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Segment Information - Summarized financial information for the Company's segments (Details) - USD ($)
2 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2018
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2018
Sep. 19, 2018
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Segment Reporting Information                      
Total consolidated operating (loss) income $ (2,300) $ (1,575,832) $ (198,480)   $ (4,448,949) $ (480,812)     $ (683,869)    
TOI Parent Inc.                      
Segment Reporting Information                      
Consolidated revenue   52,274,958 47,249,444 $ 37,359,389 150,698,534 138,548,981 $ 75,800,725 $ 75,800,725 187,514,661 $ 155,405,184  
Total segment depreciation expense       56,508 562,676 513,830   338,196 690,499 418,461  
Total segment amortization   625,189 612,689   1,858,902 1,874,390     2,487,078 2,523,400 $ 707,954
Selling, general and administrative expense   12,729,425 9,492,069 8,833,475 35,119,854 26,861,651   11,555,910 41,897,302 29,643,511  
Non-segment depreciation and amortization   850,199 792,475 764,462 2,421,577 2,388,219   338,196 3,177,577 2,941,861  
Total consolidated operating (loss) income   (2,157,019) (711,228) (1,169,896) (5,026,599) (3,214,459)   $ 5,959,440 (8,195,903) (2,644,752)  
TOI Parent Inc. | Operating segments                      
Segment Reporting Information                      
Consolidated revenue   52,274,958 47,249,444 37,359,389 150,698,534 138,548,981 75,800,725   187,514,661 155,405,184  
Total segment direct costs   40,852,353 37,676,128 28,931,348 118,183,702 112,513,570 57,947,179   150,635,685 125,464,564  
Total segment depreciation expense   212,875 171,774 47,076 534,460 480,332 281,741   946,996 351,876  
Total segment amortization   625,189 612,689 590,962 1,858,902 1,874,390     2,076,081 2,106,400  
Total segment operating income   10,584,541 8,788,853 7,790,003 30,121,470 23,680,689 17,571,805   33,855,899 27,482,344  
Selling, general and administrative expense   12,729,425 9,492,069 8,833,475 35,119,854 26,861,651 11,555,910   41,897,302 29,643,511  
Total consolidated operating (loss) income       (1,169,896)     5,959,440   (8,195,903) (2,644,752)  
TOI Parent Inc. | Non-segment                      
Segment Reporting Information                      
Non-segment depreciation and amortization   $ 12,135 $ 8,012 126,424 $ 28,215 $ 33,497 56,455   154,500 483,585  
Patient services | TOI Parent Inc. | Operating segments                      
Segment Reporting Information                      
Consolidated revenue       21,284,785     48,527,028   116,816,797 97,624,881  
Total segment direct costs       16,650,583     34,454,497   95,746,831 81,053,345  
Total segment depreciation expense       47,013     281,367   940,130 349,875  
Total segment amortization       530,250         1,862,796 1,890,000  
Total segment operating income       4,056,939     13,791,164   18,267,040 14,331,661  
Dispensary | TOI Parent Inc. | Operating segments                      
Segment Reporting Information                      
Consolidated revenue       13,201,609     26,757,955   63,889,875 49,953,992  
Total segment direct costs       12,015,032     23,492,682   53,906,958 43,455,898  
Total segment depreciation expense                 366    
Total segment operating income       1,186,577     3,265,273   9,982,551 6,498,094  
Clinical trials & other | TOI Parent Inc. | Operating segments                      
Segment Reporting Information                      
Consolidated revenue       2,872,995     515,742   6,807,989 7,826,311  
Total segment direct costs       265,733         981,896 955,321  
Total segment depreciation expense       63     374   6,500 2,001  
Total segment amortization       60,712         213,285 216,400  
Total segment operating income       $ 2,546,487     $ 515,368   $ 5,606,308 $ 6,652,589