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

Palomar Holdings, Inc. is the larger business by last-quarter revenue ($253.4M vs $160.8M, roughly 1.6× TransMedics Group, Inc.). On growth, Palomar Holdings, Inc. posted the faster year-over-year revenue change (62.7% vs 32.2%). Palomar Holdings, Inc. produced more free cash flow last quarter ($409.0M vs $19.0M). Over the past eight quarters, Palomar Holdings, Inc.'s revenue compounded faster (46.2% CAGR vs 28.8%).

Palomar Holdings, Inc. is a specialty insurance holding company that primarily provides property insurance products for catastrophe-exposed residential and commercial assets. It mainly operates across the United States, focusing on core segments including earthquake, flood, and windstorm coverage to meet high-risk property protection demands of customers.

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.

PLMR vs TMDX — Head-to-Head

Bigger by revenue
PLMR
PLMR
1.6× larger
PLMR
$253.4M
$160.8M
TMDX
Growing faster (revenue YoY)
PLMR
PLMR
+30.5% gap
PLMR
62.7%
32.2%
TMDX
More free cash flow
PLMR
PLMR
$390.0M more FCF
PLMR
$409.0M
$19.0M
TMDX
Faster 2-yr revenue CAGR
PLMR
PLMR
Annualised
PLMR
46.2%
28.8%
TMDX

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
PLMR
PLMR
TMDX
TMDX
Revenue
$253.4M
$160.8M
Net Profit
$105.4M
Gross Margin
58.1%
Operating Margin
28.7%
13.2%
Net Margin
65.6%
Revenue YoY
62.7%
32.2%
Net Profit YoY
1436.9%
EPS (diluted)
$2.05
$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
PLMR
PLMR
TMDX
TMDX
Q4 25
$253.4M
$160.8M
Q3 25
$244.7M
$143.8M
Q2 25
$203.3M
$157.4M
Q1 25
$174.6M
$143.5M
Q4 24
$155.8M
$121.6M
Q3 24
$148.5M
$108.8M
Q2 24
$131.1M
$114.3M
Q1 24
$118.5M
$96.8M
Net Profit
PLMR
PLMR
TMDX
TMDX
Q4 25
$105.4M
Q3 25
$51.5M
$24.3M
Q2 25
$46.5M
$34.9M
Q1 25
$42.9M
$25.7M
Q4 24
$6.9M
Q3 24
$30.5M
$4.2M
Q2 24
$25.7M
$12.2M
Q1 24
$26.4M
$12.2M
Gross Margin
PLMR
PLMR
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
PLMR
PLMR
TMDX
TMDX
Q4 25
28.7%
13.2%
Q3 25
27.4%
16.2%
Q2 25
29.5%
23.2%
Q1 25
30.8%
19.1%
Q4 24
28.9%
7.1%
Q3 24
25.9%
3.6%
Q2 24
25.5%
10.9%
Q1 24
29.0%
12.8%
Net Margin
PLMR
PLMR
TMDX
TMDX
Q4 25
65.6%
Q3 25
21.0%
16.9%
Q2 25
22.9%
22.2%
Q1 25
24.6%
17.9%
Q4 24
5.6%
Q3 24
20.5%
3.9%
Q2 24
19.6%
10.7%
Q1 24
22.3%
12.6%
EPS (diluted)
PLMR
PLMR
TMDX
TMDX
Q4 25
$2.05
$2.59
Q3 25
$1.87
$0.66
Q2 25
$1.68
$0.92
Q1 25
$1.57
$0.70
Q4 24
$1.29
$0.19
Q3 24
$1.15
$0.12
Q2 24
$1.00
$0.35
Q1 24
$1.04
$0.35

Balance Sheet & Financial Strength

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

Metric
PLMR
PLMR
TMDX
TMDX
Cash + ST InvestmentsLiquidity on hand
$106.9M
Total DebtLower is stronger
Stockholders' EquityBook value
$942.7M
$473.1M
Total Assets
$3.1B
$1.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
PLMR
PLMR
TMDX
TMDX
Q4 25
$106.9M
Q3 25
$111.7M
Q2 25
$81.3M
Q1 25
$119.3M
Q4 24
$80.4M
Q3 24
$86.5M
$330.1M
Q2 24
$47.8M
$362.8M
Q1 24
$61.4M
$350.2M
Stockholders' Equity
PLMR
PLMR
TMDX
TMDX
Q4 25
$942.7M
$473.1M
Q3 25
$878.1M
$355.2M
Q2 25
$847.2M
$318.1M
Q1 25
$790.4M
$266.3M
Q4 24
$729.0M
$228.6M
Q3 24
$703.3M
$209.9M
Q2 24
$532.6M
$189.9M
Q1 24
$501.7M
$159.5M
Total Assets
PLMR
PLMR
TMDX
TMDX
Q4 25
$3.1B
$1.1B
Q3 25
$2.9B
$946.0M
Q2 25
$2.8B
$890.5M
Q1 25
$2.4B
$837.5M
Q4 24
$2.3B
$804.1M
Q3 24
$2.3B
$785.6M
Q2 24
$2.0B
$758.6M
Q1 24
$1.9B
$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
PLMR
PLMR
TMDX
TMDX
Operating Cash FlowLast quarter
$409.1M
$34.5M
Free Cash FlowOCF − Capex
$409.0M
$19.0M
FCF MarginFCF / Revenue
161.4%
11.8%
Capex IntensityCapex / Revenue
0.1%
9.7%
Cash ConversionOCF / Net Profit
0.33×
TTM Free Cash FlowTrailing 4 quarters
$700.6M
$133.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
PLMR
PLMR
TMDX
TMDX
Q4 25
$409.1M
$34.5M
Q3 25
$83.6M
$69.6M
Q2 25
$120.9M
$91.6M
Q1 25
$87.2M
$-2.9M
Q4 24
$261.2M
$19.7M
Q3 24
$100.3M
$6.9M
Q2 24
$55.1M
$25.7M
Q1 24
$33.1M
$-3.4M
Free Cash Flow
PLMR
PLMR
TMDX
TMDX
Q4 25
$409.0M
$19.0M
Q3 25
$83.6M
$61.9M
Q2 25
$120.8M
$82.5M
Q1 25
$87.1M
$-29.9M
Q4 24
$260.9M
$6.1M
Q3 24
$100.1M
$-41.3M
Q2 24
$2.0M
Q1 24
$-47.6M
FCF Margin
PLMR
PLMR
TMDX
TMDX
Q4 25
161.4%
11.8%
Q3 25
34.2%
43.1%
Q2 25
59.4%
52.4%
Q1 25
49.9%
-20.8%
Q4 24
167.5%
5.0%
Q3 24
67.4%
-38.0%
Q2 24
1.7%
Q1 24
-49.2%
Capex Intensity
PLMR
PLMR
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
0.2%
11.2%
Q3 24
0.1%
44.3%
Q2 24
0.0%
20.8%
Q1 24
0.0%
45.6%
Cash Conversion
PLMR
PLMR
TMDX
TMDX
Q4 25
0.33×
Q3 25
1.63×
2.86×
Q2 25
2.60×
2.62×
Q1 25
2.03×
-0.11×
Q4 24
2.87×
Q3 24
3.29×
1.63×
Q2 24
2.14×
2.11×
Q1 24
1.26×
-0.28×

Financial Flow Comparison

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

Revenue Breakdown by Segment

PLMR
PLMR

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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