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Stock Comparison

TOI vs ONCO

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
TOI
The Oncology Institute, Inc.

Medical - Care Facilities

HealthcareNASDAQ • US
Market Cap$5.41B
5Y Perf.-1.1%
ONCO
Onconetix, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$654K
5Y Perf.-100.0%

TOI vs ONCO — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
TOI logoTOI
ONCO logoONCO
IndustryMedical - Care FacilitiesBiotechnology
Market Cap$5.41B$654K
Revenue (TTM)$546M$735K
Net Income (TTM)$-44M$-10M
Gross Margin14.8%79.6%
Operating Margin-6.0%-9.2%
Total Debt$104M$49K
Cash & Equiv.$34M$5M

TOI vs ONCOLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

TOI
ONCO
StockFeb 22Jun 26Return
The Oncology Instit… (TOI)10098.9-1.1%
Onconetix, Inc. (ONCO)1000.0-100.0%

Price return only. Dividends and distributions are not included.

Quick Verdict: TOI vs ONCO

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: TOI leads in 4 of 6 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. Onconetix, Inc. is the stronger pick specifically for capital preservation and lower volatility. As sector peers, any of these can serve as alternatives in the same allocation.
🥇TOI emerged as the overall leader. Track its performance:
TOI
The Oncology Institute, Inc.
The Growth Play

TOI carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.

  • Rev growth 27.8%, EPS growth 23.9%, 3Y rev CAGR 25.8%
  • -45.3% 10Y total return vs ONCO's -100.0%
  • 27.8% revenue growth vs ONCO's -67.7%
Best for: growth exposure and long-term compounding
ONCO
Onconetix, Inc.
The Income Pick

ONCO is the clearest fit if your priority is income & stability and sleep-well-at-night.

  • Dividend streak 0 yrs, beta 1.33
  • Lower volatility, beta 1.33, Low D/E 0.3%, current ratio 0.66x
  • Beta 1.33, current ratio 0.66x
Best for: income & stability and sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthTOI logoTOI27.8% revenue growth vs ONCO's -67.7%
Quality / MarginsTOI logoTOI-8.0% margin vs ONCO's -13.2%
Stability / SafetyONCO logoONCOBeta 1.33 vs TOI's 1.95
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)TOI logoTOI+100.4% vs ONCO's -99.7%
Efficiency (ROA)TOI logoTOI-26.5% ROA vs ONCO's -49.4%, ROIC -41.2% vs -32.8%

TOI vs ONCO — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

TOIThe Oncology Institute, Inc.
FY 2025
Health Care, Patient Service
49.5%$229M
Fee For Service
32.1%$149M
Capitated Revenue
17.4%$80M
Clinical Research Trials And Other Revenue
1.0%$5M
ONCOOnconetix, Inc.
FY 2025
License
0.0%$0

TOI vs ONCO — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLTOILAGGINGONCO

Income & Cash Flow (Last 12 Months)

TOI leads this category, winning 4 of 6 comparable metrics.

TOI is the larger business by revenue, generating $546M annually — 742.3x ONCO's $735,198. TOI is the more profitable business, keeping -8.0% of every revenue dollar as net income compared to ONCO's -13.2%. On growth, TOI holds the edge at +41.2% YoY revenue growth, suggesting stronger near-term business momentum.

MetricTOI logoTOIThe Oncology Inst…ONCO logoONCOOnconetix, Inc.
RevenueTrailing 12 months$546M$735,198
EBITDAEarnings before interest/tax-$26M-$7M
Net IncomeAfter-tax profit-$44M-$10M
Free Cash FlowCash after capex-$26M-$10M
Gross MarginGross profit ÷ Revenue+14.8%+79.6%
Operating MarginEBIT ÷ Revenue-6.0%-9.2%
Net MarginNet income ÷ Revenue-8.0%-13.2%
FCF MarginFCF ÷ Revenue-4.7%-13.3%
Rev. Growth (YoY)Latest quarter vs prior year+41.2%-78.9%
EPS Growth (YoY)Latest quarter vs prior year+90.5%+98.7%
TOI leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

Evenly matched — TOI and ONCO each lead in 1 of 2 comparable metrics.
MetricTOI logoTOIThe Oncology Inst…ONCO logoONCOOnconetix, Inc.
Market CapShares × price$5.4B$653,669
Enterprise ValueMkt cap + debt − cash$5.5B-$5M
Trailing P/EPrice ÷ TTM EPS-9.83x-0.22x
Forward P/EPrice ÷ next-FY EPS est.
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple
Price / SalesMarket cap ÷ Revenue10.75x0.80x
Price / BookPrice ÷ Book value/share0.22x
Price / FCFMarket cap ÷ FCF
Evenly matched — TOI and ONCO each lead in 1 of 2 comparable metrics.

Profitability & Efficiency

ONCO leads this category, winning 4 of 7 comparable metrics.

On the Piotroski fundamental quality scale (0–9), ONCO scores 5/9 vs TOI's 4/9, reflecting solid financial health.

MetricTOI logoTOIThe Oncology Inst…ONCO logoONCOOnconetix, Inc.
ROE (TTM)Return on equity-105.5%
ROA (TTM)Return on assets-26.5%-49.4%
ROICReturn on invested capital-41.2%-32.8%
ROCEReturn on capital employed-33.7%-49.4%
Piotroski ScoreFundamental quality 0–945
Debt / EquityFinancial leverage0.00x
Net DebtTotal debt minus cash$70M-$5M
Cash & Equiv.Liquid assets$34M$5M
Total DebtShort + long-term debt$104M$48,774
Interest CoverageEBIT ÷ Interest expense-4.96x-17.32x
ONCO leads this category, winning 4 of 7 comparable metrics.

Total Returns (Dividends Reinvested)

TOI leads this category, winning 6 of 6 comparable metrics.

A $10,000 investment in TOI five years ago would be worth $5,257 today (with dividends reinvested), compared to $0 for ONCO. Over the past 12 months, TOI leads with a +100.4% total return vs ONCO's -99.7%. The 3-year compound annual growth rate (CAGR) favors TOI at 111.1% vs ONCO's -98.0% — a key indicator of consistent wealth creation.

MetricTOI logoTOIThe Oncology Inst…ONCO logoONCOOnconetix, Inc.
YTD ReturnYear-to-date+44.7%-98.7%
1-Year ReturnPast 12 months+100.4%-99.7%
3-Year ReturnCumulative with dividends+841.3%-100.0%
5-Year ReturnCumulative with dividends-47.4%-100.0%
10-Year ReturnCumulative with dividends-45.3%-100.0%
CAGR (3Y)Annualised 3-year return+111.1%-98.0%
TOI leads this category, winning 6 of 6 comparable metrics.

Risk & Volatility

Evenly matched — TOI and ONCO each lead in 1 of 2 comparable metrics.

ONCO is the less volatile stock with a 1.33 beta — it tends to amplify market swings less than TOI's 1.95 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. TOI currently trades 95.2% from its 52-week high vs ONCO's 0.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricTOI logoTOIThe Oncology Inst…ONCO logoONCOOnconetix, Inc.
Beta (5Y)Sensitivity to S&P 5001.95x1.33x
52-Week HighHighest price in past year$5.58$361.50
52-Week LowLowest price in past year$2.02$0.91
% of 52W HighCurrent price vs 52-week peak+95.2%+0.3%
RSI (14)Momentum oscillator 0–10065.325.1
Avg Volume (50D)Average daily shares traded1.6M1.4M
Evenly matched — TOI and ONCO each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.
MetricTOI logoTOIThe Oncology Inst…ONCO logoONCOOnconetix, Inc.
Analyst RatingConsensus buy/hold/sellBuy
Price TargetConsensus 12-month target$8.00
# AnalystsCovering analysts5
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises0
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

TOI leads in 2 of 6 categories (Income & Cash Flow, Total Returns). ONCO leads in 1 (Profitability & Efficiency). 2 tied.

Best OverallThe Oncology Institute, Inc. (TOI)Leads 2 of 6 categories
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TOI vs ONCO: Frequently Asked Questions

8 questions · data-driven answers · updated daily

01

Is TOI or ONCO a better buy right now?

For growth investors, The Oncology Institute, Inc.

(TOI) is the stronger pick with 27. 8% revenue growth year-over-year, versus -67. 7% for Onconetix, Inc. (ONCO). Analysts rate The Oncology Institute, Inc. (TOI) a "Buy" — based on 5 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which is the better long-term investment — TOI or ONCO?

Over the past 5 years, The Oncology Institute, Inc.

(TOI) delivered a total return of -47. 4%, compared to -100. 0% for Onconetix, Inc. (ONCO). Over 10 years, the gap is even starker: TOI returned -45. 3% versus ONCO's -100. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — TOI or ONCO?

By beta (market sensitivity over 5 years), Onconetix, Inc.

(ONCO) is the lower-risk stock at 1. 33β versus The Oncology Institute, Inc. 's 1. 95β — meaning TOI is approximately 47% more volatile than ONCO relative to the S&P 500.

04

Which is growing faster — TOI or ONCO?

By revenue growth (latest reported year), The Oncology Institute, Inc.

(TOI) is pulling ahead at 27. 8% versus -67. 7% for Onconetix, Inc. (ONCO). On earnings-per-share growth, the picture is similar: Onconetix, Inc. grew EPS 99. 1% year-over-year, compared to 23. 9% for The Oncology Institute, Inc.. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

05

Which has better profit margins — TOI or ONCO?

The Oncology Institute, Inc.

(TOI) is the more profitable company, earning -12. 1% net margin versus -1721. 0% for Onconetix, Inc. — meaning it keeps -12. 1% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: TOI leads at -7. 2% versus -778. 2% for ONCO. At the gross margin level — before operating expenses — ONCO leads at 77. 6%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

06

Which pays a better dividend — TOI or ONCO?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

07

Is TOI or ONCO better for a retirement portfolio?

For long-horizon retirement investors, Onconetix, Inc.

(ONCO) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding. The Oncology Institute, Inc. (TOI) carries a higher beta of 1. 95 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (ONCO: -100. 0%, TOI: -45. 3%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

08

What are the main differences between TOI and ONCO?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: TOI is a small-cap high-growth stock; ONCO is a small-cap quality compounder stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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