{ "docId": "019dd923-622c-750b-8b9a-40e2965928db", "docSlug": "e5bffbaac707", "documentTitle": "TransMedics (TMDX)", "authorId": "58_Scorpion_Capital", "authorName": "Scorpion Capital", "documentKindSlug": "research-note", "documentKindLabel": "Research note", "sourceTypeSlug": "short_seller", "sourceTypeLabel": "Short seller", "presentationDate": "2025-01-10 00:00:00", "orientation": "landscape", "aspectRatio": 1.3333334, "pageNumber": 145, "pageCount": 342, "prevPage": 144, "nextPage": 146, "slideType": "quote_slide", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A format to present testimony from an industry veteran, highlighting allegations of unethical sales practices.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/145", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-145", "components": [ { "bbox": null, "kind": "callout", "text": "they are very high pressure...they just want somebody to use it so that they get paid...so, they start making their calls...they're going down their own Rolodex of their paying customers. If my mom is listed at a transplant center down the road, she doesn't get a call. Patients are being skipped routinely and often. The calls are only going to the centers that are willing to pay for these machines.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a97d-0c3b544fb6b8", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.86, "x": 0.07, "y": 0.48 }, "kind": "paragraph", "text": "Q: “It sounds like they’re very high pressure, like manipulating and pushing the organ allocation process.”\nA: “They are. In a real-life scenario, what ends up happening is when an organ is declined at the last minute like that, the OPO is really charged and held responsible with the utilization of the organ...but, they are very high pressure. I think they’ve got two things on their mind. One is that—I am confident that they’re not doing that work because they want to rescue this organ. What they want is they want to get paid...they just want somebody to use it so that they get paid...so, they start making their calls...they’re going down their own Rolodex of their paying customers. If my mom is listed at a transplant center down the road, she doesn’t get a call. Patients are being skipped routinely and often. The calls are only going to the centers that are willing to pay for these machines.”\nQ: “That’s 100% a kickback.”\nA: “Yeah.” – Executive at a West Coast OPO, longtime industry veteran", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "373dd715-e5ac-4f3f-b41d-21f80598a99a", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.86, "x": 0.07, "y": 0.45 }, "kind": "paragraph", "text": "TransMedics “going down their own Rolodex” and “patients are being skipped routinely and often”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "a0ff0386-f68f-4879-b326-2bc53afa198e", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "An executive at a major West Coast OPO – who we quoted earlier as refusing to do business with TransMedics due to these and other practices – corroborated the conduct described by ex-employees and other surgical staff.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "bb6a4d49-4e20-4d29-b86d-84f044d02dc3", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.22, "w": 0.86, "x": 0.07, "y": 0.22 }, "kind": "quote", "text": "He stated that transplant patients are “routinely” skipped and denied an organ after TransMedics shows up and starts shopping organs to centers participating in its racket: “they are very high pressure...they just want somebody to use it so they get paid...so, they start making calls...they’re going down their Rolodex of their paying customers...if my mom is listed at a transplant center down the road, she doesn’t get a call...patients are being skipped routinely and often...the calls are only going to the centers that are willing to pay for these machines.”", "attrs": null, "subkind": "pull-quote", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "f29a7c59-dabc-444e-8462-d9a40a3b66af", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“They are. In a real-life scenario, what ends up happening is when an organ is declined at the last minute like that, the OPO is really charged and held responsible with the utilization of the organ...but, they are very high pressure. I think they've got two things on their mind. One is that—I am confident that they're not doing that work because they want to rescue this organ. What they want is they want to get paid...they just want somebody to use it so that they get paid...so, they start making their calls...they're going down their own Rolodex of their paying customers. If my mom is listed at a transplant center down the road, she doesn't get a call. Patients are being skipped routinely and often. The calls are only going to the centers that are willing to pay for these machines.” — Executive at a West Coast OPO, longtime industry veteran", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a97d-10227c85b58f", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "x": 0.07, "y": 0.95 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "4d328aee-c072-47d5-831a-7fe685f29ba2", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [ { "name": "antagonist-introduction", "slug": null, "matchId": "476fb26b-78e8-4d1a-973a-577f127086f3", "evidence": "The slide frames TransMedics as a villainous entity manipulating organ allocation for profit.", "confidence": 0.8 } ], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }