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.

Compare

Total returnISRG vs VRTX

growth of $100 · dividends reinvested · last 10y
ISRG +359.2% (+16.5%/yr)VRTX +462.1% (+18.8%/yr)VRTX compounded faster over this window
200400600800Start $10020182020202220242026$459$562
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

MetricISRGVRTX
P/E ratio42.0030.00
Forward P/E34.1827.49
P/S ratio11.8210.36
P/B ratio7.186.46
EV / EBITDA30.1624.88
FCF yield2.47%2.90%

Profitability

MetricISRGVRTX
Gross margin66.68%86.04%
Operating margin31.28%38.59%
Net margin28.45%34.89%
ROE17.28%21.76%
ROIC15.11%17.33%

Growth (annualized)

MetricISRGVRTX
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.

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.