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Clover Health Investments CLOV Insurance Operations — Net medical claims incurred

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Other financials

Income statement

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Revenue$749.2M+62.0%
Operating income$27.3M+2,246%
Net income$27.3M+2,246%
EPS (diluted)$0.05

Balance sheet

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Cash & equivalents$173.3M+11.5%
Total debt$3.3M-0.9%
Total equity$339.4M+1.0%
Total assets$697.7M+19.5%

Cash flow

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Operating cash flow$107.9M+762%
CapEx$854.0K+362%
Free cash flow$107.0M+750%

Valuation

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Market cap$2.45B+113%
P/S1.1×+0.4×

Profitability

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Operating margin-2.6%+3.5pp
Net margin-2.6%+2.8pp
FCF margin-10.3%

Returns & leverage

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Return on equity-16.9%-170pp
Debt / equity0.0×
Current ratio1.3×-0.2×

Where this comes from

Reported directly by Clover Health Investments in its filing.

Tagged under the XBRL concept us-gaap:PolicyholderBenefitsAndClaimsIncurredNet.

The source filing: Clover Health Investments’s 10-K, filed February 27, 2026.

Filed
Feb 27, 2026, 8:08 AM EST
Fiscal year
FY2025
Accession
0001801170-26-000057
Line itemYear ended December 31, 2025Year ended December 31, 2024Year ended December 31, 2023
Claims incurred, gross$1,537,832$988,208$987,654
Claims incurred, ceded(4,376)(2,616)(496)
Net claims incurred$1,533,456$985,592$987,158

Item 8. Consolidated Financial Statements and Supplementary Data

FAQ

What is Clover Health Investments's insurance operations — net medical claims incurred?
Clover Health Investments (CLOV) reported insurance operations — net medical claims incurred of $383.36M in Q4 2025.
How has Clover Health Investments's insurance operations — net medical claims incurred changed year-over-year?
Clover Health Investments's insurance operations — net medical claims incurred increased by 55.6% year-over-year, from $246.4M to $383.36M.
What is the long-term trend for Clover Health Investments's insurance operations — net medical claims incurred?
Over 4 years (2021 to 2025), Clover Health Investments's insurance operations — net medical claims incurred has grown at a 16.3% compound annual growth rate (CAGR), from $838.13M to $1.53B.
What does insurance operations — net medical claims incurred mean?
The total medical claims expense incurred by the insurance segment, net of any reinsurance recoveries. This represents the actual medical cost burden retained by the company after accounting for risk-transfer arrangements. It is a fundamental metric for calculating the medical loss ratio and assessing overall underwriting profitability.

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