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Accounts Receivable
9 Months Ended 12 Months Ended
Sep. 30, 2021
Dec. 31, 2020
TOI Parent Inc.    
Accounts Receivable and Notes Receivable    
Accounts Receivable and Notes Receivable

Note 4.  Accounts Receivable

The Company’s accounts receivable consists primarily of amounts due from third-party payors and patients.

Accounts receivable as of September 30, 2021 and December 31, 2020 consist of the following:

    

September 30, 

    

December 31, 

2021

2020

Oral drug accounts receivable

$

2,668,582

$

2,307,872

Capitated accounts receivable

 

663,562

 

353,250

FFS accounts receivable

 

14,355,205

 

10,962,394

Clinical trials accounts receivable

 

1,947,626

 

1,718,846

Other trade receivables

 

2,621,630

 

1,803,548

Total

$

22,256,605

$

17,145,910

There were no material direct write-offs related to bad debts for the nine months ended September 30, 2021 and 2020. In the nine months ended September 30, 2021 and 2020, the Company had net bad debt expense (recovery) of $667,099 and $0, respectively.

Note 4. Accounts Receivable and Notes Receivable

The Company’s accounts receivable consists primarily of amounts due from third-party payors and patients. See Note 2 for a summary of the Company’s policies relating to accounts receivable.

Accounts Receivable as of December 31, 2020 and 2019 consist of the following:

    

December 31, 

    

December 31, 

2020

    

2019

Oral drug accounts receivable

$

2,307,872

$

1,179,311

Capitated accounts receivable

 

353,250

 

96,000

FFS accounts receivable

 

10,962,394

 

10,904,721

Clinical trials accounts receivable

 

1,718,846

 

1,743,661

Other trade receivables

 

1,803,548

 

692,568

Total

$

17,145,910

$

14,616,261

During the year ended December 31, 2020, 2019 and the period from September 20, 2018 through December 31, 2018 and the period from January 1, 2018 through September 19, 2018 bad debt related to direct write-offs totaled $4,233,053, $326,926, $0, and $0, respectively. Bad debt write-offs were a result of accounts receivable on completed contracts that were deemed uncollectible during the period due to delayed collection efforts.

On February 26, 2020, the Company entered into a Management Services Agreement with Austin J. Ma, M.D. to provide payor contract servicing. The Company issued a $7.5 million note in exchange for Austin J. Ma, M.D. exiting existing payor arrangements, pending certain contingencies. The note would be repaid annually through payor contract servicing as part of the Master Services Agreement, and the terms of the note included annual straight-line forgiveness over 5 years, with $1.5 million forgiven each year. During the year ended December 31, 2020, the Company determined the loan would not be repaid and would be fully forgiven. The loan was impaired in full and is recorded in other non-operating expenses for the period ended March 31, 2020.