The Oncology Institute, Inc.

The Oncology Institute, Inc.

TOIยทNASDAQ

$4.23

-7.8%
HealthcareMedical - Care Facilities

The Oncology Institute, Inc., an oncology company, provides medical oncology services in the United States. Its services include physician services, in-house infusion and dispensary, clinical trial services, radiation, outpatient stem cell transplants and transfusions programs, and patient support. The company also offers and manages clinical trial services, such as managing clinical trials, palliative care programs, and stem cell transplants services. It serves adult and senior cancer patients. The company operates 67 clinic locations. The Oncology Institute, Inc. was founded in 2007 and is based in Cerritos, California.

At a Glance

Live Snapshot
Market Cap$422.93M
EPS-0.5400
P/E Ratio-7.83
Earnings Date08/12/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

Medium confidence

Valuation multiple is compressed (P/E -7.8).

Valuation inputs: P/E -7.8, earnings yield N/A, momentum -7.8%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is soft (ROE +3.9%, ROIC -35.7%).

Profitability stack: net margin -12.1%, ROE +3.9%, ROIC -35.7%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Downside profile is elevated and scenario stress-testing is essential.

Risk factors: liabilities/assets +109.5%, momentum -7.8%, net margin -12.1%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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The Oncology Institute, Inc. Market vs Earnings Trajectory

TOI ยท NASDAQ

Loading price and EPS data...

The Oncology Institute, Inc.

The Oncology Institute, Inc. Fair Value Envelope

TOI ยท NASDAQ

Our analysis suggests that TOI has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $4.23, this represents a potential HIDDEN relative to our calculated worth for The Oncology Institute, Inc..

Intrinsic Value
Current Price: $4.23
3Y-60100.0%
5Y+125.0%
10Y-486.0%
3Y+99.0%
5Y+168.0%
10Y+344.0%
3Y-39972.0%
5Y+323.0%
10Y-1635.0%
3Y-60.0%
5Y-4940.0%
10Y-536.0%
3Y-59.0%
5Y+3951.0%
10Y-662.0%
3Y-37.0%
5Y+151.0%
10Y+177.0%
The Oncology Institute, Inc.

The Oncology Institute, Inc. Profit Bridge

TOI ยท NASDAQ
Revenue502.73M
Cost of Goods Sold (433.24M)
Gross Profit69.49M
Operating Expenses (105.57M)
Operating Income-36.08M
Interest Expense (11.28M)
Other Income/Expense-24.65M
Pretax Income-60.74M
Income Tax (-131.00K)
Net Income-60.61M
Net Income
-60.61M

Profitability Analysis

Gross Margin

13.8%

Thin margins leave little room for error. Cost management and pricing strategy are critical.

Operating Margin

-7.2%

Operating losses indicate the core business is unprofitable. Requires restructuring or revenue growth.

Net Profit Margin

-12.1%

Net losses indicate the company is burning cash. Sustainability depends on path to profitability.

13.82%
Gross Profit Margin
1%
3Y-33.0%
5Y-30.0%
10Y-40.0%
-7.18%
Operating Profit Margin
-53%
3Y-78.0%
5Y+64.0%
10Y-270.0%
-12.06%
Net Profit Margin
-27%
3Y-20126.0%
5Y+58.0%
10Y-446.0%
385.53%
Return on Equity
-121%
3Y+312327.0%
5Y-856.0%
10Y-
-36.81%
Return on Assets
-2%
3Y-63452.0%
5Y+69.0%
10Y-
-35.70%
Return on Invested Capital
-24%
3Y-162.0%
5Y+91.0%
10Y-
TOI

The Oncology Institute, Inc. Cash Conversion Engine

TOI ยท NASDAQ
Net Income-60.61M
Depreciation & Amortization6.94M
Stock-Based Compensation4.55M
Change in Working Capital1.32M
Others23.23M
Capital Expenditures-3.20M
Free Cash Flow-27.79M

Cash Flow Quality Analysis

FCF Conversion Rate

45.8%

Weak cash conversion. Significant portion of earnings not converting to cashโ€”review working capital trends and capital intensity.

CapEx Intensity

-13.0%

Asset-light business model. Low capital requirements leave more cash available for shareholders and growth investments.

FCF Growth Trend

+8.4%

Steady FCF growth indicates consistent cash generation improvement. On a positive trajectory.

Working Capital Impact

+$1.32M

Working capital inflow boosted cash flow. Efficient management of receivables, inventory, and payables contributing positively.

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The Oncology Institute, Inc. Funding & Solvency Profile

TOI ยท NASDAQ
Cash & Cash Equivalents30.28M
Net Receivables59.45M
Inventory24.29M
Other Current Assets2.84M
Total Current Assets117 M
Property, Plant & Equipment33.22M
Goodwill & Intangible Assets17.53M
Long-Term Investments0.00
Other Non-Current Assets620.00K
Total Non-Current Assets34 M
Total Assets
168.23M

Financial Health Analysis

Current Ratio

1.47x

Acceptable liquidity, but monitor closely. Current assets just barely cover current liabilities.

Working Capital

38 M

Strong working capital position provides significant operational flexibility and financial cushion.

Asset Composition

69% Current

Asset-light business model with high liquidity. Majority of assets are easily convertible to cash.

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The Oncology Institute, Inc. Street Expectations Map

TOI ยท NASDAQ

Wall Street analysts project that TOI stock may rise significantly over the coming 12 months. The consensus 1-year price target stands at 7.00, with estimates ranging from a low of 5.00 to a high of 10.00.

Lowest Target
5.00
18.20%
Consensus Target
7.00
65.48%
Highest Target
10.00
136.41%

The consensus 1-year price target stands at 7.00, with estimates ranging from a low of 5.00 to a high of 10.00.

Analyst Consensus Analysis

Upside Potential

+65.5%

Substantial upside potential. Analysts see significant value gap, suggesting the stock may be materially undervalued at current levels.

Analyst Agreement

71.4% spread

High uncertainty. Very wide target spread indicates significant disagreement among analystsโ€”major valuation uncertainty or transformation underway.

Analyst Conviction

Low

High uncertainty: Wide dispersion indicates analysts struggle to agree on valuationโ€”proceed with caution and independent analysis.

Market Sentiment Insight

High risk, high reward: Substantial upside potential exists, but wide analyst disagreement signals execution risk or unclear catalysts. Thorough due diligence essential before committing capital.

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The Oncology Institute, Inc. Insider Positioning

TOI ยท NASDAQ

During the last 12 months, insiders have purchased $2.28M and sold $3.63M worth of TOI shares, resulting in $1.35M of net selling activity.

3 Months

Bought

714.9K

2.28M

Sold

95.7K

335.13K

Net Activity

+1.9M

+$1.94M

3-6 Months

Bought

0

0.00

Sold

13.6K

51.17K

Net Activity

-51K

-$51K

6-9 Months

Bought

0

0.00

Sold

2.2K

8.64K

Net Activity

-9K

-$9K

9-12 Months

Bought

0

0.00

Sold

1.5M

3.24M

Net Activity

-3.2M

-$3.24M

Top Buyers

1
CJ

Chernett Jorey

10 Percent Owner

714.9K sharesโ€ข11 transactions

$2.28M

Top Sellers

1
MGIL

M33 Growth I L.P.

Director, 10 Percent Owner:

758.2K sharesโ€ข2 transactions

$2.34M

2
BRA

Barasch Richard A

Director

679.2K sharesโ€ข1 transactions

$814K

3
KM

Kaushal Mohit

Director

95.7K sharesโ€ข2 transactions

$335K

4
HB

Hively Brad

Director

33.6K sharesโ€ข2 transactions

$132K

5
PML

Pacala Mark L

Director

2.2K sharesโ€ข1 transactions

$9K

Insider Activity Analysis

Net Insider Sentiment

Bearish

Slightly bearish with $1.35M net selling. Selling modestly exceeds buying, which could be routine diversification rather than concern.

Buy/Sell Ratio

0.63:1

Moderately negative ratio. Selling is roughly double the buying, which may be routine or signal caution.

Recent Trend (3 Months)

$1.94M

Very strong recent buying momentum. Recent insider purchases significantly outpace sales, suggesting near-term optimism.

Insider Participation

High Selling

5 insider sellers vs. 1 buyers. Widespread selling across multiple insiders may signal concerns.

No Dividend Yield Data

TOI has not reported any dividend yield values in the available annual periods.

ย 

toi Dividend History

TOI
10Y CAGR +0%
Latest $0
Annual $0
Stable dividend payments
Last Period: +0%