NASDAQ$TMDX

TransMedics Group Inc · Q4 2025 earnings

Q4 2025 earnings · · After market close · Investor relations

Briefing

TransMedics reported Q4 2025 net income of $105.4M, or $2.62 EPS, after tax valuation allowance release.

Supplemental release: Q4 net income $105.4M ($2.62 EPS) includes $83.8M tax benefit from releasing U.S. valuation allowance. Adjusted tax rate ~19.1% implies ~$4.1M tax expense on $21.6M pre-tax income.

  • GAAP EPS $2.62 on tax benefit.
  • Core pre-tax income ~$21.6M.
  • Valuation allowance released.
  • Effective tax rate normalized ~19%.

Headline financials

Total Revenue

$161M

Previous: $122M+32.2%
EPS (adj)

$2.62

Previous: $0.19+1278.9%
Gross Margin

58.0%

No prior period
R&D and Clinical Trials

$20.7M

No prior period
SG&A Expense

$51.4M

No prior period
Total Operating Expenses

$72.1M

No prior period
Stock Compensation Expense

$9.1M

No prior period
Net Income

$105M

Previous: $6.86M+1437.1%
Operating Income

$21.3M

Previous: $8.64M+146.1%
Gross Profit

$93.4M

Previous: $72M+29.7%

Revenue & EPS history

TransMedics · Revenue · Quarterly

$161M

Q4 2025+32.2%vs Q4 2024
Beat estimate in 12 of 15 quarters(80%)
ActualEstimate

Forward guidance

Underlying profitability better reflected after tax allowance release; organ care platform demand continues.

Tailwinds

  • Allowance release signals earnings visibility.
  • OPO adoption growing.
  • Product gross margins strong.

Headwinds

  • GAAP EPS not indicative of run-rate.
  • Organ procurement variability.
  • Competition in transplant tech.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2025

Historical avgQ4 2025

+4.1%

Avg return

Earnings day

+2.3%

Avg return

5 days after

+7.6%

Avg return

30 days after

54%

15 / 28 earnings

Positive

+42.6%

Q3 2023

Best reaction

-29.3%

Q3 2024

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026-2.1%-30.0%-26.4%
Q4 2025-4.6%-3.6%-35.1%
Q3 2025+0.9%-9.0%+8.9%
Q1 2025+19.6%+31.3%+49.2%
Q4 2024+5.8%-6.5%-4.9%
Q3 2024-29.3%-34.2%-30.4%
Q2 2024+9.4%+7.2%+21.4%
Q1 2024+20.9%+31.6%+40.3%
Q4 2023+6.7%-0.5%-10.8%
Q3 2023+42.6%+34.6%+73.5%
Q2 2023-8.9%-24.7%-21.5%
Q1 2023-6.7%-6.4%-8.1%
Q4 2022+20.2%+20.4%+15.4%
Q3 2022+20.7%+17.6%+38.7%
Q2 2022-7.7%+20.8%+28.9%
Q1 2022+39.5%+25.4%+29.5%
Q4 2021+23.2%+39.5%+82.5%
Q3 2021-12.0%-16.3%-29.0%
Q2 2021+9.6%+7.6%+17.2%
Q1 2021-12.6%-15.1%-11.3%
Q4 2020+3.4%-12.3%+10.6%
Q3 2020+4.8%+10.6%+20.8%
Q2 2020+0.1%-3.2%-11.9%
Q1 2020-7.6%-0.6%-11.7%
Q4 2019-1.1%-1.2%-25.7%
Q3 2019-14.2%-13.0%-1.7%
Q2 2019-4.2%-4.6%+8.6%
Q1 2019-2.3%-2.1%-4.1%
Q4 2018
Q3 2018
Q2 2018
Q1 2018
Q4 2017
Q3 2017
Q2 2017
Q1 2017

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