ISRG vs RMD vs DXCM Stock Comparison

Intuitive Surgical, Resmed and Dexcom Prices as of Nov 3, 2026 Peers: Industry group
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ISRG Intuitive Surgical Inc
$440.75 +12.5% 1M -19.0% 1Y
Market cap
$168.86B
P/E
57.1x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
3 wins
RMD Resmed Inc
$227.10 +3.8% 1M -8.8% 1Y
Market cap
$34.44B
P/E
21.6x
Revenue (TTM)
$5.73B
Div. yield
–
Medical Devices Healthcare
5 wins
DXCM Dexcom Inc
$82.97 -2.8% 1M +37.3% 1Y
Market cap
$33.13B
P/E
33.4x
Revenue (TTM)
$5.10B
Div. yield
–
Medical Devices Healthcare
1 win

Head to Head

9 decided of 12

Resmed leads on 5 of the 12 questions below (Resmed 5, Intuitive Surgical 3, Dexcom 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionISRGRMDDXCMLeader
Larger companyMarket capitalisation $168.86B $34.44B $33.13B ISRG
Cheaper on earningsLower P/E, profitable companies only 57.1x 21.6x 33.4x RMD
Cheaper on forward earningsLower price / next fiscal year consensus EPS 38.4x 17.7x 29.3x RMD
Faster revenue growthRevenue growth, trailing twelve months +20.5% +9.0% +13.0% ISRG
More profitableNet margin, trailing twelve months 25.5% 27.8% 19.4% 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 -19.0% -8.8% +37.3% DXCM
Better 5-year returnAnnualised price return, 5 years +3.9%/yr -2.9%/yr -12.0%/yr ISRG
Less volatileAnnualised volatility, 1 year 34.7% 30.6% 37.5% RMD
Higher overall scoreMean of the five percentile scores vs peers 80/100 80/100 74/100 RMD

Percentile Scorecard

ISRGRMDDXCM

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

AxisISRGRMDDXCM
Valuation 50 #114 of 229 75 #57 of 229 67 #76 of 229
Growth 81 #42 of 221 59 #92 of 221 83 #39 of 221
Profitability 97 #7 of 209 100 #2 of 209 99 #3 of 209
Financial Health 79 #51 of 240 77 #55 of 240 35 #157 of 240
Shareholder Returns 92 #13 of 147 89 #17 of 147 87 #20 of 147
Overall 80 80 74
  • ISRG ranked among 248 companies in Medical Devices and Diagnostics
  • RMD ranked among 248 companies in Medical Devices and Diagnostics
  • DXCM 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

PeriodISRGRMDDXCMSPY
1 month +12.5%+3.8%-2.8% -2.0%
3 months +19.7%+1.8%-4.6% -2.2%
6 months -2.4%+9.2%+39.5% +4.2%
Year to date -22.2%-5.7%+25.0% +10.6%
1 year -19.0%-8.8%+37.3% +10.4%
3 years +58.2%+48.6%-14.9% +73.6%
3 years, per year +16.5%+14.1%-5.2% +20.2%
5 years +21.3%-13.5%-47.3% +61.6%
5 years, per year +3.9%-2.9%-12.0% +10.1%
10 years +489.2%+296.1%+452.4% +261.3%
10 years, per year +19.4%+14.8%+18.6% +13.7%

Risk

MeasureISRGRMDDXCMSPY
Volatility, 1Y 34.7%30.6%37.5% 12.8%
Downside volatility, 1Y 37.8%33.7%33.6% 12.8%
Beta vs S&P 500, 1Y 0.900.490.61 1.00
Return / volatility, 1Y -0.55-0.291.00 0.81
Max drawdown, 5Y -49.9%-49.8%-66.3% -25.4%
From 52-week high -25.7%-17.7%-10.1% -3.2%
52-week high $592.85$275.96$92.34 $779.14
52-week low $332.02$182.82$54.84 $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.

MultipleISRGRMDDXCM
P/E now vs peer median 52.0xmedian 28.1x 20.4xmedian 28.1x 31.4xmedian 28.1x
P/S now vs peer median 13.2xmedian 2.9x 5.6xmedian 2.9x 6.1xmedian 2.9x
EV/EBITDA now vs peer median 36.4xmedian 18.0x 15.0xmedian 18.0x 19.4xmedian 18.0x
P/FCF now vs peer median 42.5xmedian 24.8x 19.9xmedian 24.8x 28.2xmedian 24.8x
P/B now vs peer median 9.5xmedian 2.3x 5.4xmedian 2.3x 12.2xmedian 2.3x
PEG now vs peer median 2.02median 0.95 0.93median 0.95 0.73median 0.95

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 monthsISRGRMDDXCM
Revenue $11.58B $5.73B $5.10B
Gross profit $7.78B $3.50B $3.24B
Operating income $3.28B $1.89B $1.22B
Net income $2.97B $1.59B $991.00M
Free cash flow $3.60B $1.61B $1.10B
R&D $1.49B $393.82M $608.10M
EPS (diluted) $8.41 $11.11 $2.58
Cash & equivalents $2.98B $1.01B $961.40M
Total debt – $409.60M –
Shares (diluted) 351.60M 143.41M 383.50M
Enterprise value $149.15B $28.88B $24.95B

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
MetricISRGRMDDXCM
P/E 52.0x 20.4x 31.4x
P/FCF 42.5x 19.9x 28.2x
P/Operating cash flow 37.4x 18.0x 21.9x
P/S 13.2x 5.6x 6.1x
P/B 9.5x 5.4x 12.2x
P/Tangible book 10.2x 5.8x 12.7x
EV/EBITDA 36.4x 15.0x 19.4x
EV/EBIT 45.3x 16.6x 23.8x
EV/Revenue 12.8x 5.5x 5.7x
EV/FCF 41.3x 19.5x 26.5x
EV/Operating cash flow 36.4x 17.7x 20.6x
PEG (3Y EPS CAGR) 2.02 0.93 0.73

Growth

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

Profitability

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

Financial Health

11 metrics
MetricISRGRMDDXCM
Debt / assets – 5.0% –
Debt / equity – 0.1x –
Net debt / EBITDA – -0.3x –
Debt / FCF – 0.3x –
Liabilities / assets 16.7% 27.6% 59.4%
Equity / assets 83.3% 72.4% 40.6%
Interest coverage – 81.1x –
Current ratio 3.3x 2.6x 1.7x
Quick ratio 2.3x 1.5x 1.3x
Cash ratio 1.6x 0.8x 0.8x
Altman Z-score 30.22 11.53 7.51

Shareholder Returns

7 metrics
MetricISRGRMDDXCM
Dividend yield – 1.1% –
Net buyback yield 2.8% 4.4% 2.2%
Shareholder yield 2.8% 5.5% 2.2%
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.

ConsensusISRGRMDDXCM
Forward P/E 38.4xFY2026 17.7xFY2027 29.3xFY2026
EPS, next fiscal year $11.47FY2026 $12.86FY2027 $2.83FY2026
EPS growth, next FY +28.4%FY2026 +15.1%FY2027 +35.4%FY2026
EPS growth, the year after +4.5% +9.8% +4.9%
Revenue, next fiscal year $11.60BFY2026 $5.97BFY2027 $5.08BFY2026
Revenue growth, next FY +15.3%FY2026 +5.6%FY2027 +9.0%FY2026
Revenue growth, the year after +11.3% -3.4% +16.6%

Institutional Ownership

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

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.

ISRGRMDDXCM
ISRG 1.00 0.48 0.37
RMD 0.48 1.00 0.30
DXCM 0.37 0.30 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ISRG, RMD and DXCM?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Intuitive Surgical (ISRG) $168.86B, Resmed (RMD) $34.44B, Dexcom (DXCM) $33.13B.

Which stock is cheaper, ISRG, RMD and DXCM?

Resmed (RMD) trades on the lowest price-to-earnings ratio (Intuitive Surgical (ISRG) 57.1x, Resmed (RMD) 21.6x, Dexcom (DXCM) 33.4x). On next year's consensus earnings, Resmed (RMD) is cheapest (Intuitive Surgical (ISRG) 38.4x, Resmed (RMD) 17.7x, Dexcom (DXCM) 29.3x). 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%, Resmed (RMD) +9.0%, Dexcom (DXCM) +13.0%.

Which company is more profitable?

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

Which stock has performed better?

Over the past year Dexcom (DXCM) returned the most: Intuitive Surgical (ISRG) -19.0%, Resmed (RMD) -8.8%, Dexcom (DXCM) +37.3%. Over five years, Intuitive Surgical (ISRG) compounded fastest (Intuitive Surgical (ISRG) +3.9%/yr, Resmed (RMD) -2.9%/yr, Dexcom (DXCM) -12.0%/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) 34.7%, Resmed (RMD) 30.6%, Dexcom (DXCM) 37.5%). Volatility measures how widely the price swings, not the risk of the business.

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

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