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Side-by-side financial comparison of TransMedics Group, Inc. (TMDX) and Waystar Holding Corp. (WAY). Click either name above to swap in a different company.
Waystar Holding Corp. is the larger business by last-quarter revenue ($313.9M vs $160.8M, roughly 2.0× TransMedics Group, Inc.). TransMedics Group, Inc. runs the higher net margin — 65.6% vs 13.8%, a 51.8% gap on every dollar of revenue. On growth, TransMedics Group, Inc. posted the faster year-over-year revenue change (32.2% vs 22.4%). Waystar Holding Corp. produced more free cash flow last quarter ($90.3M vs $19.0M). Over the past eight quarters, TransMedics Group, Inc.'s revenue compounded faster (28.8% CAGR vs 15.7%).
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.
Waystar Holding Corp is a leading provider of integrated healthcare payment and revenue cycle management solutions. It serves healthcare providers, health systems, and payers across the United States, offering tools that streamline billing, claims processing, patient payment collection, and revenue optimization to reduce administrative burdens and improve financial performance for healthcare organizations.
TMDX vs WAY — Head-to-Head
Income Statement — Q4 FY2025 vs Q1 FY2026
| Metric | | |
|---|---|---|
| Revenue | $160.8M | $313.9M |
| Net Profit | $105.4M | $43.3M |
| Gross Margin | 58.1% | — |
| Operating Margin | 13.2% | 25.6% |
| Net Margin | 65.6% | 13.8% |
| Revenue YoY | 32.2% | 22.4% |
| Net Profit YoY | 1436.9% | 47.9% |
| EPS (diluted) | $2.59 | $0.42 |
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.
| Q1 26 | — | $313.9M | ||
| Q4 25 | $160.8M | $303.5M | ||
| Q3 25 | $143.8M | $268.7M | ||
| Q2 25 | $157.4M | $270.7M | ||
| Q1 25 | $143.5M | $256.4M | ||
| Q4 24 | $121.6M | $244.1M | ||
| Q3 24 | $108.8M | $240.1M | ||
| Q2 24 | $114.3M | $234.5M |
| Q1 26 | — | $43.3M | ||
| Q4 25 | $105.4M | $20.0M | ||
| Q3 25 | $24.3M | $30.6M | ||
| Q2 25 | $34.9M | $32.2M | ||
| Q1 25 | $25.7M | $29.3M | ||
| Q4 24 | $6.9M | $19.1M | ||
| Q3 24 | $4.2M | $5.4M | ||
| Q2 24 | $12.2M | $-27.7M |
| 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% | — |
| Q1 26 | — | 25.6% | ||
| Q4 25 | 13.2% | 19.4% | ||
| Q3 25 | 16.2% | 22.4% | ||
| Q2 25 | 23.2% | 24.0% | ||
| Q1 25 | 19.1% | 25.4% | ||
| Q4 24 | 7.1% | 21.8% | ||
| Q3 24 | 3.6% | 11.3% | ||
| Q2 24 | 10.9% | 3.5% |
| Q1 26 | — | 13.8% | ||
| Q4 25 | 65.6% | 6.6% | ||
| Q3 25 | 16.9% | 11.4% | ||
| Q2 25 | 22.2% | 11.9% | ||
| Q1 25 | 17.9% | 11.4% | ||
| Q4 24 | 5.6% | 7.8% | ||
| Q3 24 | 3.9% | 2.3% | ||
| Q2 24 | 10.7% | -11.8% |
| Q1 26 | — | $0.42 | ||
| Q4 25 | $2.59 | $0.10 | ||
| Q3 25 | $0.66 | $0.17 | ||
| Q2 25 | $0.92 | $0.18 | ||
| Q1 25 | $0.70 | $0.16 | ||
| Q4 24 | $0.19 | $0.18 | ||
| Q3 24 | $0.12 | $0.03 | ||
| Q2 24 | $0.35 | $-0.21 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | — | $34.3M |
| Total DebtLower is stronger | — | $13.5M |
| Stockholders' EquityBook value | $473.1M | $3.9B |
| Total Assets | $1.1B | $5.8B |
| Debt / EquityLower = less leverage | — | 0.00× |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $34.3M | ||
| Q4 25 | — | $61.4M | ||
| Q3 25 | — | $421.1M | ||
| Q2 25 | — | $290.3M | ||
| Q1 25 | — | $224.0M | ||
| Q4 24 | — | $182.1M | ||
| Q3 24 | $330.1M | $127.1M | ||
| Q2 24 | $362.8M | $68.4M |
| Q1 26 | — | $13.5M | ||
| Q4 25 | — | $1.5B | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | $1.2B | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — |
| Q1 26 | — | $3.9B | ||
| Q4 25 | $473.1M | $3.9B | ||
| Q3 25 | $355.2M | $3.2B | ||
| Q2 25 | $318.1M | $3.2B | ||
| Q1 25 | $266.3M | $3.1B | ||
| Q4 24 | $228.6M | $3.1B | ||
| Q3 24 | $209.9M | $3.1B | ||
| Q2 24 | $189.9M | $2.9B |
| Q1 26 | — | $5.8B | ||
| Q4 25 | $1.1B | $5.8B | ||
| Q3 25 | $946.0M | $4.7B | ||
| Q2 25 | $890.5M | $4.7B | ||
| Q1 25 | $837.5M | $4.6B | ||
| Q4 24 | $804.1M | $4.6B | ||
| Q3 24 | $785.6M | $4.5B | ||
| Q2 24 | $758.6M | $4.6B |
| Q1 26 | — | 0.00× | ||
| Q4 25 | — | 0.38× | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | 0.40× | ||
| Q3 24 | — | — | ||
| Q2 24 | — | — |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $34.5M | $84.9M |
| Free Cash FlowOCF − Capex | $19.0M | $90.3M |
| FCF MarginFCF / Revenue | 11.8% | 28.8% |
| Capex IntensityCapex / Revenue | 9.7% | — |
| Cash ConversionOCF / Net Profit | 0.33× | 1.96× |
| TTM Free Cash FlowTrailing 4 quarters | $133.6M | $314.6M |
8-quarter trend — quarters aligned by calendar period.
| Q1 26 | — | $84.9M | ||
| Q4 25 | $34.5M | $66.6M | ||
| Q3 25 | $69.6M | $82.0M | ||
| Q2 25 | $91.6M | $96.8M | ||
| Q1 25 | $-2.9M | $64.2M | ||
| Q4 24 | $19.7M | — | ||
| Q3 24 | $6.9M | $78.8M | ||
| Q2 24 | $25.7M | $15.4M |
| Q1 26 | — | $90.3M | ||
| Q4 25 | $19.0M | $57.2M | ||
| Q3 25 | $61.9M | $76.2M | ||
| Q2 25 | $82.5M | $91.0M | ||
| Q1 25 | $-29.9M | $58.8M | ||
| Q4 24 | $6.1M | — | ||
| Q3 24 | $-41.3M | $70.2M | ||
| Q2 24 | $2.0M | $8.6M |
| Q1 26 | — | 28.8% | ||
| Q4 25 | 11.8% | 18.9% | ||
| Q3 25 | 43.1% | 28.3% | ||
| Q2 25 | 52.4% | 33.6% | ||
| Q1 25 | -20.8% | 22.9% | ||
| Q4 24 | 5.0% | — | ||
| Q3 24 | -38.0% | 29.2% | ||
| Q2 24 | 1.7% | 3.7% |
| Q1 26 | — | — | ||
| Q4 25 | 9.7% | 3.1% | ||
| Q3 25 | 5.3% | 2.2% | ||
| Q2 25 | 5.8% | 2.1% | ||
| Q1 25 | 18.8% | 2.1% | ||
| Q4 24 | 11.2% | — | ||
| Q3 24 | 44.3% | 3.6% | ||
| Q2 24 | 20.8% | 2.9% |
| Q1 26 | — | 1.96× | ||
| Q4 25 | 0.33× | 3.33× | ||
| Q3 25 | 2.86× | 2.68× | ||
| Q2 25 | 2.62× | 3.01× | ||
| Q1 25 | -0.11× | 2.20× | ||
| Q4 24 | 2.87× | — | ||
| Q3 24 | 1.63× | 14.56× | ||
| Q2 24 | 2.11× | — |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
Revenue Breakdown by Segment
TMDX
| Liver Product | $127.0M | 79% |
| Heart Product | $26.0M | 16% |
| Other | $5.9M | 4% |
| Lung Product | $1.9M | 1% |
WAY
| Subscription | $172.2M | 55% |
| Volume-based | $139.5M | 44% |
