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Side-by-side financial comparison of Bowhead Specialty Holdings Inc. (BOW) and Oncology Institute, Inc. (TOI). Click either name above to swap in a different company.
Bowhead Specialty Holdings Inc. is the larger business by last-quarter revenue ($151.7M vs $142.0M, roughly 1.1× Oncology Institute, Inc.). Bowhead Specialty Holdings Inc. runs the higher net margin — 9.8% vs -5.3%, a 15.1% gap on every dollar of revenue. Bowhead Specialty Holdings Inc. produced more free cash flow last quarter ($326.0M vs $2.2M).
Bowhead Specialty Holdings Inc. is a specialty insurance holding company that offers a diversified portfolio of property and casualty insurance products, focusing on underserved niche market segments primarily across North America. It provides tailored risk management solutions and specialized coverage options for both commercial and individual clients.
Oncology Institute, Inc. is a specialized healthcare enterprise focused on delivering patient-centric, evidence-based oncology care services, including advanced treatment regimens, clinical trial access, and supportive care programs. It primarily operates across the United States, serving patients with diverse cancer diagnoses and partnering with care teams to improve treatment outcomes.
BOW vs TOI — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $151.7M | $142.0M |
| Net Profit | $14.8M | $-7.5M |
| Gross Margin | — | — |
| Operating Margin | 11.7% | -4.9% |
| Net Margin | 9.8% | -5.3% |
| Revenue YoY | — | 41.6% |
| Net Profit YoY | — | 43.0% |
| EPS (diluted) | $0.44 | $-0.04 |
Green = leading value per metric. Periods may differ when fiscal calendars don't align.
8-Quarter Revenue & Profit Trend
Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.
| Q4 25 | $151.7M | $142.0M | ||
| Q3 25 | $143.9M | $136.6M | ||
| Q2 25 | $133.3M | $119.8M | ||
| Q1 25 | $122.7M | $104.4M | ||
| Q4 24 | — | $100.3M | ||
| Q3 24 | $116.8M | $99.9M | ||
| Q2 24 | $98.9M | $98.6M | ||
| Q1 24 | — | $94.7M |
| Q4 25 | $14.8M | $-7.5M | ||
| Q3 25 | $15.2M | $-16.5M | ||
| Q2 25 | $12.3M | $-17.0M | ||
| Q1 25 | $11.4M | $-19.6M | ||
| Q4 24 | — | $-13.2M | ||
| Q3 24 | $12.1M | $-16.1M | ||
| Q2 24 | $5.5M | $-15.5M | ||
| Q1 24 | — | $-19.9M |
| Q4 25 | 11.7% | -4.9% | ||
| Q3 25 | 13.3% | -5.9% | ||
| Q2 25 | 11.9% | -9.4% | ||
| Q1 25 | 11.8% | -9.5% | ||
| Q4 24 | — | -11.9% | ||
| Q3 24 | 13.5% | -13.9% | ||
| Q2 24 | 7.5% | -16.6% | ||
| Q1 24 | — | -19.0% |
| Q4 25 | 9.8% | -5.3% | ||
| Q3 25 | 10.5% | -12.1% | ||
| Q2 25 | 9.3% | -14.2% | ||
| Q1 25 | 9.3% | -18.8% | ||
| Q4 24 | — | -13.1% | ||
| Q3 24 | 10.4% | -16.1% | ||
| Q2 24 | 5.6% | -15.7% | ||
| Q1 24 | — | -21.0% |
| Q4 25 | $0.44 | $-0.04 | ||
| Q3 25 | $0.45 | $-0.14 | ||
| Q2 25 | $0.36 | $-0.15 | ||
| Q1 25 | $0.34 | $-0.21 | ||
| Q4 24 | — | $-0.14 | ||
| Q3 24 | $0.36 | $-0.18 | ||
| Q2 24 | $0.20 | $-0.17 | ||
| Q1 24 | — | $-0.22 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $193.5M | — |
| Total DebtLower is stronger | $146.4M | — |
| Stockholders' EquityBook value | $448.3M | $-15.7M |
| Total Assets | $2.4B | $164.7M |
| Debt / EquityLower = less leverage | 0.33× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $193.5M | — | ||
| Q3 25 | $197.9M | — | ||
| Q2 25 | $114.8M | — | ||
| Q1 25 | $88.0M | — | ||
| Q4 24 | — | — | ||
| Q3 24 | $132.9M | — | ||
| Q2 24 | $180.3M | $9.9M | ||
| Q1 24 | — | $29.8M |
| Q4 25 | $146.4M | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
| Q4 25 | $448.3M | $-15.7M | ||
| Q3 25 | $430.2M | $-12.3M | ||
| Q2 25 | $407.2M | $-9.0M | ||
| Q1 25 | $391.0M | $5.1M | ||
| Q4 24 | — | $3.6M | ||
| Q3 24 | $364.7M | $15.5M | ||
| Q2 24 | $339.9M | $29.2M | ||
| Q1 24 | — | $41.3M |
| Q4 25 | $2.4B | $164.7M | ||
| Q3 25 | $2.1B | $163.6M | ||
| Q2 25 | $1.9B | $159.8M | ||
| Q1 25 | $1.8B | $164.0M | ||
| Q4 24 | — | $172.7M | ||
| Q3 24 | $1.5B | $179.2M | ||
| Q2 24 | $1.4B | $179.6M | ||
| Q1 24 | — | $204.5M |
| Q4 25 | 0.33× | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $331.6M | $3.2M |
| Free Cash FlowOCF − Capex | $326.0M | $2.2M |
| FCF MarginFCF / Revenue | 214.9% | 1.5% |
| Capex IntensityCapex / Revenue | 3.7% | 0.7% |
| Cash ConversionOCF / Net Profit | 22.34× | — |
| TTM Free Cash FlowTrailing 4 quarters | $593.4M | $-27.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $331.6M | $3.2M | ||
| Q3 25 | $114.7M | $-12.6M | ||
| Q2 25 | $109.0M | $-10.2M | ||
| Q1 25 | $47.7M | $-5.0M | ||
| Q4 24 | — | $4.2M | ||
| Q3 24 | $119.4M | $819.0K | ||
| Q2 24 | — | $-15.7M | ||
| Q1 24 | — | $-15.9M |
| Q4 25 | $326.0M | $2.2M | ||
| Q3 25 | $113.5M | $-13.2M | ||
| Q2 25 | $107.4M | $-11.4M | ||
| Q1 25 | $46.5M | $-5.3M | ||
| Q4 24 | — | $2.4M | ||
| Q3 24 | $118.4M | $417.0K | ||
| Q2 24 | — | $-17.5M | ||
| Q1 24 | — | $-16.5M |
| Q4 25 | 214.9% | 1.5% | ||
| Q3 25 | 78.8% | -9.7% | ||
| Q2 25 | 80.6% | -9.5% | ||
| Q1 25 | 37.9% | -5.1% | ||
| Q4 24 | — | 2.4% | ||
| Q3 24 | 101.4% | 0.4% | ||
| Q2 24 | — | -17.7% | ||
| Q1 24 | — | -17.4% |
| Q4 25 | 3.7% | 0.7% | ||
| Q3 25 | 0.9% | 0.4% | ||
| Q2 25 | 1.2% | 1.0% | ||
| Q1 25 | 1.0% | 0.3% | ||
| Q4 24 | — | 1.8% | ||
| Q3 24 | 0.9% | 0.4% | ||
| Q2 24 | — | 1.9% | ||
| Q1 24 | — | 0.6% |
| Q4 25 | 22.34× | — | ||
| Q3 25 | 7.56× | — | ||
| Q2 25 | 8.83× | — | ||
| Q1 25 | 4.18× | — | ||
| Q4 24 | — | — | ||
| Q3 24 | 9.88× | — | ||
| Q2 24 | — | — | ||
| Q1 24 | — | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
BOW
Segment breakdown not available.
TOI
| Other | $82.1M | 58% |
| Fee For Service | $36.3M | 26% |
| Capitated Revenue | $23.6M | 17% |
