TransMedics Group, Inc. (TMDX) FY2025 10-K Annual Report

Filed: Feb 24, 2026
Health Care
Electromedical & Electrotherapeutic ApparatusSEC EDGAR

TransMedics Group, Inc. (TMDX) 10-K annual report for fiscal year 2025, filed with SEC EDGAR on Feb 24, 2026. This page provides AI-powered analysis including business overview, management discussion & analysis (MD&A), risk factors, and key financial data such as revenue, net income, gross margin, operating margin, and return on equity (ROE) extracted from XBRL.

TransMedics Group, Inc. FY2025 10-K Analysis

Business Overview

  • Core business: Medical technology company providing OCS platform and NOP services to improve organ transplant therapy for heart, lung, and liver
  • New emphasis on NOP expansion with acquisition of Summit Aviation and 22 fixed-wing aircraft to enhance national organ transportation logistics
  • Strategic pivot toward integrating comprehensive transplant logistics, including owning aircraft, to become a full-service U.S. organ procurement provider
  • Revenue growth to $605.5M in 2025, up 37.1% YoY; total employees 898 worldwide, mostly U.S.-based
  • Commenced transition to new corporate headquarters in Somerville, MA, to support expansion and operations consolidation by 2028

Management Discussion & Analysis

  • No revenue or profitability data disclosed in this section
  • Convertible Senior Notes issued $460M, net proceeds $393.3M after $52.1M capped call costs and $14.6M issuance costs, interest 1.50%
  • CIBC credit facility borrowings $60M, interest rate min 3.5% to 4.0% plus spreads, repayment starting July 2026, maturity July 2027
  • Cash expected to fund operations, capex, debt service for 12+ months; potential future capital raises may be needed
  • Risks include capacity expansion, regulatory approvals, reimbursement, competition, operating cost increases, and new product development

Risk Factors

  • Leverage risk from $460M Notes issued May 2023, 1.50% interest, maturing June 2028
  • Macroeconomic exposure to long-term Somerville lease, $23.9M annual base rent starting 2028, escalating 2-3% annually
  • Supply chain risk from $4.0M noncancellable manufacturing purchase commitment through 2029
  • Competitive risk from reliance on sales of organ-specific disposable OCS Perfusion Sets and Consoles amid evolving organ transplant tech
  • Operational risk in international expansion with $42.9M spent on fixed-wing aircraft for transplant logistics in 2025

TransMedics Group, Inc. FY2025 Key Financial Metrics
XBRL

Revenue

$605M

+37.1% YoY

Net Income

$190M

+436.6% YoY

Gross Margin

59.9%

+56bp YoY

Operating Margin

17.9%

+944bp YoY

Net Margin

31.4%

+2340bp YoY

ROE

40.2%

+2471bp YoY

Total Assets

$1.1B

+32.9% YoY

EPS (Diluted)

$4.87

+382.2% YoY

Operating Cash Flow

$193M

+295.1% YoY

Source: XBRL data from TransMedics Group, Inc. FY2025 10-K filing on SEC EDGAR. All figures in USD.

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