 23% | 21% | |
Payer B | Revenue | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 15% | 16% | 17% |
Payer B | Financing Receivable | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 18% | 19% | |
Payer C | Revenue | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 11% | 10% | 10% |
Payer C | Financing Receivable | |||
Concentration Risk [Line Items] | |||
Concentration risk percentage | 14% | 15% |
Net Income (Loss) Per Share - S
Net Income (Loss) Per Share - Schedule of Earnings Per Share, Basic and Diluted (Details) - USD ($) $ / shares in Units, $ in Thousands | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Earnings Per Share [Abstract] | |||
Net income (loss) attributable to Privia Health Group, Inc. common stockholders | $ 23,079 | $ (8,585) | $ (188,230) |
Weighted average common shares outstanding - basic (in shares) | 116,731,406 | 110,695,266 | 102,952,370 |
Weighted average common shares outstanding – diluted (in shares) | 124,686,067 | 110,695,266 | 102,952,370 |
Earnings per share attributable to Privia Health Group, Inc. common stockholders – basic (in dollars per share) | $ 0.20 | $ (0.08) | $ (1.83) |
Earnings per share attributable to Privia Health Group, Inc. common stockholders – diluted (in dollars per share) | $ 0.19 | $ (0.08) | $ (1.83) |
Net Income (Loss) Per Share -_2
Net Income (Loss) Per Share - Schedule Of Antidilutive Securities (Details) - shares | 12 Months Ended | ||
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | |
Earnings Per Share [Abstract] | |||
Potentially dilutive stock options to purchase common stock, RSUs and PSUs | 5,589,224 | 15,581,385 | 20,901,103 |
Segment Financial Information (
Segment Financial Information (Details) | 12 Months Ended |
Dec. 31, 2023 segment | |
Segment Reporting [Abstract] | |
Number of operating segments | 1 |
Number of reportable segments | 1 |