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Stocks
Intuitive Surgical, Inc.
EL7 Factor Analysis
How we score this
Overall68
Strong — clearly above market medianFalling StarF 7/9SafeBetter than 68% of Market stocks, per EL7's model
FactorScoreDistributionValueAvgRank
▸
Valuation
16
42.1x▼17.8xBottom tier
▸
Growth
84
20.7%▲7.1%Top tier
▸
Quality
85
15.4%▲4.5%Top tier
▸
Safety
95
—2.6xTop tier
▸
Capital Return
54
—2.12%Around median
▸
Momentum
14
-16.3%▼2.9%Bottom tier
▸
Sentiment
68
17▲3Top tier
ISRG

ISRG Intuitive Surgical, Inc.

Intuitive Surgical, Inc. · NASDAQ
Market Closed
369.15
▲ ⁦+2.41%⁩ (+8.69)
Market Cap$130.4B
Beta1.46
52w Low52w High
328.57603.88
Last Week
⁦-0.73%⁩
Last Month
⁦-8.00%⁩
Last 3 Months
⁦-10.40%⁩
Last Year
⁦-21.04%⁩
Fair Value
Current price$369
Analyst target · 14 analysts
$494
⁦+34%⁩
See it clearly undervalued
Range ⁦$357–$651⁩
vs
DCF (estimate)
$131
⁦-65%⁩
Sees it clearly overvalued
⁦10.9⁩% discount · ⁦4⁩% growth
Bottom lineThe two methods disagree — estimate range ⁦$131–$494⁩.

Estimates — analyst targets and a simplified DCF, not investment advice.

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Analyst Consensus

This section combines price targets, revision history, analyst coverage changes, and an AI summary of what changed on the Street.

Price Target· 14 analysts setting price target
$491.15
⁦+33.0%⁩
Current Price $369.15·Median $493.50
Low
$357.44
High
$651.00
Current price
$369.15
Average target
$491.15
Street summary

Stable Consensus with Limited Divergence in Ratings

Price target estimates have not changed over the last 30 days; consensus remained at 491.15, with the median at 493.5, within a wide range of 357.44 to 651. The number of analysts counted decreased from 15 to 14, indicating a limited narrowing of the coverage base, without a direct change in the consensus level.

As of 2026-09-09
Revisions momentum · 30d
⁦0.0%⁩
Average rating
★ 3.88
Buy
Analyst coverage
⁦34 (-1)⁩
Buy conviction
71%
High
Rating activity · 30d
0↑ · 0↓
Target dispersion
80%
Wide
Analyst ratings over time34 analysts rating
7
17
9
1
Strong BuyBuyHoldSellStrong Sell
Rating trend — last 12 months3.81 → 3.88
Recent analyst moves
  • = Reiterate2026-08-21
    Piper Sandler
    Overweight
  • = Reiterate2026-08-12
    Bernstein
    Outperform
  • = Reiterate2026-08-12
    Piper Sandler
    Overweight
Premium content
Key Financials

Ten ratios that matter, each compared against its sector median and average — so you can see whether a number is rich or cheap relative to peers in the same sector.

StockSector medianSector averagetypical sector range
MetricValuePosition within sectorVerdict
  • P/E (TTM)
    42.14x
    3.94x44.30x
    Above average
  • Forward P/E
    31.57x
    4.64x37.16x
    Near median
  • EV / EBITDA
    31.29x
    3.77x30.13x
    Above average
  • FCF Yield
    2.5%
    -138.2%7.8%
    Strong
  • Revenue Growth YoY
    20.7%
    -56.9%93.8%
    Above average
  • EPS Growth YoY
    21.5%
    -160.1%130.2%
    Above average
  • Gross Margin
    66.7%
    12.8%90.7%
    Above average
  • ROIC
    15.4%
    -155.3%16.0%
    Strong
  • Net Debt / EBITDA
    —
    —
  • Dividend Yield
    —
    —
  • Payout Ratio
    —
    —
  • Altman Z-Score
    32.31
    -38.7417.53
    Exceptional
Financial Analysis
|

Stock Analysis

AI-generated
Based on 2026-07-16 data

Company Overview

Intuitive Surgical develops an ecosystem for minimally invasive surgery and interventions that includes the multiport da Vinci platforms, the single-port da Vinci SP, and the ION platform for lung cancer diagnosis. Its business model combines system sales and leasing with recurring revenue from instruments, accessories, and maintenance; in quarter 2 of fiscal 2026, recurring revenue reached $2.47 billion, or 85% of total revenue, while systems revenue was $685 million, instruments and accessories revenue was $1.73 billion, and services revenue was $472 million.

In quarter 2 of fiscal 2026, revenue increased 19% to $2.89 billion, and the financial statements reported gross profit of $2.0 billion, net income of $818.1 million, and earnings per share of $2.29. This equates to a GAAP gross margin of approximately 69% and a net income margin of approximately 28%, while the adjusted operating margin was 42% and the adjusted gross margin was 70%; however, the latter benefited from a $36 million tariff refund and would have been 68.7% without this effect.

Growth was supported by broader utilization and an expanding installed base: total procedures increased 16%, including 15% for da Vinci procedures and 36% for ION procedures, while the installed bases of the two systems grew 12% and 21%, respectively, bringing the combined total close to 13 thousand systems worldwide. During the quarter, the company placed 468 da Vinci systems, including 246 da Vinci 5 systems and 38 SP systems, in addition to 55 ION systems; the da Vinci 5 installed base exceeded 1.7 thousand systems used by more than 15 thousand surgeons.

What's Driving the Stock

  • System placements expanded strongly in quarter 2 of fiscal 2026; da Vinci placements increased 18% to 468 systems, while U.S. placements jumped 24% to 267 systems, driven by da Vinci 5 adoption and upgrades of existing systems.
  • Recurring revenue reached $2.47 billion and grew 19% in quarter 2 of fiscal 2026, an important driver because instruments and services represented 85% of revenue, while services revenue increased 21% to $472 million as the installed base expanded.
  • The SP platform recorded procedure growth of 61%, and utilization per system in the United States increased 25%, while the SP stapler was used in approximately 60% of eligible U.S. cases versus slightly less than 40% in the previous quarter.
  • ION procedures grew 36% to 48 thousand procedures during quarter 2 of fiscal 2026 and exceeded 400 thousand procedures cumulatively, alongside system placements in 12 countries outside the United States and progress in the ROSE and EBUS programs.
  • Management maintained its fiscal 2026 da Vinci procedure growth outlook at between 13.5% and 15.5%, with the result expected to be closer to the midpoint of the range, and raised the expected adjusted gross margin range to 68%–69% from 67.5%–68.5%.
  • The product cycle received support from more than 100 planned updates to the da Vinci 5 platform, with the first phase including improvements in remote presence, simulation training, and care-team workflows, while several related innovations were submitted through the FDA 510(k) pathway.

Buying & Selling Case

▲ Buying Case4 pts

  • +Intuitive Surgical's model combines installed-base growth with high recurring revenue; instruments and services represented 85% of revenue in quarter 2 of fiscal 2026, linking placement growth to subsequent instrument and maintenance revenue streams.
  • +The product portfolio demonstrates more than one growth driver: da Vinci procedures increased 15%, SP procedures increased 61%, and ION procedures increased 36%, while cardiac procedures and nipple-sparing mastectomies grew 39% and 43%, respectively, although both areas remained at an early stage.
  • +Liquidity supports the company's ability to invest and return capital; it ended quarter 2 of fiscal 2026 with $8.6 billion in cash and investments, while free cash flow reached $1.8 billion in the first half of fiscal 2026, up 71% from the corresponding period.
  • +The da Vinci 5, SP, and XiR lineup gives the company options for different segments; 20 of the 27 systems placed in U.S. ambulatory surgery centers were XiR models, while da Vinci 5 accounted for 246 of the 468 placements during the quarter.

▼ Selling Case6 pts

Valuation

The average analyst price target is $491.15, within a wide range from $357.44 to $651, with the overall consensus at a “Buy” rating. The average is approximately 18.7% below the 52-week range high of $603.88 and approximately 49.5% above its low of $328.57, reflecting a significant gap between analyst scenarios despite strong results and the UBS upgrade on August 10, 2026. The provided data did not include a published price-to-earnings ratio, so the risk assessment is based on the target range and the breadth of the 52-week range relative to slowing U.S. procedure growth and pressures in China and on margins.

BuyAnalyst target: $491.15(+33.0%)

Figures in the text are as of 2026-08-27; the live price is shown at the top of the page.

FAQ

What was the main revenue driver for Intuitive Surgical in quarter 2 of fiscal 2026?

Recurring revenue from instruments and services reached $2.47 billion, or 85% of total quarterly revenue of $2.89 billion. Instruments and accessories generated $1.73 billion, while services revenue reached $472 million. This growth was supported by expansion of the installed base by 12% for da Vinci systems and 21% for ION systems.

How did da Vinci 5 perform in quarter 2 of fiscal 2026?

The company placed 246 da Vinci 5 systems out of 468 da Vinci systems during the quarter, including 114 dual-console units. The da Vinci 5 installed base exceeded 1.7 thousand systems, and more than 15 thousand surgeons had used it since launch. The company also began the first phase of more than 100 planned updates to improve simulation training, remote presence, and care-team workflows.

Why did U.S. da Vinci procedure growth slow?

U.S. da Vinci procedure growth was 12% in quarter 2 of fiscal 2026 versus 14% in quarter 1 of fiscal 2026. Management said during the July 16, 2026 call that some customers observed an impact from changes in patient coverage and ACA premium dynamics, particularly in deferrable procedures. It added that the law of large numbers also contributed to the slowdown, while bariatric procedures declined by a high-single-digit percentage as GLP-1 use increased.

Earnings callEDGAR filings30-day newsInsider activity

Automated analysis for informational purposes only — not investment advice.

−
U.S. da Vinci procedure growth slowed from 14% in quarter 1 of fiscal 2026 to 12% in quarter 2 of fiscal 2026, which management attributed to a combination of some procedure deferrals, the effects of ACA premium subsidy coverage, and the law of large numbers; it also guided fiscal 2026 growth toward the midpoint of the 13.5%–15.5% range.
  • −Bariatric procedures face structural pressure from increased use of GLP-1 drugs; U.S. bariatric cases performed with da Vinci declined by a high-single-digit percentage during quarter 2 of fiscal 2026.
  • −In China, the company faces lower tender activity, intensifying competition from local robots, and policy-driven pricing pressure, and it placed only 2 systems in the Chinese market during quarter 2 of fiscal 2026; da Vinci 5 also had not received clearance in mainland China as of the call on July 16, 2026.
  • −Instrument revenue per procedure could face pressure from the program to extend the useful life of certain ENDORIST instruments, which is scheduled for a gradual rollout in the first half of fiscal 2027; the program lowers customers' cost of use, and management had not quantified its impact or finalized pricing during the July 16, 2026 call.
  • −The fiscal 2026 outlook includes higher freight and semiconductor memory costs, alongside the impact of growth in newer products, additional depreciation, and system upgrades; management also noted capital-budget pressures in parts of Europe and government funding challenges in Japan.
  • −Insider activity during the 3 months ended with the latest transaction on August 19, 2026, recorded net sales of $4.7 million through 22 sales and no purchases; this is a secondary trading signal because insider sales may be prearranged unless disclosures state otherwise.
  • How important are the SP and ION platforms to Intuitive Surgical's growth?

    SP procedures grew 61% in quarter 2 of fiscal 2026, and its global installed base reached 445 systems after 38 systems were placed during the quarter. ION procedures increased 36% to 48 thousand procedures, exceeding 400 thousand procedures cumulatively, with 55 systems placed during the quarter. ION expanded to 12 countries outside the United States, while SP targets single-port applications including colorectal and thoracic procedures.

    What is Intuitive Surgical's outlook for the remainder of fiscal 2026?

    On July 16, 2026, management maintained its da Vinci procedure growth outlook at between 13.5% and 15.5%, with the result expected to be closer to the midpoint of the range. It raised its adjusted gross margin outlook to 68%–69% from a previous range of 67.5%–68.5%. It also expected adjusted operating expenses to grow between 11% and 13%, with research and development continuing to grow faster than selling and administrative expenses.

    What are the main risks in China and international markets?

    Management described China as a difficult market because of lower tender activity, intensifying local competition, and policy-related pricing pressure. The company placed only 2 systems in China during quarter 2 of fiscal 2026, and da Vinci 5 was not cleared in mainland China as of July 16, 2026. In contrast, da Vinci procedures outside the United States grew 20%, with both Europe and Asia recording growth of 20%, but management also noted government budget pressures in some European markets and Japan.