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 |
|
ChangeBetween(%) |
|
FY'24 |
|
FY'23 |
|
ChangeBetween(%) |
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 revenues |
19% - 20% |
Adjusted EBITDA(4) |
$45 million - $70 million |
Adjusted Net income(2)(4) |
$45 million - $70 million |
Average Medicare Advantage
membership |
103,000 - 107,000 |
Insurance BER(4) |
87% - 88% |
|
|
Lives under Clover
Management
|
December 31, 2024 |
|
December 31, 2023 |
Insurance members |
82,664 |
|
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
Schmidtinvestors@cloverhealth.com
Press Contact:Andrew
Still-Baxterpress@cloverhealth.com
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
AExplanation 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.
Clover Health Investments (NASDAQ:CLOV)
Historical Stock Chart
From Feb 2025 to Mar 2025
Clover Health Investments (NASDAQ:CLOV)
Historical Stock Chart
From Mar 2024 to Mar 2025