TMDXTransMedics Group, Inc.

$77.81-36% 1Y

Is the business good?

Good

A genuinely good business: earnings fully cash-backed (2.3×) and margins widening.

2 good, 2 neutral
Fundamental health (F-score)6 / 9SEC EDGAR · Dec 31, 2025

Mixed fundamental signals. Nine pass/fail tests of year-over-year health from the filings.

Profits arrive as cash2.26×derived · Jun 30, 2026

Operating profit is fully backed by cash. Conversion is improving vs a year ago.

Margin direction, 3 years+24.9 pts

Negative operating leverage, costs are rising faster than sales, squeezing margins as it grows.

Where ROE comes from12% ROA

Margin-driven, fat margins on slower asset turns. ROE 33% = margin × turnover × leverage.

Unless marked, from derived.

Against the whole market›

Percentile against every name Ryufin tracks. Higher is better; the tick marks the middle of the market. Context, not one of the checks above.

FCF conversionbehind 82% of the market
Leverage (Debt/EBITDA)top 6% of the market

Where this answer is blind. The F-score rewards improvement, so an already-elite company can score mid-pack.

How good a business is TMDX?

TransMedics Group, Inc. keeps 12% of every revenue dollar as operating profit, against 2.1% for the median Medical Devices name.

12%

Operating margin · Medical Devices median 2.1% · 12 months to Q2 2026

Cash conversion
2.26×

Cash conversion · 1.56× a year ago · operating cash flow covers the operating profit after tax

Share count, year on year
+0.37%

Share count, year on year · flat: no meaningful dilution

R&D as % of revenue
14%

R&D as % of revenue

Operating margin by fiscal year
YearOperating margin
FY2020−103%
FY2021−130%
FY2022−34%
FY2023−12%
FY20248.5%
FY202518%
Details›
Gross margin12 months to Q2 2026
59%
Operating margin12 months to Q2 2026
12%
Net margin12 months to Q2 2026
23%
Free cash flow margin
12%
R&D as % of revenue
14%
Revenue, trailing twelve months
$668M
Free cash flow, trailing twelve months
$79M
Net income, trailing twelve months
$152M

Margins, capital and share counts from the statements as filed with the SEC; cash conversion is operating cash flow over operating profit after tax.