Applied Therapeutics, Omeros, and Others Experience Significant Price Changes After Market Close
Milestone Scientific Inc. Earnings: Milestone Scientific's shares rose 36.10% after reporting a third-quarter net loss of $1.2 million, with revenue slightly down to $2.4 million due to weaker domestic dental sales but stronger international demand.
Applied Therapeutics Inc. Update: Applied Therapeutics saw a 14.78% increase in shares after narrowing its Q3 net loss to $19 million and announcing a meeting with the FDA to discuss the regulatory path for govorestat in Classic Galactosemia.
Omeros Corp. Financial Results: Omeros Corp. shares gained 20.54% following a Q3 net loss of $30.9 million, with an update on its Biologics License Application for narsoplimab and an extended FDA action date to December 2025.
The Oncology Institute Inc. Performance: The Oncology Institute's shares rose 19.48% after reporting a 36.7% increase in Q3 revenue to $136.6 million, while also raising its full-year revenue guidance to between $495 million and $505 million.
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- Strong Financial Performance: In Q1 2026, The Oncology Institute (TOI) reported total revenue of $147.4 million, reflecting a 41% year-over-year growth, which underscores the company's ongoing expansion in value-based contracts and ancillary services, particularly in its pharmacy business, thereby solidifying its market position.
- Upgraded Cash Flow Projections: Management has raised its free cash flow expectations for 2026 to a range of $5 million to $15 million, indicating successful negotiations with key suppliers, which enhances the company's financial flexibility and capacity for future investments.
- Profitability in Florida Market: TOI has achieved profitability in Florida, with plans to cover approximately 200,000 Medicare Advantage members across 25 counties by Q3, marking a successful expansion and penetration in this critical market.
- Adjusted EBITDA Guidance: The CFO reiterated the adjusted EBITDA outlook for 2026 at $0 to $9 million, acknowledging potential seasonal challenges in Q2, yet maintaining an optimistic overall outlook that reflects the company's confidence in future growth.
- Earnings Release Schedule: The Oncology Institute plans to announce its Q1 2026 financial results on May 7, 2026, followed by a conference call at 5:30 PM (Eastern Time), aimed at providing investors with the latest financial status and business developments.
- Conference Call Access: Investors can join the call by dialing 1-800-225-9448 (U.S.) or 1-203-518-9708 (international), with a replay available two hours post-call until May 21, 2026, ensuring timely access to critical information for stakeholders.
- Webcast Option: In addition to the phone call, investors can listen to a simultaneous webcast of the conference call via the Investor Relations section of the company’s website, enhancing information accessibility and transparency, reflecting the company's commitment to investor communication.
- Company Background: Founded in 2007, The Oncology Institute is dedicated to delivering value-based cancer care in community settings, serving approximately 1.9 million patients with over 180 clinicians and 100 clinics, showcasing its expertise and impact in the oncology field.
- Meeting Schedule: The annual shareholder meetings for Topicus, Lumine Group, and Constellation Software are set for May 15, 2026, at 8:00, 8:15, and 8:30 AM respectively, utilizing a hybrid format to accommodate both in-person and virtual attendance.
- Registration Requirement: Attendees are required to register online by May 8, 2026, to assist in tracking in-person attendance, ensuring smooth proceedings, with registration links available on each company's website.
- Q&A Session: A joint Q&A session will follow the meetings at 9:00 AM, allowing shareholders to participate either in person or virtually, with the option to submit questions in advance to enhance engagement.
- Technical Support: Shareholders must ensure they have internet-connected devices to participate in virtual meetings, with detailed participation instructions and proxy appointment guidelines provided on the respective company websites to facilitate smooth attendance.
- Executive Participation: The Oncology Institute's CEO Daniel Virnich and CFO Rob Carter will participate in the 25th Annual Needham Healthcare Conference on April 15, 2026, showcasing the company's leadership in oncology care.
- Virtual Conference Format: The event will be held virtually, featuring a fireside chat at 3:45 p.m. ET, aimed at sharing the company's latest developments and strategic insights with investors.
- Investor Relations Access: A webcast link will be available on the company's Investor Relations website, ensuring that investors can access the conference content in real-time, enhancing transparency and engagement.
- Company Overview: Founded in 2007, The Oncology Institute provides value-based cancer care to approximately 1.9 million patients, employing over 180 clinicians and operating more than 100 clinics, demonstrating significant market influence.

- First Profitability Milestone: The Oncology Institute (TOI) achieved positive adjusted EBITDA in Q4 2025, marking its first profitable quarter as a public company, with expectations to maintain positive EBITDA in 2026, showcasing the sustainability and profitability of its business model.
- Significant Revenue Growth: In 2025, TOI's total revenue increased approximately 28% year-over-year, surpassing $500 million for the first time, primarily driven by the initiation of nine new capitated contracts, adding 260,000 patients and further solidifying its market position.
- Strong Pharmacy Performance: TOI's pharmacy revenue grew by 49.6% in 2025, reaching $269 million, contributing nearly $50 million in gross profit, reflecting its importance in the integrated care model and the rising market demand.
- Strategic Expansion and Leadership Enhancement: TOI strengthened its leadership team in 2025 with the addition of a Chief Clinical Officer and Chief Administrative Officer, expected to drive further market expansion and growth strategy, particularly in the capitated model in Florida for greater success.

- Significant Revenue Growth: In Q4 2025, The Oncology Institute reported revenue of $142 million, a 41.6% increase from $100.3 million in Q4 2024, indicating strong market demand for its healthcare services and enhancing financial stability.
- Gross Profit Improvement: The company's gross profit rose 55.2% to $22.7 million in Q4, compared to $15 million a year earlier, reflecting improved operational efficiency and cost control capabilities.
- Narrowed Net Loss: The net loss for Q4 2025 was reduced to $7.5 million, or $0.06 per share, down from $13.2 million and $0.14 per share in the prior year, demonstrating positive progress in profitability.
- Optimistic Future Outlook: The Oncology Institute expects 2026 revenue between $630 million and $650 million, with gross profit projected between $97 million and $107 million, as management reaffirms its goal of achieving positive full-year Adjusted EBITDA in 2026, indicating substantial growth potential ahead.








