Medical - Care Facilities
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Side-by-side financial analysisStock Comparison
TOI vs ONCO
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
TOI vs ONCO — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Care Facilities | Biotechnology |
| Market Cap | $5.41B | $654K |
| Revenue (TTM) | $546M | $735K |
| Net Income (TTM) | $-44M | $-10M |
| Gross Margin | 14.8% | 79.6% |
| Operating Margin | -6.0% | -9.2% |
| Total Debt | $104M | $49K |
| Cash & Equiv. | $34M | $5M |
TOI vs ONCO — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Feb 22 | Jun 26 | Return |
|---|---|---|---|
| The Oncology Instit… (TOI) | 100 | 98.9 | -1.1% |
| Onconetix, Inc. (ONCO) | 100 | 0.0 | -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.
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%
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
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 27.8% revenue growth vs ONCO's -67.7% | |
| Quality / Margins | -8.0% margin vs ONCO's -13.2% | |
| Stability / Safety | Beta 1.33 vs TOI's 1.95 | |
| Dividends | Tie | Neither stock pays a meaningful dividend |
| Momentum (1Y) | +100.4% vs ONCO's -99.7% | |
| Efficiency (ROA) | -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
TOI vs ONCO — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
TOI leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
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.
| Metric | ||
|---|---|---|
| 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% |
Valuation Metrics
Evenly matched — TOI and ONCO each lead in 1 of 2 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| 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 ÷ Revenue | 10.75x | 0.80x |
| Price / BookPrice ÷ Book value/share | — | 0.22x |
| Price / FCFMarket cap ÷ FCF | — | — |
Profitability & Efficiency
ONCO leads this category, winning 4 of 7 comparable metrics.
Profitability & Efficiency
On the Piotroski fundamental quality scale (0–9), ONCO scores 5/9 vs TOI's 4/9, reflecting solid financial health.
| Metric | ||
|---|---|---|
| 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 0–9 | 4 | 5 |
| Debt / EquityFinancial leverage | — | 0.00x |
| 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 |
Total Returns (Dividends Reinvested)
TOI leads this category, winning 6 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
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.
| Metric | ||
|---|---|---|
| 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% |
Risk & Volatility
Evenly matched — TOI and ONCO each lead in 1 of 2 comparable metrics.
Risk & Volatility
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.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.95x | 1.33x |
| 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 0–100 | 65.3 | 25.1 |
| Avg Volume (50D)Average daily shares traded | 1.6M | 1.4M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | — |
| Price TargetConsensus 12-month target | $8.00 | — |
| # AnalystsCovering analysts | 5 | — |
| Dividend YieldAnnual dividend ÷ price | — | — |
| Dividend StreakConsecutive years of raises | — | 0 |
| Dividend / ShareAnnual DPS | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% |
TOI leads in 2 of 6 categories (Income & Cash Flow, Total Returns). ONCO leads in 1 (Profitability & Efficiency). 2 tied.
TOI vs ONCO: Frequently Asked Questions
8 questions · data-driven answers · updated daily
01Is 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.
02Which 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.
03Which 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.
04Which 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.
05Which 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.
06Which 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.
07Is 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.
08What 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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