Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $143.5 million, representing approximately 48% year-over-year growth and 18% sequential growth from Q4 2024 [9] - TransMedics transplant services revenue for Q1 was approximately $55.3 million, up from $35.5 million in Q1 2024, representing approximately 56% year-over-year growth [10] - Operating profit for Q1 was $27.4 million, representing approximately 19% of total revenue, up from $8.6 million or 7% of total revenue in Q4 2024 [10][26] - Net income for the quarter was $25.7 million, representing a 111% year-on-year increase and 275% sequentially [26] Business Line Data and Key Metrics Changes - U.S. transplant revenue was $139 million, up 51% year-over-year and 19% sequentially, with liver contributing $109 million, heart $26 million, and lung $4 million [21] - Product revenue for Q1 reached $88 million, up 44% year-over-year and 18% sequentially, driven by increased organ utilization in liver and continued OCS adoption [22] - Transplant logistics services revenue for Q1 was $26.1 million, representing approximately 80% year-over-year and 20% sequential growth [11] Market Data and Key Metrics Changes - The company achieved a new high watermark for overall case volume in Q1 2025, indicating strong market penetration and utilization of OCS technology [9] - Daily average aircraft availability was approximately 15.4, up from 14 in Q4 2024, covering 78% of NOP emissions requiring air transport [11] Company Strategy and Development Direction - The company plans to launch two new heart and lung clinical programs later in the year to catalyze growth in 2026 and beyond [12] - A strategic plan to open a disposable design center of excellence and a new manufacturing facility in Mirandola, Italy, aims to leverage local expertise and ensure business continuity [17][96] - The company is focused on vertically integrating critical technology blocks to minimize supply chain risks [16] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in maintaining momentum throughout 2025, despite potential quarterly variability and seasonality [19] - The company raised its full-year 2025 revenue guidance to between $565 million and $585 million, representing approximately 28% to 32% growth over 2024 [19][27] - Management believes organ transplantation is largely insulated from economic cycles, reinforcing confidence in the business model [18] Other Important Information - Total operating expenses for Q1 were approximately $61 million, up 28% year-over-year, driven by increased R&D and SG&A expenses [25] - The company ended the quarter with $310 million in cash, down $26.5 million from the end of 2024 [26] Q&A Session Summary Question: What are the main drivers of growth in liver? - Management highlighted confidence in the liver platform, noting growth across both DVD and DCD organ utilization and gaining market share [35][36] Question: What is the outlook for April and beyond? - Management indicated that while they expect continued momentum, they are cautious about potential headwinds in Q2 or Q3 [38] Question: How will the next-gen products impact margins during trials? - Management expressed confidence in incurring product revenue during the trials but remained cautious about service revenue until trial designs are finalized [42][43] Question: What is the impact of competitors entering the liver market? - Management emphasized the superior results of their liver platform and the need for competitors to prove their value [44][46] Question: What is the reason for the increase in receivables? - Management attributed the increase to the timing of billing and expected recovery in Q2 [53][54] Question: How does the company view pricing in a competitive environment? - Management stated that the focus should be on the value delivered rather than pricing, emphasizing the economic efficiencies provided by their technology [63][65] Question: What are the expectations for operating margin expansion? - Management indicated that the majority of operating margin increases will come from gains in operating leverage, with planned investments later in the year [69] Question: What is the rationale for opening a facility in Mirandola, Italy? - Management noted that Mirandola is a hub for perfusion technologies and offers significant engineering talent necessary for their products [95][96]

Financial Data and Key Metrics Changes - Total revenue for Q1 2025 was $143.5 million, representing approximately 48% year-over-year growth and 18% sequential growth from Q4 2024 [7] - TransMedics' transplant services revenue for Q1 was approximately $55.3 million, up from $35.5 million in Q1 2024, reflecting approximately 56% year-over-year growth and 18.5% sequential growth [8] - Operating profit for Q1 was $27.4 million, representing approximately 19% of total revenue, up from $8.6 million or 7% of total revenue in Q4 2024 [8][22] - Net income for the quarter was $25.7 million, representing a 111% year-on-year increase and 275% sequentially [23] - Earnings per share were $0.76, and diluted earnings per share were $0.70 for Q1 2025 [25] Business Line Data and Key Metrics Changes - U.S. transplant revenue was $139 million, up 51% year-over-year and 19% sequentially, with liver contributing $109 million, heart $26 million, and lung $4 million [19] - Product revenue for Q1 reached $88 million, up 44% year-over-year and 18% sequentially, driven by increased organ utilization in liver and continued OCS adoption [20] - Transplant logistics services revenue for Q1 was $26.1 million, representing approximately 80% year-over-year and 20% sequential growth [9] Market Data and Key Metrics Changes - The company achieved a new high watermark for overall case volume in Q1 2025, indicating strong market demand [7] - The average daily aircraft availability was approximately 15.4, up from 14 in Q4 2024, covering 78% of NOP emissions requiring air transport [9] Company Strategy and Development Direction - The company plans to launch two new heart and lung clinical programs later in 2025 to catalyze growth in 2026 and beyond [10] - A strategic plan to open a disposable design center of excellence and a new manufacturing facility in Mirandola, Italy, aims to leverage local expertise and ensure business continuity [14][95] - The company is focused on vertically integrating critical technology blocks to minimize supply chain risks [13] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in maintaining momentum throughout 2025, despite potential quarterly variability and seasonality [17][26] - The company raised its full-year 2025 revenue guidance to between $565 million and $585 million, reflecting approximately 28% to 32% growth over 2024 [17][25] - Management believes organ transplantation is largely insulated from economic cycles due to its lifesaving nature and cost-effectiveness [16] Other Important Information - Total operating expenses for Q1 were approximately $61 million, up 28% year-over-year, primarily driven by a 51% increase in R&D [22] - The company ended the quarter with $310 million in cash, down $26.5 million from the end of 2024 [24] Q&A Session Summary Question: What are the main drivers of growth in liver? - Management highlighted increased utilization of deceased donors across both DVD and DCD, gaining share and momentum in the liver platform [34][36] Question: What is the outlook for April and beyond? - Management indicated confidence in maintaining momentum but acknowledged potential variability between quarters [37][38] Question: How will clinical trials impact product and service margins? - Management expressed confidence in incurring product revenue during trials but remained cautious about service revenue on the control arm [42] Question: What is the impact of competitors entering the liver market? - Management emphasized the superior results of the OCS Liver platform and the need for competitors to prove their value [44][46] Question: What is the reason for the increase in receivables? - Management attributed the increase to the timing of billing and expected recovery in Q2 [53][54] Question: How does the company view pricing in a competitive environment? - Management stated that the focus should be on the value delivered rather than pricing, emphasizing the economic efficiency of their technology [62][65] Question: What are the expectations for operating margin expansion? - Management indicated that the majority of operating margin increases would be driven by gains in operating leverage, with planned investments for later in the year [69] Question: What is the rationale for opening a facility in Mirandola, Italy? - Management noted that Mirandola is a hub for perfusion technologies and offers significant engineering talent necessary for their products [95][96]