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  "documentTitle": "TransMedics (TMDX)",
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  "presentationDate": "2025-01-10 00:00:00",
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  "notes": "The slide uses highlighted quotes from transplant surgeons to build a case for potential regulatory or ethical issues regarding TransMedics' business practices.",
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      "kind": "callout",
      "text": "OPOs allegedly not paying for the devices; “just sort of a business relationship”\n“I know that they’ve been talking to our OPO about storing that stuff at a hub in Salt Lake City, but I don’t think that they’re making them pay for that because that’s different because the OPO’s don’t pay TransMedics. It’s just sort of a business relationship those two are working out…our area is getting more access to TransMedics, and the reason our OPO is open to that is because it’s really increasing the use of DCD organs for liver, but also it’s increasing the use of lungs. And I think that’s where our OPO is most interested…and so, if a lung center is saying we’ll use this if it’s resuscitated on a TransMedics device…” – Transplant surgeon, Utah",
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      "text": "Kickbacks, in our opinion, in the form of discounts for utilization and for keeping devices at OPO for expedited offers\n“We decided to use them for everything just because I think we got a deal with them on the first dozen livers or something like that…I had heard that the company is storing devices at certain places and maybe you can get a discount with that.” – Transplant surgeon, Utah",
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      "text": "The surgeon stated that TransMedics has similar arrangements with other OPO’s where devices are stored for free, which we heard directly from other OPO’s: “I heard that the company is storing devices at certain places”; “I don’t think that they’re making them pay for that…it’s just sort of a business relationship those two are working out” – referring to the CEO’s of his OPO and TransMedics. He stated the practice extends to both livers and lungs, and once again highlighted how centers are then basically forced to accept these organs on the device – with the OPO helping to pressure the center on TransMedics behalf: “I think that’s where out OPO is most interested…and so, if a lung center is saying we’ll use this it it’s resuscitated on a TransMedics device....”",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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