Business Description
TransMedics Group, Inc. operates as a commercial-stage medical technology enterprise, committed to transforming the landscape of organ transplant therapy for patients worldwide grappling with end-stage organ failure. At the core of their offerings is the Organ Care System (OCS), an innovative, portable solution engineered to perfuse, optimize, and continuously monitor donor organs. This system leverages exclusive, tailored technology to meticulously recreate near-physiological conditions for these vital organs while they remain outside the human body. The OCS suite encompasses specialized modules: OCS LUNG, which facilitates the preservation of standard criteria donor lungs for double-lung transplants; OCS Heart, designed for the extracorporeal perfusion and maintenance of donor hearts; and OCS Liver, dedicated to the preservation of donor livers. Founded in 1998, TransMedics is headquartered in Andover, Massachusetts.
Business History
Price Overview
Last updated: Jun 27, 2026 9:06am (just now)Price History (1 Year)
Revenue & Net Income Trend
| Period | Revenue | Net Income | Net Margin | YoY/QoQ |
|---|
Key Metrics
EPS (Diluted): 5.60
Total Equity: $473.10M
Shares: 40,540,694
Total Debt: $469.69M
Cash: $488.37M
EBITDA: $148.49M
Total Debt: $469.69M
Cash: $488.37M
Revenue: $605.49M
Revenue: $605.49M
Revenue: $605.49M
Total Equity: $473.10M
Tax Rate: -77.0%
Equity: $473.10M
Total Debt: $469.69M
Cash: $488.37M
Current Liabilities: $89.31M
Long-Term Debt: $456.38M
Total Debt: $469.69M
Total Equity: $473.10M
Shares: 40,540,694
Shares: 40,540,694
CapEx: -$59.25M
Shares: 40,540,694
Stock Price: $68.44
Net Income: $190.29M
Industry Benchmarks
Deep Analysis
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Income Statement (Annual)
Last updated: Jun 21, 2026 7:05am (6d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Revenue | $30.3M | $93.5M | $241.6M | $441.5M | $605.5M |
| Cost of Revenue | $9.1M | $28.2M | $87.5M | $179.5M | $242.7M |
| Gross Profit | $21.2M | $65.3M | $154.1M | $262.1M | $362.8M |
| Operating Expenses | $60.6M | $96.7M | $182.8M | $224.6M | $254.2M |
| Operating Income | -$39.4M | -$31.4M | -$28.7M | $37.5M | $108.6M |
| Net Income | -$44.2M | -$36.2M | -$25.0M | $35.5M | $190.3M |
| EBITDA | -$38.5M | -$29.0M | -$7.7M | $69.9M | $148.5M |
| EPS | $-1.60 | $-1.23 | $-0.77 | $1.07 | $5.60 |
| EPS (Diluted) | — | — | — | — | — |
Balance Sheet (Annual)
Last updated: Jun 21, 2026 7:05am (6d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Cash & Equivalents | $25.6M | $201.2M | $394.8M | $336.7M | $488.4M |
| Total Current Assets | $118.7M | $252.3M | $510.7M | $497.2M | $637.8M |
| Total Assets | $134.9M | $277.1M | $706.0M | $804.1M | $1.1B |
| Current Liabilities | $23.2M | $23.7M | $54.9M | $59.9M | $89.3M |
| Long-Term Debt | $35.2M | $58.7M | $506.2M | $509.3M | $456.4M |
| Total Liabilities | $67.0M | $89.8M | $568.8M | $575.5M | $595.3M |
| Total Equity | $67.9M | $187.4M | $137.2M | $228.6M | $473.1M |
| Retained Earnings | -$442.4M | -$478.7M | -$503.7M | -$468.2M | -$278.0M |
Cash Flow (Annual)
Last updated: Jun 21, 2026 7:05am (6d ago)| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Operating Cash Flow | -$28.9M | -$45.8M | -$13.0M | $48.8M | $192.8M |
| Capital Expenditure | -$3.5M | -$11.9M | -$179.1M | -$129.7M | -$59.3M |
| Free Cash Flow | -$32.4M | -$57.7M | -$192.1M | -$80.9M | $133.6M |
| Acquisitions (net) | $0 | $107,000 | -$14.9M | $441,000 | $0 |
| Debt Repayment | — | — | — | — | — |
| Dividends Paid | — | — | — | — | — |
| Stock Buybacks | $0 | $0 | $0 | $0 | $-138,000 |
| Net Change in Cash | $999,000 | $175.6M | $193.6M | -$58.2M | $151.7M |
Analyst Estimates (Annual)
Last updated: Jun 27, 2026 9:06am (just now)| Metric | 2026 | 2027 | 2028 | 2029 |
|---|---|---|---|---|
| Revenue |
$733.3M $728.9M – $741.8M
|
$872.1M $865.7M – $886.7M
|
$1.0B $1.0B – $1.0B
|
$1.2B $1.2B – $1.2B
|
| EBITDA |
-$137.6M -$139.2M – -$136.8M
|
-$163.6M -$166.4M – -$162.4M
|
-$191.3M -$192.4M – -$190.2M
|
-$228.0M -$232.2M – -$225.9M
|
| Net Income |
$78.4M $65.9M – $91.8M
|
$137.0M $115.1M – $189.1M
|
$182.2M $139.5M – $264.2M
|
$287.6M $284.2M – $294.6M
|
| EPS | — | — | — | — |
Growth Trends (YoY %)
Last updated: Jun 21, 2026 7:05am (6d ago)| Metric | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|
| Revenue Growth | +208.8% | +158.5% | +82.7% | +37.1% |
| Gross Profit Growth | +208.5% | +136.1% | +70.1% | +38.4% |
| Operating Income Growth | +20.3% | +8.6% | +230.5% | +189.6% |
| Net Income Growth | +18.1% | +30.9% | +241.7% | +436.6% |
| EBITDA Growth | +24.8% | +73.4% | +1,008.0% | +112.3% |
Insider Trading (Recent)
All SEC Form 4 codes
- P Purchase
- Open-market or private purchase of shares.
- S Sale
- Open-market or private sale of shares.
- A Award / grant
- Grant or award of securities (RSUs, options, etc.) under Rule 16b-3.
- D Return to issuer
- Securities disposed back to the company under Rule 16b-3.
- F In-kind (tax)
- Shares withheld or delivered to pay the option-exercise price or tax — not an open-market sale.
- I Discretionary
- Discretionary transaction under an employee plan — Rule 16b-3(f).
- M Option exercise
- Exercise or conversion of a derivative (option/RSU) into shares — exempt.
- C Conversion
- Conversion of a derivative security into the underlying shares.
- E Short expiration
- Expiration of a short derivative position.
- H Long expiration
- Expiration or cancellation of a long derivative position with value received.
- O OTM exercise
- Exercise of an out-of-the-money derivative.
- X ITM exercise
- Exercise of an in-the-money or at-the-money derivative.
- G Gift
- Bona fide gift of securities.
- L Small acquisition
- Small acquisition under Rule 16a-6.
- W Inheritance
- Acquisition or disposition by will or the laws of descent.
- Z Voting trust
- Deposit into or withdrawal from a voting trust.
- J Other
- Other acquisition or disposition (explained in a Form 4 footnote).
- K Equity swap
- Transaction in an equity swap or similar instrument.
- U Tender / buyout
- Disposition via tender of shares in a change-of-control transaction.
Compensation-plan codes (A, D, F, M) are routine and rarely directional. Open-market P (buy) and S (sale) carry the most signal.
| Date | Insider | Type | Shares | Price | Value |
|---|---|---|---|---|---|
| 2026-06-15 | Gunderson Thomas J. | M-Exempt | 19,285.00 | $2.21 | $42,620 |
| 2026-06-15 | Gunderson Thomas J. | S-Sale | 9,624.00 | $75.06 | $722,377 |
| 2026-06-15 | Gunderson Thomas J. | M-Exempt | 19,285.00 | $2.21 | $42,620 |
| 2026-05-20 | Lovell Stephanie | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-20 | Weill David | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-20 | RAINES MERILEE | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-20 | Gunderson Thomas J. | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-20 | Basile Edward M | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-20 | TOBIN JAMES R | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-20 | Kania Edwin | A-Award | 2,922.00 | $0.00 | $0 |
| 2026-05-19 | Forsyth Matthew S. | A-Award | 23,171.00 | $66.13 | $1.5M |
| 2026-05-19 | Forsyth Matthew S. | A-Award | 15,409.00 | $0.00 | $0 |
| 2026-03-09 | Forsyth Matthew S. | 0.00 | $0.00 | $0 | |
| 2026-03-04 | Lovell Stephanie | S-Sale | 1,193.00 | $149.62 | $178,497 |
| 2026-03-04 | Weill David | M-Exempt | 3,571.00 | $14.20 | $50,708 |
| 2026-03-04 | Weill David | S-Sale | 3,571.00 | $146.82 | $524,294 |
| 2026-03-04 | Weill David | M-Exempt | 3,571.00 | $14.20 | $50,708 |
| 2026-03-04 | Hernandez Gerardo | M-Exempt | 5,912.00 | $69.84 | $412,894 |
| 2026-03-04 | Hernandez Gerardo | M-Exempt | 1,324.00 | $77.12 | $102,107 |
| 2026-03-04 | Hernandez Gerardo | S-Sale | 5,912.00 | $147.21 | $870,306 |
Narrative Economics
market-narrative step).