I have worked out four times a week for the past 40 years, prioritize my sleep and (mostly) eat well. I do these things so I can regularly sleep too little and consume too much alcohol and dessert. Just the same, in June, I wrote that, at the end of their life, nobody says they wish they’d done a better job optimizing their V02 Max. I’m wary of reducing daily activities to numbers on a dashboard.
But as an investor, I’m bullish on companies that are able to tap into the wellness trend and capture a significant share of the health interface (SoHI). Case in point: I believe Oura, which has built a moat filled with 42 billion hours (and counting) of longitudinal first-party user data, will be well received when the firm goes public later this month. (Disclosure: I’m not an investor, and this isn’t investment advice, but I will likely be joining the Fellowship of the Ring and buying shares in the IPO.)
Shares of Health Interface
The world’s most valuable companies appeal to human instincts. Apple (No. 2) is a luxury brand, tapping into our desire to procreate by signaling wealth, status, and sex appeal. Google (aka Alphabet, No. 3) is so good at targeting our curiosity by answering questions such that it’s become synonymous with omniscience, i.e., a higher power. Amazon (No. 5) exploits our hunter-gatherer instincts by promising unlimited supplies and frictionless consumption. Meta (No. 10) capitalizes on our need for social connection and belonging. Each of these companies use real-time data receptors and artificial intelligence, making their products more valuable the more we use them. Finally, they turn first-party data into moats via vertical integration, controlling the entire customer experience and owning the relationship. Excluding Meta, they further lock in customers via recurring revenue bundles, i.e., rundles.
Oura offers one of the few ways for a retail investor to play the growing but highly fragmented $7 trillion health and wellness market. But what jumps out are the attributes the company shares with the Big Four above.
Rings are rich in symbolism, speaking volumes about the wearer and their social status. An Oura Ring sends a strong message to potential mates, signaling health and wealth, and taps into fears of mortality by promising its wearer longevity. As Oura investor and enthusiast Gwyneth Paltrow told Inc. in 2022, “I think we’re getting very smart as a species, and we understand that there are certain things that we have to do in order to have longevity.” One of those things on the longevity to-do list? Measure everything, everywhere, all at once.
Similar to the Apple Watch, the Oura Ring tracks 50+ health and fitness metrics. Unlike the watch, which a wearer often removes at night for charging, the ring goes more than a week on a single charge and is worn nearly continuously. According to the company’s S-1 filing, the median subscriber wears their ring 23 hours per day. By manufacturing the device, continuously collecting data, and adding a thick layer of technology and innovation, Oura may be collecting more real-time, first-party data on wellness than any business in the world. CEO Tom Hale positions the company’s product not as a wearable, but as a “health intelligence platform.”
The Big Four are in the health and wellness space, to varying degrees, but their SoHI is limited by their business models. Engagement time is a decent proxy for SoHI. Amazon and Meta track users on their respective platforms and, with permission, across the web, but their insights are derived from the content we consume and the things we purchase. Apple uses privacy as a wedge to decouple its brand from the data-harvesting practices of its competitors — a strong PR strategy that throttles what the company knows about its customers. Apple supplements its SoHI with iPhones and watches, but neither device has a 23-hour-per-day lock on the user. And AirPods outsell Apple Watches by more than 2:1, making the watch an also-ran wearable inside the company’s ecosystem. Meanwhile, a ring has greater proximity to blood flow than a wristwatch, making it the more accurate tool for measuring vitals. Google comes closest to Oura’s SoHI, as it tracks users online, on Android phones, and via their Fitbits (Google acquired the fitness tracker in 2021).
Mixed Revenue
Oura’s S-1 boasts something often missing from Silicon Valley IPOs: A profitable business. Let’s start by acknowledging that hardware is … hard. After Apple, which is rumored to be working on a ring, and Samsung, which released one two years ago, the drop-off is steep for Big Tech. Between 2017 and 2021, Amazon lost $25 billion developing its devices business. Over the past decade, Meta has spent $100 billion on VR and AR product development and acquisitions, with little to show for it beyond a mothballed Metaverse. (The company’s best effort in hardware has been its partnership with Ray-Ban, which tripled sales of Meta’s glasses to 7 million units last year.)
Oura’s hardware business is profitable, with a gross margin of 55% for the first nine months of FY26. There’s room for improvement, however, as that margin fell from 65% in FY24 to 52% in FY25 due to battery issues with some models. The firm claims those issues have been resolved. Meanwhile, there’s plenty of potential to increase market share, as Oura registered less than 2% of global wearable shipments last year. The hardware is the starting point of Oura’s flywheel, however, as 94% of activated rings convert to paid subscriptions at either $5.99 per month or $69.99 per year. The gross margin on subscriptions was 89% for the nine months that ended June 30, 2026 (Oura’s fiscal year ends September 30). The number of subscribers doubled YoY to 5 million, with a 12-month retention rate of 87% as of June 2025 — on par with Netflix and Spotify. Overall, company revenue grew by 74% YoY to $1.4 billion, and while the revenue mix is shifting toward subscriptions, Oura has two profitable, growing lines of business.
Growing Concern
Oura is reportedly seeking to raise $3 billion at a $16 billion valuation. Put another way, it’s asking investors to assign an 11x revenue multiple — appropriate for a high-margin subscription software business — to a company that gets 77% of its revenue from hardware. In mixed-revenue scenarios, markets typically find the inferior part of a business and assign that part’s lower multiple to the whole enterprise. But if we exclude the hardware business (2x revenue multiple at a $2 billion valuation), that means Oura thinks its subscription business is worth $14 billion. In order to justify a 43x multiple, Oura needs to continue doubling its paid subscriptions YoY until it reaches approximately 25 million subscribers.
The elephant in the room? Peloton. With a tighter gross margin, especially on hardware, the company needed hockey-stick subscriber growth to justify its $46 billion valuation at the peak of the pandemic. For a brief, quarantined moment, Peloton lived up to its narrative, increasing subscribers 6x from 2020 to 2022. Since then, subscriber growth has flatlined, reducing Peloton’s market cap to one-third of what it was at the IPO.
Demographics Are Destiny
The good news for Oura is that it has a strong organic growth engine, with 40% of new subscribers coming from word of mouth. Oura also benefits from being the first consumer health wearable to be approved as an HSA or FSA purchase — meaning an estimated 70 million Americans can pay for an Oura Ring or a subscription with pre-tax dollars. (To buy an Apple Watch with either an HSA or FSA, a consumer needs a doctor’s note.) The challenge for Oura is that it’ll have to broaden its customer base. Nearly three-quarters of its customers are women, and 73% of subscribers are under 45. Those demographics are likely driven by Oura’s most compelling use case to date: It’s fertility tracker is 3x more accurate than manual tracking via a calendar. Leaning in to sleep tracking, another Oura strength, opens the door to a wider pool of potential customers. Consider sleep apnea, a chronic condition that affects 84 million Americans, 59% of whom are men, and contributes to an estimated 38,000 cardiovascular-related deaths annually. A 2025 study determined that Oura Rings are comparable to medical sleep studies in detecting apnea.
Further positioning the ring as both a fitness and wellness AI adviser, as well as an early warning system for diseases that affect large numbers of people, is key to owning a greater SoHI. This is doable, but will require continued investments in R&D (up 105% YoY to $207 million, according to the S-1) to create new offerings, as well as sales and marketing (up 84% to $258 million) to acquire more customers. Oura didn’t say how it plans to deploy the $3 billion raised via IPO, but it did acknowledge a $924 million loss attributable to repaying early investors. Management will say it’s cleaning up the cap table, but that nearly $1 billion could have bought a lot of new customers outside the demographic groups where the company is already strong.
Anxiety
Every era picks proxies for its anxieties. In the 1980s, it was money. In the 2000s, followers were a proxy for the social terror that accompanied the disruption of communities and institutions. Today it’s wellness — a yogababble buzzword designed to cauterize the open wounds of a society where wealth flows from Earners (the young and poor) to Owners (the wealthy and old). Reversing those flows feels beyond our control, so we double down on the variables we can adjust. We’re building a multitrillion-dollar industry on the idea that if we just optimize hard enough, we can inoculate ourselves from suffering the consequences of collective failure. The great American export used to be optimism, wrapped in a package of shared sacrifice. Increasingly, it’s the belief that if you can’t fix the world around you, at least you can fix yourself. Maybe.
Life is so rich,
P.S.
Today marks the 25th anniversary of the 9/11 attacks. A quarter century later, many of us are still overcome with rage at the terrorists, love for our country, admiration for the first responders, appreciation for Canada’s unflinching support, and sorrow for the victims. I want to spotlight the wisdom of others, starting with my friend and colleague Jessica Tarlov’s remembrance of that day and the terrible toll it took on her family. Listen here.








I love you, Scott...listen to every podcast, but you and Jessica were wrong to disparage San Francisco this wk. Market St does not characterize our city, BUT Noe Valley, the Embarcadero, the Mission, Castro, Cow Hollow/Pac heights (Chestnut, Union and Fillmore streets), the Presidio (including commercial) and so much more is where locals go and hang TODAY. Market St/Union Square is being reimagined in a modern, more relevant manner. And when we do, it STILL and never will be the soul of SF. I would greatly appreciate a retraction from you and Jessica....thx...
I would respectfully suggest on this day the inversion of the column to begin with memories of 9-11.
Maybe Oura will donate rings subscription free to help track the health of the many first responders who continue to suffer from the after- effects of this tragedy.
Expect Apple to offer its own and likely better designed ring. Apple would also will also likely avoid the imposed tolls of Oura’s subscriptions (to access one’s own data???) and protect users’ HIPPA-related medical and health data. Keep an eye on insider selling and hot issue flipping. Not.