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 of 21.8% compared to prior year quarter
- Consolidated revenue of $99.9 million, an increase of 21.8% from $82.0 million in the prior year quarter
- Gross profit of $14.4 million, a decrease of 10.1% compared to the prior year quarter, and gross margin of 14.4%, a decrease from 19.5% 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
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 21.8% compared to prior year quarter, while further reducing SG&A. Our performance underscores the effectiveness of our strategy and the commitment of our team, particularly as we navigate a dynamic environment."
Third Quarter 2024 Results (for the three months ended September 30, 2024)
Consolidated revenue for Q3 2024 was $99.9 million, an increase of 21.8% compared to Q3 2023, and a 1.3% increase compared to Q2 2024.
Revenue for patient services was $49.8 million, down 7.2% compared to Q3 2023. Dispensary revenue increased 79.9% compared to Q3 2023 primarily due to an increase in the number of filled prescriptions for our California pharmacy. Clinical trials & other revenue increased by 20.5% compared to Q3 2023 primarily due to an increase in California Proposition 56 revenue and TOI Clinical Research revenue.
Gross profit in Q3 2024 was $14.4 million, a decrease of 10.1% compared to Q3 2023. The decrease was primarily driven by ongoing cost management fluctuations and DIR fee run out of oral and IV drugs. Gross profit is calculated by subtracting direct costs of patient services, dispensary, and clinical trials and other from consolidated revenues.
Selling, general and administrative ("SG&A") expenses in Q3 2024 were $26.6 million or 26.7% of revenue, compared with $28.2 million, or 34.4% of revenue, in Q3 2023. During Q3 2024, share-based compensation expense was $2.4 million. The decrease in SG&A expenses was due to a re-alignment and negotiations with our vendors and a decrease in share-based compensation expense of approximately $2.3 million compared to the same quarter prior year.
Net loss for Q3 2024 was $16.1 million, a decrease of $1.3 million compared to Q3 2023 primarily due to a change in the fair value of derivative liabilities of $20 thousand resulting in a gain in Q3 2024 as compared to $1.5 million loss in Q3 2023.
Adjusted EBITDA was $(8.2) million, a decrease of $2.9 million compared to Q3 2023, primarily due to a decrease in gross profit.
Nine Months ended 2024 Results (for the nine months ended September 30, 2024)
Consolidated revenue for the nine months ended September 30, 2024 was $293.1 million, an increase of 22.9% compared to the same period prior year.
Revenue for patient services in the nine months ended September 30, 2024 was $154.7 million, down 1.7% compared to the same period prior year. Dispensary revenue increased 73.6% compared to the same period prior year due to an increase in the number of filled prescriptions related to our California pharmacy. Clinical trials & other revenue increased by 25.8% compared to the same period prior year primarily due to an increase in California Proposition 56 revenue and TOI Clinical Research revenue.
Gross profit for the nine months ended September 30, 2024 was $39.4 million, a decrease of 12.9% compared to the same period prior year. The decrease was primarily driven by ongoing cost management fluctuations. Gross profit is calculated by subtracting direct costs of patient services, dispensary, and clinical trials and other from consolidated revenues.
SG&A expenses for nine months ended September 30, 2024 were $83.0 million or 28.3% of revenue, compared with $85.8 million or 36.0% of revenue, for the same period prior year. During the nine months ended September 30, 2024, share-based compensation expense was $9.9 million compared to $13.7 million for the same period of 2023.
Net loss for the nine months ended September 30, 2024 was $51.5 million, a decrease of $12.8 million compared to the same period prior year, primarily due to a $16.9 million goodwill impairment for the nine months ended September 30, 2023 that did not occur in the same period of 2024, partially offset by the change in the fair value of derivative liabilities.
Adjusted EBITDA was $(27.8) million, a decrease of $8.2 million compared to the same period prior year, primarily due to a decrease in gross profit.
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 | % | |||
(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 $218 and $701, software implementation fees of $0 and $37, severance expenses resulting from cost rationalization programs of $67 and $633, temporary labor of $142 and $310 and non-recurring legal fees related to infrastructure build out of $948 and $2 during the three months ended September 30, 2024 and 2023, respectively.
(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 | ()[\]\\.,;:\s@\"]+)*)|(\".+\"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;return b.test(a)}$(document).ready(function(){if(performance.navigation.type==2){location.reload(true)}$("iframe[data-lazy-src]").each(function(b){$(this).attr("src",$(this).attr("data-lazy-src"))});if($(".owl-article-body-images").length){$(".owl-article-body-images").owlCarousel({items:1,loop:true,center:false,dots:false,autoPlay:true,mouseDrag:false,touchDrag:false,pullDrag:false,nav:true})}var a=$("#display_full_text").val();if(a==0){$.ajax({url:"/ajax/set-article-cookie",type:"POST",data:{cmsArticleId:$("#cms_article_id").val()},dataType:"json",success:function(b){},error:function(b,d,c){}})}$(".read-full-article").on("click",function(d){d.preventDefault();var b=$(this).attr("data-cmsArticleId");var c=$(this).attr("data-productId");var f=$(this).attr("data-href");dataLayer.push({event:"paywall_click",paywall_name:"the_manila_times_premium",paywall_id:"paywall_article_"+b});$.ajax({url:"/ajax/set-article-cookie",type:"POST",data:{cmsArticleId:b,productId:c},dataType:"json",success:function(e){window.location.href=$("#BASE_URL").val()+f},error:function(e,h,g){}})});$(".article-embedded-newsletter-form .close-btn").on("click",function(){$(".article-embedded-newsletter-form").fadeOut(1000)})});$(document).on("click",".article-embedded-newsletter-form .newsletter-button",function(){var b=$(".article-embedded-newsletter-form .newsletter_email").val();var d=$("#ga_user_id").val();var c=$("#ga_user_yob").val();var a=$("#ga_user_gender").val();var e=$("#ga_user_country").val();if(validateEmail(b)){$.ajax({url:"/ajax/sendynewsletter",type:"POST",data:{email:b},success:function(f){$(".article-embedded-newsletter-form .nf-message").html(f);$(".article-embedded-newsletter-form .nf-message").addClass("show");setTimeout(function(){$(".article-embedded-newsletter-form .nf-message").removeClass("show");$(".article-embedded-newsletter-form .nf-message").html("")},6000);dataLayer.push({event:"newsletter_sub",user_id:d,product_name:"newsletter",gender:a,yob:c,country:e})},error:function(f,h,g){}})}else{$(".article-embedded-newsletter-form .nf-message").html("Please enter a valid email address.");$(".article-embedded-newsletter-form .nf-message").addClass("show");setTimeout(function(){$(".article-embedded-newsletter-form .nf-message").removeClass("show");$(".article-embedded-newsletter-form .nf-message").html("")},6000)}});$(document).on("click",".article-embedded-newsletter-form .nf-message",function(){$(this).removeClass("show");$(this).html("")});
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