Oncology Institute, Inc.
Business
The Oncology Institute, Inc. operates community-based oncology clinics providing medical and radiation oncology care to cancer patients across five states. The company generates revenue through fee-for-service oncology care and value-based contracts with managed care organizations and other risk-bearing payors, supplemented by specialty pharmacy and clinical trial services. TOI manages approximately 2.0 million patients under value-based agreements through 65 physician-owned affiliated clinics, 81 independently-owned contracted clinics, and a network of 198 independent providers.
Summary from 10-K filed 2026-03-12
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Total operating revenue | 503 | 393 | 324 | 252 | 203 | |
| Selling, general and administrative expense | 106 | 108 | 114 | 120 | 83 | |
| Depreciation and amortization | 7 | 6 | 6 | 4 | 3 | |
| Total operating expenses | 539 | 454 | 401 | 334 | 249 | |
| Loss from operations | −36 | −60 | −77 | −82 | −46 | |
| Interest expense, net | 11 | 7 | 7 | — | — | |
| Change in fair value of derivative warrant liabilities | 247,000 | −619,000 | 286,000 | −2 | −4 | |
| Change in fair value of conversion option derivative liabilities | 12 | −3 | −878,000 | −24 | 0 | |
| Other, net | 925,000 | 365,000 | 704,000 | −501,000 | −1 | |
| Total other non-operating expense | 25 | 5 | 6 | −82 | −34 | |
| Loss before provision for income taxes | −61 | −65 | −83 | −91,000 | −12 | |
| Income tax benefit | 131,000 | 0 | 36,000 | 243,000 | 671,000 | |
| Net loss | −61 | −65 | −83 | 152,000 | −11 | |
| Net loss attributable to common stockholders, basic | −50 | −53 | −68 | 68,000 | −11 | |
| Net loss attributable to common stockholders, diluted | −50 | −53 | −68 | −17 | −11 | |
| Weighted-average number of shares outstanding, basic (in shares) | 92 | 75 | 74 | 73 | 66 | |
| Weighted-average number of shares outstanding, diluted (in shares) | 92 | 75 | 74 | 81 | 66 | |
| Net loss per share attributable to common stockholders, basic (in dollars per share) | −0.54 | −0.71 | −0.92 | 0 | −0.16 | |
| Net loss per share attributable to common stockholders, diluted (in dollars per share) | −0.54 | −0.71 | −0.92 | −0.21 | −0.16 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 34 | 50 | 33 | 14 | 115 | |
| Accounts receivable, net | 59 | 48 | 42 | 40 | 20 | |
| Other receivables | 322,000 | 346,000 | 551,000 | 617,000 | 1 | |
| Inventories | 17 | 10 | 14 | 9 | 6 | |
| Prepaid expenses and other current assets | 3 | 4 | 4 | 7 | — | |
| Total current assets | 113 | 112 | 143 | 130 | 154 | |
| Property and equipment, net | 11 | 12 | 11 | 9 | 4 | |
| Operating right of use assets | 22 | 26 | 29 | 24 | 0 | |
| Intangible assets, net | 11 | 15 | 18 | 18 | 18 | |
| Goodwill | 7 | 7 | 7 | 21 | 27 | |
| Other assets | 606,000 | 589,000 | 561,000 | 477,000 | 320,000 | |
| Total assets | 165 | 173 | 209 | 262 | 203 | |
| Accounts payable | 43 | 24 | 14 | 9 | 16 | |
| Current portion of operating lease liabilities | 7 | 7 | 6 | 5 | 0 | |
| Accrued expenses and other current liabilities | 21 | 21 | 14 | 15 | 14 | |
| Total current liabilities | 71 | 52 | 35 | 30 | 30 | |
| Operating lease liabilities | 19 | 23 | 26 | 22 | 0 | |
| Derivative warrant liabilities | 264,000 | 17,000 | 636,000 | 350,000 | 2 | |
| Conversion option derivative liabilities | 13 | 385,000 | 3 | 4 | 0 | |
| Long-term debt, net of unamortized debt issuance costs | 77 | 93 | 87 | 81 | 0 | |
| Other non-current liabilities | 28,000 | 125,000 | 365,000 | 868,000 | 7 | |
| Deferred income taxes liability | 0 | 32,000 | 32,000 | 108,000 | 371,000 | |
| Total liabilities | 180 | 169 | 152 | 138 | 99 | |
| Commitments and contingencies (Note 15) | 0 | 0 | 0 | 0 | 0 | |
| Common Stock, 0.0001 par value, authorized 500,000,000 shares; 100,596,918 shares issued and 98,863,144 shares outstanding at December 31, 2025 and 77,470,886 shares issued and 75,737,112 shares outstanding at December 31, 2024 | 10,000 | 8,000 | 8,000 | 7,000 | 7,000 | |
| Series A Convertible Preferred Stock, 0.0001 par value, authorized 10,000,000 shares; 193,507 and 165,045 shares issued and outstanding at December 31, 2025 and 2024, respectively | 0 | 0 | 0 | 0 | 0 | |
| Additional paid-in capital | 257 | 215 | 204 | 186 | 167 | |
| Treasury Stock at cost, 1,733,774 shares at December 31, 2025 and 2024 | −1 | −1 | −1 | 0 | — | |
| Accumulated deficit | −271 | −211 | −146 | −63 | −63 | |
| Total stockholders equity (deficit) | −16 | 4 | 57 | 123 | 104 | |
| Total liabilities and stockholders equity (deficit) | 165 | 173 | 209 | 262 | 203 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 7 | 6 | 6 | 4 | 3 | |
| Amortization of debt issuance costs and debt discount | 8 | 6 | 6 | 2 | 53,000 | |
| Write-off of assets from clinical trials segment | 2 | — | — | — | — | |
| Share-based compensation | 5 | 11 | 18 | 28 | 25 | |
| Unrealized (gain) loss on investments | 0 | −133,000 | −249,000 | 378,000 | 0 | |
| Accretion of discount on investment securities | 0 | −500,000 | −3 | −1 | 0 | |
| Deferred taxes | −32,000 | 0 | −76,000 | −263,000 | −1 | |
| Loss on disposal of property and equipment | 0 | 271,000 | −30,000 | 21,000 | 0 | |
| Accounts receivable | −12 | −6 | −5 | −20 | −2 | |
| Inventories | −7 | 4 | −4 | −2 | −2 | |
| Other receivables | −274,000 | 205,000 | 66,000 | 620,000 | −792,000 | |
| Prepaid expenses | 2 | 1 | 3 | 4 | −9 | |
| Other assets | −17,000 | −28,000 | −84,000 | −157,000 | −198,000 | |
| Accrued expenses and other current liabilities | −448,000 | 9 | 3 | 2 | −3 | |
| Accounts payable | 20 | 9 | 5 | −6 | 3 | |
| Change in operating leases | −452,000 | 559,000 | −5 | −4 | 0 | |
| Other non-current liabilities | −11,000 | −203,000 | −443,000 | −1 | 809,000 | |
| Net cash and cash equivalents used in operating activities | −25 | −27 | −36 | −62 | −33 | |
| Purchases of property and equipment | −3 | −4 | −5 | −6 | −3 | |
| Proceeds from asset disposition | 126,000 | 0 | — | — | — | |
| Sales of marketable securities/investments | 0 | 50 | 81 | 0 | — | |
| Net cash and cash equivalents provided by (used in) investing activities | −3 | 46 | 63 | −132 | −12 | |
| Proceeds from private placement, net of offering costs | 15 | 0 | — | — | — | |
| Proceeds from at-the-market offering, net of offering costs | 14 | 0 | 126,000 | — | — | |
| Proceeds from employee stock purchase plan | 151,000 | 0 | — | — | — | |
| Payments made for financing of insurance payments | −991,000 | −1 | −3 | −5 | −409,000 | |
| Payment of deferred consideration liability for acquisition | −50,000 | −2 | −3 | −509,000 | −50,000 | |
| Principal payments on long-term debt | −20 | 0 | — | 0 | −7 | |
| Principal payments on financing leases | −37,000 | −39,000 | −101,000 | −58,000 | — | |
| Common stock issued for warrants exercised | 517,000 | 0 | — | — | — | |
| Common stock issued for options exercised | 3 | 75,000 | 126,000 | 858,000 | 0 | |
| Net cash and cash equivalents provided by (used in) financing activities | 12 | −3 | −7 | 92 | 154 | |
| Net (decrease) increase in cash and cash equivalents | −16 | 16 | 19 | −101 | 109 | |
| Interest | 4 | 4 | 5 | 224,000 | 275,000 | |
| Principal exchange of convertible note for preferred stock | 4 | 0 | — | — | — | |
| Right-of-use assets in connection with operation lease modifications | 2 | 1 | — | — | — | |
| Financed insurance premiums | 794,000 | 844,000 | 1 | 0 | — | |
| Purchases of property and equipment included in accounts payable | 441,000 | 680,000 | 182,000 | — | — |
Filings
Material Events
Insiders
Institutional Holders
Frequently asked questions
What is Oncology Institute, Inc.'s CIK number?
Oncology Institute, Inc.'s SEC CIK number is 0001799191 (1799191). The CIK (Central Index Key) is the permanent identifier the SEC assigns to every EDGAR filer — unlike a ticker symbol, it never changes.
Where can I find Oncology Institute, Inc.'s SEC filings?
All of Oncology Institute, Inc.'s EDGAR filings — 10-K annual reports, 10-Q quarterly reports, 8-K material events, and insider transactions — are listed on this page, sourced live from SEC EDGAR.
When did Oncology Institute, Inc. last report earnings?
Oncology Institute, Inc. (DFPH) most recently filed an earnings 8-K with the SEC on May 7, 2026, furnishing its results under Item 2.02 (Results of Operations and Financial Condition). The earnings press release is attached to that filing (accession 0001079973-26-000611). This is Oncology Institute, Inc.'s most recent earnings filing of record — not a forecast of its next earnings date.
What is Oncology Institute, Inc.'s most recent earnings 8-K?
Oncology Institute, Inc.'s latest earnings 8-K (Item 2.02) was filed May 7, 2026 under accession 0001079973-26-000611. It carries the quarterly or annual earnings press release — the earliest official, SEC-filed version of the results.
View Oncology Institute, Inc.'s latest earnings 8-K →
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