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Intuitive Surgical (ISRG) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Medical Instruments & Supplies
A
ExcellentMetricSide Score: 83/100
ProfitabilityProfit30/30
GrowthGrowth25/25
Balance SheetBalance13/25
Cash QualityCash15/20
Price & Volume
Market Cap $151.19B

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.

Moat Signals

Competitive analysis based on 68 quarters of fundamental data

Pricing Power

Strong Moat

Operating margins are expanding at ~29.3%, suggesting durable pricing power and cost discipline.

Competitive Advantage

Moderate Moat

ROE averages 15.0% but has fluctuated — the competitive advantage may be cyclical or emerging.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~39.7% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 68 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~30.5% — no sign of cost or pricing stress.

Earnings Quality

Healthy

FCF covers net income by 0.8x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

Limited debt-to-equity data available.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Share count is stable — no significant dilution or buyback activity.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$10.58B
21.4%
Q. Revenue
$2.77B
TTM EBITDA
$3.88B
31.8%
TTM Op. Income
$3.22B
31.1%
Q. Op. Income
$855.30M
TTM Net Income
$2.98B
20.3%
Q. Net Income
$821.50M
EPS
$2.31
Shares Out.
$354.90M
0.7%
$10.58B in TTM revenue grew 21.4% YoY, reaching $2.77B last quarter. TTM EBITDA of $3.88B and TTM operating income of $3.22B shows growth is flowing through. Net income of $2.98B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
66.1%
2.1%
EBITDA Margin
37.6%
Op. Margin
30.9%
20.3%
Net Margin
29.6%
4.3%
Op. margin of 30.9% is up 5.2% YoY — cost efficiency is improving. Net margin at 29.6% and gross margin of 66.1% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
50.8x
P/S Ratio
14.3x
P/B Ratio
8.6x
At 50.8x P/E, the stock trades at a premium — the market expects above-average growth. P/S of 14.3x and P/B of 8.6x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$20.11B
Cash
$2.01B
Long-Term Debt
N/A
Book Value
$17.60B
D/E Ratio
N/A
Debt/EBITDA
0.0

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$911.90M
Free Cash Flow
$808.60M
73.9%
FCF Margin
7.6%
FCF / Net Income
1.0
FCF of $808.60M on $911.90M in operating cash flow. The FCF / Net Income ratio of 0.3x indicates partial cash conversion — earnings quality needs attention.

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