Medical - Care Facilities
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Side-by-side financial analysisStock Comparison
TOI vs USPH
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Care Facilities
TOI vs USPH — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||
|---|---|---|
| Industry | Medical - Care Facilities | Medical - Care Facilities |
| Market Cap | $5.41B | $999M |
| Revenue (TTM) | $546M | $695M |
| Net Income (TTM) | $-44M | $11M |
| Gross Margin | 14.8% | 22.0% |
| Operating Margin | -6.0% | 12.5% |
| Forward P/E | — | 22.6x |
| Total Debt | $104M | $426M |
| Cash & Equiv. | $34M | $36M |
TOI vs USPH — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Jun 20 | Jun 26 | Return |
|---|---|---|---|
| The Oncology Instit… (TOI) | 100 | 52.8 | -47.2% |
| U.S. Physical Thera… (USPH) | 100 | 80.9 | -19.1% |
Price return only. Dividends and distributions are not included.
Quick Verdict: TOI vs USPH
Each card shows where this stock fits in a portfolio — not just who wins on paper.
TOI is the clearest fit if your priority is growth exposure.
- Rev growth 27.8%, EPS growth 23.9%, 3Y rev CAGR 25.8%
- 27.8% revenue growth vs USPH's 16.3%
- +100.4% vs USPH's -13.8%
USPH carries the broadest edge in this set and is the clearest fit for income & stability and long-term compounding.
- Dividend streak 15 yrs, beta 0.89, yield 2.8%
- 33.5% 10Y total return vs TOI's -45.3%
- Lower volatility, beta 0.89, Low D/E 55.3%, current ratio 1.01x
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 27.8% revenue growth vs USPH's 16.3% | |
| Quality / Margins | 1.5% margin vs TOI's -8.0% | |
| Stability / Safety | Beta 0.89 vs TOI's 1.95 | |
| Dividends | 2.8% yield; 15-year raise streak; the other pay no meaningful dividend | |
| Momentum (1Y) | +100.4% vs USPH's -13.8% | |
| Efficiency (ROA) | 0.9% ROA vs TOI's -26.5%, ROIC 5.6% vs -41.2% |
TOI vs USPH — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
TOI vs USPH — Financial Metrics
Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.
Income & Cash Flow (Last 12 Months)
USPH leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
USPH and TOI operate at a comparable scale, with $695M and $546M in trailing revenue. USPH is the more profitable business, keeping 1.5% of every revenue dollar as net income compared to TOI's -8.0%. On growth, TOI holds the edge at +41.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||
|---|---|---|
| RevenueTrailing 12 months | $546M | $695M |
| EBITDAEarnings before interest/tax | -$26M | $109M |
| Net IncomeAfter-tax profit | -$44M | $11M |
| Free Cash FlowCash after capex | -$26M | $67M |
| Gross MarginGross profit ÷ Revenue | +14.8% | +22.0% |
| Operating MarginEBIT ÷ Revenue | -6.0% | +12.5% |
| Net MarginNet income ÷ Revenue | -8.0% | +1.5% |
| FCF MarginFCF ÷ Revenue | -4.7% | +9.6% |
| Rev. Growth (YoY)Latest quarter vs prior year | +41.2% | +7.7% |
| EPS Growth (YoY)Latest quarter vs prior year | +90.5% | -115.0% |
Valuation Metrics
Evenly matched — TOI and USPH each lead in 1 of 2 comparable metrics.
Valuation Metrics
| Metric | ||
|---|---|---|
| Market CapShares × price | $5.4B | $999M |
| Enterprise ValueMkt cap + debt − cash | $5.5B | $1.4B |
| Trailing P/EPrice ÷ TTM EPS | -9.83x | 46.17x |
| Forward P/EPrice ÷ next-FY EPS est. | — | 22.64x |
| PEG RatioP/E ÷ EPS growth rate | — | — |
| EV / EBITDAEnterprise value multiple | — | 13.51x |
| Price / SalesMarket cap ÷ Revenue | 10.75x | 1.28x |
| Price / BookPrice ÷ Book value/share | — | 1.29x |
| Price / FCFMarket cap ÷ FCF | — | 16.37x |
Profitability & Efficiency
USPH leads this category, winning 5 of 7 comparable metrics.
Profitability & Efficiency
On the Piotroski fundamental quality scale (0–9), USPH scores 5/9 vs TOI's 4/9, reflecting solid financial health.
| Metric | ||
|---|---|---|
| ROE (TTM)Return on equity | — | +1.4% |
| ROA (TTM)Return on assets | -26.5% | +0.9% |
| ROICReturn on invested capital | -41.2% | +5.6% |
| ROCEReturn on capital employed | -33.7% | +7.6% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 5 |
| Debt / EquityFinancial leverage | — | 0.55x |
| Net DebtTotal debt minus cash | $70M | $390M |
| Cash & Equiv.Liquid assets | $34M | $36M |
| Total DebtShort + long-term debt | $104M | $426M |
| Interest CoverageEBIT ÷ Interest expense | -4.96x | 8.24x |
Total Returns (Dividends Reinvested)
TOI leads this category, winning 4 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in USPH five years ago would be worth $6,221 today (with dividends reinvested), compared to $5,257 for TOI. Over the past 12 months, TOI leads with a +100.4% total return vs USPH's -13.8%. The 3-year compound annual growth rate (CAGR) favors TOI at 111.1% vs USPH's -13.6% — a key indicator of consistent wealth creation.
| Metric | ||
|---|---|---|
| YTD ReturnYear-to-date | +44.7% | -15.7% |
| 1-Year ReturnPast 12 months | +100.4% | -13.8% |
| 3-Year ReturnCumulative with dividends | +841.3% | -35.5% |
| 5-Year ReturnCumulative with dividends | -47.4% | -37.8% |
| 10-Year ReturnCumulative with dividends | -45.3% | +33.5% |
| CAGR (3Y)Annualised 3-year return | +111.1% | -13.6% |
Risk & Volatility
Evenly matched — TOI and USPH each lead in 1 of 2 comparable metrics.
Risk & Volatility
USPH is the less volatile stock with a 0.89 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 USPH's 70.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||
|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.95x | 0.89x |
| 52-Week HighHighest price in past year | $5.58 | $93.50 |
| 52-Week LowLowest price in past year | $2.02 | $58.19 |
| % of 52W HighCurrent price vs 52-week peak | +95.2% | +70.1% |
| RSI (14)Momentum oscillator 0–100 | 65.3 | 53.5 |
| Avg Volume (50D)Average daily shares traded | 1.6M | 199K |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Wall Street rates TOI as "Buy" and USPH as "Buy". Consensus price targets imply 50.7% upside for TOI (target: $8) vs 46.4% for USPH (target: $96). USPH is the only dividend payer here at 2.75% yield — a key consideration for income-focused portfolios.
| Metric | ||
|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy |
| Price TargetConsensus 12-month target | $8.00 | $96.00 |
| # AnalystsCovering analysts | 5 | 13 |
| Dividend YieldAnnual dividend ÷ price | — | +2.8% |
| Dividend StreakConsecutive years of raises | — | 15 |
| Dividend / ShareAnnual DPS | — | $1.80 |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +0.6% |
USPH leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TOI leads in 1 (Total Returns). 2 tied.
TOI vs USPH: Frequently Asked Questions
9 questions · data-driven answers · updated daily
01Is TOI or USPH 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 16. 3% for U. S. Physical Therapy, Inc. (USPH). U. S. Physical Therapy, Inc. (USPH) offers the better valuation at 46. 2x trailing P/E (22. 6x forward), making it the more compelling value choice. 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 USPH?
Over the past 5 years, U.
S. Physical Therapy, Inc. (USPH) delivered a total return of -37. 8%, compared to -47. 4% for The Oncology Institute, Inc. (TOI). Over 10 years, the gap is even starker: USPH returned +33. 5% versus TOI's -45. 3%. 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 USPH?
By beta (market sensitivity over 5 years), U.
S. Physical Therapy, Inc. (USPH) is the lower-risk stock at 0. 89β versus The Oncology Institute, Inc. 's 1. 95β — meaning TOI is approximately 119% more volatile than USPH relative to the S&P 500.
04Which is growing faster — TOI or USPH?
By revenue growth (latest reported year), The Oncology Institute, Inc.
(TOI) is pulling ahead at 27. 8% versus 16. 3% for U. S. Physical Therapy, Inc. (USPH). On earnings-per-share growth, the picture is similar: The Oncology Institute, Inc. grew EPS 23. 9% year-over-year, compared to -22. 8% for U. S. Physical Therapy, Inc.. Over a 3-year CAGR, TOI leads at 25. 8% annualised revenue growth. 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 USPH?
U.
S. Physical Therapy, Inc. (USPH) is the more profitable company, earning 1. 9% net margin versus -12. 1% for The Oncology Institute, Inc. — meaning it keeps 1. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: USPH leads at 10. 3% versus -7. 2% for TOI. At the gross margin level — before operating expenses — USPH leads at 20. 1%, 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.
06Is TOI or USPH more undervalued right now?
Analyst consensus price targets imply the most upside for TOI: 50.
7% to $8. 00.
07Which pays a better dividend — TOI or USPH?
In this comparison, USPH (2.
8% yield) pays a dividend. TOI does not pay a meaningful dividend and should not be held primarily for income.
08Is TOI or USPH better for a retirement portfolio?
For long-horizon retirement investors, U.
S. Physical Therapy, Inc. (USPH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 89), 2. 8% yield). 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 (USPH: +33. 5%, 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.
09What are the main differences between TOI and USPH?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
USPH pays a dividend while TOI does not, making them suitable for different income and tax situations. 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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