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 July 29, 2026. Differences are shown without an overall score or investment verdict.

Compare

Total returnISRG vs VRTX

growth of $100 · dividends reinvested · last 26y
ISRG +17722.7%VRTX +1076.3%ISRG compounded faster
Log scale — wide-divergence pair
101001k10k100kStart $10020052010201520202025$17,823$1,176
ISRG VRTX

ISRG vs VRTX: by the numbers

  • ISRG is the larger company ($124.74B vs $122.67B market cap).
  • VRTX trades at the lower trailing earnings multiple (29.09 vs 41.16 P/E), one valuation lens rather than an overall verdict.
  • VRTX converts more revenue to profit (35.40% vs 28.45% net margin).
  • ISRG grew revenue faster over the past five years (16.41% vs 13.82% CAGR).

Metrics side by side

Valuation

MetricISRGVRTX
P/E ratio41.1629.09
Forward P/E33.6025.51
P/S ratio11.7510.26
P/B ratio7.146.49
PEG ratio3.173.56
EV / EBITDA30.0024.48
FCF yield2.48%2.95%

Profitability

MetricISRGVRTX
Gross margin66.68%86.28%
Operating margin31.28%38.97%
Net margin28.45%35.40%
ROE17.28%22.41%
ROIC13.71%18.12%

Growth (annualized)

MetricISRGVRTX
Revenue CAGR (5Y)16.41%13.82%
EPS CAGR (5Y)21.51%8.17%
FCF CAGR (5Y)14.17%4.01%
Total return CAGR (5Y)2.22%19.38%

Frequently asked

Which has the lower trailing P/E, ISRG or VRTX?
VRTX has the lower trailing P/E: ISRG trades at 41.16 and VRTX at 29.09. 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 13.82%.
Is ISRG or VRTX more profitable?
VRTX runs the higher net margin — ISRG at 28.45% versus VRTX at 35.40%.
How have ISRG and VRTX total returns compared?
Over the past 10 years, ISRG delivered 16.79% and VRTX delivered 17.69% annualized total return. Past performance doesn't predict future results.

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 July 29, 2026.