Growth Metrics

Oncology Institute (TOIIW) Free Cash Flow (2020 - 2026)

Oncology Institute posted quarterly Free Cash Flow of -$3.3 million for Q1 2026, up 38.73% year-on-year from -$2.3 million in Q1 2025, and down 249.88% on a QoQ basis from $2.2 million in Q4 2025.

Oncology Institute (TOIIW) has 7 years of Free Cash Flow data on file, last reported at -$3.3 million in Q1 2026.

  • For the quarter ending Q1 2026, Free Cash Flow rose 38.73% year-over-year to -$3.3 million; the trailing twelve-month figure through Mar 2026 stood at -$25.7 million (down 33.06% YoY), and the FY2025 full-year result was -$27.8 million, up 8.38% from the prior year.
  • Free Cash Flow for Q1 2026 stood at -$3.3 million, down from $2.2 million in the prior quarter.
  • Across five years, Free Cash Flow topped out at $2.2 million in Q4 2024 and bottomed at -$21.6 million in Q3 2022.
  • The 5-year median for Free Cash Flow is -$10.5 million (2022), against an average of -$9.7 million.
  • The widest annual swing landed in 2022, when Free Cash Flow tumbled 11501.94%; it then soared 147.22% in 2024.
  • A 5-year view of Free Cash Flow shows it stood at -$10.5 million in 2022, then surged by 54.56% to -$4.8 million in 2023, then jumped by 147.22% to $2.2 million in 2024, then declined by 3.21% to $2.2 million in 2025, then slumped by 249.88% to -$3.3 million in 2026.
  • The last three Free Cash Flow figures came in at -$3.3 million (Q1 2026), $2.2 million (Q4 2025), and -$13.2 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 HCA Healthcare 84.64 Bn 87.02 Bn 16.26 Bn 895.00 Mn
2 Tenet Healthcare 15.22 Bn 14.39 Bn 4.41 Bn 1.46 Bn
3 Davita 13.10 Bn 13.96 Bn 1.07 Bn 218.81 Mn
4 Encompass Health 10.50 Bn 11.12 Bn 1.34 Bn 150.70 Mn
5 Ensign 9.69 Bn 9.09 Bn 293.37 Mn 90.18 Mn
6 Universal Health Services 8.92 Bn 8.88 Bn 3.21 Bn 184.47 Mn
7 Fresenius Medical Care AG 7.31 Bn 4.93 Bn 22,843.10 Bn 1.65 Bn
8 Chemed 5.83 Bn 5.81 Bn 215.76 Mn 71.10 Mn
9 Pacs 5.76 Bn 5.51 Bn 345.96 Mn 149.82 Mn
10 Oncology Institute - - 139.16 Mn -3.26 Mn

Historic Data

Download Data 🔒
DateValue
Mar 31, 2026 -3.26 Mn
Mar 31, 2026 -3.26 Mn
Dec 31, 2025 2.17 Mn
Dec 31, 2025 2.17 Mn
Sep 30, 2025 -13.23 Mn
Sep 30, 2025 -13.23 Mn
Jun 30, 2025 -11.41 Mn
Jun 30, 2025 -11.41 Mn
Mar 31, 2025 -5.32 Mn
Mar 31, 2025 -5.32 Mn
Dec 31, 2024 2.25 Mn
Dec 31, 2024 2.25 Mn
Sep 30, 2024 1.22 Mn
Sep 30, 2024 1.22 Mn
Jun 30, 2024 -17.49 Mn
Jun 30, 2024 -17.49 Mn
Mar 31, 2024 -16.49 Mn
Mar 31, 2024 -16.49 Mn
Dec 31, 2023 -4.75 Mn
Dec 31, 2023 -4.75 Mn
Sep 30, 2023 -9.24 Mn
Sep 30, 2023 -9.24 Mn
Jun 30, 2023 -9.60 Mn
Jun 30, 2023 -9.60 Mn
Mar 31, 2023 -17.29 Mn
Mar 31, 2023 -17.29 Mn
Dec 31, 2022 -10.46 Mn
Dec 31, 2022 -10.46 Mn
Sep 30, 2022 -21.59 Mn
Sep 30, 2022 -21.59 Mn
Jun 30, 2022 -11.72 Mn
Jun 30, 2022 -11.72 Mn
Mar 31, 2022 -17.98 Mn
Mar 31, 2022 -17.98 Mn
Dec 31, 2021 -24.21 Mn
Dec 31, 2021 -24.21 Mn
Sep 30, 2021 -3.63 Mn
Sep 30, 2021 -3.63 Mn
Jun 30, 2021 -7.54 Mn
Jun 30, 2021 -7.54 Mn
Mar 31, 2021 -155,000.00
Mar 31, 2021 -155,000.00
Dec 31, 2020 1.01 Mn
Dec 31, 2020 1.01 Mn
Sep 30, 2020 -69,419.00
Sep 30, 2020 -69,419.00
Jun 30, 2020 -402,774.00
Jun 30, 2020 -402,774.00