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📊 𝐑𝐞𝐬𝐮𝐥𝐭𝐬
• Revenue: $5.14B (+72.1% YoY)
• GAAP EPS: $0.49 vs. -$0.53 YoY
• Net Income: $167.3M vs. -$137.5M YoY
• Operating Income: $178.0M vs. -$129.3M YoY
• Adjusted EBITDA: $206.9M vs. -$101.5M YoY
• Medical Loss Ratio: 84.0% vs. 88.5% YoY (-450 bps)
• SG&A Expense Ratio: 14.0% vs. 17.5% YoY (-350 bps)
• Total Members: 2.69M (+27.2% YoY)
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🎯 𝐆𝐮𝐢𝐝𝐚𝐧𝐜𝐞 (𝐅𝐘𝟐𝟔, 𝐑𝐚𝐢𝐬𝐞𝐝)
• Revenue: $19.0B–$19.3B (prior $18.7B–$19.0B)
• Operating Income: $850M–$950M (prior $600M–$800M)
• Medical Loss Ratio: 80.5%–81.5% (prior 81.0%–82.0%)
• SG&A Expense Ratio: 15.1%–15.6% (prior 15.6%–16.1%)
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📌 𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬
• Revenue growth driven by higher membership and premium rate increases
• Q3 revenue included a $250M benefit from updated risk adjustment estimates
• Medical Loss Ratio improved 450 bps YoY, reflecting stronger underwriting and disciplined pricing
• SG&A expense ratio improved 350 bps, supported by operating leverage and cost management
• Returned to profitability with a $307M YoY improvement in operating income
• Nine-month revenue surged 65% to $14.67B, with operating income reaching $1.27B vs. a $62.6M loss YoY
• Nine-month adjusted EBITDA reached $1.35B vs. $28.0M YoY
• Raised FY26 operating income guidance midpoint by $200M to $900M
• Management expects further market share gains and margin expansion in 2027
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💬 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐂𝐨𝐦𝐦𝐞𝐧𝐭𝐚𝐫𝐲
“Oscar Health is on track to deliver the strongest year of financial performance in our history, and we are raising our earnings from operations outlook for a third time.” — CEO Mark Bertolini

