News Release

TransMedics Reports Third Quarter 2023 Financial Results

Nov 6, 2023 at 4:05 PM EST

ANDOVER, Mass., Nov. 6, 2023 /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 ended September 30, 2023.

Recent Highlights 

  • Net revenue of $66.4 million in the third quarter of 2023, a 159% increase compared to the third quarter of 2022, including $1.6 million non-recurring charter revenue
  • Closed acquisition of Summit Aviation, enabling the addition of aviation service to NOP offering, driving $2.1 million incremental transplant related revenue in the third quarter

"The third quarter was a critical execution period for TMDX as we integrated a new business, expanded our NOP clinical support capacity, and launched a first-of-its kind business to expand our NOP product and service offering," said Waleed Hassanein, MD, President and Chief Executive Officer. "We are pleased with our third quarter performance and we firmly believe that we are building a great foundation for further acceleration of our growth in 2024 and beyond."

Third Quarter 2023 Financial Results 

Total revenue for the third quarter of 2023 was $66.4 million, a 159% increase compared to $25.7 million in the third quarter of 2022. The increase was due primarily to greater utilization of the company's NOP across all three OCS products as well as the addition of logistics and aviation revenue. Revenue from the new, transplant related aviation and logistics offerings was $2.1 million.  Additionally, total revenue includes $1.6 million in non-recurring revenue attributable to Summit Aviation's charter business that TransMedics intends to exit in early 2024.

Gross margin for the third quarter of 2023 was 61%, compared to 71% in the third quarter of 2022, and compared to 70% in the second quarter of 2023. Gross margin for the third quarter was unfavorably impacted by transition initiatives following the Summit Aviation acquisition, and the expected inefficiencies inherent in the transition out of its legacy charter business and the launch of the new transplant aviation business. Total cost of revenue $2.3 million of non-transplant related costs that reduced gross margin by 200 basis points.

Operating expenses for the third quarter of 2023 were $69.0 million, compared to $23.7 million in the third quarter of 2022, and compared to $37.6 million in the second quarter of 2023. The increase in operating expense was driven primarily by an acquired in-process research and development charge of $27.2 million and an additional $2.0 million in non-recurring acquisition-related costs. In addition, TransMedics continued investing in personnel, NOP support, and the development of the company's digital platform and next generation OCS. Third quarter operating expenses in 2023 also included $5.1 million of stock compensation expense compared to $2.7 million of stock compensation expense in the third quarter of 2022, and $4.9 million of stock compensation in the second quarter of 2023.

Net loss for the third quarter of 2023 was $25.4 million, compared to $7.4 million in the third quarter of 2022. The increase in net loss was driven primarily by $29.2 million in non-recurring acquisition-related costs.

Cash was $427.1 million as of September 30, 2023.

2023 Financial Outlook
TransMedics is updating its full year 2023 revenue guidance to be in the range of $222 million to $230 million, which represents 138% to 146% growth compared to the company's prior year revenue. TransMedics' prior 2023 revenue guidance was $180 million to $190 million.

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, November 6, 2023. 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, including our plans to expand our NOP offering, increase revenue opportunities, and exit Summit Aviation's charter business. 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 on 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 and the European Union; our ability to adequately respond to FDA follow-up inquiries in a timely manner; performance of our third-party suppliers and manufacturers; our dependence on third parties to transport donor organs and medical personnel for our NOP; price increases of the components of our products; 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; the impact of any product recalls or improper use of our products; risks related to retaining key Summit employees and risks related to providing 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 September 30,

 

Nine Months Ended September 30,

   

2023

 

2022

 

2023

 

2022

Revenue:

               

Net product revenue

 

$                     47,740

 

$                     21,299

 

$                   124,195

 

$                     54,160

Service revenue

 

18,690

 

4,384

 

36,254

 

7,924

Total revenue

 

66,430

 

25,683

 

160,449

 

62,084

Cost of revenue:

               

Cost of net product revenue

 

11,086

 

4,231

 

26,950

 

11,689

Cost of service revenue

 

14,682

 

3,337

 

27,330

 

5,826

Total cost of revenue

 

25,768

 

7,568

 

54,280

 

17,515

Gross profit

 

40,662

 

18,115

 

106,169

 

44,569

                 

Gross Margin

 

61 %

 

71 %

 

66 %

 

72 %

                 

Operating expenses:

               

Research, development and clinical trials

 

11,132

 

6,808

 

25,294

 

21,056

Acquired in-process research and development expenses

 

27,212

 

 

27,212

 

Selling, general and administrative

 

30,653

 

16,851

 

84,993

 

48,171

Total operating expenses

 

68,997

 

23,659

 

137,499

 

69,227

Loss from operations

 

(28,335)

 

(5,544)

 

(31,330)

 

(24,658)

Other income (expense): 

               

Interest expense

 

(3,590)

 

(787)

 

(7,186)

 

(2,719)

Other income (expense), net 

 

4,996

 

(1,076)

 

7,982

 

(2,087)

Total other income (expense), net

 

1,406

 

(1,863)

 

796

 

(4,806)

Loss before income taxes

 

(26,929)

 

(7,407)

 

(30,534)

 

(29,464)

(Provision) benefit for income taxes 

 

1,507

 

(19)

 

1,475

 

(47)

Net loss

 

$                   (25,422)

 

$                     (7,426)

 

$                   (29,059)

 

$                   (29,511)

Net loss per share attributable to common
   stockholders, basic and diluted

 

$                       (0.78)

 

$                       (0.25)

 

$                       (0.89)

 

$                       (1.03)

Weighted average common shares outstanding,
   basic and diluted

 

32,614,059

 

30,229,936

 

32,474,522

 

28,729,649

 

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

 
   

September 30, 2023

 

December 31, 2022

Assets

       

Current assets:

       

Cash

 

$                   427,110

 

$                   201,182

Accounts receivable

 

60,654

 

27,611

Inventory

 

39,365

 

20,605

Prepaid expenses and other current assets

 

9,595

 

2,896

         Total current assets

 

536,724

 

252,294

Property, plant and equipment, net

 

131,004

 

19,223

Operating lease right-of-use assets

 

6,861

 

5,130

Restricted cash

 

500

 

500

Goodwill

 

11,673

 

Acquired intangible assets, net

 

2,405

 

Other non-current assets

 

60

 

        Total assets

 

$                   689,227

 

$                   277,147

Liabilities and Stockholders' Equity

       

Current liabilities:

       

Accounts payable

 

$                     12,836

 

$                       3,341

Accrued expenses and other current liabilities

 

31,651

 

18,635

Deferred revenue

 

2,629

 

241

Operating lease liabilities

 

1,985

 

1,444

         Total current liabilities

 

49,101

 

23,661

Convertible senior notes, net

 

446,448

 

Long-term debt, net 

 

58,986

 

58,696

Operating lease liabilities, net of current portion

 

8,232

 

7,415

  Total liabilities

 

562,767

 

89,772

  Total stockholders' equity

 

126,460

 

187,375

  Total liabilities and stockholders' equity

 

$                   689,227

 

$                   277,147

 

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SOURCE TransMedics Group, Inc.