Intuitive Surgical Inc logo

Intuitive Surgical Inc(ISRG)

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ADVISORIES YOU CAN VERIFY
QUALITY SIGNAL
1-STAR RATING
PASS
LAST CLOSE
$383.54
09/17/2026
(24-hour delay)

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*as per simulation (see disclosures)
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Upturn Advisory & Investor View for ISRG

09/17/2026: ISRG (1-star) is currently NOT-A-BUY. Pass it for now.

Intuitive Surgical is a premier provider of robotic-assisted surgical systems, best known for its da Vinci platform. The company has a leading position in the industry, benefiting from a recurring revenue model driven by high-margin instruments and maintenance services. Its main growth opportunity lies in expanding robotic applications into new clinical areas like lung procedures and enhancing digital capabilities. However, investors face risks related to high valuation, increasing competition from major medical device players, and hospital budget constraints. The stock is best suited for growth-oriented investors who can tolerate volatility, while monitoring developments in clinical procedure volume and competitive product adoption.

How to Read the Upturn Advisory

The Upturn Star Rating and the current BUY, SELL, or PASS advisory are generated by Upturn’s AI advisory engine based on proprietary signal analysis, price behavior, advisory history, and historical signal performance.

Company fundamentals, valuation, risks, and news provide supporting context about the business.

Investor Fit

Investor styleFitWhy
Growth investorStrong fitThe company has a track record of expanding its addressable market and scaling revenue through recurring models.
Momentum investorStrong fit while signal remains positiveThe stock frequently aligns with positive trends in healthcare innovation and procedure volume growth.
Value investorWeak fitThe stock typically trades at a premium valuation reflecting its high growth prospects and market position.
Dividend investorWeak fitIntuitive Surgical does not pay a dividend, prioritizing R&D reinvestment.
Low-risk investorMixed fitWhile the business quality is high, the stock's valuation and volatility may exceed the comfort level of low-risk investors.

Risk Profile

Risk factorLevelWhy it matters
Price volatilityMedium / highThe stock price is sensitive to growth expectations and market sentiment toward high-growth med-tech.
Valuation riskHighTrading at high multiples requires consistent execution to meet investor expectations.
Competition risk (robotics)Medium / highLarge medical device incumbents are increasing investment in competitive robotic platforms.
Business qualityStrongThe high percentage of recurring revenue and wide economic moat provide significant business stability.
Dividend incomeLow / noneThis investment is not suitable for those seeking regular cash income.
Execution riskMediumContinued success depends on navigating regulatory approvals and maintaining surgeon training excellence.

Price Behavior

Steep Decline
PRICE PATH

Steep Decline

The stock price has dropped sharply with strong downward pressure.

Moderately Choppy
PRICE STABILITY

Moderately Choppy

The stock has experienced noticeable price swings while retaining some directional structure.

Analysis of Past Performance

Type Stock
Historic Profit 41.72%
Avg. Invested days 75
Today’s Advisory PASS
Upturn Advisory Rating upturn star rating icon
Upturn Advisory Performance Upturn Advisory Performance icon 3.0
Stock Returns Performance Upturn Returns Performance icon 3.0
Upturn Profits based on simulation icon Profits based on simulation
Upturn last close icon Last Close 09/17/2026

Upturn Scorecard

Upturn Star Rating

ISRG receives a 4-star rating, supported by strong unit economics, solid company fundamentals, and strong analyst coverage. The rating is constrained by weak price momentum.

Company Fundamentals

ISRG has solid overall fundamentals (4 stars), with solid financial health, solid growth momentum, and solid ownership. In FY2025 versus FY2024, solid earnings growth (+23.0%) and strong cash generation (FCF margin 24.7%) are partially offset by very low insider ownership of 0.51%.

Financial Health Rating

ISRG's financial health is supported by strong cash strength, including free-cash-flow generation of $2.5B (24.7% of revenue). Operating efficiency is solid (4 stars), which helps explain the 4-star overall score.

Growth Momentum Score

Free-cash-flow growth is ISRG's strongest growth driver at +91.0% FY2025 versus FY2024 (strong, 5 stars). Revenue growth (+20.5%, solid) and earnings growth (+23.0%, solid) are also constructive, though not equally high across every growth measure.

Ownership

Institutional ownership is 89.5% and approximately 98.0% of outstanding shares are publicly tradable, supporting liquidity and institutional participation. Insider ownership is only 0.51%, which materially reduces the ownership score.

Top 5 Institutional Investors

BlackRock Inc 8.51%
Vanguard Capital Management, LLC 6.53%
State Street Corp 4.49%
T. Rowe Price Associates, Inc. 3.54%
Amvescap Plc. 3.17%

Unit Economics (Per $1K Revenue)

ISRG generates approximately $660 of gross profit, $293 of operating income, and $247 of free cash flow for every $1,000 of revenue. Based on FY2025 results. Strong cash conversion and healthy margins support the rating, although capital efficiency remains below the highest tier.

Economic Dimensions

Effective Tax Rate: 13.13%

Quantitative Style Profile

ISRG has a high-quality, large-cap, liquid profile. Weak momentum is the primary drawback, while valuation that is moderately attractive rather than deeply discounted.

Style Classification

Quality Focused

Quality TiltHigh VolatilityLarge / Mega Cap StabilityHighly Liquid / Institution-Friendly

Key Highlights

Company Size Large-Cap Stock
Market Capitalization 136.97B USD
Price to earnings Ratio 43.29
1Y Target Price 476.34
Price to earnings Ratio 43.29
1Y Target Price 476.34
Volume (30-day avg) 2.4M shares
Beta 1.47
52 Weeks Range 328.57 - 603.88
Updated Date 09/17/2026
52 Weeks Range 328.57 - 603.88
Updated Date 09/17/2026
Dividends yield (FY) -
Basic EPS (TTM) 8.83

How Company Makes Money

Business areaWhat it includesRetail investor read
SystemsSale and leasing of da Vinci and Ion robotic systems to hospitals.This is the initial sale that gets the technology into the hospital.
Instruments and AccessoriesRevenue from single-use instruments required for every robotic procedure.This is a recurring revenue stream that grows as the number of procedures increases.
ServicesAnnual maintenance contracts and training services for hospital staff.This provides predictable, high-margin revenue from the existing installed base.

Analyzing Revenue: Products, Geography and Growth

Revenue by Products

Product revenue - Year on Year

Revenue by Geography

Geography revenue - Year on Year

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Valuation

Trailing PE 43.29
Forward PE 31.25
Enterprise Value 128.03B
Price to Sales(TTM) 12.41
Enterprise Value 128.03B
Price to Sales(TTM) 12.41
Enterprise Value to Revenue 11.6
Enterprise Value to EBITDA 30.16
Shares Outstanding 358.28M
Shares Floating 351.21M
Shares Outstanding 358.28M
Shares Floating 351.21M
Percent Insiders 0.51
Percent Institutions 89.49

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Financial Metrics

🧭 Investment Snapshot

Total Revenue (Scale)

Information icon Total money earned from selling products or services before any costs. It is needed to understand the scale of the business and its ability to generate income.

Net Income (Profit)

Information icon Final profit after all expenses, interest, and taxes are deducted. It is needed to determine the overall profitability available to shareholders.

Free Cash Flow (Cash Strength)

Information icon Cash remaining after operating activities and capital expenditures, showing cash available for growth. It is needed to evaluate the company’s ability to invest, pay dividends, or reduce debt.

📈 Growth & Strength

Operating Income (Core Profit)

Information icon Profit from core operations after deducting all operating expenses. It is needed to measure how efficiently the company runs its primary business activities.

EBITDA (Cash Earnings)

Information icon Earnings before interest, taxes, depreciation, and amortization, indicating operating cash potential. It is needed to compare operating performance across companies without accounting or financing differences.

Gross Profit (Unit Profitability)

Information icon Revenue minus cost of revenue, showing profit after direct production costs. It is needed to evaluate core business profitability before overhead expenses.

🛡️ Financial Safety

Cash (Liquidity Buffer)

Information icon Total cash and cash equivalents on hand. It is needed to evaluate immediate liquidity and financial flexibility.

Total Debt (Leverage Risk)

Information icon Total debt including both short-term and long-term components. It is needed to assess the company’s leverage and financial risk.

Net Working Capital (Short-Term Health)

Information icon Current assets minus current liabilities, indicating short-term liquidity strength. It is needed to assess whether the company can meet its short-term obligations.

🧱 Balance Sheet Strength

Stockholder Equity (Net Worth)

Information icon Total equity value held by shareholders. It is needed to understand the net worth of the company from the owners’ perspective.

Total Assets (Asset Base)

Information icon The full value of everything the company owns, including cash, inventory, equipment, and investments. It is needed to understand the resource base used to generate revenue.

Income Before Tax (Pre-Tax Earnings)

Information icon Income before provision for income taxes. It is needed to analyze profitability independent of tax structures.

⚙️ Cost & Drag Factors

Cost of Revenue (Production Cost)

Information icon Direct costs required to produce and deliver the products or services sold. It is needed to assess efficiency in production and service delivery.

Total Operating Expenses (Operating Cost)

Information icon Indirect costs of running the business such as salaries, marketing, and administration. It is needed to understand how much it costs to sustain ongoing business operations.

Income Tax Expense (Tax Drag)

Information icon Amount of taxes paid or payable to the government. It is needed to evaluate the impact of taxation on overall profitability.

News (Last Updated: 09/17/2026)

About Intuitive Surgical Inc

Exchange NASDAQ
Headquarters Sunnyvale, CA, United States
IPO Launch date 2000-06-13
CEO & Director Mr. David J. Rosa
Sector Healthcare
Industry Medical Instruments & Supplies
Full time employees 17021
Full time employees 17021

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.