Tearsheet

Intuitive Surgical (ISRG)


Market Price (9/12/2025): $454.0 | Market Cap: $162.8 Bil
Sector: Health Care | Industry: Health Care Equipment

Intuitive Surgical (ISRG)


Market Price (9/12/2025): $454.0
Market Cap: $162.8 Bil
Sector: Health Care
Industry: Health Care Equipment

Investment Highlights

0 Attractive operating margins
Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is 29%
  Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 62x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 58x, P/EPrice/Earnings or Price/(Net Income) is 63x
1 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 31%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 22%, CFO LTM is 2.8 Bil
  Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.9%
2 Low stock price volatility
Vol 12M is 33%
  
0 Attractive operating margins
Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is 29%
1 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 31%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 22%, CFO LTM is 2.8 Bil
2 Low stock price volatility
Vol 12M is 33%
3 Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 62x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 58x, P/EPrice/Earnings or Price/(Net Income) is 63x
4 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -2.9%

Market Valuation

 9/12/252024202320222021
Share Price CYE$454.00$521.96$337.36$265.35$359.30
Market Cap CYE ($ Bil)162.8186.0118.793.2128.5
Total Debt ($ Bil)0.00.00.00.00.1
Total Cash ($ Bil)5.34.05.24.14.2
Enterprise Value ($ Bil)157.4186.0118.793.2128.6
Valuation Ratios     
P/S TTM17.822.216.615.222.4
P/EBIT TTM61.878.967.159.970.3
P/E TTM62.479.865.971.475.1
Sector Ratios     
P/S TTM (Sector)3.83.64.14.57.3
P/EBIT TTM (Sector)-1.6-1.3-1.4-1.3-2.9
P/E TTM (Sector)-1.8-1.6-1.5-1.4-2.9
 9/12/2520242023
Share Price CYE$454.00$521.96$337.36
Market Cap CYE ($ Bil)162.8186.0118.7
Total Debt ($ Bil)0.00.00.0
Total Cash ($ Bil)5.34.05.2
Enterprise Value ($ Bil)157.4186.0118.7
Valuation Ratios   
P/S TTM17.822.216.6
P/EBIT TTM61.878.967.1
P/E TTM62.479.865.9
Sector Ratios   
P/S TTM (Sector)3.83.64.1
P/EBIT TTM (Sector)-1.6-1.3-1.4
P/E TTM (Sector)-1.8-1.6-1.5

Business Description

Intuitive Surgical, Inc. develops, manufactures, and markets products that enable physicians and healthcare providers to enhance the quality of and access to minimally invasive care in the United States and internationally. The company offers the da Vinci Surgical System to enable complex surgery using a minimally invasive approach; and Ion endoluminal system, which extends its commercial offerings beyond surgery into diagnostic procedures enabling minimally invasive biopsies in the lung. Show more

Price Returns Compared

Expand for Detailed View

 202020212022202320242025Total [1]
Returns
ISRG Return38%32%-26%27%55%-13%140%
Peers Return3%12%-12%12%14%7%39%
S&P 500 Return16%27%-19%24%23%12%101%

[1] Cumulative total returns since the beginning of 2020
[2] Peers: BSX, SYK, MDT, BDX, EW. See ISRG Returns vs. Peers.
[3] 2025 data is for the year up to 9/11/2025 (YTD)

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Financials

ISRGBSXSYKMDTBDXEWMedian
NameIntuitiv.Boston S.Stryker MedtronicBecton D.Edwards . 
Mkt Price455.85104.34388.7994.25190.5678.01147.45
Mkt Cap163.4154.4148.6120.854.745.8134.7
Rev LTM9,14518,49423,81834,20021,3865,68519,940
Op Inc LTM2,6343,3884,6836,6472,9551,5883,172
FCF LTM1,9943,2344,0245,3032,5505782,892
FCF 3Y Avg1,1972,1143,0814,9642,5045992,309
CFO LTM2,8264,2854,7667,1463,2547953,770
CFO 3Y Avg2,1163,0143,7356,6253,2788673,146

Growth & Margins

ISRGBSXSYKMDTBDXEWMedian
NameIntuitiv.Boston S.Stryker MedtronicBecton D.Edwards . 
Rev Chg LTM20.8%21.4%11.4%5.0%7.9%9.1%10.2%
Rev Chg 3Y Avg15.4%14.6%10.6%3.3%4.1%3.0%7.3%
Rev Chg Q21.4%22.8%11.1%8.4%10.4%11.9%11.5%
QoQ Delta Rev Chg LTM4.9%5.4%2.6%2.0%2.5%2.9%2.8%
Op Mgn LTM28.8%18.3%19.7%19.4%13.8%27.9%19.5%
Op Mgn 3Y Avg26.3%17.6%19.3%18.6%13.3%29.5%18.9%
QoQ Delta Op Mgn LTM0.6%-0.2%-0.1%-0.1%0.9%0.2%0.1%
CFO/Rev LTM30.9%23.2%20.0%20.9%15.2%14.0%20.5%
CFO/Rev 3Y Avg26.9%18.8%17.2%20.2%16.3%17.2%18.0%
FCF/Rev LTM21.8%17.5%16.9%15.5%11.9%10.2%16.2%
FCF/Rev 3Y Avg15.0%13.1%14.1%15.1%12.4%11.9%13.6%

Valuation

ISRGBSXSYKMDTBDXEWMedian
NameIntuitiv.Boston S.Stryker MedtronicBecton D.Edwards . 
Mkt Cap163.4154.4148.6120.854.745.8134.7
P/S17.98.36.23.52.68.17.1
P/EBIT62.146.431.718.921.927.329.5
P/E62.761.650.925.934.511.042.7
P/CFO57.836.031.216.916.857.633.6
Total Yield1.6%1.6%2.8%6.8%5.0%9.1%3.9%
Dividend Yield0.0%0.0%0.8%3.0%2.1%0.0%0.4%
FCF Yield 3Y Avg0.8%1.8%2.3%4.5%4.1%1.1%2.0%
D/E0.00.10.10.20.40.00.1
Net D/E-0.00.10.10.20.3-0.10.1

Returns

ISRGBSXSYKMDTBDXEWMedian
NameIntuitiv.Boston S.Stryker MedtronicBecton D.Edwards . 
1M Rtn-4.7%1.7%3.2%2.4%-1.7%1.4%1.5%
3M Rtn-11.1%5.9%2.4%7.4%9.8%2.8%4.3%
6M Rtn-4.4%9.4%7.4%3.7%-13.5%14.8%5.6%
12M Rtn-7.1%25.8%7.1%7.8%-16.7%14.3%7.4%
3Y Rtn105.3%140.1%73.0%13.1%-24.1%-19.9%43.0%
1M Excs Rtn-6.9%-0.5%1.0%0.2%-3.9%-0.8%-0.7%
3M Excs Rtn-22.1%-4.4%-7.1%-1.5%1.5%-6.0%-5.2%
6M Excs Rtn-26.0%-9.4%-10.3%-13.0%-31.5%-3.8%-11.6%
12M Excs Rtn-25.3%5.8%-12.3%-12.9%-38.4%-1.7%-12.6%
3Y Excs Rtn56.8%89.8%29.2%-47.7%-88.7%-81.0%-9.3%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Instruments and Accessories4,2773,5183,1002,4562,408
Systems1,6801,6801,6931,1791,346
Services1,1681,024916724724
Total7,1246,2225,7104,3584,478


Price Behavior

Short Interest

Short Interest: As Of Date8292025
Short Interest: Shares Quantity5,435,064
Short Interest: % Change Since 81520259.2%
Average Daily Volume1,868,221
Days-to-Cover Short Interest2.91
Basic Shares Quantity358,500,000
Short % of Basic Shares1.5%

Earnings Returns History

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 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
7/22/2025-1.8%-2.8%-6.0%
4/22/20251.9%7.6%14.3%
1/15/20257.7%13.3%9.7%
10/17/202410.0%8.0%11.4%
7/18/20249.3%5.0%15.1%
4/18/2024-1.7%0.1%7.0%
1/9/202410.3%8.6%17.1%
10/19/2023-2.4%-5.1%11.6%
...
SUMMARY STATS   
# Positive151718
# Negative976
Median Positive7.0%4.3%9.1%
Median Negative-2.4%-5.5%-10.4%
Max Positive10.9%22.8%35.8%
Max Negative-14.3%-17.4%-25.6%

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0Brosius MarkSVP & Chief Mfg and Supply Cha6062025Sell560.70215120,551629,666Form
1Brosius MarkSVP & Chief Mfg and Supply Cha6042025Sell549.06215118,048970,738Form
2Brosius MarkSVP & Chief Mfg and Supply Cha5162025Sell560.002212,3201,121,680Form
3Brosius MarkSVP & Chief Mfg and Supply Cha5142025Sell551.972212,1431,142,026Form
4LOEB GARYEVP & Chief Legal and Complian4252025Sell513.181,700872,4061,152,089Form