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Clover Health Investments, Corp.
Dec 4, 2025 at 2:01 PM UTC
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Clover Health Investments: December 2025 Investor Presentation

Investor Presentation

December 2025



Our Vision

Empower Every Physician with Technology

to Identify, Manage & Treat Chronic Diseases Earlier

Earlier Diagnosis & Treatment

Earlier Disease Management

Higher Quality Clinical Care

Affordable & Accessible Care

3



Investment Highlights


Leading Physician Enablement Technology Company: Focused on affordability, accessibility, and choice



AI-Powered Platform: Clover Assistant (CA) technology empowers physicians with AI-driven clinical recommendations to support better decisions & improve outcomes via early identification & management of disease



Proprietary Technology: Strong IP portfolio, dozens of active / pending patents(1)



Large Addressable Market: Targeting ~$500B market, with >35M seniors in Medicare Advantage (MA)



Differentiated Approach: PPO-first (97% of membership), wide network, and clinical tech creates differentiation Growth Outlook: Strong new member growth within MA plan, and also commercializing CA tech platform via Counterpart Health subsidiary to bring Clover's care model to more plans & providers

+33% YoY MA membership growth with Adj. EBITDA profitability in 2025(1)positions Clover for above-market growth & increasing profitability in 2026



  1. Including patents for Machine learning models for diagnosis suspecting, among many more that can be found here.

  2. Average Medicare Advantage (MA) Membership as of the year ended 2024 and the expected year ended 2025 at the midpoint of our full year 2025 guidance, as updated in the Company's November 4, 2025 earnings press release. 4

Adjusted EBITDA and Adjusted Net income are non-GAAP financial measures. As outlined in the Company's November 4, 2025 press release, Clover Health does not provide a reconciliation of the forward-looking Adjusted EBITDA,

and Adjusted Net income guidance to the most directly comparable GAAP measure, as this cannot be reasonably calculated or predicted at this time without unreasonable efforts.



Clover's Approach



Clinical, physician enablement, AI-Powered technology



Traditional MA Approaches

InsurTech, back-office & administrative

Earlier disease identification & management



& subsequent care treatment



Delayed / reactive healthcare, and/or downstream risk delegation

Wide network PPO; Focused on affordability / accessibility

Majority HMO approach; Narrow choice

Not focused on Risk Delegation

Large focus / reliance

Longitudinal care to most at-risk; via CA-powered Physician-led pods

Outsourced one-time visits; Primarily rely on nurses & nursing assistants

BER of 89.4% with

MA membership growth +35% YoY



High 80% to low 90% loss ratios; with industry average MA membership growth +4% YoY



Home Care

Technology

Risk Delegation / Capitation

Care Strategy

Network Construct

3Q25 YTD

Performance(1)

5

  1. Represents third quarter 2025 YTD Insurance BER ratio for Clover Health, as well as most recent results of other public companies with "Traditional MA Plan" approaches that have reported results as of the time of this presentations deck publication. Insurance Benefits expense ratio ("BER") is a non-GAAP financial measure. We calculate our Insurance BER by taking the total of Insurance net medical expenses incurred and quality improvements, and dividing that total by premiums earned on a net basis, in a given period. Please refer to Non-GAAP Financial Measures provided in Appendix A in the November 4, 2025 earnings press release for a reconciliation of BER to Insurance Net medical claims incurred, net, the most directly comparable GAAP measure.

    Differentiated, Tech-Centric Model Focused on Improving Clinical Care Outcomes via Software


    Novel clinical insights

    at point-of-care

    Enhanced

    care coordination

    Captures & synthesizes data from 100+ sources



    100+ AI / ML models powering treatment recommendations

    Generating millions of clinically oriented and personalized insights

    Designed to improve

    quality of care

    6

    Having Supported Clinical Decision-Making for Thousands of Practitioners




    Better Health Outcomes Across Chronic Conditions

    Clover Assistant Whitepapers and Case Studies(1)

    Using proprietary AI & ML models, Clover Assistant improves care coordination for doctors and is correlated with improved patient health outcomes via earlier diagnosis and lower hospitalizations & readmissions

    Diabetes

    ~36 months earlier diagnosis & treatment, on average

    Chronic Kidney Disease

    ~18 months earlier diagnosis of CKD stage 3 & higher, on average

    Congestive Heart Failure

    18% lower all-cause hospitalizations & 25% lower 30-day readmissions

    HEDIS

    (Stars Measure) Top-performing score nationwide on core PPO HEDIS measures

    Chronic Obstructive Pulmonary Disease 15% lower all-cause hospitalizations & 18% lower 30-day readmissions

    Socioeconomically Disadvantaged Impact(2)

    Earlier detection, higher diagnosis rates, 8% to 21% fewer all-cause

    hospitalizations, 12% to 21% fewer

    30-day readmissions

    7

    1. "Clover Assistant Use and Diagnosis and Progression of Chronic Kidney Disease" www.cloverhealth.com/clinicalcare/ckd; "Clover Assistant Use and Diagnosis, Treatment, and Progression of Diabetes" www.cloverhealth.com/clinicalcare/diabetes; "Driving Clinical Excellence in Chronic Disease: Counterpart Assistant's Role in Heart Failure Care" https://cdn.counterparthealth.com/whitepapers/2025_05_chf_whitepaper.pdf; "Counterpart Assistant Drives Clinical Excellence", for detailed methodology and the HEDIS performance of the broader industry visit, please see here; "Driving Clinical Excellence in Chronic Disease: Counterpart Assistant's Role in Chronic Obstructive Pulmonary Disease Care" https://cdn.counterparthealth.com/whitepapers/2025_08_copd_whitepaper.pdf; "Bridging the Divide: Counterpart Assistant Use by PCPs in Underserved Chronic Disease Populations Associated with Earlier Diagnosis and Less Frequent Hospitalization" https://cdn.counterparthealth.com/whitepapers/counterpart-sedn.pdf

    2. Differentiated impact on Socioeconomically Disadvantaged across patients with diabetes, CKD, CHF, and COPD.







Health outcomes improved via earlier identification, management, & treatment of disease
Complementary offering to growth & profitability beyond Clover's core MA markets



New SaaS & Tech-Enabled Services revenue streams with low startup costs



More clinicians empowered with AI-powered proven technology

Driving top-rated HEDIS quality performance on Clover PPO plan for the 2nd consecutive year

Improving MCR by 1,000+ bps(1)

Focused on increasing total lives covered by Counterpart via strong product market fit with compelling pipeline



  1. For returning Clover MA members whose PCPs use CA as compared to those whose PCPs do not. 8

Counterpart Health Brings Clover's Care Model to More Plans & Providers


Growth + Profitability Executing Through MA Pressures

●

3Q YTD MA membership +35% YoY, Insurance revenue +39% YoY

●

3Q YTD Adj. EBITDA of $45M & Adj. Net income of $44M(1)

●

3Q YTD Adjusted SG&A as % of Total revenues improved by 370 bps improvement YoY

Margin pressures from higher-than-expected mix of new members, relative to returning base

●

●

Despite pressures, 4% underlying YoY incurred medical cost trend, excluding pharmacy

●

Maturing, profitable returning cohorts create foundation for continued growth

Generated YTD Adj. EBITDA profitability, with strong membership & revenue growth; Expect to achieve FY26 GAAP Net income



  1. Adjusted EBITDA and Adjusted Net income from continuing operations are non-GAAP financial measures. Please refer to Non-GAAP Financial Measures provided in the Appendix for a reconciliation of Adjusted EBITDA to Net (loss) 9

income from continuing operations, and Adjusted Net income from continuing operations to Net (loss) income from continuing operations, the most directly comparable GAAP measures.

Third Quarter Year-to-Date 2025 Business Update


Strong Retention

Larger Cohort of Profitable Returning Members

Increasingly Better Performing Cohorts

Expect larger base of returning members to fund future new member growth



10

Framework for Increasing Growth + Profitability


Poised for Continued Growth

Average Medicare Advantage Membership(1)Average Membership by Type(2)

+33%

>90% Historical voluntary retention & industry disruption positions Clover for continued growth & larger 2026 and beyond returning member cohort

  1. Expected year ended 2025 average Medicare Advantage membership at the midpoint of our guidance. 11

  2. Average membership by type is calculated by taking an average of the months within the given period.