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TransMedics Reports Second Quarter 2025 Financial Results

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TransMedics (NASDAQ: TMDX), a medical technology company specializing in organ transplant therapy, reported strong Q2 2025 financial results. The company achieved revenue of $157.4 million, marking a 38% increase year-over-year, and generated net income of $34.9 million ($0.92 per diluted share).

Key highlights include receiving conditional IDE approval for the Next-Gen OCS� Lung trial, launching the NOP ACCESS� digital ecosystem, and maintaining a strong 61% gross margin. The company has raised its full-year 2025 revenue guidance to $585-605 million, representing 35% growth at the midpoint compared to the previous guidance of $565-585 million.

TransMedics maintains a robust financial position with $400.6 million in cash as of June 30, 2025, and remains focused on achieving its target of 10,000 US NOP transplants by 2028.

TransMedics (NASDAQ: TMDX), un'azienda di tecnologia medica specializzata nella terapia dei trapianti di organi, ha riportato solidi risultati finanziari del secondo trimestre 2025. La società ha raggiunto un fatturato di 157,4 milioni di dollari, con un incremento del 38% su base annua, e ha generato un utile netto di 34,9 milioni di dollari (0,92 dollari per azione diluita).

Tra i punti salienti si segnalano l'approvazione condizionata IDE per la sperimentazione del Next-Gen OCS� Lung, il lancio dell'ecosistema digitale NOP ACCESS� e il mantenimento di un solido margine lordo del 61%. L'azienda ha rivisto al rialzo la previsione di fatturato per l'intero 2025, portandola a 585-605 milioni di dollari, con una crescita del 35% a metà intervallo rispetto alla precedente stima di 565-585 milioni.

TransMedics mantiene una posizione finanziaria solida con 400,6 milioni di dollari in liquidità al 30 giugno 2025 e rimane concentrata sul raggiungimento dell'obiettivo di 10.000 trapianti NOP negli Stati Uniti entro il 2028.

TransMedics (NASDAQ: TMDX), una empresa de tecnología médica especializada en terapia de trasplantes de órganos, reportó sólidos resultados financieros del segundo trimestre de 2025. La compañía alcanzó unos ingresos de 157,4 millones de dólares, lo que representa un aumento del 38% interanual, y generó un beneficio neto de 34,9 millones de dólares (0,92 dólares por acción diluida).

Los aspectos destacados incluyen la aprobación condicional IDE para el ensayo del Next-Gen OCS� Lung, el lanzamiento del ecosistema digital NOP ACCESS� y el mantenimiento de un sólido margen bruto del 61%. La empresa ha elevado su pronóstico de ingresos para todo el 2025 a 585-605 millones de dólares, lo que representa un crecimiento del 35% en el punto medio respecto a la guía anterior de 565-585 millones.

TransMedics mantiene una posición financiera robusta con 400,6 millones de dólares en efectivo al 30 de junio de 2025 y sigue enfocada en alcanzar su objetivo de 10,000 trasplantes NOP en EE. UU. para 2028.

TransMedics (NASDAQ: TMDX)� 장기 이식 치료� 전문으로 하는 의료 기술 회사�, 2025� 2분기 재무 실적에서 강력� 성과� 보고했습니다. 회사� 1� 5,740� 달러� 매출� 기록하며 전년 대� 38% 성장했고, 순이� 3,490� 달러 (희석 주당 0.92달러)� 달성했습니다.

주요 성과로는 Next-Gen OCS� Lung 시험� 대� 조건부 IDE 승인 획득, NOP ACCESS� 디지� 생태� 출범, 그리� 61%� 견고� 총이익률 유지가 포함됩니�. 회사� 2025� 연간 매출 가이던스를 5� 8,500만~6� 500� 달러� 상향 조정했으�, 이는 이전 가이던� 5� 6,500만~5� 8,500� 달러 대� 중간� 기준 35% 성장� 해당합니�.

TransMedics� 2025� 6� 30� 기준 4� 60� 달러� 현금� 보유하며 견고� 재무 상태� 유지하고 있으�, 2028년까지 미국에서 10,000건의 NOP 이식� 달성하는 목표� 집중하고 있습니다.

TransMedics (NASDAQ : TMDX), une entreprise de technologie médicale spécialisée dans la thérapie de transplantation d'organes, a annoncé de solides résultats financiers au deuxième trimestre 2025. La société a réalisé un chiffre d'affaires de 157,4 millions de dollars, soit une augmentation de 38 % par rapport à l'année précédente, et un bénéfice net de 34,9 millions de dollars (0,92 dollar par action diluée).

Les points clés incluent l'obtention d'une approbation IDE conditionnelle pour l'essai du Next-Gen OCS� Lung, le lancement de l'écosystème numérique NOP ACCESS� et le maintien d'une marge brute solide de 61 %. La société a relevé ses prévisions de chiffre d'affaires pour l'ensemble de l'année 2025 à 585-605 millions de dollars, ce qui représente une croissance de 35 % au point médian par rapport aux prévisions précédentes de 565-585 millions.

TransMedics conserve une position financière solide avec 400,6 millions de dollars de liquidités au 30 juin 2025 et reste concentrée sur l'atteinte de son objectif de 10 000 transplantations NOP aux États-Unis d'ici 2028.

TransMedics (NASDAQ: TMDX), ein Medizintechnikunternehmen, das sich auf Organtransplantationstherapien spezialisiert hat, meldete starke Finanzergebnisse für das zweite Quartal 2025. Das Unternehmen erzielte einen Umsatz von 157,4 Millionen US-Dollar, was einem Anstieg von 38 % im Jahresvergleich entspricht, und erwirtschaftete einen Nettoertrag von 34,9 Millionen US-Dollar (0,92 US-Dollar je verwässerter Aktie).

Zu den wichtigsten Highlights zählen die bedingte IDE-Zulassung für die Next-Gen OCS� Lung-Studie, die Einführung des digitalen Ökosystems NOP ACCESS� und die Aufrechterhaltung einer starken Bruttomarge von 61 %. Das Unternehmen hat seine Umsatzprognose für das Gesamtjahr 2025 auf 585 bis 605 Millionen US-Dollar angehoben, was am Mittelwert einem Wachstum von 35 % im Vergleich zur vorherigen Prognose von 565 bis 585 Millionen entspricht.

TransMedics verfügt über eine solide Finanzlage mit 400,6 Millionen US-Dollar an liquiden Mitteln zum 30. Juni 2025 und konzentriert sich weiterhin darauf, das Ziel von 10.000 US-amerikanischen NOP-Transplantationen bis 2028 zu erreichen.

Positive
  • Revenue grew 38% year-over-year to $157.4 million in Q2 2025
  • Net income reached $34.9 million (22% of revenue), up from $12.2 million in Q2 2024
  • Strong gross margin maintained at 61%
  • Healthy cash position of $400.6 million
  • Received FDA conditional IDE approval for Next-Gen OCS� Lung trial
  • Raised full-year 2025 revenue guidance to $585-605 million
Negative
  • Operating expenses increased to $60.0 million from $56.8 million year-over-year
  • Stock compensation expense rose to $9.0 million from $7.3 million in Q2 2024

Insights

TransMedics delivered exceptional Q2 results with 38% revenue growth and strong profitability, signaling continued momentum in organ transplant technology.

TransMedics has delivered another stellar quarter with revenue reaching $157.4 million, representing 38% year-over-year growth. What's particularly impressive is the company's ability to maintain this growth trajectory while significantly improving profitability. Net income surged to $34.9 million, or $0.92 per diluted share, representing 22% of revenue � a remarkable margin for a medical technology company in growth mode.

The consistent 61% gross margin demonstrates the company's operational discipline and pricing power, even as they scale. TransMedics has successfully leveraged its first-mover advantage in the organ transplant technology market, creating a comprehensive ecosystem through its Organ Care System (OCS) and National OCS Program (NOP).

The revenue increase stems primarily from growing utilization of their OCS technology, particularly in liver and heart transplants, along with expansion of their aviation fleet supporting the NOP service. This vertical integration strategy � combining innovative medical devices with specialized logistics � creates formidable competitive barriers.

Management's confidence is evident in their raised full-year guidance, now projecting $585-605 million in revenue (up from $565-585 million), representing 35% growth at the midpoint. Their strong cash position of $400.6 million provides ample runway for continued R&D investment, as evidenced by the FDA's conditional approval for their Next-Gen OCS Lung trial and the launch of their NOP ACCESS digital ecosystem.

TransMedics remains firmly focused on their ambitious goal of facilitating 10,000 US NOP transplants by 2028, which would represent significant market expansion. The company's robust financial performance, expanding technology platform, and clear leadership in this specialized market position them for sustained growth.

ANDOVER, Mass., July 30, 2025 /PRNewswire/ -- TransMedics Group, Inc. ("TransMedics") (Nasdaq: TMDX), a medical technology company that is transforming organ transplant therapy for patients with end-stage lung, heart, and liver failure, today reported financial results for the quarter ended June 30, 2025.

Recent Highlights

  • Total revenue of $157.4 million in the second quarter of 2025, a 38% increase compared to the second quarter of 2024
  • Generated net income of $34.9 million or $0.92 per fully diluted share in the second quarter of 2025
  • Received conditional Investigations Device Exemption (IDE) approval from the U.S. Food and Drug Administration to initiate the Next-Gen OCSLung trial
  • Launched first-in-class OCS NOP digital ecosystem, NOP ACCESS, across major NOPtransplant programs across the U.S.
  • Raising full year 2025 revenue guidance to $585 million to $605 million

"We are proud to report another strong quarter, marked by profitable year-over-year revenue growth of 38%. Our consistent performance across all areas of the business reflects the successful execution of our strategy, the differentiated value our OCSand NOP platforms, and our unique leadership position in the transplant market," said Waleed Hassanein, MD, President andChief Executive Officer. "Looking ahead, we are confident in our strategy and remain laser focused on achieving and surpassing the target of 10,000 US NOP transplants in 2028, while ramping up investments to drive the next several waves of growth aimed at delivering significant top-and bottom-line growth for our business."

Second Quarter 2025 Financial Results
Total revenue for the second quarter of 2025 was $157.4 million, a 38% increase compared to $114.3million in the second quarter of 2024. The increase was due primarily to the increase in utilization of the Organ Care System ("OCS"), primarily in Liver and Heart through the National OCS Program ("NOP") and related NOP service revenue fueled by the continued expansion and utilization of our aviation fleet.

Gross margin for the second quarter of 2025 was 61% consistent with the second quarter of 2024.

Operating expenses for the second quarter of 2025 were $60.0 million, compared to $56.8 million in the second quarter of 2024. The increase in operating expenses was driven primarily by increased research and development investment as well as investment throughout the organization to support the growth of the company. Second quarter operating expenses in 2025 included $9.0 million of stock compensation expense compared to $7.3million of stock compensation expense in the second quarter of 2024.

Net income for the second quarter of 2025 was $34.9Dz, 22% of revenue, compared to net income of $12.2 million in the second quarter of 2024.

Cash was $400.6 million as of June 30, 2025.

2025 Financial Outlook
TransMedics is raisingits full year 2025 revenue guidance to be in the range of $585 million to $605 million, which represents 35% growth at the midpoint compared to the company's prior year revenue. TransMedics' full year 2025 revenue guidance as reported on May 8, 2025 was previously in the range of $565 million to $585 million.

Webcast and Conference Call Details
The TransMedics management team will host a conference call beginning at 4:30 p.m. ET / 1:30 p.m. PT on Thursday, July 30, 2025. Investors interested in listening to the conference call may do so by dialing (844) 676-6010 for domestic callers or (412) 634-6944 for international callers and ask to be joined into the TransMedics call. A live and archived webcast of the event and the company's slide presentation with information on second quarter 2025 financial results will be available on the "Investors" section of the TransMedics website at .

About TransMedics Group, Inc.
TransMedics is the world's leader in portable extracorporeal warm perfusion and assessment of donor organs for transplantation. Headquartered in Andover, Massachusetts, the company was founded to address the unmet need for more and better organs for transplantation and has developed technologies to preserve organ quality, assess organ viability prior to transplant, and potentially increase the utilization of donor organs for the treatment of end-stage heart, lung, and liver failure.

Forward-Looking Statements
This press release contains forward-looking statements. These forward-looking statements address various matters, including, among other things, future results and events, including financial guidance and projected estimates, and statements about our strategy, our focus on achieving and surpassing the target of 10,000 US NOP transplants in 2028, investments to drive waves of growth, and financial and business growth. For this purpose, all statements other than statements of historical facts are forward-looking statements. The words "believe," "may," "will," "estimate," "continue," "anticipate," "intend," "expect," "should," "could," "target," "predict," "seek" and similar expressions are intended to identify forward-looking statements. These forward-looking statements are subject to a number of risks and uncertainties. Our management cannot predict all risks, nor can we assess the impact of all factors or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in or implied by any forward-looking statements we may make. In light of these risks and uncertainties, the forward-looking events and circumstances discussed in this press release may not occur and actual results could differ materially and adversely from those anticipated in or implied by the forward-looking statements. Some of the key factors that could cause actual results to differ include: the fluctuation of our financial results from quarter to quarter; our ability to attract, train, and retain key personnel; our existing and any future indebtedness, including our ability to comply with affirmative and negative covenants under our credit agreements to which we will remain subject until maturity; our ability to sustain profitability; our need to raise additional funding and our ability to obtain it on favorable terms, or at all; our ability to use net operating losses and research and development credit carryforwards; that we have identified a material weakness in our internal control over financial reporting, and that we may identify additional material weaknesses in the future; our dependence on the success of the Organ Care System ("OCS"); our ability to expand access to the OCS through our National OCS Program ("NOP"); our ability to improve the OCS platform, including by developing the next generation of the OCS products or expanding into new indications; our ability to scale our manufacturing and sterilization capabilities to meet increasing demand for our products; the rate and degree of market acceptance of the OCS; our ability to educate patients, surgeons, transplant centers and private and public payors of benefits offered by the OCS; our dependence on a limited number of customers for a significant portion of our revenue; our ability to maintain regulatory approvals or clearances for our OCS products in the United States, the European Union, and other select jurisdictions worldwide; our ability to adequately respond to Food and Drug Administration ("FDA"), or other competent authorities, follow-up inquiries in a timely manner; the impact of healthcare policy changes, including recently enacted or potential future legislation reforming the U.S. healthcare system or the FDA; the performance of our third-party suppliers and manufacturers; our use of third parties to transport donor organs and medical personnel for our NOPand our ability to maintain and grow our logistics capabilities to support our NOP to reduce dependence on third party transportation, including by means of attracting, training and retaining pilots, and the acquisition, maintenance or replacement of fixed-wing aircraft for our aviation transportation services or other acquisitions, joint ventures or strategic investments; our ability to maintain Federal Aviation Administration ("FAA") or other regulatory licenses or approvals for our aircraft transportation services; price increases of the components of our products and maintenance, parts and fuel for our aircraft; the timing or results of post-approval studies and any clinical trials for the OCS; our manufacturing, sales, marketing and clinical support capabilities and strategy; attacks against our information technology infrastructure; the economic, political and other risks associated with our foreign operations; our ability to protect, defend, maintain and enforce our intellectual property rights relating to the OCS and avoid allegations that our products or services infringe, misappropriate or otherwise violate the intellectual property rights of third parties; the pricing of the OCS, as well as the reimbursement coverage for the OCS in the United States and internationally; regulatory developments in the United States, European Union and other jurisdictions; the extent and success of competing products or procedures that are or may become available; our ability to service our 1.50% convertible senior notes, due 2028; the impact of any product recalls or improper use of our products; our estimates regarding revenues, expenses and needs for additional financing; and other factors that may be described in our filings with the Securities and Exchange Commission (the "SEC"). Additional information will be made available in our annual and quarterly reports and other filings that we make with the SEC. The forward-looking statements in this press release speak only as of the date of this press release. Factors or events that could cause our actual results to differ may emerge from time to time, and we are not able to predict all of them. We undertake no obligation to update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by applicable law.

Investor Contact:
Brian Johnston
Laine Morgan
332-895-3222
[email protected]

TransMedicsGroup, Inc.

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except share and per share data)

(unaudited)




Three Months Ended June30,


Six Months Ended June30,



2025


2024


2025


2024

Revenue:









Net product revenue


$ 96,100


$ 71,732


$ 184,334


$ 133,057

Service revenue


61,270


42,573


116,573


78,098

Total revenue


157,370


114,305


300,907


211,155

Cost of revenue:









Cost of net product revenue


19,421


14,470


35,733


28,554

Cost of service revenue


41,360


30,574


80,357


53,378

Total cost of revenue


60,781


45,044


116,090


81,932

Gross profit


96,589


69,261


184,817


129,223










Gross margin


61%


61%


61%


61%










Operating expenses:









Research, development and clinical trials


15,934


13,858


33,094


25,238

Selling, general and administrative


44,088


42,895


87,713


79,056

Total operating expenses


60,022


56,753


120,807


104,294

Income from operations


36,567


12,508


64,010


24,929

Other income (expense):









Interest expense


(3,476)


(3,623)


(6,937)


(7,221)

Interest income and other income (expense), net


3,091


3,268


5,785


6,838

Total other expense, net


(385)


(355)


(1,152)


(383)

Income before income taxes


36,182


12,153


62,858


24,546

(Provision) benefit for income taxes


(1,275)


41


(2,269)


(155)

Net income


$ 34,907


$ 12,194


$ 60,589


$ 24,391

Net income per share:









Basic


$ 1.03


$ 0.37


$ 1.79


$ 0.74

Diluted


$ 0.92


$ 0.35


$ 1.62


$ 0.70

Weighted average common shares outstanding:









Basic


33,912,669


33,119,514


33,817,664


32,939,852

Diluted


40,558,953


35,288,308


40,238,501


34,983,603

TransMedicsGroup, Inc.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands)

(unaudited)





June30, 2025


December31, 2024

Assets





Current assets:





Cash


$ 400,575


$ 336,650

Accounts receivable


104,851


97,722

Inventory


38,868


46,554

Prepaid expenses and other current assets


13,835


16,290

Total current assets


558,129


497,216

Property, plant and equipment, net


312,255


285,970

Operating lease right-of-use assets


5,818


6,481

Restricted cash


500


500

Goodwill


11,549


11,549

Acquired intangible assets, net


2,050


2,152

Other non-current assets


221


208

Total assets


$ 890,522


$ 804,076

Liabilities and Stockholders' Equity





Current liabilities:





Accounts payable


$ 9,539


$ 10,292

Accrued expenses and other current liabilities


42,490


45,152

Deferred revenue


1,570


1,742

Operating lease liabilities


3,021


2,727

Total current liabilities


56,620


59,913

Convertible senior notes, net


451,364


449,939

Long-term debt, net


59,525


59,372

Operating lease liabilities, net of current portion


4,912


6,249

Total liabilities


572,421


575,473

Total stockholders' equity


318,101


228,603

Total liabilities and stockholders' equity


$ 890,522


$ 804,076

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SOURCE TransMedics Group, Inc.

FAQ

What was TransMedics (TMDX) revenue in Q2 2025?

TransMedics reported revenue of $157.4 million in Q2 2025, representing a 38% increase compared to Q2 2024.

How much net income did TMDX generate in Q2 2025?

TransMedics generated net income of $34.9 million ($0.92 per diluted share), representing 22% of revenue, compared to $12.2 million in Q2 2024.

What is TransMedics' revenue guidance for full-year 2025?

TransMedics raised its full-year 2025 revenue guidance to $585-605 million, representing 35% growth at the midpoint compared to the previous guidance of $565-585 million.

What regulatory approval did TMDX receive in Q2 2025?

TransMedics received conditional Investigations Device Exemption (IDE) approval from the FDA to initiate the Next-Gen OCS� Lung trial.

What is TransMedics' cash position as of Q2 2025?

TransMedics reported a cash position of $400.6 million as of June 30, 2025.
Transmedics Group

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Medical Devices
Electromedical & Electrotherapeutic Apparatus
United States
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