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Side-by-side financial comparison of Fathom Holdings Inc. (FTHM) 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 $90.6M, roughly 1.8× Fathom Holdings Inc.). TransMedics Group, Inc. runs the higher net margin — 65.6% vs -7.4%, a 73.0% gap on every dollar of revenue. On growth, TransMedics Group, Inc. posted the faster year-over-year revenue change (32.2% vs -1.2%). TransMedics Group, Inc. produced more free cash flow last quarter ($19.0M vs $-20.7M). Over the past eight quarters, TransMedics Group, Inc.'s revenue compounded faster (28.8% CAGR vs 13.4%).

Fathom Holdings Inc. is a US-based real estate technology and services enterprise. It provides end-to-end solutions for real estate agents, brokers, and consumers, including digital transaction management tools, mortgage services, title insurance, and residential property brokerage services, covering most regional markets 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.

FTHM vs TMDX — Head-to-Head

Bigger by revenue
TMDX
TMDX
1.8× larger
TMDX
$160.8M
$90.6M
FTHM
Growing faster (revenue YoY)
TMDX
TMDX
+33.4% gap
TMDX
32.2%
-1.2%
FTHM
Higher net margin
TMDX
TMDX
73.0% more per $
TMDX
65.6%
-7.4%
FTHM
More free cash flow
TMDX
TMDX
$39.7M more FCF
TMDX
$19.0M
$-20.7M
FTHM
Faster 2-yr revenue CAGR
TMDX
TMDX
Annualised
TMDX
28.8%
13.4%
FTHM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
FTHM
FTHM
TMDX
TMDX
Revenue
$90.6M
$160.8M
Net Profit
$-6.7M
$105.4M
Gross Margin
58.1%
Operating Margin
-5.2%
13.2%
Net Margin
-7.4%
65.6%
Revenue YoY
-1.2%
32.2%
Net Profit YoY
-7.7%
1436.9%
EPS (diluted)
$-0.20
$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
FTHM
FTHM
TMDX
TMDX
Q4 25
$90.6M
$160.8M
Q3 25
$115.3M
$143.8M
Q2 25
$121.4M
$157.4M
Q1 25
$93.1M
$143.5M
Q4 24
$91.7M
$121.6M
Q3 24
$83.7M
$108.8M
Q2 24
$89.2M
$114.3M
Q1 24
$70.5M
$96.8M
Net Profit
FTHM
FTHM
TMDX
TMDX
Q4 25
$-6.7M
$105.4M
Q3 25
$-4.4M
$24.3M
Q2 25
$-3.6M
$34.9M
Q1 25
$-5.6M
$25.7M
Q4 24
$-6.2M
$6.9M
Q3 24
$-8.1M
$4.2M
Q2 24
$-1.3M
$12.2M
Q1 24
$-5.9M
$12.2M
Gross Margin
FTHM
FTHM
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
FTHM
FTHM
TMDX
TMDX
Q4 25
-5.2%
13.2%
Q3 25
-3.5%
16.2%
Q2 25
-2.0%
23.2%
Q1 25
-4.8%
19.1%
Q4 24
-7.0%
7.1%
Q3 24
-9.3%
3.6%
Q2 24
-4.1%
10.9%
Q1 24
-8.0%
12.8%
Net Margin
FTHM
FTHM
TMDX
TMDX
Q4 25
-7.4%
65.6%
Q3 25
-3.8%
16.9%
Q2 25
-3.0%
22.2%
Q1 25
-6.1%
17.9%
Q4 24
-6.8%
5.6%
Q3 24
-9.7%
3.9%
Q2 24
-1.5%
10.7%
Q1 24
-8.4%
12.6%
EPS (diluted)
FTHM
FTHM
TMDX
TMDX
Q4 25
$-0.20
$2.59
Q3 25
$-0.15
$0.66
Q2 25
$-0.13
$0.92
Q1 25
$-0.24
$0.70
Q4 24
$-0.29
$0.19
Q3 24
$-0.40
$0.12
Q2 24
$-0.07
$0.35
Q1 24
$-0.31
$0.35

Balance Sheet & Financial Strength

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

Metric
FTHM
FTHM
TMDX
TMDX
Cash + ST InvestmentsLiquidity on hand
$5.8M
Total DebtLower is stronger
$5.6M
Stockholders' EquityBook value
$37.4M
$473.1M
Total Assets
$78.0M
$1.1B
Debt / EquityLower = less leverage
0.15×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
FTHM
FTHM
TMDX
TMDX
Q4 25
$5.8M
Q3 25
$9.8M
Q2 25
$4.9M
Q1 25
$8.0M
Q4 24
$7.1M
Q3 24
$13.1M
$330.1M
Q2 24
$10.4M
$362.8M
Q1 24
$5.7M
$350.2M
Total Debt
FTHM
FTHM
TMDX
TMDX
Q4 25
$5.6M
Q3 25
$5.1M
Q2 25
$5.1M
Q1 25
$5.1M
Q4 24
$9.5M
Q3 24
$8.8M
Q2 24
$3.6M
Q1 24
$3.7M
Stockholders' Equity
FTHM
FTHM
TMDX
TMDX
Q4 25
$37.4M
$473.1M
Q3 25
$43.4M
$355.2M
Q2 25
$40.7M
$318.1M
Q1 25
$43.4M
$266.3M
Q4 24
$44.7M
$228.6M
Q3 24
$47.1M
$209.9M
Q2 24
$53.1M
$189.9M
Q1 24
$51.9M
$159.5M
Total Assets
FTHM
FTHM
TMDX
TMDX
Q4 25
$78.0M
$1.1B
Q3 25
$83.2M
$946.0M
Q2 25
$80.4M
$890.5M
Q1 25
$81.0M
$837.5M
Q4 24
$75.4M
$804.1M
Q3 24
$80.9M
$785.6M
Q2 24
$80.2M
$758.6M
Q1 24
$78.2M
$723.8M
Debt / Equity
FTHM
FTHM
TMDX
TMDX
Q4 25
0.15×
Q3 25
0.12×
Q2 25
0.12×
Q1 25
0.12×
Q4 24
0.21×
Q3 24
0.19×
Q2 24
0.07×
Q1 24
0.07×

Cash Flow & Capital Efficiency

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

Metric
FTHM
FTHM
TMDX
TMDX
Operating Cash FlowLast quarter
$-20.5M
$34.5M
Free Cash FlowOCF − Capex
$-20.7M
$19.0M
FCF MarginFCF / Revenue
-22.8%
11.8%
Capex IntensityCapex / Revenue
0.1%
9.7%
Cash ConversionOCF / Net Profit
0.33×
TTM Free Cash FlowTrailing 4 quarters
$-29.4M
$133.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
FTHM
FTHM
TMDX
TMDX
Q4 25
$-20.5M
$34.5M
Q3 25
$3.0M
$69.6M
Q2 25
$-5.9M
$91.6M
Q1 25
$-5.7M
$-2.9M
Q4 24
$-4.7M
$19.7M
Q3 24
$-330.0K
$6.9M
Q2 24
$-3.1M
$25.7M
Q1 24
$-947.0K
$-3.4M
Free Cash Flow
FTHM
FTHM
TMDX
TMDX
Q4 25
$-20.7M
$19.0M
Q3 25
$3.0M
$61.9M
Q2 25
$-6.0M
$82.5M
Q1 25
$-5.8M
$-29.9M
Q4 24
$-4.7M
$6.1M
Q3 24
$-364.0K
$-41.3M
Q2 24
$-3.1M
$2.0M
Q1 24
$-948.0K
$-47.6M
FCF Margin
FTHM
FTHM
TMDX
TMDX
Q4 25
-22.8%
11.8%
Q3 25
2.6%
43.1%
Q2 25
-4.9%
52.4%
Q1 25
-6.2%
-20.8%
Q4 24
-5.2%
5.0%
Q3 24
-0.4%
-38.0%
Q2 24
-3.5%
1.7%
Q1 24
-1.3%
-49.2%
Capex Intensity
FTHM
FTHM
TMDX
TMDX
Q4 25
0.1%
9.7%
Q3 25
0.0%
5.3%
Q2 25
0.0%
5.8%
Q1 25
0.0%
18.8%
Q4 24
0.1%
11.2%
Q3 24
0.0%
44.3%
Q2 24
0.0%
20.8%
Q1 24
0.0%
45.6%
Cash Conversion
FTHM
FTHM
TMDX
TMDX
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×
Q1 24
-0.28×

Financial Flow Comparison

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

Revenue Breakdown by Segment

FTHM
FTHM

Real Estate Brokerage$84.9M94%
Mortgage Segment$3.4M4%
Other$2.3M3%

TMDX
TMDX

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

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