Oak Street Health, Inc. (OSH): Boston Consulting Group Matrix [10-2024 Updated]

Oak Street Health, Inc. (OSH) BCG Matrix Analysis
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As we delve into the performance of Oak Street Health, Inc. (OSH) in 2024, the Boston Consulting Group Matrix reveals critical insights into its business dynamics. With a remarkable 47% increase in capitated revenue and a growing patient base from 175,000 to 231,000, OSH is clearly positioned as a Star in the healthcare sector. However, challenges loom with significant operating losses and an accumulated deficit of $1.52 billion, categorizing certain aspects as Dogs. The recent merger with CVS Health introduces both potential and risk, placing OSH in the Question Marks quadrant. Explore how these elements come together to shape the future of this innovative healthcare provider.



Background of Oak Street Health, Inc. (OSH)

Oak Street Health, Inc. was established as a Delaware corporation on October 22, 2019, with the intent of completing a public offering and related restructuring transactions, collectively known as the Initial Public Offering (IPO). The company operates through its primary care centers, focusing on providing healthcare services to Medicare beneficiaries. Its innovative care model combines a comprehensive approach to patient experience and care delivery, which is geared toward preventing unnecessary acute events and managing chronic illnesses effectively.

As of March 31, 2023, Oak Street Health operated 172 centers across 21 states, serving approximately 231,000 patients. The company employs around 6,200 team members, including about 600 primary care providers. Oak Street Health's operations are reported under a single segment, emphasizing its focus on value-based care for Medicare-eligible patients through capitated arrangements.

The company emphasizes its commitment to improving healthcare delivery by investing in technology and community-based care approaches. This strategy aims to address the needs of high-risk Medicare patients while generating cost savings for the healthcare system.

A significant milestone in Oak Street Health's history occurred on February 7, 2023, when the company entered into a merger agreement with an indirect wholly owned subsidiary of CVS Pharmacy. This all-cash transaction was valued at approximately $10.6 billion, with CVS acquiring all outstanding shares of Oak Street Health's common stock. Following the merger, which was finalized on May 2, 2023, Oak Street Health became an indirect wholly owned subsidiary of CVS Pharmacy, leading to the delisting of its common stock from the NYSE.

The company’s innovative care delivery model, focused on value-based contracts, has positioned it well within the rapidly growing Medicare market. This market is characterized by a significant and clinically cohesive population, which aligns with Oak Street Health's operational strategy.

As part of its ongoing operations, Oak Street Health has reported its financial performance, indicating a continued focus on expanding its patient base and enhancing care delivery. For the first quarter of 2023, the company recorded total revenues of $752 million, a significant increase from $514 million in the same period of 2022. Despite these revenue increases, the company continues to operate at a loss, reporting a net loss of $44.2 million for the same quarter.



Oak Street Health, Inc. (OSH) - BCG Matrix: Stars

Significant Growth in Capitated Revenue

Capitated revenue for Oak Street Health increased by 47% year-over-year, reaching $743.2 million for the three months ended March 31, 2023, compared to $506.1 million for the same period in 2022.

Expanded Patient Base

The total patient base grew from 175,000 to 231,000 over the year, representing a growth of 32%.

Strong Market Demand for Services

There is a significant market demand for Oak Street Health's services, particularly focusing on Medicare Advantage plans. The company has positioned itself to capture this growing market effectively.

Management of Medical Claims Expenses

Medical claims expenses for the quarter were $523.5 million, which is 70% of total revenues, reflecting a 38% increase compared to $379.4 million the previous year. However, the cost per patient has decreased by 3%.

Increased Contribution Margin Per Patient

As the centers mature and grow, the contribution margin per patient has increased. The platform contribution was $101.6 million for the three months ended March 31, 2023, compared to $39.8 million for the same period in 2022.

Metric Q1 2023 Q1 2022 Year-over-Year Change
Capitated Revenue $743.2 million $506.1 million +47%
Total Patients 231,000 175,000 +32%
Medical Claims Expense $523.5 million $379.4 million +38%
Contribution Margin $101.6 million $39.8 million +155%


Oak Street Health, Inc. (OSH) - BCG Matrix: Cash Cows

Established operational centers with consistent patient flow.

As of March 31, 2023, Oak Street Health operated 172 centers, an increase from 140 centers in the previous year. The total patient count rose to 231,000, a significant increase from 175,000 in 2022.

Robust relationships with payors, including Humana and Wellcare, driving predictable revenue streams.

Capitated revenue reached $743.2 million for the three-months ended March 31, 2023, representing a 47% increase compared to $506.1 million for the same period in 2022. The company reported a 43% increase in total patients under capitated arrangements, contributing to predictable revenue streams.

Solid performance in care coordination services, generating additional revenue.

The company's platform contribution for the first quarter of 2023 was $101.6 million, up from $39.8 million in the same quarter of 2022. This reflects improved efficiency and revenue generation from care coordination services.

Effective management of fixed costs as patient numbers rise, maintaining profitability in mature centers.

In the first quarter of 2023, Oak Street Health's total operating expenses were $795.4 million, which represents a 31% increase from $604.9 million in the previous year. However, the loss from operations narrowed to $43.4 million, improving from a loss of $91.1 million in Q1 2022.

Financial Metric Q1 2023 Q1 2022 Change (%)
Centers Operated 172 140 22.9%
Total Patients 231,000 175,000 32.0%
Capitated Revenue ($M) 743.2 506.1 46.5%
Platform Contribution ($M) 101.6 39.8 154.0%
Total Operating Expenses ($M) 795.4 604.9 31.4%
Loss from Operations ($M) (43.4) (91.1) 52.3%


Oak Street Health, Inc. (OSH) - BCG Matrix: Dogs

High operating losses

Oak Street Health reported a net loss of $44.2 million for Q1 2023.

Accumulated deficit

The company has an accumulated deficit of $1.52 billion, indicating long-term financial challenges.

Dependency on external funding and debt

As of March 31, 2023, Oak Street Health's long-term debt stands at $1.005 billion.

Limited ability to scale rapidly

The company faces high fixed costs associated with new center openings, which limits its ability to scale quickly.

Financial Metric Q1 2023 Q1 2022
Net Loss $44.2 million $96.7 million
Accumulated Deficit $1.52 billion $1.47 billion
Long-term Debt $1.005 billion $978.6 million
Total Operating Expenses $795.4 million $604.9 million
Medical Claims Expense $523.5 million $379.4 million


Oak Street Health, Inc. (OSH) - BCG Matrix: Question Marks

Recent merger with CVS Health presents both opportunities and uncertainties for growth.

The merger with CVS Health, completed in May 2023, positions Oak Street Health within a larger healthcare ecosystem. This transition is expected to enhance access to capital and operational efficiencies. However, the integration process may introduce uncertainties regarding management strategies and operational alignment.

New market expansions could lead to increased revenue but require careful management of costs.

As of March 31, 2023, Oak Street Health operated 172 centers, serving a total of 231,000 patients, with 177,000 classified as at-risk patients. The company reported total revenues of $752.0 million for the three months ended March 31, 2023, a 46% increase from $513.8 million in the same period of 2022. This growth is indicative of the potential for market expansion, yet it necessitates stringent cost management, especially as operating expenses reached $795.4 million, an increase of 31% year-over-year.

Emerging competition in the healthcare space may impact market share and pricing power.

Oak Street Health faces increasing competition from both traditional healthcare providers and new entrants in the value-based care model. The company reported a net loss of $44.2 million for the first quarter of 2023, down from a net loss of $96.7 million in Q1 2022, indicating a need for strategic adjustments to enhance market share. The pressure to maintain pricing power amidst growing competition could further challenge profitability.

Need for improved risk management strategies to handle at-risk patient healthcare costs effectively.

Managing healthcare costs for at-risk patients is critical, with liabilities for unpaid claims totaling $1.062 billion as of March 31, 2023, up from $850.3 million a year earlier. The company's medical claims expense was $523.5 million, accounting for 70% of total revenues. Implementing enhanced risk management strategies will be essential to mitigate these rising costs and ensure sustainable growth.

Financial Metrics Q1 2023 Q1 2022 Change (%)
Total Revenues $752.0 million $513.8 million 46%
Net Loss ($44.2 million) ($96.7 million) 54%
Medical Claims Expense $523.5 million $379.4 million 38%
Operating Expenses $795.4 million $604.9 million 31%
Total Patients 231,000 175,000 32%
At-Risk Patients 177,000 124,000 43%


In conclusion, Oak Street Health, Inc. (OSH) presents a mixed landscape within the BCG Matrix framework as of 2024. The company showcases strong Stars with impressive revenue growth and expanding patient numbers, while its Cash Cows contribute stable income through established operational centers. However, challenges persist in the Dogs category, highlighted by significant operating losses and a substantial accumulated deficit. Meanwhile, the Question Marks stemming from the CVS Health merger introduce both opportunities for market expansion and potential risks from emerging competition. As OSH navigates these dynamics, strategic management will be crucial for leveraging its strengths and addressing its weaknesses.