Full Press Release Details
Clover Health Reports Full Year 2020 Financial Results
Grew total revenue 46% year-over-year to $673 million in 2020
Surpassed 32,400 Lives under Clover Assistant management at year end, a 43% increase year-over-year
NASHVILLE, Tenn., -- Clover Health (Nasdaq: CLOV)( Clover ), an innovative technology company improving health outcomes for America s seniors,
today reported financial results for the fourth quarter and full year of 2020. Management will host a conference call today at 5:00 p.m. ET to discuss its operating results and other business highlights. Supplemental management commentary can be
found by accessing the Company s shareholder letter posted on its investor relations website at https://investors.cloverhealth.com/.
a difficult year for healthcare as our industry rose to the numerous challenges posed by the pandemic. Nevertheless, it was also a transformative year for Clover. By year end we had more than 58,000 members, reported over $670 million in total
revenue and created our Direct Contracting entity, Clover Health Partners. We believe Clover is perfectly positioned to be the pioneer of the new program, said Clover Health CEO Vivek Garipalli. We built the Clover Assistant to reduce
variability in physician decision making and enhance our members lives. As of year end, approximately 32,400 members, or 56% of total membership, were managed by a PCP that was live on the Clover Assistant. This represents a 43% increase
year-over-year, underpinned by our ability to expand coverage. We believe the traction we have seen to date demonstrates the value of the Clover Assistant, giving us conviction in our ability to scale our platform through both Medicare Advantage and
Direct Contracting. Clover Health is well-positioned to leverage technology to improve patient care and deliver value for all of our stakeholders, concluded Garipalli.
Andrew Toy, President and CTO of Clover Health added, Clover is bringing free enterprise-grade technology to patient care, something that has never been
done before. Our technology-first business model is disrupting an industry that has been slow to embrace technology advancements. The newest go-to-market strategy for
the Clover Assistant, Direct Contracting, should provide us with a faster and simpler way to increase the number of lives on our platform, and drive value for consumers and physicians. We look forward to the official launch of Direct Contracting in
April, which we believe will drive further proliferation of the Clover Assistant as we execute on our mission to improve every life.
As previously announced, on January 7, 2021, Clover Health and Social Capital Hedosophia III ( SCH ) completed their merger (the
Merger ). Immediately following the Merger, SCH changed its name to Clover Health and its Class A common stock and warrants to purchase Class A common stock began trading on the Nasdaq Global Select Market ( Nasdaq )
under the symbols CLOV and CLOVW, respectively.
Management Commentary on Financial Highlights
Clover Health s CFO, Joe Wagner, commented, Our 2020 results demonstrate our ability to deliver revenue and membership growth, while improving
management of the cost of care for our members and driving further operating leverage. The global pandemic presented us with unique challenges throughout 2020 as our primary focus was on ensuring that our members had access to the testing and
resources that they needed in the midst of an unprecedented public health crisis. We delivered this access while at the same time building the necessary infrastructure and processes to become a publicly-traded company, which became official in
January of this year.
On a full year basis, the deferral or elimination of certain healthcare services due to
COVID-19 had a slight net benefit to the Company s medical care ratio (MCR), offsetting testing and other treatment costs that were directly attributable to the pandemic. That benefit was most pronounced
during the second and third quarters of the year. During the fourth quarter, that full year benefit was somewhat diminished as a result of higher levels of COVID-specific care and treatment for the Company s members, combined with the
utilization of services that had been deferred in previous quarters.
Key Company highlights are as follows:
| Dollars in Millions | Q4 20 | Q4 19 | Full Year 2020 | Full Year 2019 | ||||||||||||
| Total Revenue | $ | 166.2 | $ | 115.3 | $ | 672.9 | $ | 462.3 | ||||||||
| Net Premium Revenue | $ | 164.6 | $ | 113.4 | $ | 665.7 | $ | 456.9 | ||||||||
| GAAP MCR | 109.3 | % | 99.8 | % | 88.7 | % | 98.6 | % | ||||||||
| Net Loss | $ | (81.6 | ) | $ | (78.7 | ) | $ | (91.6 | ) | $ | (363.7 | ) | ||||
| Adjusted EBITDA (Non-GAAP) | $ | (63.4 | ) | $ | (59.1 | ) | $ | (74.4 | ) | $ | (175.5 | ) | ||||
| Budgeted MCR (1) | 92.6 | % | N/A | 92.7 | % | N/A | ||||||||||
| Normalized MCR (Non-GAAP) | 89.5 | % | N/A | 90.5 | % | N/A |
Reconciliations of net income to adjusted EBITDA and GAAP MCR to Normalized MCR (Non-GAAP), respectively, are provided
in the tables immediately following the consolidated financial statements. Additional information about the Company s non-GAAP financial measures can be found under the caption About Non-GAAP Financial Measures below.
Full Year 2020 Financial Highlights
As of January 7, 2021, immediately following completion of the Merger, Clover had approximately 404.5 million shares
outstanding. We expect basic and diluted weighted average shares outstanding to be approximately 405.1 million and 498.0 million, respectively for the quarter ended March 31, 2021 and 406.0 million and 499.0 million,
respectively for the full year 2021. We expect that our earnings per share will align more closely with the Basic EPS share count given that we expect a net loss in our financial statements for 2021 as we continue to scale the business.
Looking ahead to 2021 and beyond, we are well positioned to execute on our growth strategies as we enter new Medicare Advantage markets and launch our
Direct Contracting Entity. Despite the ongoing uncertainty related to the COVID-19 pandemic, we expect to continue to deliver solid revenue growth and continued improvement in the ability of Clover Assistant
to reduce the overall cost of care for our members, Wagner concluded.
For full year 2021, Clover Health is providing the following guidance and
Reconciliations of projected Normalized MCR (Non-GAAP) and Adjusted EBITDA to the corresponding GAAP amount is not
provided as the quantification of certain items that are excluded from non-GAAP financial measures cannot be reasonably calculated or predicted at this time without unreasonable efforts.
Earnings Conference Call Details
management will host a conference call to discuss its financial results on Monday, March 1, at 5:00 PM Eastern Time. A live webcast of the call can be accessed from Clover Health s Investor Relations website at investors.cloverhealth.com
and an on-demand replay will be available on the same website following the call.
Clover Assistant Technology
Clover Heath s President & CTO, Andrew Toy will host a product and technology showcase of our technology platform, the
Clover Assistant, on Tuesday, March 2 at 10:00 AM Pacific Time. Andrew will be joined by the clinician team for an educational session offering a deeper-dive into the Clover Assistant, highlighting key features, feedback from physicians, and a
peek into a few future features in upcoming launches. The stream will be available from our investor relations website at investors.cloverhealth.com, and a replay will be available on-demand.
Clover Health (Nasdaq: CLOV) is a
healthcare technology company with a deeply rooted mission of improving every life. Clover uses its proprietary technology platform to collect, structure, and analyze health and behavioral data to improve medical outcomes and lower costs for
patients. As a company whose business goals fully align with its members health needs, Clover works with members and their doctors to become a valued partner. This trust is built by proactively identifying
at-risk individuals and teaming up with physicians to accelerate care coordination and simultaneously improve health outcomes and reduce avoidable costs. Clover has offices in San Francisco, Jersey City,
Nashville and Hong Kong.
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 generally relate to future events or Clover Health s future financial or operating performance. In some cases, you can identify forward looking statements because
they contain words such as may, will, should, expects, plans, anticipates, going to, could, intends, target,
projects, contemplates, believes, estimates, predicts, potential or 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 release include, but are not limited to, statements under Financial Outlook, including expectations relating to Medicare Advantage
membership growth, Direct Contracting beneficiaries growth, revenue growth, Normalized MCR (Non-GAAP) improvements and loss per share; the statements contained in the quotations, including expectations related
to Clover Health s ability to scale its platform, growth strategies and ability to reduce the cost of care. 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 in this press release. Such risk factors include, but are not limited to, those related to: Clover Health s ability to increase the lifetime value of
enrollments and manage medical expenses; changes in CMS s risk adjustment payment system; challenges in expanding our member base or into new markets; Clover Health s exposure to unfavorable changes in local benefit costs, reimbursement
rates, competition and economic conditions; the impact of litigation or investigations; changes or developments in Medicare or the health insurance system and laws and regulations governing the health insurance markets; the current and future impact
of the COVID-19 pandemic on the Clover Health s business and industry; the timing and market acceptance of new releases and upgrades to the Clover Assistant; and the successful development of Direct
Contracting and the degree to which our offerings gain market acceptance by physicians. Additional information concerning these and other risk factors is contained in the Risk Factors section of Clover Health s registration statement on Form S-1 or Clover Health s most recent reports on Form 10-K and Form 10-Q. Clover Health assumes no obligation, and does not intend,
to update these forward-looking statements as a result of future events or developments.
We use non-GAAP measures of Normalized MCR
(Non-GAAP) and Adjusted EBITDA. 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 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, should not be considered a substitute for financial information presented in accordance with GAAP and should be read only in conjunction with our consolidated financial statements prepared in accordance with
GAAP. Readers are encouraged to review the reconciliation of our non-GAAP
financial measures to the comparable GAAP results, which is attached to our quarterly and annual earnings release and which can be found, along with other financial information including filings
with the Securities and Exchange Commission, 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 the section of the tables titled About Non-GAAP Financial Measures and Other
CLOVER HEALTH INVESTMENTS, CORP. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS: SELECTED METRICS
(in thousands) (Unaudited)
| As of December 31, | ||||||||
| 2020 | 2019 | |||||||
| Selected Balance Sheet Data: | ||||||||
| Cash, Cash Equivalents and Investments | $ | 151,103 | $ | 263,327 | ||||
| Total Assets | 267,252 | 337,021 | ||||||
| Unpaid Claims | 103,976 | 77,886 | ||||||
| Notes and securities payable, net of discount and deferred issuance costs | 106,413 | 57,917 | ||||||
| Warrants Payable | 97,782 | 17,672 | ||||||
| Total Liabilities | 387,888 | 377,811 | ||||||
| Convertible Preferred Stock | 447,747 | 447,747 | ||||||
| Total stockholders deficit | (568,383 | ) | (488,537 | ) |
CLOVER HEALTH INVESTMENTS, CORP. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands) (Unaudited)
| For the Quarters Ended December 31, | For the Years Ended December 31, | |||||||||||||||
| 2020 | 2019 | 2020 | 2019 | |||||||||||||
| Revenues: | ||||||||||||||||
| Premiums earned, net (Net of ceded premiums: fourth quarter ended 2020: $216; fourth quarter ended 2019: $132; 2020: $599; 2019: $832) | $ | 164,598 | $ | 113,377 | $ | 665,698 | $ | 456,926 | ||||||||
| Other income | 885 | 506 | 4,214 | 801 | ||||||||||||
| Investment income, net | 750 | 1,392 | 2,976 | 4,539 | ||||||||||||
| Total revenues | 166,233 | 115,275 | 672,888 | 462,266 | ||||||||||||
| Expenses: | ||||||||||||||||
| Net medical claims incurred | 179,928 | 113,204 | 590,468 | 450,645 | ||||||||||||
| Salaries and benefits | 13,917 | 17,801 | 71,256 | 91,626 | ||||||||||||
| General and administrative expenses | 40,646 | 29,161 | 120,444 | 94,757 | ||||||||||||
| Premium deficiency reserve (benefit) expense | (771 | ) | 14,726 | (17,128 | ) | 7,523 | ||||||||||
| Depreciation and amortization | 142 | 117 | 555 | 551 | ||||||||||||
| Other expense | 84 | 363 | ||||||||||||||
| Total expenses | 233,862 | 175,093 | 765,595 | 645,465 | ||||||||||||
| Loss from operations | (67,629 | ) | (59,818 | ) | (92,707 | ) | (183,199 | ) | ||||||||
| Change in fair value of warrants expense | 48,425 | 984 | 80,328 | 2,909 | ||||||||||||
| Interest expense | 10,430 | 7,518 | 35,990 | 23,155 | ||||||||||||
| Amortization of notes and securities discount | 6,183 | 5,872 | 21,118 | 15,913 | ||||||||||||
| (Gain) loss on derivative | (51,086 | ) | 4,479 | (138,561 | ) | 138,561 | ||||||||||
| Net loss | $ | (81,581 | ) | $ | (78,671 | ) | $ | (91,582 | ) | $ | (363,737 | ) |
CLOVER HEALTH INVESTMENTS, CORP. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
ADJUSTED EBITDA AND ADJUSTED EBITDA MARGIN RECONCILIATION
(in thousands) (Unaudited)(1)
| For the Quarters Ended December 31, | For the Years Ended December 31, | |||||||||||||||
| 2020 | 2019 | 2020 | 2019 | |||||||||||||
| Net Loss: | $ | (81,581 | ) | $ | (78,671) | $ | (91,582 | ) | $ | (363,737 | ) | |||||
| Adjustments | ||||||||||||||||
| Interest expense | 10,430 | 7,518 | 35,990 | 23,155 | ||||||||||||
| Amortization of notes and securities discount | 6,183 | 5,872 | 21,118 | 15,913 | ||||||||||||
| Income taxes | ||||||||||||||||
| Depreciation and amortization | 142 | 117 | 555 | 551 | ||||||||||||
| Change in fair value of warrant expense | 48,425 | 984 | 80,328 | 2,909 | ||||||||||||
| (Gain) loss on derivative | (51,086 | ) | 4,479 | (138,561 | ) | 138,561 | ||||||||||
| Restructuring (income) cost | (11 | ) | (66 | ) | 2,658 | 3,890 | ||||||||||
| Stock-based compensation expense | 2,129 | 655 | 7,078 | 3,301 | ||||||||||||
| Health insurance industry fee | 2,006 | 8,022 | ||||||||||||||
| Adjusted EBITDA | $ | (63,363 | ) | $ | (59,112 | ) | $ | (74,394 | ) | $ | (175,457 | ) | ||||
| Premiums earned, gross | $ | 164,814 | $ | 113,509 | $ | 666,297 | $ | 457,758 | ||||||||
| Adjusted EBITDA Margin | (38.4 | )% | (52.1 | )% | (11.2 | )% | (38.3 | )% |
CLOVER HEALTH INVESTMENTS, CORP. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
NORMALIZED MCR (NON-GAAP) RECONCILIATION
| For the Quarter Ended December 31, | For the Year Ended December 31, | |||||||
| 2020 | 2020 | |||||||
| GAAP MCR: | 109.3 | % | 88.7 | % | ||||
| Adjustments | ||||||||
| Direct COVID costs, including utilization deferred in prior periods | (16.7 | )% | (8.1 | )% | ||||
| Estimate of care deferred/eliminated by COVID environment | 2.6 | % | 8.6 | % | ||||
| Prior period development and other | (5.7 | )% | 1.3 | % | ||||
| Normalized MCR (Non-GAAP) | 89.5 | % | 90.5 | % |
CLOVER HEALTH INVESTMENTS, CORP. AND SUBSIDIARIES
Explanation of Non-GAAP Financial Measures and Other Items
Non-GAAP Adjustments
We believe it is useful to investors for our presentation within this document on a non-GAAP basis
to exclude the below items. In particular, we believe that the exclusion of these amounts provides useful measures for period-to-period comparisons of our business.