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Share-Based Compensation - Additional Information (Details)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Nov. 12, 2021
trading_day
tranche
$ / shares
shares
Sep. 30, 2023
USD ($)
shares
Dec. 31, 2022
USD ($)
participant
shares
Sep. 30, 2022
USD ($)
shares
Sep. 30, 2023
USD ($)
$ / shares
shares
Sep. 30, 2022
USD ($)
$ / shares
shares
Dec. 31, 2022
USD ($)
$ / shares
shares
Dec. 31, 2021
shares
Nov. 06, 2020
shares
Jan. 02, 2019
shares
Share-based Compensation Arrangement by Share-based Payment Award                    
Number of shares outstanding (in shares)   8,829,382 8,049,474 7,188,865 8,829,382 7,188,865 8,049,474 6,921,180    
Total fair value of common shares vested | $         $ 1,616 $ 6,976        
Legacy TOI Earnout Shares                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Contingent consideration, liability (in shares) 12,500,000                  
Number of tranches | tranche 2                  
Earnout measurement period 2 years                  
Initial stock price threshold | $ / shares $ 15.00                  
Earnout period 3 years                  
Threshold trading days | trading_day 20                  
Threshold trading day period | trading_day 30                  
Legacy TOI Earnout Shares | Derivative Instrument, Period, One                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Contingent consideration, liability (in shares) 5,000,000                  
Stock price trigger (in dollars per share) | $ / shares $ 12.50                  
Legacy TOI Earnout Shares | Derivative Instrument, Period, Two                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Contingent consideration, liability (in shares) 7,500,000                  
DFPH Earnout Shares                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Contingent consideration, liability (in shares) 575,000                  
Number of tranches | tranche 2                  
Earnout period 3 years                  
Escrow deposit percentage 50.00%                  
Stock options                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Term of award         10 years          
Maximum total number of common shares for which Stock options may be granted (in shares)                 15,640 13,640
Number of shares outstanding (in shares) 11,850                  
Share options exchanged (in shares) 6,925,219                  
Compensation costs recognized | $   $ 2,563   $ 2,756 $ 7,823 8,837        
Unrecognized compensation cost | $   $ 13,279     $ 13,279          
Unrecognized compensation cost expected to be recognized over a weighted average period         2 years 6 months 21 days          
Stock options | First anniversary of grant date                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Percentage of stock options         25.00%          
Stock options | Equal monthly-basis vesting through fourth anniversary of grant date                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Percentage of stock options         75.00%          
Stock options | 2021 Plan                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Maximum total number of common shares for which Stock options may be granted (in shares)   6,782,851     6,782,851          
RSUs                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Share options exchanged (in shares) 1,291,492                  
Compensation costs recognized | $   $ 1,188   2,356 $ 4,715 $ 5,848        
Unrecognized compensation cost expected to be recognized over a weighted average period         2 years 6 months 21 days          
Weighted-average grant date fair value (in dollars per share) | $ / shares         $ 0.64 $ 6.82        
Unrecognized compensation expense | $   9,033     $ 9,033          
Vested in period (in shares)         2,024,351          
Net settled to cover the required withholding tax upon vesting         0          
RSUs | First anniversary of grant date                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Percentage of stock options         16.67%          
RSUs | Equal monthly-basis vesting through fourth anniversary of grant date                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Percentage of stock options         83.33%          
Restricted Stock Awards                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Number of shares outstanding (in shares) 2,210                  
Medical RSUs                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Compensation costs recognized | $   $ 814     $ 872          
Number of shares outstanding (in shares)   0 147,470   0   147,470      
Vested in period (in shares)         971,758          
Award requisite service period             1 year      
Shares granted, trailing closing price per share preceding grant date, period         5 days          
Number of participants | participant     21              
Medical RSUs, incremental share-based compensation expense | $     $ 187              
Medical RSUs, after forfeitures share-based compensation expense | $     (11)              
Fair value of the liability-classified medical RSU outstanding | $     $ 264       $ 264      
Equity-classified medical RSUs, weighted-average grant-date fair value (in dollars per share) | $ / shares         $ 1.00   $ 3.56      
Equity-classified awards outstanding (in shares)   0     0          
Employees Earnout Shares                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Compensation costs recognized | $   $ 92   $ 1,434 $ 319 $ 6,928        
Unrecognized compensation cost expected to be recognized over a weighted average period         4 months 13 days          
Number of shares outstanding (in shares)   1,401,064 1,417,632 1,437,138 1,401,064 1,437,138 1,417,632 1,602,435    
Unrecognized compensation expense | $   $ 183     $ 183          
Vested in period (in shares)         0 0        
Employees Earnout Shares | First anniversary of grant date                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Weighted average grant date fair value (in dollars per share) | $ / shares $ 8.35                  
Employees Earnout Shares | Equal monthly-basis vesting through fourth anniversary of grant date                    
Share-based Compensation Arrangement by Share-based Payment Award                    
Weighted average grant date fair value (in dollars per share) | $ / shares $ 6.76