{ "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": 212, "pageCount": 342, "prevPage": 211, "nextPage": 213, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A format to substantiate claims of regulatory circumvention.", "elementsJson": [ "paragraph", "quote_block" ], "metadataConfidence": 0.95, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/212", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-212", "components": [ { "bbox": { "h": 0.04, "w": 0.86, "x": 0.07, "y": 0.66 }, "kind": "callout", "text": "TransMedics allegedly obtained ACIN numbers for their surgeons by circumventing OPO licensing/credentialing procedures", "attrs": null, "subkind": "primary", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "33ff0d2a-c862-4629-a84b-d74eaabde117", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "callout", "text": "The ex-TransMedics surgeon stated that Attia was unlicensed to practice medicine in the US, and that an OPO may not grant an ACIN without extensive verification, which TransMedics surgeons would fail.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a982-ad4212fbc948", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "The ex-TransMedics surgeon laid out the gravity of the deception that would be required to improperly obtain ACIN credentials through an OPO, and pointed to Magdy Attia as an architect and/or participant of the alleged scheme. Attia appears to be a washed-out Egyptian transplant surgeon imported via the UK and appears to run the liver transplant program at TransMedics and oversee its surgeons. His name came up repeatedly during interviews, with multiple surgeons painting him as a henchman-type figure badgering and pressuring them to accept dubious organs they resisted – with one surgeon alleging that he lied to their center and hid that a liver was defective. The ex-TransMedics surgeon stated that Attia was unlicensed to practice medicine in the US, and that an OPO may not grant an ACIN without extensive verification, which TransMedics surgeons would fail: “all of them request a medical license to issue an ACIN for you...the OPO in New England...did not request the license...the OPO’s obligation is to make sure that this person is certified, licensed, and has the minimum training...if they’re not licensed to practice medicine in the US....but no, their surgeons practice like the top person on the liver side at TransMedics” – that is, Attia.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "d3928e1c-b8a6-4669-b52b-d95893859b0d", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.25, "w": 0.86, "x": 0.07, "y": 0.7 }, "kind": "quote", "text": "A: “When [redacted - major organ procurement organization] hired me, they needed my license, my credentialing, the number of cases that I did, all of that. I actually contract with multiple OPO’s and all of them request a medical license to issue an ACIN for you. Apparently, the OPO in New England, they did not request their license...UNOS has the contract from the government to give authorization for transplant surgeons to recover organs. But surgeons don’t apply directly to UNOS. We apply to the OPO, and the OPO’s obligation is to make sure that this person is certified, licensed, and has the minimum training and this and that. To my understanding, if they’re not licensed to practice medicine in the United States - this is a form of practicing medicine. But no, they practice, like the top person on the liver side at TransMedics.” Q: “Who’s that person?” A: “Magdy Attia. I used to work in England. I don’t think he’s licensed to practice medicine in the United States.” Q: “What is his role at TransMedics?” A: “He is the chief of the liver program at TransMedics.” – Transplant procurement surgeon previously working with TransMedics", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "66220f59-ecf8-4ebc-84ae-75af1cf61503", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“When [redacted - major organ procurement organization] hired me, they needed my license, my credentialing, the number of cases that I did, all of that. I actually contract with multiple OPO’s and all of them request a medical license to issue an ACIN for you. Apparently, the OPO in New England, they did not request their license...UNOS has the contract from the government to give authorization for transplant surgeons to recover organs. But surgeons don’t apply directly to UNOS. We apply to the OPO, and the OPO’s obligation is to make sure that this person is certified, licensed, and has the minimum training and this and that. To my understanding, if they’re not licensed to practice medicine in the United States - this is a form of practicing medicine. But no, they practice, like the top person on the liver side at TransMedics.” — Transplant procurement surgeon previously working with TransMedics", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a982-b32486c1bdbe", "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": "df4b1d86-ac03-4579-9a16-df8a87c52801", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [ { "name": "fraud-exposure", "slug": null, "matchId": "6552ec20-af1b-4a32-813e-4c618172f139", "evidence": "The slide explicitly details an alleged scheme to circumvent regulatory credentialing requirements.", "confidence": 0.9 } ], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }