value-based contracts revenue
“10-K Item 1: 'In 2025, we generated more than 46% of our revenue from patients who are covered by value-based contracts.'”
Updated
The most significant concentration The Oncology Institute discloses is value-based contracts revenue at 46%, classified MEDIUM by disclosed size. Below: the full set from the latest 10-K — verbatim quotes, filing references, and a synthesis of what these exposures mean together.
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Source: The Oncology Institute’s SEC Form 10-K filed — view the filing on SEC EDGAR ↗
Each card carries a disclosed-size chip (HIGH / MEDIUM / LOW — how large the exposure is as a share of revenue, not how dangerous it is) and a nature tag: Built-in(the company’s own model, geography, or products) or Outside party (an external customer, supplier, or distributor it relies on).
“10-K Item 1: 'In 2025, we generated more than 46% of our revenue from patients who are covered by value-based contracts.'”
“10-K Item 1A: 'A significant portion of our consolidated Patient Services revenue is derived from a limited number of health insurance, Independent Practice Associations, or IPAs and medical group companies.'”
“10-K Item 1A: 'A significant portion of sales are from prescription drug sales reimbursed by a number of pharmacy benefit management companies with which TOI PCs contract.'”
“10-K Item 1A: 'Our services are concentrated in certain geographic areas and populations exposing us to unfavorable changes in local benefit costs, reimbursement rates, competition and economic conditions.'”
The Oncology Institute's concentration profile mixes business-model structure and counterparty dependency, but every disclosed exposure sits in the same medium-share band. On the revenue-model side, more than 46% of revenue comes from patients covered by value-based contracts — a structural feature of how the company gets paid rather than reliance on any single payor. Layered on top are two dependency exposures: a significant portion of Patient Services revenue flows through a limited number of health insurance companies, IPAs, and medical group companies, and prescription drug sales are reimbursed by a limited number of pharmacy benefit management companies. Neither discloses a specific concentration percentage, but both describe reliance on a narrow set of counterparties that intermediate payment. Finally, services are concentrated in certain geographic areas and populations, a structural exposure to local reimbursement rates, competition, and economic conditions. Taken together, these four medium-share exposures compound rather than offset each other: the value-based payment structure, the payor/PBM dependency, and the geographic concentration all touch the same revenue stream, so a shock to reimbursement policy or a regional payor relationship could affect a meaningful slice of the business at once.
For the engine’s reasoning on TOI’s current verdict — including which dimensions drove the score — see the per-dimension breakdown.
| Symbol | Name | HIGH | MEDIUM | LOW | Total |
|---|---|---|---|---|---|
| ACHC | Acadia Healthcare Company, Inc. | 1 | 1 | 0 | 2 |
| TOI● | The Oncology Institute, Inc. | 0 | 4 | 0 | 4 |
| ADUS | Addus HomeCare Corporation | 0 | 2 | 4 | 6 |
| ARDT | Ardent Health, Inc. | 0 | 2 | 0 | 2 |
| AMN | AMN Healthcare Services Inc | 0 | 0 | 1 | 1 |
| AGL | agilon health, inc. | 0 | 0 | 0 | 0 |
Concentration counts reflect items disclosed in each peer’s most recent 10-K; disclosed-size classification uses TrendMatrix’s internal 10-K extraction taxonomy.