$TMDX (+1,52 %) - Slightly increased again 😁
Transmedics Grp
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Discussion sur TMDX
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17$TMDX (+1,52 %) - Now also there, with a first position ✌️
Analyst updates, 17.12.
⬆️⬆️⬆️
- - UBS raises the price target for AMAZON from USD 230 to USD 264. Buy. $AMZN (+0,26 %)
- - CITIGROUP raises the target price for ALLIANZ SE from EUR 286 to EUR 314.40. Neutral. $ALV (-0,66 %)
- - BARCLAYS raises the target price for DHL GROUP from EUR 37.50 to EUR 38. Equal-Weight. $DHL (+0,13 %)
- - DEUTSCHE BANK RESEARCH upgrades AIRBUS from Hold to Buy and raises target price from EUR 155 to EUR 185. $AIR (-0,84 %)
- - BERENBERG raises the price target for MUNICH RE from EUR 525 to EUR 552. Hold. $MUV2 (-1,1 %)
- - KEPLER CHEUVREUX raises the price target for ADESSO from EUR 80 to EUR 100. Hold. $ADN1 (-0,76 %)
- - WARBURG RESEARCH raises the price target for FMC from EUR 31 to EUR 36. Sell. $FME (-0,96 %)
- - DEUTSCHE BANK RESEARCH raises the target price for AUTO1 from EUR 12 to EUR 20. Buy. $AG1 (+3,11 %)
- - DEUTSCHE BANK RESEARCH raises the price target for MTU from EUR 329 to EUR 337. Hold. $MTX (-0,47 %)
- - DEUTSCHE BANK RESEARCH raises the price target for HENSOLDT from EUR 37 to EUR 41. Buy. $HAG (-0,41 %)
- - DEUTSCHE BANK RESEARCH raises the target price for ROLLS-ROYCE from GBP 5.55 to GBP 6.30. Buy. $RR. (-0,37 %)
- - BOFA raises the target price for INFINEON from EUR 36 to EUR 40. Buy. $IFX (-1,35 %)
- - BOFA raises the price target for STMICRO from EUR 29 to EUR 30. Buy. $STMPA (-0,02 %)
- - BOFA raises the target price for NOKIA from EUR 4.07 to EUR 4.58. Neutral. $NOKIA (-0,2 %)
⬇️⬇️⬇️
- - JPMORGAN downgrades TRANSMEDICS from Overweight to Neutral and lowers target price from 116 USD to 75 USD. $TMDX (+1,52 %)
- - BOFA lowers the price target for SILTRONIC from EUR 59 to EUR 46. Underperform. $WAF (-3,21 %)
- - HSBC lowers the price target for CARL ZEISS MEDITEC from EUR 66 to EUR 54. Hold. $AFX (+0,2 %)
- - KEPLER CHEUVREUX lowers the price target for HEIDELBERGER DRUCK from EUR 1.25 to EUR 1. Hold. $HBGRY
- - KEPLER CHEUVREUX lowers the price target for EVONIK from EUR 25 to EUR 21. Buy. $EVK (-0,02 %)
- - KEPLER CHEUVREUX lowers the price target for NORDEX from EUR 17 to EUR 14. Buy. $NDX1 (+0,57 %)
I'm out for now - loss compensation and possible reallocation to $AMD (-0,35 %) , $TMDX (+1,52 %) and $JMIA (+2,64 %)
$TMDX (+1,52 %) - Part 3
Summary of the most exciting parts of yesterday's Investor Day:
1. management is very confident that they can do 10,000 transplants. That is the publicly stated goal, but they have sites that could make far more possible.
2. currently we use less than 20% of lungs, less than 30% of hearts and about 60% of livers. This means that the majority of the donor pool is completely unused.
3. there are many $TMDX (+1,52 %) competitors that do not solve the ischemia problem. Ischemic damage occurs when an organ is not supplied with blood. The longer this lasts, the greater the risk of morbidity. There is no competitor that has a product that can eliminate ischemic damage and get the organ to the patient. $TMDX (+1,52 %) has the only portable multi-organ perfusion technology in the world.
4 $TMDX (+1,52 %) Data shows that it has reduced primary graft dysfunction in lung transplants by 50%, heart and liver by 65% and ischemic biliary complications in liver transplants by 84%.
5. $TMDX (+1,52 %) presented its command center, the heart of the logistics business. This is the place where $TMDX (+1,52 %) coordinates its missions (air and ground) to ensure that organs reach their destination as quickly as possible. It shows how$TMDX (+1,52 %) X has full control over its entire business operations. It is one of the biggest moats for a small-cap company in the entire market.
6. data has shown that ischemic biliary complications in 4,300 liver transplants using $TMDX (+1,52 %) transported organs are only 1.7%.
7. morning transplants are a key factor in the success of organ transplants and finances. Morning transplants have not been possible in the past, but with $TMDX (+1,52 %) logistical possibilities they are now.
8 There are three next-gen programs that will lead to tremendous growth in 2025, all leveraging the large investments in the logistics network in 2024. These are the Next Gen Lung Program, the Next Gen Heart Clinic Program and the NOP Network, which will be a digital ecosystem with full transparency for all stakeholders involved.
9. $TMDX (+1,52 %) have eliminated all edema in lung transplants within 24 hours. This is something they have not yet achieved in 2024. This was communicated to 175 lung transplant surgeons in Boston 2 weeks ago, so it's all very new and an exciting development for 2025.
9 Management also introduced Envision, an ecosystem that manages all aspects from organ procurement to transplantation. It also includes all financial management tasks such as case counts for OCS, OCS costs and automated billing. More rationalization. More efficiency.
10. the management has repeatedly emphasized that $TMDX (+1,52 %) will be an international company. The TAM is huge.
11. the focus of development in 2025 will be on kidneys, with launch in 2029 after FDA clinical trials in 2027. this will add approximately 50,000 transplants to the TAM annually.
12. management discussed its vision for the next generation of OCS, which completely redefines how OCS works in order to $TMDX (+1,52 %) enable the performance of over 30,000 transplants per year. Everything will be highly automated and closely connected to the cloud, resulting in tremendous financial efficiencies.
Conclusion: It all sounds very exciting, the company certainly has potential and enormous growth opportunities, but it will take time and you have to be patient.
$TMDX (+1,52 %) - Company presentation - Part 1:
TransMedics Group, Inc. is a medical device company transforming organ transplant therapy for patients with end-stage lung, heart and liver failure.
The company specializes in portable extracorporeal thermal perfusion and the evaluation of donor organs for transplantation. Its Organ Care System (OCS) is a portable organ perfusion, optimization and monitoring system that uses its customized technology to replicate near-physiological conditions for donor organs outside the human body.
In addition, the company has developed the National OCS Program (NOP), a turnkey solution for outsourced organ harvesting, OCS organ management and logistics services for transplant programs in the United States. Logistics services include air transportation, ground transportation and other coordination activities. NOP provides trained organ procurement surgeons, clinical specialists and transplant coordinators to provide an end-to-end clinical solution utilizing OCS technology.
Now a little more in detail:
OCS = Organ Care System
$TMDX (+1,52 %) currently has OCS consoles for the heart, liver and lungs.
The cool thing about $TMDX (+1,52 %) 's OCS is that normally 2-3 out of 10 organs stored in the cold room are successfully transplanted.
8 out of 10 OCS organs or disposable sets (as they are called) are transplanted without complications.
The trick lies in the ability of the $TMDX (+1,52 %) OCS console to maintain organ functionality through the constant circulation of warm blood (perfusion).
The OCS consoles are the only FDA-approved portable multi-organ perfusion device on the market.
The installation of these innovative cutting-edge consoles in the 70 leading transplant centers in the USA is probably equivalent to a monopoly position.
Blood flow to the organs and constant monitoring of their functionality reduces ischemic injury and post-transplant complications.
$TMDX (+1,52 %) also has its own fleet of 18 airplanes to help get organs to where they are needed.
If an organization needs to outsource the pick-up or drop-off of organs, it can use an aircraft from the NOP network. $TMDX (+1,52 %) - aircraft from the NOP network.
NOP = National OCS Program
The NOP's nationwide hub network takes care of the transportation of organs from the donor to the recipient around the clock
The NOP network has now contributed to over 4,000 transplants
This is the only air and ground network that is 100% dedicated to the transportation of organs.
- Business model:
Selling organs and organ care system (OCS) consoles to organ transplantation and procurement centers and organizations, as well as selling to distributors who sell their products to centers and organizations abroad.
Service:
They also sell organ procurement and organ management services to all of these organizations through NOP
All customer contracts include multiple performance obligations covering all products and services they provide (organs, OCS, NOP services).
Financials:
- Annual revenue:
2021: $30.3M
2022: $93.5M
2023: $241.6M
2024: $434.1M est +79% YoY
2025: $548.1M est +26%YoY
- EPS - a strong increase is expected:
2023: -$0.77
2024: USD 1.07 estimated
2025: estimated USD 1.65
$TMDX (+1,52 %) is managed by the founder - which should be an advantage.
Since 1998, the CEO has built this company into the country's leading transplant network.
CEO- Waleed Hassanein
$TMDX (+1,52 %) is still a small cap and
basically has everything it takes to become a future monopoly.
- Best product of its kind
- Building a complex logistics network before anyone else does
- Only FDA approved product of its kind
$TMDX (+1,52 %) Continues to invest heavily in the future
They addressed profit margins and stated that they continue to invest in hiring pilots, aircraft, maintenance centers - to take care of their own aircraft, etc.
All these investments will $TMDX (+1,52 %) probably turn the company from a small-cap to a mid-cap in the next few years.
The weakness in earnings in recent earnings is probably not fundamentally due to the weakness of the company.
The quarter-on-quarter decline in sales was due to general weakness and maintenance measures in the industry as well as investments that affect margins and apparently surprised many analysts.
There is actually nothing wrong with the business.
Finally, I would like to say that I am not yet invested, but after the recent fall in the share price, a long-term entry should be very interesting and I am considering an initial entry.
Are any of you already invested? ✌️
+ 6
$TMDX (+1,52 %) - Company presentation part 2
Why $TMDX (+1,52 %) could be an opportunity - reasons and concerns
Positive:
- $TMDX (+1,52 %) Is a demand-driven business. Selling products that people need usually means that the products sell themselves. In any economic climate, there are people waiting for organs.
- The business model of $TMDX (+1,52 %) is very robust. When an organization buys an organ, it keeps the console. When it uses the organ, it immediately buys a new organ to replenish the console. If an organization wants to use the NOP service for transport only, the contracts usually provide for OCS to be used in some way, whether to house/monitor the organ during transport or to purchase OCS outright to house the organ once the organization receives it.
- The entire transplant industry is massively underutilized
- Why $TMDX (+1,52 %) wins in transplants:
$TMDX (+1,52 %) Could easily become a monopoly (especially NOP) or expand their lead. You start in a niche, dominate it and keep expanding.
- $TMDX (+1,52 %) the NOP logistics command center:
- Unique competitive advantage:
Concerns:
- $TMDX Has only recently become profitable and is inconsistent. You only reached profitability a year ago.
Net income:
Q4 2023: 4 million $
Q1 2024: 12.2 million $
Q2 2024: 12.2 million dollars
Q3 2024: 4.2 million USD
- In the last four quarters, costs have risen faster than revenue. This is something you don't want to see in a company that has recently become profitable.
- $TMDX (+1,52 %) Has about $330m in cash, but still has about $178m in net debt
- $TMDX (+1,52 %) would be a candidate for loss absorption. The share price has fallen sharply for half a year. For people who are still holding the share with a book loss, a sale now would be a good opportunity to offset this with profits from this year.
- The sentiment at $TMDX is at a multi-year low. Having just posted their first QoQ decline (although still up 64% y/y), the aesthetics of their rising sales, which has led to a 900% return on share price in 4.5 years, is ruined. If $TMDX (+1,52 %) delivers another disappointing quarter, it could leave a nasty taste in Wall Street's mouth in the long run, regardless of how well the business might be doing - much like $PYPL (-0,38 %) and $SOFI (+1,24 %)
- $TMDX has a very asset-heavy business model. They own a fleet of aircraft, they own hubs that store OCS consoles and maintain aircraft, they own vehicles for ground transportation. All these assets are not cheap to maintain. This is a very complex logistics network that needs to be utilized/utilized, as opposed to e.g. $SHOP (+0,9 %) , $PLTR (+6,35 %) and Co, whose entire business is based on software.
- The whole business depends on the generosity of others. Without donors, there is no business. It is not the case that $TMDX (+1,52 %) can ramp up/scale organ production to higher numbers. I could see NOP and renting out this fleet in the future, for medical purposes only, could be a great way to expand the monopoly on transplants.
- has a very niche business. There are only a limited number of people looking for a new organ. This will lead to some restrictions on business growth unless they expand at some point.
Bottom line:
I think $TMDX (+1,52 %) could be a good buy now. The current weakness in the numbers is fundamentally not due to weakness in the business, but it is being sold off heavily as if it is. Down 50% because the transplant industry as a whole is down ? Because more was spent this quarter on expanding the business for 2025 ? Because the QoQ increase could not be sustained due to aircraft maintenance ?
I will consider getting in, what stops me at the moment is that you can't control the supply, but if you continue to develop the technology and others also use your services, the growth should be able to be sustained.
+ 6
$TMDX (+1,52 %) - Company presentation - Part 1:
TransMedics Group, Inc. is a medical device company transforming organ transplant therapy for patients with end-stage lung, heart and liver failure.
The company specializes in portable extracorporeal thermal perfusion and the evaluation of donor organs for transplantation. Its Organ Care System (OCS) is a portable organ perfusion, optimization and monitoring system that uses its customized technology to replicate near-physiological conditions for donor organs outside the human body.
In addition, the company has developed the National OCS Program (NOP), a turnkey solution for outsourced organ harvesting, OCS organ management and logistics services for transplant programs in the United States. Logistics services include air transportation, ground transportation and other coordination activities. NOP provides trained organ procurement surgeons, clinical specialists and transplant coordinators to provide an end-to-end clinical solution utilizing OCS technology.
Now a little more in detail:
OCS = Organ Care System
$TMDX (+1,52 %) currently has OCS consoles for the heart, liver and lungs.
The cool thing about $TMDX (+1,52 %) 's OCS is that normally 2-3 out of 10 organs stored in the cold room are successfully transplanted.
8 out of 10 OCS organs or disposable sets (as they are called) are transplanted without complications.
The trick lies in the ability of the $TMDX (+1,52 %) OCS console to maintain organ functionality through the constant circulation of warm blood (perfusion).
The OCS consoles are the only FDA-approved portable multi-organ perfusion device on the market.
The installation of these innovative cutting-edge consoles in the 70 leading transplant centers in the USA is probably equivalent to a monopoly position.
Blood flow to the organs and constant monitoring of their functionality reduces ischemic injury and post-transplant complications.
$TMDX (+1,52 %) also has its own fleet of 18 airplanes to help get organs to where they are needed.
If an organization needs to outsource the pick-up or drop-off of organs, it can use an aircraft from the NOP network. $TMDX (+1,52 %) - aircraft from the NOP network.
NOP = National OCS Program
The NOP's nationwide hub network takes care of the transportation of organs from the donor to the recipient around the clock
The NOP network has now contributed to over 4,000 transplants
This is the only air and ground network that is 100% dedicated to the transportation of organs.
- Business model:
Selling organs and organ care system (OCS) consoles to organ transplantation and procurement centers and organizations, as well as selling to distributors who sell their products to centers and organizations abroad.
Service:
They also sell organ procurement and organ management services to all of these organizations through NOP
All customer contracts include multiple performance obligations covering all products and services they provide (organs, OCS, NOP services).
Financials:
- Annual revenue:
2021: $30.3M
2022: $93.5M
2023: $241.6M
2024: $434.1M est +79% YoY
2025: $548.1M est +26%YoY
- EPS - a strong increase is expected:
2023: -$0.77
2024: USD 1.07 estimated
2025: estimated USD 1.65
$TMDX (+1,52 %) is managed by the founder - which should be an advantage.
Since 1998, the CEO has built this company into the country's leading transplant network.
CEO- Waleed Hassanein
$TMDX (+1,52 %) is still a small cap and
basically has everything it takes to become a future monopoly.
- Best product of its kind
- Building a complex logistics network before anyone else does
- Only FDA approved product of its kind
$TMDX (+1,52 %) Continues to invest heavily in the future
They addressed profit margins and stated that they continue to invest in hiring pilots, aircraft, maintenance centers - to take care of their own aircraft, etc.
All these investments will $TMDX (+1,52 %) probably turn the company from a small-cap to a mid-cap in the next few years.
The weakness in earnings in recent earnings is probably not fundamentally due to the weakness of the company.
The quarter-on-quarter decline in sales was due to general weakness and maintenance measures in the industry as well as investments that affect margins and apparently surprised many analysts.
There is actually nothing wrong with the business.
Finally, I would like to say that I am not yet invested, but after the recent fall in the share price, a long-term entry should be very interesting and I am considering an initial entry.
Are any of you already invested? ✌️
+ 6
I am optimistic about the future!
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