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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) $ (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)   (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)       (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   32,967,401 29,663,884   92,375,768 86,985,513          
Total segment direct costs   25,390,950 24,078,152   72,050,631 72,830,254          
Total segment depreciation expense   181,392 140,945   447,162 403,027          
Total segment amortization   572,646 560,146   1,701,274 1,713,647          
Total segment operating income   6,822,413 4,884,641   18,176,701 12,038,585          
Dispensary | TOI Parent Inc. | Operating segments                      
Segment Reporting Information                      
Consolidated revenue   17,918,035 16,162,528   53,317,877 46,347,096          
Total segment direct costs   15,279,173 13,431,738   45,639,083 38,896,324          
Total segment depreciation expense   218 149   653 149          
Total segment operating income   2,638,644 2,730,641   7,678,141 7,450,623          
Clinical trials & other | TOI Parent Inc. | Operating segments                      
Segment Reporting Information                      
Consolidated revenue   1,389,522 1,423,032   5,004,889 5,216,372          
Total segment direct costs   182,230 166,238   493,988 786,992          
Total segment depreciation expense   31,265 30,680   86,645 77,156          
Total segment amortization   52,543 52,543   157,628 160,743          
Total segment operating income   $ 1,123,484 $ 1,173,571   $ 4,266,628 $ 4,191,481