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    Clover Health Reports Fourth Quarter and Full Year 2024 Results; Provides Full Year 2025 Guidance

    2/27/25 4:05:00 PM ET
    $CLOV
    Medical Specialities
    Health Care
    Get the next $CLOV alert in real time by email

    Full year 2024 GAAP Net loss from continuing operations improves by $164 million year-over-year

    Full year 2024 Adjusted EBITDA of $70 million, representing an increase of $112 million year-over-year

    Company well positioned to invest in membership growth and Clover Assistant technology, while maintaining strong profitability

    Issues full year 2025 guidance:

    • Average Medicare Advantage membership of 103,000 - 107,000, representing 30% growth year-over-year at the midpoint
    • Insurance revenue between $1.800 billion and $1.875 billion, representing 37% growth year-over-year at the midpoint
    • Adjusted EBITDA profitability between $45 million and $70 million
    • Adjusted Net income between $45 million and $70 million

    WILMINGTON, Del., Feb. 27, 2025 (GLOBE NEWSWIRE) -- Clover Health Investments, Corp. (NASDAQ:CLOV) ("Clover," "Clover Health" or the "Company"), today reported financial results for the fourth quarter and full year 2024. Management will host a conference call today at 5:00 p.m. ET to discuss its operating results and other business highlights.

    "2024 was a pivotal year for us as we demonstrated that our technology-first physician empowerment model, combined with our ability to directly manage members via our home care arm, achieves differentiated clinical and financial results," said Clover Health CEO Andrew Toy. "As we move into a new phase of growth, we expect our management of our returning membership cohorts to continue to be exceptional in terms of both total cost of care as well as clinical quality. This care management differentiation, combined with the favorable financial impact of our upcoming payment year 2026 4.0 Star Rating, will allow us to offer competitive plan products and grow membership, while maintaining strong profitability."

    Insurance revenue during the fourth quarter 2024 grew by 9% year-over-year to $331 million, and by 9% year-over-year to $1.3 billion for the full year 2024, driven by strong member retention and cohort management. Insurance BER in 2024 improved to 82.8% in the fourth quarter and 81.2% for the full year, as compared to 87.4% in the fourth quarter of 2023 and 86.5% for the full year 2023. For the fourth quarter 2024, GAAP Net loss from continuing operations improved to $21 million, from $68 million in the fourth quarter of 2023, Adjusted Net income (loss) from continuing operations improved to $7 million, from a loss of $22 million for the fourth quarter 2023, and Adjusted EBITDA increased to a profit of $8 million, from a loss of $17 million in the fourth quarter of 2023. For the full year 2024, GAAP Net loss from continuing operations improved to $46 million from a loss of $210 million for full year 2023, Adjusted Net income (loss) from continuing operations improved to $68 million from a loss of $49 million for full year 2023, and full year 2024 Adjusted EBITDA increased to a profit of $70 million, as compared to a loss of $42 million in 2023.

    "2024 was a defining year for Clover. We delivered meaningful revenue growth, significant AEP membership growth, strong Adjusted EBITDA profitability, and positive cash flow from operations," said Clover Health CFO Peter Kuipers. "With this momentum, we are well positioned in 2025 and beyond to invest in new membership growth and Clover Assistant technology, while maintaining strong Adjusted EBITDA profitability."

    Key Company highlights are as follows:

    Dollars in Millions 4Q24 4Q23 Change

    Between

    (%)
     FY'24 FY'23 Change

    Between

    (%)
    Insurance revenue $330.7  $303.1  9.1% $1,344.9  $1,235.8  8.8%
    Insurance net medical claims incurred  243.2   249.8  (2.6)%  1,010.3   1,003.7  0.7%
    Total revenues  337.0   312.4  7.9%  1,371.1   1,260.5  8.8%
    Insurance MCR  73.5%  82.4% (890 bps)   75.1%  81.2% (610 bps) 
    Insurance BER(1)  82.8%  87.4% (460 bps)   81.2%  86.5% (530 bps) 
    Salaries and benefits plus General and administrative expenses ("SG&A") $115.0  $107.9  6.6% $408.9  $440.2  (7.1)%
    Adjusted Salaries and benefits plus General and administrative expenses ("Adjusted SG&A")(3)  86.1   79.3  8.6%  294.7   297.5  (0.9)%
    Net loss from continuing operations  (21.5)  (67.9) 68.3%  (46.3)  (210.1) 78.0%
    Adjusted Net income (loss) from continuing operations(2)(3)  7.4   (22.2) Favorable*   68.2   (48.9) Favorable* 
    Adjusted EBITDA(3)  7.8   (16.7) Favorable*   70.1   (41.6) Favorable* 
    Total restricted and unrestricted cash, cash equivalents, and investments $437.6  $417.3  4.9% $437.6  $417.3  4.9%
                           

    Financial Outlook

    For full-year 2025, Clover Health is providing its guidance as follows:

     2025 Guidance
    Insurance revenue$1.800 billion - $1.875 billion
    Adjusted SG&A(4)$355 million - $365 million
    Adjusted SG&A as a % of Total revenues19% - 20%
    Adjusted EBITDA(4)$45 million - $70 million
    Adjusted Net income(2)(4)$45 million - $70 million
    Average Medicare Advantage membership103,000 - 107,000
    Insurance BER(4)87% - 88%
      

    Lives under Clover Management

     December 31, 2024 December 31, 2023
    Insurance members82,664 81,205
        

    ________________________________________

    * Not presented as a % change because the current or prior period amount is zero or the amount for the line item changed from a gain to a loss (or vice versa) and thus yields a result that is not meaningful.

    1 Insurance Benefits Expense Ratio ("BER") is a Non-GAAP financial measure. A reconciliation of BER to Insurance Net medical claims incurred, net, the most directly comparable GAAP measure, is provided in a table immediately following the consolidated financial statements below. Additional information about the Company's Non-GAAP financial measures can be found under the caption "About Non-GAAP Financial Measures" below and in Appendix A. Beginning in the second quarter 2024, the Company is presenting Insurance BER. Management believes that by adding quality improvement expenses into the Insurance BER calculation, this offers a clearer and more accurate representation of our investment in healthcare quality and member engagement, and more fully captures the cost of maintaining and enhancing the quality of care for our members.

    2 Adjusted Net income (loss) from continuing operations is a Non-GAAP financial measure. A reconciliation of Adjusted Net income (loss) from continuing operations to Net income (loss) from continuing operations, the most directly comparable GAAP measure, is provided in a table immediately following the consolidated financial statements below. Additional information about the Company's Non-GAAP financial measures can be found under the caption "About Non-GAAP Financial Measures" below and in Appendix A. Beginning in the fourth quarter 2024, the Company is presenting Adjusted Net income (loss) from continuing operations. Management believes that Adjusted Net income (loss) from continuing operations is helpful to investors in understanding and evaluating our operating performance and trends, as well as in assessing the Company's financial performance in the same manner as our management and our board of directors.

    3 Adjusted SG&A (Non-GAAP), Adjusted EBITDA (Non-GAAP), and Adjusted Net income (loss) from continuing operations (Non-GAAP) are Non-GAAP financial measures. Reconciliations of Adjusted SG&A (Non-GAAP) to SG&A, Adjusted EBITDA (Non-GAAP) to Net loss from continuing operations, and Adjusted Net income (loss) from continuing operations (Non-GAAP) to Net income (loss) from continuing operations, respectively, the most directly comparable GAAP measures, are provided in the tables immediately following the consolidated financial statements below. Additional information about the Company's Non-GAAP financial measures can be found under the caption "About Non-GAAP Financial Measures" below and in Appendix A.

    4 Reconciliations of projected Adjusted SG&A (Non-GAAP) to projected SG&A, projected Adjusted EBITDA (Non-GAAP) to Net income (loss), and projected Adjusted Net income (Non-GAAP) to Net income (loss), the most directly comparable GAAP measures, are not provided because Stock-based compensation, which is excluded from Adjusted SG&A (Non-GAAP), Adjusted EBITDA (Non-GAAP), and Adjusted Net income (Non-GAAP), cannot be reasonably calculated or predicted at this time without unreasonable efforts. A reconciliation of projected Insurance BER (Non-GAAP) to projected Net medical claims incurred, net, the most directly comparable GAAP measure, is not provided because quality improvements, which are included in Insurance BER (Non-GAAP), cannot be reasonably calculated or predicted at this time without unreasonable efforts. Additional information about the Company's Non-GAAP financial measures can be found under the caption "About Non-GAAP Financial Measures" below and in Appendix A.

    Earnings Conference Call Details

    Clover Health's management will host a conference call to discuss its financial results on Thursday, February 27, at 5:00 PM Eastern Time. To access the call via telephone please dial 800-274-8461 (for U.S. callers) or 203-518-9814 (for callers outside the U.S.) and enter the conference ID: CLOVQ424. A live audio webcast will also be available online at: https://event.on24.com/wcc/r/4846534/EB3F7B166C10D538CFDBCA7E1349030A and related presentation materials will be available at Clover Health's Investor Relations website at investors.cloverhealth.com. A replay of the call will be available via webcast for on-demand listening shortly after the completion of the call, at the same web link and at Clover Health's Investor Relations website at investors.cloverhealth.com, and will remain available for approximately 12 months.

    Upcoming Investor Events & Conferences

    • 2025 Jefferies Value-Based Healthcare Summit, March 10, 2025
    • 2025 Leerink Global Healthcare Conference at 8:00 a.m. Eastern Time, March 11, 2025

    Any live and archived webcasts and presentations associated with the conferences listed above may be accessed on Clover Health's Investor Relations website at: investors.cloverhealth.com/news-and-events/investor-events-presentations.

    Forward-Looking Statements

    This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements include statements regarding future events and Clover Health's future results of operations, financial condition, market size and opportunity, business strategy and plans, and the factors affecting our performance and our objectives for future operations. Forward-looking statements are not guarantees of future performance and you are cautioned not to place undue reliance on such statements. In some cases, you can identify forward looking statements because they contain words such as "may," "will," "should," "expects," "plans," "anticipates," "going to," "can," "could," "should," "would," "intends," "target," "projects," "contemplates," "believes," "estimates," "predicts," "potential," "outlook," "forecast," "guidance," "objective," "plan," "seek," "grow," "if," "continue" or the negative of these words or other similar terms or expressions that concern Clover Health's expectations, strategy, priorities, plans or intentions. Forward-looking statements in this press release include, but are not limited to, the following: statements under "Financial Outlook" and statements regarding expectations relating to potential improvements in Insurance MCR, operating expenses, Adjusted SG&A, Insurance BER, and the number of Clover Health's Insurance members, as well as the statements contained in the quotations of our executive officers, future capital needs and other expectations as to future performance, operations and results (including our updated guidance for full-year 2025). Statements regarding our Adjusted EBITDA profitability and Adjusted Net income profitability are also forward-looking, and are based on our current targets which are preliminary and are derived from our 2025 financial outlook. These statements are subject to known and unknown risks, uncertainties and other factors that may cause our actual results, levels of activity, performance or achievements to differ materially from results expressed or implied by forward-looking statements in this press release. Forward-looking statements involve a number of judgments, risks and uncertainties, including, without limitation, risks related to: our expectations regarding results of operations, financial condition, and cash flows; our expectations regarding the development and management of our business; any current, pending, or future legislation, regulations or policies that could have a negative effect on our revenue, profit margins, cash flows and business, including rules, regulations and policies relating to healthcare, Medicare generally and medical loss ratios; our ability to successfully enter new service markets and manage our operations; anticipated trends and challenges in our business and in the markets in which we operate; our ability to effectively manage our beneficiary base and provider network; our ability to maintain and increase adoption and use of Clover Assistant, including the expansion of Clover Assistant for external payors and providers under the brand name Counterpart Assistant; the anticipated benefits associated with the use of Clover Assistant, including our ability to utilize the platform to manage our medical care ratios; our ability to maintain or improve our Star Ratings or otherwise continue to improve the financial performance of our business; our ability to develop new features and functionality that meet market needs and achieve market acceptance; our ability to retain and hire necessary employees and staff our operations appropriately; the timing and amount of certain investments in growth; the outcome of any known and unknown litigation and regulatory proceedings; our ability to maintain, protect, and enhance our intellectual property; general economic conditions and uncertainty; persistent high inflation and fluctuating interest rates; and geopolitical uncertainty and instability. Additional information concerning these and other risk factors is contained under Item 1A. "Risk Factors" in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission (the "SEC") on March 14, 2024, as such risks may be updated in our subsequent filings with the SEC. The forward-looking statements included in this press release are made as of the date hereof. Except as required by law, Clover Health undertakes no obligation to update any of these forward-looking statements after the date of this press release or to conform these statements to actual results or revised expectations.

    About Non-GAAP Financial Measures

    We use Non-GAAP measures in this release, including Insurance BER, Adjusted EBITDA, Adjusted Net income (loss) from continuing operations, Adjusted SG&A and Adjusted SG&A as a percentage of Total revenues. These Non-GAAP financial measures are provided to enhance the reader's understanding of Clover Health's past financial performance and our prospects for the future. Clover Health's management team uses these Non-GAAP financial measures in assessing Clover Health's performance, as well as in planning and forecasting future periods. These Non-GAAP financial measures are not computed according to GAAP, and the methods we use to compute them may differ from the methods used by other companies. Non-GAAP financial measures are supplemental to and should not be considered a substitute for financial information presented in accordance with generally accepted accounting principles in the United States ("GAAP") and should be read only in conjunction with our consolidated financial statements prepared in accordance with GAAP. Readers are encouraged to review the reconciliations of these Non-GAAP financial measures to the comparable GAAP measures, which are attached to this release, together with other important financial information, including our filings with the SEC, on the Investor Relations page of our website at investors.cloverhealth.com.

    For a description of these Non-GAAP financial measures, including the reasons management uses each measure, please see Appendix A: "Explanation of Non-GAAP Financial Measures."

    The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

    About Clover Health:

    Clover Health (NASDAQ:CLOV) is a physician enablement technology company committed to bringing access to great healthcare to everyone on Medicare. This includes a focus on seniors who have historically lacked access to affordable, high-quality healthcare. Our strategy is powered by our software platform, Clover Assistant, which is designed to aggregate patient data from across the healthcare ecosystem to support clinical decision-making and improve health outcomes through the early identification and management of chronic disease. For our members, we provide PPO and HMO Medicare Advantage plans in several states, with a differentiated focus on our flagship wide-network, high-choice PPO plans. For healthcare providers outside Clover Health's Medicare Advantage plan, we extend the benefits of our data-driven technology platform to a wider audience via our subsidiary, Counterpart Health, and aim to enable enhanced patient outcomes and reduced healthcare costs on a nationwide scale. Clover Health has published data demonstrating the technology's impact on Medication Adherence, as well as the earlier identification and management of Diabetes and Chronic Kidney Disease.

    Visit: www.cloverhealth.com 

    Investor Relations Contact:

    Ryan Schmidt

    [email protected]

    Press Contact:

    Andrew Still-Baxter

    [email protected] 

    CLOVER HEALTH INVESTMENTS, CORP.
    CONSOLIDATED BALANCE SHEETS
    (Dollars in thousands, except share amounts)
    (unaudited)
        
     December 31,

    2024
     December 31,

    2023
    Assets   
    Current assets   
    Cash and cash equivalents$194,543  $116,407 
    Short-term investments —   12,218 
    Investment securities, available-for-sale (Amortized cost: 2024: $27,153; 2023: $101,412) 26,997   100,702 
    Investment securities, held-to-maturity (Fair value: 2024: $15; 2023: $6,778) 15   6,902 
    Accrued retrospective premiums 41,253   22,076 
    Healthcare receivables 51,539   64,164 
    Prepaid expenses 13,174   14,418 
    Other assets, current 15,603   18,612 
    Assets related to discontinued operations —   72,471 
    Total current assets 343,124   427,970 
        
    Investment securities, available-for-sale (Amortized cost: 2024: $203,147; 2023: $121,868) 201,719   120,208 
    Investment securities, held-to-maturity (Fair value: 2024: $13,913; 2023: $692) 14,343   793 
    Property and equipment, net 5,307   5,082 
    Other intangible assets 2,990   2,990 
    Other assets, non-current 13,259   13,628 
    Total assets$580,742  $570,671 
        
    Liabilities and Stockholders' Equity   
    Current liabilities   
    Unpaid claims$156,396  $137,100 
    Accounts payable and accrued expenses 34,564   37,184 
    Accrued salaries and benefits 19,090   20,951 
    Other liabilities, current 3,466   5,781 
    Liabilities related to discontinued operations —   60,099 
    Total current liabilities$213,516  $261,115 
        
    Other liabilities, non-current 26,083   23,162 
    Total liabilities$239,599  $284,277 
    Commitments and Contingencies   
    Stockholders' equity   
    Class A Common Stock, $0.0001 par value; 2,500,000,000 shares authorized at December 31, 2024 and December 31, 2023; 414,493,051 and 401,183,882 issued and outstanding at December 31, 2024 and December 31, 2023, respectively 41   40 
    Class B Common Stock, $0.0001 par value; 500,000,000 shares authorized at December 31, 2024 and December 31, 2023; 89,032,305 and 87,867,732 issued and outstanding at December 31, 2024 and December 31, 2023, respectively 9   9 
    Additional paid-in capital 2,576,471   2,461,238 
    Accumulated other comprehensive loss (1,584)  (2,370)
    Accumulated deficit (2,202,803)  (2,159,794)
    Less: Treasury stock, at cost; 18,752,947 and 7,912,750 shares held at December 31, 2024 and December 31, 2023, respectively (30,991)  (12,729)
    Total stockholders' equity 341,143   286,394 
    Total liabilities and stockholders' equity$580,742  $570,671 
            



    CLOVER HEALTH INVESTMENTS, CORP.
    CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
    (Dollars in thousands, except per share and share amounts)
    (unaudited)
            
     Three Months Ended December 31, Year ended December 31,
     2024

     2023

     2024

     2023

    Revenues:       
    Premiums earned, net (Net of ceded premiums of $98 and $103 for the three months ended December 31, 2024 and 2023, respectively; net of ceded premiums of $399 and $444 for the years ended December 31, 2024 and 2023, respectively)$330,680  $303,070  $1,344,881  $1,235,769 
    Other income 6,283   9,315   26,250   24,774 
    Total revenues 336,963   312,385   1,371,131   1,260,543 
            
    Operating expenses:       
    Net medical claims incurred 243,044   249,754   1,006,327   1,004,590 
    Salaries and benefits 62,737   65,172   232,454   257,157 
    General and administrative expenses 52,286   42,705   176,480   183,089 
    Impairment of goodwill and other intangible assets —   15,945   —   15,945 
    Premium deficiency reserve benefit —   (683)  —   (7,239)
    Depreciation and amortization 344   674   1,331   2,509 
    Restructuring costs —   1,951   288   9,821 
    Total operating expenses 358,411   375,518   1,416,880   1,465,872 
    Loss from continuing operations (21,448)  (63,133)  (45,749)  (205,329)
            
    Change in fair value of warrants 33   86   50   86 
    Interest expense —   —   —   7 
    Loss on investment —   4,726   467   4,726 
    Net loss from continuing operations (21,481)  (67,945)  (46,266)  (210,148)
    Net (loss) income from discontinued operations (611)  (2,527)  3,257   (3,213)
    Net loss$(22,092) $(70,472) $(43,009) $(213,361)
            
    Per share data:       
    Basic and diluted weighted average number of class A and class B common shares and common share equivalents outstanding 491,871,177   481,607,777   490,018,730   482,176,127 
    Continuing operations:       
    Basic and diluted loss per share$(0.04) $(0.14) $(0.09) $(0.44)
    Discontinued operations:       
    Basic and diluted (loss) earnings per share$—  $(0.01) $0.01  $(0.01)
            
    Net unrealized (loss) gain on available-for-sale investments (2,436)  2,702   786   7,004 
    Comprehensive loss$(24,528) $(67,770) $(42,223) $(206,357)
                    



    CLOVER HEALTH INVESTMENTS, CORP.
    CONSOLIDATED STATEMENTS OF CASH FLOWS
    (Dollars in thousands)
    (unaudited)
          
     Year ended December 31,
     2024 2023 2022
    Cash flows from operating activities:     
    Net loss$(43,009) $(213,361) $(339,567)
    Adjustments to reconcile net loss to net cash provided by (used in) operating activities:     
    Depreciation and amortization expense 1,331   2,509   1,187 
    Amortization of notes and securities discounts and debt issuance costs —   —   30 
    Stock-based compensation 114,331   140,931   164,305 
    Change in fair value of warrants and amortization of warrants 50   86   (900)
    Accretion, net of amortization (2,524)  (4,014)  (1,503)
    Accrued interest earned (571)  —   — 
    Net realized (losses) gains on investment securities (480)  (20)  267 
    Gain on extinguishment of note payable —   —   (23,326)
    Loss (gain) on investment 467   4,726   (9,217)
    Impairment of goodwill and other intangible assets —   15,945   — 
    Premium deficiency reserve —   (7,239)  (93,517)
    Changes in operating assets and liabilities:     
    Accrued retrospective premiums (19,177)  (1,689)  14,536 
    Prepaid expenses 1,244   3,728   (3,415)
    Other assets 2,852   8,859   (8,208)
    Healthcare receivables 12,625   6,443   (22,565)
    Unpaid claims 19,296   (294)  1,077 
    Accounts payable and accrued expenses (2,620)  4,739   7,635 
    Accrued salaries and benefits (1,971)  (2,901)  8,784 
    Other liabilities 606   6,404   (203)
    Net cash provided by (used in) operating activities from continuing operations 82,450   (35,148)  (304,600)
    Net cash (used in) provided by operating activities from discontinued operations (47,605)  (109,514)  100,674 
    Net cash provided by (used in) operating activities 34,845   (144,662)  (203,926)
    Cash flows from investing activities:     
    Purchases of short-term investments, available-for-sale, and held-to-maturity securities (201,241)  (175,567)  (369,396)
    Proceeds from sales of short-term investments and available-for-sale securities 83,673   60,436   13,348 
    Proceeds from maturities of short-term investments and available-for-sale securities 119,689   255,728   472,098 
    Acquisition of business, net of cash acquired —   —   (16,200)
    Purchases of property and equipment (1,556)  (584)  (4,467)
    Acquisition of Clover Therapeutics Series A preferred shares —   —   (250)
    Net cash provided by investing activities 565   140,013   95,133 
    Cash flows from financing activities:     
    Issuance of common stock, net of early exercise liability 709   34   1,400 
    Issuance of common stock under employee stock purchase plan, net of stock issuance costs 193   1,116   — 
    Treasury stock acquired (16,491)  (6,220)  (6,362)
    Repurchases of common stock (1,772)  —   — 
    Net cash used in financing activities (17,361)  (5,070)  (4,962)
    Net increase (decrease) in cash and cash equivalents 18,049   (9,719)  (113,755)
    Cash and cash equivalents, beginning of period 176,494   186,213   299,968 
    Cash and cash equivalents, end of period$194,543  $176,494  $186,213 
    Reconciliation of cash and cash equivalents and restricted cash     
    Cash and cash equivalents(1)$194,543  $122,863  $103,791 
    Restricted cash(1) —   53,631   82,422 
    Total cash, cash equivalents, and restricted cash(1)$194,543  $176,494  $186,213 
    Supplemental disclosure of non-cash investing and financing activities     
    Activities from Seek Dissolution$—  $—  $735 
    Right-of-use assets obtained in exchange for lease liabilities —   —   642 
    Recognition of equity method investments and preferred stock —   —   8,644 
    Derecognition of non-controlling interest —   —   3,903 
    Conversion of Clover Therapeutics convertible note to preferred stock —   —   250 
    (1) Includes all applicable amounts for both continuing and discontinued operations.     
          



    Operating Segments
    (unaudited)
             
      Three Months Ended December 31, Year ended December 31,
    Insurance Segment 2024

     2023

     2024

     2023

      (in thousands)
    Premiums earned, net (net of ceded premiums) $330,680  $303,070  $1,344,881  $1,235,769 
    Less:        
    Net medical claims incurred  243,164   249,790   1,010,289   1,003,683 
    Salaries and benefits  61,567   63,229   228,004   252,103 
    General and administrative expenses  51,311   41,432   173,101   179,491 
    Segment net loss $(25,362) $(51,381) $(66,513) $(199,508)
                     



    CLOVER HEALTH INVESTMENTS, CORP.
    RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
    ADJUSTED SG&A (NON-GAAP) RECONCILIATION
    (in thousands)(1)
    (unaudited)
            
     Three Months Ended December 31, Year ended December 31,
     2024

     2023

     2024

     2023

    Salaries and benefits$62,737  $65,172  $232,454  $257,157 
    General and administrative expenses 52,286   42,705   176,480   183,089 
    Total SG&A (GAAP) 115,023   107,877   408,934   440,246 
    Adjustments       
    Stock-based compensation (29,645)  (33,136)  (114,331)  (140,931)
    Non-recurring legal expenses and settlements 717   4,565   110   (1,807)
    Adjusted SG&A (Non-GAAP)$86,095  $79,306  $294,713  $297,508 
            
    Total revenues (GAAP) 336,962   312,385   1,371,131   1,260,543 
    Adjusted SG&A (Non-GAAP) as a percentage of Total revenues 26%  25%  21%  24%
                    
    (1) The table above includes Non-GAAP measures. Non-GAAP financial measures are supplemental and should not be considered a substitute for financial information presented in accordance with GAAP. For a detailed explanation of these Non-GAAP measures, see Appendix A.
                    



    CLOVER HEALTH INVESTMENTS, CORP.
    RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
    ADJUSTED EBITDA (NON-GAAP) RECONCILIATION
    (in thousands)(1)
    (unaudited)
            
     Three Months Ended December 31, Year ended December 31,
     2024

     2023

     2024

     2023

    Net loss from continuing operations (GAAP):$(21,481) $(67,945) $(46,266) $(210,148)
    Adjustments       
    Interest expense —   —   —   7 
    Depreciation and amortization 344   674   1,331   2,509 
    Change in fair value of warrants 33   86   50   86 
    Loss on investment —   4,726   467   4,726 
    Stock-based compensation 29,645   33,136   114,331   140,931 
    Premium deficiency reserve benefit —   (683)  —   (7,239)
    Restructuring costs —   1,951   288   9,821 
    Non-recurring legal expenses and settlements (717)  (4,566)  (110)  1,807 
    Impairment of goodwill and other intangible assets —   15,945   —   15,945 
    Adjusted EBITDA (non-GAAP)$7,824  $(16,676) $70,091  $(41,555)
     
    (1) The table above includes Non-GAAP measures. Non-GAAP financial measures are supplemental and should not be considered a substitute for financial information presented in accordance with GAAP. For a detailed explanation of these Non-GAAP measures, see Appendix A.
     



    CLOVER HEALTH INVESTMENTS, CORP.
    RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
    ADJUSTED NET INCOME (LOSS) FROM CONTINUING OPERATIONS (NON-GAAP) RECONCILIATION
    (in thousands)(1)
    (unaudited)
            
     Three Months Ended December 31, Year ended December 31,
     2024

     2023

     2024

     2023

    Net loss from continuing operations (GAAP)$(21,481) $(67,945) $(46,266) $(210,148)
    Adjustments       
    Stock-based compensation 29,645   33,136   114,331   140,931 
    Premium deficiency reserve benefit —   (683)  —   (7,239)
    Restructuring costs —   1,951   288   9,821 
    Non-recurring legal expenses and settlements (717)  (4,566)  (110)  1,807 
    Impairment of goodwill and other intangible assets —   15,945   —   15,945 
    Adjusted Net income (loss) from continuing operations (non-GAAP)$7,447  $(22,162) $68,243  $(48,883)
     
    (1) The table above includes Non-GAAP measures. Non-GAAP financial measures are supplemental and should not be considered a substitute for financial information presented in accordance with GAAP. For a detailed explanation of these Non-GAAP measures, see Appendix A.
     



    CLOVER HEALTH INVESTMENTS, CORP.
    RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
    INSURANCE BENEFITS EXPENSE RATIO (NON-GAAP) RECONCILIATION
    (in thousands)(1)
    (unaudited)
            
     Three Months Ended December 31, Year ended December 31,
     2024

     2023

     2024

     2023

    Net medical claims incurred, net (GAAP):$243,164  $249,754  $1,010,289  $1,003,683 
    Adjustments       
    Quality improvements 30,762   15,061   81,144   64,943 
    Insurance benefits expense, net (Non-GAAP)$273,926  $264,815  $1,091,433  $1,068,626 
            
    Premiums earned, net (GAAP)$330,680  $303,070  $1,344,881  $1,235,769 
    Insurance BER, net (Non-GAAP) 82.8%  87.4%  81.2%  86.5%
     
    (1) The table above includes Non-GAAP measures. Non-GAAP financial measures are supplemental and should not be considered a substitute for financial information presented in accordance with GAAP. For a detailed explanation of these Non-GAAP measures, see Appendix A.
     

    CLOVER HEALTH INVESTMENTS, CORP.

    Appendix A

    Explanation of Non-GAAP Financial Measures

    Non-GAAP Definitions

    Adjusted SG&A - A Non-GAAP financial measure defined by us as total SG&A less stock-based compensation and non-recurring legal expenses and settlements. We believe that Adjusted SG&A provides management, investors, and others a useful view of our operating spend as it excludes non-cash, stock-based compensation and expenses related to investments that management believes do not reflect the Company's core operating expenses. We believe that Adjusted SG&A as a percentage of Total revenues is useful to management, investors, and others because it allows us to measure our operational leverage as revenue scales.

    Adjusted EBITDA - A Non-GAAP financial measure defined by us as net loss from continuing operations before depreciation and amortization, interest expense, change in fair value of warrants, loss on investment, stock-based compensation, premium deficiency reserve benefit, restructuring costs, impairment of goodwill and other intangible assets, and non-recurring legal expenses and settlements. Adjusted EBITDA is a key measure used by our management team and the board of directors to understand and evaluate our operating performance and trends, to prepare and approve our annual budget and to develop short and long-term operating plans. In particular, we believe that the exclusion of the amounts eliminated in calculating Adjusted EBITDA provide useful measures for period-to-period comparisons of our business. Accordingly, we believe that Adjusted EBITDA provides investors and others useful information to understand and evaluate our operating results in the same manner as our management and our board of directors.

    Adjusted Net income (loss) from continuing operations - A Non-GAAP financial measure defined by us as Net income (loss) from continuing operations before stock-based compensation, premium deficiency reserve benefit, restructuring costs, impairment of goodwill and other intangible assets, and non-recurring legal expenses and settlements. Adjusted Net income (loss) from continuing operations is a key measure used by our management team and the board of directors to understand and evaluate our operating performance and trends. We believe that Adjusted Net income (loss) from continuing operations is helpful to investors in assessing the Company's financial performance in the same manner as our management and our board of directors.

    Insurance Benefits Expense Ratio - A Non-GAAP financial measure defined by us as Benefits Expense Ratio ("BER"). 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. Quality improvements include expenses associated with activities that improve health outcomes, as defined by the U.S. Department of Health and Human Services ("HHS"), as well as those directly tied to enhancing healthcare quality, such as the Company's spend on health information technology, wellness and prevention programs, initiatives to reduce hospital readmissions, and our clinically focused Member Rewards program. We believe our Insurance BER is useful to management, investors, and others because it offers a clearer and more accurate representation of our investment in healthcare quality and member engagement, and gives a comprehensive view of costs related to maintaining and improving the quality of care of our members, which is crucial for sustaining member satisfaction and adherence to treatment regimens.



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