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    Amendment: SEC Form SCHEDULE 13D/A filed by The Oncology Institute Inc.

    5/15/26 4:30:03 PM ET
    $TOI
    Medical/Nursing Services
    Health Care
    Get the next $TOI alert in real time by email



    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549


    SCHEDULE 13D

    Under the Securities Exchange Act of 1934

    (Amendment No. 6)


    Oncology Institute, Inc.

    (Name of Issuer)


    Common Stock, par value $0.0001 per share

    (Title of Class of Securities)




    23343Q100

    (CUSIP Number)
    Gabriel Ling
    c/o M33 Growth I LP, 888 Boylston Street, Suite 500
    Boston, MA, 02199
    6172045104

    (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications)
    05/14/2026

    (Date of Event Which Requires Filing of This Statement)


    If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§ 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. Checkbox not checked

    The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).




    schemaVersion:


    SCHEDULE 13D

    CUSIP Number(s):
    23343Q100


    1 Name of reporting person

    M33 Growth I L.P.
    2Check the appropriate box if a member of a Group (See Instructions)

    Checkbox not checked  (a)
    Checkbox checked  (b)
    3SEC use only
    4 Source of funds (See Instructions)

    WC
    5 Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)

    Checkbox not checked
    6Citizenship or place of organization

    DELAWARE
    Number of Shares Beneficially Owned by Each Reporting Person With:
    7Sole Voting Power

    0.00
    8Shared Voting Power

    5,002,656.00
    9Sole Dispositive Power

    0.00
    10Shared Dispositive Power

    5,002,656.00
    11Aggregate amount beneficially owned by each reporting person

    5,002,656.00
    12Check if the aggregate amount in Row (11) excludes certain shares (See Instructions)

    Checkbox not checked
    13Percent of class represented by amount in Row (11)

    4.94 %
    14Type of Reporting Person (See Instructions)

    PN

    Comment for Type of Reporting Person:
    (1) This Schedule 13D is filed by M33 Growth I LP ("M33 LP"), M33 Growth I GP LLC ("M33 LLC") and TOI M, LLC ("TOI M" and, with M33 LP, collectively, the "Reporting Persons"). The Reporting Persons expressly disclaim status as a "group" for purposes of this Schedule 13D. (2) Consists of (i) 3,644,207 shares held by M33 LP and (ii) 1,358,449 shares issuable upon exercise of warrants to purchase shares of Common Stock (as defined herein) for an exercise price of $1.1980 per share ("Warrants") held by M33 LP. M33 LLC serves as the sole general partner of M33 LP and, as such, M33 LLC possesses voting and dispositive power over the shares held by M33 LP, and may be deemed to have indirect beneficial ownership of the shares held by M33 LP. (3) This percentage is calculated based upon 99,982,933 shares of the Issuer's (as defined herein) common stock outstanding as of April 30, 2026, as disclosed in the Quarterly Report on Form 10-Q for the quarter ended March 31, 2026 filed by the Issuer with the Securities and Exchange Commission (the "SEC") on May 7, 2026 and the 1,358,449 shares issuable upon exercise of the Warrants.


    SCHEDULE 13D

    CUSIP Number(s):
    23343Q100


    1 Name of reporting person

    M33 Growth I GP LLC
    2Check the appropriate box if a member of a Group (See Instructions)

    Checkbox not checked  (a)
    Checkbox checked  (b)
    3SEC use only
    4 Source of funds (See Instructions)

    AF
    5 Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)

    Checkbox not checked
    6Citizenship or place of organization

    DELAWARE
    Number of Shares Beneficially Owned by Each Reporting Person With:
    7Sole Voting Power

    0.00
    8Shared Voting Power

    5,002,656.00
    9Sole Dispositive Power

    0.00
    10Shared Dispositive Power

    5,002,656.00
    11Aggregate amount beneficially owned by each reporting person

    5,002,656.00
    12Check if the aggregate amount in Row (11) excludes certain shares (See Instructions)

    Checkbox not checked
    13Percent of class represented by amount in Row (11)

    4.94 %
    14Type of Reporting Person (See Instructions)

    OO

    Comment for Type of Reporting Person:
    (1) This Schedule 13D is filed by the Reporting Persons. The Reporting Persons expressly disclaim status as a "group" for purposes of this Schedule 13D. (2) Consists of (i) 3,644,207 shares held by M33 LP and (ii) 1,358,449 shares issuable upon exercise of Warrants held by M33 LP. M33 LLC serves as the sole general partner of M33 LP and, as such, M33 LLC possesses voting and dispositive power over the shares held by M33 LP, and may be deemed to have indirect beneficial ownership of the shares held by M33 LP. (3) This percentage is calculated based upon 99,982,933 shares of the Issuer's (as defined herein) common stock outstanding as of April 30, 2026, as disclosed in the Quarterly Report on Form 10-Q for the quarter ended March 31, 2026 filed by the Issuer with the Securities and Exchange Commission (the "SEC") on May 7, 2026 and the 1,358,449 shares issuable upon exercise of the Warrants.


    SCHEDULE 13D

    CUSIP Number(s):
    23343Q100


    1 Name of reporting person

    TOI M, LLC
    2Check the appropriate box if a member of a Group (See Instructions)

    Checkbox not checked  (a)
    Checkbox checked  (b)
    3SEC use only
    4 Source of funds (See Instructions)

    WC
    5 Check if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e)

    Checkbox not checked
    6Citizenship or place of organization

    DELAWARE
    Number of Shares Beneficially Owned by Each Reporting Person With:
    7Sole Voting Power

    0.00
    8Shared Voting Power

    0.00
    9Sole Dispositive Power

    0.00
    10Shared Dispositive Power

    0.00
    11Aggregate amount beneficially owned by each reporting person

    0.00
    12Check if the aggregate amount in Row (11) excludes certain shares (See Instructions)

    Checkbox not checked
    13Percent of class represented by amount in Row (11)

    0.00 %
    14Type of Reporting Person (See Instructions)

    OO

    Comment for Type of Reporting Person:
    (1) This Schedule 13D is filed by the Reporting Persons, including TOI M, LLC. Following the distribution of shares of Common Stock previously reported, TOI M, LLC no longer beneficially owns any shares of the Issuer's Common Stock.


    SCHEDULE 13D

    Item 1.Security and Issuer
    (a)Title of Class of Securities:

    Common Stock, par value $0.0001 per share
    (b)Name of Issuer:

    Oncology Institute, Inc.
    (c)Address of Issuer's Principal Executive Offices:

    18000 Studebaker Road, Suite 800, Cerritos, CALIFORNIA , 90703.
    Item 1 Comment:
    This Amendment No. 6 (the "Amendment") to Schedule 13D amends and supplements the Schedule 13D originally filed with the SEC on November 22, 2021, as amended by Amendment No. 1 filed with the SEC on July 12, 2022, Amendment No. 2 filed with the SEC on September 26, 2022, Amendment No. 3 filed with the SEC on March 28, 2025, Amendment No. 4 filed with the SEC on September 5, 2025 and Amendment No. 5 filed with the SEC on November 20, 2025 (as amended, the "Schedule 13D"), on behalf of M33 Growth I LP ("M33 LP"), M33 Growth I GP LLC ("M33 LLC") and TOI M, LLC ("TOI M" and, together with M33 LP and M33 LLC, collectively, the "Reporting Persons"), relates to the common stock, $0.001 par value ("Common Stock"), of The Oncology Institute, Inc., a Delaware corporation (the "Issuer" or "TOI"). The Items below amend and supplement the information disclosed under the corresponding Items of Schedule 13D as described below. Except as specifically provided herein, this Amendment does not modify any of the information previously reported in the Schedule 13D. Capitalized terms used but not defined herein shall have the meanings given to such terms in the Schedule 13D.
    Item 3.Source and Amount of Funds or Other Consideration
     
    Between May 8, 2026 and May 14, 2026, M33 LP sold an aggregate of 1,800,000 shares in open market transactions on Nasdaq.
    Item 4.Purpose of Transaction
     
    Item 4 is hereby supplemented as follows: The information set forth in Item 3 of this Schedule 13D, as amended therein, is incorporated herein by reference.
    Item 5.Interest in Securities of the Issuer
    (a)
    Item 5 is hereby amended and restated as follows: (a) and (b) See Items 7-11 of the cover pages of this Statement, as amended, and Item 3 of the Schedule 13D.
    (b)
    Between May 8, 2026 and May 14, 2026, M33 LP sold an aggregate of 1,800,000 shares in open market transactions on Nasdaq as follows: DATE SHARES SALE PRICE May 8, 2026 347,674 $4.0290 May 11, 2026 277,521 $4.0120 May 12, 2026 129,805 $4.0181 May 13, 2026 280,000 $4.1358 May 13, 2026 245,000 $4.1113 May 14, 2026 520,000 $4.0700
    (c)
    No other person is known to the Reporting Persons to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, the shares of Common Stock covered by this Statement.
    (d)
    The Reporting Persons ceased to beneficially own five percent or more of the Common Stock upon completion of the sale on May 14, 2026 described above.
    Item 6.Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer
     
    There are no amendments or supplements to the information previously set forth in Item 6 of the Schedule 13D.
    Item 7.Material to be Filed as Exhibits.
     
    There are no amendments or supplements to the information previously set forth in Item 7 of the Schedule 13D

        SIGNATURE 
     
    After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

     
    M33 Growth I L.P.
     
    Signature:/s/ Gabriel Ling
    Name/Title:Gabriel Ling/Managing Member
    Date:05/15/2026
     
    M33 Growth I GP LLC
     
    Signature:/s/ Gabriel Ling
    Name/Title:Gabriel Ling/Managing Member
    Date:05/15/2026
     
    TOI M, LLC
     
    Signature:/s/ Gabriel Ling
    Name/Title:Gabriel Ling/Managing Member
    Date:05/15/2026
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