TransMedics Group, Inc. (NASDAQ: TMDX)

Sector: Healthcare Industry: Medical Devices CIK: 0001756262
Market Cap 4.53 Bn
P/B 12.76
P/E 49.38
P/S 8.00
ROIC (Qtr) 11.84
Div Yield % 0.00
Rev 1y % (Qtr) 32.24
Total Debt (Qtr) 519.35 Mn
Debt/Equity (Qtr) 1.46
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About

TransMedics Group, Inc., with ticker symbol TMDX, is a commercial-stage medical technology company that operates in the organ transplant industry. The company is dedicated to transforming the lives of end-stage organ failure patients across multiple disease states through its innovative Organ Care System (OCS) technology. This groundbreaking system replicates the natural living and functioning environment outside of the human body, allowing for the optimization and assessment of donor organs. TransMedics Group's OCS technology is a portable, multi-organ,...

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Investment thesis

Bull case

  • Healthy cash reserves of 466.67M provide 56.65x coverage of short-term debt 8.24M, demonstrating strong liquidity position and minimal refinancing risk.
  • Robust free cash flow of 120.65M exceeds capital expenditure of 57.34M by 2.10x, indicating strong organic growth funding capability.
  • Tangible assets of 932.48M provide exceptional 282.14x coverage of deferred revenue 3.31M, showing strong service capability backing.
  • Operating cash flow of 177.99M provides exceptional 12.71x coverage of interest expenses 14M, showing strong debt service capability.
  • Operating cash flow of 177.99M provides strong 53.85x coverage of deferred revenue 3.31M, indicating service delivery capability.

Bear case

  • Operating cash flow of 177.99M barely covers its investment activities of (57.34M), with a coverage ratio of -3.10, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (57.34M) provide weak support for R&D spending of 64.82M, which is -0.88x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • The company's operating cash flow of 177.99M shows concerning coverage of stock compensation expenses of 38.23M, with a 4.66 ratio indicating potential earnings quality issues.
  • Retained earnings of (383.33M) provide limited buffer against comprehensive income items of 101000, which is -3795.38x, indicating elevated exposure to market risks.
  • Tangible assets of 932.48M provide limited backing for working capital of 533.27M, which is 1.75x, suggesting increased operational risk in market downturns.

Geographical Breakdown of Revenue (2024)

Geographical Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 4.91 2.13
EV to Cash from Ops. EV/CFO 26.12 2.75
EV to Debt EV to Debt 8.95 17.25
EV to EBIT EV/EBIT 43.50 2.89
EV to EBITDA EV/EBITDA 37.69 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF 38.53 29.36
EV to Market Cap EV to Market Cap 1.03 25.09
EV to Revenue EV/Rev 8.21 32.80
Price to Book Value [P/B] P/B 12.76 4.73
Price to Earnings [P/E] P/E 49.38 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) 7.63 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 63.70 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) 41.16 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 124.32 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 144.02 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) 126.93 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) 184.43 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 173.74 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) 200.11 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 43.45 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.60 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 5.85 1.80
Current Ratio Curr Ratio (Qtr) 7.69 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 1.46 1.20
Interest Cover Ratio Int Coverage (Qtr) 7.63 196.93
Times Interest Earned Times Interest Earned (Qtr) 7.63 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 23.70 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) 18.87 -2,478.60
EBT Margin % EBT Margin % (Qtr) 16.40 -2,690.42
Gross Margin % Gross Margin % (Qtr) 60.30 30.80
Net Profit Margin % Net Margin % (Qtr) 16.20 -2,821.53