The Oncology Institute Reports Third Quarter 2024 Financial Results
The Oncology Institute (NASDAQ: TOI) reported Q3 2024 financial results with consolidated revenue of $99.9 million, up 21.8% year-over-year. The company saw a 79.9% increase in Dispensary segment revenue and signed 3 new capitation contracts across 2 states. Despite revenue growth, gross profit decreased 10.1% to $14.4 million, with margin falling to 14.4%. Net loss improved to $16.1 million from $17.4 million in Q3 2023. The company achieved a 6% reduction in SG&A expenses and expanded operations with first two clinics in Oregon. Cash position stood at $47.4 million as of September 30, 2024.
Il Istituto di Oncologia (NASDAQ: TOI) ha riportato i risultati finanziari del Q3 2024 con ricavi consolidati di 99,9 milioni di dollari, in aumento del 21,8% rispetto all'anno precedente. L'azienda ha registrato un aumento del 79,9% nei ricavi del segmento Dispensary e ha firmato 3 nuovi contratti di capitazione in 2 stati. Nonostante la crescita dei ricavi, il profitto lordo è diminuito del 10,1%, portandosi a 14,4 milioni di dollari, con un margine sceso al 14,4%. La perdita netta è migliorata a 16,1 milioni di dollari, rispetto ai 17,4 milioni di dollari del Q3 2023. L'azienda ha ottenuto una riduzione del 6% delle spese SG&A ed ha ampliato le operazioni con i primi due cliniche in Oregon. La posizione di cassa era di 47,4 milioni di dollari al 30 settembre 2024.
El Instituto de Oncología (NASDAQ: TOI) informó los resultados financieros del tercer trimestre de 2024 con ingresos consolidados de 99,9 millones de dólares, un aumento del 21,8% en comparación con el año anterior. La compañía vio un aumento del 79,9% en los ingresos del segmento de dispensarios y firmó 3 nuevos contratos de capitación en 2 estados. A pesar del crecimiento de los ingresos, la ganancia bruta disminuyó un 10,1% a 14,4 millones de dólares, con un margen que cayó al 14,4%. La pérdida neta mejoró a 16,1 millones de dólares desde los 17,4 millones de dólares del tercer trimestre de 2023. La empresa logró una reducción del 6% en los gastos SG&A y amplió sus operaciones con las dos primeras clínicas en Oregón. La posición de efectivo se situaba en 47,4 millones de dólares a 30 de septiembre de 2024.
온콜로지 연구소 (NASDAQ: TOI)는 2024년 3분기 재무 결과를 보고하며, 총 수익이 9,990만 달러로 지난해 대비 21.8% 증가했다고 발표했습니다. 회사는 약국 부문 수익이 79.9% 증가했으며, 2개 주에서 3개의 새로운 캡티네이션 계약을 체결했습니다. 수익 증가에도 불구하고, 총 이익은 10.1% 감소하여 1,440만 달러로 줄어들었고, 마진은 14.4%로 하락했습니다. 순손실은 1,610만 달러로 개선되어 2023년 3분기의 1,740만 달러에서 줄어들었습니다. 회사는 SG&A 비용을 6% 절감했으며, 오리건에 첫 두 개의 클리닉을 확대했습니다. 현금 보유고는 2024년 9월 30일 기준으로 4,740만 달러에 달했습니다.
L'Institut d'Oncologie (NASDAQ: TOI) a rapporté les résultats financiers du T3 2024 avec des revenus consolidés de 99,9 millions de dollars, en hausse de 21,8% par rapport à l'année précédente. La société a enregistré une augmentation de 79,9% de ses revenus dans le segment de la pharmacie et a signé 3 nouveaux contrats de capitation dans 2 États. Malgré la croissance des revenus, le bénéfice brut a diminué de 10,1% à 14,4 millions de dollars, avec une marge tombant à 14,4%. La perte nette s'est améliorée à 16,1 millions de dollars, contre 17,4 millions de dollars au T3 2023. La société a réalisé une réduction de 6% de ses frais SG&A et a étendu ses opérations avec ses deux premières cliniques en Oregon. La position de trésorerie se chiffrait à 47,4 millions de dollars au 30 septembre 2024.
Das Onkologie-Institut (NASDAQ: TOI) berichtete über die Finanzergebnisse für das Q3 2024 mit konsolidierten Einnahmen von 99,9 Millionen US-Dollar, einem Anstieg von 21,8% im Vergleich zum Vorjahr. Das Unternehmen erzielte einen Anstieg von 79,9% bei den Einnahmen im Bereich Apotheke und unterzeichnete 3 neue Kapitationsverträge in 2 Bundesstaaten. Trotz des Umsatzwachstums sank der Bruttogewinn um 10,1% auf 14,4 Millionen US-Dollar, wobei die Marge auf 14,4% fiel. Der Nettoverlust verbesserte sich auf 16,1 Millionen US-Dollar gegenüber 17,4 Millionen US-Dollar im Q3 2023. Das Unternehmen konnte die SG&A-Ausgaben um 6% senken und erweiterte die Aktivitäten mit den ersten beiden Kliniken in Oregon. Die Liquiditätsposition betrug zum 30. September 2024 47,4 Millionen US-Dollar.
- Revenue increased 21.8% YoY to $99.9 million
- Dispensary segment revenue grew 79.9% YoY
- SG&A expenses reduced by 6%
- Net loss improved by $1.3 million YoY
- Clinical trials & other revenue increased 20.5% YoY
- Gross profit decreased 10.1% YoY to $14.4 million
- Gross margin declined from 19.5% to 14.4% YoY
- Patient services revenue down 7.2% YoY
- Adjusted EBITDA worsened to -$8.2 million from -$5.3 million YoY
Insights
The Q3 2024 results present a mixed financial picture. While consolidated revenue grew
The expansion of capitation contracts and geographic footprint represents strategic growth, with 13 new contracts signed in 2024 and entry into Oregon. The increase to 27,000 Medicare Advantage lives in Florida and certification for radiopharmaceutical therapy in California demonstrate market penetration and service diversification. However, the completion of strategic review without major changes suggests near-term catalysts for value creation. The focus on value-based oncology care remains promising, but execution challenges are evident in the declining gross margins and patient service revenues, indicating potential pricing pressure or operational inefficiencies in core services.
CERRITOS, Calif., Nov. 13, 2024 (GLOBE NEWSWIRE) -- The Oncology Institute, Inc. (NASDAQ: TOI) (“TOI” or the “Company”), one of the largest value-based community oncology groups in the United States, today reported financial results for its three and nine months ended September 30, 2024.
Recent Operational Highlights Include
79.9% increase in Dispensary segment revenue compared to prior year quarter- Welcomed Rob Carter, as our new Chief Financial Officer
- 3 new capitation contracts signed across 2 states including both medical and radiation oncology services, which brings to 13 our 2024 newly signed capitation contracts
- Started second capitation contract in Florida directly with a health plan partner, bringing total estimated Medicare Advantage lives to 27,000 in this state
- Achieved certification to start radiopharmaceutical therapy in California, one of the few community-based centers to offer this outside of the hospital setting
- Opened first two clinics in Oregon, in Portland and Salem, aligned to first capitation contract start in this state
6% reduction in SG&A expenses and revenue increase of21.8% compared to prior year quarter
Third Quarter 2024 Financial Highlights
- Consolidated revenue of
$99.9 million , an increase of21.8% from$82.0 million in the prior year quarter - Gross profit of
$14.4 million , a decrease of10.1% compared to the prior year quarter, and gross margin of14.4% , a decrease from19.5% in the prior year quarter - Net loss of
$16.1 million compared to net loss of$17.4 million for the prior year quarter - Basic and diluted (loss) earnings per share of
$(0.18) compared to$(0.19) for the prior year quarter - Adjusted EBITDA of
$(8.2) million compared to$(5.3) million for the prior year quarter - Cash and cash equivalents of
$47.4 million as of September 30, 2024
Management Commentary
Daniel Virnich, CEO of TOI, commented, "We are pleased to report strong results for the third quarter of 2024, which reflect our continued focus on growth, operational efficiency, and delivering value to our customers and shareholders. During this period, we continued to break monthly fill records for our oral drug revenue. We recorded a revenue increase of
Third Quarter 2024 Results (for the three months ended September 30, 2024)
Consolidated revenue for Q3 2024 was
Revenue for patient services was
Gross profit in Q3 2024 was
Selling, general and administrative ("SG&A") expenses in Q3 2024 were
Net loss for Q3 2024 was
Adjusted EBITDA was
Nine Months ended 2024 Results (for the nine months ended September 30, 2024)
Consolidated revenue for the nine months ended September 30, 2024 was
Revenue for patient services in the nine months ended September 30, 2024 was
Gross profit for the nine months ended September 30, 2024 was
SG&A expenses for nine months ended September 30, 2024 were
Net loss for the nine months ended September 30, 2024 was
Adjusted EBITDA was
Review of Strategic Alternatives
TOI has completed its review of strategic, financial, and operational alternatives. After a thorough and careful assessment of a range of options, the Company’s Board of Directors has determined that the best course of action is to continue with its current strategic plan. This decision reflects the Board’s confidence in the Company’s core strengths, market position, and growth potential in light of our recent positive business development activity.
Webcast and Conference Call
TOI will host a conference call on Wednesday, November 13, 2024 at 5:00 p.m. (Eastern Time) to discuss third quarter results and management’s outlook for future financial and operational performance.
The conference call can be accessed live over the phone by dialing 1-877-407-0789, or for international callers, 1-201-689-8562. A replay will be available two hours after the call and can be accessed by dialing 1-844-512-2921, or for international callers, 1-412-317-6671. The passcode for the live call and the replay is 13744947. The replay will be available until August 20, 2024.
Interested investors and other parties may also listen to a simultaneous webcast of the conference call by logging onto the Investor Relations section of TOI's website at https://investors.theoncologyinstitute.com.
About The Oncology Institute, Inc.
Founded in 2007, TOI is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population of approximately 1.9 million patients including clinical trials, transfusions, and other services traditionally associated with the most advanced care delivery organizations. With nearly 120 employed clinicians and more than 700 teammates in over 72 clinic locations and growing. TOI also provides some management services to an additional 14 independent oncology practices. TOI is changing oncology for the better. For more information visit www.theoncologyinstitute.com.
Forward-Looking Statements
This press release includes certain statements that are not historical facts but are forward-looking statements for purposes of the safe harbor provisions under the United States Private Securities Litigation Reform Act of 1995. Forward-looking statements generally are accompanied by words such as “preliminary,” “believe,” “may,” “will,” “estimate,” “continue,” “anticipate,” “intend,” “expect,” “should,” “would,” “plan,” “project,” “predict,” “potential,” “guidance,” “approximately,” “seem,” “seek,” “future,” “outlook,” and similar expressions that predict or indicate future events or trends or that are not statements of historical matters. These forward-looking statements include, but are not limited to, statements regarding projections, anticipated financial results, estimates and forecasts of revenue and other financial and performance metrics and projections of market opportunity and expectations. These statements are based on various assumptions and on the current expectations of TOI and are not predictions of actual performance. These forward-looking statements are provided for illustrative purposes only and are not intended to serve as, and must not be relied on by anyone as, a guarantee, an assurance, a prediction or a definitive statement of fact or probability. Actual events and circumstances are difficult or impossible to predict and will differ from assumptions. Many actual events and circumstances are beyond the control of TOI. These forward-looking statements are subject to a number of risks and uncertainties, including the accuracy of the assumptions underlying the 2024 outlook discussed herein, the outcome of judicial and administrative proceedings to which TOI may become a party or investigations to which TOI may become or is subject that could interrupt or limit TOI’s operations, result in adverse judgments, settlements or fines and create negative publicity; changes in TOI’s patient or payors' preferences, prospects and the competitive conditions prevailing in the healthcare sector; failure to address the need to meet stock exchange continued listing standards and the possibility that the Company may have to effect a reverse stock split; the impact of COVID-19 on TOI’s business; those factors discussed in the documents of TOI filed, or to be filed, with the SEC, including the Item 1A. "Risk Factors" section of TOI's Annual Report on Form 10-K for the year ended December 31, 2023 filed with the SEC on March 28, 2024 and any subsequent Quarterly Reports on Form 10-Q or Current Reports on Form 8-K. If the risks materialize or assumptions prove incorrect, actual results could differ materially from the results implied by these forward-looking statements. There may be additional risks that TOI currently is evaluating or does not presently know or that TOI currently believes are immaterial that could also cause actual results to differ from those contained in the forward-looking statements. In addition, forward-looking statements reflect TOI’s plans or forecasts of future events and views as of the date of this press release. TOI anticipates that subsequent events and developments will cause TOI’s assessments to change. TOI does not undertake any obligation to update any of these forward-looking statements. These forward-looking statements should not be relied upon as representing TOI’s assessments as of any date subsequent to the date of this press release. Accordingly, undue reliance should not be placed upon the forward-looking statements.
Financial Information; Non-GAAP Financial Measures
Some of the financial information and data contained in this press release, such as Adjusted EBITDA, have not been prepared in accordance with United States generally accepted accounting principles (“GAAP”). TOI’s non-GAAP financial measures may be different from non-GAAP financial measures used by other companies. The presentation of non-GAAP financial measures is not intended to be considered in isolation or as a substitute for, or superior to, financial measures determined in accordance with GAAP. Because of the limitations of non-GAAP financial measures, you should consider the non-GAAP financial measures presented in this press release in conjunction with TOI’s financial statements and the related notes thereto.
TOI believes that the use of Adjusted EBITDA provides an additional tool to assess operational performance and results of our performance to plan and forecast future periods, and factors and trends in, and in comparing our financial measures with, other similar companies, many of which present similar non-GAAP financial measures to investors. The principal limitation of Adjusted EBITDA is that it excludes significant expenses and income that are required by GAAP to be recorded in TOI's financial statements.
TOI defines Adjusted EBITDA as net (loss) income plus depreciation, amortization, interest, taxes, non-cash items, share-based compensation, goodwill impairment charges, change in fair value of liabilities, unrealized gains or losses on investments and other adjustments to add-back the following: consulting and legal fees related to acquisitions, one-time consulting and legal fees related to certain advisory projects, software implementations and debt or equity financings, severance expense and temporary labor and recruiting charges to build out our corporate infrastructure. A reconciliation of Adjusted EBITDA to net loss, the most comparable GAAP metric, is set forth below.
| Adjusted EBITDA Reconciliation | ||||||||||||||
| Three Months Ended September 30, | Change | |||||||||||||
| (dollars in thousands) | 2024 | 2023 | $ | % | ||||||||||
| Net loss | $ | (16,113 | ) | $ | (17,419 | ) | $ | 1,306 | (7.5 | )% | ||||
| Depreciation and amortization | 1,573 | 1,698 | (125 | ) | (7.4 | )% | ||||||||
| Interest expense, net | 2,225 | 1,755 | 470 | 26.8 | % | |||||||||
| Income tax expense | — | 136 | (136 | ) | (100.0 | )% | ||||||||
| Non-cash addbacks(1) | (102 | ) | (13 | ) | (89 | ) | 684.6 | % | ||||||
| Share-based compensation | 2,388 | 4,658 | (2,270 | ) | (48.7 | )% | ||||||||
| Changes in fair value of liabilities | (20 | ) | 1,464 | (1,484 | ) | (101.4 | )% | |||||||
| Unrealized (gains) losses on investments | (18 | ) | (156 | ) | 138 | (88.5 | )% | |||||||
| Practice acquisition-related costs(2) | — | 41 | (41 | ) | (100.0 | )% | ||||||||
| Post-combination compensation expense(3) | 45 | 399 | (354 | ) | (88.7 | )% | ||||||||
| Consulting and legal fees(4) | 352 | 1 | 351 | 35,100.0 | % | |||||||||
| Infrastructure and workforce costs(5) | 1,473 | 1,978 | (505 | ) | (25.5 | )% | ||||||||
| Transaction costs(6) | — | 112 | (112 | ) | (100.0 | )% | ||||||||
| Adjusted EBITDA | $ | (8,197 | ) | $ | (5,346 | ) | $ | (2,851 | ) | 53.3 | % | |||
(1) During the three months ended September 30, 2024, non-cash addbacks were primarily comprised of non-cash rent of
(2) Practice acquisition-related costs were comprised of consulting and legal fees incurred to perform due diligence, execute, and integrate acquisitions of various oncology practices.
(3) Deferred consideration payments for practice acquisitions that are contingent upon the seller’s future employment at the Company.
(4) Consulting and legal fees were comprised of a subset of the Company’s total consulting and legal fees, and related to certain non-recurring advisory projects during the three months ended September 30, 2024. During the three months ended September 30, 2023, these fees related to non-recurring advisory projects, including software implementations.
(5) Infrastructure and workforce costs were comprised of recruiting expenses to build out corporate infrastructure of
(6) Transaction costs incurred during the three months ended September 30, 2023 were comprised of consulting, legal, administrative and regulatory fees associated with non-recurring due diligence projects.
| Nine Months Ended September 30, | Change | |||||||||||||
| (dollars in thousands) | 2024 | 2023 | $ | % | ||||||||||
| Net loss | $ | (51,481 | ) | $ | (64,314 | ) | $ | 12,833 | (20.0 | )% | ||||
| Depreciation and amortization | 4,580 | 4,296 | 284 | 6.6 | % | |||||||||
| Interest expense, net | 6,328 | 4,836 | 1,492 | 30.9 | % | |||||||||
| Income tax expense | — | 278 | (278 | ) | (100.0 | )% | ||||||||
| Non-cash addbacks(1) | (210 | ) | 152 | (362 | ) | (238.2 | )% | |||||||
| Share-based compensation | 9,862 | 13,730 | (3,868 | ) | (28.2 | )% | ||||||||
| Goodwill impairment charges | — | 16,867 | (16,867 | ) | N/A | |||||||||
| Changes in fair value of liabilities | (3,140 | ) | (2,884 | ) | (256 | ) | 8.9 | % | ||||||
| Unrealized (gains) losses on investments | (134 | ) | (31 | ) | (103 | ) | N/A | |||||||
| Practice acquisition-related costs(2) | — | 112 | (112 | ) | (100.0 | )% | ||||||||
| Post-combination compensation expense(3) | 361 | 1,561 | (1,200 | ) | N/A | |||||||||
| Consulting and legal fees(4) | 772 | 1,515 | (743 | ) | (49.0 | )% | ||||||||
| Infrastructure and workforce costs(5) | 5,197 | 4,095 | 1,102 | 26.9 | % | |||||||||
| Transaction costs(6) | 18 | 140 | (122 | ) | (87.1 | )% | ||||||||
| Adjusted EBITDA | $ | (27,847 | ) | $ | (19,647 | ) | $ | (8,200 | ) | 41.7 | % | |||
(1) During the nine months ended September 30, 2024, non-cash addbacks were primarily comprised of non-cash rent of
(2) Practice acquisition-related costs were comprised of consulting and legal fees incurred to perform due diligence, execute, and integrate acquisitions of various oncology practices.
(3) Deferred consideration payments for practice acquisitions that are contingent upon the seller’s future employment at the Company.
(4) Consulting and legal fees were comprised of a subset of the Company’s total consulting and legal fees, and related to certain non-recurring advisory projects during the nine months ended September 30, 2024. During the nine months ended September 30, 2023, these fees related to non-recurring advisory projects, including software implementations.
(5) Infrastructure and workforce costs were primarily comprised of non-recurring legal fees related to infrastructure build out of
(6) Transaction costs incurred during the nine months ended September 30, 2024 were comprised of consulting, legal, administrative and regulatory fees associated with non-recurring due diligence projects.
| Key Business Metrics | |||||||||||||||
| Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| Clinics (1) | 86 | 84 | 86 | 84 | |||||||||||
| Markets | 14 | 15 | 14 | 15 | |||||||||||
| Lives under value-based contracts (millions) | 1.9 | 1.8 | 1.9 | 1.8 | |||||||||||
| Adjusted EBITDA (in thousands) | $ | (8,196 | ) | $ | (5,346 | ) | $ | (27,847 | ) | $ | (19,647 | ) | |||
(1) Includes independent oncology practices to which we provide limited management services, but do not bear the operating costs.
Consolidated Balance Sheets (Unaudited)
(in thousands except share data)
| September 30, 2024 | December 31, 2023 | ||||||
| Assets | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 47,402 | $ | 33,488 | |||
| Marketable securities | — | 49,367 | |||||
| Accounts receivable, net | 54,502 | 42,360 | |||||
| Other receivables | 358 | 551 | |||||
| Inventories | 10,106 | 13,678 | |||||
| Prepaid expenses and other current assets | 4,057 | 4,049 | |||||
| Total current assets | 116,425 | 143,493 | |||||
| Property and equipment, net | 12,274 | 10,883 | |||||
| Operating right of use assets | 27,083 | 29,169 | |||||
| Intangible assets, net | 15,583 | 17,904 | |||||
| Goodwill | 7,230 | 7,230 | |||||
| Other assets | 588 | 561 | |||||
| Total assets | $ | 179,183 | $ | 209,240 | |||
| Liabilities and stockholders’ equity | |||||||
| Current liabilities: | |||||||
| Accounts payable | $ | 24,572 | $ | 14,429 | |||
| Current portion of operating lease liabilities | 6,749 | 6,363 | |||||
| Accrued expenses and other current liabilities | 15,436 | 13,996 | |||||
| Total current liabilities | 46,757 | 34,788 | |||||
| Operating lease liabilities | 24,664 | 26,486 | |||||
| Derivative warrant liabilities | 64 | 636 | |||||
| Conversion option derivative liabilities | 514 | 3,082 | |||||
| Long-term debt, net of unamortized debt issuance costs | 91,537 | 86,826 | |||||
| Other non-current liabilities | 133 | 365 | |||||
| Deferred income taxes liability | 32 | 32 | |||||
| Total liabilities | 163,701 | 152,215 | |||||
| Stockholders’ equity: | |||||||
| Common Stock, | 8 | 8 | |||||
| Series A Convertible Preferred Stock, | — | — | |||||
| Additional paid-in capital | 214,124 | 204,186 | |||||
| Treasury Stock at cost, 1,733,774 shares at September 30, 2024 and December 31, 2023 | (1,019 | ) | (1,019 | ) | |||
| Accumulated deficit | (197,631 | ) | (146,150 | ) | |||
| Total stockholders’ equity | 15,482 | 57,025 | |||||
| Total liabilities and stockholders’ equity | $ | 179,183 | $ | 209,240 | |||
Consolidated Statements of Operations (Unaudited)
(in thousands except share data)
| Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||
| 2024 | 2023 | 2024 | 2023 | ||||||||||||
| Revenue | |||||||||||||||
| Patient services | $ | 49,752 | $ | 53,634 | $ | 154,666 | $ | 157,333 | |||||||
| Dispensary | 48,210 | 26,792 | 132,329 | 76,228 | |||||||||||
| Clinical trials & other | 1,939 | 1,609 | 6,150 | 4,890 | |||||||||||
| Total operating revenue | 99,901 | 82,035 | 293,145 | 238,451 | |||||||||||
| Operating expenses | |||||||||||||||
| Direct costs – patient services | 45,118 | 44,961 | 141,137 | 132,653 | |||||||||||
| Direct costs – dispensary | 40,091 | 21,072 | 111,701 | 60,328 | |||||||||||
| Direct costs – clinical trials & other | 326 | 24 | 946 | 276 | |||||||||||
| Goodwill impairment charges | — | — | — | 16,867 | |||||||||||
| Selling, general and administrative expense | 26,646 | 28,205 | 82,970 | 85,761 | |||||||||||
| Depreciation and amortization | 1,573 | 1,698 | 4,580 | 4,296 | |||||||||||
| Total operating expenses | 113,754 | 95,960 | 341,334 | 300,181 | |||||||||||
| Loss from operations | (13,853 | ) | (13,925 | ) | (48,189 | ) | (61,730 | ) | |||||||
| Other non-operating expense (income) | |||||||||||||||
| Interest expense, net | 2,225 | 1,755 | 6,328 | 4,836 | |||||||||||
| Change in fair value of derivative warrant liabilities | (20 | ) | 203 | (572 | ) | (58 | ) | ||||||||
| Change in fair value of earnout liabilities | — | (23 | ) | — | (792 | ) | |||||||||
| Change in fair value of conversion option derivative liabilities | — | 1,284 | (2,568 | ) | (2,034 | ) | |||||||||
| Other, net | 55 | 140 | 104 | 354 | |||||||||||
| Total other non-operating (income) loss | 2,260 | 3,359 | 3,292 | 2,306 | |||||||||||
| Loss before provision for income taxes | (16,113 | ) | (17,284 | ) | (51,481 | ) | (64,036 | ) | |||||||
| Income tax expense | — | (135 | ) | — | (278 | ) | |||||||||
| Net loss | $ | (16,113 | ) | $ | (17,419 | ) | $ | (51,481 | ) | $ | (64,314 | ) | |||
| Net loss per share attributable to common stockholders: | |||||||||||||||
| Basic | $ | (0.18 | ) | $ | (0.19 | ) | $ | (0.56 | ) | $ | (0.71 | ) | |||
| Diluted | $ | (0.18 | ) | $ | (0.19 | ) | $ | (0.56 | ) | $ | (0.71 | ) | |||
| Weighted-average number of shares outstanding: | |||||||||||||||
| Basic | 75,524,823 | 73,469,101 | 74,838,340 | 73,679,454 | |||||||||||
| Diluted | 75,524,823 | 73,469,101 | 74,838,340 | 73,679,454 | |||||||||||
Consolidated Statements of Cash Flows (Unaudited)
(in thousands)
| Nine Months Ended September 30, | |||||||
| 2024 | 2023 | ||||||
| Cash flows from operating activities: | |||||||
| Net loss | $ | (51,481 | ) | $ | (64,314 | ) | |
| Adjustments to reconcile net loss to cash and cash equivalents used in operating activities: | |||||||
| Depreciation and amortization | 4,580 | 4,296 | |||||
| Amortization of debt issuance costs and debt discount | 4,711 | 4,633 | |||||
| Goodwill impairment charges | — | 16,867 | |||||
| Share-based compensation | 9,863 | 13,731 | |||||
| Change in fair value of liability classified warrants | (572 | ) | (58 | ) | |||
| Change in fair value of liability classified earnouts | — | (792 | ) | ||||
| Change in fair value of liability classified conversion option derivatives | (2,568 | ) | (2,034 | ) | |||
| Realized loss on sale of investments | — | 11 | |||||
| Unrealized (gain) loss on investments | (134 | ) | (44 | ) | |||
| Accretion of discount on investment securities | (499 | ) | (712 | ) | |||
| Deferred taxes | — | 50 | |||||
| Credit losses | — | 31 | |||||
| Loss on disposal of property and equipment | 51 | — | |||||
| Changes in operating assets and liabilities: | |||||||
| Accounts receivable | (12,142 | ) | (8,657 | ) | |||
| Other receivables | 193 | 153 | |||||
| Inventories | 3,572 | (2,913 | ) | ||||
| Prepaid expenses and other current assets | (8 | ) | 2,728 | ||||
| Operating right-of-use assets | 2,086 | 4,448 | |||||
| Other assets | (27 | ) | (83 | ) | |||
| Accounts payable | 8,476 | 3,961 | |||||
| Current and long-term operating lease liabilities | (1,436 | ) | (3,909 | ) | |||
| Accrued expenses and other current liabilities | 4,815 | 579 | |||||
| Income taxes payable | — | — | |||||
| Other non-current liabilities | (204 | ) | (394 | ) | |||
| Net cash and cash equivalents used in operating activities | (30,724 | ) | (32,422 | ) | |||
| Cash flows from investing activities: | |||||||
| Purchases of property and equipment | (2,034 | ) | (3,706 | ) | |||
| Cash paid for practice acquisitions, net | — | (4,300 | ) | ||||
| Purchases of marketable securities/investments | — | (9,683 | ) | ||||
| Sales of marketable securities/investments | 50,000 | 68,702 | |||||
| Net cash and cash equivalents provided by investing activities | 47,966 | 51,013 | |||||
| Cash flows from financing activities: | |||||||
| Payments made for financing of insurance payments | (1,002 | ) | (3,010 | ) | |||
| Payment of deferred consideration liability for acquisition | (2,372 | ) | (959 | ) | |||
| Principal payments on financing leases | (29 | ) | (91 | ) | |||
| Common stock repurchase | — | (1,019 | ) | ||||
| Common stock issued for options exercised | 75 | 13 | |||||
| Net cash and cash equivalents used in financing activities | (3,328 | ) | (5,066 | ) | |||
| Net increase in cash and cash equivalents | 13,914 | 13,525 | |||||
| Cash and cash equivalents at beginning of period | 33,488 | 14,010 | |||||
| Cash and cash equivalents at end of period | $ | 47,402 | $ | 27,535 | |||
Contacts
Media
The Oncology Institute, Inc.
Daniel Virnich, MD
danielvirnich@theoncologyinstitute.com
(562) 735-3226 x 81125
Revive
Michael Petrone
mpetrone@reviveagency.com
(615) 760-4542
Investors
Solebury Strategic Communications
investors@theoncologyinstitute.com
FAQ
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