{ "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": 256, "pageCount": 342, "prevPage": 255, "nextPage": 257, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A transcript format to substantiate a serious allegation of unethical business practices.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/256", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-256", "components": [ { "bbox": null, "kind": "callout", "text": "I cannot stand working with them...it feels like I’m talking to a used car salesman...we had a recent situation, where we had some A/R...they declined a heart transplant for one of our patients in the ICU.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a987-0d6066b87282", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.86, "x": 0.07, "y": 0.16 }, "kind": "paragraph", "text": "Given the severity of the allegation, we confirmed the details with a second source, an executive at an OPO who was privy to the situation. The administrator voiced outrage: \"I cannot stand working with them...it feels like I’m talking to a used car salesman...we had a recent situation, where we had some A/R...they declined a heart transplant for one of our patients in the ICU...they refused to...get the heart for us...I could not believe it...I had to spend eight hours...trying to beg and plead with them to release the hold because we didn't want to miss an opportunity to get an organ for one of our patients...I was groveling...this person is in the ICU...they're going to die...they're status one...the sickest patient in need of an organ, and TransMedics made that call...it was their COO, Tamer Khayal, who is not a clinician...a used car salesman...[Magdy Attia] was part of the people threatening us.\"", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "5a458995-2fc2-4cef-9f58-3ab7f6a2f631", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.38, "w": 0.86, "x": 0.07, "y": 0.57 }, "kind": "quote", "text": "A: \"Me, personally, I cannot stand working with them. It feels like I'm talking to a used car salesman. I don't talk to their founders as much as I used . We had a recent situation, where we had some A/R...they declined a heart transplant for one of our patients in the ICU because of this credit hold. They refused to go out and get the heart for us. I could not believe it. They eventually agreed that the majority of the invoices were liver, so they released the heart and lung programs from the hold, but they were going to hold the liver program until we paid all of our invoices. I had to spend probably eight hours of my week on the phone with their rep, trying to beg and plead with them to release the hold because we didn't want to miss an opportunity to get an organ for one of our patients. It was very frustrating. I felt like I was groveling. The whole thing was a terrible experience.\"\nQ: \"So, they put a patient's life at risk, essentially.\"\nA: \"Yes. These heart patients, this isn't like a kidney transplant. This person is in the ICU. They're going to die. They're status one. They're getting this organ because they're the sickest patient in need of one, and TransMedics made that call. It was their COO, Tamer Khayal, who is not a clinician, who is the person that I find the most challenging to work with, like a used car salesman.\"\nQ: \"There's this other Egyptian guy named Magdy Attia who interacts with surgeons, and I've heard that surgeons sometimes have said that they don't want to take an organ, and he's badgering them to take it, telling them it's okay. Have you heard that?\"\nA: \"Yeah. He was part of this whole week where I was scrambling - he was part of the people threatening us.\" – Transplant administrator", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "eb7fab40-99a1-426f-87f1-6f36f0943ea3", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "I cannot stand working with them...it feels like I’m talking to a used car salesman...they declined a heart transplant for one of our patients in the ICU because of this credit hold. I had to spend probably eight hours of my week on the phone with their rep, trying to beg and plead with them to release the hold because we didn't want to miss an opportunity to get an organ for one of our patients. I was groveling. The whole thing was a terrible experience. ... It was their COO, Tamer Khayal, who is not a clinician, who is the person that I find the most challenging to work with, like a used car salesman. ... He was part of this whole week where I was scrambling - he was part of the people threatening us. — Transplant administrator", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a987-100ac17960ec", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "x": 0.07, "y": 0.96 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "4d349cc1-05f5-466a-817b-4be678047a7b", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.08, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "title", "text": "The administrator stated that TransMedics then denied a heart to a status one patient, when payment for suspect invoices was not forthcoming.", "attrs": null, "subkind": "headline", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "c76f0f7c-48c4-4486-86ab-d4c54cb1e5d9", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "x": 0.07, "y": 0.54 }, "kind": "title", "text": "COO allegedly held a heart hostage", "attrs": null, "subkind": "subtitle", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "c97a3ad3-b03b-4372-a876-99d9ddbdae4c", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }