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Robert Carter

Chief Financial Officer at Oncology Institute
Executive

About Robert Carter

Robert “Rob” Carter, age 39, was appointed Chief Financial Officer of The Oncology Institute (TOI) effective October 14, 2024 after serving as Senior Vice President of Finance and previously Vice President of Finance since December 2021; he holds a B.S. in finance from California State University, East Bay . TOI’s operating context during Carter’s leadership transition included Q3 2024 revenue of $99.9M (up from $82.0M YoY) and a net loss of $16.1M; year-to-date revenue was $293.1M with a net loss of $51.5M . Carter’s background spans FP&A leadership and pharmacy finance across Hoag Health System, Kaiser Permanente, SCAN Health Plan, and McKesson US Pharma .

Company performance snapshot:

MetricQ3 2023Q3 2024
Total Operating Revenue ($USD Thousands)$82,035 $99,901
Net Loss ($USD Thousands)$(17,419) $(16,113)

Past Roles

OrganizationRoleYearsStrategic Impact
The Oncology InstituteSVP, Finance2023–Oct 2024 Led corporate finance, FP&A, treasury, IR; shaped financial strategy
The Oncology InstituteVP, FinanceDec 2021–2023 Built finance infrastructure post-SPAC; supported public company transition
Hoag Health System (MSO)Head of FP&AMar 2020–Dec 2021 Led FP&A at multi-specialty physician group practice
Kaiser PermanenteSr. Director, National Pharmacy FinanceMay 2017–Mar 2020 Directed national pharmacy finance initiatives
SCAN Health PlanFP&A leadershipNot disclosed FP&A roles in Medicare Advantage plan
McKesson US PharmaFP&A leadershipNot disclosed Finance leadership in pharmaceutical distribution

External Roles

No public company board roles or external directorships disclosed for Carter in company filings .

Fixed Compensation

ComponentValue
Base Salary$375,000 annually
Target Annual Bonus %40% of base salary

Notes:

  • Bonus determination follows the company’s applicable bonus plan .
  • Employment Agreement confirms base salary and bonus framework and sets payout timing mechanics (see Performance Compensation) .

Performance Compensation

Annual bonus program structure and mechanics:

ElementDetail
Metrics used by TOI (2024 program)Revenue, Gross Profit, Adjusted EBITDA, plus individual contributions
Payout timingPaid within 30 days of receipt of the annual financial audit; not before Jan 1 or after Dec 31 of the year immediately following the bonus year
Target opportunity40% of base salary (for Carter)

Equity awards:

TypeGrant TimingFair Value / SharesVestingPricing
Options and/or RSUsNext regular quarterly grant date following appointment Aggregate value not yet determined at appointment Company’s standard schedules (generally four-year vesting for executives) Options granted at fair market value (closing price) on grant date

Notes:

  • TOI grants executive equity on regular quarterly grant dates (April, July, October), with annual awards typically in Q1; options are struck at FMV and vest over four years .
  • Carter’s initial package specified equity but deferred sizing to standard process with vesting per standard schedules .

Equity Ownership & Alignment

ItemStatus
Section 16 statusExecuted a Limited Power of Attorney authorizing SEC Forms 3/4/5 and Form 144 filings (Sep 27, 2024)
Beneficial ownershipNot included among >5% holders or listed executive/director holdings in the March 17, 2025 ownership table
Hedging/pledgingProhibited for directors, officers, and employees (no hedging/monetization, no pledging or margin accounts)
Ownership guidelinesNo executive stock ownership guideline disclosure found in proxy

Implications:

  • Policy bans on hedging/pledging support alignment and reduce collateral-related sale risks .
  • Absent disclosed personal holdings at 3/17/2025, incremental alignment will derive from future equity grants and vesting .

Employment Terms

TermKey Provisions
Start / Effective datesEmployment Agreement effective Sept 30, 2024; CFO role effective Oct 14, 2024
Term & renewalThree-year initial term with automatic one-year renewals unless non-renewal notice ≥60 days before expiry
Severance (Without Cause / Good Reason)12 months base salary continuation + COBRA premium payments/reimbursements for 12 months; conditioned on timely execution of release
Good Reason definitionMaterial breach or >20% reduction in base salary (with cure and notice mechanics)
Change-of-control economics280G cutback applies; payments reduced to avoid excise tax under 4999; reduction order: cash, COBRA, then equity vesting acceleration if applicable
ClawbackCompany-wide clawback policy adopted Oct 17, 2023 for erroneously awarded incentive compensation upon restatement (independent director oversight)
Non-competeDuring employment only (“Non-Competition Period”) — no post-employment non-compete
Non-solicitation24 months post-termination (employees/contractors with material contact)
Confidentiality & non-disparagement36 months post-termination confidentiality; indefinite non-disparagement (legal and whistleblower carve-outs)
IP/Proprietary rightsWorks made for hire; assignment; California Labor Code 2870 carve-out
Restricted TerritoryAny state where TOI conducts business or is actively developing business during employment
Governing law & venueCalifornia law; venue in Orange County, CA; waiver of jury trial
IndemnificationStandard company indemnification agreement entered

Investment Implications

  • Pay-for-performance alignment: Carter’s cash incentive targets are tied to company-level metrics (Revenue, Gross Profit, Adjusted EBITDA), with payout governed by audited results, reinforcing discipline around reported performance .
  • Retention and mobility: No post-employment non-compete but a 24-month non-solicit creates moderate retention friction; severance protection (12 months + COBRA) mitigates departure risk and aligns with market for CFOs at small-cap healthcare services firms .
  • Equity-driven incentives and selling pressure: Initial equity grants and future annual awards typically vest over four years; expect routine Section 16 trading windows and potential incremental supply around vest anniversaries; hedging/pledging prohibitions reduce forced-sale risks tied to collateral .
  • Change-of-control: 280G cutback reduces golden parachute tax exposure; absence of explicit equity acceleration in the Employment Agreement suggests plan-level treatment governs acceleration, limiting outsized CIC windfalls .
  • Execution context: TOI’s Q3 2024 revenue growth alongside persistent losses underscores the importance of cost discipline, working capital management, and adherence to debt covenants (e.g., minimum cash and quarterly revenue thresholds), areas squarely under CFO purview .