Oscar Health (OSCR) AI Stock Analysis

• Market Cap: $4.24B
• Dividend Yield: N/A
• Average Volume (3M): 23.80M
• Price to Earnings (P/E): 49.6
• Beta (1Y): 0.93
• Revenue Growth: 48.29%
• EPS Growth: -1436.25%
• Country: US
• Employees: 2,400
• Sector: Healthcare
• Sector Strength: 51
• Industry: Medical - Healthcare Plans
• EPS (TTM): -0.89
• Shares Outstanding: 219,163,000
• 10 Day Avg. Volume: 17,459,662
• 30 Day Avg. Volume: 23,795,977
• PEG Ratio: N/A
• Price to Book (P/B): 0.00
• Price to Sales (P/S): 0.00
• P/FCF Ratio: 0.00
• Enterprise Value/Market Cap: 1.36
• Enterprise Value/Revenue: 0.57
• Enterprise Value/Gross Profit: 0.57
• Enterprise Value/Ebitda: 29.19
• 1Y Price Target: $10.67
• Price Target Upside: -35.95% Downside
• Rating Consensus: Moderate Sell
• Number of Analyst Covering: 8

• Rating: 73 Outperform
• Price Target: $19.00 ▲(14.05% Upside)

Oscar Health's strong financial performance and positive technical indicators are the primary drivers of its stock score. However, the negative P/E ratio and operational challenges highlighted in the earnings call weigh down the overall score. The company's strategic initiatives and future profitability goals provide a cautiously optimistic outlook.

Positive Factors

Cash Flow Performance

Cash Flow CFO was $509MM, +2.4% y/y and well above the estimate of $135MM.

Cost Management

OSCR plans to eliminate $60mn of admin costs in 2026, which should drive ~50bp of margin.

Revenue Growth

OSCR raised revenue guidance to $12.0-$12.2B.

Negative Factors

Market Risk

Market risk scores are significantly higher than previously assumed, contributing to a cautious outlook.

Membership Decline

Expectations of disenrollment ranging from 20-50% of exchange membership will create a radically different risk pool.

Profitability Concerns

The pricing strategy for Oscar Health, Inc. does not appear adequate to produce stable margins in the current year.

Oscar Health Business Overview & Revenue Model

Company Description

Oscar Health, Inc. (OSCR) is a technology-driven health insurance company focused on leveraging data and technology to enhance member experience and improve health outcomes. The company provides individual and family health insurance plans, small group insurance, and Medicare Advantage plans across the United States. Oscar Health differentiates itself through its consumer-oriented approach, telehealth services, and seamless digital platform that offers personalized care and support to its members.

How the Company Makes Money

Oscar Health makes money primarily through the collection of premiums from its members who enroll in its health insurance plans. The company's revenue streams include individual and family plans, small group plans, and Medicare Advantage plans. Oscar Health receives payments from members or sponsors, such as employers, who provide health insurance coverage. Additionally, the company may receive government subsidies for certain plans, particularly those offered under the Affordable Care Act. Oscar also generates revenue by managing healthcare utilization and costs effectively, as it shares in the savings if the cost of medical claims is lower than expected under value-based care arrangements. Partnerships with healthcare providers and a focus on preventive care and telemedicine also contribute to managing expenses and improving profitability.

Oscar Health Financial Statement Overview

Summary

Oscar Health exhibits a positive financial trajectory, with substantial revenue growth, improving profitability metrics, and strong cash flow generation. The balance sheet is solid, with low leverage and improving equity. Despite some areas needing improvement, such as the equity ratio, the company is on a strong financial footing.

Income Statement

Oscar Health has demonstrated a strong revenue growth trajectory, with a significant increase in total revenue from $4.1 billion in 2022 to $10.08 billion in TTM (Trailing-Twelve-Months) 2025. The gross profit margin remains robust at 100%, indicating efficient cost management. Net profit margin has improved from negative figures to 1.22% in TTM 2025, showing progress towards profitability. EBIT and EBITDA margins have also improved, reflecting better operational efficiency.

Balance Sheet

The company's balance sheet shows a solid equity base, with stockholders' equity rising from negative in 2020 to $1.33 billion in TTM 2025. The debt-to-equity ratio is low at 0.22, indicating conservative leverage. Return on equity has turned positive, reflecting enhanced profitability. However, the equity ratio is at 22.81%, suggesting potential room for improvement in equity financing.

Cash Flow

Oscar Health has shown strong cash flow generation, with free cash flow increasing from negative figures to $1.19 billion in TTM 2025. The free cash flow to net income ratio is healthy, indicating efficient cash management. Operating cash flow to net income ratio is high, demonstrating the company's ability to convert earnings into cash effectively.

Breakdown	Dec 2024	Dec 2023	Dec 2022	Dec 2021	Dec 2020
Income Statement
Total Revenue	9.18B	5.86B	4.13B	1.92B	589.64M
Gross Profit	9.18B	5.86B	4.13B	1.92B	589.64M
EBITDA	89.31M	-212.00M	-572.17M	-551.25M	-390.98M
Net Income	25.43M	-270.73M	-606.27M	-572.61M	-406.82M
Balance Sheet
Total Assets	4.84B	3.60B	4.53B	3.32B	2.27B
Cash, Cash Equivalents and Short-Term Investments	2.15B	2.56B	2.96B	1.69B	1.19B
Total Debt	299.56M	298.78M	298.00M	0.00	142.49M
Total Liabilities	3.82B	2.80B	3.63B	440.02M	3.57B
Stockholders Equity	1.01B	803.97M	890.38M	1.39B	-1.30B
Cash Flow
Free Cash Flow	950.30M	-297.74M	351.34M	-207.63M	208.71M
Operating Cash Flow	978.19M	-272.16M	380.35M	-181.75M	222.73M
Investing Cash Flow	-1.39B	577.19M	-226.52M	-774.51M	-344.71M
Financing Cash Flow	68.39M	6.45M	301.11M	1.24B	611.71M

Oscar Health Technical Analysis

• Technical Analysis Sentiment: Positive
• Last Price: 16.66
• 50DMA: Positive
• 100DMA: Positive
• 200DMA: Positive
• MACD: Negative
• RSI: Neutral
• STOCH: Neutral

Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OSCR, the sentiment is Positive. The current price of 16.66 is above the 20-day moving average (MA) of 15.70, above the 50-day MA of 16.11, and above the 200-day MA of 15.03, indicating a bullish trend. The MACD of 0.49 indicates Negative momentum. The RSI at 56.03 is Neutral, neither overbought nor oversold. The STOCH value of 71.30 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for OSCR.

Oscar Health Peers Comparison

Name	Overall Rating	Market Cap	P/E Ratio	ROE	Dividend Yield	Revenue Growth	EPS Growth
OSCR	73 Outperform	$4.24B	49.61	-14.04%	―	48.29%	-1436.25%
HUM	71 Outperform	$36.52B	23.31	9.03%	1.17%	9.88%	-7.25%
MOH	70 Outperform	$9.80B	8.92	23.93%	―	16.12%	10.99%
CNC	63 Neutral	$14.26B	7.18	7.50%	―	12.96%	-23.25%
ALHC	61 Neutral	$3.24B	―	-38.50%	―	49.46%	66.89%
Sector *	51 Neutral	$7.86B	-0.26	-41.41%	2.22%	22.87%	-2.01%
CLOV	50 Neutral	$1.34B	―	-12.59%	―	-4.87%	66.16%

Oscar Health Corporate Events

Oscar Health Holds 2025 Annual Stockholders Meeting

On June 4, 2025, Oscar Health, Inc. held its 2025 Annual Meeting of Stockholders, where a quorum was established with 825,961,296 votes represented. During the meeting, nine directors were elected, and the appointment of PricewaterhouseCoopers LLP as the independent registered public accounting firm for 2025 was ratified. Additionally, the compensation of the company’s named executive officers was approved on an advisory basis, indicating shareholder support for the company’s leadership and financial oversight.