AONC American Oncology Network Inc (QX)

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American Oncology Network, Inc. (“AON”, “New AON”, “AON Inc.”, or the “Company”), through its subsidiary companies and variable interest entities (together, “its subsidiaries”), is an alliance of physicians and seasoned healthcare leaders who provide comprehensive oncology services across 35 oncology practices located in twenty states (Arizona, Arkansas, Florida, Georgia, Hawaii, Iowa, Idaho, Indiana, Louisiana, Maryland, Missouri, Michigan, North Carolina, Nevada, Nebraska, Ohio, South Carolina, Texas, Virginia, Washington, and the District of Columbia). The Company also provides expertise in drug procurement and payor contracting, along with practice diversification through centralized laboratory and pathology services, as well as specialty pharmacy services, clinical research, radiation oncology, and imaging. During the six months ended June 30, 2024, the Company entered into affiliation agreements with or acquired the following oncology practices. The Company did not enter into any affiliation agreements or complete any acquisitions of oncology practices during the six months ended June 30, 2023.

Six Months Ended June 30, 2024
State
Maryland (a)
Texas (a)
Hawaii (b)
Georgia (b)

(a)The Company entered into affiliation agreements with the physicians for these respective practices. The Company evaluated each of the affiliation agreements and determined that the transactions did not represent a business combination.

(b)The Company completed acquisitions which were accounted for as business combinations with the physicians for these respective practices (See Note 5 for further discussion).

The operations of the practices above have been included in the Company’s condensed consolidated financial statements.

Business Combination Agreements

Digital Transformation Opportunities Corp. (“DTOC”), American Oncology Network, LLC (“AON LLC”), GEF AON Holdings Corp. (“AON Class C Preferred Investor”), and DTOC Merger Sub, Inc., a direct, wholly owned subsidiary of DTOC (“Merger Sub”) entered into a Business Combination Agreement (the “Business Combination Agreement”), dated as of June 14, 2023 (which further amended and restated the Business Combination Agreement entered into by DTOC and AON as of October 5, 2022, and amended and restated on January 6, 2023, and April 27, 2023), pursuant to which, among other transactions, on September 20, 2023 (the “Closing Date”), DTOC and AON undertook a series of transactions (the “Business Combination” or “Reverse Recapitalization”) resulting in the organization of the combined post-business combination company as an umbrella partnership C corporation, in which substantially all of the assets and the business of the combined company are held by AON LLC, and DTOC became a member of AON LLC. In connection with the closing of the Business Combination (“the Closing”), DTOC changed its name to “American Oncology Network, Inc.”. The Business Combination was completed on September 20, 2023.

As a result of, and in connection with, the Closing, among other things, (i) AON LLC amended and restated its operating agreement (the “Amended and Restated AON LLC Agreement”) to reclassify its existing Class A units, Class A-1 units and Class B units into a single class of AON LLC common units (“AON LLC Common Units”) that can be exchanged on a one-to-one basis for shares of New AON Class A common stock (“New AON Class A Common Stock”) and its existing AON LLC Class C units into AON LLC Series A preferred units (AON LLC Series A Preferred Units”); (ii) AON LLC converted profit pool units of certain of AON LLC’s subsidiaries into an equal number of AON LLC Common Units and shares of New AON Class B common stock (“New AON Class B Common Stock”), which together are exchangeable into shares of New AON Class A Common Stock (together with the New AON Class B Common Stock, the “New AON Common Stock”); (iii) New AON amended and

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restated its charter (the “Charter”) to provide for (a) the conversion of all existing shares of DTOC Class B common stock into shares of New AON Class A Common Stock on a one-to-one basis, (b) amendment of the terms

of New AON Class B Common Stock to provide holders voting rights but no economic rights and (c) designation of a new series of New AON preferred stock as Series A convertible preferred stock (the “New AON Series A

Preferred Stock” or “Series A Preferred Stock") with such rights and preferences as provided for in the certificate of designation of the New Aon Series A Preferred Stock (the “New AON Series A Certificate of Designation”); and (iv) among other things, (a) AON LLC issued common units to New AON in exchange for a combination of cash and shares of New AON Class B Common Stock and warrants to acquire shares of New AON Class B Common Stock (the “Class B Prefunded Warrants”), (b) New AON was admitted as a member of AON LLC, (c) AON LLC distributed shares of New AON Class B common stock or Class B Prefunded Warrants, as applicable, to AON LLC equity holders, (d) New AON reserved a specified number of additional shares of New AON Class A Common Stock after the Closing for issuance to eligible participants, (e) Merger Sub merged with and into the AON Class C Preferred Investor whereby the separate existence of Merger Sub ceased and New AON issued a number of shares of New AON Series A Preferred Stock equal to the number of AON LLC Series A preferred units held by the AON Class C Preferred Investor to AEA Growth Management LP, the parent of AON Class C Preferred Investor (“AEA Growth”) in exchange for all the shares of common stock held by AEA Growth in the AON Class C Preferred Investor (the “First Step”), (f) promptly after the First Step, the AON Class C Preferred Investor merged with and into New AON whereby the separate existence of the AON Class C Preferred Investor ceased and New AON held all the AON LLC Series A preferred units and (g) from and after the Closing (but subject to lock-up restrictions), the AON LLC common equity holders (other than New AON), referred to herein as “Legacy AON Shareholders” (former AON LLC Class A, Class A-1, and Class B unit holders), will have the right (but not the obligation) to exchange AON LLC Common Units together with an equal number of shares of New AON Class B Common Stock (whether held directly or indirectly through Class B Prefunded Warrants) for shares of New AON Class A Common Stock.

In addition, in connection with the Closing, DTOC completed the offer to the holders of AON LLC Class B-1 units to exchange their AON LLC Class B-1 units for such number of newly issued shares of New AON Class A Common Stock equal to the ratio set forth in the Business Combination Agreement (such offer, the “Exchange Offer”). DTOC and AON LLC solicited consents from the holders of AON LLC Class B-1 units to make certain amendments to the terms of the awards and the unit grant agreements pursuant to which the AON LLC Class B-1 units were granted, which provided for the automatic exchange, as of immediately prior to the adoption of the Amended and Restated AON LLC Agreement, of all outstanding AON LLC Class B-1 units into shares of New AON Class A Common Stock (collectively, the “Proposed Amendments”). The requisite number of holders of Class B-1 units provided their consent to the Proposed Amendments, and as a result, in connection with the Closing, all AON LLC Class B-1 units were exchanged for an aggregate of 1,047,343 shares of New AON Class A Common Stock.

Upon the consummation of the Business Combination, the outstanding membership units in AON LLC and the outstanding shares in AON Inc. (New AON) are as follows:

•AON LLC Common Units held by the Legacy AON Shareholders - 28,109,796

•AON LLC Common Units held by New AON - 9,532,354

•AON LLC Series A Preferred Units held by New AON - 6,651,610

•Class A Common Stock held by the former AON LLC Class B-1 unit holders - 1,047,343

•Class A Common Stock held by the DTOC unredeemed shareholders - 147,511

•Class A Common Stock held by the DTOC Sponsor and their permitted transferees - 5,498,125(a)

•Class B Common Stock held by Legacy AON Shareholders - 25,109,551(b)

•New AON Series A Preferred Stock held by AEA Growth Management LP - 6,651,610

(a) Sponsor Earnout Shares of 2,839,375 are subject to vesting and forfeiture provisions and are not outstanding for GAAP purposes as of the Closing Date.

(b) Certain Legacy AON Shareholders hold 3,000,245 Class B Prefunded Warrants, which underlying shares of Class B common stock are not outstanding as of the Closing Date.

Accounting Treatment for the Business Combination

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As AON LLC does not meet any of the characteristics of a VIE under Accounting Standards Codification (“ASC”) 810, Consolidations (“ASC 810”) the Business Combination was evaluated under ASC 805, Business Combinations (“ASC 805”). Notwithstanding the legal form of the Business Combination pursuant to the Business Combination Agreement, the Business Combination was accounted for as a reverse recapitalization in accordance with GAAP. Under this method of accounting, DTOC was treated as the acquired company and AON LLC was considered the acquirer for financial statement reporting purposes. AON LLC was determined to be the accounting acquirer based on, in summary, an evaluation of the following primary facts and circumstances:

•AON LLC’s directors will represent a majority of the board seats for New AON’s board of directors;

•AON LLC’s senior management will be the senior management of the combined company;

•AON LLC’s operations comprising the ongoing operations of the post-combination company; and

•AON LLC’s relative size (i.e., assets, revenues, and earnings) is significantly larger compared to DTOC.

Accordingly, for accounting purposes, the financial statements of the post-combination entity will represent a continuation of the financial statements of AON LLC with the acquisition being treated as the equivalent of AON LLC issuing stock for the net assets of DTOC, accompanied by a recapitalization. The net assets of DTOC are stated at historical cost, with no goodwill or other intangible assets recorded. Refer to Note 3 for additional information.

Accounting for the Earnout Shares

Following the Closing and for five years thereafter, the DTOC Sponsor agreed to subject 35%, or 2,839,375 shares of New AON Class A common stock held by it as of the Closing (the “Sponsor Earnout Shares”) to the following vesting and forfeiture provisions:

•the Sponsor Earnout Shares will vest when the volume-weighted average price of the New AON Class A common stock equals or exceeds $13.50 per share for any 20 trading days within any 30 trading day period beginning after the Closing and ending 60 months following the Closing;

•the Sponsor Earnout Shares will be released immediately upon the consummation of a change of control transaction within the 60-month period following the Closing; and

•if the Sponsor Earnout Shares are not released pursuant to the foregoing provisions on or before the date that is 60 months after the Closing, then the Sponsor Earnout Shares will be forfeited immediately following such date.

As the Business Combination was accounted for as a reverse recapitalization, the issuance of the Sponsor Earnout Shares to the Company’s existing shareholders will be accounted for as an equity transaction. The accounting for the Sponsor Earnout Shares was evaluated under ASC Topic 480, Distinguishing Liabilities from Equity, and ASC Subtopic 815-40, Derivatives and Hedging — Contracts in Entity’s Own Equity, to determine if the Sponsor Earnout Shares should be classified as a liability or within equity. As part of that analysis, it was determined that the Sponsor Earnout Shares are freestanding, do not meet the criteria within ASC 480 to be classified as a liability, and meet the criteria in ASC 815-40 to be considered indexed to the post-combination entity’s common stock and classified within equity.

Warrants

As of the Closing Date, New AON assumed the outstanding warrants (Public Warrants and Private Placement Warrants) that were issued by DTOC as part of DTOC’s IPO. Further, New AON issued the Class B Prefunded Warrants to former Class A-1 unit holders, in lieu of New AON Class B Common Stock. The accounting treatment for the Public Warrants, the Private Placement Warrants, and the Class B Prefunded Warrants, collectively referred to as “the Warrants”, is disclosed in Note 2.

Public Warrants

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As of the Closing Date, New AON assumed 8,337,500 public warrants (the “Public Warrants”) issued by DTOC in its IPO. Each whole warrant entitles the holder to purchase one share of New AON Class A Common Stock at a price of $11.50 per share, subject to adjustment. The warrants will become exercisable on the later of 12 months from the closing of the DTOC Initial Public Offering or 30 days after the completion of its initial business combination and will expire five years after the Closing of the Business Combination, or earlier upon redemption or liquidation.

Private Warrants

As of the Closing Date, New AON assumed 6,113,333 Private Placement Warrants held by the DTOC Sponsor (the “Private Placement Warrants” or “Private Warrants”). The Private Placement Warrants will be non-redeemable in certain circumstances so long as they are held by the Sponsor or its permitted transferees. The Private Placement Warrants may also be exercised by the Sponsor and its permitted transferees for cash or on a cashless basis. Otherwise, the Private Placement Warrants have terms and provisions that are identical to those of the Public Warrants, including as to exercise price, exercisability, and exercise period.

Class B Prefunded Warrants

As of the Closing Date, New AON issued 3,000,245 of Class B Prefunded Warrants to former AON Class A-1 unitholders. Because the Class B Warrants are prefunded, there was not any cash consideration exchanged as part of the Class B Warrant issuance. Each Class B Prefunded Warrant entitles the holder to purchase one share of New AON Class B common stock at a price of $0.01 per share. The exercise term of the Class B Warrant shall continue indefinitely so long as the holder of the Class B Warrant is also the holder of an AON LLC Common Unit, provided that the number of shares of Common Stock that this Warrant is exercisable for shall not exceed the number of AON LLC Common Units held by holder.

Transaction Expenses

In connection with the Reverse Recapitalization, AON LLC and New AON incurred costs of $0.7 million and $3.3 million during the three months ended June 30, 2024 and 2023, respectively. AON LLC and New AON incurred costs of $1.0 million and $5.3 million during the six months ended June 30, 2024 and 2023, respectively. These costs were reported as transaction expenses in the condensed consolidated statements of operations and comprehensive income (loss).

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Basis of Presentation

The accompanying unaudited condensed consolidated financial statements of the Company were prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information and in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations, although the Company believes that the disclosures are adequate to make the information presented not misleading. Management believes the unaudited condensed consolidated financial statements for the interim periods presented contain all necessary adjustments, of a normal recurring nature, to state fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented. These unaudited condensed consolidated financial statements were prepared on the same basis as and should be read in conjunction with such audited consolidated financial statements and related notes thereto of AON Inc. and its wholly-owned subsidiaries, included in the Annual Report on Form 10-K, dated and filed on March 28, 2024 with the SEC (the “Annual Report 2023"). Operating results for the three and six months ended June 30, 2024 are not necessarily indicative of the results the Company expects for the entire year.

For the three and six months ended June 30, 2024, these unaudited condensed consolidated financial statements reflect the consolidated results of operations, comprehensive (income) loss, cash flows and changes in equity of AON Inc. and its wholly-owned subsidiaries. The condensed consolidated balance sheet at June 30, 2024 presents the financial condition of AON Inc. and its consolidated subsidiaries.

For the three and six months ended June 30, 2023, these unaudited condensed consolidated financial statements present the consolidated results of operations, comprehensive (income) loss, cash flows and changes in equity of AON LLC. The condensed consolidated balance sheet as of December 31, 2023 presents the financial condition of AON Inc. and its consolidated subsidiaries after the Reverse Recapitalization. All intercompany balances and transactions of AON LLC have been eliminated.

In accordance with ASC 805 the historical equity of AON LLC has been recasted in all periods up to the Closing Date, to reflect the number of shares of New AON’s Class A Common Stock and Class B Common Stock issued to Legacy AON Shareholders in connection with the Reverse Recapitalization. The Company recasted the units outstanding related to the historical AON LLC Class A, Class A-1, and Class B units prior to the Reverse Recapitalization (“Historical AON LLC Equity”) as common equity of New AON, equal to the Per Company Class Unit Exchange Ratio, pursuant to the Business Combination Agreement.

The Per Company Unit Exchange Ratio at which AON LLC Class A units and Class A-1 units were reclassified is equal to 2,524 AON Common Units. The Per Company Unit Exchange Ratio at which AON LLC Class B units were reclassified varied depending on participation threshold, and is equal to 2,524, 2,453, or 1,976, AON Common Units. The Per Company Unit Exchange Ratio at which Class C units were reclassified is equal to 2,705 AON LLC Series A Preferred Units.

The condensed consolidated financial statements and related notes thereto give effect to the conversion for all periods presented, without any change to par value or per unit amounts. The condensed consolidated financial statements do not necessarily represent the capital structure of New AON had the Reverse Recapitalization occurred in prior periods. The Company has not made retroactive adjustments related to the historical book values of Historical AON LLC Equity as the adjustments were considered immaterial.

For the three and six months ended June 30, 2024, $3.6 million of the consolidated net income of AON LLC and $4.2 million of the consolidated net loss of AON LLC, respectively, were attributable to the Class A Common Stockholders, and reflects the Class A Common Stockholders’ absorption of 30.7% and 25.9%, respectively, of the consolidated net income and loss of AON LLC. For the three and six months ended June 30, 2024, $6.4 million and $23.6 million, respectively, of the consolidated net losses of AON LLC were attributable to noncontrolling interest, and reflects the Legacy AON Stockholders’ absorption of 69.3% and 74.1% of the consolidated net losses of AON LLC.

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For the three and six months ended June 30, 2023, $10.1 million and $11.6 million, respectively, of the consolidated net losses of AON LLC were attributable to the Legacy AON Stockholders, to reflect their absorption of 100% of the consolidated net losses of AON LLC pertaining to the days prior to the Reverse Recapitalization.

Principles of Consolidation

For the period of January 1, 2024 through June 30, 2024, the condensed consolidated financial statements include the accounts of the Company, American Oncology Network, LLC (“AON LLC”), and its wholly owned subsidiary American Oncology Management Company, LLC (“AOMC”), and its consolidated variable interest entities (“VIEs”) American Oncology Partners, P.A. (“AON Partners”), American Oncology Partners of Maryland, P.A. (“Partners of Maryland”), AON Central Services, LLC (“AON Central Services”), and Meaningful Insights Biotech Analytics, LLC (“MIBA”). All intercompany accounts and transactions between the entities have been eliminated in consolidation.

The accounting treatment of the Business Combination was a Reverse Recapitalization.

For the periods prior to the Reverse Recapitalization, the consolidated financial statements of the Company comprise the accounts of AON LLC and its wholly-owned subsidiaries. All intercompany accounts and transactions among AON LLC and its consolidated subsidiaries were eliminated.

The Company accounts for American Oncology Network, LLC, AON Partners, Partners of Maryland, AON Central Services, and MIBA in accordance with Financial Accounting Standards Board (“FASB”) ASC 810. The Company determines whether it has a controlling financial interest in an entity by first evaluating whether the entity is a VIE. A VIE is broadly defined as an entity that has any of the following three characteristics: (i) the equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (ii) substantially all of the entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights; or (iii) the equity investors as a group lack any of the following, the power through voting or similar rights to direct the activities of the entity that most significantly impact the entity’s economic performance, the obligation to absorb the expected losses of the entity, or the right to receive the expected residual returns of the entity. The Company consolidates a VIE if it has both the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and an obligation to absorb losses or the right to receive benefits that could potentially be significant to the VIE. Management performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change. Changes in consolidation status are applied prospectively, if any.

AON LLC has contractual relationships with AON Partners, Partners of Maryland and AON Central Services and the physician owners through management service agreements (“MSAs”) and other contractual agreements to provide all practice management services outside of medical services provided by the physicians. In addition, despite not being required by the contractual relationships, AON LLC regularly provides funding to support AON Partners and Partners of Maryland’s operations and acquisitions of physician practices. AON Central Services was formed July 15, 2022 and, effective January 1, 2023, entered into an agreement with AOMC to provide qualified non-clinical and non-medical employees to AOMC to support the operation of the physician practices. MIBA was established during the first quarter of 2023 for the purpose of developing intellectual property to synergize the collection, de-identification, and dissemination of the Company’s patient data for sale to external parties for research, development, and clinical decisions. In May 2023, the Company contributed $0.2 million for a 56% interest in the equity of MIBA. As of June 30, 2024, MIBA had no significant operating activity. The Company concluded that AON LLC had a controlling financial interest in MIBA and has consolidated the entity at June 30, 2024 and recorded the noncontrolling interest in equity. 

The Company has concluded that AON Partners, Partners of Maryland, AON Central Services, and MIBA are all VIEs in which AON LLC has the characteristics of a controlling financial interest and is deemed to be the primary beneficiary. The variable interest subjects AON LLC to all potential losses in the entities and, therefore, requires AON LLC, and in turn AON Inc., to consolidate the results of AON Partners, Partners of Maryland, AON Central Services, and MIBA in its condensed consolidated financial statements. 

Refer to Note 4 for further information on the VIEs.

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Significant Accounting Policies

The accounting policies included below should be read in conjunction with the annual consolidated financial statements.

Accounting Estimates and Assumptions

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from those estimates.

Segments

Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker (the “CODM”). The Company’s CODM is its chief executive officer who reviews financial information together with certain operating metrics principally to make decisions about how to allocate resources and to measure the Company’s performance. The Company has one operating segment and one reportable segment that are structured around the organizational management of oncology practice operations. All revenue and assets are in the United States. 

Revenue Recognition

Revenue is recognized under Accounting Standards Update (“ASU”) 2014-09 Revenue from Contracts with Customers (“Topic 606”). The Company determines the transaction price based upon standard charges for goods and services with anticipated consideration due from patients, third-party payors (including health insurers and government agencies) and others. The Company’s revenue is primarily derived from patient service revenues, which encompass oncology services provided during patient visits and shipments of pharmacy prescriptions. Performance obligations for the Company’s services provided to patients and most procedures, are satisfied over the time of visit which is the same day services are performed. Performance obligations relating to pharmacy revenue are considered fully satisfied at a point in time upon the customer receiving delivery of the prescription. Accordingly, the Company does not anticipate a significant amount of revenue from performance obligations satisfied (or partially satisfied) in previous periods, and any such revenue recognized during the three and six month periods ended June 30, 2024 and 2023 was immaterial. Additionally, the Company does not expect to recognize material revenue in the future related to performance obligations that are unsatisfied (or partially satisfied) as of June 30, 2024 and December 31, 2023. Approximately $229.5 million and $227.0 million and $545.6 million and $444.8 million of the Company’s revenues are generated from services performed during patient visits with the remainder primarily generated from shipments of pharmacy prescriptions for the three and six month periods ended June 30, 2024 and 2023, respectively.

As services are performed and prescriptions are shipped, timely billing occurs for services rendered and prescriptions shipped less discounts provided to uninsured patients and contractual adjustments to third-party payors based upon prospectively determined rates and discounted charges. Payment is requested at the time of service for self-paying patients and for patients covered by third-party payors that are responsible for paying deductibles and coinsurance.

The Company monitors revenue and receivables to prepare estimated contractual allowances for the anticipated differences between billed and reimbursed amounts. Payments from third-party payors and Government programs including Medicare and Medicaid may be subject to audit and other retrospective adjustments. Such amounts are considered on an estimated basis when net patient revenue is recorded and are adjusted as final adjustments are determined. For the three and six month periods ended June 30, 2024 and 2023, such resulting historic adjustments have been immaterial to the condensed consolidated financial statements. 

In assessing who is the principal in providing patient services and pharmacy prescriptions, the Company considered who controls the provision of services and prescriptions. The Company has determined they are acting as a principal in these relationships. 

In April 2022, the Company entered into an arrangement to sponsor and manage a clinical trial. The Company subsequently contracted with a third-party to provide the clinical research services and is the principal in this arrangement. The performance of clinical research services are considered a single performance obligation because

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the Company provides a highly-integrated service. Revenue is recognized for the single performance obligation over time due to the Company’s right to payment for work performed to date. The contract provides for invoices based on predetermined milestones. 

The Company uses the cost-to-cost measure of progress for the Company’s contract because it best depicts the transfer of control to the customer as the performance obligation is fulfilled. For this method, the Company compares the contract costs incurred to date to the estimated total contract costs through completion. As part of the client proposal and contract negotiation process, the Company develops a detailed project budget for the direct costs and reimbursable costs based on the scope of the work, the complexity of the study, the geographical location involved and the Company’s historical experience. The estimated total contract costs at the project level are reviewed and revised periodically throughout the life of the contract, with adjustments to revenue resulting from such revisions being recorded on a cumulative basis in the period in which the revisions are identified. Contract costs consist primarily of direct labor and other reimbursable project-related costs such as travel, third-party vendor costs and investigator fees. The Company establishes pricing based on the Company’s internal pricing guidelines, discount agreements, if any, and negotiations with the client. The transaction price is the contractually defined amount. Revenue related to the clinical trial, which is included within other revenue, was $0.0 million and $1.5 million and $0.5 million and $1.5 million for the three and six months ended June 30, 2024 and 2023, respectively. This arrangement concluded during the three months ended June 30, 2024.

The Company has a system and estimation process for recording Medicare net patient service revenue and estimated recoupments as it relates to value-based care (“VBC”) revenue included in patient service revenue in the condensed consolidated statements of operations and comprehensive (income) loss. The Company’s VBC revenue is primarily generated through its participation in the CMS Oncology Care Model (“OCM”) which is an episode-based payment model to promote high-quality cancer care. Participants enter six-month episode periods, and the Company bills a monthly fee during the six-month period based on a fixed rate per participant per month and the total number of participants. Certain quality and compliance metrics are tracked as part of the program and submitted to CMS at the end of the episode period which may result in recoupment of funds. The Company estimates the recoupment amount by developing a recoupment percentage for each period based on historical known recoupment from CMS and applies the recoupment percentage against total fees for the period. Based on the estimate, the Company accrues a liability representing the expected final recoupments based on historical settlement trends.

Short-term Marketable Securities 

Investments in marketable securities consist of corporate bonds and U.S. Treasury securities.

Management determines the appropriate classification of investments at the time of purchase and reevaluates such determination at each balance sheet date. Marketable securities are classified as available-for-sale and are carried at fair value in the consolidated balance sheets. The marketable securities are classified as short-term based on management’s intent to convert such securities within one year and the ability to convert them within two to three days.

Certain of our available-for-sale securities are debt securities. For an available-for-sale debt security with an amortized cost that exceeds its fair value, the Company first determines if it intends to sell or will more-likely-than-not be required to sell the security before the expected recovery of its amortized cost. If it intends to sell or will more-likely-than-not be required to sell the security, then the Company recognizes the impairment as a credit loss in the condensed consolidated statements of operations and comprehensive (income) loss by writing down the security’s amortized cost to its fair value. If it does not intend to sell or it is not more-likely-than-not that it will be required to sell the security before the expected recovery of its amortized cost, the Company recognizes the portion of the impairment that is due to a credit loss, if any, in the condensed consolidated statements of operations and comprehensive (income) loss through an allowance. The portion of the impairment that is due to factors other than a credit loss is recognized in other comprehensive income (loss) in the condensed consolidated statements of operations and comprehensive (income) loss as an unrealized loss.

Equity Investment in Affiliate

In January 2023, the Company contributed noncash consideration, with a fair value of approximately $2.3 million, in return for a 49% equity interest in OCP Management Arizona, LLP. Investments in entities over which the Company has the ability to exercise significant influence but does not control the entity are accounted for using the

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equity method. Equity method investments are included with other assets in the condensed consolidated balance sheets. The carrying amount of the investment is adjusted to reflect the Company’s proportionate share of the net earnings or losses and reduced by any dividends received. The Company’s share of income or loss related to this investment is reported as an equity in loss of affiliate in the condensed consolidated statements of operations and comprehensive (income) loss.

Noncontrolling Interests

The Company consolidates the results of entities in which it has a controlling financial interest. Refer to Note 15 for additional considerations and presentation for noncontrolling interest.

Mezzanine Equity

New AON Series A Preferred Stock is redeemable for cash or the value of the property, rights or securities to be paid or distributed in the event of a Deemed Liquidation Event (which is outside of the Company’s control). As a result, Management has determined that the New AON Series A Preferred Stock should be classified as mezzanine equity. As of June 30, 2024, the Preferred Stock are recorded at their initial carrying value, net of offering costs of $0.8 million. The Series A Preferred Stock are not being accreted to redemption value, as the redemption is not probable. The Series A Preferred Stock are classified outside of members’ equity on the consolidated balance sheets. Refer to Note 14 for mezzanine equity presentation considerations for redeemable noncontrolling interest.

Treasury Stock

We account for treasury stock purchased under the cost method and include treasury stock as a component of

accumulated paid in capital. Treasury stock purchased with intent to retire (whether or not the retirement is actually accomplished) is charged to common stock. The company repurchased 14,729 shares of Class A common stock at the spot rate as of each transaction date for a total cost of less than $0.1 million for the year ended December 31, 2023. For the three and six months ended June 30, 2024 the Company repurchased an additional 16,441 and 91,573 shares of Class A common stock, respectively, at the spot rate as of each transaction date for a total cost of less than $0.4 million. To date, the Company has repurchased a total of 122,743 shares.

Equity-Based Compensation

The Company issues stock-based awards to employees and directors in the form of stock options and restricted stock units. The Company measures and recognizes compensation expense for its stock-based awards granted to its employees and directors based on the estimated grant date fair value in accordance with ASC 718, Compensation-Stock Compensation, and determines the fair value of restricted stock units based on the fair value of its common stock. The Company measures all share-based options granted to employees and directors based on the fair value on the date of grant using the Black-Scholes option-pricing model. Compensation expense of those awards is recognized over the requisite service period, which is generally the vesting period of the respective award. The Company records the expense for awards with service-based conditions using the straight-line method over the requisite service period, net of any actual forfeitures. The Company classifies share-based compensation expense in its consolidated statements of operations and comprehensive (income) loss in the same manner in which the award recipient’s payroll costs are classified or in which the award recipient’s service payments are classified.

Business Combinations

The Company evaluates acquired practices in accordance with ASU 2017-01, Business Combinations (Topic 805)-Clarifying the Definition of a Business. This standard clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as acquisitions or disposals of assets or businesses. Because substantially all of the value of each acquired practice did not relate to a similar group of assets and as each acquired practice contained both inputs and processes necessary to provide economic benefits to the Company, it was determined that each acquisition represents a business combination. Therefore, the transactions have been accounted for using the acquisition method of accounting, which requires, with limited exceptions, that assets acquired, and liabilities assumed be recognized at their estimated fair values as of the acquisition date. Any excess of the consideration transferred over the estimated fair values of the net assets acquired is recorded as goodwill. Transaction costs related to business combinations are expensed in the period in which they are incurred.

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Offering Costs

The Company defers specific incremental costs directly attributable to proposed offerings of securities. These costs consist of legal, accounting, and other similar expenses incurred through the balance sheet date that are directly related to a potential offering. If the offering is completed, these costs will be charged against the gross proceeds of the offering. These offering costs will be allocated to the separable financial instruments issued in the transaction on a relative fair value basis of the securities issued, compared to total proceeds received. Offering costs associated with any instruments classified as liabilities will be expensed as incurred, presented as non-operating expenses in the condensed consolidated statement of operations and comprehensive (income) loss.

Goodwill and Intangible Assets

Goodwill and indefinite-lived identifiable intangible assets

Goodwill represents the fair value of acquired businesses in excess of the fair value of the individually identified net assets acquired. Goodwill is not amortized but is tested for impairment annually or whenever indications of impairment exist. Impairment exists when the carrying amount, including goodwill, of the reporting unit exceeds its fair value, resulting in an impairment charge for this excess. The Company can elect to qualitatively assess goodwill for impairment if it is more likely than not that the fair value of its reporting unit exceeds its carrying value. When performing a qualitative assessment, the Company considers relevant events or circumstances that affect the fair value or carrying amount of a reporting unit. If goodwill is more likely than not impaired, the Company must then complete a quantitative analysis. When performing a quantitative impairment test, the Company utilizes the market approach in estimating the fair values of its reporting unit. If the carrying value of a reporting unit exceeds its fair value, an impairment charge is recognized equal to the difference between the carrying amount of the reporting unit and its fair value, not to exceed the carrying value of goodwill of the reporting unit. The Company has determined that it has only one reporting unit for purposes of evaluating goodwill impairment. The Company’s annual impairment testing date is October 1.

Other indefinite-lived intangible assets consist of a certificate of need acquired in an asset acquisition and is not subject to amortization. The Company has concluded that the certificate of need has an indefinite life because there are no legal, regulatory, contractual, economic or other factors that would limit the useful life, and the Company intends to renew and operate the certificate of need indefinitely. Indefinite-lived intangible assets are reviewed annually for impairment or more frequently if circumstances indicate impairment may have occurred.

Finite-lived identifiable intangible assets

Finite-lived intangible assets consist of trade names acquired in business combinations and are recorded at fair value. Finite-lived intangible assets are amortized using the straight-line method over the estimated economic life of the assets, which best reflects the pattern of use. Trade names are amortized over an estimated useful life of ten years. The Company’s finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of those assets or asset groups may not be recoverable. If the expected undiscounted future cash flows are less than the carrying amount of such assets or asset groups, the Company recognizes an impairment loss to the extent the carrying amount exceeds its estimated fair value

Professional Liability

The Company maintains insurance policies for exposure to professional malpractice insurance risk. The limits of malpractice insurance provide each physician/advanced practice provider with a dedicated $1.0 million limit per claim and a $3.0 million limit in the aggregate per policy period – on a first dollar basis, as no deductible applies. The policy further then extends coverage to the Company, by providing a $2.0 million limit per claim and a $4.0 million limit in the aggregate per policy period - on a first dollar basis, additionally, as no deductible applies. Reserves are established for estimates of the loss that will ultimately be incurred on claims that have been reported but not paid and claims that have been incurred but not reported. These reserves are established based on consultation with a third-party actuary. The actuarial valuations consider a number of factors, including historical claims payment patterns, changes in case reserves and the assumed rate of increase in healthcare costs. Management believes the use of actuarial methods to account for these reserves provides a consistent and effective way to measure these subjective accruals. However, due to the sensitive nature of this estimation technique, recorded reserves could differ from ultimate costs related to these claims due to changes in claims reporting, claims

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payment and settlement practices and differences in assumed future cost increases. All accrued unpaid claims and expenses and the associated insurance recoveries are classified as short-term and long-term liabilities and assets based on when they are expected to be paid or collected.

Fair Value of Financial Instruments

Fair value is the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants on the measurement date.

Accounting guidance establishes a three-level hierarchy, which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability on the measurement date. The three levels are defined as follows:

Level 1			Inputs to the valuation methodology are quoted prices (unadjusted) for an identical asset or liability in an active market.
Level 2			Inputs to the valuation methodology include quoted prices for a similar asset or liability in an active market or model-derived valuations in which all significant inputs are observable for substantially the full term of the asset or liability.
Level 3			Inputs to the valuation methodology are unobservable and significant to the fair value measurement of the asset or liability. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.

Assets and liabilities are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement requires judgment and may affect the placement of assets and liabilities being measured within the fair value hierarchy.

Our financial instruments include cash, short-term marketable securities, accounts receivable, notes receivable, accounts payable, accrued expenses, long-term debt and contractual agreements that resulted in derivative liabilities. Our nonfinancial assets such as property and equipment are not measured at fair value on a recurring basis; however, they are subject to fair value adjustments in certain circumstances, such as when there is evidence that impairment may exist.

The carrying amounts of cash, accounts receivable, accounts payable, notes receivable, and accrued expenses approximate their fair value because of the short-term maturity and highly liquid nature of these instruments. We determine the fair value of long-term debt and marketable securities based on various factors including maturity schedules and current market rates.

See Note 6 for a discussion of the Company’s Level 1 and Level 2 Marketable Securities as of June 30, 2024. See below for a discussion of the Company’s Level 1 and Level 3 warrant liabilities as of June 30, 2024. As of June 30, 2024 and December 31, 2023, there were no Level 3 financial instruments. There were no transfers between any levels of the hierarchy during any periods presented.

Warrant Liabilities

Upon Closing of the Business Combination, on September 20, 2023, the Company evaluated the Public Warrants and Private Placement Warrants and the Class B Prefunded Warrants, collectively referred to herein as “Warrants”, in accordance with ASC 815-40, Derivatives and Hedging — Contracts in Entity’s Own Equity, and concluded that a provision in the warrant agreements related to potential net cash settlement of the warrants upon an exchange or tender offer that may not result in a change in control of the entity precludes the warrants from being accounted for as components of equity. As the Warrants meet the definition of a derivative as contemplated in ASC 815, the Warrants are recorded as current liabilities within accrued other on the condensed consolidated balance sheets and measured at fair value at inception and at each reporting date in accordance with ASC 820, Fair Value Measurement, with changes in fair value recognized in other income (expense), net on the condensed consolidated statements of operations and comprehensive (income) loss in the period of change.

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As of June 30, 2024, the Public Warrants were trading separately from the Class A Common Stock and the quoted market price was used to establish fair value. As such, the Public Warrants fair value was determined using a Level 1 input. The fair value of the Public Warrants as of June 30, 2024 is $0.3 million and recorded in accrued other on the condensed consolidated balance sheets.

Management has utilized the public warrant price to value the private warrants and believes the public and private warrants have materially consistent fair values given the existence of the make-whole redemption feature. As of June 30, 2024, a valuation of the private warrants was performed which confirmed the private warrant value was materially consistent with the public warrants. The details of this valuation are included in the paragraph below.

The fair value of the Private Placement warrants was determined using Level 3 inputs. As of June 30, 2024, the fair value of the Private Placement Warrants was estimated to be $0.2 million and recorded in accrued other on the condensed consolidated balance sheets. The fair value was estimated at June 30, 2024, using the Black-Scholes Option Pricing model using the following assumptions:

Expected annual dividend yield – 0.0%

                Expected volatility – 55.00%

                Risk-free rate of return – 4.39%

                Expected Option Term – 5.0 years

                

The AON Class B Prefunded Warrants are exercisable into one share of New AON Class B Common Stock. A share of New AON Class B Common Stock, together with an AON LLC Common Unit, may be exchanged for one share of New AON Class A Common Stock. Considering New AON Class B Common Stock has no economic rights and limited liquidity or value if the holder does not also possess an AON LLC Common Unit, and because the AON Class B Prefunded Warrants are exercisable into New AON Class B Common Stock, the Company has estimated fair value of the Class B Prefunded Warrants to be immaterial.

Earnings Per Share

The Company recast Historical AON LLC Equity as AON Inc. common equity for all periods prior to the Reverse Recapitalization, refer to Note 2. However, as 100% of the net losses of AON LLC prior to the Reverse Recapitalization were absorbed by the Legacy AON Shareholders, basic and diluted earnings (loss) per share is zero for the three and six months ended June 30, 2023. Basic and diluted earnings (loss) per share for the three and six months ended June 30, 2024 represents the period where the Company had earnings (loss) attributable to Class A Common Stockholders. Class B Common Stock does not have economic rights in AON Inc., including rights to dividends or distributions upon liquidation, and as a result, is not considered a participating security for basic and diluted earnings (loss) per share. As such, basic and diluted earnings (loss) per share of Class B Common Stock has not been presented.

The Company has issued and outstanding Sponsor Earnouts, which are subject to forfeiture if the achievement of certain stock price thresholds are not met. In accordance with ASC Topic 260, “Earnings Per Share,” the Sponsor Earnouts are excluded from weighted-average shares outstanding to calculate basic earnings (loss) per share as they are considered contingently issuable shares due to their potential forfeiture. Sponsor Earnouts will be included in weighted-average shares outstanding to calculate basic earnings (loss) per share as of the date of their stock price thresholds are met and they are no longer subject to forfeiture.

Basic and diluted earnings (loss) per share is computed by use of the two-class method as a result of outstanding Series A Preferred Stock, which accrue dividends at the annual rate of 8% of the original price per share, participate with common stock on all other dividends, and accordingly have participation rights in undistributed earnings as if all such earnings had been distributed during the period (see Note 12). Under such method income available to common shareholders is computed by deducting both dividends declared or, if not declared, accumulated on Series A Preferred Stock from net income. Loss attributable to common shareholders is computed by increasing net loss by such dividends. Since the participating Series A Preferred Stock has no contractual obligation to share in the losses of the Company, there is no loss allocation between Class A Common Stock and Series A Preferred Stock.

Basic earnings (loss) per share is based on the weighted-average number of shares of Class A Common Stock outstanding during the period. Diluted earnings (loss) per share is based on the weighted-average number of shares

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of Class A Common Stock used for the basic earnings (loss) per share calculation, adjusted for the dilutive effect of the Public and Private Warrants, Restricted Stock Units, and Sponsor Earnout, if any, using the “treasury stock” method and the convertible Series A Preferred Stock and, exchangeable Class B Common Stock and Class B Prefunded Warrants, if any, using the “if-converted” method. Net earnings (loss) for diluted loss per share is adjusted for the Company’s share of AON LLC’s consolidated net earnings (loss), net of AON Inc. taxes, after giving effect to the Class B Common Stock and Class B Prefunded Warrants that are exchanged into potential shares of Class A Common Stock, Public and Private Warrants that are liability classified, and Series A Preferred Stock, to the extent it is dilutive.

Recently Adopted Accounting Pronouncements 

In June 2016, the FASB issued ASU 2016-13, Financial instruments-Credit Losses (“ASU 2016- 13”). ASU 2016-13 requires entities to report ‘‘expected’’ credit losses on financial instruments and other commitments to extend credit rather than the current ‘‘incurred loss’’ model. These expected credit losses for financial assets held at the reporting date are to be based on historical experience, current conditions, and reasonable and supportable forecasts. This ASU will also require enhanced disclosures relating to significant estimates and judgments used in estimating credit losses, as well as the credit quality. ASU 2016-13 is effective for the Company for annual reporting periods beginning after December 15, 2022. ASU 2016-13 was adopted by the Company effective January 1, 2023, with no material impact on the Company’s consolidated financial statements and related disclosures. 

In October 2021, the FASB issued ASU 2021-08, Business Combinations: Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, which provides that an acquirer must recognize, and measure contract assets and contract liabilities acquired in a business combination in accordance with ASC 606. The guidance is effective for the Company for annual reporting periods beginning after December 15, 2023, with early adoption permitted. The adoption of this standard as of January 1, 2024, did not have an impact on the Company’s consolidated financial statements and related disclosures.

Recently Issued Accounting Pronouncements

In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The amendments in this update are intended to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant expenses. The ASU requires disclosures to include significant segment expenses that are regularly provided to the chief operating decision maker, a description of other segment items by reportable segment, and any additional measures of a segment's profit or loss used by the chief operating decision maker when deciding how to allocate resources. The ASU also requires all annual disclosures currently required by Topic 280, “Segment Reporting,” to be included in interim periods. This update is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted and retrospective application is required for all periods presented. The Company is evaluating the impact this will have on the Company's consolidated financial statements and related disclosures.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. The amendments in this upgrade enhance the transparency and decision usefulness of income tax disclosures. This ASU requires disclosures of specific categories and disaggregation of information in the rate reconciliation table. The ASU also requires disclosure of disaggregated information related to income taxes paid, income or loss from continuing operations before income tax expense or benefit, and income tax expense or benefit from continuing operations. The requirements of the ASU are effective for annual periods beginning after December 15, 2024. Early adoption is permitted and the amendments should be applied on a prospective basis. Retrospective application is permitted. The Company is currently evaluating the effect that ASU 2023-09 will have on its disclosures.

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As discussed in Note 1, AON LLC merged with DTOC, with AON LLC surviving the Merger. AON LLC is governed by a board of managers composed of three (3) persons that were designated by New AON and two (2) persons that were designated by holders of a majority of the AON LLC Common Units, held by members of AON LLC other than New AON. Management determined AON LLC was not a variable interest entity (Refer to Note 2), and as result, identified AON LLC as the accounting acquirer of the Merger in accordance ASC Topic 805. Management concluded that AON LLC was the accounting acquirer due to (i) the Legacy AON Shareholders, defined as the former AON Class A, Class A-1, and Class B unit holders, receiving the largest portion of the voting rights in the combined company, New AON, (ii) significantly all of the Legacy AON Shareholders retained their equity interest as stockholders in New AON, (iii) AON LLC’s operations prior to the Reverse Recapitalization comprising the only ongoing operations of New AON, (iv) the Legacy AON Shareholders have the right to appoint a majority of the directors of New AON, (v) the executive management of AON LLC will become the executive management of New AON and (vi) AON LLC is significantly larger than DTOC in terms of revenue, total assets, and employees. Therefore, the Merger was accounted for as a reverse recapitalization, with no goodwill or other intangible assets recorded, in accordance with ASC 805. DTOC was treated as the “acquired” company for financial reporting purposes, and for accounting purposes, the Reverse Recapitalization was treated as the equivalent of AON LLC issuing stock for the net assets of DTOC, accompanied by a recapitalization. The net assets of DTOC were recorded at historical cost on the condensed consolidated balance sheet as of September 20, 2023, the Closing Date of the Reverse Recapitalization, with no goodwill or other intangible assets recorded. For additional information on the capitalization of New AON and AON LLC immediately following the Closing of the Reverse Recapitalization, see Note 1.

The following table provides the historical cost of assets and liabilities of DTOC. as of September 20, 2023.

			As of September 20, 2023
Cash and Cash Equivalents			$	1,493
Current Liabilities			(13,295)
Long Term Liabilities			(6,791)
Total Net Liabilities			$	(18,593)

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AOMC is a wholly owned subsidiary of AON LLC and neither AOMC nor AON LLC has ownership interest in AON Partners and Partners of Maryland. Both AON Partners and Partners of Maryland are fully owned by physicians. AON LLC operates its physician practices through the MSAs and other contractual agreements between AOMC, AON Partners, and Partners of Maryland. The responsibilities of AOMC include, but are not limited to, negotiating provider and payor contracts, employment and compensation decisions, billing and collections, furnishing all supplies and equipment necessary for the respective practice’s operations as well as, necessary real estate, contracting on behalf of AON Partners and Partners of Maryland, entering into leases, holding a power of attorney to perform the above activities, preparing, maintaining and administering all accounting records (including financial reporting), expense payment, and maintenance of all information systems/software. AON LLC is paid a management fee to compensate AOMC for the services provided. AON Central Services is 80% physician owned and 20% owned by AON LLC. AOMC entered into an agreement with AON Central Services, effective January 1, 2023, to provide qualified non-clinical and non-medical employees to AOMC to support the operation of the physician practices. AOMC pays a monthly management fee to AON Central Services equal to the aggregate cost of compensation, benefits and all other costs related to these employees. AON LLC invested $0.2 million in MIBA, a newly formed LLC, during the second quarter of 2023 in exchange for 56% equity ownership. The Company evaluated AON LLC’s relationship with MIBA under the VIE model and determined it was a VIE and the Company is the primary beneficiary based on its financial controlling interest.

Based on various quantitative and qualitative factors, including assessment of certain services performed and relationships held above, management has determined that AON Partners, Partners of Maryland, AON Central Services, and MIBA are all variable interest entities and AOMC is the primary beneficiary who holds the decision-making rights over the activities that most significantly impact the economic performance of AON Partners, Partners of Maryland, AON Central Services, and MIBA through the MSAs and other contractual agreements. Accordingly, the results of AON Partners, Partners of Maryland, AON Central Services, and MIBA have been consolidated with the Company for the three and six month periods ended June 30, 2024. The results of AON Partners, Partners of Maryland, and AON Central Services have been consolidated with the Company for the three and six month periods ended June 30, 2023.

The assets of AON Partners, Partners of Maryland, AON Central Services, and MIBA as of June 30, 2024 and December 31, 2023, are as follows:

			As of June 30, 2024						As of December 31, 2023
Assets
Cash and cash equivalents			$	34,046					$	26,574
Accounts receivable			125,421						129,151
Inventories			54,280						44,569
Prepaid expenses and other current assets			17,894						895
Goodwill			9,850						—
Intangibles, net			2,476						180
Other receivables			47,784						33,809
Other assets			13,887						2,091
Total assets			$	305,638					$	237,269

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The liabilities of AON Partners, Partners of Maryland, AON Central Services, and MIBA as of June 30, 2024 and December 31, 2023, are as follows:

			As of June 30, 2024						As of December 31, 2023
Liabilities
Accounts payable			$	181,180					$	122,324
Accrued compensation and benefits			28,708						21,380
Accrued other			13,233						16,723
Other long-term liabilities			764						273
Due to AON LLC and subsidiaries, net			118,169						117,194
Total liabilities			$	342,054					$	277,894

All intercompany transactions and balances with the VIEs are eliminated in consolidation.

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2024 Acquisitions

During the six months ended June 30, 2024, the Company closed on two business combinations (the “Transactions”), allowing the Company to expand its domestic reach related to its comprehensive oncology and practice management services.

For the acquisition of the clinical practices, the Company applied the acquisition method of accounting, where the total purchase price was allocated, or preliminarily allocated, to the tangible and intangible assets acquired and liabilities assumed, based on their fair values as of the acquisition dates.

Central Georgia Practice Acquisition

On April 1, 2024 ("Central Georgia Acquisition Date"), AOMC acquired certain non-clinical assets of Central Georgia Cancer Care, P.C., (the “Central Georgia Practice” or “CGCC”) from the CGCC Shareholders. In addition, AOP acquired certain clinical assets of the Central Georgia Practice from the CGCC Shareholders. In conjunction with the acquisition, AOP entered into Physician Employment Agreements with the selling CGCC Shareholders covering an initial period of five years. Intangible assets were recognized pursuant to the acquisition in the form of trade names of $1,300 with an amortization period of 10 years. The Company transferred total consideration of $13,462.

The Central Georgia Practice Acquisition was determined to constitute a business combination in accordance with ASC 805.

Hawaii Practice Acquisition

On April 1, 2024 ("Hawaii Acquisition Date"), AOMC acquired certain non-clinical assets of Hawaii Cancer Care, Inc. (the “Hawaii Practice” or “HCC”) from the HCC Shareholders. In addition, American Oncology Partners of Hawaii, LLC (“AOPH”), a wholly owned subsidiary of AOP, acquired certain clinical assets of the Hawaii Practice from the HCC Shareholders. In conjunction with the acquisition, AOP entered into Physician Employment Agreements with the HCC Shareholders. Intangible assets were recognized pursuant to the acquisition in the form of trade names of $520 with an amortization period of 10 years. The Company transferred total consideration of $(4,530).

The Hawaii Practice Acquisition was determined to constitute a business combination in accordance with ASC 805.

In connection with each of the Transactions, the Company acquired 100% of both the clinical and nonclinical assets of the respective seller. The clinical assets, acquired by AON Partners, primarily consist of medical supplies and drugs. Nonclinical assets, acquired by AOMC, primarily consist of tangible fixed assets and equipment. The following table summarizes the preliminary amounts of the assets acquired and consideration transferred recognized on respective acquisition dates.

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			Central Georgia						Hawaii
Consideration
Cash			$	6,912					$	—
Seller note			6,550						—
Debt assumed			—						(4,530)
Fair value of consideration transferred			13,462						(4,530)
Estimated fair values of identifiable assets acquired and liabilities assumed:
Cash			$	—					$	200
Patient accounts receivable			—						3,183
Inventories			2,312						159
Prepaid expenses and other current assets			—						58
Property and equipment			—						223
Other assets			—						202
Intangible assets - trade names			1,300						520
Right of use asset - operating			3,159						2,711
Goodwill			9,850						—
Total assets acquired			$	16,621					$	7,256
Account Payable			—						1,453
Accrued compensation related costs			—						544
Accrued other			—						733
Income taxes payable			—						452
Operating lease liability - current portion			189						375
Deferred income taxes			—						324
Note payable			—						4,530
Operating lease liability - long-term			2,970						2,335
Total liabilities acquired			3,159						10,745
Net assets (liabilities) acquired			$	13,462					$	(3,489)
Bargain purchase gain			$	—					$	(1,040)

At the time of each acquisition, the Company developed an estimate of fair values of assets for the purpose of allocating the estimated purchase price. In developing these estimates, Management utilized a specialist and determined the applicable fair values for any acquired intangible assets utilizing the relief-from-royalty method, a commonly accepted valuation technique which is an application of the income approach. This method employs various assumptions such as discount rates, forecasted revenues and growth rates. These fair value measurements were based on significant inputs not observable in the market and thus represent Level 3 fair value measurements.

The purchase price allocations are subject to further change when additional information is obtained. The Company intends to finalize the purchase price allocations as soon as practicable within the measurement period, but in no event later than one year following the respective closing date of the acquisitions referenced above. The final purchase price allocation may result in additional adjustments to the net assets acquired, including the residual amount allocated to goodwill during the measurement period. Transaction expenses related to the above acquisitions were not material.

Goodwill reflects the expected synergies and other benefits that the Company believes will result from the combination of the Central Georgia Practice and expanded market opportunities along with the value of the assembled workforce. The goodwill is expected to be tax deductible. A bargain purchase gain of $1,040 for the Hawaii Practice Acquisition was recorded within Other (expense) income, net in the condensed consolidated statement of operations and comprehensive income (loss). The bargain purchase gain was driven by the asset purchase agreement containing certain provisions requiring repayment of the assumed debt, cash paid, and seller note by the HCC Shareholders and the in-substance service period.

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As the business combinations occurred on April 1, 2024, the following table presents revenue for the six months ended June 30, 2024 and the three and six months ended June 30, 2023, as if the 2024 acquisitions had occurred as of January 1, 2023. Prior to the acquisition date, expenses were recognized on the cash basis of accounting. CGCC’s and HCC’s historical books and records did not contain the information required to prepare financial statements on a basis that would be comparable to us. Thus, the required pro-forma financial disclosures related to net income are not presented herein.

Pro Forma
			Three months ended June 30,						Six months ended June 30,
			2023						2024						2023
Revenue			$	343,558					$	826,912					$	675,881

From the dates of acquisition through June 30, 2024, revenue attributable to the 2024 acquired businesses was $32.7 million. Net income (loss) has not been included as the Company recognizes expenses on the cash basis of accounting at the practice level.

2023 Acquisitions

The Company did not have any ASC 805 acquisitions during the year ended December 31, 2023.

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The following table summarizes the Company’s marketable securities financial assets that are measured at fair value on a recurring basis and cash equivalents:

			As of June 30, 2024
			Amortized Cost						Gross Unrealized Gains						Gross Unrealized Losses						Estimated Fair Value
Cash equivalents (1)
Level 1:
Overnight repurchase agreements (2)			$	31,954					$	-					$	-					$	31,954
Money market funds			245						-						-						245
Level 1 total			$	32,199					$	—					$	—					$	32,199
Marketable securities
Level 2:
Corporate bonds			11,298						129						(4)						11,423
U.S. Treasury securities			9,891						80						(3)						9,968
Level 2 total			21,189						209						(7)						21,391
Total			$	53,388					$	209					$	(7)					$	53,590

			As of December 31, 2023
			Amortized Cost						Gross Unrealized Gains						Gross Unrealized Losses						Estimated Fair Value
Cash equivalents (1)
Level 1:
Overnight repurchase agreements (2)			$	28,593					$	-					$	-					$	28,593
Money market funds			723						-						-						723
Level 1 total			29,316						—						—						29,316
Marketable securities
Level 2:
Corporate bonds			13,678						191						(9)						13,860
U.S. Treasury securities			21,318						211						—						21,529
Level 2 total			34,996						402						(9)						35,389
Total			$	64,312					$	402					$	(9)					$	64,705

(1)Included in cash and cash equivalents in the condensed consolidated balance sheets at June 30, 2024 and December 31, 2023.

(2)Cash equivalents as of June 30, 2024 included overnight repurchase agreements in which cash from the Company's main operating checking account is invested overnight in highly liquid, short-term investments sponsored by a large financial institution.

The Company uses quoted prices in active markets for identical assets to determine the fair value of its Level 1 investments. The fair value of the Company’s Level 2 investments is determined using pricing based on quoted market prices or alternative market observable inputs. 

The fair value of the Company’s marketable securities as of June 30, 2024, by remaining contractual maturities, were as follows:

			Corporate Bonds						U.S. Treasuries						Total
Due in one year or less			$	6,333					$	7,352					$	13,685
Due in one to five years			5,090						2,616						7,706
Total			$	11,423					$	9,968					$	21,391

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Other receivables

Other receivables consisted of the following at June 30, 2024 and December 31, 2023:

			As of June 30, 2024						As of December 31, 2023
Rebates receivable			$	44,340					$	33,708
Other			16,588						566
Total other receivables			$	60,928					$	34,274

Inventory

Inventory consisted of the following purchased finished goods at June 30, 2024 and December 31, 2023:

			As of June 30, 2024						As of December 31, 2023
Intravenous drugs			$	44,026					$	32,388
Oral pharmaceuticals			10,254						12,181
Total inventories			$	54,280					$	44,569

Property and Equipment, net

Property and equipment, net consisted of the following at June 30, 2024 and December 31, 2023:

			As of June 30, 2024						As of December 31, 2023
Leasehold improvements			$	34,520					$	32,490
Furniture, fixtures and equipment			2,851						2,607
Medical equipment			16,771						15,666
Computer equipment			3,524						3,285
Signs			179						153
Automobiles			101						59
Software			9,674						7,829
Construction-in-progress			3,817						2,985
Property and equipment, gross			71,437						65,074
Accumulated depreciation and amortization			(28,927)						(24,635)
Property and equipment, net			$	42,510					$	40,439

Other Assets

Other assets consisted of the following at June 30, 2024 and December 31, 2023:

			As of June 30, 2024						As of December 31, 2023
Physician deferred compensation			$	9,913					$	-
Insurance recovery receivable			2,830						2,830
Equity investment in OCP Management Arizona, LLC			1,327						1,754
Other			3,935						3,004
Total other assets			$	18,005					$	7,588

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Accrued Other

Accrued other consisted of the following at June 30, 2024 and December 31, 2023:

			As of June 30, 2024						As of December 31, 2023
Refund liability			$	10,703					$	15,078
Warrant liability			434						-
Excise taxes payable			2,700						2,700
Current portion of finance lease liabilities			1,253						1,189
Other			3,112						3,360
Total accrued other			$	18,202					$	22,327

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Debt consisted of the following at June 30, 2024 and December 31, 2023: 

			As of June 30, 2024						As of December 31, 2023
PNC Facility			$	81,250					$	81,250
Notes payable			10,979						—
Total			92,229						81,250
Unamortized debt issuance costs			(179)						(609)
Less current portion			(3,809)						—
Total debt			$	88,241					$	80,641

Credit Facilities

On April 30, 2021, the Company entered into a Loan Facility with PNC (“PNC Loan Facility”) collateralized by the Company’s assets and outstanding patient accounts receivable. The PNC Loan Facility is guaranteed on a limited basis by the Company and shareholder of AON Partners and Partners of Maryland. $34.6 million of proceeds from the PNC Loan Facility was used to pay off the Company’s previous term loans and revolver with Truist Bank. The remaining funds were made available for working capital and acquisition of additional physician practices.

The PNC Loan Facility is interest-only with total principal due at an initial maturity on April 30, 2024. Interest originally accrued at one-month LIBOR or an alternate base rate plus 1.45%. The maximum balance of the PNC Loan Facility (“Borrowing Base”) is limited to the lesser of the Facility Limit ($65.0 million) or the fair value of the Company’s patient accounts receivable. The Company must maintain a balance of the lesser of the Borrowing Base or 65% of the Facility Limit in the first year and 75% of the Facility Limit in subsequent years (“minimum funding threshold”). The Company can repay the PNC Loan Facility up to the minimum funding threshold at any time without penalty. In accordance with the PNC Loan Facility, the Company pledged $10.0 million of collateral as restricted cash to be released quarterly in increments of $2.5 million. The restricted cash was fully released as of June 30, 2024 and December 31, 2023.

On April 30, 2021, the Company entered into a $5.0 million revolving line of credit agreement (“PNC Line of Credit”). The PNC Line of Credit has an expiration date of April 30, 2025 and originally bore interest at a rate per annum equal to the sum of the daily LIBOR rate plus 1.65% or an alternate base rate plus 0.65% and is due on the first day of each month beginning June 1, 2021. Any outstanding principal and accrued interest will be due on the expiration date. Beginning July 1, 2021, quarterly bank fees equal to 1.65% per day per annum are due in arrears and will continue on the first day of each quarter thereafter. All debt related to the PNC Line of Credit is collateralized by the Company’s assets. As of June 30, 2024 and December 31 2023, no draws had been made on the PNC Line of Credit. The Company is also subject to a 0.20% unused line fee calculated per annum on the unused balance of the PNC Line of Credit. 

On July 29, 2021, the Company amended the PNC Loan Facility increasing the Facility Limit to $75.0 million. On February 14, 2022, the Company further amended the PNC Loan Facility and Line of Credit agreements. The primary changes included an increase of the Facility limit from $75.0 million to $125.0 million, an increase of the PNC Line of Credit availability from $5.0 million to $10.0 million, interest charges to be calculated based on the Bloomberg Short-Term Bank Yield Index plus 1.65% and certain financial covenants. As part of the amendment, the Company drew an additional $16.3 million in proceeds under the Loan Facility. On August 15, 2022, the PNC Loan Facility and Line of Credit agreements were amended again to reduce the availability under the PNC Line of Credit from $10.0 million to $1.0 million. 

Effective November 23, 2022, the Company entered into Waiver and Amendment No. 6 (“Waiver and Amendment”) under its PNC Loan Facility as the Company was not in compliance with the Delinquency Ratio financial covenant for the period ending October 31, 2022 and the requirement to provide certain annual financial statements. The Waiver and Amendment waives each event of default and also revised future delinquency percentages and financial statement requirements. 

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On June 30, 2023, the Company entered into Amendment No. 7 (“Amendment 7”) to its PNC Loan Facility which extended the maturity date from April 30, 2024 to June 30, 2026. In connection with Amendment 7, the Company paid additional debt issuance costs of $0.4 million which will be amortized over the revised remaining life of the Loan Facility. In addition, Amendment 7 revised the definition of the minimum funding threshold to limit the threshold multiplier to 65% of the Facility Limit. 

On January 1, 2024, the Company entered into Amendment No. 8 (“Amendment 8”) to its PNC Loan Facility to modify certain definitions such as “change in control”. In addition, the Amendment 8 also amended the delinquency ratio threshold used to calculate certain debt covenants. The effective date of Amendment 8 was January 16, 2024.

On January 16, 2024, the Company also entered into Amendment No. 3 (“Amendment 3”) to its PNC Line of Credit to modify certain definitions such as “change in control”. In addition, the Amendment 3 also amended certain debt covenants, such as EBITDA thresholds. The effective date of Amendment 3 was December 31, 2023.

The PNC Loan Facility and PNC Line of Credit nonfinancial covenants include restrictions related to unpermitted property liens and the requirement of audited financial statements. Both agreements also contain several financial covenants, including the following ratios: accounts receivable default, delinquency, dilution, days sales outstanding, leverage, and fixed charge coverage. As of June 30, 2024, the Company was in compliance with all financial and nonfinancial debt covenants as required by both loan agreements.

Notes Payable

As a result of the acquisition of HCC, the Company assumed a note payable with a face value of $4.7 million and fair value of $4.5 million. A payment of $1.0 million was made upon closing of the acquisition with the remaining payments being due in 18 monthly installments of $0.2 million representing principal and interest at the Company’s variable cost of borrowing. As of June 30, 2024, $2.5 million of the note is included within current portion of long-term debt on the condensed consolidated balance sheet and $0.6 million is included within long-term debt, net.

Additionally, the Company entered into a note to the CGCC Shareholders with a face value of $6.4 million and fair value of $6.5 million. The note is payable in 60 installments of $0.1 million and bears interest at the Company’s variable cost of borrowing. As of June 30, 2024, $1.3 million of the note is included within current portion of long-term debt on the condensed consolidated balance sheets and $5.1 million is included within long-term debt, net.

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The Company is a member of American Oncology Network, LLC, which is treated as a partnership for U.S. federal and certain state and local income taxes. As a partnership, American Oncology Network, LLC is not subject to U.S. federal and certain state and local income taxes. Any taxable income or loss generated by American Oncology Network, LLC is passed through to and included in the taxable income or loss of its members, including the Company.

The Company is subject to U.S. federal income taxes, in addition to state and local income taxes with respect to the allocable share of any taxable income of American Oncology Network, LLC. Additionally, other corporate entities within the Company's structure are subject to income taxes. These corporate entities continue to generate losses and continue to maintain a valuation allowance against their net deferred tax assets.

The Company’s effective income tax rate was 9.9% and 0.0% for the three months ended June 30, 2024 and 2023, respectively. The provision for income taxes was $(324) and $0 for the three months ended June 30, 2024 and 2023, respectively.

The Company’s effective income tax rate was (10.1)% and 0.0% for the six months ended June 30, 2024 and 2023, respectively. The provision for income taxes was $2,570 and $0 for the six months ended June 30, 2024 and 2023, respectively.

The change to the income tax provision for the six months ended June 30, 2024 compared to the income tax provision for the six months ended June 30, 2023 was primarily a result of the transaction closing on September 20, 2023, resulting in a portion of the Company's consolidated pre-tax earnings, which were previously not subject to income taxes, flowing into a taxable corporation included in the Company's post transaction structure. As of December 31, 2023, the Company recognized a deferred tax asset related to its investment in the American Oncology Network, LLC partnership. As of June 30, 2024, the Company updated its valuation allowance assessment based on new factors including its year-to-date loss and forecasted loss at the American Oncology Network, LLC partnership legal entity. Based on its updated valuation allowance assessment, the Company recorded a discrete valuation allowance against its investment in partnership deferred tax asset during the six months ending June 30, 2024.

The effective income tax rate for the three and six months ended June 30, 2024 and 2023 differed from the federal statutory rate primarily due to certain legal entities in the Company's structure being treated as partnerships for income tax purposes and, therefore, a significant portion of its income not being subject to income tax. Additionally, the corporate entities within the Company's structure maintain a full valuation allowance against their net deferred tax assets.

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The Company currently leases office facilities and equipment for its practices under noncancelable operating and finance lease agreements expiring on various dates through 2038. Certain of the leases contain renewal options which are exercisable at the Company’s discretion. These renewal options are considered in determining the lease term if it is reasonably certain that the Company will exercise such options. Additionally, the Company leases certain other office and medical equipment under month-to-month lease agreements. 

Right-of-use assets and lease liabilities consist of the following at June 30, 2024 and December 31, 2023:

			As of June 30, 2024						As of December 31, 2023
Assets
Operating lease right-of-use assets, net			$	50,609					$	43,349
Finance lease right-of-use assets, net (included in property and equipment, net)			5,342						5,794
Total right-of-use assets			$	55,951					$	49,143
Liabilities
Current
Current portion of operating lease liabilities			$	7,450					$	6,692
Current portion of finance lease liabilities (included in accrued other)			1,253						1,189
Long-term			8,703						7,881
Long-term operating lease liabilities			46,167						39,803
Long-term finance lease liabilities (included in other long-term liabilities)			4,009						4,548
Total lease liabilities			$	58,879					$	52,232

The components of lease costs recognized in the condensed consolidated statements of operations and comprehensive (income) loss consist of the following for the three and six month periods ended June 30, 2024 and 2023 and are included in selling, general, and administrative expenses unless otherwise noted:

			Three months ended June 30,												Six Months Ended June 30,
			2024						2023						2024						2023
Operating lease costs			$	3,234					$	2,931					$	5,970					$	5,630
Finance lease costs
Amortization of finance lease right-of-use assets			289						233						571						233
Interest on finance lease liabilities (included in interest expense)			84						44						170						44
Variable lease costs			655						584						1,241						1,162
Total lease costs			$	4,262					$	3,792					$	7,952					$	7,069

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The following table reconciles the undiscounted cash flows expected to be paid in each of the next five years and thereafter recorded in the condensed consolidated balance sheets for operating and finance leases as of June 30, 2024:

			Operating Leases						Finance Leases
2024 (remainder of year after June 30, 2024)			$	4,855					$	773
2025			11,725						1,523
2026			11,365						1,285
2027			10,073						1,220
2028			7,733						948
Thereafter			23,733						262
Total lease payments			69,484						6,011
Less: amount representing interest			(15,867)						(749)
Present value of lease liabilities			53,617						5,262
Less: current portion of lease liabilities			(7,450)						(1,253)
Long-term lease liabilities, net of current portion			$	46,167					$	4,009

The weighted-average remaining lease term as of June 30, 2024 and December 31, 2023 was 6.83 years and 6.93 years for operating leases and 4.31 years and 4.76 years for finance leases, respectively. The weighted-average discount rate as of June 30, 2024 and December 31, 2023 was 6.81% and 6.64% for operating leases and 6.36% and 6.30% for finance leases, respectively.

The cash paid for amounts included in the measurement of lease liabilities for the six months ended June 30, 2024 and 2023 is as follows:

			Six Months Ended June 30,
			2024						2023
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases			$	5,961					$	4,984
Operating cash flows from finance leases			170						44
Financing cash flows from finance leases			593						233
ROU assets obtained in exchange for new operating lease liabilities			5,720						4,885
ROU assets obtained in exchange for new finance lease liabilities			120						1,103

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Transactions Notes Receivable

The Company enters into promissory notes with physicians of the Company. The notes receivable balances are satisfied through cash payments or settlements through the physicians’ compensation as part of their employee agreement. The notes receivable are amortized over a 60-month period as a reduction of compensation. The notes bear interest at the Company’s incremental borrowing rate (7.13% at June 30, 2024 and 7.18% at December 31, 2023, respectively).

			As of June 30, 2024						As of December 31, 2023						Original Principal						Issue Date						Maturity Date
Notes receivable
Note 2*			$	381					$	656					$	5,355					5/1/2019						4/30/2024
Note 3			-						17						491						6/1/2019						5/31/2024
Note 8			1,792						2,081						2,816						5/1/2020						5/1/2025
Total notes receivables			2,174						2,754
Less:  Current portion of notes receivable			(2,174)						(1,604)
Notes receivable, less current portion			$	-					$	1,150

*The Company is in the process of extending maturity date for this note.

Leases

The Company has operating leases for twelve of the office facilities owned by employees of the Company. Total cash was approximately $0.7 million and $1.3 million paid for leases to related parties for the three and six months ended June 30, 2024.

The Company has operating leases for ten of the office facilities owned by employees of the Company. Total cash was approximately $0.7 million and $1.3 million paid for leases to related parties for the three and six months ended June 30, 2023.

Inventory Purchases/Concentration Risk

The Company purchases the majority of pharmaceuticals inventory from a subsidiary under common control of a Legacy AON Shareholder. During the three months ended June 30, 2024 and 2023, the Company purchased approximately $374.0 million and $262.8 million, respectively, from the related party. These purchases were approximately 92% and 90% as a percentage of cost of revenue for the three months ended June 30, 2024 and 2023, respectively. During the six months ended June 30, 2024 and 2023, the Company purchased approximately $685.7 million and $506.0 million, respectively, from the related party. These purchases were approximately 90% and 89% as a percentage of cost of revenue for the six months ended June 30, 2024 and 2023, respectively. At June 30, 2024 and December 31, 2023, the Company had $178.0 million and $120.9 million, respectively, included in accounts payable for invoices from the related party, representing 94% of accounts payable at each period-end.

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The Company maintains a single equity incentive plan, the “2023 Incentive Equity Plan”, which was adopted by the Board of Directors and approved by stockholders in connection with the Business Combination. A total of 5,300,000 shares were authorized under the 2023 Incentive Equity Plan. The number of shares of common stock available for issuance under the 2023 Incentive Equity Plan will be increased annually on the first day of each fiscal year during the term of the 2023 Incentive Equity Plan by an amount equal to the lesser of (a) 5% of the shares of common stock outstanding on the final day of the immediately preceding calendar year or (b) such smaller number of shares as determined by the Company’s board of directors. At June 30, 2024, 2,014,432 shares were available for grant under the 2023 Incentive Equity Plan. The purpose of the 2023 Incentive Equity Plan is to attract and retain personnel for positions with the Company, to provide additional incentive to employees, directors, and consultants, and to promote the success of the Company’s business. The Plan permits the grant of Incentive Stock Options (“ISO”) to any ISO Employee and the grant of Non statutory stock options, Stock Appreciation Rights, Restricted Stock, Restricted Stock Units, and Performance Awards to any Service Provider.

Restricted Stock Units

The Company granted 3,789,421 Restricted Stock Units (“RSUs”) to employees during the six months ended June 30, 2024.

A summary of the RSU activity during the six month period ending June 30, 2024 is as follows:

						Six Months Ended June 30, 2024
						Restricted Stock Units						Weighted Average Grant Date Fair Value
Outstanding as of December 31, 2023						—						$	—
Granted						3,789,421						$	5.72
Vested						(2,405,906)						$	5.76
Forfeited/Cancelled						(18,714)						$	—
Outstanding as of June 30, 2024						1,364,801						$	5.65

The Company recognized $1.3 million and $14.6 million in stock-based compensation expense related to outstanding RSUs during the three and six months ended June 30, 2024, respectively.

As of June 30, 2024, there was approximately $7.0 million of total unrecognized compensation expense related to RSUs, which is expected to be recognized over a weighted-average period of approximately 1.47 years.

The fair value of the RSUs is determined on the date of the grant based on the market price of the Company’s common stock on that date. Each RSU represents the right to receive one share of the Company’s common stock, upon vesting. Portions of the RSUs granted vest immediately with others vesting over one to two years following the grant date, subject to the individual’s continued service to the Company through the applicable vesting date, and are subject to the terms and conditions on the Company’s form of RSU agreement under the 2023 Incentive Equity Plan.

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Prior Period Presentation

For periods prior to the Reverse Recapitalization, AON LLC had equity and stock-based compensation described below authorized, issued and outstanding. As discussed in Note 1, upon the Closing of the Business Combination, Legacy AON Shareholders received Class A Common Stock, Class B Common Stock, or Class B Prefunded Warrants and AON LLC reclassified their existing Class A, Class A-1, and Class B Units into AON LLC Common Units, pursuant to the terms of the Business Combination Agreement.

The Company recasted Historical AON LLC Equity outstanding for the periods prior to the Reverse Recapitalization, equal to the Per Company Unit Exchange Ratio, pursuant to the Business Combination, that was applied to the Class A, Class A-1, and Class B Units. The historical AON LLC units disclosed in this note give effect to the conversion for all periods presented, as follows.

Class A Units

AON LLC had authorized 19,495,376 units of Class A Units, of which 19,495,376 units were issued and were outstanding as of December 31, 2022.

Class A-1 Units

AON LLC had authorized 3,000,245 units of Class A-1 Units, of which 1,842,520 units were issued and were outstanding as of December 31, 2022.

Class B Units (Profit Interest)

The Class B units were issued through the 2017 Profits Interest Plan adopted by the Company in October 2017. The Class B Units represented a non-voting equity interest in AON LLC that entitled the holder to appreciation in the equity value of AON LLC arising after the date of grant and after such time as an applicable hurdle amount is met. AON LLC recognized the cost of services received in exchange for Class B Units based on the grant-date fair value. That cost was recognized over the period during which the service provider is required to provide service in exchange for the award over the requisite service period or based on performance. AON LLC used the Black-Scholes-Merton pricing model to estimate the fair value of profits interest unit awards. On an as converted basis, as of December 31, 2022, AON LLC issued 5,614,176 Class B Units, of which 4,703,628 were vested and outstanding; the remaining 910,548 of Class B units vested upon consummation of the Business Combination.

The following table summarizes the changes to AON LLC’s Class A, Class A-1, and Class B Units for the three and six months ended June 30, 2023.

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in thousands, except for share and per share amounts						Three Months Ended June 30,						Six Months Ended June 30,
						2023						2023
Class A Units, value
Beginning of Period						$	7,725					$	7,725
Issuance of Units						—						—
Impact of the Reverse Recapitalization						—						—
End of Period						$	7,725					$	7,725
Class A Units, units
Beginning of Period						19,495,376						19,495,376
Issuance of Units						—						—
Impact of the Reverse Recapitalization						—						—
End of Period						19,495,376						19,495,376
Class A-1 Units, value
Beginning of Period						$	28,500					$	28,500
Issuance of Units						—						—
Impact of the Reverse Recapitalization						—						—
Impact of Derivative liability on Class A-1 anti-dilution feature						2,540						2,540
End of Period						$	31,040					$	31,040
Class A-1 Units, units
Beginning of Period						1,842,520						1,842,520
Issuance of Units
Impact of the Reverse Recapitalization						—						—
Distribution						439,176						439,176
End of Period						2,281,696						2,281,696
Class B Units, value
Beginning of Period						$	80					$	80
Equity based compensation						—						—
Impact of the Reverse Recapitalization						—
End of Period						$	80					$	80
Class B Units, units
Beginning of Period						4,703,628						4,703,628
Units Vested						—						—
Impact of the Reverse Recapitalization						—						—
End of Period						4,703,628						4,703,628

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Class B-1 Units

In June and July of 2023, the Company granted a total of 415 AON LLC Class B-1 Units to certain employees under the 2017 Profits Interest Plan (the “Plan”). Upon the closing of the Business Combination, the vested Class B-1 Units were reclassified to AON LLC Common Units and exchanged for newly issued shares of Class A Common Stock equal to the Per Company Unit Exchange Ratio, pursuant to the Business Combination Agreement, which resulted in the issuance of 1,047,343 shares of New AON Class A Common Stock.

Mezzanine Equity Class C Units

As described in Note 1, the AON LLC Class C Units were converted into AON LLC Series A Preferred Units as of the Closing Date. Concurrently, New AON issued a number of shares of New AON Series A Preferred Stock equal to the number of AON LLC Series A Preferred Units held by the AON Class C Preferred Investor to AEA Growth Management LP, the parent of AON Class C Preferred Investor (“AEA Growth”) in exchange for all the shares of common stock held by AEA Growth in the AON Class C Preferred Investor. Promptly after the First Step, the AON Class C Preferred Investor merged with and into New AON whereby the separate existence of the AON Class C Preferred Investor ceased and New AON held all the AON LLC Series A Preferred Units. On an as converted basis, as of September 20, 2023, 6,651,610 Series A Preferred Stock were issued to AEA Growth Management LP.

The AON LLC Class C Units were contingently redeemable convertible preferred units and classified as mezzanine equity on the condensed consolidated balance sheet as of June 30, 2023 because the units were redeemable five years from the issuance date, at the option of the holder. As of June 30, 2023, the AON LLC Class C Units were recorded at their initial carrying value, net of offering costs. The Class C Units were not being accreted to redemption value, as the redemption was not probable due to the removal of the redemption right pursuant to the Business Combination. See discussion below.

The Class C Units had materially the same rights as the Series A Preferred Stock issued by the Company to AEA Growth Management LP, the parent of the AON Class C Preferred Investor, with the exception of the “AON LLC Class C Unit Redemption Right” and the “Class C Option to Purchase Additional Shares”, discussed below. Further, the Class C Units did not contain a mandatory conversion feature that allowed AON LLC to force the Class C Investor to convert the Class C Units into another equity unit in AON LLC and the Class C Units did not have a one time conversion price adjustment.

Class C Unit Redemption Right

After the fifth anniversary of the Effective Date (June 7, 2028), the holders of a majority of the Class C Units had the right to cause the Company to redeem all of the Class C Units. The redemption price per Class C Unit was equal to the greater of (i) the Class C Liquidation Preference and (ii) the Fair Market Value of a Class C Unit (the “Class C Redemption Price”). The Class C Liquidation Preference is defined as an amount equal to the sum of (a) the Class C Preferred Return of such Class C Member and (b) the amount of such Class C Member’s Net Invested Capital Contributions of $65.0 million. The Class C Unit Preferred Return is defined as the cumulative, semiannually-compounded return of 8% per annum based on the original Net Invested Capital Contributions of $65.0 million. The Class C Unit Redemption Right was removed as of the Closing of the Business Combination.

Class C Unit Option to Purchase Additional Units

In accordance with the terms of the Amended and Restated Class C Convertible Preferred Unit Purchase Agreement dated June 7, 2023, the Class C Preferred Investor had an option to purchase an additional 378 AON Class C Units until the Closing of the Business Combination at a purchase price of $26,423 per Unit (“Option Feature”). The Company determined that this Option Feature was required to be accounted for as a derivative in accordance with ASC 815. The fair value of the derivative was estimated to be $1.4 million as of June 30, 2023.

Series A Preferred Stock (Mezzanine Equity)

New AON Series A Preferred Stock is redeemable for cash or the value of the property, rights or securities to be paid or distributed in the event of a Deemed Liquidation Event (which outside of the Company’s control). As a result, the Company has determined that the New AON Series A Preferred Stock should be classified as mezzanine equity. At the closing of the Business Combination, the Company exchanged existing AON LLC Class C Units for

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Series A Preferred Stock in the Company. Based on the qualitative changes to the instrument, this exchange is considered an extinguishment for accounting purposes, with the Company recording a deemed dividend of $2.1 million to account for the difference between the carrying value of the Class C Units and the fair value of the Series A Preferred Stock at the transaction date. This amount is reflected in the December 31, 2023 condensed consolidated statements of mezzanine and stockholders’ equity as part of the reverse recapitalization, net. See further discussion on the PIK Dividend discussed below.

The Series A Preferred Stock are not being accreted to redemption value, as the Series A Preferred Stock are not redeemable, nor are they probable of becoming redeemable.

Dividends

The Series A Preferred Stock accrue dividends at a cumulative, semiannually-compounded return of 8% per annum based on the original Net Invested Capital Contributions from the Class C Units of $65.0 million. These dividends may be paid in cash or accumulate into the Accrued Value at the option of New AON. The accrual shall be calculated on June 30 and December 31 and with respect to the semiannually-compounded return, no interest is required to be paid on any present or future Series A Preferred Stock accrued dividends. The Series A Preferred Stock also participate in distributions with the Class A Common stockholders.

On September 20, 2023, the Company issued 6,651,610 Series A Preferred Stock to AEA Growth Management LP. The number of Series A Preferred Stock shares issued at the Closing of the Business Combination was equal to the aggregate Class C Liquidation Preference pursuant to the Business Combination Agreement. As a result, the issuance of the Series A Preferred Stock effectively included an in-kind payout (“PIK”) of the accrued dividend since the calculation of the amount issued was based on the Class C Liquidation Preference. As of the Closing, the Company recorded a dividend of 151,610 Series A Preferred Stock PIK shares with respect to the accrued dividends on the Series A Preferred Stock (the "PIK Dividend") in the December 31, 2023 condensed consolidated statements of mezzanine and stockholders’ equity.

Voting

The holders of the Preferred Stock are entitled to elect and appoint one of the directors (“Series A Director”) to the Board of Directors. All other directors are appointed by the Class A and Class B Common stockholders. There are no restrictions on which matters the Series A Preferred stockholders are entitled to vote. The Series A Preferred stockholders are entitled to the number of votes equal to the number of shares of Common Stock into which the Series A Preferred Stock would be convertible on the record date of the vote.

Conversion Rights

The Series A Preferred Stock is convertible, at the option of the holder, at any time, and without the payment of additional consideration by the holder, into such number of fully-paid Class A Common Stock as is determined by dividing the Accrued Value by the Conversion Price in effect at the time of conversion (“Conversion Ratio”). The Accrued Value is the Original Issue Price (which is $10.00 per share of Preferred Stock, as adjusted for any stock split, stock dividend, combination, or other recapitalization) plus any unpaid dividends, compounded semi-annually. The Conversion Price is initially $10.00 per Preferred Share subject to adjustment for dilutive issuances of additional shares, dividends to common stockholders, stock splits, mergers, and a five-year anniversary special adjustment based on the volume weighted average price of the common stock. These dividends may be paid in cash or accumulate into the Accrued Value, at the option of New AON, on June 30 and December 31 of each year. The Conversion Rights shall terminate at the close of business on the day prior to the date of a Change of Control.

If at any time on or after the 30th day after the five-year anniversary of the issue date, any of the Series A Preferred Stock remain outstanding and the 30-Day volume weighted average price (”VWAP”) of the Common Stock is less than $10.00 (as adjusted for any stock split, stock dividend, combination, or other recapitalization or reclassification), then the Conversion Price shall be adjusted to the greater of (x) the 30-Day VWAP on such date of determination and (y) $5.00 (as adjusted for any stock split, stock dividend, combination, or other recapitalization or reclassification).

New AON also has the right on or after the third-year anniversary of the date of issuance to cause all (but not less than all) of the outstanding shares of Series A Preferred Stock to be converted into shares of Class A Common

---

Stock for each share of Series A Preferred Stock at the Conversion Ratio detailed above. The Company may only convert shares of Series A Preferred Stock into shares of Common Stock if the 30-Day VWAP of the Common Stock immediately prior to the Company Conversion Date is greater than $16.00 (as adjusted for any stock split, stock dividend, combination, or other recapitalization).

Liquidation Preferences

In the event of voluntary or involuntary liquidation, dissolution or winding up of the Company or an Initial Public Offering (IPO) or Exit Event, the Series A Preferred Stock have preferential liquidation rights. If a Deemed Liquidation Event were to occur, each Series A Preferred stockholder is entitled to be paid out of the assets of the Company available for distribution, equal to the greater of the following:

(i) The Original Issue Price of $10 per Series A Preferred Stock multiplied by the Applicable Percentage plus any Accrued Dividends on such share of Series A Preferred Stock; or

(ii) Such amount per share as would have been payable had all shares of Series A Preferred Stock been converted into Common Stock immediately prior to such Deemed Liquidation Event.

The Series A Preferred Stock Applicable Percentage is defined as a percentage equal to (a) one hundred twenty-five percent (125%) if an Exit Event, dissolution, liquidation, or winding-up occurs prior to June 7, 2024, (b) one hundred twenty percent (120%) if an Exit Event, dissolution, liquidation, or winding up occurs after June 7, 2024, but prior to June 7, 2025, (c) one hundred fifteen percent (115%) if an Exit Event, dissolution, liquidation, or winding-up occurs after June 7, 2025, but prior to June 7, 2026, (d) one hundred ten percent (110%) if an Exit Event, dissolution, liquidation, or winding up occurs after June 7, 2026, but prior to June 7, 2027, (e) one hundred five percent (105%) if an Exit Event, dissolution, liquidation, or winding-up occurs after June 7, 2027, but prior to June 7, 2028, (f) one hundred percent (100%) if an Exit Event, dissolution, liquidation, or winding-up occurs after June 7, 2028.

Distributions to Class A and Class A-1 Members

On March 4, 2020, the AON LLC entered into the Second Amended and Restated Limited Liability Agreement (“Second Operating Agreement”) which established another class of equity, Class A-1 Units. The Second Operating Agreement provided, among other things, that the Class A and A-1 Units would receive a cumulative, annually-compounded, preferred return of 8.0% and 4.0%, respectively, on capital contributions when and if distributions are declared by the Board of the Company.

Prior to the issuance of the Class C Units on June 7, 2023 as discussed above, the Class A and A-1 unitholders were paid a cash distribution of $4.0 million and $4.1 million, respectively, representing the cumulative accrued preferred return to June 7, 2023.

On June 7, 2023, in connection with the issuance of the Class C Units, AON LLC entered into the Third Amended and Restated Limited Liability Agreement (“Third Operating Agreement”) which, among other things, eliminated any provisions for future preferred returns on Class A and A-1 units.

---

The following table sets forth the computation of basic and diluted net loss per share of Class A Common Stock and represents the period from January 1, 2024 to June 30, 2024. Class B Common Stock does not have economic rights in AON Inc., including rights to dividends or distributions upon liquidation, and as a result, is not considered a participating security for basic and diluted loss per share. As such, basic and diluted loss per share of Class B Common Stock has not been presented. Series A Preferred Stock are considered participating securities for basic and diluted loss per share, but do not participate in losses. As such, basic and diluted loss per share is computed using the two-class method. For additional information, see Notes 1 and 2.

Basic loss per share is based on the weighted-average number of shares of Class A Common Stock outstanding during the period. Diluted loss per share is based on the weighted-average number of shares of Class A Common Stock used for the basic loss per share calculation, adjusted for the dilutive effect of Public and Private Warrants, Restricted Stock Units, and Sponsor Earnouts, if any, using the “treasury stock” method and the convertible Series A Preferred Stock, Class B Common Stock, and Class B Prefunded Warrants, if any, using the “if-converted” method. Net loss for diluted loss per share is adjusted for the Company’s share of AON LLC’s consolidated net loss, net of AON Inc. taxes, after giving effect to Class B Common Stock and Class B Prefunded Warrants that are exchanged into potential shares of Class A Common Stock, Public and Private Warrants that are liability classified, and Series A Preferred Stock that accrue dividends, to the extent it is dilutive.

						Three Months Ended June 30,						Six Months Ended June 30,
						2024						2024
Net income (loss) attributable to AON Inc.						$	3,620,639					$	(4,220,410)
Less: Series A Preferred Cumulative Dividends						(1,375,293)						(2,735,473)
Less: Undistributed net income to participating securities						(855,688)						—
Net income (loss) attributable to Class A Common Stockholders						$	1,389,658					$	(6,955,883)
Less: Reallocation of net income (loss) attributable to Class A Common Stockholders as a result of the impact and conversion of dilutive securities						(5,555,951)						(23,574,645)
Net income (loss) attributable to Class A Common Stockholders for diluted earnings per share						$	(4,166,293)					$	(30,530,528)
Weighted-average shares for basic earnings per share						11,377,407						9,457,518
Effect of dilutive securities:
Series A Preferred Stock						—						—
Class B Common Stock						22,711,953						23,972,678
Class B Prefunded warrants						3,000,245						3,000,245
Restricted Stock Units						—						—
Weighted-average shares for diluted earnings per share						37,089,605						36,430,441
Basic income (loss) per share of Class A Common Stock						$	0.12					$	(0.74)
Dilutive income (loss) per share of Class A Common Stock						$	(0.11)					$	(0.84)

The following table details the securities that have been excluded from the calculation of weighted-average shares for diluted loss per share for the periods presented as they were anti-dilutive. Note that the Sponsor Earnouts are excluded from the calculation of weighted-average shares for diluted loss per share as the contingency had not been met as of the period end.

---

						Three Months Ended June 30,						Six Months Ended June 30,
						2024						2024
Series A Preferred Stock						7,074,449						7,074,449
Class B Common Stock						—						—
Class B Prefunded Warrants						—						—
Public and Private Warrants						14,450,833						14,450,833
Restricted Stock Units						1,364,801						1,364,801

---

Legacy AON Shareholders own 23,571,568 AON LLC Common Units, equal to a 74.1% of the economic interest in AON LLC as of June 30, 2024. Legacy AON Shareholders Common Units are comprised of 20,571,323 shares of Class B Common Stock and 3,000,245 Class B Prefunded Warrants, which, together with the AON LLC Common Units, may be redeemed at the option of the Legacy AON Shareholder on a one-for-one basis for shares of Class A Common Stock or the cash equivalent thereof (based on the market price of the shares of Class A Common Stock at the time of redemption) as determined by New AON. If New AON elects the redemption to be settled in cash, the cash used to settle the redemption must be funded through a private or public offering of Class A Common Stock no later than ten (10) business days after the redemption notice date. Upon the redemption of the AON LLC Common Units and Class B Common Stock for shares of Class A Common Stock or the equivalent thereof, all redeemed shares of Class B Common Stock will be cancelled. The redemption value is determined based on a five-day VWAP of the Class A common shares, subject to customary conversion rate adjustments for share splits, share dividends, and similar events affecting Class A Common Stock. After each redemption, AON LLC equity attributable to New AON and the Legacy AON Shareholders is adjusted to reflect New AON’s and the Legacy AON Shareholders’ ownership in AON LLC.

When applying SEC guidance concerning mezzanine classification, the Company understands that due to the NCI holders having control of the Board, if there is a sequence of remotely possible events that could trigger a redemption, this requires the instrument to be classified as temporary equity, without any regard to probability. Accordingly, though the redemption would require such a remotely possible sequence of events, and such remote sequence of events would also require, in management’s view, the Company to take extraordinary actions in order to allow such sequence of events to be remotely possible, the noncontrolling interest is currently classified as temporary equity. In the event that the Legacy AON Shareholders own less than 50% of the outstanding economic interest in AON LLC Common Units due to future redemptions, the noncontrolling interest will be presented as permanent equity.

The redeemable noncontrolling interest is recognized at the greater of (1) its initial fair value plus accumulated earnings/(losses) associated with the noncontrolling interest or (2) the redemption value as of the balance sheet date. At June 30, 2024, the redeemable noncontrolling interest was recorded based on its redemption value of $28.3 million which represented a decrease of $138.7 million from its redemption value as of December 31, 2023. This measurement adjustment decreased retained deficit by $99.3 million. Each time a change of interest occurs, AON LLC equity attributable to AON Inc. and the Legacy AON Shareholders is rebalanced to reflect the changes in AON Inc.’s and the Legacy AON Shareholder’s ownership in AON LLC that occurred throughout the period.

The following table summarizes the economic ownership of AON LLC, for the period beginning December 31, 2023 and ending June 30, 2024.

			Period beginning December 31, 2023 and ending June 30, 2024
			AON LLC Units
			AON Inc.			Legacy AON Shareholders			Total
Beginning of Period			13,330,051			28,109,796			41,439,847
Issuances			2,405,906			—			2,405,906
Repurchases			(126,728)			—			(126,728)
Redemptions			4,538,228			(4,538,228)			—
Total Units Issued			20,147,457			23,571,568			43,719,025
End of Period			20,147,457			23,571,568			43,719,025
Allocation of income to controlling and noncontrolling interests			37.4		%	62.6		%	100		%
Allocation of losses to controlling and noncontrolling interests (1)			25.9		%	74.1		%	100		%

---

(1) As discussed in Note 13, Series A Preferred Stock are considered participating securities for basic and diluted loss per share, but do not participate in losses. As a result, the consolidated net loss of AON LLC, during the period of January 1, 2024 through June 30, 2024, were allocated to the NCI to reflect the absorption of the Legacy AON Shareholders to a portion of the consolidated net loss of AON LLC. Net losses were not attributed to Series A Preferred Stock.

On July 19, 2024, affiliates of AEA Growth (collectively the “Bidders” or “AEA Parties”) tendered to purchase for cash up to a maximum of 19,511,807 of AON LLC Common Units from holders of such AON LLC Common Units at a price of $4.00 per unit less certain fees and expenses (the “Third Party Tender Offer”). The Third Party Tender Offer expires one minute after 11:59 p.m., Eastern time, on August 15, 2024 unless otherwise extended by the Bidders.

Neither AON Inc. nor AON LLC is a Bidder in the Third Party Tender Offer. AON Inc. and AON LLC are assisting with facilitating documentation between the Bidders and participants in the Third Party Tender Offer in order to maintain an orderly process between the participants in the Third Party Tender Offer and the Bidders.

Also on July 19, the Company and AEA Growth entered into a Stockholders Agreement that provides for certain customary shareholder protection in the event that AEA Parties collectively and beneficially own at least 40% of outstanding voting power of the Company (the “Stockholders Agreement Effectiveness Date”).

The shareholder protections include the following:

(i) Independent Board Members and Corporate Governance: Designation of two directors (the “Independent Directors”) for whom the AEA Parties have agreed to vote in director elections for election to the Company’s board of directors (the “Board”), including (i) at least one independent director by mutual agreement of the other then-sitting independent directors and (ii) one minority independent director (the “Minority Independent Director”), and maintenance of the Nominating and Governance Committee of the Board, which shall be comprised of at least two independent directors.

(ii) Co-sale right: In the event the AEA Parties propose to sell more than 10% of the Company’s outstanding equity securities, the other shareholders of the Company have the right to participate in such sale, subject to certain exceptions (such sale a “Co-Sale Transaction”).

(iii) Minority Independent Director Consent: For two years following the Stockholders Agreement Effectiveness Date, without the consent of the Minority Independent Director, the Company shall not (i) amend its charter, bylaws or organization documents of any of the Company’s subsidiaries that would adversely affect the rights of the minority stockholders in a disproportionate manner, nor (ii) enter into any transaction with the AEA Parties, other than (x) a Co-Sale Transaction, (y) any transaction expressly permitted under the Stockholders Agreement, and (z) standard employee benefits and director and officer indemnification agreements.

(iv) AEA Parties Standstill: The AEA Parties agree to refrain from taking any action that would directly or indirectly cause its ownership of the Company to exceed 80% of the Company’s outstanding voting power, without the consent in writing of the Minority Independent Director.

The Stockholder Agreement terminates upon the earliest of (i) the consummation of a short-form merger pursuant to Section 253 of the Delaware General Corporation Law, (ii) the date that the AEA Parties cease to beneficially own, directly or indirectly, at least 25% of the outstanding voting securities of the Company, (iii) the time at which none of the Company’s securities are owned by any person or entity other than the AEA Parties, and (iv) June 10, 2027, if the Stockholders Agreement Effectiveness Date has not occurred by then.

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v3.24.2.u1

Cover - shares	6 Months Ended
	Jun. 30, 2024	Aug. 12, 2024
Document Information [Line Items]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2024
Document Transition Report	false
Entity File Number	001-04
Entity Registrant Name	American Oncology Network, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	85-3984427
Entity Address, Address Line One	14543 Global Parkway
Entity Address, Address Line Two	Suite 110
Entity Address, City or Town	Fort Myers
Entity Address, State or Province	FL
Entity Address, Postal Zip Code	33913
City Area Code	833
Local Phone Number	886-1725
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Central Index Key	0001839998
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q2
Document Fiscal Year End Date	--12-31
Amendment Flag	false
Class A Common Stock
Document Information [Line Items]
Title of 12(b) Security	Class A common stock, par value $0.0001, per share
Trading Symbol	AONC
Security Exchange Name	NONE
Entity Common Stock, Shares Outstanding		15,871,684
Warrants, each whole warrant exercisable for one share of Class A common stock at an exercise price of $11.50 per share
Document Information [Line Items]
Title of 12(b) Security	Warrants, each whole warrant exercisable for one share of Class A common stock at an exercise price of $11.50 per share
Trading Symbol	AONCW
Security Exchange Name	NONE
Class B Common Stock
Document Information [Line Items]
Entity Common Stock, Shares Outstanding		20,445,123

v3.24.2.u1

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands		Jun. 30, 2024	Dec. 31, 2023
Current assets
Cash and cash equivalents		$ 33,818	$ 28,539
Short-term marketable securities		21,391	35,389
Patient accounts receivable, net		125,421	129,151
Inventories		54,280	44,569
Other receivables		60,928	34,274
Prepaid expenses and other current assets		8,250	4,277
Current portion of notes receivable - related parties		2,174	1,604
Total current assets		306,262	277,803
Property and equipment, net		42,510	40,439
Operating lease right-of-use assets, net	[1]	50,609	43,349
Notes receivable - related parties		0	1,150
Other assets		18,005	7,588
Goodwill		10,900	1,230
Intangibles, net		2,476	0
Deferred tax asset, net		0	2,894
Total assets		430,762	374,453
Current liabilities
Accounts payable	[2]	189,483	127,645
Accrued compensation related costs		11,640	11,410
Accrued other		18,202	22,327
Income tax payable		971	971
Current portion of operating lease liabilities	[3]	7,450	6,692
Current portion of long-term debt		3,809	0
Total current liabilities		231,555	169,045
Long-term debt, net		88,241	80,641
Long-term operating lease liabilities	[4]	46,167	39,803
Other long-term liabilities		10,948	14,251
Total liabilities		376,911	303,740
Mezzanine equity
Series A convertible preferred stock; $0.0001 par value; 7,500,000 shares authorized; 6,651,610 issued and outstanding at June 30, 2024 and December 31, 2023, with an aggregate liquidation preference of $70,744,488 and $68,009,015 at June 30, 2024 and December 31, 2023, respectively.		64,986	64,986
Redeemable noncontrolling interest		28,331	167,025
Stockholders' equity
Additional paid-in capital		27,074	0
Treasury stock, at cost, 122,743 shares at June 30, 2024 and 14,729 shares at December 31, 2023		(368)	0
Accumulated other comprehensive income		26	81
Retained deficit		(66,720)	(161,812)
Total AON stockholders' deficit		(39,984)	(161,727)
Noncontrolling interest		518	429
Total deficit		(39,466)	(161,298)
Total liabilities, mezzanine equity, noncontrolling interest, and stockholders' equity		430,762	374,453
Class A Common Stock
Stockholders' equity
Common stock, value		1	1
Class B Common Stock
Stockholders' equity
Common stock, value		$ 3	$ 3
[1] Includes related party operating right-of-use assets, net of $15,605 and $10,931 at June 30, 2024 and December 31, 2023, respectively [2] Includes amounts due to related party of $178,460 and $120,857 at June 30, 2024 and December 31, 2023, respectively [3] Includes related party current portion of operating lease liabilities of $3,524 and $1,888 at June 30, 2024 and December 31, 2023, respectively [4] Includes related party long-term operating lease liabilities of $10,712 and $9,472 at June 30, 2024 and December 31, 2023, respectively

v3.24.2.u1

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($)		Jun. 30, 2024	Dec. 31, 2023
Shares outstanding (in shares)		6,652,000	6,652,000
Treasury stock, common, shares (in shares)		122,743	14,729
Operating lease right-of-use assets	[1]	$ 50,609,000	$ 43,349,000
Accounts payable	[2]	189,483,000	127,645,000
Current portion of operating lease liabilities	[3]	7,450,000	6,692,000
Long-term operating lease liabilities	[4]	46,167,000	39,803,000
Related Party
Operating lease right-of-use assets		15,605,000	10,931,000
Accounts payable		178,460,000	120,857,000
Current portion of operating lease liabilities		3,524,000	1,888,000
Long-term operating lease liabilities		$ 10,712,000	$ 9,472,000
Series A Preferred Stock
Par value (dollars per share)		$ 0.0001	$ 0.0001
Shares authorized (shares)		7,500,000	7,500,000
Shares issued (in shares)		6,651,610	6,651,610
Shares outstanding (in shares)		6,651,610	6,651,610
Liquidation preference		$ 70,744,488	$ 68,009,015
Class A Common Stock
Common stock, par value (in usd per share)		$ 0.0001	$ 0.0001
Common stock, shares authorized (in shares)		200,000,000	200,000,000
Common stock, shares issued (in shares)		13,495,847	9,517,816
Common stock, shares outstanding (in shares)		13,495,847	9,517,816
Class B Common Stock
Common stock, par value (in usd per share)		$ 0.0001	$ 0.0001
Common stock, shares authorized (in shares)		100,000,000	100,000,000
Common stock, shares issued (in shares)		20,571,323	25,109,551
Common stock, shares outstanding (in shares)		20,571,323	25,109,551
[1] Includes related party operating right-of-use assets, net of $15,605 and $10,931 at June 30, 2024 and December 31, 2023, respectively [2] Includes amounts due to related party of $178,460 and $120,857 at June 30, 2024 and December 31, 2023, respectively [3] Includes related party current portion of operating lease liabilities of $3,524 and $1,888 at June 30, 2024 and December 31, 2023, respectively [4] Includes related party long-term operating lease liabilities of $10,712 and $9,472 at June 30, 2024 and December 31, 2023, respectively

v3.24.2.u1

Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) - USD ($)		3 Months Ended		6 Months Ended
		Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Revenue
Total revenue		$ 433,982,000	$ 314,967,000	$ 798,321,000	$ 618,698,000
Costs and expenses
Cost of revenue	[1]	404,589,000	291,399,000	759,537,000	569,933,000
General and administrative expenses	[2]	36,738,000	23,915,000	65,015,000	47,633,000
Transaction expenses		664,000	3,312,000	1,016,000	5,282,000
Total costs and expenses		441,991,000	318,626,000	825,568,000	622,848,000
Loss from operations		(8,009,000)	(3,659,000)	(27,247,000)	(4,150,000)
Other income (expense)
Interest expense		(1,833,000)	(1,551,000)	(3,596,000)	(2,968,000)
Interest income		1,025,000	68,000	1,818,000	126,000
Other (expense) income, net		5,547,000	(4,846,000)	3,639,000	(4,380,000)
Loss before income taxes, equity loss in affiliate, and noncontrolling interest		(3,270,000)	(9,988,000)	(25,386,000)	(11,372,000)
Income tax expense (benefit)		(324,000)	0	2,570,000	0
Loss before equity loss in affiliate and noncontrolling interest		(2,946,000)	(9,988,000)	(27,956,000)	(11,372,000)
Equity in loss of affiliate		(179,000)	(118,000)	(130,000)	(219,000)
Net loss before noncontrolling interest		(3,125,000)	(10,107,000)	(28,086,000)	(11,591,000)
Net loss attributable to noncontrolling interest		(334,000)	0	(291,000)	0
Net loss before redeemable noncontrolling interest		(2,791,000)	(10,107,000)	(27,795,000)	(11,591,000)
Net loss and noncontrolling interest attributable to Legacy AON Stockholders prior to the reverse recapitalization		0	(10,107,000)	0	(11,591,000)
Net loss attributable to redeemable noncontrolling interest		(6,412,000)	0	(23,575,000)	0
Net loss attributable to Class A Common Stockholders, Basic		3,620,639	0	(4,220,410)	0
Net loss attributable to Class A Common Stockholders, Diluted		$ 3,620,639	$ 0	$ (4,220,410)	$ 0
Income (loss) per share of Class A Common Stock:
Basic (in dollars per share)		$ 120	$ 0	$ (740)	$ 0
Diluted (in dollars per share)		$ (110)	$ 0	$ (840)	$ 0
Weighted average shares of Class A Common Stock Outstanding:
Basic (in shares)		11,377,407	0	9,457,518	0
Diluted (in shares)		37,089,605	0	36,430,441	0
Other comprehensive income (loss):
Unrealized (loss) gain on marketable securities		$ (167,000)	$ 24,000	$ (189,000)	$ 88,000
Other comprehensive (loss) gain		(167,000)	24,000	(189,000)	88,000
Comprehensive loss		(2,958,000)	(10,083,000)	(27,984,000)	(11,503,000)
Other comprehensive loss attributable to Legacy AON Shareholders		0	(10,083,000)	0	(11,503,000)
Other comprehensive loss attributable to noncontrolling interests		(6,528,000)	0	(23,708,000)	0
Total comprehensive income (loss) attributable to AON Inc.		3,570,000	0	(4,276,000)	0
Patient service revenue, net
Revenue
Total revenue		431,750,000	311,713,000	793,258,000	613,486,000
Other revenue
Revenue
Total revenue		$ 2,232,000	$ 3,254,000	$ 5,063,000	$ 5,212,000
[1] Includes related party inventory expense of $364,664 and $253,083 and $675,541 and $500,569 for the three and six months ended June 30, 2024 and 2023, respectively. [2] Includes related party rent of $672 and $679 and $1,378 and $1,358 for the three and six months ended June 30, 2024 and 2023, respectively.

v3.24.2.u1

Condensed Consolidated Statements of Mezzanine and Stockholders’ Deficit - USD ($) $ in Thousands	Total	Class A Common Stock	Class B Common Stock	Common Stock Class A Common Stock	Common Stock Class B Common Stock	Common Units Capital Unit, Class A	Common Units Capital Unit, Class A-1	Common Units Capital Unit, Class B	Additional Paid in Capital	Treasury Stock	AOCI	Noncontrolling Interest	AOCI	Retained Earnings (Deficit)
Beginning Balance (in shares) at Dec. 31, 2022	0
Beginning Balance at Dec. 31, 2022	$ 0
Redeemable Preferred Stock
Issuance of Class C Units, net of offering costs (in units)	2,459,000
Issuance of Class C Units, net of offering costs	$ 64,246
Class C derivative liability	$ (1,349)
Ending Balance (in shares) at Jun. 30, 2023	2,459,000
Ending Balance at Jun. 30, 2023	$ 62,897
Beginning balance (in units) at Dec. 31, 2022						19,495,376,000	1,842,520,000
Beginning balance at Dec. 31, 2022												$ 0
Beginning balance at Dec. 31, 2022	62,016					$ 7,725	$ 28,500	$ 80					$ (117)	$ 25,828
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Capital contribution from noncontrolling interest member	134											134
Net loss	(11,591)													(11,591)
Class A and A-1 preferred returns	(8,174)													(8,174)
Derivative liability on Class A-1 anti-dilution feature	2,540						$ 2,540
Tax distributions	(260)													(260)
Class A-1 distribution (in units)							439,176,000
Other comprehensive income	88												88
Ending balance (in units) at Jun. 30, 2023						19,495,376,000	2,281,696,000
Ending balance at Jun. 30, 2023												134
Ending balance at Jun. 30, 2023	$ 44,753					$ 7,725	$ 31,040	80					(29)	5,803
Beginning Balance (in shares) at Mar. 31, 2023	0
Beginning Balance at Mar. 31, 2023	$ 0
Redeemable Preferred Stock
Issuance of Class C Units, net of offering costs (in units)	2,459,000
Issuance of Class C Units, net of offering costs	$ 64,246
Class C derivative liability	$ (1,349)
Ending Balance (in shares) at Jun. 30, 2023	2,459,000
Ending Balance at Jun. 30, 2023	$ 62,897
Beginning balance (in units) at Mar. 31, 2023						19,495,376,000	1,842,520,000
Beginning balance at Mar. 31, 2023												0
Beginning balance at Mar. 31, 2023	60,594					$ 7,725	$ 28,500	80					(53)	24,342
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Capital contribution from noncontrolling interest member	134											134
Net loss	(10,105)													(10,105)
Class A and A-1 preferred returns	(8,174)													(8,174)
Derivative liability on Class A-1 anti-dilution feature	2,540						$ 2,540
Tax distributions	(260)													(260)
Class A-1 distribution (in units)							439,176,000
Other comprehensive income	24												24
Ending balance (in units) at Jun. 30, 2023						19,495,376,000	2,281,696,000
Ending balance at Jun. 30, 2023												134
Ending balance at Jun. 30, 2023	$ 44,753					$ 7,725	$ 31,040	$ 80					$ (29)	5,803
Beginning Balance (in shares) at Dec. 31, 2023	6,652,000
Beginning Balance at Dec. 31, 2023	$ 64,986
Ending Balance (in shares) at Jun. 30, 2024	6,652,000
Ending Balance at Jun. 30, 2024	$ 64,986
Beginning Balance at Dec. 31, 2023	167,025
Increase (Decrease) In Noncontrolling Interest [Roll Forward]
Other comprehensive income	(133)
Equity based compensation & NCI rebalancing	429
Net loss	(23,575)
Fair value adjustment to redeemable noncontrolling interest	(99,313)
Redemptions of Class B Common Stock to Class A Common Stock	(16,102)
Ending Balance at Jun. 30, 2024	28,331
Beginning balance (in shares) at Dec. 31, 2023		9,517,816	25,109,551	6,678,441,000	25,109,551,000
Beginning balance at Dec. 31, 2023	(161,298)			$ 1	$ 3				$ 0	$ 0	$ 81	429		(161,812)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Other comprehensive income	(55)										(55)
Equity-based compensation and NCI rebalancing (in shares)				2,405,906,000
Equity based compensation & NCI rebalancing	10,972								10,972
Repurchases of Class A Common Stock (in shares)				(126,728,000)
Repurchases of Class A Common Stock	(368)									(368)
Capital contribution from noncontrolling interest member	380											380
Net loss	(4,512)											(291)		(4,221)
Fair value adjustment to redeemable noncontrolling interest	99,313								0					99,313
Redemption of Class B Common Stock to Class A Common Stock (in shares)				(4,538,228,000)	(4,538,228,000)
Redemptions of Class B Common Stock to Class A Common Stock	16,102								16,102
Ending balance (in shares) at Jun. 30, 2024		13,495,847	20,571,323	13,495,847,000	20,571,323,000
Ending balance at Jun. 30, 2024	$ (39,466)			$ 1	$ 3				27,074	(368)	26	518		(66,720)
Beginning Balance (in shares) at Mar. 31, 2024	6,652,000
Beginning Balance at Mar. 31, 2024	$ 64,986
Ending Balance (in shares) at Jun. 30, 2024	6,652,000
Ending Balance at Jun. 30, 2024	$ 64,986
Beginning Balance at Mar. 31, 2024	157,716
Increase (Decrease) In Noncontrolling Interest [Roll Forward]
Other comprehensive income	(116)
Equity based compensation & NCI rebalancing	30
Net loss	(6,412)
Fair value adjustment to redeemable noncontrolling interest	(114,949)
Redemptions of Class B Common Stock to Class A Common Stock	(7,938)
Ending Balance at Jun. 30, 2024	28,331
Beginning balance (in shares) at Mar. 31, 2024				10,334,734,000	23,725,998,000
Beginning balance at Mar. 31, 2024	(166,594)			$ 1	$ 3				8,164	(97)	77	852		(175,594)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Other comprehensive income	(51)										(51)
Equity-based compensation and NCI rebalancing (in shares)				116,725,000
Equity based compensation & NCI rebalancing	1,276								1,276
Repurchases of Class A Common Stock (in shares)				(110,287,000)
Repurchases of Class A Common Stock	(271)									(271)
Capital contribution from noncontrolling interest member	0
Net loss	3,287											(334)		3,621
Fair value adjustment to redeemable noncontrolling interest	114,949								9,696					105,253
Redemption of Class B Common Stock to Class A Common Stock (in shares)				(3,154,675,000)	(3,154,675,000)
Redemptions of Class B Common Stock to Class A Common Stock	7,938								7,938
Ending balance (in shares) at Jun. 30, 2024		13,495,847	20,571,323	13,495,847,000	20,571,323,000
Ending balance at Jun. 30, 2024	$ (39,466)			$ 1	$ 3				$ 27,074	$ (368)	$ 26	$ 518		$ (66,720)

v3.24.2.u1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands		6 Months Ended
		Jun. 30, 2024	Jun. 30, 2023
Cash flows from operating activities
Net loss		$ (28,086)	$ (11,591)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities
Depreciation and amortization		4,890	4,308
Amortization of debt issuance costs		430	353
Amortization of postcombination compensation		352	0
Provision for income taxes		2,894	0
Equity in loss of affiliate		130	219
Amortization of operating right-of-use assets	[1]	4,330	4,309
Changes in fair value adjustments of warrants and derivative liabilities		(2,888)	5,066
Equity-based compensation		11,400	0
Loss (gain) on sale and abandonment of property and equipment		760	(2)
Bargain purchase gain on acquisition of physician practice		(1,040)	0
Deferred taxes		(324)	0
Changes in operating assets and liabilities, net of business combinations:
Patient accounts receivable, net		3,730	(9,061)
Inventories	[2]	(7,239)	(5,410)
Prepaid expenses and other current assets		(3,713)	(728)
Other receivables		(23,346)	(4,728)
Other assets		(4,948)	(2,430)
Accounts payable	[3]	60,964	15,673
Accrued compensation related costs		2,944	2,710
Accrued other		(2,972)	1,199
Operating lease liabilities	[4]	(4,467)	(3,784)
Other long-term liabilities		(2,590)	1,626
Net cash provided by (used in) operating activities		11,210	(2,271)
Cash flows from investing activities
Purchases of property and equipment and intangible assets		(8,176)	(6,899)
Proceeds from disposals of property and equipment		141	5
Acquisition of physician practices, net of cash acquired		(6,712)	0
Purchases of marketable securities		(17,710)	(2,280)
Proceeds from sales of marketable securities		31,961	2,235
Collections on notes receivable - related parties		305	630
Net cash used in investing activities		(191)	(6,309)
Cash flows from financing activities
Issuance of redeemable convertible Class C Units		0	64,996
Class A and A-1 preferred returns		0	(8,174)
Repayments on debt		(1,521)	0
Contribution from noncontrolling interest		0	134
Repurchases of Class A Common Stock		(368)	0
Payment of tax withholding obligation on net RSU settlement		(3,258)	0
Tax distributions		0	(260)
Repayments on finance lease liabilities		(593)	(233)
Cash paid for debt financing costs		0	(446)
Cash paid for offering costs on Class C issuance		0	(750)
Cash paid for offering costs on business combination		0	(905)
Net cash (used in) provided by financing activities		(5,740)	54,362
Net increase in cash and cash equivalents		5,279	45,782
Beginning of period		28,539	26,926
End of period		33,818	72,708
Supplemental noncash investing and financing activities
Right-of-use assets and lease liabilities removed in termination of lease		0	1,023
Promissory note issued in connection with acquisition of physician practices		(6,550)	0
Promissory note issued in connection with asset acquisition		(1,420)	0
Changes in accounts payable for capital additions to property and equipment		(581)	0
Noncash consideration paid by assumption of note for purchase of physician practice
Contribution from noncontrolling interest		(380)	0
Derivative liability on issuance of Class C Units		0	1,349
Derivative liability on Class A-1 anti-dilution feature		$ 0	$ 2,540
[1] Includes related party amortization of operating right-of-use assets of $1,053 and $1,062 for the six months ended June 30, 2024 and 2023, respectively. [2] Includes changes in related party balances of ($9,225) and $(5,140) for the six months ended June 30, 2024 and 2023, respectively. [3] Includes changes in related party balances of $57,603 and $15,718 for the six months ended June 30, 2024 and 2023, respectively. [4] Includes changes in related party balances of ($1,313) and ($1,303) for the six months ended June 30, 2024 and 2023, respectively.

v3.24.2.u1

Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) (Parenthetical) - USD ($) $ in Thousands		3 Months Ended		6 Months Ended
		Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Cost of revenue	[1]	$ 404,589	$ 291,399	$ 759,537	$ 569,933
General and administrative expenses	[2]	36,738	23,915	65,015	47,633
Related Party
Cost of revenue		364,664	253,083	675,541	500,569
General and administrative expenses		$ 672	$ 679	$ 1,378	$ 1,358
[1] Includes related party inventory expense of $364,664 and $253,083 and $675,541 and $500,569 for the three and six months ended June 30, 2024 and 2023, respectively. [2] Includes related party rent of $672 and $679 and $1,378 and $1,358 for the three and six months ended June 30, 2024 and 2023, respectively.

v3.24.2.u1

Condensed Consolidated Statements of Cash Flows - Parenthetical - USD ($) $ in Thousands		6 Months Ended
		Jun. 30, 2024	Jun. 30, 2023
Amortization of operating right-of-use assets	[1]	$ 4,330	$ 4,309
Inventories	[2]	(7,239)	(5,410)
Accounts payable	[3]	60,964	15,673
Operating lease liabilities	[4]	(4,467)	(3,784)
Related Party
Amortization of operating right-of-use assets		1,053	1,062
Inventories		(9,225)	(5,140)
Accounts payable		57,603	15,718
Operating lease liabilities		$ (1,313)	$ (1,303)
[1] Includes related party amortization of operating right-of-use assets of $1,053 and $1,062 for the six months ended June 30, 2024 and 2023, respectively. [2] Includes changes in related party balances of ($9,225) and $(5,140) for the six months ended June 30, 2024 and 2023, respectively. [3] Includes changes in related party balances of $57,603 and $15,718 for the six months ended June 30, 2024 and 2023, respectively. [4] Includes changes in related party balances of ($1,313) and ($1,303) for the six months ended June 30, 2024 and 2023, respectively.

v3.24.2.u1

Business	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Business	Business American Oncology Network, Inc. (“AON”, “New AON”, “AON Inc.”, or the “Company”), through its subsidiary companies and variable interest entities (together, “its subsidiaries”), is an alliance of physicians and seasoned healthcare leaders who provide comprehensive oncology services across 35 oncology practices located in twenty states (Arizona, Arkansas, Florida, Georgia, Hawaii, Iowa, Idaho, Indiana, Louisiana, Maryland, Missouri, Michigan, North Carolina, Nevada, Nebraska, Ohio, South Carolina, Texas, Virginia, Washington, and the District of Columbia). The Company also provides expertise in drug procurement and payor contracting, along with practice diversification through centralized laboratory and pathology services, as well as specialty pharmacy services, clinical research, radiation oncology, and imaging. During the six months ended June 30, 2024, the Company entered into affiliation agreements with or acquired the following oncology practices. The Company did not enter into any affiliation agreements or complete any acquisitions of oncology practices during the six months ended June 30, 2023. Six Months Ended June 30, 2024 State Maryland (a) Texas (a) Hawaii (b) Georgia (b) (a)The Company entered into affiliation agreements with the physicians for these respective practices. The Company evaluated each of the affiliation agreements and determined that the transactions did not represent a business combination. (b)The Company completed acquisitions which were accounted for as business combinations with the physicians for these respective practices (See Note 5 for further discussion). The operations of the practices above have been included in the Company’s condensed consolidated financial statements. Business Combination Agreements Digital Transformation Opportunities Corp. (“DTOC”), American Oncology Network, LLC (“AON LLC”), GEF AON Holdings Corp. (“AON Class C Preferred Investor”), and DTOC Merger Sub, Inc., a direct, wholly owned subsidiary of DTOC (“Merger Sub”) entered into a Business Combination Agreement (the “Business Combination Agreement”), dated as of June 14, 2023 (which further amended and restated the Business Combination Agreement entered into by DTOC and AON as of October 5, 2022, and amended and restated on January 6, 2023, and April 27, 2023), pursuant to which, among other transactions, on September 20, 2023 (the “Closing Date”), DTOC and AON undertook a series of transactions (the “Business Combination” or “Reverse Recapitalization”) resulting in the organization of the combined post-business combination company as an umbrella partnership C corporation, in which substantially all of the assets and the business of the combined company are held by AON LLC, and DTOC became a member of AON LLC. In connection with the closing of the Business Combination (“the Closing”), DTOC changed its name to “American Oncology Network, Inc.”. The Business Combination was completed on September 20, 2023. As a result of, and in connection with, the Closing, among other things, (i) AON LLC amended and restated its operating agreement (the “Amended and Restated AON LLC Agreement”) to reclassify its existing Class A units, Class A-1 units and Class B units into a single class of AON LLC common units (“AON LLC Common Units”) that can be exchanged on a one-to-one basis for shares of New AON Class A common stock (“New AON Class A Common Stock”) and its existing AON LLC Class C units into AON LLC Series A preferred units (AON LLC Series A Preferred Units”); (ii) AON LLC converted profit pool units of certain of AON LLC’s subsidiaries into an equal number of AON LLC Common Units and shares of New AON Class B common stock (“New AON Class B Common Stock”), which together are exchangeable into shares of New AON Class A Common Stock (together with the New AON Class B Common Stock, the “New AON Common Stock”); (iii) New AON amended and restated its charter (the “Charter”) to provide for (a) the conversion of all existing shares of DTOC Class B common stock into shares of New AON Class A Common Stock on a one-to-one basis, (b) amendment of the terms of New AON Class B Common Stock to provide holders voting rights but no economic rights and (c) designation of a new series of New AON preferred stock as Series A convertible preferred stock (the “New AON Series A Preferred Stock” or “Series A Preferred Stock") with such rights and preferences as provided for in the certificate of designation of the New Aon Series A Preferred Stock (the “New AON Series A Certificate of Designation”); and (iv) among other things, (a) AON LLC issued common units to New AON in exchange for a combination of cash and shares of New AON Class B Common Stock and warrants to acquire shares of New AON Class B Common Stock (the “Class B Prefunded Warrants”), (b) New AON was admitted as a member of AON LLC, (c) AON LLC distributed shares of New AON Class B common stock or Class B Prefunded Warrants, as applicable, to AON LLC equity holders, (d) New AON reserved a specified number of additional shares of New AON Class A Common Stock after the Closing for issuance to eligible participants, (e) Merger Sub merged with and into the AON Class C Preferred Investor whereby the separate existence of Merger Sub ceased and New AON issued a number of shares of New AON Series A Preferred Stock equal to the number of AON LLC Series A preferred units held by the AON Class C Preferred Investor to AEA Growth Management LP, the parent of AON Class C Preferred Investor (“AEA Growth”) in exchange for all the shares of common stock held by AEA Growth in the AON Class C Preferred Investor (the “First Step”), (f) promptly after the First Step, the AON Class C Preferred Investor merged with and into New AON whereby the separate existence of the AON Class C Preferred Investor ceased and New AON held all the AON LLC Series A preferred units and (g) from and after the Closing (but subject to lock-up restrictions), the AON LLC common equity holders (other than New AON), referred to herein as “Legacy AON Shareholders” (former AON LLC Class A, Class A-1, and Class B unit holders), will have the right (but not the obligation) to exchange AON LLC Common Units together with an equal number of shares of New AON Class B Common Stock (whether held directly or indirectly through Class B Prefunded Warrants) for shares of New AON Class A Common Stock. In addition, in connection with the Closing, DTOC completed the offer to the holders of AON LLC Class B-1 units to exchange their AON LLC Class B-1 units for such number of newly issued shares of New AON Class A Common Stock equal to the ratio set forth in the Business Combination Agreement (such offer, the “Exchange Offer”). DTOC and AON LLC solicited consents from the holders of AON LLC Class B-1 units to make certain amendments to the terms of the awards and the unit grant agreements pursuant to which the AON LLC Class B-1 units were granted, which provided for the automatic exchange, as of immediately prior to the adoption of the Amended and Restated AON LLC Agreement, of all outstanding AON LLC Class B-1 units into shares of New AON Class A Common Stock (collectively, the “Proposed Amendments”). The requisite number of holders of Class B-1 units provided their consent to the Proposed Amendments, and as a result, in connection with the Closing, all AON LLC Class B-1 units were exchanged for an aggregate of 1,047,343 shares of New AON Class A Common Stock. Upon the consummation of the Business Combination, the outstanding membership units in AON LLC and the outstanding shares in AON Inc. (New AON) are as follows: •AON LLC Common Units held by the Legacy AON Shareholders - 28,109,796 •AON LLC Common Units held by New AON - 9,532,354 •AON LLC Series A Preferred Units held by New AON - 6,651,610 •Class A Common Stock held by the former AON LLC Class B-1 unit holders - 1,047,343 •Class A Common Stock held by the DTOC unredeemed shareholders - 147,511 •Class A Common Stock held by the DTOC Sponsor and their permitted transferees - 5,498,125(a) •Class B Common Stock held by Legacy AON Shareholders - 25,109,551(b) •New AON Series A Preferred Stock held by AEA Growth Management LP - 6,651,610 (a) Sponsor Earnout Shares of 2,839,375 are subject to vesting and forfeiture provisions and are not outstanding for GAAP purposes as of the Closing Date. (b) Certain Legacy AON Shareholders hold 3,000,245 Class B Prefunded Warrants, which underlying shares of Class B common stock are not outstanding as of the Closing Date. Accounting Treatment for the Business Combination As AON LLC does not meet any of the characteristics of a VIE under Accounting Standards Codification (“ASC”) 810, Consolidations (“ASC 810”) the Business Combination was evaluated under ASC 805, Business Combinations (“ASC 805”). Notwithstanding the legal form of the Business Combination pursuant to the Business Combination Agreement, the Business Combination was accounted for as a reverse recapitalization in accordance with GAAP. Under this method of accounting, DTOC was treated as the acquired company and AON LLC was considered the acquirer for financial statement reporting purposes. AON LLC was determined to be the accounting acquirer based on, in summary, an evaluation of the following primary facts and circumstances: •AON LLC’s directors will represent a majority of the board seats for New AON’s board of directors; •AON LLC’s senior management will be the senior management of the combined company; •AON LLC’s operations comprising the ongoing operations of the post-combination company; and •AON LLC’s relative size (i.e., assets, revenues, and earnings) is significantly larger compared to DTOC. Accordingly, for accounting purposes, the financial statements of the post-combination entity will represent a continuation of the financial statements of AON LLC with the acquisition being treated as the equivalent of AON LLC issuing stock for the net assets of DTOC, accompanied by a recapitalization. The net assets of DTOC are stated at historical cost, with no goodwill or other intangible assets recorded. Refer to Note 3 for additional information. Accounting for the Earnout Shares Following the Closing and for five years thereafter, the DTOC Sponsor agreed to subject 35%, or 2,839,375 shares of New AON Class A common stock held by it as of the Closing (the “Sponsor Earnout Shares”) to the following vesting and forfeiture provisions: •the Sponsor Earnout Shares will vest when the volume-weighted average price of the New AON Class A common stock equals or exceeds $13.50 per share for any 20 trading days within any 30 trading day period beginning after the Closing and ending 60 months following the Closing; •the Sponsor Earnout Shares will be released immediately upon the consummation of a change of control transaction within the 60-month period following the Closing; and •if the Sponsor Earnout Shares are not released pursuant to the foregoing provisions on or before the date that is 60 months after the Closing, then the Sponsor Earnout Shares will be forfeited immediately following such date. As the Business Combination was accounted for as a reverse recapitalization, the issuance of the Sponsor Earnout Shares to the Company’s existing shareholders will be accounted for as an equity transaction. The accounting for the Sponsor Earnout Shares was evaluated under ASC Topic 480, Distinguishing Liabilities from Equity, and ASC Subtopic 815-40, Derivatives and Hedging — Contracts in Entity’s Own Equity, to determine if the Sponsor Earnout Shares should be classified as a liability or within equity. As part of that analysis, it was determined that the Sponsor Earnout Shares are freestanding, do not meet the criteria within ASC 480 to be classified as a liability, and meet the criteria in ASC 815-40 to be considered indexed to the post-combination entity’s common stock and classified within equity. Warrants As of the Closing Date, New AON assumed the outstanding warrants (Public Warrants and Private Placement Warrants) that were issued by DTOC as part of DTOC’s IPO. Further, New AON issued the Class B Prefunded Warrants to former Class A-1 unit holders, in lieu of New AON Class B Common Stock. The accounting treatment for the Public Warrants, the Private Placement Warrants, and the Class B Prefunded Warrants, collectively referred to as “the Warrants”, is disclosed in Note 2. Public Warrants As of the Closing Date, New AON assumed 8,337,500 public warrants (the “Public Warrants”) issued by DTOC in its IPO. Each whole warrant entitles the holder to purchase one share of New AON Class A Common Stock at a price of $11.50 per share, subject to adjustment. The warrants will become exercisable on the later of 12 months from the closing of the DTOC Initial Public Offering or 30 days after the completion of its initial business combination and will expire five years after the Closing of the Business Combination, or earlier upon redemption or liquidation. Private Warrants As of the Closing Date, New AON assumed 6,113,333 Private Placement Warrants held by the DTOC Sponsor (the “Private Placement Warrants” or “Private Warrants”). The Private Placement Warrants will be non-redeemable in certain circumstances so long as they are held by the Sponsor or its permitted transferees. The Private Placement Warrants may also be exercised by the Sponsor and its permitted transferees for cash or on a cashless basis. Otherwise, the Private Placement Warrants have terms and provisions that are identical to those of the Public Warrants, including as to exercise price, exercisability, and exercise period. Class B Prefunded Warrants As of the Closing Date, New AON issued 3,000,245 of Class B Prefunded Warrants to former AON Class A-1 unitholders. Because the Class B Warrants are prefunded, there was not any cash consideration exchanged as part of the Class B Warrant issuance. Each Class B Prefunded Warrant entitles the holder to purchase one share of New AON Class B common stock at a price of $0.01 per share. The exercise term of the Class B Warrant shall continue indefinitely so long as the holder of the Class B Warrant is also the holder of an AON LLC Common Unit, provided that the number of shares of Common Stock that this Warrant is exercisable for shall not exceed the number of AON LLC Common Units held by holder. Transaction Expenses In connection with the Reverse Recapitalization, AON LLC and New AON incurred costs of $0.7 million and $3.3 million during the three months ended June 30, 2024 and 2023, respectively. AON LLC and New AON incurred costs of $1.0 million and $5.3 million during the six months ended June 30, 2024 and 2023, respectively. These costs were reported as transaction expenses in the condensed consolidated statements of operations and comprehensive income (loss).

v3.24.2.u1

Basis of Presentation and Significant Accounting Policies	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation and Significant Accounting Policies	Basis of Presentation and Significant Accounting Policies Basis of Presentation The accompanying unaudited condensed consolidated financial statements of the Company were prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information and in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations, although the Company believes that the disclosures are adequate to make the information presented not misleading. Management believes the unaudited condensed consolidated financial statements for the interim periods presented contain all necessary adjustments, of a normal recurring nature, to state fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented. These unaudited condensed consolidated financial statements were prepared on the same basis as and should be read in conjunction with such audited consolidated financial statements and related notes thereto of AON Inc. and its wholly-owned subsidiaries, included in the Annual Report on Form 10-K, dated and filed on March 28, 2024 with the SEC (the “Annual Report 2023"). Operating results for the three and six months ended June 30, 2024 are not necessarily indicative of the results the Company expects for the entire year. For the three and six months ended June 30, 2024, these unaudited condensed consolidated financial statements reflect the consolidated results of operations, comprehensive (income) loss, cash flows and changes in equity of AON Inc. and its wholly-owned subsidiaries. The condensed consolidated balance sheet at June 30, 2024 presents the financial condition of AON Inc. and its consolidated subsidiaries. For the three and six months ended June 30, 2023, these unaudited condensed consolidated financial statements present the consolidated results of operations, comprehensive (income) loss, cash flows and changes in equity of AON LLC. The condensed consolidated balance sheet as of December 31, 2023 presents the financial condition of AON Inc. and its consolidated subsidiaries after the Reverse Recapitalization. All intercompany balances and transactions of AON LLC have been eliminated. In accordance with ASC 805 the historical equity of AON LLC has been recasted in all periods up to the Closing Date, to reflect the number of shares of New AON’s Class A Common Stock and Class B Common Stock issued to Legacy AON Shareholders in connection with the Reverse Recapitalization. The Company recasted the units outstanding related to the historical AON LLC Class A, Class A-1, and Class B units prior to the Reverse Recapitalization (“Historical AON LLC Equity”) as common equity of New AON, equal to the Per Company Class Unit Exchange Ratio, pursuant to the Business Combination Agreement. The Per Company Unit Exchange Ratio at which AON LLC Class A units and Class A-1 units were reclassified is equal to 2,524 AON Common Units. The Per Company Unit Exchange Ratio at which AON LLC Class B units were reclassified varied depending on participation threshold, and is equal to 2,524, 2,453, or 1,976, AON Common Units. The Per Company Unit Exchange Ratio at which Class C units were reclassified is equal to 2,705 AON LLC Series A Preferred Units. The condensed consolidated financial statements and related notes thereto give effect to the conversion for all periods presented, without any change to par value or per unit amounts. The condensed consolidated financial statements do not necessarily represent the capital structure of New AON had the Reverse Recapitalization occurred in prior periods. The Company has not made retroactive adjustments related to the historical book values of Historical AON LLC Equity as the adjustments were considered immaterial. For the three and six months ended June 30, 2024, $3.6 million of the consolidated net income of AON LLC and $4.2 million of the consolidated net loss of AON LLC, respectively, were attributable to the Class A Common Stockholders, and reflects the Class A Common Stockholders’ absorption of 30.7% and 25.9%, respectively, of the consolidated net income and loss of AON LLC. For the three and six months ended June 30, 2024, $6.4 million and $23.6 million, respectively, of the consolidated net losses of AON LLC were attributable to noncontrolling interest, and reflects the Legacy AON Stockholders’ absorption of 69.3% and 74.1% of the consolidated net losses of AON LLC. For the three and six months ended June 30, 2023, $10.1 million and $11.6 million, respectively, of the consolidated net losses of AON LLC were attributable to the Legacy AON Stockholders, to reflect their absorption of 100% of the consolidated net losses of AON LLC pertaining to the days prior to the Reverse Recapitalization. Principles of Consolidation For the period of January 1, 2024 through June 30, 2024, the condensed consolidated financial statements include the accounts of the Company, American Oncology Network, LLC (“AON LLC”), and its wholly owned subsidiary American Oncology Management Company, LLC (“AOMC”), and its consolidated variable interest entities (“VIEs”) American Oncology Partners, P.A. (“AON Partners”), American Oncology Partners of Maryland, P.A. (“Partners of Maryland”), AON Central Services, LLC (“AON Central Services”), and Meaningful Insights Biotech Analytics, LLC (“MIBA”). All intercompany accounts and transactions between the entities have been eliminated in consolidation. The accounting treatment of the Business Combination was a Reverse Recapitalization. For the periods prior to the Reverse Recapitalization, the consolidated financial statements of the Company comprise the accounts of AON LLC and its wholly-owned subsidiaries. All intercompany accounts and transactions among AON LLC and its consolidated subsidiaries were eliminated. The Company accounts for American Oncology Network, LLC, AON Partners, Partners of Maryland, AON Central Services, and MIBA in accordance with Financial Accounting Standards Board (“FASB”) ASC 810. The Company determines whether it has a controlling financial interest in an entity by first evaluating whether the entity is a VIE. A VIE is broadly defined as an entity that has any of the following three characteristics: (i) the equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (ii) substantially all of the entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights; or (iii) the equity investors as a group lack any of the following, the power through voting or similar rights to direct the activities of the entity that most significantly impact the entity’s economic performance, the obligation to absorb the expected losses of the entity, or the right to receive the expected residual returns of the entity. The Company consolidates a VIE if it has both the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and an obligation to absorb losses or the right to receive benefits that could potentially be significant to the VIE. Management performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change. Changes in consolidation status are applied prospectively, if any. AON LLC has contractual relationships with AON Partners, Partners of Maryland and AON Central Services and the physician owners through management service agreements (“MSAs”) and other contractual agreements to provide all practice management services outside of medical services provided by the physicians. In addition, despite not being required by the contractual relationships, AON LLC regularly provides funding to support AON Partners and Partners of Maryland’s operations and acquisitions of physician practices. AON Central Services was formed July 15, 2022 and, effective January 1, 2023, entered into an agreement with AOMC to provide qualified non-clinical and non-medical employees to AOMC to support the operation of the physician practices. MIBA was established during the first quarter of 2023 for the purpose of developing intellectual property to synergize the collection, de-identification, and dissemination of the Company’s patient data for sale to external parties for research, development, and clinical decisions. In May 2023, the Company contributed $0.2 million for a 56% interest in the equity of MIBA. As of June 30, 2024, MIBA had no significant operating activity. The Company concluded that AON LLC had a controlling financial interest in MIBA and has consolidated the entity at June 30, 2024 and recorded the noncontrolling interest in equity.  The Company has concluded that AON Partners, Partners of Maryland, AON Central Services, and MIBA are all VIEs in which AON LLC has the characteristics of a controlling financial interest and is deemed to be the primary beneficiary. The variable interest subjects AON LLC to all potential losses in the entities and, therefore, requires AON LLC, and in turn AON Inc., to consolidate the results of AON Partners, Partners of Maryland, AON Central Services, and MIBA in its condensed consolidated financial statements.  Refer to Note 4 for further information on the VIEs. Significant Accounting Policies The accounting policies included below should be read in conjunction with the annual consolidated financial statements. Accounting Estimates and Assumptions The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from those estimates. Segments Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker (the “CODM”). The Company’s CODM is its chief executive officer who reviews financial information together with certain operating metrics principally to make decisions about how to allocate resources and to measure the Company’s performance. The Company has one operating segment and one reportable segment that are structured around the organizational management of oncology practice operations. All revenue and assets are in the United States.  Revenue Recognition Revenue is recognized under Accounting Standards Update (“ASU”) 2014-09 Revenue from Contracts with Customers (“Topic 606”). The Company determines the transaction price based upon standard charges for goods and services with anticipated consideration due from patients, third-party payors (including health insurers and government agencies) and others. The Company’s revenue is primarily derived from patient service revenues, which encompass oncology services provided during patient visits and shipments of pharmacy prescriptions. Performance obligations for the Company’s services provided to patients and most procedures, are satisfied over the time of visit which is the same day services are performed. Performance obligations relating to pharmacy revenue are considered fully satisfied at a point in time upon the customer receiving delivery of the prescription. Accordingly, the Company does not anticipate a significant amount of revenue from performance obligations satisfied (or partially satisfied) in previous periods, and any such revenue recognized during the three and six month periods ended June 30, 2024 and 2023 was immaterial. Additionally, the Company does not expect to recognize material revenue in the future related to performance obligations that are unsatisfied (or partially satisfied) as of June 30, 2024 and December 31, 2023. Approximately $229.5 million and $227.0 million and $545.6 million and $444.8 million of the Company’s revenues are generated from services performed during patient visits with the remainder primarily generated from shipments of pharmacy prescriptions for the three and six month periods ended June 30, 2024 and 2023, respectively. As services are performed and prescriptions are shipped, timely billing occurs for services rendered and prescriptions shipped less discounts provided to uninsured patients and contractual adjustments to third-party payors based upon prospectively determined rates and discounted charges. Payment is requested at the time of service for self-paying patients and for patients covered by third-party payors that are responsible for paying deductibles and coinsurance. The Company monitors revenue and receivables to prepare estimated contractual allowances for the anticipated differences between billed and reimbursed amounts. Payments from third-party payors and Government programs including Medicare and Medicaid may be subject to audit and other retrospective adjustments. Such amounts are considered on an estimated basis when net patient revenue is recorded and are adjusted as final adjustments are determined. For the three and six month periods ended June 30, 2024 and 2023, such resulting historic adjustments have been immaterial to the condensed consolidated financial statements.  In assessing who is the principal in providing patient services and pharmacy prescriptions, the Company considered who controls the provision of services and prescriptions. The Company has determined they are acting as a principal in these relationships.  In April 2022, the Company entered into an arrangement to sponsor and manage a clinical trial. The Company subsequently contracted with a third-party to provide the clinical research services and is the principal in this arrangement. The performance of clinical research services are considered a single performance obligation because the Company provides a highly-integrated service. Revenue is recognized for the single performance obligation over time due to the Company’s right to payment for work performed to date. The contract provides for invoices based on predetermined milestones.  The Company uses the cost-to-cost measure of progress for the Company’s contract because it best depicts the transfer of control to the customer as the performance obligation is fulfilled. For this method, the Company compares the contract costs incurred to date to the estimated total contract costs through completion. As part of the client proposal and contract negotiation process, the Company develops a detailed project budget for the direct costs and reimbursable costs based on the scope of the work, the complexity of the study, the geographical location involved and the Company’s historical experience. The estimated total contract costs at the project level are reviewed and revised periodically throughout the life of the contract, with adjustments to revenue resulting from such revisions being recorded on a cumulative basis in the period in which the revisions are identified. Contract costs consist primarily of direct labor and other reimbursable project-related costs such as travel, third-party vendor costs and investigator fees. The Company establishes pricing based on the Company’s internal pricing guidelines, discount agreements, if any, and negotiations with the client. The transaction price is the contractually defined amount. Revenue related to the clinical trial, which is included within other revenue, was $0.0 million and $1.5 million and $0.5 million and $1.5 million for the three and six months ended June 30, 2024 and 2023, respectively. This arrangement concluded during the three months ended June 30, 2024. The Company has a system and estimation process for recording Medicare net patient service revenue and estimated recoupments as it relates to value-based care (“VBC”) revenue included in patient service revenue in the condensed consolidated statements of operations and comprehensive (income) loss. The Company’s VBC revenue is primarily generated through its participation in the CMS Oncology Care Model (“OCM”) which is an episode-based payment model to promote high-quality cancer care. Participants enter six-month episode periods, and the Company bills a monthly fee during the six-month period based on a fixed rate per participant per month and the total number of participants. Certain quality and compliance metrics are tracked as part of the program and submitted to CMS at the end of the episode period which may result in recoupment of funds. The Company estimates the recoupment amount by developing a recoupment percentage for each period based on historical known recoupment from CMS and applies the recoupment percentage against total fees for the period. Based on the estimate, the Company accrues a liability representing the expected final recoupments based on historical settlement trends. Short-term Marketable Securities  Investments in marketable securities consist of corporate bonds and U.S. Treasury securities. Management determines the appropriate classification of investments at the time of purchase and reevaluates such determination at each balance sheet date. Marketable securities are classified as available-for-sale and are carried at fair value in the consolidated balance sheets. The marketable securities are classified as short-term based on management’s intent to convert such securities within one year and the ability to convert them within two to three days. Certain of our available-for-sale securities are debt securities. For an available-for-sale debt security with an amortized cost that exceeds its fair value, the Company first determines if it intends to sell or will more-likely-than-not be required to sell the security before the expected recovery of its amortized cost. If it intends to sell or will more-likely-than-not be required to sell the security, then the Company recognizes the impairment as a credit loss in the condensed consolidated statements of operations and comprehensive (income) loss by writing down the security’s amortized cost to its fair value. If it does not intend to sell or it is not more-likely-than-not that it will be required to sell the security before the expected recovery of its amortized cost, the Company recognizes the portion of the impairment that is due to a credit loss, if any, in the condensed consolidated statements of operations and comprehensive (income) loss through an allowance. The portion of the impairment that is due to factors other than a credit loss is recognized in other comprehensive income (loss) in the condensed consolidated statements of operations and comprehensive (income) loss as an unrealized loss. Equity Investment in Affiliate In January 2023, the Company contributed noncash consideration, with a fair value of approximately $2.3 million, in return for a 49% equity interest in OCP Management Arizona, LLP. Investments in entities over which the Company has the ability to exercise significant influence but does not control the entity are accounted for using the equity method. Equity method investments are included with other assets in the condensed consolidated balance sheets. The carrying amount of the investment is adjusted to reflect the Company’s proportionate share of the net earnings or losses and reduced by any dividends received. The Company’s share of income or loss related to this investment is reported as an equity in loss of affiliate in the condensed consolidated statements of operations and comprehensive (income) loss. Noncontrolling Interests The Company consolidates the results of entities in which it has a controlling financial interest. Refer to Note 15 for additional considerations and presentation for noncontrolling interest. Mezzanine Equity New AON Series A Preferred Stock is redeemable for cash or the value of the property, rights or securities to be paid or distributed in the event of a Deemed Liquidation Event (which is outside of the Company’s control). As a result, Management has determined that the New AON Series A Preferred Stock should be classified as mezzanine equity. As of June 30, 2024, the Preferred Stock are recorded at their initial carrying value, net of offering costs of $0.8 million. The Series A Preferred Stock are not being accreted to redemption value, as the redemption is not probable. The Series A Preferred Stock are classified outside of members’ equity on the consolidated balance sheets. Refer to Note 14 for mezzanine equity presentation considerations for redeemable noncontrolling interest. Treasury Stock We account for treasury stock purchased under the cost method and include treasury stock as a component of accumulated paid in capital. Treasury stock purchased with intent to retire (whether or not the retirement is actually accomplished) is charged to common stock. The company repurchased 14,729 shares of Class A common stock at the spot rate as of each transaction date for a total cost of less than $0.1 million for the year ended December 31, 2023. For the three and six months ended June 30, 2024 the Company repurchased an additional 16,441 and 91,573 shares of Class A common stock, respectively, at the spot rate as of each transaction date for a total cost of less than $0.4 million. To date, the Company has repurchased a total of 122,743 shares. Equity-Based Compensation The Company issues stock-based awards to employees and directors in the form of stock options and restricted stock units. The Company measures and recognizes compensation expense for its stock-based awards granted to its employees and directors based on the estimated grant date fair value in accordance with ASC 718, Compensation-Stock Compensation, and determines the fair value of restricted stock units based on the fair value of its common stock. The Company measures all share-based options granted to employees and directors based on the fair value on the date of grant using the Black-Scholes option-pricing model. Compensation expense of those awards is recognized over the requisite service period, which is generally the vesting period of the respective award. The Company records the expense for awards with service-based conditions using the straight-line method over the requisite service period, net of any actual forfeitures. The Company classifies share-based compensation expense in its consolidated statements of operations and comprehensive (income) loss in the same manner in which the award recipient’s payroll costs are classified or in which the award recipient’s service payments are classified. Business Combinations The Company evaluates acquired practices in accordance with ASU 2017-01, Business Combinations (Topic 805)-Clarifying the Definition of a Business. This standard clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as acquisitions or disposals of assets or businesses. Because substantially all of the value of each acquired practice did not relate to a similar group of assets and as each acquired practice contained both inputs and processes necessary to provide economic benefits to the Company, it was determined that each acquisition represents a business combination. Therefore, the transactions have been accounted for using the acquisition method of accounting, which requires, with limited exceptions, that assets acquired, and liabilities assumed be recognized at their estimated fair values as of the acquisition date. Any excess of the consideration transferred over the estimated fair values of the net assets acquired is recorded as goodwill. Transaction costs related to business combinations are expensed in the period in which they are incurred. Offering Costs The Company defers specific incremental costs directly attributable to proposed offerings of securities. These costs consist of legal, accounting, and other similar expenses incurred through the balance sheet date that are directly related to a potential offering. If the offering is completed, these costs will be charged against the gross proceeds of the offering. These offering costs will be allocated to the separable financial instruments issued in the transaction on a relative fair value basis of the securities issued, compared to total proceeds received. Offering costs associated with any instruments classified as liabilities will be expensed as incurred, presented as non-operating expenses in the condensed consolidated statement of operations and comprehensive (income) loss. Goodwill and Intangible Assets Goodwill and indefinite-lived identifiable intangible assets Goodwill represents the fair value of acquired businesses in excess of the fair value of the individually identified net assets acquired. Goodwill is not amortized but is tested for impairment annually or whenever indications of impairment exist. Impairment exists when the carrying amount, including goodwill, of the reporting unit exceeds its fair value, resulting in an impairment charge for this excess. The Company can elect to qualitatively assess goodwill for impairment if it is more likely than not that the fair value of its reporting unit exceeds its carrying value. When performing a qualitative assessment, the Company considers relevant events or circumstances that affect the fair value or carrying amount of a reporting unit. If goodwill is more likely than not impaired, the Company must then complete a quantitative analysis. When performing a quantitative impairment test, the Company utilizes the market approach in estimating the fair values of its reporting unit. If the carrying value of a reporting unit exceeds its fair value, an impairment charge is recognized equal to the difference between the carrying amount of the reporting unit and its fair value, not to exceed the carrying value of goodwill of the reporting unit. The Company has determined that it has only one reporting unit for purposes of evaluating goodwill impairment. The Company’s annual impairment testing date is October 1. Other indefinite-lived intangible assets consist of a certificate of need acquired in an asset acquisition and is not subject to amortization. The Company has concluded that the certificate of need has an indefinite life because there are no legal, regulatory, contractual, economic or other factors that would limit the useful life, and the Company intends to renew and operate the certificate of need indefinitely. Indefinite-lived intangible assets are reviewed annually for impairment or more frequently if circumstances indicate impairment may have occurred. Finite-lived identifiable intangible assets Finite-lived intangible assets consist of trade names acquired in business combinations and are recorded at fair value. Finite-lived intangible assets are amortized using the straight-line method over the estimated economic life of the assets, which best reflects the pattern of use. Trade names are amortized over an estimated useful life of ten years. The Company’s finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of those assets or asset groups may not be recoverable. If the expected undiscounted future cash flows are less than the carrying amount of such assets or asset groups, the Company recognizes an impairment loss to the extent the carrying amount exceeds its estimated fair value Professional Liability The Company maintains insurance policies for exposure to professional malpractice insurance risk. The limits of malpractice insurance provide each physician/advanced practice provider with a dedicated $1.0 million limit per claim and a $3.0 million limit in the aggregate per policy period – on a first dollar basis, as no deductible applies. The policy further then extends coverage to the Company, by providing a $2.0 million limit per claim and a $4.0 million limit in the aggregate per policy period - on a first dollar basis, additionally, as no deductible applies. Reserves are established for estimates of the loss that will ultimately be incurred on claims that have been reported but not paid and claims that have been incurred but not reported. These reserves are established based on consultation with a third-party actuary. The actuarial valuations consider a number of factors, including historical claims payment patterns, changes in case reserves and the assumed rate of increase in healthcare costs. Management believes the use of actuarial methods to account for these reserves provides a consistent and effective way to measure these subjective accruals. However, due to the sensitive nature of this estimation technique, recorded reserves could differ from ultimate costs related to these claims due to changes in claims reporting, claims payment and settlement practices and differences in assumed future cost increases. All accrued unpaid claims and expenses and the associated insurance recoveries are classified as short-term and long-term liabilities and assets based on when they are expected to be paid or collected. Fair Value of Financial Instruments Fair value is the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants on the measurement date. Accounting guidance establishes a three-level hierarchy, which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability on the measurement date. The three levels are defined as follows: Level 1 Inputs to the valuation methodology are quoted prices (unadjusted) for an identical asset or liability in an active market. Level 2 Inputs to the valuation methodology include quoted prices for a similar asset or liability in an active market or model-derived valuations in which all significant inputs are observable for substantially the full term of the asset or liability. Level 3 Inputs to the valuation methodology are unobservable and significant to the fair value measurement of the asset or liability. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.  Assets and liabilities are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement requires judgment and may affect the placement of assets and liabilities being measured within the fair value hierarchy. Our financial instruments include cash, short-term marketable securities, accounts receivable, notes receivable, accounts payable, accrued expenses, long-term debt and contractual agreements that resulted in derivative liabilities. Our nonfinancial assets such as property and equipment are not measured at fair value on a recurring basis; however, they are subject to fair value adjustments in certain circumstances, such as when there is evidence that impairment may exist. The carrying amounts of cash, accounts receivable, accounts payable, notes receivable, and accrued expenses approximate their fair value because of the short-term maturity and highly liquid nature of these instruments. We determine the fair value of long-term debt and marketable securities based on various factors including maturity schedules and current market rates. See Note 6 for a discussion of the Company’s Level 1 and Level 2 Marketable Securities as of June 30, 2024. See below for a discussion of the Company’s Level 1 and Level 3 warrant liabilities as of June 30, 2024. As of June 30, 2024 and December 31, 2023, there were no Level 3 financial instruments. There were no transfers between any levels of the hierarchy during any periods presented. Warrant Liabilities Upon Closing of the Business Combination, on September 20, 2023, the Company evaluated the Public Warrants and Private Placement Warrants and the Class B Prefunded Warrants, collectively referred to herein as “Warrants”, in accordance with ASC 815-40, Derivatives and Hedging — Contracts in Entity’s Own Equity, and concluded that a provision in the warrant agreements related to potential net cash settlement of the warrants upon an exchange or tender offer that may not result in a change in control of the entity precludes the warrants from being accounted for as components of equity. As the Warrants meet the definition of a derivative as contemplated in ASC 815, the Warrants are recorded as current liabilities within accrued other on the condensed consolidated balance sheets and measured at fair value at inception and at each reporting date in accordance with ASC 820, Fair Value Measurement, with changes in fair value recognized in other income (expense), net on the condensed consolidated statements of operations and comprehensive (income) loss in the period of change. As of June 30, 2024, the Public Warrants were trading separately from the Class A Common Stock and the quoted market price was used to establish fair value. As such, the Public Warrants fair value was determined using a Level 1 input. The fair value of the Public Warrants as of June 30, 2024 is $0.3 million and recorded in accrued other on the condensed consolidated balance sheets. Management has utilized the public warrant price to value the private warrants and believes the public and private warrants have materially consistent fair values given the existence of the make-whole redemption feature. As of June 30, 2024, a valuation of the private warrants was performed which confirmed the private warrant value was materially consistent with the public warrants. The details of this valuation are included in the paragraph below. The fair value of the Private Placement warrants was determined using Level 3 inputs. As of June 30, 2024, the fair value of the Private Placement Warrants was estimated to be $0.2 million and recorded in accrued other on the condensed consolidated balance sheets. The fair value was estimated at June 30, 2024, using the Black-Scholes Option Pricing model using the following assumptions: Expected annual dividend yield – 0.0%                 Expected volatility – 55.00%                 Risk-free rate of return – 4.39%                 Expected Option Term – 5.0 years                  The AON Class B Prefunded Warrants are exercisable into one share of New AON Class B Common Stock. A share of New AON Class B Common Stock, together with an AON LLC Common Unit, may be exchanged for one share of New AON Class A Common Stock. Considering New AON Class B Common Stock has no economic rights and limited liquidity or value if the holder does not also possess an AON LLC Common Unit, and because the AON Class B Prefunded Warrants are exercisable into New AON Class B Common Stock, the Company has estimated fair value of the Class B Prefunded Warrants to be immaterial. Earnings Per Share The Company recast Historical AON LLC Equity as AON Inc. common equity for all periods prior to the Reverse Recapitalization, refer to Note 2. However, as 100% of the net losses of AON LLC prior to the Reverse Recapitalization were absorbed by the Legacy AON Shareholders, basic and diluted earnings (loss) per share is zero for the three and six months ended June 30, 2023. Basic and diluted earnings (loss) per share for the three and six months ended June 30, 2024 represents the period where the Company had earnings (loss) attributable to Class A Common Stockholders. Class B Common Stock does not have economic rights in AON Inc., including rights to dividends or distributions upon liquidation, and as a result, is not considered a participating security for basic and diluted earnings (loss) per share. As such, basic and diluted earnings (loss) per share of Class B Common Stock has not been presented. The Company has issued and outstanding Sponsor Earnouts, which are subject to forfeiture if the achievement of certain stock price thresholds are not met. In accordance with ASC Topic 260, “Earnings Per Share,” the Sponsor Earnouts are excluded from weighted-average shares outstanding to calculate basic earnings (loss) per share as they are considered contingently issuable shares due to their potential forfeiture. Sponsor Earnouts will be included in weighted-average shares outstanding to calculate basic earnings (loss) per share as of the date of their stock price thresholds are met and they are no longer subject to forfeiture. Basic and diluted earnings (loss) per share is computed by use of the two-class method as a result of outstanding Series A Preferred Stock, which accrue dividends at the annual rate of 8% of the original price per share, participate with common stock on all other dividends, and accordingly have participation rights in undistributed earnings as if all such earnings had been distributed during the period (see Note 12). Under such method income available to common shareholders is computed by deducting both dividends declared or, if not declared, accumulated on Series A Preferred Stock from net income. Loss attributable to common shareholders is computed by increasing net loss by such dividends. Since the participating Series A Preferred Stock has no contractual obligation to share in the losses of the Company, there is no loss allocation between Class A Common Stock and Series A Preferred Stock. Basic earnings (loss) per share is based on the weighted-average number of shares of Class A Common Stock outstanding during the period. Diluted earnings (loss) per share is based on the weighted-average number of shares of Class A Common Stock used for the basic earnings (loss) per share calculation, adjusted for the dilutive effect of the Public and Private Warrants, Restricted Stock Units, and Sponsor Earnout, if any, using the “treasury stock” method and the convertible Series A Preferred Stock and, exchangeable Class B Common Stock and Class B Prefunded Warrants, if any, using the “if-converted” method. Net earnings (loss) for diluted loss per share is adjusted for the Company’s share of AON LLC’s consolidated net earnings (loss), net of AON Inc. taxes, after giving effect to the Class B Common Stock and Class B Prefunded Warrants that are exchanged into potential shares of Class A Common Stock, Public and Private Warrants that are liability classified, and Series A Preferred Stock, to the extent it is dilutive. Recently Adopted Accounting Pronouncements  In June 2016, the FASB issued ASU 2016-13, Financial instruments-Credit Losses (“ASU 2016- 13”). ASU 2016-13 requires entities to report ‘‘expected’’ credit losses on financial instruments and other commitments to extend credit rather than the current ‘‘incurred loss’’ model. These expected credit losses for financial assets held at the reporting date are to be based on historical experience, current conditions, and reasonable and supportable forecasts. This ASU will also require enhanced disclosures relating to significant estimates and judgments used in estimating credit losses, as well as the credit quality. ASU 2016-13 is effective for the Company for annual reporting periods beginning after December 15, 2022. ASU 2016-13 was adopted by the Company effective January 1, 2023, with no material impact on the Company’s consolidated financial statements and related disclosures.  In October 2021, the FASB issued ASU 2021-08, Business Combinations: Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, which provides that an acquirer must recognize, and measure contract assets and contract liabilities acquired in a business combination in accordance with ASC 606. The guidance is effective for the Company for annual reporting periods beginning after December 15, 2023, with early adoption permitted. The adoption of this standard as of January 1, 2024, did not have an impact on the Company’s consolidated financial statements and related disclosures. Recently Issued Accounting Pronouncements In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The amendments in this update are intended to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant expenses. The ASU requires disclosures to include significant segment expenses that are regularly provided to the chief operating decision maker, a description of other segment items by reportable segment, and any additional measures of a segment's profit or loss used by the chief operating decision maker when deciding how to allocate resources. The ASU also requires all annual disclosures currently required by Topic 280, “Segment Reporting,” to be included in interim periods. This update is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted and retrospective application is required for all periods presented. The Company is evaluating the impact this will have on the Company's consolidated financial statements and related disclosures. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. The amendments in this upgrade enhance the transparency and decision usefulness of income tax disclosures. This ASU requires disclosures of specific categories and disaggregation of information in the rate reconciliation table. The ASU also requires disclosure of disaggregated information related to income taxes paid, income or loss from continuing operations before income tax expense or benefit, and income tax expense or benefit from continuing operations. The requirements of the ASU are effective for annual periods beginning after December 15, 2024. Early adoption is permitted and the amendments should be applied on a prospective basis. Retrospective application is permitted. The Company is currently evaluating the effect that ASU 2023-09 will have on its disclosures.

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Reverse Recapitalization	6 Months Ended
	Jun. 30, 2024
Reverse Recapitalization [Abstract]
Reverse Recapitalization	Reverse Recapitalization As discussed in Note 1, AON LLC merged with DTOC, with AON LLC surviving the Merger. AON LLC is governed by a board of managers composed of three (3) persons that were designated by New AON and two (2) persons that were designated by holders of a majority of the AON LLC Common Units, held by members of AON LLC other than New AON. Management determined AON LLC was not a variable interest entity (Refer to Note 2), and as result, identified AON LLC as the accounting acquirer of the Merger in accordance ASC Topic 805. Management concluded that AON LLC was the accounting acquirer due to (i) the Legacy AON Shareholders, defined as the former AON Class A, Class A-1, and Class B unit holders, receiving the largest portion of the voting rights in the combined company, New AON, (ii) significantly all of the Legacy AON Shareholders retained their equity interest as stockholders in New AON, (iii) AON LLC’s operations prior to the Reverse Recapitalization comprising the only ongoing operations of New AON, (iv) the Legacy AON Shareholders have the right to appoint a majority of the directors of New AON, (v) the executive management of AON LLC will become the executive management of New AON and (vi) AON LLC is significantly larger than DTOC in terms of revenue, total assets, and employees. Therefore, the Merger was accounted for as a reverse recapitalization, with no goodwill or other intangible assets recorded, in accordance with ASC 805. DTOC was treated as the “acquired” company for financial reporting purposes, and for accounting purposes, the Reverse Recapitalization was treated as the equivalent of AON LLC issuing stock for the net assets of DTOC, accompanied by a recapitalization. The net assets of DTOC were recorded at historical cost on the condensed consolidated balance sheet as of September 20, 2023, the Closing Date of the Reverse Recapitalization, with no goodwill or other intangible assets recorded. For additional information on the capitalization of New AON and AON LLC immediately following the Closing of the Reverse Recapitalization, see Note 1. The following table provides the historical cost of assets and liabilities of DTOC. as of September 20, 2023. As of September 20, 2023 Cash and Cash Equivalents $ 1,493  Current Liabilities (13,295) Long Term Liabilities (6,791) Total Net Liabilities $ (18,593) The Company recorded a Day 1 expense as of the Closing of the Business Combination equal to $18.2 million. Of that total amount, $13.0 million was recorded in transaction expenses on the condensed consolidated statement of operations and comprehensive (income) loss. The remaining $5.2 million was recorded in other income (expense) net on the condensed consolidated statement of operations and comprehensive (income) loss. This amount represented the loss on the issuance of Public and Private Warrants, as of the Closing, net of cash received. The Company also recorded a $4.3 million gain in other income (expense), net related to the change in the fair value of the Public and Private Warrants during the period of September 21, 2023 through September 30, 2023.

v3.24.2.u1

Variable Interest Entities	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Variable Interest Entities	Variable Interest Entities AOMC is a wholly owned subsidiary of AON LLC and neither AOMC nor AON LLC has ownership interest in AON Partners and Partners of Maryland. Both AON Partners and Partners of Maryland are fully owned by physicians. AON LLC operates its physician practices through the MSAs and other contractual agreements between AOMC, AON Partners, and Partners of Maryland. The responsibilities of AOMC include, but are not limited to, negotiating provider and payor contracts, employment and compensation decisions, billing and collections, furnishing all supplies and equipment necessary for the respective practice’s operations as well as, necessary real estate, contracting on behalf of AON Partners and Partners of Maryland, entering into leases, holding a power of attorney to perform the above activities, preparing, maintaining and administering all accounting records (including financial reporting), expense payment, and maintenance of all information systems/software. AON LLC is paid a management fee to compensate AOMC for the services provided. AON Central Services is 80% physician owned and 20% owned by AON LLC. AOMC entered into an agreement with AON Central Services, effective January 1, 2023, to provide qualified non-clinical and non-medical employees to AOMC to support the operation of the physician practices. AOMC pays a monthly management fee to AON Central Services equal to the aggregate cost of compensation, benefits and all other costs related to these employees. AON LLC invested $0.2 million in MIBA, a newly formed LLC, during the second quarter of 2023 in exchange for 56% equity ownership. The Company evaluated AON LLC’s relationship with MIBA under the VIE model and determined it was a VIE and the Company is the primary beneficiary based on its financial controlling interest. Based on various quantitative and qualitative factors, including assessment of certain services performed and relationships held above, management has determined that AON Partners, Partners of Maryland, AON Central Services, and MIBA are all variable interest entities and AOMC is the primary beneficiary who holds the decision-making rights over the activities that most significantly impact the economic performance of AON Partners, Partners of Maryland, AON Central Services, and MIBA through the MSAs and other contractual agreements. Accordingly, the results of AON Partners, Partners of Maryland, AON Central Services, and MIBA have been consolidated with the Company for the three and six month periods ended June 30, 2024. The results of AON Partners, Partners of Maryland, and AON Central Services have been consolidated with the Company for the three and six month periods ended June 30, 2023. The assets of AON Partners, Partners of Maryland, AON Central Services, and MIBA as of June 30, 2024 and December 31, 2023, are as follows: As of June 30, 2024 As of December 31, 2023 Assets Cash and cash equivalents $ 34,046  $ 26,574  Accounts receivable 125,421  129,151  Inventories 54,280  44,569  Prepaid expenses and other current assets 17,894  895  Goodwill 9,850  —  Intangibles, net 2,476  180  Other receivables 47,784  33,809  Other assets 13,887  2,091  Total assets $ 305,638  $ 237,269  The liabilities of AON Partners, Partners of Maryland, AON Central Services, and MIBA as of June 30, 2024 and December 31, 2023, are as follows: As of June 30, 2024 As of December 31, 2023 Liabilities Accounts payable $ 181,180  $ 122,324  Accrued compensation and benefits 28,708  21,380  Accrued other 13,233  16,723  Other long-term liabilities 764  273  Due to AON LLC and subsidiaries, net 118,169  117,194  Total liabilities $ 342,054  $ 277,894  All intercompany transactions and balances with the VIEs are eliminated in consolidation.

v3.24.2.u1

Business Combinations	6 Months Ended
	Jun. 30, 2024
Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract]
Business Combinations	Business Combinations 2024 Acquisitions During the six months ended June 30, 2024, the Company closed on two business combinations (the “Transactions”), allowing the Company to expand its domestic reach related to its comprehensive oncology and practice management services. For the acquisition of the clinical practices, the Company applied the acquisition method of accounting, where the total purchase price was allocated, or preliminarily allocated, to the tangible and intangible assets acquired and liabilities assumed, based on their fair values as of the acquisition dates. Central Georgia Practice Acquisition On April 1, 2024 ("Central Georgia Acquisition Date"), AOMC acquired certain non-clinical assets of Central Georgia Cancer Care, P.C., (the “Central Georgia Practice” or “CGCC”) from the CGCC Shareholders. In addition, AOP acquired certain clinical assets of the Central Georgia Practice from the CGCC Shareholders. In conjunction with the acquisition, AOP entered into Physician Employment Agreements with the selling CGCC Shareholders covering an initial period of five years. Intangible assets were recognized pursuant to the acquisition in the form of trade names of $1,300 with an amortization period of 10 years. The Company transferred total consideration of $13,462. The Central Georgia Practice Acquisition was determined to constitute a business combination in accordance with ASC 805. Hawaii Practice Acquisition On April 1, 2024 ("Hawaii Acquisition Date"), AOMC acquired certain non-clinical assets of Hawaii Cancer Care, Inc. (the “Hawaii Practice” or “HCC”) from the HCC Shareholders. In addition, American Oncology Partners of Hawaii, LLC (“AOPH”), a wholly owned subsidiary of AOP, acquired certain clinical assets of the Hawaii Practice from the HCC Shareholders. In conjunction with the acquisition, AOP entered into Physician Employment Agreements with the HCC Shareholders. Intangible assets were recognized pursuant to the acquisition in the form of trade names of $520 with an amortization period of 10 years. The Company transferred total consideration of $(4,530). The Hawaii Practice Acquisition was determined to constitute a business combination in accordance with ASC 805. In connection with each of the Transactions, the Company acquired 100% of both the clinical and nonclinical assets of the respective seller. The clinical assets, acquired by AON Partners, primarily consist of medical supplies and drugs. Nonclinical assets, acquired by AOMC, primarily consist of tangible fixed assets and equipment. The following table summarizes the preliminary amounts of the assets acquired and consideration transferred recognized on respective acquisition dates. Central Georgia Hawaii Consideration Cash $ 6,912  $ —  Seller note 6,550  —  Debt assumed —  (4,530) Fair value of consideration transferred 13,462  (4,530) Estimated fair values of identifiable assets acquired and liabilities assumed: Cash $ —  $ 200  Patient accounts receivable —  3,183  Inventories 2,312  159  Prepaid expenses and other current assets —  58  Property and equipment —  223  Other assets —  202  Intangible assets - trade names 1,300  520  Right of use asset - operating 3,159  2,711  Goodwill 9,850  —  Total assets acquired $ 16,621  $ 7,256  Account Payable —  1,453  Accrued compensation related costs —  544  Accrued other —  733  Income taxes payable —  452  Operating lease liability - current portion 189  375  Deferred income taxes —  324  Note payable —  4,530  Operating lease liability - long-term 2,970  2,335  Total liabilities acquired 3,159  10,745  Net assets (liabilities) acquired $ 13,462  $ (3,489) Bargain purchase gain $ —  $ (1,040) At the time of each acquisition, the Company developed an estimate of fair values of assets for the purpose of allocating the estimated purchase price. In developing these estimates, Management utilized a specialist and determined the applicable fair values for any acquired intangible assets utilizing the relief-from-royalty method, a commonly accepted valuation technique which is an application of the income approach. This method employs various assumptions such as discount rates, forecasted revenues and growth rates. These fair value measurements were based on significant inputs not observable in the market and thus represent Level 3 fair value measurements. The purchase price allocations are subject to further change when additional information is obtained. The Company intends to finalize the purchase price allocations as soon as practicable within the measurement period, but in no event later than one year following the respective closing date of the acquisitions referenced above. The final purchase price allocation may result in additional adjustments to the net assets acquired, including the residual amount allocated to goodwill during the measurement period. Transaction expenses related to the above acquisitions were not material. Goodwill reflects the expected synergies and other benefits that the Company believes will result from the combination of the Central Georgia Practice and expanded market opportunities along with the value of the assembled workforce. The goodwill is expected to be tax deductible. A bargain purchase gain of $1,040 for the Hawaii Practice Acquisition was recorded within Other (expense) income, net in the condensed consolidated statement of operations and comprehensive income (loss). The bargain purchase gain was driven by the asset purchase agreement containing certain provisions requiring repayment of the assumed debt, cash paid, and seller note by the HCC Shareholders and the in-substance service period. As the business combinations occurred on April 1, 2024, the following table presents revenue for the six months ended June 30, 2024 and the three and six months ended June 30, 2023, as if the 2024 acquisitions had occurred as of January 1, 2023. Prior to the acquisition date, expenses were recognized on the cash basis of accounting. CGCC’s and HCC’s historical books and records did not contain the information required to prepare financial statements on a basis that would be comparable to us. Thus, the required pro-forma financial disclosures related to net income are not presented herein. Pro Forma Three months ended June 30, Six months ended June 30, 2023 2024 2023 Revenue $ 343,558  $ 826,912  $ 675,881  From the dates of acquisition through June 30, 2024, revenue attributable to the 2024 acquired businesses was $32.7 million. Net income (loss) has not been included as the Company recognizes expenses on the cash basis of accounting at the practice level. 2023 Acquisitions The Company did not have any ASC 805 acquisitions during the year ended December 31, 2023.

v3.24.2.u1

Marketable Securities	6 Months Ended
	Jun. 30, 2024
Investments, Debt and Equity Securities [Abstract]
Marketable Securities	Marketable Securities The following table summarizes the Company’s marketable securities financial assets that are measured at fair value on a recurring basis and cash equivalents: As of June 30, 2024 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Cash equivalents (1) Level 1: Overnight repurchase agreements (2) $ 31,954  $ -  $ -  $ 31,954  Money market funds 245  -  -  245  Level 1 total $ 32,199  $ —  $ —  $ 32,199  Marketable securities Level 2: Corporate bonds 11,298  129  (4) 11,423  U.S. Treasury securities 9,891  80  (3) 9,968  Level 2 total 21,189  209  (7) 21,391  Total $ 53,388  $ 209  $ (7) $ 53,590  As of December 31, 2023 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Cash equivalents (1) Level 1: Overnight repurchase agreements (2) $ 28,593  $ -  $ -  $ 28,593  Money market funds 723  -  -  723  Level 1 total 29,316  —  —  29,316  Marketable securities Level 2: Corporate bonds 13,678  191  (9) 13,860  U.S. Treasury securities 21,318  211  —  21,529  Level 2 total 34,996  402  (9) 35,389  Total $ 64,312  $ 402  $ (9) $ 64,705  (1)Included in cash and cash equivalents in the condensed consolidated balance sheets at June 30, 2024 and December 31, 2023. (2)Cash equivalents as of June 30, 2024 included overnight repurchase agreements in which cash from the Company's main operating checking account is invested overnight in highly liquid, short-term investments sponsored by a large financial institution. The Company uses quoted prices in active markets for identical assets to determine the fair value of its Level 1 investments. The fair value of the Company’s Level 2 investments is determined using pricing based on quoted market prices or alternative market observable inputs.  The fair value of the Company’s marketable securities as of June 30, 2024, by remaining contractual maturities, were as follows: Corporate Bonds U.S. Treasuries Total Due in one year or less $ 6,333  $ 7,352  $ 13,685  Due in one to five years 5,090  2,616  7,706  Total $ 11,423  $ 9,968  $ 21,391

v3.24.2.u1

Supplemental Condensed Balance Sheet Information	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Supplemental Condensed Balance Sheet Information	Supplemental Condensed Balance Sheet Information Other receivables Other receivables consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Rebates receivable $ 44,340  $ 33,708  Other 16,588  566  Total other receivables $ 60,928  $ 34,274  Inventory Inventory consisted of the following purchased finished goods at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Intravenous drugs $ 44,026  $ 32,388  Oral pharmaceuticals 10,254  12,181  Total inventories $ 54,280  $ 44,569  Property and Equipment, net Property and equipment, net consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Leasehold improvements $ 34,520  $ 32,490  Furniture, fixtures and equipment 2,851  2,607  Medical equipment 16,771  15,666  Computer equipment 3,524  3,285  Signs 179  153  Automobiles 101  59  Software 9,674  7,829  Construction-in-progress 3,817  2,985  Property and equipment, gross 71,437  65,074  Accumulated depreciation and amortization (28,927) (24,635) Property and equipment, net $ 42,510  $ 40,439  Other Assets Other assets consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Physician deferred compensation $ 9,913  $ -  Insurance recovery receivable 2,830  2,830  Equity investment in OCP Management Arizona, LLC 1,327  1,754  Other 3,935  3,004  Total other assets $ 18,005  $ 7,588  Accrued Other Accrued other consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Refund liability $ 10,703  $ 15,078  Warrant liability 434  -  Excise taxes payable 2,700  2,700  Current portion of finance lease liabilities 1,253  1,189  Other 3,112  3,360  Total accrued other $ 18,202  $ 22,327

v3.24.2.u1

Long-term Debt	6 Months Ended
	Jun. 30, 2024
Debt Disclosure [Abstract]
Long-term Debt	Long-term Debt Debt consisted of the following at June 30, 2024 and December 31, 2023:  As of June 30, 2024 As of December 31, 2023 PNC Facility $ 81,250  $ 81,250  Notes payable 10,979  —  Total 92,229  81,250  Unamortized debt issuance costs (179) (609) Less current portion (3,809) —  Total debt $ 88,241  $ 80,641  Credit Facilities On April 30, 2021, the Company entered into a Loan Facility with PNC (“PNC Loan Facility”) collateralized by the Company’s assets and outstanding patient accounts receivable. The PNC Loan Facility is guaranteed on a limited basis by the Company and shareholder of AON Partners and Partners of Maryland. $34.6 million of proceeds from the PNC Loan Facility was used to pay off the Company’s previous term loans and revolver with Truist Bank. The remaining funds were made available for working capital and acquisition of additional physician practices. The PNC Loan Facility is interest-only with total principal due at an initial maturity on April 30, 2024. Interest originally accrued at one-month LIBOR or an alternate base rate plus 1.45%. The maximum balance of the PNC Loan Facility (“Borrowing Base”) is limited to the lesser of the Facility Limit ($65.0 million) or the fair value of the Company’s patient accounts receivable. The Company must maintain a balance of the lesser of the Borrowing Base or 65% of the Facility Limit in the first year and 75% of the Facility Limit in subsequent years (“minimum funding threshold”). The Company can repay the PNC Loan Facility up to the minimum funding threshold at any time without penalty. In accordance with the PNC Loan Facility, the Company pledged $10.0 million of collateral as restricted cash to be released quarterly in increments of $2.5 million. The restricted cash was fully released as of June 30, 2024 and December 31, 2023. On April 30, 2021, the Company entered into a $5.0 million revolving line of credit agreement (“PNC Line of Credit”). The PNC Line of Credit has an expiration date of April 30, 2025 and originally bore interest at a rate per annum equal to the sum of the daily LIBOR rate plus 1.65% or an alternate base rate plus 0.65% and is due on the first day of each month beginning June 1, 2021. Any outstanding principal and accrued interest will be due on the expiration date. Beginning July 1, 2021, quarterly bank fees equal to 1.65% per day per annum are due in arrears and will continue on the first day of each quarter thereafter. All debt related to the PNC Line of Credit is collateralized by the Company’s assets. As of June 30, 2024 and December 31 2023, no draws had been made on the PNC Line of Credit. The Company is also subject to a 0.20% unused line fee calculated per annum on the unused balance of the PNC Line of Credit.  On July 29, 2021, the Company amended the PNC Loan Facility increasing the Facility Limit to $75.0 million. On February 14, 2022, the Company further amended the PNC Loan Facility and Line of Credit agreements. The primary changes included an increase of the Facility limit from $75.0 million to $125.0 million, an increase of the PNC Line of Credit availability from $5.0 million to $10.0 million, interest charges to be calculated based on the Bloomberg Short-Term Bank Yield Index plus 1.65% and certain financial covenants. As part of the amendment, the Company drew an additional $16.3 million in proceeds under the Loan Facility. On August 15, 2022, the PNC Loan Facility and Line of Credit agreements were amended again to reduce the availability under the PNC Line of Credit from $10.0 million to $1.0 million.  Effective November 23, 2022, the Company entered into Waiver and Amendment No. 6 (“Waiver and Amendment”) under its PNC Loan Facility as the Company was not in compliance with the Delinquency Ratio financial covenant for the period ending October 31, 2022 and the requirement to provide certain annual financial statements. The Waiver and Amendment waives each event of default and also revised future delinquency percentages and financial statement requirements.  On June 30, 2023, the Company entered into Amendment No. 7 (“Amendment 7”) to its PNC Loan Facility which extended the maturity date from April 30, 2024 to June 30, 2026. In connection with Amendment 7, the Company paid additional debt issuance costs of $0.4 million which will be amortized over the revised remaining life of the Loan Facility. In addition, Amendment 7 revised the definition of the minimum funding threshold to limit the threshold multiplier to 65% of the Facility Limit.  On January 1, 2024, the Company entered into Amendment No. 8 (“Amendment 8”) to its PNC Loan Facility to modify certain definitions such as “change in control”. In addition, the Amendment 8 also amended the delinquency ratio threshold used to calculate certain debt covenants. The effective date of Amendment 8 was January 16, 2024. On January 16, 2024, the Company also entered into Amendment No. 3 (“Amendment 3”) to its PNC Line of Credit to modify certain definitions such as “change in control”. In addition, the Amendment 3 also amended certain debt covenants, such as EBITDA thresholds. The effective date of Amendment 3 was December 31, 2023. The PNC Loan Facility and PNC Line of Credit nonfinancial covenants include restrictions related to unpermitted property liens and the requirement of audited financial statements. Both agreements also contain several financial covenants, including the following ratios: accounts receivable default, delinquency, dilution, days sales outstanding, leverage, and fixed charge coverage. As of June 30, 2024, the Company was in compliance with all financial and nonfinancial debt covenants as required by both loan agreements. Notes Payable As a result of the acquisition of HCC, the Company assumed a note payable with a face value of $4.7 million and fair value of $4.5 million. A payment of $1.0 million was made upon closing of the acquisition with the remaining payments being due in 18 monthly installments of $0.2 million representing principal and interest at the Company’s variable cost of borrowing. As of June 30, 2024, $2.5 million of the note is included within current portion of long-term debt on the condensed consolidated balance sheet and $0.6 million is included within long-term debt, net. Additionally, the Company entered into a note to the CGCC Shareholders with a face value of $6.4 million and fair value of $6.5 million. The note is payable in 60 installments of $0.1 million and bears interest at the Company’s variable cost of borrowing. As of June 30, 2024, $1.3 million of the note is included within current portion of long-term debt on the condensed consolidated balance sheets and $5.1 million is included within long-term debt, net.

v3.24.2.u1

Income Taxes	6 Months Ended
	Jun. 30, 2024
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The Company is a member of American Oncology Network, LLC, which is treated as a partnership for U.S. federal and certain state and local income taxes. As a partnership, American Oncology Network, LLC is not subject to U.S. federal and certain state and local income taxes. Any taxable income or loss generated by American Oncology Network, LLC is passed through to and included in the taxable income or loss of its members, including the Company. The Company is subject to U.S. federal income taxes, in addition to state and local income taxes with respect to the allocable share of any taxable income of American Oncology Network, LLC. Additionally, other corporate entities within the Company's structure are subject to income taxes. These corporate entities continue to generate losses and continue to maintain a valuation allowance against their net deferred tax assets. The Company’s effective income tax rate was 9.9% and 0.0% for the three months ended June 30, 2024 and 2023, respectively. The provision for income taxes was $(324) and $0 for the three months ended June 30, 2024 and 2023, respectively. The Company’s effective income tax rate was (10.1)% and 0.0% for the six months ended June 30, 2024 and 2023, respectively. The provision for income taxes was $2,570 and $0 for the six months ended June 30, 2024 and 2023, respectively. The change to the income tax provision for the six months ended June 30, 2024 compared to the income tax provision for the six months ended June 30, 2023 was primarily a result of the transaction closing on September 20, 2023, resulting in a portion of the Company's consolidated pre-tax earnings, which were previously not subject to income taxes, flowing into a taxable corporation included in the Company's post transaction structure. As of December 31, 2023, the Company recognized a deferred tax asset related to its investment in the American Oncology Network, LLC partnership. As of June 30, 2024, the Company updated its valuation allowance assessment based on new factors including its year-to-date loss and forecasted loss at the American Oncology Network, LLC partnership legal entity. Based on its updated valuation allowance assessment, the Company recorded a discrete valuation allowance against its investment in partnership deferred tax asset during the six months ending June 30, 2024. The effective income tax rate for the three and six months ended June 30, 2024 and 2023 differed from the federal statutory rate primarily due to certain legal entities in the Company's structure being treated as partnerships for income tax purposes and, therefore, a significant portion of its income not being subject to income tax. Additionally, the corporate entities within the Company's structure maintain a full valuation allowance against their net deferred tax assets.

v3.24.2.u1

Leases	6 Months Ended
	Jun. 30, 2024
Leases [Abstract]
Leases	Leases The Company currently leases office facilities and equipment for its practices under noncancelable operating and finance lease agreements expiring on various dates through 2038. Certain of the leases contain renewal options which are exercisable at the Company’s discretion. These renewal options are considered in determining the lease term if it is reasonably certain that the Company will exercise such options. Additionally, the Company leases certain other office and medical equipment under month-to-month lease agreements.  Right-of-use assets and lease liabilities consist of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Assets Operating lease right-of-use assets, net $ 50,609  $ 43,349  Finance lease right-of-use assets, net (included in property and equipment, net) 5,342  5,794  Total right-of-use assets $ 55,951  $ 49,143  Liabilities Current Current portion of operating lease liabilities $ 7,450  $ 6,692  Current portion of finance lease liabilities (included in accrued other) 1,253  1,189  Long-term 8,703  7,881  Long-term operating lease liabilities 46,167  39,803  Long-term finance lease liabilities (included in other long-term liabilities) 4,009  4,548  Total lease liabilities $ 58,879  $ 52,232  The components of lease costs recognized in the condensed consolidated statements of operations and comprehensive (income) loss consist of the following for the three and six month periods ended June 30, 2024 and 2023 and are included in selling, general, and administrative expenses unless otherwise noted: Three months ended June 30, Six Months Ended June 30, 2024 2023 2024 2023 Operating lease costs $ 3,234  $ 2,931  $ 5,970  $ 5,630  Finance lease costs Amortization of finance lease right-of-use assets 289  233  571 233 Interest on finance lease liabilities (included in interest expense) 84  44  170 44 Variable lease costs 655  584  1,241 1,162 Total lease costs $ 4,262  $ 3,792  $ 7,952  $ 7,069  The following table reconciles the undiscounted cash flows expected to be paid in each of the next five years and thereafter recorded in the condensed consolidated balance sheets for operating and finance leases as of June 30, 2024: Operating Leases Finance Leases 2024 (remainder of year after June 30, 2024) $ 4,855  $ 773  2025 11,725  1,523  2026 11,365  1,285  2027 10,073  1,220  2028 7,733  948  Thereafter 23,733  262  Total lease payments 69,484  6,011  Less: amount representing interest (15,867) (749) Present value of lease liabilities 53,617  5,262  Less: current portion of lease liabilities (7,450) (1,253) Long-term lease liabilities, net of current portion $ 46,167  $ 4,009  The weighted-average remaining lease term as of June 30, 2024 and December 31, 2023 was 6.83 years and 6.93 years for operating leases and 4.31 years and 4.76 years for finance leases, respectively. The weighted-average discount rate as of June 30, 2024 and December 31, 2023 was 6.81% and 6.64% for operating leases and 6.36% and 6.30% for finance leases, respectively. The cash paid for amounts included in the measurement of lease liabilities for the six months ended June 30, 2024 and 2023 is as follows: Six Months Ended June 30, 2024 2023 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 5,961  $ 4,984  Operating cash flows from finance leases 170  44  Financing cash flows from finance leases 593  233  ROU assets obtained in exchange for new operating lease liabilities 5,720  4,885  ROU assets obtained in exchange for new finance lease liabilities 120  1,103
Leases	Leases The Company currently leases office facilities and equipment for its practices under noncancelable operating and finance lease agreements expiring on various dates through 2038. Certain of the leases contain renewal options which are exercisable at the Company’s discretion. These renewal options are considered in determining the lease term if it is reasonably certain that the Company will exercise such options. Additionally, the Company leases certain other office and medical equipment under month-to-month lease agreements.  Right-of-use assets and lease liabilities consist of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Assets Operating lease right-of-use assets, net $ 50,609  $ 43,349  Finance lease right-of-use assets, net (included in property and equipment, net) 5,342  5,794  Total right-of-use assets $ 55,951  $ 49,143  Liabilities Current Current portion of operating lease liabilities $ 7,450  $ 6,692  Current portion of finance lease liabilities (included in accrued other) 1,253  1,189  Long-term 8,703  7,881  Long-term operating lease liabilities 46,167  39,803  Long-term finance lease liabilities (included in other long-term liabilities) 4,009  4,548  Total lease liabilities $ 58,879  $ 52,232  The components of lease costs recognized in the condensed consolidated statements of operations and comprehensive (income) loss consist of the following for the three and six month periods ended June 30, 2024 and 2023 and are included in selling, general, and administrative expenses unless otherwise noted: Three months ended June 30, Six Months Ended June 30, 2024 2023 2024 2023 Operating lease costs $ 3,234  $ 2,931  $ 5,970  $ 5,630  Finance lease costs Amortization of finance lease right-of-use assets 289  233  571 233 Interest on finance lease liabilities (included in interest expense) 84  44  170 44 Variable lease costs 655  584  1,241 1,162 Total lease costs $ 4,262  $ 3,792  $ 7,952  $ 7,069  The following table reconciles the undiscounted cash flows expected to be paid in each of the next five years and thereafter recorded in the condensed consolidated balance sheets for operating and finance leases as of June 30, 2024: Operating Leases Finance Leases 2024 (remainder of year after June 30, 2024) $ 4,855  $ 773  2025 11,725  1,523  2026 11,365  1,285  2027 10,073  1,220  2028 7,733  948  Thereafter 23,733  262  Total lease payments 69,484  6,011  Less: amount representing interest (15,867) (749) Present value of lease liabilities 53,617  5,262  Less: current portion of lease liabilities (7,450) (1,253) Long-term lease liabilities, net of current portion $ 46,167  $ 4,009  The weighted-average remaining lease term as of June 30, 2024 and December 31, 2023 was 6.83 years and 6.93 years for operating leases and 4.31 years and 4.76 years for finance leases, respectively. The weighted-average discount rate as of June 30, 2024 and December 31, 2023 was 6.81% and 6.64% for operating leases and 6.36% and 6.30% for finance leases, respectively. The cash paid for amounts included in the measurement of lease liabilities for the six months ended June 30, 2024 and 2023 is as follows: Six Months Ended June 30, 2024 2023 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 5,961  $ 4,984  Operating cash flows from finance leases 170  44  Financing cash flows from finance leases 593  233  ROU assets obtained in exchange for new operating lease liabilities 5,720  4,885  ROU assets obtained in exchange for new finance lease liabilities 120  1,103

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Related Parties	6 Months Ended
	Jun. 30, 2024
Related Party Transactions [Abstract]
Related Parties	Related Parties Transactions Notes Receivable The Company enters into promissory notes with physicians of the Company. The notes receivable balances are satisfied through cash payments or settlements through the physicians’ compensation as part of their employee agreement. The notes receivable are amortized over a 60-month period as a reduction of compensation. The notes bear interest at the Company’s incremental borrowing rate (7.13% at June 30, 2024 and 7.18% at December 31, 2023, respectively). As of June 30, 2024 As of December 31, 2023 Original Principal Issue Date Maturity Date Notes receivable Note 2* $ 381  $ 656  $ 5,355  5/1/2019 4/30/2024 Note 3 -  17  491  6/1/2019 5/31/2024 Note 8 1,792  2,081  2,816  5/1/2020 5/1/2025 Total notes receivables 2,174  2,754  Less:  Current portion of notes receivable (2,174) (1,604) Notes receivable, less current portion $ -  $ 1,150  *The Company is in the process of extending maturity date for this note. Leases The Company has operating leases for twelve of the office facilities owned by employees of the Company. Total cash was approximately $0.7 million and $1.3 million paid for leases to related parties for the three and six months ended June 30, 2024. The Company has operating leases for ten of the office facilities owned by employees of the Company. Total cash was approximately $0.7 million and $1.3 million paid for leases to related parties for the three and six months ended June 30, 2023. Inventory Purchases/Concentration Risk The Company purchases the majority of pharmaceuticals inventory from a subsidiary under common control of a Legacy AON Shareholder. During the three months ended June 30, 2024 and 2023, the Company purchased approximately $374.0 million and $262.8 million, respectively, from the related party. These purchases were approximately 92% and 90% as a percentage of cost of revenue for the three months ended June 30, 2024 and 2023, respectively. During the six months ended June 30, 2024 and 2023, the Company purchased approximately $685.7 million and $506.0 million, respectively, from the related party. These purchases were approximately 90% and 89% as a percentage of cost of revenue for the six months ended June 30, 2024 and 2023, respectively. At June 30, 2024 and December 31, 2023, the Company had $178.0 million and $120.9 million, respectively, included in accounts payable for invoices from the related party, representing 94% of accounts payable at each period-end.

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Equity-Based Compensation	6 Months Ended
	Jun. 30, 2024
Share-Based Payment Arrangement [Abstract]
Equity-Based Compensation	Equity-Based Compensation The Company maintains a single equity incentive plan, the “2023 Incentive Equity Plan”, which was adopted by the Board of Directors and approved by stockholders in connection with the Business Combination. A total of 5,300,000 shares were authorized under the 2023 Incentive Equity Plan. The number of shares of common stock available for issuance under the 2023 Incentive Equity Plan will be increased annually on the first day of each fiscal year during the term of the 2023 Incentive Equity Plan by an amount equal to the lesser of (a) 5% of the shares of common stock outstanding on the final day of the immediately preceding calendar year or (b) such smaller number of shares as determined by the Company’s board of directors. At June 30, 2024, 2,014,432 shares were available for grant under the 2023 Incentive Equity Plan. The purpose of the 2023 Incentive Equity Plan is to attract and retain personnel for positions with the Company, to provide additional incentive to employees, directors, and consultants, and to promote the success of the Company’s business. The Plan permits the grant of Incentive Stock Options (“ISO”) to any ISO Employee and the grant of Non statutory stock options, Stock Appreciation Rights, Restricted Stock, Restricted Stock Units, and Performance Awards to any Service Provider. Restricted Stock Units The Company granted 3,789,421 Restricted Stock Units (“RSUs”) to employees during the six months ended June 30, 2024. A summary of the RSU activity during the six month period ending June 30, 2024 is as follows: Six Months Ended June 30, 2024 Restricted Stock Units Weighted Average Grant Date Fair Value Outstanding as of December 31, 2023 —  $ —  Granted 3,789,421  $ 5.72  Vested (2,405,906) $ 5.76  Forfeited/Cancelled (18,714) $ —  Outstanding as of June 30, 2024 1,364,801  $ 5.65  The Company recognized $1.3 million and $14.6 million in stock-based compensation expense related to outstanding RSUs during the three and six months ended June 30, 2024, respectively. As of June 30, 2024, there was approximately $7.0 million of total unrecognized compensation expense related to RSUs, which is expected to be recognized over a weighted-average period of approximately 1.47 years. The fair value of the RSUs is determined on the date of the grant based on the market price of the Company’s common stock on that date. Each RSU represents the right to receive one share of the Company’s common stock, upon vesting. Portions of the RSUs granted vest immediately with others vesting over one to two years following the grant date, subject to the individual’s continued service to the Company through the applicable vesting date, and are subject to the terms and conditions on the Company’s form of RSU agreement under the 2023 Incentive Equity Plan.

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Equity	6 Months Ended
	Jun. 30, 2024
Equity [Abstract]
Equity	Equity Prior Period Presentation For periods prior to the Reverse Recapitalization, AON LLC had equity and stock-based compensation described below authorized, issued and outstanding. As discussed in Note 1, upon the Closing of the Business Combination, Legacy AON Shareholders received Class A Common Stock, Class B Common Stock, or Class B Prefunded Warrants and AON LLC reclassified their existing Class A, Class A-1, and Class B Units into AON LLC Common Units, pursuant to the terms of the Business Combination Agreement. The Company recasted Historical AON LLC Equity outstanding for the periods prior to the Reverse Recapitalization, equal to the Per Company Unit Exchange Ratio, pursuant to the Business Combination, that was applied to the Class A, Class A-1, and Class B Units. The historical AON LLC units disclosed in this note give effect to the conversion for all periods presented, as follows. Class A Units AON LLC had authorized 19,495,376 units of Class A Units, of which 19,495,376 units were issued and were outstanding as of December 31, 2022. Class A-1 Units AON LLC had authorized 3,000,245 units of Class A-1 Units, of which 1,842,520 units were issued and were outstanding as of December 31, 2022. Class B Units (Profit Interest) The Class B units were issued through the 2017 Profits Interest Plan adopted by the Company in October 2017. The Class B Units represented a non-voting equity interest in AON LLC that entitled the holder to appreciation in the equity value of AON LLC arising after the date of grant and after such time as an applicable hurdle amount is met. AON LLC recognized the cost of services received in exchange for Class B Units based on the grant-date fair value. That cost was recognized over the period during which the service provider is required to provide service in exchange for the award over the requisite service period or based on performance. AON LLC used the Black-Scholes-Merton pricing model to estimate the fair value of profits interest unit awards. On an as converted basis, as of December 31, 2022, AON LLC issued 5,614,176 Class B Units, of which 4,703,628 were vested and outstanding; the remaining 910,548 of Class B units vested upon consummation of the Business Combination. The following table summarizes the changes to AON LLC’s Class A, Class A-1, and Class B Units for the three and six months ended June 30, 2023. in thousands, except for share and per share amounts Three Months Ended June 30, Six Months Ended June 30, 2023 2023 Class A Units, value Beginning of Period $ 7,725  $ 7,725  Issuance of Units —  —  Impact of the Reverse Recapitalization —  —  End of Period $ 7,725  $ 7,725  Class A Units, units Beginning of Period 19,495,376  19,495,376  Issuance of Units —  —  Impact of the Reverse Recapitalization —  —  End of Period 19,495,376  19,495,376  Class A-1 Units, value Beginning of Period $ 28,500  $ 28,500  Issuance of Units —  —  Impact of the Reverse Recapitalization —  —  Impact of Derivative liability on Class A-1 anti-dilution feature 2,540  2,540  End of Period $ 31,040  $ 31,040  Class A-1 Units, units Beginning of Period 1,842,520  1,842,520  Issuance of Units Impact of the Reverse Recapitalization —  —  Distribution 439,176  439,176  End of Period 2,281,696  2,281,696  Class B Units, value Beginning of Period $ 80  $ 80  Equity based compensation —  —  Impact of the Reverse Recapitalization —  End of Period $ 80  $ 80  Class B Units, units Beginning of Period 4,703,628  4,703,628  Units Vested —  —  Impact of the Reverse Recapitalization —  —  End of Period 4,703,628  4,703,628  Class B-1 Units In June and July of 2023, the Company granted a total of 415 AON LLC Class B-1 Units to certain employees under the 2017 Profits Interest Plan (the “Plan”). Upon the closing of the Business Combination, the vested Class B-1 Units were reclassified to AON LLC Common Units and exchanged for newly issued shares of Class A Common Stock equal to the Per Company Unit Exchange Ratio, pursuant to the Business Combination Agreement, which resulted in the issuance of 1,047,343 shares of New AON Class A Common Stock. Mezzanine Equity Class C Units As described in Note 1, the AON LLC Class C Units were converted into AON LLC Series A Preferred Units as of the Closing Date. Concurrently, New AON issued a number of shares of New AON Series A Preferred Stock equal to the number of AON LLC Series A Preferred Units held by the AON Class C Preferred Investor to AEA Growth Management LP, the parent of AON Class C Preferred Investor (“AEA Growth”) in exchange for all the shares of common stock held by AEA Growth in the AON Class C Preferred Investor. Promptly after the First Step, the AON Class C Preferred Investor merged with and into New AON whereby the separate existence of the AON Class C Preferred Investor ceased and New AON held all the AON LLC Series A Preferred Units. On an as converted basis, as of September 20, 2023, 6,651,610 Series A Preferred Stock were issued to AEA Growth Management LP. The AON LLC Class C Units were contingently redeemable convertible preferred units and classified as mezzanine equity on the condensed consolidated balance sheet as of June 30, 2023 because the units were redeemable five years from the issuance date, at the option of the holder. As of June 30, 2023, the AON LLC Class C Units were recorded at their initial carrying value, net of offering costs. The Class C Units were not being accreted to redemption value, as the redemption was not probable due to the removal of the redemption right pursuant to the Business Combination. See discussion below. The Class C Units had materially the same rights as the Series A Preferred Stock issued by the Company to AEA Growth Management LP, the parent of the AON Class C Preferred Investor, with the exception of the “AON LLC Class C Unit Redemption Right” and the “Class C Option to Purchase Additional Shares”, discussed below. Further, the Class C Units did not contain a mandatory conversion feature that allowed AON LLC to force the Class C Investor to convert the Class C Units into another equity unit in AON LLC and the Class C Units did not have a one time conversion price adjustment. Class C Unit Redemption Right After the fifth anniversary of the Effective Date (June 7, 2028), the holders of a majority of the Class C Units had the right to cause the Company to redeem all of the Class C Units. The redemption price per Class C Unit was equal to the greater of (i) the Class C Liquidation Preference and (ii) the Fair Market Value of a Class C Unit (the “Class C Redemption Price”). The Class C Liquidation Preference is defined as an amount equal to the sum of (a) the Class C Preferred Return of such Class C Member and (b) the amount of such Class C Member’s Net Invested Capital Contributions of $65.0 million. The Class C Unit Preferred Return is defined as the cumulative, semiannually-compounded return of 8% per annum based on the original Net Invested Capital Contributions of $65.0 million. The Class C Unit Redemption Right was removed as of the Closing of the Business Combination. Class C Unit Option to Purchase Additional Units In accordance with the terms of the Amended and Restated Class C Convertible Preferred Unit Purchase Agreement dated June 7, 2023, the Class C Preferred Investor had an option to purchase an additional 378 AON Class C Units until the Closing of the Business Combination at a purchase price of $26,423 per Unit (“Option Feature”). The Company determined that this Option Feature was required to be accounted for as a derivative in accordance with ASC 815. The fair value of the derivative was estimated to be $1.4 million as of June 30, 2023. Series A Preferred Stock (Mezzanine Equity) New AON Series A Preferred Stock is redeemable for cash or the value of the property, rights or securities to be paid or distributed in the event of a Deemed Liquidation Event (which outside of the Company’s control). As a result, the Company has determined that the New AON Series A Preferred Stock should be classified as mezzanine equity. At the closing of the Business Combination, the Company exchanged existing AON LLC Class C Units for Series A Preferred Stock in the Company. Based on the qualitative changes to the instrument, this exchange is considered an extinguishment for accounting purposes, with the Company recording a deemed dividend of $2.1 million to account for the difference between the carrying value of the Class C Units and the fair value of the Series A Preferred Stock at the transaction date. This amount is reflected in the December 31, 2023 condensed consolidated statements of mezzanine and stockholders’ equity as part of the reverse recapitalization, net. See further discussion on the PIK Dividend discussed below. The Series A Preferred Stock are not being accreted to redemption value, as the Series A Preferred Stock are not redeemable, nor are they probable of becoming redeemable. Dividends The Series A Preferred Stock accrue dividends at a cumulative, semiannually-compounded return of 8% per annum based on the original Net Invested Capital Contributions from the Class C Units of $65.0 million. These dividends may be paid in cash or accumulate into the Accrued Value at the option of New AON. The accrual shall be calculated on June 30 and December 31 and with respect to the semiannually-compounded return, no interest is required to be paid on any present or future Series A Preferred Stock accrued dividends. The Series A Preferred Stock also participate in distributions with the Class A Common stockholders. On September 20, 2023, the Company issued 6,651,610 Series A Preferred Stock to AEA Growth Management LP. The number of Series A Preferred Stock shares issued at the Closing of the Business Combination was equal to the aggregate Class C Liquidation Preference pursuant to the Business Combination Agreement. As a result, the issuance of the Series A Preferred Stock effectively included an in-kind payout (“PIK”) of the accrued dividend since the calculation of the amount issued was based on the Class C Liquidation Preference. As of the Closing, the Company recorded a dividend of 151,610 Series A Preferred Stock PIK shares with respect to the accrued dividends on the Series A Preferred Stock (the "PIK Dividend") in the December 31, 2023 condensed consolidated statements of mezzanine and stockholders’ equity. Voting The holders of the Preferred Stock are entitled to elect and appoint one of the directors (“Series A Director”) to the Board of Directors. All other directors are appointed by the Class A and Class B Common stockholders. There are no restrictions on which matters the Series A Preferred stockholders are entitled to vote. The Series A Preferred stockholders are entitled to the number of votes equal to the number of shares of Common Stock into which the Series A Preferred Stock would be convertible on the record date of the vote. Conversion Rights The Series A Preferred Stock is convertible, at the option of the holder, at any time, and without the payment of additional consideration by the holder, into such number of fully-paid Class A Common Stock as is determined by dividing the Accrued Value by the Conversion Price in effect at the time of conversion (“Conversion Ratio”). The Accrued Value is the Original Issue Price (which is $10.00 per share of Preferred Stock, as adjusted for any stock split, stock dividend, combination, or other recapitalization) plus any unpaid dividends, compounded semi-annually. The Conversion Price is initially $10.00 per Preferred Share subject to adjustment for dilutive issuances of additional shares, dividends to common stockholders, stock splits, mergers, and a five-year anniversary special adjustment based on the volume weighted average price of the common stock. These dividends may be paid in cash or accumulate into the Accrued Value, at the option of New AON, on June 30 and December 31 of each year. The Conversion Rights shall terminate at the close of business on the day prior to the date of a Change of Control. If at any time on or after the 30th day after the five-year anniversary of the issue date, any of the Series A Preferred Stock remain outstanding and the 30-Day volume weighted average price (”VWAP”) of the Common Stock is less than $10.00 (as adjusted for any stock split, stock dividend, combination, or other recapitalization or reclassification), then the Conversion Price shall be adjusted to the greater of (x) the 30-Day VWAP on such date of determination and (y) $5.00 (as adjusted for any stock split, stock dividend, combination, or other recapitalization or reclassification). New AON also has the right on or after the third-year anniversary of the date of issuance to cause all (but not less than all) of the outstanding shares of Series A Preferred Stock to be converted into shares of Class A Common Stock for each share of Series A Preferred Stock at the Conversion Ratio detailed above. The Company may only convert shares of Series A Preferred Stock into shares of Common Stock if the 30-Day VWAP of the Common Stock immediately prior to the Company Conversion Date is greater than $16.00 (as adjusted for any stock split, stock dividend, combination, or other recapitalization). Liquidation Preferences In the event of voluntary or involuntary liquidation, dissolution or winding up of the Company or an Initial Public Offering (IPO) or Exit Event, the Series A Preferred Stock have preferential liquidation rights. If a Deemed Liquidation Event were to occur, each Series A Preferred stockholder is entitled to be paid out of the assets of the Company available for distribution, equal to the greater of the following: (i) The Original Issue Price of $10 per Series A Preferred Stock multiplied by the Applicable Percentage plus any Accrued Dividends on such share of Series A Preferred Stock; or (ii) Such amount per share as would have been payable had all shares of Series A Preferred Stock been converted into Common Stock immediately prior to such Deemed Liquidation Event. The Series A Preferred Stock Applicable Percentage is defined as a percentage equal to (a) one hundred twenty-five percent (125%) if an Exit Event, dissolution, liquidation, or winding-up occurs prior to June 7, 2024, (b) one hundred twenty percent (120%) if an Exit Event, dissolution, liquidation, or winding up occurs after June 7, 2024, but prior to June 7, 2025, (c) one hundred fifteen percent (115%) if an Exit Event, dissolution, liquidation, or winding-up occurs after June 7, 2025, but prior to June 7, 2026, (d) one hundred ten percent (110%) if an Exit Event, dissolution, liquidation, or winding up occurs after June 7, 2026, but prior to June 7, 2027, (e) one hundred five percent (105%) if an Exit Event, dissolution, liquidation, or winding-up occurs after June 7, 2027, but prior to June 7, 2028, (f) one hundred percent (100%) if an Exit Event, dissolution, liquidation, or winding-up occurs after June 7, 2028. Distributions to Class A and Class A-1 Members On March 4, 2020, the AON LLC entered into the Second Amended and Restated Limited Liability Agreement (“Second Operating Agreement”) which established another class of equity, Class A-1 Units. The Second Operating Agreement provided, among other things, that the Class A and A-1 Units would receive a cumulative, annually-compounded, preferred return of 8.0% and 4.0%, respectively, on capital contributions when and if distributions are declared by the Board of the Company. Prior to the issuance of the Class C Units on June 7, 2023 as discussed above, the Class A and A-1 unitholders were paid a cash distribution of $4.0 million and $4.1 million, respectively, representing the cumulative accrued preferred return to June 7, 2023. On June 7, 2023, in connection with the issuance of the Class C Units, AON LLC entered into the Third Amended and Restated Limited Liability Agreement (“Third Operating Agreement”) which, among other things, eliminated any provisions for future preferred returns on Class A and A-1 units.

v3.24.2.u1

Net Income (Loss) Per Share	6 Months Ended
	Jun. 30, 2024
Earnings Per Share [Abstract]
Net Income (Loss) Per Share	Net Income (Loss) Per Share The following table sets forth the computation of basic and diluted net loss per share of Class A Common Stock and represents the period from January 1, 2024 to June 30, 2024. Class B Common Stock does not have economic rights in AON Inc., including rights to dividends or distributions upon liquidation, and as a result, is not considered a participating security for basic and diluted loss per share. As such, basic and diluted loss per share of Class B Common Stock has not been presented. Series A Preferred Stock are considered participating securities for basic and diluted loss per share, but do not participate in losses. As such, basic and diluted loss per share is computed using the two-class method. For additional information, see Notes 1 and 2. Basic loss per share is based on the weighted-average number of shares of Class A Common Stock outstanding during the period. Diluted loss per share is based on the weighted-average number of shares of Class A Common Stock used for the basic loss per share calculation, adjusted for the dilutive effect of Public and Private Warrants, Restricted Stock Units, and Sponsor Earnouts, if any, using the “treasury stock” method and the convertible Series A Preferred Stock, Class B Common Stock, and Class B Prefunded Warrants, if any, using the “if-converted” method. Net loss for diluted loss per share is adjusted for the Company’s share of AON LLC’s consolidated net loss, net of AON Inc. taxes, after giving effect to Class B Common Stock and Class B Prefunded Warrants that are exchanged into potential shares of Class A Common Stock, Public and Private Warrants that are liability classified, and Series A Preferred Stock that accrue dividends, to the extent it is dilutive. Three Months Ended June 30, Six Months Ended June 30, 2024 2024 Net income (loss) attributable to AON Inc. $ 3,620,639  $ (4,220,410) Less: Series A Preferred Cumulative Dividends (1,375,293) (2,735,473) Less: Undistributed net income to participating securities (855,688) —  Net income (loss) attributable to Class A Common Stockholders $ 1,389,658  $ (6,955,883) Less: Reallocation of net income (loss) attributable to Class A Common Stockholders as a result of the impact and conversion of dilutive securities (5,555,951) (23,574,645) Net income (loss) attributable to Class A Common Stockholders for diluted earnings per share $ (4,166,293) $ (30,530,528) Weighted-average shares for basic earnings per share 11,377,407  9,457,518  Effect of dilutive securities: Series A Preferred Stock —  —  Class B Common Stock 22,711,953  23,972,678  Class B Prefunded warrants 3,000,245  3,000,245  Restricted Stock Units —  —  Weighted-average shares for diluted earnings per share 37,089,605  36,430,441  Basic income (loss) per share of Class A Common Stock $ 0.12  $ (0.74) Dilutive income (loss) per share of Class A Common Stock $ (0.11) $ (0.84) The following table details the securities that have been excluded from the calculation of weighted-average shares for diluted loss per share for the periods presented as they were anti-dilutive. Note that the Sponsor Earnouts are excluded from the calculation of weighted-average shares for diluted loss per share as the contingency had not been met as of the period end. Three Months Ended June 30, Six Months Ended June 30, 2024 2024 Series A Preferred Stock 7,074,449  7,074,449  Class B Common Stock —  —  Class B Prefunded Warrants —  —  Public and Private Warrants 14,450,833  14,450,833  Restricted Stock Units 1,364,801  1,364,801

v3.24.2.u1

Redeemable Noncontrolling Interest	6 Months Ended
	Jun. 30, 2024
Noncontrolling Interest [Abstract]
Redeemable Noncontrolling Interest	Redeemable Noncontrolling Interest Legacy AON Shareholders own 23,571,568 AON LLC Common Units, equal to a 74.1% of the economic interest in AON LLC as of June 30, 2024. Legacy AON Shareholders Common Units are comprised of 20,571,323 shares of Class B Common Stock and 3,000,245 Class B Prefunded Warrants, which, together with the AON LLC Common Units, may be redeemed at the option of the Legacy AON Shareholder on a one-for-one basis for shares of Class A Common Stock or the cash equivalent thereof (based on the market price of the shares of Class A Common Stock at the time of redemption) as determined by New AON. If New AON elects the redemption to be settled in cash, the cash used to settle the redemption must be funded through a private or public offering of Class A Common Stock no later than ten (10) business days after the redemption notice date. Upon the redemption of the AON LLC Common Units and Class B Common Stock for shares of Class A Common Stock or the equivalent thereof, all redeemed shares of Class B Common Stock will be cancelled. The redemption value is determined based on a five-day VWAP of the Class A common shares, subject to customary conversion rate adjustments for share splits, share dividends, and similar events affecting Class A Common Stock. After each redemption, AON LLC equity attributable to New AON and the Legacy AON Shareholders is adjusted to reflect New AON’s and the Legacy AON Shareholders’ ownership in AON LLC. When applying SEC guidance concerning mezzanine classification, the Company understands that due to the NCI holders having control of the Board, if there is a sequence of remotely possible events that could trigger a redemption, this requires the instrument to be classified as temporary equity, without any regard to probability. Accordingly, though the redemption would require such a remotely possible sequence of events, and such remote sequence of events would also require, in management’s view, the Company to take extraordinary actions in order to allow such sequence of events to be remotely possible, the noncontrolling interest is currently classified as temporary equity. In the event that the Legacy AON Shareholders own less than 50% of the outstanding economic interest in AON LLC Common Units due to future redemptions, the noncontrolling interest will be presented as permanent equity. The redeemable noncontrolling interest is recognized at the greater of (1) its initial fair value plus accumulated earnings/(losses) associated with the noncontrolling interest or (2) the redemption value as of the balance sheet date. At June 30, 2024, the redeemable noncontrolling interest was recorded based on its redemption value of $28.3 million which represented a decrease of $138.7 million from its redemption value as of December 31, 2023. This measurement adjustment decreased retained deficit by $99.3 million. Each time a change of interest occurs, AON LLC equity attributable to AON Inc. and the Legacy AON Shareholders is rebalanced to reflect the changes in AON Inc.’s and the Legacy AON Shareholder’s ownership in AON LLC that occurred throughout the period. The following table summarizes the economic ownership of AON LLC, for the period beginning December 31, 2023 and ending June 30, 2024.  Period beginning December 31, 2023 and ending June 30, 2024 AON LLC Units AON Inc. Legacy AON Shareholders Total Beginning of Period 13,330,051  28,109,796  41,439,847  Issuances 2,405,906  —  2,405,906  Repurchases (126,728) —  (126,728) Redemptions 4,538,228  (4,538,228) —  Total Units Issued 20,147,457  23,571,568  43,719,025  End of Period 20,147,457  23,571,568  43,719,025  Allocation of income to controlling and noncontrolling interests 37.4  % 62.6  % 100  % Allocation of losses to controlling and noncontrolling interests (1) 25.9  % 74.1  % 100  % (1) As discussed in Note 13, Series A Preferred Stock are considered participating securities for basic and diluted loss per share, but do not participate in losses. As a result, the consolidated net loss of AON LLC, during the period of January 1, 2024 through June 30, 2024, were allocated to the NCI to reflect the absorption of the Legacy AON Shareholders to a portion of the consolidated net loss of AON LLC. Net losses were not attributed to Series A Preferred Stock.

v3.24.2.u1

Subsequent Events	6 Months Ended
	Jun. 30, 2024
Subsequent Events [Abstract]
Subsequent Events	Subsequent Events On July 19, 2024, affiliates of AEA Growth (collectively the “Bidders” or “AEA Parties”) tendered to purchase for cash up to a maximum of 19,511,807 of AON LLC Common Units from holders of such AON LLC Common Units at a price of $4.00 per unit less certain fees and expenses (the “Third Party Tender Offer”). The Third Party Tender Offer expires one minute after 11:59 p.m., Eastern time, on August 15, 2024 unless otherwise extended by the Bidders. Neither AON Inc. nor AON LLC is a Bidder in the Third Party Tender Offer. AON Inc. and AON LLC are assisting with facilitating documentation between the Bidders and participants in the Third Party Tender Offer in order to maintain an orderly process between the participants in the Third Party Tender Offer and the Bidders. Also on July 19, the Company and AEA Growth entered into a Stockholders Agreement that provides for certain customary shareholder protection in the event that AEA Parties collectively and beneficially own at least 40% of outstanding voting power of the Company (the “Stockholders Agreement Effectiveness Date”). The shareholder protections include the following: (i) Independent Board Members and Corporate Governance: Designation of two directors (the “Independent Directors”) for whom the AEA Parties have agreed to vote in director elections for election to the Company’s board of directors (the “Board”), including (i) at least one independent director by mutual agreement of the other then-sitting independent directors and (ii) one minority independent director (the “Minority Independent Director”), and maintenance of the Nominating and Governance Committee of the Board, which shall be comprised of at least two independent directors. (ii) Co-sale right: In the event the AEA Parties propose to sell more than 10% of the Company’s outstanding equity securities, the other shareholders of the Company have the right to participate in such sale, subject to certain exceptions (such sale a “Co-Sale Transaction”). (iii) Minority Independent Director Consent: For two years following the Stockholders Agreement Effectiveness Date, without the consent of the Minority Independent Director, the Company shall not (i) amend its charter, bylaws or organization documents of any of the Company’s subsidiaries that would adversely affect the rights of the minority stockholders in a disproportionate manner, nor (ii) enter into any transaction with the AEA Parties, other than (x) a Co-Sale Transaction, (y) any transaction expressly permitted under the Stockholders Agreement, and (z) standard employee benefits and director and officer indemnification agreements. (iv) AEA Parties Standstill: The AEA Parties agree to refrain from taking any action that would directly or indirectly cause its ownership of the Company to exceed 80% of the Company’s outstanding voting power, without the consent in writing of the Minority Independent Director. The Stockholder Agreement terminates upon the earliest of (i) the consummation of a short-form merger pursuant to Section 253 of the Delaware General Corporation Law, (ii) the date that the AEA Parties cease to beneficially own, directly or indirectly, at least 25% of the outstanding voting securities of the Company, (iii) the time at which none of the Company’s securities are owned by any person or entity other than the AEA Parties, and (iv) June 10, 2027, if the Stockholders Agreement Effectiveness Date has not occurred by then.

v3.24.2.u1

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2024
Pay vs Performance Disclosure
Net loss	$ 3,287	$ (4,512)

v3.24.2.u1

Insider Trading Arrangements	3 Months Ended
	Jun. 30, 2024
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

v3.24.2.u1

Basis of Presentation and Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited condensed consolidated financial statements of the Company were prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information and in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) regarding interim financial reporting. Certain information and footnote disclosures normally included in financial statements prepared in accordance with GAAP have been condensed or omitted pursuant to such rules and regulations, although the Company believes that the disclosures are adequate to make the information presented not misleading. Management believes the unaudited condensed consolidated financial statements for the interim periods presented contain all necessary adjustments, of a normal recurring nature, to state fairly, in all material respects, the Company’s financial position, results of operations and cash flows for the interim periods presented. These unaudited condensed consolidated financial statements were prepared on the same basis as and should be read in conjunction with such audited consolidated financial statements and related notes thereto of AON Inc. and its wholly-owned subsidiaries, included in the Annual Report on Form 10-K, dated and filed on March 28, 2024 with the SEC (the “Annual Report 2023"). Operating results for the three and six months ended June 30, 2024 are not necessarily indicative of the results the Company expects for the entire year. For the three and six months ended June 30, 2024, these unaudited condensed consolidated financial statements reflect the consolidated results of operations, comprehensive (income) loss, cash flows and changes in equity of AON Inc. and its wholly-owned subsidiaries. The condensed consolidated balance sheet at June 30, 2024 presents the financial condition of AON Inc. and its consolidated subsidiaries. For the three and six months ended June 30, 2023, these unaudited condensed consolidated financial statements present the consolidated results of operations, comprehensive (income) loss, cash flows and changes in equity of AON LLC. The condensed consolidated balance sheet as of December 31, 2023 presents the financial condition of AON Inc. and its consolidated subsidiaries after the Reverse Recapitalization. All intercompany balances and transactions of AON LLC have been eliminated. In accordance with ASC 805 the historical equity of AON LLC has been recasted in all periods up to the Closing Date, to reflect the number of shares of New AON’s Class A Common Stock and Class B Common Stock issued to Legacy AON Shareholders in connection with the Reverse Recapitalization. The Company recasted the units outstanding related to the historical AON LLC Class A, Class A-1, and Class B units prior to the Reverse Recapitalization (“Historical AON LLC Equity”) as common equity of New AON, equal to the Per Company Class Unit Exchange Ratio, pursuant to the Business Combination Agreement. The Per Company Unit Exchange Ratio at which AON LLC Class A units and Class A-1 units were reclassified is equal to 2,524 AON Common Units. The Per Company Unit Exchange Ratio at which AON LLC Class B units were reclassified varied depending on participation threshold, and is equal to 2,524, 2,453, or 1,976, AON Common Units. The Per Company Unit Exchange Ratio at which Class C units were reclassified is equal to 2,705 AON LLC Series A Preferred Units. The condensed consolidated financial statements and related notes thereto give effect to the conversion for all periods presented, without any change to par value or per unit amounts. The condensed consolidated financial statements do not necessarily represent the capital structure of New AON had the Reverse Recapitalization occurred in prior periods. The Company has not made retroactive adjustments related to the historical book values of Historical AON LLC Equity as the adjustments were considered immaterial. For the three and six months ended June 30, 2024, $3.6 million of the consolidated net income of AON LLC and $4.2 million of the consolidated net loss of AON LLC, respectively, were attributable to the Class A Common Stockholders, and reflects the Class A Common Stockholders’ absorption of 30.7% and 25.9%, respectively, of the consolidated net income and loss of AON LLC. For the three and six months ended June 30, 2024, $6.4 million and $23.6 million, respectively, of the consolidated net losses of AON LLC were attributable to noncontrolling interest, and reflects the Legacy AON Stockholders’ absorption of 69.3% and 74.1% of the consolidated net losses of AON LLC. For the three and six months ended June 30, 2023, $10.1 million and $11.6 million, respectively, of the consolidated net losses of AON LLC were attributable to the Legacy AON Stockholders, to reflect their absorption of 100% of the consolidated net losses of AON LLC pertaining to the days prior to the Reverse Recapitalization.
Principles of Consolidation	Principles of Consolidation For the period of January 1, 2024 through June 30, 2024, the condensed consolidated financial statements include the accounts of the Company, American Oncology Network, LLC (“AON LLC”), and its wholly owned subsidiary American Oncology Management Company, LLC (“AOMC”), and its consolidated variable interest entities (“VIEs”) American Oncology Partners, P.A. (“AON Partners”), American Oncology Partners of Maryland, P.A. (“Partners of Maryland”), AON Central Services, LLC (“AON Central Services”), and Meaningful Insights Biotech Analytics, LLC (“MIBA”). All intercompany accounts and transactions between the entities have been eliminated in consolidation. The accounting treatment of the Business Combination was a Reverse Recapitalization. For the periods prior to the Reverse Recapitalization, the consolidated financial statements of the Company comprise the accounts of AON LLC and its wholly-owned subsidiaries. All intercompany accounts and transactions among AON LLC and its consolidated subsidiaries were eliminated. The Company accounts for American Oncology Network, LLC, AON Partners, Partners of Maryland, AON Central Services, and MIBA in accordance with Financial Accounting Standards Board (“FASB”) ASC 810. The Company determines whether it has a controlling financial interest in an entity by first evaluating whether the entity is a VIE. A VIE is broadly defined as an entity that has any of the following three characteristics: (i) the equity investment at risk is insufficient to finance the entity’s activities without additional subordinated financial support; (ii) substantially all of the entity’s activities either involve or are conducted on behalf of an investor that has disproportionately few voting rights; or (iii) the equity investors as a group lack any of the following, the power through voting or similar rights to direct the activities of the entity that most significantly impact the entity’s economic performance, the obligation to absorb the expected losses of the entity, or the right to receive the expected residual returns of the entity. The Company consolidates a VIE if it has both the power to direct the activities of the VIE that most significantly impact the VIE’s economic performance and an obligation to absorb losses or the right to receive benefits that could potentially be significant to the VIE. Management performs ongoing reassessments of whether changes in the facts and circumstances regarding the Company’s involvement with a VIE will cause the consolidation conclusion to change. Changes in consolidation status are applied prospectively, if any. AON LLC has contractual relationships with AON Partners, Partners of Maryland and AON Central Services and the physician owners through management service agreements (“MSAs”) and other contractual agreements to provide all practice management services outside of medical services provided by the physicians. In addition, despite not being required by the contractual relationships, AON LLC regularly provides funding to support AON Partners and Partners of Maryland’s operations and acquisitions of physician practices. AON Central Services was formed July 15, 2022 and, effective January 1, 2023, entered into an agreement with AOMC to provide qualified non-clinical and non-medical employees to AOMC to support the operation of the physician practices. MIBA was established during the first quarter of 2023 for the purpose of developing intellectual property to synergize the collection, de-identification, and dissemination of the Company’s patient data for sale to external parties for research, development, and clinical decisions. In May 2023, the Company contributed $0.2 million for a 56% interest in the equity of MIBA. As of June 30, 2024, MIBA had no significant operating activity. The Company concluded that AON LLC had a controlling financial interest in MIBA and has consolidated the entity at June 30, 2024 and recorded the noncontrolling interest in equity.  The Company has concluded that AON Partners, Partners of Maryland, AON Central Services, and MIBA are all VIEs in which AON LLC has the characteristics of a controlling financial interest and is deemed to be the primary beneficiary. The variable interest subjects AON LLC to all potential losses in the entities and, therefore, requires AON LLC, and in turn AON Inc., to consolidate the results of AON Partners, Partners of Maryland, AON Central Services, and MIBA in its condensed consolidated financial statements.
Accounting Estimates and Assumptions	Accounting Estimates and Assumptions The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from those estimates.
Segments	Segments Operating segments are identified as components of an enterprise about which separate discrete financial information is available for evaluation by the chief operating decision-maker (the “CODM”). The Company’s CODM is its chief executive officer who reviews financial information together with certain operating metrics principally to make decisions about how to allocate resources and to measure the Company’s performance. The Company has one operating segment and one reportable segment that are structured around the organizational management of oncology practice operations. All revenue and assets are in the United States.
Revenue Recognition	Revenue Recognition Revenue is recognized under Accounting Standards Update (“ASU”) 2014-09 Revenue from Contracts with Customers (“Topic 606”). The Company determines the transaction price based upon standard charges for goods and services with anticipated consideration due from patients, third-party payors (including health insurers and government agencies) and others. The Company’s revenue is primarily derived from patient service revenues, which encompass oncology services provided during patient visits and shipments of pharmacy prescriptions. Performance obligations for the Company’s services provided to patients and most procedures, are satisfied over the time of visit which is the same day services are performed. Performance obligations relating to pharmacy revenue are considered fully satisfied at a point in time upon the customer receiving delivery of the prescription. Accordingly, the Company does not anticipate a significant amount of revenue from performance obligations satisfied (or partially satisfied) in previous periods, and any such revenue recognized during the three and six month periods ended June 30, 2024 and 2023 was immaterial. Additionally, the Company does not expect to recognize material revenue in the future related to performance obligations that are unsatisfied (or partially satisfied) as of June 30, 2024 and December 31, 2023. Approximately $229.5 million and $227.0 million and $545.6 million and $444.8 million of the Company’s revenues are generated from services performed during patient visits with the remainder primarily generated from shipments of pharmacy prescriptions for the three and six month periods ended June 30, 2024 and 2023, respectively. As services are performed and prescriptions are shipped, timely billing occurs for services rendered and prescriptions shipped less discounts provided to uninsured patients and contractual adjustments to third-party payors based upon prospectively determined rates and discounted charges. Payment is requested at the time of service for self-paying patients and for patients covered by third-party payors that are responsible for paying deductibles and coinsurance. The Company monitors revenue and receivables to prepare estimated contractual allowances for the anticipated differences between billed and reimbursed amounts. Payments from third-party payors and Government programs including Medicare and Medicaid may be subject to audit and other retrospective adjustments. Such amounts are considered on an estimated basis when net patient revenue is recorded and are adjusted as final adjustments are determined. For the three and six month periods ended June 30, 2024 and 2023, such resulting historic adjustments have been immaterial to the condensed consolidated financial statements.  In assessing who is the principal in providing patient services and pharmacy prescriptions, the Company considered who controls the provision of services and prescriptions. The Company has determined they are acting as a principal in these relationships.  In April 2022, the Company entered into an arrangement to sponsor and manage a clinical trial. The Company subsequently contracted with a third-party to provide the clinical research services and is the principal in this arrangement. The performance of clinical research services are considered a single performance obligation because the Company provides a highly-integrated service. Revenue is recognized for the single performance obligation over time due to the Company’s right to payment for work performed to date. The contract provides for invoices based on predetermined milestones.  The Company uses the cost-to-cost measure of progress for the Company’s contract because it best depicts the transfer of control to the customer as the performance obligation is fulfilled. For this method, the Company compares the contract costs incurred to date to the estimated total contract costs through completion. As part of the client proposal and contract negotiation process, the Company develops a detailed project budget for the direct costs and reimbursable costs based on the scope of the work, the complexity of the study, the geographical location involved and the Company’s historical experience. The estimated total contract costs at the project level are reviewed and revised periodically throughout the life of the contract, with adjustments to revenue resulting from such revisions being recorded on a cumulative basis in the period in which the revisions are identified. Contract costs consist primarily of direct labor and other reimbursable project-related costs such as travel, third-party vendor costs and investigator fees. The Company establishes pricing based on the Company’s internal pricing guidelines, discount agreements, if any, and negotiations with the client. The transaction price is the contractually defined amount. Revenue related to the clinical trial, which is included within other revenue, was $0.0 million and $1.5 million and $0.5 million and $1.5 million for the three and six months ended June 30, 2024 and 2023, respectively. This arrangement concluded during the three months ended June 30, 2024. The Company has a system and estimation process for recording Medicare net patient service revenue and estimated recoupments as it relates to value-based care (“VBC”) revenue included in patient service revenue in the condensed consolidated statements of operations and comprehensive (income) loss. The Company’s VBC revenue is primarily generated through its participation in the CMS Oncology Care Model (“OCM”) which is an episode-based payment model to promote high-quality cancer care. Participants enter six-month episode periods, and the Company bills a monthly fee during the six-month period based on a fixed rate per participant per month and the total number of participants. Certain quality and compliance metrics are tracked as part of the program and submitted to CMS at the end of the episode period which may result in recoupment of funds. The Company estimates the recoupment amount by developing a recoupment percentage for each period based on historical known recoupment from CMS and applies the recoupment percentage against total fees for the period. Based on the estimate, the Company accrues a liability representing the expected final recoupments based on historical settlement trends.
Short-term Marketable Securities	Short-term Marketable Securities  Investments in marketable securities consist of corporate bonds and U.S. Treasury securities. Management determines the appropriate classification of investments at the time of purchase and reevaluates such determination at each balance sheet date. Marketable securities are classified as available-for-sale and are carried at fair value in the consolidated balance sheets. The marketable securities are classified as short-term based on management’s intent to convert such securities within one year and the ability to convert them within two to three days. Certain of our available-for-sale securities are debt securities. For an available-for-sale debt security with an amortized cost that exceeds its fair value, the Company first determines if it intends to sell or will more-likely-than-not be required to sell the security before the expected recovery of its amortized cost. If it intends to sell or will more-likely-than-not be required to sell the security, then the Company recognizes the impairment as a credit loss in the condensed consolidated statements of operations and comprehensive (income) loss by writing down the security’s amortized cost to its fair value. If it does not intend to sell or it is not more-likely-than-not that it will be required to sell the security before the expected recovery of its amortized cost, the Company recognizes the portion of the impairment that is due to a credit loss, if any, in the condensed consolidated statements of operations and comprehensive (income) loss through an allowance. The portion of the impairment that is due to factors other than a credit loss is recognized in other comprehensive income (loss) in the condensed consolidated statements of operations and comprehensive (income) loss as an unrealized loss.
Equity Investment in Affiliate	Equity Investment in Affiliate In January 2023, the Company contributed noncash consideration, with a fair value of approximately $2.3 million, in return for a 49% equity interest in OCP Management Arizona, LLP. Investments in entities over which the Company has the ability to exercise significant influence but does not control the entity are accounted for using the equity method. Equity method investments are included with other assets in the condensed consolidated balance sheets. The carrying amount of the investment is adjusted to reflect the Company’s proportionate share of the net earnings or losses and reduced by any dividends received. The Company’s share of income or loss related to this investment is reported as an equity in loss of affiliate in the condensed consolidated statements of operations and comprehensive (income) loss.
Noncontrolling Interests	Noncontrolling Interests The Company consolidates the results of entities in which it has a controlling financial interest. Refer to Note 15 for additional considerations and presentation for noncontrolling interest.
Mezzanine Equity and Treasury Stock	Mezzanine Equity New AON Series A Preferred Stock is redeemable for cash or the value of the property, rights or securities to be paid or distributed in the event of a Deemed Liquidation Event (which is outside of the Company’s control). As a result, Management has determined that the New AON Series A Preferred Stock should be classified as mezzanine equity. As of June 30, 2024, the Preferred Stock are recorded at their initial carrying value, net of offering costs of $0.8 million. The Series A Preferred Stock are not being accreted to redemption value, as the redemption is not probable. The Series A Preferred Stock are classified outside of members’ equity on the consolidated balance sheets. Refer to Note 14 for mezzanine equity presentation considerations for redeemable noncontrolling interest. Treasury Stock We account for treasury stock purchased under the cost method and include treasury stock as a component of accumulated paid in capital. Treasury stock purchased with intent to retire (whether or not the retirement is actually accomplished) is charged to common stock. The company repurchased 14,729 shares of Class A common stock at the spot rate as of each transaction date for a total cost of less than $0.1 million for the year ended December 31, 2023. For the three and six months ended June 30, 2024 the Company repurchased an additional 16,441 and 91,573 shares of Class A common stock, respectively, at the spot rate as of each transaction date for a total cost of less than $0.4 million. To date, the Company has repurchased a total of 122,743 shares.
Equity-Based Compensation	Equity-Based Compensation The Company issues stock-based awards to employees and directors in the form of stock options and restricted stock units. The Company measures and recognizes compensation expense for its stock-based awards granted to its employees and directors based on the estimated grant date fair value in accordance with ASC 718, Compensation-Stock Compensation, and determines the fair value of restricted stock units based on the fair value of its common stock. The Company measures all share-based options granted to employees and directors based on the fair value on the date of grant using the Black-Scholes option-pricing model. Compensation expense of those awards is recognized over the requisite service period, which is generally the vesting period of the respective award. The Company records the expense for awards with service-based conditions using the straight-line method over the requisite service period, net of any actual forfeitures. The Company classifies share-based compensation expense in its consolidated statements of operations and comprehensive (income) loss in the same manner in which the award recipient’s payroll costs are classified or in which the award recipient’s service payments are classified.
Business Combinations	Business Combinations The Company evaluates acquired practices in accordance with ASU 2017-01, Business Combinations (Topic 805)-Clarifying the Definition of a Business. This standard clarifies the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as acquisitions or disposals of assets or businesses. Because substantially all of the value of each acquired practice did not relate to a similar group of assets and as each acquired practice contained both inputs and processes necessary to provide economic benefits to the Company, it was determined that each acquisition represents a business combination. Therefore, the transactions have been accounted for using the acquisition method of accounting, which requires, with limited exceptions, that assets acquired, and liabilities assumed be recognized at their estimated fair values as of the acquisition date. Any excess of the consideration transferred over the estimated fair values of the net assets acquired is recorded as goodwill. Transaction costs related to business combinations are expensed in the period in which they are incurred.
Offering Costs	Offering Costs The Company defers specific incremental costs directly attributable to proposed offerings of securities. These costs consist of legal, accounting, and other similar expenses incurred through the balance sheet date that are directly related to a potential offering. If the offering is completed, these costs will be charged against the gross proceeds of the offering. These offering costs will be allocated to the separable financial instruments issued in the transaction on a relative fair value basis of the securities issued, compared to total proceeds received. Offering costs associated with any instruments classified as liabilities will be expensed as incurred, presented as non-operating expenses in the condensed consolidated statement of operations and comprehensive (income) loss.
Goodwill and Intangible Assets	Goodwill and Intangible Assets Goodwill and indefinite-lived identifiable intangible assets Goodwill represents the fair value of acquired businesses in excess of the fair value of the individually identified net assets acquired. Goodwill is not amortized but is tested for impairment annually or whenever indications of impairment exist. Impairment exists when the carrying amount, including goodwill, of the reporting unit exceeds its fair value, resulting in an impairment charge for this excess. The Company can elect to qualitatively assess goodwill for impairment if it is more likely than not that the fair value of its reporting unit exceeds its carrying value. When performing a qualitative assessment, the Company considers relevant events or circumstances that affect the fair value or carrying amount of a reporting unit. If goodwill is more likely than not impaired, the Company must then complete a quantitative analysis. When performing a quantitative impairment test, the Company utilizes the market approach in estimating the fair values of its reporting unit. If the carrying value of a reporting unit exceeds its fair value, an impairment charge is recognized equal to the difference between the carrying amount of the reporting unit and its fair value, not to exceed the carrying value of goodwill of the reporting unit. The Company has determined that it has only one reporting unit for purposes of evaluating goodwill impairment. The Company’s annual impairment testing date is October 1. Other indefinite-lived intangible assets consist of a certificate of need acquired in an asset acquisition and is not subject to amortization. The Company has concluded that the certificate of need has an indefinite life because there are no legal, regulatory, contractual, economic or other factors that would limit the useful life, and the Company intends to renew and operate the certificate of need indefinitely. Indefinite-lived intangible assets are reviewed annually for impairment or more frequently if circumstances indicate impairment may have occurred. Finite-lived identifiable intangible assets Finite-lived intangible assets consist of trade names acquired in business combinations and are recorded at fair value. Finite-lived intangible assets are amortized using the straight-line method over the estimated economic life of the assets, which best reflects the pattern of use. Trade names are amortized over an estimated useful life of ten years. The Company’s finite-lived intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of those assets or asset groups may not be recoverable. If the expected undiscounted future cash flows are less than the carrying amount of such assets or asset groups, the Company recognizes an impairment loss to the extent the carrying amount exceeds its estimated fair value
Professional Liability	Professional Liability The Company maintains insurance policies for exposure to professional malpractice insurance risk. The limits of malpractice insurance provide each physician/advanced practice provider with a dedicated $1.0 million limit per claim and a $3.0 million limit in the aggregate per policy period – on a first dollar basis, as no deductible applies. The policy further then extends coverage to the Company, by providing a $2.0 million limit per claim and a $4.0 million limit in the aggregate per policy period - on a first dollar basis, additionally, as no deductible applies. Reserves are established for estimates of the loss that will ultimately be incurred on claims that have been reported but not paid and claims that have been incurred but not reported. These reserves are established based on consultation with a third-party actuary. The actuarial valuations consider a number of factors, including historical claims payment patterns, changes in case reserves and the assumed rate of increase in healthcare costs. Management believes the use of actuarial methods to account for these reserves provides a consistent and effective way to measure these subjective accruals. However, due to the sensitive nature of this estimation technique, recorded reserves could differ from ultimate costs related to these claims due to changes in claims reporting, claims payment and settlement practices and differences in assumed future cost increases. All accrued unpaid claims and expenses and the associated insurance recoveries are classified as short-term and long-term liabilities and assets based on when they are expected to be paid or collected.
Fair Value of Financial Instruments	Fair Value of Financial Instruments Fair value is the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market in an orderly transaction between market participants on the measurement date. Accounting guidance establishes a three-level hierarchy, which requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. The valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability on the measurement date. The three levels are defined as follows: Level 1 Inputs to the valuation methodology are quoted prices (unadjusted) for an identical asset or liability in an active market. Level 2 Inputs to the valuation methodology include quoted prices for a similar asset or liability in an active market or model-derived valuations in which all significant inputs are observable for substantially the full term of the asset or liability. Level 3 Inputs to the valuation methodology are unobservable and significant to the fair value measurement of the asset or liability. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.  Assets and liabilities are classified in their entirety based on the lowest level of input that is significant to the fair value measurement. The Company’s assessment of the significance of a particular input to the fair value measurement requires judgment and may affect the placement of assets and liabilities being measured within the fair value hierarchy. Our financial instruments include cash, short-term marketable securities, accounts receivable, notes receivable, accounts payable, accrued expenses, long-term debt and contractual agreements that resulted in derivative liabilities. Our nonfinancial assets such as property and equipment are not measured at fair value on a recurring basis; however, they are subject to fair value adjustments in certain circumstances, such as when there is evidence that impairment may exist. The carrying amounts of cash, accounts receivable, accounts payable, notes receivable, and accrued expenses approximate their fair value because of the short-term maturity and highly liquid nature of these instruments. We determine the fair value of long-term debt and marketable securities based on various factors including maturity schedules and current market rates.
Warrant Liabilities	Warrant Liabilities Upon Closing of the Business Combination, on September 20, 2023, the Company evaluated the Public Warrants and Private Placement Warrants and the Class B Prefunded Warrants, collectively referred to herein as “Warrants”, in accordance with ASC 815-40, Derivatives and Hedging — Contracts in Entity’s Own Equity, and concluded that a provision in the warrant agreements related to potential net cash settlement of the warrants upon an exchange or tender offer that may not result in a change in control of the entity precludes the warrants from being accounted for as components of equity. As the Warrants meet the definition of a derivative as contemplated in ASC 815, the Warrants are recorded as current liabilities within accrued other on the condensed consolidated balance sheets and measured at fair value at inception and at each reporting date in accordance with ASC 820, Fair Value Measurement, with changes in fair value recognized in other income (expense), net on the condensed consolidated statements of operations and comprehensive (income) loss in the period of change. As of June 30, 2024, the Public Warrants were trading separately from the Class A Common Stock and the quoted market price was used to establish fair value. As such, the Public Warrants fair value was determined using a Level 1 input. The fair value of the Public Warrants as of June 30, 2024 is $0.3 million and recorded in accrued other on the condensed consolidated balance sheets. Management has utilized the public warrant price to value the private warrants and believes the public and private warrants have materially consistent fair values given the existence of the make-whole redemption feature. As of June 30, 2024, a valuation of the private warrants was performed which confirmed the private warrant value was materially consistent with the public warrants. The details of this valuation are included in the paragraph below. The fair value of the Private Placement warrants was determined using Level 3 inputs. As of June 30, 2024, the fair value of the Private Placement Warrants was estimated to be $0.2 million and recorded in accrued other on the condensed consolidated balance sheets. The fair value was estimated at June 30, 2024, using the Black-Scholes Option Pricing model using the following assumptions: Expected annual dividend yield – 0.0%                 Expected volatility – 55.00%                 Risk-free rate of return – 4.39%                 Expected Option Term – 5.0 years                  The AON Class B Prefunded Warrants are exercisable into one share of New AON Class B Common Stock. A share of New AON Class B Common Stock, together with an AON LLC Common Unit, may be exchanged for one share of New AON Class A Common Stock. Considering New AON Class B Common Stock has no economic rights and limited liquidity or value if the holder does not also possess an AON LLC Common Unit, and because the AON Class B Prefunded Warrants are exercisable into New AON Class B Common Stock, the Company has estimated fair value of the Class B Prefunded Warrants to be immaterial.
Earnings Per Share	Earnings Per Share The Company recast Historical AON LLC Equity as AON Inc. common equity for all periods prior to the Reverse Recapitalization, refer to Note 2. However, as 100% of the net losses of AON LLC prior to the Reverse Recapitalization were absorbed by the Legacy AON Shareholders, basic and diluted earnings (loss) per share is zero for the three and six months ended June 30, 2023. Basic and diluted earnings (loss) per share for the three and six months ended June 30, 2024 represents the period where the Company had earnings (loss) attributable to Class A Common Stockholders. Class B Common Stock does not have economic rights in AON Inc., including rights to dividends or distributions upon liquidation, and as a result, is not considered a participating security for basic and diluted earnings (loss) per share. As such, basic and diluted earnings (loss) per share of Class B Common Stock has not been presented. The Company has issued and outstanding Sponsor Earnouts, which are subject to forfeiture if the achievement of certain stock price thresholds are not met. In accordance with ASC Topic 260, “Earnings Per Share,” the Sponsor Earnouts are excluded from weighted-average shares outstanding to calculate basic earnings (loss) per share as they are considered contingently issuable shares due to their potential forfeiture. Sponsor Earnouts will be included in weighted-average shares outstanding to calculate basic earnings (loss) per share as of the date of their stock price thresholds are met and they are no longer subject to forfeiture. Basic and diluted earnings (loss) per share is computed by use of the two-class method as a result of outstanding Series A Preferred Stock, which accrue dividends at the annual rate of 8% of the original price per share, participate with common stock on all other dividends, and accordingly have participation rights in undistributed earnings as if all such earnings had been distributed during the period (see Note 12). Under such method income available to common shareholders is computed by deducting both dividends declared or, if not declared, accumulated on Series A Preferred Stock from net income. Loss attributable to common shareholders is computed by increasing net loss by such dividends. Since the participating Series A Preferred Stock has no contractual obligation to share in the losses of the Company, there is no loss allocation between Class A Common Stock and Series A Preferred Stock. Basic earnings (loss) per share is based on the weighted-average number of shares of Class A Common Stock outstanding during the period. Diluted earnings (loss) per share is based on the weighted-average number of shares of Class A Common Stock used for the basic earnings (loss) per share calculation, adjusted for the dilutive effect of the Public and Private Warrants, Restricted Stock Units, and Sponsor Earnout, if any, using the “treasury stock” method and the convertible Series A Preferred Stock and, exchangeable Class B Common Stock and Class B Prefunded Warrants, if any, using the “if-converted” method. Net earnings (loss) for diluted loss per share is adjusted for the Company’s share of AON LLC’s consolidated net earnings (loss), net of AON Inc. taxes, after giving effect to the Class B Common Stock and Class B Prefunded Warrants that are exchanged into potential shares of Class A Common Stock, Public and Private Warrants that are liability classified, and Series A Preferred Stock, to the extent it is dilutive.
Recently Adopted Accounting Pronouncements  and Recently Issued Accounting Pronouncements	Recently Adopted Accounting Pronouncements  In June 2016, the FASB issued ASU 2016-13, Financial instruments-Credit Losses (“ASU 2016- 13”). ASU 2016-13 requires entities to report ‘‘expected’’ credit losses on financial instruments and other commitments to extend credit rather than the current ‘‘incurred loss’’ model. These expected credit losses for financial assets held at the reporting date are to be based on historical experience, current conditions, and reasonable and supportable forecasts. This ASU will also require enhanced disclosures relating to significant estimates and judgments used in estimating credit losses, as well as the credit quality. ASU 2016-13 is effective for the Company for annual reporting periods beginning after December 15, 2022. ASU 2016-13 was adopted by the Company effective January 1, 2023, with no material impact on the Company’s consolidated financial statements and related disclosures.  In October 2021, the FASB issued ASU 2021-08, Business Combinations: Accounting for Contract Assets and Contract Liabilities from Contracts with Customers, which provides that an acquirer must recognize, and measure contract assets and contract liabilities acquired in a business combination in accordance with ASC 606. The guidance is effective for the Company for annual reporting periods beginning after December 15, 2023, with early adoption permitted. The adoption of this standard as of January 1, 2024, did not have an impact on the Company’s consolidated financial statements and related disclosures. Recently Issued Accounting Pronouncements In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures. The amendments in this update are intended to improve reportable segment disclosure requirements, primarily through enhanced disclosures about significant expenses. The ASU requires disclosures to include significant segment expenses that are regularly provided to the chief operating decision maker, a description of other segment items by reportable segment, and any additional measures of a segment's profit or loss used by the chief operating decision maker when deciding how to allocate resources. The ASU also requires all annual disclosures currently required by Topic 280, “Segment Reporting,” to be included in interim periods. This update is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. Early adoption is permitted and retrospective application is required for all periods presented. The Company is evaluating the impact this will have on the Company's consolidated financial statements and related disclosures. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures. The amendments in this upgrade enhance the transparency and decision usefulness of income tax disclosures. This ASU requires disclosures of specific categories and disaggregation of information in the rate reconciliation table. The ASU also requires disclosure of disaggregated information related to income taxes paid, income or loss from continuing operations before income tax expense or benefit, and income tax expense or benefit from continuing operations. The requirements of the ASU are effective for annual periods beginning after December 15, 2024. Early adoption is permitted and the amendments should be applied on a prospective basis. Retrospective application is permitted. The Company is currently evaluating the effect that ASU 2023-09 will have on its disclosures.

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Business (Tables)	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Schedule of Affiliation Agreements	During the six months ended June 30, 2024, the Company entered into affiliation agreements with or acquired the following oncology practices. The Company did not enter into any affiliation agreements or complete any acquisitions of oncology practices during the six months ended June 30, 2023. Six Months Ended June 30, 2024 State Maryland (a) Texas (a) Hawaii (b) Georgia (b) (a)The Company entered into affiliation agreements with the physicians for these respective practices. The Company evaluated each of the affiliation agreements and determined that the transactions did not represent a business combination. (b)The Company completed acquisitions which were accounted for as business combinations with the physicians for these respective practices (See Note 5 for further discussion).

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Reverse Recapitalization (Tables)	6 Months Ended
	Jun. 30, 2024
Reverse Recapitalization [Abstract]
Schedule of Reverse Recapitalization	The following table provides the historical cost of assets and liabilities of DTOC. as of September 20, 2023. As of September 20, 2023 Cash and Cash Equivalents $ 1,493  Current Liabilities (13,295) Long Term Liabilities (6,791) Total Net Liabilities $ (18,593)

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Variable Interest Entities (Tables)	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Schedule of Variable Interest Entities	The assets of AON Partners, Partners of Maryland, AON Central Services, and MIBA as of June 30, 2024 and December 31, 2023, are as follows: As of June 30, 2024 As of December 31, 2023 Assets Cash and cash equivalents $ 34,046  $ 26,574  Accounts receivable 125,421  129,151  Inventories 54,280  44,569  Prepaid expenses and other current assets 17,894  895  Goodwill 9,850  —  Intangibles, net 2,476  180  Other receivables 47,784  33,809  Other assets 13,887  2,091  Total assets $ 305,638  $ 237,269  The liabilities of AON Partners, Partners of Maryland, AON Central Services, and MIBA as of June 30, 2024 and December 31, 2023, are as follows: As of June 30, 2024 As of December 31, 2023 Liabilities Accounts payable $ 181,180  $ 122,324  Accrued compensation and benefits 28,708  21,380  Accrued other 13,233  16,723  Other long-term liabilities 764  273  Due to AON LLC and subsidiaries, net 118,169  117,194  Total liabilities $ 342,054  $ 277,894

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Business Combinations (Tables)	6 Months Ended
	Jun. 30, 2024
Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed	The following table summarizes the preliminary amounts of the assets acquired and consideration transferred recognized on respective acquisition dates. Central Georgia Hawaii Consideration Cash $ 6,912  $ —  Seller note 6,550  —  Debt assumed —  (4,530) Fair value of consideration transferred 13,462  (4,530) Estimated fair values of identifiable assets acquired and liabilities assumed: Cash $ —  $ 200  Patient accounts receivable —  3,183  Inventories 2,312  159  Prepaid expenses and other current assets —  58  Property and equipment —  223  Other assets —  202  Intangible assets - trade names 1,300  520  Right of use asset - operating 3,159  2,711  Goodwill 9,850  —  Total assets acquired $ 16,621  $ 7,256  Account Payable —  1,453  Accrued compensation related costs —  544  Accrued other —  733  Income taxes payable —  452  Operating lease liability - current portion 189  375  Deferred income taxes —  324  Note payable —  4,530  Operating lease liability - long-term 2,970  2,335  Total liabilities acquired 3,159  10,745  Net assets (liabilities) acquired $ 13,462  $ (3,489) Bargain purchase gain $ —  $ (1,040)

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Marketable Securities (Tables)	6 Months Ended
	Jun. 30, 2024
Investments, Debt and Equity Securities [Abstract]
Debt Securities, Available-for-Sale	The following table summarizes the Company’s marketable securities financial assets that are measured at fair value on a recurring basis and cash equivalents: As of June 30, 2024 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Cash equivalents (1) Level 1: Overnight repurchase agreements (2) $ 31,954  $ -  $ -  $ 31,954  Money market funds 245  -  -  245  Level 1 total $ 32,199  $ —  $ —  $ 32,199  Marketable securities Level 2: Corporate bonds 11,298  129  (4) 11,423  U.S. Treasury securities 9,891  80  (3) 9,968  Level 2 total 21,189  209  (7) 21,391  Total $ 53,388  $ 209  $ (7) $ 53,590  As of December 31, 2023 Amortized Cost Gross Unrealized Gains Gross Unrealized Losses Estimated Fair Value Cash equivalents (1) Level 1: Overnight repurchase agreements (2) $ 28,593  $ -  $ -  $ 28,593  Money market funds 723  -  -  723  Level 1 total 29,316  —  —  29,316  Marketable securities Level 2: Corporate bonds 13,678  191  (9) 13,860  U.S. Treasury securities 21,318  211  —  21,529  Level 2 total 34,996  402  (9) 35,389  Total $ 64,312  $ 402  $ (9) $ 64,705  (1)Included in cash and cash equivalents in the condensed consolidated balance sheets at June 30, 2024 and December 31, 2023. (2)Cash equivalents as of June 30, 2024 included overnight repurchase agreements in which cash from the Company's main operating checking account is invested overnight in highly liquid, short-term investments sponsored by a large financial institution. The fair value of the Company’s marketable securities as of June 30, 2024, by remaining contractual maturities, were as follows: Corporate Bonds U.S. Treasuries Total Due in one year or less $ 6,333  $ 7,352  $ 13,685  Due in one to five years 5,090  2,616  7,706  Total $ 11,423  $ 9,968  $ 21,391

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Supplemental Condensed Balance Sheet Information (Tables)	6 Months Ended
	Jun. 30, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Schedule of Other Receivables	Other receivables consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Rebates receivable $ 44,340  $ 33,708  Other 16,588  566  Total other receivables $ 60,928  $ 34,274
Schedule of Inventory	Inventory consisted of the following purchased finished goods at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Intravenous drugs $ 44,026  $ 32,388  Oral pharmaceuticals 10,254  12,181  Total inventories $ 54,280  $ 44,569
Schedule of Property and Equipment, net	Property and equipment, net consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Leasehold improvements $ 34,520  $ 32,490  Furniture, fixtures and equipment 2,851  2,607  Medical equipment 16,771  15,666  Computer equipment 3,524  3,285  Signs 179  153  Automobiles 101  59  Software 9,674  7,829  Construction-in-progress 3,817  2,985  Property and equipment, gross 71,437  65,074  Accumulated depreciation and amortization (28,927) (24,635) Property and equipment, net $ 42,510  $ 40,439
Schedule of Other Assets	Other Assets Other assets consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Physician deferred compensation $ 9,913  $ -  Insurance recovery receivable 2,830  2,830  Equity investment in OCP Management Arizona, LLC 1,327  1,754  Other 3,935  3,004  Total other assets $ 18,005  $ 7,588
Schedule of Other Accrued Liabilities, Current	Accrued other consisted of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Refund liability $ 10,703  $ 15,078  Warrant liability 434  -  Excise taxes payable 2,700  2,700  Current portion of finance lease liabilities 1,253  1,189  Other 3,112  3,360  Total accrued other $ 18,202  $ 22,327

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Long-term Debt (Tables)	6 Months Ended
	Jun. 30, 2024
Debt Disclosure [Abstract]
Schedule of Long-Term Debt Instruments	Debt consisted of the following at June 30, 2024 and December 31, 2023:  As of June 30, 2024 As of December 31, 2023 PNC Facility $ 81,250  $ 81,250  Notes payable 10,979  —  Total 92,229  81,250  Unamortized debt issuance costs (179) (609) Less current portion (3,809) —  Total debt $ 88,241  $ 80,641

v3.24.2.u1

Leases (Tables)	6 Months Ended
	Jun. 30, 2024
Leases [Abstract]
Lessee, Assets And Liabilities	Right-of-use assets and lease liabilities consist of the following at June 30, 2024 and December 31, 2023: As of June 30, 2024 As of December 31, 2023 Assets Operating lease right-of-use assets, net $ 50,609  $ 43,349  Finance lease right-of-use assets, net (included in property and equipment, net) 5,342  5,794  Total right-of-use assets $ 55,951  $ 49,143  Liabilities Current Current portion of operating lease liabilities $ 7,450  $ 6,692  Current portion of finance lease liabilities (included in accrued other) 1,253  1,189  Long-term 8,703  7,881  Long-term operating lease liabilities 46,167  39,803  Long-term finance lease liabilities (included in other long-term liabilities) 4,009  4,548  Total lease liabilities $ 58,879  $ 52,232
Lease, Cost	The components of lease costs recognized in the condensed consolidated statements of operations and comprehensive (income) loss consist of the following for the three and six month periods ended June 30, 2024 and 2023 and are included in selling, general, and administrative expenses unless otherwise noted: Three months ended June 30, Six Months Ended June 30, 2024 2023 2024 2023 Operating lease costs $ 3,234  $ 2,931  $ 5,970  $ 5,630  Finance lease costs Amortization of finance lease right-of-use assets 289  233  571 233 Interest on finance lease liabilities (included in interest expense) 84  44  170 44 Variable lease costs 655  584  1,241 1,162 Total lease costs $ 4,262  $ 3,792  $ 7,952  $ 7,069  The cash paid for amounts included in the measurement of lease liabilities for the six months ended June 30, 2024 and 2023 is as follows: Six Months Ended June 30, 2024 2023 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 5,961  $ 4,984  Operating cash flows from finance leases 170  44  Financing cash flows from finance leases 593  233  ROU assets obtained in exchange for new operating lease liabilities 5,720  4,885  ROU assets obtained in exchange for new finance lease liabilities 120  1,103
Lessee, Operating Lease, Liability, to be Paid, Maturity	The following table reconciles the undiscounted cash flows expected to be paid in each of the next five years and thereafter recorded in the condensed consolidated balance sheets for operating and finance leases as of June 30, 2024: Operating Leases Finance Leases 2024 (remainder of year after June 30, 2024) $ 4,855  $ 773  2025 11,725  1,523  2026 11,365  1,285  2027 10,073  1,220  2028 7,733  948  Thereafter 23,733  262  Total lease payments 69,484  6,011  Less: amount representing interest (15,867) (749) Present value of lease liabilities 53,617  5,262  Less: current portion of lease liabilities (7,450) (1,253) Long-term lease liabilities, net of current portion $ 46,167  $ 4,009
Finance Lease, Liability, to be Paid, Maturity	The following table reconciles the undiscounted cash flows expected to be paid in each of the next five years and thereafter recorded in the condensed consolidated balance sheets for operating and finance leases as of June 30, 2024: Operating Leases Finance Leases 2024 (remainder of year after June 30, 2024) $ 4,855  $ 773  2025 11,725  1,523  2026 11,365  1,285  2027 10,073  1,220  2028 7,733  948  Thereafter 23,733  262  Total lease payments 69,484  6,011  Less: amount representing interest (15,867) (749) Present value of lease liabilities 53,617  5,262  Less: current portion of lease liabilities (7,450) (1,253) Long-term lease liabilities, net of current portion $ 46,167  $ 4,009

v3.24.2.u1

Related Parties (Tables)	6 Months Ended
	Jun. 30, 2024
Related Party Transactions [Abstract]
Schedule of Related Party Transactions	As of June 30, 2024 As of December 31, 2023 Original Principal Issue Date Maturity Date Notes receivable Note 2* $ 381  $ 656  $ 5,355  5/1/2019 4/30/2024 Note 3 -  17  491  6/1/2019 5/31/2024 Note 8 1,792  2,081  2,816  5/1/2020 5/1/2025 Total notes receivables 2,174  2,754  Less:  Current portion of notes receivable (2,174) (1,604) Notes receivable, less current portion $ -  $ 1,150  *The Company is in the process of extending maturity date for this note.

v3.24.2.u1

Equity-Based Compensation (Tables)	6 Months Ended
	Jun. 30, 2024
Share-Based Payment Arrangement [Abstract]
Schedule of RSU Activity	A summary of the RSU activity during the six month period ending June 30, 2024 is as follows: Six Months Ended June 30, 2024 Restricted Stock Units Weighted Average Grant Date Fair Value Outstanding as of December 31, 2023 —  $ —  Granted 3,789,421  $ 5.72  Vested (2,405,906) $ 5.76  Forfeited/Cancelled (18,714) $ —  Outstanding as of June 30, 2024 1,364,801  $ 5.65

v3.24.2.u1

Equity (Tables)	6 Months Ended
	Jun. 30, 2024
Equity [Abstract]
Schedule of Reverse Recapitalization, Changes in Units	The following table summarizes the changes to AON LLC’s Class A, Class A-1, and Class B Units for the three and six months ended June 30, 2023. in thousands, except for share and per share amounts Three Months Ended June 30, Six Months Ended June 30, 2023 2023 Class A Units, value Beginning of Period $ 7,725  $ 7,725  Issuance of Units —  —  Impact of the Reverse Recapitalization —  —  End of Period $ 7,725  $ 7,725  Class A Units, units Beginning of Period 19,495,376  19,495,376  Issuance of Units —  —  Impact of the Reverse Recapitalization —  —  End of Period 19,495,376  19,495,376  Class A-1 Units, value Beginning of Period $ 28,500  $ 28,500  Issuance of Units —  —  Impact of the Reverse Recapitalization —  —  Impact of Derivative liability on Class A-1 anti-dilution feature 2,540  2,540  End of Period $ 31,040  $ 31,040  Class A-1 Units, units Beginning of Period 1,842,520  1,842,520  Issuance of Units Impact of the Reverse Recapitalization —  —  Distribution 439,176  439,176  End of Period 2,281,696  2,281,696  Class B Units, value Beginning of Period $ 80  $ 80  Equity based compensation —  —  Impact of the Reverse Recapitalization —  End of Period $ 80  $ 80  Class B Units, units Beginning of Period 4,703,628  4,703,628  Units Vested —  —  Impact of the Reverse Recapitalization —  —  End of Period 4,703,628  4,703,628

v3.24.2.u1

Net Income (Loss) Per Share (Tables)	6 Months Ended
	Jun. 30, 2024
Earnings Per Share [Abstract]
Schedule of Earnings Per Unit	Net loss for diluted loss per share is adjusted for the Company’s share of AON LLC’s consolidated net loss, net of AON Inc. taxes, after giving effect to Class B Common Stock and Class B Prefunded Warrants that are exchanged into potential shares of Class A Common Stock, Public and Private Warrants that are liability classified, and Series A Preferred Stock that accrue dividends, to the extent it is dilutive. Three Months Ended June 30, Six Months Ended June 30, 2024 2024 Net income (loss) attributable to AON Inc. $ 3,620,639  $ (4,220,410) Less: Series A Preferred Cumulative Dividends (1,375,293) (2,735,473) Less: Undistributed net income to participating securities (855,688) —  Net income (loss) attributable to Class A Common Stockholders $ 1,389,658  $ (6,955,883) Less: Reallocation of net income (loss) attributable to Class A Common Stockholders as a result of the impact and conversion of dilutive securities (5,555,951) (23,574,645) Net income (loss) attributable to Class A Common Stockholders for diluted earnings per share $ (4,166,293) $ (30,530,528) Weighted-average shares for basic earnings per share 11,377,407  9,457,518  Effect of dilutive securities: Series A Preferred Stock —  —  Class B Common Stock 22,711,953  23,972,678  Class B Prefunded warrants 3,000,245  3,000,245  Restricted Stock Units —  —  Weighted-average shares for diluted earnings per share 37,089,605  36,430,441  Basic income (loss) per share of Class A Common Stock $ 0.12  $ (0.74) Dilutive income (loss) per share of Class A Common Stock $ (0.11) $ (0.84) The following table details the securities that have been excluded from the calculation of weighted-average shares for diluted loss per share for the periods presented as they were anti-dilutive. Note that the Sponsor Earnouts are excluded from the calculation of weighted-average shares for diluted loss per share as the contingency had not been met as of the period end. Three Months Ended June 30, Six Months Ended June 30, 2024 2024 Series A Preferred Stock 7,074,449  7,074,449  Class B Common Stock —  —  Class B Prefunded Warrants —  —  Public and Private Warrants 14,450,833  14,450,833  Restricted Stock Units 1,364,801  1,364,801

v3.24.2.u1

Redeemable Noncontrolling Interest (Tables)	6 Months Ended
	Jun. 30, 2024
Noncontrolling Interest [Abstract]
Schedule of Reverse Recapitalization, Ownership Summary	The following table summarizes the economic ownership of AON LLC, for the period beginning December 31, 2023 and ending June 30, 2024.  Period beginning December 31, 2023 and ending June 30, 2024 AON LLC Units AON Inc. Legacy AON Shareholders Total Beginning of Period 13,330,051  28,109,796  41,439,847  Issuances 2,405,906  —  2,405,906  Repurchases (126,728) —  (126,728) Redemptions 4,538,228  (4,538,228) —  Total Units Issued 20,147,457  23,571,568  43,719,025  End of Period 20,147,457  23,571,568  43,719,025  Allocation of income to controlling and noncontrolling interests 37.4  % 62.6  % 100  % Allocation of losses to controlling and noncontrolling interests (1) 25.9  % 74.1  % 100  % (1) As discussed in Note 13, Series A Preferred Stock are considered participating securities for basic and diluted loss per share, but do not participate in losses. As a result, the consolidated net loss of AON LLC, during the period of January 1, 2024 through June 30, 2024, were allocated to the NCI to reflect the absorption of the Legacy AON Shareholders to a portion of the consolidated net loss of AON LLC. Net losses were not attributed to Series A Preferred Stock.

v3.24.2.u1

Business (Details) $ / shares in Units, $ in Millions		3 Months Ended		6 Months Ended
	Sep. 20, 2023 $ / shares shares	Jun. 30, 2024 USD ($) state practice $ / shares shares	Jun. 30, 2023 USD ($)	Jun. 30, 2024 USD ($) state practice $ / shares shares	Jun. 30, 2023 USD ($)	Dec. 31, 2023 shares
Business Acquisition [Line Items]
Number of oncology practices | practice		35		35
Number of states in which entity operates | state		20		20
Reverse recapitalization, equity conversion ratio		1		1
Number of securities called by each warrant (in shares)		1		1
Sponsor Earnout Shares
Business Acquisition [Line Items]
Earnout period (in years)	5 years
Percentage of stock subject to vesting (in percent)	0.35
Number of shares subject to vesting (in shares)	2,839,375
Stock price trigger (in usd per share) | $ / shares	$ 13.50
Earnout period, trading days (in days)	20 days
Earnout period, threshold trading day period (in days)	30 days
Earnout period, number of months after closing (in months)	60 months
AON LLC
Business Acquisition [Line Items]
Reverse recapitalization costs | $		$ 0.7	$ 3.3	$ 1.0	$ 5.3
New AON (AON Inc.)
Business Acquisition [Line Items]
Reverse recapitalization costs | $		$ 0.7	$ 3.3	$ 1.0	$ 5.3
Class B Common Stock
Business Acquisition [Line Items]
Common stock, shares outstanding (in shares)		20,571,323		20,571,323		25,109,551
Class A Common Stock
Business Acquisition [Line Items]
Shares issued (in shares)	1,047,343
Common stock, shares outstanding (in shares)		13,495,847		13,495,847		9,517,816
Series A Preferred Stock
Business Acquisition [Line Items]
Stock price (in dollars per share) | $ / shares		$ 10.00		$ 10.00
AON LLC
Business Acquisition [Line Items]
Reverse recapitalization, equity conversion ratio	1
AON LLC | Class B Prefunded Warrants
Business Acquisition [Line Items]
Class of warrant outstanding (in shares)	3,000,245
AON LLC | Class B Common Stock
Business Acquisition [Line Items]
Stock price (in dollars per share) | $ / shares	$ 0.01
AON LLC | Class B Common Stock | Class B Prefunded Warrants
Business Acquisition [Line Items]
Number of securities called by each warrant (in shares)	1
AON LLC | Class A Common Stock
Business Acquisition [Line Items]
Common stock, shares outstanding (in shares)	1,047,343
Digital Transformation Opportunities Corp. (“DTOC”) | Class B Common Stock
Business Acquisition [Line Items]
Reverse recapitalization, equity conversion ratio	1
Legacy AON Shareholders | Class B Prefunded Warrants
Business Acquisition [Line Items]
Class of warrant outstanding (in shares)	3,000,245
Legacy AON Shareholders | AON LLC
Business Acquisition [Line Items]
Common unit, units outstanding (in units)	28,109,796
Legacy AON Shareholders | Class B Common Stock
Business Acquisition [Line Items]
Common stock, shares outstanding (in shares)	25,109,551
New AON (AON Inc.) | AON LLC
Business Acquisition [Line Items]
Common unit, units outstanding (in units)	9,532,354
New AON (AON Inc.) | AON LLC | Series A Preferred Stock
Business Acquisition [Line Items]
Preferred units, outstanding (in units)	6,651,610
DTOC Unredeemed Shareholders | Class A Common Stock
Business Acquisition [Line Items]
Common stock, shares outstanding (in shares)	147,511
DTOC Sponsor | Public Warrant
Business Acquisition [Line Items]
Class of warrant outstanding (in shares)	8,337,500
Warrant, exercise period, after initial public offering	12 months
Warrant, exercise period, after business combination	30 days
Warrant, term (in years)	5 years
DTOC Sponsor | Private Placement Warrants
Business Acquisition [Line Items]
Class of warrant outstanding (in shares)	6,113,333
DTOC Sponsor | Class A Common Stock
Business Acquisition [Line Items]
Common stock, shares outstanding (in shares)	5,498,125
Earnout shares not outstanding (in shares)	2,839,375
Stock price (in dollars per share) | $ / shares	$ 11.50
DTOC Sponsor | Class A Common Stock | Public Warrant
Business Acquisition [Line Items]
Number of securities called by each warrant (in shares)	1
AEA Growth Management LP | Series A Preferred Stock
Business Acquisition [Line Items]
Shares issued (in shares)	6,651,610
Common stock, shares outstanding (in shares)	6,651,610

v3.24.2.u1

Basis of Presentation and Significant Accounting Policies (Details)	1 Months Ended		3 Months Ended		6 Months Ended		12 Months Ended	18 Months Ended
	May 31, 2023 USD ($)	Jan. 31, 2023 USD ($)	Jun. 30, 2024 USD ($) $ / shares shares	Jun. 30, 2023 USD ($) $ / shares	Jun. 30, 2024 USD ($) segment reporting_unit $ / shares shares	Jun. 30, 2023 USD ($) $ / shares	Dec. 31, 2023 USD ($) shares	Jun. 30, 2024 USD ($) shares	Sep. 20, 2023
Description Of Business And Significant Accounting Policies [Line Items]
Recapitalization exchange ratio, units | shares			2,524,000		2,524,000			2,524,000
Net income (loss) attributable to common shareholders			$ 3,600,000		$ (4,200,000)
Net loss attributable to redeemable noncontrolling interest			6,412,000		23,575,000
Net loss and noncontrolling interest attributable to Legacy AON Stockholders prior to the reverse recapitalization			0	$ 10,107,000	$ 0	$ 11,591,000
Number of operating segments | segment					1
Number of reportable segments | segment					1
Revenue, performance obligation, amount			0	0	$ 0	0
Revenue			$ 433,982,000	$ 314,967,000	798,321,000	618,698,000
Offering costs					$ 0	$ 750,000
Shares repurchased (in shares) | shares			16,441		91,573		14,729	122,743
Cost of shares repurchased (less than)			$ 400,000		$ 400,000		$ 100,000
Number of reporting units | reporting_unit					1
Fair value of warrants			$ 434,000		$ 434,000		$ 0	$ 434,000
Number of securities called by each warrant (in shares) | shares			1		1			1
Reverse recapitalization, equity conversion ratio			1		1			1
Earnings (loss) per unit, basic (in usd per share) | $ / shares			$ 120	$ 0	$ (740)	$ 0
Earnings (loss) per unit, diluted (in usd per share) | $ / shares			$ (110)	$ 0	$ (840)	$ 0
Accrued dividend rate (in percent)					8.00%
Trade Names
Description Of Business And Significant Accounting Policies [Line Items]
Finite-lived intangible asset, useful life (in years)			10 years		10 years			10 years
Participating Threshold, 1
Description Of Business And Significant Accounting Policies [Line Items]
Recapitalization exchange ratio, units | shares			2,524,000		2,524,000			2,524,000
Participating Threshold, 2
Description Of Business And Significant Accounting Policies [Line Items]
Recapitalization exchange ratio, units | shares			2,453,000		2,453,000			2,453,000
Participating Threshold, 3
Description Of Business And Significant Accounting Policies [Line Items]
Recapitalization exchange ratio, units | shares			1,976,000		1,976,000			1,976,000
AON LLC
Description Of Business And Significant Accounting Policies [Line Items]
Reverse recapitalization, equity conversion ratio									1
AON LLC | Series A Preferred Stock
Description Of Business And Significant Accounting Policies [Line Items]
Recapitalization exchange ratio, units | shares			2,705,000		2,705,000			2,705,000
Preferred Class A
Description Of Business And Significant Accounting Policies [Line Items]
Offering costs					$ 800,000
Accrued dividend rate (in percent)					8.00%
Public Warrant
Description Of Business And Significant Accounting Policies [Line Items]
Fair value of warrants			$ 300,000		$ 300,000			$ 300,000
Private Placement Warrants
Description Of Business And Significant Accounting Policies [Line Items]
Fair value of warrants			$ 200,000		$ 200,000			$ 200,000
Private Placement Warrants | Measurement Input, Expected Dividend Rate
Description Of Business And Significant Accounting Policies [Line Items]
Warrants, measurement input			0.000		0.000			0.000
Private Placement Warrants | Measurement Input, Price Volatility
Description Of Business And Significant Accounting Policies [Line Items]
Warrants, measurement input			0.5500		0.5500			0.5500
Private Placement Warrants | Measurement Input, Risk Free Interest Rate
Description Of Business And Significant Accounting Policies [Line Items]
Warrants, measurement input			0.0439		0.0439			0.0439
Private Placement Warrants | Measurement Input, Expected Term
Description Of Business And Significant Accounting Policies [Line Items]
Warrants, measurement input			5		5			5
Professional Malpractice Liability Insurance
Description Of Business And Significant Accounting Policies [Line Items]
Malpractice insurance, coverage per claim					$ 1,000,000.0
Malpractice insurance, limit per policy period					3,000,000.0
Directors and Officers Liability Insurance
Description Of Business And Significant Accounting Policies [Line Items]
Malpractice insurance, coverage per claim					2,000,000.0
Malpractice insurance, limit per policy period					4,000,000.0
OCP Management Arizona, LLP
Description Of Business And Significant Accounting Policies [Line Items]
Noncash consideration of equity method investment		$ 2,300,000
Equity method investment (in percent)		49.00%
Patient Visits
Description Of Business And Significant Accounting Policies [Line Items]
Revenue			$ 229,500,000	$ 227,000,000.0	545,600,000	$ 444,800,000
Clinical Trials
Description Of Business And Significant Accounting Policies [Line Items]
Revenue			$ 0	1,500,000	$ 500,000	$ 1,500,000
MIBA
Description Of Business And Significant Accounting Policies [Line Items]
Allocation of income to controlling and noncontrolling interests (in percent)	56.00%
Payments to acquire interest in subsidiary	$ 200,000			$ 200,000
AON LLC | AON Inc.
Description Of Business And Significant Accounting Policies [Line Items]
Allocation of income to controlling and noncontrolling interests (in percent)			30.70%		25.90%
AON LLC | Legacy AON Shareholders
Description Of Business And Significant Accounting Policies [Line Items]
Allocation of income to controlling and noncontrolling interests (in percent)			69.30%	100.00%	74.10%	100.00%

v3.24.2.u1

Reverse Recapitalization - Narrative (Details) $ in Thousands			3 Months Ended		6 Months Ended
	Sep. 30, 2023 USD ($)	Sep. 20, 2023 USD ($)	Jun. 30, 2024 USD ($) person	Jun. 30, 2023 USD ($)	Jun. 30, 2024 USD ($) person	Jun. 30, 2023 USD ($)
Restructuring Cost and Reserve [Line Items]
Gain (loss) on reverse recapitalization					$ 18,200
Transaction expenses		$ 13,000	$ 664	$ 3,312	$ 1,016	$ 5,282
Public and Private Warrants
Restructuring Cost and Reserve [Line Items]
Gain (loss) on issuance of warrants	$ 5,200
Fair value adjustment of warrants	$ 4,300
AON Inc.
Restructuring Cost and Reserve [Line Items]
Number of board of managers designated by company | person			3		3
AON Common Unit
Restructuring Cost and Reserve [Line Items]
Number of board of managers designated by majority common unit holders | person			2		2

v3.24.2.u1

Reverse Recapitalization - Schedule of Historical Cost (Details) $ in Thousands	Sep. 20, 2023 USD ($)
Reverse Recapitalization [Abstract]
Cash and cash equivalents	$ 1,493
Current Liabilities	(13,295)
Long Term Liabilities	(6,791)
Total Net Liabilities	$ (18,593)

v3.24.2.u1

Variable Interest Entities - Narrative (Details) - USD ($) $ in Millions	1 Months Ended	3 Months Ended	6 Months Ended
	May 31, 2023	Jun. 30, 2023	Jun. 30, 2024
AON Central
Variable Interest Entity [Line Items]
Ownership interest			20.00%
MIBA
Variable Interest Entity [Line Items]
Payments to acquire interest in subsidiary	$ 0.2	$ 0.2
Allocation of income to controlling and noncontrolling interests	56.00%
MIBA | Variable Interest Entity, Primary Beneficiary
Variable Interest Entity [Line Items]
Allocation of income to controlling and noncontrolling interests		56.00%
Physician Owned | AON Central
Variable Interest Entity [Line Items]
Ownership interest			80.00%

v3.24.2.u1

Variable Interest Entities - Schedule of Assets and Liabilities (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Assets
Cash and cash equivalents	$ 33,818	$ 28,539
Inventories	54,280	44,569
Goodwill	10,900	1,230
Intangibles, net	2,476	0
Other assets	18,005	7,588
Total assets	430,762	374,453
Liabilities
Other long-term liabilities	10,948	14,251
Total liabilities	376,911	303,740
Variable Interest Entity, Primary Beneficiary
Assets
Cash and cash equivalents	34,046	26,574
Accounts receivable	125,421	129,151
Inventories	54,280	44,569
Prepaid expenses and other current assets	17,894	895
Goodwill	9,850	0
Intangibles, net	2,476	180
Other receivables	47,784	33,809
Other assets	13,887	2,091
Total assets	305,638	237,269
Liabilities
Accounts payable	181,180	122,324
Accrued compensation and benefits	28,708	21,380
Accrued other	13,233	16,723
Other long-term liabilities	764	273
Due to AON LLC and subsidiaries, net	118,169	117,194
Total liabilities	$ 342,054	$ 277,894

v3.24.2.u1

Business Combinations - Narrative (Details) $ in Thousands		6 Months Ended
	Apr. 01, 2024 USD ($)	Jun. 30, 2024 business
Business Acquisition [Line Items]
Number of businesses acquired | business		2
Central Georgia
Business Acquisition [Line Items]
Employment agreement period	5 years
Fair value of consideration transferred	$ 13,462
Business combination, consideration transferred (liabilities assumed)	13,462
Bargain purchase gain	0
Central Georgia | Trade Names
Business Acquisition [Line Items]
Intangible assets - trade names	$ 1,300
Weighted average useful life	10 years
Hawaii
Business Acquisition [Line Items]
Business combination, consideration transferred (liabilities assumed)	$ (4,530)
Percentage of business acquired		100.00%
Bargain purchase gain	1,040
Hawaii | Trade Names
Business Acquisition [Line Items]
Intangible assets - trade names	$ 520
Weighted average useful life	10 years

v3.24.2.u1

Business Combinations - Summary of Fair Value of Assets Acquired and Liabilities Assumed as Part of the Acquisition (Details) - USD ($) $ in Thousands	Apr. 01, 2024	Jun. 30, 2024	Dec. 31, 2023
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract]
Goodwill		$ 10,900	$ 1,230
Central Georgia
Business Acquisition [Line Items]
Cash	$ 6,912
Seller note	6,550
Debt assumed	0
Fair value of consideration transferred	13,462
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract]
Cash	0
Patient accounts receivable	0
Inventories	2,312
Prepaid expenses and other current assets	0
Property and equipment	0
Other assets	0
Right of use asset - operating	3,159
Goodwill	9,850
Total assets acquired	16,621
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities [Abstract]
Account Payable	0
Accrued compensation related costs	0
Accrued other	0
Income taxes payable	0
Operating lease liability - current portion	189
Deferred income taxes	0
Note payable	0
Operating lease liability - long-term	2,970
Total liabilities acquired	3,159
Net assets (liabilities) acquired	13,462
Bargain purchase gain	0
Central Georgia | Trade Names
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract]
Intangible assets - trade names	1,300
Hawaii
Business Acquisition [Line Items]
Cash	0
Seller note	0
Debt assumed	(4,530)
Fair value of consideration transferred	(4,530)
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract]
Cash	200
Patient accounts receivable	3,183
Inventories	159
Prepaid expenses and other current assets	58
Property and equipment	223
Other assets	202
Right of use asset - operating	2,711
Goodwill	0
Total assets acquired	7,256
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities [Abstract]
Account Payable	1,453
Accrued compensation related costs	544
Accrued other	733
Income taxes payable	452
Operating lease liability - current portion	375
Deferred income taxes	324
Note payable	4,530
Operating lease liability - long-term	2,335
Total liabilities acquired	10,745
Net assets (liabilities) acquired	(3,489)
Bargain purchase gain	(1,040)
Hawaii | Trade Names
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract]
Intangible assets - trade names	$ 520

v3.24.2.u1

Business Combinations - Schedule of Business Acquisition, Pro forma Information (Details) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract]
Revenue	$ 343,558	$ 826,912	$ 675,881

v3.24.2.u1

Marketable Securities - Schedule of Marketable Securities Measured at Fair Value (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	$ 33,818	$ 28,539
Gross Unrealized Gains	209	402
Gross Unrealized Losses	(7)	(9)
Estimated Fair Value	21,391	35,389
Cash and cash equivalents and available-for-sale securities, amortized cost	53,388	64,312
Cash and cash equivalents and marketable securities, aggregate fair value	53,590	64,705
Level 1
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	32,199	29,316
Cash and cash equivalents, estimated fair value	32,199	29,316
Level 1 | Overnight repurchase agreements
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	31,954	28,593
Cash and cash equivalents, estimated fair value	31,954	28,593
Level 1 | Money market funds
Debt Securities, Available-for-Sale [Line Items]
Cash and cash equivalents	245	723
Cash and cash equivalents, estimated fair value	245	723
Level 2
Debt Securities, Available-for-Sale [Line Items]
Amortized Cost	21,189	34,996
Gross Unrealized Gains	209	402
Gross Unrealized Losses	(7)	(9)
Estimated Fair Value	21,391	35,389
Level 2 | Corporate bonds
Debt Securities, Available-for-Sale [Line Items]
Amortized Cost	11,298	13,678
Gross Unrealized Gains	129	191
Gross Unrealized Losses	(4)	(9)
Estimated Fair Value	11,423	13,860
Level 2 | U.S. Treasury securities
Debt Securities, Available-for-Sale [Line Items]
Amortized Cost	9,891	21,318
Gross Unrealized Gains	80	211
Gross Unrealized Losses	(3)	0
Estimated Fair Value	$ 9,968	$ 21,529

v3.24.2.u1

Marketable Securities - Remaining Contractual Maturities (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Total	$ 21,391	$ 35,389
Level 2
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Due in one year or less	13,685
Due in one to five years	7,706
Total	21,391	35,389
Corporate bonds | Level 2
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Due in one year or less	6,333
Due in one to five years	5,090
Total	11,423	13,860
U.S. Treasury securities | Level 2
Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract]
Due in one year or less	7,352
Due in one to five years	2,616
Total	$ 9,968	$ 21,529

v3.24.2.u1

Supplemental Condensed Balance Sheet Information - Schedule of Other Receivables (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Rebates receivable	$ 44,340	$ 33,708
Other	16,588	566
Other receivables	$ 60,928	$ 34,274

v3.24.2.u1

Supplemental Condensed Balance Sheet Information - Schedule of Inventory (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Inventory [Line Items]
Inventories	$ 54,280	$ 44,569
Intravenous drugs
Inventory [Line Items]
Inventories	44,026	32,388
Oral pharmaceuticals
Inventory [Line Items]
Inventories	$ 10,254	$ 12,181

v3.24.2.u1

Supplemental Condensed Balance Sheet Information - Schedule of Property and Equipment, net (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 71,437	$ 65,074
Accumulated depreciation and amortization	(28,927)	(24,635)
Property and equipment, net	42,510	40,439
Leasehold improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	34,520	32,490
Furniture, fixtures and equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	2,851	2,607
Medical equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	16,771	15,666
Computer equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	3,524	3,285
Signs
Property, Plant and Equipment [Line Items]
Property and equipment, gross	179	153
Automobiles
Property, Plant and Equipment [Line Items]
Property and equipment, gross	101	59
Software
Property, Plant and Equipment [Line Items]
Property and equipment, gross	9,674	7,829
Construction-in-progress
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 3,817	$ 2,985

v3.24.2.u1

Supplemental Condensed Balance Sheet Information - Schedule of Other Assets (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Physician deferred compensation	$ 9,913	$ 0
Insurance recovery receivable	2,830	2,830
Equity investment in OCP Management Arizona, LLC	1,327	1,754
Other	3,935	3,004
Total other assets	$ 18,005	$ 7,588

v3.24.2.u1

Supplemental Condensed Balance Sheet Information - Schedule of Accrued Other (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Refund liability	$ 10,703	$ 15,078
Warrant liability	434	0
Excise taxes payable	2,700	2,700
Less: current portion of lease liabilities	1,253	1,189
Other	3,112	3,360
Accrued other	$ 18,202	$ 22,327
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]	Accrued other	Accrued other

v3.24.2.u1

Long-term Debt - Schedule of Long-term Debt (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
Total	$ 92,229	$ 81,250
Unamortized debt issuance costs	(179)	(609)
Less current portion	(3,809)	0
Total debt	88,241	80,641
Notes payable
Debt Instrument [Line Items]
Total	10,979	0
PNC Loan Facility | Line of Credit
Debt Instrument [Line Items]
Total	$ 81,250	$ 81,250

v3.24.2.u1

Long-term Debt - Narrative (Details)				1 Months Ended	6 Months Ended	12 Months Ended
	Apr. 01, 2024 USD ($) installment	Feb. 14, 2022 USD ($)	Apr. 30, 2021 USD ($)	Jun. 30, 2023 USD ($)	Jun. 30, 2024 USD ($)	Dec. 31, 2023 USD ($)	Aug. 15, 2022 USD ($)	Jul. 29, 2021 USD ($)
Debt Instrument [Line Items]
Current portion of long-term debt					$ 3,809,000	$ 0
Long-term debt, net					88,241,000	80,641,000
PNC Loan Facility | Line of Credit
Debt Instrument [Line Items]
Proceeds from facility			$ 34,600,000
Maximum borrowing capacity		$ 125,000,000.0	65,000,000.0					$ 75,000,000.0
Pledged collateral			10,000,000.0
Quarterly collateral released			$ 2,500,000
Proceeds from lines of credit		16,300,000
Unamortized debt issuance costs				$ 400,000
PNC Loan Facility | Line of Credit | Debt Instrument, Threshold Limit, Period One
Debt Instrument [Line Items]
Minimum funding threshold (in percent)			0.65	0.65
PNC Loan Facility | Line of Credit | Debt Instrument, Threshold Limit, Period Two
Debt Instrument [Line Items]
Minimum funding threshold (in percent)			0.75
PNC Loan Facility | Line of Credit | Alternate Base Rate
Debt Instrument [Line Items]
Basis spread (in percent)			1.45%
PNC Line of Credit | Revolving Credit Facility | Line of Credit
Debt Instrument [Line Items]
Maximum borrowing capacity		$ 10,000,000.0	$ 5,000,000.0				$ 1,000,000.0
Bank fee (in percent)			1.65%
Proceeds from lines of credit					0	$ 0
Unused line fee (in percent)			0.20%
PNC Line of Credit | Revolving Credit Facility | Line of Credit | Alternate Base Rate
Debt Instrument [Line Items]
Basis spread (in percent)			0.65%
PNC Line of Credit | Revolving Credit Facility | Line of Credit | London Interbank Offered Rate (LIBOR) 1
Debt Instrument [Line Items]
Basis spread (in percent)			1.65%
PNC Line of Credit | Revolving Credit Facility | Line of Credit | Bloomberg Short-Term Bank Yield Index
Debt Instrument [Line Items]
Basis spread (in percent)		1.65%
HCC Acquisition Note Payable | Notes payable
Debt Instrument [Line Items]
Face value of debt	$ 4,700,000
Long-term debt, fair value	4,500,000
Repayment of debt	$ 1,000,000
Number of installments | installment	18
Installment amount	$ 200,000
Current portion of long-term debt					2,500,000
Long-term debt, net					600,000
CGCC Shareholders Note Payable | Notes payable
Debt Instrument [Line Items]
Face value of debt	6,400,000
Long-term debt, fair value	$ 6,500,000
Number of installments | installment	60
Installment amount	$ 100,000
Current portion of long-term debt					1,300,000
Long-term debt, net					$ 5,100,000

v3.24.2.u1

Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Income Tax Disclosure [Abstract]
Effective income tax rate (in percent)	9.90%	0.00%	(10.10%)	0.00%
Income tax expense (benefit)	$ (324)	$ 0	$ 2,570	$ 0

v3.24.2.u1

Leases - Right-of-use Assets And Lease Liabilities (Details) - USD ($) $ in Thousands		Jun. 30, 2024	Dec. 31, 2023
Assets
Operating lease right-of-use assets, net	[1]	$ 50,609	$ 43,349
Finance lease right-of-use assets, net (included in property and equipment, net)		5,342	5,794
Total right-of-use assets		55,951	49,143
Current
Current portion of operating lease liabilities	[2]	7,450	6,692
Current portion of finance lease liabilities (included in accrued other)		1,253	1,189
Long-term		8,703	7,881
Lease Liability, Noncurrent
Long-term operating lease liabilities	[3]	46,167	39,803
Long-term finance lease liabilities (included in other long-term liabilities)		4,009	4,548
Total lease liabilities		$ 58,879	$ 52,232
[1] Includes related party operating right-of-use assets, net of $15,605 and $10,931 at June 30, 2024 and December 31, 2023, respectively [2] Includes related party current portion of operating lease liabilities of $3,524 and $1,888 at June 30, 2024 and December 31, 2023, respectively [3] Includes related party long-term operating lease liabilities of $10,712 and $9,472 at June 30, 2024 and December 31, 2023, respectively

v3.24.2.u1

Leases - Lease Costs (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Leases [Abstract]
Operating lease costs	$ 3,234	$ 2,931	$ 5,970	$ 5,630
Amortization of finance lease right-of-use assets	289	233	571	233
Interest on finance lease liabilities (included in interest expense)	84	44	170	44
Variable lease costs	655	584	1,241	1,162
Total lease costs	$ 4,262	$ 3,792	$ 7,952	$ 7,069

v3.24.2.u1

Leases - Maturities of Operating and Financing Lease Liabilities (Details) - USD ($) $ in Thousands		Jun. 30, 2024	Dec. 31, 2023
Operating Leases
2024 (remainder of year after June 30, 2024)		$ 4,855
2025		11,725
2026		11,365
2027		10,073
2028		7,733
Thereafter		23,733
Total lease payments		69,484
Less: amount representing interest		(15,867)
Present value of lease liabilities		53,617
Less: current portion of lease liabilities	[1]	(7,450)	$ (6,692)
Long-term lease liabilities, net of current portion	[2]	46,167	39,803
Finance Leases
2024 (remainder of year after June 30, 2024)		773
2025		1,523
2026		1,285
2027		1,220
2028		948
Thereafter		262
Total lease payments		6,011
Less: amount representing interest		(749)
Present value of lease liabilities		5,262
Less: current portion of lease liabilities		(1,253)	(1,189)
Long-term lease liabilities, net of current portion		$ 4,009	$ 4,548
[1] Includes related party current portion of operating lease liabilities of $3,524 and $1,888 at June 30, 2024 and December 31, 2023, respectively [2] Includes related party long-term operating lease liabilities of $10,712 and $9,472 at June 30, 2024 and December 31, 2023, respectively

v3.24.2.u1

Leases - Narrative (Details)	Jun. 30, 2024	Dec. 31, 2023
Leases [Abstract]
Weighted-average remaining lease term for operating leases (in years)	6 years 9 months 29 days	6 years 11 months 4 days
Weighted-average remaining lease term for finance leases (in years)	4 years 3 months 21 days	4 years 9 months 3 days
Weighted-average discount rate for operating leases (in percent)	6.81%	6.64%
Weighted-average discount rate for finance leases (in percent)	6.36%	6.30%

v3.24.2.u1

Leases - Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$ 5,961	$ 4,984
Operating cash flows from finance leases	170	44
Repayments on finance lease liabilities	593	233
ROU assets obtained in exchange for new lease liabilities
ROU assets obtained in exchange for new operating lease liabilities	5,720	4,885
ROU assets obtained in exchange for new finance lease liabilities	$ 120	$ 1,103

v3.24.2.u1

Related Parties - Narrative (Details) $ in Thousands		3 Months Ended		6 Months Ended		12 Months Ended
		Jun. 30, 2024 USD ($) practice	Jun. 30, 2023 USD ($) practice	Jun. 30, 2024 USD ($) practice	Jun. 30, 2023 USD ($) practice	Dec. 31, 2023 USD ($)
Related Party Transaction [Line Items]
Notes receivable, amortization period (in months)				60 months
Incremental borrowing rate		7.13%		7.13%		7.18%
Number of offices with operating lease | practice		12	10	12	10
Payments for operating leases				$ 5,961	$ 4,984
Cost of revenue	[1]	$ 404,589	$ 291,399	759,537	569,933
Related Party
Related Party Transaction [Line Items]
Payments for operating leases		700	1,300	700	1,300
Cost of revenue		364,664	253,083	675,541	500,569
Related Party | Subsidiary Under Common Control of Class A-1
Related Party Transaction [Line Items]
Cost of revenue		374,000	$ 262,800	685,700	$ 506,000
Accounts payable		$ 178,000		$ 178,000		$ 120,900
Related Party | Cost of Goods and Service Benchmark | Supplier Concentration Risk | Subsidiary Under Common Control of Class A-1
Related Party Transaction [Line Items]
Concentration risk (in percentage)		92.00%	90.00%	90.00%	89.00%
Related Party | Accounts Payable | Supplier Concentration Risk | Subsidiary Under Common Control of Class A-1
Related Party Transaction [Line Items]
Concentration risk (in percentage)				94.00%		94.00%
[1] Includes related party inventory expense of $364,664 and $253,083 and $675,541 and $500,569 for the three and six months ended June 30, 2024 and 2023, respectively.

v3.24.2.u1

Related Parties - Notes Receivable (Details) - USD ($) $ in Thousands	Jun. 30, 2024	Dec. 31, 2023	May 01, 2020	Jun. 01, 2019	May 01, 2019
Related Party Transaction [Line Items]
Total notes receivables	$ 2,174	$ 2,754
Less:  Current portion of notes receivable	(2,174)	(1,604)
Notes receivable - related parties	0	1,150
Note 2*
Related Party Transaction [Line Items]
Total notes receivables	381	656
Original Principal					$ 5,355
Note 3
Related Party Transaction [Line Items]
Total notes receivables	0	17
Original Principal				$ 491
Note 8
Related Party Transaction [Line Items]
Total notes receivables	$ 1,792	$ 2,081
Original Principal			$ 2,816

v3.24.2.u1

Equity-Based Compensation - Narrative (Details) $ in Millions	3 Months Ended	6 Months Ended
	Jun. 30, 2024 USD ($) shares	Jun. 30, 2024 USD ($) shares
Employee Stock | 2023 Incentive Equity Plan
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares authorized (in shares)	5,300,000	5,300,000
Percentage of outstanding stock maximum (in percent)		5.00%
Number of shares available for grant (in shares)	2,014,432	2,014,432
Restricted Stock
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Granted (in shares)		3,789,421
Stock compensation expense | $	$ 1.3	$ 14.6
Unrecognized compensation expense | $	$ 7.0	$ 7.0
Cost not yet recognized, period for recognition (in years)		1 year 5 months 19 days
Shares awarded upon vesting of RSUs (in shares)		1
Minimum | Restricted Stock
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Vesting period (in years)		1 year
Maximum | Restricted Stock
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Vesting period (in years)		2 years

v3.24.2.u1

Equity-Based Compensation - Summary of RSU Activity (Details) - Restricted Stock	6 Months Ended
	Jun. 30, 2024 $ / shares shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Non-Option Equity Instruments, Outstanding [Roll Forward]
Outstanding, beginning period (in shares) | shares	0
Granted (in shares) | shares	3,789,421
Vested (in shares) | shares	(2,405,906)
Forfeited/Cancelled (in shares) | shares	(18,714)
Outstanding, ending period (in shares) | shares	1,364,801
Weighted Average Grant Date Fair Value
Beginning Balance (usd per share) | $ / shares	$ 0
Granted (usd per share) | $ / shares	5.72
Vested (usd per share) | $ / shares	5.76
Forfeited/Cancelled (usd per share) | $ / shares	0
Ending Balance (usd per share) | $ / shares	$ 5.65

v3.24.2.u1

Equity - Narrative (Details) - USD ($) $ / shares in Units, $ in Millions				2 Months Ended	6 Months Ended	12 Months Ended
	Sep. 20, 2023	Jun. 07, 2023	Mar. 04, 2020	Jul. 31, 2023	Jun. 30, 2024	Dec. 31, 2022	Jun. 30, 2023	Mar. 31, 2023
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Invested capital contributions					$ 65.0
Accrued dividend rate (in percent)					8.00%
Stockholders' equity, conversion period (in years)					5 years
Common Class A
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common unit, units outstanding (in units)						19,495,376,000	19,495,376,000	19,495,376,000
Accrued dividend rate (in percent)			8.00%
Payments of dividends		$ 4.0
Common Class A-1
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common unit, units outstanding (in units)						1,842,520,000	2,281,696,000	1,842,520,000
Accrued dividend rate (in percent)			4.00%
Payments of dividends		$ 4.1
Class B Common Stock
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common unit, units outstanding (in units)						4,703,628,000	4,703,628,000	4,703,628,000
Class B-1
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Grants in period (in units)				415
Class C
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Temporary equity, redeemable period					5 years
Option to purchase additional units (in shares)		378
Purchase price of additional units (in dollars per share)		$ 26,423
Anti-dilution feature at fair value							$ 1.4
AON Inc.
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Stockholders' equity, conversion, threshold volume weighted average price period					30 days
Stockholders' equity, conversion, threshold stock price (in dollars per share) (less than) (greater than)					$ 16.00
AON LLC | Common Class A
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common unit authorized (in units)						19,495,376
Issuance of units (in units)						19,495,376
Common unit, units outstanding (in units)						19,495,376
AON LLC | Common Class A-1
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Common unit authorized (in units)						3,000,245
Issuance of units (in units)						1,842,520
Common unit, units outstanding (in units)						1,842,520
AON LLC | Class B Common Stock
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Issuance of units (in units)						5,614,176
Units vested (in units)						4,703,628
Units vested upon consummation of business combination (in units)						910,548
Common Class A
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares issued (in shares)	1,047,343
Stockholders' equity, conversion, threshold volume weighted average price period					5 days
Series A Preferred Stock
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Dividends					$ 2.1
Class A-1 distribution (in shares)	151,610
Stock price (in dollars per share)					$ 10.00
Series A Preferred Stock | Stockholders
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Stockholders' equity, conversion period (in years)					5 years
Number of days after five year anniversary					30 days
Stockholders' equity, conversion, threshold volume weighted average price period					30 days
Stockholders' equity, conversion, threshold stock price (in dollars per share) (less than) (greater than)					$ 10.00
Threshold stock price, conversion price adjustment (in usd per share)					$ 5.00
Series A Preferred Stock | AEA Growth Management LP
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Shares issued (in shares)	6,651,610
Series A Preferred Stock | Dividends Paid, Event Prior to June 7, 2024
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Accrued dividend rate (in percent)					125.00%
Series A Preferred Stock | Dividends Paid, Event Prior to June 7, 2025, After June 7, 2024
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Accrued dividend rate (in percent)					120.00%
Series A Preferred Stock | Dividends Paid, Event Prior to June 7, 2026, After June 7, 2025
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Accrued dividend rate (in percent)					115.00%
Series A Preferred Stock | Dividends Paid, Event Prior to June 7, 2027, After June 7, 2026
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Accrued dividend rate (in percent)					110.00%
Series A Preferred Stock | Dividends Paid, Event Prior to June 7, 2028, After June 7, 2027
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Accrued dividend rate (in percent)					105.00%
Series A Preferred Stock | Dividends Paid, Event After June 7, 2028
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Accrued dividend rate (in percent)					100.00%

v3.24.2.u1

Equity - Schedule of Changes in Units (Details) - USD ($)	3 Months Ended	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2023
Class A Common Stock
Reverse Recapitalization, Change In Value Of Units [Roll Forward]
Beginning of Period	$ 7,725,000	$ 7,725,000
Issuance of Units	0	0
Impact of the Reverse Recapitalization	0	0
End of Period	$ 7,725,000	$ 7,725,000
Reverse Recapitalization, Change In Units [Roll Forward]
Beginning balance (in units)	19,495,376,000	19,495,376,000
Issuance of units (in units)	0	0
Impact of the Reverse Recapitalization (in units)	0	0
Ending balance (in units)	19,495,376,000	19,495,376,000
Common Class A-1
Reverse Recapitalization, Change In Value Of Units [Roll Forward]
Beginning of Period	$ 28,500,000	$ 28,500,000
Issuance of Units	0	0
Impact of the Reverse Recapitalization	0	0
Impact of Derivative liability on Class A-1 anti-dilution feature	2,540,000	2,540,000
End of Period	$ 31,040,000	$ 31,040,000
Reverse Recapitalization, Change In Units [Roll Forward]
Beginning balance (in units)	1,842,520,000	1,842,520,000
Issuance of units (in units)
Impact of the Reverse Recapitalization (in units)	439,176,000	439,176,000
Distribution (in units)	439,176,000	439,176,000
Ending balance (in units)	2,281,696,000	2,281,696,000
Class B Common Stock
Reverse Recapitalization, Change In Value Of Units [Roll Forward]
Beginning of Period	$ 80,000	$ 80,000
Issuance of Units	0	0
Impact of the Reverse Recapitalization	0
End of Period	$ 80,000	$ 80,000
Reverse Recapitalization, Change In Units [Roll Forward]
Beginning balance (in units)	4,703,628,000	4,703,628,000
Issuance of units (in units)	0	0
Impact of the Reverse Recapitalization (in units)	0	0
Ending balance (in units)	4,703,628,000	4,703,628,000

v3.24.2.u1

Net Income (Loss) Per Share - Calculation Of Earnings Per Share (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Net income (loss) attributable to Class A Common Stockholders for basic earnings per share	$ 3,620,639	$ 0	$ (4,220,410)	$ 0
Net income (loss) attributable to Class A Common Stockholders for diluted earnings per share	3,620,639	$ 0	(4,220,410)	$ 0
Less: Undistributed net income to participating securities	(855,688)		0
Net income (loss) attributable to Class A Common Stockholders	1,389,658		(6,955,883)
Less: Reallocation of net income (loss) attributable to Class A Common Stockholders as a result of the impact and conversion of dilutive securities	(5,555,951)		(23,574,645)
Net income (loss) attributable to Class A Common Stockholders for diluted earnings per share	$ (4,166,293)		$ (30,530,528)
Weighted average shares for basic earnings per share (in shares)	11,377,407	0	9,457,518	0
Effect of dilutive securities:
Weighted-average shares for diluted earnings per share (in shares)	37,089,605	0	36,430,441	0
Earnings Per Share
Basic income (loss) per share of Class A Common Stock (in dollars per share)	$ 120	$ 0	$ (740)	$ 0
Dilutive income (loss) per share of Class A Common Stock (in dollars per share)	$ (110)	$ 0	$ (840)	$ 0
Class B Common Stock
Effect of dilutive securities:
Incremental common shares attributable to dilutive effect of share-based payment arrangements	22,711,953		23,972,678
Class B Prefunded Warrants
Effect of dilutive securities:
Class B Prefunded warrants	3,000,245		3,000,245
Restricted Stock Units
Effect of dilutive securities:
Incremental common shares attributable to dilutive effect of share-based payment arrangements	0		0
Series A Preferred Stock
Effect of dilutive securities:
Incremental common shares attributable to dilutive effect of share-based payment arrangements	0		0
Series A Preferred Stock
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Less: Series A Preferred Cumulative Dividends	$ (1,375,293)		$ (2,735,473)
Common Class A
Earnings Per Share
Basic income (loss) per share of Class A Common Stock (in dollars per share)	$ 0.12		$ (0.74)
Dilutive income (loss) per share of Class A Common Stock (in dollars per share)	$ (0.11)		$ (0.84)

v3.24.2.u1

Net Income (Loss) Per Share - Antidilutive Securities (Details) - shares	3 Months Ended	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2024
Series A Preferred Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive shares excluded from computation of earnings per share (in shares)	7,074,449	7,074,449
Class B Common Stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive shares excluded from computation of earnings per share (in shares)	0	0
Class B Prefunded Warrants
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive shares excluded from computation of earnings per share (in shares)	0	0
Public and Private Warrants
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive shares excluded from computation of earnings per share (in shares)	14,450,833	14,450,833
Restricted Stock Units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive shares excluded from computation of earnings per share (in shares)	1,364,801	1,364,801

v3.24.2.u1

Redeemable Noncontrolling Interest - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Noncontrolling Interest [Line Items]
Redemption ratio			1
Number of days after redemption notice date that redemption must be settled	10 days		10 days
Redemption value of noncontrolling interest	$ 28,300		$ 28,300
Excess redeemable noncontrolling interest over carrying amount	138,700		138,700
Fair value adjustment to redeemable noncontrolling interest	114,949		99,313
Retained Earnings (Deficit)
Noncontrolling Interest [Line Items]
Fair value adjustment to redeemable noncontrolling interest	$ 105,253		$ 99,313
Common Class A
Noncontrolling Interest [Line Items]
Common stock, shares outstanding (in shares)	13,495,847		13,495,847		9,517,816
Stockholders' equity, conversion, threshold volume weighted average price period	5 days		5 days
Legacy AON Shareholders | AON LLC
Noncontrolling Interest [Line Items]
Common unit, units outstanding (in units)	23,571,568		23,571,568
Allocation of income to controlling and noncontrolling interests (in percent)	69.30%	100.00%	74.10%	100.00%
Common stock, shares outstanding (in shares)	20,571,323		20,571,323
Class of warrant outstanding (in shares)	3,000,245		3,000,245
LLC ownership threshold, percentage	50.00%		50.00%

v3.24.2.u1

Redeemable Noncontrolling Interest - Schedule of Ownership (Details) - AON LLC	6 Months Ended
	Jun. 30, 2024 shares
Equity, Attributable to Noncontrolling Interest [Roll Forward]
Beginning balance (in units)	41,439,847
Issuances (in units)	2,405,906
Repurchases (in units)	(126,728)
Redemptions (in units)	0
Total Units Issued (in units)	43,719,025
Ending balance (in units)	43,719,025
Allocation of income to controlling and noncontrolling interests (in percent)	1
Allocation of losses to controlling and noncontrolling interests (in percent)	1
AON Inc.
Equity, Attributable to Noncontrolling Interest [Roll Forward]
Beginning balance (in units)	13,330,051
Issuances (in units)	2,405,906
Repurchases (in units)	(126,728)
Redemptions (in units)	4,538,228
Total Units Issued (in units)	20,147,457
Ending balance (in units)	20,147,457
Allocation of income to controlling and noncontrolling interests (in percent)	0.374
Allocation of losses to controlling and noncontrolling interests (in percent)	0.259
Legacy AON Shareholders
Equity, Attributable to Noncontrolling Interest [Roll Forward]
Beginning balance (in units)	28,109,796
Issuances (in units)	0
Repurchases (in units)	0
Redemptions (in units)	(4,538,228)
Total Units Issued (in units)	23,571,568
Ending balance (in units)	23,571,568
Allocation of income to controlling and noncontrolling interests (in percent)	0.626
Allocation of losses to controlling and noncontrolling interests (in percent)	0.741

v3.24.2.u1

Subsequent Events (Details) - Subsequent Event	Jul. 19, 2024 director $ / shares shares
Subsequent Event [Line Items]
Number of independent directors | director	2
Director consent period	2 years
AON LLC | AEA Growth Management LP
Subsequent Event [Line Items]
Common unit to be purchased (in units) | shares	19,511,807
Common unit, purchase price per unit (in dollars per share) | $ / shares	$ 4.00
AEA Parties | AON Inc.
Subsequent Event [Line Items]
Co-sale right percentage	10.00%
Cease to beneficially own, percentage	25.00%
AEA Parties | AON Inc. | Minimum
Subsequent Event [Line Items]
Threshold voting percentage	40.00%
AEA Parties | AON Inc. | Maximum
Subsequent Event [Line Items]
Threshold voting percentage	80.00%

v3.24.2.u1

Label	Element	Value
Noncash Consideration Paid by Assumption of Note for Purchase of Physician Practice	aonc_NoncashConsiderationPaidByAssumptionOfNoteForPurchaseOfPhysicianPractice	$ (4,530,000)

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