Boomfish Wealth Group LLC raised its position in shares of Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report) by 112.9% during the third quarter, according to its most recent Form 13F filing with the Securities & Exchange Commission. The fund owned 5,469 shares of the medical equipment provider’s stock after acquiring an additional 2,900 shares during the period. Boomfish Wealth Group LLC’s holdings in Intuitive Surgical were worth $2,224,000 as of its most recent filing with the Securities & Exchange Commission.
Several other hedge funds and other institutional investors have also made changes to their positions in ISRG. Bank of America Corp DE raised its position in Intuitive Surgical by 3.3% in the 1st quarter. Bank of America Corp DE now owns 3,616,973 shares of the medical equipment provider’s stock worth $1,667,388,000 after purchasing an additional 116,292 shares during the period. Bank of New York Mellon Corp bought a new stake in Intuitive Surgical in the second quarter worth about $1,335,753,000. Amundi boosted its position in shares of Intuitive Surgical by 8.6% during the first quarter. Amundi now owns 2,428,356 shares of the medical equipment provider’s stock valued at $1,119,448,000 after buying an additional 193,096 shares during the period. Arrowstreet Capital Limited Partnership grew its stake in shares of Intuitive Surgical by 95.3% during the first quarter. Arrowstreet Capital Limited Partnership now owns 2,105,544 shares of the medical equipment provider’s stock valued at $970,635,000 after buying an additional 1,027,475 shares during the last quarter. Finally, Janus Henderson Group PLC grew its stake in shares of Intuitive Surgical by 3.7% during the first quarter. Janus Henderson Group PLC now owns 1,643,060 shares of the medical equipment provider’s stock valued at $757,489,000 after buying an additional 58,587 shares during the last quarter. Hedge funds and other institutional investors own 83.64% of the company’s stock.
Insider Buying and Selling at Intuitive Surgical In related news, EVP Gary Loeb sold 400 shares of the stock in a transaction that occurred on Monday, August 10th. The shares were sold at an average price of $379.00, for a total transaction of $151,600.00. Following the completion of the sale, the executive vice president owned 5,320 shares of the company’s stock, valued at $2,016,280. This represents a 6.99% decrease in their ownership of the stock. The transaction was disclosed in a legal filing with the SEC, which is available at this link. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, Director Gary S. Guthart sold 10,000 shares of the stock in a transaction that occurred on Tuesday, August 11th. The shares were sold at an average price of $400.00, for a total transaction of $4,000,000.00. Following the sale, the director directly owned 1,245,679 shares of the company’s stock, valued at $498,271,600. The trade was a 0.80% decrease in their position. Additional details regarding this sale are available in the official SEC disclosure. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. In the last quarter, insiders sold 12,370 shares of company stock valued at $4,891,989. 0.60% of the stock is currently owned by corporate insiders.
Key Intuitive Surgical News Here are the key news stories impacting Intuitive Surgical this week: Positive Sentiment: Intuitive Surgical reported third-quarter revenue of approximately $3.05 billion, up more than 20% year over year, while earnings exceeded consensus expectations. The company also highlighted continued international expansion and adoption of its robotic-surgery systems. Intuitive Surgical Stock: Margin Hit Masks Strong Q3 Growth Story Positive Sentiment: Several firms remain constructive: BTIG, Stifel Nicolaus, Piper Sandler, and Oppenheimer reaffirmed or maintained Buy ratings. Baird also raised its price target, while Erste Group upgraded the stock to Buy. ISRG was added to the Zacks Rank #1 Strong Buy list. New Strong Buy Stocks for October 23rd Neutral Sentiment: The quarter included roughly $450 million of costs tied to an antitrust settlement, along with pricing-related pressure, which reduced margins. These items appear largely nonrecurring, but investors are assessing their effect on near-term profitability. Intuitive Surgical Reports Q3 2026 Earnings Impacted by $450M Antitrust Settlement Negative Sentiment: The key concern is that U.S. da Vinci procedure growth slowed to its lowest level since the COVID period. Investors worry that decelerating domestic demand could make it harder for Intuitive Surgical to sustain its premium valuation, which remains above 50 times earnings. Intuitive Surgical Sinks as U.S. da Vinci Growth Slows Negative Sentiment: RBC lowered its expectations for ISRG, and an analyst downgrade contributed to a gap lower in the shares. The market is emphasizing forward growth and valuation rather than the headline earnings beat. Intuitive Surgical Shares Gap Down Following Analyst Downgrade Intuitive Surgical Stock Performance NASDAQ ISRG opened at $452.29 on Friday. The company has a market cap of $156.78 billion, a PE ratio of 54.69, a P/E/G ratio of 3.31 and a beta of 1.46. The firm’s 50 day moving average price is $395.50 and its 200-day moving average price is $409.13. Intuitive Surgical, Inc. has a 52-week low of $328.57 and a 52-week high of $603.88.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last posted its earnings results on Tuesday, October 20th. The medical equipment provider reported $3.00 earnings per share for the quarter, topping analysts’ consensus estimates of $2.65 by $0.35. Intuitive Surgical had a return on equity of 18.17% and a net margin of 25.54%. The company had revenue of $3.05 billion during the quarter, compared to analyst estimates of $2.91 billion. During the same quarter in the prior year, the business earned $2.40 earnings per share. Intuitive Surgical’s revenue was up 21.7% on a year-over-year basis. On average, analysts forecast that Intuitive Surgical, Inc. will post 8.87 earnings per share for the current fiscal year.
Analysts Set New Price Targets Several equities research analysts have recently weighed in on ISRG shares. Citigroup reduced their price target on Intuitive Surgical from $590.00 to $500.00 and set a “buy” rating on the stock in a report on Friday, July 17th. Evercore set a $430.00 price objective on Intuitive Surgical in a report on Monday, July 6th. Wells Fargo & Company reaffirmed an “overweight” rating and issued a $486.00 price objective (down from $487.00) on shares of Intuitive Surgical in a research report on Wednesday. TD Cowen reiterated a “buy” rating and issued a $485.00 target price on shares of Intuitive Surgical in a research note on Monday. Finally, Leerink Partners set a $503.00 target price on Intuitive Surgical and gave the stock an “outperform” rating in a research report on Wednesday. Twenty-three research analysts have rated the stock with a Buy rating, six have assigned a Hold rating and one has issued a Sell rating to the company’s stock. Based on data from MarketBeat.com, the stock has an average rating of “Moderate Buy” and a consensus price target of $493.54.
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Intuitive Surgical, Inc develops and manufactures robotic-assisted systems and related technologies for minimally invasive surgery. Its products are designed to help surgeons perform procedures through small incisions while providing enhanced visualization, precision and control. The company’s primary platform is the da Vinci Surgical System, which is used across a range of specialties, including urology, gynecology, general surgery, cardiothoracic surgery and other procedures.
The company also offers the Ion endoluminal system, which is designed to support minimally invasive lung biopsy procedures.
Further Reading Five stocks we like better than Intuitive Surgical Spotify Soars After Earnings as the Company Touts AI Benefits and Moderating Costs Lockheed Martin’s Record $292 Billion Backlog Comes With a Delivery Test Palantir’s Next Big Test Isn’t a Partnership—It’s the Numbers Kinder Morgan’s $4.7 Billion Pipeline Bet Could Be Bigger Than Its Earnings Beat Want to see what other hedge funds are holding ISRG? Visit HoldingsChannel.com to get the latest 13F filings and insider trades for Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report).
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Cadinha and Co. LLC decreased its stake in shares of Intuitive Surgical, Inc. (NASDAQ: ISRG) by 44.2% during the undefined quarter, according to the company in its most recent disclosure with the Securities and Exchange Commission. The fund owned 28,413 shares of the medical equipment provider's stock after selling 22,531 shares during the
Cathie Wood offers something you don't see a lot in the realm of money managers, and that is daily transparency. The co-founder, CEO, and chief investment officer of Ark Invest publishes all of her ETF stock moves at the end of every trading day.
What is Wood buying these days? Ark added to existing positions in Netflix (NFLX +3.48%), Oklo (OKLO -3.79%), and Intuitive Surgical (ISRG +2.87%) on Wednesday. All three stocks are down between 7% and 80% over the past year. Let's take a closer look at some of Wood's latest purchases of out-of-favor equities.
Ark Investment Management CEO Cathie Wood. Image source: Getty Images.
1. Netflix Shares of Netflix hit a two-year low on Wednesday after offering up disappointing guidance. The 11.5% revenue increase it's now targeting for the final three months of this year would be its worst showing in more than three years. After raising prices in the U.S. and other markets earlier this year -- and continuing to expand its ad-based tiers -- decelerating revenue isn't a good look for Netflix stock.
After crushing Wall Street profit targets in the third quarter, the leading premium video service's outlook for the current quarter is below analysts' expectations. Laying off 6% of its workforce earlier this month with a couple of high-profile departures wasn't a good sign. Netflix also lowered its ad revenue projection for this year. The ad-supported revenue stream, which was supposed to be a healthy addition to its monthly subscriptions, still accounts for just 5% of its business.
NFLX Netflix$67.30+$2.26 (+3.48%)
NASDAQ · As of 1:15 PM ET 10/22/26
The narrative may not seem to warrant a stock shedding nearly half of its value over the past year. Netflix continues to be the undisputed leader in premium digital video, with more than 300 million members worldwide. It posted double-digit revenue growth across all four of its geographical territories.
Profit targets may start to inch lower in the near term, but Netflix is intriguingly priced at 17 times current earnings estimates for next year. This remains a scalable business. No one is generating the kind of revenue that Netflix is from premium streaming, even with recent industry consolidation fortifying some of its rivals. Netflix has a lot to prove right now, but being the dominant player in an expanding industry usually works out in the long run.
OKLO Oklo$26.68-$1.05 (-3.79%)
NYSE · As of 1:17 PM ET 10/22/26
2. Oklo One of last year's hottest stocks has cooled down over the past year. The next-gen energy stock was a nine-bagger in 2025 by the time it peaked in October of last year. It has surrendered 86% of its value since reaching that all-time high.
Oklo stock was a market darling last year because of its technology. Oklo's strengths in fast fission and nuclear recycling made it a popular choice among AI investors. There was a public outcry for clean energy solutions to combat the heavy power consumption of data centers. The problem? Oklo was just getting started in deploying its promising tech.
It just started to generate revenue this year. It's not expected to top $10 million -- yes, million -- on the top line next year. Profitability is at least five years away. The promise of more efficient and eco-friendly power to fuel the booming demand of agentic AI is real, and growth should scale quickly from here. Analysts see it generating $312 million in revenue by 2030. Even today's crushed market cap of $5.2 billion may seem high until you consider that nearly half of that is backed by its cash-rich balance sheet. The technology remains promising, but the stock will continue to be volatile.
ISRG Intuitive Surgical$440.43+$12.31 (+2.87%)
NASDAQ · As of 1:17 PM ET 10/22/26
3. Intuitive Surgical The kindest one-year stock chart here belongs to Intuitive Surgical. The pioneer of robotic surgical arms that assist in a growing number of medical procedures is down a modest 7% over the past year, but the shares have lost almost a quarter of their value in 2026.
After kicking off 2026 with what could have been its fourth consecutive year of accelerating top-line growth, analysts see revenue slowing to 13% in the new quarter. This would be its weakest year-over-year growth in nearly three years. Analysts are bracing for continued deceleration in 2027.
Intuitive Surgical stock faces competitive threats to its da Vinci platform, which once revolutionized the operating room. This could be an opportunity. Earnings estimates continue to inch higher, and it has posted double-digit-percentage bottom-line beats consistently over the past year. There are viable alternatives emerging, but the bears underestimate the learning curve and switching costs of moving away from a proven platform.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report)‘s stock had its “buy” rating reiterated by stock analysts at BTIG Research in a research note issued on Wednesday, Benzinga reports. They currently have a $454.00 target price on the medical equipment provider’s stock. BTIG Research‘s price objective indicates a potential upside of 4.62% from the stock’s current price.
Other analysts have also issued reports about the stock. Leerink Partners cut their target price on shares of Intuitive Surgical from $573.00 to $454.00 and set an “outperform” rating for the company in a research note on Friday, July 17th. Oppenheimer reaffirmed an “outperform” rating and set a $500.00 price objective on shares of Intuitive Surgical in a research report on Wednesday. JPMorgan Chase & Co. cut their price target on shares of Intuitive Surgical from $550.00 to $450.00 and set an “overweight” rating on the stock in a report on Friday, July 17th. Truist Financial cut their target price on Intuitive Surgical from $580.00 to $510.00 and set a “buy” rating on the stock in a report on Thursday, July 16th. Finally, Weiss Ratings reiterated a “hold (c)” rating on shares of Intuitive Surgical in a report on Friday, August 14th. Twenty-five equities research analysts have rated the stock with a Buy rating, six have given a Hold rating and one has assigned a Sell rating to the company. According to data from MarketBeat.com, the company has an average rating of “Moderate Buy” and a consensus target price of $500.13.
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Intuitive Surgical Stock Performance Shares of ISRG opened at $433.95 on Wednesday. Intuitive Surgical has a one year low of $328.57 and a one year high of $603.88. The stock’s fifty day moving average is $393.50 and its 200-day moving average is $408.89. The firm has a market capitalization of $153.30 billion, a price-to-earnings ratio of 52.18, a price-to-earnings-growth ratio of 3.30 and a beta of 1.46. Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last released its quarterly earnings results on Tuesday, October 20th. The medical equipment provider reported $3.00 EPS for the quarter, topping analysts’ consensus estimates of $2.65 by $0.35. Intuitive Surgical had a net margin of 25.54% and a return on equity of 17.70%. The company had revenue of $3.05 billion for the quarter, compared to the consensus estimate of $2.91 billion. During the same period in the previous year, the firm earned $2.40 EPS. Intuitive Surgical’s revenue was up 21.7% on a year-over-year basis. Analysts forecast that Intuitive Surgical will post 8.87 EPS for the current fiscal year.
Insider Activity In other Intuitive Surgical news, VP Fredrik Widman sold 1,089 shares of Intuitive Surgical stock in a transaction on Tuesday, September 15th. The shares were sold at an average price of $374.44, for a total transaction of $407,765.16. Following the completion of the sale, the vice president owned 1,026 shares of the company’s stock, valued at approximately $384,175.44. The trade was a 51.49% decrease in their position. The transaction was disclosed in a legal filing with the Securities & Exchange Commission, which is accessible through the SEC website. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, Director Amy L. Ladd sold 72 shares of the stock in a transaction dated Tuesday, August 11th. The shares were sold at an average price of $393.10, for a total value of $28,303.20. Following the completion of the transaction, the director directly owned 179 shares in the company, valued at $70,364.90. The trade was a 28.69% decrease in their position. Additional details regarding this sale are available in the official SEC disclosure. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Over the last quarter, insiders have sold 12,370 shares of company stock worth $4,891,989. 0.60% of the stock is currently owned by insiders.
Institutional Inflows and Outflows A number of institutional investors and hedge funds have recently added to or reduced their stakes in ISRG. Plato Investment Management Ltd purchased a new position in Intuitive Surgical in the 2nd quarter worth approximately $4,315,000. VIRGINIA RETIREMENT SYSTEMS ET Al bought a new position in shares of Intuitive Surgical during the 2nd quarter valued at about $14,316,000. Hikari Power Ltd bought a new stake in Intuitive Surgical in the second quarter worth $5,619,000. Nykredit A S bought a new position in shares of Intuitive Surgical during the second quarter valued at about $48,464,000. Finally, NewEdge Advisors LLC increased its holdings in shares of Intuitive Surgical by 19.1% in the second quarter. NewEdge Advisors LLC now owns 50,825 shares of the medical equipment provider’s stock worth $20,212,000 after buying an additional 8,142 shares during the period. 83.64% of the stock is owned by institutional investors and hedge funds.
Intuitive Surgical News Summary Here are the key news stories impacting Intuitive Surgical this week:
Positive Sentiment: Strong quarterly execution: Q3 revenue increased 21.7% year over year to $3.05 billion, while adjusted EPS of $3.00 exceeded consensus estimates. Worldwide procedures grew approximately 15%, and da Vinci system placements rose to 546 from 427 a year earlier. Intuitive Surgical’s Q3 Earnings Beat Estimates on Strong System Sales Positive Sentiment: International growth and adoption remain attractive: Management highlighted continued global expansion, with Ion procedures increasing about 31% and total procedure volume maintaining double-digit growth. Lower instrument costs and longer instrument life are intended to broaden robotic-surgery adoption over time. Intuitive Surgical Earnings Call Highlights Global Growth Positive Sentiment: Several analysts remain bullish: Piper Sandler maintained its Buy rating, while JPMorgan raised its target to $475 and BofA kept a $470 target. Other firms reiterated positive ratings, supporting the long-term growth thesis. Piper Sandler Keeps Their Buy Rating on Intuitive Surgical Neutral Sentiment: Valuation raises the bar: With a P/E ratio above 50, investors appear to require exceptionally strong growth. Solid results therefore produced a muted reaction because expectations were already elevated. Intuitive Surgical Stock Faces a Q3 Earnings Valuation Reality Check Negative Sentiment: $450 million antitrust settlement charge: The proposed settlement reduced GAAP net income to $523 million, or $1.49 per diluted share, from $704 million a year earlier. Court approval is still required, adding uncertainty. Intuitive Surgical Reports Q3 2026 Earnings Impacted by $450M Antitrust Settlement Negative Sentiment: Growth outlook and margins concern investors: Intuitive narrowed 2026 da Vinci procedure-growth guidance to 14%–15%, cited slower U.S. momentum, and expects pricing and extended-use initiatives to reduce revenue per procedure by roughly 3%–5%. Intuitive Narrows 2026 Procedure Growth Outlook (Get Free Report)
Intuitive Surgical, Inc develops and manufactures robotic-assisted systems and related technologies for minimally invasive surgery. Its products are designed to help surgeons perform procedures through small incisions while providing enhanced visualization, precision and control. The company’s primary platform is the da Vinci Surgical System, which is used across a range of specialties, including urology, gynecology, general surgery, cardiothoracic surgery and other procedures.
The company also offers the Ion endoluminal system, which is designed to support minimally invasive lung biopsy procedures.
See Also Five stocks we like better than Intuitive Surgical Meta Bounces Back in Q3, But the Bigger Test Comes in 2027 There’s a New Q in Town: Invesco’s ETF Targets International Innovators Boarding Now—GE Aerospace’s Earnings Beat Comes With a Catch AI Spending Is Surging—But Which Stocks Still Win if It Slows Down?
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Intuitive Surgical NASDAQ: ISRG shocked the market by reporting not one but two margin impairments in its Q3 results, but investors shouldn't misread this.
Intuitive Surgical Today
ISRG
Intuitive Surgical
$440.10 +11.98 (+2.80%)
As of 11:03 AM Eastern
This is a fair market value price provided by Massive. Learn more.
$328.57▼
$603.8853.22
$500.13
The first impairment is a one-time and expected settlement related to a known class-action lawsuit. While the amount and timing may have surprised investors, the news is a blip and will soon be forgotten. The other is more pertinent: the company announced pricing changes expected to reduce per-procedure revenue by 3% to 5%. While this may seem like bad news at first glance, potentially signaling weakness in the underlying market, that isn't the case.
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Intuitive Surgical’s da Vinci system is the leading soft-tissue surgical robot, but it faces increasing competition. Medtronic’s NYSE: MDT Hugo has been out for two years, and Johnson & Johnson’s NYSE: JNJ OTTAVA is now available, threatening ISRG with a capped market—or worse, the potential for market share losses. The pricing changes target a set of high-volume procedures that management views as an under-exploited revenue source. The lost margin reflects the cost of an expanded addressable market and retaining first-mover advantages. In this scenario, volume offsets the profit impairment, sustaining a healthy cash flow outlook and capital return program.
Intuitive Surgical Reveals Core Strength in Q3, Narrows GuidanceIntuitive Surgical posted a solid Q3, with revenue up 21.5% to just over $3 billion, beating consensus by more than 400 basis points. Strength came from higher procedures (up 15%) and device placements (up 28%). By device, da Vinci procedures grew 14%, while ION (for minimally invasive lung biopsies) grew 31%, with both underpinning an 18% increase in Instruments and Accessories. Looking ahead, revenue strength is assured, if not growth, with the installed base up by 12%, driving recurring revenue to nearly 85% of the total.
Margin news was mixed, with a one-off impairment affecting GAAP results and reducing net income, cash flow, and earnings per share (EPS). The good news is that core profitability remains robust, with adjusted net income up 21.1% versus 21.5% revenue growth, and adjusted EPS up 25%, accelerated by share buybacks.
Guidance was also mixed, with management narrowing its revenue growth targets, but there is a silver lining. The Q3 strengths are expected to persist through year-end, prompting management to raise its profit forecast above the consensus estimate.
The likely outcome is that ISRG continues to fire on all cylinders, increasing its installed base while accelerating procedure volume and driving healthy cash flow throughout. As it stands, the company expects full-year revenue growth in the range of 14% to 15%, expecting the final tally to be near the midpoint, about 60 bps less than analysts were expecting.
Intuitive Surgical Aggressively Buys Shares—The Bottom Is InAmong Intuitive Surgical’s attractions is its cash flow and the capital return it enables. The company does not pay dividends, opting for the more flexible option of share buybacks—and it buys back shares aggressively. Q3 activity totaled nearly $3 billion, reducing the share count by an average of 2.8% versus last year. The balance sheet reflects the impact: cash is down year-to-date, but higher inventory and property, and leverage from share buybacks, offset it. Looking ahead, the one-off that impaired margins in the latest quarter won’t be repeated, cash flow will improve, and the cash balance and equity can be rebuilt.
Analysts and Institutions Signal a Potential Bottom for ISRGAnalysts' trends are part and parcel of ISRG’s 2026 stock price correction, but investors should not get them wrong. While price target reductions have weighed on price action, analyst coverage has increased over the trailing 12-month period, and sentiment is steady, with a Moderate Buy consensus and 78% Buy-side bias. Price targets have started to firm; initial responses to Q3 results included upgrades and a few price target increases.
Institutional activity aligns with the forecast for a stock price bottom. Institutions own more than 80% of the shares and have been accumulating in 2026. The risk is that their activity has been light, reflecting caution despite the bullish balance. The question is whether they accelerate accumulation or start selling into rallies to trim exposure. Based on the cash flow and capital return outlook, institutions will likely accelerate accumulation, at least sustaining a bullish balance, and ISRG’s stock price will continue to trace its bottoming pattern, potentially completing a reversal late in the year or in early 2027.
ISRG’s biggest risk is its premium valuation. The first-mover advantage, cash flow, and capital return equate to a price-to-earnings ratio above 40, pricing in quality and robust growth. The valuation is merited, assuming the company can grow into its outlook, but it sets the stage for volatility and price corrections if earnings disappoint or the outlook softens.
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Intuitive Surgical, Inc. (ISRG) is looking like an interesting pick from a technical perspective, as the company reached a key level of support. Recently, ISRG crossed above the 200-day moving average, suggesting a long-term bullish trend.
Analyst’s Disclosure: I/we have no stock, option or similar derivative position in any of the companies mentioned, and no plans to initiate any such positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.
Seeking Alpha's Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.
On its third quarter of 2026 earnings call, held on Oct. 20, 2026, Intuitive Surgical (ISRG -1.40%) announced planned price reductions on core instruments to drive broader procedure adoption across routine surgeries. Lowering procedure costs trades short-term revenue per case for long-term customer lock-in and expanded market volume. Three things management said stand out.
1. Cutting Instrument Prices Expands the Addressable Surgical MarketManagement is extending instrument useful life and adding volume discounts to lower customer costs in routine procedures, which impacts instrument and accessory (I&A) revenue. This move sacrifices short-term revenue per procedure to expand total adoption in cost-sensitive outpatient settings.
This is a strategic decision to reinvest a portion of the value our innovation creates and lower customer costs where they will have the greatest impact on adoption. We believe broader adoption creates more long-term value than near-term revenue per procedure.
-- Jamie Samath, Chief Financial Officer2. Outpatient Surgery Centers Drive Next-Generation System PlacementsSurgeons are moving routine procedures to ambulatory surgery centers (ASCs), which are outpatient care facilities. Intuitive is capturing this shift by placing cost-effective systems into ASCs to block competitors from establishing a foothold.
If you look at the number of systems we've placed in ASCs last 2 quarters combined, that's more than we've placed in ASCs in almost the last 3 years, and we think that continues to be an attractive opportunity for us.
-- Jamie Samath, Chief Financial Officer3. Resolving Instrument Class Action Lawsuits Secures Key Customer TiesManagement agreed to a $450 million litigation settlement covering third-party instrument remanufacturing and system servicing. The deal removes legal risk and cements long-term ties with major healthcare systems.
We believe that this no-fault settlement provides certainty for both our customers and Intuitive and maintains our ability to advance the safety, quality and security of our products.
-- Dave Rosa, Chief Executive OfficerLooking AheadProcedure volume is accelerating across international markets and outpatient centers, demonstrating demand across the entire platform portfolio. High switching costs and regulatory clearances secure its core competitive advantage.
Q3 was a strong quarter for Intuitive with broad-based adoption across our multiport, single-port and Ion platforms. In Q3, total procedures increased 15%, driven by 14% growth in da Vinci procedures and 31% growth in Ion procedures. In the U.S., da Vinci procedure growth was 10%, and outside the U.S., da Vinci procedure growth was 20%.
-- Dave Rosa, Chief Executive OfficerManagement is watching pricing discipline and procedure expansion in routine surgeries. Combining proprietary hardware, software, and training networks cements its long-term market leadership.
Patients wait too long between detection and treatment and the care a patient receives still varies more than it should, depending on the hospital they enter and the surgeon available that day. Over time, we are focused on significantly advancing the Quintuple Aim to ensure that the broader patient journey can become more predictable, more connected and less disruptive to a patient's life.
-- Dave Rosa, Chief Executive OfficerThe Motley Fool has positions in and recommends Intuitive Surgical. The Motley Fool recommends the following options: long January 2028 $520 calls on Intuitive Surgical and short January 2028 $530 calls on Intuitive Surgical. The Motley Fool has a disclosure policy.
Key Takeaways ISRG's Q3 earnings call outlines pricing cuts that could reduce instrument revenue per procedure by 3%-5%.ISRG narrows 2026 procedure growth guidance to 14%-15% and raises its gross margin outlook to 68.7%-69.3%.U.S. da Vinci procedure growth slowed to 10%, while international placements jumped 29% to 211 systems.
Intuitive Surgical, Inc. (ISRG - Free Report) used its third-quarter 2026 earnings call to outline instrument pricing reductions aimed at expanding robotic surgery adoption, particularly in cost-sensitive benign procedures.
Management also addressed slowing U.S. procedure growth, international expansion and product innovation while raising its gross margin outlook. The discussion emphasized balancing near-term pricing pressure with longer-term procedure opportunities.
ISRG Details Instrument Pricing ChangesCFO Jamie Samath said planned pricing actions, alongside mandated reductions in China, will lower da Vinci instruments and accessories (I&A) revenue per procedure by approximately 3% to 5% on a constant-mix basis once fully implemented.
Beginning in 2027, Intuitive Surgical plans to extend instrument useful lives and introduce volume-based pricing. China's reductions begin in November 2026, while broader implementation will progress throughout 2027.
Responding to JPMorgan's question about pricing elasticity, Samath expressed confidence that lower costs would encourage adoption. He expects modest margin pressure, with ongoing cost-reduction initiatives providing offsets.
Intuitive Surgical Narrows Its 2026 Procedure OutlookInvestor Relations Head Daniel Connally narrowed projected worldwide da Vinci procedure growth to 14%-15% for 2026, compared with the previous 13.5%-15.5% range. Management expects growth near the midpoint.
The company raised its non-GAAP gross margin outlook to 68.7%-69.3% from 68%-69%. The updated range incorporates an estimated 90-basis-point tariff impact.
Non-GAAP operating expense growth expectations remained unchanged at 11%-13%. Connally identified U.S. insurance-related uncertainty and competitive pressure in China among the factors influencing procedure expectations.
ISRG Addresses Slower U.S. Procedure GrowthU.S. da Vinci procedures increased 10%, compared with 16% growth in the year-earlier quarter. International da Vinci procedures grew 20%, supporting approximately 14% worldwide growth.
Responding to Wells Fargo's concerns about U.S. momentum, CEO David Rosa emphasized expanding adoption across benign general surgery. He highlighted clinical evidence, hospital economics and increased system availability as important drivers.
Samath identified ambulatory surgery centers (ASCs), additional surgical capacity and emerging procedures as priorities. The company placed 18 systems at U.S. ASCs during the quarter, including 15 XiR systems.
Intuitive Surgical Expands Its International FootprintInternational da Vinci placements increased 29% to 211 systems. Europe accounted for 115 placements, up 83%, while Asian placements increased 30% to 78 systems.
Rosa highlighted India's 42% procedure growth and improving trends in Japan. He also emphasized international adoption of benign procedures, supported by regulatory clearances, reimbursement and clinical evidence.
Samath reported 41% international benign procedure growth, accelerating from 37% in the preceding quarter. Management plans to expand into additional countries during 2027.
ISRG Advances Robotics and AI DevelopmentRosa highlighted expanding da Vinci 5 adoption, with more than 2,000 systems installed worldwide. The company also continued developing single-port instrumentation and broader surgical indications.
Management discussed voice-activated controls, automated arm movements and advanced visualization capabilities. Rosa characterized AI-controlled surgical motion as an early-stage opportunity requiring regulatory and clinical confidence.
On the Ion platform, development priorities include integrated endobronchial ultrasound and rapid on-site cytology. Rosa expects these technologies to improve diagnostic workflows and increase revenue per procedure.
Intuitive Surgical Discusses Q3 Margins and Capital AllocationISRG’s third-quarter 2026 revenues reached $3.05 billion, beating the Zacks Consensus Estimate of $2.88 billion. Non-GAAP earnings of $3 per share also surpassed the $2.61 consensus estimate.
Non-GAAP gross margin reached 69.9%, including a one-time tariff refund benefit. Samath attributed underlying improvement primarily to product cost reductions and operating leverage.
During the quarter, Intuitive Surgical repurchased $2.94 billion in shares. GAAP earnings reflected a $450 million antitrust settlement charge, with the agreement remaining subject to court approval.
ISRG Maintains Its Long-Term Investment PrioritiesAddressing Barclays' margin question, Samath reiterated a longer-term operating margin range of 35%-40%, while emphasizing opportunities to reinvest profitability into innovation and expansion.
Management's broader focus remains on improving surgical access through differentiated platforms, clinical evidence and customer economics. Pricing adjustments and continued research investment are central to that approach.
Intuitive Surgical's Zacks Rank & Style ScoresIntuitive Surgical currently carries a Zacks Rank #2 (Buy), indicating favorable near-term potential under Zacks' earnings estimate revision framework. Its Growth Score of B and Momentum Score of B reinforce its relative attractiveness in those investment styles. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
However, the Value Score of D indicates less favorable valuation characteristics, while the combined VGM Score of C reflects a more moderate overall profile. The Zacks Rank can change as analysts revise earnings estimates following the reported results.
Da Vinci 5 placements rose to 315 from 240 a year earlier Summary
Intuitive Surgical reported non-GAAP EPS of $3.00 on $3.05 billion revenue, with 546 da Vinci system placements and procedures up about 15%.
Intuitive Surgical ISRG reported third-quarter non-GAAP EPS of $3.00, well above the analysts' consensus of $2.65, on revenue of $3.05 billion, ahead of the $2.91 billion estimate. GAAP EPS fell to $1.49 from $1.95, reflecting a $450 million charge to settle antitrust class action litigation. Intuitive shares fell 7.76% in premarket.
Revenue rose 22%, driven by procedure growth, higher operating lease revenue and a larger installed base. Worldwide procedures rose about 15%, with da Vinci procedures up about 14% and Ion procedures up about 31%. Intuitive placed 546 da Vinci systems, up from 427 a year earlier, including 315 da Vinci 5 systems, lifting the installed base 12% to 12,094. Non-GAAP gross margin widened to 69.9% from 68.0%.
For 2026, Intuitive expects da Vinci procedure growth of about 14% to 15% and non-GAAP gross margin of 68.7% to 69.3%, including an estimated tariff impact of 0.9% of revenue. Intuitive bought back 7.8 million shares for $2.94 billion in the quarter. Diluted weighted average shares fell 2.8% from a year earlier.
Disclosures I/we have no positions in any stocks mentioned, and have no plans to buy any new positions in the stocks mentioned within the next 72 hours.
Revenue: Grew 22% to just over $3 billion; 84% was recurring revenue.Systems Revenue: Grew 30% to $769 million.Service Revenue: Increased 22% to $482 million.In
For the quarter ended September 2026, Intuitive Surgical, Inc. (ISRG - Free Report) reported revenue of $3.05 billion, up 21.7% over the same period last year. EPS came in at $3.00, compared to $2.40 in the year-ago quarter.
The reported revenue compares to the Zacks Consensus Estimate of $2.88 billion, representing a surprise of +5.84%. The company delivered an EPS surprise of +14.94%, with the consensus EPS estimate being $2.61.
While investors scrutinize revenue and earnings changes year-over-year and how they compare with Wall Street expectations to determine their next move, some key metrics always offer a more accurate picture of a company's financial health.
As these metrics influence top- and bottom-line performance, comparing them to the year-ago numbers and what analysts estimated helps investors project a stock's price performance more accurately.
Here is how Intuitive Surgical performed in the just reported quarter in terms of the metrics most widely monitored and projected by Wall Street analysts:
Total System Units Placed - Total Company: 546 versus the four-analyst average estimate of 475.Da Vinci Surgical System Installed Base: 12,094 versus 12,080 estimated by three analysts on average.Revenue- Product (Instruments and accessories and Systems): $2.57 billion compared to the $2.38 billion average estimate based on five analysts. The reported number represents a change of +21.7% year over year.Revenue- Services: $482.2 million versus $457.34 million estimated by five analysts on average. Compared to the year-ago quarter, this number represents a +21.8% change.Revenue- Systems: $769.1 million compared to the $650.13 million average estimate based on five analysts. The reported number represents a change of +30.3% year over year.Revenue- Instruments and accessories: $1.8 billion versus the five-analyst average estimate of $1.73 billion. The reported number represents a year-over-year change of +18.3%.Gross Profit- Service: $315.5 million versus the two-analyst average estimate of $303.04 million.Gross Profit- Product: $1.77 billion versus the two-analyst average estimate of $1.57 billion.View all Key Company Metrics for Intuitive Surgical here>>>
Shares of Intuitive Surgical have returned +7.9% over the past month versus the Zacks S&P 500 composite's +0.7% change. The stock currently has a Zacks Rank #2 (Buy), indicating that it could outperform the broader market in the near term.
This AI ETF Is Missing the Biggest AI WinnersIntuitive Surgical NASDAQ: ISRG reported third-quarter 2026 revenue growth of 22% to just over $3 billion as procedure growth, system placements and adoption of newer platforms supported results. The company said 84% of quarterly revenue was recurring revenue, while non-GAAP earnings per share rose 25% to $3.
Total procedures across the da Vinci and Ion platforms increased 15% from a year earlier. da Vinci procedures grew 14%, including 10% growth in the United States and 20% growth outside the U.S., while Ion procedures increased 31%. Intuitive ended the quarter with more than 13,200 da Vinci and Ion systems installed worldwide.
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Why Intuitive Surgical’s Strong Quarter Still Spooked InvestorsChief Executive Officer Dave Rosa said nearly 7,000 customers in more than 70 countries performed da Vinci procedures during the quarter at a rate exceeding 10,000 procedures per day. He described demand as broad-based across the company’s multi-port, single-port and Ion platforms.
System Placements and International Expansion
Intuitive placed 546 da Vinci systems during the third quarter, up 28% from 427 systems a year earlier. Placements included 315 da Vinci 5 systems, 87 Xi systems, 65 XiR systems, 42 SP systems and 37 X systems.
Intuitive Surgical's Selloff Sets Up a 30% Rebound OpportunityU.S. placements rose 27% to 335 systems, while placements outside the U.S. increased 29% to 211 systems. Europe accounted for 115 placements, up 83% from the prior-year period, while Asia placements increased 30% to 78 systems.
The company said da Vinci 5 and SP represented 65% of global da Vinci placements. Intuitive exited the quarter with more than 2,000 da Vinci 5 systems installed globally, and more than 18,000 surgeons have used the platform since its launch.
Rosa said the XiR platform has drawn interest in the U.S. and internationally because customers can use its capabilities and cost profile to build procedure-focused programs. Intuitive installed 18 systems in U.S. ambulatory surgery centers during the quarter, including 15 XiR systems. Chief Financial Officer Jamie Samath said the company’s penetration of the ASC market remains low, while the market represents just under 10% of U.S. soft-tissue surgery volumes and is growing.
Intuitive also placed a record 42 SP systems, including 21 in the U.S. and 12 in Korea. SP procedure growth was 55%, driven by 50% growth in the U.S. and 40% growth in Korea. The company had 487 SP systems installed across 27 countries at quarter-end.
For the Ion robotic bronchoscopy platform, Intuitive placed 56 systems, compared with 50 a year earlier. Rosa said the company recently announced plans for an Ion manufacturing facility in Penang, Malaysia, expected to begin operations in 2028. Intuitive also received reimbursement for Ion procedures in Korea during the quarter.
Pricing Actions Target Benign Procedures
Intuitive announced pricing actions intended to broaden adoption in high-volume benign procedures where cost can constrain use of robotic surgery. Samath said the changes, along with a policy-driven reduction in China, are expected to reduce da Vinci instruments and accessories revenue per procedure by approximately 3% to 5% on a constant-mix basis once fully implemented.
Beginning in the first half of 2027, Intuitive plans to extend the usable life of a subset of core EndoWrist instruments on its fourth- and fifth-generation platforms and introduce volume-based pricing. The company said the extended-use program requires U.S. Food and Drug Administration 510(k) clearance, which is in process.
In China, changes to charge-code policy are expected to result in a significant reduction in instruments and accessories prices beginning in November. Samath said the pricing actions will roll out progressively by country, with the company not expecting the full impact until the end of 2027.
“We believe broader adoption creates more long-term value than near-term revenue per procedure,” Samath said. He added that Intuitive expects lower customer costs to create elasticity in high-volume benign procedures, though the benefit would build over time rather than immediately.
Third-quarter instruments and accessories revenue grew 18% to $1.8 billion. da Vinci instruments and accessories revenue per procedure was approximately $1,860, compared with $1,800 a year earlier, reflecting higher SP procedure volume and da Vinci 5-specific instruments and accessories, partly offset by procedure mix.
Profitability, Settlement and Outlook
Non-GAAP operating margin was 42% of revenue, or 41% excluding a one-time $28 million pretax refund of previously paid tariffs. Non-GAAP gross margin was 69.9%, or 68.9% excluding the tariff refund, compared with 68% in the prior-year quarter.
GAAP net income was $523 million, or $1.49 per share, compared with $704 million, or $1.95 per share, a year earlier. The results included the impact of a $450 million litigation settlement related to a class-action lawsuit involving third-party remanufacturing of da Vinci instruments and third-party servicing of da Vinci systems.
Rosa said the no-fault settlement, which remains subject to court approval, provides certainty for customers and Intuitive while preserving the company’s ability to maintain the safety, quality and security of its products. The company does not expect a court decision until 2027.
Intuitive ended the quarter with $6.8 billion in cash and investments, down from $8.6 billion in the prior quarter. Operating cash flow was more than offset by $2.9 billion of share repurchases at an average price of $377 per share and $113 million in capital expenditures.
For 2026, Intuitive narrowed its forecast for da Vinci procedure growth to 14% to 15%, with an expectation toward the midpoint. The company also updated its non-GAAP gross-margin outlook to 68.7% to 69.3% of revenue and maintained its expectation for non-GAAP operating expense growth of 11% to 13%.
Clinical Evidence and Technology Development
Chief Medical Officer Dr. Jamie Wong highlighted the Benign COMPARE study, a meta-analysis published in Annals of Surgery Open that examined outcomes from 366 studies across 32 countries. The analysis included approximately 1.5 million da Vinci patients, 10.7 million laparoscopic patients and 1.7 million open-surgery patients.
According to Wong, da Vinci procedures were associated with 54% lower odds of conversion to open surgery compared with laparoscopy across the studied benign procedures. The analysis also found 13% lower odds of blood transfusion and shorter hospital stays compared with laparoscopic procedures, while 30-day complications, readmissions and mortality were comparable. Average da Vinci operative times were about 24 minutes longer.
Intuitive also cited advances across its product pipeline, including FDA clearance for surgeon-initiated tool eject and multi-arm targeting on da Vinci 5, as well as an integrated version of the da Vinci 5 handheld endoscope. The company submitted a cavitational ultrasonic aspirator for potential use in liver and pancreas procedures and received FDA clearance for a non-commercial next-generation flexible robotic endoscope system for gastrointestinal use.
Rosa said Intuitive is continuing to develop digital and artificial-intelligence capabilities, including voice-activated controls and automated fourth-arm control. He said AI-controlled surgical motion remains early in development and will need to earn the confidence of regulators, surgeons, care teams and patients before broad deployment.
About Intuitive Surgical (NASDAQ:ISRG)Intuitive Surgical, Inc develops and manufactures robotic-assisted systems and related technologies for minimally invasive surgery. Its products are designed to help surgeons perform procedures through small incisions while providing enhanced visualization, precision and control. The company's primary platform is the da Vinci Surgical System, which is used across a range of specialties, including urology, gynecology, general surgery, cardiothoracic surgery and other procedures.
The company also offers the Ion endoluminal system, which is designed to support minimally invasive lung biopsy procedures.
This instant news alert was generated by narrative science technology and financial data from MarketBeat in order to provide readers with the fastest reporting and unbiased coverage. Please send any questions or comments about this story to [email protected].
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Intuitive Surgical Inc ISRG released its 8-K filing on October 20, 2026, revealing its financial results for the quarter ended September 30, 2026. The company, a leader in robotic-assisted minimally invasive surgery, continues to enhance surgical outcomes with its innovative da Vinci surgical systems and the Ion endoluminal system, in use across thousands of procedures globally.
Founded in 1995 and headquartered in Sunnyvale, California, Intuitive Surgical has established a dominant position in its field, with an installed base of over 12,000 systems. Its business model revolves around recurring revenues generated from instruments and accessories utilized in surgical procedures, which act as a crucial growth driver.
Performance Overview: Mixed Results Amid Operational GrowthIn Q3 2026, the company's worldwide procedures, including both da Vinci and Ion systems, saw a remarkable growth of 15% compared to the same quarter in 2025. Despite this operational strength, Intuitive Surgical reported a total revenue of $3.05 billion, exceeding the analyst estimate of $2.91 billion. The GAAP net income attributable to the company was $523 million, or $1.49 per diluted share, a decrease from $704 million, or $1.95 per diluted share in Q3 2025. The decline is primarily attributed to a significant pre-tax charge of $450 million related to a legal settlement.
This quarter's results highlight the challenges Intuitive Surgical faces, particularly the impact of litigation expenses that can significantly affect earnings. However, the performance remains critical as the company's core competencies continue to expand, enabling it to adapt and thrive in a rapidly evolving healthcare environment.
Financial Metrics and Key AchievementsDespite the challenges, Intuitive Surgical's financial metrics demonstrate resilience. The company's revenue grew 22% year-over-year, driven by an 18% increase in instruments and accessories revenue and a 30% boost in systems revenue. The installed base of da Vinci systems rose by 12%, reaching over 12,094 units, while Ion systems saw a 21% increase, reflecting robust adoption across the board.
Key performance highlights from the financial statements reveal:
Financial MetricsQ3 2026Q3 2025Total Revenue$3.05 billion$2.51 billionGAAP Net Income$523 million$704 millionNon-GAAP Net Income$1.05 billion$867 millionGross Profit Margin68.4%66.4%
The increase in gross profit, which rose to 68.4%, reaffirms Intuitive's operational efficiency despite the litigation charges. As Dave Rosa, CEO, stated in the earnings release:
“Our strong performance this quarter was marked by broad-based adoption across our multi-port, single-port, and Ion platforms… To serve customers across geographies and sites of care, enabling them to deliver better patient care, outcomes, and experiences.”GuruFocus Valuation CheckAccording to GuruFocus's proprietary data, Intuitive Surgical Inc ISRG has a GF Score of 96/100, indicating a strong overall performance. The current GF Value stands at $635.52, while the stock is currently trading at approximately $438.00, suggesting it is undervalued by about 31.1%. This presents an intriguing opportunity for potential investors as the stock appears to offer significant upside potential.
Additionally, the company showcases notable financial strength with an 8/10 rating and a top profitability rank of 10/10. The growth rank is also impressive at 10/10, while predictability is rated at 4.5 stars, pointing to consistent performance and stability in earnings.
However, it is essential for investors to consider that there has been considerable insider activity, with insiders selling $93.4 million worth of shares over the past 12 months. This could be viewed as a cautionary signal, potentially indicating a degree of uncertainty among management regarding the company's near-term outlook.
For a deeper dive, visit the Intuitive Surgical Inc stock page on GuruFocus.
Explore the complete 8-K earnings release (here) from Intuitive Surgical Inc for further details.
GuruFocus context: GuruFocus’ GF Value™ estimates fair value near $635.52 (31.1% undervalued); its GF Score™ is 96/100; 17 gurus currently hold the stock, with 9 adding and 8 trimming positions in recent quarters — guru 13F data Simply Wall St and Morningstar don’t have. See the full Intuitive Surgical Inc ISRG research.
This stock alert was generated using automated technology and GuruFocus financial data to provide readers with timely and accurate market reporting. This content was reviewed by GuruFocus editorial team prior to publication. Please send any questions or comments about this story to [email protected].
Intuitive Surgical, Inc. (ISRG - Free Report) came out with quarterly earnings of $3 per share, beating the Zacks Consensus Estimate of $2.61 per share. This compares to earnings of $2.4 per share a year ago. These figures are adjusted for non-recurring items.
This quarterly report represents an earnings surprise of +14.94%. A quarter ago, it was expected that this company would post earnings of $2.48 per share when it actually produced earnings of $2.8, delivering a surprise of +12.9%.
Over the last four quarters, the company has surpassed consensus EPS estimates four times.
Intuitive Surgical, which belongs to the Zacks Medical - Instruments industry, posted revenues of $3.05 billion for the quarter ended September 2026, surpassing the Zacks Consensus Estimate by 5.84%. This compares to year-ago revenues of $2.51 billion. The company has topped consensus revenue estimates three times over the last four quarters.
The sustainability of the stock's immediate price movement based on the recently-released numbers and future earnings expectations will mostly depend on management's commentary on the earnings call.
Intuitive Surgical shares have lost about 23.5% since the beginning of the year versus the S&P 500's gain of 12.4%.
What's Next for Intuitive Surgical?While Intuitive Surgical has underperformed the market so far this year, the question that comes to investors' minds is: what's next for the stock?
There are no easy answers to this key question, but one reliable measure that can help investors address this is the company's earnings outlook. Not only does this include current consensus earnings expectations for the coming quarter(s), but also how these expectations have changed lately.
Empirical research shows a strong correlation between near-term stock movements and trends in earnings estimate revisions. Investors can track such revisions by themselves or rely on a tried-and-tested rating tool like the Zacks Rank, which has an impressive track record of harnessing the power of earnings estimate revisions.
Ahead of this earnings release, the estimate revisions trend for Intuitive Surgical was favorable. While the magnitude and direction of estimate revisions could change following the company's just-released earnings report, the current status translates into a Zacks Rank #2 (Buy) for the stock. So, the shares are expected to outperform the market in the near future. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here.
It will be interesting to see how estimates for the coming quarters and the current fiscal year change in the days ahead. The current consensus EPS estimate is $2.84 on $3.21 billion in revenues for the coming quarter and $10.74 on $11.74 billion in revenues for the current fiscal year.
Investors should be mindful of the fact that the outlook for the industry can have a material impact on the performance of the stock as well. In terms of the Zacks Industry Rank, Medical - Instruments is currently in the top 33% of the 250 plus Zacks industries. Our research shows that the top 50% of the Zacks-ranked industries outperform the bottom 50% by a factor of more than 2 to 1.
One other stock from the same industry, Tactile Systems Technology (TCMD - Free Report) , is yet to report results for the quarter ended September 2026.
This medical device maker is expected to post quarterly earnings of $0.30 per share in its upcoming report, which represents a year-over-year change of -16.7%. The consensus EPS estimate for the quarter has remained unchanged over the last 30 days.
Tactile Systems Technology's revenues are expected to be $92.84 million, up 8.3% from the year-ago quarter.
SUNNYVALE, Calif., Oct. 20, 2026 (GLOBE NEWSWIRE) -- Intuitive (the “Company”) (Nasdaq: ISRG), a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery, today announced financial results for the quarter ended September 30, 2026.
Q3 Highlights
Worldwide procedures (da Vinci and Ion combined) grew approximately 15% compared with the third quarter of 2025. Da Vinci procedures grew approximately 14%, and Ion procedures grew approximately 31%.The Company placed 546 da Vinci surgical systems, compared with 427 in the third quarter of 2025. The third quarter 2026 da Vinci surgical system placements included 315 da Vinci 5 systems, compared with 240 in the third quarter of 2025. The Company placed 56 Ion endoluminal systems, compared with 50 in the third quarter of 2025.The Company grew its da Vinci surgical system installed base to 12,094 systems as of September 30, 2026, an increase of 12% compared with 10,763 as of September 30, 2025. The Company grew its Ion endoluminal system installed base to 1,152 systems as of September 30, 2026, an increase of 21% compared with 954 as of September 30, 2025.Third quarter 2026 revenue of $3.05 billion increased 22%, compared with $2.51 billion in the third quarter of 2025.Third quarter 2026 GAAP net income attributable to Intuitive Surgical, Inc. was $523 million, or $1.49 per diluted share, compared with $704 million, or $1.95 per diluted share, in the third quarter of 2025.Third quarter 2026 GAAP net income attributable to Intuitive Surgical, Inc. included a pre-tax charge of $450 million in connection with the settlement of previously disclosed antitrust class action litigation. The third quarter 2026 expense was $347 million, net of tax, or $0.99 per diluted share.Third quarter 2026 non-GAAP* net income attributable to Intuitive Surgical, Inc. was $1.05 billion, or $3.00 per diluted share, compared with $867 million, or $2.40 per diluted share, in the third quarter of 2025.Third quarter 2026 GAAP and non-GAAP* net income attributable to Intuitive Surgical, Inc. included a benefit of $22 million, net of tax, or $0.06 per diluted share, related to refunds for tariffs paid in prior periods under the International Emergency Economic Powers Act (“IEEPA”).The Company repurchased 7.8 million shares of its common stock for $2.94 billion in the third quarter of 2026. Q3 Financial Summary
Gross profit, income from operations, net income attributable to Intuitive Surgical, Inc., and net income per diluted share attributable to Intuitive Surgical, Inc. are reported on a GAAP and non-GAAP* basis. The non-GAAP* measures are described below and are reconciled to the corresponding GAAP measures at the end of this release.
Third quarter 2026 revenue was $3.05 billion, an increase of 22% compared with $2.51 billion in the third quarter of 2025. The higher third quarter revenue was driven by growth in procedure volume, higher operating lease revenue, and an increase in the installed base of systems.
Third quarter 2026 instruments and accessories revenue increased by 18% to $1.80 billion, compared with $1.52 billion in the third quarter of 2025. The increase in instruments and accessories revenue was primarily driven by approximately 14% growth in da Vinci procedure volume and approximately 31% growth in Ion procedure volume.
Third quarter 2026 systems revenue was $769 million, compared with $590 million in the third quarter of 2025. The higher systems revenue reflected increased da Vinci system placements and a higher lease installed base compared with the third quarter of 2025. The Company placed 546 da Vinci surgical systems, of which 315 were da Vinci 5 systems, in the third quarter of 2026, compared with 427 systems, of which 240 were da Vinci 5 systems, in the third quarter of 2025. The third quarter 2026 da Vinci surgical system placements included 291 systems placed under operating lease arrangements, of which 160 systems were placed under usage-based operating lease arrangements, compared with 231 systems placed under operating lease arrangements, of which 115 systems were placed under usage-based operating lease arrangements in the third quarter of 2025.
Third quarter 2026 GAAP income from operations decreased to $593 million, compared with $760 million in the third quarter of 2025. Third quarter 2026 GAAP income from operations included share-based compensation expense of $216 million, compared with $206 million in the third quarter of 2025. Third quarter 2026 non-GAAP* income from operations increased to $1.27 billion, compared with $976 million in the third quarter of 2025.
In October 2026, following a mediation in the “In re: da Vinci Surgical Robot Antitrust Litigation” class action, the Company reached written agreement, without any admission of liability or wrongdoing, to settle the previously disclosed antitrust litigation for a one-time payment of $450 million and mutually agreed injunctive relief. The Company recorded a $450 million charge to selling, general, and administrative expenses in the third quarter of 2026. The settlement remains subject to preliminary and final Court approval, and there can be no assurance the Court will approve it or that individual class members will not object. The third quarter 2026 expense was $347 million, net of tax, or $0.99 per diluted share.
Third quarter 2026 GAAP net income attributable to Intuitive Surgical, Inc. was $523 million, or $1.49 per diluted share, compared with $704 million, or $1.95 per diluted share, in the third quarter of 2025. Third quarter 2026 GAAP net income attributable to Intuitive Surgical, Inc. included excess tax benefits of $13 million, or $0.04 per diluted share, compared with $24 million, or $0.07 per diluted share, in the third quarter of 2025. Additionally, third quarter 2026 GAAP net income included a benefit of $22 million, net of tax, or $0.06 per diluted share, related to refunds for tariffs paid in prior periods under IEEPA.
Third quarter 2026 non-GAAP* net income attributable to Intuitive Surgical, Inc. was $1.05 billion, or $3.00 per diluted share, compared with $867 million, or $2.40 per diluted share, in the third quarter of 2025. Third quarter 2026 non-GAAP* net income included a benefit of $22 million, net of tax, or $0.06 per diluted share, related to refunds for tariffs paid in prior periods under IEEPA.
The Company ended the third quarter of 2026 with $6.80 billion in cash, cash equivalents, and investments, a decrease of $1.83 billion during the quarter, primarily driven by cash used for repurchases of common stock and purchases of property, plant, and equipment, partially offset by cash generated from operations.
“Our strong performance this quarter was marked by broad-based adoption across our multi-port, single-port, and Ion platforms, with customers using our systems to perform, on average, over 10,000 procedures per day throughout the period,” said Dave Rosa, Intuitive CEO. “Looking ahead, we will remain focused on serving customers across geographies and sites of care, enabling them to deliver better patient care, outcomes, and experiences, reduce the total cost of care, and expand access to minimally invasive care.”
2026 Financial Outlook
The Company expects the following results for the full year of 2026:
Worldwide da Vinci procedure growth of approximately 14% to 15% in 2026. The Company expects to be closer to the midpoint of this range.Non-GAAP* gross profit margin to be within a range of 68.7% to 69.3% of revenue in 2026. This range includes an estimated impact from tariffs of 0.9% of revenue (excluding recognized tariff refunds).Non-GAAP* operating expense growth of 11% to 13% in 2026. The range for expected non-GAAP* gross profit margin reflects the Company’s estimates of the adverse impact from tariffs that are currently in effect as of the time of this press release and assumes such tariffs remain in place through the end of the year. Should additional tariffs beyond our expectations be implemented, the additional impact on the Company’s financial results in 2026, including the change in expected non-GAAP* gross profit margin, could be material. The ultimate effect of tariffs will depend on various factors, including the proportion of components procured and finished goods manufactured outside of the United States and the amount, scope, nature, and timing of the tariffs.
The 2026 financial outlook provided above includes forward-looking, non-GAAP financial measures, which management uses in measuring performance. We do not provide a reconciliation of non-GAAP outlook measures to corresponding GAAP measures on a forward-looking basis, because we are unable to predict with reasonable certainty the exact timing and ultimate outcome of certain items, including but not limited to legal proceedings, without unreasonable efforts. These items are uncertain, depend on various factors, and could be material to the Company’s results computed in accordance with GAAP. For additional information regarding the nature of these items, refer to the reconciliations of historical GAAP to non-GAAP measures included elsewhere in this release.
Additional supplemental financial and procedure information has been posted to the Investor Relations section of the Intuitive website at https://isrg.gcs-web.com/.
Webcast and Conference Call Information
Intuitive will hold a teleconference at 1:30 p.m. PDT today to discuss the third quarter 2026 financial results. The call will be webcast live and can be accessed on Intuitive’s website at www.intuitive.com. For those individuals planning to participate on the call, registration can be completed online at https://edge.media-server.com/mmc/p/6sniqxsm to receive dial-in details and an individual pin. The webcast replay of the call will be made available on our website at www.intuitive.com within 24 hours after the end of the live teleconference and will be accessible for at least 30 days.
About Intuitive
Intuitive (Nasdaq: ISRG), headquartered in Sunnyvale, California, is a global leader in minimally invasive care and the pioneer of robotic-assisted surgery. Our technologies include the da Vinci surgical systems and the Ion endoluminal system. By uniting advanced systems, progressive learning, and value-enhancing services, we help physicians and their teams optimize care delivery to support the best outcomes possible. At Intuitive, we envision a future of care that is less invasive and profoundly better, where diseases are identified early and treated quickly, so patients can get back to what matters most.
Product and brand names/logos are trademarks or registered trademarks of Intuitive or their respective owner. See www.intuitive.com/trademarks.
For more information, please visit the Company’s website at www.intuitive.com.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements relate to expectations concerning matters that are not historical facts. Statements using words such as “estimates,” “projects,” “believes,” “anticipates,” “plans,” “expects,” “intends,” “may,” “will,” “could,” “should,” “commit,” “would,” “seek,” “potential,” “targeted,” and similar words and expressions are intended to identify forward-looking statements. These forward-looking statements are necessarily estimates reflecting the judgment of the Company’s management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. These forward-looking statements include, but are not limited to, the following: statements related to future results of operations, including expected worldwide da Vinci procedure growth in 2026 and where within the expected range such growth will fall, expected non-GAAP gross profit margins in 2026, including the estimated impact from tariffs on such margins, and expected non-GAAP operating expense growth in 2026; future financial position; the Company's focus on serving customers across geographies and sites of care and the goals the Company shares with its customers, including improving patient care, outcomes, and experiences, reducing the total cost of care, and expanding access to minimally invasive care; the estimated impact from tariffs, including the assumption that tariffs currently in effect remain in place through the end of the year and the potential for material adverse impact on the Company’s financial results if additional tariffs beyond the Company’s current expectations are implemented; the proposed settlement of the antitrust class action litigation, including the receipt of preliminary and final court approval, and the extent of any objections to the settlement; expectations regarding the continuation of share-based compensation expense as a significant recurring expense; the Company’s strategic vision for the future of minimally invasive care; and the Company’s inability to predict with reasonable certainty the exact timing and ultimate outcome of certain items, including legal proceedings. These forward-looking statements should be considered in light of various important factors, including, but not limited to, the following: the overall macroeconomic environment, which may impact customer spending and the Company’s costs, including tariffs, the levels of inflation, and interest rates; the conflict in Ukraine; conflicts in the Middle East, including Israel and Iran; disruption to the Company’s supply chain, including increased difficulties in obtaining a sufficient supply of materials; curtailed or delayed capital spending by hospitals; the impact of global and regional economic and credit market conditions on healthcare spending; delays in obtaining new product approvals, clearances, or certifications from the United States (“U.S.”) Food and Drug Administration (“FDA”), comparable regulatory authorities, or notified bodies; the risk of the Company’s inability to comply with complex FDA and other regulations, which may result in significant enforcement actions; regulatory approvals, clearances, certifications, and restrictions or any dispute that may occur with any regulatory body; healthcare reform legislation in the U.S. and its impact on hospital spending, reimbursement, and fees levied on certain medical device revenues; changes in hospital admissions and actions by payers to limit or manage surgical procedures; the timing and success of product development and customer acceptance of developed products; the results of any collaborations, in-licensing arrangements, joint ventures, strategic alliances, or partnerships, including the joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.; the Company’s completion of and ability to successfully integrate acquisitions, including the recently completed acquisition of the da Vinci and Ion distribution businesses in Italy, Spain, and Portugal and the transition from a distributor to a direct sales model in those markets; intellectual property positions and litigation; competition from companies offering alternative surgical approaches or robotic-assisted surgical systems, including domestic competitors in certain geographic markets such as China; risks associated with the Company’s operations and any expansion outside of the U.S.; unanticipated manufacturing disruptions or the inability to meet demand for products; the Company’s reliance on sole- and single-sourced suppliers; the results of legal proceedings to which the Company is or may become a party; the risk that the proposed settlement of the antitrust class action litigation does not receive preliminary or final court approval on the agreed terms or at all, including as a result of objections by class members, or that any approval is appealed; adverse publicity regarding the Company and the safety of the Company’s products and adequacy of training; the impact of changes to tax legislation, guidance, and interpretations; changes in tariffs, trade barriers, and regulatory requirements (including changes to tariffs imposed by the U.S. on imports from various countries, including Mexico, where the Company currently manufactures a significant majority of its instruments and accessories, Germany, where the Company currently manufactures a majority of its endoscopes, and China, where the Company currently imports certain materials); hospital staffing constraints and labor availability; cybersecurity risks, including risks to the Company’s supply chain; and other risks and uncertainties. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release and which are based on current expectations and are subject to risks, uncertainties, and assumptions that are difficult to predict, including those risk factors identified under the heading “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2025, as updated by the Company’s other filings with the Securities and Exchange Commission (“SEC”). The Company’s actual results may differ materially and adversely from those expressed in any forward-looking statement, and the Company undertakes no obligation to publicly update or release any revisions to these forward-looking statements, except as required by law.
*About Non-GAAP Financial Measures
To supplement its consolidated financial statements, which are prepared and presented in accordance with U.S. generally accepted accounting principles (“GAAP”), the Company uses the following non-GAAP financial measures: non-GAAP gross profit, non-GAAP income from operations, non-GAAP net income attributable to Intuitive, and non-GAAP net income per diluted share attributable to Intuitive (“EPS”). The presentation of this financial information is not intended to be considered in isolation or as a substitute for, or superior to, the financial information prepared and presented in accordance with GAAP.
The Company uses these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. The Company believes that these non-GAAP financial measures provide meaningful supplemental information regarding its performance by excluding items such as amortization of intangible assets, share-based compensation (“SBC”) and long-term incentive plan (“LTIP”) expenses, acquisition-related items, a facilities asset abandonment charge, litigation charges, gains on the sale of businesses and assets, gains or losses on strategic investments, tax adjustments, and other special items. LTIP expense relates to phantom share awards granted in China by the Company’s Intuitive-Fosun joint venture to its employees that vest over four years and can remain outstanding for seven to ten years. These awards are valued based on certain key performance metrics. Accordingly, they are subject to significant volatility based on the performance of these metrics and are not tied to performance of the Company’s business within the period. The Company believes that both management and investors benefit from referring to these non-GAAP financial measures in assessing its performance and when planning, forecasting, and analyzing future periods. These non-GAAP financial measures also facilitate management’s internal comparisons to its historical performance. The Company believes these non-GAAP financial measures are useful to investors, because (1) they allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making, and (2) they are used by institutional investors and the analyst community to help them analyze the performance of the Company’s business.
Non-GAAP gross profit. The Company defines non-GAAP gross profit as gross profit, excluding SBC and LTIP expenses, amortization of intangible assets, and acquisition-related items.
Non-GAAP income from operations. The Company defines non-GAAP income from operations as income from operations, excluding SBC and LTIP expenses, amortization of intangible assets, a facilities asset abandonment charge, litigation charges, acquisition-related items, and gains on the sale of businesses and assets.
Non-GAAP net income attributable to Intuitive and EPS. The Company defines non-GAAP net income as net income attributable to Intuitive, excluding SBC and LTIP expenses, amortization of intangible assets, a facilities asset abandonment charge, litigation charges, acquisition-related items, gains on the sale of businesses and assets, gains or losses on strategic investments, tax adjustments, including the excess tax benefits associated with SBC arrangements and the net tax effects related to intra-entity transfers of non-inventory assets, and adjustments attributable to noncontrolling interest in joint venture, net of the related tax effects. The Company excludes the excess tax benefits associated with SBC arrangements as well as the tax effects associated with non-cash amortization of deferred tax assets related to intra-entity non-inventory transfers, because the Company does not believe these items correlate with the ongoing results of its core operations. The tax effects of the non-GAAP items are determined by applying a calculated non-GAAP effective tax rate, which is commonly referred to as the with-and-without method. Without excluding these tax effects, investors would only see the gross effect that these non-GAAP adjustments had on the Company’s operating results. The Company’s calculated non-GAAP effective tax rate is generally higher than its GAAP effective tax rate. The Company defines non-GAAP EPS as non-GAAP net income attributable to Intuitive divided by diluted shares outstanding, which are calculated as GAAP weighted-average outstanding shares plus dilutive potential shares outstanding during the period.
There are a number of limitations related to the use of non-GAAP measures versus measures calculated in accordance with GAAP. Non-GAAP gross profit, non-GAAP income from operations, non-GAAP net income attributable to Intuitive, and non-GAAP EPS exclude items such as SBC and LTIP expenses, amortization of intangible assets, excess tax benefits associated with SBC arrangements, and non-cash amortization of deferred tax assets related to intra-entity transfers of non-inventory assets, which are primarily recurring items. SBC expense has been, and will continue to be for the foreseeable future, a significant recurring expense in the Company’s business. In addition, the components of the costs that the Company excludes in its calculation of non-GAAP net income attributable to Intuitive and non-GAAP EPS may differ from the components that its peer companies exclude when they report their results of operations. Management addresses these limitations by providing specific information regarding the GAAP amounts excluded from non-GAAP net income attributable to Intuitive and non-GAAP EPS and evaluating non-GAAP net income attributable to Intuitive and non-GAAP EPS together with net income attributable to Intuitive and net income per share attributable to Intuitive calculated in accordance with GAAP.
INTUITIVE SURGICAL, INC.
UNAUDITED QUARTERLY CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(IN MILLIONS, EXCEPT PER SHARE DATA)
Three Months Ended September 30,
2026 June 30,
2026 September 30,
2025Revenue: Instruments and accessories$1,797.4 $1,734.9 $1,518.8 Systems 769.1 685.0 590.4 Services 482.2 472.4 395.9 Total revenue 3,048.7 2,892.3 2,505.1 Cost of revenue: Product 797.7 777.0 699.4 Service 166.7 154.9 143.3 Total cost of revenue (1) 964.4 931.9 842.7 Gross profit 2,084.3 1,960.4 1,662.4 Operating expenses: Selling, general, and administrative (2) 1,083.4 617.9 573.3 Research and development 408.3 370.6 329.4 Total operating expenses 1,491.7 988.5 902.7 Income from operations (3) 592.6 971.9 759.7 Interest and other income, net 75.8 82.7 95.5 Income before taxes 668.4 1,054.6 855.2 Income tax expense (benefit) (4) 144.0 231.4 146.0 Net income 524.4 823.2 709.2 Less: net income attributable to noncontrolling interest in joint venture 1.6 5.1 4.8 Net income attributable to Intuitive Surgical, Inc.$522.8 $818.1 $704.4 Net income per share attributable to Intuitive Surgical, Inc.: Basic$1.50 $2.31 $1.98 Diluted (5)$1.49 $2.29 $1.95 Weighted average shares outstanding: Basic 349.0 354.1 356.6 Diluted 351.6 357.3 361.8 (1) Cost of revenue includes the following benefits related to refunds recognized for tariffs paid in prior periods under IEEPA:Product$25.7 $27.5 $— Service$2.1 $8.4 $— (2) Selling, general, and administrative includes the effect of the following item: Litigation charges$454.9 $0.1 $8.1 (3) Income from operations includes the effect of the following items: Amortization of intangible assets$(9.3) $(24.0) $(3.3)Expensed IP charged to R&D$— $— $(0.6)(4) Income tax expense (benefit) includes the effect of the following items: Excess tax benefits related to share-based compensation arrangements$(12.6) $(17.3) $(24.2)Discrete tax benefit from release of unrecognized tax benefits$— $— $(22.5)(5) Diluted net income per share attributable to Intuitive Surgical, Inc. includes the effect of the following items:IEEPA tariff refunds, net of tax$0.06 $0.08 $— Litigation charges, net of tax$(1.00) $— $(0.02)Amortization of intangible assets, net of tax$(0.03) $(0.05) $(0.01)Excess tax benefits related to share-based compensation arrangements$0.04 $0.05 $0.07 Discrete tax benefit from release of unrecognized tax benefits$— $— $0.06 INTUITIVE SURGICAL, INC.
UNAUDITED YEAR-TO-DATE CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(IN MILLIONS, EXCEPT PER SHARE DATA)
Nine Months Ended September 30, 2026
2025
Revenue: Instruments and accessories$5,218.7 $4,360.6 Systems 2,104.8 1,687.8 Services 1,388.3 1,150.1 Total revenue 8,711.8 7,198.5 Cost of revenue: Product 2,354.7 2,056.3 Service 481.9 404.2 Total cost of revenue (1) 2,836.6 2,460.5 Gross profit 5,875.2 4,738.0 Operating expenses: Selling, general, and administrative (2) 2,314.6 1,697.9 Research and development 1,140.8 958.9 Total operating expenses 3,455.4 2,656.8 Income from operations (3) 2,419.8 2,081.2 Interest and other income, net 243.6 274.6 Income before taxes 2,663.4 2,355.8 Income tax expense (4) 489.8 278.7 Net income 2,173.6 2,077.1 Less: net income attributable to noncontrolling interest in joint venture 11.2 15.9 Net income attributable to Intuitive Surgical, Inc.$2,162.4 $2,061.2 Net income per share attributable to Intuitive Surgical, Inc.: Basic$6.13 $5.77 Diluted (5)$6.07 $5.67 Weighted average shares outstanding: Basic 352.6 357.5 Diluted 356.2 363.5 (1) Cost of revenue includes the following benefits related to refunds recognized for tariffs paid in prior periods under IEEPA:Product$53.2 $— Service$10.5 $— (2) Selling, general, and administrative includes the effect of the following item: Litigation charges$461.3 $12.5 (3) Income from operations includes the effect of the following items: Amortization of intangible assets$(40.4) $(9.9)Expensed IP charged to R&D$— $(7.3)(4) Income tax expense includes the effect of the following items: Excess tax benefits related to share-based compensation arrangements$(103.2) $(202.5)Discrete tax benefit from release of unrecognized tax benefits$(1.6) $(23.0)(5) Diluted net income per share attributable to Intuitive Surgical, Inc. includes the effect of the following items:IEEPA tariff refunds, net of tax$0.14 $— Litigation charges, net of tax$(1.00) $(0.03)Amortization of intangible assets, net of tax$(0.09) $(0.02)Expensed IP charged to R&D, net of tax$— $(0.02)Excess tax benefits related to share-based compensation arrangements$0.29 $0.56 Discrete tax benefit from release of unrecognized tax benefits$— $0.06 INTUITIVE SURGICAL, INC.
UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS
(IN MILLIONS)
September 30,
2026
December 31,
2025
Cash, cash equivalents, and investments$6,800.4 $9,034.1 Accounts receivable, net 1,721.3 1,527.3 Inventory 2,128.2 1,840.0 Property, plant, and equipment, net 5,676.2 5,342.4 Goodwill 557.8 370.3 Deferred tax assets 719.7 1,018.6 Other assets 1,745.5 1,326.0 Total assets$19,349.1 $20,458.7 Accounts payable and other liabilities$2,561.9 $1,918.9 Deferred revenue 669.4 598.1 Total liabilities 3,231.3 2,517.0 Stockholders’ equity 16,117.8 17,941.7 Total liabilities and stockholders’ equity$19,349.1 $20,458.7 INTUITIVE SURGICAL, INC.
UNAUDITED RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
(IN MILLIONS, EXCEPT PER SHARE DATA) Three Months Ended Nine Months Ended September 30,
2026 June 30,
2026 September 30,
2025 September 30,
2026 September 30,
2025GAAP gross profit $2,084.3 $1,960.4 $1,662.4 $5,875.2 $4,738.0 GAAP gross profit margin (1) 68.4% 67.8% 66.4% 67.4% 65.8%Share-based compensation expense 36.6 36.2 38.8 108.8 111.6 Long-term incentive plan expense — (0.1) 0.2 — 0.6 Amortization of intangible assets 8.7 23.3 2.4 38.6 7.3 Acquisition-related items — 4.1 — 10.0 — Non-GAAP gross profit $2,129.6 $2,023.9 $1,703.8 $6,032.6 $4,857.5 Non-GAAP gross profit margin (1) 69.9% 70.0% 68.0% 69.2% 67.5% GAAP income from operations $592.6 $971.9 $759.7 $2,419.8 $2,081.2 Share-based compensation expense 212.6 209.9 203.5 632.0 584.9 Long-term incentive plan expense 0.3 (0.4) 1.3 0.4 2.4 Amortization of intangible assets 9.3 24.0 3.3 40.4 9.9 Facilities asset abandonment charge — 6.9 — 6.9 — Litigation charges 454.9 — 8.1 461.2 11.6 Gains on sale of businesses and assets — — — (7.9) — Acquisition-related items — 5.7 — 11.7 — Non-GAAP income from operations $1,269.7 $1,218.0 $975.9 $3,564.5 $2,690.0 GAAP net income attributable to Intuitive Surgical, Inc. $522.8 $818.1 $704.4 $2,162.4 $2,061.2 Share-based compensation expense 212.6 209.9 203.5 632.0 584.9 Long-term incentive plan expense 0.3 (0.4) 1.3 0.4 2.4 Amortization of intangible assets 9.3 24.0 3.3 40.4 9.9 Facilities asset abandonment charge — 6.9 — 6.9 — Litigation charges 454.9 — 8.1 461.2 11.6 Gains on sale of businesses and assets — — — (7.9) — (Gains) losses on strategic investments (0.9) (0.2) (3.0) (1.7) 2.0 Acquisition-related items — 5.7 — 11.7 — Tax adjustments (2) (144.4) (62.1) (49.9) (347.6) (344.3)Adjustments attributable to noncontrolling interest in joint venture (0.1) 0.2 (0.5) (0.1) (1.1)Non-GAAP net income attributable to Intuitive Surgical, Inc. $1,054.5 $1,002.1 $867.2 $2,957.7 $2,326.6 GAAP net income per share attributable to Intuitive Surgical, Inc. - diluted $1.49 $2.29 $1.95 $6.07 $5.67 Share-based compensation expense 0.60 0.59 0.56 1.77 1.61 Long-term incentive plan expense — — 0.01 — 0.01 Amortization of intangible assets 0.03 0.07 0.01 0.11 0.03 Facilities asset abandonment charge — 0.02 — 0.02 — Litigation charges 1.29 — 0.02 1.29 0.03 Gains on sale of businesses and assets — — — (0.02) — (Gains) losses on strategic investments — — (0.01) — — Acquisition-related items — 0.01 — 0.03 — Tax adjustments (2) (0.41) (0.18) (0.14) (0.97) (0.95)Adjustments attributable to noncontrolling interest in joint venture — — — — — Non-GAAP net income per share attributable to Intuitive Surgical, Inc. - diluted $3.00 $2.80 $2.40 $8.30 $6.40 (1) Gross profit margin is calculated by dividing gross profit by revenue.(2) For the three months ended September 30, 2026, tax adjustments included: (a) excess tax benefits associated with share-based compensation arrangements of $(12.6) million, or $(0.04) per diluted share; (b) the tax impact related to intra-entity transfers of non-inventory assets of $10.7 million, or $0.03 per diluted share; and (c) other tax adjustments effects determined by applying a calculated non-GAAP effective tax rate of $(142.5) million, or $(0.40) per diluted share. For the three months ended September 30, 2025, tax adjustments included: (a) excess tax benefits associated with share-based compensation arrangements of $(24.2) million, or $(0.07) per diluted share; (b) the tax impact related to intra-entity transfers of non-inventory assets of $10.6 million, or $0.03 per diluted share; and (c) other tax adjustments effects determined by applying a calculated non-GAAP effective tax rate of $(36.3) million, or $(0.10) per diluted share.For the nine months ended September 30, 2026, tax adjustments included: (a) excess tax benefits associated with share-based compensation arrangements of $(103.2) million, or $(0.29) per diluted share; (b) tax impact related to intra-entity transfers of non-inventory assets of $32.1 million, or $0.09 per diluted share; and (c) other tax adjustments effects determined by applying a calculated non-GAAP effective tax rate of $(276.5) million, or $(0.77) per diluted share. For the nine months ended September 30, 2025, tax adjustments included: (a) excess tax benefits associated with share-based compensation arrangements of $(202.5) million, or $(0.56) per diluted share; (b) tax impact related to intra-entity transfers of non-inventory assets of $32.0 million, or $0.09 per diluted share; and (c) other tax adjustments effects determined by applying a calculated non-GAAP effective tax rate of $(173.8) million, or $(0.48) per diluted share. Contact: Investor Relations
(408) 523 - 2161
Key Takeaways ISRG plans to extend EndoWrist instrument life in 2027 to lower costs for select robotic procedures.ISRG's I&A revenues rose 18% to $1.73B in Q2, but longer instrument use could pressure revenue per procedure.ISRG's 42% adjusted operating margin supports its strategy to expand adoption through lower costs. Intuitive Surgical (ISRG - Free Report) is preparing to lower customer costs for selected robotic-assisted procedures through its Extended Use Program (“EUP”), reflecting a strategic trade-off between near-term instrumentation and accessories (I&A) revenues and long-term market expansion.
Beginning first-half 2027, the company plans to increase the useful life of a subset of EndoWrist instruments compatible with its fourth- and fifth-generation da Vinci platforms. The initiative targets benign, high-volume procedures where affordability can influence adoption, particularly in cost-sensitive geographies and healthcare systems with lower reimbursement rates.
The strategy could put pressure on I&A revenue per procedure as customers extend the use of eligible instruments before replacing them. In the second quarter of 2026, I&A revenues rose 18% year over year to $1.73 billion, while da Vinci I&A revenue per procedure reached approximately $1,830, compared with $1,800 a year earlier.
Management is yet to quantify EUP’s financial impact, with further details expected following its analysis and pricing decisions. The rollout is expected to have a gradual impact throughout 2027 rather than result in an immediate, one-time change.
However, Intuitive Surgical is prioritizing growth and profitability together, and believes lower procedure costs can unlock incremental demand. By lowering the cost of robotic surgery for selected benign procedures, EUP could encourage hospitals and physicians to increase utilization, particularly in markets where cost has limited adoption. Higher utilization and a broader customer base could strengthen the company’s installed ecosystem and support recurring revenue opportunities over time.
The initiative comes as Intuitive Surgical remains profitable, reporting a 42% adjusted operating margin in the second quarter. Its broader strategy is to use engineering innovation, manufacturing scale and cost reductions to extend access without compromising product quality or reliability. The near-term trade-off impact will likely lead to slower I&A revenue growth per procedure while driving the longer-term opportunity for a larger market share and higher system utilization.
Peer UpdatesStryker (SYK - Free Report) is improving operating leverage through tighter spending controls, stronger gross margins and operational execution. In the second quarter of 2026, adjusted gross margin increased 60 basis points year over year to 66%, supported by favorable business mix, cost discipline and a net benefit from tariff-related costs.
Adjusted operating margin expanded 170 basis points to 27.4%. Gross margin improvement was complemented by lower adjusted selling, general and administrative expenses as a percentage of sales. Adjusted EPS rose 17.9% to $3.69, outpacing 9% organic sales growth and demonstrating improved profitability despite ongoing recovery from the cybersecurity incident.
Medtronic (MDT - Free Report) is pursuing structural cost reductions through product portfolio simplification, manufacturing efficiencies and supply-chain improvements while continuing to fund growth initiatives. In the first quarter of fiscal 2027, cost-reduction measures contributed 50 basis points to gross margin, net of inflation, while disciplined pricing added another 30 basis points.
The company rationalized more than 9,000 SKUs to streamline operations and improve supply-chain efficiency. Adjusted operating profit increased 15% to $2.3 billion, and operating margin rose 10 basis points to 23.7%, despite unfavorable business mix and higher selling expenses. Management expects operating profit growth of approximately 10% and 50 basis points of margin expansion for fiscal 2027.
Grant Private Wealth Management Inc trimmed its position in Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report) by 36.9% in the third quarter, according to its most recent 13F filing with the Securities and Exchange Commission. The fund owned 2,334 shares of the medical equipment provider’s stock after selling 1,367 shares during the quarter. Grant Private Wealth Management Inc’s holdings in Intuitive Surgical were worth $949,000 as of its most recent filing with the Securities and Exchange Commission.
Several other institutional investors and hedge funds have also made changes to their positions in the company. Main Street Group LTD acquired a new position in shares of Intuitive Surgical in the 1st quarter valued at about $30,000. North Point Portfolio Managers Corp OH bought a new stake in shares of Intuitive Surgical during the 3rd quarter valued at about $27,000. Vermillion Wealth Management Inc. grew its position in shares of Intuitive Surgical by 58.1% during the 1st quarter. Vermillion Wealth Management Inc. now owns 68 shares of the medical equipment provider’s stock valued at $31,000 after buying an additional 25 shares during the last quarter. Evergreen Advisors LLC acquired a new stake in Intuitive Surgical during the first quarter worth about $35,000. Finally, Compass Financial Management LLC acquired a new stake in Intuitive Surgical during the second quarter worth about $30,000. 83.64% of the stock is owned by institutional investors and hedge funds.
Insider Transactions at Intuitive Surgical In related news, Director Amy Ladd sold 400 shares of the stock in a transaction dated Monday, August 10th. The shares were sold at an average price of $379.00, for a total value of $151,600.00. Following the completion of the transaction, the director owned 251 shares in the company, valued at $95,129. This represents a 61.44% decrease in their position. The sale was disclosed in a filing with the SEC, which is available at this hyperlink. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, VP Fredrik Widman sold 1,089 shares of the firm’s stock in a transaction dated Tuesday, September 15th. The shares were sold at an average price of $374.44, for a total transaction of $407,765.16. Following the transaction, the vice president directly owned 1,026 shares in the company, valued at approximately $384,175.44. The trade was a 51.49% decrease in their position. The SEC filing for this sale provides additional information. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Insiders have sold a total of 12,370 shares of company stock worth $4,891,989 over the last ninety days. Insiders own 0.60% of the company’s stock.
Analyst Upgrades and Downgrades ISRG has been the topic of a number of recent research reports. Wall Street Zen cut shares of Intuitive Surgical from a “buy” rating to a “hold” rating in a report on Sunday, September 20th. Weiss Ratings reiterated a “hold (c)” rating on shares of Intuitive Surgical in a research report on Friday, August 14th. Royal Bank Of Canada dropped their price target on Intuitive Surgical from $650.00 to $600.00 and set an “outperform” rating on the stock in a research report on Monday, July 13th. Evercore set a $430.00 price target on Intuitive Surgical in a report on Monday, July 6th. Finally, Stifel Nicolaus cut their price target on Intuitive Surgical from $670.00 to $550.00 and set a “buy” rating on the stock in a report on Friday, July 17th. One research analyst has rated the stock with a Strong Buy rating, twenty-two have issued a Buy rating, seven have assigned a Hold rating and one has given a Sell rating to the company. According to data from MarketBeat, the stock has an average rating of “Moderate Buy” and an average target price of $498.83. Get Our Latest Report on ISRG
Key Headlines Impacting Intuitive Surgical Here are the key news stories impacting Intuitive Surgical this week:
Positive Sentiment: Analysts at Erste Group Bank raised their earnings estimates for ISRG, suggesting improved expectations for the company’s upcoming results and longer-term profitability. Erste Group Bank Analysts Boost Earnings Estimates for ISRG Positive Sentiment: Recent results have shown double-digit growth in robotic-surgery procedures, revenue and Intuitive Surgical’s installed base of systems. That underlying operating momentum remains a key support for the investment case despite the stock’s broader underperformance this year. Intuitive Surgical Valuation and Growth Positive Sentiment: The shares increased in the prior session and outperformed the broader market that day, reflecting some investor support ahead of the earnings release. ISRG Beats Stock Market Upswing Neutral Sentiment: Investors are focused on third-quarter procedure growth, da Vinci system demand, revenue, margins and other operating metrics—not just earnings per share and revenue—to determine whether recent momentum is sustainable. ISRG Ahead of Q3 Earnings Negative Sentiment: Expectations are tempered by slowing U.S. procedure growth and headwinds in China. These issues could pressure system placements and margins, increasing the risk of an earnings-related market reaction. ISRG Q3 Earnings Preview Negative Sentiment: Despite double-digit growth, shares have declined substantially during 2026 and trade at a premium valuation. Investors are questioning whether a valuation around 33 times expected earnings adequately reflects the company’s growth prospects, particularly if procedure growth slows. ISRG Valuation Analysis Intuitive Surgical Stock Performance NASDAQ:ISRG opened at $426.70 on Monday. The stock has a market cap of $150.74 billion, a price-to-earnings ratio of 48.88, a PEG ratio of 3.22 and a beta of 1.46. Intuitive Surgical, Inc. has a 1 year low of $328.57 and a 1 year high of $603.88. The business has a fifty day moving average of $391.43 and a 200-day moving average of $409.44.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last issued its quarterly earnings data on Thursday, July 16th. The medical equipment provider reported $2.80 earnings per share for the quarter, beating analysts’ consensus estimates of $2.48 by $0.32. Intuitive Surgical had a net margin of 28.45% and a return on equity of 16.91%. The business had revenue of $2.89 billion for the quarter, compared to analysts’ expectations of $2.83 billion. During the same period in the previous year, the business earned $1.81 earnings per share. The company’s revenue was up 18.4% on a year-over-year basis. On average, equities research analysts predict that Intuitive Surgical, Inc. will post 8.87 EPS for the current year.
Intuitive Surgical Company Profile (Free Report)
Intuitive Surgical, Inc develops and manufactures robotic-assisted systems and related technologies for minimally invasive surgery. Its products are designed to help surgeons perform procedures through small incisions while providing enhanced visualization, precision and control. The company’s primary platform is the da Vinci Surgical System, which is used across a range of specialties, including urology, gynecology, general surgery, cardiothoracic surgery and other procedures.
The company also offers the Ion endoluminal system, which is designed to support minimally invasive lung biopsy procedures.
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Intuitive Surgical (ISRG +1.23%) has built a leading position in robot-assisted surgery, and three Wall Street analysts see its shares reaching $500. Oppenheimer upgraded the stock to Outperform in August with a $500 price target. Meanwhile, Citigroup and Baird lowered their targets to $500 in July but kept their Buy and Outperform ratings.
As more hospitals adopt its technology, the company is finding new ways to accelerate growth. Here's why the bull case may have more room to run.
Image source: Getty Images.
Robotic surgery gives Intuitive Surgical a powerful growth engine
Intuitive Surgical's bull case is straightforward: it isn't just selling surgical robots; it's building a whole ecosystem that hospitals and surgeons can rely on for years. Its flagship da Vinci surgical system allows surgeons to perform minimally invasive procedures using robotic tools through a console.
But the bigger revenue driver is what happens after a hospital purchases a robot.
Intuitive can generate recurring revenue from instruments, accessories, and servicing as hospitals continue to use its systems. That creates a business model with both a sales component for equipment and an ongoing revenue stream from surgical procedures.
The company's next major opportunity comes from Intuitive's latest platform, da Vinci 5. The system builds on established technology with features such as improved imaging, enhanced computing capabilities, and tools to support surgical workflows. If it succeeds, da Vinci 5 could encourage new purchases, upgrades, and broader adoption across hospitals.
The new rollout is already underway. In the second quarter of 2026, Intuitive placed 246 da Vinci 5 systems, up from 180 in the previous year. That suggests that the new platform is already contributing to more overall sales.
But of course, the bull case doesn't depend entirely on selling new robots. As the installed base expands, Intuitive has more opportunities to generate recurring revenue from the tools and accessories used in procedures.
More procedures mean more recurring revenue
Beyond intelligent surgical robots, Intuitive also benefits when hospitals use its systems more frequently. Each additional procedure can create demand for accessories and related services. And so far, the trend has been encouraging. Compared with the same quarter last year, procedures done by surgeons using da Vinci systems grew 15%, while revenue from instruments and accessories climbed 18% to roughly $1.7 billion.
These figures demonstrate why Intuitive's business model is so compelling. The company doesn't need every dollar of growth to come from selling another robot. It can also grow by making greater use of the systems already installed in hospitals.
$431.94+$5.24 (+1.23%)
NASDAQ · As of 10:31 AM ET 10/19/26
The opportunity extends beyond the U.S., too. Intuitive reported strong international procedure growth, supported by broader adoption across surgical specialties. Continued expansion into new markets could help the company reach hospitals and surgeons that have yet to adopt robot-assisted surgery.
On top of that, Intuitive's Ion platform adds another opportunity beyond da Vinci and surgical robotics. Ion provides robot-assisted bronchoscopy, which helps physicians perform biopsies on lung nodules that may be difficult to access using traditional techniques. That matters because finding lung cancer earlier can be important for treatment decisions. Ion gives Intuitive exposure to the broader push toward earlier diagnosis rather than focusing only on growth in surgical procedures.
Still, the bull case is not without risks. Some of these risks include slower procedure growth, limited hospital budgets, and stronger competition from other surgical robotics companies. But if the company successfully navigates these risks, the upside could be compelling.
Is Intuitive Surgical stock a buy at today's valuation?
A consensus among 31 Wall Street analysts rates Intuitive Surgical a Strong Buy, with target prices indicating potential upside of between 12% and 60% over the next 12 months. However, the biggest challenge today is valuation. The stock trades at a price-to-earnings ratio (P/E) of about 49, which leaves less room for disappointment if procedure growth slows or new system sales fall short of expectations.
Looking ahead, third-quarter results, expected on or around Oct. 20, will show whether procedure growth and da Vinci 5 placements are holding up. Still, for investors who believe robot-assisted surgery will only become more common, today's stock price might make sense. If Intuitive Surgical accelerates earnings growth and exceeds those high expectations, the stock has a realistic path to $500.
If you're not familiar with Intuitive Surgical (ISRG -0.27%), you might want to be. Here's why. Check out its long-term track record:
Period
Average Annual Gain
Year-to-date
(25.48%)
1 year
(3.14%)
3 years
15.61%
5 years
5.3%
10 years
18.20%
15 years
16.44%
Data source: Morningstar.com, as of Oct. 13, 2026.
As you can see, the past year has underwhelmed investors. But that's not reason to give up on the company -- because history has shown that patient investors can be well rewarded. Indeed, the stock slid some 26% in 2022, only to pop by 27% in 2023 and 55% in 2024.
Image source: The Motley Fool.
Intuitive Surgical has become an 800-pound gorilla in the realm of robotic surgical systems, with a recent market value of nearly $150 billion. Here are some eye-opening stats about it:
It has over 11,700 robotic surgical systems installed globally -- in more than 70 countries. (And these systems generally cost more than $1 million apiece -- often much more.)
It's growing at a good clip. In its second quarter, Intuitive placed 468 da Vinci systems, up from 395 in the year-prior quarter, and representing a total growth in its installed base of 12% year over year.
Its second-quarter revenue jumped 19% year over year, to $2.9 billion.
ISRG Intuitive Surgical$426.70-$1.16 (-0.27%)
NASDAQ · As of 4:00 PM ET 10/16/26
If you're a dividend enthusiast, as I am, you may be disappointed to learn that Intuitive Surgical's dividend yield is, well, 0%. (I'd argue that it makes up for that loss with solid share-price appreciation over the long term.) But note that it does repurchase shares now and then, and the effect of that delivers value to shareholders, as remaining shares become more valuable. Thus, incorporating buybacks, the company recently sported a "total" yield of 2.4%.
Should you invest in Intuitive Surgical?
There are ample reasons to consider investing in Intuitive Surgical, along with a few potential concerns:
The company has multiple ways to grow: It can (and does) introduce new or updated systems now and then, it aims to gain additional approvals for its systems to do more kinds of procedures (such as, recently bronchoscopies), and it's expanding its reach internationally.
Its business model is sticky -- and attractive: It makes money from selling costly systems, yes, but it generates more (much more) revenue from selling servicing and supplies for those systems. And that's recurring income -- which is music to a savvy investor's ears.
Its stock seems reasonably valued or somewhat undervalued at recent levels. Its recent forward-looking price-to-earnings ratio, for example, is 35, well below the five-year average of 52. (Both of those numbers are on the steep side, though.)
It does face increasing competition, not only in systems, but also in accessories and instruments.
Weight-loss drugs, now wildly popular, are likely to put pressure on robotic bariatric surgeries.
The company's growth has cooled a bit.
I'll divulge that I'm a shareholder, myself, with no plans to sell out of this stock anytime in the foreseeable future. I'm not terribly concerned that its shares have retreated a bit. I still see further growth ahead.
Selena Maranjian has positions in Intuitive Surgical. The Motley Fool has positions in and recommends Intuitive Surgical. The Motley Fool recommends the following options: long January 2028 $520 calls on Intuitive Surgical and short January 2028 $530 calls on Intuitive Surgical. The Motley Fool has a disclosure policy.
Annex Advisory Services LLC reduced its stake in shares of Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report) by 37.8% in the third quarter, according to the company in its most recent 13F filing with the Securities and Exchange Commission (SEC). The institutional investor owned 56,547 shares of the medical equipment provider’s stock after selling 34,396 shares during the quarter. Annex Advisory Services LLC’s holdings in Intuitive Surgical were worth $22,994,000 as of its most recent filing with the Securities and Exchange Commission (SEC).
Other institutional investors and hedge funds have also recently modified their holdings of the company. 3Chopt Investment Partners LLC lifted its position in shares of Intuitive Surgical by 5.2% in the first quarter. 3Chopt Investment Partners LLC now owns 462 shares of the medical equipment provider’s stock worth $213,000 after buying an additional 23 shares in the last quarter. Vermillion Wealth Management Inc. boosted its position in shares of Intuitive Surgical by 58.1% during the 1st quarter. Vermillion Wealth Management Inc. now owns 68 shares of the medical equipment provider’s stock valued at $31,000 after acquiring an additional 25 shares during the last quarter. W.G. Shaheen & Associates DBA Whitney & Co grew its holdings in shares of Intuitive Surgical by 1.0% in the first quarter. W.G. Shaheen & Associates DBA Whitney & Co now owns 2,542 shares of the medical equipment provider’s stock valued at $1,172,000 after purchasing an additional 25 shares in the last quarter. Blue Fin Capital Inc. grew its holdings in shares of Intuitive Surgical by 0.5% in the first quarter. Blue Fin Capital Inc. now owns 4,794 shares of the medical equipment provider’s stock valued at $2,210,000 after purchasing an additional 25 shares in the last quarter. Finally, Red Spruce Capital LLC increased its position in Intuitive Surgical by 4.1% in the second quarter. Red Spruce Capital LLC now owns 640 shares of the medical equipment provider’s stock worth $255,000 after purchasing an additional 25 shares during the last quarter. Institutional investors own 83.64% of the company’s stock.
Insider Buying and Selling at Intuitive Surgical In other news, EVP Mark Brosius sold 77 shares of Intuitive Surgical stock in a transaction that occurred on Friday, August 21st. The shares were sold at an average price of $375.57, for a total transaction of $28,918.89. Following the completion of the sale, the executive vice president owned 881 shares of the company’s stock, valued at approximately $330,877.17. The trade was a 8.04% decrease in their ownership of the stock. The transaction was disclosed in a legal filing with the SEC, which is accessible through this link. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, EVP Gary Loeb sold 400 shares of Intuitive Surgical stock in a transaction that occurred on Monday, August 10th. The shares were sold at an average price of $379.00, for a total transaction of $151,600.00. Following the sale, the executive vice president directly owned 5,320 shares of the company’s stock, valued at $2,016,280. This represents a 6.99% decrease in their position. Additional details regarding this sale are available in the official SEC disclosure. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. In the last quarter, insiders sold 12,370 shares of company stock valued at $4,891,989. 0.60% of the stock is owned by corporate insiders.
Analyst Upgrades and Downgrades A number of equities research analysts recently issued reports on the stock. Raymond James Financial reaffirmed an “outperform” rating and set a $483.00 price target (down from $577.00) on shares of Intuitive Surgical in a research note on Friday, July 17th. Mizuho set a $415.00 price objective on shares of Intuitive Surgical in a research note on Tuesday. Piper Sandler reissued an “overweight” rating on shares of Intuitive Surgical in a research note on Friday, August 21st. Weiss Ratings restated a “hold (c)” rating on shares of Intuitive Surgical in a report on Friday, August 14th. Finally, Royal Bank Of Canada decreased their target price on shares of Intuitive Surgical from $650.00 to $600.00 and set an “outperform” rating on the stock in a research report on Monday, July 13th. One research analyst has rated the stock with a Strong Buy rating, twenty-two have assigned a Buy rating, seven have given a Hold rating and one has given a Sell rating to the company’s stock. According to MarketBeat.com, the company currently has an average rating of “Moderate Buy” and an average target price of $498.83. Read Our Latest Research Report on Intuitive Surgical
Intuitive Surgical News Roundup Here are the key news stories impacting Intuitive Surgical this week:
Positive Sentiment: Analysts at Erste Group Bank raised their earnings estimates for ISRG, suggesting improved expectations for the company’s upcoming results and longer-term profitability. Erste Group Bank Analysts Boost Earnings Estimates for ISRG Positive Sentiment: Recent results have shown double-digit growth in robotic-surgery procedures, revenue and Intuitive Surgical’s installed base of systems. That underlying operating momentum remains a key support for the investment case despite the stock’s broader underperformance this year. Intuitive Surgical Valuation and Growth Positive Sentiment: The shares increased in the prior session and outperformed the broader market that day, reflecting some investor support ahead of the earnings release. ISRG Beats Stock Market Upswing Neutral Sentiment: Investors are focused on third-quarter procedure growth, da Vinci system demand, revenue, margins and other operating metrics—not just earnings per share and revenue—to determine whether recent momentum is sustainable. ISRG Ahead of Q3 Earnings Negative Sentiment: Expectations are tempered by slowing U.S. procedure growth and headwinds in China. These issues could pressure system placements and margins, increasing the risk of an earnings-related market reaction. ISRG Q3 Earnings Preview Negative Sentiment: Despite double-digit growth, shares have declined substantially during 2026 and trade at a premium valuation. Investors are questioning whether a valuation around 33 times expected earnings adequately reflects the company’s growth prospects, particularly if procedure growth slows. ISRG Valuation Analysis ISRG stock opened at $426.70 on Friday. The business’s fifty day simple moving average is $391.43 and its two-hundred day simple moving average is $409.74. Intuitive Surgical, Inc. has a twelve month low of $328.57 and a twelve month high of $603.88. The firm has a market cap of $150.74 billion, a price-to-earnings ratio of 51.24, a PEG ratio of 3.23 and a beta of 1.46.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last released its earnings results on Thursday, July 16th. The medical equipment provider reported $2.80 earnings per share for the quarter, topping the consensus estimate of $2.48 by $0.32. The business had revenue of $2.89 billion during the quarter, compared to the consensus estimate of $2.83 billion. Intuitive Surgical had a return on equity of 16.91% and a net margin of 28.45%. The business’s revenue for the quarter was up 18.4% compared to the same quarter last year. During the same period last year, the company earned $1.81 earnings per share. Research analysts expect that Intuitive Surgical, Inc. will post 8.87 EPS for the current year.
Intuitive Surgical Company Profile (Free Report)
Intuitive Surgical, Inc develops and commercializes robotic-assisted systems and related technologies designed to support minimally invasive medical procedures. The company’s products are intended to help surgeons perform operations through small incisions while providing enhanced visualization, precision, and control.
Its principal product is the da Vinci Surgical System, a platform used across a range of specialties, including general surgery, urology, gynecology, thoracic surgery, and cardiac procedures.
Further Reading Five stocks we like better than Intuitive Surgical Bank of America Stock Sell-Off Looks Like a Buying Opportunity AST SpaceMobile Is Down 67%—Could SpaceX’s Mobile Push Deepen the Selloff? GlobalFoundries’ $21 Billion Deal Could Change the Economics of Chipmaking Fundamental and Technicals Signals Align for Costco: Is the Stock Finally Breaking Out?
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Banque Pictet & Cie SA lowered its holdings in shares of Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report) by 4.6% in the third quarter, according to its most recent disclosure with the SEC. The firm owned 35,243 shares of the medical equipment provider’s stock after selling 1,706 shares during the period. Banque Pictet & Cie SA’s holdings in Intuitive Surgical were worth $14,331,000 as of its most recent filing with the SEC.
A number of other institutional investors have also recently bought and sold shares of the business. James T. Borello RIA increased its position in Intuitive Surgical by 63.1% during the third quarter. James T. Borello RIA now owns 106 shares of the medical equipment provider’s stock worth $43,000 after acquiring an additional 41 shares during the period. Pension & Wealth Management Advisors Inc. raised its holdings in Intuitive Surgical by 76.9% in the 3rd quarter. Pension & Wealth Management Advisors Inc. now owns 1,433 shares of the medical equipment provider’s stock valued at $583,000 after acquiring an additional 623 shares in the last quarter. Daytona Street Capital LLC raised its holdings in Intuitive Surgical by 657.2% in the 3rd quarter. Daytona Street Capital LLC now owns 7,845 shares of the medical equipment provider’s stock valued at $3,177,000 after acquiring an additional 6,809 shares in the last quarter. Walser Wealth Management Company A Ltd Liability Co lifted its position in shares of Intuitive Surgical by 61.8% during the 3rd quarter. Walser Wealth Management Company A Ltd Liability Co now owns 1,306 shares of the medical equipment provider’s stock valued at $531,000 after acquiring an additional 499 shares during the period. Finally, V Square Quantitative Management LLC lifted its position in shares of Intuitive Surgical by 13.7% during the 3rd quarter. V Square Quantitative Management LLC now owns 3,735 shares of the medical equipment provider’s stock valued at $1,519,000 after acquiring an additional 450 shares during the period. Institutional investors and hedge funds own 83.64% of the company’s stock.
Analysts Set New Price Targets Several research firms have commented on ISRG. BNP Paribas Exane raised shares of Intuitive Surgical to an “outperform” rating in a report on Tuesday, July 28th. Sanford C. Bernstein reiterated an “outperform” rating on shares of Intuitive Surgical in a research report on Wednesday, August 12th. KeyCorp restated an “overweight” rating on shares of Intuitive Surgical in a research report on Wednesday, August 12th. Wells Fargo & Company restated an “overweight” rating and set a $487.00 target price (down from $654.00) on shares of Intuitive Surgical in a research note on Friday, July 17th. Finally, UBS Group reaffirmed a “buy” rating on shares of Intuitive Surgical in a report on Tuesday. One analyst has rated the stock with a Strong Buy rating, twenty-two have issued a Buy rating, seven have given a Hold rating and one has assigned a Sell rating to the stock. According to MarketBeat, Intuitive Surgical has an average rating of “Moderate Buy” and a consensus price target of $498.83.
Get Our Latest Report on Intuitive Surgical Intuitive Surgical Stock Performance Shares of NASDAQ:ISRG opened at $426.70 on Friday. Intuitive Surgical, Inc. has a 52-week low of $328.57 and a 52-week high of $603.88. The business’s 50 day simple moving average is $391.43 and its two-hundred day simple moving average is $409.74. The firm has a market cap of $150.74 billion, a P/E ratio of 48.88, a PEG ratio of 3.23 and a beta of 1.46.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last released its quarterly earnings data on Thursday, July 16th. The medical equipment provider reported $2.80 EPS for the quarter, beating the consensus estimate of $2.48 by $0.32. Intuitive Surgical had a return on equity of 16.91% and a net margin of 28.45%. The firm had revenue of $2.89 billion during the quarter, compared to the consensus estimate of $2.83 billion. During the same quarter in the previous year, the company posted $1.81 earnings per share. The company’s quarterly revenue was up 18.4% on a year-over-year basis. On average, equities analysts forecast that Intuitive Surgical, Inc. will post 8.87 earnings per share for the current fiscal year.
Intuitive Surgical News Roundup Here are the key news stories impacting Intuitive Surgical this week:
Positive Sentiment: Analysts at Erste Group Bank raised their earnings estimates for ISRG, suggesting improved expectations for the company’s upcoming results and longer-term profitability. Erste Group Bank Analysts Boost Earnings Estimates for ISRG Positive Sentiment: Recent results have shown double-digit growth in robotic-surgery procedures, revenue and Intuitive Surgical’s installed base of systems. That underlying operating momentum remains a key support for the investment case despite the stock’s broader underperformance this year. Intuitive Surgical Valuation and Growth Positive Sentiment: The shares increased in the prior session and outperformed the broader market that day, reflecting some investor support ahead of the earnings release. ISRG Beats Stock Market Upswing Neutral Sentiment: Investors are focused on third-quarter procedure growth, da Vinci system demand, revenue, margins and other operating metrics—not just earnings per share and revenue—to determine whether recent momentum is sustainable. ISRG Ahead of Q3 Earnings Negative Sentiment: Expectations are tempered by slowing U.S. procedure growth and headwinds in China. These issues could pressure system placements and margins, increasing the risk of an earnings-related market reaction. ISRG Q3 Earnings Preview Negative Sentiment: Despite double-digit growth, shares have declined substantially during 2026 and trade at a premium valuation. Investors are questioning whether a valuation around 33 times expected earnings adequately reflects the company’s growth prospects, particularly if procedure growth slows. ISRG Valuation Analysis Insider Activity In other news, VP Fredrik Widman sold 1,089 shares of the company’s stock in a transaction on Tuesday, September 15th. The shares were sold at an average price of $374.44, for a total value of $407,765.16. Following the completion of the sale, the vice president owned 1,026 shares in the company, valued at $384,175.44. This represents a 51.49% decrease in their position. The transaction was disclosed in a legal filing with the SEC, which is available through this hyperlink. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, Director Amy Ladd sold 400 shares of the stock in a transaction dated Monday, August 10th. The shares were sold at an average price of $379.00, for a total transaction of $151,600.00. Following the completion of the sale, the director owned 251 shares of the company’s stock, valued at approximately $95,129. This represents a 61.44% decrease in their position. Additional details regarding this sale are available in the official SEC disclosure. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Over the last ninety days, insiders sold 12,370 shares of company stock worth $4,891,989. Company insiders own 0.60% of the company’s stock.
Intuitive Surgical Profile (Free Report)
Intuitive Surgical, Inc develops and commercializes robotic-assisted systems and related technologies designed to support minimally invasive medical procedures. The company’s products are intended to help surgeons perform operations through small incisions while providing enhanced visualization, precision, and control.
Its principal product is the da Vinci Surgical System, a platform used across a range of specialties, including general surgery, urology, gynecology, thoracic surgery, and cardiac procedures.
Read More Five stocks we like better than Intuitive Surgical Bank of America Stock Sell-Off Looks Like a Buying Opportunity AST SpaceMobile Is Down 67%—Could SpaceX’s Mobile Push Deepen the Selloff? GlobalFoundries’ $21 Billion Deal Could Change the Economics of Chipmaking Fundamental and Technicals Signals Align for Costco: Is the Stock Finally Breaking Out?
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Key Takeaways ISRG, the undisputed leader in surgical robotics, is down 30% from its 2025 highs.
The Zacks Rank #2 (Buy) stock is poised for a technical breakout heading into its Q3 earnings release.
Intuitive's pristine debt-free balance sheet empowers it to adapt and expand.
Intuitive Surgical, Inc. (ISRG - Free Report) , the medical technology giant and the undisputed leader in surgical robotics, has fallen 30% from its early 2025 highs.
The selloff and its strong fundamentals, including a double-digit earnings and revenue growth outlook and impressive free cash flow expansion, make ISRG stock a great buy-and-hold candidate right now, especially as Wall Street keeps selling AI stocks.
ISRG stock surged off its recent lows heading into its Q3 earnings release that’s due out after the closing bell on Tuesday, October 20.
Intuitive Surgical stock earns a Zacks Rank #2 (Buy) and looks poised for a potential technical breakout as it overtakes vital long-term levels.
Image Source: Zacks Investment Research
The firm’s pristine debt-free balance sheet empowers Intuitive Surgical to adapt and expand into any number of growth areas.
All in, investors looking to diversify beyond tumbling AI stocks should consider buying the da Vinci robotic surgery systems maker for ~40% upside if it ever returns to its all-time highs.
Looking for S&P 500 Stocks to Buy On the Dip in Q3 Earnings Season? Buy ISRGIntuitive Surgical helped kick off the Sci-Fi age of healthcare when its da Vinci Surgical System was first cleared by the FDA in 1997 to assist in surgery and to perform actual surgery in 2000. Since then, its da Vinci robotic surgery systems have become integral throughout an array of procedures across urology, general surgery, gynecology, and beyond.
ISRG’s robots give surgeons better control, vision, and precision through small incisions, which can mean less pain, smaller scars, and faster recovery for patients compared with traditional open surgery.
The firm boasts that its technologies have performed 20.4 million+ procedures since it launched (as of Dec. 2025), including 3.2 million+ procedures performed on Intuitive systems in 2025.
Image Source: Zacks Investment Research
The S&P 500 medical technology company is making progress in vital surgical areas such as Thoracic (chest/lung surgery), Cardiac, Head and neck, and more.
The company also makes a robotic system for lung biopsies (not surgery) called the Ion. It helps doctors reach and sample small, hard-to-reach nodules deep in the lungs to check for cancer or other issues.
Intuitive Surgical’s rise sparked competition from Medtronic, Johnson & Johnson (JNJ - Free Report) , and others. But its growth outlook remains impressive after 25 years of expansion, and its offerings are only gaining in popularity as the healthcare world races to embrace as much cutting-edge technology as possible.
Buy ISRG Stock for Earnings and Sales GrowthISRG more than doubled its revenue between 2020 and 2025. It grew its sales by 21% in 2025, marking its strongest YoY expansion since 2021. The surgical robotics firm also doubled its GAAP earnings between the pre-Covid period in 2019 and 2025, boosted by 29% average expansion over the past three years.
In the near term, Intuitive Surgical is projected to grow its Q3 revenue by 15% to $2.88 billion. The company is projected to grow its adjusted quarterly earnings by 9% YoY to $2.61 a share.
ISRG beat our Zacks bottom-line estimate by an average of 17% in the past four quarters. Its upbeat EPS revisions for 2027 help it earn a Zacks Rank #2 (Buy) right now.
Image Source: Zacks Investment Research
It is projected to grow its revenue by 17% in 2026 and 13% next year to reach $13.21 billion, doubling 2022’s total in the process.
ISRG is expected to grow its adjusted earnings by over 20% in 2026 and 12% next year. The chart below showcases that its long-term earnings growth outlook over the next several years remains impressive.
Image Source: Zacks Investment Research
Why ISRG is One of the Best Stocks to Buy Now for Big UpsideISRG stock has climbed by a mind-blowing ~20,800% in the past 25 years, including a ~790% charge in the last 15 to crush its industry’s 300%.
Yet it has lagged the S&P 500 over the last five years on the back of its ~30% fall from its early 2025 highs.
This backdrop alone means that Intuitive Surgical offers roughly 43% upside if it ever returns to its all-time highs. The stock already climbed 30% from its July lows after buyers stepped in and held their ground near its previous 2021 highs.
ISRG is on the cusp of overtaking its 200-day. More importantly, Intuitive Surgical stock is back above its critical long-term 200-week moving average.
Image Source: Zacks Investment Research
One thing holding the stock back appears to be its valuation, with it trading at 43.7X forward 12-month earnings. This marks a huge premium compared to its industry’s 27.9X. But it has crushed its peers over the last 10 years, up ~470% vs. 112%. Plus, ISRG is trading at a 53% discount to its highs.
If Wall Street continues to reject its valuation levels as its growth slows, Intuitive Surgical could easily start paying a dividend to reward investors, given its debt-free balance sheet and growing cash position.
Key Takeaways ISRG's Q3 earnings are expected to rise 8.75% to $2.61 per share, with sales projected to grow 15% to $2.88B.ISRG's Q3 performance may benefit from international procedure growth and strong da Vinci 5 demand.ISRG's Q3 margins may face pressure from China pricing challenges, higher freight costs and increased R&D. Intuitive Surgical (ISRG - Free Report) is scheduled to report third-quarter 2026 earnings on Oct. 20, after the market closes. The company’s performance is expected to reflect continued adoption of robotic-assisted surgery, including its da Vinci and Ion platforms. However, moderating U.S. procedure growth, competitive pressures in China and a premium valuation could influence investor sentiment.
Intuitive Surgical’s third-quarter results are likely to reflect the balance between continued procedure growth, system demand and recurring revenue strength, and headwinds from moderating U.S. activity, China-related pricing pressure and higher costs. Management’s commentary on regional procedure trends, system placements and gross margins should provide important clues about the sustainability of quarterly growth and the company’s ability to meet consensus estimates.
Stock Performance and Earnings Surprise HistoryIntuitive Surgical’s shares gained 2.3% during the third quarter compared with the Zacks Medical Instruments industry’s 13.8% growth. The stock outperformed Stryker (SYK - Free Report) , which declined 12.5%, but narrowly exceeded GE HealthCare Technologies Inc. (GEHC - Free Report) , which gained 2.1%.
Image Source: Zacks Investment Research
ISRG has a strong earnings surprise record. The company’s earnings beat estimates in each of the trailing four quarters, delivering an average surprise of 16.53%. This track record provides a constructive backdrop, although past beats do not guarantee another earnings surprise.
Image Source: Zacks Investment Research
Consensus Estimates and RevisionsThe Zacks Consensus Estimate for third-quarter 2026 earnings is pegged at $2.61 per share, indicating growth of 8.75% from the year-ago quarter, according to the supplied estimates. The consensus estimate for revenues is pinned at $2.88 billion, implying growth of 15%.
The EPS estimate has remained unchanged at $2.61 over the past seven days. This stability indicates that the near-term earnings outlook has remained largely unchanged during the period, although the direction of future estimate revisions remains uncertain.
Image Source: Zacks Investment Research
Key Factors Shaping ISRG’s Q3 ResultsProcedure Growth and Utilization: Intuitive Surgical’s third-quarter performance is likely to have been influenced by the pace of procedure growth, particularly in the United States, where demand moderated in the second quarter. U.S. da Vinci procedure growth slowed to 12%, as patients appeared to defer certain procedures amid changes in coverage and premium dynamics.
This trend may have continued into the third quarter, potentially limiting recurring revenue growth from instruments and accessories. In contrast, international da Vinci procedures grew 20% in the second quarter, with Europe and Asia each reporting 20% growth. Sustained international momentum is likely to have partly offset softer U.S. demand, although the extent of this contribution remains uncertain.
System Placements and Revenue Mix: Strong demand for newer platforms supported Intuitive Surgical’s second-quarter placements of 468 da Vinci systems and 55 Ion systems. This momentum is likely to have supported system revenues in the third quarter, although customer purchasing decisions and capital budget constraints may have influenced placement volumes.
Adoption of da Vinci 5 could have contributed to system sales, while demand for the lower-cost XiR platform may have supported placements among budget-conscious customers. The number of reported placements and the mix of systems sold may indicate whether capital equipment demand remained strong enough to support recurring revenue growth.
Ion Procedures and International Demand: Ion procedures increased 36% in the second quarter, making utilization growth an important contributor to the company’s quarterly performance. Continued adoption of the platform is likely to have supported recurring revenues in the third quarter, although the magnitude of this contribution will become clearer when results are reported. International markets might have also provided support, given the strong procedure growth in the second quarter. Investors should assess whether these growth drivers were sufficient to offset moderation in the U.S. market.
Pricing Pressure and Margins: China’s challenging operating environment is likely to have remained a headwind in the third quarter, with lower tender activity, stronger domestic competition and policy-driven pricing pressure potentially affecting system placements and revenue mix. Cost pressures also remain important. Management cited higher freight and semiconductor memory costs, alongside product and regional mix, as factors affecting profitability in the second quarter.
Although the company raised its 2026 adjusted gross margin outlook to 68-69%, third-quarter results are likely to indicate whether revenue growth and operating execution were sufficient to absorb these pressures. Higher research and development spending may have affected operating leverage and earnings growth.
What Our Model Unveils for ISRG StockOur proven model does not conclusively predict an earnings beat for Intuitive Surgical this time around. The combination of a positive Earnings ESP and Zacks Rank #1 (Strong Buy), 2 (Buy) or 3 (Hold) increases the odds of an earnings beat. However, that is not the case here, as you can see below.
Earnings ESP: Intuitive Surgical has an Earnings ESP of 0.00%. You can uncover the best stocks to buy or sell before they are reported with our Earnings ESP Filter.
Zacks Rank: ISRG carries a Zacks Rank #2 at present. You can see the complete list of today’s Zacks #1 Rank stocks here.
Valuation and Investment OutlookISRG is trading at a forward 12-month price-to-earnings (P/E F12M) of 35.87X compared with 27.19X for its industry. The valuation premium reflects investor expectations for sustained growth but leaves less room for disappointment.
Image Source: Zacks Investment Research
Stryker is trading at 17.30X P/E F12M and GE HealthCare at 12.89X. These lower multiples do not necessarily indicate that ISRG is overvalued relative to its peers, given differences in business mix.
ConclusionIntuitive Surgical’s expanding procedure base, strong earnings-surprise history and continued platform adoption support its long-term investment case. Nevertheless, moderating U.S. demand, intensifying competition in China, rising investment needs and a premium valuation warrant caution ahead of the results. Existing shareholders may consider holding their positions, while prospective investors should evaluate procedure growth, margin performance and management’s updated outlook before initiating a position.
Intuitive Surgical, Inc. (ISRG - Free Report) closed the most recent trading day at $427.86, moving +1.81% from the previous trading session. The stock outperformed the S&P 500, which registered a daily gain of 0.33%. On the other hand, the Dow registered a gain of 1.08%, and the technology-centric Nasdaq increased by 0.08%.
The company's shares have seen an increase of 9.93% over the last month, surpassing the Medical sector's loss of 0.15% and the S&P 500's gain of 1.41%.
The upcoming earnings release of Intuitive Surgical, Inc. will be of great interest to investors. The company's earnings report is expected on October 20, 2026. The company is predicted to post an EPS of $2.61, indicating a 8.75% growth compared to the equivalent quarter last year. At the same time, our most recent consensus estimate is projecting a revenue of $2.88 billion, reflecting a 14.98% rise from the equivalent quarter last year.
For the full year, the Zacks Consensus Estimates project earnings of $10.74 per share and a revenue of $11.74 billion, demonstrating changes of +20.27% and +16.67%, respectively, from the preceding year.
Investors should also take note of any recent adjustments to analyst estimates for Intuitive Surgical, Inc. These latest adjustments often mirror the shifting dynamics of short-term business patterns. Consequently, upward revisions in estimates express analysts' positivity towards the business operations and its ability to generate profits.
Research indicates that these estimate revisions are directly correlated with near-term share price momentum. To capitalize on this, we've crafted the Zacks Rank, a unique model that incorporates these estimate changes and offers a practical rating system.
The Zacks Rank system, running from #1 (Strong Buy) to #5 (Strong Sell), holds an admirable track record of superior performance, independently audited, with #1 stocks contributing an average annual return of +25% since 1988. Within the past 30 days, our consensus EPS projection has moved 0.01% higher. Intuitive Surgical, Inc. is currently sporting a Zacks Rank of #2 (Buy).
In terms of valuation, Intuitive Surgical, Inc. is currently trading at a Forward P/E ratio of 39.15. This represents a premium compared to its industry average Forward P/E of 23.25.
It is also worth noting that ISRG currently has a PEG ratio of 2.62. Comparable to the widely accepted P/E ratio, the PEG ratio also accounts for the company's projected earnings growth. As the market closed yesterday, the Medical - Instruments industry was having an average PEG ratio of 2.27.
The Medical - Instruments industry is part of the Medical sector. This industry currently has a Zacks Industry Rank of 95, which puts it in the top 39% of all 250+ industries.
The Zacks Industry Rank assesses the vigor of our specific industry groups by computing the average Zacks Rank of the individual stocks incorporated in the groups. Our research shows that the top 50% rated industries outperform the bottom half by a factor of 2 to 1.
Be sure to follow all of these stock-moving metrics, and many more, on Zacks.com.
In its upcoming report, Intuitive Surgical, Inc. (ISRG - Free Report) is predicted by Wall Street analysts to post quarterly earnings of $2.61 per share, reflecting an increase of 8.8% compared to the same period last year. Revenues are forecasted to be $2.88 billion, representing a year-over-year increase of 15%.
The current level reflects no revision in the consensus EPS estimate for the quarter over the past 30 days. This demonstrates how the analysts covering the stock have collectively reappraised their initial projections over this period.
Before a company announces its earnings, it is essential to take into account any changes made to earnings estimates. This is a valuable factor in predicting the potential reactions of investors toward the stock. Empirical research has consistently shown a strong correlation between trends in earnings estimate revisions and the short-term price performance of a stock.
While investors typically rely on consensus earnings and revenue estimates to gauge how the business may have fared during the quarter, examining analysts' projections for some of the company's key metrics often helps gain a deeper insight.
Given this perspective, it's time to examine the average forecasts of specific Intuitive Surgical metrics that are routinely monitored and predicted by Wall Street analysts.
Analysts' assessment points toward 'Revenue- Product (Instruments and accessories and Systems)' reaching $2.38 billion. The estimate suggests a change of +12.7% year over year.
Analysts forecast 'Revenue- Services' to reach $457.34 million. The estimate indicates a change of +15.5% from the prior-year quarter.
Analysts predict that the 'Revenue- Systems' will reach $650.13 million. The estimate suggests a change of +10.1% year over year.
The collective assessment of analysts points to an estimated 'Revenue- Instruments and accessories' of $1.73 billion. The estimate indicates a year-over-year change of +13.7%.
The average prediction of analysts places 'Total System Units Placed - Total Company' at 475 . Compared to the present estimate, the company reported 427 in the same quarter last year.
The consensus estimate for 'Da Vinci Surgical System Installed Base' stands at 12,080 . The estimate is in contrast to the year-ago figure of 10,763 .
Analysts expect 'Total Number of Procedures' to come in at 902,959 . The estimate compares to the year-ago value of 797,000 .
According to the collective judgment of analysts, 'Gross Profit- Service' should come in at $303.04 million. Compared to the present estimate, the company reported $252.60 million in the same quarter last year.
It is projected by analysts that the 'Gross Profit- Product' will reach $1.57 billion. Compared to the present estimate, the company reported $1.41 billion in the same quarter last year.
The consensus among analysts is that 'Cost of revenue- Service' will reach $160.38 million.
Based on the collective assessment of analysts, 'Cost of revenue- Product' should arrive at $776.87 million.
View all Key Company Metrics for Intuitive Surgical here>>>
Over the past month, shares of Intuitive Surgical have returned +9.9% versus the Zacks S&P 500 composite's +1.4% change. Currently, ISRG carries a Zacks Rank #2 (Buy), suggesting that it may outperform. the overall market in the near future. You can see the complete list of today's Zacks Rank #1 (Strong Buy) stocks here >>>> .
Intuitive Surgical shares have surged nearly 12% in a month ahead of Q3 earnings. Strong da Vinci 5 adoption and Ion growth fuel momentum, but valuation and risks linger.
Intuitive Surgical, Inc. (ISRG - Free Report) could be a solid choice for investors given its recent upgrade to a Zacks Rank #2 (Buy). This rating change essentially reflects an upward trend in earnings estimates -- one of the most powerful forces impacting stock prices.
A company's changing earnings picture is at the core of the Zacks rating. The system tracks the Zacks Consensus Estimate -- the consensus measure of EPS estimates from the sell-side analysts covering the stock -- for the current and following years.
Since a changing earnings picture is a powerful factor influencing near-term stock price movements, the Zacks rating system is very useful for individual investors. They may find it difficult to make decisions based on rating upgrades by Wall Street analysts, as these are mostly driven by subjective factors that are hard to see and measure in real time.
As such, the Zacks rating upgrade for Intuitive Surgical is essentially a positive comment on its earnings outlook that could have a favorable impact on its stock price.
Most Powerful Force Impacting Stock PricesThe change in a company's future earnings potential, as reflected in earnings estimate revisions, has proven to be strongly correlated with the near-term price movement of its stock. That's partly because of the influence of institutional investors that use earnings and earnings estimates for calculating the fair value of a company's shares. An increase or decrease in earnings estimates in their valuation models simply results in higher or lower fair value for a stock, and institutional investors typically buy or sell it. Their bulk investment action then leads to price movement for the stock.
For Intuitive Surgical, rising earnings estimates and the consequent rating upgrade fundamentally mean an improvement in the company's underlying business. And investors' appreciation of this improving business trend should push the stock higher.
Harnessing the Power of Earnings Estimate RevisionsEmpirical research shows a strong correlation between trends in earnings estimate revisions and near-term stock movements, so it could be truly rewarding if such revisions are tracked for making an investment decision. Here is where the tried-and-tested Zacks Rank stock-rating system plays an important role, as it effectively harnesses the power of earnings estimate revisions.
The Zacks Rank stock-rating system, which uses four factors related to earnings estimates to classify stocks into five groups, ranging from Zacks Rank #1 (Strong Buy) to Zacks Rank #5 (Strong Sell), has an impressive externally-audited track record, with Zacks Rank #1 stocks generating an average annual return of +25% since 1988. You can see the complete list of today's Zacks #1 Rank (Strong Buy) stocks here >>>> .
Earnings Estimate Revisions for Intuitive SurgicalFor the fiscal year ending December 2026, this company is expected to earn $10.74 per share, which is unchanged compared with the year-ago reported number.
Analysts have been steadily raising their estimates for Intuitive Surgical. Over the past three months, the Zacks Consensus Estimate for the company has increased 3.5%.
Bottom LineUnlike the overly optimistic Wall Street analysts whose rating systems tend to be weighted toward favorable recommendations, the Zacks rating system maintains an equal proportion of "buy" and "sell" ratings for its entire universe of more than 4,000 stocks at any point in time. Irrespective of market conditions, only the top 5% of the Zacks-covered stocks get a "Strong Buy" rating and the next 15% get a "Buy" rating. So, the placement of a stock in the top 20% of the Zacks-covered stocks indicates its superior earnings estimate revision feature, making it a solid candidate for producing market-beating returns in the near term.
You can learn more about the Zacks Rank here >>>
The upgrade of Intuitive Surgical to a Zacks Rank #2 positions it in the top 20% of the Zacks-covered stocks in terms of estimate revisions, implying that the stock might move higher in the near term.
Key Takeaways Intuitive Surgical submitted a next-generation flexible robotic endoscope to the FDA for 510(k) clearance.The GI platform draws on da Vinci and Ion expertise, but remains noncommercial and at an early stage.Regulatory progress, clinical evidence and physician adoption will determine the platform's growth potential. Intuitive Surgical (ISRG - Free Report) is exploring a new growth avenue in gastrointestinal (GI) care, extending its robotic-assisted technology beyond core soft-tissue surgery and lung diagnostics. On its second-quarter 2026 earnings call, management disclosed that the company had submitted a next-generation flexible robotic endoscope system to the FDA for 510(k) clearance. Designed for placement in the GI tract, the initiative remains in the early stages of development and is not expected to generate revenues in the near term.
The proposed platform reflects Intuitive Surgical’s strategy of applying its robotics expertise to additional disease areas. CEO David Rosa said the company is combining learnings from its da Vinci surgical systems and Ion lung biopsy platform to inform its GI development efforts.
Ion’s commercialization experience is particularly relevant because it demonstrates Intuitive Surgical’s ability to expand beyond traditional soft-tissue surgery into another clinical application. Management has also engaged with GI physicians and care teams to identify areas where robotics could improve therapeutic outcomes and care-team experiences.
The potential market opportunity could be meaningful if the platform progresses successfully through regulatory review and clinical development. Management emphasized that the initiative remains early, with clinical evidence generation and regulatory review still ahead.
For investors, the GI platform represents long-term growth prospects rather than a near-term earnings catalyst. Successful development could allow Intuitive Surgical to extend its established technology, clinical expertise and commercial infrastructure into a new treatment area. The company continues to invest in robotics, instrumentation, imaging and other technologies to reach more patients across additional disease states.
Ultimately, the GI opportunity will depend on regulatory progress, clinical value and physician adoption. While the financial potential remains unquantified, the initiative illustrates how Intuitive Surgical is seeking to broaden its addressable market beyond its existing surgical and lung-diagnostic platforms.
Peer UpdatesStereotaxis (STXS - Free Report) is expanding its market opportunity through innovations spanning robotic navigation, proprietary catheters and digital operating-room solutions. The U.S. launch of MAGiC, following its FDA approval in January, is strengthening Stereotaxis’ electrophysiology offering. Robotic catheter revenues increased nearly 300% sequentially as early adoption progressed.
FDA-cleared Synchrony introduces workflow enhancements, remote connectivity and AI capabilities, with potential applications in non-robotic operating rooms. Meanwhile, GenesisX aims to reduce installation barriers by supporting compatibility with standard X-ray systems. Over the longer term, innovations targeting interventional cardiology, neurointervention and automated stroke treatment could expand Stereotaxis’ addressable market beyond its existing electrophysiology business.
Globus Medical (GMED - Free Report) is using product innovation to strengthen its competitive position across spine, trauma and enabling technologies. The company launched three products during the second quarter, including RELINE ONE, designed to simplify screw placement, and two trauma solutions addressing fixation and surgical workflow. Its FDA-cleared SCRIPT patient-specific spacers and rods could further differentiate Globus Medical by integrating customized implants with Excelsius navigation and planning technology.
Management also highlighted more than 60 development projects and investments in data analytics and AI to improve patient selection and surgical execution. Combined with an expanded sales force, these innovations could deepen market penetration and create opportunities for Globus Medical across additional unmet clinical needs.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 24.5% so far this year compared with a 5.7% decline of the industry.
Image Source: Zacks Investment Research
From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 36.53, above the industry average. But it is significantly lower than its five-year median of 67.32. ISRG carries a Value Score of D.
Image Source: Zacks Investment Research
The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 20.3% rise from the year-ago period’s level.
Image Source: Zacks Investment Research
The stock currently carries a Zacks Rank #2 (Buy). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Woodstock Corp lifted its holdings in shares of Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report) by 4.3% during the third quarter, according to its most recent 13F filing with the Securities and Exchange Commission (SEC). The firm owned 84,643 shares of the medical equipment provider’s stock after purchasing an additional 3,503 shares during the period. Intuitive Surgical comprises approximately 2.8% of Woodstock Corp’s investment portfolio, making the stock its 8th largest holding. Woodstock Corp’s holdings in Intuitive Surgical were worth $34,418,000 as of its most recent SEC filing.
Several other institutional investors also recently added to or reduced their stakes in ISRG. Invesco Ltd. boosted its stake in Intuitive Surgical by 17.4% in the fourth quarter. Invesco Ltd. now owns 4,128,735 shares of the medical equipment provider’s stock valued at $2,338,350,000 after acquiring an additional 611,268 shares during the last quarter. Bank of America Corp DE grew its holdings in Intuitive Surgical by 3.3% during the first quarter. Bank of America Corp DE now owns 3,616,973 shares of the medical equipment provider’s stock valued at $1,667,388,000 after purchasing an additional 116,292 shares during the period. Bank of New York Mellon Corp purchased a new stake in Intuitive Surgical in the second quarter worth $1,335,753,000. Amundi increased its position in Intuitive Surgical by 8.6% in the first quarter. Amundi now owns 2,428,356 shares of the medical equipment provider’s stock worth $1,119,448,000 after buying an additional 193,096 shares during the last quarter. Finally, J. Stern & Co. LLP increased its position in Intuitive Surgical by 18,504.6% in the fourth quarter. J. Stern & Co. LLP now owns 2,127,248 shares of the medical equipment provider’s stock worth $1,204,788,000 after buying an additional 2,115,814 shares during the last quarter. Institutional investors own 83.64% of the company’s stock.
Wall Street Analyst Weigh In ISRG has been the subject of several research reports. UBS Group assumed coverage on Intuitive Surgical in a research note on Tuesday, July 28th. They set a “neutral” rating and a $500.00 price target for the company. Leerink Partners cut their target price on shares of Intuitive Surgical from $573.00 to $454.00 and set an “outperform” rating for the company in a research report on Friday, July 17th. Citigroup lowered their price target on shares of Intuitive Surgical from $590.00 to $500.00 and set a “buy” rating on the stock in a research report on Friday, July 17th. HSBC downgraded shares of Intuitive Surgical from a “buy” rating to a “hold” rating and set a $391.00 price objective for the company. in a report on Thursday, July 30th. Finally, Mizuho set a $500.00 target price on Intuitive Surgical and gave the stock a “neutral” rating in a research report on Wednesday, July 15th. One equities research analyst has rated the stock with a Strong Buy rating, twenty-one have given a Buy rating, eight have given a Hold rating and one has assigned a Sell rating to the stock. According to data from MarketBeat.com, the company presently has an average rating of “Moderate Buy” and an average target price of $501.98.
View Our Latest Report on ISRG Insider Buying and Selling at Intuitive Surgical In related news, VP Fredrik Widman sold 1,089 shares of the firm’s stock in a transaction dated Tuesday, September 15th. The stock was sold at an average price of $374.44, for a total value of $407,765.16. Following the sale, the vice president directly owned 1,026 shares of the company’s stock, valued at $384,175.44. This trade represents a 51.49% decrease in their ownership of the stock. The transaction was disclosed in a document filed with the Securities & Exchange Commission, which is available through this link. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, Director Gary S. Guthart sold 10,000 shares of Intuitive Surgical stock in a transaction that occurred on Tuesday, August 11th. The stock was sold at an average price of $400.00, for a total value of $4,000,000.00. Following the completion of the sale, the director owned 1,245,679 shares in the company, valued at approximately $498,271,600. This represents a 0.80% decrease in their ownership of the stock. Additional details regarding this sale are available in the official SEC disclosure. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Over the last three months, insiders sold 12,370 shares of company stock valued at $4,891,989. 0.60% of the stock is currently owned by corporate insiders.
Intuitive Surgical Stock Performance Shares of ISRG stock opened at $427.64 on Tuesday. The company has a market capitalization of $151.08 billion, a PE ratio of 48.99, a price-to-earnings-growth ratio of 3.20 and a beta of 1.46. Intuitive Surgical, Inc. has a 52-week low of $328.57 and a 52-week high of $603.88. The business’s fifty day moving average is $387.41 and its 200 day moving average is $410.47.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last issued its quarterly earnings results on Thursday, July 16th. The medical equipment provider reported $2.80 earnings per share (EPS) for the quarter, beating analysts’ consensus estimates of $2.48 by $0.32. Intuitive Surgical had a return on equity of 16.91% and a net margin of 28.45%. The firm had revenue of $2.89 billion during the quarter, compared to the consensus estimate of $2.83 billion. During the same quarter last year, the company posted $1.81 EPS. The company’s revenue for the quarter was up 18.4% on a year-over-year basis. On average, sell-side analysts forecast that Intuitive Surgical, Inc. will post 8.87 EPS for the current fiscal year.
(Free Report)
Intuitive Surgical, Inc develops and commercializes robotic-assisted systems and related technologies designed to support minimally invasive medical procedures. The company’s products are intended to help surgeons perform operations through small incisions while providing enhanced visualization, precision, and control.
Its principal product is the da Vinci Surgical System, a platform used across a range of specialties, including general surgery, urology, gynecology, thoracic surgery, and cardiac procedures.
Further Reading Five stocks we like better than Intuitive Surgical Salesforce Just Got a Rare Double Upgrade—What Changed? OpenAI’s Revenue Scare Could Be a Big Opportunity for Investors China Still Dominates Rare Earths—These 3 U.S. Companies Could Benefit 3 REITs That May Win in a Higher Interest Rate Environment
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NorthCrest Asset Manangement LLC grew its holdings in shares of Intuitive Surgical, Inc. (NASDAQ:ISRG – Free Report) by 16.0% in the third quarter, according to its most recent filing with the SEC. The firm owned 18,534 shares of the medical equipment provider’s stock after acquiring an additional 2,558 shares during the quarter. NorthCrest Asset Manangement LLC’s holdings in Intuitive Surgical were worth $7,699,000 as of its most recent SEC filing.
Several other institutional investors and hedge funds also recently modified their holdings of ISRG. 3Chopt Investment Partners LLC lifted its position in Intuitive Surgical by 5.2% in the first quarter. 3Chopt Investment Partners LLC now owns 462 shares of the medical equipment provider’s stock worth $213,000 after purchasing an additional 23 shares during the period. Vermillion Wealth Management Inc. increased its position in shares of Intuitive Surgical by 58.1% during the 1st quarter. Vermillion Wealth Management Inc. now owns 68 shares of the medical equipment provider’s stock valued at $31,000 after purchasing an additional 25 shares during the period. W.G. Shaheen & Associates DBA Whitney & Co increased its position in shares of Intuitive Surgical by 1.0% during the 1st quarter. W.G. Shaheen & Associates DBA Whitney & Co now owns 2,542 shares of the medical equipment provider’s stock valued at $1,172,000 after purchasing an additional 25 shares during the period. Blue Fin Capital Inc. raised its stake in shares of Intuitive Surgical by 0.5% in the 1st quarter. Blue Fin Capital Inc. now owns 4,794 shares of the medical equipment provider’s stock worth $2,210,000 after buying an additional 25 shares in the last quarter. Finally, Red Spruce Capital LLC raised its stake in shares of Intuitive Surgical by 4.1% in the 2nd quarter. Red Spruce Capital LLC now owns 640 shares of the medical equipment provider’s stock worth $255,000 after buying an additional 25 shares in the last quarter. Institutional investors own 83.64% of the company’s stock.
Insider Buying and Selling In related news, EVP Mark Brosius sold 77 shares of the stock in a transaction dated Friday, August 21st. The shares were sold at an average price of $375.57, for a total value of $28,918.89. Following the completion of the sale, the executive vice president owned 881 shares in the company, valued at approximately $330,877.17. This trade represents a 8.04% decrease in their ownership of the stock. The transaction was disclosed in a filing with the Securities & Exchange Commission, which is accessible through this hyperlink. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Also, VP Fredrik Widman sold 1,089 shares of the firm’s stock in a transaction that occurred on Tuesday, September 15th. The stock was sold at an average price of $374.44, for a total value of $407,765.16. Following the completion of the sale, the vice president owned 1,026 shares of the company’s stock, valued at $384,175.44. This represents a 51.49% decrease in their position. The SEC filing for this sale provides additional information. The transaction was executed under a pre-arranged Rule 10b5-1 trading plan. Over the last quarter, insiders sold 12,370 shares of company stock worth $4,891,989. 0.60% of the stock is currently owned by company insiders.
Wall Street Analysts Forecast Growth Several analysts have recently weighed in on ISRG shares. Mizuho set a $500.00 price objective on Intuitive Surgical and gave the company a “neutral” rating in a report on Wednesday, July 15th. Weiss Ratings reiterated a “hold (c)” rating on shares of Intuitive Surgical in a research report on Friday, August 14th. KeyCorp reiterated an “overweight” rating on shares of Intuitive Surgical in a research report on Wednesday, August 12th. BMO Capital Markets reissued an “outperform” rating on shares of Intuitive Surgical in a report on Monday, July 20th. Finally, UBS Group assumed coverage on shares of Intuitive Surgical in a research report on Tuesday, July 28th. They set a “neutral” rating and a $500.00 price objective for the company. One equities research analyst has rated the stock with a Strong Buy rating, twenty-one have assigned a Buy rating, eight have issued a Hold rating and one has assigned a Sell rating to the company’s stock. Based on data from MarketBeat, the company currently has a consensus rating of “Moderate Buy” and a consensus target price of $501.98. Read Our Latest Report on ISRG
Intuitive Surgical Price Performance Shares of NASDAQ:ISRG opened at $427.64 on Tuesday. The stock has a market capitalization of $151.08 billion, a P/E ratio of 48.99, a P/E/G ratio of 3.20 and a beta of 1.46. The business has a 50-day moving average of $387.41 and a two-hundred day moving average of $410.47. Intuitive Surgical, Inc. has a fifty-two week low of $328.57 and a fifty-two week high of $603.88.
Intuitive Surgical (NASDAQ:ISRG – Get Free Report) last released its quarterly earnings results on Thursday, July 16th. The medical equipment provider reported $2.80 EPS for the quarter, beating analysts’ consensus estimates of $2.48 by $0.32. The company had revenue of $2.89 billion for the quarter, compared to analyst estimates of $2.83 billion. Intuitive Surgical had a net margin of 28.45% and a return on equity of 16.91%. The company’s quarterly revenue was up 18.4% compared to the same quarter last year. During the same quarter last year, the firm posted $1.81 earnings per share. As a group, research analysts expect that Intuitive Surgical, Inc. will post 8.87 EPS for the current fiscal year.
Intuitive Surgical Profile (Free Report)
Intuitive Surgical, Inc develops and commercializes robotic-assisted systems and related technologies designed to support minimally invasive medical procedures. The company’s products are intended to help surgeons perform operations through small incisions while providing enhanced visualization, precision, and control.
Its principal product is the da Vinci Surgical System, a platform used across a range of specialties, including general surgery, urology, gynecology, thoracic surgery, and cardiac procedures.
Featured Articles Five stocks we like better than Intuitive Surgical Salesforce Just Got a Rare Double Upgrade—What Changed? OpenAI’s Revenue Scare Could Be a Big Opportunity for Investors China Still Dominates Rare Earths—These 3 U.S. Companies Could Benefit 3 REITs That May Win in a Higher Interest Rate Environment
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Intuitive Surgical, Inc. (ISRG - Free Report) has been one of the most searched-for stocks on Zacks.com lately. So, you might want to look at some of the facts that could shape the stock's performance in the near term.
Shares of this company have returned +13.2% over the past month versus the Zacks S&P 500 composite's +2.1% change. The Zacks Medical - Instruments industry, to which Intuitive Surgical belongs, has gained 6.5% over this period. Now the key question is: Where could the stock be headed in the near term?
Although media reports or rumors about a significant change in a company's business prospects usually cause its stock to trend and lead to an immediate price change, there are always certain fundamental factors that ultimately drive the buy-and-hold decision.
Revisions to Earnings EstimatesHere at Zacks, we prioritize appraising the change in the projection of a company's future earnings over anything else. That's because we believe the present value of its future stream of earnings is what determines the fair value for its stock.
We essentially look at how sell-side analysts covering the stock are revising their earnings estimates to reflect the impact of the latest business trends. And if earnings estimates go up for a company, the fair value for its stock goes up. A higher fair value than the current market price drives investors' interest in buying the stock, leading to its price moving higher. This is why empirical research shows a strong correlation between trends in earnings estimate revisions and near-term stock price movements.
For the current quarter, Intuitive Surgical is expected to post earnings of $2.61 per share, indicating a change of +8.8% from the year-ago quarter. The Zacks Consensus Estimate remained unchanged over the last 30 days.
The consensus earnings estimate of $10.74 for the current fiscal year indicates a year-over-year change of +20.3%. This estimate has remained unchanged over the last 30 days.
For the next fiscal year, the consensus earnings estimate of $11.98 indicates a change of +11.6% from what Intuitive Surgical is expected to report a year ago. Over the past month, the estimate has remained unchanged.
With an impressive externally audited track record, our proprietary stock rating tool -- the Zacks Rank -- is a more conclusive indicator of a stock's near-term price performance, as it effectively harnesses the power of earnings estimate revisions. The size of the recent change in the consensus estimate, along with three other factors related to earnings estimates, has resulted in a Zacks Rank #2 (Buy) for Intuitive Surgical.
The chart below shows the evolution of the company's forward 12-month consensus EPS estimate:
12 Month EPS
Revenue Growth ForecastWhile earnings growth is arguably the most superior indicator of a company's financial health, nothing happens as such if a business isn't able to grow its revenues. After all, it's nearly impossible for a company to increase its earnings for an extended period without increasing its revenues. So, it's important to know a company's potential revenue growth.
In the case of Intuitive Surgical, the consensus sales estimate of $2.88 billion for the current quarter points to a year-over-year change of +15%. The $11.74 billion and $13.21 billion estimates for the current and next fiscal years indicate changes of +16.7% and +12.5%, respectively.
Last Reported Results and Surprise HistoryIntuitive Surgical reported revenues of $2.89 billion in the last reported quarter, representing a year-over-year change of +18.5%. EPS of $2.8 for the same period compares with $2.19 a year ago.
Compared to the Zacks Consensus Estimate of $2.81 billion, the reported revenues represent a surprise of +3.08%. The EPS surprise was +12.9%.
The company beat consensus EPS estimates in each of the trailing four quarters. The company topped consensus revenue estimates three times over this period.
ValuationNo investment decision can be efficient without considering a stock's valuation. Whether a stock's current price rightly reflects the intrinsic value of the underlying business and the company's growth prospects is an essential determinant of its future price performance.
While comparing the current values of a company's valuation multiples, such as price-to-earnings (P/E), price-to-sales (P/S), and price-to-cash flow (P/CF), with its own historical values helps determine whether its stock is fairly valued, overvalued, or undervalued, comparing the company relative to its peers on these parameters gives a good sense of the reasonability of the stock's price.
The Zacks Value Style Score (part of the Zacks Style Scores system), which pays close attention to both traditional and unconventional valuation metrics to grade stocks from A to F (an A is better than a B; a B is better than a C; and so on), is pretty helpful in identifying whether a stock is overvalued, rightly valued, or temporarily undervalued.
Intuitive Surgical is graded D on this front, indicating that it is trading at a premium to its peers. Click here to see the values of some of the valuation metrics that have driven this grade.
ConclusionThe facts discussed here and much other information on Zacks.com might help determine whether or not it's worthwhile paying attention to the market buzz about Intuitive Surgical. However, its Zacks Rank #2 does suggest that it may outperform the broader market in the near term.
Intuitive Surgical, Inc. (ISRG - Free Report) ended the recent trading session at $423.96, demonstrating a +2.06% change from the preceding day's closing price. The stock outpaced the S&P 500's daily gain of 0.6%. Meanwhile, the Dow experienced a rise of 0.83%, and the technology-dominated Nasdaq saw an increase of 0.64%.
Prior to today's trading, shares of the company had gained 15.24% outpaced the Medical sector's loss of 1.97% and the S&P 500's gain of 1.34%.
The upcoming earnings release of Intuitive Surgical, Inc. will be of great interest to investors. The company's earnings report is expected on October 20, 2026. The company is forecasted to report an EPS of $2.61, showcasing a 8.75% upward movement from the corresponding quarter of the prior year. Meanwhile, our latest consensus estimate is calling for revenue of $2.88 billion, up 14.98% from the prior-year quarter.
Regarding the entire year, the Zacks Consensus Estimates forecast earnings of $10.74 per share and revenue of $11.74 billion, indicating changes of +20.27% and +16.67%, respectively, compared to the previous year.
Investors might also notice recent changes to analyst estimates for Intuitive Surgical, Inc. These recent revisions tend to reflect the evolving nature of short-term business trends. As a result, upbeat changes in estimates indicate analysts' favorable outlook on the business health and profitability.
Our research shows that these estimate changes are directly correlated with near-term stock prices. We developed the Zacks Rank to capitalize on this phenomenon. Our system takes these estimate changes into account and delivers a clear, actionable rating model.
The Zacks Rank system, running from #1 (Strong Buy) to #5 (Strong Sell), holds an admirable track record of superior performance, independently audited, with #1 stocks contributing an average annual return of +25% since 1988. The Zacks Consensus EPS estimate remained stagnant within the past month. Intuitive Surgical, Inc. is holding a Zacks Rank of #3 (Hold) right now.
Looking at valuation, Intuitive Surgical, Inc. is presently trading at a Forward P/E ratio of 38.7. This expresses a premium compared to the average Forward P/E of 22.63 of its industry.
Also, we should mention that ISRG has a PEG ratio of 2.59. This popular metric is similar to the widely-known P/E ratio, with the difference being that the PEG ratio also takes into account the company's expected earnings growth rate. The average PEG ratio for the Medical - Instruments industry stood at 2.21 at the close of the market yesterday.
The Medical - Instruments industry is part of the Medical sector. With its current Zacks Industry Rank of 105, this industry ranks in the top 43% of all industries, numbering over 250.
The Zacks Industry Rank assesses the vigor of our specific industry groups by computing the average Zacks Rank of the individual stocks incorporated in the groups. Our research shows that the top 50% rated industries outperform the bottom half by a factor of 2 to 1.
Make sure to utilize Zacks.com to follow all of these stock-moving metrics, and more, in the coming trading sessions.
The recommendations of Wall Street analysts are often relied on by investors when deciding whether to buy, sell, or hold a stock. Media reports about these brokerage-firm-employed (or sell-side) analysts changing their ratings often affect a stock's price. Do they really matter, though?
Let's take a look at what these Wall Street heavyweights have to say about Intuitive Surgical, Inc. (ISRG - Free Report) before we discuss the reliability of brokerage recommendations and how to use them to your advantage.
Intuitive Surgical currently has an average brokerage recommendation (ABR) of 1.63, on a scale of 1 to 5 (Strong Buy to Strong Sell), calculated based on the actual recommendations (Buy, Hold, Sell, etc.) made by 32 brokerage firms. An ABR of 1.63 approximates between Strong Buy and Buy.
Of the 32 recommendations that derive the current ABR, 22 are Strong Buy and two are Buy. Strong Buy and Buy respectively account for 68.8% and 6.3% of all recommendations.
Brokerage Recommendation Trends for ISRG
Check price target & stock forecast for Intuitive Surgical here>>>
While the ABR calls for buying Intuitive Surgical, it may not be wise to make an investment decision solely based on this information. Several studies have shown limited to no success of brokerage recommendations in guiding investors to pick stocks with the best price increase potential.
Are you wondering why? The vested interest of brokerage firms in a stock they cover often results in a strong positive bias of their analysts in rating it. Our research shows that for every "Strong Sell" recommendation, brokerage firms assign five "Strong Buy" recommendations.
This means that the interests of these institutions are not always aligned with those of retail investors, giving little insight into the direction of a stock's future price movement. It would therefore be best to use this information to validate your own analysis or a tool that has proven to be highly effective at predicting stock price movements.
With an impressive externally audited track record, our proprietary stock rating tool, the Zacks Rank, which classifies stocks into five groups, ranging from Zacks Rank #1 (Strong Buy) to Zacks Rank #5 (Strong Sell), is a reliable indicator of a stock's near-term price performance. So, validating the Zacks Rank with ABR could go a long way in making a profitable investment decision.
ABR Should Not Be Confused With Zacks RankAlthough both Zacks Rank and ABR are displayed in a range of 1--5, they are different measures altogether.
The ABR is calculated solely based on brokerage recommendations and is typically displayed with decimals (example: 1.28). In contrast, the Zacks Rank is a quantitative model allowing investors to harness the power of earnings estimate revisions. It is displayed in whole numbers -- 1 to 5.
Analysts employed by brokerage firms have been and continue to be overly optimistic with their recommendations. Since the ratings issued by these analysts are more favorable than their research would support because of the vested interest of their employers, they mislead investors far more often than they guide.
In contrast, the Zacks Rank is driven by earnings estimate revisions. And near-term stock price movements are strongly correlated with trends in earnings estimate revisions, according to empirical research.
Furthermore, the different grades of the Zacks Rank are applied proportionately across all stocks for which brokerage analysts provide earnings estimates for the current year. In other words, at all times, this tool maintains a balance among the five ranks it assigns.
Another key difference between the ABR and Zacks Rank is freshness. The ABR is not necessarily up-to-date when you look at it. But, since brokerage analysts keep revising their earnings estimates to account for a company's changing business trends, and their actions get reflected in the Zacks Rank quickly enough, it is always timely in indicating future price movements.
Is ISRG Worth Investing In?In terms of earnings estimate revisions for Intuitive Surgical, the Zacks Consensus Estimate for the current year has remained unchanged over the past month at $10.74.
Analysts' steady views regarding the company's earnings prospects, as indicated by an unchanged consensus estimate, could be a legitimate reason for the stock to perform in line with the broader market in the near term.
The size of the recent change in the consensus estimate, along with three other factors related to earnings estimates, has resulted in a Zacks Rank #3 (Hold) for Intuitive Surgical. You can see the complete list of today's Zacks Rank #1 (Strong Buy) stocks here >>>>
It may therefore be prudent to be a little cautious with the Buy-equivalent ABR for Intuitive Surgical.
Key Takeaways ISRG's SP procedures jumped 61% as its installed base reached 445 systems in the second quarter.ISRG saw U.S. SP utilization rise 25%, while stapler use in eligible cases neared 60% during the quarter.SP placements and expanded indications are supporting broader adoption across the U.S. and global markets. Intuitive Surgical’s (ISRG - Free Report) single-port (SP) platform is increasingly emerging as a meaningful growth franchise, supported by accelerating procedure volumes, a growing installed base and expanding product capabilities. In the second quarter, SP procedures increased 61% year over year, powered by strong momentum in the United States and Korea, while early-stage adoption gained traction in Europe, Japan and Taiwan.
Intuitive Surgical placed 38 SP systems during the quarter, taking its global installed base to 445 systems. Although ISRG does not provide standalone figures for SP systems, rising placements and robust procedure growth should help the platform become the company’s billion-dollar franchise soon, complementing its multi-port platform that generated the majority of its $10 billion revenues in 2025.
The platform is also benefiting from improving utilization and a broader ecosystem. Average system utilization for SP systems in the United States increased 25% year over year in the second quarter. This indicates that growth is increasingly being supported by higher use of systems already deployed, rather than placements alone.
Meanwhile, adoption of the SP stapler is accelerating. The stapler was used in nearly 60% of eligible U.S. cases, up from just under 40% in the previous quarter, with colorectal and thoracic procedures driving adoption. Internationally, the stapler has entered broad launch across Europe and Korea, while the Japan launch likely began in the third quarter.
Expanded indications and product enhancements provide another avenue for franchise expansion. Intuitive Surgical cited extended-range instruments, custom remote-center software and reach-assist software as key factors supporting broader SP adoption. The company is also focused on expanding SP through product innovation, training and geographic expansion.
The international opportunity remains particularly important. SP placements increased to 38 in the second quarter from 23 a year earlier. The growth in placement was primarily driven by demand in the United States and Japan, while procedure momentum is emerging across Europe and Asia. With rapid procedure growth, rising utilization, expanding indications and a broader geographic footprint, SP has the ingredients to become a substantially larger franchise for ISRG.
Peer UpdatesEdwards Lifesciences’ (EW - Free Report) Transcatheter Mitral and Tricuspid Therapies (“TMTT”) product group appears well positioned to become its third billion-dollar business. The company’s Transcatheter Aortic Valve Replacement product group generated 74% of EW’s $6 billion revenues in 2025 while Surgical Structural Heart generated 17%. The potential of TMTT products group is supported by a diversified product portfolio and multiple adoption curves.
TMTT sales reached $373.7 million in the first half of 2026, up 49.6% year over year, with PASCAL, EVOQUE and SAPIEN M3 all exceeding expectations. PASCAL is gaining adoption, EVOQUE is scaling through new centers and higher utilization, while SAPIEN M3 is expanding its addressable population through new indications. The planned U.S. launch of PASCAL for tricuspid patients would add another growth layer. Management explicitly mentioned that these platforms should drive TMTT revenues to reach $2 billion by 2030.
Glaukos (GKOS - Free Report) is building a diversified ophthalmology platform that could eventually support billion-dollar annual revenues. The company raised 2026 sales guidance to $680-$700 million, while iDose TR generated approximately $74 million in the second quarter and Epioxa contributed about $11 million. The company’s sales registered 32% growth rate for full-year 2025, followed by 45.7% in the first half of 2026.
At these growth rates, the company should be able to achieve billion-dollar sales in the next two to three years. Beyond these commercial products, Glaukos has five novel therapeutic platforms and 13 publicly disclosed programs, including iDose TREX, iDose TRIO, iLink, iStent infinite, PRESERFLO MicroShunt, iLution and GLK-401. Management views these programs as potentially transformative therapies. Thus, continued iDose and Epioxa expansion, combined with successful pipeline commercialization, could materially broaden Glaukos’ revenue base.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 28.6% so far this year compared with a 4.9% decline of the industry.
Image Source: Zacks Investment Research
From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 34.63X, above the industry average. But it is significantly lower than its five-year median of 67.47X. ISRG carries a Value Score of D.
Image Source: Zacks Investment Research
The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 20.3% rise from the year-ago period’s level.
Image Source: Zacks Investment Research
The stock currently carries a Zacks Rank #3 (Hold). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Intuitive Surgical remains a wide-moat leader in robotic surgery with strong secular tailwinds and high recurring revenue potential. ISRG's installed base and utilization rates offer significant runway for growth, supported by product innovation and expansion into new markets. Despite a compression in valuation multiples, ISRG's forward P/E remains attractive given its historical premium and robust growth prospects.
Analyst’s Disclosure: I/we have no stock, option or similar derivative position in any of the companies mentioned, and no plans to initiate any such positions within the next 72 hours. I wrote this article myself, and it expresses my own opinions. I am not receiving compensation for it (other than from Seeking Alpha). I have no business relationship with any company whose stock is mentioned in this article.
Seeking Alpha's Disclosure: Past performance is no guarantee of future results. No recommendation or advice is being given as to whether any investment is suitable for a particular investor. Any views or opinions expressed above may not reflect those of Seeking Alpha as a whole. Seeking Alpha is not a licensed securities dealer, broker or US investment adviser or investment bank. Our analysts are third party authors that include both professional investors and individual investors who may not be licensed or certified by any institute or regulatory body.
Key Takeaways ISRG faces China pressure from weak tenders, domestic competition and pricing, with just two systems placed.ISRG gained da Vinci 5 clearance in India, supporting demand across a broad range of procedures.ISRG placed 25 systems in Japan versus 15 a year ago as new reimbursement policies supported robotic use. Intuitive Surgical’s (ISRG - Free Report) geographical growth story is becoming increasingly diversified, with strong momentum in India and improving conditions in Japan helping counterbalance challenges in China. In the second quarter, international da Vinci procedures increased 20%, while Europe and Asia delivered 20% growth each.
China remains the primary regional headwind for ISRG. Management cited lower tender activity, increased domestic robotic competition and policy-driven pricing pressure, alongside changes in charge codes and the 15th Five-Year Plan quota process. System placements were particularly weak, with only two da Vinci systems placed in China during the quarter. Da Vinci 5 is yet to receive clearance in mainland China.
India, meanwhile, is emerging as an important growth market. Management described another strong quarter, with momentum across a broad range of procedures. The clearance of da Vinci 5 in India during the quarter should expand Intuitive Surgical’s ability to address demand with its latest-generation platform. International procedure growth also highlighted India as one of the markets delivering strong results.
Japan offers another potential growth avenue. Policies effective June 1 expanded reimbursement to additional robotic procedures and introduced economic incentives for higher utilization. Intuitive Surgical placed 25 systems in Japan versus 15 a year earlier, while management said recent reimbursement decisions were encouraging. However, adoption is expected to progress gradually, given training requirements and ongoing financial challenges.
China remains a meaningful uncertainty, but India, Japan and other international markets provide diversification. Intuitive Surgical maintained its 2026 da Vinci procedure growth outlook of 13.5-15.5%, with international procedures outside urology among its primary growth drivers.
Peer UpdatesBoston Scientific (BSX - Free Report) is broadening its Asian growth base. Unlike ISRG, China remains a key international market for Boston Scientific. Asia-Pacific revenues increased 11% operationally, led by double-digit growth in Japan, China and Korea, with Interventional Cardiology, Electrophysiology and WATCHMAN driving regional performance.
International EP sales increased 23%, and management expects approximately 20% international EP growth for full-year 2026, providing an important growth avenue outside any single market. Japan represents a clearly identified diversification opportunity within Asia for Boston Scientific.
Medtronic (MDT - Free Report) is also expanding in Asia, primarily through Japan. International revenues grew 12%, supported by several businesses delivering double-digit international growth. Within Cardiac Ablation Solutions, Medtronic management highlighted geographic expansion, noting that Sphere-9 was launching in Japan, alongside continued ecosystem development across mapping, ICE technology and ablation. Medtronic is also expanding its international robotics portfolio through a strategic investment and distribution agreement for Cornerstone’s Sentire Surgical System in select markets outside the United States.
Count Intuitive Surgical (ISRG -1.35%) among the biggest healthcare losers of 2026. The medical device stock is down close to 30% year to date. Its performance was even worse. By late July, Intuitive Surgical's share price had plunged more than 40% since the beginning of the year.
Despite this dismal trajectory, Wall Street remains overwhelmingly bullish about Intuitive Surgical. Of the 32 analysts surveyed by S&P Global (SPGI +0.52%) in September, 24 rated the stock as a "buy" or "strong buy." Only one of the other eight analysts recommended selling Intuitive.
But is Wall Street dead wrong about this beaten-down stock?
Image source: Intuitive Surgical.
Several headwinds To be sure, a stock doesn't sink as much as Intuitive Surgical has so far this year without facing some serious headwinds. Intuitive's growth is slowing, which is especially problematic for a stock trading at a forward price-to-earnings multiple over 33.
The company isn't gaining as much traction in the Chinese market as it would like. Intuitive Surgical CEO David Rosa admitted in the 2026 second-quarter earnings call that "the environment remains challenging" in China due to increased competition and government pricing policies.
Speaking of increased competition, Intuitive Surgical faces more of it elsewhere, too. After having the robotic surgical systems market to itself for years, Intuitive now must battle healthcare giants Johnson & Johnson (JNJ -1.06%), Medtronic (MDT -0.92%), and Stryker (SYK -0.90%), as well as smaller rivals.
Government actions aren't just a problem for Intuitive in China, either. The expiration of subsidies for Affordable Care Act (ACA) health plans in the U.S. is also impacting procedure growth for the company's da Vinci surgical robots.
Then there's the impact of GLP-1 drugs. Intuitive Surgical CFO Jamie Samath noted in the Q2 call that U.S. da Vinci bariatric procedure volumes fell by high single digits during the quarter due to increasing GLP-1 usage.
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With all of these headwinds, is Wall Street wrong to be bullish about Intuitive Surgical? My honest answer is... not at all.
Yes, the headwinds are real. However, they're not showstoppers. For example, even with Intuitive's challenges in China, the company's revenue in Asia still jumped 20% year over year in Q2. Increased competition doesn't appear to be hurting Intuitive much outside of China.
Samath said that the ACA subsidies are only having a "modest adverse impact." And the effects of GLP-1 drugs on Intuitive's business seem to be primarily limited to bariatric procedures.
Importantly, Intuitive Surgical has tailwinds that are even bigger than its tailwinds over the long run. Aging demographic trends worldwide should drive demand for robotic surgical systems. Technological advances should expand the number of procedures that can be performed with robotic assistance.
I don't always agree with analysts. But I think Wall Street is 100% right to be upbeat about this healthcare stock.
Keith Speights has positions in Intuitive Surgical. The Motley Fool has positions in and recommends Intuitive Surgical, Medtronic, and S&P Global. The Motley Fool recommends Johnson & Johnson and recommends the following options: long January 2028 $520 calls on Intuitive Surgical and short January 2028 $530 calls on Intuitive Surgical. The Motley Fool has a disclosure policy.
Tesla Inc’s (NASDAQ:TSLA) Optimus is built around the biggest ambition in robotics: a general-purpose humanoid that can handle a wide range of physical tasks. But the bigger investment opportunity may not require a robot that does everything.
RoboStrategy, Inc. (NASDAQ:BOT) CEO Andrew Kang argues that dominating just one major labor market could be enough to create a robotics company worth hundreds of billions of dollars — or even $1 trillion.
Specialized Robots Can Get HugeKang expects robotics valuations to diverge sharply in the coming years, much like AI valuations have over the past few years. Some companies will fail to meet growth or technology expectations, while others could see valuations rise as they reach scaled commercial deployment.
"The companies that will be able to justify their valuations are those that either solve general physical intelligence or hardened their AI and hardware systems to be able to dominate specific physical labor sectors," Kang told Benzinga.
That second path is particularly interesting for investors. Welding, material handling and commercial services may sound less futuristic than a humanoid walking through a factory, but each represents a large pool of physical work that robots could eventually perform.
Kang believes winning a single major labor category could create "centibillion dollar to trillion-dollar robotics companies."
Read Next
Intuitive Surgical Is the BlueprintThere is already a public-market example of what that can look like.
Intuitive Surgical, Inc. (NASDAQ:ISRG) has built a dominant position in robotic-assisted surgery without developing a general-purpose machine. Its da Vinci systems are designed for a specific job: helping surgeons perform minimally invasive procedures.
The model has become enormous. Intuitive ended 2025 with more than 11,100 da Vinci systems installed, while its systems were used in roughly 3.15 million da Vinci procedures that year. Revenue reached $10.1 billion in 2025, up 21% from the prior year.
As of Sept. 29, Intuitive Surgical had a market capitalization of roughly $145 billion.
That makes Kang’s comparison more than a theoretical argument. A robot does not need to replicate the full range of human movement to support a massive business; it needs to become valuable enough in a large, repeatable workflow.
Tesla Is Playing a Different GameTesla is explicitly pursuing the broader version. The company describes Optimus as a general-purpose, bipedal autonomous humanoid designed to perform unsafe, repetitive or boring tasks.
That ambition could eventually open a much larger addressable market, but it also creates a more demanding technological challenge. Tesla is trying to solve perception, movement, dexterity and interaction with the physical world in one platform.
For investors, Kang’s comments suggest watching both paths. The robotics winners may include companies pursuing general-purpose humanoids such as Tesla, but they could also emerge from narrower markets where robots can prove their economic value faster.
The next major robotics valuation story may therefore come not from the robot that can do everything, but from the one that becomes indispensable at one very large job.
Intuitive Surgical, Inc. (ISRG - Free Report) has been one of the most searched-for stocks on Zacks.com lately. So, you might want to look at some of the facts that could shape the stock's performance in the near term.
Shares of this company have returned +10.1% over the past month versus the Zacks S&P 500 composite's +1% change. The Zacks Medical - Instruments industry, to which Intuitive Surgical belongs, has gained 3.7% over this period. Now the key question is: Where could the stock be headed in the near term?
Although media reports or rumors about a significant change in a company's business prospects usually cause its stock to trend and lead to an immediate price change, there are always certain fundamental factors that ultimately drive the buy-and-hold decision.
Revisions to Earnings EstimatesRather than focusing on anything else, we at Zacks prioritize evaluating the change in a company's earnings projection. This is because we believe the fair value for its stock is determined by the present value of its future stream of earnings.
We essentially look at how sell-side analysts covering the stock are revising their earnings estimates to reflect the impact of the latest business trends. And if earnings estimates go up for a company, the fair value for its stock goes up. A higher fair value than the current market price drives investors' interest in buying the stock, leading to its price moving higher. This is why empirical research shows a strong correlation between trends in earnings estimate revisions and near-term stock price movements.
For the current quarter, Intuitive Surgical is expected to post earnings of $2.61 per share, indicating a change of +8.8% from the year-ago quarter. The Zacks Consensus Estimate remained unchanged over the last 30 days.
For the current fiscal year, the consensus earnings estimate of $10.74 points to a change of +20.3% from the prior year. Over the last 30 days, this estimate has changed -0.4%.
For the next fiscal year, the consensus earnings estimate of $11.98 indicates a change of +11.6% from what Intuitive Surgical is expected to report a year ago. Over the past month, the estimate has changed +0.1%.
With an impressive externally audited track record, our proprietary stock rating tool -- the Zacks Rank -- is a more conclusive indicator of a stock's near-term price performance, as it effectively harnesses the power of earnings estimate revisions. The size of the recent change in the consensus estimate, along with three other factors related to earnings estimates, has resulted in a Zacks Rank #2 (Buy) for Intuitive Surgical.
The chart below shows the evolution of the company's forward 12-month consensus EPS estimate:
12 Month EPS
Revenue Growth ForecastWhile earnings growth is arguably the most superior indicator of a company's financial health, nothing happens as such if a business isn't able to grow its revenues. After all, it's nearly impossible for a company to increase its earnings for an extended period without increasing its revenues. So, it's important to know a company's potential revenue growth.
For Intuitive Surgical, the consensus sales estimate for the current quarter of $2.88 billion indicates a year-over-year change of +15%. For the current and next fiscal years, $11.74 billion and $13.21 billion estimates indicate +16.7% and +12.5% changes, respectively.
Last Reported Results and Surprise HistoryIntuitive Surgical reported revenues of $2.89 billion in the last reported quarter, representing a year-over-year change of +18.5%. EPS of $2.8 for the same period compares with $2.19 a year ago.
Compared to the Zacks Consensus Estimate of $2.81 billion, the reported revenues represent a surprise of +3.08%. The EPS surprise was +12.9%.
The company beat consensus EPS estimates in each of the trailing four quarters. The company topped consensus revenue estimates three times over this period.
ValuationNo investment decision can be efficient without considering a stock's valuation. Whether a stock's current price rightly reflects the intrinsic value of the underlying business and the company's growth prospects is an essential determinant of its future price performance.
While comparing the current values of a company's valuation multiples, such as price-to-earnings (P/E), price-to-sales (P/S), and price-to-cash flow (P/CF), with its own historical values helps determine whether its stock is fairly valued, overvalued, or undervalued, comparing the company relative to its peers on these parameters gives a good sense of the reasonability of the stock's price.
The Zacks Value Style Score (part of the Zacks Style Scores system), which pays close attention to both traditional and unconventional valuation metrics to grade stocks from A to F (an A is better than a B; a B is better than a C; and so on), is pretty helpful in identifying whether a stock is overvalued, rightly valued, or temporarily undervalued.
Intuitive Surgical is graded F on this front, indicating that it is trading at a premium to its peers. Click here to see the values of some of the valuation metrics that have driven this grade.
Bottom LineThe facts discussed here and much other information on Zacks.com might help determine whether or not it's worthwhile paying attention to the market buzz about Intuitive Surgical. However, its Zacks Rank #2 does suggest that it may outperform the broader market in the near term.
Intuitive Surgical (ISRG -0.94%) shareholders are used to winning. But they have done nothing but lose so far in 2026. The giant medical device stock has plunged roughly 29% year to date.
Is the market responding to real risks with Intuitive's underlying business? Or is it overreacting to overblown fears?
Image source: Intuitive Surgical.
Probably the main reason behind Intuitive Surgical's slide this year is the slowing procedure growth for its da Vinci surgical robots. In the fourth quarter of 2025, da Vinci procedure volumes rose 17%. In Intuitive's latest quarter, the growth rate was 15%. The company projects full-year da Vinci procedure growth of 13.5% to 15.5%.
The increased use of GLP-1 weight-loss drugs is one factor in this slowdown. Intuitive Surgical CFO Jamie Samath acknowledged in the company's Q2 earnings call that U.S. da Vinci bariatric cases declined by a high single-digit percentage in Q2.
Intuitive Surgical faced another challenge with subsidies for Affordable Care Act (ACA) health plans expiring. Samath said there was "a modest adverse impact to Q2 U.S. da Vinci procedure growth" from these expirations. He also noted that some customers have voiced concerns about ACA enrollment trends, although this hasn't impacted Intuitive's capital pipeline thus far.
CEO David Rosa also mentioned in the Q2 call that Intuitive Surgical faces increased competition in China. Competition is heating up in the U.S. and other markets, as well, though, with robotic surgical systems from deep-pocketed rivals such as Johnson & Johnson (JNJ -0.01%) and Medtronic (MDT -1.62%).
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Are investors overreacting? With Intuitive Surgical facing multiple headwinds, it's unsurprising that the stock has faltered. However, many on Wall Street believe that the sell-off is overdone.
Of the 32 analysts surveyed by S&P Global (SPGI +1.01%) in September, 24 rated Intuitive Surgical's stock as a "buy" or "strong buy." The average 12-month price target indicated a potential 18% upside. Bernstein analyst Lee Hambright is especially bullish about the healthcare stock. His price target is 70% above Intuitive's current share price.
Is this optimism warranted? I think so.
Around 3.2 million procedures were performed using Intuitive Surgical's da Vinci robotic surgical system last year. The company estimates that roughly 9 million procedures are performed annually for which it already has products and regulatory clearances. And around 20 million procedures per year are good candidates for minimally invasive surgeries using robotic systems.
Those numbers are likely to grow. Aging demographic trends in the U.S., Asia, and Europe should drive greater demand for the types of surgeries that da Vinci and Intuitive's other robotic surgical system, Ion, can perform.
Intuitive Surgical's stock has experienced several declines of 30% or more through the years. Every single time in the past, these pullbacks presented great buying opportunities for patient investors. I suspect that this time will be no different.
Keith Speights has positions in Intuitive Surgical. The Motley Fool has positions in and recommends Intuitive Surgical, Medtronic, and S&P Global. The Motley Fool recommends Johnson & Johnson and recommends the following options: long January 2028 $520 calls on Intuitive Surgical and short January 2028 $530 calls on Intuitive Surgical. The Motley Fool has a disclosure policy.
Key Takeaways Intuitive Surgical placed 27 da Vinci systems at U.S. ASCs in Q2, including 20 refurbished XiR systems.XiR offers ASCs and smaller hospitals a lower-cost entry point into the fourth-generation da Vinci ecosystem.Intuitive Surgical plans extended-use EndoWrist instruments in 2027 to lower costs in benign procedures. Intuitive Surgical (ISRG - Free Report) is focusing on Ambulatory surgery centers (ASCs) as an important channel for its robotic-surgery expansion. The company is targeting the low-cost ASC segment with refurbished XiR platforms priced below its flagship model. This strategy resulted in significant growth in ASC placements during the second quarter.
ISRG placed 27 da Vinci systems at ASCs in the United States, with 20 of those being refurbished XiR platforms. Management also stated that the increase reflected its recent focus on the ASC segment, while describing the placements as part of broader greenfield expansion.
The growing ASC opportunity aligns with the broader shift toward outpatient surgery, where economics and procedure mix can differ substantially from those of traditional hospitals. Intuitive Surgical is addressing this market through a segmented portfolio rather than relying exclusively on its newest and most expensive platforms.
XiR provides a lower-cost entry point while retaining access to the broader fourth-generation da Vinci ecosystem, making robotic surgery more accessible to cost-conscious customers. Management said XiR has been particularly attractive to ASCs and smaller hospitals, while gaining traction internationally.
This strategy could expand Intuitive Surgical’s addressable customer base. Management noted that XiR can introduce robotics to new customers, helping them establish robotic programs and potentially adopt more advanced systems over time. About 130 XiR systems were installed globally over the past year, with approximately 50 in the United States.
Procedure economics could provide another catalyst. Intuitive Surgical plans to introduce extended-use EndoWrist instruments in 2027, targeting lower cost per procedure in high-volume benign procedures. Management specifically linked the initiative to opportunities in benign outpatient procedures and cost-constrained markets.
Thus, ASCs represent more than another sales channel. They provide Intuitive Surgical with an avenue to expand robotic adoption through lower-cost systems, new facilities and potentially broader procedure utilization, while leveraging its established ecosystem.
Peer UpdatesStryker (SYK - Free Report) is positioning its broad orthopedic and MedSurg portfolio to capitalize on the continued migration of procedures toward ASCs. Management said the shift in orthopedic site of care should continue and views ASCs as an opportunity to win across its portfolio, including hips and knees.
The company is also using Mako RPS to address a specific ASC customer segment — surgeons who are not ready to adopt the full Mako platform but want robotic assistance for total-knee procedures. Following a limited second-quarter launch and early conversions, Stryker plans to ramp up Mako RPS commercialization. Its broader ASC strategy also benefits from products across surgical technologies, communications and other portfolio categories.
Zimmer Biomet (ZBH - Free Report) is approaching the ASC market through a combination of technology, surgical products and a broader customer-centric portfolio. Management explicitly identified stronger surgical performance in the second quarter as part of its ASC strategy. Technology remains a major growth driver, supported by a strong robotics pipeline and products spanning large-footprint robotics, handheld technologies, CT and non-CT solutions and mixed reality.
The company is also emphasizing efficiency rather than simply implant pricing in the ASC setting. Management noted that implants account for only about 14-15% of ASC costs, highlighting the importance of reducing surgical time, avoiding inpatient transfers and lowering readmission rates. ZBH is also evaluating adjacent acquisitions in areas where procedures are primarily performed in ASCs.
ISRG’s Price Performance, Valuation and EstimatesShares of ISRG have lost 30.6% so far this year compared with a 6.9% decline of the industry.
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From a valuation standpoint, Intuitive Surgical trades at a forward price-to-earnings ratio of 33.81X, above the industry average. But it is significantly lower than its five-year median of 67.76X. ISRG carries a Value Score of F.
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The Zacks Consensus Estimate for Intuitive Surgical’s 2026 earnings implies a 20.3% rise from the year-ago period’s level.
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The stock currently carries a Zacks Rank #3 (Hold). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
Key Takeaways Intuitive Surgical won CE mark approval for da Vinci SP in transvaginal gynecologic procedures in Europe.ISRG said SP procedures jumped 61% year over year, supported by broader adoption and new indications.Intuitive Surgical placed 38 SP systems in Q2 2026, lifting the global installed base to 445 systems. Intuitive Surgical (ISRG - Free Report) recently announced that its da Vinci SP surgical system received CE mark approval in Europe for transvaginal gynecologic procedures, expanding the platform's approved applications in the region and marking a new milestone for its single-port technology.
The expanded indication strengthens Intuitive Surgical's growth runway in women's health and broadens the addressable market for da Vinci SP in Europe. The approval also reinforces the company's strategy of driving procedure growth through regulatory expansion, which could support higher system utilization and recurring revenue over time.
Likely Trend of ISRG Stock Following the NewsFollowing the announcement, shares of ISRG traded flat in yesterday’s trading. Year to date, shares of the company have lost 33.4% compared with the industry’s 8.1% decline. However, the S&P 500 has risen 11.1% in the same timeframe.
The expanded CE mark strengthens Intuitive Surgical's strategy of growing the da Vinci SP platform through new indications and geographic expansion. During its second-quarter 2026 earnings call, management highlighted that SP procedures surged 61% year over year, driven by expanded indications, new instrumentation and broader adoption, while emphasizing continued investment in training and international expansion to unlock future growth.
The latest approval builds on that roadmap by opening a new women's health opportunity in Europe, potentially increasing SP procedure volumes, system utilization and recurring revenue from instruments and accessories as adoption broadens over time.
ISRG currently has a market capitalization of $133.52 million.
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More on the NewsIntuitive Surgical's latest CE mark approval expands the da Vinci SP system's approved use in Europe to include transvaginal gynecologic procedures, making it the first such indication for the platform globally. The authorization broadens the SP system's applications in women's health while extending its natural orifice surgery portfolio beyond transoral and transanal procedures, supporting the company's strategy of expanding the platform through new indications rather than relying solely on new system placements.
The approval could help increase utilization of the existing da Vinci SP installed base across Europe, a key driver of Intuitive Surgical's recurring revenue model through instruments, accessories and service revenue. The company also noted that more than 1,000 peer-reviewed publications support the safety and efficacy of the da Vinci SP platform, reinforcing confidence as it pursues broader adoption across surgical specialties.
da Vinci SP Maintains Strong Growth MomentumIntuitive Surgical's latest second-quarter 2026 results highlighted continued momentum for the da Vinci SP platform. The company placed 38 SP systems during the quarter, up from 23 a year ago, taking the global installed base to 445 systems. Meanwhile, SP procedures surged 61% year over year, driven by strong adoption in the United States and Korea, alongside encouraging early traction in Europe, Japan and Taiwan.
Management attributed the platform's growth to expanded indications, new instrumentation and software enhancements, including extended-range instruments and workflow improvements that are helping broaden clinical adoption. In the United States, the SP stapler also continued gaining traction, reaching nearly 60% usage in eligible cases during the quarter, while Intuitive Surgical reiterated that product innovation, training and international expansion remain central to scaling the SP ecosystem over the long term.
Industry Prospects Favoring the MarketPer a report by Grand View Research, the global surgical robots market size is projected to grow from $17.2 billion in 2026 to $45.6 billion by 2033, at a CAGR of 14.9%.
The industry’s growth is driven by the rising adoption of robotic-assisted minimally invasive procedures, the increasing demand for surgical precision and the growing use of advanced robotic instruments and accessories across hospitals and surgical centers.
Other NewsISRG recently announced the publication of a large systematic review and meta-analysis in the peer-reviewed Annals of Surgery Open, evaluating outcomes from more than 14 million procedures across 13 common benign conditions. The study found that da Vinci robotic-assisted surgery was associated with statistically significant improvements in several perioperative outcomes compared with laparoscopic and open surgery.
ISRG’s Zacks Rank & Key PicksCurrently, ISRG has a Zacks Rank #3 (Hold).
Some better-ranked stocks from the broader medical space are Globus Medical (GMED - Free Report) , Veracyte (VCYT - Free Report) and West Pharmaceutical (WST - Free Report) .
Globus Medical, currently carrying a Zacks Rank #2 (Buy), reported a second-quarter 2026 adjusted earnings per share (EPS) of $1.34, which surpassed the Zacks Consensus Estimate by 19.6%. Revenues of $789.6 million beat the Zacks Consensus Estimate by 0.4%. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.
GMED has an estimated long-term earnings growth rate of 12.4%. The company’s earnings beat estimates in each of the trailing four quarters, the average surprise being 27.9%.
Veracyte, currently flaunting a Zacks Rank #1, reported a second-quarter 2026 adjusted EPS of 54 cents, which surpassed the Zacks Consensus Estimate by 25.6%. Revenues of $150.3 million beat the Zacks Consensus Estimate by 4.1%.
VCYT has an estimated earnings growth rate of 8.4% for 2026. The company’s earnings beat estimates in each of the trailing four quarters, the average surprise being 41.8%.
West Pharmaceutical, carrying a Zacks Rank #2 at present, reported second-quarter 2026 adjusted EPS of $2.37, which beat the Zacks Consensus Estimate by 13.9%. Revenues of $872.3 million surpassed the Zacks Consensus Estimate by 4.2%.
WST has an estimated long-term earnings growth rate of 16%. WST’s earnings surpassed estimates in each of the trailing four quarters, the average surprise being 17.4%.
Intuitive Surgical, Inc. (ISRG - Free Report) has been one of the most searched-for stocks on Zacks.com lately. So, you might want to look at some of the facts that could shape the stock's performance in the near term.
Over the past month, shares of this company have returned -3.6%, compared to the Zacks S&P 500 composite's -2.4% change. During this period, the Zacks Medical - Instruments industry, which Intuitive Surgical falls in, has remained unchanged. The key question now is: What could be the stock's future direction?
While media releases or rumors about a substantial change in a company's business prospects usually make its stock 'trending' and lead to an immediate price change, there are always some fundamental facts that eventually dominate the buy-and-hold decision-making.
Revisions to Earnings EstimatesHere at Zacks, we prioritize appraising the change in the projection of a company's future earnings over anything else. That's because we believe the present value of its future stream of earnings is what determines the fair value for its stock.
We essentially look at how sell-side analysts covering the stock are revising their earnings estimates to reflect the impact of the latest business trends. And if earnings estimates go up for a company, the fair value for its stock goes up. A higher fair value than the current market price drives investors' interest in buying the stock, leading to its price moving higher. This is why empirical research shows a strong correlation between trends in earnings estimate revisions and near-term stock price movements.
For the current quarter, Intuitive Surgical is expected to post earnings of $2.61 per share, indicating a change of +8.8% from the year-ago quarter. The Zacks Consensus Estimate remained unchanged over the last 30 days.
For the current fiscal year, the consensus earnings estimate of $10.74 points to a change of +20.3% from the prior year. Over the last 30 days, this estimate has changed -0.4%.
For the next fiscal year, the consensus earnings estimate of $11.98 indicates a change of +11.6% from what Intuitive Surgical is expected to report a year ago. Over the past month, the estimate has changed -0.1%.
With an impressive externally audited track record, our proprietary stock rating tool -- the Zacks Rank -- is a more conclusive indicator of a stock's near-term price performance, as it effectively harnesses the power of earnings estimate revisions. The size of the recent change in the consensus estimate, along with three other factors related to earnings estimates, has resulted in a Zacks Rank #3 (Hold) for Intuitive Surgical.
The chart below shows the evolution of the company's forward 12-month consensus EPS estimate:
12 Month EPS
Revenue Growth ForecastWhile earnings growth is arguably the most superior indicator of a company's financial health, nothing happens as such if a business isn't able to grow its revenues. After all, it's nearly impossible for a company to increase its earnings for an extended period without increasing its revenues. So, it's important to know a company's potential revenue growth.
In the case of Intuitive Surgical, the consensus sales estimate of $2.88 billion for the current quarter points to a year-over-year change of +15%. The $11.74 billion and $13.21 billion estimates for the current and next fiscal years indicate changes of +16.7% and +12.5%, respectively.
Last Reported Results and Surprise HistoryIntuitive Surgical reported revenues of $2.89 billion in the last reported quarter, representing a year-over-year change of +18.5%. EPS of $2.8 for the same period compares with $2.19 a year ago.
Compared to the Zacks Consensus Estimate of $2.81 billion, the reported revenues represent a surprise of +3.08%. The EPS surprise was +12.9%.
The company beat consensus EPS estimates in each of the trailing four quarters. The company topped consensus revenue estimates three times over this period.
ValuationNo investment decision can be efficient without considering a stock's valuation. Whether a stock's current price rightly reflects the intrinsic value of the underlying business and the company's growth prospects is an essential determinant of its future price performance.
Comparing the current value of a company's valuation multiples, such as its price-to-earnings (P/E), price-to-sales (P/S), and price-to-cash flow (P/CF), to its own historical values helps ascertain whether its stock is fairly valued, overvalued, or undervalued, whereas comparing the company relative to its peers on these parameters gives a good sense of how reasonable its stock price is.
The Zacks Value Style Score (part of the Zacks Style Scores system), which pays close attention to both traditional and unconventional valuation metrics to grade stocks from A to F (an A is better than a B; a B is better than a C; and so on), is pretty helpful in identifying whether a stock is overvalued, rightly valued, or temporarily undervalued.
Intuitive Surgical is graded D on this front, indicating that it is trading at a premium to its peers. Click here to see the values of some of the valuation metrics that have driven this grade.
Bottom LineThe facts discussed here and much other information on Zacks.com might help determine whether or not it's worthwhile paying attention to the market buzz about Intuitive Surgical. However, its Zacks Rank #3 does suggest that it may perform in line with the broader market in the near term.