TRANSMEDICS GROUP INC TMDX
COM · Common Stock · CUSIP 89377M109 · ISIN US89377M1099
- SectorHealth care
- IndustryElectromedical & Electrotherapeutic Apparatus
- HeadquartersAndover, MA
- FilingsSEC EDGAR
* Summed across managers. Shares that two managers' reports both contain – a subsidiary's holdings that its parent's report includes too, or a sub-adviser's in its client's – are counted once ($1.0m this quarter). Holder counts are more reliable. Shares outstanding: 34.3m as of 2026-01-30, from the company's own SEC filing; the percentage can still exceed 100%: lent-out shares are counted by the lender and the buyer, and some reports overlap without saying so. Implied quarter-end price ≈ $121.69. Options: 15 managers hold calls ($98.1m notional), 12 hold puts ($58.2m).
Trends to Q4 2025
Institutional holders
Managers reporting a position, each quarter
Numbers
| Quarter | Holders |
|---|---|
| Q3 2022 | 179 |
| Q4 2022 | 200 |
| Q1 2023 | 224 |
| Q2 2023 | 241 |
| Q3 2023 | 224 |
| Q4 2023 | 250 |
| Q1 2024 | 263 |
| Q2 2024 | 340 |
| Q3 2024 | 375 |
| Q4 2024 | 315 |
| Q1 2025 | 300 |
| Q2 2025 | 369 |
| Q3 2025 | 388 |
| Q4 2025 | 429 |
Buyers vs sellers
Managers adding to or starting a position, vs cutting or selling out
Numbers
| Quarter | Bought or added | Cut or sold out |
|---|---|---|
| Q1 2024 | 144 | 116 |
| Q2 2024 | 197 | 143 |
| Q3 2024 | 208 | 164 |
| Q4 2024 | 186 | 210 |
| Q1 2025 | 171 | 153 |
| Q2 2025 | 218 | 145 |
| Q3 2025 | 222 | 169 |
| Q4 2025 | 221 | 172 |
Calls vs puts
Options held, notional value, last 4 quarters. P/C = puts ÷ calls
Numbers
| Quarter | Calls | Puts | P/C |
|---|---|---|---|
| Q1 2025 | $70.5m | $54.1m | 0.77 |
| Q2 2025 | $190.5m | $123.1m | 0.65 |
| Q3 2025 | $135.9m | $119.8m | 0.88 |
| Q4 2025 | $98.1m | $58.2m | 0.59 |
Biggest buyers
| Invesco Ltd. | Added | +298.8k |
| GOLDMAN SACHS GROUP INC | Added | +262.4k |
| WELLINGTON MANAGEMENT GROUP LLP | Added | +217.2k |
| PRICE T ROWE ASSOCIATES INC /MD/ | Added | +171.8k |
| MORGAN STANLEY | Added | +119.9k |
| Candriam S.C.A. | New | +109.2k |
| MILLENNIUM MANAGEMENT LLC | Added | +100.2k |
| LORD, ABBETT & CO. LLC | Added | +83.5k |
| FRONTIER CAPITAL MANAGEMENT CO LLC | Added | +83.3k |
| BLAIR WILLIAM & CO/IL | Added | +78.4k |
Biggest sellers
| MACQUARIE GROUP LTD | Sold out | -906.3k |
| JPMORGAN CHASE & CO | Reduced | -409.5k |
| MARSHALL WACE, LLP | Reduced | -351.2k |
| TWO SIGMA INVESTMENTS, LP | Reduced | -199.4k |
| UBS Group AG | Reduced | -196.8k |
| BROWN CAPITAL MANAGEMENT LLC | Reduced | -167.9k |
| ROYAL BANK OF CANADA | Reduced | -135.6k |
| RENAISSANCE TECHNOLOGIES LLC | Reduced | -134.9k |
| ArrowMark Colorado Holdings LLC | Reduced | -126.1k |
| Jump Financial, LLC | Reduced | -123.6k |
Biggest calls
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Added | $55.3m454.6k shares |
| IMC-Chicago, LLC | Reduced | $10.4m85.4k shares |
| CITADEL ADVISORS LLC | Reduced | $10.2m83.9k shares |
| JANE STREET GROUP, LLC | Reduced | $6.9m56.6k shares |
| MILLENNIUM MANAGEMENT LLC | Reduced | $5.6m45.9k shares |
| GROUP ONE TRADING LLC | Reduced | $2.7m22.6k shares |
| SIMPLEX TRADING, LLC | Reduced | $2.2m18.3k shares |
| Balyasny Asset Management L.P. | Added | $1.5m12.3k shares |
| TUDOR INVESTMENT CORP ET AL | Reduced | $1.3m11.0k shares |
| D. E. Shaw & Co., Inc. | Reduced | $620.4k5.1k shares |
Biggest puts
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | Reduced | $26.4m217.1k shares |
| CITADEL ADVISORS LLC | Reduced | $14.9m122.8k shares |
| IMC-Chicago, LLC | Reduced | $6.1m50.5k shares |
| JANE STREET GROUP, LLC | Reduced | $2.8m23.0k shares |
| 683 Capital Management, LLC | Unchanged | $2.4m20.0k shares |
| WOLVERINE ASSET MANAGEMENT LLC | Reduced | $1.2m9.6k shares |
| Walleye Capital LLC | Reduced | $973.2k8.0k shares |
| Point72 Asset Management, L.P. | New | $961.0k7.9k shares |
| Balyasny Asset Management L.P. | New | $851.5k7.0k shares |
| SIMPLEX TRADING, LLC | Reduced | $705.6k5.8k shares |
Options at notional value: the value of the shares the contracts control, as filers report them, not what the options cost. Not included in the holders, shares or buying above.
Major shareholders (over 5%)
Anyone who owns more than 5% of a class of the company's shares has to say so: on Schedule 13D if they may try to influence or control the company, on 13G if they're a passive investor, and update it as the stake changes. Each holder's latest filing, from 19 Dec 2024 on; percentages are of the share class, as the holder worked them out.
| Holder | Stake |
|---|---|
| FMR LLC 13G · institution +2.1 pts · filed 2025-05-12 | 15.0% |
| BlackRock, Inc. 13G · institution filed 2025-07-18 | 14.6% |
| VANGUARD PORTFOLIO MANAGEMENT LLC 13G · institution new · filed 2026-04-29 | 5.7% |
| VANGUARD CAPITAL MANAGEMENT LLC 13G · institution new · filed 2026-04-30 | 5.1% |
Fell to 5% or below in the last year: VANGUARD GROUP INC (0.0%, 2026-03-27; now reported by VANGUARD PORTFOLIO MANAGEMENT LLC)
Insider purchases and sales in Q4 2025
Shares bought or sold by the company's own officers, directors and 10% owners, in the open market or privately, as they reported to the SEC on Form 4 (due within two business days of the trade). Grants, option exercises, shares withheld for tax and gifts aren't included.
Officers and directors buying vs selling
Number of people, by quarter (10% owners not included)
Numbers
| Quarter | Buying | Bought | Selling | Sold | Sold under a plan |
|---|---|---|---|---|---|
| Q1 2024 | 0 | — | 4 | $8.2m | $8.1m |
| Q2 2024 | 0 | — | 8 | $37.8m | $33.8m |
| Q3 2024 | 0 | — | 6 | $19.8m | $6.4m |
| Q4 2024 | 0 | — | 3 | $2.5m | $2.5m |
| Q1 2025 | 0 | — | 1 | $270.7k | $86.7k |
| Q2 2025 | 0 | — | 3 | $1.5m | $1.3m |
| Q3 2025 | 1 | $2.0m | 1 | $520.0k | $520.0k |
| Q4 2025 | 1 | $1.0m | 4 | $1.8m | $540.3k |
| Date | Insider | Trade | Value |
|---|---|---|---|
| 2025-12-04 | Hernandez Gerardo Chief Financial Officer | Sold | $128.5k920 shares |
| 2025-12-03 | Weill David Director | Sold | $693.2k5.0k shares |
| 2025-11-25 | Ranganath Anil P. Officer | Sold | $435.7k3.0k shares |
| 2025-11-17 | Hassanein Waleed H President & CEO, director · By the Waleed H. Hassanein Revocable Trust | Bought | $1.0m8.8k shares |
| 2025-10-29 | Basile Edward M Director | Sold plan | $540.3k4.1k shares |
Their holding: how much the trade added to or took from the insider's holding (direct, or the trust or fund named). The same trade is sometimes reported by more than one insider, such as a fund and the director who represents it; totals count it once. A value is left blank where the reported price is far from the market price (usually a typo).
Holders, Q4 2025
| Manager | Shares | Change |
|---|---|---|
| BlackRock, Inc. 0.01% of their portfolio | 5.4m $656.3m | Added +63.6k |
| FMR LLC 0.03% of their portfolio | 5.1m $617.6m | Added +12.7k |
| VANGUARD GROUP INC 0.01% of their portfolio | 3.6m $438.6m | Reduced -328 |
| STATE STREET CORP 0.01% of their portfolio | 1.3m $155.1m | Reduced -4.4k |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC 0.03% of their portfolio | 996.9k $121.3m | Reduced -72.6k |
| GOLDMAN SACHS GROUP INC 0.02% of their portfolio | 965.9k $117.5m | Added +262.4k |
| NOMURA ASSET MANAGEMENT INTERNATIONAL INC. 0.15% of their portfolio | 832.2k $101.2m | First filing |
| GEODE CAPITAL MANAGEMENT, LLC 0.01% of their portfolio | 816.5k $99.3m | Added +2.9k |
| Driehaus Capital Management LLC 0.59% of their portfolio | 712.0k $86.6m | Reduced -26.1k |
| Hood River Capital Management LLC 0.92% of their portfolio | 690.4k $84.0m | Added +11.9k |
| Invesco Ltd. 0.01% of their portfolio | 684.6k $83.3m | Added +298.8k |
| MORGAN STANLEY 0.00% of their portfolio | 667.8k $81.2m | Added +119.9k |
| UBS Group AG 0.02% of their portfolio | 659.3k $80.2m | Reduced -196.8k |
| PRICE T ROWE ASSOCIATES INC /MD/ 0.01% of their portfolio | 570.0k $69.3m | Added +171.8k |
| EVENTIDE ASSET MANAGEMENT, LLC 1.04% of their portfolio | 548.3k $66.7m | Added +971 |
| DIMENSIONAL FUND ADVISORS LP 0.01% of their portfolio | 489.7k $59.6m | Added +38.7k |
| TWO SIGMA INVESTMENTS, LP 0.08% of their portfolio | 436.0k $53.0m | Reduced -199.4k |
| WELLINGTON MANAGEMENT GROUP LLP 0.01% of their portfolio | 433.3k $52.7m | Added +217.2k |
| JPMORGAN CHASE & CO 0.00% of their portfolio | 375.3k $45.7m | Reduced -409.5k |
| TWO SIGMA ADVISERS, LP 0.09% of their portfolio | 362.3k $44.1m | Reduced -61.0k |
| EMERALD ADVISERS, LLC 1.32% of their portfolio | 351.3k $42.7m | Reduced -36.2k |
| NORTHERN TRUST CORP 0.01% of their portfolio | 339.2k $41.3m | Reduced -8.3k |
| WASATCH ADVISORS LP 0.24% of their portfolio | 331.8k $40.4m | Added +6.6k |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC 0.01% of their portfolio | 323.0k $39.3m | Added +2.2k |
| BAILLIE GIFFORD & CO 0.03% of their portfolio | 316.5k $38.5m | Added +55.8k |
| BRAIDWELL LP 1.23% of their portfolio | 315.3k $38.4m | Reduced -35.9k |
| FRONTIER CAPITAL MANAGEMENT CO LLC 0.39% of their portfolio | 302.8k $36.8m | Added +83.3k |
| ZEVENBERGEN CAPITAL INVESTMENTS LLC 0.76% of their portfolio | 280.2k $34.1m | Added +21.7k |
| BANK OF AMERICA CORP /DE/ 0.00% of their portfolio | 279.3k $34.0m | Added +63.3k |
| WELLS FARGO & COMPANY/MN 0.01% of their portfolio | 258.6k $31.5m | Added +33.8k |
| ROYCE & ASSOCIATES LP 0.30% of their portfolio | 243.1k $29.6m | Unchanged |
| EMERALD MUTUAL FUND ADVISERS TRUST 1.36% of their portfolio | 229.9k $28.0m | Reduced -8.5k |
| Capital World Investors 0.00% of their portfolio | 227.4k $27.7m | Unchanged |
| Bank of New York Mellon Corp 0.00% of their portfolio | 218.6k $26.6m | Added +6.8k |
| LORD, ABBETT & CO. LLC 0.08% of their portfolio | 216.9k $26.4m | Added +83.5k |
| BNP PARIBAS FINANCIAL MARKETS 0.02% of their portfolio | 209.5k $25.5m | Reduced -541 |
| BARCLAYS PLC 0.01% of their portfolio | 199.7k $24.3m | Reduced -2.2k |
| PRINCIPAL FINANCIAL GROUP INC 0.01% of their portfolio | 193.8k $23.6m | Reduced -48.3k |
| MARSHALL WACE, LLP 0.02% of their portfolio | 190.5k $23.2m | Reduced -351.2k |
| ArrowMark Colorado Holdings LLC 0.50% of their portfolio | 187.0k $22.7m | Reduced -126.1k |
| DEUTSCHE BANK AG\ 0.01% of their portfolio | 164.6k $20.0m | Reduced -8.1k |
| MILLENNIUM MANAGEMENT LLC 0.01% of their portfolio | 149.0k $18.1m | Added +100.2k |
| Davidson Kempner Capital Management LP 0.26% of their portfolio | 146.4k $17.8m | Unchanged |
| BROWN CAPITAL MANAGEMENT LLC 1.46% of their portfolio | 145.9k $17.8m | Reduced -167.9k |
| CITADEL ADVISORS LLC 0.01% of their portfolio | 143.2k $17.4m | Added +18.3k |
| BLAIR WILLIAM & CO/IL 0.04% of their portfolio | 135.9k $16.5m | Added +78.4k |
| AMERIPRISE FINANCIAL INC 0.00% of their portfolio | 124.3k $15.1m | Added +9.5k |
| BANK OF MONTREAL /CAN/ 0.01% of their portfolio | 124.2k $15.1m | Added +19.1k |
| Public Sector Pension Investment Board 0.05% of their portfolio | 118.3k $14.4m | Reduced -14.7k |
| OPPENHEIMER & CO INC 0.20% of their portfolio | 116.6k $14.2m | Added +4.9k |
| RAYMOND JAMES FINANCIAL INC 0.00% of their portfolio | 112.5k $13.7m | Reduced -448 |
| Squarepoint Ops LLC 0.03% of their portfolio | 110.5k $13.4m | Reduced -22.0k |
| Candriam S.C.A. 0.07% of their portfolio | 109.2k $13.3m | New |
| STATE OF MICHIGAN RETIREMENT SYSTEM 0.06% of their portfolio | 108.0k $13.1m | Unchanged |
| Lagoda Investment Management, L.P. 7.38% of their portfolio | 104.8k $12.7m | Reduced -3.3k |
| PANAGORA ASSET MANAGEMENT INC 0.04% of their portfolio | 102.0k $12.4m | Added +25.7k |
| Montanaro Asset Management Ltd 3.46% of their portfolio | 101.9k $12.4m | Reduced -28.6k |
| NEXT CENTURY GROWTH INVESTORS LLC 0.83% of their portfolio | 98.5k $12.0m | Added +44.1k |
| Bellevue Group AG 0.23% of their portfolio | 97.9k $11.9m | Reduced -19.1k |
| Portolan Capital Management, LLC 0.63% of their portfolio | 96.9k $11.8m | Added +28.0k |
| Man Group plc 0.02% of their portfolio | 95.7k $11.6m | Reduced -17.9k |
| Trexquant Investment LP 0.10% of their portfolio | 92.5k $11.3m | Added +12.1k |
| Universal- Beteiligungs- und Servicegesellschaft mbH 0.02% of their portfolio | 92.4k $11.2m | Added +27.1k |
| Schonfeld Strategic Advisors LLC 0.06% of their portfolio | 91.1k $11.1m | Added +64.7k |
| RHUMBLINE ADVISERS 0.01% of their portfolio | 88.0k $10.7m | Reduced -5.3k |
| CREDIT AGRICOLE S A 0.03% of their portfolio | 87.2k $10.6m | Added +23.6k |
| Legal & General Group Plc 0.00% of their portfolio | 85.9k $10.4m | Reduced -2.3k |
| Ensign Peak Advisors, Inc 0.02% of their portfolio | 80.6k $9.8m | Added +6.0k |
| RENAISSANCE GROUP LLC 0.38% of their portfolio | 77.2k $9.4m | Added +1.2k |
| Nuveen, LLC 0.00% of their portfolio | 75.2k $9.1m | Reduced -1.2k |
| FirstWave Capital Management LLC 5.39% of their portfolio | 74.6k $9.1m | First filing |
| CITIGROUP INC 0.01% of their portfolio | 72.0k $8.8m | Reduced -4.7k |
| JANUS HENDERSON GROUP PLC 0.00% of their portfolio | 72.0k $8.8m | Added +52.5k |
| F/m Investments LLC 0.30% of their portfolio | 65.5k $8.0m | Added +8.6k |
| Swiss National Bank 0.00% of their portfolio | 63.9k $7.8m | Added +1.6k |
| ROYAL BANK OF CANADA 0.00% of their portfolio | 62.8k $7.6m | Reduced -135.6k |
| PEREGRINE CAPITAL MANAGEMENT LLC 0.22% of their portfolio | 60.2k $7.3m | Reduced -8.2k |
| Bastion Asset Management Inc. 3.99% of their portfolio | 57.6k $7.2m | Added +12.7k |
| Biondo Investment Advisors, LLC 0.84% of their portfolio | 57.2k $7.0m | Reduced -1.2k |
| PRUDENTIAL FINANCIAL INC 0.01% of their portfolio | 57.1k $6.9m | Added +10.8k |
| Lisanti Capital Growth, LLC 1.64% of their portfolio | 56.8k $6.9m | Reduced -150 |
| SEI INVESTMENTS CO 0.01% of their portfolio | 55.3k $6.7m | Added +11.6k |
| LAZARD ASSET MANAGEMENT LLC 0.01% of their portfolio | 51.4k $6.3m | Reduced -19.1k |
| FEDERATED HERMES, INC. 0.01% of their portfolio | 47.3k $5.8m | Added +41.3k |
| Parkman Healthcare Partners LLC 0.52% of their portfolio | 45.2k $5.5m | New |
| CANADA PENSION PLAN INVESTMENT BOARD 0.00% of their portfolio | 44.6k $5.4m | Added +42.9k |
| ENVESTNET ASSET MANAGEMENT INC 0.00% of their portfolio | 43.2k $5.3m | Reduced -3.9k |
| ALLIANCEBERNSTEIN L.P. 0.00% of their portfolio | 42.1k $5.1m | Added +1.4k |
| Gotham Asset Management, LLC 0.02% of their portfolio | 40.9k $5.0m | Added +32.6k |
| Meridiem Capital Partners LP 0.28% of their portfolio | 36.7k $4.5m | New |
| BESSEMER GROUP INC 0.01% of their portfolio | 33.0k $4.0m | Added +32.8k |
| Mitsubishi UFJ Asset Management Co., Ltd. 0.00% of their portfolio | 32.9k $4.0m | Reduced -5.5k |
| NORDEA INVESTMENT MANAGEMENT AB 0.00% of their portfolio | 32.0k $4.0m | Reduced -4.4k |
| STATE OF WISCONSIN INVESTMENT BOARD 0.01% of their portfolio | 31.9k $3.9m | Added +28.9k |
| LPL Financial LLC 0.00% of their portfolio | 31.3k $3.8m | Reduced -414 |
| CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM 0.00% of their portfolio | 30.8k $3.7m | Reduced -9 |
| NORGES BANK 0.00% of their portfolio | 30.6k $3.7m | Not comparable |
| ALGERT GLOBAL LLC 0.06% of their portfolio | 30.3k $3.7m | Added +3.4k |
| FRED ALGER MANAGEMENT, LLC 0.01% of their portfolio | 30.3k $3.7m | Reduced -120.5k |
| MIRAE ASSET GLOBAL ETFS HOLDINGS Ltd. 0.01% of their portfolio | 29.8k $3.6m | Reduced -2.6k |