IONS

Ionis Pharmaceuticals, Inc.

43
Fundamentals25/ 100
Valuation50/ 100
Upside potential59/ 100
Risk potential28/ 100

IONS has lower modeled downside risk, despite its lower overall score.

OSCR

Oscar Health, Inc.

69
Fundamentals85/ 100
Valuation50/ 100
Upside potential61/ 100
Risk potential35/ 100

OSCR has the edge over IONS overall, supported by stronger fundamentals and stronger modeled upside.

IONS Fundamentals

MetricStatus
Under pressure
Weak
Weak
Strong

IONS's balance sheet is currently strong, but its revenue, profitability and cash flow are under pressure.

OSCR Fundamentals

MetricStatus
Strong
Healthy
Strong
Strong

OSCR's revenue, profitability, cash flow and balance sheet are all currently healthy.

IONS PE Valuation

IONS has no meaningful PE right now: it lost money over the past year.

OSCR PE Valuation

CHEAPFAIREXPENSIVE41x83x124x166x
CHEAPFAIREXPENSIVE41x83x124x166x
LevelPEPriceVs current
Forward12x$31.94—
Current13x$31.94—
Cheap21x$52.73+65%
Fair35x$87.23+173%
Expensive130x$322+907%

Historical ranges are pointers, not guarantees.

OSCR's PE is 13x, but its earnings don't support one, so it isn't a reliable read right now.

IONS Forward outlook

MetricOutlook
--
Losses shrinking
Strong growth
Strongly improving
Limited
Low

Analysts expect IONS's losses to shrink, with revenue growing. However, they disagree widely on these estimates.

OSCR Forward outlook

MetricOutlook
Improving
Strong growth
Strong growth
Strongly improving
Limited
Moderate

Analysts expect strong earnings and revenue growth for OSCR, with profitability improving.

IONS Risk to reward

ScenarioChangePrice
Upside+41%$38.56
Downside-28%$19.54

Calculated from the latest close: $27.31 on Nov 12.

IONS trails OSCR on modeled risk to reward, with less potential upside relative to its potential downside.

OSCR Risk to reward

ScenarioChangePrice
Upside+55%$49.45
Downside-35%$20.78

Calculated from the latest close: $31.94 on Nov 12.

OSCR has a better modeled risk to reward balance than IONS, with more potential upside relative to its potential downside.

IONS Earnings Per Share

Q4 2023: $-2.56Q1 2024: $-2.67Q2 2024: $-2.52Q3 2024: $-2.44Q4 2024: $-3.04Q1 2025: $-2.99Q2 2025: $-1.84Q3 2025: $-1.69Q4 2025: $-2.44Q1 2026: $-2.07Q2 2026: $-3.46Q3 2026: $-3.32
Q4 2023: $-2.56Q1 2024: $-2.67Q2 2024: $-2.52Q3 2024: $-2.44Q4 2024: $-3.04Q1 2025: $-2.99Q2 2025: $-1.84Q3 2025: $-1.69Q4 2025: $-2.44Q1 2026: $-2.07Q2 2026: $-3.46Q3 2026: $-3.32
QuarterTTM EPSYoY
Q3 2026-$3.32-$1.63
Q2 2026-$3.46-$1.62
Q1 2026-$2.07+$0.92
Q4 2025-$2.44+$0.60
Q3 2025-$1.69+$0.75
Q2 2025-$1.84+$0.68
Q1 2025-$2.99-$0.32
Q4 2024-$3.04-$0.48

IONS is still losing money, but less than at its worst: $3.32 per share over the past year, against $4.23 at its worst in late 2021.

OSCR Earnings Per Share

Q4 2023: $-1.22Q1 2024: $-0.42Q2 2024: $-0.15Q3 2024: $-0.08Q4 2024: $0.10Q1 2025: $0.40Q2 2025: $-0.69Q3 2025: $-1.00Q4 2025: $-1.69Q1 2026: $-0.54Q2 2026: $1.45Q3 2026: $2.47Forward: $2.61
Q4 2023: $-1.22Q1 2024: $-0.42Q2 2024: $-0.15Q3 2024: $-0.08Q4 2024: $0.10Q1 2025: $0.40Q2 2025: $-0.69Q3 2025: $-1.00Q4 2025: $-1.69Q1 2026: $-0.54Q2 2026: $1.45Q3 2026: $2.47Forward: $2.61
QuarterTTM EPSYoY
Forward$2.61+5.6%
Q3 2026$2.47+$3.47
Q2 2026$1.45+$2.14
Q1 2026-$0.54-235%
Q4 2025-$1.69-1790%
Q3 2025-$1.00-$0.92
Q2 2025-$0.69-$0.54
Q1 2025$0.40+$0.82
Q4 2024$0.10+$1.32

OSCR has the edge over IONS on earnings quality, reporting a profit while its opponent remains loss making.

IONS Quarterly Revenue

Q4 2023: $325MQ1 2024: $119MQ2 2024: $225MQ3 2024: $134MQ4 2024: $227MQ1 2025: $132MQ2 2025: $452MQ3 2025: $157MQ4 2025: $203MQ1 2026: $246MQ2 2026: $268MQ3 2026: $243M
Q4 2023: $325MQ1 2024: $119MQ2 2024: $225MQ3 2024: $134MQ4 2024: $227MQ1 2025: $132MQ2 2025: $452MQ3 2025: $157MQ4 2025: $203MQ1 2026: $246MQ2 2026: $268MQ3 2026: $243M
QuarterRevenueYoY
Q3 2026$242.7M+55%
Q2 2026$267.9M-41%
Q1 2026$246.1M+87%
Q4 2025$203.3M-10%
Q3 2025$156.7M+17%
Q2 2025$452M+101%
Q1 2025$131.6M+10%
Q4 2024$226.6M-30%

IONS's revenue is recovering but still below its 2019 peak: $243M last quarter, up 55% from the same quarter a year ago.

OSCR Quarterly Revenue

Q4 2023: $1.4BQ1 2024: $2.1BQ2 2024: $2.2BQ3 2024: $2.4BQ4 2024: $2.4BQ1 2025: $3BQ2 2025: $2.9BQ3 2025: $3BQ4 2025: $2.8BQ1 2026: $4.6BQ2 2026: $4.9BQ3 2026: $5.1B
Q4 2023: $1.4BQ1 2024: $2.1BQ2 2024: $2.2BQ3 2024: $2.4BQ4 2024: $2.4BQ1 2025: $3BQ2 2025: $2.9BQ3 2025: $3BQ4 2025: $2.8BQ1 2026: $4.6BQ2 2026: $4.9BQ3 2026: $5.1B
QuarterRevenueYoY
Q3 2026$5.1B+72%
Q2 2026$4.9B+70%
Q1 2026$4.6B+53%
Q4 2025$2.8B+17%
Q3 2025$3B+23%
Q2 2025$2.9B+29%
Q1 2025$3B+42%
Q4 2024$2.4B+67%

OSCR has the edge over IONS on sales, with more consistent year-over-year improvement.

IONS Free Cash Flow

Q4 2023: $34MQ1 2024: −$154MQ2 2024: −$126MQ3 2024: −$124MQ4 2024: −$142MQ1 2025: −$163MQ2 2025: $139MQ3 2025: −$137MQ4 2025: −$159MQ1 2026: −$815MQ2 2026: $549MQ3 2026: −$192M
Q4 2023: $34MQ1 2024: −$154MQ2 2024: −$126MQ3 2024: −$124MQ4 2024: −$142MQ1 2025: −$163MQ2 2025: $139MQ3 2025: −$137MQ4 2025: −$159MQ1 2026: −$815MQ2 2026: $549MQ3 2026: −$192M
QuarterFree cash flowYoY
Q3 2026-$192.1M-$55.4M
Q2 2026$549.5M+295%
Q1 2026-$814.6M-$651.2M
Q4 2025-$159M-$17.4M
Q3 2025-$136.7M-$12.7M
Q2 2025$139M+$265.1M
Q1 2025-$163.4M-$8.9M
Q4 2024-$141.6M-520%

IONS has burned cash in most quarters: −$616M over the past year, against −$303M the year before.

OSCR Free Cash Flow

Q4 2023: $291MQ1 2024: $628MQ2 2024: $490MQ3 2024: −$508MQ4 2024: $340MQ1 2025: $870MQ2 2025: $500MQ3 2025: −$974MQ4 2025: $663MQ1 2026: $2.6BQ2 2026: $2.1BQ3 2026: −$1.2B
Q4 2023: $291MQ1 2024: $628MQ2 2024: $490MQ3 2024: −$508MQ4 2024: $340MQ1 2025: $870MQ2 2025: $500MQ3 2025: −$974MQ4 2025: $663MQ1 2026: $2.6BQ2 2026: $2.1BQ3 2026: −$1.2B
QuarterFree cash flowYoY
Q3 2026-$1.2B-$238.2M
Q2 2026$2.1B+316%
Q1 2026$2.6B+200%
Q4 2025$662.8M+95%
Q3 2025-$973.7M-$466M
Q2 2025$499.8M+2.1%
Q1 2025$869.5M+38%
Q4 2024$340M+17%

OSCR has the edge over IONS on cash generation, producing positive trailing cash flow while its opponent burns cash.

IONS Total Shares

Q4 2023: 143MQ1 2024: 146MQ2 2024: 146MQ3 2024: 149MQ4 2024: 150MQ1 2025: 159MQ2 2025: 182MQ3 2025: 160MQ4 2025: 160MQ1 2026: 165MQ2 2026: 165MQ3 2026: 166M
Q4 2023: 143MQ1 2024: 146MQ2 2024: 146MQ3 2024: 149MQ4 2024: 150MQ1 2025: 159MQ2 2025: 182MQ3 2025: 160MQ4 2025: 160MQ1 2026: 165MQ2 2026: 165MQ3 2026: 166M
PeriodChange %Net change
Quarterly+0.5%+786K shares
1 year+4%+6.4M shares
3 years+16%+22.9M shares
5 years+18%+25.1M shares
Available history+8.4%+12.9M shares

IONS has the edge over OSCR on shareholder dilution, with a more favorable share count trend.

OSCR Total Shares

Q4 2023: 222MQ1 2024: 294MQ2 2024: 304MQ3 2024: 243MQ4 2024: 266MQ1 2025: 306MQ2 2025: 256MQ3 2025: 259MQ4 2025: 262MQ1 2026: 330MQ2 2026: 333MQ3 2026: 346M
Q4 2023: 222MQ1 2024: 294MQ2 2024: 304MQ3 2024: 243MQ4 2024: 266MQ1 2025: 306MQ2 2025: 256MQ3 2025: 259MQ4 2025: 262MQ1 2026: 330MQ2 2026: 333MQ3 2026: 346M
PeriodChange %Net change
Quarterly+3.9%+13M shares
1 year+34%+87.2M shares
3 years+55%+123M shares
5 years+66%+138M shares
Available history+71%+143M shares

OSCR has 346M diluted shares, up 34% from a year ago.

IONS Net Leverage

QuarterNet LeverageStatus
Q3 2022-8.8xNet Cash
Q2 2022-56.9xNet Cash
Q1 2022-24.7xNet Cash
Q3 2020-5.0xNet Cash
Q2 2020-3.2xNet Cash
Q1 2020-2.5xNet Cash
Q4 2019-1.8xNet Cash

IONS has more cash than debt.

OSCR Net Leverage

Q1 2024: -217.7xQ2 2024: -24.0xQ3 2024: -10.1xQ4 2024: -13.7xQ1 2025: -9.7xQ1 2026: -110.0xQ2 2026: -5.5xQ3 2026: -4.2x
Q1 2024: -217.7xQ2 2024: -24.0xQ3 2024: -10.1xQ4 2024: -13.7xQ1 2025: -9.7xQ1 2026: -110.0xQ2 2026: -5.5xQ3 2026: -4.2x
QuarterNet LeverageStatus
Q3 2026-4.2xNet Cash
Q2 2026-5.5xNet Cash
Q1 2026-110.0xNet Cash
Q1 2025-9.7xNet Cash
Q4 2024-13.7xNet Cash
Q3 2024-10.1xNet Cash
Q2 2024-24.0xNet Cash
Q1 2024-217.7xNet Cash

OSCR has more cash than debt.

IONS Weekly Momentum

MetricValueStatus
RSI21.4Oversold
Stochastic3.6Oversold

IONS's weekly RSI is 21 (oversold) and its Stochastic is 4 (oversold).

OSCR Weekly Momentum

MetricValueStatus
RSI58.7Neutral
Stochastic44.9Neutral

OSCR's weekly RSI is 59 (neutral) and its Stochastic is 45 (neutral).

IONS PE vs Healthcare Sector

MetricIONSSector medianRelative
PEN/A26x—

IONS has no meaningful PE right now: it lost money over the past year.

OSCR PE vs Healthcare Sector

MetricOSCRSector medianRelative
PE13x26x50% below
PE %33532 pts below

OSCR is trading at 13x earnings, a 50% discount to the Healthcare sector's median of 26x, though its earnings don't support one.

IONS Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$41.234% below
20 week MA$51.247% below
50 week MA$66.959% below
100 week MA$55.651% below
200 week MA$49.044% below

IONS is in a downtrend: it's below all five of its weekly moving averages, and 44% below its 200-week average.

OSCR Weekly Moving Averages

Moving averageMA priceRelative
8 week MA$31.22.3% above
20 week MA$31.12.8% above
50 week MA$22.939% above
100 week MA$19.365% above
200 week MA$15.5106% above

OSCR has the edge over IONS on trend strength, trading above more of its moving averages.

IONS Yearly ROI

YearStart priceEnd priceROI
2020$60.8$59.7-1.8%
2021$59.7$32.7-45%
2022$32.7$38.2+17%
2023$38.2$50.6+33%
2024$50.6$35.9-29%
2025$35.9$79.9+123%
2026 YTD$79.9$27.3-66%

IONS's yearly returns have swung widely, from +123% in 2025 to −45% in 2021. It's down 66% so far in 2026.

OSCR Yearly ROI

YearStart priceEnd priceROI
2021$31.0$8.02-74%
2022$8.02$2.21-72%
2023$2.21$9.15+314%
2024$9.15$13.8+51%
2025$13.8$14.9+8%
2026 YTD$14.9$31.9+114%

OSCR has the edge over IONS on returns for 2026, with the stronger performance.

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