Clover Health Investments, Corp. (Nasdaq: CLOV) (“Clover,” “Clover
Health” or the “Company”), a physician enablement technology
company committed to bringing access to great healthcare to
everyone on Medicare, today reported financial results for the
second quarter 2024. Management will host a conference call today
at 5:00 p.m. ET to discuss its operating results and other business
highlights.
“I am delighted that our performance continues
to validate Clover’s differentiated, technology-centric approach to
healthcare, driven by our Insurance offering and its ability to
generate meaningful returns while leading with physician-choice for
our members,” said Clover Health CEO Andrew Toy. “Through our
Clover Assistant technology and integrated care management
platform, we aim to empower physicians to improve clinical outcomes
and lower the total cost of care for people with chronic diseases.
This allows us to partner with a much wider range of physicians
than other plans. Our performance validates this key point of
differentiation, and I believe positions us to thrive in the future
of the Medicare Advantage market.”
The Company continued to build upon its strong
start to the year, reporting strong performance for several key
operating metrics and has improved its full-year 2024 guidance for
revenue and profitability.
For the second quarter 2024, compared to second
quarter 2023, GAAP Net income improved to $7.2 million from a GAAP
Net loss of $28.9 million and Adjusted EBITDA increased to $36.2
million from an Adjusted EBITDA of $9.9 million. Insurance revenue
during the second quarter grew by 11% year-over-year to $349.9
million, driven by strong member retention and intra-year growth,
and Insurance MCR improved to 71.3% in the second quarter 2024, as
compared to 77.2% in the second quarter 2023.
“During the second quarter, Clover's business
fundamentals once again delivered strong financial results,” said
Peter Kuipers, CFO of Clover Health. “First, top-line revenues grew
by 11% year-over-year. Second, the Company achieved its first
quarter of positive GAAP Net Income as a public company, and
delivered an increased Adjusted EBITDA as compared to the prior
quarter. Third, this strong performance has strengthened our
already healthy balance sheet position and has enabled us to
improve our full-year 2024 guidance. We believe that our results,
coupled with our recent Star Rating recalculation from 3 to 3.5
Stars for the 2025 payment year, positions us well to achieve our
increased 2024 Adjusted EBITDA guidance and improve our underlying
cohort economics in 2025 to increase our long-term profitability
capacity.”
Key Company highlights are as follows:
Dollars in Millions |
|
2Q24 |
|
2Q23(2) |
|
Change Between (%) |
Insurance revenue |
|
$ |
349.9 |
|
|
$ |
314.4 |
|
|
11.3% |
Net medical claims
incurred |
|
|
249.4 |
|
|
|
242.8 |
|
|
2.7% |
Total revenue |
|
|
356.3 |
|
|
|
320.1 |
|
|
11.3% |
Insurance MCR |
|
|
71.3 |
% |
|
|
77.2 |
% |
|
(590 bps) |
Insurance BER(3) |
|
|
76.1 |
% |
|
|
82.1 |
% |
|
(600 bps) |
Salaries and benefits plus
General and administrative expenses ("SG&A")(4) |
|
$ |
99.9 |
|
|
$ |
104.1 |
|
|
(4.0)% |
Adjusted Salaries and benefits
plus General and administrative expenses ("Adjusted
SG&A")(4)(5) |
|
|
71.7 |
|
|
|
65.9 |
|
|
8.8% |
Net income (loss) from
continuing operations |
|
|
7.2 |
|
|
|
(28.9 |
) |
|
Favorable(1) |
Adjusted EBITDA(5) |
|
|
36.2 |
|
|
|
9.9 |
|
|
265.7% |
Total restricted and unrestricted
cash, cash equivalents, and investments |
|
$ |
482.8 |
|
|
$ |
689.8 |
|
|
(30.0)% |
|
|
|
|
|
|
|
|
|
|
|
Financial Outlook
For full-year 2024, Clover Health is updating
its guidance as follows:
|
Current 2024 Guidance |
|
Previous 2024 Guidance |
Insurance revenue |
$1.35 billion - $1.375 billion |
|
$1.30 billion - $1.35 billion |
Insurance MCR |
77% - 79% |
|
79% - 81% |
Insurance BER(6) |
81% - 83% |
|
N/A |
Adjusted SG&A(6) |
$270 million - $280 million |
|
$270 million - $280 million |
Adjusted EBITDA(6) |
$50 million - $65 million |
|
$10 million - $30 million |
|
|
|
|
Lives under Clover
Management
|
June 30, 2024 |
|
June 30, 2023 |
Insurance members |
80,261 |
|
82,526 |
|
|
|
|
Earnings Conference Call Details
Clover Health’s management will host a
conference call to discuss its financial results on Monday, August
5, at 5:00 PM Eastern Time. To access the call via telephone please
dial 800-245-3047 (for U.S. callers) or 203-518-9765 (for callers
outside the U.S.) and enter the conference ID: CLOVQ224. A live
audio webcast will also be available online at:
https://event.on24.com/wcc/r/4643549/90F8BD4EFDC6BDE3601CC8948AF5A379.
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
- 2024 KeyBanc Technology Leadership
Forum at 3:00 p.m. Eastern Time, August 6, 2024
- Canaccord Genuity 44th Annual Growth
Conference at 2:00 p.m. Eastern Time, August 14, 2024
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.
______________________________________
1 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.2 The results of operations for the
Company's former Non-Insurance segment have been reclassified as
discontinued operations for all periods presented due to the
Company's decision to not participate in the ACO Reach program for
the 2024 performance year. Refer to Note 17 - Discontinued
Operations within the Company's most recent Form 10-Q for
additional information.3 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.4 Salaries and benefits plus
General and administrative expenses ("SG&A") is the sum of
Salaries and benefits plus General and administrative expenses
presented as the GAAP measure in the condensed consolidated
financial statements.5 Adjusted SG&A (Non-GAAP) and Adjusted
EBITDA (Non-GAAP) are Non-GAAP financial measures. Reconciliations
of Adjusted SG&A (Non-GAAP) to SG&A and Adjusted EBITDA
(Non-GAAP) to Net 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.6 Reconciliations of
projected Adjusted SG&A (Non-GAAP) to projected SG&A, and
projected Adjusted EBITDA (Non-GAAP) to Net loss from continuing
operations, the most directly comparable GAAP measures, are not
provided because Stock-based compensation, which is excluded from
Adjusted SG&A (Non-GAAP) and Adjusted EBITDA (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.
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 2024). Statements
regarding our Adjusted EBITDA profitability are also
forward-looking, and are based on our current targets which are
preliminary and are derived from our 2024 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 Insurance business; 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; any current, pending, or future
legislation, regulations or policies that could have a negative
effect on our revenue and businesses, including rules, regulations,
and policies relating to healthcare and Medicare; fluctuations in
the price of our Class A common stock and our ability to comply
with Nasdaq's listing requirements; our ability to maintain,
protect, and enhance our intellectual property; general economic
conditions and uncertainty; persistent high inflation and 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 including Insurance
BER, Adjusted EBITDA, Adjusted SG&A, and Adjusted SG&A as a
percentage of revenue. 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 health equity-based 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 aim to extend the benefits of our data-driven
technology platform to a wider audience via our subsidiary,
Counterpart Health, and 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
investors@cloverhealth.com
Press Contact:
Andrew Still-Baxter
press@cloverhealth.com
CLOVER HEALTH
INVESTMENTS, CORP. |
CONDENSED
CONSOLIDATED BALANCE SHEETS |
(Dollars in
thousands, except share amounts) |
|
|
June 30,
2024(Unaudited) |
|
December 31,2023 |
Assets |
|
|
|
Current assets |
|
|
|
Cash and cash equivalents |
$ |
254,771 |
|
$ |
116,407 |
Short-term investments |
|
9,661 |
|
|
12,218 |
Investment securities, available-for-sale (Amortized cost: 2024:
$112,328; 2023: $101,412) |
|
111,325 |
|
|
100,702 |
Investment securities, held-to-maturity (Fair value: 2024: $3,281;
2023: $6,778) |
|
3,295 |
|
|
6,902 |
Accrued retrospective premiums |
|
53,892 |
|
|
22,076 |
Other receivables |
|
21,231 |
|
|
16,666 |
Healthcare receivables |
|
66,739 |
|
|
64,164 |
Surety bonds and deposits |
|
542 |
|
|
542 |
Prepaid expenses |
|
14,517 |
|
|
14,418 |
Other assets, current |
|
3,539 |
|
|
1,404 |
Assets related to discontinued operations |
|
10,064 |
|
|
72,471 |
Total current assets |
|
549,576 |
|
|
427,970 |
|
|
|
|
Investment securities, available-for-sale (Amortized cost: 2024:
$104,229; 2023: $121,868) |
|
102,973 |
|
|
120,208 |
Investment securities, held-to-maturity (Fair value: 2024: $694;
2023: $692) |
|
791 |
|
|
793 |
Property and equipment, net |
|
5,276 |
|
|
5,082 |
Operating lease right-of-use assets |
|
2,858 |
|
|
3,382 |
Other intangible assets |
|
2,990 |
|
|
2,990 |
Other assets, non-current |
|
9,746 |
|
|
10,246 |
Total assets |
$ |
674,210 |
|
$ |
570,671 |
|
|
|
|
|
|
CLOVER HEALTH
INVESTMENTS, CORP. |
CONDENSED
CONSOLIDATED BALANCE SHEETS |
(Dollars in
thousands, except share amounts) |
|
|
June 30,
2024(Unaudited) |
|
December 31, 2023 |
Liabilities and Stockholders' Equity |
|
|
|
Current liabilities |
|
|
|
Unpaid claims |
$ |
199,266 |
|
|
$ |
135,737 |
|
Due to related parties, net |
|
1,284 |
|
|
|
1,363 |
|
Accounts payable and accrued expenses |
|
40,441 |
|
|
|
37,184 |
|
Accrued salaries and benefits |
|
32,400 |
|
|
|
20,951 |
|
Deferred revenue |
|
13 |
|
|
|
3,099 |
|
Operating lease liabilities |
|
1,491 |
|
|
|
1,665 |
|
Other liabilities, current |
|
843 |
|
|
|
1,017 |
|
Liabilities related to discontinued operations |
|
48,773 |
|
|
|
60,099 |
|
Total current liabilities |
|
324,511 |
|
|
|
261,115 |
|
|
|
|
|
Long-term operating lease liabilities |
|
2,519 |
|
|
|
2,998 |
|
Other liabilities, non-current |
|
22,292 |
|
|
|
20,164 |
|
Total liabilities |
|
349,322 |
|
|
|
284,277 |
|
Commitments and
contingencies |
|
|
|
Stockholders' equity |
|
|
|
Class A Common Stock, $0.0001 par value; 2,500,000,000 shares
authorized at June 30, 2024 and December 31, 2023;
406,486,444 and 401,183,882 issued and outstanding at June 30,
2024 and December 31, 2023, respectively |
|
41 |
|
|
|
40 |
|
Class B Common Stock, $0.0001 par value; 500,000,000 shares
authorized at June 30, 2024 and December 31, 2023;
89,649,365 and 87,867,732 issued and outstanding at June 30,
2024 and December 31, 2023, respectively |
|
9 |
|
|
|
9 |
|
Additional paid-in capital |
|
2,517,959 |
|
|
|
2,461,238 |
|
Accumulated other comprehensive loss |
|
(2,259 |
) |
|
|
(2,370 |
) |
Accumulated deficit |
|
(2,171,556 |
) |
|
|
(2,159,794 |
) |
Less: Treasury stock, at cost; 14,574,401 and 7,912,750 shares held
at June 30, 2024 and December 31, 2023, respectively |
|
(19,306 |
) |
|
|
(12,729 |
) |
Total stockholders' equity |
|
324,888 |
|
|
|
286,394 |
|
Total liabilities and stockholders' equity |
$ |
674,210 |
|
|
$ |
570,671 |
|
|
|
|
|
|
|
|
|
CLOVER HEALTH INVESTMENTS, CORP. |
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE
INCOME (LOSS) |
(Unaudited) |
(Dollars in thousands, except per share and share amounts) |
|
|
|
|
|
|
|
|
|
Three Months EndedJune 30, |
|
Six Months EndedJune 30, |
|
2024 |
|
2023 |
|
2024 |
|
2023 |
Revenues: |
|
|
|
|
|
|
|
Premiums earned, net (Net of ceded premiums of $102 and $113 for
the three months ended June 30, 2024 and 2023, respectively; net of
ceded premiums of $203 and $235 for the six months ended June 30,
2024 and 2023, respectively) |
$ |
349,900 |
|
$ |
314,383 |
|
|
$ |
691,622 |
|
|
$ |
631,469 |
|
Other income |
|
6,360 |
|
|
5,755 |
|
|
|
11,560 |
|
|
|
10,661 |
|
Total revenues |
|
356,260 |
|
|
320,138 |
|
|
|
703,182 |
|
|
|
642,130 |
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
Net medical claims incurred |
|
248,347 |
|
|
244,262 |
|
|
|
513,509 |
|
|
|
519,051 |
|
Salaries and benefits |
|
55,499 |
|
|
62,437 |
|
|
|
114,722 |
|
|
|
131,418 |
|
General and administrative expenses |
|
44,424 |
|
|
41,710 |
|
|
|
88,993 |
|
|
|
99,354 |
|
Premium deficiency reserve benefit |
|
— |
|
|
(5,138 |
) |
|
|
— |
|
|
|
(6,948 |
) |
Depreciation and amortization |
|
330 |
|
|
999 |
|
|
|
648 |
|
|
|
1,278 |
|
Restructuring costs |
|
473 |
|
|
4,750 |
|
|
|
826 |
|
|
|
6,557 |
|
Total operating expenses |
|
349,073 |
|
|
349,020 |
|
|
|
718,698 |
|
|
|
750,710 |
|
Income (loss) from continuing operations |
|
7,187 |
|
|
(28,882 |
) |
|
|
(15,516 |
) |
|
|
(108,580 |
) |
|
|
|
|
|
|
|
|
Change in fair value of
warrants |
|
17 |
|
|
— |
|
|
|
17 |
|
|
|
— |
|
Interest expense |
|
— |
|
|
7 |
|
|
|
— |
|
|
|
7 |
|
Loss on investment |
|
— |
|
|
— |
|
|
|
467 |
|
|
|
— |
|
Net income (loss) from continuing operations |
|
7,170 |
|
|
(28,889 |
) |
|
|
(16,000 |
) |
|
|
(108,587 |
) |
Net income from discontinued operations |
|
238 |
|
|
75 |
|
|
|
4,238 |
|
|
|
7,167 |
|
Net income (loss) |
$ |
7,408 |
|
$ |
(28,814 |
) |
|
$ |
(11,762 |
) |
|
$ |
(101,420 |
) |
|
|
|
|
|
|
|
|
Per share data: |
|
|
|
|
|
|
|
Basic weighted average number of Class A and Class B common shares
and common share equivalents outstanding |
|
487,483,087 |
|
|
479,163,752 |
|
|
|
487,575,520 |
|
|
|
479,819,237 |
|
Diluted weighted average number of Class A and Class B common
shares and common share equivalents outstanding |
|
495,179,955 |
|
|
479,163,752 |
|
|
|
487,575,520 |
|
|
|
479,819,237 |
|
Continuing operations: |
|
|
|
|
|
|
|
Basic earnings (loss) per share |
$ |
0.01 |
|
$ |
(0.06 |
) |
|
$ |
(0.03 |
) |
|
$ |
(0.23 |
) |
Diluted earnings (loss) per share |
|
0.01 |
|
|
(0.06 |
) |
|
|
(0.03 |
) |
|
|
(0.23 |
) |
Discontinued operations: |
|
|
|
|
|
|
|
Basic earnings per share |
|
0.00 |
|
|
0.00 |
|
|
|
0.01 |
|
|
|
0.01 |
|
Diluted earnings per share |
|
0.00 |
|
|
0.00 |
|
|
|
0.01 |
|
|
|
0.01 |
|
|
|
|
|
|
|
|
|
Net unrealized gain on
available-for-sale investments |
|
301 |
|
|
316 |
|
|
|
111 |
|
|
|
2,659 |
|
Comprehensive income (loss) |
$ |
7,709 |
|
$ |
(28,498 |
) |
|
$ |
(11,651 |
) |
|
$ |
(98,761 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating
Segments |
|
|
|
|
|
|
|
|
|
Insurance |
|
Corporate/Other |
|
Eliminations |
|
ConsolidatedTotal |
Three Months Ended
June 30, 2024 |
(in thousands) |
Premiums earned, net (Net of ceded premiums of $102) |
$ |
349,900 |
|
$ |
— |
|
$ |
— |
|
|
$ |
349,900 |
Other income |
|
4,044 |
|
|
42,269 |
|
|
(39,953 |
) |
|
|
6,360 |
Intersegment revenues |
|
— |
|
|
51,200 |
|
|
(51,200 |
) |
|
|
— |
Net medical claims
incurred |
|
249,406 |
|
|
4,965 |
|
|
(6,024 |
) |
|
|
248,347 |
Gross profit (loss) |
$ |
104,538 |
|
$ |
88,504 |
|
$ |
(85,129 |
) |
|
$ |
107,913 |
|
|
|
|
|
|
|
|
|
|
|
|
|
CLOVER HEALTH
INVESTMENTS, CORP. |
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS |
(Unaudited) |
(Dollars in
thousands) |
|
|
Six Months EndedJune 30, |
|
2024 |
|
2023 |
Cash flows from operating
activities: |
|
|
|
Net loss |
$ |
(11,762 |
) |
|
$ |
(101,420 |
) |
Adjustments to reconcile net loss to net cash used in operating
activities: |
|
|
|
Depreciation and amortization expense |
|
648 |
|
|
|
1,278 |
|
Stock-based compensation |
|
56,698 |
|
|
|
74,725 |
|
Change in fair value of warrants and amortization of warrants |
|
17 |
|
|
|
— |
|
Accretion, net of amortization |
|
(1,618 |
) |
|
|
(1,853 |
) |
Accrued interest earned |
|
(463 |
) |
|
|
(289 |
) |
Net realized gains on investment securities |
|
(5 |
) |
|
|
(19 |
) |
Loss on investment |
|
467 |
|
|
|
— |
|
Premium deficiency reserve |
|
— |
|
|
|
(6,948 |
) |
Changes in operating assets and liabilities: |
|
|
|
Accrued retrospective premiums |
|
(31,816 |
) |
|
|
18,324 |
|
Other receivables |
|
(4,565 |
) |
|
|
6,960 |
|
Surety bonds and deposits |
|
— |
|
|
|
— |
|
Prepaid expenses |
|
(99 |
) |
|
|
2,901 |
|
Other assets |
|
(2,125 |
) |
|
|
2,861 |
|
Healthcare receivables |
|
(2,575 |
) |
|
|
19,341 |
|
Operating lease right-of-use assets |
|
524 |
|
|
|
157 |
|
Unpaid claims |
|
63,450 |
|
|
|
(20,814 |
) |
Accounts payable and accrued expenses |
|
3,257 |
|
|
|
7,474 |
|
Accrued salaries and benefits |
|
11,449 |
|
|
|
(4,311 |
) |
Deferred revenue |
|
(3,086 |
) |
|
|
113,537 |
|
Other liabilities |
|
1,954 |
|
|
|
281 |
|
Operating lease liabilities |
|
(653 |
) |
|
|
(508 |
) |
Net cash provided by operating
activities from continuing operations |
|
79,697 |
|
|
|
111,677 |
|
Net cash (used in) provided by
operating activities from discontinued operations |
|
(9,005 |
) |
|
|
20,528 |
|
Net cash provided by operating
activities |
|
70,692 |
|
|
|
132,205 |
|
|
|
|
|
Cash flows from investing
activities: |
|
|
|
Purchases of short-term investments, available-for-sale, and
held-to-maturity securities |
|
(51,670 |
) |
|
|
(74,156 |
) |
Proceeds from sales of short-term investments and
available-for-sale securities |
|
— |
|
|
|
60,436 |
|
Proceeds from maturities of short-term investments,
available-for-sale, and held-to-maturity securities |
|
66,651 |
|
|
|
90,997 |
|
Purchases of property and equipment |
|
(842 |
) |
|
|
(605 |
) |
Net cash provided by investing
activities |
|
14,139 |
|
|
|
76,672 |
|
|
|
|
|
Cash flows from financing
activities: |
|
|
|
Issuance of common stock, net of early exercise liability |
|
23 |
|
|
|
1,118 |
|
Repurchases of common stock |
|
(1,772 |
) |
|
|
— |
|
Treasury stock acquired |
|
(4,805 |
) |
|
|
(3,399 |
) |
Net cash used in financing
activities |
|
(6,554 |
) |
|
|
(2,281 |
) |
|
|
|
|
Net increase in cash, cash
equivalents, and restricted cash for discontinued and continuing
operations |
|
78,277 |
|
|
|
206,596 |
|
Cash, cash equivalents, and
restricted cash, beginning of period for discontinued and
continuing operations |
|
176,494 |
|
|
|
186,213 |
|
Cash, cash equivalents, and
restricted cash, end of period for discontinued and continuing
operations |
$ |
254,771 |
|
|
$ |
392,809 |
|
|
|
|
|
Reconciliation of cash and cash
equivalents and restricted cash for discontinued and continuing
operations |
|
|
|
Cash and cash equivalents |
$ |
254,771 |
|
|
$ |
310,079 |
|
Restricted cash |
|
— |
|
|
|
82,730 |
|
Total cash, cash equivalents, and restricted cash for discontinued
and continuing operations |
$ |
254,771 |
|
|
$ |
392,809 |
|
Supplemental disclosure of
non-cash activities |
|
|
|
Performance year receivable |
$ |
— |
|
|
$ |
(377,239 |
) |
Performance year obligation |
|
— |
|
|
|
377,239 |
|
CLOVER HEALTH INVESTMENTS, CORP. |
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES |
ADJUSTED EBITDA (NON-GAAP) RECONCILIATION |
(in thousands)(1) |
|
|
|
|
|
Three Months Ended June 30, |
|
2024 |
|
2023 |
Net income (loss) from continuing operations (GAAP): |
$ |
7,170 |
|
$ |
(28,889 |
) |
Adjustments |
|
|
|
Interest expense |
|
— |
|
|
7 |
|
Depreciation and amortization |
|
330 |
|
|
999 |
|
Stock-based compensation |
|
27,900 |
|
|
36,108 |
|
Premium deficiency reserve benefit |
|
— |
|
|
(5,138 |
) |
Restructuring costs |
|
473 |
|
|
4,750 |
|
Non-recurring legal expenses and settlements |
|
319 |
|
|
2,108 |
|
Adjusted EBITDA (Non-GAAP) |
$ |
36,192 |
|
$ |
9,945 |
|
|
|
|
|
|
|
|
(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 SG&A (NON-GAAP) RECONCILIATION |
(in thousands)(1) |
|
|
Three Months Ended June 30, |
|
2024 |
|
2023 |
Salaries and benefits |
$ |
55,499 |
|
|
$ |
62,437 |
|
General and administrative
expenses |
|
44,424 |
|
|
|
41,710 |
|
Total SG&A (GAAP) |
|
99,923 |
|
|
|
104,147 |
|
Adjustments |
|
|
|
Stock-based compensation |
|
(27,900 |
) |
|
|
(36,108 |
) |
Non-recurring legal expenses and settlements |
|
(319 |
) |
|
|
(2,108 |
) |
Adjusted SG&A (Non-GAAP) |
$ |
71,704 |
|
|
$ |
65,931 |
|
|
|
|
|
Total revenues (GAAP) |
$ |
356,260 |
|
|
$ |
320,138 |
|
Adjusted SG&A (Non-GAAP)
as a percentage of revenue |
|
20 |
% |
|
|
21 |
% |
|
|
|
|
|
|
|
|
(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) |
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
Six Months Ended June 30, |
|
2024 |
|
2023 |
|
2024 |
|
2023 |
Net medical claims incurred, net (GAAP): |
$ |
249,406 |
|
|
$ |
242,839 |
|
|
$ |
515,482 |
|
|
$ |
517,343 |
|
Adjustments |
|
|
|
|
|
|
|
Quality improvements |
|
16,733 |
|
|
|
15,132 |
|
|
|
34,938 |
|
|
|
35,520 |
|
Insurance benefits expense, net (Non-GAAP) |
$ |
266,139 |
|
|
$ |
257,971 |
|
|
$ |
550,420 |
|
|
$ |
552,863 |
|
|
|
|
|
|
|
|
|
Premiums earned, net (GAAP) |
$ |
349,900 |
|
|
$ |
314,383 |
|
|
$ |
691,622 |
|
|
$ |
631,469 |
|
Insurance benefits expense ratio,
net (Non-GAAP) |
|
76.1 |
% |
|
|
82.1 |
% |
|
|
79.6 |
% |
|
|
87.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(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 EBITDA - A Non-GAAP financial measure
defined by us as net loss from continuing operations before
depreciation and amortization, loss (gain) on investment,
stock-based compensation, premium deficiency reserve benefit,
restructuring costs, 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 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
revenue is useful to management, investors, and others because it
allows us to measure our operational leverage as revenue
scales.
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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