ISRG vs LMAT vs PEN Stock Comparison

Intuitive Surgical, Lemaitre Vascular and Penumbra Prices as of Nov 2, 2026 Peers: Industry group
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ISRG Intuitive Surgical Inc
$436.87 +11.5% 1M -18.2% 1Y
Market cap
$153.87B
P/E
52.0x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
3 wins
LMAT Lemaitre Vascular Inc
$81.26 +2.9% 1M -6.2% 1Y
Market cap
$1.85B
P/E
28.2x
Revenue (TTM)
$262.43M
Div. yield
0.01%
Medical Devices Healthcare
4 wins
PEN Penumbra Inc
$321.35 +1.2% 1M +41.3% 1Y
Market cap
$12.62B
P/E
80.3x
Revenue (TTM)
$1.56B
Div. yield
–
Medical Devices Healthcare
2 wins

Head to Head

9 decided of 12

Lemaitre Vascular leads on 4 of the 12 questions below (Lemaitre Vascular 4, Intuitive Surgical 3, Penumbra 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionISRGLMATPENLeader
Larger companyMarket capitalisation $153.87B $1.85B $12.62B ISRG
Cheaper on earningsLower P/E, profitable companies only 52.0x 28.2x 80.3x LMAT
Cheaper on forward earningsLower price / next fiscal year consensus EPS 38.1x 27.5x 71.7x LMAT
Faster revenue growthRevenue growth, trailing twelve months +20.5% +11.8% +17.0% ISRG
More profitableNet margin, trailing twelve months 25.5% 25.0% 10.1% ISRG
Better return on capitalReturn on invested capital — — — –
Less leveragedLower net debt / EBITDA — — — –
Higher dividend yieldTrailing dividend yield 0.00% 0.01% 0.00% –
Better 1-year returnPrice return, last 12 months -18.2% -6.2% +41.3% PEN
Better 5-year returnAnnualised price return, 5 years +3.9%/yr +9.1%/yr +3.0%/yr LMAT
Less volatileAnnualised volatility, 1 year 34.8% 46.5% 25.8% PEN
Higher overall scoreMean of the five percentile scores vs peers 80/100 82/100 72/100 LMAT

Percentile Scorecard

ISRGLMATPEN

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

AxisISRGLMATPEN
Valuation 53 #107 of 227 74 #60 of 227 55 #102 of 227
Growth 80 #44 of 218 89 #26 of 218 86 #32 of 218
Profitability 98 #6 of 202 96 #9 of 202 86 #29 of 202
Financial Health 77 #54 of 233 89 #26 of 233 85 #35 of 233
Shareholder Returns 91 #13 of 130 64 #48 of 130 50 #66 of 130
Overall 80 82 72
  • ISRG ranked among 247 companies in Medical Devices and Diagnostics
  • LMAT ranked among 247 companies in Medical Devices and Diagnostics
  • PEN 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

PeriodISRGLMATPENSPY
1 month +11.5%+2.9%+1.2% -2.3%
3 months +16.4%-21.6%-0.5% -0.7%
6 months -3.4%-27.1%-1.0% +4.8%
Year to date -22.9%+0.2%+3.4% +10.3%
1 year -18.2%-6.2%+41.3% +10.3%
3 years +56.9%+67.6%+62.4% +73.0%
3 years, per year +16.2%+18.8%+17.6% +20.1%
5 years +20.9%+54.5%+15.9% +61.9%
5 years, per year +3.9%+9.1%+3.0% +10.1%
10 years +489.9%+296.6%+421.7% +258.6%
10 years, per year +19.4%+14.8%+18.0% +13.6%

Risk

MeasureISRGLMATPENSPY
Volatility, 1Y 34.8%46.5%25.8% 12.8%
Downside volatility, 1Y 37.8%53.9%16.2% 12.8%
Beta vs S&P 500, 1Y 0.900.480.06 1.00
Return / volatility, 1Y -0.52-0.131.60 0.80
Max drawdown, 5Y -49.9%-33.5%-59.7% -25.4%
From 52-week high -26.3%-30.8%-10.6% -3.5%
52-week high $592.85$117.39$359.40 $779.14
52-week low $332.02$78.80$225.54 $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.

MultipleISRGLMATPEN
P/E now vs peer median 53.0xmedian 28.7x 29.7xmedian 28.7x 80.8xmedian 28.7x
P/S now vs peer median 13.4xmedian 3.0x 7.4xmedian 3.0x 8.1xmedian 3.0x
EV/EBITDA now vs peer median 37.0xmedian 17.8x 17.7xmedian 17.8x 57.4xmedian 17.8x
P/FCF now vs peer median 43.2xmedian 26.4x 26.4xmedian 26.4x 63.3xmedian 26.4x
P/B now vs peer median 9.7xmedian 2.4x 4.6xmedian 2.4x 8.0xmedian 2.4x
PEG now vs peer median 2.06median 0.99 0.88median 0.99 1.43median 0.99

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 monthsISRGLMATPEN
Revenue $11.58B $262.43M $1.56B
Gross profit $7.78B $191.31M $1.06B
Operating income $3.28B $77.32M $189.25M
Net income $2.97B $65.67M $157.02M
Free cash flow $3.60B $73.83M $200.29M
R&D $1.49B $15.41M $94.93M
EPS (diluted) $8.41 $2.68 $3.96
Cash & equivalents $2.98B $26.63M $254.28M
Shares (diluted) 351.60M 24.53M 39.62M
Enterprise value $134.16B $407.91M $10.12B

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
MetricISRGLMATPEN
P/E 53.0x 29.7x 80.8x
P/FCF 43.2x 26.4x 63.3x
P/Operating cash flow 38.0x 23.5x 48.6x
P/S 13.4x 7.4x 8.1x
P/B 9.7x 4.6x 8.0x
P/Tangible book 10.4x 5.0x 8.0x
EV/EBITDA 37.0x 17.7x 57.4x
EV/EBIT 46.1x 20.4x 63.5x
EV/Revenue 13.1x 6.0x 7.7x
EV/FCF 42.1x 21.3x 60.0x
EV/Operating cash flow 37.0x 19.0x 46.0x
PEG (3Y EPS CAGR) 2.06 0.88 1.43

Growth

14 metrics
MetricISRGLMATPEN
Revenue growth (1Y) 20.5% 11.8% 17.0%
Revenue CAGR (3Y) 19.1% 14.0% 16.2%
Gross profit growth (1Y) 21.9% 18.0% 19.1%
Gross profit CAGR (3Y) 19.5% 18.8% 18.7%
Operating income growth (1Y) 16.6% 41.2% 9.5%
Operating income CAGR (3Y) 24.8% 36.4% 63.4%
Net income growth (1Y) 7.5% 39.4% -4.3%
Net income CAGR (3Y) 24.4% 37.6% 56.9%
EPS growth (1Y) 10.8% 30.1% -5.0%
EPS CAGR (3Y) 25.7% 33.6% 56.4%
Operating cash flow growth (1Y) 38.1% 41.2% 28.4%
Operating cash flow CAGR (3Y) 26.4% 48.0% 61.1%
Free cash flow growth (1Y) 58.4% 41.1% 31.2%
Free cash flow CAGR (3Y) 42.0% 57.4% 61.8%

Profitability

14 metrics
MetricISRGLMATPEN
Gross margin 67.2% 72.9% 68.0%
EBITDA margin 35.3% 33.8% 13.4%
Operating margin 28.4% 29.5% 12.1%
Pretax margin 31.3% 32.3% 13.3%
Net margin 25.5% 25.0% 10.1%
FCF margin 31.1% 28.1% 12.8%
Operating cash flow margin 35.3% 31.6% 16.7%
Return on equity 17.3% 15.9% 10.1%
Return on assets 14.8% 10.3% 7.8%
Return on invested capital – – –
Return on capital employed 18.7% 12.8% 10.7%
Asset turnover 0.6x 0.4x 0.8x
Cash conversion (OCF / net income) 1.4x 1.3x 1.7x
Stock comp / revenue 7.2% 3.0% 3.7%

Financial Health

11 metrics
MetricISRGLMATPEN
Debt / assets – – –
Debt / equity – – –
Net debt / EBITDA – – –
Debt / FCF – – –
Liabilities / assets 16.7% 34.4% 21.8%
Equity / assets 83.3% 65.6% 78.2%
Interest coverage – 14.9x –
Current ratio 3.3x 16.3x 5.9x
Quick ratio 2.3x 13.8x 3.7x
Cash ratio 1.6x 12.6x 2.9x
Altman Z-score 30.73 7.43 19.23

Shareholder Returns

7 metrics
MetricISRGLMATPEN
Dividend yield – 1.1% –
Net buyback yield 2.7% -0.3% -0.1%
Shareholder yield 2.7% 0.8% -0.1%
Payout ratio (earnings) – 31.2% –
Payout ratio (FCF) – 27.8% –
Dividend growth (1Y) – 26.3% –
Dividend CAGR (3Y) – 20.5% –

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.

ConsensusISRGLMATPEN
Forward P/E 38.1xFY2026 27.5xFY2026 71.7xFY2026
EPS, next fiscal year $11.47FY2026 $2.95FY2026 $4.48FY2026
EPS growth, next FY +28.4%FY2026 +17.1%FY2026 +16.7%FY2026
EPS growth, the year after +4.5% +12.9% +42.6%
Revenue, next fiscal year $11.60BFY2026 $266.90MFY2026 $1.63BFY2026
Revenue growth, next FY +15.3%FY2026 +6.9%FY2026 +16.3%FY2026
Revenue growth, the year after +11.3% +19.4% +7.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersISRGLMATPEN
Held by institutions 86.2% 99.3% 86.6%
Institutions holding 2,237 327 451
Change in shares held, QoQ +4.6% +2.8% +0.9%
Institutions buying 1,072 172 195
Institutions selling 877 98 182
Buyers to sellers 1.22 1.76 1.07

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.

ISRGLMATPEN
ISRG 1.00 0.24 0.13
LMAT 0.24 1.00 0.13
PEN 0.13 0.13 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, ISRG, LMAT and PEN?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Intuitive Surgical (ISRG) $153.87B, Lemaitre Vascular (LMAT) $1.85B, Penumbra (PEN) $12.62B.

Which stock is cheaper, ISRG, LMAT and PEN?

Lemaitre Vascular (LMAT) trades on the lowest price-to-earnings ratio (Intuitive Surgical (ISRG) 52.0x, Lemaitre Vascular (LMAT) 28.2x, Penumbra (PEN) 80.3x). On next year's consensus earnings, Lemaitre Vascular (LMAT) is cheapest (Intuitive Surgical (ISRG) 38.1x, Lemaitre Vascular (LMAT) 27.5x, Penumbra (PEN) 71.7x). 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%, Lemaitre Vascular (LMAT) +11.8%, Penumbra (PEN) +17.0%.

Which company is more profitable?

Intuitive Surgical (ISRG) has the highest net margin (Intuitive Surgical (ISRG) 25.5%, Lemaitre Vascular (LMAT) 25.0%, Penumbra (PEN) 10.1%).

Which stock has performed better?

Over the past year Penumbra (PEN) returned the most: Intuitive Surgical (ISRG) -18.2%, Lemaitre Vascular (LMAT) -6.2%, Penumbra (PEN) +41.3%. Over five years, Lemaitre Vascular (LMAT) compounded fastest (Intuitive Surgical (ISRG) +3.9%/yr, Lemaitre Vascular (LMAT) +9.1%/yr, Penumbra (PEN) +3.0%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Intuitive Surgical (ISRG) 0.00%, Lemaitre Vascular (LMAT) 0.01%, Penumbra (PEN) 0.00%. Intuitive Surgical (ISRG) and Penumbra (PEN) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Penumbra (PEN) has been the steadiest (Intuitive Surgical (ISRG) 34.8%, Lemaitre Vascular (LMAT) 46.5%, Penumbra (PEN) 25.8%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ISRG, LMAT and PEN?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Lemaitre Vascular (LMAT) 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.