Financials · TMDX

TransMedics Group Inc. (TMDX) financials

For the twelve months ended Sep 30, 2026, TransMedics Group Inc. reported $727.65M of revenue and $144.45M of net income.

Revenue, TTM
$727.65M
Revenue growth, YoY
+28.5%
Net income, TTM
$144.45M
Net income growth, YoY
+57.4%
Net margin
19.9%
Free cash flow, TTM
$44.70M
EPS, diluted, TTM
$3.66
EPS growth, YoY
+48.2%
Cash
$511.40M
P/E
21.18
P/S
4.20
Market cap
$3.06B
Annual revenue$605.49M
FY2018FY2025
Annual net income$190.29M
FY2018FY2025
Annual free cash flow$133.59M
FY2018FY2025

TMDX revenue and earnings growth

TMDX revenueQ3 2026$203.00M

Quarter YoY
+41.1%
QoQ
+6.9%
FY YoY
+37.1%
5Y CAGR
+88.2%

TMDX revenue was $203.00M in fiscal Q3 2026 (ended Sep 30, 2026), up 41.1% from a year earlier and up 6.9% from the prior quarter. For the full fiscal 2025 it was $605.49M, up 37.1% from fiscal 2024. Compound annual growth was +88.2% over 5 years. It rose in 6 of the last 7 fiscal years. Fiscal 2025 is the highest of the 8 fiscal years on file.

TMDX net incomeQ3 2026$17.07M

Quarter YoY
-29.8%
QoQ
+16.3%
FY YoY
+436.6%

TMDX net income was $17.07M in fiscal Q3 2026 (ended Sep 30, 2026), down 29.8% from a year earlier and up 16.3% from the prior quarter. For the full fiscal 2025 it was $190.29M, up 436.6% from fiscal 2024. Fiscal 2025 is the highest of the 8 fiscal years on file.

TMDX EPSQ3 2026$0.46

Quarter YoY
-30.3%
QoQ
+12.2%
FY YoY
+382.2%

TMDX diluted EPS was $0.46 in fiscal Q3 2026 (ended Sep 30, 2026), down 30.3% from a year earlier and up 12.2% from the prior quarter. For the full fiscal 2025 it was $4.87, up 382.2% from fiscal 2024.

TMDX free cash flowQ3 2026$27.60M

Quarter YoY
-55.4%
QoQ
+170.2%

TMDX free cash flow was $27.60M in fiscal Q3 2026 (ended Sep 30, 2026), down 55.4% from a year earlier and up 170.2% from the prior quarter. For the full fiscal 2025 it was $133.59M, compared with -$80.94M in fiscal 2024. Fiscal 2025 is the highest of the 8 fiscal years on file.

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Income statement

Income statement
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 28, 2019
Dec 29, 2018
Revenue$605.49M$441.54M$241.62M$93.46M$30.26M$25.64M$25.84M$14.66M
Cost of revenue$242.69M$179.46M$87.53M$28.19M$9.10M$9.00M$9.74M$7.28M
Gross profit$362.81M$262.08M$154.09M$65.27M$21.16M$16.64M$13.86M$5.73M
Research and development$69.06M$55.97M$36.05M$26.81M$22.30M$18.83M$19.87M$13.66M
Selling, general and admin$185.17M$168.62M$119.55M$69.90M$38.28M$24.19M$23.60M$12.31M
Operating income$108.58M$37.50M-$28.73M-$31.44M-$39.43M-$26.38M-$29.60M-$20.24M
Interest expense$13.78M$14.41M$10.79M$3.73M$3.87M$3.98M$4.35M$2.72M
Pre-tax income$107.52M$35.78M-$26.67M-$36.16M-$44.18M-$28.72M-$33.51M-$23.71M
Income tax-$82.77M$316.0K-$1.64M$66.0K-$0$0$0
Net income$190.29M$35.46M-$25.03M-$36.23M-$44.22M-$28.75M-$33.55M-$23.76M
EPS, basic$5.60$1.07-$0.77-$1.23-$1.60-$1.16-$2.36-$17.48
EPS, diluted$4.87$1.01-$0.77-$1.23-$1.60-$1.16-$2.36-$17.48
Diluted shares40.5M35.2M32.5M29.6M27.6M24.7M14.2M1.4M

Balance sheet

Balance sheet
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 28, 2019
Dec 29, 2018
Cash and equivalents$488.87M$337.15M$395.31M$201.68M$26.08M$25.08M$20.59M$20.74M
Short-term investments----$66.87M$101.06M$60.60M-
Receivables$84.28M$97.72M$63.58M$27.61M$5.93M$6.86M$6.56M$3.44M
Inventory$48.88M$46.55M$44.23M$20.61M$14.86M$11.93M$11.22M$9.28M
Current assets$637.78M$497.22M$510.65M$252.29M$118.70M$146.77M$100.00M$34.79M
Goodwill$11.55M$11.55M$11.99M-----
Total assets$1.07B$804.08M$706.05M$277.15M$134.89M$152.03M$105.30M$42.16M
Current liabilities$89.31M$59.91M$54.93M$23.66M$23.24M$11.88M$16.11M$12.55M
Short-term debt$10.00M-------
Long-term debt---$58.70M$35.20M$34.66M$34.15M$33.67M
Total debt---$58.70M$35.20M$34.66M$34.15M$33.67M
Total liabilities$595.27M$575.47M$568.85M$89.77M$67.04M$48.13M$50.65M$47.88M
Shareholders' equity$473.10M$228.60M$137.20M$187.38M$67.85M$103.89M$54.65M-$192.24M

Cash flow

Cash flow
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 28, 2019
Dec 29, 2018
Operating cash flow$192.84M$48.80M-$13.03M-$45.82M-$28.86M-$30.27M-$32.29M-$25.98M
Capital expenditures$59.25M$129.74M$151.85M$11.91M$3.52M$455.0K$165.0K$418.0K
Free cash flow$133.59M-$80.94M-$164.88M-$57.72M-$32.38M-$30.72M-$32.45M-$26.40M
Investing cash flow-$59.25M-$129.30M-$193.95M$54.51M$29.27M-$41.60M-$60.50M$12.31M
Financing cash flow$16.86M$22.87M$400.42M$167.93M$1.39M$75.55M$92.72M$22.06M
Stock-based compensation$36.86M$33.22M$19.79M$10.32M$6.88M$2.41M$854.0K$144.0K
Depreciation and amortization$27.18M$19.76M$8.18M$3.48M$1.82M$1.58M$1.22M$769.0K

Key ratios

Key ratios
Line item
Dec 31, 2025
Dec 31, 2024
Dec 31, 2023
Dec 31, 2022
Dec 31, 2021
Dec 31, 2020
Dec 28, 2019
Dec 29, 2018
Revenue growth, YoY37.1%82.7%158.5%208.8%18.0%-0.8%76.3%-
Net income growth, YoY436.6%-------
EPS growth, YoY382.2%-------
Gross margin59.9%59.4%63.8%69.8%69.9%64.9%53.6%39.1%
Operating margin17.9%8.5%-11.9%-33.6%-130.3%-102.9%-114.5%-138.1%
Net margin31.4%8.0%-10.4%-38.8%-146.1%-112.1%-129.8%-162.1%
Free cash flow margin22.1%-18.3%-68.2%-61.8%-107.0%-119.8%-125.6%-180.1%
Return on equity40.2%15.5%-18.2%-19.3%-65.2%-27.7%-61.4%-
Return on assets17.8%4.4%-3.5%-13.1%-32.8%-18.9%-31.9%-56.4%
Current ratio7.148.309.3010.665.1112.366.212.77
Debt to equity---0.310.520.330.62-

Source: XBRL data TransMedics Group Inc. files with the SEC, latest filing dated Nov 5, 2026 (see filings on SEC EDGAR). Provided for information only, not investment advice. Check the filing before relying on a number.

* Worked out from the filings rather than stated in them: Q4 is the full year less the first nine months.

Per-share figures are as filed. The filings show no stock split in these periods.

EPS growth is left out where the share count moved enough to suggest a split the filings do not show. Growth rates need a positive starting figure. CAGR is compound annual growth between fiscal years. The CSV holds every period on file, in full figures, from the same SEC filings.

TMDX peers

CompanyRevenueGrowthNet incomeNet marginMarket cap
TMDX$727.65M+28.5%$144.45M19.9%$3.06B
MDT$37.54B+9.8%$5.24B14.0%$130.22B
LIVN$1.51B+11.7%$196.06M13.0%$4.96B
ITGR$1.83B-0.3%$103.70M5.7%$4.30B
AXGN$266.93M+24.3%-$31.92M-12.0%$2.99B
CNMD$1.37B+1.6%$73.43M5.4%$1.53B
CBLL$108.72M+31.3%-$73.88M-68.0%$1.03B
INMD$370.50M-6.2%$93.83M25.3%$765.9M
CV$13.89M+11.0%-$29.83M-214.7%$335.9M

TMDX FAQ

9 questions
  • What is TMDX revenue?
    TransMedics Group Inc. (TMDX) reported $727.65M of revenue for the twelve months ended Sep 30, 2026. That is up 28.5% from the year before. Revenue for fiscal 2025 was $605.49M.
  • Is TMDX profitable?
    Yes. TransMedics Group Inc. earned $144.45M in net income for the twelve months ended Sep 30, 2026, a net margin of 19.9%.
  • How much cash and debt does TMDX have?
    TransMedics Group Inc. reported $511.40M in cash and cash equivalents on its most recent balance sheet in SEC filings.
  • How fast is TMDX revenue growing?
    TransMedics Group Inc.'s revenue changed +37.1% in fiscal 2025, to $605.49M. Its compound annual growth rate was +88.2% over 5 years.
  • What is TMDX gross margin?
    TransMedics Group Inc.'s gross profit was $426.43M on $727.65M of revenue for the twelve months ended Sep 30, 2026, a gross margin of 58.6%.
  • What is TMDX free cash flow?
    TransMedics Group Inc. generated $44.70M of free cash flow for the twelve months ended Sep 30, 2026, which is operating cash flow of $112.36M less capital expenditures.
  • What is TMDX earnings per share?
    Diluted earnings per share were $3.66 for the twelve months ended Sep 30, 2026, from SEC filings, restated for any stock split those filings show.
  • When did TMDX last report financial results?
    The latest statements here come from TransMedics Group Inc.'s 10-Q filed on Nov 5, 2026, covering the period ended Sep 30, 2026.
  • Where does this TMDX financial data come from?
    Quantisnow builds these statements from the structured XBRL data TransMedics Group Inc. files with the SEC. It is provided for information only and is not investment advice.