RMTI vs ISRG vs MDLN Stock Comparison

Rockwell Medical, Intuitive Surgical and Medline Prices as of Oct 28, 2026 Peers: Industry group
RMTI Rockwell Medical, Inc.
$7.31 -15.3% 1M +552.7% 1Y
Market cap
$28.30M
P/E
–
Revenue (TTM)
$69.39M
Div. yield
–
Medical Supplies Healthcare
2 wins
ISRG Intuitive Surgical Inc
$444.18 +7.1% 1M -18.6% 1Y
Market cap
$156.90B
P/E
53.1x
Revenue (TTM)
$11.58B
Div. yield
–
Medical Devices Healthcare
5 wins
MDLN Medline Inc.
$32.37 -7.7% 1M
Market cap
$27.50B
P/E
32.9x
Revenue (TTM)
$28.57B
Div. yield
–
Medical Supplies Healthcare
3 wins

Head to Head

10 decided of 12

Intuitive Surgical leads on 5 of the 12 questions below (Intuitive Surgical 5, Medline 3, Rockwell Medical 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionRMTIISRGMDLNLeader
Larger companyMarket capitalisation $28.30M $156.90B $27.50B ISRG
Cheaper on earningsLower P/E, profitable companies only -5.6x 53.1x 32.9x MDLN
Cheaper on forward earningsLower price / next fiscal year consensus EPS — 38.7x 22.5x MDLN
Faster revenue growthRevenue growth, trailing twelve months -21.1% +20.5% — ISRG
More profitableNet margin, trailing twelve months -7.3% 25.5% 2.9% ISRG
Better return on capitalReturn on invested capital — — 5.4% –
Less leveragedLower net debt / EBITDA 7.8x — 3.2x MDLN
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +552.7% -18.6% — RMTI
Better 5-year returnAnnualised price return, 5 years +4.2%/yr +4.2%/yr — RMTI
Less volatileAnnualised volatility, 1 year 401.8% 34.6% 44.5% ISRG
Higher overall scoreMean of the five percentile scores vs peers 57/100 80/100 68/100 ISRG

Percentile Scorecard

RMTIISRGMDLN

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

AxisRMTIISRGMDLN
Valuation 90 #24 of 227 53 #107 of 227 85 #35 of 227
Growth 26 #162 of 219 80 #44 of 219 –
Profitability 57 #89 of 205 98 #6 of 205 74 #55 of 205
Financial Health 55 #108 of 237 78 #54 of 237 42 #137 of 237
Shareholder Returns – 91 #13 of 135 71 #40 of 135
Overall 57 80 68
  • RMTI ranked among 247 companies in Medical Devices and Diagnostics
  • ISRG ranked among 247 companies in Medical Devices and Diagnostics
  • MDLN 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

PeriodRMTIISRGMDLNSPY
1 month -15.3%+7.1%-7.7% +0.9%
3 months +6.3%+25.8%-19.3% +5.9%
6 months +712.2%-2.1%-25.4% +8.5%
Year to date +780.7%-21.6%-22.9% +13.3%
1 year +552.7%-18.6%— +12.4%
3 years +337.7%+71.5%— +88.1%
3 years, per year +63.6%+19.7%— +23.5%
5 years +23.1%+23.0%— +68.2%
5 years, per year +4.2%+4.2%— +11.0%
10 years -88.3%+499.8%— +263.4%
10 years, per year -19.3%+19.6%— +13.8%

Risk

MeasureRMTIISRGMDLNSPY
Volatility, 1Y 401.8%34.6%44.5% 12.7%
Downside volatility, 1Y 353.0%37.4%48.5% 12.7%
Beta vs S&P 500, 1Y 1.660.890.61 1.00
Return / volatility, 1Y 1.38-0.54— 0.98
Max drawdown, 5Y -91.1%-49.9%-36.7% -25.4%
From 52-week high -17.4%-25.1%-35.2% -0.9%
52-week high $8.85$592.85$49.99 $779.14
52-week low $0.55$332.02$31.64 $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.

MultipleRMTIISRGMDLN
P/E now vs peer median -5.7xmedian 28.8x 52.4xmedian 28.8x 33.1xmedian 28.8x
P/S now vs peer median 0.4xmedian 3.0x 13.3xmedian 3.0x 1.5xmedian 3.0x
EV/EBITDA now vs peer median -6.6xmedian 17.4x 36.6xmedian 17.4x 17.0xmedian 17.4x
P/FCF now vs peer median 19.4xmedian 25.7x 42.8xmedian 25.7x 26.7xmedian 25.7x
P/B now vs peer median 0.8xmedian 2.4x 9.6xmedian 2.4x 2.2xmedian 2.4x
PEG now vs peer median -0.14median 1.03 2.04median 1.03 —median 1.03

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 monthsRMTIISRGMDLN
Revenue $69.39M $11.58B $28.57B
Gross profit $12.29M $7.78B $7.79B
Operating income -$4.52M $3.28B $2.03B
Net income -$5.08M $2.97B $1.03B
Free cash flow $1.50M $3.60B $1.59B
R&D $40.00K $1.49B –
EPS (diluted) $-1.28 $8.41 $0.97
Cash & equivalents $10.52M $2.98B $2.33B
Total debt $9.00M – $12.58B
Shares (diluted) 3.96M 351.60M 861.00M
Enterprise value -$69.09M $137.19B $20.45B

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
MetricRMTIISRGMDLN
P/E -5.7x 52.4x 33.1x
P/FCF 19.4x 42.8x 26.7x
P/Operating cash flow 10.2x 37.6x 21.2x
P/S 0.4x 13.3x 1.5x
P/B 0.8x 9.6x 2.2x
P/Tangible book 1.1x 10.3x 7.7x
EV/EBITDA -6.6x 36.6x 17.0x
EV/EBIT -2.9x 45.6x 25.8x
EV/Revenue 0.2x 12.9x 1.8x
EV/FCF 8.8x 41.7x 33.0x
EV/Operating cash flow 4.6x 36.7x 26.2x
PEG (3Y EPS CAGR) -0.14 2.04 –

Growth

14 metrics
MetricRMTIISRGMDLN
Revenue growth (1Y) -21.1% 20.5% –
Revenue CAGR (3Y) -2.9% 19.1% –
Gross profit growth (1Y) -20.3% 21.9% –
Gross profit CAGR (3Y) 22.1% 19.5% –
Operating income growth (1Y) -250.1% 16.6% –
Operating income CAGR (3Y) 23.4% 24.8% –
Net income growth (1Y) -142.2% 7.5% –
Net income CAGR (3Y) 24.1% 24.4% –
EPS growth (1Y) -109.9% 10.8% –
EPS CAGR (3Y) 41.1% 25.7% –
Operating cash flow growth (1Y) -18.3% 38.1% –
Operating cash flow CAGR (3Y) 34.2% 26.4% –
Free cash flow growth (1Y) -44.2% 58.4% –
Free cash flow CAGR (3Y) 30.2% 42.0% –

Profitability

14 metrics
MetricRMTIISRGMDLN
Gross margin 17.7% 67.2% 27.3%
EBITDA margin -2.9% 35.3% 10.8%
Operating margin -6.5% 28.4% 7.1%
Pretax margin -7.9% 31.3% 4.3%
Net margin -7.3% 25.5% 2.9%
FCF margin 2.2% 31.1% 5.6%
Operating cash flow margin 4.1% 35.3% 7.0%
Return on equity -15.5% 17.3% 5.4%
Return on assets -9.6% 14.8% 2.6%
Return on invested capital – – 5.4%
Return on capital employed -9.9% 18.7% 5.6%
Asset turnover 1.2x 0.6x 0.7x
Cash conversion (OCF / net income) -0.6x 1.4x 2.0x
Stock comp / revenue 2.7% 7.2% 0.3%

Financial Health

11 metrics
MetricRMTIISRGMDLN
Debt / assets 15.9% – 32.0%
Debt / equity 0.3x – 0.7x
Net debt / EBITDA 7.8x – 3.2x
Debt / FCF 6.0x – 7.9x
Liabilities / assets 37.9% 16.7% 51.5%
Equity / assets 62.1% 83.3% 48.5%
Interest coverage -4.0x – –
Current ratio 3.3x 3.3x 4.3x
Quick ratio 3.0x 2.3x 2.3x
Cash ratio 2.2x 1.6x 1.0x
Altman Z-score -7.74 30.44 2.44

Shareholder Returns

7 metrics
MetricRMTIISRGMDLN
Dividend yield – – –
Net buyback yield – 2.8% 0.0%
Shareholder yield – 2.8% 0.0%
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.

ConsensusRMTIISRGMDLN
Forward P/E – 38.7xFY2026 22.5xFY2026
EPS, next fiscal year $-0.97FY2026 $11.47FY2026 $1.44FY2026
EPS growth, next FY – +28.4%FY2026 +0.7%FY2026
EPS growth, the year after – +4.5% +13.9%
Revenue, next fiscal year $77.07MFY2026 $11.60BFY2026 $32.52BFY2026
Revenue growth, next FY +11.3%FY2026 +15.3%FY2026 +14.4%FY2026
Revenue growth, the year after +7.5% +11.3% +8.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersRMTIISRGMDLN
Held by institutions 8.6% 86.2% 85.5%
Institutions holding 33 2,236 407
Change in shares held, QoQ -14.2% +4.6% +17.9%
Institutions buying 13 1,071 322
Institutions selling 9 877 68
Buyers to sellers 1.44 1.22 4.74

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.

RMTIISRGMDLN
RMTI 1.00 0.07 0.13
ISRG 0.07 1.00 0.23
MDLN 0.13 0.23 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, RMTI, ISRG and MDLN?

Intuitive Surgical (ISRG) is the largest by market capitalisation: Rockwell Medical (RMTI) $28.30M, Intuitive Surgical (ISRG) $156.90B, Medline (MDLN) $27.50B.

Which stock is cheaper, RMTI, ISRG and MDLN?

Medline (MDLN) trades on the lowest price-to-earnings ratio (Rockwell Medical (RMTI) -5.6x, Intuitive Surgical (ISRG) 53.1x, Medline (MDLN) 32.9x). On next year's consensus earnings, Medline (MDLN) is cheapest (Intuitive Surgical (ISRG) 38.7x, Medline (MDLN) 22.5x). 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: Rockwell Medical (RMTI) -21.1%, Intuitive Surgical (ISRG) +20.5%.

Which company is more profitable?

Intuitive Surgical (ISRG) has the highest net margin (Rockwell Medical (RMTI) -7.3%, Intuitive Surgical (ISRG) 25.5%, Medline (MDLN) 2.9%).

Which stock has performed better?

Over the past year Rockwell Medical (RMTI) returned the most: Rockwell Medical (RMTI) +552.7%, Intuitive Surgical (ISRG) -18.6%. Over five years, Rockwell Medical (RMTI) compounded fastest (Rockwell Medical (RMTI) +4.2%/yr, Intuitive Surgical (ISRG) +4.2%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Intuitive Surgical (ISRG) has been the steadiest (Rockwell Medical (RMTI) 401.8%, Intuitive Surgical (ISRG) 34.6%, Medline (MDLN) 44.5%). Volatility measures how widely the price swings, not the risk of the business.

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

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.