2024 Q1 Form 10-K Financial Statement

#000162828024013444 Filed on March 28, 2024

View on sec.gov

Income Statement

Concept 2024 Q1 2023 Q4 2023
Revenue $94.67M $85.79M $324.2M
YoY Change 24.25% 20.11% 28.42%
Cost Of Revenue $82.70M $71.41M $264.7M
YoY Change 33.18% 27.98% 32.08%
Gross Profit $11.97M $14.38M $59.57M
YoY Change -15.11% -8.0% 14.36%
Gross Profit Margin 12.64% 16.76% 18.37%
Selling, General & Admin $28.45M $28.09M $113.9M
YoY Change -1.31% -5.01% -4.88%
% of Gross Profit 237.71% 195.35% 191.11%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $1.489M $1.573M $5.873M
YoY Change 17.34% 31.96% 33.14%
% of Gross Profit 12.44% 10.94% 9.86%
Operating Expenses $28.45M $29.67M $119.7M
YoY Change -1.31% -3.57% 0.03%
Operating Profit -$17.97M -$15.29M -$60.15M
YoY Change -45.32% 1.01% -26.6%
Interest Expense -$1.985M -$1.941M -$6.777M
YoY Change 37.56% -20.78% 66.02%
% of Operating Profit
Other Income/Expense, Net -$1.917M -$1.839M $691.0K
YoY Change -165.81% -111.38% -99.16%
Pretax Income -$19.89M -$19.07M -$83.10M
YoY Change -33.6% 67.65% 91223.08%
Income Tax $0.00 -$314.0K -$36.00K
% Of Pretax Income
Net Earnings -$19.89M -$15.29M -$67.88M
YoY Change -33.7% 74.96% -44755.92%
Net Earnings / Revenue -21.01% -17.82% -20.93%
Basic Earnings Per Share -$0.22 -$0.92
Diluted Earnings Per Share -$0.22 -$0.21 -$0.92
COMMON SHARES
Basic Shares Outstanding 74.31M shares 73.75M shares 73.75M shares
Diluted Shares Outstanding 74.23M shares 73.75M shares

Balance Sheet

Concept 2024 Q1 2023 Q4 2023
SHORT-TERM ASSETS
Cash & Short-Term Investments $65.83M $82.86M $82.86M
YoY Change 18.87% 12.26% 12.26%
Cash & Equivalents $36.06M $33.49M
Short-Term Investments $29.78M $49.37M $49.37M
Other Short-Term Assets $4.678M $4.049M $4.049M
YoY Change -32.61% -41.47% -41.47%
Inventory $11.55M $13.68M $13.68M
Prepaid Expenses
Receivables $58.76M $42.36M $42.36M
Other Receivables $368.0K $551.0K $551.0K
Total Short-Term Assets $141.2M $143.5M $143.5M
YoY Change 18.69% 10.03% 10.03%
LONG-TERM ASSETS
Property, Plant & Equipment $11.00M $40.05M $40.05M
YoY Change 11.67% 368.61% 21.22%
Goodwill $7.230M $7.230M
YoY Change 58.87% -66.24%
Intangibles $17.13M $17.90M
YoY Change -0.56% -0.3%
Long-Term Investments $0.00 $0.00
YoY Change -100.0% -100.0%
Other Assets $568.0K $561.0K $561.0K
YoY Change 7.78% 17.61% 17.61%
Total Long-Term Assets $63.34M $65.75M $65.75M
YoY Change -45.24% -49.91% -49.91%
TOTAL ASSETS
Total Short-Term Assets $141.2M $143.5M $143.5M
Total Long-Term Assets $63.34M $65.75M $65.75M
Total Assets $204.5M $209.2M $209.2M
YoY Change -12.83% -20.04% -20.04%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $21.02M $14.43M $14.43M
YoY Change 75.92% 53.96% 53.96%
Accrued Expenses $18.36M $16.76M $16.76M
YoY Change 49.96% 14.82% -0.6%
Deferred Revenue $964.0K $545.0K
YoY Change 10.17% -52.15%
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due
YoY Change
Total Short-Term Liabilities $45.77M $34.79M $34.79M
YoY Change 52.13% 17.05% 17.05%
LONG-TERM LIABILITIES
Long-Term Debt $88.39M $86.83M $86.83M
YoY Change 7.6% 7.7% 7.7%
Other Long-Term Liabilities $273.0K $30.57M $30.57M
YoY Change -64.31% 3421.77% 9.02%
Total Long-Term Liabilities $88.66M $117.4M $117.4M
YoY Change 6.93% 44.06% 8.04%
TOTAL LIABILITIES
Total Short-Term Liabilities $45.77M $34.79M $34.79M
Total Long-Term Liabilities $88.66M $117.4M $117.4M
Total Liabilities $163.2M $152.2M $152.2M
YoY Change 19.83% 9.91% 9.91%
SHAREHOLDERS EQUITY
Retained Earnings -$166.0M -$146.2M
YoY Change 78.38% 131.68%
Common Stock $8.000K $8.000K
YoY Change 14.29% 14.29%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $41.30M $57.03M $57.03M
YoY Change
Total Liabilities & Shareholders Equity $204.5M $209.2M $209.2M
YoY Change -12.83% -20.04% -20.04%

Cashflow Statement

Concept 2024 Q1 2023 Q4 2023
OPERATING ACTIVITIES
Net Income -$19.89M -$15.29M -$67.88M
YoY Change -33.7% 74.96% -44755.92%
Depreciation, Depletion And Amortization $1.489M $1.573M $5.873M
YoY Change 17.34% 31.96% 33.14%
Cash From Operating Activities -$15.88M -$3.895M -$36.32M
YoY Change 2.79% -72.17% -41.2%
INVESTING ACTIVITIES
Capital Expenditures $610.0K $857.0K $4.567M
YoY Change -66.83% -57.04% -17.4%
Acquisitions $4.456M
YoY Change -48.05%
Other Investing Activities $20.00M $12.49M $67.21M
YoY Change -1.2% -140.84% -153.3%
Cash From Investing Activities $19.39M $11.63M $62.64M
YoY Change 5.36% -135.71% -147.59%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net -$893.0K
YoY Change -109.92%
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -$938.0K -1.777M -6.847M
YoY Change -45.11% 109.8% -107.43%
NET CHANGE
Cash From Operating Activities -$15.88M -3.895M -36.32M
Cash From Investing Activities $19.39M 11.63M 62.64M
Cash From Financing Activities -$938.0K -1.777M -6.847M
Net Change In Cash $2.567M 5.958M 19.48M
YoY Change 107.02% -112.57% -119.25%
FREE CASH FLOW
Cash From Operating Activities -$15.88M -$3.895M -$36.32M
Capital Expenditures $610.0K $857.0K $4.567M
Free Cash Flow -$16.49M -$4.752M -$40.88M
YoY Change -4.62% -70.29% -39.24%

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CY2022Q4 us-gaap Stockholders Equity
StockholdersEquity
123175000 usd
CY2023 us-gaap Net Income Loss
NetIncomeLoss
-83068000 usd
CY2023 us-gaap Stock Issued During Period Value Restricted Stock Award Gross
StockIssuedDuringPeriodValueRestrictedStockAwardGross
1000 usd
CY2023 us-gaap Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
126000 usd
CY2023 us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
17810000 usd
CY2023 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
4456000 usd
CY2022 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
8577000 usd
CY2023 us-gaap Payments To Acquire Marketable Securities
PaymentsToAcquireMarketableSecurities
9595000 usd
CY2022 us-gaap Payments To Acquire Marketable Securities
PaymentsToAcquireMarketableSecurities
117508000 usd
CY2023Q4 us-gaap Stockholders Equity
StockholdersEquity
57025000 usd
CY2023 us-gaap Net Income Loss
NetIncomeLoss
-83068000 usd
CY2022 us-gaap Net Income Loss
NetIncomeLoss
152000 usd
CY2023 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
5873000 usd
CY2022 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
4411000 usd
CY2023 us-gaap Amortization Of Financing Costs
AmortizationOfFinancingCosts
6205000 usd
CY2022 us-gaap Amortization Of Financing Costs
AmortizationOfFinancingCosts
2444000 usd
CY2023 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
16867000 usd
CY2022 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
9944000 usd
CY2023 us-gaap Share Based Compensation
ShareBasedCompensation
17810000 usd
CY2022 us-gaap Share Based Compensation
ShareBasedCompensation
27683000 usd
CY2023 us-gaap Fair Value Adjustment Of Warrants
FairValueAdjustmentOfWarrants
286000 usd
CY2022 us-gaap Fair Value Adjustment Of Warrants
FairValueAdjustmentOfWarrants
-1843000 usd
CY2023 us-gaap Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
-803000 usd
CY2022 us-gaap Business Combination Contingent Consideration Arrangements Change In Amount Of Contingent Consideration Liability1
BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
-59215000 usd
CY2023 us-gaap Derivative Gain Loss On Derivative Net
DerivativeGainLossOnDerivativeNet
878000 usd
CY2022 us-gaap Derivative Gain Loss On Derivative Net
DerivativeGainLossOnDerivativeNet
24200000 usd
CY2023 us-gaap Unrealized Gain Loss On Investments
UnrealizedGainLossOnInvestments
249000 usd
CY2022 us-gaap Unrealized Gain Loss On Investments
UnrealizedGainLossOnInvestments
-378000 usd
CY2023 us-gaap Accretion Amortization Of Discounts And Premiums Investments
AccretionAmortizationOfDiscountsAndPremiumsInvestments
2631000 usd
CY2022 us-gaap Accretion Amortization Of Discounts And Premiums Investments
AccretionAmortizationOfDiscountsAndPremiumsInvestments
1020000 usd
CY2023 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-76000 usd
CY2022 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
-263000 usd
CY2023 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
0 usd
CY2022 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
183000 usd
CY2023 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
2020000 usd
CY2022 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
476000 usd
CY2023 us-gaap Gain Loss On Sale Of Property Plant Equipment
GainLossOnSaleOfPropertyPlantEquipment
30000 usd
CY2022 us-gaap Gain Loss On Sale Of Property Plant Equipment
GainLossOnSaleOfPropertyPlantEquipment
-21000 usd
CY2023 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
4564000 usd
CY2022 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
20285000 usd
CY2023 us-gaap Increase Decrease In Inventories
IncreaseDecreaseInInventories
4385000 usd
CY2022 us-gaap Increase Decrease In Inventories
IncreaseDecreaseInInventories
1732000 usd
CY2023 us-gaap Increase Decrease In Other Receivables
IncreaseDecreaseInOtherReceivables
-66000 usd
CY2022 us-gaap Increase Decrease In Other Receivables
IncreaseDecreaseInOtherReceivables
-620000 usd
CY2023 us-gaap Increase Decrease In Prepaid Expense
IncreaseDecreaseInPrepaidExpense
-3128000 usd
CY2022 us-gaap Increase Decrease In Prepaid Expense
IncreaseDecreaseInPrepaidExpense
-4282000 usd
CY2023 toi Increase Decrease In Operating Lease Right Of Use Assets
IncreaseDecreaseInOperatingLeaseRightOfUseAssets
-5806000 usd
CY2022 toi Increase Decrease In Operating Lease Right Of Use Assets
IncreaseDecreaseInOperatingLeaseRightOfUseAssets
-5404000 usd
CY2023 us-gaap Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
84000 usd
CY2022 us-gaap Increase Decrease In Other Noncurrent Assets
IncreaseDecreaseInOtherNoncurrentAssets
157000 usd
CY2023 us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
3357000 usd
CY2022 us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
2349000 usd
CY2023 us-gaap Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
-255000 usd
CY2022 us-gaap Increase Decrease In Accrued Income Taxes Payable
IncreaseDecreaseInAccruedIncomeTaxesPayable
123000 usd
CY2023 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
5057000 usd
CY2022 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
-6187000 usd
CY2023 us-gaap Increase Decrease In Operating Lease Liability
IncreaseDecreaseInOperatingLeaseLiability
-5324000 usd
CY2022 us-gaap Increase Decrease In Operating Lease Liability
IncreaseDecreaseInOperatingLeaseLiability
-3801000 usd
CY2023 us-gaap Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
-443000 usd
CY2022 us-gaap Increase Decrease In Other Noncurrent Liabilities
IncreaseDecreaseInOtherNoncurrentLiabilities
-1157000 usd
CY2023 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-36315000 usd
CY2022 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-61756000 usd
CY2023 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
4567000 usd
CY2022 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
5529000 usd
CY2023 us-gaap Proceeds From Sale And Maturity Of Marketable Securities
ProceedsFromSaleAndMaturityOfMarketableSecurities
81258000 usd
CY2022 us-gaap Proceeds From Sale And Maturity Of Marketable Securities
ProceedsFromSaleAndMaturityOfMarketableSecurities
0 usd
CY2023 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
62640000 usd
CY2022 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-131614000 usd
CY2023 us-gaap Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
0 usd
CY2022 us-gaap Proceeds From Issuance Of Long Term Debt
ProceedsFromIssuanceOfLongTermDebt
110000000 usd
CY2023 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
0 usd
CY2023 toi Payments For Financing Of Insurance Payments
PaymentsForFinancingOfInsurancePayments
3269000 usd
CY2022 toi Payments For Financing Of Insurance Payments
PaymentsForFinancingOfInsurancePayments
5009000 usd
CY2023 us-gaap Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
2584000 usd
CY2022 us-gaap Payment For Contingent Consideration Liability Financing Activities
PaymentForContingentConsiderationLiabilityFinancingActivities
509000 usd
CY2023 us-gaap Finance Lease Principal Payments
FinanceLeasePrincipalPayments
101000 usd
CY2022 us-gaap Finance Lease Principal Payments
FinanceLeasePrincipalPayments
58000 usd
CY2023 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
1019000 usd
CY2022 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
9000000 usd
CY2023 us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
126000 usd
CY2022 us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
858000 usd
CY2023 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
0 usd
CY2022 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
413000 usd
CY2023 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
-6847000 usd
CY2022 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
92206000 usd
CY2023 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Excluding Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect
19478000 usd
CY2022 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Excluding Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseExcludingExchangeRateEffect
-101164000 usd
CY2022Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
14010000 usd
CY2021Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
115174000 usd
CY2023Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
33488000 usd
CY2022Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
14010000 usd
CY2023 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
403000 usd
CY2022 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
150000 usd
CY2023 us-gaap Interest Paid Net
InterestPaidNet
4506000 usd
CY2022 us-gaap Interest Paid Net
InterestPaidNet
224000 usd
CY2023 toi Deferred Consideration As Part Of Practice Acquisitions
DeferredConsiderationAsPartOfPracticeAcquisitions
1813000 usd
CY2022 toi Deferred Consideration As Part Of Practice Acquisitions
DeferredConsiderationAsPartOfPracticeAcquisitions
0 usd
CY2023 toi Discount On Convertible Debt
DiscountOnConvertibleDebt
0 usd
CY2022 toi Discount On Convertible Debt
DiscountOnConvertibleDebt
28160000 usd
CY2023 toi Non Cash Financed Insurance Premiums
NonCashFinancedInsurancePremiums
1253000 usd
CY2022 toi Non Cash Financed Insurance Premiums
NonCashFinancedInsurancePremiums
0 usd
CY2023 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
182000 usd
CY2022 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
0 usd
CY2023 toi Number Of Oncologists And Mid Level Professionals Within Three States Minimum
NumberOfOncologistsAndMidLevelProfessionalsWithinThreeStatesMinimum
119 oncologist
CY2023 toi Number Of Clinic Locations
NumberOfClinicLocations
69 cliniclocation
CY2023Q4 us-gaap Number Of States In Which Entity Operates
NumberOfStatesInWhichEntityOperates
5 state
CY2023 us-gaap Number Of Operating Segments
NumberOfOperatingSegments
3 segment
CY2023 us-gaap Use Of Estimates
UseOfEstimates
<div style="margin-bottom:10pt"><span style="color:#231f20;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:700;line-height:120%">Use of Estimates</span></div><div style="margin-bottom:10pt;text-align:justify;text-indent:18pt"><span style="color:#231f20;font-family:'Times New Roman',sans-serif;font-size:10pt;font-weight:400;line-height:120%">The preparation of the consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could materially differ from those estimates under different assumptions or conditions. Significant items subject to such estimates and assumptions include judgements related to revenue recognition, estimated accounts receivable and the allowance for credit losses, useful lives and recoverability of long-lived and intangible assets, recoverability of goodwill, fair values of acquired identifiable assets and assumed liabilities in business combinations, fair value of intangible assets and goodwill, fair value of share-based compensation, fair value of liability classified instruments, and judgements related to deferred income taxes.</span></div>
CY2022 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0 usd
CY2023 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0 usd
CY2023 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
16867000 usd
CY2022 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
9944000 usd
CY2022 us-gaap Impairment Of Intangible Assets Finitelived
ImpairmentOfIntangibleAssetsFinitelived
0 usd
CY2023 us-gaap Impairment Of Intangible Assets Finitelived
ImpairmentOfIntangibleAssetsFinitelived
0 usd
CY2023 toi Defined Contribution Plan Required Service Period
DefinedContributionPlanRequiredServicePeriod
P2M
CY2023 us-gaap Defined Contribution Plan Employer Matching Contribution Percent Of Match
DefinedContributionPlanEmployerMatchingContributionPercentOfMatch
1
CY2022 us-gaap Defined Contribution Plan Employer Matching Contribution Percent Of Match
DefinedContributionPlanEmployerMatchingContributionPercentOfMatch
1
CY2022 us-gaap Defined Contribution Plan Employer Matching Contribution Percent
DefinedContributionPlanEmployerMatchingContributionPercent
0.04
CY2023 us-gaap Defined Contribution Plan Employer Matching Contribution Percent
DefinedContributionPlanEmployerMatchingContributionPercent
0.04
CY2023 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
1271000 usd
CY2022 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
1108000 usd
CY2023Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
42360000 usd
CY2022Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
39816000 usd
CY2022Q1 toi Accounts Receivable After Allowance For Credit Loss Remaining Amount
AccountsReceivableAfterAllowanceForCreditLossRemainingAmount
20007000 usd
CY2023 toi Accounts Receivable Allowance For Credit Loss Recovery Reversal
AccountsReceivableAllowanceForCreditLossRecoveryReversal
11000 usd
CY2022 toi Accounts Receivable Allowance For Credit Loss Recovery Reversal
AccountsReceivableAllowanceForCreditLossRecoveryReversal
169000 usd
CY2023 us-gaap Allowance For Doubtful Accounts Receivable Write Offs
AllowanceForDoubtfulAccountsReceivableWriteOffs
2031000 usd
CY2022 us-gaap Allowance For Doubtful Accounts Receivable Write Offs
AllowanceForDoubtfulAccountsReceivableWriteOffs
307000 usd
CY2023 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
324239000 usd
CY2022 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
252483000 usd
CY2022Q4 us-gaap Contract With Customer Asset Net
ContractWithCustomerAssetNet
0 usd
CY2023Q4 us-gaap Contract With Customer Asset Net
ContractWithCustomerAssetNet
0 usd
CY2023Q4 us-gaap Contract With Customer Liability
ContractWithCustomerLiability
545000 usd
CY2022Q4 us-gaap Contract With Customer Liability
ContractWithCustomerLiability
1139000 usd
CY2022Q1 us-gaap Contract With Customer Liability
ContractWithCustomerLiability
220000 usd
CY2023 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
594000 usd
CY2022 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
220000 usd
CY2023Q4 us-gaap Inventory Net
InventoryNet
13678000 usd
CY2022Q4 us-gaap Inventory Net
InventoryNet
9261000 usd
CY2023Q4 us-gaap Available For Sale Debt Securities Amortized Cost Basis
AvailableForSaleDebtSecuritiesAmortizedCostBasis
72279000 usd
CY2023Q4 us-gaap Available For Sale Debt Securities Accumulated Gross Unrealized Gain Before Tax
AvailableForSaleDebtSecuritiesAccumulatedGrossUnrealizedGainBeforeTax
5000 usd
CY2023Q4 us-gaap Available For Sale Debt Securities Accumulated Gross Unrealized Loss Before Tax
AvailableForSaleDebtSecuritiesAccumulatedGrossUnrealizedLossBeforeTax
134000 usd
CY2023Q4 us-gaap Available For Sale Securities Debt Securities
AvailableForSaleSecuritiesDebtSecurities
72150000 usd
CY2022Q4 us-gaap Available For Sale Debt Securities Amortized Cost Basis
AvailableForSaleDebtSecuritiesAmortizedCostBasis
121101000 usd
CY2022Q4 us-gaap Available For Sale Debt Securities Accumulated Gross Unrealized Gain Before Tax
AvailableForSaleDebtSecuritiesAccumulatedGrossUnrealizedGainBeforeTax
6000 usd
CY2022Q4 us-gaap Available For Sale Debt Securities Accumulated Gross Unrealized Loss Before Tax
AvailableForSaleDebtSecuritiesAccumulatedGrossUnrealizedLossBeforeTax
384000 usd
CY2022Q4 us-gaap Available For Sale Securities Debt Securities
AvailableForSaleSecuritiesDebtSecurities
120723000 usd
CY2023Q4 us-gaap Available For Sale Securities Debt Maturities Within One Year Amortized Cost
AvailableForSaleSecuritiesDebtMaturitiesWithinOneYearAmortizedCost
72150000 usd
CY2023Q4 us-gaap Available For Sale Securities Debt Maturities After One Through Five Years Amortized Cost
AvailableForSaleSecuritiesDebtMaturitiesAfterOneThroughFiveYearsAmortizedCost
0 usd
CY2023Q4 toi Debt Securities Available For Sale Amortized Cost Maturity Allocated And Single Maturity Date After Year5
DebtSecuritiesAvailableForSaleAmortizedCostMaturityAllocatedAndSingleMaturityDateAfterYear5
0 usd
CY2023Q4 us-gaap Available For Sale Securities Debt Maturities Single Maturity Date Amortized Cost Basis
AvailableForSaleSecuritiesDebtMaturitiesSingleMaturityDateAmortizedCostBasis
72150000 usd
CY2022Q4 us-gaap Available For Sale Securities Debt Maturities Within One Year Amortized Cost
AvailableForSaleSecuritiesDebtMaturitiesWithinOneYearAmortizedCost
72892000 usd
CY2022Q4 us-gaap Available For Sale Securities Debt Maturities After One Through Five Years Amortized Cost
AvailableForSaleSecuritiesDebtMaturitiesAfterOneThroughFiveYearsAmortizedCost
47831000 usd
CY2022Q4 toi Debt Securities Available For Sale Amortized Cost Maturity Allocated And Single Maturity Date After Year5
DebtSecuritiesAvailableForSaleAmortizedCostMaturityAllocatedAndSingleMaturityDateAfterYear5
0 usd
CY2022Q4 us-gaap Available For Sale Securities Debt Maturities Single Maturity Date Amortized Cost Basis
AvailableForSaleSecuritiesDebtMaturitiesSingleMaturityDateAmortizedCostBasis
120723000 usd
CY2023 us-gaap Debt Securities Available For Sale Unrealized Gain Loss
DebtSecuritiesAvailableForSaleUnrealizedGainLoss
249000 usd
CY2023Q4 us-gaap Debt Securities Available For Sale Unrealized Loss Position Number Of Positions
DebtSecuritiesAvailableForSaleUnrealizedLossPositionNumberOfPositions
3 security
CY2023Q4 us-gaap Debt Securities Available For Sale Accrued Interest After Allowance For Credit Loss Current
DebtSecuritiesAvailableForSaleAccruedInterestAfterAllowanceForCreditLossCurrent
242000 usd
CY2022Q4 us-gaap Debt Securities Available For Sale Accrued Interest After Allowance For Credit Loss Current
DebtSecuritiesAvailableForSaleAccruedInterestAfterAllowanceForCreditLossCurrent
274000 usd
CY2023 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
16867000 usd
CY2022 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
9944000 usd
CY2023Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
6180000 usd
CY2022Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
3506000 usd
CY2023Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
10883000 usd
CY2022Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
8547000 usd
CY2023 us-gaap Depreciation
Depreciation
2864000 usd
CY2022 us-gaap Depreciation
Depreciation
1526000 usd
CY2023Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
5518000 usd
CY2022Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
5310000 usd
CY2023Q4 us-gaap Contract With Customer Liability Current
ContractWithCustomerLiabilityCurrent
545000 usd
CY2022Q4 us-gaap Contract With Customer Liability Current
ContractWithCustomerLiabilityCurrent
1139000 usd
CY2023Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
1002000 usd
CY2022Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
3010000 usd
CY2023Q4 toi Business Combination Consideration Transferred Other Current
BusinessCombinationConsiderationTransferredOtherCurrent
2206000 usd
CY2022Q4 toi Business Combination Consideration Transferred Other Current
BusinessCombinationConsiderationTransferredOtherCurrent
802000 usd
CY2023Q4 us-gaap Interest Payable Current
InterestPayableCurrent
1124000 usd
CY2022Q4 us-gaap Interest Payable Current
InterestPayableCurrent
1100000 usd
CY2023Q4 us-gaap Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
3601000 usd
CY2022Q4 us-gaap Other Sundry Liabilities Current
OtherSundryLiabilitiesCurrent
3234000 usd
CY2023Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
13996000 usd
CY2022Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
14595000 usd
CY2023Q4 us-gaap Accounts Payable Current And Noncurrent
AccountsPayableCurrentAndNoncurrent
1250000 usd
CY2023Q4 us-gaap Accounts Payable Interest Bearing Interest Rate
AccountsPayableInterestBearingInterestRate
0.0875
CY2023Q4 toi Number Of Instalments Payable
NumberOfInstalmentsPayable
10 installment
CY2023Q4 us-gaap Accrued Insurance Current
AccruedInsuranceCurrent
122000 usd
CY2023Q4 us-gaap Accrued Insurance Current And Noncurrent
AccruedInsuranceCurrentAndNoncurrent
1002000 usd
CY2023 toi Operating And Short Term Lease Cost
OperatingAndShortTermLeaseCost
7596000 usd
CY2022 toi Operating And Short Term Lease Cost
OperatingAndShortTermLeaseCost
6364000 usd
CY2023 us-gaap Operating Lease Cost
OperatingLeaseCost
7556000 usd
CY2022 us-gaap Operating Lease Cost
OperatingLeaseCost
6002000 usd
CY2023 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
59000 usd
CY2022 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
62000 usd
CY2023 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
11000 usd
CY2022 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
8000 usd
CY2023 us-gaap Lease Cost
LeaseCost
8905000 usd
CY2022 us-gaap Lease Cost
LeaseCost
7401000 usd
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
3957000 usd
CY2023Q4 us-gaap Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
0 usd
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
6243000 usd
CY2023Q4 us-gaap Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
0 usd
CY2023 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
11096000 usd
CY2022 toi Right Of Use Assets Obtained During Current Year In Exchange For Operating Lease Liability
RightOfUseAssetsObtainedDuringCurrentYearInExchangeForOperatingLeaseLiability
11668000 usd
CY2023 toi Lessee Operating Lease Number Of Clinic Lease Term Extensions
LesseeOperatingLeaseNumberOfClinicLeaseTermExtensions
7 cliniclocation
CY2023 toi Operating Lease Modification Liability Increase Decrease
OperatingLeaseModificationLiabilityIncreaseDecrease
3297000 usd
CY2023 toi Operating Lease Modification Liability Increase Decrease Net Of Lease Incentives
OperatingLeaseModificationLiabilityIncreaseDecreaseNetOfLeaseIncentives
3303000 usd
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CY2023 toi Effective Income Tax Rate Reconciliation162m Deferred Haircut
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CY2022 toi Effective Income Tax Rate Reconciliation Prior Year Deferred True Ups
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CY2023Q4 toi Deferred Tax Asset Financing Lease Liability
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CY2022Q4 toi Deferred Tax Asset Financing Lease Liability
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CY2022Q4 us-gaap Deferred Tax Assets Valuation Allowance
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CY2022Q4 us-gaap Deferred Tax Assets Net
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CY2023Q4 us-gaap Deferred Tax Liabilities Leasing Arrangements
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CY2023Q4 toi Deferred Tax Asset Financial Lease Asset
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CY2022Q4 toi Deferred Tax Asset Financial Lease Asset
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CY2023Q4 us-gaap Deferred Income Tax Liabilities
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CY2022 us-gaap Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
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CY2023Q4 us-gaap Unrecognized Tax Benefits
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99000 usd
CY2022Q4 us-gaap Unrecognized Tax Benefits
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CY2022Q4 us-gaap Goodwill
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CY2023Q4 us-gaap Goodwill
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CY2022Q4 us-gaap Goodwill
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CY2022 us-gaap Net Income Loss
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CY2022 us-gaap Preferred Stock Dividends Income Statement Impact
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CY2022 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Basic
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CY2022 us-gaap Net Income Loss Available To Common Stockholders Basic
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CY2023 us-gaap Weighted Average Number Of Shares Outstanding Basic
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CY2022 us-gaap Net Income Loss
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CY2022 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Diluted
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CY2023 us-gaap Participating Securities Distributed And Undistributed Earnings Loss Diluted
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CY2022 us-gaap Participating Securities Distributed And Undistributed Earnings Loss Diluted
ParticipatingSecuritiesDistributedAndUndistributedEarningsLossDiluted
-3588000 usd
CY2023 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
-67877000 usd
CY2023 us-gaap Incremental Common Shares Attributable To Conversion Of Debt Securities
IncrementalCommonSharesAttributableToConversionOfDebtSecurities
0 shares
CY2022 us-gaap Incremental Common Shares Attributable To Conversion Of Debt Securities
IncrementalCommonSharesAttributableToConversionOfDebtSecurities
5100809 shares
CY2022 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
80605600 shares
CY2023 us-gaap Number Of Operating Segments
NumberOfOperatingSegments
3 segment
CY2023 us-gaap Number Of Reportable Segments
NumberOfReportableSegments
3 segment
CY2023 us-gaap Operating Income Loss
OperatingIncomeLoss
-77018000 usd
CY2022 us-gaap Operating Income Loss
OperatingIncomeLoss
-81951000 usd
CY2023Q4 us-gaap Assets
Assets
209240000 usd
CY2022Q4 us-gaap Assets
Assets
261665000 usd
CY2023 us-gaap Related Party Transaction Amounts Of Transaction
RelatedPartyTransactionAmountsOfTransaction
563000 usd
CY2022 us-gaap Related Party Transaction Amounts Of Transaction
RelatedPartyTransactionAmountsOfTransaction
9150000 usd

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