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Side-by-side financial comparison of Ategrity Specialty Insurance Co Holdings (ASIC) and TransMedics Group, Inc. (TMDX). Click either name above to swap in a different company.

TransMedics Group, Inc. is the larger business by last-quarter revenue ($160.8M vs $116.1M, roughly 1.4× Ategrity Specialty Insurance Co Holdings). TransMedics Group, Inc. runs the higher net margin — 65.6% vs 19.5%, a 46.0% gap on every dollar of revenue.

Ategrity Specialty Insurance Co Holdings is a specialty insurance holding company that provides commercial property and casualty insurance solutions. It primarily focuses on excess and surplus lines coverage, serving niche segments including construction, healthcare, and small business markets across the United States, offering tailored policies for unique, hard-to-place risks that standard carriers do not typically cover.

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.

ASIC vs TMDX — Head-to-Head

Bigger by revenue
TMDX
TMDX
1.4× larger
TMDX
$160.8M
$116.1M
ASIC
Higher net margin
TMDX
TMDX
46.0% more per $
TMDX
65.6%
19.5%
ASIC

Income Statement — Q3 FY2025 vs Q4 FY2025

Metric
ASIC
ASIC
TMDX
TMDX
Revenue
$116.1M
$160.8M
Net Profit
$22.7M
$105.4M
Gross Margin
58.1%
Operating Margin
25.6%
13.2%
Net Margin
19.5%
65.6%
Revenue YoY
32.2%
Net Profit YoY
1436.9%
EPS (diluted)
$0.45
$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
ASIC
ASIC
TMDX
TMDX
Q4 25
$160.8M
Q3 25
$116.1M
$143.8M
Q2 25
$101.8M
$157.4M
Q1 25
$143.5M
Q4 24
$121.6M
Q3 24
$108.8M
Q2 24
$114.3M
Q1 24
$96.8M
Net Profit
ASIC
ASIC
TMDX
TMDX
Q4 25
$105.4M
Q3 25
$22.7M
$24.3M
Q2 25
$17.6M
$34.9M
Q1 25
$25.7M
Q4 24
$6.9M
Q3 24
$4.2M
Q2 24
$12.2M
Q1 24
$12.2M
Gross Margin
ASIC
ASIC
TMDX
TMDX
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%
Q1 24
61.9%
Operating Margin
ASIC
ASIC
TMDX
TMDX
Q4 25
13.2%
Q3 25
25.6%
16.2%
Q2 25
21.9%
23.2%
Q1 25
19.1%
Q4 24
7.1%
Q3 24
3.6%
Q2 24
10.9%
Q1 24
12.8%
Net Margin
ASIC
ASIC
TMDX
TMDX
Q4 25
65.6%
Q3 25
19.5%
16.9%
Q2 25
17.3%
22.2%
Q1 25
17.9%
Q4 24
5.6%
Q3 24
3.9%
Q2 24
10.7%
Q1 24
12.6%
EPS (diluted)
ASIC
ASIC
TMDX
TMDX
Q4 25
$2.59
Q3 25
$0.45
$0.66
Q2 25
$0.39
$0.92
Q1 25
$0.70
Q4 24
$0.19
Q3 24
$0.12
Q2 24
$0.35
Q1 24
$0.35

Balance Sheet & Financial Strength

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

Metric
ASIC
ASIC
TMDX
TMDX
Cash + ST InvestmentsLiquidity on hand
$34.3M
Total DebtLower is stronger
Stockholders' EquityBook value
$588.6M
$473.1M
Total Assets
$1.4B
$1.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASIC
ASIC
TMDX
TMDX
Q4 25
Q3 25
$34.3M
Q2 25
$23.5M
Q1 25
Q4 24
Q3 24
$330.1M
Q2 24
$362.8M
Q1 24
$350.2M
Stockholders' Equity
ASIC
ASIC
TMDX
TMDX
Q4 25
$473.1M
Q3 25
$588.6M
$355.2M
Q2 25
$559.7M
$318.1M
Q1 25
$266.3M
Q4 24
$228.6M
Q3 24
$209.9M
Q2 24
$189.9M
Q1 24
$159.5M
Total Assets
ASIC
ASIC
TMDX
TMDX
Q4 25
$1.1B
Q3 25
$1.4B
$946.0M
Q2 25
$1.4B
$890.5M
Q1 25
$837.5M
Q4 24
$804.1M
Q3 24
$785.6M
Q2 24
$758.6M
Q1 24
$723.8M

Cash Flow & Capital Efficiency

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

Metric
ASIC
ASIC
TMDX
TMDX
Operating Cash FlowLast quarter
$41.1M
$34.5M
Free Cash FlowOCF − Capex
$19.0M
FCF MarginFCF / Revenue
11.8%
Capex IntensityCapex / Revenue
9.7%
Cash ConversionOCF / Net Profit
1.81×
0.33×
TTM Free Cash FlowTrailing 4 quarters
$133.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASIC
ASIC
TMDX
TMDX
Q4 25
$34.5M
Q3 25
$41.1M
$69.6M
Q2 25
$50.8M
$91.6M
Q1 25
$-2.9M
Q4 24
$19.7M
Q3 24
$6.9M
Q2 24
$25.7M
Q1 24
$-3.4M
Free Cash Flow
ASIC
ASIC
TMDX
TMDX
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
Q1 24
$-47.6M
FCF Margin
ASIC
ASIC
TMDX
TMDX
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%
Q1 24
-49.2%
Capex Intensity
ASIC
ASIC
TMDX
TMDX
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%
Q1 24
45.6%
Cash Conversion
ASIC
ASIC
TMDX
TMDX
Q4 25
0.33×
Q3 25
1.81×
2.86×
Q2 25
2.88×
2.62×
Q1 25
-0.11×
Q4 24
2.87×
Q3 24
1.63×
Q2 24
2.11×
Q1 24
-0.28×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ASIC
ASIC

Segment breakdown not available.

TMDX
TMDX

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

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