
Overview
Healthcare technology firm's Q4 revenue missed analyst expectations
Q4 adjusted EBITDA missed analyst expectations
Company entered $475 mln revolving credit facility to enhance balance sheet
Outlook
Oscar Health forecasts 2026 revenue between $18.7 bln and $19.0 bln
Company expects 2026 medical loss ratio between 82.4% and 83.4%
Oscar Health projects 2026 SG&A expense ratio of 15.8% to 16.3%
Result Drivers
MEMBERSHIP GROWTH - Higher membership drove total revenue increase for full year 2025, despite rise in net risk adjustment transfer accrual
HIGHER UTILIZATION - Medical loss ratio increased due to higher market morbidity and utilization not fully offset by risk adjustment
COST MANAGEMENT - SG&A expense ratio decreased due to fixed cost leverage and cost management, despite higher risk adjustment impact
Key Details
Metric | Beat/Miss | Actual | Consensus Estimate |
Q4 Revenue | Miss | $2.81 bln | $3.12 bln (10 Analysts) |
Q4 Net Income |
| -$352.61 mln |
|
Q4 Adjusted EBITDA | Miss | -$307.78 mln | -$202.33 mln (8 Analysts) |
Q4 Operating Expenses |
| $3.14 bln |
|
Analyst Coverage
The current average analyst rating on the shares is "hold" and the breakdown of recommendations is 2 "strong buy" or "buy", 6 "hold" and 4 "sell" or "strong sell"
The average consensus recommendation for the life & health insurance peer group is "buy."
Wall Street's median 12-month price target for Oscar Health Inc is $17.00, about 34.3% above its February 9 closing price of $12.66
Press Release: ID:nBwb4hpM2a
For questions concerning the data in this report, contact Estimates.Support@lseg.com. For any other questions or feedback, contact reuters.support@thomsonreuters.com.