Intuitive Surgical, Inc. (ISRG) vs Vertex Pharmaceuticals Incorporated (VRTX)
A side-by-side comparison of Intuitive Surgical, Inc. and Vertex Pharmaceuticals Incorporated across valuation, profitability, dividends, and growth — built entirely from reported fundamentals, as of September 10, 2026. Differences are shown without an overall score or investment verdict.
ISRG
Intuitive Surgical, Inc.
$369.15HealthcareDelayed quote: Sep 11, 2026, 4:00 PM EDT
VRTX
Vertex Pharmaceuticals Incorporated
$515.44HealthcareDelayed quote: Sep 11, 2026, 4:00 PM EDT
Total return — ISRG vs VRTX
growth of $100 · dividends reinvested · last 10yISRG +359.2% (+16.5%/yr)VRTX +462.1% (+18.8%/yr)VRTX compounded faster over this window
ISRG VRTX
ISRG vs VRTX: by the numbers
- •VRTX is the larger company ($130.82B vs $130.41B market cap).
- •VRTX trades at the lower trailing earnings multiple (30.00 vs 42.00 P/E), one valuation lens rather than an overall verdict.
- •VRTX converts more revenue to profit (34.89% vs 28.45% net margin).
- •ISRG grew revenue faster over the past five years (16.41% vs 13.57% CAGR).
Metrics side by side
Valuation
| Metric | ISRG | VRTX |
|---|---|---|
| P/E ratio | 42.00 | 30.00 |
| Forward P/E | 34.18 | 27.49 |
| P/S ratio | 11.82 | 10.36 |
| P/B ratio | 7.18 | 6.46 |
| EV / EBITDA | 30.16 | 24.88 |
| FCF yield | 2.47% | 2.90% |
Profitability
| Metric | ISRG | VRTX |
|---|---|---|
| Gross margin | 66.68% | 86.04% |
| Operating margin | 31.28% | 38.59% |
| Net margin | 28.45% | 34.89% |
| ROE | 17.28% | 21.76% |
| ROIC | 15.11% | 17.33% |
Growth (annualized)
| Metric | ISRG | VRTX |
|---|---|---|
| Revenue CAGR (5Y) | 16.41% | 13.57% |
| EPS CAGR (5Y) | 21.51% | 8.17% |
| FCF CAGR (5Y) | 14.17% | 16.39% |
| Total return CAGR (5Y) | 1.11% | 22.61% |
Frequently asked
- Which has the lower trailing P/E, ISRG or VRTX?
- VRTX has the lower trailing P/E: ISRG trades at 42.00 and VRTX at 30.00. P/E is one valuation measure and does not by itself establish which business is cheaper.
- Which has grown faster, ISRG or VRTX?
- Over the past five years, ISRG grew revenue faster — ISRG at a 16.41% CAGR versus VRTX at 13.57%.
- Is ISRG or VRTX more profitable?
- VRTX runs the higher net margin — ISRG at 28.45% versus VRTX at 34.89%.
- How have ISRG and VRTX total returns compared?
- Over the past 10 years, ISRG delivered 16.97% and VRTX delivered 18.72% annualized total return. Past performance doesn't predict future results.
Go deeper
Dig into the metrics
Intuitive Surgical P/E ratioVertex Pharmaceuticals P/E ratioIntuitive Surgical ROEVertex Pharmaceuticals ROEIntuitive Surgical operating marginVertex Pharmaceuticals operating marginIntuitive Surgical revenue growthVertex Pharmaceuticals revenue growthIntuitive Surgical free cash flowVertex Pharmaceuticals free cash flow
Intuitive Surgical & Vertex Pharmaceuticals appear in these rankings
Figures are sourced from reported fundamentals and the latest end-of-day price. This comparison is informational only and is not investment advice. Past performance does not predict future results. See our methodology. Compiled by TGMCharts Research · data verified September 10, 2026.