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Side-by-side financial comparison of Orion Group Holdings Inc (ORN) and Oncology Institute, Inc. (TOI). Click either name above to swap in a different company.

Orion Group Holdings Inc is the larger business by last-quarter revenue ($216.3M vs $142.0M, roughly 1.5× Oncology Institute, Inc.). Orion Group Holdings Inc runs the higher net margin — 2.2% vs -5.3%, a 7.5% gap on every dollar of revenue. On growth, Oncology Institute, Inc. posted the faster year-over-year revenue change (41.6% vs 14.6%). Over the past eight quarters, Oncology Institute, Inc.'s revenue compounded faster (22.5% CAGR vs 6.1%).

Orion Corporation, founded in 1917 and headquartered at Espoo, Finland, is a globally operating Finnish company which develops, manufactures and markets human and veterinary pharmaceuticals and active pharmaceutical ingredients for global markets. All of the company's manufacturing sites and the majority of its R&D units are in Finland.

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.

ORN vs TOI — Head-to-Head

Bigger by revenue
ORN
ORN
1.5× larger
ORN
$216.3M
$142.0M
TOI
Growing faster (revenue YoY)
TOI
TOI
+27.0% gap
TOI
41.6%
14.6%
ORN
Higher net margin
ORN
ORN
7.5% more per $
ORN
2.2%
-5.3%
TOI
Faster 2-yr revenue CAGR
TOI
TOI
Annualised
TOI
22.5%
6.1%
ORN

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
ORN
ORN
TOI
TOI
Revenue
$216.3M
$142.0M
Net Profit
$4.7M
$-7.5M
Gross Margin
12.0%
Operating Margin
-4.9%
Net Margin
2.2%
-5.3%
Revenue YoY
14.6%
41.6%
Net Profit YoY
435.7%
43.0%
EPS (diluted)
$0.12
$-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.

Revenue
ORN
ORN
TOI
TOI
Q1 26
$216.3M
Q4 25
$233.2M
$142.0M
Q3 25
$225.1M
$136.6M
Q2 25
$205.3M
$119.8M
Q1 25
$188.7M
$104.4M
Q4 24
$216.9M
$100.3M
Q3 24
$226.7M
$99.9M
Q2 24
$192.2M
$98.6M
Net Profit
ORN
ORN
TOI
TOI
Q1 26
$4.7M
Q4 25
$-240.0K
$-7.5M
Q3 25
$3.3M
$-16.5M
Q2 25
$841.0K
$-17.0M
Q1 25
$-1.4M
$-19.6M
Q4 24
$6.8M
$-13.2M
Q3 24
$4.3M
$-16.1M
Q2 24
$-6.6M
$-15.5M
Gross Margin
ORN
ORN
TOI
TOI
Q1 26
12.0%
Q4 25
11.6%
Q3 25
13.2%
Q2 25
12.6%
Q1 25
12.2%
Q4 24
14.0%
Q3 24
11.9%
Q2 24
9.5%
Operating Margin
ORN
ORN
TOI
TOI
Q1 26
Q4 25
2.2%
-4.9%
Q3 25
2.4%
-5.9%
Q2 25
1.7%
-9.4%
Q1 25
0.4%
-9.5%
Q4 24
4.4%
-11.9%
Q3 24
3.4%
-13.9%
Q2 24
-1.4%
-16.6%
Net Margin
ORN
ORN
TOI
TOI
Q1 26
2.2%
Q4 25
-0.1%
-5.3%
Q3 25
1.5%
-12.1%
Q2 25
0.4%
-14.2%
Q1 25
-0.7%
-18.8%
Q4 24
3.1%
-13.1%
Q3 24
1.9%
-16.1%
Q2 24
-3.4%
-15.7%
EPS (diluted)
ORN
ORN
TOI
TOI
Q1 26
$0.12
Q4 25
$-0.00
$-0.04
Q3 25
$0.08
$-0.14
Q2 25
$0.02
$-0.15
Q1 25
$-0.04
$-0.21
Q4 24
$0.22
$-0.14
Q3 24
$0.12
$-0.18
Q2 24
$-0.20
$-0.17

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ORN
ORN
TOI
TOI
Cash + ST InvestmentsLiquidity on hand
$6.3M
Total DebtLower is stronger
Stockholders' EquityBook value
$166.7M
$-15.7M
Total Assets
$478.7M
$164.7M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ORN
ORN
TOI
TOI
Q1 26
$6.3M
Q4 25
$1.6M
Q3 25
$4.9M
Q2 25
$1.7M
Q1 25
$13.0M
Q4 24
$28.3M
Q3 24
$28.3M
Q2 24
$4.8M
$9.9M
Total Debt
ORN
ORN
TOI
TOI
Q1 26
Q4 25
Q3 25
Q2 25
$33.4M
Q1 25
$23.3M
Q4 24
$23.2M
Q3 24
$28.0M
Q2 24
$60.3M
Stockholders' Equity
ORN
ORN
TOI
TOI
Q1 26
$166.7M
Q4 25
$159.0M
$-15.7M
Q3 25
$157.9M
$-12.3M
Q2 25
$153.2M
$-9.0M
Q1 25
$150.8M
$5.1M
Q4 24
$150.7M
$3.6M
Q3 24
$142.4M
$15.5M
Q2 24
$111.1M
$29.2M
Total Assets
ORN
ORN
TOI
TOI
Q1 26
$478.7M
Q4 25
$414.7M
$164.7M
Q3 25
$422.4M
$163.6M
Q2 25
$432.7M
$159.8M
Q1 25
$416.3M
$164.0M
Q4 24
$417.3M
$172.7M
Q3 24
$430.3M
$179.2M
Q2 24
$414.0M
$179.6M
Debt / Equity
ORN
ORN
TOI
TOI
Q1 26
Q4 25
Q3 25
Q2 25
0.22×
Q1 25
0.15×
Q4 24
0.15×
Q3 24
0.20×
Q2 24
0.54×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ORN
ORN
TOI
TOI
Operating Cash FlowLast quarter
$3.2M
Free Cash FlowOCF − Capex
$2.2M
FCF MarginFCF / Revenue
1.5%
Capex IntensityCapex / Revenue
0.7%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-27.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ORN
ORN
TOI
TOI
Q1 26
Q4 25
$13.8M
$3.2M
Q3 25
$23.3M
$-12.6M
Q2 25
$-5.6M
$-10.2M
Q1 25
$-3.4M
$-5.0M
Q4 24
$13.4M
$4.2M
Q3 24
$37.5M
$819.0K
Q2 24
$-15.3M
$-15.7M
Free Cash Flow
ORN
ORN
TOI
TOI
Q1 26
Q4 25
$454.0K
$2.2M
Q3 25
$13.9M
$-13.2M
Q2 25
$-12.7M
$-11.4M
Q1 25
$-12.5M
$-5.3M
Q4 24
$9.9M
$2.4M
Q3 24
$33.3M
$417.0K
Q2 24
$-20.0M
$-17.5M
FCF Margin
ORN
ORN
TOI
TOI
Q1 26
Q4 25
0.2%
1.5%
Q3 25
6.2%
-9.7%
Q2 25
-6.2%
-9.5%
Q1 25
-6.6%
-5.1%
Q4 24
4.6%
2.4%
Q3 24
14.7%
0.4%
Q2 24
-10.4%
-17.7%
Capex Intensity
ORN
ORN
TOI
TOI
Q1 26
Q4 25
5.7%
0.7%
Q3 25
4.2%
0.4%
Q2 25
3.5%
1.0%
Q1 25
4.8%
0.3%
Q4 24
1.6%
1.8%
Q3 24
1.8%
0.4%
Q2 24
2.4%
1.9%
Cash Conversion
ORN
ORN
TOI
TOI
Q1 26
Q4 25
Q3 25
7.05×
Q2 25
-6.61×
Q1 25
Q4 24
1.98×
Q3 24
8.79×
Q2 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ORN
ORN

Segment breakdown not available.

TOI
TOI

Other$82.1M58%
Fee For Service$36.3M26%
Capitated Revenue$23.6M17%

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