The Filing Desk

Intuitive Surgical vs Smith & Nephew

Intuitive Surgical ISRG · Smith & Nephew SNN · Health Care Equipment

Intuitive Surgical reported revenue of $10.1 billion in fiscal 2025, 1.6 times Smith & Nephew's $6.2 billion in fiscal 2025. Intuitive Surgical's revenue grew 20.5% in its latest year, and Smith & Nephew's grew 6.1%. Intuitive Surgical had an operating margin of 29.3%, against 12.9% at Smith & Nephew. Free cash flow was $2.5 billion at Intuitive Surgical and $852 million at Smith & Nephew.

Side by side

Intuitive SurgicalSmith & Nephew
Latest fiscal yearFY2025, Dec 31, 2025FY2025, Dec 31, 2025
Revenue$10.1B$6.2B
Revenue growth20.5%6.1%
Revenue growth a year, last 5 years18.2%6.2%
Gross margin66.0%68.0%
Operating margin29.3%12.9%
Net margin28.4%10.1%
Free cash flow$2.5B$852M
Free cash flow margin24.8%13.8%
Return on capital20.9%—
Net debt to EBITDA−1.7x—
Dividends and buybacks$2.3B$832M
Change in diluted share count0.2%−0.3%
Last close$451.63$30.47
P/E at the last close54.7×—
Insider trades, last 12 monthssold $72.8 million—
Piotroski F-score5 of 9—
Amounts in each company's own currency, US$ unless marked (a foreign company may report in another), each company's latest fiscal year from its 10-K, or 20-F or 40-F for a foreign company. Growth rates compare with the year before; the five-year rate is the average a year. Free cash flow is cash from operations minus capital spending; return on capital is after-tax operating income over the money invested in the business; P/E is the last close over the latest earnings per share. Banks are measured differently (return on equity, efficiency ratio), so some rows apply to one company only.

Ten years

Revenue
US$ billions, fiscal years
Intuitive SurgicalSmith & Nephew
Operating margin
Percent of revenue
Intuitive SurgicalSmith & Nephew
Free cash flow
US$ billions. Cash from operations minus capital expenditure.
Intuitive SurgicalSmith & Nephew

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Source: the companies' Form 10-K filings, from SEC EDGAR, and the last close. For information only, not investment advice: the figures describe results, not which company is the better investment. The Filing Desk is not affiliated with either company. Full figures on the Intuitive Surgical and Smith & Nephew pages.