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Starling Oncology (STLN) earnings and revenue breakdown

Latest: Q3 2026 · 10-Q filed Nov 6, 2026 · Starling Oncology (STLN) Q3 2026 earnings results →

Q3 2026 Revenue up 24% year over year to $170M · 9¢ of every $1 of revenue lost · operating margin -1.8%

Starling Oncology made $170M in Q3 2026 (+24% Y/Y): Specialty Pharmacy $109M, Patient services $60.0M. Operating margin -1.8%, net loss $15.7M. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Nov 6, 2026.

Revenue$170M
Year over year+24%
Operating margin-1.8%
Net earnings−$15.7M
Operating cash flow$10.1M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $169.8M in Q3 2026, up 24% year over year and up 5% from the previous quarter. Specialty Pharmacy was the largest line at 64% of revenue. Specialty Pharmacy added $33.4M year over year (up 44%), 101% of the total change. FFS revenue declined 21%.

Operating costs exceeded revenue by $3.0M, an operating margin of -1.8%. Total costs grew 19% against revenue growth of 24%. The fastest-growing cost line was SG&A (+27%). The quarter ended with a net loss of $15.7M, wider than the previous quarter's $9.8M loss. Net interest and other expense of $12.8M was the main reason.

Operating cash flow was $10.1M. Non-cash charges added back $1.5M of depreciation and amortization and $1.3M of share-based compensation. Working capital and other items added $23.0M. Capital expenditures of $1.3M left free cash flow of $8.9M.

Quarterly history

Starling Oncology revenue by quarterStarling Oncology revenue by quarter$104MQ1 2025$120MQ2 2025$137MQ3 2025$142MQ4 2025$147MQ1 2026$161MQ2 2026$170MQ3 2026
Starling Oncology net earnings by quarterStarling Oncology net earnings by quarter−$19.6MQ1 2025−$17.0MQ2 2025−$16.5MQ3 2025−$7.5MQ4 2025−$2.5MQ1 2026−$9.8MQ2 2026−$15.7MQ3 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q3 202610-QNov 6, 2026$170M+24%-1.8%−$15.7M$10.1M
Q2 202610-QAug 6, 2026$161M+35%-2.9%−$9.8M$11.9M
Q1 202610-QMay 7, 2026$147M+41%-4.4%−$2.5M−$2.2M
Q4 202510-KMar 12, 2026$142M+42%-4.9%−$7.5M$3.2M
Q3 202510-QNov 13, 2025$137M+37%-5.9%−$16.5M−$12.6M
Q2 202510-QAug 13, 2025$120M+22%-9.4%−$17.0M−$10.2M
Q1 202510-QMay 14, 2025$104M+10%-9.5%−$19.6M−$5.0M

Charts

Starling Oncology: revenue growth, year over year and quarter over quarterStarling Oncology: revenue growth, year over year and quarter over quarterY/YQ/Q+10%Q1 2025+22%+15%Q2 2025+37%+14%Q3 2025+42%+4%Q4 2025+41%+4%Q1 2026+35%+9%Q2 2026+24%+5%Q3 2026
Latest (Q3 2026): Y/Y +24%, Q/Q +5%.
Starling Oncology: where the cash came from (+) and went (−), TTM to Q3 2026Starling Oncology: where the cash came from (+) and went (−), TTM to Q3 2026Net borrowing (+) / repaid (−)−$85.9MOther financing$72.2MOperating cash flow$23.1MCash drawn (+) / kept (−)−$9.2MCapital spending−$4.3MShares issued$4.2M
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
Starling Oncology: profit against cash, quarter by quarterStarling Oncology: profit against cash, quarter by quarterNet incomeOperating cash flow−$13.2M$4.0MQ4 2024−$19.6M−$5.0MQ1 2025−$17.0M−$10.2MQ2 2025−$16.5M−$12.6MQ3 2025−$7.5M$3.2MQ4 2025−$2.5M−$2.2MQ1 2026−$9.8M$11.9MQ2 2026−$15.7M$10.1MQ3 2026
Latest (Q3 2026): Net income −$15.7M, Operating cash flow $10.1M.
Starling Oncology: diluted shares by fiscal yearStarling Oncology: diluted shares by fiscal year59MFY202066MFY202181MFY202274MFY202375MFY202492MFY2025
+56.3% since FY2020: more shares outstanding (issuance, stock pay).
Starling Oncology in its industry: growth against margin (8 companies, SIC 8011)Starling Oncology in its industry: growth against margin (8 companies, SIC 8011)revenue growth, year over year →↑ operating marginmedian -3%median -13%HIMSTDOCSBCLFMDAIRSCDIXHLYKSTLN (+24%, -2%)
Services-Offices & Clinics of Doctors of Medicine; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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Customers and suppliers named in filings

Sells to

About Starling Oncology

Formed in 2007, the business of what is now The Oncology Institute, Inc. ("TOI", the "Company", "we", or "our) and its affiliated professional corporations was created initially as a collection of community oncology practices in southern California, and has evolved to be a national leader in the pursuit of reducing the ever-rising cost of oncology care, while embracing clinical best practices, state-of-the-art technology, and compassionate treatment of patients.

In its own words, from its 10-K, filed Mar 12, 2026.

Starling Oncology against its Services-Offices & Clinics of Doctors of Medicine peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +24% against the peers' median -3%. Operating margin: -1.8% against the peers' median -12.9%.

CompanyQuarterRevenueY/YOp. margin
STLN Starling OncologyQ3 2026$170M+24%-1.8%
HIMS Hims & Hers HealthQ2 2026$753M+38%-12.9%
TDOC Teladoc HealthQ3 2026$605M-3%-4.6%
SBC SBC Medical Group HoldingsQ2 2026$49.2M+13%38.5%
LFMD LifeMDQ2 2026$47.3M-4%-15.1%
AIRS Airsculpt TechnologiesQ3 2026$31.9M-9%-13.0%
CDIX Cardiff LexingtonQ2 2026$2.2M-23%-25.2%
HLYK HealthLynkedQ2 2026$250K-58%-215.7%

Source: Starling Oncology 10-Q on SEC EDGAR · CIK 1799191 · Services-Offices & Clinics of Doctors of Medicine

Guidance and outlook

Starling Oncology: what its forward-looking statements are about (10-Q filed 2026-11-06)Starling Oncology: what its forward-looking statements are about (10-Q filed 2026-11-06)Other5Demand2Costs2
9 statements; tone +0.22 (−1 all cautious, +1 all confident); 1 hedged.
Starling Oncology: outlook statements against the filing beforeStarling Oncology: outlook statements against the filing beforeConfident2

13F: who owns STLN and who is buying

Largest holders of STLN (13F)Largest holders of STLN (13F)BlackRock$25.8MDeerfield Management Company, L.P…$18.2MVanguard Capital Management LLC$17.7MVanguard Group$16.9MJosh Arnold Investment Consultant…$13.4MGeode Capital Management, LLC$10.3MGoldman Sachs Group$9.4MWexford Capital LP$9.3MState Street$8.4MNuveen, LLC$7.6M
Funds' net buying of STLN by quarter (13F)Funds' net buying of STLN by quarter (13F)−$1.6M2024-09−$2.0M2024-12$2.7M2025-03$30.9M2025-06$8.5M2025-09$11.2M2025-12$1.2M2026-03$8.8M2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on STLN

History

Every quarter: Q3 2026 results · Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results

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