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The Oncology Institute, Inc. TOI Specialty Pharmacy — Direct costs

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Other financials

Income statement

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Revenue$147.4M+41.2%
Operating income-$6.5M+34.3%
Net income-$2.5M+87.3%
EPS (diluted)-$0.02+90.5%

Balance sheet

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Cash & equivalents$30.3M-23.8%
Total debt$104.9M+2.5%
Total equity-$16.3M-421%
Total assets$168.2M+2.6%

Cash flow

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Operating cash flow-$2.2M+55.6%
CapEx$1.0M+218%
Free cash flow-$3.3M+38.7%

Valuation

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Market cap$511.91M+133%
Enterprise value$586.58M+108%
P/S0.9×+0.4×

Profitability

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Operating margin-6%-2.1pp
Net margin-8%-2.7pp
FCF margin-5.1%

Returns & leverage

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Return on equity-277.6%-700pp
Debt / equity20.2×+17.3×
Current ratio1.5×-0.3×

Where this comes from

Reported directly by The Oncology Institute, Inc. in its filing.

Tagged under the XBRL concept us-gaap:CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization.

The official record: The Oncology Institute, Inc.’s 10-Q, filed May 7, 2026, on SEC EDGAR. View the filing →

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Questions, answered.

What is The Oncology Institute, Inc.'s specialty pharmacy — direct costs?
The Oncology Institute, Inc. (TOI) reported specialty pharmacy — direct costs of $70.74M in Q1 2026.
How has The Oncology Institute, Inc.'s specialty pharmacy — direct costs changed year-over-year?
The Oncology Institute, Inc.'s specialty pharmacy — direct costs increased by 77.5% year-over-year, from $39.86M to $70.74M.
What does specialty pharmacy — direct costs mean?
This metric captures the direct expenses associated with procuring, handling, and dispensing specialty oncology medications, including the cost of goods sold and related pharmacy-specific operational outlays. It serves as a primary indicator of the cost-efficiency and margin profile of the pharmacy segment. Monitoring these costs is essential for evaluating the company's ability to manage pharmaceutical procurement pricing and supply chain overhead.