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Oncology Institute (STLN) Financials

Oncology Institute logo
$3.50 -0.25 (-6.67%)
Closing price 11/13/2026 04:00 PM Eastern
Extended Trading
$3.49 -0.01 (-0.31%)
As of 11/13/2026 07:58 PM Eastern
Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Massive. Learn more.
Annual Income Statements for Oncology Institute

Annual Income Statements for Oncology Institute

This table shows Oncology Institute's income and expenses over time, based on annual financial data. All values are USD millions unless otherwise specified.

Metric 2020 2021 2022 2023 2024 2025
Period end date 12/31/2020 12/31/2021 12/31/2022 12/31/2023 12/31/2024 12/31/2025
Net Income / (Loss) Attributable to Common Shareholders
-14 -11 0.15 -83 -65 -61
Consolidated Net Income / (Loss)
-14 -11 0.15 -83 -65 -61
Net Income / (Loss) Continuing Operations
-14 -11 0.15 -83 -65 -61
Total Pre-Tax Income
-15 -12 -0.09 -83 -65 -61
Total Revenue
188 203 252 324 393 503
Net Interest Income / (Expense)
0.00 0.00 0.00 0.00 0.00 0.00
Total Interest Income
0.00 0.00 0.00 0.00 0.00 0.00
Total Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
Total Non-Interest Income
188 203 252 324 393 503
Other Non-Interest Income
188 203 252 324 393 503
Total Non-Interest Expense
196 221 277 401 453 539
Other Operating Expenses
193 242 322 379 447 532
Depreciation Expense
3.18 3.34 4.41 5.87 6.29 6.94
Nonoperating Income / (Expense), net
-6.62 6.00 25 -6.60 -5.16 -24
Income Tax Expense
-0.49 -0.67 -0.24 -0.04 0.00 -0.13
Basic Earnings per Share
($0.24) ($0.16) $0.00 ($0.92) ($0.71) ($0.54)
Weighted Average Basic Shares Outstanding
59.12M 66.23M 72.79M 73.75M 75.04M 92.39M
Diluted Earnings per Share
($0.24) ($0.16) ($0.21) ($0.92) ($0.71) ($0.54)
Weighted Average Diluted Shares Outstanding
59.12M 66.23M 80.61M 73.75M 75.04M 92.39M
Weighted Average Basic & Diluted Shares Outstanding
5.60M 73.25M 74.55M 74.31M 75.75M 98.84M

Quarterly Income Statements for Oncology Institute

This table shows Oncology Institute's income and expenses over time, based on quarterly financial data. All values are USD millions unless otherwise specified.

Metric Q4 2023 Q1 2024 Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q3 2025 Q4 2025 Q1 2026 Q2 2026
Period end date 12/31/2023 3/31/2024 6/30/2024 9/30/2024 12/31/2024 3/31/2025 6/30/2025 9/30/2025 12/31/2025 3/31/2026 6/30/2026
Net Income / (Loss) Attributable to Common Shareholders
-19 -20 -15 -16 -13 -20 -17 -17 -7.51 -2.49 -9.79
Consolidated Net Income / (Loss)
-19 -20 -15 -16 -13 -20 -17 -17 -7.51 -2.49 -9.79
Net Income / (Loss) Continuing Operations
-19 -20 -15 -16 -13 -20 -17 -17 -7.51 -2.49 -9.79
Total Pre-Tax Income
-19 -20 -15 -16 -13 -20 -17 -17 -7.51 -2.49 -9.79
Total Revenue
86 95 99 100 100 104 120 137 142 147 161
Net Interest Income / (Expense)
- 0.00 0.00 0.00 - 0.00 0.00 0.00 - 0.00 0.00
Total Interest Income
- 0.00 0.00 0.00 - 0.00 0.00 0.00 - 0.00 0.00
Total Interest Expense
- 0.00 0.00 0.00 - 0.00 0.00 0.00 - 0.00 0.00
Total Non-Interest Income
86 95 99 100 100 104 120 137 142 147 161
Other Non-Interest Income
86 95 99 100 100 104 120 137 142 147 161
Total Non-Interest Expense
100 113 114 114 110 114 131 145 149 154 166
Other Operating Expenses
98 111 113 112 108 113 129 143 147 152 164
Depreciation Expense
1.58 1.49 1.52 1.57 1.71 1.78 1.81 1.72 1.63 1.62 1.84
Nonoperating Income / (Expense), net
-5.03 -1.92 0.33 -2.28 -3.84 -9.63 -5.88 -8.30 -0.56 3.85 -5.18
Income Tax Expense
-0.31 0.00 0.00 0.00 - 0.00 -0.13 0.00 - 0.00 0.00
Basic Earnings per Share
($0.21) ($0.22) ($0.17) ($0.18) ($0.14) ($0.21) ($0.15) ($0.14) ($0.04) ($0.02) ($0.08)
Weighted Average Basic Shares Outstanding
73.75M 74.23M 74.75M 75.52M 75.04M 77.10M 93.20M 97.47M 92.39M 101.80M 103.03M
Diluted Earnings per Share
($0.21) ($0.22) ($0.17) ($0.18) ($0.14) ($0.21) ($0.15) ($0.14) ($0.04) ($0.02) ($0.08)
Weighted Average Diluted Shares Outstanding
73.75M 74.23M 74.75M 75.52M 75.04M 77.10M 93.20M 97.47M 92.39M 101.80M 103.03M
Weighted Average Basic & Diluted Shares Outstanding
74.31M 74.44M 75.49M 75.56M 75.75M 89.23M 93.50M 98.38M 98.84M 99.98M 101.92M

Annual Cash Flow Statements for Oncology Institute

This table details how cash moves in and out of Oncology Institute's business through operations, investing, and financing, using annual figures. All values are USD millions unless otherwise specified.

Metric 2020 2021 2022 2023 2024 2025
Period end date 12/31/2020 12/31/2021 12/31/2022 12/31/2023 12/31/2024 12/31/2025
Net Change in Cash & Equivalents
3.55 109 -101 19 16 -16
Net Cash From Operating Activities
0.51 -33 -62 -36 -27 -25
Net Cash From Continuing Operating Activities
0.51 -33 -62 -36 -27 -25
Net Income / (Loss) Continuing Operations
-14 -11 0.15 -83 -65 -61
Consolidated Net Income / (Loss)
-14 -11 0.15 -83 -65 -61
Depreciation Expense
3.18 3.34 4.41 5.87 6.29 6.94
Amortization Expense
0.06 0.05 1.42 3.57 5.81 8.38
Non-Cash Adjustments to Reconcile Net Income
6.37 -10 -48 33 7.97 19
Changes in Operating Assets and Liabilities, net
0.99 -14 -21 2.36 18 1.33
Net Cash From Investing Activities
-8.84 -12 -132 63 46 -3.07
Net Cash From Continuing Investing Activities
-8.84 -12 -132 63 46 -3.07
Purchase of Property, Leasehold Improvements and Equipment
-1.19 -2.85 -5.53 -4.57 -3.79 -3.20
Sale and/or Maturity of Investments
- - 0.00 81 50 0.13
Net Cash From Financing Activities
12 154 92 -6.85 -3.49 12
Net Cash From Continuing Financing Activities
12 154 92 -6.85 -3.49 12
Issuance of Common Equity
- - - 0.13 0.00 30
Repayment of Debt
-0.31 -7.25 -8.73 -3.37 -1.20 -20
Other Financing Activities, Net
-0.29 141 -0.06 -2.58 -2.30 1.88
Cash Interest Paid
0.23 0.28 0.22 4.51 4.50 3.91

Quarterly Cash Flow Statements for Oncology Institute

This table details how cash moves in and out of Oncology Institute's business through operations, investing, and financing, using quarterly figures. All values are USD millions unless otherwise specified.

Metric Q4 2023 Q1 2024 Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q3 2025 Q4 2025 Q1 2026 Q2 2026
Period end date 12/31/2023 3/31/2024 6/30/2024 9/30/2024 12/31/2024 3/31/2025 6/30/2025 9/30/2025 12/31/2025 3/31/2026 6/30/2026
Net Change in Cash & Equivalents
5.95 2.57 0.37 11 2.27 -9.93 -9.45 -2.63 5.91 -3.29 11
Net Cash From Operating Activities
-3.89 -16 -16 0.82 4.19 -4.99 -10 -13 3.23 -2.22 12
Net Cash From Continuing Operating Activities
-3.89 -16 -16 0.82 4.19 -4.99 -10 -13 3.23 -2.22 12
Net Income / (Loss) Continuing Operations
-19 -20 -15 -16 -13 -20 -17 -17 -7.51 -2.49 -9.79
Consolidated Net Income / (Loss)
-19 -20 -15 -16 -13 -20 -17 -17 -7.51 -2.49 -9.79
Depreciation Expense
1.58 1.49 1.52 1.57 1.71 1.78 1.81 1.72 1.63 1.62 1.84
Amortization Expense
-0.35 1.24 1.44 1.54 1.59 4.87 1.13 1.17 1.21 1.21 1.26
Non-Cash Adjustments to Reconcile Net Income
5.20 4.01 0.27 2.36 1.33 4.81 7.16 7.15 0.25 -3.48 4.34
Changes in Operating Assets and Liabilities, net
6.45 -2.73 -3.41 11 13 3.13 -3.29 -6.17 7.65 0.93 14
Net Cash From Investing Activities
12 19 18 10 -1.76 -0.20 -1.21 -0.60 -1.06 -1.04 -0.91
Net Cash From Continuing Investing Activities
12 19 18 10 -1.76 -0.20 -1.21 -0.60 -1.06 -1.04 -0.91
Purchase of Property, Leasehold Improvements and Equipment
-0.86 -0.61 -1.83 0.40 -1.76 -0.33 -1.21 -0.60 -1.06 -1.04 -0.91
Net Cash From Financing Activities
-1.78 -0.94 -2.15 -0.24 -0.16 -4.74 1.96 11 3.73 -0.03 -0.22
Net Cash From Continuing Financing Activities
-1.78 -0.94 -2.15 -0.24 -0.16 -4.74 1.96 11 3.73 -0.03 -0.22
Repayment of Debt
-3.28 -0.01 -0.01 -1.01 -0.01 -20 -0.47 -0.24 0.68 -0.27 -0.31
Other Financing Activities, Net
1.39 -1.00 -2.14 0.85 -0.15 -0.09 0.23 3.23 -1.35 0.24 0.09
Cash Interest Paid
1.12 1.13 1.09 1.11 1.16 1.29 0.87 0.88 0.88 0.89 0.87

Annual Balance Sheets for Oncology Institute

This table presents Oncology Institute's assets and liabilities at the end of each period, using annual balance sheet data. All values are USD millions unless otherwise specified.

Metric 2019 2020 2021 2022 2023 2024 2025
Period end date 12/31/2019 12/31/2020 12/31/2021 12/31/2022 12/31/2023 12/31/2024 12/31/2025
Total Assets
0.05 66 203 262 209 173 165
Cash and Due from Banks
0.03 6.00 115 14 33 50 34
Loans and Leases, Net of Allowance
0.00 0.00 0.00 0.00 0.00 0.00 0.00
Premises and Equipment, Net
- 2.10 4.19 8.55 11 12 11
Goodwill
- 14 27 21 7.23 7.23 7.23
Intangible Assets
- 20 18 18 18 15 11
Other Assets
0.00 24 39 140 90 89 102
Total Liabilities & Shareholders' Equity
0.05 66 203 262 209 173 165
Total Liabilities
0.03 38 99 138 152 169 180
Short-Term Debt
0.00 18 16 15 21 31 50
Accrued Interest Payable
0.03 11 14 15 14 21 21
Long-Term Debt
- 6.56 0.00 81 87 93 77
Other Long-Term Liabilities
0.00 2.42 69 28 31 24 32
Commitments & Contingencies
- - 0.00 0.00 0.00 0.00 0.00
Total Equity & Noncontrolling Interests
0.02 28 104 123 57 3.59 -16
Total Preferred & Common Equity
0.02 28 104 123 57 3.59 -16
Preferred Stock
0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Common Equity
0.02 28 104 123 57 3.59 -16
Common Stock
0.03 80 167 186 204 215 257
Retained Earnings
-0.00 -52 -63 -63 -146 -211 -271
Treasury Stock
- - - 0.00 -1.02 -1.02 -1.02

Quarterly Balance Sheets for Oncology Institute

This table presents Oncology Institute's assets and liabilities at the end of each period, using quarterly balance sheet data. All values are USD millions unless otherwise specified.

Metric Q3 2023 Q1 2024 Q2 2024 Q3 2024 Q1 2025 Q2 2025 Q3 2025 Q1 2026 Q2 2026
Period end date 9/30/2023 3/31/2024 6/30/2024 9/30/2024 3/31/2025 6/30/2025 9/30/2025 3/31/2026 6/30/2026
Total Assets
218 205 180 179 164 160 164 168 178
Cash and Due from Banks
28 36 36 47 40 30 28 30 41
Loans and Leases, Net of Allowance
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Premises and Equipment, Net
11 11 12 12 11 11 11 11 11
Goodwill
7.23 7.23 7.23 7.23 7.23 7.23 7.23 7.23 7.23
Intangible Assets
19 17 16 16 14 12 12 10 9.59
Other Assets
94 103 97 97 92 99 106 110 110
Total Liabilities & Shareholders' Equity
218 205 180 179 164 160 164 168 178
Total Liabilities
147 163 150 164 159 169 176 185 203
Short-Term Debt
19 27 22 31 36 42 43 55 68
Accrued Interest Payable
13 18 13 15 23 23 23 24 27
Long-Term Debt
85 88 90 92 74 75 76 79 80
Other Long-Term Liabilities
29 29 25 25 25 29 34 27 28
Commitments & Contingencies
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Equity & Noncontrolling Interests
72 41 29 15 5.07 -8.99 -12 -16 -25
Total Preferred & Common Equity
72 41 29 15 5.07 -8.99 -12 -16 -25
Preferred Stock
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Common Equity
72 41 29 15 5.07 -8.99 -12 -16 -25
Common Stock
200 208 212 214 236 239 253 259 260
Retained Earnings
-127 -166 -182 -198 -230 -247 -264 -274 -284
Treasury Stock
-1.02 -1.02 -1.02 -1.02 -1.02 -1.02 -1.02 -1.02 -1.02

Annual Metrics And Ratios for Oncology Institute

This table displays calculated financial ratios and metrics derived from Oncology Institute's official financial filings.

Metric 2020 2021 2022 2023 2024 2025
Period end date 12/31/2020 12/31/2021 12/31/2022 12/31/2023 12/31/2024 12/31/2025
DEI Shares Outstanding
28,750,000.00 57,500,000.00 72,341,687.00 73,748,979.00 - 98,381,340.00
DEI Adjusted Shares Outstanding
28,750,000.00 57,500,000.00 72,341,687.00 73,748,979.00 - 98,381,340.00
DEI Earnings Per Adjusted Shares Outstanding
-0.50 -0.19 0.00 -1.13 - -0.62
Growth Metrics
- - - - - -
Revenue Growth
0.00% 8.26% 24.37% 28.42% 21.33% 27.79%
EBITDA Growth
0.00% -186.49% -34.72% -250.33% 29.30% 55.69%
EBIT Growth
0.00% -114.72% -41.90% -206.31% 22.22% 38.94%
NOPAT Growth
0.00% -114.72% -41.90% -206.31% 22.22% 38.94%
Net Income Growth
0.00% 23.70% 101.39% -54,750.00% 22.16% 6.27%
EPS Growth
0.00% 33.33% -31.25% -338.10% 22.83% 23.94%
Operating Cash Flow Growth
0.00% -6,533.07% -88.97% 41.20% 26.92% 7.35%
Free Cash Flow Firm Growth
0.00% 0.00% -46.13% 100.41% -1,126.53% -97.84%
Invested Capital Growth
0.00% 127.63% 82.37% -24.71% -22.35% -12.39%
Revenue Q/Q Growth
0.00% -39.94% 8.11% 4.70% 3.82% 9.04%
EBITDA Q/Q Growth
0.00% -111.27% 69.26% -195.41% 22.22% 17.54%
EBIT Q/Q Growth
0.00% -161.74% 62.87% -134.17% 16.17% 11.95%
NOPAT Q/Q Growth
0.00% -100.78% 62.87% -134.17% 16.17% 11.95%
Net Income Q/Q Growth
0.00% -28.49% -84.85% -10.29% 7.93% 8.56%
EPS Q/Q Growth
0.00% -131.37% -31.25% -2.22% 8.97% 15.63%
Operating Cash Flow Q/Q Growth
0.00% -292.03% 13.13% 21.77% 23.34% -4.03%
Free Cash Flow Firm Q/Q Growth
0.00% 0.00% -80.75% -98.03% 57.87% -449.91%
Invested Capital Q/Q Growth
0.00% -41.82% -2.08% -6.73% -7.59% 4.95%
Profitability Metrics
- - - - - -
EBITDA Margin
-2.64% -7.00% -7.58% -20.68% -12.05% -4.18%
EBIT Margin
-4.37% -8.67% -9.89% -23.59% -15.12% -7.23%
Profit (Net Income) Margin
-7.64% -5.38% 0.06% -25.62% -16.44% -12.06%
Tax Burden Percent
96.67% 94.21% -167.03% 99.96% 100.00% 99.78%
Interest Burden Percent
180.74% 65.89% 0.36% 108.63% 108.68% 167.18%
Effective Tax Rate
0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Return on Invested Capital (ROIC)
-10.89% -14.28% -10.33% -27.94% -28.48% -21.21%
ROIC Less NNEP Spread (ROIC-NNEP)
-45.83% -7.36% 21.38% -57.01% -48.33% -49.13%
Return on Net Nonoperating Assets (RNNOA)
-40.07% -2.24% 10.46% -64.25% -184.88% 1,020.40%
Return on Equity (ROE)
-50.97% -16.52% 0.13% -92.20% -213.36% 999.19%
Cash Return on Invested Capital (CROIC)
0.00% -92.19% -68.67% 0.25% -3.32% -8.00%
Operating Return on Assets (OROA)
-24.94% -13.08% -10.74% -32.49% -31.15% -21.54%
Return on Assets (ROA)
-43.57% -8.12% 0.07% -35.28% -33.86% -35.93%
Return on Common Equity (ROCE)
-50.96% -16.52% 0.13% -92.20% -213.36% 999.19%
Return on Equity Simple (ROE_SIMPLE)
-50.97% -10.49% 0.12% -145.67% -1,801.70% 385.53%
Net Operating Profit after Tax (NOPAT)
-5.74 -12 -17 -54 -42 -25
NOPAT Margin
-3.06% -6.07% -6.92% -16.52% -10.59% -5.06%
Net Nonoperating Expense Percent (NNEP)
34.93% -6.91% -31.71% 29.07% 19.85% 27.92%
SG&A Expenses to Revenue
0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Operating Expenses to Revenue
104.37% 108.67% 109.89% 123.59% 115.12% 107.23%
Earnings before Interest and Taxes (EBIT)
-8.20 -18 -25 -77 -59 -36
Earnings before Interest, Taxes, Depreciation and Amortization (EBITDA)
-4.96 -14 -19 -67 -47 -21
Valuation Ratios
- - - - - -
Price to Book Value (P/BV)
0.00 2.69 0.97 2.64 6.51 0.00
Price to Tangible Book Value (P/TBV)
0.00 4.73 1.42 4.72 0.00 0.00
Price to Revenue (P/Rev)
0.00 1.38 0.47 0.46 0.06 0.70
Price to Earnings (P/E)
0.00 0.00 785.29 0.00 0.00 0.00
Dividend Yield
0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Earnings Yield
0.00% 0.00% 0.13% 0.00% 0.00% 0.00%
Enterprise Value to Invested Capital (EV/IC)
0.00 1.51 0.92 1.36 0.77 3.97
Enterprise Value to Revenue (EV/Rev)
0.00 0.89 0.80 0.69 0.25 0.88
Enterprise Value to EBITDA (EV/EBITDA)
0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to EBIT (EV/EBIT)
0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to NOPAT (EV/NOPAT)
0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to Operating Cash Flow (EV/OCF)
0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to Free Cash Flow (EV/FCFF)
0.00 0.00 0.00 475.50 0.00 0.00
Leverage & Solvency
- - - - - -
Debt to Equity
0.87 0.15 0.78 1.89 34.62 -8.12
Long-Term Debt to Equity
0.23 0.00 0.65 1.52 25.95 -4.92
Financial Leverage
0.87 0.30 0.49 1.13 3.83 -20.77
Leverage Ratio
2.34 2.03 2.05 2.61 6.30 -27.81
Compound Leverage Factor
4.22 1.34 0.01 2.84 6.85 -46.49
Debt to Total Capital
46.65% 13.13% 43.67% 65.36% 97.19% 114.04%
Short-Term Debt to Total Capital
34.19% 13.13% 6.80% 12.63% 24.34% 44.93%
Long-Term Debt to Total Capital
12.46% 0.00% 36.87% 52.74% 72.85% 69.11%
Preferred Equity to Total Capital
0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Noncontrolling Interests to Total Capital
0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Common Equity to Total Capital
53.34% 86.87% 56.33% 34.64% 2.81% -14.04%
Debt to EBITDA
-4.96 -1.11 -4.99 -1.60 -2.62 -6.08
Net Debt to EBITDA
-3.75 7.00 -4.26 -1.11 -1.57 -4.48
Long-Term Debt to EBITDA
-1.32 0.00 -4.21 -1.29 -1.96 -3.68
Debt to NOPAT
-4.28 -1.28 -5.46 -2.01 -2.98 -5.02
Net Debt to NOPAT
-3.24 8.07 -4.66 -1.38 -1.79 -3.70
Long-Term Debt to NOPAT
-1.14 0.00 -4.61 -1.62 -2.24 -3.04
Noncontrolling Interest Sharing Ratio
0.02% 0.00% 0.00% 0.00% 0.00% 0.00%
Liquidity Ratios
- - - - - -
Cash Flow Metrics
- - - - - -
Free Cash Flow to Firm (FCFF)
0.00 -80 -116 0.47 -4.85 -9.59
Operating Cash Flow to CapEx
42.55% -1,147.88% -1,116.95% -795.16% -700.40% -768.34%
Free Cash Flow to Firm to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
Operating Cash Flow to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
Operating Cash Flow Less CapEx to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
Efficiency Ratios
- - - - - -
Asset Turnover
5.70 1.51 1.09 1.38 2.06 2.98
Fixed Asset Turnover
0.00 64.49 39.64 33.38 34.55 44.54
Capital & Investment Metrics
- - - - - -
Invested Capital
53 120 219 165 128 112
Invested Capital Turnover
3.56 2.35 1.49 1.69 2.69 4.19
Increase / (Decrease) in Invested Capital
0.00 67 99 -54 -37 -16
Enterprise Value (EV)
0.00 181 201 225 98 444
Market Capitalization
0.00 280 119 150 23 350
Book Value per Share
$0.98 $3.62 $1.70 $0.77 $0.05 ($0.16)
Tangible Book Value per Share
($0.20) $2.06 $1.16 $0.43 ($0.24) ($0.35)
Total Capital
53 120 219 165 128 112
Total Debt
25 16 95 108 124 128
Total Long-Term Debt
6.56 0.00 81 87 93 77
Net Debt
19 -99 81 74 75 94
Capital Expenditures (CapEx)
1.19 2.85 5.53 4.57 3.79 3.20
Net Nonoperating Expense (NNE)
8.58 -1.39 -18 30 23 35
Net Nonoperating Obligations (NNO)
25 16 95 108 124 128
Total Depreciation and Amortization (D&A)
3.24 3.39 5.84 9.45 12 15
Earnings Adjustments
- - - - - -
Adjusted Basic Earnings per Share
$0.00 ($0.16) $0.00 ($0.92) ($0.71) ($0.54)
Adjusted Weighted Average Basic Shares Outstanding
0.00 66.23M 72.79M 73.75M 75.04M 92.39M
Adjusted Diluted Earnings per Share
$0.00 ($0.16) ($0.21) ($0.92) ($0.71) ($0.54)
Adjusted Weighted Average Diluted Shares Outstanding
0.00 66.23M 80.61M 73.75M 75.04M 92.39M
Adjusted Basic & Diluted Earnings per Share
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Adjusted Weighted Average Basic & Diluted Shares Outstanding
0.00 73.25M 74.55M 74.31M 75.75M 98.84M
Normalized Net Operating Profit after Tax (NOPAT)
-5.74 -30 -52 -42 -42 -25
Normalized NOPAT Margin
-3.06% -14.65% -20.58% -13.05% -10.59% -5.06%
Pre Tax Income Margin
-7.90% -5.71% -0.04% -25.63% -16.44% -12.08%
Debt Service Ratios
- - - - - -
EBIT to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
NOPAT to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
EBIT Less CapEx to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
NOPAT Less CapEx to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00
Payout Ratios
- - - - - -
Dividend Payout Ratio
0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Augmented Payout Ratio
0.00% 0.00% 5,921.05% -1.23% 0.00% 0.00%

Quarterly Metrics And Ratios for Oncology Institute

This table displays calculated financial ratios and metrics derived from Oncology Institute's official financial filings.

Metric Q4 2023 Q1 2024 Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Q3 2025 Q4 2025 Q1 2026 Q2 2026
Period end date 12/31/2023 3/31/2024 6/30/2024 9/30/2024 12/31/2024 3/31/2025 6/30/2025 9/30/2025 12/31/2025 3/31/2026 6/30/2026
DEI Shares Outstanding
73,748,979.00 74,312,921.00 74,437,924.00 75,490,489.00 - 75,753,229.00 89,234,112.00 93,504,767.00 98,381,340.00 98,839,144.00 99,982,933.00
DEI Adjusted Shares Outstanding
73,748,979.00 74,312,921.00 74,437,924.00 75,490,489.00 - 75,753,229.00 89,234,112.00 93,504,767.00 98,381,340.00 98,839,144.00 99,982,933.00
DEI Earnings Per Adjusted Shares Outstanding
-0.25 -0.27 -0.21 -0.21 - -0.26 -0.19 -0.18 -0.08 -0.03 -0.10
Growth Metrics
- - - - - - - - - - -
Revenue Growth
20.42% 24.25% 22.88% 21.78% 16.88% 10.29% 21.53% 36.70% 41.58% 41.22% 34.62%
EBITDA Growth
-140.62% 51.66% -0.96% -7.60% 52.82% 78.38% 35.21% 50.48% 52.06% -6.74% 81.80%
EBIT Growth
-147.14% 46.22% -5.85% 1.93% 33.45% 44.61% 28.76% 40.69% 41.50% 36.26% 59.07%
NOPAT Growth
-147.14% 46.22% -5.85% 1.93% 33.45% 44.61% 28.76% 40.69% 41.50% 36.26% 59.07%
Net Income Growth
-70.38% 33.70% 8.39% 7.50% 29.71% 1.53% -9.88% -2.43% 43.04% 87.28% 42.45%
EPS Growth
-10.53% 33.33% 10.53% 5.26% 33.33% 4.55% 11.76% 22.22% 71.43% 90.48% 46.67%
Operating Cash Flow Growth
72.19% -2.79% -80.83% 109.86% 207.53% 68.60% 34.85% -1,642.12% -22.77% 55.59% 217.04%
Free Cash Flow Firm Growth
156.72% 139.18% 162.99% -22.85% -31.53% 23.11% -26.89% -9.16% -61.48% -119.26% -169.33%
Invested Capital Growth
-24.71% -20.72% -24.59% -21.63% -22.35% -26.75% -23.69% -22.86% -12.39% 2.01% 13.47%
Revenue Q/Q Growth
4.57% 10.35% 4.13% 1.34% 0.37% 4.13% 14.75% 13.99% 3.95% 3.86% 9.39%
EBITDA Q/Q Growth
-28.59% -19.00% 15.69% 16.61% 43.62% 61.59% -156.07% 36.27% 22.51% 14.49% 56.91%
EBIT Q/Q Growth
0.44% -27.98% 12.02% 12.52% 32.44% 16.23% -13.65% 27.17% 15.27% 8.72% 27.34%
NOPAT Q/Q Growth
0.44% -27.98% 12.02% 12.52% 32.44% 16.23% -13.65% 27.17% 15.27% 8.72% 27.34%
Net Income Q/Q Growth
-7.66% -6.05% 22.17% -4.10% 18.19% -48.57% 13.15% 2.97% 54.51% 66.81% -292.82%
EPS Q/Q Growth
-10.53% -4.76% 22.73% -5.88% 22.22% -50.00% 28.57% 6.67% 71.43% 50.00% -300.00%
Operating Cash Flow Q/Q Growth
53.15% -307.99% 1.40% 105.23% 411.11% -219.16% -104.53% -23.80% 125.60% -168.51% 639.05%
Free Cash Flow Firm Q/Q Growth
19.66% -35.58% 23.08% -18.68% 6.20% 23.05% -26.97% 1.03% -57.60% -161.53% -163.05%
Invested Capital Q/Q Growth
-6.73% -4.59% -9.97% -2.18% -7.59% -9.99% -6.21% -1.12% 4.95% 4.80% 4.33%
Profitability Metrics
- - - - - - - - - - -
EBITDA Margin
-14.94% -16.11% -13.04% -10.73% -6.03% -3.16% -6.95% -3.89% -2.90% -2.39% -0.94%
EBIT Margin
-16.37% -18.98% -16.04% -13.85% -9.32% -9.53% -9.40% -6.01% -4.90% -4.30% -2.86%
Profit (Net Income) Margin
-21.86% -21.01% -15.70% -16.13% -13.15% -18.76% -14.20% -12.09% -5.29% -1.69% -6.07%
Tax Burden Percent
98.35% 100.00% 100.00% 100.00% 100.00% 100.00% 99.24% 100.00% 100.00% 100.00% 100.00%
Interest Burden Percent
135.78% 110.67% 97.89% 116.48% 141.06% 196.76% 152.17% 201.17% 108.01% 39.28% 212.34%
Effective Tax Rate
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Return on Invested Capital (ROIC)
-19.39% -25.64% -24.65% -23.33% -17.55% -19.77% -22.40% -15.82% -14.37% -14.15% -10.20%
ROIC Less NNEP Spread (ROIC-NNEP)
-28.17% -32.42% -28.75% -28.98% -23.28% -30.95% -30.37% -24.72% -16.47% -12.55% -15.17%
Return on Net Nonoperating Assets (RNNOA)
-31.75% -50.02% -54.26% -75.51% -89.05% -150.71% -344.09% -1,863.78% 342.02% 272.55% 118.24%
Return on Equity (ROE)
-51.14% -75.66% -78.91% -98.84% -106.60% -170.48% -366.50% -1,879.60% 327.65% 258.40% 108.04%
Cash Return on Invested Capital (CROIC)
0.25% -0.95% 1.67% -3.17% -3.32% 4.39% 0.55% 2.24% -8.00% -21.69% -28.46%
Operating Return on Assets (OROA)
-22.54% -29.63% -28.28% -26.40% -19.20% -20.86% -23.51% -16.16% -14.59% -14.14% -9.93%
Return on Assets (ROA)
-30.10% -32.79% -27.69% -30.75% -27.08% -41.04% -35.50% -32.51% -15.76% -5.55% -21.09%
Return on Common Equity (ROCE)
-51.14% -75.66% -78.91% -98.84% -106.60% -170.48% -366.50% -1,879.60% 327.65% 258.40% 108.04%
Return on Equity Simple (ROE_SIMPLE)
0.00% -176.67% -244.95% -453.66% 0.00% -1,269.66% 733.32% 540.00% 0.00% 267.20% 145.67%
Net Operating Profit after Tax (NOPAT)
-9.83 -13 -11 -9.68 -6.54 -6.97 -7.88 -5.74 -4.87 -4.44 -3.23
NOPAT Margin
-11.46% -13.29% -11.23% -9.69% -6.52% -6.67% -6.58% -4.21% -3.43% -3.01% -2.00%
Net Nonoperating Expense Percent (NNEP)
8.79% 6.78% 4.10% 5.65% 5.73% 11.18% 7.96% 8.90% 2.10% -1.60% 4.97%
SG&A Expenses to Revenue
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Operating Expenses to Revenue
116.37% 118.98% 116.04% 113.85% 109.32% 109.53% 109.40% 106.01% 104.90% 104.30% 102.86%
Earnings before Interest and Taxes (EBIT)
-14 -18 -16 -14 -9.35 -9.95 -11 -8.20 -6.95 -6.35 -4.61
Earnings before Interest, Taxes, Depreciation and Amortization (EBITDA)
-13 -15 -13 -11 -6.05 -3.30 -8.33 -5.31 -4.11 -3.52 -1.52
Valuation Ratios
- - - - - - - - - - -
Price to Book Value (P/BV)
2.64 2.84 0.00 1.59 6.51 17.04 0.00 0.00 0.00 0.00 0.00
Price to Tangible Book Value (P/TBV)
4.72 6.93 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Price to Revenue (P/Rev)
0.46 0.34 0.00 0.07 0.06 0.21 0.43 0.71 0.70 0.56 0.92
Price to Earnings (P/E)
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Dividend Yield
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Earnings Yield
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Enterprise Value to Invested Capital (EV/IC)
1.36 1.26 0.00 0.72 0.77 1.36 2.50 3.91 3.97 3.47 5.30
Enterprise Value to Revenue (EV/Rev)
0.69 0.58 0.00 0.26 0.25 0.39 0.64 0.91 0.88 0.75 1.11
Enterprise Value to EBITDA (EV/EBITDA)
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to EBIT (EV/EBIT)
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to NOPAT (EV/NOPAT)
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Enterprise Value to Operating Cash Flow (EV/OCF)
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,979.22
Enterprise Value to Free Cash Flow (EV/FCFF)
475.50 0.00 0.00 0.00 0.00 26.19 396.39 152.36 0.00 0.00 0.00
Leverage & Solvency
- - - - - - - - - - -
Debt to Equity
1.89 2.80 3.84 7.94 34.62 21.70 -13.01 -9.69 -8.12 -8.21 -5.92
Long-Term Debt to Equity
1.52 2.14 3.08 5.91 25.95 14.58 -8.35 -6.21 -4.92 -4.83 -3.21
Financial Leverage
1.13 1.54 1.89 2.61 3.83 4.87 11.33 75.39 -20.77 -21.72 -7.80
Leverage Ratio
2.61 3.14 3.59 4.55 6.30 7.95 16.78 106.86 -27.81 -29.62 -9.97
Compound Leverage Factor
3.55 3.48 3.52 5.30 8.89 15.64 25.54 214.97 -30.04 -11.63 -21.17
Debt to Total Capital
65.36% 73.71% 79.35% 88.81% 97.19% 95.59% 108.33% 111.50% 114.04% 113.87% 120.35%
Short-Term Debt to Total Capital
12.63% 17.45% 15.75% 22.64% 24.34% 31.38% 38.81% 40.10% 44.93% 46.90% 55.12%
Long-Term Debt to Total Capital
52.74% 56.27% 63.60% 66.17% 72.85% 64.22% 69.51% 71.40% 69.11% 66.97% 65.22%
Preferred Equity to Total Capital
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Noncontrolling Interests to Total Capital
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Common Equity to Total Capital
34.64% 26.29% 20.65% 11.19% 2.81% 4.41% -8.33% -11.50% -14.04% -13.87% -20.35%
Debt to EBITDA
-1.60 -2.28 -2.21 -2.38 -2.62 -3.10 -3.79 -4.67 -6.08 -6.30 -10.22
Net Debt to EBITDA
-1.11 -1.57 -1.49 -1.46 -1.57 -1.98 -2.80 -3.59 -4.48 -4.87 -7.37
Long-Term Debt to EBITDA
-1.29 -1.74 -1.77 -1.77 -1.96 -2.08 -2.43 -2.99 -3.68 -3.70 -5.54
Debt to NOPAT
-2.01 -2.71 -2.59 -2.85 -2.98 -3.05 -3.56 -4.12 -5.02 -5.84 -8.08
Net Debt to NOPAT
-1.38 -1.87 -1.75 -1.75 -1.79 -1.95 -2.64 -3.16 -3.70 -4.51 -5.82
Long-Term Debt to NOPAT
-1.62 -2.07 -2.07 -2.12 -2.24 -2.05 -2.29 -2.64 -3.04 -3.43 -4.38
Noncontrolling Interest Sharing Ratio
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Liquidity Ratios
- - - - - - - - - - -
Cash Flow Metrics
- - - - - - - - - - -
Free Cash Flow to Firm (FCFF)
44 28 35 28 30 35 26 26 11 -6.75 -18
Operating Cash Flow to CapEx
-452.15% -2,603.77% -857.61% 0.00% 238.52% -1,520.73% -844.54% -2,091.06% 305.00% -212.57% 1,314.98%
Free Cash Flow to Firm to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Operating Cash Flow to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Operating Cash Flow Less CapEx to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Efficiency Ratios
- - - - - - - - - - -
Asset Turnover
1.38 1.56 1.76 1.91 2.06 2.19 2.50 2.69 2.98 3.29 3.47
Fixed Asset Turnover
33.38 32.89 31.39 32.86 34.55 36.47 36.76 40.11 44.54 50.04 54.79
Capital & Investment Metrics
- - - - - - - - - - -
Invested Capital
165 157 141 138 128 115 108 107 112 117 122
Invested Capital Turnover
1.69 1.93 2.20 2.41 2.69 2.96 3.40 3.76 4.19 4.70 5.10
Increase / (Decrease) in Invested Capital
-54 -41 -46 -38 -37 -42 -34 -32 -16 2.31 15
Enterprise Value (EV)
225 197 0.00 100 98 157 270 418 444 407 649
Market Capitalization
150 117 0.00 25 23 86 183 326 350 303 543
Book Value per Share
$0.77 $0.56 $0.39 $0.21 $0.05 $0.07 ($0.10) ($0.13) ($0.16) ($0.16) ($0.25)
Tangible Book Value per Share
$0.43 $0.23 $0.08 ($0.10) ($0.24) ($0.21) ($0.32) ($0.33) ($0.35) ($0.34) ($0.42)
Total Capital
165 157 141 138 128 115 108 107 112 117 122
Total Debt
108 116 112 123 124 110 117 119 128 134 147
Total Long-Term Debt
87 88 90 92 93 74 75 76 77 79 80
Net Debt
74 80 76 75 75 70 87 91 94 103 106
Capital Expenditures (CapEx)
0.86 0.61 1.83 -0.40 1.76 0.33 1.21 0.60 1.06 1.04 0.91
Net Nonoperating Expense (NNE)
8.92 7.31 4.41 6.43 6.64 13 9.12 11 2.64 -1.95 6.56
Net Nonoperating Obligations (NNO)
108 116 112 123 124 110 117 119 128 134 147
Total Depreciation and Amortization (D&A)
1.23 2.72 2.96 3.11 3.30 6.66 2.93 2.90 2.84 2.83 3.09
Earnings Adjustments
- - - - - - - - - - -
Adjusted Basic Earnings per Share
($0.21) ($0.22) ($0.17) ($0.18) ($0.14) ($0.21) ($0.15) ($0.14) ($0.04) ($0.02) ($0.08)
Adjusted Weighted Average Basic Shares Outstanding
73.75M 74.23M 74.75M 75.52M 75.04M 77.10M 93.20M 97.47M 92.39M 101.80M 103.03M
Adjusted Diluted Earnings per Share
($0.21) ($0.22) ($0.17) ($0.18) ($0.14) ($0.21) ($0.15) ($0.14) ($0.04) ($0.02) ($0.08)
Adjusted Weighted Average Diluted Shares Outstanding
73.75M 74.23M 74.75M 75.52M 75.04M 77.10M 93.20M 97.47M 92.39M 101.80M 103.03M
Adjusted Basic & Diluted Earnings per Share
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Adjusted Weighted Average Basic & Diluted Shares Outstanding
74.31M 74.44M 75.49M 75.56M 75.75M 89.23M 93.50M 98.38M 98.84M 99.98M 101.92M
Normalized Net Operating Profit after Tax (NOPAT)
-9.83 -13 -11 -9.68 -6.54 -6.97 -7.88 -5.74 -4.87 -4.44 -3.23
Normalized NOPAT Margin
-11.46% -13.29% -11.23% -9.69% -6.52% -6.67% -6.58% -4.21% -3.43% -3.01% -2.00%
Pre Tax Income Margin
-22.23% -21.01% -15.70% -16.13% -13.15% -18.76% -14.31% -12.09% -5.29% -1.69% -6.07%
Debt Service Ratios
- - - - - - - - - - -
EBIT to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
NOPAT to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
EBIT Less CapEx to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
NOPAT Less CapEx to Interest Expense
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Payout Ratios
- - - - - - - - - - -
Dividend Payout Ratio
0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Augmented Payout Ratio
-1.23% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%

Financials Breakdown Chart

Key Financial Trends

Oncology Institute’s second-quarter 2026 results show improving revenue and a return to positive operating cash flow, but the company remains unprofitable with negative shareholder equity and a heavily leveraged balance sheet.

  • Revenue continues to grow. Q2 2026 revenue reached $161.3 million, up from $147.4 million in Q1 2026 and $119.8 million in Q2 2025. Revenue has nearly doubled from $82.0 million in Q3 2023.
  • Year-over-year losses narrowed materially. The Q2 2026 net loss was $9.8 million, compared with a restated loss of $17.0 million in Q2 2025. Basic loss per share improved to $0.08 from $0.15.
  • Operating cash flow turned positive. The company generated $11.9 million in operating cash flow in Q2 2026, compared with outflows of $2.2 million in Q1 2026 and $10.2 million in Q2 2025.
  • Cash increased during the quarter. Cash and equivalents rose from $30.3 million at the end of Q1 2026 to $41.1 million at the end of Q2. Net cash increased by $10.8 million in Q2, despite modest capital expenditures and debt repayments.
  • Expense growth was slower than revenue growth year over year. Q2 2026 non-interest expenses increased approximately 26.6% from Q2 2025, while revenue grew approximately 34.6%. This helped reduce the company’s quarterly loss, although expenses still exceeded revenue.
  • Cash flow improvement was supported heavily by working-capital changes. Changes in operating assets and liabilities provided $14.3 million of cash in Q2 2026. Investors should determine whether this benefit is recurring or primarily reflects timing of receivables, payables and other operating balances.
  • Revenue growth has not yet translated into profitability. Non-interest expenses totaled $165.9 million in Q2 2026, exceeding revenue by $4.6 million before the additional $5.2 million nonoperating expense. The company has reported a net loss in every quarterly income statement provided.
  • The balance sheet remains undercapitalized. Total liabilities of $203.1 million exceeded total assets of $178.2 million, leaving total shareholder equity negative at $24.9 million. Negative equity has worsened from negative $16.3 million in Q1 2026 and positive equity of $5.1 million in Q1 2025.
  • Debt and accrued interest obligations are substantial. Short- and long-term debt totaled approximately $147.4 million at June 30, 2026, while accrued interest payable added another $27.4 million. Debt increased from approximately $133.7 million at the end of Q1 2026, even as the company continued to pay down smaller amounts of debt through financing activities.
  • Shareholder dilution has been significant. Weighted-average basic shares increased to 103.0 million in Q2 2026 from 93.2 million in Q2 2025 and 75.5 million in Q3 2024. Continued equity issuance may provide funding, but it reduces existing investors’ ownership percentage and per-share upside.

Overall, the trend is mixed. Oncology Institute is growing revenue and has recently shown better operating cash generation, which could support liquidity in the near term. However, the company must still close the profitability gap, manage high debt and rebuild its equity base. The improvement in Q2 cash flow is encouraging, but its dependence on working-capital movements and the company’s history of quarterly losses make sustained positive free cash flow uncertain.

11/14/26 12:05 PM ETAI Generated. May Contain Errors.

Oncology Institute Financials - Frequently Asked Questions

According to the most recent income statement we have on file, Oncology Institute's fiscal year ends in December. Their fiscal year 2025 ended on December 31, 2025.

Oncology Institute's net income appears to be on a downward trend, with a most recent value of -$60.61 million in 2025, falling from -$14.32 million in 2020. The previous period was -$64.66 million in 2024. See where experts think Oncology Institute is headed by visiting Oncology Institute's forecast page.

Over the last 5 years, Oncology Institute's total revenue changed from $187.52 million in 2020 to $502.73 million in 2025, a change of 168.1%.

In the past 11 quarters, Oncology Institute's cash and equivalents has ranged from $27.54 million in Q3 2023 to $47.40 million in Q3 2024, and is currently $41.09 million as of their latest financial filing in Q2 2026.

Oncology Institute had total debt of $127.72 million at the end of 2025, a 2.8% increase from 2024, and a 419.8% increase since 2020.

Over the last 5 years, Oncology Institute's book value per share changed from 0.98 in 2020 to -0.16 in 2025.



Financial statements for NASDAQ:STLN last updated on 8/7/2026 by MarketBeat.com Staff. New filings and market data are monitored continuously.
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