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TransMedics Reports Third Quarter 2021 Financial Results

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TransMedics Group, Inc. (TMDX) reported Q3 2021 net revenue of $5.4 million, a 24% decrease from Q3 2020. This decline is attributed to the end of revenue from clinical trials for OCS Heart and OCS Liver before FDA approvals. Notable achievements include FDA 510(k) clearance for OCS Lung and PMA for OCS Heart and Liver systems in July and September 2021, respectively. Operating expenses rose to $15.5 million, leading to a net loss of $13.0 million. The company anticipates full-year revenue between $27.6 million and $28.6 million, indicating 8% to 12% growth compared to 2020.

Positive
  • FDA approvals for OCS Heart and OCS Liver enhance market potential.
  • Expected 2021 revenue growth of 8% to 12% demonstrates recovery.
Negative
  • Net revenue declined by 24% due to discontinued clinical trial revenues.
  • Operating expenses increased significantly to $15.5 million.
  • Net loss grew to $13.0 million from $5.1 million year-over-year.

ANDOVER, Mass., Nov. 9, 2021 /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, 2021.

Recent Highlights

  • Net revenue of $5.4 million in the third quarter of 2021, a 24% decrease compared to the third quarter of 2020, driven primarily by the expiry of revenue contribution from clinical trials
  • Received FDA 510(k) clearance for OCS Lung cold flush solution on July 29, 2021
  • Received FDA premarket approval (PMA) for OCS Heart System on September 3, 2021
  • Received FDA premarket approval (PMA) for OCS Liver System on September 28, 2021
  • Announced positive top line results from the U.S. randomized OCS DCD Heart trial

"We achieved two critical milestones in the third quarter with the FDA approval of OCS Heart and OCS Liver.  With these approvals, we will leverage our unique competitive and regulatory positions to laser focus the organization on commercial growth in 2022 as we embark on a higher growth trajectory for TransMedics," said Waleed Hassanein, MD, President and Chief Executive Officer. "With unrivaled OCS technology, three FDA approved transplant indications with broad labeling, solid operational footing, and our National OCS Program, we are better positioned than ever to deliver on our growth goals and transform organ transplantation."

Third Quarter 2021 Financial Results 
Net revenue for the third quarter of 2021 was $5.4 million, a 24% decrease compared to $7.1 million in the third quarter of 2020. The decrease was due primarily to the discontinuance of OCS Heart and OCS Liver clinical trial revenue prior to receipt of FDA approvals for both systems in September 2021.

Gross margin for the third quarter of 2021 was 70% as compared to 71% in the third quarter of 2020.

Operating expenses for the third quarter of 2021 were $15.5 million compared to $9.6 million in the third quarter of 2020. The increase in operating expense was driven by increased investment in the company's National OCS Program, which is a comprehensive organ retrieval and management service, as well as increases in stock compensation expense, and expenses associated with preparing for two FDA advisory committee panels.

Net loss for the third quarter of 2021 was $13.0 million compared to $5.1 million in the third quarter of 2020.

Cash, cash equivalents and marketable securities were $102.9 million as of September 30, 2021.

2021 Financial Outlook
TransMedics expects net revenue for the full-year 2021 to be in the range of $27.6 million to $28.6 million, which represents 8% to 12% growth compared to the company's prior year net revenue.

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 Tuesday, November 9, 2021. Investors interested in listening to the conference call may do so by dialing (833) 378-1026 for domestic callers or (236) 712-2500 for international callers, followed by Conference ID: 3667734. 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 operations and financial performance and expected timing of regulatory approvals for our OCS products. These forward-looking statements are subject to a number of risks, uncertainties and assumptions. Moreover, we operate in a very competitive and rapidly changing environment and new risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or 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, uncertainties and assumptions, 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 or implied in the forward-looking statements. Some of the key factors that could cause actual results to differ include: that we continue to incur losses; our need to raise additional funding; 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 to until maturity, and our ability to obtain additional financing or refinance existing debt on favorable terms or at all; the fluctuation of our financial results from quarter to quarter; our ability to use net operating losses and research and development credit carryforwards; our dependence on the success of the OCS; the rate and degree of market acceptance of the OCS, including our efforts to develop our National OCS program; our ability to educate patients, surgeons, transplant centers and private payors of benefits offered by the OCS; the impact of the outbreak of the novel strain of coronavirus and associated containment and remediation efforts; our ability to improve the OCS platform and to develop the next generation of our OCS technology platform; our dependence on a limited number of customers for a significant portion of our net revenue; the timing of and our ability to obtain and maintain regulatory approvals or clearances for our OCS products; our ability to adequately respond to FDA follow-up inquiries in a timely manner; the performance of our third-party suppliers and manufacturers; 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 attract and retain key personnel; 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; our ability to obtain and maintain regulatory approvals or clearance for our OCS products; 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; our use of proceeds from our equity offerings; our estimates regarding revenues, expenses and needs for additional financing;  and the risks identified under the heading "Risk Factors" and elsewhere in our annual report on Form 10-K for the year ended December 31, 2020, our quarterly reports on Form 10-Q, and in any subsequent filings with the Securities and Exchange Commission ("SEC"). Additional information will be made available by our annual and quarterly reports and other filings that we make from time to time with the SEC. These forward-looking statements 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 it is not possible for us 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
631-807-1986
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,





2021


2020


2021


2020

Net revenue


$                   5,370


$                       7,091


$                 20,594


$                 18,012

Cost of revenue


1,597


2,053


6,421


6,205

Gross profit


3,773


5,038


14,173


11,807

Gross Margin


70%


71%


69%


66%

Operating expenses:









Research, development and clinical trials


5,163


4,155


15,990


14,283

Selling, general and administrative


10,335


5,493


26,283


18,012

Total operating expenses


15,498


9,648


42,273


32,295

Loss from operations


(11,725)


(4,610)


(28,100)


(20,488)

Other income (expense):









Interest expense


(979)


(971)


(2,896)


(3,014)

Other income (expense), net


(249)


499


(532)


1,087

Total other expense, net


(1,228)


(472)


(3,428)


(1,927)

Loss before income taxes


(12,953)


(5,082)


(31,528)


(22,415)

Provision for income taxes


(9)


(6)


(19)


(22)

Net loss


$               (12,962)


$                      (5,088)


$               (31,547)


$               (22,437)

Net loss per share attributable to common stockholders, basic

   and diluted


$                   (0.47)


$                        (0.19)


$                   (1.14)


$                   (0.94)

Weighted average common shares outstanding, basic and diluted


27,701,252


27,156,135


27,564,589


23,885,517










* Reconciliation of Gross to Net revenue for certain payments made to customers (in thousands)



Three Months Ended September 30,




Nine Months Ended September 30,





2021


2020


2021


2020

Gross revenue from sales to customers


$                   5,413


$                       7,973


$                 21,717


$                 20,139

Less: clinical trial payments reducing revenue


43


882


1,123


2,127

Total net revenue


$                   5,370


$                       7,091


$                 20,594


$                 18,012










 

 

TransMedics Group, Inc.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands)

(unaudited)

 




September 30, 2021


December 31, 2020

Current assets:





Cash and cash equivalents


$                 22,495


$                     24,581

Marketable securities


80,360


101,061

Accounts receivable


4,150


6,864

Inventory


14,869


11,934

Prepaid expenses and other current assets


3,703


2,326

Total current assets


125,577


146,766

Property and equipment, net


5,063


4,754

Restricted cash and other long-term assets


506


506

Total assets


$               131,146


$                   152,026

Current liabilities:





Accounts payable


$                   2,682


$                       1,206

Accrued expenses and other current liabilities


12,769


10,317

Deferred revenue


320


263

Current portion of deferred rent


152


93

Total current liabilities


15,923


11,879

Long-term debt, net of discount


35,058


34,657

Deferred rent, net of current portion


1,616


1,599

Total liabilities


52,597


48,135

Total stockholders' equity


78,549


103,891

Total liabilities and stockholders' equity


$               131,146


$                   152,026






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SOURCE TransMedics Group, Inc.

FAQ

What were TransMedics' Q3 2021 revenue results?

TransMedics reported Q3 2021 net revenue of $5.4 million, a 24% decrease from Q3 2020.

How did the FDA approvals affect TransMedics' business?

The FDA approved the OCS Heart and OCS Liver systems in September 2021, positioning TransMedics for commercial growth.

What is the financial outlook for TransMedics in 2021?

TransMedics expects full-year 2021 revenue between $27.6 million and $28.6 million, representing 8% to 12% growth.

What was the net loss reported by TransMedics for Q3 2021?

TransMedics reported a net loss of $13.0 million for Q3 2021, up from $5.1 million in Q3 2020.

TransMedics Group, Inc.

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