TransMedics (TMDX) Free Cash Flow (2018 - 2026)

TransMedics (TMDX) recorded quarterly Free Cash Flow of -$12.1 million in Q1 2026, down 115.85% quarter-over-quarter from $76.5 million in Q4 2025, and down 203.78% on a YoY basis from $11.7 million in Q1 2025.

TransMedics (TMDX) Free Cash Flow (2018 - 2026) Analysis & Trends

TransMedics' Free Cash Flow history runs 9 years deep, the most recent figure standing at -$12.1 million for Q1 2026.

  • In Q1 2026, Free Cash Flow fell 203.78% year-over-year to -$12.1 million; the TTM figure through Mar 2026 stood at $183.0 million (up 286.26% YoY), while the FY2025 annual figure was $191.1 million, up 308.82% from the prior year.
  • Free Cash Flow was -$12.1 million for Q1 2026 at TransMedics, down from $76.5 million in the prior quarter.
  • In the past five years, Free Cash Flow ranged from a high of $91.5 million in Q2 2025 to a low of -$20.4 million in Q1 2022.
  • Historically, Free Cash Flow has averaged $9.0 million across 5 years, with a median of -$4.6 million in 2024.
  • The sharpest annual moves came in 2024 and 2026: Free Cash Flow soared 413.84% in 2024, then sank 203.78% in 2026.
  • A 5-year view of Free Cash Flow shows it stood at -$15.0 million in 2022, then soared by 150.44% to $7.6 million in 2023, then soared by 144.67% to $18.5 million in 2024, then soared by 312.81% to $76.5 million in 2025, then plunged by 115.85% to -$12.1 million in 2026.
  • The last three Free Cash Flow figures came in at -$12.1 million (Q1 2026), $76.5 million (Q4 2025), and $27.1 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Free Cash Flow (Qtr)
1 Abbott Laboratories 154.42 Bn 147.76 Bn 6.27 Bn 916.00 Mn
2 Stryker 118.12 Bn 115.25 Bn 3.81 Bn 415.00 Mn
3 Medtronic 101.72 Bn 93.55 Bn 5.76 Bn 2.30 Bn
4 Boston Scientific 67.19 Bn 65.98 Bn 3.61 Bn 171.00 Mn
5 Edwards Lifesciences 50.69 Bn 47.02 Bn 1.29 Bn -21.10 Mn
6 Koninklijke Philips 29.38 Bn 26.07 Bn 2.07 Bn 305.56 Mn
7 Dexcom 28.09 Bn 26.97 Bn 750.30 Mn 449.00 Mn
8 GE HealthCare Technologies 28.08 Bn 26.02 Bn 1.98 Bn 204.00 Mn
9 Steris 19.80 Bn 19.37 Bn 697.10 Mn 245.20 Mn
10 TransMedics 2.72 Bn 2.26 Bn 101.16 Mn -12.12 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 -12.12 Mn
Mar 31, 2026 -12.12 Mn
Dec 31, 2025 76.50 Mn
Dec 31, 2025 76.50 Mn
Sep 30, 2025 27.08 Mn
Sep 30, 2025 27.08 Mn
Jun 30, 2025 91.51 Mn
Jun 30, 2025 91.51 Mn
Mar 31, 2025 -3.99 Mn
Mar 31, 2025 -3.99 Mn
Dec 31, 2024 18.53 Mn
Dec 31, 2024 18.53 Mn
Sep 30, 2024 7.47 Mn
Sep 30, 2024 7.47 Mn
Jun 30, 2024 25.36 Mn
Jun 30, 2024 25.36 Mn
Mar 31, 2024 -4.62 Mn
Mar 31, 2024 -4.62 Mn
Dec 31, 2023 7.57 Mn
Dec 31, 2023 7.57 Mn