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Oncology Institute, Inc. (TOIIW) Stock Fundamental Analysis & AI Rating 2026

TOIIW Nasdaq Services-Offices & Clinics of Doctors of Medicine DE CIK: 0001799191
Recently Updated • Analysis: Apr 17, 2026 • SEC Data: 2025-12-31
STRONG SELL
85% Conf
Pending
Analysis scheduled

📊 TOIIW Key Takeaways

Revenue: $502.7M
Net Margin: -12.1%
Free Cash Flow: $-27.8M
Current Ratio: 1.59x
Debt/Equity: N/A
EPS: $-0.54
AI Rating: STRONG SELL with 85% confidence
Oncology Institute, Inc. (TOIIW) receives a STRONG SELL rating with 85% confidence from our AI fundamental analysis based on SEC 10-K filings. With revenue of $502.7M, net profit margin of -12.1%, Oncology Institute, Inc. demonstrates mixed fundamentals in the Services sector. Below is our complete TOIIW stock analysis for 2026.

Is Oncology Institute, Inc. (TOIIW) a Good Investment?

Claude

Despite impressive 27.8% YoY revenue growth, Oncology Institute exhibits severe financial distress with negative stockholders equity (-$15.7M), persistent operating losses (-$36.1M), and negative operating cash flow (-$24.6M), indicating the company cannot sustain operations profitably. The deteriorating net income (-20.5% YoY), inability to service debt (interest coverage of -267.3x), and ongoing cash burn of $27.8M in free cash flow threaten long-term viability despite $33.6M in remaining cash.

Why Buy Oncology Institute, Inc. Stock? TOIIW Key Strengths

Claude
  • + Strong top-line revenue growth of 27.8% YoY ($502.7M)
  • + Adequate short-term liquidity with 1.59x current ratio and $33.6M cash balance
  • + Operating in growing healthcare services sector with demographic tailwinds

TOIIW Stock Risks: Oncology Institute, Inc. Investment Risks

Claude
  • ! Technical insolvency with negative stockholders equity of -$15.7M (liabilities exceed assets)
  • ! Negative operating cash flow (-$24.6M) and free cash flow (-$27.8M) indicating unsustainable operations
  • ! Inability to service debt with interest coverage ratio of -267.3x and $77.4M long-term debt burden
  • ! Deteriorating profitability with net losses of -$60.6M and worsening net margin of -12.1%
  • ! Revenue growth not translating to profitability (EPS worsened despite revenue expansion)
  • ! Limited cash runway at current burn rate; likely requires capital raise or restructuring

Key Metrics to Watch

Claude
  • * Quarterly trend in operating cash flow toward positive territory
  • * Path to EBITDA and operating income breakeven
  • * Debt restructuring announcements or covenant violations
  • * Cash balance and estimated runway months
  • * Gross margin expansion and cost structure improvements

Oncology Institute, Inc. (TOIIW) Financial Metrics & Key Ratios

Revenue
$502.7M
Net Income
$-60.6M
EPS (Diluted)
$-0.54
Free Cash Flow
$-27.8M
Total Assets
$164.7M
Cash Position
$33.6M

💡 AI Analyst Insight

Oncology Institute, Inc. presents a mixed fundamental picture. Review the detailed metrics above to form your own investment thesis.

TOIIW Profit Margin, ROE & Profitability Analysis

Gross Margin N/A
Operating Margin -7.2%
Net Margin -12.1%
ROE N/A
ROA -36.8%
FCF Margin -5.5%

TOIIW vs Services Sector: How Oncology Institute, Inc. Compares

How Oncology Institute, Inc. compares to Services sector averages

Net Margin
TOIIW -12.1%
vs
Sector Avg 10.0%
TOIIW Sector
ROE
TOIIW 0.0%
vs
Sector Avg 16.0%
TOIIW Sector
Current Ratio
TOIIW 1.6x
vs
Sector Avg 1.5x
TOIIW Sector
Debt/Equity
TOIIW 0.0x
vs
Sector Avg 0.7x
TOIIW Sector

Sector benchmarks are approximate industry averages. Actual sector performance may vary.

Is Oncology Institute, Inc. Stock Overvalued? TOIIW Valuation Analysis 2026

Based on fundamental analysis, Oncology Institute, Inc. has mixed fundamental signals relative to the Services sector in 2026.

Return on Equity
N/A
Sector avg: 16%
Net Profit Margin
-12.1%
Sector avg: 10%
Revenue Growth
N/A
Year-over-year
Debt/Equity
N/A
Sector avg: 0.7x

Note: This is a fundamental analysis based on SEC filings. For P/E ratio, price targets, and market-based valuation, consult financial data providers. This is not investment advice.

Oncology Institute, Inc. Balance Sheet: TOIIW Debt, Cash & Liquidity

Current Ratio
1.59x
Quick Ratio
1.35x
Debt/Equity
N/A
Debt/Assets
109.5%
Interest Coverage
-267.28x
Long-term Debt
$77.4M

TOIIW Revenue & Earnings Growth: 5-Year Financial Trend

TOIIW 5-year financial data: Year 2021: Revenue $203.0M, Net Income -$14.3M, EPS $-0.24. Year 2022: Revenue $252.5M, Net Income -$10.9M, EPS $-0.16. Year 2023: Revenue $324.2M, Net Income $152.0K, EPS $-0.21. Year 2024: Revenue $393.4M, Net Income -$83.1M, EPS $-0.92. Year 2025: Revenue $502.7M, Net Income -$64.7M, EPS $-0.71.
Revenue
Net Income
EPS (right axis)

5-Year Trend Summary: Oncology Institute, Inc.'s revenue has grown significantly by 148% over the 5-year period, indicating strong business expansion. The most recent EPS of $-0.71 indicates the company is currently unprofitable.

TOIIW Revenue Growth, EPS Growth & YoY Performance

Revenue Growth
N/A
Year-over-year
Net Income Growth
N/A
Year-over-year
EPS Growth
N/A
Earnings per share
FCF Margin
-5.5%
Free cash flow / Revenue

TOIIW Quarterly Earnings & Performance

Quarterly financial performance data for Oncology Institute, Inc. including revenue, net income, and earnings per share.
Quarter Revenue Net Income EPS
Q3 2025 $99.9M -$15.5M $-0.14
Q2 2025 $98.6M -$15.5M $-0.15
Q1 2025 $94.7M -$19.6M $-0.21
Q3 2024 $82.0M -$15.5M $-0.18
Q2 2024 $80.2M -$15.5M $-0.17
Q1 2024 $76.2M -$19.9M $-0.22
Q3 2023 $65.0M -$2.7M $-0.03
Q2 2023 $60.9M -$5.5M $-0.06

Data sourced from SEC EDGAR 10-Q quarterly filings. Figures may represent quarterly or cumulative values.

Oncology Institute, Inc. Dividends, Buybacks & Capital Allocation

Operating Cash Flow
-$24.6M
Cash generated from operations
Capital Expenditures
$3.2M
Investment in assets
Dividends
None
No dividend program

TOIIW SEC Filings: Latest 10-K & 10-Q Analysis

Access official SEC EDGAR filings for Oncology Institute, Inc. (CIK: 0001799191)

📋 Recent SEC Filings

Date Form Document Action
Apr 16, 2026 4 xslF345X06/ownership.xml View →
Apr 13, 2026 4 xslF345X06/form414528003_04132026.xml View →
Apr 1, 2026 4 xslF345X06/ownership.xml View →
Apr 1, 2026 4 xslF345X06/ownership.xml View →
Apr 1, 2026 4 xslF345X06/ownership.xml View →

Frequently Asked Questions about TOIIW

What is the AI rating for TOIIW?

Oncology Institute, Inc. (TOIIW) has an AI rating of STRONG SELL with 85% confidence, based on fundamental analysis of SEC EDGAR filings.

What are TOIIW's key strengths?

Claude: Strong top-line revenue growth of 27.8% YoY ($502.7M). Adequate short-term liquidity with 1.59x current ratio and $33.6M cash balance.

What are the risks of investing in TOIIW?

Claude: Technical insolvency with negative stockholders equity of -$15.7M (liabilities exceed assets). Negative operating cash flow (-$24.6M) and free cash flow (-$27.8M) indicating unsustainable operations.

What is TOIIW's revenue and growth?

Oncology Institute, Inc. reported revenue of $502.7M.

Does TOIIW pay dividends?

Oncology Institute, Inc. does not currently pay dividends.

Where can I find TOIIW SEC filings?

Official SEC filings for Oncology Institute, Inc. (CIK: 0001799191) including 10-K, 10-Q, and 8-K reports are available on SEC EDGAR.

What is TOIIW's EPS?

Oncology Institute, Inc. has a diluted EPS of $-0.54.

How is the AI analysis conducted?

Two independent AI systems — Claude (Anthropic) and ChatGPT (OpenAI) — analyze SEC EDGAR filings including 10-K annual reports and 10-Q quarterly reports. Each AI evaluates financial health, profitability ratios, balance sheet strength, and growth metrics. The combined rating reflects both perspectives for balanced insights.

Is TOIIW a good stock to buy right now?

Based on our AI fundamental analysis in April 2026, Oncology Institute, Inc. has a STRONG SELL rating with 85% confidence. Review the strengths and risks sections above before making a decision. This is not investment advice.

Is TOIIW stock overvalued or undervalued?

Valuation metrics for TOIIW: ROE of N/A (sector avg: 16%), net margin of -12.1% (sector avg: 10%). Compare these metrics with sector averages to assess valuation.

Should I buy TOIIW stock in 2026?

Our dual AI analysis gives Oncology Institute, Inc. a combined STRONG SELL rating for 2026. Revenue is data pending, with profitability at or below sector average. Always conduct your own research.

What is TOIIW's free cash flow?

Oncology Institute, Inc.'s operating cash flow is $-24.6M, with capital expenditures of $3.2M. FCF margin is -5.5%.

How does TOIIW compare to other Services stocks?

Vs Services sector averages: Net margin -12.1% (avg: 10%), ROE N/A (avg: 16%), current ratio 1.59 (avg: 1.5).

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Disclaimer: This analysis is generated by Claude AI (Anthropic) and ChatGPT (OpenAI) based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research and consult with a qualified financial advisor before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: Apr 17, 2026 | Data as of: 2025-12-31 | Powered by Claude AI