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Mar 31, 2023

Oncology Institute Q1 2023 Earnings Report

Reported financial results with revenue increase and net loss.

Key Takeaways

The Oncology Institute (TOI) reported a strong start to 2023 with a 38.1% increase in consolidated revenue, reaching $76 million. However, the company experienced a net loss of $30.0 million, a significant decrease compared to the prior year's net income of $19.3 million, primarily due to a decrease in the change in fair value of earnout liabilities and a goodwill impairment charge.

Consolidated revenue increased by 38.1% to $76 million compared to Q1 2022.

Gross profit increased by 14.4% to $14 million, with a gross margin of 18.5%.

Net loss was $30.0 million, compared to a net income of $19.3 million in the prior year quarter.

Patient visits increased by 17% and oral drugs dispensed increased by 34% compared to Q1 2022.

Total Revenue
$76.2M
Previous year: $55.2M
+38.1%
EPS
-$0.33
Previous year: $0.21
-257.1%
Clinics
76
Previous year: 67
+13.4%
Lives Under VBC
1.8M
Previous year: 1.5M
+20.0%
Gross Profit
$14M
Previous year: $12M
+16.7%
Cash and Equivalents
$15.3M
Previous year: $95.5M
-84.0%
Free Cash Flow
-$17.3M
Previous year: -$18M
-3.8%
Total Assets
$235M
Previous year: $207M
+13.6%

Oncology Institute

Oncology Institute

Oncology Institute Revenue by Segment

Forward Guidance

TOI provided its outlook for fiscal year 2023, including revenue between $290 to $320 million, gross profit between $60 to $70 million, and Adjusted EBITDA between $(25) to $(28) million.

Positive Outlook

  • Revenue between $290 to $320 million, representing approximately 15% to 27% growth over 2022 revenue
  • Gross Profit $60 to $70 million
  • Value-based lives 1.75 million to 2.0 million lives
  • Signed a new value-based contract in California
  • Signed our first value-based contract with total cost of care alignment with a primary care partner in Texas

Challenges Ahead

  • Adjusted EBITDA $(25) to $(28) million
  • Net loss for Q1 2023 was $30.0 million, a decrease of $49 million in income compared to Q1 2022
  • Gross margin of 18.5%, a decrease from 22.3% the prior year quarter
  • Adjusted EBITDA of $(7.9) million compared to $(5.2) million for the prior year quarter
  • Basic and diluted (loss) earnings per share of $(0.33) and $(0.33), respectively, compared to $0.22 and $0.21, respectively, for the prior year quarter

Revenue & Expenses

Visualization of income flow from segment revenue to net income