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TransMedics Reports Fourth Quarter and Full Year 2023 Financial Results

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TransMedics Group, Inc. reports strong financial results for Q4 2023 with a 159% increase in revenue, reaching $81.2 million. The full year 2023 also saw a 159% revenue growth to $241.6 million. The company generated a net income of $4.0 million in Q4 2023. TransMedics expects a 49% to 53% revenue growth in 2024, with a total revenue projection of $360 million to $370 million.
Positive
  • Strong revenue growth of 159% in both Q4 2023 and full year 2023 compared to the previous year.
  • Net income of $4.0 million in Q4 2023.
  • TransMedics launched transplant logistics services to enhance efficiency for transplant program users.
  • National heart and liver transplant volumes increased by 12% in 2023.
  • Cash position of $394.8 million as of December 31, 2023.
  • Revenue outlook for 2024 anticipates a 49% to 53% growth compared to the previous year.
Negative
  • Gross margin decreased from 66% to 59% in Q4 2023.
  • Operating expenses increased significantly, driven by investments and additional charges.
  • Full year 2023 ended with a net loss of $25.0 million.
  • Stock compensation expenses rose in both Q4 2023 and full year 2023.

The reported 159% revenue growth for TransMedics Group, Inc. in both the fourth quarter and full year of 2023 is a significant indicator of the company's performance and market acceptance of its organ transplant technology. This growth rate is highly impressive, especially when considering the historical growth rates in the medical technology sector, which tend to be more conservative. The transition from a net loss in 2022 to a net income in the fourth quarter of 2023 suggests successful cost management and operational efficiency improvements. However, investors should note the decline in gross margin from 66% to 59% in the fourth quarter and from 70% to 64% for the full year, which may raise concerns about increasing costs or pricing pressures.

Looking ahead, the provided financial outlook for 2024 forecasts a revenue increase of 49% to 53%, indicating management's confidence in continued robust growth. Nonetheless, it is essential to monitor the company's ability to maintain profitability while scaling operations. The cash position of $394.8 million as of year-end 2023 provides a solid foundation for future investments and operational needs. Investors would benefit from understanding the drivers behind the increased operating expenses, particularly the significant in-process research and development charge and acquisition-related costs, to assess the potential for sustainable growth.

TransMedics' Organ Care System (OCS) technology appears to be a key factor in the 12% increase in national heart and liver transplant volumes. This technology, which keeps organs viable for transplant longer than traditional methods, is likely contributing to the company's revenue surge. The introduction of TransMedics' logistics services could be enhancing the appeal of the OCS by streamlining the transplantation process for medical facilities. As the medical field continues to advance, technologies that can increase the success rate and efficiency of organ transplants are of high value.

However, the medical technology industry is subject to stringent regulatory requirements and it is crucial for TransMedics to maintain compliance and adapt to any regulatory changes. The increased investment in the organization, as indicated by the rise in operating expenses, should ideally be directed towards research and development, regulatory affairs and market expansion to ensure long-term success. Stakeholders should consider the potential impact of these investments on the company's future ability to innovate and stay ahead in a competitive market.

TransMedics' significant growth can be partially attributed to the broader trends in the healthcare sector, where there is an increasing demand for innovative medical technologies that improve patient outcomes and operational efficiencies. The company's NOP and the expansion of its logistics services are well-aligned with the industry's push towards integrated solutions that not only include cutting-edge medical devices but also the necessary support services. The market's positive response, as evidenced by the revenue increase, suggests strong product-market fit and effective scaling of business operations.

It is important for stakeholders to consider the competitive landscape in which TransMedics operates. As the company grows, it may face increased competition from other medical technology firms and new market entrants. Continuous innovation and the ability to secure and expand strategic partnerships will be crucial for sustaining growth. The forward-looking revenue guidance provided for 2024 should be evaluated in the context of these market dynamics and the company's strategic initiatives to capture further market share.

ANDOVER, Mass., Feb. 26, 2024 /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, 2023.

Recent Highlights 

  • Total revenue of $81.2 million in the fourth quarter of 2023, a 159% increase compared to the fourth quarter of 2022
  • Total revenue of $241.6 million in the full year of 2023, a 159% increase compared to the full year of 2022
  • Generated net income of $4.0 million or $0.12 per share in the fourth quarter of 2023

"2023 was a great year for TransMedics as we achieved 159% revenue growth and launched TransMedics transplant logistics services to provide a more operationally and economically efficient service to our transplant program users," said Waleed Hassanein, MD, President and Chief Executive Officer. "We are humbled and excited that the use of OCS technology and our NOP program were primary drivers in increasing the national heart and liver transplant volumes by 12% in 2023. This double-digit growth in transplant volumes has not been witnessed in several years."

Fourth Quarter 2023 Financial Results
Total revenue for the fourth quarter of 2023 was $81.2 million, a 159% increase compared to $31.4 million in the fourth quarter of 2022. The increase was due primarily to the increase in utilization of the OCS through the National OCS Program ("NOP") as well as additional revenue generated by the addition of TransMedics logistics services.

Gross margin for the fourth quarter of 2023 was 59% compared to 66% in the fourth quarter of 2022.

Operating expenses for the fourth quarter of 2023 were $45.3 million compared to $27.5 million in the fourth quarter of 2022. The increase in operating expense was driven primarily by increased investment throughout the organization to support the growth of the company. Fourth quarter operating expenses in 2023 included $5.5 million of stock compensation expense compared to $3.0 million of stock compensation in the fourth quarter of 2022.

Net income for the fourth quarter of 2023 was $4.0 million compared to net loss of $6.7 million in the fourth quarter of 2022.

Full Year 2023 Financial Results
Total revenue for the full year of 2023 was $241.6 million, a 159% increase compared to $93.5 million in the full year of 2022. The increase was due primarily to the increase in utilization of the OCS through the NOP as well as additional revenue generated by the addition of TransMedics logistics services.

Gross margin for the full year of 2023 was 64% compared to 70% in the full year of 2022.

Operating expenses for the full year of 2023 were $182.8 million compared to $96.7 million in the full year of 2022. The increase in operating expense was driven by investment throughout the organization to support the growth in the business as well as an acquired in-process research and development charge of $27.2 million and an additional $2.0 million in non-recurring acquisition-related costs, both in the third quarter of 2023. Full year 2023 operating expenses included $19.4 million of stock compensation expense compared to $10.3 million in 2022.

Net loss for the full year of 2023 was $25.0 million compared to $36.2 million in the full year of 2022.

Cash was $394.8 million as of December 31, 2023.

2024 Financial Outlook
TransMedics expects total revenue for full-year 2024 to be in the range of $360 million to $370 million, which represents 49% to 53% 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 Monday, February 26, 2024. Investors interested in listening to the conference call may do so by dialing (866) 807-9684 for domestic callers or (412) 317-5415 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 www.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. 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: that we continue to incur losses; our ability to attract 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; the fluctuation of our financial results from quarter to quarter; 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; our dependence on the success of the OCS; our ability to expand access to OCS through the NOP; 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 payors of benefits offered by the OCS; our ability to improve the OCS platform and develop the next generation of the OCS products; our dependence on a limited number of customers for a significant portion of our net revenue; our ability to maintain regulatory approvals or clearances for our OCS products in the United States, the European Union, and worldwide; our ability to adequately respond to FDA, or other competent authorities, follow-up inquiries in a timely manner; 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 aviation capabilities to support our NOP to reduce dependence on third party transportation, including by means of the acquisition of fixed-wing aircraft or other acquisitions, joint ventures or strategic investments; our ability to maintain Federal Aviation Administration or other regulatory licenses or approvals for our aircraft 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 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 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; risks related to retaining key Summit employees and risks related to providing logistics and aviation services and owning aircraft; 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 Johnston
332-895-3222
Investors@transmedics.com

 

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,



2023


2022


2023


2022

Revenue:









Net product revenue


$                 51,874


$               25,074


$         176,069


$               79,234

Service revenue


29,300


6,301


65,554


14,225

Total revenue


81,174


31,375


241,623


93,459

Cost of revenue:









Cost of net product revenue


14,065


5,281


41,015


16,970

Cost of service revenue


19,185


5,391


46,515


11,217

Total cost of revenue


33,250


10,672


87,530


28,187

Gross profit


47,924


20,703


154,093


65,272










Gross Margin


59 %


66 %


64 %


70 %










Operating expenses:









Research, development and clinical trials


10,761


5,756


36,055


26,812

Acquired in-process research and development expenses




27,212


Selling, general and administrative


34,560


21,726


119,553


69,897

Total operating expenses


45,321


27,482


182,820


96,709

Income (loss) from operations


2,603


(6,779)


(28,727)


(31,437)

Other income (expense): 









Interest expense


(3,605)


(1,007)


(10,791)


(3,726)

Other income (expense), net 


4,865


1,085


12,847


(1,002)

Total other income (expense), net


1,260


78


2,056


(4,728)

Income (loss) before income taxes


3,863


(6,701)


(26,671)


(36,165)

(Provision) benefit for income taxes 


168


(19)


1,643


(66)

Net income (loss)


$                   4,031


$               (6,720)


$         (25,028)


$              (36,231)

Net income (loss) per share: 









Basic


$                    0.12


$                 (0.21)


$             (0.77)


$                  (1.23)

Diluted


$                    0.12


$                 (0.21)


$             (0.77)


$                  (1.23)

Weighted average common shares outstanding: 









Basic


32,644,525


32,010,621


32,517,372


29,556,633

Diluted


34,179,059


32,010,621


32,517,372


29,556,633

 

TransMedics Group, Inc.
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
(unaudited)




December 31,



2023


2022

Assets





Current assets:





Cash


$               394,812


$             201,182

Accounts receivable


63,576


27,611

Inventory


44,235


20,605

Prepaid expenses and other current assets


8,031


2,896

         Total current assets


510,654


252,294

Property, plant and equipment, net


173,941


19,223

Operating lease right-of-use assets


6,546


5,130

Restricted cash


500


500

Goodwill


11,990


Acquired intangible assets, net


2,354


Other non-current assets


62


        Total assets


$               706,047


$             277,147

Liabilities and Stockholders' Equity





Current liabilities:





Accounts payable


$                 12,717


$                3,341

Accrued expenses and other current liabilities


38,221


18,635

Deferred revenue


1,961


241

Operating lease liabilities


2,035


1,444

         Total current liabilities


54,934


23,661

Convertible senior notes, net


447,140


Long-term debt, net 


59,064


58,696

Operating lease liabilities, net of current portion


7,707


7,415

  Total liabilities


568,845


89,772

  Total stockholders' equity


137,202


187,375

  Total liabilities and stockholders' equity


$               706,047


$             277,147

 

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SOURCE TransMedics Group, Inc.

TransMedics reported a total revenue of $81.2 million in the fourth quarter of 2023, marking a 159% increase from the same period in 2022.

TransMedics generated a net income of $4.0 million, equivalent to $0.12 per share, in the fourth quarter of 2023.

TransMedics' full year 2023 revenue amounted to $241.6 million, reflecting a 159% increase from the previous year.

TransMedics anticipates a total revenue in the range of $360 million to $370 million for the full year 2024, representing a growth of 49% to 53% compared to the prior year.

As of December 31, 2023, TransMedics held a cash position of $394.8 million.
Transmedics Group Inc

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Surgical and Medical Instrument Manufacturing
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Medical Specialties, Health Technology, Manufacturing, Surgical and Medical Instrument Manufacturing
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About TMDX

transmedics inc. is the world’s leader in portable ex-vivo perfusion and assessment of donor organs for transplantation. the company was founded to address the need for more and better organs for transplantation, and is focused on transforming the standard of care – increasing organ utilization, improving patient outcomes, and reducing transplant costs throughout the heath care system. the ocs™ lung and ocs™ heart systems are ce-marked and in commercial use outside the us, and are currently being reviewed by the fda for u.s. market access. the ocs™ liver is in an fda pivotal trial (the ocs™ liver protect trial) in the united states and a ce-mark trial in (the revive trial) in europe.