Owner Scorecard


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OSCR, Oscar Health

Managed Care financial Unprofitable

Oscar is a leading healthcare technology company built around a full stack technology platform and a relentless focus on member experience.

We have been challenging the status quo in the healthcare system since our founding in 2012 and are dedicated to making a healthier life accessible and affordable for all.

Our technology drives superior experiences, deep engagement, and high-value clinical care, earning us the trust of approximately 2.0 million effectuated members, as of December 31, 2025.

Latest annual: FY2025 10-K
OSCR · Oscar Health
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2025
$11.7B
+27.5% YoY · 91% 5-yr CAGR
Vital signs · TTM, with 5-yr average
Revenue $13.3B 5-yr avg $6.5B
Medical loss ratio 84.2% 5-yr avg 84.8%
Operating margin 0.1% 5-yr avg −10.3%
Return on equity −2% 5-yr avg −37%

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

Situation
Unprofitable. No sustained operating profit across the record; an earnings multiple has nothing to rest on. What the record does show is revenue, the gross-margin trajectory, and the burn against the cash on hand.
What moves the needle
The medical loss ratio and membership. What decides it: keeping medical costs below the premiums collected, where a regulated floor sets how much must be paid out as care, so the spread is thin; membership growth across commercial, Medicare and Medicaid; and the cost discipline on what little is left. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.
Is it a good business?
It pays out about 85% of premiums as medical care across the record (the medical loss ratio), keeping the rest to cover administration and profit against a regulated floor. That leaves a thin operating margin, a median of about −14.9%, the sign of a volume-and-cost-control business rather than a high-margin one, though turns that sliver over fast enough to earn roughly −41% on equity. Whether membership keeps growing and medical costs stay below premiums, especially as the Medicare Advantage and Medicaid mix shifts, is what the 10-K decides, not an earnings multiple.

Every line is arithmetic on the company's filings, shown in full in the sections below.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2019–2025

realized figures from each filing · older years to the left
2019’192020’202021’212022’222023’232024’242025’25TTMTTMMar 2026
Income statement
$488M$463M$1.8B$4.0B$5.9B$9.2B$11.7B$13.3BRevenueRevenue
$469M$455M$1.8B$3.9B$5.7B$9.0B$11.5B$13.1BPremiums earnedPremiums
87%68%89%85%82%82%87%84%Medical loss ratioMLR
−53.1%−86.9%−29.6%−14.9%−4.0%0.6%−3.4%0.1%Operating marginOp. mgn
($261M)($407M)($573M)($606M)($271M)$25M($443M)($39M)Net incomeNet inc.
Cash flow & returns
-41%-68%-34%3%-45%-2%Return on equityROE
−41%−68%−34%3%−45%−2%Retained to equityRetained/eq
Balance sheet
$2.3B$3.3B$4.5B$3.6B$4.8B$6.3B$9.3BTotal assetsAssets
$0($1.3B)$1.4B$890M$804M$1.0B$978M$1.7BShareholders’ equityEquity
Per share
28.8M29.3M179M212M222M266M262M330MShares out (diluted)Shares
$16.94$15.82$10.27$18.65$26.45$34.52$44.60$40.34Revenue / shareRev/sh
$-9.06$-13.90$-3.20$-2.85$-1.22$0.10$-1.69$-0.12EPS (diluted)EPS
$0.00$-44.28$7.75$4.19$3.63$3.81$3.73$5.05Book value / shareBVPS

The diluted share count moved ×6.12 into 2021 — shares issued, not a split the totals corroborate — and the per-share figures carry the counts as filed.

Per-share growththe realized rate an owner's share compounded
6-yr5-yr
Revenue / share+17.5%/yr+23.0%/yr
Owner earnings / share−10.6%/yr
Capital spending / share−26.8%/yr−22.0%/yr

The record, charted

FY2019–2025

Each measure over its full record; the current point and the worst year marked.

Share count
262Mpeak FY2024
Revenue
$11.7Blow FY2020
III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2025 10-K · source on SEC EDGAR →

Is it a good business?

  • Costs well-covered
    Medical costs $10.0B ÷ premiums earned $11.5B
    Industry peers: median 87%
    What this means

    The number that runs a health plan: cents of every premium dollar paid back out as medical care. A regulated floor (about 80-85% under the ACA, or rebates are owed) means the plan keeps only a thin sliver, so the discipline is in pricing premiums ahead of medical cost trend. Read it across years, because a single bad cost trend, like the recent Medicare Advantage squeeze, shows up here first.

  • Very thin (<2%)
    Operating income ($396M) ÷ revenue $11.7B
    Industry peers: median 2%
    What this means

    Health plans earn a sliver on enormous revenue, so a few points of margin is the norm and the business is really a volume-and-cost-control game. Because the margin is so thin, a small miss on medical costs swings profit hard, which is why membership scale and cost management matter more than price.

  • Loss on equity
    Net income ($443M) ÷ equity $978M
    Industry peers: median 9%
    What this means

    The thin margin turns over fast on a modest capital base, so a plan earning its keep still shows a good return on equity. Durably above the ~10% cost of equity is what compounds value; a year below it usually means medical costs outran premiums.

Does AI threaten the moat?

Low contestability

The moat is physical, regulated or balance-sheet-funded, the kind AI cuts costs within but does not contest.

In its own filing Raised, but not as a competitor

The filing raises AI among its risks, but in other terms (security, regulation, energy or the like), not as a competitor to its product; it frames AI mainly as a capability.

AI is unlikely to contest a moat that is physical, regulated or balance-sheet-funded; here it reads more as a cost tool than a threat, and the company is using it that way.

Read from the filing's own risk factors, paired with the industry's structure under its SIC code; the durability is read above, the price below.

All figures as filed; the source filing is linked above.

Current Position

as of the latest quarter, Mar 31, 2026

Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.

Current assets$7.8B
  • Cash & short-term investments$5.4B
  • Receivables$587M
  • Other current assets$1.8B
Current liabilities$7.1B
  • Accounts payable$506M
  • Other current liabilities$6.6B
Current ratio1.09×all current assets ÷ what's due · Graham looked for 2×
Quick ratio1.09×stricter: inventory excluded
Cash ratio0.76×strictest: cash alone against what's due
Working capital$637Mthe cushion left after near-term bills
Revenue, latest quarter vs. a year ago+32.1%the freshest read on whether the business is still growing
Current ratio, recent quarters1.0× → 1.1×
Deeper floors
Tangible book value$1.7Bequity stripped of goodwill & intangibles
Net current asset value$155MGraham's net-net: current assets less all liabilities
Debt incl. operating leases$500M$69M of it operating leases

From the company's latest filing.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.

Fiscal yearPay, as filed“Actually paid”Owner earnings
2021$60.8M−$8.9M($196M)
2022$652k−$1.0M$365M
2023$44.5M$66.5M($298M)
2023$854k$860k($298M)
2024$915k$54.3M$950M
2025$1.1M$5.3M$1.1B

Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Owner earnings are the whole business's, from the record above, for the same fiscal years.

  • Insider ownership10.3%

    The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.

  • Stock-based compensation$88M

    The slice of the business handed to employees in shares this year, 1% of revenue. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

What an owner would ask, FY2025

read the 10-K →
  • Which reported numbers are a judgment call?
    Management names Income taxes, Insurance reserves, Stock compensation as critical estimates

    each rests partly on management's judgment; the filing's note sets out the assumptionsverify →

The questions the record and the charts do not answer on their own; each carries the figure and the place to look.

Peers, Managed Care

The same industry, side by side on the medical-loss-ratio lens. Each figure is a through-cycle median, so a peak or trough year can’t distort it; the group median at the foot is the line to read each against.

CompanyRevenueMedical loss ratioOp. marginROE
ELVElevance Health Inc.$199.1B87%5.3%14%
CNCCentene Corporation$194.8B2.2%9%
HUMHumana Inc.$129.7B89%3.9%17%
MOHMolina Healthcare$45.4B3.9%26%
OSCROscar Health$11.7B85%-14.9%-41%
ALHCAlignment Healthcare$3.9B-3.9%-69%
CLOVClover Health Investments Corp.$1.9B83%-16.3%-74%
TRUPTrupanion Inc.$1.4B-1.0%-3%
Group median86%0.6%3%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

Type today's close and see the owner-earnings growth you'd have to believe to justify it, beside what Oscar Health has delivered.

$

Through the cycle, Oscar Health earns about $1.1B on its 9.1% median owner-earnings margin. This year’s 9.1% margin runs in line with that. Normalize, below, values the price on that through-cycle figure rather than the latest year.

Base

The assumptions

9.0% = the 4.55% 10-year Treasury (Jul 15, 2026) + 4.45 points of equity premium. The rate you require is yours to set.

Enter a price above to run it.

Implied by the price
Owner-earnings growth · ’21→’25+86%/yr
Owner-earnings growth · ’19→’25+121%/yr
Owner-earnings yield
P/E (3-yr earnings ’23–’25)
P/B
Graham’s price gate

Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.

Against a high-grade bond: Graham’s yardstick bond yield%

Prefilled with the 10-year Treasury (4.55%, as of Jul 15, 2026). Edit it for today’s exact figure, or a AAA corporate yield.

Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.

Free cash flow $2.8B on 298M shares outstanding (a weighted basic average, the only count this filer tags); net cash $5.0B. The if-converted diluted count is 330M, 11% above the shares outstanding: the dilution overhang (convertibles, options) a buyer inherits. The base is the latest year by default; Normalize values it on the through-cycle median owner-earnings margin (to avoid paying on a peak year). Net of stock comp treats option pay as the expense it is. Capex ($36M) runs well above depreciation ($29M), so this is a build-out; Steady-state swaps total capex for maintenance (≈ depreciation), lifting the base to about $2.8B, the cash it would throw off if it stopped expanding. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.

Cite: Owner Scorecard, "Oscar Health (OSCR), the owner's record," https://ownerscorecard.com/c/OSCR, data as of 2026-07-09.

Manual order: ← OSBC its page in the Manual OSIS →

Industry order: ← MOH the Managed Care chapter TRUP →