(TMDX) TransMedics - Ratings and Ratios

Exchange: NASDAQ • Country: United States • Currency: USD • Type: Common Stock • ISIN: US89377M1099

Portable Perfusion System, Lung Module, Heart Module, Liver Module

Dividends

Currently no dividends paid
Risk via 10d forecast
Volatility 65.6%
Value at Risk 5%th 92.0%
Relative Tail Risk -14.80%
Reward TTM
Sharpe Ratio 1.27
Alpha 73.87
CAGR/Max DD 0.48
Character TTM
Hurst Exponent 0.491
Beta 1.213
Beta Downside 0.967
Drawdowns 3y
Max DD 67.79%
Mean DD 25.42%
Median DD 22.26%

Description: TMDX TransMedics November 09, 2025

TransMedics Group, Inc. (NASDAQ:TMDX) is a commercial-stage medical-technology firm that markets the Organ Care System (OCS), a portable platform that perfuses, optimizes, and monitors donor organs in near-physiologic conditions outside the body. The OCS portfolio includes OCS LUNG for double-lung transplants, OCS Heart for donation-after-brain-death (DBD) hearts and ex-vivo reanimation of donation-after-circulatory-death (DCD) hearts, and OCS Liver for both DBD and DCD liver grafts. In addition to the hardware, the company runs a turnkey national OCS program that handles organ retrieval, logistics, and transportation, positioning itself as an end-to-end service provider for transplant centers in the U.S. and abroad.

Key recent metrics: Q2 2024 revenue rose 28% YoY to $44 million, driven by a 35% increase in OCS Heart shipments and expanding adoption of OCS Lung in high-volume transplant centers. The company reported a backlog of roughly $120 million, indicating strong forward-order flow. Sector drivers include an aging population that raises demand for organ transplants, a persistent organ-donor shortage that fuels interest in perfusion technologies, and evolving Medicare reimbursement policies that now provide higher payments for perfused organs compared with traditional cold-storage methods.

For a deeper quantitative assessment of TMDX’s valuation metrics, the ValueRay platform offers a concise dashboard of forward-looking cash-flow estimates and peer-adjusted multiples.

Piotroski VR‑10 (Strict, 0-10) 7.0

Net Income (91.8m TTM) > 0 and > 6% of Revenue (6% = 34.0m TTM)
FCFTA 0.13 (>2.0%) and ΔFCFTA 28.09pp (YES ≥ +1.0pp, WARN ≥ +0.5pp)
NWC/Revenue 94.16% (prev 107.8%; Δ -13.65pp) (YES ≤20% & Δ≤-1pp; WARN ≤25% & Δ≤0 oder ≤40% & Δ≤-3pp)
CFO/TA 0.19 (>3.0%) and CFO 178.0m > Net Income 91.8m (YES >=105%, WARN >=100%)
Net Debt (-1.43m) to EBITDA (132.3m) ratio: -0.01 <= 3.0 (WARN <= 3.5)
Current Ratio 7.69 (target 1.5–3.0; WARN 1.2–<1.5 or >3.0–5.0; CFO/TA gate active)
Outstanding Shares last Quarter (40.7m) change vs 12m ago 14.19% (target <= -2.0% for YES)
Gross Margin 60.28% (prev 59.29%; Δ 0.99pp) >=18% & Δ>=+0.5pp (WARN >=15% & Δ>=0)
Asset Turnover 65.41% (prev 51.06%; Δ 14.36pp) >=50% & Δ>=+2pp (WARN >=35% & Δ>=0)
Interest Coverage Ratio 7.63 (EBITDA TTM 132.3m / Interest Expense TTM 14.0m) >= 6 (WARN >= 3)

Altman Z'' 3.84

(A) 0.56 = (Total Current Assets 613.0m - Total Current Liabilities 79.7m) / Total Assets 946.0m
(B) -0.41 = Retained Earnings (Balance) -383.3m / Total Assets 946.0m
(C) 0.12 = EBIT TTM 106.9m / Avg Total Assets 865.8m
(D) 0.60 = Book Value of Equity 355.2m / Total Liabilities 590.8m
Total Rating: 3.84 = (6.56 * A) + (3.26 * B) + (6.72 * C) + (1.05 * D)

ValueRay F-Score (Strict, 0-100) 82.16

1. Piotroski 7.0pt
2. FCF Yield 2.52%
3. FCF Margin 21.30%
4. Debt/Equity 1.31
5. Debt/Ebitda -0.01
6. ROIC - WACC (= 4.43)%
7. RoE 31.42%
8. Rev. Trend 94.27%
9. EPS Trend 85.31%

What is the price of TMDX shares?

As of December 07, 2025, the stock is trading at USD 136.51 with a total of 462,715 shares traded.
Over the past week, the price has changed by -6.70%, over one month by +9.68%, over three months by +31.25% and over the past year by +106.05%.

Is TMDX a buy, sell or hold?

TransMedics has received a consensus analysts rating of 4.22. Therefore, it is recommended to buy TMDX.
  • Strong Buy: 5
  • Buy: 1
  • Hold: 3
  • Sell: 0
  • Strong Sell: 0

What are the forecasts/targets for the TMDX price?

Issuer Target Up/Down from current
Wallstreet Target Price 141.9 4%
Analysts Target Price 141.9 4%
ValueRay Target Price 177.5 30%

TMDX Fundamental Data Overview November 26, 2025

Market Cap USD = 4.79b (4.79b USD * 1.0 USD.USD)
P/E Trailing = 55.2008
P/E Forward = 54.6448
P/S = 8.4604
P/B = 12.597
Beta = 2.055
Revenue TTM = 566.4m USD
EBIT TTM = 106.9m USD
EBITDA TTM = 132.3m USD
Long Term Debt = 506.7m USD (from longTermDebt, last quarter)
Short Term Debt = 8.24m USD (from shortTermDebt, last quarter)
Debt = 464.7m USD (from shortLongTermDebtTotal, last quarter)
Net Debt = -1.43m USD (from netDebt column, last quarter)
Enterprise Value = 4.79b USD (4.79b + Debt 464.7m - CCE 466.2m)
Interest Coverage Ratio = 7.63 (Ebit TTM 106.9m / Interest Expense TTM 14.0m)
FCF Yield = 2.52% (FCF TTM 120.6m / Enterprise Value 4.79b)
FCF Margin = 21.30% (FCF TTM 120.6m / Revenue TTM 566.4m)
Net Margin = 16.20% (Net Income TTM 91.8m / Revenue TTM 566.4m)
Gross Margin = 60.28% ((Revenue TTM 566.4m - Cost of Revenue TTM 224.9m) / Revenue TTM)
Gross Margin QoQ = 58.80% (prev 61.38%)
Tobins Q-Ratio = 5.06 (Enterprise Value 4.79b / Total Assets 946.0m)
Interest Expense / Debt = 0.75% (Interest Expense 3.49m / Debt 464.7m)
Taxrate = -5.59% (negative due to tax credits) (-1.29m / 23.0m)
NOPAT = 112.9m (EBIT 106.9m * (1 - -5.59%)) [negative tax rate / tax credits]
Current Ratio = 7.69 (Total Current Assets 613.0m / Total Current Liabilities 79.7m)
Debt / Equity = 1.31 (Debt 464.7m / totalStockholderEquity, last quarter 355.2m)
Debt / EBITDA = -0.01 (Net Debt -1.43m / EBITDA 132.3m)
Debt / FCF = -0.01 (Net Debt -1.43m / FCF TTM 120.6m)
Total Stockholder Equity = 292.1m (last 4 quarters mean from totalStockholderEquity)
RoA = 9.70% (Net Income 91.8m / Total Assets 946.0m)
RoE = 31.42% (Net Income TTM 91.8m / Total Stockholder Equity 292.1m)
RoCE = 13.38% (EBIT 106.9m / Capital Employed (Equity 292.1m + L.T.Debt 506.7m))
RoIC = 14.06% (NOPAT 112.9m / Invested Capital 802.5m)
WACC = 9.63% (E(4.79b)/V(5.26b) * Re(10.49%) + D(464.7m)/V(5.26b) * Rd(0.75%) * (1-Tc(-0.06)))
Discount Rate = 10.49% (= CAPM, Blume Beta Adj.)
Shares Correlation 3-Years: 100.0 | Cagr: 9.19%
[DCF Debug] Terminal Value 69.19% ; FCFE base≈120.6m ; Y1≈116.5m ; Y5≈115.3m
Fair Price DCF = 40.71 (DCF Value 1.39b / Shares Outstanding 34.2m; 5y FCF grow -4.67% → 3.0% )
EPS Correlation: 85.31 | EPS CAGR: 46.20% | SUE: 0.81 | # QB: 0
Revenue Correlation: 94.27 | Revenue CAGR: 105.4% | SUE: -0.14 | # QB: 0
EPS next Quarter (2026-03-31): EPS=0.76 | Chg30d=+0.002 | Revisions Net=+3 | Analysts=3
EPS next Year (2026-12-31): EPS=3.02 | Chg30d=+0.143 | Revisions Net=+6 | Growth EPS=+16.7% | Growth Revenue=+20.6%

Additional Sources for TMDX Stock

News: Wall Street Journal | Benzinga | Yahoo Finance
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Fund Manager Positions: Dataroma | Stockcircle