Oscar Health
Oscar Health's revenue rose 27.5% to $11.7 billion in fiscal 2025. Its operating margin was −3.4%, down from 0.6% a year earlier. Free cash flow was $1.1 billion, up 11.4%. The diluted share count fell 1.3%.
Operating margin is operating income as a share of revenue. Free cash flow is cash from operations minus capital spending. Return on equity is net income as a share of shareholders' equity. Market cap is the last closing share price times the latest diluted share count, so it is approximate. P/E is the last close divided by diluted earnings per share over the last four quarters, or the latest fiscal year where the quarters aren't available; there is none when the company made a loss.
What Oscar Health does
Oscar Health sells health insurance plans to individuals and families in the United States, mostly through the marketplaces set up under the Affordable Care Act (ACA). Employees whose employers offer an ICHRA, an arrangement in which the employer pays a set amount toward individual coverage, can also buy its plans. At the end of 2025 Oscar had about 2.0 million members. It offered coverage in 18 states in 2025 and has expanded to 20 states for 2026. Florida, Texas and Georgia have the most members.
Nearly all of its revenue comes from premiums. In 2025, 93% of premiums came directly from the Centers for Medicare & Medicaid Services (CMS), through federal premium tax credits, and 7% from members. Through +Oscar it also sells its technology to other insurers and to health care providers; its Campaign Builder tool, which helps them reach patients, covered nearly 0.6 million client lives at the end of 2025. Businesses it bought in 2025 add an insurance brokerage, an enrollment platform and a consumer education website. Oscar says its main rivals are national and regional insurers, Medicaid-focused insurers and local Blue Cross plans.
Oscar had about 2,305 employees at the end of 2025. Its plans use selected networks of doctors and hospitals rather than every provider in an area, and it runs on software it built itself for claims, billing and member service. Most of its members come to it through insurance brokers.
Its biggest risks, as it describes them
- Failing to add or keep members, especially as new federal rules and laws reshape the ACA marketplaces where it sells its plans.
- Misjudging medical costs or how sick its members are, which could leave premiums too low to cover claims.
- Risk adjustment programs, which move money between insurers based on members' health, can cut the revenue it records.
- Its concentration in a few states, and its reliance on a limited number of in-network doctors and hospitals.
- Its history of losses, and the chance that it does not reach or keep profitability.
Charts show fiscal years, from the 10-K filings.
Revenue and margins
Net income and earnings per share
Oscar Health lost money in fiscal 2025: a net loss of $443 million.
Returns on capital
Cash flow
Payouts and share count
Valuation
Two ways to value Oscar Health yourself, both starting from its filings: a discounted cash flow model and the price-to-earnings method.
Discounted cash flow (DCF)
A discounted cash flow (DCF) model values a business as the cash it may generate in future, discounted back to today. The starting figures come from Oscar Health's 10-K (or, for net cash and shares, its latest 10-Q) and the assumptions are yours: start from one of three example scenarios, then change any figure to see what it implies for a share, and how that compares with the last share price.
Value per share on three example scenarios, from Oscar Health's fiscal 2025 free cash flow of $1.1B, net cash of $3.6B at December 31, 2025 and 262 million diluted shares, from its filings. The scenarios are fitted to Oscar Health: the base scenario's growth in years 1 to 5 is its revenue growth over the last 3 years, 43.5% a year, kept between 0% and 20%; the cautious and optimistic ones are lower and higher, and growth in years 6 to 10 is halfway to the long-run rate. The base scenario's discount rate is 8%: 7% for a stable business (Managed Health Care), plus 1 point for unsteady results (a loss in fiscal 2025); the cautious and optimistic ones use a point more and a point less. Select one to load it into the calculator. These are the model's arithmetic on those assumptions, not a forecast or a price target.
- Last close, October 26, 2026
- $31.10
- Value on these assumptions, against the last close
- —
- Cash flows in years 1 to 10, valued today
- —
- Everything after year 10, valued today
- —
- Plus net cash
- —
- Share of value from after year 10
How the value changes with two assumptions
Price-to-earnings (P/E) method
Another common way to value a company is to multiply its earnings per share by a price-to-earnings (P/E) multiple: the number of years of today's earnings an investor pays for a share. A higher multiple usually means investors expect earnings to grow. Choose a multiple, for example from similar companies, to see the value it gives.
Value per share on three example scenarios, from Oscar Health's earnings per share of $1.30 (over the last four quarters). Each grows earnings for a year at the cash flow scenarios' rates and applies a multiple to next year's earnings: 28×, the middle of Oscar Health's own P/E today, its peers' median and its sector's median (the Health Care median) for the base scenario, 20% less and more for the cautious and optimistic ones. The price is brought back a year at 9%, 8% and 7%. Select one to load it into the calculator. These are the model's arithmetic on those assumptions, not a forecast or a price target.
- Last close, October 26, 2026
- $31.10
- Value at this multiple, against the last close
- —
- Oscar Health's P/E at the last close
- 23.9×
| Company | Last close | Earnings per share | P/E today |
|---|---|---|---|
| HumanaHUM | $417.22 | $9.37 | 44.5× |
| HealthEquityHQY | $103.75 | $2.77 | 37.5× |
| Oscar HealthOSCR | $31.10 | $1.30 | 23.9× |
Balance sheet
| Fiscal year end | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|
| Cash and short-term investments | 1,691 | 2,956 | 2,560 | 2,152 | 3,991 |
| Debt incl. finance leases | 0 | 298 | 299 | 300 | 430 |
| Net debt (negative means net cash) | −1,691 | −2,658 | −2,261 | −1,852 | −3,560 |
| Net debt to EBITDA | — | — | — | −20.7x | — |
| Debt to equity | 0.0x | 0.3x | 0.4x | 0.3x | 0.4x |
| Interest coverage | −115.4x | −26.1x | −9.6x | 2.4x | −22.5x |
| Current ratio | 1.2x | 1.3x | 1.3x | 0.8x | 0.9x |
| Quick ratio | 1.2x | 1.3x | 1.3x | 0.8x | 0.9x |
Insider trades
Over the 12 months between October 27, 2025 and October 26, 2026, 1 insider bought $11.9 million of Oscar Health shares on the open market, and 7 insiders sold $150.0 million, $120.6 million of it under trading plans set up in advance.
| Date | Insider | Trade | Shares | Price | Value | Filing |
|---|---|---|---|---|---|---|
| Sep 18, 2026 | Vanessa Ames WittmanDirector | Sold plan | 25,000 | $32.24 | $806,000 | Form 4 |
| Sep 3, 2026 | Mario SchlosserDirector | Sold plan | 31,422 | $31.45 | $988,222 | Form 4 |
| Sep 3, 2026 | Richard Scott BlackleyChief Financial Officer | Sold plan | 28,869 | $31.45 | $907,930 | Form 4 |
| Sep 3, 2026 | Janet LiangPresident, Oscar Insurance | Sold plan | 10,360 | $31.45 | $325,822 | Form 4 |
| Sep 3, 2026 | Adam McAnaneyChief Legal Officer | Sold plan | 9,092 | $31.45 | $285,943 | Form 4 |
| Sep 3, 2026 | Victoria BaltrusChief Accounting Officer | Sold plan | 958 | $31.45 | $30,129 | Form 4 |
| Aug 28, 2026 | Mario SchlosserDirector | Sold | 150,000 | $30.79 | $4.6 million | Form 4 |
| Aug 27, 2026 | Mario SchlosserDirector | Sold | 600,000 | $30.34 | $18.2 million | Form 4 |
| Aug 18, 2026 | Richard Scott BlackleyChief Financial Officer | Sold | 18,750 | $31.74 | $595,125 | Form 4 |
| Jul 1, 2026 | Mario SchlosserDirector | Sold plan | 47,500 | $31.24 | $1.5 million | Form 4 |
| Jun 30, 2026 | Mark T BertoliniChief Executive Officer, Director | Sold plan | 624,244 | $28.48 | $17.8 million | Form 4 |
| Jun 29, 2026 | Mark T BertoliniChief Executive Officer, Director | Sold plan | 614,752 | $29.26 | $18.0 million | Form 4 |
Piotroski F-score
The F-score counts how many of nine simple tests of profitability, funding and efficiency a company passed in a year (Piotroski, 2000). The more tests passed, the stronger the year: 8 or 9 is strong, 0 to 2 weak. Companies that report no gross profit are scored on the other eight.
| Test | FY23 | FY24 | FY25 |
|---|---|---|---|
| Net income is positive | Fail | Pass | Fail |
| Cash from operations is positive | Fail | Pass | Pass |
| Return on assets rose | Pass | Pass | Fail |
| Cash from operations exceeds net income | Fail | Pass | Pass |
| Debt fell relative to assets | Pass | Pass | Fail |
| Current ratio rose | Fail | Fail | Pass |
| Share count didn't rise | Fail | Fail | Pass |
| Gross margin rose | — | — | — |
| Revenue rose relative to assets | Pass | Pass | Fail |
| F-score | 3 of 8 | 6 of 8 | 4 of 8 |
| Accruals ratio | 0.0% | −22.6% | −27.6% |
Compare
Put Oscar Health side by side with any other company we cover: revenue, growth, margins, cash flow and returns, with ten years of charts.
Similar companies
| Company | Year | Revenue growth | Operating margin | Free cash flow margin | Return on capital | Net debt to EBITDA | F-score | Compare |
|---|---|---|---|---|---|---|---|---|
| Oscar Health | FY25 | 27.5% | −3.4% | 9.1% | — | — | 4 | |
| Molina Healthcare | FY25 | 11.8% | 1.7% | −1.4% | — | −4.4x | 4 | Compare |
| HealthEquity | FY26 | 9.5% | 24.6% | 34.6% | 8.9% | 1.3x | 9 | Compare |
| Humana | FY25 | 10.1% | 2.1% | 0.3% | 25.7% | −2.2x | 5 | Compare |
| Centene | FY25 | 19.4% | −3.9% | 2.2% | −26.4% | — | 5 | Compare |
7 years of figures
| Fiscal year | FY19 | FY20 | FY21 | FY22 | FY23 | FY24 | FY25 |
|---|---|---|---|---|---|---|---|
| Income statement | |||||||
| Revenue | 488 | 463 | 1,839 | 3,964 | 5,863 | 9,178 | 11,701 |
| Revenue growth | — | −5.2% | 297.3% | 115.6% | 47.9% | 56.5% | 27.5% |
| Gross profit | — | — | — | — | — | — | — |
| Research and development | — | — | — | — | — | — | — |
| Operating income | −259 | −402 | −544 | −590 | −236 | 57 | −396 |
| Net income | −261 | −407 | −573 | −606 | −271 | 25 | −443 |
| Diluted EPS (US$) | −9.06 | −14.16 | −3.20 | −2.85 | −1.22 | 0.10 | −1.69 |
| Diluted shares (millions) | 29 | 29 | 179 | 212 | 222 | 266 | 262 |
| Cash flow | |||||||
| Cash from operations | −165 | 223 | −182 | 380 | −272 | 978 | 1,095 |
| Capital expenditure | 26 | 14 | 26 | 29 | 26 | 28 | 36 |
| Free cash flow | −191 | 209 | −208 | 351 | −298 | 950 | 1,058 |
| Dividends paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Share buybacks | 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Acquisitions | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Stock-based compensation | 34 | 36 | 86 | 112 | 160 | 110 | 88 |
| Balance sheet at fiscal year end | |||||||
| Cash and short-term investments | 337 | 1,193 | 1,691 | 2,956 | 2,560 | 2,152 | 3,991 |
| Debt incl. finance leases | — | 142 | 0 | 298 | 299 | 300 | 430 |
| Total assets | — | 2,272 | 3,322 | 4,527 | 3,602 | 4,840 | 6,325 |
| Total liabilities | — | 1,823 | 1,929 | 3,634 | 2,795 | 3,824 | 5,345 |
| Shareholders' equity | 0 | −1,296 | 1,387 | 890 | 804 | 1,014 | 978 |
| Margins and ratios | |||||||
| Gross margin | — | — | — | — | — | — | — |
| Operating margin | −53.1% | −86.9% | −29.6% | −14.9% | −4.0% | 0.6% | −3.4% |
| Net margin | −53.5% | −87.9% | −31.1% | −15.3% | −4.6% | 0.3% | −3.8% |
| Free cash flow margin | −39.2% | 45.1% | −11.3% | 8.9% | −5.1% | 10.3% | 9.1% |
| Return on capital | — | — | — | — | — | — | — |
| Return on equity | — | — | — | −53.2% | −32.0% | 2.8% | −44.5% |
| Return on assets | — | — | −20.5% | −15.4% | −6.7% | 0.6% | −7.9% |
| Net debt to EBITDA | — | — | — | — | — | −20.7x | — |