What Onco does

ONCO, Inc. is a privately held, family-owned healthcare software company founded in 1983 and headquartered in Wall Township, New Jersey, that builds oncology data management software and supporting services for U.S. hospitals, cancer treatment centers, and multi-facility health systems. Its flagship product, ONCOLog, is a cancer registry platform that handles casefinding, abstracting, follow-up, and quality control for CoC, NPCR, and SEER accreditation reporting, and is augmented by three add-on modules: ONCONav for patient navigation, Quality Indicator Manager for quality measure tracking, and Interface Manager for HL7-based EMR data acquisition. The platform runs on a Windows-based client with an MS SQL Server backend, and the company is transitioning to a modern cloud-ready web platform called OWA (ONCO Web Application) launched in 2026.

Underlying technology centers on a patient-centric multi-facility database that eliminates duplicate data entry (reported 75% time savings on shared cases), unlimited user-defined fields, and deep HL7 integration with virtually all major EMR systems as well as a long-standing Varian ARIA interface. ONCO has an exclusive partnership with Inspirata to embed AI-powered casefinding and pre-abstraction (E-Path and E-Path Plus) into the ONCOLog-OWA workflow, with reported 99% clinical validation accuracy and 25-35% operational efficiency gains. The product is SOC 2 Type II certified and fully HIPAA compliant, and is supported by ODS-certified staff with hospital-based experience.

The business generates revenue primarily through quote-based annual enterprise software licensing for ONCOLog and add-on modules, with multi-step demo and consultation sales processes delivered through a direct field sales team (no resellers). A secondary professional services stream (abstracting, consulting, accreditation support) was a meaningful contributor until October 2025, when ONCO divested its cancer registry services division to Savista, effectively refocusing the company on software products. The company serves over 770 hospitals across community programs, NCI-designated cancer centers, and integrated health systems, and is led by Co-CEOs Jim and Heidi Hendrickson, with Dr. Ted Williamson (founder) serving as Medical Director and Brad Kirby (formerly of Sentara Healthcare) as COO.

Name

Onco

Legal name

ONCO, Inc.

Website

https://oncoinc.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

11–50 employees

Short description

ONCO, Inc. is a privately held, family-owned healthcare software company that builds oncology data management software, including the ONCOLog cancer registry platform and ONCONav patient navigation software, for U.S. hospitals, cancer treatment centers, and multi-facility health systems, with an exclusive AI partnership with Inspirata and a recent cloud platform launch (OWA).

Ownership category

akta.pro rank

Product category

Oncology Data Management Software

NAICS

Software Publishers (5132)

SIC

Services-Prepackaged Software (7372), Services-Health Services (8000)

akta.pro primary industry

Oncology Pathways & Precision Medicine Decision Support (HLACAGAH)

Keywords

• Cancer registry software
• Oncology data management
• Patient navigation software
• Clinical data interfaces
• Cancer abstracting services

Headquarters

HQ city

Asbury Park

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure, Others

Revenue model

1. Software Licensing/Subscription: ONCOLog software licensing with bi-annual updates. Supports various deployment options including standalone, terminal server/Citrix, and network configurations.
2. Professional Services: Registry professional services including abstracting, consulting, and accreditation support. Staffed with oncology data experts to help eliminate backlogs and provide short-term or long-term support.
3. Software Support Services: Technical and registry support services provided by ODSs (Oncology Data Specialists) with hospital-based experience, including NCRA CE approved quarterly web seminars.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Onco develops and sells oncology data management software, with ONCOLog as the flagship cancer registry platform providing casefinding, abstracting, follow-up, and quality control. The product suite is complemented by the ONCONav patient navigation application, the cloud-ready ONCO Web Application (OWA), HL7-based Interface Manager, Quality Indicator Manager, and Inspirata AI integration. The company also offers software support and professional abstracting and consulting services to hospitals, cancer centers, and multi-facility health systems.

Product overview

ONCO offers an integrated suite of oncology data management software and services. The core platform is ONCOLog Cancer Registry, a comprehensive cancer registry software providing casefinding, abstracting, follow-up, and quality control. This is augmented by ONCONav for patient navigation, Quality Indicator Manager for quality measures tracking, and Interface Manager for data acquisition automation. The company has introduced OWA (ONCO Web Application) as a modern, cloud-ready platform with integrated AI capabilities through a partnership with Inspirata. Professional services including abstracting, consulting, and software support complement the product portfolio.

Differentiator

Problem solved

Functional benefit

Brands

• ONCOLog: Cancer Registry software serving as the central platform for cancer registry operations, providing casefinding, abstracting, follow-up and quality control functionality.
• ONCONav
• Quality Indicator Manager
• Interface Manager
• OWA (ONCO Web Application)
• E-Path
• E-Path Plus

Products and services

• ONCOLog Cancer Registry Flagship oncology data management platform that serves as the central system for cancer registry operations, providing efficiencies for casefinding, abstracting, follow-up, and quality control with interface manager integration, comprehensive reporting for accreditation and quality measures, and multi-facility functionality for enterprise centralization.
• ONCONav Oncology-specific patient navigation software that helps oncology navigators schedule, track, organize, and report patient interactions, supporting structured assessments, barrier documentation, task management, follow-up tracking, and outcomes reporting across single or multi-facility navigation programs.
• ONCO Web Application (OWA) Modern, cloud-ready web platform built as the next-generation interface for ONCOLog, offering an intuitive interface, unlimited custom fields, multi-facility support, robust analytics tools, and built-in Inspirata AI integration for automated casefinding and data extraction.
• Software Support Technical and registry support services provided by Oncology Data Specialists (ODS, formerly CTRs) with hospital-based experience, including Monday-Friday 8 AM-8 PM ET support, NCRA CE approved quarterly web seminars, and dedicated assistance during the annual Commission on Cancer call-for-data period.
• Professional Services / Abstracting and Consulting Professional services offering providing expert support for cancer program management and registry operations, including backlog elimination, short-term or long-term casefinding, abstracting and follow-up support, and accreditation consulting staffed by oncology data specialists.

Quantifiable outcome

• 25-35% greater operational efficiency across casefinding, abstraction, and follow-up with ONCO + Inspirata integration
• +7 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability7 records

Feature8 records

Partnerships

Four partnerships are on record, tiered strategic and core.

• MD Anderson Cancer CenterstrategicTechnology or Integration · 1 January 2020Collaboration on Computer Aided Coding (CAC) interface development. Worked with MD Anderson to expand interface technology for automated data extraction from pathology reports and clinical documentation.
• Varian Medical SystemscoreTechnology or Integration · 1 January 2005Partnership established in 2005 provides extensive interface with ARIA Electronic Medical Record system. Allows users to automatically import demographic and disease information from the ARIA system into ONCOLog.
• InspiratacoreTechnology or IntegrationExclusive partnership bringing AI-powered automation directly into the ONCOLog-OWA workflow. Inspirata's E-Path provides AI/NLP casefinding and E-Path Plus extracts and pre-populates up to 120 data elements per case. The integration achieves 25-35% greater operational efficiency and is validated at 99% accuracy. Provides single point of support for the integrated solution.
• CodeX/mCode FHIRstrategicTechnology or IntegrationCodeX Developer/Implementer partnership focused on mCode FHIR interoperability standards for oncology data exchange. ONCO is working to make registrars' jobs easier through standards-based data interoperability.

Scale indicators11 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• ERS Inc. (CRStar): ERS provides CRStar, one of the most widely deployed cancer registry software products in the US. Direct competitor to ONCOLog, serving CoC-accredited hospitals, NCI centers, and state registries with similar casefinding, abstracting, and follow-up functionality.
• C/NET Solutions (CNExT): C/NET Solutions sells CNExT, a cancer registry software product used by hospitals and central registries. Direct competitor to ONCOLog in the same cancer registry point-solution category with overlapping customer profiles.
• Elekta (MOSAIQ): Elekta's MOSAIQ Oncology Information System is a radiation-oncology-focused EMR that includes cancer registry/abstracting workflows. Direct competitor in oncology data management, particularly in radiation oncology and integrated cancer center deployments.

Broad incumbents

• Varian Medical Systems (Siemens Healthineers) — ARIA: Varian's ARIA oncology information system is both a long-standing ONCO integration partner (HL7 interface) and a broader-platform competitor. As part of Siemens Healthineers, Varian bundles EMR, treatment, and registry capabilities into a full oncology suite that competes with ONCOLog for enterprise oncology contracts.
• Epic Systems (Beaker): Epic's Beaker anatomic pathology and oncology modules are embedded in the dominant US hospital EHR. As health systems consolidate on Epic, ONCOLog faces displacement pressure at renewals, making Epic a broad incumbent competitor rather than a point-solution peer.

Emerging players

• Inspirata: Inspirata is ONCO's exclusive AI partner (E-Path, E-Path Plus) and a standalone oncology AI/cancer registry vendor to other customers. A strategic partner that is also a partial competitor in the AI-powered casefinding and pre-abstraction space.
• Flatiron Health: Flatiron (a Roche company) provides oncology-specific EHR, data, and analytics for community oncology practices and life sciences research. Competes with ONCO in oncology data capture and downstream analytics, especially for value-based care and research use cases.
• Tempus: Tempus is an AI-driven precision medicine platform that ingests oncology clinical and molecular data. Adjacent/emerging competitor in oncology data infrastructure, with overlapping buyer personas at NCI centers and large health systems.

Others

• Dolbey: Dolbey provides clinical documentation, computer-aided coding, and dictation solutions, including oncology-specific CAC capabilities that overlap with ONCO's CAC interface work. Adjacent vendor in the cancer data workflow rather than a direct registry competitor.
• 3M Health Information Systems (Solventum): 3M (now Solventum) provides health data management, coding, and classification tools widely used in US healthcare. Adjacent in the health data workflow — not a direct registry competitor, but a relevant ecosystem player in oncology data capture and reporting.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Onco