ISRG vs DXCM vs RMD Stock Comparison

Intuitive Surgical, Dexcom and Resmed Prices as of Nov 4, 2026 Peers: Industry group
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ISRG Intuitive Surgical Inc
$482.10 +18.6% 1M -10.5% 1Y
Market cap
$164.43B
P/E
55.6x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
4 wins
DXCM Dexcom Inc
$88.48 +1.8% 1M +44.6% 1Y
Market cap
$32.21B
P/E
32.5x
Revenue (TTM)
$5.10B
Div. yield
–
Medical Devices Healthcare
1 win
RMD Resmed Inc
$240.48 +7.9% 1M -2.4% 1Y
Market cap
$34.03B
P/E
21.4x
Revenue (TTM)
$5.73B
Div. yield
–
Medical Devices Healthcare
4 wins

Head to Head

9 decided of 12

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

QuestionISRGDXCMRMDLeader
Larger companyMarket capitalisation $164.43B $32.21B $34.03B ISRG
Cheaper on earningsLower P/E, profitable companies only 55.6x 32.5x 21.4x RMD
Cheaper on forward earningsLower price / next fiscal year consensus EPS 42.0x 31.3x 18.7x RMD
Faster revenue growthRevenue growth, trailing twelve months +20.5% +13.0% +9.0% ISRG
More profitableNet margin, trailing twelve months 25.5% 19.4% 27.8% RMD
Better return on capitalReturn on invested capital — — 22.0% –
Less leveragedLower net debt / EBITDA — — -0.3x –
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -10.5% +44.6% -2.4% DXCM
Better 5-year returnAnnualised price return, 5 years +5.7%/yr -11.1%/yr -1.6%/yr ISRG
Less volatileAnnualised volatility, 1 year 35.9% 38.0% 31.1% RMD
Higher overall scoreMean of the five percentile scores vs peers 80/100 74/100 80/100 ISRG

Percentile Scorecard

ISRGDXCMRMD

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

AxisISRGDXCMRMD
Valuation 50 #115 of 229 67 #77 of 229 74 #60 of 229
Growth 82 #41 of 221 83 #39 of 221 58 #94 of 221
Profitability 98 #6 of 209 99 #3 of 209 100 #2 of 209
Financial Health 80 #49 of 240 35 #157 of 240 77 #55 of 240
Shareholder Returns 92 #12 of 146 88 #19 of 146 89 #17 of 146
Overall 80 74 80
  • ISRG ranked among 248 companies in Medical Devices and Diagnostics
  • DXCM ranked among 248 companies in Medical Devices and Diagnostics
  • RMD ranked among 248 companies in Medical Devices and Diagnostics

Price Performance

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

Returns

PeriodISRGDXCMRMDSPY
1 month +18.6%+1.8%+7.9% -1.0%
3 months +28.5%+7.0%+7.3% -0.4%
6 months +6.7%+46.6%+14.7% +4.5%
Year to date -14.9%+33.3%-0.2% +12.4%
1 year -10.5%+44.6%-2.4% +13.6%
3 years +73.1%-9.2%+57.4% +76.4%
3 years, per year +20.1%-3.2%+16.3% +20.8%
5 years +32.1%-44.3%-7.7% +63.7%
5 years, per year +5.7%-11.1%-1.6% +10.4%
10 years +546.2%+471.6%+318.8% +267.7%
10 years, per year +20.5%+19.0%+15.4% +13.9%

Risk

MeasureISRGDXCMRMDSPY
Volatility, 1Y 35.9%38.0%31.1% 12.8%
Downside volatility, 1Y 38.0%33.6%33.9% 12.7%
Beta vs S&P 500, 1Y 0.980.670.53 1.00
Return / volatility, 1Y -0.291.17-0.08 1.06
Max drawdown, 5Y -49.9%-66.3%-49.8% -25.4%
From 52-week high -18.7%-4.2%-12.9% -1.6%
52-week high $592.85$92.34$275.96 $779.14
52-week low $332.02$54.84$182.82 $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.

MultipleISRGDXCMRMD
P/E now vs peer median 56.9xmedian 28.5x 33.5xmedian 28.5x 21.6xmedian 28.5x
P/S now vs peer median 14.4xmedian 2.9x 6.5xmedian 2.9x 5.9xmedian 2.9x
EV/EBITDA now vs peer median 39.9xmedian 18.5x 20.8xmedian 18.5x 15.9xmedian 18.5x
P/FCF now vs peer median 46.4xmedian 26.7x 30.0xmedian 26.7x 21.0xmedian 26.7x
P/B now vs peer median 10.4xmedian 2.3x 13.0xmedian 2.3x 5.7xmedian 2.3x
PEG now vs peer median 2.21median 0.93 0.78median 0.93 0.99median 0.93

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 monthsISRGDXCMRMD
Revenue $11.58B $5.10B $5.73B
Gross profit $7.78B $3.24B $3.50B
Operating income $3.28B $1.22B $1.89B
Net income $2.97B $991.00M $1.59B
Free cash flow $3.60B $1.10B $1.61B
R&D $1.49B $608.10M $393.82M
EPS (diluted) $8.41 $2.58 $11.11
Cash & equivalents $2.98B $961.40M $1.01B
Total debt – – $409.60M
Shares (diluted) 351.60M 383.50M 143.41M
Enterprise value $144.72B $24.04B $28.48B

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
MetricISRGDXCMRMD
P/E 56.9x 33.5x 21.6x
P/FCF 46.4x 30.0x 21.0x
P/Operating cash flow 40.9x 23.3x 19.1x
P/S 14.4x 6.5x 5.9x
P/B 10.4x 13.0x 5.7x
P/Tangible book 11.2x 13.5x 6.1x
EV/EBITDA 39.9x 20.8x 15.9x
EV/EBIT 49.6x 25.5x 17.5x
EV/Revenue 14.1x 6.1x 5.8x
EV/FCF 45.3x 28.4x 20.6x
EV/Operating cash flow 39.9x 22.0x 18.8x
PEG (3Y EPS CAGR) 2.21 0.78 0.99

Growth

14 metrics
MetricISRGDXCMRMD
Revenue growth (1Y) 20.5% 13.0% 9.0%
Revenue CAGR (3Y) 19.1% 14.5% 9.4%
Gross profit growth (1Y) 21.9% 21.5% 11.0%
Gross profit CAGR (3Y) 19.5% 14.2% 13.2%
Operating income growth (1Y) 16.6% 57.4% 8.5%
Operating income CAGR (3Y) 24.8% 34.2% 18.2%
Net income growth (1Y) 7.5% 37.5% 10.8%
Net income CAGR (3Y) 24.4% 38.0% 20.7%
EPS growth (1Y) 10.8% 46.1% 13.5%
EPS CAGR (3Y) 25.7% 43.0% 21.8%
Operating cash flow growth (1Y) 38.1% -2.3% -6.0%
Operating cash flow CAGR (3Y) 26.4% 23.7% 23.7%
Free cash flow growth (1Y) 58.4% 3.4% -9.0%
Free cash flow CAGR (3Y) 42.0% 30.0% 25.5%

Profitability

14 metrics
MetricISRGDXCMRMD
Gross margin 67.2% 63.4% 61.1%
EBITDA margin 35.3% 29.4% 36.4%
Operating margin 28.4% 24.0% 33.0%
Pretax margin 31.3% 24.7% 35.1%
Net margin 25.5% 19.4% 27.8%
FCF margin 31.1% 21.5% 28.1%
Operating cash flow margin 35.3% 27.7% 30.9%
Return on equity 17.3% 38.4% 25.4%
Return on assets 14.8% 15.6% 18.5%
Return on invested capital – – 22.0%
Return on capital employed 18.7% 29.9% 26.1%
Asset turnover 0.6x 0.8x 0.7x
Cash conversion (OCF / net income) 1.4x 1.4x 1.1x
Stock comp / revenue 7.2% 3.0% 2.0%

Financial Health

11 metrics
MetricISRGDXCMRMD
Debt / assets – – 5.0%
Debt / equity – – 0.1x
Net debt / EBITDA – – -0.3x
Debt / FCF – – 0.3x
Liabilities / assets 16.7% 59.4% 27.6%
Equity / assets 83.3% 40.6% 72.4%
Interest coverage – – 81.1x
Current ratio 3.3x 1.7x 2.6x
Quick ratio 2.3x 1.3x 1.5x
Cash ratio 1.6x 0.8x 0.8x
Altman Z-score 32.88 7.84 12.03

Shareholder Returns

7 metrics
MetricISRGDXCMRMD
Dividend yield – – 1.0%
Net buyback yield 2.5% 2.1% 4.2%
Shareholder yield 2.5% 2.1% 5.2%
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.

ConsensusISRGDXCMRMD
Forward P/E 42.0xFY2026 31.3xFY2026 18.7xFY2027
EPS, next fiscal year $11.47FY2026 $2.83FY2026 $12.86FY2027
EPS growth, next FY +28.4%FY2026 +35.4%FY2026 +15.1%FY2027
EPS growth, the year after +4.5% +4.9% +9.8%
Revenue, next fiscal year $11.60BFY2026 $5.08BFY2026 $5.97BFY2027
Revenue growth, next FY +15.3%FY2026 +9.0%FY2026 +5.6%FY2027
Revenue growth, the year after +11.3% +16.6% -3.4%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersISRGDXCMRMD
Held by institutions 86.2% 100.0% 68.7%
Institutions holding 2,240 977 889
Change in shares held, QoQ +4.6% +6.3% +3.2%
Institutions buying 1,073 522 405
Institutions selling 878 344 359
Buyers to sellers 1.22 1.52 1.13

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.

ISRGDXCMRMD
ISRG 1.00 0.39 0.50
DXCM 0.39 1.00 0.32
RMD 0.50 0.32 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ISRG, DXCM and RMD?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Intuitive Surgical (ISRG) $164.43B, Dexcom (DXCM) $32.21B, Resmed (RMD) $34.03B.

Which stock is cheaper, ISRG, DXCM and RMD?

Resmed (RMD) trades on the lowest price-to-earnings ratio (Intuitive Surgical (ISRG) 55.6x, Dexcom (DXCM) 32.5x, Resmed (RMD) 21.4x). On next year's consensus earnings, Resmed (RMD) is cheapest (Intuitive Surgical (ISRG) 42.0x, Dexcom (DXCM) 31.3x, Resmed (RMD) 18.7x). 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: Intuitive Surgical (ISRG) +20.5%, Dexcom (DXCM) +13.0%, Resmed (RMD) +9.0%.

Which company is more profitable?

Resmed (RMD) has the highest net margin (Intuitive Surgical (ISRG) 25.5%, Dexcom (DXCM) 19.4%, Resmed (RMD) 27.8%).

Which stock has performed better?

Over the past year Dexcom (DXCM) returned the most: Intuitive Surgical (ISRG) -10.5%, Dexcom (DXCM) +44.6%, Resmed (RMD) -2.4%. Over five years, Intuitive Surgical (ISRG) compounded fastest (Intuitive Surgical (ISRG) +5.7%/yr, Dexcom (DXCM) -11.1%/yr, Resmed (RMD) -1.6%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Resmed (RMD) has been the steadiest (Intuitive Surgical (ISRG) 35.9%, Dexcom (DXCM) 38.0%, Resmed (RMD) 31.1%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ISRG, DXCM and RMD?

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 4. 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.