MDT vs ISRG vs PEN Stock Comparison

Medtronic, Intuitive Surgical and Penumbra Prices as of Oct 29, 2026 Peers: Industry group
1 more company in this comparison (PODD) Create a free account to keep reading and compare up to 10 companies.
MDT Medtronic plc
$97.10 +11.5% 1M +5.9% 1Y
Market cap
$123.68B
P/E
23.6x
Revenue (TTM)
$37.54B
Div. yield
0.03%
Medical Devices Healthcare
3 wins
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
5 wins
PEN Penumbra Inc
$321.84 +0.9% 1M +37.9% 1Y
Market cap
$12.55B
P/E
79.9x
Revenue (TTM)
$1.56B
Div. yield
–
Medical Devices Healthcare
1 win

Head to Head

9 decided of 12

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

QuestionMDTISRGPENLeader
Larger companyMarket capitalisation $123.68B $150.86B $12.55B ISRG
Cheaper on earningsLower P/E, profitable companies only 23.6x 51.0x 79.9x MDT
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.4x 39.1x 71.8x MDT
Faster revenue growthRevenue growth, trailing twelve months +9.8% +20.5% +17.0% ISRG
More profitableNet margin, trailing twelve months 13.9% 25.5% 10.1% ISRG
Better return on capitalReturn on invested capital 6.9% — — –
Less leveragedLower net debt / EBITDA 2.0x — — –
Higher dividend yieldTrailing dividend yield 0.03% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +5.9% -16.5% +37.9% PEN
Better 5-year returnAnnualised price return, 5 years -4.1%/yr +4.4%/yr +3.1%/yr ISRG
Less volatileAnnualised volatility, 1 year 24.8% 34.6% 25.9% MDT
Higher overall scoreMean of the five percentile scores vs peers 66/100 80/100 72/100 ISRG

Percentile Scorecard

MDTISRGPEN

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

AxisMDTISRGPEN
Valuation 83 #40 of 227 53 #107 of 227 55 #102 of 227
Growth 52 #105 of 218 80 #44 of 218 86 #32 of 218
Profitability 89 #24 of 202 98 #6 of 202 86 #29 of 202
Financial Health 50 #118 of 233 77 #54 of 233 85 #35 of 233
Shareholder Returns 58 #55 of 130 91 #13 of 130 50 #66 of 130
Overall 66 80 72
  • MDT ranked among 247 companies in Medical Devices and Diagnostics
  • ISRG 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

PeriodMDTISRGPENSPY
1 month +11.5%+8.9%+0.9% +0.7%
3 months +13.3%+27.1%+0.6% +3.7%
6 months +19.9%-1.9%-1.4% +7.1%
Year to date +1.1%-20.8%+3.5% +12.8%
1 year +5.9%-16.5%+37.9% +11.9%
3 years +38.8%+73.6%+68.2% +85.2%
3 years, per year +11.5%+20.2%+19.0% +22.8%
5 years -19.0%+24.3%+16.4% +67.6%
5 years, per year -4.1%+4.4%+3.1% +10.9%
10 years +18.5%+505.9%+388.7% +262.0%
10 years, per year +1.7%+19.7%+17.2% +13.7%

Risk

MeasureMDTISRGPENSPY
Volatility, 1Y 24.8%34.6%25.9% 12.7%
Downside volatility, 1Y 22.0%37.5%16.3% 12.6%
Beta vs S&P 500, 1Y 0.100.890.06 1.00
Return / volatility, 1Y 0.24-0.481.47 0.94
Max drawdown, 5Y -43.6%-49.9%-59.7% -25.4%
From 52-week high -7.8%-24.3%-10.5% -1.2%
52-week high $105.35$592.85$359.40 $779.14
52-week low $73.75$332.02$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.

MultipleMDTISRGPEN
P/E now vs peer median 23.8xmedian 28.7x 53.0xmedian 28.7x 80.8xmedian 28.7x
P/S now vs peer median 3.3xmedian 3.0x 13.4xmedian 3.0x 8.1xmedian 3.0x
EV/EBITDA now vs peer median 14.8xmedian 17.8x 37.0xmedian 17.8x 57.4xmedian 17.8x
P/FCF now vs peer median 20.3xmedian 26.4x 43.2xmedian 26.4x 63.3xmedian 26.4x
P/B now vs peer median 2.4xmedian 2.4x 9.7xmedian 2.4x 8.0xmedian 2.4x
PEG now vs peer median 1.64median 0.99 2.06median 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 monthsMDTISRGPEN
Revenue $37.54B $11.58B $1.56B
Gross profit $24.41B $7.78B $1.06B
Operating income $6.79B $3.28B $189.25M
Net income $5.27B $2.97B $157.02M
Free cash flow $6.13B $3.60B $200.29M
R&D $2.92B $1.49B $94.93M
EPS (diluted) $4.07 $8.41 $3.96
Cash & equivalents $1.69B $2.98B $254.28M
Total debt $113.29B – –
Shares (diluted) 1.29B 351.60M 39.62M
Enterprise value $88.93B $131.14B $10.05B

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
MetricMDTISRGPEN
P/E 23.8x 53.0x 80.8x
P/FCF 20.3x 43.2x 63.3x
P/Operating cash flow 15.5x 38.0x 48.6x
P/S 3.3x 13.4x 8.1x
P/B 2.4x 9.7x 8.0x
P/Tangible book 3.1x 10.4x 8.0x
EV/EBITDA 14.8x 37.0x 57.4x
EV/EBIT 21.2x 46.1x 63.5x
EV/Revenue 3.8x 13.1x 7.7x
EV/FCF 23.4x 42.1x 60.0x
EV/Operating cash flow 17.9x 37.0x 46.0x
PEG (3Y EPS CAGR) 1.64 2.06 1.43

Growth

14 metrics
MetricMDTISRGPEN
Revenue growth (1Y) 9.8% 20.5% 17.0%
Revenue CAGR (3Y) 6.0% 19.1% 16.2%
Gross profit growth (1Y) 9.3% 21.9% 19.1%
Gross profit CAGR (3Y) 5.6% 19.5% 18.7%
Operating income growth (1Y) 10.9% 16.6% 9.5%
Operating income CAGR (3Y) 6.4% 24.8% 63.4%
Net income growth (1Y) 12.4% 7.5% -4.3%
Net income CAGR (3Y) 13.0% 24.4% 56.9%
EPS growth (1Y) 12.4% 10.8% -5.0%
EPS CAGR (3Y) 14.5% 25.7% 56.4%
Operating cash flow growth (1Y) 12.4% 38.1% 28.4%
Operating cash flow CAGR (3Y) 11.3% 26.4% 61.1%
Free cash flow growth (1Y) 15.6% 58.4% 31.2%
Free cash flow CAGR (3Y) 11.3% 42.0% 61.8%

Profitability

14 metrics
MetricMDTISRGPEN
Gross margin 65.0% 67.2% 68.0%
EBITDA margin 25.9% 35.3% 13.4%
Operating margin 18.1% 28.4% 12.1%
Pretax margin 17.6% 31.3% 13.3%
Net margin 13.9% 25.5% 10.1%
FCF margin 16.3% 31.1% 12.8%
Operating cash flow margin 21.4% 35.3% 16.7%
Return on equity 10.4% 17.3% 10.1%
Return on assets 5.7% 14.8% 7.8%
Return on invested capital 6.9% – –
Return on capital employed 8.3% 18.7% 10.7%
Asset turnover 0.4x 0.6x 0.8x
Cash conversion (OCF / net income) 1.5x 1.4x 1.7x
Stock comp / revenue 1.3% 7.2% 3.7%

Financial Health

11 metrics
MetricMDTISRGPEN
Debt / assets 30.2% – –
Debt / equity 0.6x – –
Net debt / EBITDA 2.0x – –
Debt / FCF 4.6x – –
Liabilities / assets 45.5% 16.7% 21.8%
Equity / assets 54.5% 83.3% 78.2%
Interest coverage 9.4x – –
Current ratio 2.1x 3.3x 5.9x
Quick ratio 1.3x 2.3x 3.7x
Cash ratio 0.7x 1.6x 2.9x
Altman Z-score 3.06 30.73 19.23

Shareholder Returns

7 metrics
MetricMDTISRGPEN
Dividend yield 2.9% – –
Net buyback yield 0.2% 2.7% -0.1%
Shareholder yield 3.1% 2.7% -0.1%
Payout ratio (earnings) 69.3% – –
Payout ratio (FCF) 59.5% – –
Dividend growth (1Y) 1.4% – –
Dividend CAGR (3Y) 0.2% – –

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.

ConsensusMDTISRGPEN
Forward P/E 17.4xFY2026 39.1xFY2026 71.8xFY2026
EPS, next fiscal year $5.57FY2026 $11.47FY2026 $4.48FY2026
EPS growth, next FY +0.7%FY2026 +28.4%FY2026 +16.7%FY2026
EPS growth, the year after +7.2% +4.5% +42.6%
Revenue, next fiscal year $39.92BFY2026 $11.60BFY2026 $1.63BFY2026
Revenue growth, next FY +9.8%FY2026 +15.3%FY2026 +16.3%FY2026
Revenue growth, the year after -4.7% +11.3% +7.5%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersMDTISRGPEN
Held by institutions 85.1% 86.2% 86.6%
Institutions holding 2,126 2,237 451
Change in shares held, QoQ -0.2% +4.6% +0.9%
Institutions buying 1,015 1,072 195
Institutions selling 913 877 182
Buyers to sellers 1.11 1.22 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.

MDTISRGPEN
MDT 1.00 0.43 0.21
ISRG 0.43 1.00 0.12
PEN 0.21 0.12 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, MDT, ISRG and PEN?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Medtronic (MDT) $123.68B, Intuitive Surgical (ISRG) $150.86B, Penumbra (PEN) $12.55B.

Which stock is cheaper, MDT, ISRG and PEN?

Medtronic (MDT) trades on the lowest price-to-earnings ratio (Medtronic (MDT) 23.6x, Intuitive Surgical (ISRG) 51.0x, Penumbra (PEN) 79.9x). On next year's consensus earnings, Medtronic (MDT) is cheapest (Medtronic (MDT) 17.4x, Intuitive Surgical (ISRG) 39.1x, Penumbra (PEN) 71.8x). 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: Medtronic (MDT) +9.8%, Intuitive Surgical (ISRG) +20.5%, Penumbra (PEN) +17.0%.

Which company is more profitable?

Intuitive Surgical (ISRG) has the highest net margin (Medtronic (MDT) 13.9%, Intuitive Surgical (ISRG) 25.5%, Penumbra (PEN) 10.1%).

Which stock has performed better?

Over the past year Penumbra (PEN) returned the most: Medtronic (MDT) +5.9%, Intuitive Surgical (ISRG) -16.5%, Penumbra (PEN) +37.9%. Over five years, Intuitive Surgical (ISRG) compounded fastest (Medtronic (MDT) -4.1%/yr, Intuitive Surgical (ISRG) +4.4%/yr, Penumbra (PEN) +3.1%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Medtronic (MDT) 0.03%, Intuitive Surgical (ISRG) 0.00%, Penumbra (PEN) 0.00%. Intuitive Surgical (ISRG) and Penumbra (PEN) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Medtronic (MDT) has been the steadiest (Medtronic (MDT) 24.8%, Intuitive Surgical (ISRG) 34.6%, Penumbra (PEN) 25.9%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, MDT, ISRG 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, 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.