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Clover Health Investments (CLOV)
NASDAQ:CLOV

Clover Health Investments (CLOV) AI Stock Analysis

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CLOV

Clover Health Investments

(NASDAQ:CLOV)

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Neutral 50 (OpenAI - 5.2)
Rating:50Neutral
Price Target:
$2.00
▼(-1.96% Downside)
Action:ReiteratedDate:02/27/26
The score is held back primarily by weak profitability and the 2025 reversal to negative operating/free cash flow, despite a strong net-debt-free balance sheet and solid recent revenue/membership growth. Technicals are also unfavorable with price below key moving averages and negative MACD, while valuation lacks support due to losses and no dividend. The earnings call provides a modest offset via growth and 2026 profitability aspirations, but near-term guidance cuts and medical cost pressure keep risk elevated.
Positive Factors
Membership & Revenue Growth
Sustained high membership growth and revenue expansion reflect successful market penetration in Medicare Advantage. A larger enrolled base increases recurring capitation revenue and provides scale for spreading SG&A and care-management costs, supporting durable margin expansion as cohorts mature.
Balance Sheet Strength
A net-debt-free balance sheet and positive equity give Clover financial flexibility to fund member growth, invest in technology, and absorb short-term cash-flow variability without immediate financing. This reduces refinancing risk and supports long-term strategic investments.
Proprietary Care Technology
An AI-enabled care platform that improves clinical outcomes and can be sold or licensed creates a sustainable competitive edge. Technology that improves retention, quality scores, and cohort economics supports durable unit economics and potential new revenue streams beyond insurance premiums.
Negative Factors
Negative Cash Flow
A reversion to negative operating and free cash flow raises funding and execution risk if sustained. Persistent cash shortfalls can force financing, constrain investments in care platforms, and pressure runway for membership expansion until cohorts mature and realize expected profitability.
New Member Profitability
Loss-making new members mean growth can be dilutive to near-term margins and cash flow. If onboarding economics do not improve via pricing, network design, or utilization control, accelerated member growth may postpone sustainable profitability and amplify capital requirements.
Sub-Target Star Ratings
Star Ratings materially affect CMS payments, enrollment attractiveness, and negotiations. Persistently sub-4-star status limits quality bonus revenue and competitive positioning versus higher-rated plans, constraining durable margin upside and growth in higher-value markets.

Clover Health Investments (CLOV) vs. SPDR S&P 500 ETF (SPY)

Clover Health Investments Business Overview & Revenue Model

Company DescriptionClover Health Investments, Corp. operates as a medicare advantage insurer in the United States. The company through its Clover Assistant, a software platform that provides preferred provider organization and health maintenance organization health plans for medicare-eligible consumers. It also focuses on non-insurance businesses. Clover Health Investments, Corp. was incorporated in 2014 and is based in Franklin, Tennessee.
How the Company Makes MoneyClover Health makes money primarily through its Medicare Advantage plans, where it receives a fixed monthly payment from the Centers for Medicare & Medicaid Services (CMS) for each enrolled member. This payment is used to cover healthcare costs for members, allowing Clover to profit from efficiently managing these costs through improved care and preventative measures. The company's revenue model is heavily reliant on its ability to reduce medical expenses through data-driven insights provided by the Clover Assistant, which aims to optimize treatment plans and improve patient outcomes. Significant partnerships with healthcare providers and a focus on expanding its member base within the Medicare Advantage market are key factors contributing to its earnings.

Clover Health Investments Key Performance Indicators (KPIs)

Any
Any
Revenue by Segment
Revenue by Segment
Shows how revenue is distributed across different business areas, highlighting which segments drive growth and which may need strategic adjustments.
Chart InsightsNon‑insurance revenue has effectively disappeared since early 2024, turning Clover into a nearly pure premiums business where membership-driven premium growth now explains most top‑line gains. That mix increases sensitivity to medical utilization and member onboarding economics—management cut EBITDA guidance citing loss-making new members and higher benefit ratios—so revenue momentum masks margin risk; profitability will depend on retaining profitable cohorts, improving new‑member economics, and delivering the SG&A leverage management expects.
Data provided by:The Fly

Clover Health Investments Earnings Call Summary

Earnings Call Date:Nov 04, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:May 12, 2026
Earnings Call Sentiment Neutral
While Clover Health reported significant membership and revenue growth, positive EBITDA, and strong retention rates, the call highlighted challenges with new member profitability, lowered financial guidance, and increased medical costs, leading to a balanced outlook.
Q3-2025 Updates
Positive Updates
Membership and Revenue Growth
Clover Health saw a 35% increase in membership and nearly 50% growth in revenue year-over-year for the third quarter.
Clover Assistant Performance
Clover Assistant was noted as a strong driver, with managed returning cohorts improving year-over-year and achieving top PPO in the country for the second year running on HEDIS clinical quality scores.
Positive Adjusted EBITDA
Despite challenges, Clover Health maintained adjusted EBITDA profitability year-to-date with $45 million in adjusted EBITDA.
Strong Retention Rates
Clover Health reported an industry-leading retention rate above 90% for 2025, reflecting strong member satisfaction and retention.
Negative Updates
Lowered Guidance for 2025 Adjusted EBITDA
Clover Health lowered its guidance for 2025 adjusted EBITDA profitability due to higher-than-expected new member growth and increased utilization.
Challenges with New Member Profitability
The company faced margin pressure from new members, who were generally loss-making in their first year, affecting overall profitability.
Low Star Ratings
Clover Health received a 3.5-star rating, which does not meet their aspiration of a 4-star plan, impacting financial performance.
Increased Utilization and Medical Costs
The third quarter saw increased utilization and higher medical costs, particularly in inpatient and outpatient services, contributing to margin pressure.
Company Guidance
During Clover Health's third quarter 2025 earnings call, the company revised its guidance for the full year 2025, highlighting a number of key metrics. The company expects to add approximately 44,000 gross new members, reaching an estimated year-end total of around 113,000 net members. This growth has impacted their adjusted EBITDA profitability for 2025, which is now projected to be between $15 million and $30 million, a reduction from previous expectations. Insurance revenue is anticipated to be between $1.850 billion and $1.880 billion, reflecting a 39% year-over-year growth at the midpoint. The adjusted SG&A is expected to improve, ranging from $325 million to $335 million, marking a 400 basis point improvement year-over-year. However, insurance benefit ratios (BER) are forecasted between 90% and 91% due to elevated utilization trends and strong new membership growth. Looking ahead, Clover Health remains optimistic about 2026, anticipating positive GAAP net income driven by various factors, including strong member retention, a larger profitable returning member cohort, a 4-star payment year for PPO plans, and continued SG&A leverage.

Clover Health Investments Financial Statement Overview

Summary
Revenue growth is solid and losses have narrowed versus 2021–2022, and the balance sheet is a strength with no debt and positive equity. However, the company remains unprofitable (negative net/EBITDA margins) and 2025 operating and free cash flow turned negative again, raising funding and execution risk.
Income Statement
46
Neutral
Revenue growth has been positive in recent years (2023: ~15%, 2024: ~9%, 2025: ~8.5%), and profitability has improved materially versus the large losses in 2021–2022. However, the company remains unprofitable: 2025 net margin is still negative (~-4.4%) with negative EBITDA margin (~-4.4%). Gross margin also shows a major discontinuity (2025 gross margin >100%), which suggests data volatility/one-offs and reduces confidence in the quality and sustainability of reported profitability.
Balance Sheet
72
Positive
Leverage appears very conservative, with total debt at $0 in 2024 and 2025 (and low debt in earlier years), providing financial flexibility. Equity remains positive (~$309M in 2025), but it has trended down from 2024, and returns on equity are still meaningfully negative due to ongoing losses (2025 return on equity ~-28%). Overall, the balance sheet is a relative strength, though continued losses could pressure equity over time.
Cash Flow
40
Negative
Cash generation weakened sharply in 2025: operating cash flow turned negative (about -$67M) and free cash flow was also negative (about -$69M) after being positive in 2024. Free cash flow deterioration (2025 growth ~-20%) raises funding risk if negative cash flow persists, even though prior years show periods where cash outflows tracked accounting losses closely.
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue1.92B1.37B1.26B1.10B1.47B
Gross Profit1.99B364.80M255.95M103.48M-79.18M
EBITDA-83.86M-44.94M-207.63M-252.03M-569.60M
Net Income-85.55M-43.01M-213.36M-339.57M-587.76M
Balance Sheet
Total Assets541.01M580.74M570.67M808.62M950.80M
Cash, Cash Equivalents and Short-Term Investments95.35M221.54M242.69M334.76M615.25M
Total Debt0.000.004.66M5.86M27.83M
Total Liabilities232.31M239.60M284.28M451.73M411.49M
Stockholders Equity308.70M341.14M286.39M356.89M535.41M
Cash Flow
Free Cash Flow-68.98M33.29M-116.45M-208.39M-283.05M
Operating Cash Flow-66.93M34.84M-115.87M-203.93M-282.33M
Investing Cash Flow4.08M565.00K140.01M95.13M-435.45M
Financing Cash Flow-53.38M-17.36M-33.86M-4.96M925.39M

Clover Health Investments Technical Analysis

Technical Analysis Sentiment
Negative
Last Price2.04
Price Trends
50DMA
2.34
Negative
100DMA
2.57
Negative
200DMA
2.74
Negative
Market Momentum
MACD
-0.08
Negative
RSI
40.89
Neutral
STOCH
57.32
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CLOV, the sentiment is Negative. The current price of 2.04 is below the 20-day moving average (MA) of 2.08, below the 50-day MA of 2.34, and below the 200-day MA of 2.74, indicating a bearish trend. The MACD of -0.08 indicates Negative momentum. The RSI at 40.89 is Neutral, neither overbought nor oversold. The STOCH value of 57.32 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for CLOV.

Clover Health Investments Risk Analysis

Clover Health Investments disclosed 66 risk factors in its most recent earnings report. Clover Health Investments reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Clover Health Investments Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
61
Neutral
$4.16B-7.98-44.51%37.38%-912.18%
60
Neutral
$4.01B-2,135.87-0.52%47.39%85.35%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$21.93B-3.27-28.79%14.92%-286.72%
50
Neutral
$1.05B-12.27-26.33%15.23%38.79%
49
Neutral
$7.85B17.8211.02%13.71%-18.02%
47
Neutral
$22.59B19.386.98%1.38%9.87%-5.58%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CLOV
Clover Health Investments
2.04
-1.68
-45.16%
CNC
Centene
44.60
-13.27
-22.93%
HUM
Humana
187.28
-71.88
-27.74%
MOH
Molina Healthcare
152.42
-154.07
-50.27%
OSCR
Oscar Health
13.98
-1.43
-9.28%
ALHC
Alignment Healthcare
19.65
3.90
24.76%

Clover Health Investments Corporate Events

Business Operations and StrategyFinancial Disclosures
Clover Health Projects 2026 Profitability as Membership Surges
Positive
Jan 14, 2026

On December 16, 2025, Clover Health Investments announced that CEO Andrew Toy would present at the 43rd Annual J.P. Morgan Healthcare Conference on January 15, 2026, with the presentation webcast available via the company’s website, underscoring Clover’s efforts to showcase its strategy and performance to the investment community. On January 14, 2026, the company reported that its Medicare Advantage PPO membership grew 53% year over year during the latest Annual Election Period, bringing total membership to about 153,000 as of January 1, 2026, driven by disciplined expansion in core markets, strong member retention above 95%, and the continued rollout of its AI-powered Clover Assistant and Home Care offerings; management highlighted improving cohort economics, enhanced Star Ratings, and operating leverage as factors that position Clover for compounding earnings, margin expansion, and a potential first-ever full-year GAAP net income profitability in 2026, reinforcing its competitive standing in Medicare Advantage even as many rivals retrench.

The most recent analyst rating on (CLOV) stock is a Hold with a $2.50 price target. To see the full list of analyst forecasts on Clover Health Investments stock, see the CLOV Stock Forecast page.

Business Operations and StrategyProduct-Related Announcements
Clover Health Unveils Counterpart Assistant Adoption
Positive
Dec 10, 2025

On December 10, 2025, Clover Health Investments announced the performance outcomes of its subsidiary, Counterpart Health, Inc., and the adoption of its Counterpart Assistant technology by third-party customer clinicians. This development highlights the company’s strategic efforts to expand its technology solutions in the healthcare sector, particularly for Medicare-eligible populations, potentially impacting its market position and stakeholder interests.

The most recent analyst rating on (CLOV) stock is a Buy with a $3.70 price target. To see the full list of analyst forecasts on Clover Health Investments stock, see the CLOV Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Feb 27, 2026