ISRG vs RVP vs WST Stock Comparison

Intuitive Surgical, Retractable Technologies and West Pharmaceutical Services Prices as of Oct 29, 2026 Peers: Industry group
ISRG Intuitive Surgical Inc
$448.76 +8.9% 1M -16.5% 1Y
Market cap
$150.86B
P/E
51.0x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
6 wins

Head to Head

11 decided of 12

Intuitive Surgical leads on 6 of the 12 questions below (Intuitive Surgical 6, West Pharmaceutical Services 5). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionISRGRVPWSTLeader
Larger companyMarket capitalisation $150.86B $17.10M $29.11B ISRG
Cheaper on earningsLower P/E, profitable companies only 51.0x -4.7x 45.6x WST
Cheaper on forward earningsLower price / next fiscal year consensus EPS 39.1x — 43.5x ISRG
Faster revenue growthRevenue growth, trailing twelve months +20.5% -11.2% +12.6% ISRG
More profitableNet margin, trailing twelve months 25.5% -10.6% 18.8% ISRG
Better return on capitalReturn on invested capital — -31.4% 19.3% WST
Less leveragedLower net debt / EBITDA — 2.6x -0.3x WST
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -16.5% -35.5% +45.9% WST
Better 5-year returnAnnualised price return, 5 years +4.4%/yr -42.8%/yr -0.7%/yr ISRG
Less volatileAnnualised volatility, 1 year 34.6% 40.2% 31.3% WST
Higher overall scoreMean of the five percentile scores vs peers 80/100 53/100 70/100 ISRG

Percentile Scorecard

ISRGRVPWST

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

AxisISRGRVPWST
Valuation 53 #107 of 227 72 #64 of 227 50 #115 of 227
Growth 80 #44 of 218 34 #145 of 218 49 #112 of 218
Profitability 98 #6 of 202 40 #121 of 202 94 #14 of 202
Financial Health 77 #54 of 233 64 #84 of 233 78 #52 of 233
Shareholder Returns 91 #13 of 130 – 79 #28 of 130
Overall 80 53 70
  • ISRG ranked among 247 companies in Medical Devices and Diagnostics
  • RVP ranked among 247 companies in Medical Devices and Diagnostics
  • WST 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

PeriodISRGRVPWSTSPY
1 month +8.9%-15.9%+10.4% +0.7%
3 months +27.1%-14.7%+22.5% +3.7%
6 months -1.9%-8.2%+39.7% +7.1%
Year to date -20.8%-24.9%+51.1% +12.8%
1 year -16.5%-35.5%+45.9% +11.9%
3 years +73.6%-47.3%+30.0% +85.2%
3 years, per year +20.2%-19.2%+9.1% +22.8%
5 years +24.3%-93.9%-3.3% +67.6%
5 years, per year +4.4%-42.8%-0.7% +10.9%
10 years +505.9%-76.8%+467.2% +262.0%
10 years, per year +19.7%-13.6%+19.0% +13.7%

Risk

MeasureISRGRVPWSTSPY
Volatility, 1Y 34.6%40.2%31.3% 12.7%
Downside volatility, 1Y 37.5%45.0%30.9% 12.6%
Beta vs S&P 500, 1Y 0.890.160.62 1.00
Return / volatility, 1Y -0.48-0.881.47 0.94
Max drawdown, 5Y -49.9%-94.0%-59.6% -25.4%
From 52-week high -24.3%-35.5%0.0% -1.2%
52-week high $592.85$0.90$415.75 $779.14
52-week low $332.02$0.58$230.95 $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.

MultipleISRGRVPWST
P/E now vs peer median 53.0xmedian 28.7x -4.8xmedian 28.7x 45.8xmedian 28.7x
P/S now vs peer median 13.4xmedian 3.0x 0.5xmedian 3.0x 8.5xmedian 3.0x
EV/EBITDA now vs peer median 37.0xmedian 17.8x 1.5xmedian 17.8x 29.8xmedian 17.8x
P/FCF now vs peer median 43.2xmedian 26.4x -3.4xmedian 26.4x 64.0xmedian 26.4x
P/B now vs peer median 9.7xmedian 2.4x 0.2xmedian 2.4x 9.8xmedian 2.4x
PEG now vs peer median 2.06median 0.99 0.22median 0.99 6.84median 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 monthsISRGRVPWST
Revenue $11.58B $33.90M $3.40B
Gross profit $7.78B -$491.51K $1.28B
Operating income $3.28B -$22.68M $780.20M
Net income $2.97B -$3.37M $638.90M
Free cash flow $3.60B -$5.11M $453.40M
R&D $1.49B $682.03K $75.60M
EPS (diluted) $8.41 $-0.12 $9.02
Cash & equivalents $2.98B $2.64M $464.10M
Total debt – $3.40M $202.90M
Shares (diluted) 351.60M 29.94M 70.80M
Enterprise value $131.14B -$129.31M $26.90B

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
MetricISRGRVPWST
P/E 53.0x -4.8x 45.8x
P/FCF 43.2x -3.4x 64.0x
P/Operating cash flow 38.0x -3.5x 44.3x
P/S 13.4x 0.5x 8.5x
P/B 9.7x 0.2x 9.8x
P/Tangible book 10.4x 0.2x 9.8x
EV/EBITDA 37.0x 1.5x 29.8x
EV/EBIT 46.1x 1.0x 36.9x
EV/Revenue 13.1x -0.6x 8.5x
EV/FCF 42.1x 4.3x 63.4x
EV/Operating cash flow 37.0x 4.4x 43.9x
PEG (3Y EPS CAGR) 2.06 0.22 6.84

Growth

14 metrics
MetricISRGRVPWST
Revenue growth (1Y) 20.5% -11.2% 12.6%
Revenue CAGR (3Y) 19.1% -14.7% 5.1%
Gross profit growth (1Y) 21.9% 81.2% 18.9%
Gross profit CAGR (3Y) 19.5% -26.8% 4.7%
Operating income growth (1Y) 16.6% -2.3% 32.7%
Operating income CAGR (3Y) 24.8% -11.7% 6.6%
Net income growth (1Y) 7.5% 61.4% 29.9%
Net income CAGR (3Y) 24.4% -23.9% 4.5%
EPS growth (1Y) 10.8% 59.8% 33.2%
EPS CAGR (3Y) 25.7% -21.9% 6.7%
Operating cash flow growth (1Y) 38.1% 58.8% -5.7%
Operating cash flow CAGR (3Y) 26.4% -16.8% -5.2%
Free cash flow growth (1Y) 58.4% 62.3% 19.6%
Free cash flow CAGR (3Y) 42.0% 20.0% 2.6%

Profitability

14 metrics
MetricISRGRVPWST
Gross margin 67.2% -1.4% 37.6%
EBITDA margin 35.3% -43.9% 28.4%
Operating margin 28.4% -66.9% 23.0%
Pretax margin 31.3% -9.9% 23.2%
Net margin 25.5% -10.6% 18.8%
FCF margin 31.1% -15.1% 13.3%
Operating cash flow margin 35.3% -14.6% 19.3%
Return on equity 17.3% -4.7% 20.9%
Return on assets 14.8% -2.4% 15.3%
Return on invested capital – -31.4% 19.3%
Return on capital employed 18.7% -18.0% 22.8%
Asset turnover 0.6x 0.2x 0.8x
Cash conversion (OCF / net income) 1.4x 1.5x 1.0x
Stock comp / revenue 7.2% – 0.8%

Financial Health

11 metrics
MetricISRGRVPWST
Debt / assets – 0.5% 5.0%
Debt / equity – 0.0x 0.1x
Net debt / EBITDA – 2.6x -0.3x
Debt / FCF – -0.1x 0.4x
Liabilities / assets 16.7% 48.6% 26.9%
Equity / assets 83.3% 51.4% 73.1%
Interest coverage – -278.8x 96.3x
Current ratio 3.3x 4.9x 2.8x
Quick ratio 2.3x 3.7x 1.9x
Cash ratio 1.6x 3.0x 0.7x
Altman Z-score 30.73 0.43 19.42

Shareholder Returns

7 metrics
MetricISRGRVPWST
Dividend yield – – 0.2%
Net buyback yield 2.7% – 2.3%
Shareholder yield 2.7% – 2.5%
Payout ratio (earnings) – – 9.8%
Payout ratio (FCF) – – 13.9%
Dividend growth (1Y) – – 3.5%
Dividend CAGR (3Y) – – 3.7%

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.

ConsensusISRGRVPWST
Forward P/E 39.1xFY2026 – 43.5xFY2026
EPS, next fiscal year $11.47FY2026 – $9.56FY2026
EPS growth, next FY +28.4%FY2026 – +31.1%FY2026
EPS growth, the year after +4.5% – +10.6%
Revenue, next fiscal year $11.60BFY2026 – $3.24BFY2026
Revenue growth, next FY +15.3%FY2026 – +5.6%FY2026
Revenue growth, the year after +11.3% – +16.8%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersISRGRVPWST
Held by institutions 86.2% 8.8% 99.5%
Institutions holding 2,237 32 834
Change in shares held, QoQ +4.6% +5.9% -0.9%
Institutions buying 1,072 10 449
Institutions selling 877 4 261
Buyers to sellers 1.22 2.50 1.72

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.

ISRGRVPWST
ISRG 1.00 0.13 0.22
RVP 0.13 1.00 0.02
WST 0.22 0.02 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, ISRG, RVP and WST?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Intuitive Surgical (ISRG) $150.86B, Retractable Technologies (RVP) $17.10M, West Pharmaceutical Services (WST) $29.11B.

Which stock is cheaper, ISRG, RVP and WST?

West Pharmaceutical Services (WST) trades on the lowest price-to-earnings ratio (Intuitive Surgical (ISRG) 51.0x, Retractable Technologies (RVP) -4.7x, West Pharmaceutical Services (WST) 45.6x). On next year's consensus earnings, Intuitive Surgical (ISRG) is cheapest (Intuitive Surgical (ISRG) 39.1x, West Pharmaceutical Services (WST) 43.5x). 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%, Retractable Technologies (RVP) -11.2%, West Pharmaceutical Services (WST) +12.6%.

Which company is more profitable?

Intuitive Surgical (ISRG) has the highest net margin (Intuitive Surgical (ISRG) 25.5%, Retractable Technologies (RVP) -10.6%, West Pharmaceutical Services (WST) 18.8%). On return on invested capital, West Pharmaceutical Services (WST) leads (Retractable Technologies (RVP) -31.4%, West Pharmaceutical Services (WST) 19.3%).

Which stock has performed better?

Over the past year West Pharmaceutical Services (WST) returned the most: Intuitive Surgical (ISRG) -16.5%, Retractable Technologies (RVP) -35.5%, West Pharmaceutical Services (WST) +45.9%. Over five years, Intuitive Surgical (ISRG) compounded fastest (Intuitive Surgical (ISRG) +4.4%/yr, Retractable Technologies (RVP) -42.8%/yr, West Pharmaceutical Services (WST) -0.7%/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%, Retractable Technologies (RVP) 0.00%, West Pharmaceutical Services (WST) 0.00%. Intuitive Surgical (ISRG) and Retractable Technologies (RVP) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, West Pharmaceutical Services (WST) has been the steadiest (Intuitive Surgical (ISRG) 34.6%, Retractable Technologies (RVP) 40.2%, West Pharmaceutical Services (WST) 31.3%). Volatility measures how widely the price swings, not the risk of the business.

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

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 6. 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.