ISRGMedical devices
Intuitive Surgical
Not investment advice. Kevin may own this stock. How we value stocks
By Kevin Amado
Updated
- Price
- $460.56
- Analysts view
- Analysts Bullish
- Discount category
- Far above intrinsic value
- Top pick
- Research only
- Next earnings
- Earnings Jan 20 · · estimated
- Market cap
- $160B
- Shares of Oct 15, 2026
- P/E (trailing)
- 55.7
- Price of Nov 10, 2026
- EPS (trailing)
- $8.27
- 12 months to Sep 30, 2026
- 52-week range
- $328.57 – $603.88
- To Nov 9, 2026
- Beta
- 1.45
- Vs S&P 500, 5 years monthly, to Oct 30, 2026
- Average volume
- 2.4M
- 3 months, to Nov 9, 2026
Check the numbers:ExchangeGoogle FinanceYahoo FinanceSEC filings
In short
- Thesis
- Investors pay a premium for Intuitive's lead in robotic surgery, and procedure growth in the mid-teens with stable margins against new competitors can earn it.
- Gap
- Slow. Proof that Intuitive can keep fast procedure growth and high margins against new robotic systems comes over several years, with the 2027 outlook in January 2027 as the next test.
Company guidance: Worldwide da Vinci procedure growth of about 14% to 15% and non-GAAP gross margin of 68.7% to 69.3% for 2026 (, Q3 2026 earnings release (8-K Ex. 99.1))
Price history
About
Intuitive Surgical makes the da Vinci robotic surgical systems and the Ion endoluminal system for lung biopsies. Hospitals buy or lease the systems, and they then buy instruments and accessories for each procedure and pay for service. Instruments and accessories gave $1.80 billion of the $3.05 billion of revenue in Q3 2026. The installed base was 12,094 da Vinci systems and 1,152 Ion systems at September 30, 2026, and customers did more than 10,000 procedures a day on average in Q3 2026.
It sells multi-port da Vinci systems, including da Vinci 5, and a single-port system. Revenue was $10.1 billion in 2025. The company is based in Sunnyvale, California.
Thesis
Intuitive Surgical trades at a premium because investors pay for a leader in robotic surgery with recurring revenue. Each new system adds years of sales of instruments, accessories and service. Worldwide procedures grew about 15% in Q3 2026, the company placed 546 da Vinci systems, and revenue grew 22% to $3.05 billion. Non-GAAP EPS rose to $3.00 from $2.40.
For the premium to be earned, four things must be true. Da Vinci procedures must keep growing in the mid-teens, as the 2026 guidance of 14% to 15% says. Da Vinci 5 and Ion must keep winning placements and use in new types of surgery and in new countries. Margins must hold against tariffs and against new robotic systems from large medical device companies.
The court must approve the $450 million antitrust settlement. The Q4 2026 report with the 2027 outlook, expected in late January 2027, is the next test. The premium can shrink if procedure growth slows, if hospitals cut capital budgets, or if competitors win large customers on price.
Checkpoints
- Jan 20, 2027 · est.PendingQ4 2026 results and 2027 outlook2027 guidance for da Vinci procedure growth in the low to mid teens and stable margins pass; guidance for growth near 10% or lower margins fails.
- 2027 · est.PendingCourt approval of the antitrust settlementFinal approval on the agreed terms of $450 million and injunctive relief passes; a rejection or a larger payment fails.
Recent events
- November 2, 2026Intuitive appointed Aaron Martin, President of Insurance at Humana, to its board, effective January 1, 2027.
- October 20, 2026Intuitive reported Q3 2026 results. Worldwide procedures grew about 15%, with da Vinci up 14% and Ion up 31%. It placed 546 da Vinci systems, of which 315 were da Vinci 5. Revenue grew 22% to $3.05 billion. In October 2026, Intuitive agreed to settle the da Vinci antitrust class action for a one-time payment of $450 million and agreed injunctive relief, without any admission of liability, and the court must still approve it. GAAP EPS fell to $1.49 because of the $450 million charge, and non-GAAP EPS rose to $3.00 from $2.40. Intuitive bought back 7.8 million shares for $2.94 billion. It expects 2026 da Vinci procedure growth of 14% to 15%.
- July 16, 2026Intuitive reported Q2 2026 results. Worldwide procedures grew about 16%, and revenue grew 19% to $2.89 billion. Non-GAAP EPS was $2.80. Refunds of IEEPA tariffs added $0.08 per share.
Show 4 older eventsHide older events
- May 28, 2026Intuitive named Taylor Patton Chief Commercial and Marketing Officer from July 1, 2026. Henry Charlton became Senior Vice President of Global Business Operations.
- April 21, 2026Intuitive reported Q1 2026 results. Worldwide procedures grew about 17%, and revenue grew 23% to $2.77 billion. Non-GAAP EPS was $2.50.
- March 2, 2026Intuitive completed the purchase of its distribution business in Italy, Spain and Portugal from ab medica, Abex and Excelencia Robótica. These countries had more than 470 da Vinci systems at the end of 2025.
- January 22, 2026Intuitive reported 2025 results. Revenue was $10.06 billion, up from $8.35 billion in 2024, and non-GAAP EPS was $8.93. Da Vinci procedures grew about 17% in Q4 2025.
Latest news and filings
- Last earnings
- October 20, 2026 (8-K on sec.gov)
- Next earnings
- Expected about January 20, 2027. The company has not confirmed the date.
- 8-KChange of directors or officers and Investor disclosureFiled · isrg-20261029
- 10-QQuarterly report for the period ended Sep 30, 2026Filed · isrg-20260930
- 8-KEarnings releaseFiled · isrg-20261020
- 8-KChange to shareholder rights or bylawsFiled · isrg-20260723
- 10-QQuarterly report for the period ended Jun 30, 2026Filed · isrg-20260630
- 8-KEarnings releaseFiled · isrg-20260716
- 8-KChange of directors or officersFiled · isrg-20260528
- 8-KChange of directors or officers and Shareholder vote resultsFiled · isrg-20260430
- 10-QQuarterly report for the period ended Mar 31, 2026Filed · isrg-20260331
- 8-KEarnings releaseFiled · isrg-20260421
Risks
- New robotic surgery systems from large medical device companies can win hospitals on price. Lower prices for systems or instruments can lower growth and margins.
- Hospitals need capital budgets to buy systems. Lower hospital profits, cuts in public health spending or high interest rates can slow placements.
- Tariffs cost $72.4 million in the first nine months of 2026, and the 2026 margin guidance includes a tariff cost of 0.9% of revenue. New tariffs, or a stop to refunds of IEEPA tariffs, can lower margins.
- The $450 million antitrust settlement needs preliminary and final court approval, and class members can object. If the court does not approve it, the case continues.
Balance sheet
- Cash
- $6.8B
- Debt
- $0.0M
- Net cash
- $6.8B
Cash against debt
debt covered by cash
Intuitive Surgical has no debt. Cash, cash equivalents and investments were $6.80 billion at September 30, 2026, down from $9.03 billion at December 31, 2025, mainly because it bought back $4.42 billion of shares in the first nine months of 2026. Cash from operations was $3.20 billion in the same period, and purchases of property, plant and equipment were $329 million. The board raised the buyback authorization to $5.0 billion in April 2026. The antitrust settlement is a one-time payment of $450 million, which the company recorded as a charge in Q3 2026. Shares outstanding were 346.6 million on October 15, 2026.
Dividends
Intuitive Surgical does not pay a dividend.
Source: company filings and market data, read on November 9, 2026. The ex-dividend date is the first day a buyer no longer gets the next payment.
Questions about Intuitive Surgical
What does Intuitive Surgical do?
Intuitive Surgical makes the da Vinci robotic surgical systems and the Ion endoluminal system for lung biopsies. Hospitals buy or lease the systems, and they then buy instruments and accessories for each procedure and pay for service. Its market cap is $160B at the current price of $460.56.
When does Intuitive Surgical report earnings next?
This is an estimate: Intuitive Surgical may report on January 20, 2027. It last reported results on October 20, 2026.
Is Intuitive Surgical stock below its intrinsic value?
Intuitive Surgical stock is far above intrinsic value. This is general information, not advice.
What changed recently at Intuitive Surgical?
The latest update is from November 2, 2026. Intuitive appointed Aaron Martin, President of Insurance at Humana, to its board, effective January 1, 2027.
What are the main risks for Intuitive Surgical?
New robotic surgery systems from large medical device companies can win hospitals on price. Hospitals need capital budgets to buy systems. Tariffs cost $72.4 million in the first nine months of 2026, and the 2026 margin guidance includes a tariff cost of 0.9% of revenue.
How much debt and cash does Intuitive Surgical have?
At September 30, 2026, Intuitive Surgical had $0.0M of debt and $6.8B of cash.
Does Intuitive Surgical pay a dividend?
No. Intuitive Surgical does not pay a dividend.
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