ISRG vs RMTI vs RVP Stock Comparison

Intuitive Surgical, Rockwell Medical and Retractable Technologies Prices as of Nov 5, 2026 Peers: Industry group
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ISRG Intuitive Surgical Inc
$468.52 +15.8% 1M -14.6% 1Y
Market cap
$158.05B
P/E
53.4x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
5 wins
RMTI Rockwell Medical, Inc.
$7.60 -1.3% 1M +630.8% 1Y
Market cap
$30.70M
P/E
–
Revenue (TTM)
$69.39M
Div. yield
–
Medical Supplies Healthcare
2 wins

Head to Head

8 decided of 12

Intuitive Surgical leads on 5 of the 12 questions below (Intuitive Surgical 5, Rockwell Medical 2, Retractable Technologies 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionISRGRMTIRVPLeader
Larger companyMarket capitalisation $158.05B $30.70M $17.05M ISRG
Cheaper on earningsLower P/E, profitable companies only 53.4x -6.0x -4.7x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS 40.7x — — –
Faster revenue growthRevenue growth, trailing twelve months +20.5% -21.1% -11.2% ISRG
More profitableNet margin, trailing twelve months 25.5% -7.3% -10.6% ISRG
Better return on capitalReturn on invested capital — — -31.4% –
Less leveragedLower net debt / EBITDA — 7.8x 2.6x RVP
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -14.6% +630.8% -33.5% RMTI
Better 5-year returnAnnualised price return, 5 years +5.1%/yr +5.4%/yr -42.5%/yr RMTI
Less volatileAnnualised volatility, 1 year 35.9% 402.1% 39.9% ISRG
Higher overall scoreMean of the five percentile scores vs peers 79/100 56/100 53/100 ISRG

Percentile Scorecard

ISRGRMTIRVP

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

AxisISRGRMTIRVP
Valuation 47 #123 of 229 90 #25 of 229 73 #63 of 229
Growth 81 #44 of 221 24 #168 of 221 35 #145 of 221
Profitability 97 #7 of 210 56 #93 of 210 37 #132 of 210
Financial Health 81 #47 of 240 55 #109 of 240 66 #82 of 240
Shareholder Returns 93 #12 of 147 – –
Overall 79 56 53
  • ISRG ranked among 247 companies in Medical Devices and Diagnostics
  • RMTI ranked among 247 companies in Medical Devices and Diagnostics
  • RVP 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

PeriodISRGRMTIRVPSPY
1 month +15.8%-1.3%-16.2% -5.9%
3 months +25.4%+6.1%-14.9% -4.6%
6 months +3.3%+874.4%-19.1% +0.2%
Year to date -17.3%+815.7%-26.2% +7.5%
1 year -14.6%+630.8%-33.5% +8.2%
3 years +69.0%+293.8%-47.2% +68.3%
3 years, per year +19.1%+58.0%-19.2% +19.0%
5 years +28.4%+30.4%-93.7% +56.5%
5 years, per year +5.1%+5.4%-42.5% +9.4%
10 years +528.0%-87.8%-77.6% +251.5%
10 years, per year +20.2%-19.0%-13.9% +13.4%

Risk

MeasureISRGRMTIRVPSPY
Volatility, 1Y 35.9%402.1%39.9% 13.6%
Downside volatility, 1Y 38.0%353.1%44.3% 14.2%
Beta vs S&P 500, 1Y 0.931.630.11 1.00
Return / volatility, 1Y -0.411.57-0.84 0.60
Max drawdown, 5Y -49.9%-91.1%-94.0% -25.4%
From 52-week high -21.0%-14.1%-33.5% -5.9%
52-week high $592.85$8.85$0.86 $779.14
52-week low $332.02$0.55$0.56 $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.

MultipleISRGRMTIRVP
P/E now vs peer median 55.3xmedian 26.9x -5.9xmedian 26.9x -4.7xmedian 26.9x
P/S now vs peer median 14.0xmedian 2.9x 0.4xmedian 2.9x 0.5xmedian 2.9x
EV/EBITDA now vs peer median 38.7xmedian 17.5x -7.1xmedian 17.5x 1.5xmedian 17.5x
P/FCF now vs peer median 45.1xmedian 26.4x 20.1xmedian 26.4x -3.3xmedian 26.4x
P/B now vs peer median 10.1xmedian 2.3x 0.9xmedian 2.3x 0.2xmedian 2.3x
PEG now vs peer median 2.15median 0.88 -0.14median 0.88 0.22median 0.88

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 monthsISRGRMTIRVP
Revenue $11.58B $69.39M $33.90M
Gross profit $7.78B $12.29M -$491.51K
Operating income $3.28B -$4.52M -$22.68M
Net income $2.97B -$5.08M -$3.37M
Free cash flow $3.60B $1.50M -$5.11M
R&D $1.49B $40.00K $682.03K
EPS (diluted) $8.41 $-1.28 $-0.12
Cash & equivalents $2.98B $10.52M $2.64M
Total debt – $9.00M $715.92K
Shares (diluted) 351.60M 3.96M 29.94M
Enterprise value $138.34B -$66.69M -$129.36M

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
MetricISRGRMTIRVP
P/E 55.3x -5.9x -4.7x
P/FCF 45.1x 20.1x -3.3x
P/Operating cash flow 39.7x 10.6x -3.4x
P/S 14.0x 0.4x 0.5x
P/B 10.1x 0.9x 0.2x
P/Tangible book 10.9x 1.2x 0.2x
EV/EBITDA 38.7x -7.1x 1.5x
EV/EBIT 48.2x -3.2x 1.0x
EV/Revenue 13.7x 0.2x -0.7x
EV/FCF 44.0x 9.6x 4.3x
EV/Operating cash flow 38.7x 5.0x 4.5x
PEG (3Y EPS CAGR) 2.15 -0.14 0.22

Growth

14 metrics
MetricISRGRMTIRVP
Revenue growth (1Y) 20.5% -21.1% -11.2%
Revenue CAGR (3Y) 19.1% -2.9% -14.7%
Gross profit growth (1Y) 21.9% -20.3% 81.2%
Gross profit CAGR (3Y) 19.5% 22.1% -26.8%
Operating income growth (1Y) 16.6% -250.1% -2.3%
Operating income CAGR (3Y) 24.8% 23.4% -11.7%
Net income growth (1Y) 7.5% -142.2% 61.4%
Net income CAGR (3Y) 24.4% 24.1% -23.9%
EPS growth (1Y) 10.8% -109.9% 59.8%
EPS CAGR (3Y) 25.7% 41.1% -21.9%
Operating cash flow growth (1Y) 38.1% -18.3% 58.8%
Operating cash flow CAGR (3Y) 26.4% 34.2% -16.8%
Free cash flow growth (1Y) 58.4% -44.2% 62.3%
Free cash flow CAGR (3Y) 42.0% 30.2% 20.0%

Profitability

14 metrics
MetricISRGRMTIRVP
Gross margin 67.2% 17.7% -1.4%
EBITDA margin 35.3% -2.9% -43.9%
Operating margin 28.4% -6.5% -66.9%
Pretax margin 31.3% -7.9% -9.9%
Net margin 25.5% -7.3% -10.6%
FCF margin 31.1% 2.2% -15.1%
Operating cash flow margin 35.3% 4.1% -14.6%
Return on equity 17.3% -15.5% -4.7%
Return on assets 14.8% -9.6% -2.4%
Return on invested capital – – -31.4%
Return on capital employed 18.7% -9.9% -18.0%
Asset turnover 0.6x 1.2x 0.2x
Cash conversion (OCF / net income) 1.4x -0.6x 1.5x
Stock comp / revenue 7.2% 2.7% –

Financial Health

11 metrics
MetricISRGRMTIRVP
Debt / assets – 15.9% 0.5%
Debt / equity – 0.3x 0.0x
Net debt / EBITDA – 7.8x 2.6x
Debt / FCF – 6.0x -0.1x
Liabilities / assets 16.7% 37.9% 48.6%
Equity / assets 83.3% 62.1% 51.4%
Interest coverage – -4.0x -278.8x
Current ratio 3.3x 3.3x 4.9x
Quick ratio 2.3x 3.0x 3.7x
Cash ratio 1.6x 2.2x 3.0x
Altman Z-score 32.00 -7.71 0.43

Shareholder Returns

7 metrics
MetricISRGRMTIRVP
Dividend yield – – –
Net buyback yield 2.6% – –
Shareholder yield 2.6% – –
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.

ConsensusISRGRMTIRVP
Forward P/E 40.7xFY2026 – –
EPS, next fiscal year $11.51FY2026 $-0.97FY2026 –
EPS growth, next FY +28.9%FY2026 – –
EPS growth, the year after +4.5% – –
Revenue, next fiscal year $11.61BFY2026 $77.07MFY2026 –
Revenue growth, next FY +15.4%FY2026 +11.3%FY2026 –
Revenue growth, the year after +11.2% +7.5% –

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersISRGRMTIRVP
Held by institutions 86.2% 8.6% 8.8%
Institutions holding 2,240 33 32
Change in shares held, QoQ +4.6% -14.2% +5.9%
Institutions buying 1,072 13 10
Institutions selling 879 9 4
Buyers to sellers 1.22 1.44 2.50

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.

ISRGRMTIRVP
ISRG 1.00 0.07 0.14
RMTI 0.07 1.00 0.02
RVP 0.14 0.02 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ISRG, RMTI and RVP?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Intuitive Surgical (ISRG) $158.05B, Rockwell Medical (RMTI) $30.70M, Retractable Technologies (RVP) $17.05M.

Which company is growing faster?

Intuitive Surgical (ISRG) grew revenue fastest over the trailing twelve months: Intuitive Surgical (ISRG) +20.5%, Rockwell Medical (RMTI) -21.1%, Retractable Technologies (RVP) -11.2%.

Which company is more profitable?

Intuitive Surgical (ISRG) has the highest net margin (Intuitive Surgical (ISRG) 25.5%, Rockwell Medical (RMTI) -7.3%, Retractable Technologies (RVP) -10.6%).

Which stock has performed better?

Over the past year Rockwell Medical (RMTI) returned the most: Intuitive Surgical (ISRG) -14.6%, Rockwell Medical (RMTI) +630.8%, Retractable Technologies (RVP) -33.5%. Over five years, Rockwell Medical (RMTI) compounded fastest (Intuitive Surgical (ISRG) +5.1%/yr, Rockwell Medical (RMTI) +5.4%/yr, Retractable Technologies (RVP) -42.5%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Intuitive Surgical (ISRG) has been the steadiest (Intuitive Surgical (ISRG) 35.9%, Rockwell Medical (RMTI) 402.1%, Retractable Technologies (RVP) 39.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ISRG, RMTI and RVP?

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.