Transmedics, Inc.

Transmedics, Inc., a for-profit medical technology manufacturer headquartered in Andover, Massachusetts, delivers deceased donor organ recovery, perfusion, and transportation services to the Veterans Health Administration as a prime contractor on a full-and-open, non-set-aside basis. The company operates exclusively within a single customer relationship—Veterans Integrated Service Network 4 (VISN 4)—and holds no subcontractor footprint across federal work.

Transmedics' federal capability portfolio consists entirely of emergent organ logistics: deceased donor liver recovery and transportation, organ perfusion services, and time-sensitive medical logistics supporting VISN 4's organ transplantation programs. All work is performed in Pittsburgh, Pennsylvania, where VISN 4 operates its regional medical facilities. Representative awards include a $7.3 million single-award indefinite-delivery contract awarded September 17, 2026, with a ceiling through September 16, 2027, anchoring the vendor's current engagement; a $291,540 delivery order from September 18, 2026, for deceased donor liver recovery, perfusion, and transportation; and a $280,740 purchase order from July 7, 2026, for organ recovery and perfusion services. Individual task orders under the IDIQ range from approximately $72,000 to $280,000 in firm fixed-price structure.

Customer concentration is absolute: all 14 awards (100% of combined potential value of $9.3 million) flow from VISN 4, the sole funding agency since the vendor's first award on June 29, 2023. The vendor's federal footprint has grown episodically—one award in 2023, a gap in 2024, seven awards in 2025, and six awards in 2026—reflecting task-order issuance patterns under the single IDIQ rather than competitive diversification. Combined dollars obligated stand at $2 million (22% of combined potential value), indicating substantial unexercised ceiling on the existing IDIQ. Nine awards carrying combined potential value of $1.6 million reach ultimate completion within the next twenty-four months and therefore face recompete exposure in that window. The vendor carries no subcontractor relationships and no involvement in larger prime or teaming arrangements. Transmedics' federal engagement represents a specialized niche: the company is the dedicated organ-recovery and transport partner to a single VA integrated service network, with no broader federal customer base or vehicle presence beyond the VISN 4 IDIQ.