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Side-by-side financial comparison of Enact Holdings, Inc. (ACT) and TransMedics Group, Inc. (TMDX). Click either name above to swap in a different company.

Enact Holdings, Inc. is the larger business by last-quarter revenue ($312.1M vs $160.8M, roughly 1.9× TransMedics Group, Inc.). TransMedics Group, Inc. runs the higher net margin — 65.6% vs 53.8%, a 11.7% gap on every dollar of revenue. On growth, TransMedics Group, Inc. posted the faster year-over-year revenue change (32.2% vs 1.7%). Over the past eight quarters, TransMedics Group, Inc.'s revenue compounded faster (28.8% CAGR vs 2.2%).

Enact Holdings, Inc. is a leading U.S.-based private mortgage insurance provider. It delivers risk mitigation solutions to residential mortgage lenders, banks, and credit unions, enabling borrowers with smaller down payments to access affordable home financing, and supports sustainable homeownership for diverse consumer groups across the United States.

TransMedics Group, Inc. develops and commercializes innovative medical technologies for organ transplantation. Its flagship Organ Care System keeps donor organs viable during transport, improving transplant outcomes for heart, lung, liver and kidney recipients. It serves transplant centers and organ procurement organizations across North America, Europe and Asia-Pacific.

ACT vs TMDX — Head-to-Head

Bigger by revenue
ACT
ACT
1.9× larger
ACT
$312.1M
$160.8M
TMDX
Growing faster (revenue YoY)
TMDX
TMDX
+30.5% gap
TMDX
32.2%
1.7%
ACT
Higher net margin
TMDX
TMDX
11.7% more per $
TMDX
65.6%
53.8%
ACT
Faster 2-yr revenue CAGR
TMDX
TMDX
Annualised
TMDX
28.8%
2.2%
ACT

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
ACT
ACT
TMDX
TMDX
Revenue
$312.1M
$160.8M
Net Profit
$168.0M
$105.4M
Gross Margin
58.1%
Operating Margin
13.2%
Net Margin
53.8%
65.6%
Revenue YoY
1.7%
32.2%
Net Profit YoY
1.2%
1436.9%
EPS (diluted)
$1.18
$2.59

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ACT
ACT
TMDX
TMDX
Q1 26
$312.1M
Q4 25
$312.7M
$160.8M
Q3 25
$311.5M
$143.8M
Q2 25
$304.9M
$157.4M
Q1 25
$306.8M
$143.5M
Q4 24
$301.8M
$121.6M
Q3 24
$309.6M
$108.8M
Q2 24
$298.8M
$114.3M
Net Profit
ACT
ACT
TMDX
TMDX
Q1 26
$168.0M
Q4 25
$105.4M
Q3 25
$24.3M
Q2 25
$34.9M
Q1 25
$25.7M
Q4 24
$6.9M
Q3 24
$4.2M
Q2 24
$12.2M
Gross Margin
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
58.1%
Q3 25
58.8%
Q2 25
61.4%
Q1 25
61.5%
Q4 24
59.2%
Q3 24
55.9%
Q2 24
60.6%
Operating Margin
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
71.3%
13.2%
Q3 25
67.4%
16.2%
Q2 25
70.4%
23.2%
Q1 25
68.9%
19.1%
Q4 24
68.9%
7.1%
Q3 24
74.1%
3.6%
Q2 24
78.6%
10.9%
Net Margin
ACT
ACT
TMDX
TMDX
Q1 26
53.8%
Q4 25
65.6%
Q3 25
16.9%
Q2 25
22.2%
Q1 25
17.9%
Q4 24
5.6%
Q3 24
3.9%
Q2 24
10.7%
EPS (diluted)
ACT
ACT
TMDX
TMDX
Q1 26
$1.18
Q4 25
$1.23
$2.59
Q3 25
$1.10
$0.66
Q2 25
$1.11
$0.92
Q1 25
$1.08
$0.70
Q4 24
$1.05
$0.19
Q3 24
$1.15
$0.12
Q2 24
$1.16
$0.35

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ACT
ACT
TMDX
TMDX
Cash + ST InvestmentsLiquidity on hand
$549.0M
Total DebtLower is stronger
$744.9M
Stockholders' EquityBook value
$5.3B
$473.1M
Total Assets
$7.0B
$1.1B
Debt / EquityLower = less leverage
0.14×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACT
ACT
TMDX
TMDX
Q1 26
$549.0M
Q4 25
$582.5M
Q3 25
$545.6M
Q2 25
$616.0M
Q1 25
$639.0M
Q4 24
$602.8M
Q3 24
$674.9M
$330.1M
Q2 24
$711.3M
$362.8M
Total Debt
ACT
ACT
TMDX
TMDX
Q1 26
$744.9M
Q4 25
$744.5M
Q3 25
$744.1M
Q2 25
$743.8M
Q1 25
$743.4M
Q4 24
$743.0M
Q3 24
$742.7M
Q2 24
$742.4M
Stockholders' Equity
ACT
ACT
TMDX
TMDX
Q1 26
$5.3B
Q4 25
$5.4B
$473.1M
Q3 25
$5.3B
$355.2M
Q2 25
$5.2B
$318.1M
Q1 25
$5.1B
$266.3M
Q4 24
$5.0B
$228.6M
Q3 24
$5.0B
$209.9M
Q2 24
$4.8B
$189.9M
Total Assets
ACT
ACT
TMDX
TMDX
Q1 26
$7.0B
Q4 25
$6.9B
$1.1B
Q3 25
$6.9B
$946.0M
Q2 25
$6.8B
$890.5M
Q1 25
$6.7B
$837.5M
Q4 24
$6.5B
$804.1M
Q3 24
$6.6B
$785.6M
Q2 24
$6.3B
$758.6M
Debt / Equity
ACT
ACT
TMDX
TMDX
Q1 26
0.14×
Q4 25
0.14×
Q3 25
0.14×
Q2 25
0.14×
Q1 25
0.15×
Q4 24
0.15×
Q3 24
0.15×
Q2 24
0.15×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ACT
ACT
TMDX
TMDX
Operating Cash FlowLast quarter
$34.5M
Free Cash FlowOCF − Capex
$19.0M
FCF MarginFCF / Revenue
11.8%
Capex IntensityCapex / Revenue
9.7%
Cash ConversionOCF / Net Profit
0.33×
TTM Free Cash FlowTrailing 4 quarters
$133.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
$724.5M
$34.5M
Q3 25
$192.0M
$69.6M
Q2 25
$119.5M
$91.6M
Q1 25
$226.7M
$-2.9M
Q4 24
$686.3M
$19.7M
Q3 24
$188.1M
$6.9M
Q2 24
$144.7M
$25.7M
Free Cash Flow
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
$19.0M
Q3 25
$61.9M
Q2 25
$82.5M
Q1 25
$-29.9M
Q4 24
$6.1M
Q3 24
$-41.3M
Q2 24
$2.0M
FCF Margin
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
11.8%
Q3 25
43.1%
Q2 25
52.4%
Q1 25
-20.8%
Q4 24
5.0%
Q3 24
-38.0%
Q2 24
1.7%
Capex Intensity
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
9.7%
Q3 25
5.3%
Q2 25
5.8%
Q1 25
18.8%
Q4 24
11.2%
Q3 24
44.3%
Q2 24
20.8%
Cash Conversion
ACT
ACT
TMDX
TMDX
Q1 26
Q4 25
0.33×
Q3 25
2.86×
Q2 25
2.62×
Q1 25
-0.11×
Q4 24
2.87×
Q3 24
1.63×
Q2 24
2.11×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ACT
ACT

Premiums$242.8M78%
Other$69.2M22%

TMDX
TMDX

Liver Product$127.0M79%
Heart Product$26.0M16%
Other$5.9M4%
Lung Product$1.9M1%

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