ROARABLE // PRO
GLOBAL DESKS // NYC --:--:-- NYSE
US TAPE
ROAR ▸

ISRG // Intuitive Surgical Inc.

DES <GO> NASDAQ RQD COCKPIT → CIK 0001035267 ↗
Health Care • Industrial Specialties
$432.01 ▼ -16.75 (-3.73%)
MKT CAP: $155.56B • VOL: 3.48M
ISRG // ROARABLE RATING & 5-PILLAR RQD CONFIDENCE 02:00 EST DETERMINISTIC ENGINE
PRIOR: RQD 75/100 [B] (+0 PT) • UNCHANGED
ROARABLE B
RQD CONFIDENCE
75 / 100 +0D
5 X 20-PT QUANT PILLARS
E 0 D 35 C 59 B 70 A 86+
Roarable Buy — Good Risk/Reward
01 MASSIVE / SEC XBRL
Forensic Fundamentals
16 / 20
STRONG
FCF +26.4% vs NI +23% • ROIC-WACC +5.4% • Z 26
02 INSTITUTIONAL TAPE & TREND
Whale & Options Flow
15 / 20
SOLID
52W RANGE 44% • VS 200D +3.8% • RSI 61.7
03 SEC XBRL CAPITAL ALLOCATION
Insider & Capital Conviction
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
04 FRED 90D r-MATRIX
Macro Regime Fit
[LOCKED] FLAGGED
UNLOCK BELOW TO REVEAL
05 10-K REDLINE AUDIT
Forensic 10-K Risk
18 / 20
STRONG
20 BASE - 2 DEDUCT • 0 CRIT / 0 MED • STABLE
ALERT

Why did ISRG's Insider & Capital Conviction & Macro Regime Fit sub-score just flash a warning? Enter your email to unlock the full 5-Pillar Rating Breakdown + get instant alerts whenever ISRG is Upgraded or Downgraded.

ISRG // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: -4.50%▲ ASCENDING CHANNEL
2026-11-02O $444.2H $448.8L $432.0C $432.0VOL 1.89M
RES: $465.7SUP: $363.9SMA50: $404.5SMA200: $432.2
$511.8$462.2$412.5$362.8$313.2RES $465.7SUP $363.9$432.02026-05-042026-06-172026-08-042026-09-182026-11-02
ISRG // INSTITUTIONAL BULL VS. BEAR FORENSIC DEBATE
NEUTRAL / PAIR TRADE CONVICTION: 53/100
BEAR 0
100 BULL

Intuitive Surgical Inc. (ISRG) exhibits 66.0% gross margins and 15.0% return on invested capital within Health Care (Industrial Specialties), balanced against a 46.0x enterprise multiple and 4.8% implied options volatility.

▲ INSTITUTIONAL BULL THESIS (LONG)
01. Operating Leverage & Capital Efficiency Moat

Sustained 66.0% gross profitability converts into 29.3% operating margin and 15.0% ROIC, outpacing sector cost of capital.

ROIC: 15.0% // GM: 66.0%
02. Top-Line Expansion & Cash Conversion

YoY revenue trajectory of +20.5% paired with 1.66% free cash flow yield supports self-funded R&D and capital return.

REV YOY: +20.5% // FCF YLD: 1.66%
03. Balance Sheet Solvency & Forensic Quality

Altman Z-Score of 26.00 and Piotroski F-Score of 9/9 indicate low near-term refinancing stress.

ALTMAN Z: 26.00 // F-SCORE: 9/9
▼ INSTITUTIONAL BEAR THESIS (SHORT / RISK)
01. Multiple Compression & Duration Sensitivity

Trading at 54.5x trailing P/E (45.8x Fwd P/E) leaves valuation vulnerable if real 10Y TIPS yields spike.

P/E: 54.5x // EV/EBITDA: 46.0x
02. Options Skew & Event Volatility Risk

Options market prices a ±5.2% implied move with a 0.85 put/call ratio around $432.01 max pain.

IMPL MOVE: ±5.2% // P/C: 0.85
03. Competitive Margin & CapEx Cycle Pressure

Elevated industry capital intensity and customer concentration in Industrial Specialties require continuous execution to defend 28.4% net margins.

NET MARGIN: 28.4% // D/E: 0.06x
KEY CATALYST // Upcoming 10-Q/10-K XBRL margin progression, guidance revision vs 45.8x forward consensus, and institutional 13F positioning.
MACRO REGIME // Monitor US 10Y Real Yields (DFII10) and High-Yield Credit Spreads (OAS) for beta-adjusted multiple impact (Beta 0.97).
FORM 4 & 13F FLOW OPEN OWN <GO>
FILER SIDE $ VALUE
INSPECT FULL OWNERSHIP LEDGER IN OWN <GO>
UNUSUAL OPTIONS TAPE OPEN OPT <GO>
STRIKE / EXP TYPE PREMIUM
INSPECT GEX & CHAIN IN OPT <GO>
KEY VALUATION & PROFITABILITY RATIOS XBRL FA <GO>
TRAILING P/E 54.5x
FORWARD P/E 45.8x
EV / EBITDA 46.0x
FCF YIELD 1.66%
GROSS MARGIN 66.0%
OPERATING MARGIN 29.3%
NET MARGIN 28.4%
ROIC % 15.0%
REV GROWTH YOY +20.5%
DILUTED EPS TTM $8.24
DEBT / EQUITY 0.06x
DIVIDEND YIELD 0.00%
RSI-14 MOMENTUM 61.7
5Y EQUITY BETA 0.97
FRED MACRO SENSITIVITY (PEARSON r) ECST <GO>
MACRO CORRELATION CALIBRATION ACTIVE BELOW.
FRED MACRO REGIME STRESS-TEST SIMULATOR // ISRGPEARSON R VARIANCE ENGINE
01 // SELECT FEDERAL RESERVE & CREDIT SHOCK SCENARIO
02 // POSITION NOTIONAL EXPOSURE
HEADLINE STRESS SCORE
75/100SEVERE DRAWDOWN PRESSURE
PRIMARY FACTOR EXPOSURE
DFII10 // -0.61 r
Latest: 2.08%
EST. DIRECTIONAL MOVE
-8.50%
Implied Px: $395.30
EST. DOLLAR VARIANCE
-$4,248
On $50,000 Notional
[LOCKED // MULTI-FACTOR DRAWDOWN HEDGE & MACRO TRIGGER ALERT]

Unblur the exact $50,000 delta-adjusted ETF/options hedge ratio for ISRG & activate live FRED threshold breach alerts.

HEAD-TO-HEAD PEER COMPARISONS COMP <GO>