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The Oncology Institute Completes Strategic Refinancing with OrbiMed, Repaying the Outstanding $86 Million Deerfield Convertible Note, Strengthening its Balance Sheet, and Improving Liquidity

(Moderate)
(Very Positive)
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The Oncology Institute (NASDAQ: TOI) completed a strategic refinancing, repaying its $86 million senior secured convertible note with Deerfield Partners. The repayment used a new $75 million OrbiMed term loan maturing in 2031 plus about $11 million of cash, aiming to boost liquidity, flexibility, and extend debt maturities without raising equity.

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Positive

  • Repaid entire $86 million senior secured convertible note with Deerfield Partners
  • Secured new $75 million term loan from OrbiMed maturing in 2031
  • Transaction is intended to increase liquidity and improve operating flexibility
  • Refinancing significantly extends debt maturities, according to the company
  • Completed without raising equity, avoiding immediate shareholder dilution
  • Establishes committed funding from two leading healthcare financing institutions

Negative

  • None.

News Market Reaction – TOIIW

+0.48%
+0.48% Session close to close

In the Jul 7 session, TOIIW gained 0.48%, reflecting a mild positive market reaction.

Data tracked by StockTitan Argus on the day of publication.

Market Context

Refinancing the $86 million Deerfield convertible into a $75 million OrbiMed term loan maturing in 2...
Analysis

Refinancing the $86 million Deerfield convertible into a $75 million OrbiMed term loan maturing in 2031 and using about $11 million of cash, with no new equity, reshapes TOI’s capital structure; investors may watch leverage and future financing needs.

Key Figures

Deerfield convertible note: $86 million New term loan: $75 million Cash used for repayment: approximately $11 million +1 more
4 metrics
Deerfield convertible note $86 million Senior secured convertible note repaid via refinancing
New term loan $75 million OrbiMed term loan maturing in 2031
Cash used for repayment approximately $11 million Cash from balance sheet applied alongside new term loan
Term loan maturity 2031 Maturity year of new OrbiMed term loan

Historical Context

5 past events · Latest: May 26 (Positive)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
May 26 conference participation Positive +11.3% CMO speaking on value-based specialty care at APG Spring Conference.
May 13 investor conference Positive +19.8% CEO and CFO presenting at B. Riley institutional investor conference.
May 07 earnings report Positive +33.3% Q1 2026 results with 41% revenue growth and narrowed net loss.
Apr 27 earnings date notice Neutral -0.4% Announcement of Q1 2026 earnings release date and conference call.
Apr 13 program savings update Positive +56.0% Reported $1.8M Medicare savings and improved performance in CMS model.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent TOI headlines, especially operational and financial updates, have generally been followed by strong positive price reactions.

Key Terms

senior secured convertible note, term loan, liquidity
3 terms
senior secured convertible note financial
"repayed its $86 Million senior secured convertible note with Deerfield Partners"
A senior secured convertible note is a loan a company takes that is backed by specific assets and has first claim on repayment ahead of other creditors, but can also be exchanged for company shares under agreed conditions. For investors it signals higher priority if the company struggles (like a mortgage holder vs a general creditor) while also creating potential stock dilution if the loan is converted into equity, affecting value and recovery prospects.
term loan financial
"with a new $75 million term loan with OrbiMed maturing in 2031"
A term loan is a type of loan that is borrowed for a set period of time, with a fixed schedule for repaying the money, usually in regular payments. It matters to investors because it represents a company's borrowing costs and financial stability; reliable repayment of these loans can indicate strong financial health, while difficulties may signal potential risks.
liquidity financial
"This transaction is intended to increase liquidity, improve operating flexibility"
Liquidity is how easily and quickly an asset or investment can be converted into cash without losing value. It matters to investors because higher liquidity means they can access their money quickly if needed, while lower liquidity can make it harder to sell assets promptly or at a fair price, potentially creating financial challenges. Think of it like trying to sell a common item versus a rare collectible—it's much easier to sell the common item fast.
View in glossary

AI-generated analysis. How Rhea-AI works. Not financial advice.

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CERRITOS, Calif., July 07, 2026 (GLOBE NEWSWIRE) -- The Oncology Institute, Inc. ("TOI") (NASDAQ: TOI), one of the largest value-based oncology groups in the United States, announced today that it has repaid its $86 Million senior secured convertible note with Deerfield Partners through a debt refinancing that includes new credit facilities from OrbiMed.

This transaction is intended to increase liquidity, improve operating flexibility and extend debt maturities. Under the new financing arrangements with OrbiMed, TOI repaid the outstanding balance of its $86 million senior secured convertible note with a new $75 million term loan with OrbiMed maturing in 2031 as well as approximately $11 million of cash from the balance sheet without raising additional equity. Daniel Virnich, MD, CEO of TOI, commented, "I'm extremely excited about our new financing relationship with OrbiMed to support this next phase of TOI’s growth and business model refinement. In addition to providing the company with improved liquidity and financial flexibility, this important transaction significantly extends debt maturities and establishes committed funding from two leading healthcare financing institutions." Dr Virnich also commented, “We are very pleased that we were able to complete these transactions without diluting our important existing shareholders, and would like to thank Deerfield Healthcare for their many years of support to TOI as both a creditor and existing shareholder.”

"We are pleased to support TOI in its next phase of growth," said Matthew Rizzo of OrbiMed. " We are excited to play a role in TOI’s expansion and development as it continues to scale and drive long term value for its patients and contracted payors."

About The Oncology Institute  (www.theoncologyinstitute.com):

Founded in 2007, The Oncology Institute, Inc. (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population of approximately 2.0 million patients including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With over 400 employed and network clinicians and over 100 clinics and network locations of care across five states and growing, TOI is changing oncology for the better. For more information visit www.theoncologyinstitute.com.

Forward Looking Statement

This communication contains “forward-looking statements” within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements generally relate to future events or TOI’s future financial or operating performance and are often identified by words such as “believe,” “expect,” “anticipate,” “plan,” “intend,” “may,” “will,” “estimate,” “continue,” “project,” “target,” or similar expressions.

These forward-looking statements include, without limitation, statements regarding TOI’s growth strategy, liquidity, working capital needs, access to financing (including any asset-based credit facilities), expected operational and financial performance, and market opportunities. These statements are based on current expectations, assumptions, and information available to management and are not guarantees of future performance.

Actual results may differ materially from those expressed or implied in forward-looking statements due to a variety of risks and uncertainties, including, among others: changes in the healthcare regulatory environment; reimbursement and payor dynamics; competitive pressures; TOI’s ability to execute on its growth and value-based care strategy; access to capital and liquidity; and the impact of litigation, government investigations, or other proceedings.

Additional factors that could cause actual results to differ materially are described in TOI’s filings with the Securities and Exchange Commission, including the “Risk Factors” section of TOI’s most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q.

Forward-looking statements speak only as of the date made, and TOI undertakes no obligation to update or revise these statements to reflect events or circumstances occurring after the date of this communication, except as required by law.

Media
The Oncology Institute, Inc.
marketing@theoncologyinstitute.com

Investors
ICR Healthcare
TOI@icrhealthcare.com


FAQ

What refinancing did The Oncology Institute (NASDAQ: TOI) announce on July 7, 2026?

The Oncology Institute announced a strategic debt refinancing replacing its Deerfield convertible note with new OrbiMed credit facilities. According to the company, the deal repaid $86 million of senior secured convertible debt and introduced a new $75 million term loan maturing in 2031.

How did The Oncology Institute repay its $86 million Deerfield convertible note?

The Oncology Institute repaid the $86 million Deerfield senior secured convertible note using a new OrbiMed term loan and cash. According to the company, repayment combined a $75 million OrbiMed term loan with approximately $11 million of balance sheet cash, without issuing new equity.

Did the July 2026 TOI refinancing with OrbiMed dilute existing shareholders?

The July 2026 refinancing did not involve raising additional equity, so it avoided immediate shareholder dilution. According to the company, the Deerfield note repayment used a $75 million OrbiMed term loan plus around $11 million of cash instead of issuing new shares.

What are the key terms of The Oncology Institute’s new OrbiMed term loan?

The Oncology Institute entered a new $75 million term loan with OrbiMed that matures in 2031. According to the company, this term loan is part of broader new credit facilities designed to extend debt maturities and improve financial flexibility and liquidity.

How does the OrbiMed refinancing affect The Oncology Institute’s debt maturities and liquidity?

The OrbiMed refinancing is intended to extend debt maturities and enhance liquidity for The Oncology Institute. According to the company, replacing the Deerfield convertible note with a 2031 term loan and using balance sheet cash aims to improve financial flexibility and committed funding.