Financial Data and Key Metrics Changes - Privia Health reported a 27.1% year-over-year increase in practice collections, reaching $940.4 million in Q3 2025 [10] - Adjusted EBITDA increased by 61.6% to $38.2 million, with an EBITDA margin of 30.5%, reflecting a 720 basis point improvement year-over-year [5][10] - For the first nine months of 2025, practice collections rose 19.6% to $2.6 billion, while adjusted EBITDA grew 43.5% to $94.1 million [11] Business Line Data and Key Metrics Changes - Implemented provider growth was 13.1% year-over-year, reaching 5,250 providers [10] - Value-based attribution growth increased by 12.8% year-over-year, contributing to strong practice collections [4] - The total attributed lives increased by nearly 13% from the previous year, with commercial attributed lives up over 12% to 864,000 [6][7] Market Data and Key Metrics Changes - Privia managed over $2.5 billion in medical spend across nine ACOs in the Medicare Shared Savings Program (MSSP) for 2024, achieving a savings rate of 9.4%, up from 8.2% in 2023 [9] - Total shared savings reached $234.1 million, a 32.6% increase from the previous year, with gross shared savings of $160.1 million, reflecting a 36% increase over 2023 [9] Company Strategy and Development Direction - The company is focused on expanding its national footprint and enhancing its value-based care model, with an acquisition of an ACO business from Elevance Health for $100 million expected to close by year-end 2025 [5][6] - The acquisition is anticipated to add over 120,000 value-based care attributed lives and enhance operational synergies [5] - The company aims to maintain a diversified value-based care organization to build scale and profitability without reliance on any single contract [8] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in continued strong performance and momentum into 2026, with expectations for practice collections to grow 17.1% and care margin to increase by 13.2% [12] - The company plans to remain disciplined in its approach to business development and acquisitions, leveraging its strong cash position of over $400 million [39] - Management highlighted the importance of aligning interests among payers, providers, and the company for sustainable long-term growth [85] Other Important Information - The company has a balanced and diversified value-based care organization serving over 1.4 million patients through more than 100 commercial and government programs [6] - Pro forma free cash flow for the year-to-date was $104.4 million, with expectations to end the year with at least $410 million in cash [11] Q&A Session Summary Question: Future guidance on MSSP performance - Management indicated that strong results from 2024 will be factored into future planning, maintaining consistency in guidance updates based on performance relative to benchmarks [16][17] Question: Core business performance into Q4 - Management noted strong trends and momentum heading into Q4, emphasizing a focus on annual results rather than quarterly guidance [19][20] Question: Factors influencing fee-for-service growth - Management attributed strong fee-for-service growth to broad-based utilization trends and the addition of new markets, including Arizona [22][24] Question: Synergy opportunities with Evelyn Health ACO - Management discussed the potential for significant synergies and improvements in shared savings rates over time, emphasizing a gradual integration process [26][28] Question: Evolution of relationships with payers - Management highlighted ongoing discussions with payers, leveraging strong performance to negotiate favorable contracts across various payer classes [45][47] Question: Impact of new legislation on Medicaid - Management expressed that the impact of new legislation on Medicaid is expected to be minimal, given the small percentage of collections from this segment [76][77] Question: Ancillary services growth opportunities - Management indicated a focus on expanding ancillary services as the company builds density in new markets, enhancing overall cost management [60][62] Question: Future risk in MA contracts - Management reiterated a cautious approach to capitated MA contracts, emphasizing the importance of shared risk models for sustainable growth [32][34]

Core Insights - Privia Health Group, Inc. has agreed to acquire an Accountable Care Organization (ACO) business from Evolent Health, Inc. for $100 million in cash, with an additional potential payment of $13 million based on Medicare Shared Savings Program performance for 2025 [1][2] - The acquisition will increase Privia's attributed lives in value-based care arrangements to approximately 1.5 million across various programs, enhancing its market presence [2][5] - The transaction is expected to close in the fourth quarter of 2025 and positively impact Adjusted EBITDA in 2026 [1][3] Financial Implications - Evolent Health will finance the transaction using cash from its balance sheet [2] - Evolent reaffirmed its full-year 2025 revenue outlook of $1.85-$1.88 billion, slightly below consensus estimates, and adjusted EBITDA of $140-$165 million [4] - For the third quarter of 2025, Evolent projects revenue of $460-$480 million and adjusted EBITDA of $34-$42 million, also slightly below consensus [3][4] Strategic Value - The acquisition is seen as strategically valuable for Privia, expanding its reach in existing states and adding new states, while providing synergy opportunities for ACO-participating providers to join Privia's Medical Groups [5] - Approximately 80,000 of the acquired lives are participants in the MSSP, where Privia has demonstrated leadership in cost and quality performance, indicating potential for operational leverage [6]