TransMedics Reports Fourth Quarter and Full Year 2024 Financial Results

, /PRNewswire/ -- TransMedics Group, Inc. ("TransMedics") (Nasdaq: TMDX), a medical technology company that is transforming organ transplant therapy for patients with end-stage lung, heart, and liver failure, today reported financial results for the quarter and year ended December 31, 2024. Recent Highlights Total revenue of $121.6 million in the fourth quarter of 2024, a 50% increase compared to the fourth quarter of 2023 Total revenue of $441.5 million in the full year of 2024, an 83% increase compared to the full year 2023 Generated net income of $6.9 million, or $0.19 per diluted share, in the fourth quarter of 2024 Generated net income of $35.5 million, or $1.01 per diluted share, in the full year 2024 Completed 3,715 U.S. OCS cases in the full year 2024, a 58% increase compared to 2,347 U.S. OCS cases in the full year 2023 Achieved overall OCS market share of 20.9% across all 3 organs for the full year 2024, up from 13.8% in 2023 Owned 19 aircraft as of December 31, 2024, and purchased two additional aircraft in 2025 to-date Concluded independent review of business practices following allegations raised in a recent short report. Kirkland & Ellis LLP, supported by an expert outside forensic accounting firm, identified no evidence of misconduct. Submitted comprehensive response, in coordination with experts at Covington & Burline LLP, to FDA following recent Citizen Petition "We are proud of our 2024 results as we delivered 83% year over year revenue growth while achieving profitability, investing in our pipeline, and continuing to build our infrastructure to capitalize on our highly differentiated technology and service offering," said Waleed Hassanein, MD, President and Chief Executive Officer. "We stand firmly by our business and our dedicated, world-class NOP surgical and clinical leadership and team. We are humbled by and proud of the significant life-saving impact of our OCS technology and NOP teams, and we remain committed to our mission of expanding access and improving clinical outcomes to patients in need of organ transplants." Fourth Quarter 2024 Financial Results Total revenue for the fourth quarter of 2024 was $121.6 million, a 50% increase compared to $81.2 million in the fourth quarter of 2023. The increase was driven primarily by an increase in utilization of the Organ Care System ("OCSTM") across all three organs through our National OCS Program ("NOPTM") as well as additional revenue generated by TransMedics logistics services. Gross margin for the fourth quarter of 2024 was 59.2%, showing a slight improvement from 59.0% in Q4 of 2023. Operating expenses for the fourth quarter of 2024 were $63.4 million, compared to $45.3 million in the fourth quarter of 2023. The increase in operating expense was driven primarily by increased research and development investment as well as investment throughout the organization to support the growth of the company. Fourth quarter operating expenses in 2024 included $10.4 million of stock compensation expense, compared to $5.5 million of stock compensation expense in the fourth quarter of 2023. Net income for the fourth quarter of 2024 was $6.9 million, or 6% of revenue, compared to $4.0 million in the fourth quarter of 2023. Full Year 2024 Financial Results Total revenue for the full year of 2024 was $441.5 million, an 83% increase compared to $241.6 million for the full year of 2023. The increase was driven primarily by the increase in utilization of the OCS across all three organs through the NOP as well as additional revenue generated by TransMedics logistics services. Gross margin for the full year of 2024 was 59.4%, compared to 63.8% in the full year of 2023. The change from prior year was a result of a higher proportion of service revenue compared to product revenue, which carries a higher margin, in 2024. The company also made investments in its NOP network to prepare for future growth. Operating expenses for the full year of 2024 were $224.6 million, compared to $182.8 million in the full year of 2023. The increase in operating expense was driven primarily by increased research and development investment as well as investment throughout the organization to support the growth of the company. Full year operating expenses in 2024 included $31.7 million of stock compensation expense compared to $19.4 million of stock compensation expense in the full year of 2023. Net income for the full year of 2024 was $35.5 million, or 8% of revenue, compared to a net loss of $25.0 million in the full year of 2023. Cash was $336.7 million as of December 31, 2024 compared to $330.1 million as of September 30, 2024. 2025 Financial Outlook TransMedics expects total revenue for the full year 2025 to be in the range of $530 million to $552 million, which represents 20% to 25% growth compared to the company's prior year revenue. Webcast and Conference Call Details The TransMedics management team will host a conference call beginning at 4:30 p.m. ET / 1:30 p.m. PT on Thursday, February 27, 2025. Investors interested in listening to the conference call may do so by dialing (844) 481-2832 for domestic callers or (412) 317-1852 for international callers and ask to be joined into the TransMedics call. A live and archived webcast of the event will be available on the "Investors" section of the TransMedics website at https://investors.transmedics.com/. About TransMedics Group, Inc. TransMedics is the world's leader in portable extracorporeal warm perfusion and assessment of donor organs for transplantation. Headquartered in Andover, Massachusetts, the company was founded to address the unmet need for more and better organs for transplantation and has developed technologies to preserve organ quality, assess organ viability prior to transplant, and potentially increase the utilization of donor organs for the treatment of end-stage heart, lung, and liver failure. Forward-Looking Statements This press release contains forward-looking statements with respect to, among other things, our full-year guidance, and statements about our operations, financial position, and business plans. For this purpose, all statements other than statements of historical facts are forward-looking statements. The words "believe," "may," "will," "estimate," "continue," "anticipate," "intend," "expect," "should," "could," "target," "predict," "seek" and similar expressions are intended to identify forward-looking statements. These forward-looking statements are subject to a number of risks and uncertainties. Our management cannot predict all risks, nor can we assess the impact of all factors or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in or implied by any forward-looking statements we may make. In light of these risks and uncertainties, the forward-looking events and circumstances discussed in this press release may not occur and actual results could differ materially and adversely from those anticipated in or implied by the forward-looking statements. Some of the key factors that could cause actual results to differ include: the fluctuation of our financial results from quarter to quarter; our ability to attract, train and retain key personnel; our existing and any future indebtedness, including our ability to comply with affirmative and negative covenants under our credit agreement to which we will remain subject until maturity; we may not be able to sustain profitability; our need to raise additional funding and our ability to obtain it on favorable terms, or at all; our ability to use net operating losses and research and development credit carryforwards; that we have identified a material weakness in our internal control over financial reporting, and that we may identify additional material weaknesses in the future; our dependence on the success of the Organ Care System or OCS; our ability to expand access to the OCS through our National OCS Program or NOP; our ability to improve the OCS platform, including by developing the next generation of the OCS products or expanding into new indications; our ability to scale our manufacturing and sterilization capabilities to meet increasing demand for our products; the rate and degree of market acceptance of the OCS; our ability to educate patients, surgeons, transplant centers and private and public payors on the benefits offered by the OCS; our dependence on a limited number of customers for a significant portion of our revenue; our ability to maintain regulatory approvals or clearances for our OCS products in the United States, the European Union, and other select jurisdictions worldwide; our ability to adequately respond to the Food and Drug Administration or FDA, or other competent authorities, follow-up inquiries in a timely manner; the performance of our third-party suppliers and manufacturers; our use of third parties to transport donor organs and medical personnel for our NOP and our ability to maintain and grow our logistics capabilities to support our NOP to reduce dependence on third party transportation, including by means of attracting, training and retaining pilots, and the acquisition, maintenance or replacement of fixed-wing aircraft for our aviation transportation services or other acquisitions, joint ventures or strategic investments; our ability to maintain Federal Aviation Administration or FAA or other regulatory licenses or approvals for our aircraft transportation services; price increases of the components of our products and maintenance, parts and fuel for our aircraft; the timing or results of post-approval studies and any clinical trials for the OCS; our manufacturing, sales, marketing and clinical support capabilities and strategy; attacks against our information technology infrastructure; the economic, political and other risks associated with our foreign operations; our ability to protect, defend, maintain and enforce our intellectual property rights relating to the OCS and avoid allegations that our products or services infringe, misappropriate or otherwise violate the intellectual property rights of third parties; the pricing of the OCS, as well as the reimbursement coverage for the OCS in the United States and internationally; regulatory developments in the United States, European Union and other jurisdictions; the extent and success of competing products or procedures that are or may become available; our ability to service our 1.50% convertible senior notes, due 2028; the impact of any product recalls or improper use of our products; our estimates regarding revenues, expenses and needs for additional financing; and other factors that may be described in our filings with the Securities and Exchange Commission (the "SEC"). Additional information will be made available in our annual and quarterly reports and other filings that we make with the SEC. The forward-looking statements in this press release speak only as of the date of this press release. Factors or events that could cause our actual results to differ may emerge from time to time, and we are not able to predict all of them. We undertake no obligation to update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by applicable law. Investor Contact: Brian JohnstonLaine MorganGilmartin Group332-895-3222[email protected] TransMedics Group, Inc. CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands, except share and per share data) (unaudited) Three Months Ended December 31, Year Ended December 31, 2024 2023 2024 2023 Revenue: Net product revenue $ 74,948 $ 51,874 $ 273,866 $ 176,069 Service revenue 46,676 29,300 167,674 65,554 Total revenue 121,624 81,174 441,540 241,623 Cost of revenue: Cost of net product revenue 16,545 14,065 58,345 41,015 Cost of service revenue 33,066 19,185 121,114 46,515 Total cost of revenue 49,611 33,250 179,459 87,530 Gross profit 72,013 47,924 262,081 154,093 Gross margin 59 % 59 % 59 % 64 % Operating expenses: Research, development and clinical trials 16,464 10,761 55,968 36,055 Acquired in-process research and development expenses — — — 27,212 Selling, general and administrative 46,905 34,560 168,617 119,553 Total operating expenses 63,369 45,321 224,585 182,820 Income (loss) from operations 8,644 2,603 37,496 (28,727) Other income (expense): Interest expense (3,571) (3,605) (14,409) (10,791) Interest income and other income (expense), net 1,916 4,865 12,693 12,847 Total other income (expense), net (1,655) 1,260 (1,716) 2,056 Income (loss) before income taxes 6,989 3,863 35,780 (26,671) (Provision) benefit for income taxes (132) 168 (316) 1,643 Net income (loss) $ 6,857 $ 4,031 $ 35,464 $ (25,028) Net income (loss) per share: Basic $ 0.20 $ 0.12 $ 1.07 $ (0.77) Diluted $ 0.19 $ 0.12 $ 1.01 $ (0.77) Weighted average common shares outstanding: Basic 33,592,408 32,644,525 33,229,953 32,517,372 Diluted 35,211,121 34,179,059 35,216,837 32,517,372 TransMedics Group, Inc. CONDENSED CONSOLIDATED BALANCE SHEETS (in thousands) (unaudited) December 31, 2024 2023 Assets Current assets: Cash $ 336,650 $ 394,812 Accounts receivable 97,722 63,576 Inventory 46,554 44,235 Prepaid expenses and other current assets 16,290 8,031 Total current assets 497,216 510,654 Property, plant and equipment, net 285,970 173,941 Operating lease right-of-use assets 6,481 6,546 Restricted cash 500 500 Goodwill 11,549 11,990 Acquired intangible assets, net 2,152 2,354 Other non-current assets 208 62 Total assets $ 804,076 $ 706,047 Liabilities and Stockholders' Equity Current liabilities: Accounts payable $ 10,292 $ 12,717 Accrued expenses and other current liabilities 45,152 38,221 Deferred revenue 1,742 1,961 Operating lease liabilities 2,727 2,035 Total current liabilities 59,913 54,934 Convertible senior notes, net 449,939 447,140 Long-term debt, net 59,372 59,064 Operating lease liabilities, net of current portion 6,249 7,707 Total liabilities 575,473 568,845 Total stockholders' equity 228,603 137,202 Total liabilities and stockholders' equity $ 804,076 $ 706,047 SOURCE TransMedics Group, Inc. 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TransMedics Reports Fourth Quarter and Full Year 2024 Financial Results

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