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TMDXTransMedics Group, Inc.
$78.79$2.7B
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TMDX logoTransMedics Group, Inc.(TMDX)Earnings, Financials & Key Ratios

TMDX•NASDAQ
16.2× P/E·Price updated Jun 19, 2026
SectorHealthcareIndustryMedical DevicesSub-IndustryDevice suppliers, distribution, and services
AboutTransMedics Group, Inc., a commercial-stage medical technology company, engages in transforming organ transplant therapy for end-stage organ failure patients in the United States and internationally. The company offers Organ Care System (OCS), a portable organ perfusion, optimization, and monitoring system that utilizes its proprietary and customized technology to replicate near-physiologic conditions for donor organs outside of the human body. Its Organ Care System includes OCS LUNG for the preservation of standard criteria donor lungs for double-lung transplantation; OCS Heart, a technology for extracorporeal perfusion and preservation of donor hearts; and OCS Liver for the preservation of donor livers. The company was founded in 1998 and is headquartered in Andover, Massachusetts.Show more
  • Revenue$605M+37.1%
  • EBITDA$136M+137.1%
  • Net Income$190M+436.6%
  • EPS (Diluted)4.87+382.2%
  • Gross Margin59.92%+0.9%
  • EBITDA Margin22.42%+72.9%
  • Operating Margin17.93%+111.2%
  • Net Margin31.43%+291.3%
  • ROE54.24%+179.7%

TMDX Key Insights

TransMedics Group, Inc. (TMDX) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Strong Piotroski F-Score: 7/9
  • ✓FCF machine: 22.1% free cash flow margin
  • ✓Strong 5Y sales CAGR of 88.2%
  • ✓Good 3Y average ROE of 19.4%

✗Weaknesses

  • ✗Weak momentum: RS Rating 13 (bottom 13%)
  • ✗Shares diluted 15.1% in last year
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

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TMDX Price & Volume

TransMedics Group, Inc. (TMDX) stock price & volume — 10-year historical chart

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TMDX Growth Metrics

TransMedics Group, Inc. (TMDX) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years88.21%
3 Years86.42%
TTM30.24%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM251.23%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM221.32%

Return on Capital

10 Years-28.43%
5 Years-7.38%
3 Years3.88%
Last Year12.6%

TMDX Recent Earnings

TransMedics Group, Inc. (TMDX) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 9/12 qtrs (75%)●Beat Revenue 9/12 qtrs (75%)
Q2 2026Latest
May 5, 2026
Metric
Actual
Est
EPS
$0.30-51.6%
$0.62
Rev
$174M-0.3%
$174M
Q1 2026
Feb 24, 2026
Metric
Actual
Est
EPS
$0.57+39.0%
$0.41
Rev
$161M+3.5%
$155M
Q4 2025
Oct 29, 2025
Metric
Actual
Est
EPS
$0.66+78.4%
$0.37
Rev
$144M-7.5%
$155M
Q3 2025
Jul 30, 2025
Metric
Actual
Est
EPS
$0.92+91.7%
$0.48
Rev
$157M+11.1%
$142M
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 5, 2026
$0.30vs $0.62-51.6%
$174Mvs $174M-0.3%
Q1 2026Feb 24, 2026
$0.57vs $0.41+39.0%
$161Mvs $155M+3.5%
Q4 2025Oct 29, 2025
$0.66vs $0.37+78.4%
$144Mvs $155M-7.5%
Q3 2025Jul 30, 2025
$0.92vs $0.48+91.7%
$157Mvs $142M+11.1%
Based on last 12 quarters of dataView full earnings history →

TMDX Peer Comparison

TransMedics Group, Inc. (TMDX) competitors in Device suppliers, distribution, and services — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
Institutional Holdings
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
AVXL logoAVXLAnavex Life Sciences Corp.Direct Competitor252.99M2.73-5.06-38.76%
STVN logoSTVNStevanato Group S.p.A.Direct Competitor4.79B17.5431.103.21%11.75%9.63%0.32
NVCR logoNVCRNovoCure LimitedDirect Competitor1.62B14.28-11.708.28%-25.66%-50.82%0.85
LIVN logoLIVNLivaNova PLCProduct Competitor4.31B78.50-17.6410.74%7.47%9.13%0.39
ATRC logoATRCAtriCure, Inc.Product Competitor1.46B28.80-12014.88%-0.83%-0.95%0.18
NTRA logoNTRANatera, Inc.Product Competitor33.14B231.41-152.2435.9%-9.05%-15.13%0.13
MMSI logoMMSIMerit Medical Systems, Inc.Product Competitor4.01B67.2231.5611.66%9.03%8.95%0.57
ITGR logoITGRInteger Holdings CorporationProduct Competitor3.13B90.9631.477.57%7.67%8.23%0.80

Compare TMDX vs Peers

TransMedics Group, Inc. (TMDX) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs AVXL

Most directly comparable listed peer for TMDX.

Scale Benchmark

vs UNH

Larger-name benchmark to compare TMDX against a more recognizable public peer.

Peer Set

Compare Top 5

vs AVXL, STVN, NVCR, LIVN

TMDX Income Statement

TransMedics Group, Inc. (TMDX) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
MetricDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Sales/Revenue
7.68M13.02M23.6M25.64M30.26M93.46M241.62M441.54M605.49M635.89M
Revenue Growth %
23.77%69.38%81.33%8.62%18.03%208.83%158.53%82.74%37.13%30.24%
Cost of Goods Sold
5.55M7.28M9.74M9M9.1M28.19M87.53M179.46M242.69M260.15M
COGS % of Revenue
72.19%55.95%41.27%35.12%30.08%30.16%36.23%40.64%40.08%-
Gross Profit
2.14M▲ 0%
5.73M▲ 168.3%
13.86M▲ 141.8%
16.64M▲ 20.0%
21.16M▲ 27.2%
65.27M▲ 208.5%
154.09M▲ 136.1%
262.08M▲ 70.1%
362.81M▲ 38.4%
375.74M▲ 0%
Gross Margin %
27.81%44.05%58.73%64.88%69.92%69.84%63.77%59.36%59.92%59.09%
Gross Profit Growth %
178.98%168.32%141.77%20%27.2%208.48%136.08%70.08%38.43%-
Operating Expenses
22.56M25.97M43.47M43.02M60.59M96.71M182.82M224.59M254.22M281.3M
OpEx % of Revenue
293.6%199.52%184.15%167.79%200.21%103.48%75.66%50.86%41.99%-
Selling, General & Admin
7.61M12.31M23.6M24.19M38.28M69.9M119.55M168.62M185.17M204.53M
SG&A % of Revenue
98.97%94.61%99.97%94.34%126.51%74.79%49.48%38.19%30.58%-
Research & Development
14.96M13.66M19.87M18.83M22.3M26.81M63.27M55.97M69.06M76.77M
R&D % of Revenue
194.63%104.91%84.18%73.45%73.7%28.69%26.18%12.68%11.4%-
Other Operating Expenses
0-213K00000000
Operating Income
-20.43M▲ 0%
-20.24M▲ 0.9%
-29.6M▼ 46.3%
-26.38M▲ 10.9%
-39.43M▼ 49.4%
-31.44M▲ 20.3%
-28.73M▲ 8.6%
37.5M▲ 230.5%
108.58M▲ 189.6%
94.44M▲ 0%
Operating Margin %
-265.79%-155.47%-125.42%-102.91%-130.29%-33.64%-11.89%8.49%17.93%14.85%
Operating Income Growth %
11.14%0.93%-46.28%10.87%-49.44%20.27%8.62%230.53%189.59%-
EBITDA
-19.8M-19.47M-28.38M-24.81M-37.61M-27.96M-20.55M57.25M135.77M115.48M
EBITDA Margin %
-257.59%-149.56%-120.24%-96.75%-124.28%-29.92%-8.51%12.97%22.42%18.16%
EBITDA Growth %
12.25%1.66%-45.78%12.59%-51.61%25.66%26.5%378.61%137.13%55.83%
D&A (Non-Cash Add-back)
630K769K1.22M1.58M1.82M3.48M8.18M19.76M27.18M21.05M
EBIT
-19.72M-21M-29.15M-24.73M-40.3M-32.44M-15.88M50.19M121.3M104.46M
Net Interest Income
-524K-2.42M-3.56M-2.33M-3.87M-2.83M1.71M-14.41M-13.78M-7.82M
Interest Income
548K0790K1.65M0900K12.5M002.5M
Interest Expense
1.07M2.42M4.35M3.98M3.87M3.73M10.79M14.41M13.78M3.15M
Other Income/Expense
-365K-3.48M-3.9M-2.33M-4.75M-4.73M2.06M-1.72M-1.06M-5.11M
Pretax Income
-20.79M▲ 0%
-23.71M▼ 14.1%
-33.51M▼ 41.3%
-28.72M▲ 14.3%
-44.18M▼ 53.8%
-36.16M▲ 18.1%
-26.67M▲ 26.3%
35.78M▲ 234.2%
107.52M▲ 200.5%
89.33M▲ 0%
Pretax Margin %
-270.54%-182.18%-141.95%-112%-145.99%-38.7%-11.04%8.1%17.76%14.05%
Income Tax
32K41K40K32K36K66K-1.64M316K-82.77M-84.93M
Effective Tax Rate %
-0.15%-0.17%-0.12%-0.11%-0.08%-0.18%6.16%0.88%-76.98%-95.08%
Net Income
-20.82M▲ 0%
-23.76M▼ 14.1%
-33.55M▼ 41.2%
-28.75M▲ 14.3%
-44.22M▼ 53.8%
-36.23M▲ 18.1%
-25.03M▲ 30.9%
35.46M▲ 241.7%
190.29M▲ 436.6%
171.92M▲ 0%
Net Margin %
-270.96%-182.5%-142.12%-112.13%-146.11%-38.77%-10.36%8.03%31.43%27.04%
Net Income Growth %
13.47%-14.09%-41.21%14.31%-53.8%18.06%30.92%241.7%436.58%251.23%
Net Income (Continuing)
-20.82M-23.76M-33.55M-28.75M-44.22M-36.23M-25.03M35.46M190.29M171.92M
Discontinued Operations
0000000000
Minority Interest
0000000000
EPS (Diluted)
-1.44▲ 0%
-1.23▲ 14.6%
-2.36▼ 91.9%
-1.16▲ 50.8%
-1.60▼ 37.9%
-1.23▲ 23.1%
-0.77▲ 37.4%
1.01▲ 231.2%
4.87▲ 382.2%
4.75▲ 0%
EPS Growth %
13.25%14.58%-91.87%50.85%-37.93%23.13%37.4%231.17%382.18%221.32%
EPS (Basic)
-1.44-1.23-2.36-1.16-1.60-1.23-0.771.075.60-
Diluted Shares Outstanding
14.48M19.25M14.2M24.7M27.62M29.56M32.52M35.22M40.54M36.19M
Basic Shares Outstanding
14.48M19.25M14.2M24.7M27.62M29.56M32.52M33.23M33.99M34.38M
Dividend Payout Ratio
----------

TMDX Balance Sheet

TransMedics Group, Inc. (TMDX) balance sheet — assets, liabilities & shareholders' equity

MetricDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Total Current Assets
34.04M34.79M100M146.77M118.7M252.29M510.65M497.22M637.78M619.28M
Cash & Short-Term Investments
24.66M20.24M80.69M125.64M92.45M201.18M394.81M336.65M488.37M461.74M
Cash Only
11.94M20.24M20.09M24.58M25.58M201.18M394.81M336.65M488.37M461.74M
Short-Term Investments
12.73M060.6M101.06M66.87M00000
Accounts Receivable
925K3.44M6.56M6.86M5.93M27.61M63.58M97.72M84.28M90.73M
Days Sales Outstanding
43.9396.4101.4297.7271.57107.8396.0480.7850.8151.74
Inventory
7.97M9.28M11.22M11.93M14.86M20.61M44.23M46.55M48.88M49.89M
Days Inventory Outstanding
524.41464.93420.27483.77595.8266.82184.4694.6973.5263.89
Other Current Assets
001.54M2.33M5.46M2.9M8.03M16.29M16.25M16.92M
Total Non-Current Assets
2.96M7.36M5.3M5.26M16.19M24.85M195.39M306.86M430.59M815.54M
Property, Plant & Equipment
2.46M3.47M4.79M4.75M15.69M24.35M180.49M292.45M332.81M700.97M
Fixed Asset Turnover
3.13x3.75x4.93x5.39x1.93x3.84x1.34x1.51x1.82x1.52x
Goodwill
00000011.99M11.55M11.55M11.55M
Intangible Assets
0000002.35M2.15M1.95M0
Long-Term Investments
500K500K500K0500K500K0000
Other Non-Current Assets
6K3.39M6K506K00562K708K739K20.54M
Total Assets
37M▲ 0%
42.16M▲ 13.9%
105.3M▲ 149.8%
152.03M▲ 44.4%
134.89M▼ 11.3%
277.15M▲ 105.5%
706.05M▲ 154.8%
804.08M▲ 13.9%
1.07B▲ 32.9%
1.43B▲ 0%
Asset Turnover
0.21x0.31x0.22x0.17x0.22x0.34x0.34x0.55x0.57x0.59x
Asset Growth %
-36.32%13.93%149.78%44.38%-11.27%105.46%154.76%13.88%32.87%142.01%
Total Current Liabilities
10.9M12.55M16.11M11.88M23.24M23.66M54.93M59.91M89.31M91.92M
Accounts Payable
3.52M4.72M7.25M1.21M6.65M3.34M12.72M10.29M10.35M11.15M
Days Payables Outstanding
231.25236.55271.5548.89266.6843.2653.0320.9315.5715.15
Short-Term Debt
1.8M0000002.73M13.31M18.51M
Deferred Revenue (Current)
239K306K166K263K250K241K1.96M1.74M2.9M10.72M
Other Current Liabilities
569K655K370K6.38M11.16M8.82M17.92M45.15M62.74M59.32M
Current Ratio
3.12x2.77x6.21x12.36x5.11x10.66x9.30x8.30x7.14x6.74x
Quick Ratio
2.39x2.03x5.51x11.35x4.47x9.79x8.49x7.52x6.59x6.19x
Cash Conversion Cycle
337.09324.78250.15532.6400.69331.39227.47154.53108.76100.48
Total Non-Current Liabilities
194.83M34.43M34.53M36.26M43.8M66.11M513.91M515.56M505.97M848.89M
Long-Term Debt
6.85M33.67M34.15M34.66M35.2M58.7M506.2M509.31M456.38M800.24M
Capital Lease Obligations
00008.6M7.42M7.71M6.25M09.34M
Deferred Tax Liabilities
-1.11M-759K00000000
Other Non-Current Liabilities
187.98M759K389K1.6M000049.59M48.65M
Total Liabilities
205.72M46.98M50.65M48.13M67.04M89.77M568.85M575.47M595.27M940.81M
Total Debt
8.65M33.67M34.15M34.66M43.8M67.56M515.95M518.29M469.69M818.75M
Net Debt
-3.28M13.43M14.05M10.08M18.22M-133.63M121.13M181.64M-18.68M357.01M
Debt / Equity
--0.62x0.33x0.65x0.36x3.76x2.27x0.99x1.66x
Debt / EBITDA
-------9.05x3.46x7.09x
Net Debt / EBITDA
-------3.17x-0.14x3.09x
Interest Coverage
-18.39x-8.68x-6.70x-6.21x-10.40x-8.71x-1.47x3.48x8.80x33.15x
Total Equity
-168.72M▲ 0%
-4.83M▲ 97.1%
54.65M▲ 1232.6%
103.89M▲ 90.1%
67.85M▼ 34.7%
187.38M▲ 176.1%
137.2M▼ 26.8%
228.6M▲ 66.6%
473.1M▲ 107.0%
494.01M▲ 0%
Equity Growth %
-534.98%97.14%1232.62%90.11%-34.69%176.14%-26.78%66.62%106.95%329.18%
Book Value per Share
-11.65-0.253.854.212.466.344.226.4911.6713.65
Total Shareholders' Equity
-168.72M-4.83M54.65M103.89M67.85M187.38M137.2M228.6M473.1M494.01M
Common Stock
1K331.21M424.13M502.22M510.49M666.28M641.11M697.21M750.93M764.64M
Retained Earnings
-312.18M-335.94M-369.48M-398.23M-442.45M-478.68M-503.7M-468.24M-277.95M-270.63M
Treasury Stock
0000000000
Accumulated OCI
-149K-101K-2K-95K-188K-225K-199K-364K124K2K
Minority Interest
0000000000

TMDX Cash Flow Statement

TransMedics Group, Inc. (TMDX) cash flow — operating, investing & free cash flow history

MetricDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Cash from Operations
-23.1M-25.98M-32.29M-30.27M-28.86M-45.82M-13.03M48.8M192.84M220.23M
Operating CF Margin %
-300.56%-199.62%-136.78%-118.04%-95.38%-49.02%-5.39%11.05%31.85%-
Operating CF Growth %
4.19%-12.49%-24.25%6.26%4.63%-58.73%71.57%474.6%295.14%2205.66%
Net Income
-20.82M-23.76M-33.55M-28.75M-44.22M-36.23M-25.03M35.46M190.29M171.92M
Depreciation & Amortization
630K769K1.22M1.58M1.82M3.48M8.18M19.76M27.18M32.91M
Stock-Based Compensation
70K144K854K2.41M6.88M10.32M19.79M33.22M36.86M37.85M
Deferred Taxes
-316K1.01M336K-431K00-1.66M0-83.54M-82.48M
Other Non-Cash Items
93K177K475K511K3.65M3.37M30.04M5.36M4.79M-3.16M
Working Capital Changes
-2.75M-4.33M-1.63M-5.59M3M-26.76M-44.35M-45M17.25M63.17M
Change in Receivables
454K-2.51M-3.17M-218K840K-21.68M-33.82M-34.31M13.95M51.56M
Change in Inventory
-2.5M-2.7M-4.12M-1.74M-4.89M-8.02M-28.09M-8.35M-7.72M-13.62M
Change in Payables
-735K164K3.44M-5.8M5.09M-3.27M6.96M-1.4M-19K326K
Cash from Investing
24.86M12.31M-60.5M-41.6M29.27M54.51M-193.95M-129.3M-59.25M-68.87M
Capital Expenditures
-263K-418K-165K-455K-3.52M-11.91M-151.85M0-59.25M-68.87M
CapEx % of Revenue
3.42%3.21%0.7%1.77%11.63%12.74%62.84%29.38%9.79%10.83%
Acquisitions
0060.34M41.14M0107K-14.89M441K00
Investments
----------
Other Investing
25.12M12.72M-60.34M-41.14M0-107K-27.21M-129.74M00
Cash from Financing
3K22.06M92.72M75.55M1.39M167.93M400.42M22.87M16.86M17.59M
Debt Issued (Net)
024.36M00022.46M445.38M000
Equity Issued (Net)
0097.37M74.97M0139.85M022.87M-138K10.87M
Dividends Paid
0000000000
Share Repurchases
00000000-138K1.69M
Other Financing
3K-2.3M-4.64M584K1.39M5.61M-44.96M017M6.72M
Net Change in Cash
2.1M▲ 0%
8.3M▲ 295.7%
-149K▼ 101.8%
4.49M▲ 3112.8%
999K▼ 77.7%
175.6M▲ 17477.8%
193.63M▲ 10.3%
-58.16M▼ 130.0%
151.72M▲ 360.9%
169.53M▲ 0%
Free Cash Flow
-23.36M▲ 0%
-26.4M▼ 13.0%
-32.45M▼ 22.9%
-30.72M▲ 5.3%
-32.38M▼ 5.4%
-57.72M▼ 78.3%
-192.09M▼ 232.8%
-80.94M▲ 57.9%
133.59M▲ 265.0%
151.36M▲ 0%
FCF Margin %
-303.98%-202.83%-137.48%-119.82%-107.01%-61.76%-79.5%-18.33%22.06%23.8%
FCF Growth %
8.7%-13.02%-22.91%5.33%-5.41%-78.25%-232.77%57.86%265.04%339.39%
FCF per Share
-1.61-1.37-2.28-1.24-1.17-1.95-5.91-2.303.304.18
FCF Conversion (FCF/Net Income)
1.11x1.09x0.96x1.05x0.65x1.26x0.52x1.38x1.01x0.88x
Interest Paid
00003.33M08.09M000
Taxes Paid
0000000000

TMDX Key Ratios

TransMedics Group, Inc. (TMDX) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201720182019202020212022202320242025TTM
Return on Equity (ROE)
---134.66%-36.27%-51.49%-28.39%-15.42%19.39%54.24%41.92%
Return on Invested Capital (ROIC)
--176.4%-57.44%-21.67%-29.56%-33.73%-13.81%8.41%18.84%13.18%
Gross Margin
27.81%44.05%58.73%64.88%69.92%69.84%63.77%59.36%59.92%59.09%
Net Margin
-270.96%-182.5%-142.12%-112.13%-146.11%-38.77%-10.36%8.03%31.43%27.04%
Debt / Equity
--0.62x0.33x0.65x0.36x3.76x2.27x0.99x1.66x
Interest Coverage
-18.39x-8.68x-6.70x-6.21x-10.40x-8.71x-1.47x3.48x8.80x33.15x
FCF Conversion
1.11x1.09x0.96x1.05x0.65x1.26x0.52x1.38x1.01x0.88x
Revenue Growth
23.77%69.38%81.33%8.62%18.03%208.83%158.53%82.74%37.13%30.24%
Related:TMDX Dividend History·TMDX Revenue History·TMDX Price History·TMDX P/E History·TMDX Financial Ratios·TMDX Institutional Holders

TMDX SEC Filings & Documents

TransMedics Group, Inc. (TMDX) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

May 5, 2026·SEC

Material company update

Feb 27, 2026·SEC

Material company update

Feb 24, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 24, 2026·SEC

FY 2025

Feb 27, 2025·SEC

FY 2024

Feb 27, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

May 5, 2026·SEC

FY 2025

Oct 29, 2025·SEC

FY 2025

Jul 30, 2025·SEC

TMDX Frequently Asked Questions

TransMedics Group, Inc. (TMDX) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

TransMedics Group, Inc. (TMDX) reported $635.9M in revenue for fiscal year 2025. This represents a 10141% increase from $6.2M in 2016.

TransMedics Group, Inc. (TMDX) grew revenue by 37.1% over the past year. This is strong growth.

Yes, TransMedics Group, Inc. (TMDX) is profitable, generating $171.9M in net income for fiscal year 2025 (31.4% net margin).

Dividend & Returns

TransMedics Group, Inc. (TMDX) has a return on equity (ROE) of 54.2%. This is excellent, indicating efficient use of shareholder capital.

TransMedics Group, Inc. (TMDX) generated $151.4M in free cash flow for fiscal year 2025. Positive FCF indicates the company can fund dividends, buybacks, or reinvestment.

What if you invested $1,000 in TMDX back in 2016?

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