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2026-10-13 21:32 12d ago
2026-10-13 15:16 12d ago
Akcie Oscar Health vzrostly o 14,9 %
OSCR Oscar Health
FMP Stock News 84
Original source text
Key Takeaways Oscar Health shares gained 14.9% in three months, supported by strong membership growth and improved margins.OSCR's membership surged 46.2% to 2.96 million, while its first-half medical loss ratio improved to 75%.Oscar's SG&A ratio fell to 14.7% from 17.2%, aided by technology efficiencies and disciplined cost management. Oscar Health, Inc. (OSCR - Free Report) shares have gained 14.9% in the past three months, outpacing the broader market. The advance has coincided with rapid membership growth, better medical economics and lower administrative expense ratios.

The next test is execution. Oscar must sustain share gains and underwriting discipline while navigating Affordable Care Act (ACA) market contraction, membership cleanup, seasonality and a valuation that already reflects higher expectations.

Oscar's Share Gains Strengthen the Bull CaseOscar ended the second quarter of 2026 with 2.96 million members, up 46.2% year over year. That growth came even as broader ACA membership declined about 12%, indicating substantial share capture in a contracting market.

OSCR's Pricing Discipline Lifts Underwriting QualityOscar's first-half 2026 medical loss ratio improved to 75% from 83% a year earlier. Management attributed the improvement to disciplined pricing, stronger current-year performance and favorable prior-period reserve development.

That mix matters because membership growth is more valuable when medical costs remain controlled. Oscar expects a full-year 2026 medical loss ratio of 81%-82%, implying a higher second-half cadence but still reflecting better economics than the prior-year first half.

Oscar's Tech Leverage Adds Margin SupportThe first-half selling, general and administrative ratio fell to 14.7% from 17.2%. Fixed-cost leverage, disciplined expense management and technology-driven efficiencies helped expenses grow more slowly than the membership base.

Oscar also reported 98.7% first-pass claims accuracy, with most claims processed in under 48 hours. Artificial intelligence initiatives across benefits, billing, claims, clinical care and member support could add further scalability without proportionate headcount growth.

The Zacks Consensus Estimate for 2026 and 2027 EPS represents an increase of 208.3% and 21% respectively.

Image Source: Zacks Investment Research

Oscar's Ratings Back Growth but Momentum Is MixedThe three-month advance can continue if Oscar converts share gains into durable underwriting and operating leverage.

Oscar currently carries a Zacks Rank #1 (Strong Buy), which reflects favorable near-term earnings-estimate revision trends. It also has a VGM Score of A, Growth Score of A and Value Score of B, all favorable readings under the Style Score framework.

The Momentum Score of C is less supportive than an A or B and tempers the picture after the recent price gain. Continued fundamental execution therefore remains important even with a top Zacks Rank and favorable overall Style Scores.

Other Stocks to ConsiderElevance Health, Inc. (ELV - Free Report) and UnitedHealth Group (UNH - Free Report) are two other top-ranked stocks. Both carry a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank stocks here.

The Zacks Consensus Estimate for 2026 earnings of Elevance Health has moved north in the last 30 days while that for UnitedHealth witnessed no movement in the same time frame.

In terms of share price movement, Elevance Health and UnitedHealth Group have lost 1.1% and 11%, respectively, in the past three months.
2026-10-13 21:32 12d ago
2026-10-13 15:20 12d ago
Oscar Health zvýšil výhled provozního zisku pro rok 2026 na 500–700 mil. USD
OSCR Oscar Health
FMP Stock News 95
Original source text
Key Takeaways Oscar Health raises its 2026 operating earnings outlook to $500M-$700M, keeping revenue guidance unchanged.OSCR's 1H MLR improves to 75% from 83%, driven by disciplined pricing and favorable utilization.OSCR faces 2%-4% monthly churn in the second half, alongside rising medical costs and enrollment spending. Oscar Health, Inc. (OSCR - Free Report) raised its 2026 earnings from operations outlook to a range of $500 million to $700 million from $250 million to $450 million after a second quarter marked by improved underwriting and expense efficiency. The company kept its 2026 revenue view at $18.7 billion-$19 billion.

The higher profit range shifts the investor debate from growth alone to margin durability. Oscar's pricing, medical loss performance and technology leverage improved sharply, but the second half brings higher churn, seasonal medical costs and open-enrollment spending.

Oscar's Q2 Profitability Resets 2026 Earnings ViewSecond-quarter earnings of $1.10 per share topped the Zacks Consensus Estimate of 43 cents. Revenues reached $4.9 billion, up 70.4% year over year, while adjusted EBITDA improved to $415.3 million from a $199.4 million loss a year earlier.

The Zacks Consensus Estimate for 2026 and 2027 EPS represents an increase of 208.3% and 21% respectively.

Image Source: Zacks Investment Research

Premium revenues climbed 70.8% to $4.8 billion, while medical expenses rose 48.6% to $3.8 billion. Oscar raised operating earnings guidance but left its revenue outlook unchanged, leaving the guidance change concentrated in profitability rather than the top line.

OSCR's MLR Improvement Shows Pricing Is WorkingOscar's first-half 2026 medical loss ratio improved to 75% from 83% a year earlier. Management attributed the change to disciplined pricing, stronger current-year performance, favorable utilization and prior-period reserve development.

Not all of the benefit came from current-period performance. Oscar recorded $164 million of favorable prior-period development in the second quarter, including about $160 million from final 2025 risk adjustment, so investors may distinguish recurring pricing gains from items that may not repeat.

Oscar's Tech Platform Is Driving Expense LeverageSelling, general and administrative expenses rose 29.3% year over year to $691.1 million, but the second-quarter ratio fell to a company-low 14.2%. Oscar cited fixed-cost leverage and technology-driven efficiencies as membership expanded.

The claims platform delivered 98.7% first-pass accuracy and processed most claims in under 48 hours. Management expects artificial intelligence initiatives across benefits, billing, claims, clinical care and member support to generate material savings and support further scalability.

OSCR Faces a Tougher Back Half as Churn RisesOscar expects roughly 0.25 million-0.3 million members to be retroactively disenrolled under program-integrity actions. Back-half monthly churn is projected at 2%-4%, while the medical loss ratio is expected to rise sequentially and fourth-quarter administrative spending should increase with open enrollment.

Oscar's Ratings Reinforce the Improved Earnings SetupThe earnings setup is stronger, but the stock's rating picture is not uniformly favorable across styles. Oscar carries a Zacks Rank #1 (Strong Buy), alongside a VGM Score of A, Growth Score of A, Value Score of B and Momentum Score of C.

The Zacks Rank is designed around earnings-estimate revision trends over one to three months. The VGM Score blends value, growth and momentum characteristics, with A and B grades more favorable. OSCR's Growth Score of A and Value Score of B support the composite, while its Momentum Score of C is a comparatively less favorable reading.

Other Stocks to ConsiderElevance Health, Inc. (ELV - Free Report) and UnitedHealth Group (UNH - Free Report) are two other top-ranked stocks. Both carry a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank stocks here.

The Zacks Consensus Estimate for 2026 earnings of Elevance Health moved north over the last 30 days, while that for UnitedHealth witnessed no movement in the same time frame.

In terms of share price movement, Elevance Health and UnitedHealth Group lost 1.1% and 11%, respectively, in the past three months.
2026-10-08 18:29 17d ago
2026-10-08 14:05 17d ago
Oscar Health plánuje expanzi do více než 150 dalších metropolitních oblastí
OSCR Oscar Health
FMP Stock News 82
Original source text
Key Takeaways OSCR's ACA marketplace growth offers opportunities, but sustainable profits hinge on cost discipline.OSCR plans to enter over 150 additional metro areas by 2027, expanding its geographic reach & customer base.OSCR shares have surged 130% year to date, but its 4.94 price-to-book ratio exceeds the industry's 2.64. Oscar Health’s (OSCR - Free Report) growth prospects remain closely linked to the expansion of the Affordable Care Act (ACA) marketplace. However, the key question is whether its recent momentum reflects a lasting competitive advantage or continued reliance on favorable policy and market conditions.

Enhanced premium subsidies have historically improved affordability and supported marketplace enrollment, enabling Oscar to attract members through its technology-driven platform, consumer-focused offerings and expanding provider relationships. A growing membership base could strengthen operating leverage by spreading technology and administrative expenses across more customers. Disciplined pricing and improved medical-cost management could further help convert enrollment gains into sustainable profitability.

Oscar’s expansion plans also offer meaningful growth opportunities. The company aims to enter more than 150 additional metropolitan statistical areas by 2027, broadening its geographic footprint and customer reach. Its strategy aligns with healthcare trends such as digitalization, rising demand for personalized services and increasing emphasis on affordable coverage.

Nevertheless, Oscar’s significant ACA exposure presents a concentration risk. Changes in subsidy policies could weaken affordability, increase member churn and alter the membership risk profile, potentially putting pressure on underwriting margins. Rising medical utilization and pricing missteps could further undermine profitability.

Ultimately, Oscar’s long-term growth sustainability will depend on its ability to translate membership expansion into consistent earnings through disciplined underwriting, cost efficiency and technological advantages, rather than relying primarily on supportive policies and favorable industry conditions.

What About Peers?Molina Healthcare (MOH - Free Report) is well positioned to benefit from several long-term trends supporting government-sponsored healthcare.  As of June 30, 2026, total membership of Molina Healthcare decreased 14.3% year over year to around 4.9 million. Rising healthcare utilization, an aging U.S. population and a strategic shift toward D-SNPs should support sustained membership growth for Molina Healthcare.

Centene Corporation (CNC - Free Report) has shifted its strategy from prioritizing membership growth to improving earnings quality through disciplined pricing and portfolio optimization.  Centene continues to benefit from a large and diversified membership base supported by contract wins and expansion in attractive government-sponsored programs. Centene is also shifting toward higher-quality membership, including growing PDP and dual-eligible Medicare exposure.

OSCR’s Price PerformanceShares of Oscar Health have gained 130.3% year to date, outperforming the industry.

Image Source: Zacks Investment Research

OSCR’s Expensive ValuationThe stock is overvalued compared with its industry. It is currently trading at a price-to-book multiple of 4.94, higher than the industry average of 2.64. 

Image Source: Zacks Investment Research

Estimate Movement for OSCRThe Zacks Consensus Estimate for OSCR’s third-quarter and fourth-quarter 2026 bottom line witnessed positive movement in the last 30 days. The same holds true for 2026 and 2027. 
 

Image Source: Zacks Investment Research
2026-10-05 21:48 20d ago
2026-10-05 15:40 20d ago
Tržby Oscar Health vzrostly o 70 %
OSCR Oscar Health
FMP Stock News 92
Original source text
Key Takeaways Oscar Health trades at 4.5 times book value, above the 2.67 industry average, despite strong growth.OSCR membership hit 2.96 million as Q2 revenues surged 70% to $4.88 billion on higher enrollment and rates.Oscar Health targets 20% revenue CAGR through 2027 and a 5% operating margin next year. Shares of Oscar Health (OSCR - Free Report) are trading at a price-to-book multiple of 4.65, higher than the industry average of 2.65 and the median of 3.97 over three years.  It has a Value Score of B.

The premium valuation likely reflects Oscar’s technology-led, consumer-centric business model, along with its longer-term margin expansion potential supported by improving medical loss ratio (MLR) and SG&A ratios.

Oscar is a leading healthcare technology company built around a full-stack technology platform. It is well-positioned for sustained growth as it strengthens its presence in the expanding U.S. individual health insurance market.

Image Source: Zacks Investment Research

OSCR is expensive compared to Molina Healthcare (MOH - Free Report) and Centene (CNC - Free Report) . Molina Healthcare is a government-focused managed-care insurer with Marketplace and Medicaid exposure, while Centene is a major managed-care insurer with substantial ACA Marketplace exposure.

OSCR: An Outperformer    OSCR has gained 142.5% year to date, outperforming the industry, its sector, as well as the Zacks S&P 500 composite in the same time frame.  OSCR shares are trading at a discount to their 52-week high. 
 

Image Source: Zacks Investment Research

The rally likely reflects Oscar Health’s sharp improvement in profitability. Robust ACA membership growth, higher revenues, a better medical loss ratio and tighter cost control provided a meaningful boost to earnings. Management’s substantial upward revision to its 2026 profit outlook further reinforced investor confidence, supporting a significant rerating of the stock.

Molina Healthcare has gained 10.1% year to date, while Centene has gained 54.2% in the same time frame.

The Case for OSCR StockStructural changes in the labor market, including the expansion of gig work, part-time employment, self-employment and early retirement, are increasing demand for portable health coverage outside traditional employer-sponsored plans. Oscar Health appears well positioned to benefit from this shift through its technology-driven platform, which combines plan design, member engagement, care navigation, claims processing and provider management. Its Individual Coverage Health Reimbursement Arrangements, Lucie Health marketplace and Trove Group also provide avenues for growth beyond the core insurance business.

Strong membership gains underscore growing adoption of Oscar’s offerings. Membership reached 2.96 million as of June 30, 2026, up 46% year over year. Second-quarter revenues surged 70% to $4.88 billion, driven by higher enrollment and premium-rate increases. For 2026, management expects revenues of $18.7-$19.0 billion, reflecting the company’s expanding presence in the individual insurance market.

Oscar also plans to enter more than 150 additional metropolitan statistical areas by 2027. Disciplined pricing, consumer-focused products and a scalable technology platform should support further expansion in the Affordable Care Act marketplace. Its strategy is aligned with broader healthcare trends such as rising costs, digitization, consumerization and increasing demand for personalized care.

Management is targeting a 20% revenue CAGR through 2027 and a 5% operating margin next year. Technology and AI investments, fixed-cost leverage and lower risk-adjustment expenses are supporting expense-ratio improvement.

Oscar also maintains strong liquidity, with $4.08 billion in cash and cash equivalents and $6.08 billion in investments versus roughly $432 million of long-term debt as of June 30, 2026.

Optimistic Analyst Sentiment on Oscar HealthThe Zacks Consensus Estimate for 2026 and 2027 revenues indicates a 60.8% and 10.2% year-over-year increase, respectively. The same for 2026 and 2027 earnings implies a 208.3% and 21% year-over-year increase, respectively.

The expected earnings growth rate is pegged at 49.7%, better than the industry average of 13.2%. The company has a Growth Score of A.

The consensus estimate for 2026 and 2027 earnings has moved 18.8% and 24% north, respectively, in the past 30 days.

Image Source: Zacks Investment Research

The consensus estimates for 2026 and 2027 earnings of Molina Healthcare, as well as Centene, witnessed upward movement in the past 30 days.

How to Play OSCR SharesOscar’s growing membership base, improving cost structure, scalable technology platform, disciplined underwriting and strong balance sheet should help translate its recent momentum into sustainable earnings growth. Its VGM Score of A further strengthens the investment case.

Although the stock trades at a premium valuation, favorable analyst sentiment, solid share-price momentum and Oscar’s positioning as a fast-growing healthcare platform remain encouraging. These factors make this Zacks Rank #2 (Buy) stock an attractive candidate for investors seeking exposure to the healthcare sector.

You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
2026-09-23 21:03 1mo ago
2026-09-23 15:01 1mo ago
Oscar Health zvýšil tržby o 70 % a výhled provozního zisku
OSCR Oscar Health
FMP Stock News 78
Original source text
Key Takeaways Oscar Health returned to operating profit in 2026 as ACA membership, revenue and margins improved.OSCR raised its 2026 operating earnings view to $600M-$800M and lowered its medical loss ratio outlook.Oscar Health's outlook implies a roughly $293M-$493M second-half operating loss as medical spending rises. Oscar Health (OSCR - Free Report) has returned to profitability after three consecutive quarters of losses, posting operating profits in both the first and second quarters of 2026. Rapid Affordable Care Act (ACA) membership growth, higher premiums, improved medical costs and tighter expense control drove the turnaround.

Membership reached 2.96 million as of June 30, up from 2.03 million a year earlier. Second-quarter revenues climbed 70% to $4.88 billion, while the medical loss ratio improved to 79.2% from 91.1%. A lower selling, general and administrative expense ratio also helped Oscar generate $388.6 million in operating earnings in contrast to a $230.5 million operating loss a year ago.

The question is whether those gains can hold as medical spending rises later in the year and Oscar absorbs the costs of serving a much larger member base. Oscar raised its 2026 operating earnings outlook to $600 million-$800 million and lowered its expected medical loss ratio to 81%-82%. The revenue guidance was retained in the range of $18.7 billion–$19 billion. Meeting those targets would show that the company can turn rapid membership growth into a meaningful full-year profit.

The second half presents a tougher test. Oscar earned $1.09 billion from operations in the first half, so its updated guidance implies a second-half operating loss of roughly $293 million-$493 million. Medical spending and the cost of serving a larger membership base could put pressure on results.

Oscar has shown that growth and profitability can go together. Investors now need to see whether it can preserve underwriting margins through the rest of 2026 and the next enrollment cycle.

What About Peers?Molina Healthcare (MOH - Free Report) is well-positioned to benefit from several long-term trends supporting government-sponsored healthcare. As of June 30, 2026, total membership of Molina Healthcare decreased 14.3% year over year to around 4.9 million. Rising healthcare utilization, an aging U.S. population and a strategic shift toward D-SNPs should support sustained membership growth for Molina Healthcare.

Centene Corporation (CNC - Free Report) has shifted its strategy from prioritizing membership growth to improving earnings quality through disciplined pricing and portfolio optimization.  Centene continues to benefit from a large and diversified membership base supported by contract wins and expansion in attractive government-sponsored programs. Centene is also shifting toward higher-quality membership, including growing PDP and dual-eligible Medicare exposure.

OSCR’s Price PerformanceShares of Oscar Health have gained 111.5% year to date, outperforming the industry.

Image Source: Zacks Investment Research

OSCR’s Expensive ValuationThe stock is overvalued compared with its industry. It is currently trading at a price-to-book multiple of 4.61, higher than the industry average of 2.71.

Image Source: Zacks Investment Research

Estimate Movement for OSCRThe Zacks Consensus Estimate for OSCR’s third-quarter and fourth-quarter 2026 earnings per share (EPS) witnessed northbound movement in the last 30 days. The consensus estimate for 2026 and 2027 earnings has moved 18.8% and 24% north, respectively, in the past 30 days. 
 

Image Source: Zacks Investment Research
2026-09-17 03:24 1mo ago
2026-09-16 22:41 1mo ago
Oscar Health uspořádala Investor Day 2026
OSCR Oscar Health
FMP Stock News 78
Original source text
Oscar Health, Inc. (OSCR) Analyst/Investor Day September 16, 2026 9:00 AM EDT

Company Participants

Chris Potochar - Vice President of Treasury & Investor Relations
Mark Bertolini - CEO & Director
Richard Blackley - Chief Financial Officer
Janet Liang - EVP & President of Oscar Insurance
Mario Schlosser - Co-Founder, Advisor to the CEO & Director

Conference Call Participants

Andrew Mok - Barclays Bank PLC, Research Division
Stephen Baxter - Wells Fargo Securities, LLC, Research Division
Hua Ha - Robert W. Baird & Co. Incorporated, Research Division
Kevin Fischbeck - BofA Securities, Research Division
Sarah Conrad - Goldman Sachs Group, Inc., Research Division
Jessica Tassan - Piper Sandler & Co., Research Division
Jonathan Yong - UBS Investment Bank, Research Division
David Windley - Jefferies LLC, Research Division
Lance Wilkes - Bernstein Institutional Services LLC, Research Division

Presentation

Operator

Welcome to Oscar Health's 2026 Investor Day. Please welcome Chris Potochar, Treasurer and Head of Investor Relations to the stage.

Chris Potochar
Vice President of Treasury & Investor Relations

Good morning. Welcome to Oscar Health's 2026 Investor Day. It is great to see so many of you. I know it's conference season. So thank you for joining us this morning. We appreciate you taking the time. I'd also like to welcome everyone that's joining from the webcast this morning as well. Thank you for joining. For your reference, all the materials that we will present today will be available a little bit later this morning, and you can find that on our Investor Relations website at ir.oscarhealth.com.

As a reminder, any remarks Oscar makes about the future constitute forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by those forward-looking statements as a result of various important factors, including those discussed in our most recent annual report on
2026-09-01 20:06 1mo ago
2026-09-01 14:51 1mo ago
Oscar Health letos vzrostl o 108,5 % díky růstu počtu členů
OSCR Oscar Health
FMP Stock News 78
Original source text
Key Takeaways Oscar Health shares have surged 109% YTD, outperforming its industry, sector and S&P 500 composite.Membership rose 46% to 2.96 million, while second-quarter revenues jumped 70% to $4.88 billion.OSCR plans more than 150 new metro areas by 2027 and targets a 20% revenue CAGR and 5% operating margin. Shares of Oscar Health (OSCR - Free Report) have gained 108.5% year to date, outperforming the industry, its sector, as well as the Zacks S&P 500 composite in the same time frame. OSCR shares are trading at a discount to their 52-week high.

The surge likely reflects a major profitability turnaround at Oscar Health. Strong ACA membership growth, higher revenue, improved medical-loss ratios, and better cost management significantly boosted earnings. Management’s substantial increase in 2026 profit guidance further strengthened investor confidence, leading to a major rerating of the stock.

Oscar is a leading healthcare technology company built around a full-stack technology platform. It is well-positioned for sustained growth as it strengthens its presence in the expanding U.S. individual health insurance market.

OSCR vs Industry, Sector, S&P 500 YTD
Image Source: Zacks Investment Research

Oscar’s peer, Molina Healthcare (MOH - Free Report) , a government-focused managed-care insurer with Marketplace and Medicaid exposure, has gained 51.1% year to date, while another peer, Centene (CNC - Free Report) , a major managed-care insurer with substantial ACA Marketplace exposure, has gained 68.5% in the same time frame.

OSCR Shares Are ExpensiveThe stock is overvalued compared with its industry. It is currently trading at a price-to-book multiple of 4.5, higher than the industry average of 2.67 and the median of 2.64 over five years.  It has a Value Score of B.
 

Image Source: Zacks Investment Research

 OSCR is expensive compared to Molina Healthcare and Centene.

The Case for OSCR StockStructural shifts in employment—including the rise of gig work, part-time jobs, self-employment and early retirement—are increasing demand for portable health insurance outside traditional employer-sponsored plans. Oscar Health is well-positioned to capitalize on this trend through its differentiated technology platform, which integrates plan design, member engagement, care navigation, claims processing and provider management. Its Individual Coverage Health Reimbursement Arrangements, Lucie Health marketplace and Trove Group also create growth opportunities beyond the core insurance business.

Strong membership growth reflects rising acceptance of Oscar’s offerings. Membership reached 2.96 million as of June 30, 2026, up 46% year over year. Second-quarter revenues jumped 70% to $4.88 billion, supported by membership gains and premium-rate increases. Oscar expects 2026 revenues of $18.7-$19.0 billion, demonstrating its growing scale in the individual insurance market.

The company plans to enter more than 150 additional metropolitan statistical areas by 2027. Disciplined pricing, consumer-focused products and a scalable technology platform should support continued expansion in the Affordable Care Act marketplace. Oscar’s strategy also aligns with major healthcare trends, including rising costs, consumerization, digitization and greater personalization. Its early focus on these areas could provide a sustainable competitive advantage as the healthcare system evolves.

Management targets a 20% revenue CAGR through 2027 and a 5% operating margin next year. Technology and AI initiatives, fixed-cost leverage and lower risk-adjustment expenses as a percentage of premiums are already helping improve the expense ratio.

Oscar’s financial position has also strengthened. As of June 30, 2026, it held approximately $4.08 billion in cash and cash equivalents and $6.08 billion in investments, compared with long-term debt of roughly $432 million. This liquidity provides ample flexibility to meet regulatory capital requirements, fund technology investments and support continued membership growth.

Optimistic Analyst SentimentThe Zacks Consensus Estimate for 2026 and 2027 revenues indicates a 60.8% and 9.6% year-over-year increase, respectively. The same for 2026 and 2027 earnings implies a 191.2% and 15.8% year-over-year increase, respectively.

The expected earnings growth rate is pegged at 31.5%, better than the industry average of 12.8%. The company has a Growth Score of A.

The consensus estimate for 2026 and 2027 earnings has moved 144.4% and 31.6% north, respectively, in the past 30 days.

Image Source: Zacks Investment Research

The consensus estimates for 2026 and 2027 earnings of Molina Healthcare, as well as Centene, witnessed upward movement in the past 30 days.

How to Play OSCR SharesOscar’s expanding membership, improving cost structure, scalable technology platform, consistent underwriting discipline and solid balance sheet will help it convert its strong results into durable earnings. Its VGM Score of A instills confidence.

Optimistic analyst sentiment, price appreciation and discounted valuation make this Zacks Rank #2 (Buy) stock a strong contender for addition to one’s portfolio. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
2026-08-08 23:08 2mo ago
2026-08-08 19:04 2mo ago
Oscar Health zvýšil celoroční výhled zisku z provozu
OSCR Oscar Health
FMP Stock News 88
Original source text
5 Small Cap Stocks With Explosive Upside PotentialOscar Health NYSE: OSCR reported record profitability for the first half of 2026 and raised its full-year operating outlook, citing membership growth, disciplined pricing, favorable utilization trends and lower administrative expense ratios.

Get Oscar Health alerts:

Chief Executive Officer Mark Bertolini said the company generated $1.1 billion in earnings from operations and $1 billion in net income during the first six months of the year. In the second quarter, revenue rose 70% year over year to $4.9 billion, while the medical loss ratio, or MLR, improved by nearly 12 percentage points to 79.2%.

Second-quarter earnings from operations totaled $389 million, compared with a loss in the prior-year period, while net income was $362 million. Adjusted EBITDA was $415 million. The company ended the quarter with 2.96 million effectuated members, up 46% from a year earlier, driven by above-market open enrollment growth and retention.

Guidance Raised Following First-Half Performance Chief Financial Officer Scott Blackley said Oscar raised its full-year 2026 earnings-from-operations forecast to between $500 million and $700 million, representing a $250 million increase from its prior outlook. The company maintained its revenue outlook of $18.7 billion to $19 billion.

Full-year MLR is now expected to be 81.5% to 82.5%, a 90-basis-point improvement at the midpoint from prior guidance. The SG&A expense ratio is expected to be 15.6% to 16.1%, an improvement of 20 basis points at the midpoint. Adjusted EBITDA is still expected to be roughly $115 million above earnings from operations. The company’s SG&A expense ratio reached a record low of 14.2% in the second quarter, improving 450 basis points year over year. Blackley attributed the improvement to expense discipline, fixed-cost leverage and technology and artificial intelligence initiatives that reduced variable costs, partly offsetting higher taxes and exchange fees.

Oscar expects its SG&A ratio to remain relatively stable in the third quarter before increasing in the fourth quarter, when it typically invests in preparation for the following year’s enrollment cycle.

Risk Adjustment and Utilization Trends Oscar received its final 2025 CMS risk-adjustment report during the quarter, which was approximately $160 million favorable to its first-quarter accruals and was fully recognized in the second quarter. The company also received an initial 2026 risk-adjustment report based on claims through April that showed market morbidity tracking favorably to pricing assumptions.

However, management said it recognized only a small portion of that favorability because the available claims data covered only four months. Risk adjustment represented about 20% of direct premiums during the first half, consistent with Oscar’s expectation for the full year.

Utilization through the first six months was moderately favorable to expectations. Inpatient, professional and pharmacy utilization were favorable, while outpatient utilization was elevated. Bertolini said the outpatient trends were stable and not concentrated in any particularly outsized category.

Management expects MLR to rise seasonally during the second half as members use more healthcare services after working through deductibles. The company said its membership has shifted across metal tiers, with some members moving from silver plans to bronze or gold offerings, but performance in those products has been consistent with or favorable to internal expectations.

Technology, AI and ICHRA Expansion Bertolini said Oscar is using AI across benefits, billing, claims, clinical care and member support. The company’s claims platform has a 98.7% first-pass accuracy rate and processes most claims in less than 48 hours, according to management.

During the quarter, Oscar piloted a radiology program using its Oswell agent, which uses members’ claims history and clinical interactions to recommend next steps and care sites based on coverage, cost, location and availability. Bertolini said one in four members selected Oswell’s recommended site of care, saving an average of $75 per appointment.

The company also said it is using AI and medical-economics programs to identify pharmacy and utilization outliers. Management expects these capabilities to generate tens of millions of dollars in annual savings.

Oscar highlighted growing interest in individual coverage health reimbursement arrangements, or ICHRA, particularly from small businesses in healthcare and professional services. Blackley discussed the company’s ICHRAx platform, built on an electronic data exchange acquired last year. He said the platform includes competing insurers and is intended to help employers move from defined-benefit coverage toward defined-contribution arrangements.

Membership Churn Expected to Increase Oscar expects membership churn to rise in the second half as CMS continues program-integrity and eligibility-verification efforts. Blackley said the company’s membership was essentially flat in the second quarter because lapses were lower than expected, with some anticipated disenrollments delayed into the latter half of the year.

Management now expects monthly churn to be closer to twice its prior estimate of 1% to 2%. Blackley characterized the change as primarily a timing issue and said it does not affect the company’s full-year revenue outlook. Oscar said it does not recognize revenue for members it expects to be disenrolled and has incorporated the effects of payment-integrity actions into its guidance.

Looking toward 2027, Bertolini said Oscar sees a rational pricing environment and believes the ACA market can remain stable or grow, absent major regulatory changes. The company plans to provide further details on its growth strategy at its Investor Day on Sept. 16.

About Oscar Health (NYSE:OSCR)Oscar Health, trading on the New York Stock Exchange under the ticker OSCR, is a technology-driven health insurance company headquartered in New York, New York. Founded in 2012 by Mario Schlosser, Joshua Kushner and Kevin Nazemi, the company was built with the goal of simplifying healthcare coverage and enhancing member experience. Oscar leverages a proprietary digital platform to streamline plan enrollment, claims administration and member support, distinguishing itself in the individual, family and small group insurance markets.

The company's primary products include on-exchange individual and family medical plans under the Affordable Care Act, off-exchange plans, as well as Medicare Advantage offerings.

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2026-08-06 18:12 2mo ago
2026-08-06 13:40 2mo ago
Oscar Health hlásí rekordní ziskovost, GoodRx zvyšuje výhled
OSCR Oscar Health
FMP Stock News 78
Original source text
By PYMNTS  |  August 6, 2026

 | 

The latest earnings from Oscar Health and GoodRx show both companies dealing with a changing customer base.

The former company reported half-year earnings Thursday (Aug. 6) showing record profitability for the first six months of 2026, with revenues surging 70% to $4.9 billion.

Speaking during an earnings call, Oscar Health Chief Executive Officer Mark Bertolini attributed much of this success to the company’s proprietary technology stack, which he said allows Oscar to deploy artificial intelligence (AI) more efficiently than its legacy rivals.

“We have one platform, we have one data set,” Bertolini told analysts. “As a result, we start with a huge advantage in being able to use AI at scale without having to make the investments in platform integration and data rationalization that a lot of our competitors do.”

Among the company’s AI tools is “Oswal,” an AI agent designed to guide members through the healthcare system by analyzing clinical history and claims data to recommend high-quality, lower-cost providers.

“We will expand this capability to additional procedures using care standards from leading centers of excellence. AI is powering operations across benefits, billing claims, clinical care and member support,” Bertolini said.

Beyond technology, Oscar is banking on a fundamental shift in consumer behavior. Bertolini added that the individual insurance market is expanding to accommodate a labor force increasingly defined by “entrepreneurs, gig workers, part-time employees and early retirees.”

He suggested that “AI will accelerate that shift” as workers move between full-time jobs, contract roles and retirement at twice the rate of previous generations.

Also Thursday, GoodRx reported second-quarter revenue of $200.4 million, a 1% dip, with management raising its full-year outlook based in part on a projected 70% jump in revenue from the company’s Pharma Direct business.

While its traditional monthly active consumer base declined 12% to 5 million, executives characterized this as a strategic transition toward deeper, recurring customer relationships as healthcare consumers face intensifying affordability pressures.

“Consumers are bearing more cost, facing less predictable coverage and increasingly need to know what a medication will cost before they reach the pharmacy counter,” CEO Wendy Barnes said during the earnings call.

“Employers are under the same pressure, and as costs rise, many are covering less or shifting more of the expense to employees across the board, coverage is becoming harder to maintain and more expensive to use.”

To address this, GoodRx in May introduced “GoodRx Companion,” a subscription service designed to provide predictable pricing for chronic conditions, taking multiple medications, or dealing with coverage limitations, or out-of-pocket costs.
2026-08-06 10:58 2mo ago
2026-08-06 06:00 2mo ago
Oscar Health zvýšila výhled po rekordním pololetním zisku
OSCR Oscar Health
FMP Stock News 92
Original source text
NEW YORK--(BUSINESS WIRE)--Oscar Health, Inc. (“Oscar” or the “Company”) (NYSE: OSCR) announced today its financial results for the second quarter ended June 30, 2026 and updates to its full year 2026 guidance.

“Oscar delivered record profitability in the first half of the year and we are raising our full-year 2026 guidance,” said Mark Bertolini, CEO of Oscar Health. “Our superior operating performance and execution against the fundamentals of our strategy are accelerating the individual market. More people are moving between full- and part-time jobs, gig work, and retirement – a shift AI will accelerate. A durable individual market gives them greater choice and will power the future of American healthcare. Oscar’s consumer products, disciplined pricing, and scalable technology platform will capture this opportunity and position us for long-term profitable growth.”

Second Quarter 2026 Financial Highlights

Three Months Ended June 30,

Six Months Ended June 30,

(in thousands, except percentages)

2026

2025

2026

2025

Total revenue

$4,880,220

$2,863,945

$9,527,414

$5,910,208

Medical loss ratio (“MLR”)

79.2%

91.1%

75.0%

83.0%

Selling, general, and administrative (“SG&A”) expense ratio

14.2%

18.7%

14.7%

17.2%

Earnings (loss) from operations

$388,635

$(230,483)

$1,092,720

$66,640

Net income (loss) attributable to Oscar Health, Inc.

$361,808

$(228,361)

$1,040,804

$46,910

Adjusted EBITDA (1)

$415,349

$(199,404)

$1,142,421

$129,424

(1) Adjusted EBITDA is a non-GAAP measure. See “Key Operating and Non-GAAP Financial Metrics - Adjusted EBITDA” in this release for a reconciliation to net income, the most directly comparable GAAP measure, and for information regarding Oscar’s use of Adjusted EBITDA.

As of June 30,

Effectuated Membership by Offering

2026

2025

Individual and Small Group (1)

2,963,002

2,017,058

Cigna+Oscar (2)

—

10,090

Total Members (3)

2,963,002

2,027,148

(1) Membership includes members enrolled through an Individual Coverage Health Reimbursement Arrangement (“ICHRA”). 2025 membership includes small group members. The Company no longer offers small group plans effective December 15, 2024.

(2) Represents total membership for our former co-branded partnership with Cigna. We did not renew the Cigna+Oscar Small Group arrangement after its initial term ended on December 31, 2024.

(3) Represents effectuated members. Effectuated members are those who are actively enrolled in one of our plans and whose required premium payments have either been made or are within the payment grace period. A member covered under more than one of our health plans counts as a single member for the purposes of this metric.

2026 Financial Guidance Summary

Prior Full Year 2026 Outlook

Updated Full Year 2026 Outlook

(in thousands, except percentages)

Low

High

Low

High

Total Revenue (1)

$18.7 billion

$19.0 billion

$18.7 billion

$19.0 billion

Medical Loss Ratio (2)

82.4%

83.4%

81.5%

82.5%

SG&A Expense Ratio (3)

15.8%

16.3%

15.6%

16.1%

Earnings from Operations (4)

$250 million

$450 million

$500 million

$700 million

(1) Total revenue includes premium revenue (net of risk adjustment transfers), investment income, and other revenue. We believe total revenue is an important metric to assess the growth of our business, as well as the earnings potential of our investment portfolio.

(2) Medical loss ratio (MLR) is a metric used to calculate medical expenses as a percentage of net premiums before ceded quota share reinsurance. We believe MLR is an important metric to demonstrate the ratio of our costs to pay for the healthcare of our members to the net premiums before ceded quota share reinsurance.

(3) Selling, general, and administrative (SG&A) expense ratio is calculated as selling, general and administrative expenses as a percentage of total revenue (net of risk adjustment transfers). We believe the SG&A expense ratio is useful to evaluate our ability to manage our overall selling, general, and administrative cost base.

(4) Earnings from operations is the Company's total revenue less Total operating expenses. We believe earnings from operations is an important primary metric for assessing operating performance.

Second Quarter 2026 Key Metrics and Non-GAAP Financial Metrics

Total revenue was approximately $4.9 billion for the second quarter of 2026 compared to $2.9 billion for the second quarter of 2025. The increase was driven by higher membership and rate increases, partially offset by an increase in the net risk adjustment transfer accrual. The medical loss ratio was 79.2% for the second quarter of 2026 compared to 91.1% for the second quarter of 2025, which included the entire first half impact of 2025 risk adjustment true-up driven by higher average market morbidity. The decrease was primarily driven by our disciplined pricing strategy and $164 million of favorable prior period reserve development. The SG&A expense ratio was 14.2% for the second quarter of 2026 compared to 18.7% for the second quarter of 2025. The decrease was primarily due to disciplined expense management, greater fixed cost leverage, and the impact of lower risk adjustment as a percentage of premium. Earnings from operations were $388.6 million for the second quarter of 2026 compared to a loss from operations of $230.5 million for the second quarter of 2025. The significant increase reflects strong operating performance driven primarily by improved underwriting performance and favorable prior period development. Net income attributable to Oscar Health, Inc. was $361.8 million, or $1.10 of diluted earnings per share, for the second quarter of 2026 compared to Net loss attributable to Oscar Health, Inc. of $228.4 million, or $(0.89) of diluted earnings per share, for the second quarter of 2025. Adjusted EBITDA was $415.3 million for the second quarter of 2026 compared to an Adjusted EBITDA loss of $199.4 million for the second quarter of 2025. Quarterly Conference Call Details

Oscar will host a conference call to discuss its financial results today, August 6, 2026, at 8:00 a.m. (ET). Investors and other interested parties are invited to listen to the conference call by dialing 1-855-761-5600 and entering the following conference ID: 7768132. A live audio webcast will also be available via the Investor Relations page of Oscar’s website at ir.hioscar.com. A replay of the webcast will be available for on-demand listening shortly after the completion of the call, at the same web link, and will remain available for approximately 90 days.

Non-GAAP Financial Information

This release presents Adjusted EBITDA, a non-GAAP financial metric, which is provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (“GAAP”). A reconciliation of historical non-GAAP financial information to the most directly comparable GAAP financial measure is provided in the accompanying tables found at the end of this release. For more information regarding Adjusted EBITDA, please see “Key Operating and Non-GAAP Financial Metrics” below.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements other than statements of historical fact contained herein are forward-looking statements. These statements include, but are not limited to, statements about our financial outlook and estimates, including Total revenue, Medical loss ratio, SG&A expense ratio, Earnings (loss) from operations, and other financial performance metrics, and the related underlying assumptions, our business and financial prospects, including management’s plans and objectives for future operations, expectations and business strategy, such as our 2026 margins and profitability, and industry and market dynamics and expected trends. In some cases, you can identify forward-looking statements by terms such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “could,” “intends,” “targets,” “projects,” “contemplates,” “believes,” “estimates,” “forecasts,” “predicts,” “potential,” or “continues” or the negative of these terms or other similar expressions. Accordingly, we caution you that any such forward-looking statements are not guarantees of future performance and are subject to risks, assumptions, and uncertainties that are difficult to predict and generally beyond our control.

Although we believe that the expectations reflected in these forward-looking statements are reasonable as of the date made, there are or will be important factors that could cause our actual results to differ materially from those indicated in these forward-looking statements, including, but not limited to, the following: our ability to execute our strategy and manage our growth effectively (including our ability to successfully integrate strategic acquisitions); our ability to retain and expand our member base; our ability to accurately estimate our incurred medical expenses or overall market morbidity, or effectively manage our medical costs or related administrative costs; unanticipated results of, or changes to, risk adjustment programs or our estimates thereof; evolving federal or state laws or regulations (including any changes in the interpretation or enforcement of existing laws and regulations), including changes with respect to the Patient Protection and Affordable Care Act (“ACA”) and any regulations enacted thereunder, the expiration of the enhanced Advanced Premium Tax Credits (“eAPTCs”), the implementation of new program integrity rules, including pursuant to the Notice of Benefit and Payment Parameters (“NBPP”) for policy year 2027, the potential funding of a cost-sharing reduction (“CSR”) program, or other government actions, such as the imposition of tariffs; our ability to achieve or maintain profitability in the future; our ability to arrange for the delivery of quality care and maintain good relations with brokers and the physicians, hospitals, and other providers within and outside our provider networks; our ability to comply with ongoing, complex and evolving regulatory requirements, including capital reserve and surplus requirements and applicable performance standards; changes or developments in the regulation of health insurance markets in the United States; our, or any of our vendors’, ability to comply with laws, regulations, and standards related to the handling of information about individuals or applicable consumer protection laws, including as a result of our participation in government-sponsored programs; the ability of our health insurance and Health Maintenance Organization (“HMO”) subsidiaries (collectively, “Health Insurance Subsidiaries”) to make payments of dividends or distributions to us, including to fund our business strategy; our ability to utilize quota share reinsurance to meet our capital and surplus requirements and protect against downside risk on medical claims; adverse market conditions resulting in our investment portfolio suffering losses or reducing our ability to meet our financing needs; unfavorable or otherwise costly outcomes of lawsuits, audits, investigations, and other third party claims that may arise from the extensive laws and regulations to which we are subject, such as fraud, waste and abuse laws; incurrence of data security breaches of our or our partners’ information and technology systems; heightened competition in the markets in which we participate; our ability to attract and retain qualified personnel; uncertainties associated with our utilization of certain artificial intelligence (“AI”) and machine learning models; our ability to detect and prevent material weaknesses or significant control deficiencies in our internal controls over financial reporting or other failure to maintain an effective system of internal controls; adverse publicity or other adverse consequences related to our dual class structure or “controlled company” status; and the other factors set forth under the caption “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025, filed with the Securities and Exchange Commission (“SEC”), and our other filings with the SEC.

You are cautioned not to place undue reliance on any forward-looking statements made in this press release. Any forward-looking statement speaks only as of the date as of which it is made, and, except as otherwise required by law, we do not undertake any obligation to publicly update or review any forward-looking statement, whether as a result of new information, future developments or otherwise. New factors emerge from time to time, and it is not possible for us to predict which will arise.

About Oscar Health

Oscar Health, Inc. is a leading healthcare technology company built on a full-stack platform and a relentless focus on member experience. Oscar Health helps make high-quality and affordable care more accessible for millions of people through Oscar’s Individual & Family plans and ICHRA solutions, Lucie Health Marketplace, and Trove Group. Consumers benefit from better choice, deeper engagement, and connection to high-value clinical care.

Oscar Health, Inc.

Condensed Consolidated Statements of Operations

(unaudited)

  Three Months Ended June 30,

Six Months Ended June 30,

(in thousands, except per share amounts)

2026

2025

2026

2025

Revenue

Premium

$

4,789,331

$

2,803,444

$

9,370,193

$

5,799,265

Investment income

84,794

54,004

145,408

100,116

Other revenues

6,095

6,497

11,813

10,827

Total revenue

4,880,220

2,863,945

9,527,414

5,910,208

Operating Expenses

Medical

3,794,445

2,552,973

7,024,302

4,812,624

Selling, general, and administrative

691,080

534,485

1,397,314

1,017,244

Depreciation and amortization

6,060

6,970

13,078

13,700

Total operating expenses

4,491,585

3,094,428

8,434,694

5,843,568

Earnings (loss) from operations

388,635

(230,483

)

1,092,720

66,640

Interest expense

4,709

5,847

10,092

11,841

Other expenses (income)

915

(2,794

)

844

124

Earnings (loss) before income taxes

383,011

(233,536

)

1,081,784

54,675

Income tax expense (benefit)

21,183

(5,045

)

40,933

7,660

Net income (loss)

361,828

(228,491

)

1,040,851

47,015

Less: Net income (loss) attributable to noncontrolling interests

20

(130

)

47

105

Net income (loss) attributable to Oscar Health, Inc.

$

361,808

$

(228,361

)

$

1,040,804

$

46,910

Earnings (loss) per Share

Basic

$

1.20

$

(0.89

)

$

3.47

$

0.19

Diluted

$

1.10

$

(0.89

)

$

3.16

$

0.17

Weighted Average Common Shares Outstanding

Basic

302,220

255,531

300,197

253,417

Diluted

333,432

255,531

331,292

270,244

Oscar Health, Inc.

Condensed Consolidated Balance Sheets

(unaudited)

  (in thousands, except per share amounts)

June 30, 2026

December 31, 2025

Assets

Current Assets:

Cash and cash equivalents

$

4,075,612

$

2,774,151

Short-term investments

4,479,906

1,216,461

Accounts receivable (net of allowance for credit losses of $55,298 and $7,226)

380,057

362,682

Reinsurance recoverable

196,544

99,750

Receivables from CMS

180,750

136,029

Other current assets

60,317

24,331

Total current assets

9,373,186

4,613,404

Long-term investments

1,600,770

1,470,987

Property, equipment, and capitalized software, net

101,494

88,350

Restricted deposits

29,178

32,951

Other assets

122,134

119,719

Total assets

$

11,226,762

$

6,325,411

Liabilities and Stockholders' Equity

Current Liabilities:

Payables to CMS

$

6,095,289

$

2,730,095

Benefits payable

1,898,435

1,455,385

Accounts payable and other liabilities

525,709

507,325

Unearned premiums

167,505

166,203

Reinsurance payable

2,564

3,579

Total current liabilities

8,689,502

4,862,587

Long-term debt

431,629

430,095

Other liabilities

50,466

51,994

Total liabilities

9,171,597

5,344,676

Commitments and contingencies

Stockholders' Equity

Class A common stock ($0.00001 par value; 825,000 thousand shares authorized, 273,410 thousand and 261,851 thousand shares outstanding as of June 30, 2026 and December 31, 2025, respectively)

3

3

Class B common stock ($0.00001 par value; 82,500 thousand shares authorized, 35,224 thousand and 35,838 thousand shares outstanding as of June 30, 2026 and December 31, 2025, respectively)

—

—

Treasury stock (315 thousand shares as of June 30, 2026 and December 31, 2025)

(2,923

)

(2,923

)

Additional paid-in capital

4,316,831

4,256,972

Accumulated deficit

(2,253,630

)

(3,294,434

)

Accumulated other comprehensive income (loss)

(8,250

)

18,030

Total Oscar Health, Inc. stockholders' equity

2,052,031

977,648

Noncontrolling interests

3,134

3,087

Total stockholders' equity

2,055,165

980,735

Total liabilities and stockholders' equity

$

11,226,762

$

6,325,411

Oscar Health, Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited)

  Six Months Ended June 30,

(in thousands)

2026

2025

Cash Flows from Operating Activities:

Net income

$

1,040,851

$

47,015

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

Change in provision for credit losses

48,072

(23,950

)

Stock-based compensation expense

36,623

49,084

Depreciation and amortization expense

13,049

13,700

Amortization of debt issuance costs

2,163

389

Net accretion of investments

(15,285

)

(15,667

)

Deferred taxes

(7,731

)

—

Net realized gain on sale of financial instruments

(1,732

)

(131

)

Changes in assets and liabilities:

(Increase) / decrease in:

Reinsurance recoverable

(96,794

)

98,839

Accounts receivable

(65,448

)

(51,666

)

Receivables from CMS

(44,721

)

(95,982

)

Other assets

(26,660

)

(26,512

)

Increase / (decrease) in:

Payables to CMS

3,365,194

1,127,430

Benefits payable

443,050

194,902

Accounts payable and other liabilities

20,408

103,024

Unearned premiums

1,302

(4,900

)

Reinsurance payable

(1,016

)

(27,966

)

Net cash provided by operating activities

4,711,325

1,387,609

Cash Flows from Investing Activities:

Sale of investments

983,943

15,761

Maturity and paydowns of investments

553,943

267,419

Change in restricted deposits

606

526

Purchase of investments

(4,942,801

)

(607,838

)

Purchase of property, equipment, and capitalized software

(20,556

)

(18,303

)

Net cash used in investing activities

(3,424,865

)

(342,435

)

Cash Flows from Financing Activities:

Proceeds from exercise of stock options and stock purchase agreement

29,904

29,295

Tax payments related to net settlement of share-based awards

(11,920

)

(2,289

)

Payments of debt issuance costs

(4,919

)

—

Earn-out Liability Payout

(3,370

)

—

Net cash provided by financing activities

9,695

27,006

Increase in cash, cash equivalents and restricted cash equivalents

1,296,155

1,072,180

Cash, cash equivalents, restricted cash and cash equivalents—beginning of period

2,804,123

1,551,118

Cash, cash equivalents, restricted cash and cash equivalents—end of period

4,100,278

2,623,298

Cash and cash equivalents

4,075,612

2,598,942

Restricted cash and cash equivalents included in restricted deposits

24,666

24,356

Total cash, cash equivalents and restricted cash and cash equivalents

$

4,100,278

$

2,623,298

Supplemental Disclosures:

Interest payments

$

6,000

$

11,360

Income tax payments

$

1,107

$

15,478

Key Operating and Non-GAAP Financial Metrics

We regularly review the following key operating and Non-GAAP financial metrics, to evaluate our business, measure our performance, identify trends in our business, prepare financial projections, and make strategic decisions. We believe these operational and financial measures are useful in evaluating our performance, in addition to our financial results prepared in accordance with GAAP.

Total Revenue

Total revenue includes premium revenue (net of risk adjustment transfers), investment income, and other revenues. We believe total revenue is an important metric to assess the growth of our business, as well as the earnings potential of our investment portfolio.

MLR

MLR is a metric used to calculate medical expenses as a percentage of net premiums before ceded quota share reinsurance. The impact of the federal risk adjustment program is included in the denominator of our MLR. We believe MLR is an important metric to demonstrate the ratio of our costs to pay for healthcare of our members to the net premium before ceded quota share reinsurance.

Three Months Ended June 30,

Six Months Ended June 30,

(in thousands, except percentages)

2026

2025

2026

2025

Net claims before ceded quota share reinsurance (A)

$

3,794,445

$

2,552,973

$

7,024,302

$

4,812,624

Net premiums before ceded quota share reinsurance (B)

$

4,789,331

$

2,803,444

$

9,370,193

$

5,799,265

Medical Loss Ratio (A divided by B)

79.2

%

91.1

%

75.0

%

83.0

%

SG&A Expense Ratio

The SG&A expense ratio reflects the Company’s selling, general, and administrative expenses, as a percentage of total revenue (net of risk adjustment transfers). We believe the SG&A expense ratio is useful to evaluate our ability to manage our overall selling, general, and administrative cost base.

Earnings (Loss) from Operations

Earnings (loss) from operations is the Company's total revenue less total operating expenses. We believe earnings (loss) from operations is an important primary metric for assessing operating performance.

Net Income (Loss) Attributable to Oscar Health, Inc.

Net income (loss) attributable to Oscar Health, Inc. is net earnings (loss) allocated to the Company after net income (loss) attributable to noncontrolling interests. It is a key indicator of the Company’s profitability and operational efficiency, allowing management to evaluate performance and make informed decisions on strategic planning, cost management, and resource allocation.

Adjusted EBITDA

Adjusted EBITDA is defined as Net income (loss) for the Company and its consolidated subsidiaries before interest expense, income tax expense (benefit), and depreciation and amortization, as further adjusted for stock-based compensation and other items that are considered unusual or not representative of underlying trends of our business, where applicable for the period presented. We present Adjusted EBITDA because we believe it is frequently used by securities analysts, investors, and other interested parties in the evaluation of companies in our industry. Adjusted EBITDA is a non-GAAP measure. Management believes that investors’ understanding of our performance is enhanced by including this non-GAAP financial measure as a reasonable basis for comparing our ongoing results of operations. We caution investors that amounts presented in accordance with our definition of Adjusted EBITDA may not be comparable to similar measures disclosed by our competitors, because not all companies and analysts calculate Adjusted EBITDA in the same manner.

By providing this non-GAAP financial measure, together with a reconciliation to the most comparable U.S. GAAP measure, Net income (loss), we believe we are enhancing investors’ understanding of our business and our results of operations, as well as assisting investors in evaluating how well we are executing our strategic initiatives. Adjusted EBITDA has limitations as an analytical tool, and should not be considered in isolation, or as an alternative to, or a substitute for, net income (loss) or other financial statement data presented in our Condensed Consolidated Financial Statements as indicators of financial performance.

Three Months Ended June 30,

Six Months Ended June 30,

(in thousands)

2026

2025

2026

2025

Net income (loss)

$

361,828

$

(228,491

)

$

1,040,851

$

47,015

Interest expense

4,709

5,847

10,092

11,841

Other expenses (income)

915

(2,794

)

844

124

Income tax expense (benefit)

21,183

(5,045

)

40,933

7,660

Earnings (loss) from operations

388,635

(230,483

)

1,092,720

66,640

Depreciation and amortization

6,060

6,970

13,078

13,700

Stock-based compensation (1)

20,654

24,109

36,623

49,084

Adjusted EBITDA

$

415,349

$

(199,404

)

$

1,142,421

$

129,424

(1) Represents non-cash expenses related to equity-based compensation programs, which vary from period to period depending on various factors including the timing, number, and the valuation of awards. Additionally, these expenses are reported net of any stock-based compensation that has been capitalized for software development costs.

Appendix

Supplemental Financial Information

Premium

The Company records premium revenue net of premiums for reinsurance contracts accounted for under reinsurance accounting. The following table reconciles total reinsurance premiums ceded and reinsurance premiums assumed, which are included as components of total premium revenue in the Condensed Consolidated Statements of Operations:

Three Months Ended June 30,

Six Months Ended June 30,

(in thousands)

2026

2025

2026

2025

Direct policy premiums

$

5,666,469

$

3,482,764

$

11,696,744

$

6,832,435

Risk adjustment transfers

(871,470

)

(692,245

)

(2,314,281

)

(1,065,994

)

Reinsurance premiums ceded

(4,989

)

(2,690

)

(10,607

)

(5,232

)

Assumed premiums (1)

(679

)

15,615

(1,663

)

38,056

Premium

$

4,789,331

$

2,803,444

$

9,370,193

$

5,799,265

(1) The Company did not renew the Cigna+Oscar Small Group arrangement with Cigna Health and Life Insurance Company after its initial term ended on December 31, 2024. Following termination, the Company has been providing transition and run-off services, and will continue to provide such services through December 31, 2026. The Company also continues to share in premiums and claims for plans sold or issued prior to December 15, 2024.

Medical Expenses

The Company records medical expenses net of reinsurance recoveries for reinsurance contracts accounted for under reinsurance accounting. The following table reconciles total medical expenses to the amount presented in the Condensed Consolidated Statements of Operations:

Three Months Ended June 30,

Six Months Ended June 30,

(in thousands)

2026

2025

2026

2025

Direct claims incurred

$

3,872,861

$

2,562,117

$

7,166,698

$

4,830,401

Ceded reinsurance claims

(78,390

)

(22,203

)

(141,074

)

(53,215

)

Assumed reinsurance claims

(26

)

13,059

(1,322

)

35,438

Medical expenses

$

3,794,445

$

2,552,973

$

7,024,302

$

4,812,624

Risk Adjustment

The risk adjustment programs in the markets the Company serves are administered federally by CMS and are designed to mitigate the potential impact of adverse selection and provide stability for health insurers. Under these programs, each plan is assigned a risk score based upon demographic information and current year claims information related to its members. Plans with lower than average risk scores generally pay into the pool, while plans with higher than average risk scores generally receive distributions. The following table provides a rollforward of the Company’s beginning and ending risk adjustment receivable and payable balances for the six months ended June 30, 2026 and 2025:

Six Months Ended June 30, 2026

Six Months Ended June 30, 2025

(in thousands)

Risk Adjustment Receivable

Risk Adjustment Payable

Net Risk Adjustment Payable

Risk Adjustment Receivable

Risk Adjustment Payable

Net Risk Adjustment Payable

Beginning balance (1)

$

56,066

$

2,587,700

$

2,531,634

$

64,779

$

1,558,341

$

1,493,562

Change in accrual:

Current year

$

27,970

$

2,401,634

$

2,373,664

$

33,303

$

1,021,779

$

988,476

Prior years (2)

11,719

(47,432

)

(59,151

)

(10,465

)

67,067

77,532

Change in accrual, net

$

39,689

$

2,354,202

$

2,314,513

$

22,838

$

1,088,846

$

1,066,008

Ending balance:

Current year

$

27,970

$

2,401,634

$

2,373,664

$

33,303

$

1,021,779

$

988,476

Prior years

67,785

2,540,268

2,472,483

54,314

1,625,408

1,571,094

Ending balance

$

95,755

$

4,941,902

$

4,846,147

$

87,617

$

2,647,187

$

2,559,570

(1) The table includes risk adjustment data validation (“RADV”) receivables and payables. The balance at the beginning of each year presented pertains to prior policy years.

(2) Includes immaterial payments for prior policy years.

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