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Oscar Health, Inc. (OSCR)
:OSCR
US Market

Oscar Health (OSCR) AI Stock Analysis

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Oscar Health

(NYSE:OSCR)

Rating:75Outperform
Price Target:
$16.00
▲(13.07%Upside)
Oscar Health's strong financial performance and positive earnings call sentiment lead to a favorable overall score. However, this is tempered by technical indicators suggesting short-term caution and a high P/E ratio indicating potential overvaluation. The company's robust revenue growth and operational improvements are significant strengths, while valuation concerns present a notable risk.
Positive Factors
Earnings Expectations
Oscar Health largely delivered on the 2025 outlook, with revenue, operating income, and implied Adj. EBITDA margin guidance landing almost exactly within consensus expectations.
Membership Growth
The membership increased by over 100,000, which helped calm investors who were expecting difficulties.
Revenue Performance
OSCR reported solid results, with revenue 7% above consensus driven by stronger than expected membership growth.
Negative Factors
Geographic Market Challenges
OSCR's main geographic markets, representing a significant portion of its members, are expected to face large enrollment declines, affecting the company's revenue and operating margin.
Regulatory Impact
The expiration of enhanced advanced premium tax credits and regulatory crackdowns could lead to adverse risk pool shifts and structurally lower margins.
Subsidy Expiration
The expiration of enhanced subsidies could lead to significant member attrition and increased risk pool shifts.

Oscar Health (OSCR) vs. SPDR S&P 500 ETF (SPY)

Oscar Health Business Overview & Revenue Model

Company DescriptionOscar 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 MoneyOscar 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 Earnings Call Summary

Earnings Call Date:May 07, 2025
(Q1-2025)
|
% Change Since: 8.26%|
Next Earnings Date:Aug 07, 2025
Earnings Call Sentiment Positive
Oscar Health demonstrated strong financial performance with significant revenue and membership growth, operational efficiency, and successful technological and partnership initiatives. However, challenges remain in managing increased medical loss ratios and navigating regulatory changes.
Q1-2025 Updates
Positive Updates
Strong Revenue and Income Growth
Oscar Health reported total revenue of $3 billion for the quarter, a 42% increase year-over-year. Net income improved significantly to $275 million, up $98 million from the prior year period.
Membership Growth
The company closed the quarter with approximately 2 million effectuated members, representing a 41% increase year-over-year.
Operational Efficiency
Oscar reported the lowest SG&A ratio in the company's history at 15.8%, a 260 basis point improvement year-over-year.
Technological Advancements
The launch of a free live chat feature for Virtual Urgent Care decreased member response times by 90% and improved provider efficiency by 28%.
Partnerships and Community Programs
Oscar launched Oscar Community Resources with Find Help, providing members access to local food, housing, and other services beyond medical care.
Negative Updates
Medical Loss Ratio Increase
MLR increased by 120 basis points year-over-year to 75.4%, impacted by a $31 million unfavorable prior period development.
Regulatory Challenges
Concerns over CMS's proposed program integrity initiatives, including shortened enrollment windows that could constrain consumer shopping options.
Company Guidance
During the Oscar Health first quarter 2025 earnings call, the company provided guidance for the full year, reaffirming all of its key metrics. It anticipates total revenue between $11.2 billion and $11.3 billion, driven by a strong 41% year-over-year increase in membership to over 2 million effectuated members. The medical loss ratio (MLR) is expected to range from 80.7% to 81.7%, while the SG&A expense ratio is projected to be between 17.6% and 18.1%. The company also expects earnings from operations to range from $225 million to $275 million, with adjusted EBITDA anticipated to be approximately $140 million higher than earnings from operations. Oscar Health emphasized its commitment to disciplined execution, strong top line growth, and margin expansion, positioning the company to achieve its 2025 targets.

Oscar Health Financial Statement Overview

Summary
Oscar Health has shown 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, though there's room for improvement in the equity ratio.
Income Statement
85
Very Positive
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
75
Positive
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
80
Positive
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
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
10.08B9.18B5.86B4.13B1.92B589.64M
Gross Profit
10.08B9.18B5.86B4.13B1.92B589.64M
EBIT
159.92M57.27M-235.62M-584.17M-577.06M-406.86M
EBITDA
197.58M88.62M-212.00M-572.17M-551.25M-390.97M
Net Income Common Stockholders
123.33M25.43M-270.73M-609.55M-571.43M-406.82M
Balance SheetCash, Cash Equivalents and Short-Term Investments
2.99B2.15B2.56B2.96B1.69B1.19B
Total Assets
5.84B4.84B3.60B4.53B3.32B2.27B
Total Debt
299.75M299.56M298.78M298.00M0.00142.49M
Net Debt
-1.94B-1.23B-1.57B-1.26B-1.10B-683.84M
Total Liabilities
4.51B3.82B2.80B3.63B440.02M3.57B
Stockholders Equity
1.33B1.01B803.97M890.38M1.39B-1.30B
Cash FlowFree Cash Flow
1.19B950.30M-297.74M351.34M-207.63M208.71M
Operating Cash Flow
1.22B978.19M-272.16M380.35M-181.75M222.73M
Investing Cash Flow
-1.26B-1.39B577.19M-226.52M-774.51M-344.71M
Financing Cash Flow
45.95M68.39M6.45M301.11M1.24B611.71M

Oscar Health Technical Analysis

Technical Analysis Sentiment
Negative
Last Price14.15
Price Trends
50DMA
14.01
Positive
100DMA
14.45
Negative
200DMA
15.69
Negative
Market Momentum
MACD
0.02
Positive
RSI
45.85
Neutral
STOCH
30.50
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OSCR, the sentiment is Negative. The current price of 14.15 is below the 20-day moving average (MA) of 15.05, above the 50-day MA of 14.01, and below the 200-day MA of 15.69, indicating a neutral trend. The MACD of 0.02 indicates Positive momentum. The RSI at 45.85 is Neutral, neither overbought nor oversold. The STOCH value of 30.50 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for OSCR.

Oscar Health Risk Analysis

Oscar Health disclosed 45 risk factors in its most recent earnings report. Oscar Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Oscar Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
CNCNC
77
Outperform
$27.62B8.2312.59%8.85%33.30%
MOMOH
76
Outperform
$16.03B14.2326.72%16.71%12.23%
75
Outperform
$3.74B50.7910.43%54.26%
HUHUM
72
Outperform
$28.00B16.4010.09%1.52%10.09%-12.18%
56
Neutral
$2.90B-75.82%49.12%43.50%
54
Neutral
$5.38B3.40-45.06%3.28%16.75%-0.02%
50
Neutral
$1.52B-7.75%-32.45%80.24%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OSCR
Oscar Health
14.15
-4.85
-25.53%
CNC
Centene
55.38
-13.60
-19.72%
HUM
Humana
234.96
-118.88
-33.60%
MOH
Molina Healthcare
293.48
-14.68
-4.76%
CLOV
Clover Health Investments
2.93
1.90
184.47%
ALHC
Alignment Healthcare
15.08
6.95
85.49%

Oscar Health Corporate Events

Executive/Board ChangesShareholder Meetings
Oscar Health Holds 2025 Annual Stockholders Meeting
Neutral
Jun 6, 2025

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.

The most recent analyst rating on (OSCR) stock is a Sell with a $13.50 price target. To see the full list of analyst forecasts on Oscar Health stock, see the OSCR Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.