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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 48 (OpenAI - 5.2)
Rating:48Neutral
Price Target:
$2.00
▼(-11.89% Downside)
The score is held back primarily by inconsistent fundamentals—ongoing net losses and a TTM return to significant cash burn—despite a debt-free balance sheet and improving loss profile. Technicals are also mildly weak with the stock below major longer-term averages. Offsetting this, the latest earnings discussion and recent updates point to strong membership growth and a plausible path to improved profitability, but near-term medical cost pressure and reduced 2025 EBITDA guidance keep risk elevated.
Positive Factors
Membership Scale & Retention
Rapid, sustained membership growth combined with >95% retention increases predictable capitation revenue and spreads fixed administrative costs. Scale improves bargaining with providers, enhances cohort economics, and materially supports a durable path to margin expansion and eventual GAAP profitability.
Technology Platform Adoption
Third-party clinician adoption of Counterpart/Counterpart Assistant diversifies revenue beyond insurance premiums, creates product-led distribution, and embeds Clover into care workflows. A scalable tech asset can sustainably improve utilization management and create differentiation versus pure-play insurers over the medium term.
Conservative Balance Sheet
A debt-free balance sheet reduces refinancing and interest-rate risk, providing flexibility to invest in growth (members, tech, quality) and to absorb medical-cost volatility. This structural strength lengthens the runway to reach sustainable profitability without immediate liquidity stress.
Negative Factors
Ongoing Unprofitability
Despite margin improvement, persistent GAAP losses mean returns on equity remain negative and the business remains dependent on achieving multi-period operating leverage. Continued unprofitability raises structural funding risk and limits reinvestment unless cohorts turn consistently profitable.
Volatile Cash Generation
Reversal from positive 2024 cash flow to material TTM cash burn signals unstable working-capital and operating dynamics. Structural cash volatility constrains capital allocation, may necessitate external financing, and increases execution risk as the company scales membership and invests in quality.
Medical Cost Pressure & New-Member Profitability
High benefit expense ratios driven by utilization and loss-making new-member cohorts structurally compress margins and slow earnings conversion from membership growth. Without sustained improvement in cohort economics or rate adjustments, scaling membership can worsen near-term profitability.

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:Feb 26, 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
Improving turnaround trends (TTM revenue growth ~10% and losses narrowed materially vs. 2021–2023) and a debt-free balance sheet support stability, but the business remains unprofitable and TTM cash flow flipped back to material burn (OCF and FCF around -$85M), keeping financial quality below average.
Income Statement
44
Neutral
Revenue is growing, improving from low-single-digit growth in 2024 to 10.3% in TTM (Trailing-Twelve-Months), and profitability has structurally improved versus 2021–2023 (net margin narrowed from -41.1% in 2021 and -16.9% in 2023 to about -3.3% in TTM). However, the company is still unprofitable with negative operating profit and negative net income in both 2024 and TTM, and gross margin has compressed versus 2024 (26.6% to 21.2%), signaling ongoing pressure from medical costs/pricing and limiting earnings leverage.
Balance Sheet
63
Positive
The balance sheet is conservatively levered, with total debt at zero in 2024 and TTM (Trailing-Twelve-Months), which reduces refinancing and interest-rate risk. Equity is positive and relatively stable around $341M in both 2024 and TTM, though total assets have edged down (from $581M in 2024 to $560M in TTM). The key weakness is continued losses, which translate into negative returns for shareholders (return on equity remains negative), meaning balance-sheet strength ultimately depends on achieving sustained profitability.
Cash Flow
39
Negative
Cash generation is volatile. 2024 produced positive operating and free cash flow (~$35M and ~$33M), but TTM (Trailing-Twelve-Months) reverted to cash burn (operating cash flow -$85M; free cash flow -$86M). While cash burn is materially improved versus the deep outflows seen in 2021–2022, the latest TTM reversal raises execution risk and suggests working-capital and operating performance are not yet consistently self-funding.
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 Price2.27
Price Trends
50DMA
2.52
Negative
100DMA
2.75
Negative
200DMA
2.88
Negative
Market Momentum
MACD
-0.07
Positive
RSI
36.11
Neutral
STOCH
5.24
Positive
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 2.27 is below the 20-day moving average (MA) of 2.53, below the 50-day MA of 2.52, and below the 200-day MA of 2.88, indicating a bearish trend. The MACD of -0.07 indicates Positive momentum. The RSI at 36.11 is Neutral, neither overbought nor oversold. The STOCH value of 5.24 is Positive, 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
$9.23B11.1319.71%13.71%-18.02%
69
Neutral
$23.48B18.437.15%1.38%9.87%-5.58%
65
Neutral
$4.51B-193.39-15.06%47.39%85.35%
58
Neutral
$21.29B-4.00-21.93%14.92%-286.72%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$1.16B-19.34-16.90%15.23%38.79%
45
Neutral
$3.80B-12.76-22.32%37.38%-912.18%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CLOV
Clover Health Investments
2.24
-2.15
-48.97%
CNC
Centene
43.32
-20.71
-32.34%
HUM
Humana
195.20
-93.99
-32.50%
MOH
Molina Healthcare
179.59
-130.82
-42.14%
OSCR
Oscar Health
14.35
-2.25
-13.55%
ALHC
Alignment Healthcare
22.53
7.14
46.39%

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.

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.

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: Jan 14, 2026