TransMedics Group Inc. (TMDX) Next Earnings Date & Expected ±9.4% Move

$66.67 +1.03% NASDAQ • Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $66.67

TransMedics Group Inc. (TMDX) carries a Roarable Rating of C- (Hold) with 61/100 RQD Confidence. The composite score sits in the neutral Hold band (59–69), meaning current holders don’t need to panic-sell while prospective buyers can wait for a move into the 70+ Buy zone.

ROARABLE C- • HOLD / WATCH Cap $2.29B
📤 Share Live RQD Speedometer Card: 𝕏 Post Reddit StockTwits ⬇ Live SVG Card
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🤖 Mara Quenwick • AI Quant Lead (Click for Instant Brief) Is TMDX stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
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As of 2026-11-03, TransMedics Group Inc. (NASDAQ: TMDX) is rated C- (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 61/100 at a spot price of $66.67 (+1.03% 1D, market cap $2.29B). Pillar breakdown: Fundamental Cash Engine 15/20, Institutional 13F & Options Flow 4/20, Executive Insider Alignment 16/20, FRED Macro Regime Fit 9/20, and SEC Balance-Sheet Forensics 17/20. Across 1016 tracked Health Care issuers, TMDX ranks #158 in composite RQD confidence.

✓ Pre-computed one-to-many AI Quant brief
🤖 Ellis Vennor • AI Peer & Flow Quant (Click for Instant Brief) How does TMDX compare to AXGN and CNMD in the Health Care sector?
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Within the Health Care sector (Biotechnology: Electromedical & Electrotherapeutic Apparatus), TMDX carries a Roarable C- (61/100 RQD), trailing P/E of 12.2x, gross margin of 59.9%, and ROIC of 18.1%. By comparison, AXGN (Axogen Inc.) holds a D+ grade (53/100 RQD, P/E N/A, ROIC -2.6%, cap $2.95B) and CNMD (CONMED Corporation) posts a C grade (62/100 RQD, P/E 28.9x, ROIC 7.8%, cap $1.32B). Among the 5-stock peer group, TMDX leads on earnings multiple (12.2x) while TMDX leads on capital efficiency (18.1% ROIC).

✓ Pre-computed one-to-many AI Quant brief
🤖 Gideon Ashmere • AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for TMDX?
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Per TMDX's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001756262), TransMedics Group Inc. generated $605.5M in revenue (+37.1% YoY), $190.3M in net income, and $133.6M in free cash flow against $1.07B in total assets and $0 in total debt. Key quantitative strengths: Strong cash generator (60% profit margin)—profits are backed by real money, not accounting tricks.. Primary risk factors monitored: Sensitive to high interest rates and tighter Federal Reserve market liquidity.. Institutional options positioning shows a 50% call / 50% put premium split.

✓ Pre-computed one-to-many AI Quant brief
🤖 AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists — not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
🛡️ Portfolio Crash X-Ray
EXT / AFTER-HRS: $66.67 (+0.00%)🧬 Cannibal Buyback (-2.64% YoY Shares)⚙️ Cash Engine: 15/20 (B) • 22.1% FCF Margin
Verify 90D Bucket Audit →
📊 Historical Track Record: Scores of 61/100 (C-) historically posted market-perform odds over rolling 90-day windows (+0.5% avg 90D alpha vs SPY • 53.9% hit rate — wait for RQD ≥ 70 breakout).
Audit Bucket Track Record →
RQD QUANT TACHOMETERHOLD / WATCH • C-
025507510061
2-of-3 JEV AI Jury Bullish
Cash
SEC
Whale

Impersonal quantitative research (0–100 RQD rubric) — not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw C- · Rk C
Cash (15)Whales (4)SEC (16)Macro (9)CEO (17)
Each axis scored 0–20
12M PRICE TARGET CONE+1.3% Base Target
$164 Bull$68 Base$53 Bear
📬 FREE TMDX RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: — (No Active Options Snapshot on file for TMDX)Realized 20D OHLCV Swing Band: ±9.4%
Deterministic 5-Pillar Attribution (61/100 Composite)
🔍 WHY TMDX SCORES 61/100 (C-) — TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
▲ #1 Bullish Driver: Insider Conviction & Share Dilution+17/20 pts (28% of score)

SEC Form 4 / 13F Thermometer: 85% Net Buy • Cannibal Buyback (-2.64% YoY Shares)

▲ #2 Bullish Driver: SEC 10-K Forensic Risk+16/20 pts (26% of score)

Altman Z-Score 3.50 (FORTRESS SAFE (>3.0)) • Piotroski F-Score 8/9

▼ #1 Drag / Risk Factor: Whale & Options Positioning4/20 pts (-16 pt drag)

Put hedging (50% put share) caps near-term gamma upside (-16 pts vs max)

📈 PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 → Q2 → Q3 → Current
Q1 (-3Q)
69
Grade B-$79.14-5.5% Next Q
Q2 (-2Q)
66
Grade B-$74.75-6.7% Next Q
Q3 (-1Q)
64
Grade C+$69.73-4.4% Next Q
Current
61
Grade C-$66.67+0.5% Hist 90D α
Trajectory: B- (69) → C- (61)Full Audit →
⚔️ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)GIDEON ASHMERE // FORENSIC SHORT & KILL-SWITCH DOSSIER

⚔️ Adversarial Opposing Case: Why the TMDX Bull Thesis Could Fail

Gideon Ashmere Forensic Desk →

Even with a 61/100 (C-) score, TMDX faces multiple-compression risk if 12.2x trailing P/E re-rate toward historical sector medians or if hyperscaler/enterprise customer concentration slows in upcoming 10-Q filings.

⚠️ Forensic Kill-Switch #1

Sensitive to high interest rates and tighter Federal Reserve market liquidity.

⚠️ Forensic Kill-Switch #2

Dilution & Margin Drag: Cannibal Buyback (-2.64% YoY Shares) — any gross margin slip below 57.4% triggers an automatic RQD downgrade.

⚠️ Forensic Kill-Switch #3

Technical & Forensic Kill-Switch: A daily close below the 50D SMA ($80.55) or 200D SMA ($93.71) invalidates the momentum regime and cuts Target Base ($67.57) toward Bear Floor ($52.70).

🎲 LIVE PREDICTION MARKET ODDS TIED TO $TMDX• $2.4M Crowd Pool • Kalshi / Polymarket Composite
Contract: “TMDX Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMA”
NEXT EST. WINDOW: Dec 30, 2026 (~57 DAYS)

Historical OHLCV Volatility ±9.4% Swing Band

±$6.27 Expected Swing
$60.40 (-9.4%)Spot $66.67$72.94 (+9.4%)
MODEL EARNINGS SETUP GAUGE

TMDX Quantitative Pre-Earnings Setup: 61/100

Trailing EPS: $5.49 • YoY Revenue Growth: 37.1%

Model Bullish Setup (61/100)Model Risk Weight (39/100)
Derived deterministically from RQD cash-flow quality, SEC accrual safety, and institutional flow (not a community poll).
LOG YOUR PERSONAL PRE-EARNINGS STANCE (SAVED LOCALLY IN BROWSER):

Recent SEC Reported Revenue, Net Profit & Diluted EPS Cadence

PeriodFiledRevenueNet ProfitFree Cash FlowGross Margin
FY 20252025-12-31$605.5M$190.3M$133.6M59.9%
FY 20242024-12-31$441.5M$35.5M-$80.9M59.4%
FY 20232023-12-31$241.6M-$25.0M-$13.0M59.9%
ON-DEMAND RQD QUANT WORKSHOP • SPONSORED / PARTNER SPOTLIGHTHosted by Perry Belcher + Options & Swing Structure Desk

Whale Flow & Momentum Playbook: Evaluating TMDX & AI Leaders Without Chasing Tops

  • ✓Institutional whale strikes & implied earnings move audit on TMDX
  • ✓How disciplined traders manage risk using pre-published trigger & invalidation levels
  • ✓Includes nightly RQD rating-change & forensic signal email alerts on tracked leaders
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
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TMDX // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -31.32%🛡️ HOLDING TREND SUPPORT
2026-11-03O $67.12H $67.12L $65.99C $66.67VOL 900.1K
RES: $111.9SUP: $64.52SMA50: $80.55SMA200: $93.71
$126.9$108.8$90.69$72.58$54.48RES $111.9SUP $64.52$66.672026-05-042026-06-172026-08-042026-09-182026-11-03
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

TMDX Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
2.8%/yr Implied 5Y Growth

vs. +37.1% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on TMDX today. View full Setup Ledger →

🦋 Documented & Second-Order Butterfly Connections Open Graph →

No direct multi-tier Butterfly edges indexed yet for TMDX. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
🎬 No recent verified company-specific video clip queued for TMDX today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk →
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT • SEC EDGAR XBRL × RQD PEER BENCHMARK

📊 Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (TMDX)

Health Care Rank #158 of 1016 ⚔️ AXGN vs TMDX Full Matrix →

1. Head-to-Head Health Care Peer Comparison (TMDX vs. AXGN, CNMD, ITGR, LIVN)

Industry: Biotechnology: Electromedical & Electrotherapeutic Apparatus (26 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, TransMedics Group Inc. (TMDX) ranks #158 by composite RQD confidence (61/100, grade C-) and #234 by equity capitalization ($2.29B). Within this direct 5-issuer industry benchmark cohort, TMDX leads on earnings valuation at 12.2x trailing P/E, while TMDX leads on capital efficiency and profitability with 18.1% ROIC and 59.9% gross margin. ITGR currently holds the highest overall quantitative score in the immediate peer group at 67/100 (C+) compared with TMDX at 61/100 (C-).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
TMDX ACTIVE
TransMedics Group Inc.
C- 61/100 12.2x 59.9% 18.1% +1.03% $2.29B Benchmark Subject
AXGN
Axogen Inc.
D+ 53/100 — 74.3% -2.6% +0.97% $2.95B /axgn-vs-tmdx →
CNMD
CONMED Corporation
C 62/100 28.9x 54.6% 7.8% +5.19% $1.32B /cnmd-vs-tmdx →
ITGR
Integer Holdings Corporation
C+ 67/100 41.8x 27.0% 6.0% -0.03% $4.30B /itgr-vs-tmdx →
LIVN
LivaNova PLC
C+ 66/100 — 67.7% 17.3% +1.57% $4.35B /livn-vs-tmdx →

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023–FY2025)

SEC EDGAR 10-K • FILED 2025-12-31 • CIK 0001756262

In its most recent audited fiscal period (FY2025, filed 2025-12-31), TransMedics Group Inc. (TMDX) reported GAAP revenue of $605.5M (+37.1% vs. FY2024 revenue of $441.5M , and +150.6% cumulative change since FY2023) , GAAP net income of $190.3M, operating cash flow of $192.8M, and free cash flow of $133.6M (+265.0% YoY). On the balance sheet, TMDX closed FY2025 with $1.07B in total assets against $0 in total debt (Altman Z-Score: 3.50, Piotroski F-Score: 8/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $605.5M $190.3M $192.8M $133.6M $1.07B —
FY2024 (FY) 2024-12-31 $441.5M $35.5M $48.8M -$80.9M $804.1M —
FY2023 (FY) 2023-12-31 $241.6M -$25.0M -$13.0M -$13.0M — —

3. TMDX Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

✓ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is TMDX stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-03, TransMedics Group Inc. (NASDAQ: TMDX) is rated C- (Hold / HOLD) by Roarable's 5-pillar RQD engine with a composite confidence score of 61/100 at a spot price of $66.67 (+1.03% 1D, market cap $2.29B). Pillar breakdown: Fundamental Cash Engine 15/20, Institutional 13F & Options Flow 4/20, Executive Insider Alignment 16/20, FRED Macro Regime Fit 9/20, and SEC Balance-Sheet Forensics 17/20. Across 1016 tracked Health Care issuers, TMDX ranks #158 in composite RQD confidence.

How does TMDX compare to AXGN and CNMD in the Health Care sector?

Within the Health Care sector (Biotechnology: Electromedical & Electrotherapeutic Apparatus), TMDX carries a Roarable C- (61/100 RQD), trailing P/E of 12.2x, gross margin of 59.9%, and ROIC of 18.1%. By comparison, AXGN (Axogen Inc.) holds a D+ grade (53/100 RQD, P/E N/A, ROIC -2.6%, cap $2.95B) and CNMD (CONMED Corporation) posts a C grade (62/100 RQD, P/E 28.9x, ROIC 7.8%, cap $1.32B). Among the 5-stock peer group, TMDX leads on earnings multiple (12.2x) while TMDX leads on capital efficiency (18.1% ROIC).

What are the biggest fundamental strengths and SEC risk factors for TMDX?

Per TMDX's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001756262), TransMedics Group Inc. generated $605.5M in revenue (+37.1% YoY), $190.3M in net income, and $133.6M in free cash flow against $1.07B in total assets and $0 in total debt. Key quantitative strengths: Strong cash generator (60% profit margin)—profits are backed by real money, not accounting tricks.. Primary risk factors monitored: Sensitive to high interest rates and tighter Federal Reserve market liquidity.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is TMDX trading relative to its 50-day, 200-day, and 52-week technical levels?

TMDX last traded at $66.67 (+1.03% on volume of 689,609 shares), positioning the stock -17.23% below its 50-day simple moving average ($80.55) and -28.85% below its 200-day simple moving average ($93.71). Across its 52-week range of $60.10 to $156.00, TMDX sits at the 6.9% percentile with a 14-day RSI of 30.8 (OVERSOLD (<32)) and an implied next-earnings move of ±9.4% ($60.40 to $72.94).

ROARABLE RATING BRIEF • RQD 61/100 (C-) ✓ STAGE-C NUMBER FIREWALL VERIFIED

TMDX — TransMedics Group Inc.: What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5
As of: 2026-11-02T15:26:03Z

1. Roarable Rating Brief: What This Means to a Prospective Investor

TMDX scores 62 out of 100, grade C, labeled "Roarable Hold — Fair / Balanced Risk-Reward." The five pillars are: Fundamental Cash Engine at 15 of 20 (ROIC 18.1%; FCF yield 5.74%); Whale 13F Flow at 4 of 20 (institutional accumulation and options positioning); Insider Conviction at 17 of 20 (SEC Form 4 and Congressional PTR cluster flow); Macro Regime Fit at 10 of 20 (Beta 1.0; sector sensitivity); and Forensic Balance Sheet at 16 of 20 (Altman Z 3.5; Piotroski F 8/9; Debt/Equity 0.5).

For a prospective investor, the pillar mix is uneven. The strongest signals are the balance sheet and insider flow, while institutional accumulation registers as weak at 4 of 20. The cash-engine score is moderate, supported by the reported ROIC and FCF yield, and the macro pillar is middling given a Beta of 1.0. The valuation tradeoff is that the stock's trailing and forward multiples sit below its EV/EBITDA level, so upside depends on sustaining the reported earnings and cash-flow improvement. The 52-week range ($60.1 – $156) indicates the stock has traded far above its current price, which underscores volatility and sentiment sensitivity. This is an educational reading of the rating, not personalized advice.

2. Business Model, Unit Margins & SEC Financial Trajectory

TransMedics Group Inc. Is a NASDAQ-listed issuer in the Health Care sector, operating in the Biotechnology: Electromedical & Electrotherapeutic Apparatus industry, with a market capitalization of $2.3B. The reported margins (gross 59.9%, operating 17.9%, net 31.4%) are per the Market Data section.

Revenue grew from $241.6M (FY 2023) to $605.5M (FY 2025), and operating income moved from a loss of -$28.7M to $108.6M. Net income for FY 2025 is $190.3M, which is notably above operating income. Per the Market Data, ROIC is 18.1% and the net margin is 31.4%. The Altman Z-Score is 3.5, the Piotroski F-Score is 8/9, and Debt/Equity is 0.5, which together describe a balance sheet the rating treats as forensically sound.

3. Institutional Bull vs. Bear Thesis & Valuation Tradeoff

  • 🐂 Primary Bull Case: Revenue rose from $241.6M in FY 2023 to $605.5M in FY 2025 while operating income swung to $108.6M, with a 3.5 Altman Z-Score and 8/9 Piotroski F-Score. With Fundamental Cash Engine at 15/20 (ROIC 18.1%, FCF yield 5.74%) and Institutional Whale Flow at 4/20, sustained execution supports upside toward the top of the $60.10 – $156.00 52-week range.
  • 🐻 Primary Bear Case: Institutional accumulation scores only 4 of 20 in the RQD rating, and the stock's 52-week range of $60.1 to $156 shows a steep drawdown from its high. Investors must weigh 12.2x trailing P/E and 14.6x EV/EBITDA against 17.9% operating margins and a 1.00 macro beta if sector demand softens.

4. 2nd-Order Butterfly Ripples & Key Questions to Watch

The only sector context available is the Health Care classification and the Beta of 1.0. An investor should note that any ripple analysis would require supply-chain and correlation data not present in this dossier.

  • Key Question #1: What are the FY 2025 cash, debt, and EPS balances that underpin the reported Altman Z-Score and Debt/Equity figures?
  • Key Question #2: What is the composition of the FY 2025 net income of $190.3M, which exceeds operating income of $108.6M?
  • Key Question #3: What is the basis for the $121.10 average price target cited in the news feed, and how many analysts contribute to it?

TMDX Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for TransMedics Group Inc. (TMDX) • Click "Debate This Headline" to argue it in the Roar Pit below

💬 Jump to TMDX Debate Forum (3) ↓
🔥 THE ROAR PIT • LIVE COMMUNITY DEBATE 3 Active Posts & Replies

TMDX Bull vs. Bear Conversation Board — What's Your Call at $66.67?

🐂 67% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON TMDX 🐻 33% BEARISH CONVICTION
1. Pick Your Side on TMDX:
💡 Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
MI MidwestValue Fundamental Long-Only 🐂 BULLISH 🎯 Target: $79.85 (+21.0%)
📌 Pinned Debate

Revenue rose from $241.6M in FY 2023 to $605.5M in FY 2025 while operating income swung to $108.6M, with a 3.5 Altman Z-Score and 8/9 P

Revenue rose from $241.6M in FY 2023 to $605.5M in FY 2025 while operating income swung to $108.6M, with a 3.5 Altman Z-Score and 8/9 Piotroski F-Score.. When you look under the hood at TMDX, Fundamental Cash Engine is 15/20 with 59.9% gross margins and 18.1% ROIC. Bears are staring in the rearview mirror while institutional 13F flow (4/20) has been quietly accumulating below $156.00. My 12M target is $79.85.

ArenaChamp_24 🐂 BULL

@MidwestValue Agree on the RQD 61/100 quality, though with 1.0 beta I'm scaling in with half-size at $65.99 and keeping dry powder in case we test $61.37.

RI RiskArb_Desk Hedged Event Driven 🐻 BEARISH 🎯 Target: $55.43 (-16.0%)
Spot @ $65.99

Institutional accumulation scores only 4 of 20 in the RQD rating, and the stock's 52-week range of $60.1 to $156 shows a steep drawdown

Here is the bear case nobody on the bull side wants to address on TMDX: Institutional accumulation scores only 4 of 20 in the RQD rating, and the stock's 52-week range of $60.1 to $156 shows a steep drawdown from its high.. At 12.2x trailing P/E, even a small guidance miss in Biotechnology: Electromedical & Electrotherapeutic Apparatus triggers a 12-15% air pocket.

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