WILMINGTON, Del., Dec. 16, 2025 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover,” “Clover Health” or the “Company”), today announced that its Chief Executive Officer, Andrew Toy, will present at the J.P. Morgan 2026 Healthcare Conference on Thursday, January 15, 2026, at 11:15 a.m. Eastern Time. A live webcast and replay of the presentation and Q&A session will be accessible on Clover Health's investor relations website at https://investors.cloverhealth.com/. About Clover Health ...

PresentationGood afternoon or good morning, everyone. Thank you for joining the Clover Health presentation here at the Citi Global Healthcare Conference. My name is Daniel Grosslight. I'm the health care technology and distribution analyst here at Citi, and I'm pleased to welcome Peter Kuipers, the CFO of Clover Health, today. Peter is going to give a brief presentation, and then we're going to open it up for some Q&A. Thanks.Peter KuipersChief Financial Officer Thanks, Daniel. Great to be here. So what is ...

It has been about a month since the last earnings report for Clover Health Investments, Corp. (CLOV) . Shares have lost about 11.6% in that time frame, underperforming the S&P 500.Will the recent negative trend continue leading up to its next earnings release, or is Clover Health Investments due for a breakout? Before we dive into how investors and analysts have reacted as of late, let's take a quick look at the most recent earnings report in order to get a better handle on the important drivers.CLOV Q3 Ear ...

Financial Data and Key Metrics Changes - Clover Health reported a year-to-date membership growth of 33% as of September 30, 2025, with an adjusted EBITDA of $45 million, which is exceptional given the typical loss-making nature of new membership growth [4][8] - The company has improved its selling, general, and administrative (SG&A) expenses as a percentage of revenue by 370 basis points [15] - The normalized year-to-year cost trend, excluding pharmacy, is approximately 4%, while the company is growing membership by 35% [15][47] Business Line Data and Key Metrics Changes - The company focuses on the PPO side of Medicare Advantage, with nearly 100% of its members enrolled in PPO plans, allowing for greater freedom of choice in healthcare providers [3][5] - The contribution profit per member per month for new members is approximately $110, while returning members generate about $217 PMPM [19][53] Market Data and Key Metrics Changes - The Medicare Advantage market is valued at over $500 billion annually, with over 35 million seniors currently enrolled [3] - Clover Health's primary markets are New Jersey and Georgia, where it has a strong membership base and physician network [4][65] Company Strategy and Development Direction - Clover Health aims to leverage its proprietary AI-powered software platform, Clover Assistant, to improve healthcare outcomes and reduce costs by enabling earlier diagnosis and treatment of chronic diseases [2][12] - The company is focusing on priority markets with existing member bases and physician networks to manage growth effectively [4][17] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving GAAP net income profitability for fiscal 2026, driven by strong voluntary member retention and improved financial performance from returning members [16][74] - The company anticipates a four-star rating for its Medicare Advantage plans in the upcoming year, which would provide a financial boost [42][74] Other Important Information - Clover Health has developed a strong home care business unit that focuses on high-acuity patients, differentiating itself from traditional nurse-led home care models [8] - The company is in a growth phase for its Counterpart Health offering, which targets third-party payers and risk-based providers [14] Q&A Session Summary Question: How does the improvement in medical cost ratio (MCR) relate to the entire population versus Clover Assistant users? - The improvement includes the total population, but the impact for Clover Assistant users is expected to be higher [23] Question: What percentage of members are treated with Clover Assistant after year one? - Approximately two-thirds to 70% of the total membership base receives care under Clover Assistant technology [24] Question: How is Clover Assistant differentiated in its AI scribing capabilities? - The scribing capability is fully integrated into Clover Assistant, reducing administrative loads for physicians [28] Question: What headwinds does the company foresee for the upcoming year? - The company is closely monitoring cost trends, which are currently at 4%, compared to 7.5%-8% for larger managed care organizations [46][47] Question: What initiatives are being taken to improve Part D performance? - The company is working with its PBM to enhance performance and is integrating Part D into Clover Assistant for better medication management [50][52]

Financial Data and Key Metrics Changes - The company reported a 33% year-to-date growth in membership as of September 30, 2025, which is exceptional in the Medicare Advantage (MA) market [4][8] - Adjusted EBITDA for the year-to-date is $45 million, which is notable given the new membership growth typically incurs losses in the first year [4][8] - The company has reduced Selling, General and Administrative (SG&A) expenses as a percentage of revenue by 370 basis points [15] Business Line Data and Key Metrics Changes - The company focuses on the PPO side of Medicare Advantage, with nearly 100% of members enrolled in PPO plans, allowing freedom of choice for physicians and providers [3][5] - The company has a strong home care business unit that provides care for high-acuity patients, utilizing the same proprietary software for disease management [7][8] Market Data and Key Metrics Changes - The Medicare Advantage market is valued at over $500 billion annually, with more than 35 million seniors currently enrolled [3] - The company is primarily focused on its core markets of New Jersey and Georgia, where it has a significant member base and physician network [4][17] Company Strategy and Development Direction - The company aims to achieve GAAP net income profitability for fiscal 2026, driven by high member retention rates and improved financial performance from returning members [16][20] - The company is strategically managing growth by focusing on priority markets with existing member bases and physician networks [17][37] - The company plans to enhance its technology platform, Clover Assistant, to further improve care quality and operational efficiency [20][26] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in continued growth, citing a strong voluntary member retention rate of over 90%, which is likely the highest in the industry [16][20] - The company anticipates a favorable macroeconomic environment for 2026 and 2027, with expected improvements in profitability and cash flow [29][30] Other Important Information - The company has developed proprietary technology over the last decade, which is integral to its operations and differentiates it from traditional players in the market [2][6] - The company is experiencing strong interest from third-party payers and risk-based providers for its software platform, indicating a robust pipeline for future growth [14][26] Q&A Session Summary Question: How does the improvement in medical cost ratio (MCR) include the entire population? - The improvement in MCR is based on the total population, but the impact for Clover Assistant members is expected to be higher [23] Question: What percentage of members are treated with Clover Assistant after year one? - Approximately two-thirds to 70% of the total membership base receives care under Clover Assistant technology [24] Question: What differentiates Clover's AI scribing capabilities? - The integration of AI scribing into Clover Assistant reduces administrative burdens for physicians, allowing them to focus on clinical activities [25] Question: What prevents larger managed care plans from replicating Clover's model? - The company's unique vision, culture, and decade-long development of technology create a defensive mode against larger competitors [26] Question: How does Clover balance growth and profitability? - The company focuses on priority markets with existing strong membership bases and uses targeted marketing strategies to manage growth effectively [36][37]

Legal (Peter R.) LGTM 12/2 Disclaimer Investor Presentation December 2025 LGTMs: Date: Peter K. LGTM 12/1 This presentation and the accompanying oral presentation include forward-looking statements, including, without limitation, statements regarding future events and Clover Health Investments, Corp.'s ("Clover Health," "we," "our," or "us") expectations regarding Adjusted EBITDA, Adjusted Net income from continuing operations, Adjusted SG&A, Adjusted SG&A as a percentage of revenue, Insurance BER, Normaliz ...

Since my last coverage , shares of Clover Health Investments, Corp. ( CLOV ) are down 34% as a result of disappointing Q3 earnings that saw a major spike in medical costs, leading the company to slash itsAs a former managing editor at a financial media publication focused on mid and small caps, I am using my experience to present investment opportunities in undervalued companies. My experience, combined with my academic background in financial markets and institutions, allows me to bring thorough research a ...

Core Insights - Clover Health Investments, Corp. (CLOV) shares have decreased by 34% following disappointing Q3 earnings, primarily due to a significant increase in medical costs, prompting the company to reduce its guidance [1] Financial Performance - The Q3 earnings report revealed a major spike in medical costs for Clover Health, which has negatively impacted its financial outlook [1] Market Trends - The decline in CLOV shares reflects broader market reactions to disappointing earnings reports, particularly in the healthcare sector where rising costs are a concern [1]

Core Insights - Clover Health Investments, Corp. will have its CFO, Peter Kuipers, present at the 2025 Citi Global Healthcare Conference on December 4, 2025 [1] Company Overview - Clover Health is a physician enablement technology company focused on providing access to quality healthcare for Medicare recipients, particularly seniors who have historically faced challenges in accessing affordable healthcare [2] - The company's strategy is driven by its software platform, Clover Assistant, which aggregates patient data to support clinical decision-making and improve health outcomes by identifying and managing chronic diseases early [2] - Clover Health offers PPO and HMO Medicare Advantage plans across several states, emphasizing its wide-network, high-choice PPO plans [2] - The company extends its data-driven technology platform to healthcare providers outside its Medicare Advantage plan through its subsidiary, Counterpart Health, aiming to enhance patient outcomes and reduce healthcare costs nationwide [2] - Clover Health has published data showcasing the technology's effectiveness in improving Medication Adherence, managing Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and addressing the needs of Underserved Populations, as well as in the early identification and management of Diabetes and Chronic Kidney Disease [2]

Core Insights - Clover Health aims to empower healthcare providers with advanced technology to improve chronic disease management and reduce overall healthcare costs [2][4] - The company has developed large machine learning models and AI technology over the past several years to assist physicians in identifying and managing chronic diseases [3] - The Medicare Advantage market is significant, with 35 million seniors in the U.S. participating, and Clover Health operates primarily in New Jersey and Georgia [4] Company Growth and Outlook - Clover Health expects to achieve over 30% membership growth this year while maintaining profitability from an EBITDA perspective [5] - The company is expanding its technology offerings to third-party payers and risk-bearing providers, including both national and regional payers [5] - The growth rate is anticipated to be similar to the previous Annual Enrollment Period (AEP) [4]