ISRG Stock Snapshot Price, market cap, P/E, EPS, ROE, debt/equity, 52-week range

03
Price $391.95
Market Cap (MRQ) $138.71B
P/E (TTM) 45.0
EPS (TTM) $8.71
Revenue (TTM) $11.03B
ROE (TTM) 17.4%
52W Range $329–$604

ISRG Stock Price Chart Daily OHLCV with technical indicators — pan, zoom, and customize your view

04
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Stock splits 3
Ex-date Split Type
Oct. 5, 2021 3-for-1 Forward
Oct. 6, 2017 3-for-1 Forward
July 1, 2003 1-for-2 Reverse

About Intuitive Surgical, Inc. - Common Stock Company overview from Wikipedia

05 · wikidata

Intuitive Surgical, Inc. is an American biotechnology company that develops, manufactures, and markets robotic products designed to improve clinical outcomes of patients through minimally invasive surgery, most notably with the da Vinci Surgical System. The company is part of the Nasdaq-100, S&P 100 and S&P 500. As of 31 December 2021, Intuitive Surgical had an installed base of 6,730 da Vinci Surgical Systems, including 4,139 in the U.S., 1,199 in Europe, 1,050 in Asia, and 342 in the rest of the world.

Intuitive Surgical first appeared on the Fortune 500 in 2024 at number 497; in 2025 the company rose to number 459 overall and ranked 43rd within the healthcare sector.

History

The research that eventually led to the development of the da Vinci Surgical System was performed in the late 1980s by Ajit Shah and Gary Guthart at research institute SRI International. In 1990, SRI received funding from the National Institutes of Health. SRI developed a prototype robotic surgical system that caught the interest of the Defense Advanced Research Projects Agency (DARPA), which was interested in the system for its potential to allow surgeons to operate remotely on soldiers wounded on the battlefield.

In 1994, Dr. Frederic Moll became interested in the SRI System, as the device was known at the time. At the time, Moll was employed by Guidant. He tried to interest Guidant in backing it but to no avail. In 1995 Moll was introduced to John Freund who had recently left Acuson Corporation. Freund negotiated an option to acquire SRI's intellectual property and incorporated a new company that he named Intuitive Surgical Devices, Inc.

At that point Freund, Moll, and Robert Younge (also from Acuson) wrote the business plan for the company and raised its initial venture capital. Early investors included the Mayfield Fund, Sierra Ventures, and Morgan Stanley.

The company refined the SRI System into a prototype known originally as "Lenny" (after Leonardo da Vinci), which was ready for testing in 1997. As the company's prototypes became more advanced, they were named using da Vinci themes. One was named "Leonardo", and another was "Mona". The final version of the prototype was nicknamed the da Vinci Surgical System, and the name stuck when the system was eventually commercialized. After further testing, Intuitive Surgical began marketing this system in Europe in 1999, while awaiting FDA approval in the United States.

The company raised $46 million in an initial public offering in 2000. That same year, the FDA approved use of the da Vinci Surgical System for general laparoscopic surgery, which can be used to address gallbladder disease and gastroesophageal disease. In 2001, the FDA approved use of the system for prostate surgery. The FDA has subsequently approved the system for thoracoscopic surgery, cardiac procedures performed with adjunctive incisions, and gynecologic procedures.

Shortly before going public, Intuitive Surgical was sued for patent infringement by Computer Motion, Inc, its chief rival. Computer Motion had actually gotten into the robotic surgery field earlier than Intuitive Surgical, with its own system, the ZEUS Robotic Surgical System. Although the ZEUS system was approved in Europe, the U.S. Food and Drug Administration had not yet approved it for any procedure at the time that the FDA first approved the da Vinci system. The uncertainty created by the litigation between the companies was a drag on each company's growth. In 2003, Intuitive Surgical and Computer Motion agreed to merge, thus ending the litigation between them. The ZEUS system was ultimately phased out in favor of the da Vinci system. Computer Motion was led by Chairman Robert Duggan from 1990 until 2003, when the two companies merged.

Before the buyout of Computer Motion, the stock of Intuitive was selling at around $14 per share, adjusted for stock splits. After the merger, the stock price rose significantly (and by 2015 it was at about $500), primarily because of the growth in systems sold (60 in 2002 compared with 431 in 2014) and the number of surgical procedures performed (less than 1,000 in 2002 compared with 540,000 in 2014).

Finances

For the fiscal year 2017, Intuitive Surgical reported earnings of US$660 million, with an annual revenue of US$3.129 billion, an increase of 15.7% over the previous fiscal cycle. Intuitive Surgical's shares traded at over $307 per share, and its market capitalization was valued at over US$58 billion in November 2018.

da Vinci Surgical System

The da Vinci Surgical System is a robotic surgical system. The system is controlled by a surgeon from a console.

This minimally invasive surgical approach is commonly used for prostatectomies and increasingly for cardiac valve repair and gynaecologic surgical procedures.

A da Vinci Surgical System costs approximately $1.5 million. The da Vinci SI released in April 2009 cost about $1.75 million. In addition, there are maintenance contracts plus expenditures for instruments used during surgery. In 2008, The New York Times reported that most hospitals and clinics have a hard time recovering the cost of the robot.

Lawsuits

In June 2018, Intuitive Surgical settled class action suits of its shareholders for a payment of $43 million. Originally filed in 2013, shareholders alleged Intuitive Surgical failed to report injuries related to their da Vinci robot, thus violating federal security laws.

In 2021, Intuitive was sued for alleged abuse of its monopolist position. Specifically, replacement part manufacturer Rebotix Repair accused Intuitive of anticompetitive behavior in the robots' aftermarket business and overcharging of hospitals for replacement parts. The initiative was followed up by a wave of similar class-action lawsuits shortly afterwards, including those filed by Kaleida Health and Franciscan Health. In August of 2022, Rebotix v. Intuitive settled out of court shortly before trial was set to begin.

Sultzer v. Intuitive Surgical, Inc. involved a claim against Intuitive that a defect in its da Vinci surgical robot allowed electricity to arc through a patient's spine, resulting in her death. Intuitive was represented by Bradley Arant Boult Cummings. On July 12, 2024, the plaintiff agreed to drop the case.

Source: Wikipedia, CC BY-SA 4.0 · View on Wikipedia ↗

Wikidata ↗

sectorHealth Care industryHealth Care employees17,021 countryUS

10-Year Performance Revenue, net income, margins and EPS trends

06
Revenue$10.06B
2016-12-31 → 2025-12-31
EPS$7.87
2016-12-31 → 2025-12-31
Free Cash Flow$2.49B
2016-12-31 → 2025-12-31
Net margin28.4%
2016-12-31 → 2025-12-31
Valuation & Ratios 07–12

Valuation P/E, P/S, P/B, EV/EBITDA ratios — is the stock expensive or cheap?

Metric 5Y trend ISRG 5Y avg Peer Median Verdict
P/E (TTM) 45.05Y avg ≈74.0 ≈74.0 31.0 Overvalued
P/S (TTM) 12.65Y avg ≈19.3 ≈19.3 5.0 Overvalued
P/B (MRQ) 7.65Y avg ≈10.2 ≈10.2 5.0 Overvalued
Price / FCF (TTM) 43.05Y avg ≈110.6 ≈110.6 · ·
Price / Cash Flow (TTM) 37.45Y avg ≈66.6 ≈66.6 26.4 Overvalued
Price / Tangible Book (MRQ) 7.75Y avg ≈10.4 ≈10.4 · ·
PEG Ratio ≈2.1 · · ·

Peer median is calculated on a standardized basis per metric and may not always match the TTM/MRQ basis shown for this stock.

value · ≈ 5Y avg · industry median · verdict relative to median

Earnings History EPS actual vs estimate, surprise %, beat rate, next earnings date

14
Avg Surprise 11.6%
Next Report Oct 19, 2026
PeriodReportEPS ActualEPS EstSurprise
June 30, 2026 Jul 16, 2026 $2.80 $2.55 9.8%
March 31, 2026 $2.50 $2.14 16.8%
Dec. 31, 2025 $2.53 $2.30 9.9%
Sept. 30, 2025 $2.40 $2.02 18.7%
June 30, 2025 $2.19 $1.96 11.6%
March 31, 2025 $1.81 $1.76 3.1%

Full Fundamentals All metrics by year — income statement, balance sheet, cash flow

15
Income Statement 16
Metric Trend 202520242023202220212020201920182017201620152014
Revenue $10.06B$8.35B$7.12B$6.22B$5.71B$4.36B$4.48B$3.72B$3.14B$2.71B$2.38B$2.13B
Cost of Revenue $3.42B$2.72B$2.39B$2.03B$1.75B$1.50B$1.37B$1.12B$936M$814M$806M$718M
Gross Profit $6.64B$5.63B$4.73B$4.20B$3.96B$2.86B$3.11B$2.60B$2.20B$1.89B$1.58B$1.41B
R&D Expense $1.31B$1.15B$999M$879M$671M$595M$557M$418M$329M$240M$197M$178M
SG&A Expense $2.38B$2.14B$1.96B$1.74B$1.47B$1.22B$1.18B$987M$810M$704M$640M$691M
Operating Expenses $3.70B$3.29B$2.96B$2.62B$2.14B$1.81B$1.74B$1.40B$1.14B$943M$838M$869M
Operating Income $2.95B$2.35B$1.77B$1.58B$1.82B$1.05B$1.37B$1.20B$1.06B$950M$740M$545M
Other Non-op $366M$325M$192M$30M$69M$157M$128M$80M$42M$36M$18M$4M
Pretax Income $3.31B$2.67B$1.96B$1.61B$1.89B$1.21B$1.50B$1.28B$1.10B$985M$758M$549M
Income Tax $435M$336M$142M$262M$162M$140M$120M$154M$434M$247M$170M$130M
Net Income $2.86B$2.32B$1.80B$1.32B$1.70B$1.06B$1.38B$1.13B$671M$738M$589M$419M
EPS (Basic) $8.00$6.54$5.12$3.72$4.79$3.02$3.98$9.92$6.01$6.43$5.29$11.35
EPS (Diluted) $7.87$6.42$5.03$3.65$4.66$2.94$3.85$9.49$5.77$6.26$5.18$11.11
Shares (Basic) 356,900,000355,200,000351,200,000355,700,000356,100,000351,100,000346,200,000113,700,000111,700,000114,900,000111,300,00036,900,000
Shares (Diluted) 362,700,000362,000,000357,400,000362,000,000365,800,000361,000,000358,400,000118,800,000116,300,000117,900,000113,700,00037,700,000
EBITDA $2.95B$2.35B$1.77B$1.58B$1.82B$1.05B$1.37B$1.20B$1.05B$945M$740M$545M
Balance Sheet 24
Metric Trend 202520242023202220212020201920182017201620152014
Cash & Equivalents $3.37B$2.03B$2.75B$1.58B$1.29B$1.62B$1.17B$858M$648M$1.04B$715M$600M
Short-term Investments $2.57B$1.99B$2.47B$2.54B$2.91B$3.49B$2.05B$2.21B$1.31B$1.52B$845M$632M
Receivables $1.53B$1.23B$1.13B$942M$783M$646M$645M$682M$508M$430M$394M$315M
Inventory $1.84B$1.49B$1.22B$893M$587M$602M$596M$409M$241M$182M$168M$182M
Prepaid Expense $477M$385M$314M$300M$271M$268M$200M$179M$99M$83M$74M$83M
Current Assets $9.78B$7.11B$7.89B$6.25B$5.84B$6.63B$4.66B$4.33B$2.81B$3.25B$2.20B$1.81B
PP&E (Net) $5.34B$4.65B$3.54B$2.37B$1.88B$1.58B$1.27B$812M$613M$458M$432M$387M
PP&E (Gross) $7.62B$6.53B$5.10B$3.61B$2.85B$2.33B$1.84B$1.25B$960M$780M$699M$610M
Accum. Depreciation $2.28B$1.88B$1.56B$1.24B$969M$758M$563M$436M$347M$322M$267M$223M
Goodwill $370M$348M$349M$348M$344M$337M$307M$241M$201M$201M$201M$198M
Intangibles $17M$23M$39M$50M$70M$77M$112M$67M$26M$32M$50M$74M
Total Assets $20.46B$18.74B$15.44B$12.97B$13.55B$11.17B$9.73B$7.85B$5.78B$6.49B$4.91B$3.96B
Accounts Payable $255M$193M$189M$147M$121M$82M$124M$101M$82M$68M$53M$62M
Accrued Liabilities ········$170M$151M$96M$127M
Current Liabilities $2.01B$1.75B$1.66B$1.42B$1.15B$965M$1.03B$821M$663M$596M$492M$501M
Capital Leases $132M$112M$64M$70M$67M$58M$69M·····
Other Non-current Liabilities ········$22M$113M$96M$79M
Total Liabilities $2.52B$2.21B$2.04B$1.86B$1.60B$1.41B$1.45B$1.16B$996M$709M$588M$580M
Common Stock $400.0K$400.0K$400.0K$400.0K$400.0K$400.0K$100.0K$100.0K$100.0K$0$0$0
Retained Earnings $7.01B$6.80B$4.74B$3.50B$4.76B$3.26B$2.49B$1.52B$115M$1.57B$899M$488M
AOCI $43M$-51M$-12M$-162M$-24M$25M$12M$-13M$-16M$-9M$-10M$-5M
Stockholders' Equity $17.82B$16.43B$13.31B$11.04B$11.90B$9.73B$8.26B$6.68B$4.78B$5.78B$4.32B$3.38B
Liabilities + Equity $20.46B$18.74B$15.44B$12.97B$13.55B$11.17B$9.73B$7.85B$5.78B$6.49B$4.91B$3.96B
Shares Outstanding 355,100,000356,600,000352,300,000350,000,000357,700,000353,100,000347,900,000343,400,000112,300,00038,800,00037,400,00036,600,000
Cash Flow 12
Metric Trend 202520242023202220212020201920182017201620152014
Stock-based Comp $788M$677M$593M$513M$449M$395M$336M$261M$209M$178M$168M$169M
Deferred Tax $19M$-135M$-281M$-185M$-64M$58M$-6M$34M$60M$21M$5M$-35M
Amort. of Intangibles $13M$17M$20M$28M$27M$50M$43M$14M$13M$18M$24M$22M
Operating Cash Flow $3.03B$2.42B$1.81B$1.49B$2.09B$1.48B$1.60B$1.17B$1.14B$1.09B$806M$665M
CapEx $540M$1.11B$1.06B$532M$340M$342M$426M$187M$191M$54M$81M$106M
Investing Cash Flow $666M$-3.27B$-360M$1.37B$-2.46B$-941M$-1.15B$-1.05B$379M$-1.28B$-850M$-154M
Stock Repurchased $2.30B$0$416M$2.61B$0$134M$270M$0$2.27B$42M$184M$1.00B
Net Stock Activity $-2.30B$0$-416M$-2.61B$0$-134M$-270M$0$-2.27B$-42M$-184M$-1.00B
Financing Cash Flow $-2.36B$151M$-288M$-2.57B$43M$-86M$-168M$126M$-1.91B$514M$159M$-692M
Net Change in Cash $1.34B$-708M$1.17B$295M$-332M$456M$273M$246M$-388M$322M$114M$-182M
Taxes Paid $538M···········
Free Cash Flow $2.49B$1.30B$750M$958M$1.74B$1.14B$1.17B$982M$953M$989M$691M$560M
Profitability 8
Metric Trend 202520242023202220212020201920182017201620152014
Gross Margin 66.0%67.5%66.4%67.4%69.3%65.6%69.5%69.9%70.1%69.9%66.2%66.3%
Operating Margin 29.3%28.1%24.8%25.4%31.9%24.1%30.7%32.2%33.7%34.9%31.0%25.6%
Net Margin 28.4%27.8%25.2%21.2%29.8%24.3%30.8%30.3%21.1%27.2%24.7%19.7%
Pretax Margin 32.9%32.0%27.5%25.8%33.1%27.7%33.5%34.4%35.0%36.3%31.8%25.8%
EBITDA Margin 29.3%28.1%24.8%25.4%31.9%24.1%30.7%32.2%33.7%34.9%31.0%25.6%
ROA 14.6%13.6%12.7%10.0%13.8%10.2%15.7%16.6%10.8%12.9%13.3%10.6%
ROE 16.7%15.6%14.8%11.5%15.8%11.8%18.5%19.7%12.6%14.6%15.3%12.2%
ROIC 14.4%12.5%12.3%11.9%14.0%9.5%15.3%15.8%13.4%12.3%13.3%12.3%
Liquidity & Solvency 2
Metric Trend 202520242023202220212020201920182017201620152014
Current Ratio 4.94.14.84.45.16.94.55.34.05.44.53.7
Quick Ratio 3.73.03.83.64.36.03.84.63.55.04.03.1
Efficiency 3
Metric Trend 202520242023202220212020201920182017201620152014
Asset Turnover 0.50.50.50.50.50.40.50.50.50.50.50.5
Inventory Turnover 2.12.02.32.72.92.52.73.44.44.74.64.0
Receivables Turnover 7.37.16.97.28.06.86.76.36.66.66.76.9
Per Share 5
Metric Trend 202520242023202220212020201920182017201620152014
Book Value / Share $50.19$46.08$37.77$31.55$33.27$82.68$71.24$58.33$42.08$148.91$115.49$92.33
Revenue / Share $27.75$23.07$19.93$17.19$15.61$36.23$37.48$31.35$26.90$68.81$62.91$56.54
Cash Flow / Share $8.36$6.67$5.08$4.12$5.71$12.34$13.37$9.85$9.84$26.54$20.37$17.64
Cash / Share $9.48$5.69$7.81$4.52$3.61$13.79$10.07$7.49$5.77$26.72$19.11$16.40
EPS (TTM) $7.87$6.42$5.03$3.65$4.66$2.94$3.85$9.49$5.77$6.26$5.18$11.11
Growth Rates 9
Metric Trend 202520242023202220212020201920182017201620152014
Revenue YoY 20.5%17.2%14.5%9.0%31.0%·······
Revenue CAGR 3Y 17.4%13.5%17.8%·········
Revenue CAGR 5Y 18.2%···········
EPS YoY 22.6%27.6%37.8%-21.7%58.5%·······
EPS CAGR 3Y 29.2%11.3%19.6%·········
EPS CAGR 5Y 21.8%···········
Net Income YoY 23.0%29.2%36.0%-22.4%60.7%·······
Net Income CAGR 3Y 29.3%10.9%19.2%·········
Net Income CAGR 5Y 21.9%···········
Valuation (TTM) 10
Metric Trend 202520242023202220212020201920182017201620152014
Revenue TTM $10.06B$8.35B$7.12B$6.22B$5.71B$4.36B$4.48B$3.72B$3.14B$2.71B$2.38B$2.13B
Net Income TTM $2.86B$2.32B$1.80B$1.32B$1.70B$1.06B$1.38B$1.13B$671M$738M$589M$419M
Market Cap $201.11B$186.13B$118.85B$92.87B$128.52B$32.10B$22.86B$18.28B$13.66B$2.73B$2.27B$2.15B
P/E 72.081.367.172.777.192.851.216.821.111.311.75.3
P/S 20.022.316.714.922.57.45.14.94.41.01.01.0
P/B 11.311.38.98.410.83.32.82.72.90.50.50.6
P / Tangible Book 11.511.69.28.711.23.4······
P / Cash Flow 66.477.165.562.361.521.614.315.611.92.62.93.2
P / FCF 80.7142.8158.696.974.028.119.518.614.32.83.33.8
Earnings Yield 1.4%1.2%1.5%1.4%1.3%1.1%1.9%5.9%4.7%8.9%8.5%18.9%

Most recent period on the left · null values shown as ·

Financial Statements Income statement, balance sheet, cash flow — annual, last 5 years

16
Metric 2025-12-312024-12-312023-12-312022-12-312021-12-31
Revenue $10.06B $8.35B $7.12B $6.22B $5.71B
Gross Margin % 66.0% 67.5% 66.4% 67.4% 69.3%
Operating Margin % 29.3% 28.1% 24.8% 25.4% 31.9%
Net Income $2.86B $2.32B $1.80B $1.32B $1.70B
Diluted EPS $7.87 $6.42 $5.03 $3.65 $4.66

Institutional owners (13F) 2,455 filers · $139.7B total · As of Sept. 30, 2026

17

Institutions that report holding this stock in their quarterly SEC Form 13F. Long positions only; a single filer may appear twice for separate option legs. Large offsetting put/call legs typically reflect market-making or hedged inventory, not directional conviction.

Holders 2,455
Value held $139.7B
New positions 172
Exited positions 196
Institutional activity — Q2 2026 vs prior quarter
New positions Exited positions Increased Decreased Net shares change
172 (-42 vs prior Q) 196 (-35 vs prior Q) 911 (-86 vs prior Q) 893 (+60 vs prior Q) +7.8M

Compared to Q1 2026. SEC Form 13F filings are due within 45 days of quarter-end plus a short buffer for late filers — quarters still inside that window are skipped in favor of the most recent fully-reported pair.

Institution Value Shares % of tracked 13F Type
VANGUARD GROUP INC $19,037,227,455 33,613,298 13.63% Shares
BlackRock, Inc. $11,940,201,916 30,024,648 8.55% Shares
VANGUARD CAPITAL MANAGEMENT LLC $9,198,775,450 23,131,099 6.59% Shares
STATE STREET CORP $6,387,949,747 16,063,040 4.57% Shares
Invesco Ltd. $4,709,948,094 11,843,563 3.37% Shares
GEODE CAPITAL MANAGEMENT, LLC $3,380,563,364 8,534,767 2.42% Shares
Capital World Investors $3,079,329,501 7,742,681 2.20% Shares
VANGUARD PORTFOLIO MANAGEMENT LLC $2,880,501,227 7,243,264 2.06% Shares
MORGAN STANLEY $2,609,308,152 6,561,322 1.87% Shares
NORGES BANK $1,970,454,292 4,954,874 1.41% Shares
JPMORGAN CHASE & CO $1,717,673,063 4,231,033 1.23% Shares
FMR LLC $1,690,589,691 4,251,130 1.21% Shares
ALLIANCEBERNSTEIN L.P. $1,673,136,468 3,629,442 1.20% Shares
Fisher Asset Management, LLC $1,558,444,582 3,918,840 1.12% Shares
UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC $1,528,761,776 3,316,258 1.09% Shares
WELLINGTON MANAGEMENT GROUP LLP $1,511,980,554 3,802,003 1.08% Shares
ARROWSTREET CAPITAL, LIMITED PARTNERSHIP $1,489,111,567 3,744,497 1.07% Shares
JENNISON ASSOCIATES LLC $1,459,171,817 3,669,211 1.04% Shares
NORTHERN TRUST CORP $1,397,048,249 3,512,996 1.00% Shares
BANK OF AMERICA CORP /DE/ $1,353,606,951 3,403,759 0.97% Shares
Bank of New York Mellon Corp $1,335,752,583 3,358,863 0.96% Shares
GOLDMAN SACHS GROUP INC $1,150,041,824 2,891,877 0.82% Shares
CHARLES SCHWAB INVESTMENT MANAGEMENT INC $1,114,525,243 2,802,568 0.80% Shares
Nuveen, LLC $1,072,397,277 2,696,634 0.77% Shares
Amundi $1,068,008,595 2,685,598 0.76% Shares
BAILLIE GIFFORD & CO $1,003,914,130 2,524,427 0.72% Shares
Legal & General Group Plc $985,651,869 2,478,505 0.71% Shares
FRANKLIN RESOURCES INC $893,810,054 2,247,561 0.64% Shares
VANGUARD FIDUCIARY TRUST CO $809,203,241 2,034,810 0.58% Shares
AMERICAN CENTURY COMPANIES INC $801,166,368 2,014,594 0.57% Shares
TWO SIGMA INVESTMENTS, LP $787,059,623 1,979,128 0.56% Shares
JANUS HENDERSON GROUP PLC $757,489,182 1,643,060 0.54% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $714,193,512 1,795,900 0.51% Call option
UBS Group AG $707,291,776 1,778,545 0.51% Shares
Sumitomo Mitsui Trust Group, Inc. $679,810,497 1,709,441 0.49% Shares
LOOMIS SAYLES & CO L P $658,620,313 1,656,156 0.47% Shares
ROYAL BANK OF CANADA $622,202,000 1,564,576 0.45% Shares
Capital Research Global Investors $617,065,740 1,551,664 0.44% Shares
TWO SIGMA ADVISERS, LP $604,056,922 1,066,560 0.43% Shares
CANADA PENSION PLAN INVESTMENT BOARD $603,306,012 1,517,064 0.43% Shares
DEUTSCHE BANK AG\ $571,614,097 1,437,372 0.41% Shares
Pictet Asset Management Holding SA $547,639,823 1,376,925 0.39% Shares
AMERIPRISE FINANCIAL INC $527,960,472 1,327,623 0.38% Shares
SUSQUEHANNA INTERNATIONAL GROUP, LLP $527,641,824 1,326,800 0.38% Put option
VICTORY CAPITAL MANAGEMENT INC $517,355,105 1,300,881 0.37% Shares
SANDS CAPITAL MANAGEMENT, LLC $498,063,976 1,252,424 0.36% Shares
Grantham, Mayo, Van Otterloo & Co. LLC $488,349,371 1,227,993 0.35% Shares
Clearbridge Investments, LLC $483,448,851 1,215,674 0.35% Shares
BARCLAYS PLC $482,817,322 1,214,085 0.35% Shares
BNP PARIBAS ASSET MANAGEMENT Holding S.A. $449,034,649 1,129,058 0.32% Shares

Show all 2,455 institutional owners →

Company insiders 48 insiders · 20 officers · 18 directors

19
Insider Role Last activity Shares owned Buys 12m Sells 12m Net 12m
David J. Rosa Chief Executive Officer (CEO) July 10, 2026 M 246,856 0 1 $-13,414,975
Susan K Barnes Former CFO Nov. 11, 2005 M 126,236 0 0 $0
Salvatore Brogna EVP & Chief Operating Officer Dec. 2, 2019 M 4,143 0 0 $0
Fredrik Widman VP Corporate Controller Sept. 15, 2026 M 1,026 0 7 $-1,792,360
Mark Brosius EVP & Chief Mfg and Supply Cha Sept. 11, 2026 S 764 0 33 $-5,918,298
Gary Loeb EVP & Chief Legal and Complian Aug. 10, 2026 S 5,320 0 3 $-500,036
Iman Jeddi SVP & GM da Vinci Platforms & June 1, 2026 M 6,463 0 1 $-2,365,594
Myriam Curet EVP & Chief Medical Officer March 10, 2026 M 0 0 16 $-8,440,242
Henry L Charlton EVP & Chief Commercial and Mkt Feb. 28, 2026 M 11,610 0 5 $-7,963,980
Brian Edward Miller EVP & Chief Digital Officer Nov. 10, 2025 M 5,758 0 2 $-2,012,500
Robert Desantis EVP & Chief Strategy & Corp Op April 25, 2025 M 5,224 0 0 $0
Marshall Mohr Executive VP Global Business S Aug. 31, 2024 F 1,650 0 0 $0
Michele Dimartino Officer Title: SVP and Chief Human Resources Officer Feb. 28, 2023 A 2,112 0 0 $0
Reiter Kara Andersen Sr VP General Counsel & CCO Aug. 29, 2022 A 18,067 0 0 $0
Mark J Meltzer SVP General Counsel & CCO June 7, 2018 M 10,052 0 0 $0
Colin Morales GM & SVP Secondary Mkt Equip & Feb. 7, 2017 M 124 0 0 $0
Jerome J Mcnamara Sr Advisor - Commercial Ops July 27, 2015 M 3,213 0 0 $0
Richard Michael Epstein Sr. Vice President, Marketing Feb. 5, 2007 A · 0 0 $0
Eric Miller Sr. Vice President Aug. 4, 2006 M 0 0 0 $0
Benjamin B Gong Vice President, Finance Feb. 15, 2006 M 6,495 0 0 $0
Amy L Ladd Director Aug. 11, 2026 S 179 0 4 $-471,789
Monica P Reed Director April 30, 2026 A 2,876 0 0 $0
Sreelakshmi Kolli Director April 30, 2026 A 1,510 0 0 $0
Keith R Leonard Director April 30, 2026 A 901 0 0 $0
Lewis Chew Director April 30, 2026 A 1,314 0 0 $0
Jami K Nachtsheim Director April 30, 2026 A 6,902 0 0 $0
Mark J Rubash Director April 25, 2025 M 16,790 0 0 $0
Alan J Levy Director April 25, 2024 M 25,888 0 0 $0
Don R Kania Director April 25, 2024 M 3,838 0 0 $0
Lonnie M Smith Director April 23, 2020 M 277,069 0 0 $0
Michael A Friedman Director April 23, 2019 M 4,751 0 0 $0
George Stalk JR Director April 20, 2017 M 1,141 0 0 $0
Eric H Halvorson Director April 25, 2016 M 2,485 0 0 $0
Floyd D Loop MD Director Oct. 30, 2014 M 4,979 0 0 $0
William J Mercer Director June 2, 2006 M 0 0 0 $0
William Clark Meyers Director May 21, 2004 A · 0 0 $0
Frederic H Moll Director Sept. 10, 2003 S 657,799 0 0 $0
Gary S Guthart · Aug. 11, 2026 S 1,245,679 0 8 $-48,794,707
Amal M Johnson · April 30, 2026 M 13,545 0 0 $0
Craig H Barratt · April 30, 2026 A 27,948 0 2 $-1,636,786
Joseph C Beery · April 30, 2026 A 3,641 0 0 $0
Jamie Samath · Feb. 28, 2026 M 15,366 0 0 $0
Patricia L Wadors · Feb. 26, 2026 A 0 0 1 $-109,936
Augusto V. Castello · Feb. 15, 2013 A 0 0 0 $0
Robert W. Duggan · May 18, 2011 M 1,000 0 0 $0
Keith D Grossman · April 23, 2010 M 0 0 0 $0
Richard J Kramer · July 16, 2009 M 1,000 0 0 $0
John F Runkel JR · March 5, 2008 M 403 0 0 $0

Insiders from SEC Form 3/4/5 filings; net = open-market P/S only

ETF ownership Held by 137 ETFs

20

Weight reflects direct equity holdings (N-PORT) only; leveraged or derivative-based funds may hold additional swap exposure not shown.

Fund Weight Units As of Source
IHI · iShares Trust 13.29% 1,171,267 SH Sept. 11, 2026 Daily
MEDI · Harbor ETF Trust 2.83% 3,300 NS July 31, 2026 N-PORT
QNXT · iShares Trust 2.44% 1,852 SH Sept. 11, 2026 Daily
POWA · Invesco Exchange-Traded Self-Indexe… 2.19% 8,827 SH Oct. 1, 2026 Daily
IGPT · Invesco Exchange-Traded Fund Trust 2.12% 75,164 SH Oct. 1, 2026 Daily
VHT · VANGUARD WORLD FUND 2.08% 1,067,681 SH Aug. 19, 2026 Daily
IYH · iShares Trust 2.05% 206,344 SH Sept. 11, 2026 Daily
FGSI · First Trust Exchange-Traded Fund IV 2.00% 117 NS July 31, 2026 N-PORT
JDOC · J.P. Morgan Exchange-Traded Fund Tr… 1.93% 496 NS July 31, 2026 N-PORT
RSPH · Invesco Exchange-Traded Fund Trust 1.88% 40,413 SH Oct. 1, 2026 Daily
FHLC · FIDELITY COVINGTON TRUST 1.82% 168,952 NS July 31, 2026 N-PORT
CAML · Professionally Managed Portfolios 1.63% 16,992 NS July 31, 2026 N-PORT
IXJ · iShares Trust 1.62% 186,313 SH Sept. 11, 2026 Daily
ROBO · EXCHANGE TRADED CONCEPTS TRUST 1.55% 87,192 NS July 31, 2026 N-PORT
HTEC · EXCHANGE TRADED CONCEPTS TRUST 1.50% 2,934 NS July 31, 2026 N-PORT
CURE · Direxion Shares ETF Trust 1.43% 6,969 NS July 31, 2026 N-PORT
SPHQ · Invesco Exchange-Traded Fund Trust 1.43% 654,297 SH Oct. 1, 2026 Daily
TECB · iShares Trust 1.31% 17,946 SH Sept. 11, 2026 Daily
ARKQ · ARK ETF Trust 1.29% 68,016 NS July 31, 2026 N-PORT
XT · iShares Trust 1.22% 131,150 SH Sept. 11, 2026 Daily
EQWL · Invesco Exchange-Traded Fund Trust 1.17% 79,735 SH Oct. 1, 2026 Daily
TEC · Harbor ETF Trust 1.13% 204 NS July 31, 2026 N-PORT
AGRW · ALLSPRING EXCHANGE-TRADED FUNDS TRU… 1.03% 3,282 NS July 31, 2026 N-PORT
QQQG · Pacer Funds Trust 0.95% 545 NS July 31, 2026 N-PORT
RILA · Spinnaker ETF Series 0.88% 1,046 NS July 31, 2026 N-PORT
FTLS · First Trust Exchange-Traded Fund III 0.86% 60,667 NS July 31, 2026 N-PORT
QQQE · Direxion Shares ETF Trust 0.85% 32,011 NS July 31, 2026 N-PORT
ESLG · Strategy Shares 0.84% 554 NS July 31, 2026 N-PORT
JHAI · Janus Detroit Street Trust 0.82% 539 NS July 31, 2026 N-PORT
NUGO · Nushares ETF Trust 0.76% 52,249 NS July 31, 2026 N-PORT
OMFL · Invesco Exchange-Traded Self-Indexe… 0.73% 85,177 SH Oct. 1, 2026 Daily
ESUM · Strategy Shares 0.68% 3,516 NS July 31, 2026 N-PORT
MGK · VANGUARD WORLD FUND 0.63% 525,413 SH Aug. 19, 2026 Daily
BIGY · Tidal Trust II 0.63% 967 NS July 31, 2026 N-PORT
GRZZ · Tidal Trust II 0.61% 575 NS July 31, 2026 N-PORT
QQQM · Invesco Exchange-Traded Fund Trust … 0.60% 1,624,143 SH Oct. 1, 2026 Daily
QQQ · Invesco QQQ Trust, Series 1 0.60% 7,379,113 SH Oct. 1, 2026 Daily
CATH · Global X Funds 0.59% 21,903 NS July 31, 2026 N-PORT
QRMI · Global X Funds 0.59% 238 NS July 31, 2026 N-PORT
QYLD · Global X Funds 0.58% 133,690 NS July 31, 2026 N-PORT
PALC · Pacer Funds Trust 0.58% 3,451 NS July 31, 2026 N-PORT
QYLG · Global X Funds 0.58% 2,594 NS July 31, 2026 N-PORT
PTNQ · Pacer Funds Trust 0.57% 19,367 NS July 31, 2026 N-PORT
QQWZ · Pacer Funds Trust 0.57% 821 NS July 31, 2026 N-PORT
QTR · Global X Funds 0.57% 122 NS July 31, 2026 N-PORT
QCLR · Global X Funds 0.56% 52 NS July 31, 2026 N-PORT
QSIX · Pacer Funds Trust 0.53% 273 NS July 31, 2026 N-PORT
RPG · Invesco Exchange-Traded Fund Trust 0.52% 24,394 SH Oct. 1, 2026 Daily
IWY · iShares Trust 0.45% 193,645 SH Sept. 11, 2026 Daily
ESG · FlexShares Trust 0.44% 1,650 NS July 31, 2026 N-PORT
RGEF · Tidal Trust III 0.44% 10,035 NS July 31, 2026 N-PORT
VONG · VANGUARD SCOTTSDALE FUNDS 0.42% 558,534 SH Aug. 19, 2026 Daily
OEI · Listed Funds Trust 0.41% 537 NS July 31, 2026 N-PORT
VUG · VANGUARD INDEX FUNDS 0.40% 3,844,783 SH Aug. 19, 2026 Daily
VOOG · VANGUARD ADMIRAL FUNDS 0.40% 263,157 SH Aug. 19, 2026 Daily
ILCG · iShares Trust 0.40% 34,375 SH Sept. 11, 2026 Daily
COWG · Pacer Funds Trust 0.39% 24,349 NS July 31, 2026 N-PORT
IWF · iShares Trust 0.39% 1,324,854 SH Sept. 11, 2026 Daily
CHRI · Global X Funds 0.38% 86 NS July 31, 2026 N-PORT
IQSU · New York Life Investments ETF Trust 0.37% 3,398 NS July 31, 2026 N-PORT
IVW · iShares Trust 0.36% 755,404 SH Sept. 11, 2026 Daily
ESLV · Strategy Shares 0.35% 142 NS July 31, 2026 N-PORT
ACVF · ETF Opportunities Trust 0.35% 1,507 NS July 31, 2026 N-PORT
IUSG · iShares Trust 0.34% 311,804 SH Sept. 11, 2026 Daily
ESGG · FlexShares Trust 0.33% 1,045 NS July 31, 2026 N-PORT
HAPI · Harbor ETF Trust 0.33% 4,509 NS July 31, 2026 N-PORT
AQLT · iShares Trust 0.32% 2,890 SH Sept. 11, 2026 Daily
WRND · New York Life Investments ETF Trust 0.31% 92 NS July 31, 2026 N-PORT
MPLY · Strategy Shares 0.31% 139 NS July 31, 2026 N-PORT
EGLE · Global X Funds 0.29% 18 NS July 31, 2026 N-PORT
GLBL · Pacer Funds Trust 0.29% 9 NS July 31, 2026 N-PORT
MGC · VANGUARD WORLD FUND 0.27% 70,835 SH Aug. 19, 2026 Daily
OEF · iShares Trust 0.27% 149,899 SH Sept. 11, 2026 Daily
QVML · Invesco Exchange-Traded Fund Trust … 0.27% 10,921 SH Oct. 1, 2026 Daily
LGDX · Tidal Trust III 0.27% 1,070 NS July 31, 2026 N-PORT
ESGV · VANGUARD WORLD FUND 0.24% 79,703 SH Aug. 19, 2026 Daily
RSP · Invesco Exchange-Traded Fund Trust 0.24% 554,290 SH Oct. 1, 2026 Daily
TOPC · iShares Trust 0.24% 215 SH Sept. 11, 2026 Daily
IWL · iShares Trust 0.23% 13,711 SH Sept. 11, 2026 Daily
PBP · Invesco Exchange-Traded Fund Trust 0.22% 2,100 SH Oct. 1, 2026 Daily
VOO · VANGUARD INDEX FUNDS 0.22% 9,198,405 SH Aug. 19, 2026 Daily
VV · VANGUARD INDEX FUNDS 0.22% 413,621 SH Aug. 19, 2026 Daily
XVV · iShares Trust 0.22% 4,082 SH Sept. 11, 2026 Daily
PBUS · Invesco Exchange-Traded Fund Trust … 0.22% 61,145 SH Oct. 1, 2026 Daily
VONE · VANGUARD SCOTTSDALE FUNDS 0.20% 58,287 SH Aug. 19, 2026 Daily
XTR · Global X Funds 0.20% 27 NS July 31, 2026 N-PORT
XYLD · Global X Funds 0.20% 18,003 NS July 31, 2026 N-PORT
ACIO · ETF Series Solutions 0.20% 13,064 NS July 31, 2026 N-PORT
XRMI · Global X Funds 0.20% 277 NS July 31, 2026 N-PORT
ADME · ETF Series Solutions 0.20% 1,624 NS July 31, 2026 N-PORT
PTLC · Pacer Funds Trust 0.20% 18,029 NS July 31, 2026 N-PORT
IVV · iShares Trust 0.19% 4,463,932 SH Sept. 11, 2026 Daily
BKLC · BNY Mellon ETF Trust 0.19% 30,025 NS July 31, 2026 N-PORT
BBUS · J.P. Morgan Exchange-Traded Fund Tr… 0.19% 48,668 NS July 31, 2026 N-PORT
XYLG · Global X Funds 0.19% 349 NS July 31, 2026 N-PORT
VOTE · TCW ETF Trust 0.19% 5,968 NS July 31, 2026 N-PORT
ILCB · iShares Trust 0.19% 6,850 SH Sept. 11, 2026 Daily
VTI · VANGUARD INDEX FUNDS 0.19% 11,245,401 SH Aug. 19, 2026 Daily
VTHR · VANGUARD SCOTTSDALE FUNDS 0.19% 29,685 SH Aug. 19, 2026 Daily
TOV · EA Series Trust 0.19% 1,423 NS July 31, 2026 N-PORT
XCLR · Global X Funds 0.19% 19 NS July 31, 2026 N-PORT
DFUS · Dimensional ETF Trust 0.19% 110,611 NS July 31, 2026 N-PORT
EUSA · iShares, Inc. 0.18% 9,810 SH Sept. 11, 2026 Daily
PHDG · Invesco Actively Managed Exchange-T… 0.18% 278 SH Oct. 1, 2026 Daily
VOXP · Advisors Series Trust 0.18% 30 NS July 31, 2026 N-PORT
IYY · iShares Trust 0.18% 15,215 SH Sept. 11, 2026 Daily
IWB · iShares Trust 0.18% 244,032 SH Sept. 11, 2026 Daily
DYNF · BlackRock ETF Trust 0.18% 207,610 SH Sept. 11, 2026 Daily
USCL · iShares Trust 0.18% 14,078 SH Sept. 11, 2026 Daily
SPUU · Direxion Shares ETF Trust 0.18% 1,336 NS July 31, 2026 N-PORT
QDPL · Pacer Funds Trust 0.18% 8,507 NS July 31, 2026 N-PORT
IWV · iShares Trust 0.17% 97,440 SH Sept. 11, 2026 Daily
ITOT · iShares Trust 0.17% 462,408 SH Sept. 11, 2026 Daily
WINN · Harbor ETF Trust 0.16% 5,237 NS July 31, 2026 N-PORT
PEVC · Pacer Funds Trust 0.16% 11 NS July 31, 2026 N-PORT
HCMT · Direxion Shares ETF Trust 0.15% 2,470 NS July 31, 2026 N-PORT
TOK · iShares Trust 0.15% 995 SH Sept. 11, 2026 Daily
SIZE · iShares Trust 0.15% 1,725 SH Sept. 11, 2026 Daily
SPXL · Direxion Shares ETF Trust 0.15% 27,688 NS July 31, 2026 N-PORT
URTH · iShares, Inc. 0.14% 31,794 SH Sept. 11, 2026 Daily
CRBN · iShares Trust 0.13% 4,332 SH Sept. 11, 2026 Daily
TILT · FlexShares Trust 0.13% 7,742 NS July 31, 2026 N-PORT
ACWI · iShares Trust 0.12% 112,731 SH Sept. 11, 2026 Daily
VT · VANGUARD INTERNATIONAL EQUITY INDEX… 0.12% 294,601 SH Aug. 19, 2026 Daily
DFSU · Dimensional ETF Trust 0.12% 7,552 NS July 31, 2026 N-PORT
IUS · Invesco Exchange-Traded Self-Indexe… 0.11% 2,671 SH Oct. 1, 2026 Daily
DFAU · Dimensional ETF Trust 0.11% 39,089 NS July 31, 2026 N-PORT
EQAL · Invesco Exchange-Traded Fund Trust … 0.11% 2,093 SH Oct. 1, 2026 Daily
ESGU · iShares Trust 0.09% 45,570 SH Sept. 11, 2026 Daily
PRF · Invesco Exchange-Traded Fund Trust 0.07% 17,291 SH Oct. 1, 2026 Daily
DCOR · Dimensional ETF Trust 0.07% 6,700 NS July 31, 2026 N-PORT
RWL · Invesco Exchange-Traded Fund Trust … 0.07% 15,571 SH Oct. 1, 2026 Daily
DFAC · Dimensional ETF Trust 0.04% 57,069 NS July 31, 2026 N-PORT
HDUS · Lattice Strategies Trust 0.02% 141 NS July 31, 2026 N-PORT
DFVX · Dimensional ETF Trust 0.01% 141 NS July 31, 2026 N-PORT
DXUV · Dimensional ETF Trust 0.01% 102 NS July 31, 2026 N-PORT
LSEQ · Harbor ETF Trust -1.41% -612 NS July 31, 2026 N-PORT

ISRG Analyst Consensus Bullish and bearish analyst opinions, 12-month price target, upside

21
rating · 40 analysts BUY
Median target $483.00 +23.2%
13 32.5% Strong Buy
16 40.0% Buy
10 25.0% Hold
1 2.5% Sell
0 0.0% Strong Sell

12-Month Price Target

29 analysts · 2026-09-28

Mean target $476.34 +21.5%

Now Current price $391.95
Low$324.00 Mean$476.34 High$685.00

Peer comparison (GICS sub-industry) Key metrics vs sector peers

22

FY basis, prices as of each company's last fiscal year-end close.

Ticker Market Cap P/E Rev YoY Net Margin ROE Gross Margin
ISRG $201.11B 72.0 20.5% 28.4% 16.7% 66.0%
ABT $250.18B 33.7 5.7% 14.7% 13.1% ·
SYK $134.44B 41.8 11.2% 12.9% 15.1% 64.0%
BSX · 49.1 19.9% 14.4% 12.6% 69.0%
EW $49.50B 46.6 11.6% 17.7% 10.6% 78.0%
BDX · 25.3 8.2% 7.7% 6.5% ·
IDXX $53.93B 51.7 10.4% 24.6% 69.2% 61.8%
DXCM $25.54B 31.8 15.6% 17.9% 31.4% 60.1%
RMD $28.11B 18.7 9.8% 26.9% 23.6% 61.1%
GEHC · 18.0 4.8% 10.1% 22.1% 40.0%
ZBH $28.66B 25.3 7.2% 8.6% 5.6% ·

Latest News Recent headlines mentioning this company

23

ISRG AI Analyst Panel — Bullish and Bearish Views 2026Q2 debate: Claude, Grok, Gemini, ChatGPT on the stock's prospects

24
Panel Verdict NEUTRAL Confidence 0.72 4 of 4 reported forecast spread ·

Intuitive Surgical remains a high-quality monopoly, but its premium valuation leaves little room for error. Claude and Grok emphasize the company's durable moat and recurring revenue, while Gemini and ChatGPT warn that a 73x P/E ratio makes the stock vulnerable to any growth slowdown. The panel split on whether recent institutional outflows signal a structural rotation or mere noise. Ultimately, the group remains cautious, agreeing that the stock's future hinges on sustaining procedure volume.

Round 1 — Opening Takes

Grok NEUTRAL
Confidence 0.75
↑ Bullish

I see the strongest bull case for ISRG as its razor-and-blade model fueling endless profits from a growing installed base of da Vinci systems worldwide. The 28.58% net margin means Intuitive converts nearly a third of sales straight to bottom-line profit, far above peers, thanks to recurring instrument revenue. Debt-to-equity sits at 0.0, giving the company a rock-solid balance sheet to fund R&D without leverage risk. EPS TTM has climbed to 7.56, up from 7.17 last quarter, signaling procedure volume acceleration into 2026.

↓ Bearish

The bear case breaks if robotic surgery hype fades amid competition or reimbursement cuts, exposing that sky-high valuation. P/E TTM at 73x towers over peers like SYK's 40x, meaning the market prices in perfection with no room for growth slowdowns. Recent price action shows a sharp drop to $512 close after touching $545, with volume spiking to 8.6 million shares, hinting at profit-taking. ETF outflows including ISRG signal institutional caution.

Claude NEUTRAL
Confidence 0.68
↑ Bullish

Intuitive Surgical owns the surgical robotics market with near-monopoly economics and a moat that's only widening. The company is printing cash with zero debt, a 66% gross margin, and a 29% net margin that most medical device peers can't touch. Yes, the stock trades at 73 times trailing earnings — well above peers like Stryker at 40x or Abbott at 26x — but that multiple reflects a business that converts 16% of shareholder equity into profit year after year while growing installed base faster than competitors can react. The installed base compounds, procedure volume follows, and pricing power stays intact.

↓ Bearish

This valuation leaves almost no room for disappointment, and robotics adoption curves flatten eventually. At 73x earnings, ISRG is pricing in flawless execution for years — any miss on procedure growth, margin compression from competition, or slower international expansion triggers a sharp multiple contraction. The current ratio dropped from 5.6 to 4.97 in one quarter, signaling cash burn or capital deployment that warrants watching. Peers like Stryker and Zimmer are investing heavily in competing platforms; if adoption slows or pricing pressure emerges, ISRG's premium multiple has nowhere to hide.

Gemini NEUTRAL
Confidence 0.80
↑ Bullish

Intuitive Surgical dominates the robotic surgery market with an unassailable competitive moat that allows for massive, recurring profitability. The company maintains a gross margin of 66.38%. This indicates that for every dollar of revenue, they retain over sixty-six cents after direct production costs, reflecting immense pricing power in the medical device space. Furthermore, with a debt-to-equity ratio of zero, they operate with a pristine balance sheet. This means the company is entirely self-funded and faces no interest rate risk, providing the financial flexibility to aggressively reinvest in their next-generation surgical platforms while competitors struggle with leverage.

↓ Bearish

The valuation has simply become too detached from the underlying growth trajectory to justify a new position at these levels. Investors are currently paying a P/E ratio of 73.09. This implies the market expects near-perfect execution for years to come, leaving absolutely no room for even minor earnings misses or clinical setbacks. Additionally, the P/S ratio sits at 20.89. This high multiple means the stock is priced for hyper-growth that is increasingly difficult to sustain as they reach market saturation, making the current share price highly vulnerable to a multiple compression if growth rates normalize toward industry averages.

Chatgpt NEUTRAL
Confidence 0.62
↑ Bullish

I think ISRG's edge lies in a durable robotic platform and a high-margin service ecosystem. ROE TTM: 16.06%. That level signals ISRG uses equity efficiently and can sustain earnings growth. Gross margin TTM: 66.38%. That margin suggests pricing power and strong fixed-cost absorption in their device ecosystem. Debt/Equity: 0.0. A debt-free balance sheet gives optionality to fund R&D, expansion, or buybacks.

↓ Bearish

I think ISRG is richly priced relative to growth risk, which could unwind. P/E TTM: 73.0905. That lofty multiple prices in aggressive growth unless the growth trajectory stays flawless. P/S TTM: 20.8877. A high sales multiple means the stock relies on top-line expansion for returns; any slowdown hits multiple. P/B (annual): 11.3128. A double-digit price-to-book suggests over-optimism about asset-like value; if profitability stalls, the stock could revert.

Round 2 — Responses & Rebuttals

Round 2 — Responses & Rebuttals

Grok

Claude, your point about the current ratio dropping from 5.6 to 4.97 signaling cash burn overlooks the balance sheet strength. At 4.97, it still means short-term assets cover liabilities nearly five times over, giving ISRG ample liquidity to fund da Vinci expansions or R&D without strain. With debt-to-equity at zero, this dip likely reflects smart capital deployment, not distress.

Claude

I think Grok is reading the price action wrong. Yes, we saw a drop to $512 and volume spike to 8.6 million, but that happened in early July after the stock had already run from $508 to $544 in the prior three weeks. That's not profit-taking on a trend — that's normal weekly chop in a $200 billion stock. The real tell is EPS climbing to 7.56 from 7.17 quarter-over-quarter. That 5% beat matters because it shows procedure volume is actually accelerating, not stalling. ETF flows are noise compared to earnings momentum.

Gemini ⇄ Mind changed

Grok, your point about the institutional caution signaled by recent ETF outflows is a critical piece of the puzzle that I overlooked in my initial assessment. When you look at the volume spike to 8.6 million shares during the recent pullback, it suggests that the smart money is actively rebalancing away from this premium valuation. That volume represents a significant shift in ownership dynamics. If institutional support wanes, the stock's 73 times earnings multiple becomes extremely fragile, as there are fewer buyers left to justify such an aggressive price for a medical device company.

Chatgpt

Claude, your moat argument is compelling, but a 73x trailing P/E leaves ISRG vulnerable if growth or margins slow. That level implies the market expects years of flawless execution, so even a modest miss in procedure volumes or pricing power could trigger meaningful multiple compression. I value the debt-free stance and strong margins, but valuation discipline matters here — capital deployment flexibility won't save the stock if the growth path stalls.

Round 3 — Final Rebuttals

Round 3 — Final Rebuttals

Grok

Claude, I push back on dismissing ETF flows as noise — they signal real institutional caution worth heeding. The March 25 news flagged notable outflows from ETFs including ISRG, right as volume spiked to 8.6 million shares on the drop to $512 close. That surge is well above the prior week's 5.4 million average, pointing to distribution by big holders, not random chop. At 73x earnings, this trim makes sense if procedure growth moderates, amplifying downside risk.

Claude

I want to push back on something nobody's challenged yet: Gemini, you said institutional support waning makes the 73x multiple fragile, but you're reading the ETF outflow as smart money rebalancing away. I'd flip that. A $200 billion surgical robotics monopoly with 66% gross margins and zero debt doesn't get sold by institutions because of valuation — it gets trimmed for portfolio rebalancing or sector rotation. The real risk isn't that institutions lose faith; it's that procedure growth actually does slow as the installed base matures. EPS climbed 5% quarter-over-quarter, but I need to see if that's from volume or just pricing. If international adoption is already plateauing and U.S. procedures are normalizing post-pandemic, then 73x earnings isn't fragile because of flows — it's fragile because the growth narrative itself is cracking. That's the bear case worth taking seriously.

Gemini

I want to challenge Claude’s dismissal of institutional flows. Claude, you called ETF outflows noise, but when you look at the recent 8.6 million share volume spike, you are ignoring the technical reality of how large-cap stocks rotate. Institutional investors are currently shifting capital toward value-oriented healthcare plays as the interest rate cycle stabilizes. This rotation out of high-multiple growth names is a real macro headwind for Intuitive. Even with a perfect balance sheet, the stock is trading at 73 times earnings, which is a valuation that requires constant, heavy institutional buying to maintain momentum.

Chatgpt

Claude, your moat claim is compelling, but the valuation is a major guardrail. The stock trades at a trailing P/E of 73x. That means the market is pricing in flawless execution for years, leaving little cushion for any step back in procedure growth or pricing power. Even with a dominant installed base, any hiccup could trigger meaningful multiple compression. If regulatory or reimbursement headwinds arise, the premium is particularly vulnerable.

Price Forecasts

Model 3M Target 6M Target Reasoning
Grok $525.00 $545.00 I think ISRG's da Vinci monopoly drives modest upside as procedure growth sustains premium pricing power amid watchful institutions. The key catalyst is the Q2 2026 earnings release in late July, where EPS beating 7.56 on 15%+ procedure volume accelerates the bull case. One big risk is a Stryker robotics platform gaining FDA clearance, eroding the moat narrative. My 6-month $545 target implies a 72x P/E on current EPS, meaning the market still bets on 16% ROE fueling expansion without leverage, but any slowdown caps it there.
Claude $520.00 $545.00 My thesis: ISRG's moat is real, but the 73x P/E multiple is the constraint, not the installed base. The stock re-rates on proof that procedure volume growth is holding, not decelerating. Catalyst: 2026Q2 earnings in late July will show whether the 5% EPS beat from Q1 reflects durable volume acceleration or one-quarter noise. If procedure volumes stay above 8% year-over-year growth, the multiple holds and the stock drifts toward $545 by year-end. Risk: international adoption plateaus faster than expected, forcing management to guide down procedure growth, triggering 15–20% multiple compression to 60x earnings. At 73x, the market is pricing in flawless execution with zero margin for error. Current price $514.59 leaves room for modest upside if execution holds, but downside is asymmetric if growth cracks.
Gemini $505.00 $485.00 My thesis is that the stock will face a period of multiple contraction as investors rotate out of high-premium growth stocks into more defensive healthcare names. The primary catalyst for a downside move will be the next earnings report, where any deceleration in procedure volume growth will force analysts to slash their lofty expectations. Conversely, the biggest risk to my bearish outlook is a major breakthrough in international market penetration that reignites top-line acceleration. Intuitive currently trades at a P/E of 73.09. This extreme multiple means the market is paying for years of flawless future performance, leaving the share price highly susceptible to even minor disappointments in quarterly execution.
Chatgpt $525.00 $550.00 I think ISRG can drift higher in the near term, but the lofty valuation will cap upside. The key catalyst is the upcoming quarterly earnings print showing continued da Vinci procedure growth and stable margins. The risk is slower-than-expected adoption or reimbursement headwinds that could curb growth and invite multiple compression. The P/E 73 implies the market is pricing near-perfect execution; a miss would trigger meaningful multiple compression. That said, the balance sheet strength and high gross margins provide a buffer if the cycle turns.

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Source: SEC 10-Q filed Jul 21, 2026