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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 46 (OpenAI - 5.2)
Rating:46Neutral
Price Target:
$2.50
▼(-1.19% Downside)
The score is held down primarily by inconsistent cash generation and continued GAAP losses despite improving margins and a strong (zero-debt) balance sheet. Technicals also remain bearish with the price below key moving averages. The earnings call adds some support via strong growth and a path toward 2026 profitability, but lowered 2025 profitability guidance and elevated medical costs limit the upside, and valuation lacks support due to negative earnings and no dividend.
Positive Factors
Medicare Advantage Membership Growth
Strong membership growth in Medicare Advantage indicates successful market penetration and customer retention, supporting long-term revenue stability.
Improved Star Ratings
High star ratings enhance Clover's competitive position, potentially increasing CMS bonuses and attracting more members, boosting future revenue.
Strong Financial Position
A strong cash position provides financial flexibility for strategic investments and operational stability, supporting long-term growth initiatives.
Negative Factors
Declining Revenue Trends
Declining revenue poses a risk to financial health, indicating challenges in maintaining market share and necessitating strategic adjustments for recovery.
Negative Margins
Persistent negative margins highlight ongoing profitability challenges, which could hinder reinvestment capabilities and long-term financial sustainability.
Higher SG&A Expenses
Rising SG&A expenses can pressure profitability, requiring efficient cost management to ensure investments translate into sustainable growth.

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 InsightsClover Health's strategic focus on Medicare Advantage is evident as insurance revenue surged by 34% in Q2 2025, driven by a 32% increase in membership. Despite the complete phase-out of non-insurance revenue, the company maintained profitability, supported by improved SG&A efficiency and the effective use of Clover Assistant technology. However, challenges such as elevated Part D utilization and cost trends could pressure margins. The anticipated 4-star payment year in 2026 is expected to further boost growth and profitability, reinforcing Clover's technology-driven care model.
Data provided by:The Fly

Clover Health Investments Earnings Call Summary

Earnings Call Date:Nov 04, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Mar 04, 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
Clover Health Investments shows signs of improvement in cash flow and equity position, but continues to face challenges in revenue growth and profitability. The income statement highlights ongoing struggles with negative margins, while the balance sheet demonstrates a stronger equity position with zero debt. Despite these improvements, the company must address its revenue decline and work towards achieving profitability for long-term financial health.
Income Statement
Clover Health Investments has faced declining revenue trends, with a notable drop from $3.47 billion in 2022 to $1.37 billion in 2024. The company has consistently reported negative net income and EBIT margins, indicating ongoing profitability challenges. The net profit margin remains negative, further emphasizing financial struggles, despite a slight improvement in gross profit margin from 2023 to 2024.
Balance Sheet
The balance sheet shows some positive aspects with a debt-free position by 2024 and improving stockholders' equity. However, the equity ratio is moderate at approximately 58.7%, and the historical negative equity in 2020 indicates past financial instability. The return on equity remains negative due to persistent net losses.
Cash Flow
The cash flow statement reveals a significant turnaround in operating cash flow from negative $115.87 million in 2023 to positive $82.45 million in 2024, resulting in positive free cash flow. However, the company's history of negative free cash flow raises concerns about sustainable cash generation.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.77B1.37B1.26B1.10B1.47B672.89M
Gross Profit375.61M364.80M255.95M103.48M-79.18M82.81M
EBITDA-56.10M-44.94M-207.63M-252.03M-569.60M-78.73M
Net Income-58.32M-43.01M-213.36M-339.57M-587.76M-136.39M
Balance Sheet
Total Assets559.66M580.74M570.67M808.62M950.80M267.25M
Cash, Cash Equivalents and Short-Term Investments202.84M221.54M242.69M334.76M615.25M96.71M
Total Debt0.000.004.66M5.86M27.83M138.36M
Total Liabilities218.73M239.60M284.28M451.73M411.49M880.45M
Stockholders Equity340.93M341.14M286.39M356.89M535.41M-617.10M
Cash Flow
Free Cash Flow-86.38M33.29M-116.45M-208.39M-283.05M-119.19M
Operating Cash Flow-84.61M34.84M-115.87M-203.93M-282.33M-118.50M
Investing Cash Flow37.63M565.00K140.01M95.13M-435.45M141.31M
Financing Cash Flow-50.92M-17.36M-33.86M-4.96M925.39M1.94M

Clover Health Investments Technical Analysis

Technical Analysis Sentiment
Negative
Last Price2.53
Price Trends
50DMA
2.66
Negative
100DMA
2.77
Negative
200DMA
2.96
Negative
Market Momentum
MACD
-0.03
Negative
RSI
48.49
Neutral
STOCH
54.76
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 2.53 is below the 20-day moving average (MA) of 2.56, below the 50-day MA of 2.66, and below the 200-day MA of 2.96, indicating a bearish trend. The MACD of -0.03 indicates Negative momentum. The RSI at 48.49 is Neutral, neither overbought nor oversold. The STOCH value of 54.76 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
71
Outperform
$9.43B11.3719.71%13.71%-18.02%
69
Neutral
$33.38B25.957.15%1.38%9.87%-5.58%
60
Neutral
$4.19B-179.83-15.06%47.39%85.35%
58
Neutral
$23.06B-4.34-21.93%14.92%-286.72%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
46
Neutral
$1.31B-21.85-16.90%15.23%38.79%
45
Neutral
$4.47B-15.03-22.32%37.38%-912.18%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CLOV
Clover Health Investments
2.53
-1.19
-31.99%
CNC
Centene
46.92
-16.78
-26.34%
HUM
Humana
277.57
-5.83
-2.06%
MOH
Molina Healthcare
183.50
-110.95
-37.68%
OSCR
Oscar Health
16.90
2.73
19.27%
ALHC
Alignment Healthcare
20.95
7.45
55.19%

Clover Health Investments Corporate Events

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.

Business Operations and StrategyFinancial Disclosures
Clover Health Addresses Shareholder Concerns Post Q3 Earnings
Neutral
Nov 12, 2025

On November 12, 2025, Clover Health Investments released a supplemental Q&A to address shareholder questions following their third quarter 2025 earnings announcement. The company reported elevated medical cost pressures due to increased utilization among new member cohorts, which impacted margins. Despite these challenges, Clover Health remains optimistic about 2026, citing a 4 Star payment year, favorable rate updates, and increased Clover Assistant coverage as factors that will enhance profitability and growth. The company is also implementing initiatives to improve pharmacy management and customer service to strengthen its Star Ratings, which have been affected by non-clinical factors.

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.

Executive/Board Changes
Chelsea Clinton Departs Clover Health Board of Directors
Neutral
Oct 31, 2025

On October 31, 2025, Chelsea Clinton announced her departure from Clover Health’s Board of Directors after over eight years of service. Her tenure saw Clover’s transformation from a private company to a publicly traded entity serving over 100,000 seniors. Clinton’s contributions were pivotal in shaping the company’s mission-driven approach and technological advancements in healthcare. The Board plans to fill her vacancy promptly, maintaining its commitment to a diverse and experienced leadership team.

The most recent analyst rating on (CLOV) stock is a Hold with a $3.00 price target. To see the full list of analyst forecasts on Clover Health Investments stock, see the CLOV Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Clover Health Announces 2026 Medicare Star Ratings
Positive
Oct 9, 2025

On October 9, 2025, Clover Health Investments announced the Centers for Medicare & Medicaid Services’ 2026 Star Ratings for its Medicare Advantage plans, with its PPO plans receiving 3.5 Stars and its HMO plan receiving 4.0 Stars. Despite these ratings, Clover Health is confident in its ability to drive above-market membership growth and increasing profitability through its technology-centric care strategy and AI-driven improvements in its Clover Assistant platform. The company emphasizes that its business model can sustain growth and profitability independent of the Star ratings, as demonstrated by its strong revenue and membership growth in the first half of 2025. Clover Health also highlights its high clinical quality scores and ongoing engagement with CMS to ensure its ratings reflect its health outcomes.

The most recent analyst rating on (CLOV) stock is a Buy with a $4.10 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: Dec 30, 2025