Valuation
26% of the score, 28% here after data gaps
11median 53
Intuitive Surgical is valued at 47.7x its operating profit, including debt: a very rich multiple.
60x
50x
35x
25x
18x
12x
8x
47.7x
Full points at 8x or less, none from 60xfull points
ISRGIntuitive Surgical
$452.30+4.1% 1Y
$452.30
$332.4252 weeks$592.85
RyuScore
Seven criteria, each scored 0 to 100 on a published scale, weighted into one number.
RyuScore 62 out of 100, Above average
Above average. Intuitive Surgical scores higher than 61% of the 2,231 companies Ryufin scores.
Carried by return on capital and return on new capital, held back by valuation.
Healthcare median 19 · all companies 55
Return on capital
18% of the score, 20% here after data gaps
91median 24
Over 7 years the business earned 20% a year after tax on the capital it uses.
2%
8%
15%
25%
20%
None at 2% or less, full points from 25%full points
7 years agolatest 20%
Return on new capital
16% of the score, 17% here after data gaps
94median 33
For every dollar of operating profit earned over 6 years, yearly profit grew by 11 cents. New capital earned 17%, and 66% of profit went back into the business.
-5%
12%
11%
None at minus 5 cents, full points from 12 centsfull points
Capital allocation
14% of the score, 15% here after data gaps
77median 63
How management spends the money: shares bought back or issued, and whether assets grow faster than the business they serve.
Share countFlat over 5 years
615%
-3%
0.1%
0 pointsfull points
Assets against salesAssets grew 13% a year, sales 18%
10012%
-2%
-5.3%
0 pointsfull points
Cycle position
12% of the score, 13% here after data gaps
65median 63
Today's operating margin of 28% is 1.00x its normal 28%: close to its usual level. Normal is half the 10 year median, half the last four years, so a margin that has held is not taken for a peak.
2x
1.5x
1x
0.7x
1x
A trough earns points, a peak costs themfull points
10 years agonow 28%
Balance sheet
Taken out: its 8% is shared by the others
n/ano data
No debt or interest figures on file.
Earnings quality
6% of the score, 7% here after data gaps
67median 90
Whether the reported profit arrives as cash, and whether the accounts show the usual signs of stretching.
Cash against profitOperating cash flow was 1.04x profit over 3 years
650.7x
1x
1.3x
1x
0 pointsfull points
AccrualsCash ran ahead of profit by 0.9% of assets
658%
0%
-8%
-0.9%
0 pointsfull points
Beneish M-score-2.44
71-1.50
-1.78
-2.22
-3.00
-2.44
0 pointsfull points
How the RyuScore works
Each criterion earns 0 to 100 points on the scale drawn under it, and the RyuScore is their average weighted 26, 18, 16, 14, 12, 8 and 6. Scales bend in the company's favour between their ends, so an ordinary figure is never already near zero. For ISRG, balance sheet could not be measured from the filings, so it is taken out and the remaining weights scale up.
Built from the company's annual and quarterly filings with the SEC and today's share price. Banks, insurers and property trusts are not scored: their debt is their raw material, so these yardsticks mean something else there. Figures as of 2026-09-30, latest annual report FY2025.
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