Login

TransMedics Group Inc

Recommendation: Buy

Entry Date Symbol Recommendation Entry Price (USD) Target 1 (USD) Target 2 (USD) Holding Duration Position Status Return(%)*
11 Aug, 25 TMDX Buy USD 114.5 USD 122.0 USD 130.0 Same day Closed 16.31%

*Return(%) represent the percentage change between the entry price and exit price of the recommendation.

Fundamentals

  • Previous Close 125.04
  • Market Cap4705.42M
  • Volume440654
  • P/E Ratio-
  • Dividend Yield-%
  • EBITDA26.19M
  • Revenue TTM296.92M
  • Revenue Per Share TTM9.10
  • Gross Profit TTM 65.27M
  • Diluted EPS TTM-0.34

Data Powered by EOD Historical Data (“EODHD”).

Company Overview

TransMedics 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 OCS includes OCS LUNG for the preservation of standard criteria donor lungs for double-lung transplantation; OCS Heart, a technology for preservation of DBD donor hearts deemed unsuitable due to limitations of cold storage and for ex vivo reanimation, functional monitoring, and beating-heart preservation of donation-after-circulatory-death hearts; and OCS Liver for the preservation of DBD and DCD of donor livers. The company also developed national OCS program, a turnkey solution for outsourced organ retrieval; and provides OCS organ management and logistics services, including aviation and ground transportation, and other coordination activity. The company was founded in 1998 and is headquartered in Andover, Massachusetts.

Key Positives

Net Income Surge – Net income in Q2 FY25 was USD  34.9 million, up 186% from USD  12.2 million in Q2 FY24, representing 22% of revenue versus ~11% in the prior year

Revenue Growth – Q2 FY25 revenue reached USD  157.4 million, up 38% from USD  114.3 million in Q2 FY24, driven by increased OCS utilization and NOP service expansion

 

Key Negatives

Increased Stock Compensation Costs – Stock-based compensation grew to USD  9.0 million in Q2 FY25, a 23% increase from USD  7.3 million in Q2 FY24, adding to expense pressures

Higher Operating Expenses – Operating expenses rose to USD  60.0 million in Q2 FY25, up 5.6% from USD  56.8 million in Q2 FY24, reflecting increased R&D and organizational investments

 

Key Investment Risks

The company faces key investment risks from its high dependence on the successful adoption and expansion of its OCS and NOP platforms, potential regulatory delays such as IDE approvals, and rising operating costs that could pressure margins if revenue growth slows

Recommendation Summary

Technical Summary

Entry Price Support* Target 1** Target 2**
114.5 103.0 122.0 130.0

Data Source: REFINITIV, Analysis: StockNextt

*Support can be considered as an indicative stop-loss, and if prices move below that level on closing basis individuals may evaluate exiting the position depending on their risk appetite, previous holdings, and other factors considered. The support and resistance levels may need to be re-evaluated within 4-6 weeks’ time frame depending on the stock price movements from the date of recommendation on the stock.

**Target prices may vary by ±0.5% depending on market volatility.

Key Reasons for Buy

  • Financial Results Announcement: TransMedics Group, Inc. (Nasdaq: TMDX), a leading medical technology company dedicated to revolutionizing organ transplant therapies for patients suffering from end-stage lung, heart, and liver failure, announced its financial results for the second quarter ended June 30, 2025. The company reported total revenue of USD 157.4 million, representing a 38% increase from USD 114.3 million in the corresponding quarter of 2024. This growth was primarily driven by heightened utilization of the Organ Care System (OCS) in liver and heart transplants through the National OCS Program (NOP), supplemented by expanded NOP service revenue from the company's growing aviation fleet.
  • Key Recent Highlights: In the second quarter of 2025, TransMedics achieved net income of USD 34.9 million, or USD 0.92 per fully diluted share. The company secured conditional Investigational Device Exemption (IDE) approval from the U.S. Food and Drug Administration to commence the Next-Gen OCS™ Lung trial. Additionally, it introduced the pioneering OCS NOP digital ecosystem, NOP ACCESS™, which has been implemented across major NOP transplant programs in the United States. TransMedics also revised its full-year 2025 revenue guidance upward to a range of USD 585 million to USD 605 million.
  • Executive Commentary and Operational Performance: Waleed Hassanein, President and Chief Executive Officer of TransMedics, expressed pride in the company's robust performance, highlighting profitable revenue growth of 38% year-over-year. He attributed this success to the effective implementation of strategic initiatives, the distinctive advantages of the OCS and NOP platforms, and the company's prominent position in the transplant sector. Looking forward, Dr. Hassanein reaffirmed confidence in the strategy, with a strong emphasis on exceeding the goal of 10,000 U.S. NOP transplants by 2028, alongside increased investments to foster future growth and enhance both revenue and profitability. Operating expenses rose to USD 60.0 million from USD 56.8 million in the prior year, largely due to expanded research and development efforts and organizational investments to accommodate expansion, including USD 9.0 million in stock compensation expenses compared to USD 7.3 million previously. Gross margin remained stable at 61%, while net income reached 22% of revenue.
  • Financial Position and Outlook: As of June 30, 2025, TransMedics maintained a cash balance of USD 400.6 million. The updated full-year 2025 revenue guidance of USD 585 million to USD 605 million reflects a midpoint growth of 35% over the previous year's revenue, surpassing the earlier projection of USD 565 million to USD 585 million issued on May 8, 2025. This revision underscores the company's optimistic trajectory and commitment to sustained financial advancement.

Technical Observation (on the daily chart):

The Relative Strength Index (RSI) over a 14-day period stands at a value of 47.05, currently recovered from oversold zone, with expectations of a consolidation or an upward momentum if the important support of USD 100.00-USD 110.00 holds. Additionally, the stock's current positioning is between both the 50-period SMA and 200-period SMA, which may serve as dynamic short to medium-term resistance and support levels respectively.

TransMedics Group (TMDX) stands out as a prime investment in the medical technology sector, bolstered by its exceptional Q2 2025 earnings that featured a 38% year-over-year revenue growth to USD 157.4 million and a 186% surge in net income to USD 34.9 million, far exceeding forecasts with EPS beating estimates by over 91%. The company's upward revision of full-year 2025 revenue guidance to USD 585-605 million reflects sustained momentum in its Organ Care System (OCS) utilization for lung, heart, and liver transplants, enhanced by its innovative National OCS Program (NOP) and expanding aviation logistics, positioning it for 35% annual growth and leadership in revolutionizing organ transplantation. Trading at an undervalued 6.71x 2025 EV/Sales multiple—well below its five-year average of 10.75x, while CEO Waleed Hassanein's USD 2 million insider stock purchase further affirms confidence in achieving and surpassing the 10,000 U.S. NOP transplants target by 2028.

As per the above-mentioned price action, recent key business and financial updates, momentum in the stock over the last month, and technical indicators analysis, a ‘Buy’ rating has been given to TransMedics Group, Inc. (NASDAQ: TMDX) at the closing market price of USD 114.50, as of August 08, 2025.

Key Financials in Pictures

Income Statement

Balance Sheet

Change in Cash

Total Operating Cash

Dividends Paid

Data Powered by EOD Historical Data (“EODHD”).

Peer Comparison

Sector: Healthcare Industry: Medical Devices

Company Change (USD) Price (USD) Trailing PE (x) Forward PE (x) Price Sales TTM (x) Price to Book Value (x) Enterprise Value to Revenue (x) Enterprise Value to EBITDA (x)
TMDX
TransMedics Group Inc
-2.4 1.92% 122.64 - 250.00 12.48 21.98 12.98 -407.2289
ABT
Abbott Laboratories
-0.52 0.41% 126.34 37.15 23.15 4.67 4.97 4.88 19.38
SYK
Stryker Corporation
1.17 0.33% 352.86 44.07 24.94 5.51 6.12 6.05 25.73
MDT
Medtronic PLC
0.62 0.63% 98.34 26.60 15.87 3.35 2.08 3.90 14.12
BSX
Boston Scientific Corp
1.30 1.40% 94.25 68.17 24.57 5.85 4.26 6.46 26.80

Data Powered by EOD Historical Data (“EODHD”).

Disclosures:

Markets are trading in a highly volatile zone currently due to certain macro-economic issues and prevailing geopolitical tensions. Therefore, it is prudent to follow a cautious approach while investing.

Related Risk: This report may be looked at from a high-risk perspective and a recommendation is provided for a short duration. This report is solely based on technical parameters, and the fundamental performance of the stocks has not been considered in the decision-making process. Other factors which could impact the stock prices include market risks, regulatory risks, interest rates risks, currency risks, social and political instability risks etc.

 

Note 1: Past performance is not a reliable indicator of future performance.

Note 2: The reference date for all price data, currency, technical indicators, support, and resistance level is August 08, 2025. The reference data in this report has been partly sourced from REFINITIV.

Technical Indicators Defined: -

Support: A level at which the stock prices tend to find support if they are falling, and a downtrend may take a pause backed by demand or buying interest. Support 1 refers to the nearby support level for the stock and if the price breaches the level, then Support 2 may act as the crucial support level for the stock.
Target: A level at which the stock prices tend to find resistance when they are rising, and an uptrend may take a pause due to profit booking or selling interest. Target 1 refers to the nearby resistance level for the stock and if the price surpasses the level, then Target 2 may act as the crucial resistance level for the stock.
Stop-loss: It is a level to protect further losses in case of unfavourable movement in the stock prices.

Disclaimer :
This report has been issued by StockNextt which has an Ontario Business Identification Number 1000958347 and British Columbia registration Number FM1051529 is a trade name under Kalkine Canada Advisory Services Inc. having Business Number 761925130BC0001. Kalkine Canada Advisory Services Inc. and StockNextt are collectively referred to as “StockNextt”, “we”, “us”, and “our”. The website https://stocknextt.com and associated pages are published by StockNextt. The information in this report and on the StockNextt website has been prepared from a wide variety of sources, which StockNextt, to the best of its knowledge and belief, considers accurate. StcokNextt has made every effort to ensure the reliability of information contained in its reports, newsletters, and websites. All information represents our views at the date of publication and may change without notice. The information in this report does not constitute an offer to sell securities or other financial products or a solicitation of an offer to buy securities or other financial products. Our reports contain general recommendations for investing in securities and other financial products. StockNextt does not offer financial advice based upon your personal financial situation or goals, and we shall not be held liable for any investment or trading losses you may incur by using the opinions expressed in our reports, publications, market updates, news alerts and corporate profiles. StockNextt does not intend to exclude any liability which it is not permitted to exclude under applicable law or regulation. StockNextt’s general advice does not in any way endorse or recommend individuals, investment products or services for your personal financial situation. You should discuss your portfolios and the risk tolerance level appropriate for your personal financial situation, with a professional authorised financial planner and adviser. You should be aware that the value of any investment and the income from it can go down as well as up and you may not get back the amount invested. Please also read our Terms and conditions for further information. Employees and/or associates of StockNextt and its related entities may hold an interest in the securities or other financial products covered in this report or on the StockNextt website. Any such employees and associates are required to comply with certain safeguards, procedures and disclosures as required by law.

Copyright © 2023 Krish Capital Pty Ltd. All rights reserved. No part of this website, or its content, may be reproduced in any form without our prior consent.