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American Oncology Network (AONC)
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American Oncology Network (AONC) AI Stock Analysis

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American Oncology Network

(OTC:AONC)

Rating:49Neutral
Price Target:
$11.50
▲(16.16%Upside)
AONC's stock score is significantly impacted by weak financial performance, particularly due to persistent profitability issues and negative cash flows. Technical analysis provides some positive signals with bullish momentum, but the valuation remains unattractive due to negative earnings and lack of dividends. These factors highlight the need for strategic improvements to enhance financial stability and investor appeal.

American Oncology Network (AONC) vs. SPDR S&P 500 ETF (SPY)

American Oncology Network Business Overview & Revenue Model

Company DescriptionAmerican Oncology Network, Inc., through its subsidiaries, provides oncology services in the United States. The company provides various services to patients, including laboratory services for routine and specialized testing; in-house professional and technical pathology services with complete, accurate and timely pathology reports; in-house specialty pharmacy services with patient education, financial assistance, and 24/7 patient assistance; and care management support services including nutrition guidance. The company was incorporated in 2017 and is based in Fort Myers, Florida.
How the Company Makes MoneyAONC generates revenue primarily through partnerships with oncology practices, providing them with management services, technology solutions, and access to a broader network of healthcare resources. The company earns income by offering administrative support, billing services, and clinical management systems that improve the efficiency and effectiveness of cancer care delivery. Additionally, AONC may have financial arrangements with healthcare payers and pharmaceutical companies, further diversifying its revenue streams. By enabling community oncologists to deliver high-quality care with reduced operational burdens, AONC strengthens its financial position through both service fees and performance-based incentives.

American Oncology Network Earnings Call Summary

Earnings Call Date:Mar 27, 2025
(Q1-2024)
|
% Change Since: 93.36%|
Next Earnings Date:Nov 18, 2025
Earnings Call Sentiment Neutral
The earnings call highlighted significant revenue growth and expansion through acquisitions, as well as the launch of an innovative analytics platform. However, these positives were offset by increased costs, a higher net loss, and a decrease in adjusted EBITDA.
Q1-2024 Updates
Positive Updates
Revenue Growth
Revenue increased by $60.6 million or 20% compared to the same period last year, with revenue for Q1 2024 at $364.3 million.
Expansion and Acquisitions
Completed 2 practice acquisitions in Q1 and announced 2 additional acquisitions in Q2, expanding presence in Texas, Maryland, Hawaii, and Georgia.
Provider Network Growth
Added 17 new providers in Q1 and a total of 40 year-to-date, strengthening the platform.
Launch of MiBA
Introduced Meaningful Insights Biotech Analytics to enhance personalized cancer care and patient outcomes using AI technologies.
High Net Promoter Scores
Achieved Net Promoter Scores of 75% or greater from physicians and team members, and over 90% from patients.
Negative Updates
Increased Costs
Cost of revenue increased by $76.4 million, primarily due to higher drug and medical supply costs and increased cost per patient encounter.
Net Loss
Reported a net loss before non-controlling interest of $24.9 million for Q1 2024, compared to a loss of $1.5 million in the same period last year.
Decrease in Adjusted EBITDA
Adjusted EBITDA decreased to $2 million from $4 million in the year-ago period.
Company Guidance
In the first quarter of 2024, American Oncology Network (AONC) reported a revenue increase of 20% to $364.3 million, up from $303.7 million in the previous year, driven by a 12.8% rise in revenue per encounter and a 6.2% increase in patient encounters. Despite these gains, the company experienced a net loss before non-controlling interest of $24.9 million, compared to a $1.5 million loss in the prior year, with adjusted EBITDA falling to $2 million from $4 million. The cost of revenue rose to $354.9 million, primarily due to higher drug and medical supply costs, while equity-based compensation accounted for $13.3 million. AONC's strategic growth included the addition of 17 new providers and significant acquisitions, enhancing its platform with the launch of Meaningful Insights Biotech Analytics (MiBA) to improve cancer care through AI-driven insights. The company ended the quarter with a total liquidity of $132.7 million, including cash and cash equivalents of $74.9 million, and maintained an $81.3 million outstanding balance under its PNC Loan Facility.

American Oncology Network Financial Statement Overview

Summary
American Oncology Network shows robust revenue growth, which is a positive sign for future potential. However, profitability remains a major concern with persistent losses and negative margins, reflecting operational inefficiencies and cost challenges. The balance sheet reveals financial instability with negative equity, and cash flow issues are evident with negative operational and free cash flows. These factors indicate a need for strategic restructuring to improve financial health.
Income Statement
45
Neutral
The company has demonstrated revenue growth over the last few years, growing from $724.7 million in 2020 to $1.76 billion in 2024, indicating strong top-line growth. However, the profitability metrics are concerning. The company has consistently reported negative EBIT and net income in recent years, with a net loss widening substantially in 2024. Gross profit margins have remained low, which suggests challenges in cost management.
Balance Sheet
30
Negative
The balance sheet reveals a weak equity position, with negative stockholders' equity in recent years, indicating potential financial distress. The debt-to-equity ratio is not meaningful due to negative equity, but the company has reduced its total debt from 2023 to 2024. The equity ratio is concerning due to persistent negative equity, highlighting financial instability.
Cash Flow
35
Negative
Cash flow from operations has been negative in recent years, reflecting operational inefficiencies. Free cash flow is also negative, although there was a slight improvement in 2024. The company's reliance on financing activities to fund operations is notable, indicating cash flow challenges.
BreakdownDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.76B1.28B1.15B943.75M724.74M
Gross Profit117.85M82.80M95.45M77.96M66.11M
EBITDA1.81M-39.35M23.09M7.85M25.94M
Net Income-3.97M-5.54M2.59M-105.00K21.95M
Balance Sheet
Total Assets470.33M374.45M326.23M248.30M9.57K
Cash, Cash Equivalents and Short-Term Investments72.64M63.93M36.78M27.35M0.00
Total Debt147.37M128.32M127.13M63.69M0.00
Total Liabilities362.32M303.74M264.21M188.75M10.41K
Stockholders Equity18.77M-161.73M-14.20M-834.00
Cash Flow
Free Cash Flow-25.90M-30.40M-13.98M-34.66M25.02M
Operating Cash Flow-4.94M-18.12M-6.78M-26.34M37.24M
Investing Cash Flow-2.41M-35.40M-13.99M-10.69M-14.67M
Financing Cash Flow41.66M55.13M15.35M26.54M16.26M

American Oncology Network Technical Analysis

Technical Analysis Sentiment
Neutral
Last Price9.90
Price Trends
50DMA
9.80
Positive
100DMA
7.53
Positive
200DMA
5.92
Positive
Market Momentum
MACD
0.22
Positive
RSI
38.13
Neutral
STOCH
23.01
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For AONC, the sentiment is Neutral. The current price of 9.9 is below the 20-day moving average (MA) of 12.70, above the 50-day MA of 9.80, and above the 200-day MA of 5.92, indicating a neutral trend. The MACD of 0.22 indicates Positive momentum. The RSI at 38.13 is Neutral, neither overbought nor oversold. The STOCH value of 23.01 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Neutral sentiment for AONC.

American Oncology Network Risk Analysis

American Oncology Network disclosed 54 risk factors in its most recent earnings report. American Oncology Network reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

American Oncology Network Peers Comparison

Overall Rating
UnderperformOutperform
Sector (52)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
69
Neutral
$472.94M11.139.93%6.97%
TOTOI
54
Neutral
$287.69M-227.77%17.64%13.86%
53
Neutral
$794.03M232.1842.49%9.05%
52
Neutral
$7.53B0.20-63.81%2.31%16.15%0.40%
51
Neutral
$358.51M-22.81%-1.08%-65.84%
49
Neutral
$437.17M3.43%166.39%15.50%
CYCYH
49
Neutral
$505.10M39.18%1.05%-288.07%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
AONC
American Oncology Network
10.00
8.70
669.23%
CYH
Community Health
3.66
-0.34
-8.50%
TOI
Oncology Institute
2.97
2.48
506.12%
AVAH
Aveanna Healthcare Holdings
4.04
0.36
9.78%
EHAB
Enhabit, Inc
7.00
-2.65
-27.46%
AUNA
Auna S.A. Class A
6.38
-2.11
-24.85%
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jul 11, 2025