Financial Data and Key Metrics Changes - Revenue for Q1 2025 increased by 10% year-over-year, reaching $104.4 million [5][13] - Gross profit for Q1 2025 was $17.2 million, representing a 44.1% increase compared to Q1 2024 [9][14] - Adjusted EBITDA loss was $5.1 million, an improvement from a loss of $10.9 million in Q1 2024 [16] - Free cash flow was negative $3.9 million, an improvement from negative $15.4 million in Q1 2024 [17] Business Line Data and Key Metrics Changes - The Retail Pharmacy and Dispensary business generated $49.3 million in revenue, growing over 20% year-over-year [6] - Fee-for-service revenue grew by 2.3% year-over-year to $35.6 million [13] - The capitation business saw a slight decline of 1% year-over-year [28] Market Data and Key Metrics Changes - The company added over 80,000 lives under new capitation contracts in Q1 2025, with projections for an additional 100,000 lives in Q2 and Q3 [6][9] - The company signed a new capitation contract in Nevada, adding over 80,000 Medicaid lives effective July 1 [6] Company Strategy and Development Direction - The company aims for profitability and positive cash flow by the end of 2025, focusing on operational management and strategic market expansion [5][22] - A new Chief Clinical Officer has been appointed to enhance capabilities in therapeutics and utilization management [10][11] - The company is outsourcing its clinical trials program to Helios Clinical Trials, which will impact revenue recognition but is expected to enhance growth [9][18] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving positive adjusted EBITDA in Q4 2025, supported by growth in the dispensary segment and new contracts [19][22] - The company is closely monitoring potential impacts from tariffs and drug pricing regulations but does not currently anticipate negative effects [20][21] Other Important Information - SG&A expenses decreased by 9% year-over-year, reflecting improved efficiency [16] - The company successfully executed a partial paydown of $20 million in convertible preferred debt [10] Q&A Session Summary Question: What drove the gross profit growth of 44% year-over-year? - The growth was attributed to a one-time rebate from a new contract with the primary distributor and favorable drug pricing changes [25][26] Question: Can you discuss the fee-for-service revenue growth? - Fee-for-service revenue grew by 2% year-over-year, with a robust pipeline for new contracts expected to contribute to future growth [29][35] Question: What are the expectations for SG&A savings in 2025? - The company aims to keep SG&A roughly flat for 2025 while seeking efficiencies through vendor and labor management [31] Question: Are there any significant contract renewals coming up? - There are no significant renewals expected in the near future, as most relationships are multi-year and auto-renew [54] Question: How does the trend of delivering cancer care at home align with the company's business? - The company views the trend positively and is exploring innovative ways to deliver therapeutics in the home setting [58]
The Oncology Institute(TOI) - 2025 Q1 - Earnings Call Transcript