TOI (The Oncology Institute) Altman Z-Score: 2.19 (As of Jun. 26, 2026) — 227% Above Median


TOI The Oncology Institute Inc TOI
56 GF Score
Price $5.11
GF Value $2.24
Valuation Significantly Overvalued
! 6 Warning Signs
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What is The Oncology Institute Altman Z-Score?

The Oncology Institute TOI -2.66% 56 Altman Z-Score is 2.19 as of Jun. 26, 2026, which is 227% above its 10-year median of 0.67. GuruFocus rates TOI with a GF Score™ of 56/100 and a GF Value™ of $2.24 (Significantly Overvalued). The stock has 6 warning signs investors should review. Among 662 Healthcare Providers & Services companies, The Oncology Institute ranks worse than 52.42% on this metric.

The Altman Z-Score is a model designed to predict the likelihood of a company going bankrupt within the next two years. Created by American finance professor Edward Altman in 1968, the model is specifically designed for publicly traded manufacturing companies with assets greater than $1 million.

Warning Sign:

Altman Z-score of 2.19 is in the grey area. This implies that the company is under some kind of financial stress. If it is below 1.8, the company may face bankruptcy risk.

The Oncology Institute has a Altman Z-Score of 2.19, indicating it is in Grey Zones. This implies that The Oncology Institute is in some kind of financial stress. If it is below 1.81, the company may face bankrupcy risk.

The zones of discrimination were as such:

When Altman Z-Score <= 1.8, it is in Distress Zones.
When Altman Z-Score >= 3, it is in Safe Zones.
When Altman Z-Score is between 1.8 and 3, it is in Grey Zones.

The historical rank and industry rank for The Oncology Institute's Altman Z-Score or its related term are showing as below:

TOI' s Altman Z-Score Range Over the Past 10 Years
Min: -0.02   Med: 0.67   Max: 5.7
Current: 2.19

During the past 8 years, The Oncology Institute's highest Altman Z-Score was 5.70. The lowest was -0.02. And the median was 0.67.


The Oncology Institute  (NAS:TOI) Altman Z-Score Explanation

X1: The Working Capital/Total Assets (WC/TA) ratio is a measure of the net liquid assets of the firm relative to the total capitalization. Working capital is defined as the difference between current assets and current liabilities. Ordinarily, a firm experiencing consistent operating losses will have shrinking current assets in relation to total assets. Altman found this one proved to be the most valuable liquidity ratio comparing with the current ratio and the quick ratio. This is however the least significant of the five factors.

X2: Retained Earnings/Total Assets: the RE/TA ratio measures the leverage of a firm. Retained earnings is the account which reports the total amount of reinvested earnings and/or losses of a firm over its entire life. Those firms with high RE, relative to TA, have financed their assets through retention of profits and have not utilized as much debt.

X3, Earnings Before Interest and Taxes/Total Assets (EBIT/TA): This ratio is a measure of the true productivity of the firm's assets, independent of any tax or leverage factors. Since a firm's ultimate existence is based on the earning power of its assets, this ratio appears to be particularly appropriate for studies dealing with corporate failure. This ratio continually outperforms other profitability measures, including cash flow.

X4, Market Value of Equity/Book Value of Total Liabilities (MVE/TL): The measure shows how much the firm's assets can decline in value (measured by market value of equity plus debt) before the liabilities exceed the assets and the firm becomes insolvent.

X5, Revenue/Total Assets (S/TA): The capital-turnover ratio is a standard financial ratio illustrating the sales generating ability of the firm's assets.

Read more about Altman Z-Score and the original research.


Be Aware

Altman Z-Score does not apply to financial companies.


The Oncology Institute Altman Z-Score Related Terms


The Oncology Institute Altman Z-Score Historical Data

* Premium members only.

The historical data trend for The Oncology Institute's Altman Z-Score can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

The Oncology Institute Altman Z-Score Chart

The Oncology Institute Annual Data
Trend Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Altman Z-Score
Get a 7-Day Free Trial 5.43 1.66 0.59 -0.02 1.23

The Oncology Institute Quarterly Data
Jun21 Sep21 Dec21 Mar22 Jun22 Sep22 Dec22 Mar23 Jun23 Sep23 Dec23 Mar24 Jun24 Sep24 Dec24 Mar25 Jun25 Sep25 Dec25 Mar26
Altman Z-Score Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 0.15 0.33 0.92 1.23 1.52

TOI vs CCRN, SRTA, CYH: Altman Z-Score Comparison

For the Medical Care Facilities subindustry, The Oncology Institute's Altman Z-Score, along with its competitors' market caps and Altman Z-Score data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


The Oncology Institute Altman Z-Score vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, The Oncology Institute's Altman Z-Score distribution charts can be found below:

* The bar in red indicates where The Oncology Institute's Altman Z-Score falls into.


TOI
56GF Score
The Oncology Institute Inc TOI
Altman Z-Score is just one metric. See GF Score™, valuation, warning signs, and more.
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The Oncology Institute Altman Z-Score Calculation

Altman Z-Score model is an accurate forecaster of failure up to two years prior to distress. It can be considered the assessment of the distress of industrial corporations.

The Oncology Institute's Altman Z-Score for today is calculated with this formula:

Z=1.2*X1+1.4*X2+3.3*X3+0.6*X4+1.0*X5
=1.2*0.223+1.4*-1.6282+3.3*-0.214+0.6*2.7662+1.0*3.2442
=2.19

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency. GuruFocus does not calculate Altman Z-Score when X4 or X5 value is 0.

Trailing Twelve Months (TTM) ended in Mar. 2026:
Total Assets was $168.2 Mil.
Total Current Assets was $116.9 Mil.
Total Current Liabilities was $79.4 Mil.
Retained Earnings was $-273.9 Mil.
Pre-Tax Income was -2.492 + -7.508 + -16.504 + -17.14 = $-43.6 Mil.
Interest Expense was -1.934 + -1.916 + -1.92 + -1.87 = $-7.6 Mil.
Revenue was 147.441 + 141.957 + 136.564 + 119.802 = $545.8 Mil.
Market Cap (Today) was $510.4 Mil.
Total Liabilities was $184.5 Mil.

* Note that for stock reported semi-annually or annually, GuruFocus uses latest annual data as the TTM data.

X1=Working Capital/Total Assets
=(Total Current Assets - Total Current Liabilities)/Total Assets
=(116.863 - 79.351)/168.23
=0.223

X2=Retained Earnings/Total Assets
=-273.911/168.23
=-1.6282

X3=Earnings Before Interest and Taxes/Total Assets
=(Pre-Tax Income - Interest Expense)/Total Assets
=(-43.644 - -7.64)/168.23
=-0.214

X4=Market Value Equity/Book Value of Total Liabilities
=Market Cap/Total Liabilities
=510.413/184.515
=2.7662

X5=Revenue/Total Assets
=545.764/168.23
=3.2442

The zones of discrimination were as such:

Distress Zones - 1.81 < Grey Zones < 2.99 - Safe Zones

The Oncology Institute has a Altman Z-Score of 2.19 indicating it is in Grey Zones.

Study by Altman found that companies that are in Distress Zone have more than 80% of chances of bankruptcy in two years.

Frequently Asked Questions Learn more about Altman Z-Score →
What does a Altman Z-Score of 2.19 mean?
The Oncology Institute (TOI) has a Altman Z-Score of 2.19 as of Jun. 26, 2026. The Altman Z-score measures a company's bankruptcy risk. View historical data on The Oncology Institute and its competitors. This is 227% above median its historical median of 0.67. According to the industry distribution chart, The Oncology Institute ranks #347 out of 662 companies in the Healthcare Providers & Services industry, placing it in the top 52.4%.
Is The Oncology Institute's Altman Z-Score too high?
The Oncology Institute's current Altman Z-Score of 2.19 is 227% above median its 10-year median of 0.67. The Healthcare Providers & Services industry median Altman Z-Score is 2.36. The Oncology Institute's value of 2.19 is 7.2% below this industry median. Based on the distribution chart, The Oncology Institute ranks #347 out of 662 companies in the Healthcare Providers & Services industry, which is below the industry midpoint. Overall, The Oncology Institute has a GF Score™ of 56/100 and is considered Significantly Overvalued, reflecting its overall financial health beyond just this single metric.
How does The Oncology Institute's Altman Z-Score compare to CCRN and SRTA?
According to the Healthcare Providers & Services industry distribution chart, The Oncology Institute ranks #347 out of 662 companies for Altman Z-Score. This places The Oncology Institute in the lower half of its industry. The industry median Altman Z-Score is 2.36. The Oncology Institute's value of 2.19 is 7.2% below this benchmark. While the company's 10-year median is 0.67 vs. the industry median of 2.36, The Oncology Institute has consistently been below the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Altman Z-Score for a Healthcare Providers & Services company?
The median Altman Z-Score among Healthcare Providers & Services companies is 2.36, based on 662 companies in the industry. Companies in the top quartile (top 25%) have a Altman Z-Score significantly above this median, while those in the bottom quartile fall well below. However, Altman Z-Score should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. The Oncology Institute's current Altman Z-Score of 2.19 is 7.2% below the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Altman Z-Score mean?
A high Altman Z-Score can signal that a stock is expensive relative to its fundamentals. The Altman Z-score measures a company's bankruptcy risk. View historical data on The Oncology Institute and its competitors. For the Healthcare Providers & Services industry, the median Altman Z-Score is 2.36 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. The Oncology Institute's current Altman Z-Score is 2.19, which is 227% above median its own 10-year median of 0.67. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is The Oncology Institute stock overvalued right now?
Based on GuruFocus' analysis, The Oncology Institute (TOI) is currently considered Significantly Overvalued. The stock's GF Value™ is $2.24, compared to a current price of $5.11 — trading 127.9% above its estimated fair value. The current Altman Z-Score is 2.19, which is 227% above median its 10-year median of 0.67 and 7.2% below the Healthcare Providers & Services industry median of 2.36. The Oncology Institute's overall GF Score™ is 56/100 with 6 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Altman Z-Score calculated?
Altman Z-Score is calculated from a company's financial statements. For The Oncology Institute (TOI), the current Altman Z-Score is 2.19 as of Jun. 26, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is The Oncology Institute (TOI) Overvalued in 2026?

Based on GuruFocus' analysis, The Oncology Institute stock appears to be overvalued. The current stock price of $5.11 is trading 127.9% above its estimated GF Value™ of $2.24. GuruFocus considers The Oncology Institute to be Significantly Overvalued.

Key valuation signals for TOI:

  • Altman Z-Score: 2.19 (227% above median its 10-year median of 0.67)
  • GF Value™: $2.24 vs. price of $5.11 (127.9% above fair value)
  • GF Score™: 56/100 with 6 warning signs
  • Industry Position: 7.2% below the Healthcare Providers & Services median (#347 of 662)

No single metric tells the full story. See the TOI stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


The Oncology Institute Business Description

Address 18000 Studebaker Road, Suite 800, Cerritos, CA, USA, 90703
The Oncology Institute Inc offers oncology care and treatment services to patients through several clinics located across the United States. It offers services such as infusion chemotherapy, oral drug chemotherapy, hospice and palliative care, autologous stem cell transplants, outpatient blood product transfusions, patient navigator programs, radiation oncology, and others on a fee or value-based model. Additionally, the company enrolls patients in clinical trials, where appropriate. The company has three operating segments: Specialty Pharmacy, Patient Services, and Clinical Trials and Other. Maximum revenue is generated from the Specialty Pharmacy segment, which operates specialty and retail pharmacies providing IV-infused, oral, injectable, and other medications for oncology treatment.
56GF Score

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Altman Z-Score is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

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