California
“10-K Item 1A: 'the vast majority of the TOI PC members under capitation agreements were residents of California'”
Updated
The most significant concentration Starling Oncology discloses is California, classified HIGH by disclosed size. Below: the full set from the latest 10-K — verbatim quotes, filing references, and a synthesis of what these exposures mean together.
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Source: Starling Oncology’s SEC Form 10-K filed — view the filing on SEC EDGAR ↗
Each card carries a disclosed-size chip (HIGH / MEDIUM / LOW — how large the exposure is as a share of revenue, not how dangerous it is) and a nature tag: Built-in(the company’s own model, geography, or products) or Outside party (an external customer, supplier, or distributor it relies on).
“10-K Item 1A: 'the vast majority of the TOI PC members under capitation agreements were residents of California'”
“10-K Item 1: 'we generated more than 46% of our revenue from patients who are covered by value-based contracts'”
“10-K Item 1A: 'A significant portion of our consolidated Patient Services revenue is derived from a limited number of health insurance, Independent Practice Associations, or IPAs and medical group companies.'”
“10-K Item 1A: 'A significant portion of sales are from prescription drug sales reimbursed by a number of pharmacy benefit management companies with which TOI PCs contract.'”
“10-K Item 1A: 'Approximately 16% of our revenue for 2025 was derived from fixed fees paid by payors under capitation agreements with the TOI PCs.'”
Starling Oncology's concentration risk spans geography, payor mix, and revenue structure, with sizes disclosed unevenly. The vast majority of TOI PC members under capitation agreements were residents of California, a high-share concentration tying the business closely to one state's reimbursement and regulatory environment. On the payor side, more than 46% of revenue comes from patients covered by value-based contracts, a medium-share structural feature of how the company is paid. That is layered with a medium-share dependency on a limited number of health insurance, IPA, and medical group payors, and a separate medium-share dependency on pharmacy benefit management companies for reimbursed prescription drug sales. Within the value-based mix, capitation contracts specifically account for approximately 16% of 2025 revenue, a low-share slice of the overall business. The picture overall is a business built around one concentrated state and a payor structure leaning on a handful of counterparty types, with the fixed-fee capitation piece the smallest, most contained layer. The California concentration is the exposure most likely to move the verdict, since it is the only one disclosed at a high-share level.
For the engine’s reasoning on STLN’s current verdict — including which dimensions drove the score — see the per-dimension breakdown.
| Symbol | Name | HIGH | MEDIUM | LOW | Total |
|---|---|---|---|---|---|
| STLN● | Starling Oncology, Inc. | 1 | 3 | 1 | 5 |
| ACHC | Acadia Healthcare Company, Inc. | 1 | 1 | 0 | 2 |
| ADUS | Addus HomeCare Corporation | 0 | 2 | 4 | 6 |
| ARDT | Ardent Health, Inc. | 0 | 2 | 0 | 2 |
| AMN | AMN Healthcare Services Inc | 0 | 0 | 1 | 1 |
| AGL | agilon health, inc. | 0 | 0 | 0 | 0 |
Concentration counts reflect items disclosed in each peer’s most recent 10-K; disclosed-size classification uses TrendMatrix’s internal 10-K extraction taxonomy.