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TransMedics Group

TMDX
57
Medical - Devices · Healthcare
Exchange
NASDAQ
Winston Score
57
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Good
Growth
Exceptional
Cash Flow
Strong
Stability
Good
Valuation
Mixed

Winston Score History

The full picture

TransMedics Group makes medical devices that keep donor organs alive outside the human body so they can be transplanted into patients. Its main product is the Organ Care System (OCS), which works like a portable machine that pumps warm blood through a heart, lung, or liver — keeping it functioning during transport. The company sells to hospitals and transplant centers across the United States and internationally.

TransMedics earns revenue by selling the OCS consoles and the single-use disposable perfusion sets used in each procedure, creating a recurring revenue stream every time a transplant happens. It also operates a growing aviation logistics business that flies organs directly to transplant centers, which deepens its relationship with customers and adds a service revenue layer. The company holds a strong position in the U.S. organ transplant market because it is the only FDA-approved normothermic perfusion system for heart, lung, and liver. The key risk is that its logistics expansion requires significant capital and operational complexity to scale profitably.

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Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+20.7% YoY

YoY Growth Rate

Steady revenue growth

EPS Growth

-59.2% YoY

YoY Growth Rate

Earnings declining

Insider Activity

3.3%ownership

Flat

Insider ownership roughly steady over the past year

Cash Position

Cash flow positive

$473M cash & investments

Quarterly Free Cash Flow

↑ Burn rate improving

Company generates more cash than it spends — no dilution risk from fundraising

Growth + cash flow

TransMedics Group is a rare growth stock that's already generating positive cash flow while growing at 21%. The Winston Score doesn't fully credit this transition from "burner" to "earner."

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

Every number that matters to educated investors.

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Quality

Profit per sale
Gross Margin
59.6%
Premium pricing power — 59.6% gross margin
Profit after running costs
Operating Margin
12.5%
Healthy — 12.5% operating margin
Return on the money invested
ROCE
7.9%
Weak — 7.9% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+25.8%
Fast-growing sales (+25.8% YoY)
Profit growth
EPS YoY
+108.5%
Earnings growing fast (+108.5% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
96%
Turns 96% of profit into real cash
Spare cash per sale
FCF Margin
11.8%
Modest free cash flow (11.8%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
1.00
Moderate — manageable debt (1.00)
Covers its interest
Interest Cover
3.84x
Tight — interest eats into profit (3.8x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
21.4x
no trend
Growth-priced — P/E 21.4

P/E above the market average. People are paying up for expected growth.

Cheaper or dearer next year
P/E vs Forward
-3.5
SLOWING
Earnings expected to fall — forward P/E higher than today

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Dividends

Not applicable for this business.
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