ALC vs ISRG vs BVS Stock Comparison

Alcon, Intuitive Surgical and Bioventus Prices as of Oct 27, 2026 Peers: Industry group
ALC Alcon Inc
$69.42 +7.7% 1M -8.8% 1Y
Market cap
$33.84B
P/E
53.2x
Revenue (TTM)
$10.80B
Div. yield
0.40%
Medical Devices Healthcare
1 win
ISRG Intuitive Surgical Inc
$445.88 +10.0% 1M -19.1% 1Y
Market cap
$154.54B
P/E
52.6x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
5 wins
BVS Bioventus Inc.
$14.42 +4.4% 1M +114.9% 1Y
Market cap
$1.21B
P/E
18.0x
Revenue (TTM)
$581.85M
Div. yield
–
Medical Devices Healthcare
4 wins

Head to Head

10 decided of 12

Intuitive Surgical leads on 5 of the 12 questions below (Intuitive Surgical 5, Bioventus 4, Alcon 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionALCISRGBVSLeader
Larger companyMarket capitalisation $33.84B $154.54B $1.21B ISRG
Cheaper on earningsLower P/E, profitable companies only 53.2x 52.6x 18.0x BVS
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.6x 38.9x 19.2x BVS
Faster revenue growthRevenue growth, trailing twelve months +8.5% +20.5% +3.1% ISRG
More profitableNet margin, trailing twelve months 6.0% 25.5% 9.4% ISRG
Better return on capitalReturn on invested capital 3.6% — 11.3% BVS
Less leveragedLower net debt / EBITDA — — 2.1x –
Higher dividend yieldTrailing dividend yield 0.40% — 0.00% –
Better 1-year returnPrice return, last 12 months -8.8% -19.1% +114.9% BVS
Better 5-year returnAnnualised price return, 5 years -3.5%/yr +4.6%/yr -0.7%/yr ISRG
Less volatileAnnualised volatility, 1 year 28.6% 34.6% 50.7% ALC
Higher overall scoreMean of the five percentile scores vs peers 68/100 80/100 72/100 ISRG

Percentile Scorecard

ALCISRGBVS

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisALCISRGBVS
Valuation 79 #48 of 227 54 #106 of 227 94 #14 of 227
Growth 48 #114 of 219 80 #45 of 219 93 #17 of 219
Profitability 76 #50 of 206 98 #6 of 206 90 #22 of 206
Financial Health 60 #96 of 238 78 #53 of 238 28 #171 of 238
Shareholder Returns 74 #35 of 134 92 #12 of 134 55 #61 of 134
Overall 68 80 72
  • ALC ranked among 247 companies in Medical Devices and Diagnostics
  • ISRG ranked among 247 companies in Medical Devices and Diagnostics
  • BVS ranked among 247 companies in Medical Devices and Diagnostics

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodALCISRGBVSSPY
1 month +7.7%+10.0%+4.4% -0.2%
3 months +0.4%+23.2%+9.2% +3.9%
6 months -7.9%-4.4%+44.8% +8.2%
Year to date -11.9%-21.3%+93.8% +12.9%
1 year -8.8%-19.1%+114.9% +12.3%
3 years -0.9%+72.2%+338.3% +87.4%
3 years, per year -0.3%+19.9%+63.7% +23.3%
5 years -16.1%+25.4%-3.7% +67.9%
5 years, per year -3.5%+4.6%-0.7% +10.9%
10 years —+505.1%— +261.1%
10 years, per year —+19.7%— +13.7%

Risk

MeasureALCISRGBVSSPY
Volatility, 1Y 28.6%34.6%50.7% 12.7%
Downside volatility, 1Y 28.8%37.4%47.4% 12.7%
Beta vs S&P 500, 1Y 0.380.890.62 1.00
Return / volatility, 1Y -0.31-0.552.27 0.97
Max drawdown, 5Y -38.4%-49.9%-94.5% -25.4%
From 52-week high -20.4%-24.8%-5.5% -1.2%
52-week high $87.18$592.85$15.26 $779.14
52-week low $62.02$332.02$6.53 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleALCISRGBVS
P/E now vs peer median 53.2xmedian 29.6x 52.6xmedian 29.6x 18.0xmedian 29.6x
P/S now vs peer median 3.1xmedian 2.9x 13.3xmedian 2.9x 2.1xmedian 2.9x
EV/EBITDA now vs peer median —median 17.4x 36.8xmedian 17.4x 13.8xmedian 17.4x
P/FCF now vs peer median 19.4xmedian 22.3x 43.0xmedian 22.3x 12.8xmedian 22.3x
P/B now vs peer median 1.6xmedian 2.3x 9.6xmedian 2.3x 4.4xmedian 2.3x
PEG now vs peer median 2.54median 1.04 2.05median 1.04 0.61median 1.04

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsALCISRGBVS
Revenue $10.80B $11.58B $581.85M
Gross profit $6.17B $7.78B $399.45M
Operating income $948.00M $3.28B $58.28M
Net income $643.00M $2.97B $61.48M
Free cash flow $1.74B $3.60B $94.29M
R&D $1.43B $1.49B $11.57M
EPS (diluted) $1.30 $8.41 $0.77
Cash & equivalents $1.36B $2.98B $29.46M
Total debt $4.72B – $248.45M
Shares (diluted) 496.20M 351.60M 70.84M
Enterprise value $24.80B $134.96B $1.10B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricALCISRGBVS
P/E 53.2x 52.6x 18.0x
P/FCF 19.4x 43.0x 12.8x
P/Operating cash flow 14.6x 37.8x 12.5x
P/S 3.1x 13.3x 2.1x
P/B 1.6x 9.6x 4.4x
P/Tangible book 2.5x 10.4x -16.4x
EV/EBITDA – 36.8x 13.8x
EV/EBIT 38.4x 45.8x 24.5x
EV/Revenue 3.4x 13.0x 2.5x
EV/FCF 20.9x 41.8x 15.2x
EV/Operating cash flow 15.8x 36.8x 14.8x
PEG (3Y EPS CAGR) 2.54 2.05 0.61

Growth

14 metrics
MetricALCISRGBVS
Revenue growth (1Y) 8.5% 20.5% 3.1%
Revenue CAGR (3Y) 5.9% 19.1% 4.4%
Gross profit growth (1Y) 11.7% 21.9% 4.7%
Gross profit CAGR (3Y) 7.3% 19.5% 7.5%
Operating income growth (1Y) -34.3% 16.6% 68.5%
Operating income CAGR (3Y) 7.5% 24.8% 31.2%
Net income growth (1Y) -40.1% 7.5% 12,370%
Net income CAGR (3Y) 21.1% 24.4% 29.4%
EPS growth (1Y) -40.7% 10.8% 7,309%
EPS CAGR (3Y) 21.0% 25.7% 29.5%
Operating cash flow growth (1Y) 10.3% 38.1% 167.3%
Operating cash flow CAGR (3Y) 25.9% 26.4% 69.2%
Free cash flow growth (1Y) 7.5% 58.4% 176.5%
Free cash flow CAGR (3Y) 48.0% 42.0% 71.9%

Profitability

14 metrics
MetricALCISRGBVS
Gross margin 57.2% 67.2% 68.7%
EBITDA margin – 35.3% 17.8%
Operating margin 8.8% 28.4% 10.0%
Pretax margin 6.9% 31.3% 6.6%
Net margin 6.0% 25.5% 9.4%
FCF margin 16.1% 31.1% 16.2%
Operating cash flow margin 21.4% 35.3% 16.6%
Return on equity 2.9% 17.3% 24.0%
Return on assets 2.1% 14.8% 9.3%
Return on invested capital 3.6% – 11.3%
Return on capital employed 3.4% 18.7% 11.4%
Asset turnover 0.3x 0.6x 0.9x
Cash conversion (OCF / net income) 3.6x 1.4x 1.6x
Stock comp / revenue 1.6% 7.2% 2.6%

Financial Health

11 metrics
MetricALCISRGBVS
Debt / assets 15.2% – 36.9%
Debt / equity 0.2x – 0.9x
Net debt / EBITDA – – 2.1x
Debt / FCF 2.7x – 2.6x
Liabilities / assets 30.6% 16.7% 58.8%
Equity / assets 69.4% 83.3% 41.2%
Interest coverage 9.2x – –
Current ratio 2.1x 3.3x 1.7x
Quick ratio 1.3x 2.3x 1.1x
Cash ratio 0.7x 1.6x 0.2x
Altman Z-score – 30.55 2.55

Shareholder Returns

7 metrics
MetricALCISRGBVS
Dividend yield 0.4% – –
Net buyback yield 2.7% 2.8% -0.1%
Shareholder yield 3.1% 2.8% -0.1%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusALCISRGBVS
Forward P/E 21.6xFY2026 38.9xFY2026 19.2xFY2026
EPS, next fiscal year $3.22FY2026 $11.47FY2026 $0.75FY2026
EPS growth, next FY +7.7%FY2026 +28.4%FY2026 +10.3%FY2026
EPS growth, the year after +15.5% +4.5% +30.7%
Revenue, next fiscal year $10.50BFY2026 $11.60BFY2026 $632.22MFY2026
Revenue growth, next FY +4.3%FY2026 +15.3%FY2026 +11.3%FY2026
Revenue growth, the year after +8.1% +11.3% -2.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALCISRGBVS
Held by institutions 48.8% 86.2% 64.1%
Institutions holding 629 2,235 156
Change in shares held, QoQ +5.3% +4.6% +5.8%
Institutions buying 225 1,070 101
Institutions selling 274 877 37
Buyers to sellers 0.82 1.22 2.73

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ALCISRGBVS
ALC 1.00 0.39 0.27
ISRG 0.39 1.00 0.33
BVS 0.27 0.33 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ALC, ISRG and BVS?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Alcon (ALC) $33.84B, Intuitive Surgical (ISRG) $154.54B, Bioventus (BVS) $1.21B.

Which stock is cheaper, ALC, ISRG and BVS?

Bioventus (BVS) trades on the lowest price-to-earnings ratio (Alcon (ALC) 53.2x, Intuitive Surgical (ISRG) 52.6x, Bioventus (BVS) 18.0x). On next year's consensus earnings, Bioventus (BVS) is cheapest (Alcon (ALC) 21.6x, Intuitive Surgical (ISRG) 38.9x, Bioventus (BVS) 19.2x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Intuitive Surgical (ISRG) grew revenue fastest over the trailing twelve months: Alcon (ALC) +8.5%, Intuitive Surgical (ISRG) +20.5%, Bioventus (BVS) +3.1%.

Which company is more profitable?

Intuitive Surgical (ISRG) has the highest net margin (Alcon (ALC) 6.0%, Intuitive Surgical (ISRG) 25.5%, Bioventus (BVS) 9.4%). On return on invested capital, Bioventus (BVS) leads (Alcon (ALC) 3.6%, Bioventus (BVS) 11.3%).

Which stock has performed better?

Over the past year Bioventus (BVS) returned the most: Alcon (ALC) -8.8%, Intuitive Surgical (ISRG) -19.1%, Bioventus (BVS) +114.9%. Over five years, Intuitive Surgical (ISRG) compounded fastest (Alcon (ALC) -3.5%/yr, Intuitive Surgical (ISRG) +4.6%/yr, Bioventus (BVS) -0.7%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Alcon (ALC) 0.40%, Bioventus (BVS) 0.00%. Intuitive Surgical (ISRG) and Bioventus (BVS) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Alcon (ALC) has been the steadiest (Alcon (ALC) 28.6%, Intuitive Surgical (ISRG) 34.6%, Bioventus (BVS) 50.7%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ALC, ISRG and BVS?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Intuitive Surgical (ISRG) leads on 5. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.