The Oncology Institute Inc (TOI)
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Fiscal Year End Date: 12/31
(Values in U.S. thousands)
| 12-2025 | 12-2024 | 12-2023 | 12-2022 | 12-2021 | |
| Cash Flows From Operating Activities | |||||
| Net Income | -60,606 | -64,663 | -83,068 | 152 | -10,927 |
| Depreciation Amortization | 15,324 | 12,092 | 26,314 | 15,779 | 3,394 |
| Income taxes - deferred | -32 | 0 | -76 | -263 | -1,242 |
| Accounts receivable | -12,308 | -5,975 | -4,564 | -20,285 | -2,195 |
| Accounts payable and accrued liabilities | 19,638 | 9,215 | 5,057 | -6,187 | 2,916 |
| Other Working Capital | 1,325 | 18,059 | 2,359 | -20,541 | -14,489 |
| Other Operating Activity | 12,072 | 4,734 | 17,663 | -30,411 | -10,137 |
| Operating Cash Flow | $-24,587 | $-26,538 | $-36,315 | $-61,756 | $-32,680 |
| Cash Flows From Investing Activities | |||||
| PPE Investments | -3,200 | -3,789 | -4,567 | -5,529 | -2,847 |
| Net Acquisitions | N/A | N/A | -4,456 | -8,577 | -9,107 |
| Purchase Of Investment | N/A | N/A | -9,595 | -117,508 | 0 |
| Sale Of Investment | 0 | 50,000 | 81,258 | 0 | N/A |
| Purchase Sale Intangibles | N/A | N/A | N/A | N/A | -200 |
| Other Investing Activity | 126 | 0 | 0 | 0 | -200 |
| Investing Cash Flow | $-3,074 | $46,211 | $62,640 | $-131,614 | $-12,154 |
| Cash Flows From Financing Activities | |||||
| Debt Issued | N/A | N/A | N/A | 110,000 | N/A |
| Debt Repayment | -20,037 | -39 | -101 | -58 | -7,251 |
| Common Stock Issued | 32,635 | 75 | 126 | 858 | 0 |
| Common Stock Repurchased | N/A | N/A | -1,019 | -9,000 | 0 |
| Other Financing Activity | -1,041 | -3,528 | -5,853 | -9,594 | 161,261 |
| Financing Cash Flow | $11,557 | $-3,492 | $-6,847 | $92,206 | $154,010 |
| Beginning Cash Position | 49,669 | 33,488 | 14,010 | 115,174 | 5,998 |
| End Cash Position | 33,565 | 49,669 | 33,488 | 14,010 | 115,174 |
| Net Cash Flow | $-16,104 | $16,181 | $19,478 | $-101,164 | $109,176 |
| Free Cash Flow | |||||
| Operating Cash Flow | -24,587 | -26,538 | -36,315 | -61,756 | -32,680 |
| Capital Expenditure | -3,200 | -3,789 | -4,567 | -5,529 | -2,847 |
| Free Cash Flow | -27,787 | -30,327 | -40,882 | -67,285 | -35,527 |