{ "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": 236, "pageCount": 342, "prevPage": 235, "nextPage": 237, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A transcript format to support the primary allegation of unethical organ procurement practices.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/236", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-236", "components": [ { "bbox": { "h": 0.05, "w": 0.86, "x": 0.07, "y": 0.55 }, "kind": "callout", "text": "Organs rejected due to long warm ischemic times or pathology but still allegedly steered to aggressive TransMedics users", "attrs": null, "subkind": "primary", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "3db0569b-1f9b-4e52-b5c7-96c2d68bfd56", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "callout", "text": "The ex-employee expressed “shock” that anyone took these organs: “I’ve had a lot of organs that were refused by the initial center...’We actually don’t want it’...that usually boiled down to withdrawal time...or the pathology results”.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a986-2c1eafe5e22e", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "The ex-OCS Specialist stated that organs were damaged and often refused by the first center on the match list, because of long ischemic times due to surgeon incompetence, or were diseased – and that TransMedics would then start shopping them aggressively to other centers. The ex-employee expressed “shock” that anyone took these organs: “I’ve had a lot of organs that were refused by the initial center...’We actually don’t want it’...that usually boiled down to withdrawal time...or the pathology results”; “when those more conservative centers...refuse it...it’s supposed to go to who’s next on the list...and that’s when those phone calls in the background were happening”; “I’ve seen organs that I was very surprised that anybody wanted...I’d look at some of these histories”; “they were drinking a fifth of liquor a day, and you’d be like, ‘Wow, I can’t believe that anybody wants this liver...stuff where you’re just shocked...I was shocked to learn this is what was happening or an overdose was being transplanted...”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "0f544fe4-2d31-4383-a183-42760a2957de", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.86, "x": 0.07, "y": 0.6 }, "kind": "paragraph", "text": "A: “I’ve had a lot of organs that were refused by the initial center that called in the request for service. This happened a lot where they were like, “We actually don’t want it.” But that usually boiled down to withdrawal time as a DCD - or the pathology results. Most of the time, they were refused because of the withdrawal time - the time limit exceeded the policy for that transplant center.” Q: “But you’re saying in those cases, TransMedics would find somebody to take the organ anyway?” A: “So, when those more conservative centers are the ones who initially were supposed to get the organ, and they refuse it, it’s supposed to go to who’s next on the list. And that’s when those phone calls in the background were happening. Q: “Of the aggressive transplant centers, did you ever see them turn down an organ or they would literally take any organ? A: “I’ve seen organs that I was very surprised that anybody wanted.” Q: “What happened there about the organ? You and the other team could have been like, “Wow. What the hell just happened?” What made you surprised that somebody took it?” A: “It was a combination of things. But it usually boiled down to what the actual history was. And so, I was sometimes surprised that an alcoholic liver was going to be transplanted into somebody else...I’d look at some of these histories, and they’d say that they were drinking a fifth of liquor a day, and you’d be like, “Wow. I can’t believe that anybody wants this liver.” It was like stuff like that where you’re just kind of shocked, or at least I was shocked to learn this is what was happening or an overdose was being transplanted. Those were always surprising to me...” - Former TransMedics OCS specialist", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "7dbdaccf-7fcd-4952-8869-41ce0eccc68e", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“I’ve had a lot of organs that were refused by the initial center that called in the request for service. This happened a lot where they were like, ‘We actually don’t want it.’ But that usually boiled down to withdrawal time as a DCD - or the pathology results.” — Former TransMedics OCS specialist", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a986-31d63200e231", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.3, "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": "34a3eead-7c4b-48da-b2cf-a280bef72ba2", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }