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The Oncology Institute

TOI
18
Medical - Care Facilities · Healthcare
Price
$5.35
+0.09 (+1.71%)
Market Cap
$534.9M
Exchange
NASDAQ
Winston Score
18
Winston is worried
Weak fundamentals across most pillars.

Share count rising — dilution

+1295.0% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 66.2M (2021) → 923.9M (2025)

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.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+41.2% YoY

YoY Growth Rate

Revenue accelerating

EPS Growth

+90.5% YoY

YoY Growth Rate

EPS growth accelerating

R&D Spend

$0/ year

0.0% of revenue

Below sector average (18%)

Research and development spending

Insider Activity

50.6%ownership

Flat

Insiders holding steady — not selling despite ability to

Cash Runway

~2 years

$30M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

$30M cash & investments at current burn rate

Revenue accelerating

The Oncology Institute grew revenue 41% year-over-year and the growth rate is speeding up. That's the kind of momentum growth investors look for — the question is whether margins can follow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Gross Margin
14.7%
Thin — 14.7% gross margin
Operating Margin
-4.4%
Losing money on operations — -4.4%
ROCE
-65.4%
Weak — -65.4% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+35.4%
Fast-growing sales (35.4% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
0/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-4.7%
Burning cash (-4.7%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

Debt / Equity
N/A
Data not available
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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