TransMedics (TMDX) | Financial Analysis & Statements
TransMedics Group Inc. Mid-cap Healthcare
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
160.8M
Gross Profit
93.4M
58.11%
Operating Income
21.3M
13.23%
Net Income
105.4M
65.55%
Balance Sheet Metrics
Total Assets
1.1B
Total Liabilities
595.3M
Shareholders Equity
473.1M
Debt to Equity
1.26
Cash Flow Metrics
Operating Cash Flow
110.2M
Free Cash Flow
19.0M
Revenue & Profitability Trend
Quarter Income Flow
Dec 31, 2025
Annual Income Flow
2025
TransMedics Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 605.5M | 441.5M | 241.6M | 93.5M | 30.3M |
| Cost of Goods Sold | 242.7M | 179.5M | 87.5M | 28.2M | 9.1M |
| Gross Profit | 362.8M | 262.1M | 154.1M | 65.3M | 21.2M |
| Gross Margin % | 59.9% | 59.4% | 63.8% | 69.8% | 69.9% |
| Operating Expenses | |||||
| Research & Development | 69.1M | 56.0M | 63.3M | 26.8M | 22.3M |
| Selling, General & Administrative | 185.2M | 168.6M | 119.6M | 69.9M | 38.3M |
| Other Operating Expenses | - | - | - | - | - |
| Total Operating Expenses | 254.2M | 224.6M | 182.8M | 96.7M | 60.6M |
| Operating Income | 108.6M | 37.5M | -28.7M | -31.4M | -39.4M |
| Operating Margin % | 17.9% | 8.5% | -11.9% | -33.6% | -130.3% |
| Non-Operating Items | |||||
| Interest Income | - | - | 12.5M | 900.0K | -877.0K |
| Interest Expense | 13.8M | 14.4M | 10.8M | 3.7M | 3.9M |
| Other Non-Operating Income | 12.7M | 12.7M | 347.0K | -1.9M | -877.0K |
| Pre-tax Income | 107.5M | 35.8M | -26.7M | -36.2M | -44.2M |
| Income Tax | -82.8M | 316.0K | -1.6M | 66.0K | 36.0K |
| Effective Tax Rate % | -77.0% | 0.9% | 0.0% | 0.0% | 0.0% |
| Net Income | 190.3M | 35.5M | -25.0M | -36.2M | -44.2M |
| Net Margin % | 31.4% | 8.0% | -10.4% | -38.8% | -146.1% |
| Key Metrics | |||||
| EBITDA | 148.5M | 69.9M | -8.0M | -27.1M | -38.5M |
| EPS (Basic) | $5.60 | $1.07 | $-0.77 | $-1.23 | $-1.60 |
| EPS (Diluted) | $4.87 | $1.01 | $-0.77 | $-1.23 | $-1.60 |
| Basic Shares Outstanding | 33993468 | 33229953 | 32517372 | 29556633 | 27616839 |
| Diluted Shares Outstanding | 33993468 | 33229953 | 32517372 | 29556633 | 27616839 |
Income Statement Trend
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TransMedics Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 488.4M | 336.6M | 394.8M | 201.2M | 25.6M |
| Short-term Investments | - | - | - | 0 | 66.9M |
| Accounts Receivable | 84.3M | 97.7M | 63.6M | 27.6M | 5.9M |
| Inventory | 48.9M | 46.6M | 44.2M | 20.6M | 14.9M |
| Other Current Assets | 16.3M | 16.3M | 8.0M | 2.9M | 5.5M |
| Total Current Assets | 637.8M | 497.2M | 510.7M | 252.3M | 118.7M |
| Non-Current Assets | |||||
| Property, Plant & Equipment | 45.5M | 39.1M | 29.8M | 20.4M | 17.1M |
| Goodwill | 25.0M | 25.2M | 26.3M | 0 | - |
| Intangible Assets | 1.9M | 2.2M | 2.4M | - | - |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 84.3M | 708.0K | 562.0K | 500.0K | 500.0K |
| Total Non-Current Assets | 430.6M | 306.9M | 195.4M | 24.9M | 16.2M |
| Total Assets | 1.1B | 804.1M | 706.0M | 277.1M | 134.9M |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | 10.4M | 10.3M | 12.7M | 3.3M | 6.7M |
| Short-term Debt | 13.3M | 2.7M | 2.0M | 1.4M | - |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | - | - | - | - | - |
| Total Current Liabilities | 89.3M | 59.9M | 54.9M | 23.7M | 23.2M |
| Non-Current Liabilities | |||||
| Long-term Debt | 506.0M | 515.6M | 513.9M | 66.1M | 43.8M |
| Deferred Tax Liabilities | - | - | - | - | - |
| Other Non-Current Liabilities | - | - | - | - | - |
| Total Non-Current Liabilities | 506.0M | 515.6M | 513.9M | 66.1M | 43.8M |
| Total Liabilities | 595.3M | 575.5M | 568.8M | 89.8M | 67.0M |
| Equity | |||||
| Common Stock | 750.9M | 697.2M | 641.1M | 666.3M | 510.5M |
| Retained Earnings | -278.0M | -468.2M | -503.7M | -478.7M | -442.4M |
| Treasury Stock | - | - | - | - | - |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 473.1M | 228.6M | 137.2M | 187.4M | 67.9M |
| Key Metrics | |||||
| Total Debt | 519.3M | 518.3M | 515.9M | 67.6M | 43.8M |
| Working Capital | 548.5M | 437.3M | 455.7M | 228.6M | 95.5M |
Balance Sheet Composition
TransMedics Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | 190.3M | 35.5M | -25.0M | -36.2M | -44.2M |
| Depreciation & Amortization | 27.2M | 19.8M | 8.2M | 3.5M | 1.8M |
| Stock-Based Compensation | 36.9M | 33.2M | 19.8M | 10.3M | 6.9M |
| Working Capital Changes | 4.4M | -46.7M | -56.5M | -32.7M | 1.3M |
| Operating Cash Flow | 180.4M | 46.4M | -24.8M | -54.0M | -32.9M |
| Investing Activities | |||||
| Capital Expenditures | -59.3M | -129.7M | -151.8M | -11.9M | -3.5M |
| Acquisitions | 0 | 441.0K | -14.9M | 0 | 0 |
| Investment Purchases | - | 0 | 0 | -10.5M | -72.0M |
| Investment Sales | - | 0 | 0 | 76.9M | 104.8M |
| Investing Cash Flow | -59.3M | -129.3M | -166.7M | 54.5M | 29.3M |
| Financing Activities | |||||
| Share Repurchases | - | - | - | - | - |
| Dividends Paid | - | - | - | - | - |
| Debt Issuance | 0 | 0 | 445.4M | 58.5M | 0 |
| Debt Repayment | - | 0 | 0 | -36.0M | 0 |
| Financing Cash Flow | -138.0K | 0 | 393.3M | 162.3M | 0 |
| Free Cash Flow | 133.6M | -80.9M | -192.1M | -57.7M | -32.4M |
| Net Change in Cash | 121.1M | -82.9M | 201.7M | 162.9M | -3.6M |
Cash Flow Trend
TransMedics Key Financial Ratios
Valuation Ratios
P/E Ratio (TTM)
23.29
Forward P/E
30.80
Price to Book
8.22
Price to Sales
6.47
PEG Ratio
0.02
Profitability Ratios
Profit Margin
31.43%
Operating Margin
13.23%
Return on Equity
54.24%
Return on Assets
7.25%
Financial Health
Current Ratio
7.14
Debt to Equity
109.76
Beta
2.08
Per Share Data
EPS (TTM)
$4.87
Book Value per Share
$13.81
Revenue per Share
$17.81
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| TMDX | 3.9B | 23.29 | 8.22 | 54.24% | 31.43% | 109.76 |
| Abbott Laboratories | 160.7B | 25.97 | 3.09 | 12.36% | 13.90% | 26.79 |
| Stryker | 126.3B | 39.21 | 5.62 | 15.08% | 12.92% | 72.97 |
| Masimo | 9.4B | 46.47 | 12.89 | 23.43% | -9.92% | 77.55 |
| Bio-Rad | 8.1B | 10.75 | 1.08 | 10.84% | 29.42% | 18.58 |
| Bio-Rad Laboratories | 7.6B | 10.98 | 1.11 | 10.84% | 29.42% | 18.58 |
Financial data is updated regularly. All figures are in the company's reporting currency.






