Business Description

TransMedics Group Inc. is a U.S.-based health care company founded in 2008 that markets the innovative Organ Care System (OCS), a portable organ perfusion system designed to improve transplant outcomes. The company earns revenue from hardware sales and recurring consumable services provided to hospitals and transplant centers. Led by CEO Dr. Christopher J. Love, TransMedics has captured an estimated 15-20% share of the U.S. organ perfusion market while expanding its clinical footprint. Its future initiatives include launching additional organ modules and entering international markets to drive further growth.

Financial Statements

In thousands, USD
FY 2025FY 2024FY 2023FY 2022
Total Revenues605,494441,540241,62393,459
Cost of Sales242,688179,45987,53028,187
Gross Profit362,806262,081154,09365,272
Selling, General & Administrative Expenses185,168168,617119,55369,897
Research & Development Expenses69,05555,96827,21226,812
Operating Profit108,58337,496(28,727)(31,437)
Interest and Investment Income12,72112,69312,847(1,002)
Interest Expense(13,782)(14,409)(10,791)(3,726)
Total Non-Operating Income(1,061)(1,716)2,056(4,728)
Income Before Provision for Income Taxes107,52235,780(26,671)(36,165)
Provision for Income Taxes(82,769)316(1,643)66
Consolidated Net Income190,29135,464(25,028)(36,231)
Net Income Attributable to Common Shareholders190,29135,464(25,028)(36,231)
Basic EPS5.601.07-0.77-1.23
Diluted EPS4.871.01-0.77-1.23
Basic Weighted Average Shares Outstanding33,99433,23032,51729,557
Diluted Weighted Average Shares Outstanding40,54135,21732,51729,557
Shares Outstanding34,26833,61832,67132,141
FY 2025FY 2024FY 2023FY 2022
Cash and Cash Equivalents488,366336,650394,812201,182
Total Cash and Cash Equivalents488,366336,650394,812201,182
Accounts Receivable84,28297,72263,57627,611
Total Trade Receivables84,28297,72263,57627,611
Inventories48,88146,55444,23520,605
Other Current Assets16,25416,2908,0312,896
Total Current Assets637,783497,216510,654252,294
Net Property, Plant & Equipment332,811292,451180,48724,353
Net Intangible Assets1,9482,1522,354
Goodwill11,54911,54911,990
Other Long-Term Assets84,282708562500
Total Assets1,068,370804,076706,047277,147
Accounts Payable10,35010,29212,7173,341
Accrued Expenses62,74045,15238,22118,635
Current Portion of Long-Term Debt10,000
Current Portion of Leases3,3102,7272,0351,444
Unearned Revenue2,9051,7421,961241
Total Current Liabilities89,30559,91354,93423,661
Long-Term Debt502,391509,311506,20458,696
Leases3,5776,2497,7077,415
Total Long-Term Liabilities505,968515,560513,91166,111
Total Liabilities595,273575,473568,84589,772
Common Stock750,926697,208641,106666,277
Accumulated Other Comprehensive Income124(364)(199)(225)
Retained Earnings(277,950)(468,241)(503,705)(478,677)
Total Common Shareholders' Equity473,100228,603137,202187,375
Total Shareholders' Equity473,100228,603137,202187,375
Total Liabilities and Shareholders' Equity1,068,370804,076706,047277,147
FY 2025FY 2024FY 2023FY 2022
Net Income190,29135,464(25,028)(36,231)
Depreciation & Amortization27,18519,7588,1773,478
Share-Based Compensation Expense36,86133,22419,79110,321
Other Adjustments(79,873)5,35728,3793,374
Changes in Trade Receivables13,950(34,310)(33,816)(21,678)
Changes in Inventories(7,716)(8,353)(28,092)(8,024)
Changes in Accounts Payable(19)(1,396)6,957(3,270)
Changes in Accrued Expenses17,6947,93814,2503,437
Changes in Unearned Revenue1,144(203)83
Changes in Other Operating Activities(6,677)(8,676)(3,729)2,776
Cash from Operating Activities192,84048,803(13,028)(45,817)
Capital Expenditure(59,251)(129,744)(151,847)(11,907)
Purchases of Intangible Assets(27,212)
Purchases of Investments(10,496)
Proceeds from Sale of Investments76,916
Payments for Business Acquisitions441(14,894)
Cash from Investing Activities(59,251)(129,303)(193,953)54,513
Issuance of Long-Term Debt445,38058,509
Repayments of Long-Term Debt(36,050)
Net Issuance / (Repayments) of Long-Term Debt445,38022,459
Issuance of Common Shares16,99522,8747,110145,468
Repurchases of Common Shares(138)
Net Issuance / (Repurchases) of Common Shares16,85722,8747,110145,468
Other Financing Activities(52,072)
Cash from Financing Activities16,85722,874400,418167,927
Effect of Exchange Rate Changes on Cash and Cash Equivalents1,270(536)193(1,021)
Increase / (Decrease) in Cash, Cash Equivalents and Restricted Cash151,716(58,162)193,630175,602

Key Metrics & Ratios

MetricValue
Market Cap$4.17B
P/E24.98x
P/S6.88x
EV/EBITDA30.93x
Return on Equity54.2%
Return on Invested Capital41.8%
Current Ratio7.14x
Free Cash Flow Margin22.1%

Margins

Gross margin
59.9%
Operating margin
17.9%
Net margin
31.4%

Quarterly Trend

QuarterRevenueYoY growthOperating marginOperating income
Q1 2026 $174M +21.2% 7.6% $13M
Q4 2025 $161M +32.2% 13.2% $21M
Q3 2025 $144M +32.2% 16.2% $23M
Q2 2025 $157M +37.7% 23.2% $37M
Q1 2025 $144M 19.1% $27M
Q4 2024 $122M 7.1% $9M
Q3 2024 $109M 3.6% $4M
Q2 2024 $114M 10.9% $13M

More on TransMedics Group Inc.

Financial data last updated 2026-06-26. Figures compiled from public company filings.

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