Intuitive Surgical Inc's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Intuitive Surgical Inc (ISRG) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Intuitive Surgical Inc vs Its Competitors
- TTM: Trailing 12-month revenue of 11,296M vs 282,391M combined for tracked competitors (3.8% combined share).
- Trending: Latest-quarter revenue run-rate is accelerating (+11.7% annualized vs trailing 12 months), vs accelerating (+3.1%) for its tracked peer group.
- Growth: Intuitive Surgical Inc generated 29.3% revenue growth year over year in Q2 2026, vs 8.5% for its tracked competitors combined.
- Profitability: Its 26.1% net margin compares with 18.5% for the peer group.
- Scale: Intuitive Surgical Inc ranks #1 of 247 companies by market capitalization in the Medical Equipment & Supplies industry, holding 13.4% of industry market cap.
- Peer revenue share: Intuitive Surgical Inc accounted for 4.2% of combined revenue among its tracked peer group, up from 3.5% a year earlier.
- Peer differentiation: Revenue per employee of $0.66M compares with $0.46M for the peer group (1.4x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
ISRG Sales vs. its Competitors, Q2 2026
Intuitive Surgical Inc reported revenue growth of 29.27 % year on year in Q2 2026, above its competitors' combined revenue growth of 8.45 %.
With a net margin of 26.10 %, Intuitive Surgical Inc achieved higher profitability than its competitors (18.45 %).
Intuitive Surgical Inc generated 4.15 % of the combined sales of its peer group, up from 3.51 % a year earlier.
Intuitive Surgical Inc vs. its Competitors, Q2 2026
Revenue growth, year on year
Net income growth, year on year
Net margin
Revenue run-rate vs trailing 12 months
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Intuitive Surgical Inc and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Intuitive Surgical Inc | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
| High-Confidence Competitors (3) | $12,345M | +12.3% · Accelerating |
| Similar-Size Competitors (5) | $12,345M | +12.3% · Accelerating |
| Similar Growth & Profitability (7) | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Intuitive Surgical Inc's competitor groups requires a Commercial License.
For context: the Medical Equipment & Supplies industry grew revenue 15.0% year over year, combined, vs 29.3% for Intuitive Surgical Inc. Intuitive Surgical Inc's share of combined industry revenue moved from 2.40% to 2.70%, a gain of 0.30 percentage points.
Intuitive Surgical Inc's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Intuitive Surgical Inc | Yes | Yes | Yes | No |
| Competitors combined (35) | ||||
| High-Confidence Competitors (5) | ||||
| Similar-Size Competitors (5) | ||||
| Similar Growth & Profitability (8) | 100.00 % (8 of 8) | 100.00 % (8 of 8) | 100.00 % (8 of 8) | 25.00 % (2 of 8) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
ISRG Stock Performance relative to its Competitors
ISRG Stock Performance relative to High-Confidence Competitors
ISRG Stock Performance relative to Similar-Size Competitors
ISRG Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Autonomix Medical Inc | 282.9% | Outperformed |
| 2 | Icad Inc | 282.9% | Outperformed |
| 3 | Bioventus Inc | 282.9% | Outperformed |
| 4 | Johnson and Johnson | 282.9% | Outperformed |
| 5 | Thermo Fisher Scientific Inc | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Intuitive Surgical Inc's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Intuitive Surgical Inc's Comment on Competition and Industry Peers
Publicly Traded Peers of Intuitive Surgical Inc
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Intuitive Surgical Inc | 148,204.47 | 11,296.30 |
| Johnson and Johnson | 663,585.20 | 97,929.00 |
| Thermo Fisher Scientific Inc | 251,760.60 | 46,336.00 |
| Danaher Corporation | 160,858.71 | 25,107.00 |
| Medtronic Plc | 115,016.45 | 37,542.00 |
| Stryker Corp | 106,269.66 | 25,837.00 |
| SUBTOTAL | 1,636,531.89 | 300,348.54 |
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Sources: Intuitive Surgical Inc's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Intuitive Surgical Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Intuitive Surgical Inc's Competitors Named by the Company
Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Asensus Surgical Inc | Named by the company | 85% |
| Johnson & Johnson | Named by the company | 85% |
| Ss Innovations International Inc | Named by the company | 85% |
| Medtronic plc | Named by the company | 85% |
| Auris Health, Inc. | Named by the company | 85% |
| Ethicon Endo-Surgery, Inc. | Named by the company | 85% |
| Medicaroid Corporation | Named by the company | 85% |
| Olympus Corporation | Named by the company | 85% |
| Titan Medical Inc. | Named by the company | 85% |
| CMR Surgical Ltd. | Named by the company | 85% |
| meerecompany Inc. | Named by the company | 85% |
| Shandong Weigao Group Medical Polymer Company Ltd. | Named by the company | 85% |
| avateramedical GmbH | Named by the company | 85% |
| Harbin Sizhe Rui Intelligent Medical Equipment Co., Ltd. | Named by the company | 85% |
| Medrobotics Corporation | Named by the company | 85% |
| Samsung Electronics Co., Ltd | Named by the company | 85% |
| TransEnterix, Inc. | Named by the company | 85% |
| Distalmotion SA | Named by the company | 85% |
| Karl Storz SE & Co. KG | Named by the company | 85% |
| MicroPort Scientific Corporation | Named by the company | 85% |
| Shanghai Microport Medbot (Group) Co., Ltd. | Named by the company | 85% |
| Beijing Surgerii Robotics Company Limited | Named by the company | 85% |
| Innovations International, Inc. | Named by the company | 85% |
| Samsung Group | Named by the company | 85% |
| Verb Surgical Inc. | Named by the company | 85% |
| Vicarious Surgical Inc | Named by the company | 85% |
Filing basis, confidence, active dates and source counts for Intuitive Surgical Inc's named competitors require a Commercial License.
Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.
Intuitive Surgical Inc's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Johnson and Johnson | Oncology 29.26 % |
| Thermo Fisher Scientific Inc | Clinical Research 19.98 % |
| Danaher Corporation | Diagnostics 39.36 % |
| Medtronic Plc | CARDIOVASCULAR 38.34 % |
| Stryker Corp | MedSurg and Neurotechnology 55.02 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
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Intuitive Surgical Inc's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Intuitive Surgical Inc | 148,204 | 663,668 | 185,530 |
| Johnson and Johnson | 663,585 | 695,518 | 149,411 |
| Thermo Fisher Scientific Inc | 251,761 | 370,688 | 55,912 |
| Danaher Corporation | 160,859 | 418,450 | 66,733 |
| Medtronic Plc | 115,016 | 395,179 | 55,463 |
| Stryker Corp | 106,270 | 461,375 | 66,589 |
| PEERS TOTAL | 1,488,327 | 462,687 | 79,164 |
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Intuitive Surgical Inc's Geographic Revenue Exposure vs Peers
Revenue by country/region as reported in each company's most recent filing. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.| Company | Largest Market |
|---|---|
| Intuitive Surgical Inc | Geographic Distribution, Foreign 30.41 % |
| Johnson and Johnson | United States 57.42 % |
| Thermo Fisher Scientific Inc | North America 51.27 % |
| Danaher Corporation | North America 39.49 % |
| Medtronic Plc | United States 49.83 % |
| Stryker Corp | United States 75.26 % |
Source: revenue geography as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.
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Intuitive Surgical Inc's Position in Industry Market Structure
Market-capitalization share and concentration across all 222 companies in Intuitive Surgical Inc's industry classification, broader than the peer set above. Market cap in millions of $.Intuitive Surgical Inc ranks #1 of 222 companies by market capitalization in its industry, holding 13.38 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 587, indicating a unconcentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Intuitive Surgical Inc | 145,832 | 13.38 % |
| 2 | Medtronic Plc | 113,372 | 10.40 % |
| 3 | Stryker Corp | 105,405 | 9.67 % |
| 4 | 3m Company | 88,542 | 8.12 % |
| 5 | Boston Scientific Corporation | 1,234 | 5.2% |
| 6 | Becton Dickinson And Company | 1,234 | 5.2% |
| 7 | Edwards Lifesciences Corporation | 1,234 | 5.2% |
| 8 | Dexcom Inc | 1,234 | 5.2% |
| 9 | Resmed Inc | 1,234 | 5.2% |
| 10 | Alcon inc | 1,234 | 5.2% |
Market cap and industry share for the rest of Intuitive Surgical Inc's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Intuitive Surgical Inc's Same-Size Peers & Stock Performance
Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.| Rank | Company | Market Cap | TTM Return |
|---|---|---|---|
| 1 | Intuitive Surgical Inc | 145,832 | -6.84 % |
| 2 | Medtronic Plc | 113,372 | -6.45 % |
| 3 | Stryker Corp | 1,234 | 12.3% |
| 4 | 3m Company | 1,234 | 12.3% |
| 5 | Boston Scientific Corporation | 1,234 | 12.3% |
| 6 | Becton Dickinson And Company | 1,234 | 12.3% |
Market cap, return, momentum, beta and Sharpe ratio for the rest of Intuitive Surgical Inc's same-size peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-28. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.
Intuitive Surgical Inc's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Medical Equipment & Supplies industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (288 companies).| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 67.45 % | 53.35 % (avg) | +14.1 pp |
| Operating Margin | 30.55 % | industry median | +38.9 pp |
| EBITDA Margin | 34.08 % | -6.82 % (avg) | +40.9 pp |
| Capital Intensity (Capex / Revenue) | 4.28 % | 5.43 % (avg) | -1.1 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Intuitive Surgical Inc's Valuation vs Competitive Position
Valuation multiples vs the Medical Equipment & Supplies industry average (288 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | 46.8x | 34.6x | +12.2x |
| EV / EBITDA | 36.5x | 19.7x | +16.9x |
| P/B | 8.2x | 4.7x | +3.5x |
| Return on Equity | 17.82 % | industry aggregate | 5.76 % |
| Return on Invested Capital | 9.55 % | -2.32 % (avg) | 11.87 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Intuitive Surgical Inc's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Revenue Growth | 19.03 % | 20.25 % | -2.68 % | 31.01 % | 8.97 % | 14.49 % | 17.23 % | 20.51 % |
| Operating Margin | 32.21 % | 30.69 % | 24.09 % | 31.89 % | 25.35 % | 24.80 % | 28.13 % | 29.27 % |
| Return on Invested Capital | 9.58 % | 8.79 % | 5.64 % | 8.01 % | 6.58 % | 7.03 % | 7.57 % | 8.25 % |
| P/E | 53.0x | 50.3x | 260.9x | 71.6x | 70.9x | 64.6x | 85.0x | 70.9x |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Intuitive Surgical Inc's Strategic Group Map
Every company in Intuitive Surgical Inc's industry and named-competitor list, plotted by trailing 12-month revenue growth and operating margin. Intuitive Surgical Inc is shown in red; its closest peers by combined growth, margin and ROIC (the Similar Growth & Profitability group above) are labeled.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Intuitive Surgical Inc's BCG Growth-Share Matrix
Relative market share (vs Intuitive Surgical Inc's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) a common framework, not a precision instrument.
Intuitive Surgical Inc falls in the Cash Cow quadrant: relative market share of 1.29x vs its largest competitor, in an industry growing revenue 9.2% (median, trailing 12 months).
Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution.
Intuitive Surgical Inc's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | High | Industry HHI of 587 (see Industry Market Structure & Concentration above) |
| Barriers to Entry | Lower than typical for the industry | Capital intensity (capex / revenue) of 4.28 % vs industry average 5.43 % (see Profitability & Cost Structure above) |
| Supplier Power | Not covered on this page | See Intuitive Surgical Inc's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Intuitive Surgical Inc's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Intuitive Surgical Inc's Industry Attractiveness & Competitive Strength
A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.
Intuitive Surgical Inc falls in the Low attractiveness / High strength cell: Selective.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Intuitive Surgical Inc's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Market leader by capitalization in its industry (#1 of 222, 13.38 % share).
- Operating margin 38.9 points above the industry median.
- Return on equity 5.8 points above the industry aggregate.
- Latest-quarter revenue run-rate is accelerating (+11.7% annualized vs trailing 12 months).
Weaknesses
- Underperforming the U.S.A. 500 over the trailing 12 months.
Opportunities
No rule matched.
Threats
No rule matched.
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Intuitive Surgical Inc's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Intuitive Surgical Inc | 1.43 | 4.80 | - |
| Johnson and Johnson | 0.37 | 1.05 | 0.60 |
| Thermo Fisher Scientific Inc | 0.32 | 1.62 | 0.78 |
| Danaher Corporation | - | 1.73 | 0.40 |
| Medtronic Plc | 0.15 | 2.10 | 0.57 |
| Stryker Corp | 0.48 | 1.99 | 0.68 |
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Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Intuitive Surgical Inc's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Intuitive Surgical Inc | Q2 2026 | +29.3 % | +23.9 % |
| Johnson and Johnson | Q2 2026 | +6.6 % | -0.1 % |
| Thermo Fisher Scientific Inc | Q2 2026 | +10.5 % | +7.6 % |
| Danaher Corporation | Q2 2026 | +5.5 % | +56.8 % |
| Medtronic Plc | Q2 2026 | +13.7 % | +41.3 % |
| Stryker Corp | Q2 2026 | +9.4 % | +44.3 % |
| PEERS TOTAL | +8.9 % | +20.0 % |
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Intuitive Surgical Inc's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Intuitive Surgical Inc | Q2 2026 | +13.4 % | -27.5 % |
| Johnson and Johnson | Q2 2026 | +5.5 % | +26.7 % |
| Thermo Fisher Scientific Inc | Q2 2026 | +142.5 % | +53.1 % |
| Danaher Corporation | Q2 2026 | +10.0 % | +8.5 % |
| Medtronic Plc | Q2 2026 | +13.8 % | -0.2 % |
| Stryker Corp | Q2 2026 | -4.1 % | +10.4 % |
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Intuitive Surgical Inc's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Intuitive Surgical Inc | 15.63% | 17.11% | 17.82% |
| Johnson and Johnson | 10.60% | 13.30% | 25.74% |
| Thermo Fisher Scientific Inc | 6.36% | 7.71% | 13.37% |
| Danaher Corporation | 4.72% | 5.44% | 7.66% |
| Medtronic Plc | 5.71% | 6.46% | 10.64% |
| Stryker Corp | 7.89% | 8.80% | 16.36% |
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ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Intuitive Surgical Inc's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Intuitive Surgical Inc | 47.62 | 13.12 |
| Johnson and Johnson | 31.48 | 6.78 |
| Thermo Fisher Scientific Inc | 36.52 | 5.43 |
| Danaher Corporation | 40.45 | 6.41 |
| Medtronic Plc | 263.24 | 3.06 |
| Stryker Corp | 28.53 | 4.11 |
| PEERS AVERAGE | 31.10 | 5.45 |
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P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.