Growth Metrics

Oncology Institute (TOI) Debt to Equity (2020 - 2026)

Oncology Institute posted quarterly Debt to Equity of -$4.83 for Q1 2026, down 133.11% year-on-year from $14.58 in Q1 2025, and up 1.96% on a QoQ basis from -$4.92 in Q4 2025.

Oncology Institute (TOI) has 7 years of Debt to Equity data on file, last reported at -$4.83 in Q1 2026.

  • For the quarter ending Q1 2026, Debt to Equity fell 133.11% year-over-year to -$4.83; the trailing twelve-month figure through Mar 2026 stood at -$4.83 (down 133.11% YoY), and the FY2025 full-year result was -$4.92, down 118.97% from the prior year.
  • Debt to Equity for Q1 2026 stood at -$4.83, up from -$4.92 in the prior quarter.
  • Across five years, Debt to Equity topped out at $25.95 in Q4 2024 and bottomed at -$8.35 in Q2 2025.
  • The 5-year median for Debt to Equity is $0.99 (2023), against an average of $2.21.
  • The widest annual swing landed in 2022, when Debt to Equity jumped 37153.86%; it then tumbled 371.11% in 2025.
  • A 5-year view of Debt to Equity shows it stood at $0.65 in 2022, then soared by 132.63% to $1.52 in 2023, then jumped by 1604.26% to $25.95 in 2024, then slumped by 118.97% to -$4.92 in 2025, then grew by 1.96% to -$4.83 in 2026.
  • The last three Debt to Equity figures came in at -$4.83 (Q1 2026), -$4.92 (Q4 2025), and -$6.21 (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Debt/Equity (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn -16.13
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 2.74
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn -22.31
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 0.78
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 0.06
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 0.63
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 0.55
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 0.11
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 0.05
10 Oncology Institute 477.45 Mn 447.17 Mn 139.16 Mn -4.83

Historic Data

Download Data 🔒
DateValue
Mar 31, 2026 -4.83
Dec 31, 2025 -4.92
Sep 30, 2025 -6.21
Jun 30, 2025 -8.35
Mar 31, 2025 14.58
Dec 31, 2024 25.95
Sep 30, 2024 5.91
Jun 30, 2024 3.08
Mar 31, 2024 2.14
Dec 31, 2023 1.52
Sep 30, 2023 1.19
Jun 30, 2023 0.99
Mar 31, 2023 0.83
Dec 31, 2022 0.65
Sep 30, 2022 0.62
Dec 31, 2021 0.00
Dec 31, 2020 0.42