CHARGED ALPHATMFrontier AI stock research

ISRG · NasdaqGS

Intuitive Surgical

Medical Instruments & Supplies · United States

USD 436.871.1% daily changeQuote 2026-11-02 · USD
Market cap (USD)
US$154.34B
Trailing P/E
52.26x
Forward P/E
35.04x
Quarterly revenue growth
21.7%
Trailing net margin
25.5%
Indicated dividend yield
—

Snapshot 2026-11-03 · Latest financial period 2026-09-30 · Yahoo Finance. Quotes may be delayed; reporting periods can differ.

Next earnings: 2027-01-21 (provider estimate; issuer confirmation unavailable here).

Company background

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. It offers the da Vinci Surgical System that enables surgical procedures using a minimally invasive approach; and Ion endoluminal system, which extends its commercial offerings beyond surgery into diagnostic endoluminal procedures enabling minimally invasive biopsies in the lung. The company also provides a suite of stapling, energy, and core instrumentation for its multi-port da Vinci surgical systems; progressive learning pathways to support the use of its technology; infrastructure of customer service and support specialists, a complement of services to its customers, including installation, repair, maintenance, 24/7 technical support, and proactive system health monitoring; and integrated digital capabilities providing connected offerings, streamlining performance for hospitals with program-enhancing insights. It sells its products through direct sales organizations, such as capital and clinical sales teams. Intuitive Surgical, Inc. was incorporated in 1995 and is headquartered in Sunnyvale, California.

Company website

Q3 2026

Go beyond the headline.

ISRG Stock: Strong Procedures, a $450M Charge — What Does the Price Assume? Q3 2026

Published 2026-10-20

Q3 2026 REPORT HIGHLIGHTS

What’s changed for ISRG

Intuitive Surgical grows revenue and raises its margin outlook, but settlement uncertainty, tariff refunds and owner cash economics keep our call at HOLD.

  1. Demand remains strong.

    Revenue rises 21.70% and da Vinci procedures grow approximately 14%; combined instruments and service contribute 74.77% of revenue.

  2. The charge is real and conditional.

    The $450M antitrust settlement still needs preliminary and final court approval; the packet reserves the gross cash payment.

  3. Refunds lift both earnings measures.

    Adjusted EPS of $3.00 includes $0.06 from earlier tariffs; our analytical ex-refund EPS is $2.94.

  4. Guidance improves unevenly.

    Gross-margin midpoint rises 0.5 percentage point, while the procedure-growth midpoint remains 14.5% and opex growth stays 11%–13%.

  5. Valuation keeps the call at HOLD.

    Three routes cluster near $390 versus a dated $407.90 trade; $300/$390/$500 scenarios produce $395 weighted value.

Comparable businesses

ISRG peer comparison

Same business group first, then company size. Preferred market cap: 0.5–2x; extended range: one-third–3x. Outside that range, industry benchmarks are labeled separately and excluded from peer medians.

Comparison stocks

Market metrics · missing or inapplicable values shown as —
MetricISRGIntuitive Surgical, Inc.Snapshot 2026-11-03Financial period: 2026-09-30BDXBecton, Dickinson and CompanySnapshot 2026-11-03Financial period: 2026-06-30MDLNMedline Inc.Snapshot 2026-11-03Financial period: 2026-06-27
Market capMarket value, converted to USDUS$154.34BUS$54.10BUS$45.25B
Forward P/EProvider forward earnings estimate35.04x14.93x21.43x
EV / EBITDAEnterprise value / trailing EBITDA33.00x11.47x18.65x
Revenue growthLatest quarter vs prior-year quarter21.7%5.4%11.6%
Operating marginLatest reported quarter33.3%15.7%0.8%
Free cash flow yieldTrailing cash flow / market cap2.2%8.3%1.9%
Net debt / EBITDANet debt / trailing EBITDA-0.90x2.63x3.95x
Debt / equityTotal debt / positive book equity—0.69x0.66x
Trailing P/ETrailing twelve-month earnings52.26x45.97x84.08x
Price / bookPrice / positive book equity per share9.47x2.22x2.55x
EV / salesEnterprise value / trailing revenue12.74x3.12x1.57x
Earnings growthLatest quarter vs prior-year quarter-23.6%-31.4%262.0%
Gross marginTrailing twelve months66.6%46.9%25.1%
Net marginTrailing twelve months25.5%4.2%2.3%
Return on equityProvider trailing return; positive equity only17.9%6.6%4.9%
Free cash flow marginTrailing free cash flow / revenue29.7%19.9%2.8%
Dividend yieldIndicated annual dividend / price—2.1%—
Earnings payoutProvider trailing dividend payout0.0%72.5%0.0%
Current ratioCurrent assets / current liabilities3.33x0.86x4.33x
BetaProvider historical market sensitivity1.440.28—

Choose a comparison stock

Search covered companies, or search all listed stocks.

Comparison methodology & limitations

Reviewed operating groups override broad sector classifications. Other companies are matched only within a sufficiently specific provider industry. Business mix, geography and accounting standards can still differ. Market caps are converted to USD using exchange rates captured during the snapshot refresh. Financial ratios that would mix currencies are omitted. Snapshots must be at most 14 days old and no more than seven days apart for automatic selection.

Peer medians require at least two valid similar-size peers for each metric. Negative earnings, nonpositive equity, missing data and irrelevant bank ratios are not presented as attractive valuations. A higher or lower number is not automatically a better investment. Financial statement periods are not calendar-aligned across companies.

Reported performance

Financial trends

Reporting period
Financial history
Chart style
Comparison stocks

Financial statements load separately from the research page.

Market context

Valuation & price history

Adjusted closing price

Price history

Price history loads separately.

Earnings-multiple scenario

Illustrative price = your earnings-per-share assumption × your P/E assumption. This is not a price target or a complete valuation model.

Starting assumptions, when available, use provider forward estimates as of 2026-11-03. Negative earnings require a different valuation method. This calculation omits balance-sheet, dilution and execution risks.

THE RESEARCH RECORD

Research history for ISRG

All available reporting periods
Q3 20262026-10-20
Q2 20262026-07-17
Q1 20262026-04-23

ISRG Q1 2026 earnings analysis

Presentation · 2026-04-23 · YouTube

Deep Dive2026-04-22
Q4 20252026-04-13

Reported figures

Verify material figures against company filings. Market data and AI-assisted analysis may contain errors.