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)
+33% YoY MA membership growth with Adj. EBITDA profitability in 2025(1)positions Clover for above-market growth & increasing profitability in 2026
Including patents for Machine learning models for diagnosis suspecting, among many more that can be found here.
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
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 SoftwareNovel 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 ConditionsClover 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 Failure18% 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
"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
Differentiated impact on Socioeconomically Disadvantaged across patients with diabetes, CKD, CHF, and COPD.
Focused on increasing total lives covered by Counterpart via strong product market fit with compelling pipeline
For returning Clover MA members whose PCPs use CA as compared to those whose PCPs do not. 8
Growth + Profitability Executing Through MA Pressures
●
●
●
●
●
●
Generated YTD Adj. EBITDA profitability, with strong membership & revenue growth; Expect to achieve FY26 GAAP Net income
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 UpdateStrong 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 + ProfitabilityPoised 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
Expected year ended 2025 average Medicare Advantage membership at the midpoint of our guidance. 11
Average membership by type is calculated by taking an average of the months within the given period.
