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TransMedics Group Inc (TMDX) Fair Value & Analysis

Healthcare · US · Market cap $2.6B · ISIN US89377M1099

What is TransMedics Group Inc really worth?

TG TransMedics Group Inc logo TransMedics Group Inc TMDX · US
Price$86.98
Fair Value$50.86
Upside−41.5%
Quality55/100

A solid business, but trading 71% above our fair value of $50.86.

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Strengths

Healthy Growth (revenue 5y +88.2 %/yr)
Highly profitable · 27.0% net margin
Moderate debt · generates free cash flow
Wide moat 66/100

Risks

!Mixed vs. peers (8/14)
!Evidence only medium, so the estimate is less certain
!The models disagree: range $38.15 to $114.33
Evidence: Medium Range $38.15 – $114.33

Fair value as of: Sep 3, 2026

From 26 valuation models · updated yesterday

Share price +7.7% over the past month.

What runs behind every stock

69 individual criteria per stock, every one traceable See the method →

What matters now

  • The model range is unusually wide ($38.15 to $114.33). The outcome hinges heavily on assumptions, so read the point estimate with caution.
  • Solid but not exceptional quality (55/100) and above fair value, neither a clear bargain nor a standout compounder.

Price vs Fair Value (5 years)

$176.11 $12.58 Fair Value $50.86 Jun 2021 Sep 2026

White line = price, green steps = our fair value per fiscal year, dashed = 300-day average. As of Sep 3, 2026.

How to read this chart

60‑month range $12.58 – $176.11 · fair‑value band $38.15 – $114.33 · the $86.98 price screens above the $50.86 fair value. Green steps = our fair value per fiscal year (point-in-time, no hindsight). Dashed = 300-day average. As of Sep 3, 2026.

Full chart & analysis →

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Analysis

TransMedics Group Inc (TMDX) currently trades at $86.98, while our model-based Fair Value estimate is $50.86, implying the stock looks roughly 71.0% overvalued today. The Quality Score stands at 55/100 (solid quality), in the Healthcare sector. Bull case: the Growth Earnings group reads highest at a median of $255.81 per share, and 12 of the 26 models we run sit above the $86.98 price. Bear case: the Asset-Based group reads lowest at $9.17, and 14 of the 26 models stay below the price. Evidence for this calculation is medium.

Over the trailing twelve months, TransMedics Group Inc generated revenue of $636M at a net margin of 27.0%. Revenue grew 21.2% year over year. It earns a return on equity of 45.2%. The balance sheet holds a net cash position of $18.7M. Fundamentals as of Sep 3, 2026

Our scenario range runs from $38.15 (bear case) to $114.33 (bull case); at $86.98, the current price sits within that range. Bear and bull are the same models run on conservative and optimistic assumptions (margins, growth, valuation multiples), so a plausible valuation range, not a price target. Analysts expect earnings well below the last reported figure (earnings in transition, for example expiring patents or contracts); a fair value that looks fair on trailing earnings may then be too optimistic. The share trades about 44% below its 52-week high and 45% above its 52-week low, currently below its 200-day average. For context, the median of 10 Healthcare peers we cover trades at −34% fair-value upside, at −42%, TMDX screens richer than that median.

Fair Value models

This estimate rests on fiscal year 2025 figures, and about 8 months have passed since. In that time the company retained roughly $2.97 per share, which is 5.8 % of the fair value. The fair value deliberately does not add this in: the models value reported figures, not a projection.

Each model estimates fair value its own way; the Fair Value above is the evidence-weighted, family-balanced blend. Evidence (0–100) measures how completely this model’s inputs are available: well-fed models carry more weight in the blend. The spread across models is intentional, each one stresses a different value driver; dividend models, for instance, come out structurally low when payout is small. Every input is real reported data, nothing guessed.

Model Bear Bear = the cautious scenario: the same model computed with conservative anchors (lower growth, margins and valuation multiples). Together with Bull it frames a plausible valuation range, not a price target.BaseBull Bull = the optimistic scenario: the same model computed with favourable anchors (higher growth, margins and valuation multiples). Together with Bear it frames a plausible valuation range, not a price target. Evidence
Highest evidence
EPV $25.30 $29.36 $32.86 74
FCF DCF $61.07 $94.25 $197.69 73
Growth DCF $57.33 $109.49 $193.52 73
All 26 models by family
DCF Models
FCF DCF $61.07 $94.25 $197.69 73
Owner Earnings $67.57 $150.25 $317.44 68
5Y Revenue Exit $39.79 $66.01 $120.63 67
5Y EBITDA Exit $47.62 $81.85 $148.87 70
5Y P/E Exit $84.25 $195.93 $349.34 65
10Y Revenue Exit $45.57 $93.00 $120.86 64
10Y EBITDA Exit $52.40 $109.49 $206.59 62
10Y P/E Exit $78.53 $186.55 $366.81 58
Earnings-Based
Graham-Dodd $37.44 $261.10 $366.42 61
Lynch FV $134.90 $192.71 $250.52 59
PEG = 1.0 $134.90 $192.71 $250.52 55
EPV $25.30 $29.36 $32.86 74
Dividend Discount
Gordon GGM $12.99 $25.88 $39.19 64
DDM Multi-Stage $12.99 $22.37 $27.32 65
Multiples
P/E Multiple $90.85 $121.13 $151.41 63
P/S Multiple $45.99 $61.32 $76.65 58
P/B Multiple $46.20 $61.60 $77.00 55
EV/EBIT $39.65 $53.00 $66.36 66
EV/EBITDA $40.84 $54.59 $68.34 67
EV/Revenue $28.18 $40.44 $52.69 53
Asset-Based
NCAV (Graham) $6.84 $9.17 $13.69 54
Growth DCF
Growth DCF $57.33 $109.49 $193.52 73
Rev-Margin DCF $43.78 $75.61 $142.45 67
Economic Profit
Residual Income $43.12 $65.00 $849.11 61
ROIC Compounder $34.39 $53.72 $65.45 69
Growth Earnings
Growth-Adj P/E $179.06 $255.81 $332.55 65

Widest divergence: Growth Earnings ($255.81) versus Asset-Based ($9.17). Highest evidence: EPV (74).

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Key figures & financial health

P/E ratio 19.9
P/S ratio 6.26 P/E × margin
EPS (TTM) $4.37 price ÷ EPS = P/E 19.9
Dividend yield 2.1% payout 41.2%
Net margin 31.4% FY2025
Return on equity 45.2% TTM
More key figures
Profitability
Return on assets (EBIT) −6.0% avg 5y
Operating margin 7.7% TTM
Growth
Revenue (TTM) $636M TTM
Revenue growth (YoY) +21.2% 3y avg +86.4%
EPS growth (YoY) −71.5%
Balance sheet & cash flow
Free cash flow $134M FY2025
Net cash $18.7M FY2025

Figures from reported company fundamentals · as of Sep 3, 2026. TTM = trailing twelve months.

Quality Score breakdown

Overall quality 55/100

Of which business quality 59 · Market factors (momentum, volatility) 17

Profitability 79
Margins and returns on capital today
Quality Growth 83
Are margins and returns improving?
Cashflow 70
Earnings quality: real cash, not paper profit
Fin. Strength 72
Balance sheet, leverage, solvency risk
Investment 19
Disciplined investing over empire-building
Low Volatility 2
Calm price path (market factor)
Momentum 26
Price trend over the last 3–12 months (market factor)
52W Momentum 20
Distance to the 52-week high (market factor)
Net Issuance 0
Buybacks instead of dilution

Non-valuation factor families (profitability, growth, cashflow, financial strength, momentum …), each academically grounded. Valuation itself sits in the Fair Value and is deliberately excluded here to avoid double-counting.

All values are scores from 0 to 100 (100 = best against fixed, research-based bands), not percentages. The three market factors (momentum, 52-week proximity, low volatility) are displayed but carry zero weight in the headline number: market sentiment is not a business property.

About the company

TransMedics Group, Inc., a commercial-stage medical technology company, engages in transforming organ transplant therapy for end-stage organ failure patients in the United States and internationally.

Full company description

TransMedics Group, Inc., a commercial-stage medical technology company, engages in transforming organ transplant therapy for end-stage organ failure patients in the United States and internationally. The company provides Organ Care System (OCS), a portable organ perfusion, optimization, and monitoring system that utilizes its proprietary and customized technology to replicate near-physiologic conditions for donor organs outside of the human body. Its OCS includes OCS LUNG for the preservation of standard criteria donor lungs for double-lung transplantation; OCS Heart, a technology for preservation of DBD donor hearts deemed unsuitable due to limitations of cold storage and for ex vivo reanimation, functional monitoring, and beating-heart preservation of donation-after-circulatory-death hearts; and OCS Liver for the preservation of DBD and DCD of donor livers. The company also developed national OCS program, a turnkey solution for outsourced organ retrieval; and provides OCS organ management and logistics services, including aviation and ground transportation, and other coordination activity. The company was founded in 1998 and is headquartered in Andover, Massachusetts.

Company description, as reported by the company or data provider.

Revenue & earnings trend

FY2021 – FY2025 · reported fiscal years

TransMedics Group Inc reported revenue of $605M in FY2025 versus $30.3M in FY2021, a compound +111.5%/yr. Reported net income was $190M in FY2025.

Growth Quality 100/100
Revenue growth appears healthy and is supported by profitability and cash-flow quality.
Latest Revenue (FY 2025)
$605M
Latest YoY
+37.1%
Avg. revenue growth/yr (3Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+86.4%
Avg. revenue growth/yr (5Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+88.2%
Avg. revenue growth/yr (9Y) Measures the company's TOTAL revenue from reported annual statements: compound average growth per year (CAGR) from the fiscal year 3, 5 or N years back to the most recent comparable fiscal year. Not per share: buybacks do not change this number, and a merger can appear as a growth jump.
+66.3%
Value creation/yr We only publish this rate when it is defensible. Reason: no profitable base year
not computed
Revenue +111.5%/yr
FY21 $30.3M
FY22 $93.5M
FY23 $242M
FY24 $442M
FY25 $605M
Net income
FY21 −$44.2M
FY22 −$36.2M
FY23 −$25.0M
FY24 $35.5M
FY25 $190M

TMDX screens 71% overvalued. Compare with Abbott Laboratories, →

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Cite: Fair Value Calculator (2026). "TransMedics Group Inc Fair Value". https://www.fairvalue-calculator.com/stock/TMDX

Peer Group

Medical Devices · 351 stocks

How this stock ranks against its industry: the green marker is this stock, the band is the typical 25–75% peer range, and the tick is the median.

Quality Score 55 · Above median
Fair Value upside −42% · Below median
Return on equity (TTM) 45% · Top 25%
Return on assets 5% · Top 25%
Net margin (TTM) 27% · Top 25%
Operating margin (TTM) 8% · Above median
Revenue growth 21% · Top 25%
Dividend yield (TTM) 2.1% · Above median
Debt / equity 1.06× · Higher than 75% of peers

Valuation Multiples vs Medical Devices median · lower = cheaper

P/E (TTM) 19.9× · Cheaper than median
P/B 5.40× · Pricier than 75% of peers
P/S (TTM) 4.02× · Pricier than median
P/FCF 19.1× · Pricier than median
EV/EBITDA 20.5× · Pricier than median

Strength profile in five axes (Snowflake)

Five quick dimensions, each 0 to 100: VALUE (fair-value potential), FUTURE (revenue growth), PAST (return on equity), HEALTH (low debt), DIVIDEND (yield). Green = this stock, grey = typical sector peer.

VALUEFUTUREPASTHEALTHDIVIDEND
This stock
VALUEFUTUREPASTHEALTHDIVIDEND
Sector peers
VALUE0 · sector 0
FUTURE100 · sector 32
PAST100 · sector 5
HEALTH47 · sector 97
DIVIDEND41 · sector 34

VALUE 0: the price sits above our fair-value range.

Insider activity: 42/100

Values & ESG

Does this company touch areas you may want to avoid? The classification is inferred from sector and industry.

None of the checked exposures detected

Similar stocks

10 more Medical Devices stocks, each showing price versus our Fair Value estimate (as of Sep 3, 2026).

Stock Price Fair Value vs Fair Value
Abbott Laboratories, ABT $112.47 $74.79 −34%
Stryker Corporation SYK $322.12 $186.28 −42%
Medtronic plc MDT $89.97 $65.57 −27%
Boston Scientific Corporation BSX $46.84 $30.73 −34%
Edwards Lifesciences Corporation EW $90.78 $41.02 −55%
Siemens Healthineers AG SHL €39.52 €33.87 −14%
DexCom, Inc DXCM $90.82 $38.95 −57%
GE HealthCare Technologies Inc GEHC $74.82 $64.13 −14%
Koninklijke Philips N.V PHIA €23.69 €14.36 −39%
Shenzhen Mindray Bio-Medical Electronics Co 300760 ¥150.63 ¥147.63 −2%

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Frequently asked questions

Is TransMedics Group Inc (TMDX) overvalued or undervalued?
As of Sep 3, 2026, our model estimates a fair value of $50.86 versus a price of $86.98, about −42% upside (overvalued).
What is the fair value of TMDX?
Our model-based fair value for TransMedics Group Inc is $50.86 (as of Sep 3, 2026), built from audited fundamentals. The current price: $86.98.
What is the quality score of TMDX?
TransMedics Group Inc has a Quality Score of 55/100. It measures business quality (profitability, growth, cash flow, balance-sheet strength, investment discipline, share issuance). Market factors such as price momentum and volatility do not enter the number; they are shown separately in the detail view.
What is the revenue of TransMedics Group Inc (TMDX)?
TransMedics Group Inc reported trailing-twelve-month revenue of about $636M (latest available figure, as of Sep 3, 2026).
What is the net profit margin of TMDX?
The net profit margin of TransMedics Group Inc is about 27.0%, meaning it keeps roughly 27.0% of revenue as net income. Based on the latest reported figures.
Does TransMedics Group Inc pay a dividend?
TransMedics Group Inc currently shows a dividend yield of about 2.07% relative to its recent price (as of Sep 3, 2026).
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