Reimbursement Changes: Risks related to shifts in Medicare, Medicaid, and commercial insurer reimbursement rates and policies, directly impacting revenue streams.

Physician Staffing Challenges: Difficulty recruiting and retaining highly qualified oncologists and other essential medical personnel, potentially affecting patient capacity and quality of care.

Intense Market Competition: Operating within a highly competitive healthcare landscape, facing pressure from larger hospital systems, academic centers, and other specialized oncology providers.