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Side-by-side financial comparison of PROASSURANCE CORP (PRA) and Oncology Institute, Inc. (TOI). Click either name above to swap in a different company.
PROASSURANCE CORP is the larger business by last-quarter revenue ($269.6M vs $142.0M, roughly 1.9× Oncology Institute, Inc.). PROASSURANCE CORP runs the higher net margin — 12.4% vs -5.3%, a 17.7% gap on every dollar of revenue. On growth, Oncology Institute, Inc. posted the faster year-over-year revenue change (41.6% vs -7.1%). Over the past eight quarters, Oncology Institute, Inc.'s revenue compounded faster (22.5% CAGR vs -2.7%).
PROASSURANCE CORPPRAEarnings & Financial Report
ProAssurance Corporation, headquartered in Birmingham, Alabama, is a property and casualty company that sells professional liability insurance to doctors. The company was founded in 1976 as Mutual Assurance and was later renamed to Medical Assurance in 1997. The name "ProAssurance" was created in 2001 when Medical Assurance merged with Professionals Group. The company is currently the fourth largest medical professional liability insurance writer and has over $6 billion in assets.
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.
PRA vs TOI — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $269.6M | $142.0M |
| Net Profit | $33.4M | $-7.5M |
| Gross Margin | — | — |
| Operating Margin | 17.3% | -4.9% |
| Net Margin | 12.4% | -5.3% |
| Revenue YoY | -7.1% | 41.6% |
| Net Profit YoY | 106.4% | 43.0% |
| EPS (diluted) | $0.65 | $-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 | $269.6M | $142.0M | ||
| Q3 25 | $279.6M | $136.6M | ||
| Q2 25 | $276.8M | $119.8M | ||
| Q1 25 | $272.1M | $104.4M | ||
| Q4 24 | $290.1M | $100.3M | ||
| Q3 24 | $285.3M | $99.9M | ||
| Q2 24 | $290.4M | $98.6M | ||
| Q1 24 | $284.7M | $94.7M |
| Q4 25 | $33.4M | $-7.5M | ||
| Q3 25 | $1.4M | $-16.5M | ||
| Q2 25 | $21.9M | $-17.0M | ||
| Q1 25 | $-5.8M | $-19.6M | ||
| Q4 24 | $16.2M | $-13.2M | ||
| Q3 24 | $16.4M | $-16.1M | ||
| Q2 24 | $15.5M | $-15.5M | ||
| Q1 24 | $4.6M | $-19.9M |
| Q4 25 | 17.3% | -4.9% | ||
| Q3 25 | 1.6% | -5.9% | ||
| Q2 25 | 9.9% | -9.4% | ||
| Q1 25 | -2.3% | -9.5% | ||
| Q4 24 | 6.5% | -11.9% | ||
| Q3 24 | 7.4% | -13.9% | ||
| Q2 24 | 6.2% | -16.6% | ||
| Q1 24 | 1.9% | -19.0% |
| Q4 25 | 12.4% | -5.3% | ||
| Q3 25 | 0.5% | -12.1% | ||
| Q2 25 | 7.9% | -14.2% | ||
| Q1 25 | -2.1% | -18.8% | ||
| Q4 24 | 5.6% | -13.1% | ||
| Q3 24 | 5.8% | -16.1% | ||
| Q2 24 | 5.3% | -15.7% | ||
| Q1 24 | 1.6% | -21.0% |
| Q4 25 | $0.65 | $-0.04 | ||
| Q3 25 | $0.03 | $-0.14 | ||
| Q2 25 | $0.42 | $-0.15 | ||
| Q1 25 | $-0.11 | $-0.21 | ||
| Q4 24 | $0.32 | $-0.14 | ||
| Q3 24 | $0.32 | $-0.18 | ||
| Q2 24 | $0.30 | $-0.17 | ||
| Q1 24 | $0.09 | $-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 | $36.5M | — |
| Total DebtLower is stronger | $420.4M | — |
| Stockholders' EquityBook value | $1.3B | $-15.7M |
| Total Assets | $5.4B | $164.7M |
| Debt / EquityLower = less leverage | 0.31× | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $36.5M | — | ||
| Q3 25 | $54.5M | — | ||
| Q2 25 | $41.6M | — | ||
| Q1 25 | $43.5M | — | ||
| Q4 24 | $54.9M | — | ||
| Q3 24 | $45.3M | — | ||
| Q2 24 | $36.9M | $9.9M | ||
| Q1 24 | $65.4M | $29.8M |
| Q4 25 | $420.4M | — | ||
| Q3 25 | $421.5M | — | ||
| Q2 25 | $422.6M | — | ||
| Q1 25 | $423.7M | — | ||
| Q4 24 | $424.9M | — | ||
| Q3 24 | $425.9M | — | ||
| Q2 24 | $426.9M | — | ||
| Q1 24 | $427.8M | — |
| Q4 25 | $1.3B | $-15.7M | ||
| Q3 25 | $1.3B | $-12.3M | ||
| Q2 25 | $1.3B | $-9.0M | ||
| Q1 25 | $1.2B | $5.1M | ||
| Q4 24 | $1.2B | $3.6M | ||
| Q3 24 | $1.2B | $15.5M | ||
| Q2 24 | $1.1B | $29.2M | ||
| Q1 24 | $1.1B | $41.3M |
| Q4 25 | $5.4B | $164.7M | ||
| Q3 25 | $5.6B | $163.6M | ||
| Q2 25 | $5.5B | $159.8M | ||
| Q1 25 | $5.5B | $164.0M | ||
| Q4 24 | $5.6B | $172.7M | ||
| Q3 24 | $5.7B | $179.2M | ||
| Q2 24 | $5.6B | $179.6M | ||
| Q1 24 | $5.7B | $204.5M |
| Q4 25 | 0.31× | — | ||
| Q3 25 | 0.32× | — | ||
| Q2 25 | 0.33× | — | ||
| Q1 25 | 0.34× | — | ||
| Q4 24 | 0.35× | — | ||
| Q3 24 | 0.35× | — | ||
| Q2 24 | 0.38× | — | ||
| Q1 24 | 0.38× | — |
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 | $-25.6M | $3.2M |
| Free Cash FlowOCF − Capex | — | $2.2M |
| FCF MarginFCF / Revenue | — | 1.5% |
| Capex IntensityCapex / Revenue | — | 0.7% |
| Cash ConversionOCF / Net Profit | -0.77× | — |
| TTM Free Cash FlowTrailing 4 quarters | — | $-27.8M |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $-25.6M | $3.2M | ||
| Q3 25 | $27.2M | $-12.6M | ||
| Q2 25 | $-28.1M | $-10.2M | ||
| Q1 25 | $-11.6M | $-5.0M | ||
| Q4 24 | $-10.7M | $4.2M | ||
| Q3 24 | $14.0M | $819.0K | ||
| Q2 24 | $-12.8M | $-15.7M | ||
| Q1 24 | $-11.6M | $-15.9M |
| Q4 25 | — | $2.2M | ||
| Q3 25 | — | $-13.2M | ||
| Q2 25 | — | $-11.4M | ||
| Q1 25 | — | $-5.3M | ||
| Q4 24 | — | $2.4M | ||
| Q3 24 | — | $417.0K | ||
| Q2 24 | — | $-17.5M | ||
| Q1 24 | — | $-16.5M |
| Q4 25 | — | 1.5% | ||
| Q3 25 | — | -9.7% | ||
| Q2 25 | — | -9.5% | ||
| Q1 25 | — | -5.1% | ||
| Q4 24 | — | 2.4% | ||
| Q3 24 | — | 0.4% | ||
| Q2 24 | — | -17.7% | ||
| Q1 24 | — | -17.4% |
| Q4 25 | — | 0.7% | ||
| Q3 25 | — | 0.4% | ||
| Q2 25 | — | 1.0% | ||
| Q1 25 | — | 0.3% | ||
| Q4 24 | — | 1.8% | ||
| Q3 24 | — | 0.4% | ||
| Q2 24 | — | 1.9% | ||
| Q1 24 | — | 0.6% |
| Q4 25 | -0.77× | — | ||
| Q3 25 | 18.81× | — | ||
| Q2 25 | -1.28× | — | ||
| Q1 25 | — | — | ||
| Q4 24 | -0.66× | — | ||
| Q3 24 | 0.85× | — | ||
| Q2 24 | -0.83× | — | ||
| Q1 24 | -2.52× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
PRA
| Workers Compensation Insurance Segment | $164.4M | 61% |
| Other | $59.6M | 22% |
| Segregated Portfolio Cell Reinsurance | $45.7M | 17% |
TOI
| Other | $82.1M | 58% |
| Fee For Service | $36.3M | 26% |
| Capitated Revenue | $23.6M | 17% |
