Stock Analysis on Net

Intuitive Surgical Inc. (NASDAQ:ISRG)

Common Stock Valuation Ratios (Price Multiples)

Microsoft Excel

Current Valuation Ratios

Intuitive Surgical Inc., current price multiples

Microsoft Excel
Intuitive Surgical Inc. Abbott Laboratories Cigna Group CVS Health Corp. Danaher Corp. Elevance Health Inc. Humana Inc. Medtronic PLC UnitedHealth Group Inc. Health Care Equipment & Services Health Care
Selected Financial Data
Current share price (P) $372.63
No. shares of common stock outstanding 352,325,863
Growth rate (g) 13.50%
 
Earnings per share (EPS) $5.10
Next year expected EPS $5.79
Operating profit per share $5.01
Sales per share $20.22
Book value per share (BVPS) $37.77
Valuation Ratios (Price Multiples)
Price to earnings (P/E) 73.02 31.92 19.75 10.47 36.86 20.39 15.75 27.98 20.32 23.17 27.70
Price to next year expected earnings 64.34 29.87 17.73 9.86 33.64 18.12 13.40 27.42 17.33 21.05 25.15
Price-earnings-growth (PEG) 5.41 4.65 1.74 1.71 3.85 1.63 0.90 13.67 1.18 2.30 2.73
Price to operating profit (P/OP) 74.31 28.20 11.95 6.35 33.61 16.03 9.77 19.17 14.05 16.42 23.70
Price to sales (P/S) 18.43 4.55 0.53 0.24 7.32 0.72 0.37 3.37 1.24 1.08 2.20
Price to book value (P/BV) 9.87 4.73 2.21 1.14 3.27 3.11 2.41 2.04 5.12 3.30 4.97

Based on: 10-K (reporting date: 2023-12-31).

If the company price multiple is lower then the price multiple of benchmark then company stock is relatively undervalued.
Otherwise, if the company price multiple is higher then the price multiple of benchmark then company stock is relatively overvalued.


Historical Valuation Ratios (Summary)

Intuitive Surgical Inc., historical price multiples

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Price to earnings (P/E) 74.11 64.99 59.94 87.47 48.72
Price to operating profit (P/OP) 75.42 54.49 56.11 88.37 48.89
Price to sales (P/S) 18.71 13.81 17.89 21.29 15.01
Price to book value (P/BV) 10.01 7.78 8.59 9.53 8.13

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

Valuation ratio Description The company
P/E ratio The P/E ratio tells analyst how much an investor in common stock pays per dollar of current earnings. Intuitive Surgical Inc. P/E ratio increased from 2021 to 2022 and from 2022 to 2023.
P/OP ratio Because P/E ratio is calculated using net income, the ratio can be sensitive to nonrecurring earnings and capital structure, analysts may use price to operating profit. Intuitive Surgical Inc. P/OP ratio decreased from 2021 to 2022 but then increased from 2022 to 2023 exceeding 2021 level.
P/S ratio An rationale for the P/S ratio is that sales, as the top line in an income statement, are generally less subject to distortion or manipulation than other fundamentals such as EPS or book value. Sales are also more stable than earnings and never negative. Intuitive Surgical Inc. P/S ratio decreased from 2021 to 2022 but then increased from 2022 to 2023 exceeding 2021 level.
P/BV ratio The P/BV ratio is interpreted as an indicator of market judgment about the relationship between a company required rate of return and its actual rate of return. Intuitive Surgical Inc. P/BV ratio decreased from 2021 to 2022 but then increased from 2022 to 2023 exceeding 2021 level.

Price to Earnings (P/E)

Intuitive Surgical Inc., historical P/E calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
No. shares of common stock outstanding1 352,325,863 350,389,679 357,744,031 353,154,894 347,952,132
Selected Financial Data (US$)
Net income attributable to Intuitive Surgical, Inc. (in thousands) 1,798,000 1,322,300 1,704,600 1,060,600 1,379,300
Earnings per share (EPS)2 5.10 3.77 4.76 3.00 3.96
Share price1, 3 378.22 245.27 285.60 262.70 193.14
Valuation Ratio
P/E ratio4 74.11 64.99 59.94 87.47 48.72
Benchmarks
P/E Ratio, Competitors5
Abbott Laboratories 34.57 26.76 29.13 48.49 41.83
Cigna Group 19.03 13.13 13.43 8.71 13.26
CVS Health Corp. 11.47 27.53 17.39 12.88 14.15
Danaher Corp. 39.09 25.65 29.94 44.49 38.34
Elevance Health Inc. 19.80 19.20 18.13 15.87 15.96
Humana Inc. 17.64 22.52 18.34 14.48 18.10
Medtronic PLC 30.94 23.38 46.56 26.30 28.78
UnitedHealth Group Inc. 20.53 22.46 26.03 20.54 20.48
P/E Ratio, Sector
Health Care Equipment & Services 23.99 23.33 25.54 22.65 22.70
P/E Ratio, Industry
Health Care 28.80 21.04 20.96 28.69 20.94

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

1 Data adjusted for splits and stock dividends.

2 2023 Calculation
EPS = Net income attributable to Intuitive Surgical, Inc. ÷ No. shares of common stock outstanding
= 1,798,000,000 ÷ 352,325,863 = 5.10

3 Closing price as at the filing date of Intuitive Surgical Inc. Annual Report.

4 2023 Calculation
P/E ratio = Share price ÷ EPS
= 378.22 ÷ 5.10 = 74.11

5 Click competitor name to see calculations.

Valuation ratio Description The company
P/E ratio The P/E ratio tells analyst how much an investor in common stock pays per dollar of current earnings. Intuitive Surgical Inc. P/E ratio increased from 2021 to 2022 and from 2022 to 2023.

Price to Operating Profit (P/OP)

Intuitive Surgical Inc., historical P/OP calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
No. shares of common stock outstanding1 352,325,863 350,389,679 357,744,031 353,154,894 347,952,132
Selected Financial Data (US$)
Income from operations (in thousands) 1,766,800 1,577,100 1,821,000 1,049,800 1,374,500
Operating profit per share2 5.01 4.50 5.09 2.97 3.95
Share price1, 3 378.22 245.27 285.60 262.70 193.14
Valuation Ratio
P/OP ratio4 75.42 54.49 56.11 88.37 48.89
Benchmarks
P/OP Ratio, Competitors5
Abbott Laboratories 30.54 22.18 24.45 40.69 34.03
Cigna Group 11.51 10.40 9.08 9.03 8.38
CVS Health Corp. 6.96 14.75 10.43 6.65 7.83
Danaher Corp. 35.64 20.97 25.14 36.91 34.47
Elevance Health Inc. 15.57 15.05 15.70 12.10 13.55
Humana Inc. 10.94 16.63 17.08 9.78 15.35
Medtronic PLC 21.20 20.48 37.44 26.29 21.26
UnitedHealth Group Inc. 14.20 15.89 18.77 14.12 14.40
P/OP Ratio, Sector
Health Care Equipment & Services 17.00 17.45 19.20 16.88 16.21
P/OP Ratio, Industry
Health Care 24.64 16.32 17.33 21.28 17.16

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

1 Data adjusted for splits and stock dividends.

2 2023 Calculation
Operating profit per share = Income from operations ÷ No. shares of common stock outstanding
= 1,766,800,000 ÷ 352,325,863 = 5.01

3 Closing price as at the filing date of Intuitive Surgical Inc. Annual Report.

4 2023 Calculation
P/OP ratio = Share price ÷ Operating profit per share
= 378.22 ÷ 5.01 = 75.42

5 Click competitor name to see calculations.

Valuation ratio Description The company
P/OP ratio Because P/E ratio is calculated using net income, the ratio can be sensitive to nonrecurring earnings and capital structure, analysts may use price to operating profit. Intuitive Surgical Inc. P/OP ratio decreased from 2021 to 2022 but then increased from 2022 to 2023 exceeding 2021 level.

Price to Sales (P/S)

Intuitive Surgical Inc., historical P/S calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
No. shares of common stock outstanding1 352,325,863 350,389,679 357,744,031 353,154,894 347,952,132
Selected Financial Data (US$)
Revenue (in thousands) 7,124,100 6,222,200 5,710,100 4,358,400 4,478,500
Sales per share2 20.22 17.76 15.96 12.34 12.87
Share price1, 3 378.22 245.27 285.60 262.70 193.14
Valuation Ratio
P/S ratio4 18.71 13.81 17.89 21.29 15.01
Benchmarks
P/S Ratio, Competitors5
Abbott Laboratories 4.93 4.25 4.78 6.30 4.83
Cigna Group 0.51 0.49 0.42 0.46 0.44
CVS Health Corp. 0.27 0.36 0.47 0.35 0.37
Danaher Corp. 7.76 5.79 6.37 7.01 6.29
Elevance Health Inc. 0.70 0.74 0.81 0.60 0.74
Humana Inc. 0.42 0.68 0.65 0.64 0.76
Medtronic PLC 3.72 3.72 5.57 4.36 4.36
UnitedHealth Group Inc. 1.25 1.40 1.58 1.24 1.18
P/S Ratio, Sector
Health Care Equipment & Services 1.12 1.19 1.38 1.23 1.15
P/S Ratio, Industry
Health Care 2.29 2.14 2.26 2.20 2.12

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

1 Data adjusted for splits and stock dividends.

2 2023 Calculation
Sales per share = Revenue ÷ No. shares of common stock outstanding
= 7,124,100,000 ÷ 352,325,863 = 20.22

3 Closing price as at the filing date of Intuitive Surgical Inc. Annual Report.

4 2023 Calculation
P/S ratio = Share price ÷ Sales per share
= 378.22 ÷ 20.22 = 18.71

5 Click competitor name to see calculations.

Valuation ratio Description The company
P/S ratio An rationale for the P/S ratio is that sales, as the top line in an income statement, are generally less subject to distortion or manipulation than other fundamentals such as EPS or book value. Sales are also more stable than earnings and never negative. Intuitive Surgical Inc. P/S ratio decreased from 2021 to 2022 but then increased from 2022 to 2023 exceeding 2021 level.

Price to Book Value (P/BV)

Intuitive Surgical Inc., historical P/BV calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
No. shares of common stock outstanding1 352,325,863 350,389,679 357,744,031 353,154,894 347,952,132
Selected Financial Data (US$)
Total Intuitive Surgical, Inc. stockholders’ equity (in thousands) 13,307,600 11,041,900 11,901,100 9,731,500 8,263,800
Book value per share (BVPS)2 37.77 31.51 33.27 27.56 23.75
Share price1, 3 378.22 245.27 285.60 262.70 193.14
Valuation Ratio
P/BV ratio4 10.01 7.78 8.59 9.53 8.13
Benchmarks
P/BV Ratio, Competitors5
Abbott Laboratories 5.12 5.06 5.75 6.65 4.96
Cigna Group 2.13 1.95 1.53 1.46 1.49
CVS Health Corp. 1.25 1.61 1.83 1.33 1.47
Danaher Corp. 3.47 3.64 4.16 3.93 3.72
Elevance Health Inc. 3.02 3.19 3.07 2.19 2.42
Humana Inc. 2.70 4.13 3.34 3.55 4.07
Medtronic PLC 2.26 2.24 3.26 2.48 2.66
UnitedHealth Group Inc. 5.18 5.81 6.27 4.83 4.92
P/BV Ratio, Sector
Health Care Equipment & Services 3.42 3.55 3.81 3.28 3.14
P/BV Ratio, Industry
Health Care 5.17 4.70 4.79 4.58 4.40

Based on: 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31).

1 Data adjusted for splits and stock dividends.

2 2023 Calculation
BVPS = Total Intuitive Surgical, Inc. stockholders’ equity ÷ No. shares of common stock outstanding
= 13,307,600,000 ÷ 352,325,863 = 37.77

3 Closing price as at the filing date of Intuitive Surgical Inc. Annual Report.

4 2023 Calculation
P/BV ratio = Share price ÷ BVPS
= 378.22 ÷ 37.77 = 10.01

5 Click competitor name to see calculations.

Valuation ratio Description The company
P/BV ratio The P/BV ratio is interpreted as an indicator of market judgment about the relationship between a company required rate of return and its actual rate of return. Intuitive Surgical Inc. P/BV ratio decreased from 2021 to 2022 but then increased from 2022 to 2023 exceeding 2021 level.