Strong Membership Growth
Medicare Advantage membership grew ~51% year-over-year to approximately 156,000 members (an increase of over 52,000 lives), driven by a strong AEP and best-in-class retention.
Revenue and Profitability Expansion
Total revenues were $749 million, up 62% year-over-year. The company generated GAAP net income of $27 million (improving by $29 million YoY) and adjusted EBITDA of $40 million, up 56% YoY.
Improving Gross Profit and Cohort Economics
Consolidated gross profit was $160 million, up 47% year-over-year. Management emphasized improving cohort economics as new members mature under Clover's care model.
Operational and Clinical Engagement Momentum
Over one-third of members received Clover Assistant-powered care in Q1, and enrollment in Clover Care Services (home care) rose ~90% year-over-year, supporting higher-acuity management and better outcomes.
SG&A Efficiency Gains and Scale Benefits
Adjusted SG&A was $119 million (16% of revenue), improving roughly 200 basis points year-over-year due to scale, vendor optimization and early impact from automation/AI-driven workflows; company remains committed to 100–150 bps improvement for 2026 and delivered 200 bps in Q1.
Strong Balance Sheet and Cash Generation
Ended the quarter with $418 million in cash and investments, no debt, and operating cash flow of $108 million in the quarter, supporting self-funded growth.
Data/AI and Regulatory Positioning
Expanded capabilities onto new CMS-aligned networks to access earlier data for AI-driven insights; CMS did not finalize proposed risk model changes (creating stability) and adopted a switcher exception that management says benefits plans like Clover that rely on encounter-linked documentation.
Market Leadership in Core Geography
Clover is now the largest PPO in New Jersey (excluding special needs and employer retiree plans), enabling concentrated clinical integration and reinforcing unit economics in core markets.