TMDX TransMedics Group, Inc.

Nasdaq Electromedical & Electrotherapeutic Apparatus MA CIK: 0001756262
AI RATING
HOLD
68% Confidence

Investment Thesis

TransMedics exhibits strong revenue growth (+37.1% YoY) and healthy gross margins (58.2%), indicating solid product-market fit in the medical device sector. However, negative free cash flow (-$12.1M) despite positive net income, combined with extremely poor capital efficiency (ROE 1.5%, ROA 0.5%), raises concerns about earnings quality and the sustainability of profitability given high capital intensity.

Strengths

  • + Strong revenue growth of 37.1% YoY demonstrates robust market demand
  • + Healthy gross margin of 58.2% indicates pricing power and cost management
  • + Fortress balance sheet with $461.7M cash, minimal debt ($58.8M), and 6.74x current ratio provides strategic flexibility

Risks

  • ! Negative free cash flow of -$12.1M despite positive net income signals cash conversion problems and high capex burden relative to operating cash flow
  • ! Extremely low returns on capital (ROE 1.5%, ROA 0.5%) indicate poor capital deployment efficiency and value creation
  • ! Low interest coverage ratio of 1.8x and thin net margin of 4.2% limit financial flexibility despite strong balance sheet

Key Metrics to Watch

Financial Metrics

Revenue
173.9M
Net Income
7.3M
EPS (Diluted)
$0.20
Free Cash Flow
-12.1M
Total Assets
1.4B
Cash
461.7M

Profitability Ratios

Gross Margin 58.2%
Operating Margin 7.6%
Net Margin 4.2%
ROE 1.5%
ROA 0.5%
FCF Margin -7.0%

Balance Sheet & Liquidity

Current Ratio
6.74x
Quick Ratio
6.19x
Debt/Equity
0.12x
Debt/Assets
65.6%
Interest Coverage
1.84x
Long-term Debt
58.8M
Disclaimer: This analysis is generated by AI based on publicly available SEC EDGAR filings. It does not include stock price data and should not be considered financial advice. All fundamental data is sourced from SEC public domain filings. Always conduct your own research before making investment decisions.
Data Source: SEC EDGAR | Analysis Date: 2026-05-07T10:49:33.040195 | Data as of: 2026-03-31 | Powered by Claude AI