greeksoup/ stock research

TransMedics Group, Inc.: Q3 FY2026 earnings call

What management said about Q3 FY2026, from the documents filed with the SEC on 5 November 2026: press release. Guidance figures: 1 raised, 1 new. The quarter’s numbers.

Key takeaways

  • Revenue grew 41% in quarter: Total revenue was $203.0 million, up 41% from $143.8 million a year earlier. Excluding PAD Aviation, organic revenue growth was 35%. Source
  • Diluted EPS $0.46, adjusted $0.51: GAAP net income was $17.1 million, or $0.46 per diluted share, against $0.66 a year earlier. Adjusted diluted EPS was $0.51 against $0.67. Source
  • NOP liver and heart volume drove growth: Management attributed growth mainly to higher liver and heart volume through the National OCS Program, plus revenue from TransMedics logistics services. Source
  • Service mix offset by logistics gains: Management attributed the decline to a higher service-revenue mix. Partly offsetting it were lower scrap, inventory adjustments and logistics efficiencies from pricing, lift use and ground transport costs. Source
  • Operating expenses rose on clinical programs: Operating expenses were $90.5 million against $61.3 million. Management cited planned investment in clinical programs, headcount, and infrastructure including the US headquarters and PAD Aviation. Source
  • Two trials target larger segments: Management said ENHANCE Heart Part B and DENOVO Lung target large heart and lung segments, each with two paths through OCS and CHOPS. Source
  • Cash rose to $493.0 million: Cash was $493.0 million at September 30, up from $472.7 million at June 30 and $488.4 million at December 31. Source

“The third quarter of 2026 was the strongest in TransMedics’ history, with record revenue and record case volume. Importantly, we delivered these results despite typical third quarter seasonality and before any contribution from ENHANCE Part B or DENOVO.”

Waleed Hassanein, MD, President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Full-year 2026 revenue, excluding PAD Aviation SourceFY 2026$750-$760 millionRaised from $737-$757 million
Full-year 2026 revenue, including PAD Aviation SourceFY 2026$764-$774 millionNew

What changed from last quarter

  • Guidance raised: Full-year 2026 revenue guidance excluding PAD Aviation was raised to $750-$760 million from $737-$757 million. Source
  • New: Fernando Araujo, former CFO of GE HealthCare's Advanced Imaging Solutions segment, was appointed Chief Financial Officer in September. Source
  • New: TransMedics was awarded its first European transplant logistics tender, in Italy, in October. The award starts its European transplant operations using PAD Aviation. Source
  • New: In October, the FDA granted IDE approvals for ENHANCE Heart Part B and DENOVO Lung, with CHOPS used as a control arm in both trials. Source

Third quarter results

  • Revenue grew 41% in quarter: Total revenue was $203.0 million, up 41% from $143.8 million a year earlier. Excluding PAD Aviation, organic revenue growth was 35%. Source
  • Operating income up, margin lower: Income from operations was $28.1 million, up 21%. Operating margin was 13.9% against 16.2%, and adjusted operating margin was 14.2% against 16.4%. Source
  • Diluted EPS $0.46, adjusted $0.51: GAAP net income was $17.1 million, or $0.46 per diluted share, against $0.66 a year earlier. Adjusted diluted EPS was $0.51 against $0.67. Source
  • Nine-month operating income down 25%: For the nine months, income from operations was $65.2 million, down 25%. Operating margin was 11.5% against 19.6%, and adjusted nine-month operating margin was 12.8%. Source

Growth drivers and logistics

  • NOP liver and heart volume drove growth: Management attributed growth mainly to higher liver and heart volume through the National OCS Program, plus revenue from TransMedics logistics services. Source
  • PAD Aviation added from July 1: PAD Aviation revenue is included from the strategic investment date of July 1, 2026, so the quarter has no prior-year comparable for that business. Source
  • PAD charter services excluded from organic: PAD Aviation charter services contributed $9.4 million of third-quarter revenue and service revenue. The company removes this amount when calculating organic growth. Source

“We enter 2027 with strong momentum and a robust set of growth catalysts.”

Waleed Hassanein, MD, President and Chief Executive Officer

Product and service revenue

  • Service revenue grew faster than product: Product revenue rose 29% and service revenue rose 60%. Service growth excluding PAD Aviation was 43%. Source
  • Nine-month product and service revenue higher: Nine-month net product revenue was $332.5 million against $272.0 million. Nine-month service revenue was $234.3 million against $172.7 million. Source
  • Cost of service revenue rose: Cost of service revenue was $60.8 million against $40.6 million a year earlier. Cost of net product revenue was $23.6 million against $18.7 million. Source

Costs and gross margin

  • Gross margin 58.5% against 58.8%: Gross margin was 58.5% in the quarter, down 0.3 points. Gross profit was $118.7 million on revenue of $203.0 million. Source
  • Service mix offset by logistics gains: Management attributed the decline to a higher service-revenue mix. Partly offsetting it were lower scrap, inventory adjustments and logistics efficiencies from pricing, lift use and ground transport costs. Source
  • Operating expenses rose on clinical programs: Operating expenses were $90.5 million against $61.3 million. Management cited planned investment in clinical programs, headcount, and infrastructure including the US headquarters and PAD Aviation. Source
  • Stock compensation in operating expenses: The stock compensation figure is part of total operating expenses. It is not among the non-GAAP adjustments listed in the release. Source

Clinical programs and strategy

  • ENHANCE Heart Part A enrollment completed: Enrollment in Part A of the next-generation OCS ENHANCE Heart trial was completed in September, according to the release. Source
  • Continued access protocol adds 90 patients: The FDA approval, received in October, allows enrollment of 90 additional patients under a continued access protocol. Source
  • Two trials target larger segments: Management said ENHANCE Heart Part B and DENOVO Lung target large heart and lung segments, each with two paths through OCS and CHOPS. Source

Cash, debt and balance sheet

  • Cash rose to $493.0 million: Cash was $493.0 million at September 30, up from $472.7 million at June 30 and $488.4 million at December 31. Source
  • Current debt rose to $54.8 million: The current portion of long-term debt, net, was $54.8 million, against $10.0 million at December 31. Source
  • Finance lease liability recorded: The finance lease liability was $351.5 million at September 30, against nil at December 31. Finance lease right-of-use assets were $330.4 million. Source
  • Receivables and inventory increased: Accounts receivable rose to $114.9 million from $84.3 million. Inventory rose to $58.4 million from $48.9 million. Source

Coming up, as management said on 5 November 2026

  • Europe launch planned in three countries: Management plans to launch OCS NOP in Italy, the Netherlands and Belgium, building on the Italian logistics tender. Source

Earlier plans management reported on

  • On track: Management said OCS Kidney remains on track for first-in-human clinical experience in the second half of 2027. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.