6 years of revenue, profit, cash flow and balance-sheet history through FY2025,
from SEC filings — with a computed, factual read of the trend.
Updated Overview →
Growth & profitability
Revenue has grown 21.8% per year over the past 5 years.
Operating margin has contracted, at -7.2% in the latest year.
Financial health
Total debt ($77M) exceeds cash ($34M); net debt is $44M.
Total debt has grown faster than revenue (45.4% vs 21.8% per year).
Operating income covered interest expense -3.2× in the latest year.
Revenue & net income
RevenueNet income
Margins (gross / operating / net)
GrossOperatingNet
Free cash flow (CFO − capex)
Free cash flow
Cash vs total debt
CashTotal debt
Cash flow: operating / investing / financing
OperatingInvestingFinancing
Key annual figures
FY
Revenue
Net income
Gross M
Op M
FCF
Total debt
Cash
2025
$503M
$60.6B
0.0%
-7.2%
-$28M
$77M
$34M
2024
$393M
$64.7B
0.0%
-15.3%
-$30M
$93M
$50M
2023
$324M
-$83M
0.0%
-23.8%
-$41M
$87M
$33M
2022
$252M
$152000
0.0%
-32.5%
-$67M
$81M
$14M
2021
$203M
-$11M
0.0%
-22.6%
-$36M
$183000
$115M
2020
$188M
-$14M
0.0%
-4.4%
-$686000
$12M
$6M
Revenue & net income
RevenueNet income
Margins (gross / operating / net)
GrossOperatingNet
Free cash flow (CFO − capex, quarterly)
Free cash flow
Cash vs total debt
CashTotal debt
Cash flow: operating / investing / financing
OperatingInvestingFinancing
Key quarterly figures
Quarter
Revenue
Net income
Gross M
Op M
FCF
Total debt
Cash
Mar '26
$147M
-$2M
0.0%
-4.4%
-$3M
$79M
$30M
Dec '25
$142M
-$8M
0.0%
-4.9%
$2M
$77M
$34M
Sep '25
$137M
-$17M
0.0%
-5.9%
-$13M
$76M
$28M
Jun '25
$120M
-$17M
0.0%
-9.4%
-$11M
$75M
$30M
Mar '25
$104M
-$20M
0.0%
-9.5%
-$5M
$74M
$40M
Dec '24
$100M
-$13M
0.0%
-11.9%
$2M
$93M
$50M
Sep '24
$100M
-$16M
0.0%
-13.9%
$1M
$92M
$47M
Jun '24
$99M
-$15M
0.0%
-16.6%
-$17M
$90M
$36M
Mar '24
$95M
-$20M
0.0%
-19.0%
-$16M
$88M
$36M
Dec '23
$86M
-$19M
0.0%
-17.8%
-$5M
$87M
$33M
Sep '23
$82M
-$17M
0.0%
-17.0%
-$9M
$85M
$28M
Jun '23
$80M
-$17M
0.0%
-18.6%
-$10M
$84M
$29M
Mar '23
$76M
-$30M
0.0%
-43.1%
-$17M
$82M
$15M
Dec '22
$71M
-$11M
0.0%
-35.1%
-$16M
$81M
$14M
Sep '22
$65M
-$3M
0.0%
-30.9%
-$22M
$79M
$61M
Jun '22
$61M
-$5M
0.0%
-30.0%
-$12M
—
$64M
Mar '22
$55M
$19M
0.0%
-33.5%
-$18M
—
$96M
Dec '21
$52M
-$10M
0.0%
-78.1%
-$24M
$183000
$115M
Sep '21
$52M
-$3M
0.0%
-4.1%
-$4M
—
$12M
Jun '21
$50M
$3M
0.0%
-2.2%
-$8M
—
$15M
Valuation over time
How the market has priced TOI against its own fundamentals since 2023-03 —
each month-end's share price set against the most recent annual filing, so the multiple moves
as price runs ahead of (or behind) earnings. Split-adjusted.
The price-to-earnings ratio has risen from 447.8× (Mar '23) to 1332.0× (Dec '23).
The price-to-sales ratio has risen from 0.3× (Mar '23) to 1.0× (Jun '26).
Price / earnings (P/E)
P/E
Price / sales (P/S)
P/S
Frequently asked questions
Is TOI growing its revenue and profit?
Over the past 5 years, Oncology Institute, Inc.'s revenue has grown 21.8% per year. These are computed facts, not advice.
How much debt does TOI have?
As of FY2025, Oncology Institute, Inc. reported $77M of total debt against $34M of cash; operating income covered interest expense -3.2×.
What is TOI's profit margin?
In FY2025, gross margin was —, operating margin -7.2%, and net margin 12055.4%.
What is TOI's P/E ratio?
As of Jun '26, Oncology Institute, Inc. traded at a price-to-earnings ratio of about 1332.0× (market cap ÷ latest annual net income). The valuation charts above show how its P/E, P/S have moved with the share price. These are computed facts, not advice.
Where does this data come from?
All figures are extracted from the company’s SEC EDGAR/XBRL filings — 10-K annual reports and 10-Q quarterly reports (use the Annual / Quarterly toggle). Quarterly figures are derived from the as-filed statements (year-to-date amounts are differenced into discrete quarters). Growth rates and ratios are computed by tradmap; nothing here is investment advice.
Source: SEC EDGAR / XBRL (10-K + 10-Q filings) · prices EOD (Databento), corporate-action-adjusted ·
growth rates, valuation multiples & ratios computed by tradmap. Valuation uses each month-end price
against the latest annual filing. Informational only — not investment advice.