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TOI Should I Buy

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Intellectia

Should You Buy Oncology Institute Inc (TOI) Today? Analysis, Price Targets, and 2026 Outlook.

Conclusion
Hold
Latest Price
3.520
1 Day change
-0.56%
52 Week Range
4.880
Analysis Updated At
2026/04/17
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Oncology Institute Inc (TOI) does not present a strong buy opportunity at the moment for a beginner investor with a long-term strategy. Despite positive developments such as the company's first profitable quarter and raised analyst price targets, the financial performance remains weak with negative net income and EPS. Additionally, hedge funds are selling aggressively, and there is no significant insider or congressional trading activity to indicate confidence. The technical indicators and options data also do not signal a strong entry point currently.

Technical Analysis

The MACD is positive and expanding (0.0326), suggesting bullish momentum. However, RSI at 79.102 is in the neutral zone, and moving averages are converging, indicating no clear trend. The stock is trading near resistance levels (R1: 3.508, R2: 3.661), which could limit upside potential in the short term.

Options Data

Bullish
Open Interest Put-Call Ratio
Bullish
Option Volume Put-Call Ratio

The low put-call ratios indicate bullish sentiment in the options market. However, implied volatility is high (112.34%), suggesting significant risk.

Technical Summary

StrongSellSellNeutralBuyStrongBuydotted line Image
Sell
4
Buy
9

Positive Catalysts

  • Revenue increased by 41.58% YoY, and management reiterated strong 2026 guidance of $630M-$650M revenue. Analysts have raised price targets, signaling confidence in the company's growth potential.

Neutral/Negative Catalysts

  • Hedge funds are aggressively selling, with a 47487.34% increase in selling activity over the last quarter. Financial performance is weak, with a net income drop of -40.63% YoY and EPS down -57.14% YoY. No recent news, insider activity, or congressional trading data to support a buy decision.

Financial Performance

In Q4 2025, revenue grew to $141.96M (+41.58% YoY), but net income dropped to -$6.43M (-40.63% YoY), and EPS fell to -0.06 (-57.14% YoY). Gross margin improved to 14.89% (+15.52% YoY), but overall profitability remains a concern.

Growth

Profitability

Efficiency

Analyst Ratings and Price Target Trends

B. Riley raised the price target from $6 to $8 and maintains a Buy rating, citing the company's profitable quarter and strong revenue guidance. However, the stock's near-term performance remains uncertain due to weak financial metrics and selling pressure from hedge funds.

Wall Street analysts forecast TOI stock price to rise
3 Analyst Rating
Wall Street analysts forecast TOI stock price to rise
3 Buy
0 Hold
0 Sell
Strong Buy
Current: 3.540
sliders
Low
5
Averages
6.67
High
8
Current: 3.540
sliders
Low
5
Averages
6.67
High
8
B. Riley
Buy
maintain
$6 -> $8
AI Analysis
2026-03-13
Reason
B. Riley
Price Target
$6 -> $8
AI Analysis
2026-03-13
maintain
Buy
Reason
B. Riley raised the firm's price target on Oncology Institute to $8 from $6 and keeps a Buy rating on the shares. Oncology Institute delivered its first profitable quarter as a public company in Q4 and management reiterated 2026 guidance of $630M-$650M revenue, highlighting near-doubling of capitated revenue from Florida contract ramp-ups and new payer wins, signaling an inflection point for its value-based care model, the analyst tells investors in a research note.
Needham
Buy
initiated
$5
2025-11-25
Reason
Needham
Price Target
$5
2025-11-25
initiated
Buy
Reason
Needham initiated coverage of Oncology Institute with a Buy rating and $5 price target. As value-based care adoption accelerates, Oncology Institute appears well positioned to help curb rising oncology costs, with early relationships typically starting in fee-for-service and expanding into downside risk, the analyst tells investors in a research note. Demand supports a durable 20%+ growth outlook, a shift toward VBC could lift EBITDA margins into the mid-single digits, and shares look undervalued ahead of expected positive EBITDA in Q4 and FY26, the firm says.
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