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Clover Health Reports Third Quarter 2025 Results

Core Insights - Clover Health reported strong financial results for Q3 2025, with a 50% year-over-year increase in total revenues to $497 million and a 35% increase in Medicare Advantage membership to 109,226 members [6][7][14] - The company anticipates continued growth and profitability improvements in 2026, driven by factors such as a favorable 4 Star payment year, increased adoption of Clover Assistant, and enhanced operational efficiencies [5][20][15] Business Highlights - Clover Health's CEO emphasized the effectiveness of their technology-powered care model, which is expected to drive above-market growth and strong member retention [5][6] - The company has experienced a 39% year-over-year increase in insurance revenue, reflecting its successful expansion in the Medicare Advantage market [6][14] Financial Results - For Q3 2025, Clover Health reported a GAAP net loss of $24 million, with an Adjusted EBITDA of $2 million and Adjusted Net Income of $2 million [6][7] - Year-to-date results show a GAAP net loss of $36 million, but an Adjusted EBITDA of $45 million and Adjusted Net Income of $44 million, indicating a positive trend in profitability metrics [6][7] Revised Full Year 2025 Guidance - The company updated its full-year 2025 guidance, projecting insurance revenue between $1.850 billion and $1.880 billion, and Adjusted EBITDA between $15 million and $30 million [14][6] - Adjusted SG&A is expected to be between $325 million and $335 million, representing a decrease as a percentage of total revenues [14] Directional Full Year 2026 Outlook - Clover Health anticipates a strong financial performance in 2026, supported by a favorable CMS rate update and increased Part D direct subsidy [20][15] - The company expects to maintain strong growth and improve profitability through effective cohort management and operational efficiencies [20][15]