{ "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": 92, "pageCount": 342, "prevPage": 91, "nextPage": 93, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A format to highlight alleged wasteful practices (flying multiple planes) and the need for manual intervention to correct them.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/92", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-92", "components": [ { "bbox": null, "kind": "callout", "text": "The “Never Events” which MGH stated occur with weekly regularity refer to the practice of allegedly flying in multiple jets for a single organ recovery, a recurring theme in our transplant center interviews – “a free check to drive up the cost...any time that two planes fly in...I mean, this just happened the other day...indiscriminate use just to drive up utilization.”", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a978-ab7a9d314212", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "The \"Never Events\" which MGH stated occur with weekly regularity refer to the practice of allegedly flying in multiple jets for a single organ recovery, a recurring theme in our transplant center interviews – \"a free check to drive up the cost...any time that two planes fly in...I mean, this just happened the other day...indiscriminate use just to drive up utilization.\" The executive detailed an organ recovery in Denver, as an example, where TransMedics attempted to route and send multiple planes in a way that \"was just weird\" – \"I literally had to walk through with the coordinator, no, that doesn't make any sense...try again...I got a phone call in fifteen minutes, and they gave me the actual option that should have happened...that's a lot more economical.\"", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "897ce363-0fcc-4cbe-a4b6-c0a1c871a2fa", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.45 }, "kind": "quote", "text": "\"Never events\" like flying in multiple planes indiscriminately Q: \"So, what is happening once or twice a week? Are they trying to run circles around you? What are they doing exactly? And then I want to talk about the never events you mentioned and not reporting stuff to the FDA.\" A: \"It runs the gamut of just having a free check to drive up the cost, having indiscriminate financial stewardship of the resources that are being used...it's really just indiscriminate use just to drive up the utilization, which happens - now any time that two planes fly in I mean, this just happened the other day. Two planes...it was a pair of lungs coming over from Denver, and it had just been a plane that took the team out and came back with the organ or put it on the pump, and it would be an unmanned, one-way organ over to Boston and that would have been it. But instead, they had to take one plane from Dallas, and the other interesting thing is the Dallas plane over to Denver, and there was another procurement team that's coming from nearby that needed to be flown out. And then the other team had to come back to Dallas. It was just weird, hey, we're going to be doing this...I literally had to walk through with the coordinator; no, that doesn't make any sense; try again. Call me back in fifteen minutes, and you can give me a couple more options. What ended up happening is I got a phone call in fifteen minutes, and they gave me the actual option that should have happened, which was to take a plane, go to Denver, fly it back, and then we'll fly the rest of the crew back on a commercial jet. That's a lot more economical.\" – Veteran transplant administrator/executive at Massachusetts General Hospital", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "090eccf1-7f43-41b8-9c2f-6934235de693", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“It runs the gamut of just having a free check to drive up the cost, having indiscriminate financial stewardship of the resources that are being used...it’s really just indiscriminate use just to drive up the utilization...It was just weird...I literally had to walk through with the coordinator; no, that doesn’t make any sense; try again...I got a phone call in fifteen minutes, and they gave me the actual option that should have happened, which was to take a plane, go to Denver, fly it back, and then we’ll fly the rest of the crew back on a commercial jet. That’s a lot more economical.” — Veteran transplant administrator/executive at Massachusetts General Hospital", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a978-afafee33d523", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "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": "973fa93a-9b88-4c95-a2b7-7e3e9b4f4ea1", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }