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Source document· February 25, 2026

TransMedics outlines 20–25% 2026 revenue growth target while advancing OCS programs and European expansion

View original at seekingalpha.com
TransMedics outlines 20–25% 2026 revenue growth target while advancing OCS programs and European expansion Earnings Call Insights: TransMedics Group, Inc…
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  • The makers of that styrofoam box is refusing to randomize their technology to ours in ENHANCE Part B

    80% confidence
  • TransMedics has huge opportunities ahead but also faces a few challenges and moving dynamics, which have been factored into guidance

    80% confidence
  • By organ, liver contributed $127 million, heart $26 million and lung $2 million in Q4

    80% confidence
  • U.S. transplant revenue grew approximately 11% sequentially to $155 million, while OUS transplant revenue grew approximately 33% sequentially to $5 million

    80% confidence
  • TransMedics delivered an operating profit of approximately $21.3 million in Q4, representing approximately 13.2% of total revenue for fourth quarter while making substantial investments to fuel growth

    80% confidence
  • Most lung centers were waiting to see FDA approval to start launching into DENOVO program

    80% confidence
  • Results were achieved despite external challenges earlier in the year designed to distract and disrupt sustained growth

    80% confidence
  • By organ, liver contributed $127 million, heart $26 million and lung $2 million in Q4 2025

    80% confidence
  • NOP Connect 2.0 is showing efficiency in management and billing, though in early stages

    80% confidence
  • U.S. transplant revenue grew approximately 11% sequentially to $155 million

    80% confidence
  • OCS was responsible for 5,139 U.S. transplants in 2025, up from 3,735 in 2024

    80% confidence
  • TransMedics continues to expect operating margins to approach 30% by 2028

    80% confidence
  • TransMedics is laser-focused on ensuring successful execution of initiatives throughout 2026

    80% confidence
  • OCS Heart comprised 18% of heart transplants in 2025, up from 17% in 2024

    80% confidence
  • Total revenue for Q4 was approximately $161 million with U.S. transplant revenue of approximately $155 million, up 33% year-over-year and 11% sequentially

    80% confidence
  • Operating margin expanded from 8.5% in 2024 to 18% in 2025

    80% confidence
  • Operating margins are expected to approach 30% by 2028

    80% confidence
  • OUS (outside U.S.) transplant revenue grew approximately 33% sequentially to $5 million in Q4 2025

    80% confidence
  • Liver share gains are pure TransMedics execution excellence

    80% confidence
  • TransMedics delivered 'our best operational performance to date' and achieved results despite external challenges earlier in the year designed to distract and disrupt sustained growth

    80% confidence
  • TransMedics is laser-focused on ensuring successful execution of these initiatives throughout 2026

    80% confidence
  • Liver market share gains are pure TransMedics execution excellence, period, full stop

    80% confidence
  • TransMedics continues to expect operating margins to approach 30% by 2028

    80% confidence
  • Liver market share gains represent pure TransMedics execution excellence

    80% confidence
  • TransMedics is not seeing competitive dynamics impacting ability to execute in 2026 and beyond

    80% confidence
  • TransMedics has huge opportunities ahead but also a few challenges and moving dynamics, which were factored into realistic guidance

    80% confidence
  • Operating margin expanded from 8.5% in 2024 to 18% in 2025

    80% confidence
  • OCS Heart comprised 18% of heart transplants in 2025, up from 17% in 2024

    80% confidence
  • NOP Connect 2.0 showing efficiency in management and billing, though these are early days

    80% confidence
  • Gross margin for full year 2025 was 59.9%, up from 59.4% in 2024, reflecting logistics efficiencies and scale benefits

    80% confidence
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