ISRG
Intuitive Surgical Inc Health Care Orthopedic, Prosthetic & Surgical Appliances & Supplies S&P 500Nasdaq-100Russell 3000
$432.01Close
$153.4BMarket cap
$332.02 – $592.8552-week range
Jan 19, 2027Next report · estimated
Highlights
Cautions
- Not in an uptrend 2 of 8 trend conditions
- Lagging the market RS 40 · weaker than 60% of stocks over 12 months
- Far from its high 27% below its 52-week high
- Earnings shrinking EPS −24% year on year
Price
Filing Results Screen pick 52-week high and low Adjusted prices
Key figures
Off 12-month high
27%
1wk
down 4.5%
price change
1mo
up 6.2%
price change
12-month return
down 18%
market up 11% ·
its own down 30%
F-score
7 / 9
Strong
Altman Z
38.47
Low risk
P/E
53.7×
price / earnings
PEG
2.36
P/E / EPS growth
P/B
8.6×
price / book
Earnings yield
up 2.0%
EBIT / enterprise value
Cheaper than
29%
of the market · expensive
Revenue growth
up 21%
year on year
EPS growth
down 24%
latest quarter · -50 pts
Sales growth
up 22%
latest quarter · +3 pts
ROE
up 17%
return on equity
Free cash margin
up 25%
$2.5B FCF
D/E
—
long-term debt / equity
Net debt / EBITDA
-1.1×
net cash
Interest cover
—EBIT / interest
Piotroski tests
- gross margin narrowed
- assets working less efficiently
- profitable on its assets
- generating cash from operations
- profitability improving
- profits backed by cash
- reduced long-term debt
- short-term liquidity improved
- no new shares issued
Trade setup
ATR%
3.0%
$13.00 a day · 2×ATR $406.01
RS
40 / 99
vs the universe
Trend
2 / 8
trend template
Relative volume
1.5×
vs 50-day average
Up/down volume
1.34
50 sessions
Implied move
—
no scheduled report
Trend template · 2 of 8
- Price above the 50-day average: passes
- At least 30% above the 52-week low: passes
Screen verdict
Did not qualify for any screen.
Warning signs
- Gross margin narrowing Gross margin fell from 67.5% to 66.0%. The company is keeping less of each dollar of sales than it did a year ago.
Last reported
Oct 20, 2026
Last shock
Jul 17, 2026-14% in one session3.8× volumeon results+25% since
Options
$6.6M32.5% IV · activity
Financials
- Gross 66%
- Net 28%
- Free cash 25%
- Cash
- Long-term debt
| FY2020Dec 31, 2020 | FY2021Dec 31, 2021 | FY2022Dec 31, 2022 | FY2023Dec 31, 2023 | FY2024Dec 31, 2024 | FY2025Dec 31, 2025 | |
|---|---|---|---|---|---|---|
| Revenue | $4.4B | $5.7B | $6.2B | $7.1B | $8.4B | $10.1B |
| Gross margin | 66% | 69% | 67% | 66% | 67% | 66% |
| Operating income | $1.0B | $1.8B | $1.6B | $1.8B | $2.3B | $2.9B |
| Net income | $1.1B | $1.7B | $1.3B | $1.8B | $2.3B | $2.9B |
| Net margin | 24% | 30% | 21% | 25% | 28% | 28% |
| Earnings per share | $2.94 | $4.66 | $3.65 | $5.03 | $6.42 | $7.87 |
| Free cash flow | $1.1B | $1.7B | $958.4M | $749.6M | $1.3B | $2.5B |
| Free cash margin | 26% | 31% | 15% | 11% | 16% | 25% |
| Cash | $1.6B | $1.3B | $1.6B | $2.8B | $2.0B | $3.4B |
| Shareholders' equity | $9.7B | $11.9B | $11.0B | $13.3B | $16.4B | $17.8B |
| Shares outstanding | 353.10m | 357.70m | 350m | 352.30m | 356.60m | 355.10m |
What options price now
- Expected 1-month range The at-the-money straddle for the expiry nearest a month out, as a share of the price: the move, either way, the option market is pricing by then. The range is the price plus and minus that move; the stock ends inside it a little more often than not. Methodology
- $402 – $463 ±7.1% by Nov 27, 2026
- Swings expected vs recent The daily swings the options are priced for (implied volatility) against the swings the stock actually had over the last 20 sessions (realised volatility). Bigger means options charge for more movement than the stock has been delivering; smaller, less. On a contract row, that contract's own implied volatility over the stock's realised. Methodology
- About the same 32.5% priced · 29.8% recent
- Next month vs later At-the-money implied volatility for 8-45 day expiries over 46-90 day ones: whether options price the coming month as choppier or calmer than the two after it. Ahead of a report it usually reads choppier, and the extra comes out once the report is out. Methodology
- About the same
- Crash protection What options that pay off in a fall cost against options that pay off in a rise (the 25-delta skew), compared with this company's own normal - the median of its stored nightly readings, once there are 20 - and with five sessions ago. Protection costs a little more than upside on most shares. More than usual means readers of the chain are paying up to insure against a drop; it does not say which way the stock will go. Methodology
- past week: costs less
Positioning
- Premium traded
- $6.6M calls $3.0M · puts $3.7M · latest session
- 1.23× +0.80 over the week
- Open interest added The change over five sessions in option positions left open overnight, calls and puts. A rise means positions were added. It cannot say whether they were bought or sold, so more calls is not a vote for a rise: a call is as often sold against shares already held. Methodology
- calls -6.36k · puts -7.77k past week
For options traders: ATM IV 32.5% (-0.8% 1w) · 1m ÷ 3m IV 1.00 · 25Δ skew 2.3 pts · Net GEX $14.2M
Most traded contracts
No contract passed the liquidity filters this week.
Filings
| Filed | Report | Period to | Lag |
|---|---|---|---|
| Oct 21, 2026 | Quarterly ↗ | Sep 30, 2026 | 21d |
| Jul 21, 2026 | Quarterly ↗ | Jun 30, 2026 | 21d |
| Apr 22, 2026 | Quarterly ↗ | Mar 31, 2026 | 22d |
| Feb 3, 2026 | Annual ↗ | Dec 31, 2025 | 34d |
| Oct 22, 2025 | Quarterly ↗ | Sep 30, 2025 | 22d |
| Jul 23, 2025 | Quarterly ↗ | Jun 30, 2025 | 23d |
| Apr 23, 2025 | Quarterly ↗ | Mar 31, 2025 | 23d |
| Jan 31, 2025 | Annual ↗ | Dec 31, 2024 | 31d |
| Oct 18, 2024 | Quarterly ↗ | Sep 30, 2024 | 18d |
| Jul 19, 2024 | Quarterly ↗ | Jun 30, 2024 | 19d |
| Apr 19, 2024 | Quarterly ↗ | Mar 31, 2024 | 19d |
| Jan 31, 2024 | Annual ↗ | Dec 31, 2023 | 31d |
Current reports
| Filed | Disclosed |
|---|---|
| Oct 20, 2026 | Results ↗ |
| Jul 27, 2026 | Charter or bylaws ↗ |
| Jul 16, 2026 | Results ↗ |
| May 28, 2026 | Director or officer change ↗ |
| May 4, 2026 | Director or officer change · Shareholder vote · Regulation FD ↗ |
| Apr 21, 2026 | Results ↗ |
| Mar 2, 2026 | Other events ↗ |
| Jan 22, 2026 | Results ↗ |
| Jan 14, 2026 | Results ↗ |
| Dec 18, 2025 | Director or officer change ↗ |
| Oct 21, 2025 | Results ↗ |
| Jul 22, 2025 | Results ↗ |