BTSG vs. ISRG: BrightSpring Health Services vs. Intuitive Surgical Stock Comparison

November 11, 2026

How do BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG) stack up? This page sets them side by side across company profile, performance and risk, profitability, growth, financial strength, dividends, and valuation, with selected fundamentals also measured against each stock's industry-group peers.

Company Profile

BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG) both fall under the Health Care Equipment & Services industry group, but BTSG is classified in Health Care Providers & Services while ISRG is classified in Health Care Equipment & Supplies.

Intuitive Surgical (ISRG) carries decades of public-market history since June 16, 2000, while BrightSpring Health Services (BTSG) listed on January 26, 2024 — long-window comparisons have far more historical data on the ISRG side.

Company profile comparison for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Profile Item	BTSG	ISRG
Name	BrightSpring Health Services, Inc.	Intuitive Surgical Inc.
Country/Region	United States	United States
GICS Sector	Health Care	Health Care
GICS Industry Group	Health Care Equipment & Services	Health Care Equipment & Services
GICS Industry	Health Care Providers & Services	Health Care Equipment & Supplies
GICS Sub-Industry	Health Care Services	Health Care Equipment
Market Capitalization	13.36 billion USD	159.96 billion USD
Currency	USD	USD
Exchange	Nasdaq	Nasdaq
Listing Date	January 26, 2024	June 16, 2000
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

BTSG

ISRG

GSPC

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG), with S&P 500 (GSPC) for reference: Growth of a $10,000 investment over the past five years. Adjusted for dividends and splits.

Trailing Returns

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Trailing total returns for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
Total Return (1Y)	106.02%	-17.61%
Total Return (3Y, Annualized)	--	19.20%
Total Return (5Y, Annualized)	--	4.85%

Risk Profile

Drawdown History

BTSG

ISRG

GSPC

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG), with S&P 500 (GSPC) for reference: Drawdown from the running peak over the past five years. Each line shows the decline from its prior peak; 0% marks a new high.

Return Distribution

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Distribution of monthly total returns for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Risk profile metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
Volatility (1Y, Annualized)	45.20%	35.53%
Beta (5Y)	1.75	1.41
Max Drawdown (5Y)	-35.56%	-49.88%
Avg. Volume (3M)	2.47M	2.43M

Risk-Adjusted Performance

Risk-Return Positioning

BTSG and ISRG are plotted by 1-year volatility (risk) and 1-year return. The dashed Capital Allocation Line runs from the risk-free rate through the shared industry median.

Risk-Adjusted Metrics

Risk-adjusted metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
Sharpe Ratio (1Y)	2.25	-0.62
Sortino Ratio (1Y)	3.25	-0.83

Profitability

ROE (TTM)

Both BrightSpring Health Services (BTSG) at 15.54% and Intuitive Surgical (ISRG) at 17.93% sit in the top peer quartile for ROE, suggesting each generates more profit from shareholders’ equity than typical industry peers.

BTSG

Health Care Equipment & Services industry group

15.54%

Max: 47.61%
BTSG: 15.54%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

ISRG

Health Care Equipment & Services industry group

17.93%

Max: 47.61%
ISRG: 17.93%
Q3: 14.36%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their ROE against the Health Care Equipment & Services industry group benchmark.

Net Margin (TTM)

Intuitive Surgical (ISRG) at 25.54% retains a top-quartile share of revenue as profit, ahead of BrightSpring Health Services (BTSG) at 2.69%, which keeps about the industry-typical share.

BTSG

Health Care Equipment & Services industry group

2.69%

Max: 29.35%
Q3: 9.33%
BTSG: 2.69%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

ISRG

Health Care Equipment & Services industry group

25.54%

Max: 29.35%
ISRG: 25.54%
Q3: 9.33%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their net margin against the Health Care Equipment & Services industry group benchmark.

Operating Margin (TTM)

Intuitive Surgical (ISRG) at 33.29% operates in the top operating margin quartile, ahead of BrightSpring Health Services (BTSG) at 3.81%, which runs around its industry’s norm.

BTSG

Health Care Equipment & Services industry group

3.81%

Max: 35.43%
Q3: 14.14%
Median: 6.81%
BTSG: 3.81%
Q1: -0.28%
Min: -16.29%

ISRG

Health Care Equipment & Services industry group

33.29%

Max: 35.43%
ISRG: 33.29%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their operating margin against the Health Care Equipment & Services industry group benchmark.

Profitability Metrics

Profitability metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
ROE (TTM)	15.54%	17.93%
ROA (TTM)	5.44%	11.86%
Net Margin (TTM)	2.69%	25.54%
Operating Margin (TTM)	3.81%	33.29%
Gross Margin (TTM)	12.50%	66.64%

Growth

Revenue Growth

Both BrightSpring Health Services (BTSG) at 28.18% and Intuitive Surgical (ISRG) at 20.51% sit in the top peer quartile for revenue growth, so each is growing its top line faster than typical industry peers.

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their Revenue Growth across different time periods.

EPS Growth

Only one side can be read here: Intuitive Surgical (ISRG) reports EPS growth of 22.59%, ranked against its industry; BrightSpring Health Services (BTSG) has no EPS growth figure this period.

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
Revenue Growth (YoY)	28.18%	20.51%
Revenue Growth (3Y CAGR)	18.69%	17.39%
EPS Growth (YoY)	--	22.59%
EPS Growth (3Y CAGR)	--	29.19%

Financial Strength

Current Ratio (MRQ)

Both BrightSpring Health Services (BTSG) at 1.62 and Intuitive Surgical (ISRG) at 3.33 carry current ratio within their industries’ typical mid-ranges, suggesting balanced short-term liquidity relative to peers.

BTSG

Health Care Equipment & Services industry group

1.62

Max: 7.59
Q3: 4.00
Median: 1.98
BTSG: 1.62
Q1: 1.37
Min: 0.30

ISRG

Health Care Equipment & Services industry group

3.33

Max: 7.59
Q3: 4.00
ISRG: 3.33
Median: 1.98
Q1: 1.37
Min: 0.30

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their current ratio against the Health Care Equipment & Services industry group benchmark.

Debt / Equity (MRQ)

Only one side’s leverage can be read here: BrightSpring Health Services (BTSG) carries debt-to-equity ratio of 1.09 against its industry range, while Intuitive Surgical (ISRG) reports no figure this period.

BTSG

Health Care Equipment & Services industry group

1.09

Max: 1.88
BTSG: 1.09
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00

ISRG

Health Care Equipment & Services industry group

Max: 1.88
Q3: 0.91
Median: 0.58
Q1: 0.16
Min: 0.00
ISRG: --

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): ISRG does not report debt-to-equity ratio, so it has no value marker; BTSG is benchmarked against the Health Care Equipment & Services industry group.

Financial Strength Metrics

Financial strength metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
Current Ratio (MRQ)	1.62	3.33
Debt / Equity (MRQ)	1.09	--
Net Debt / EBITDA	2.39	-0.90

Dividends

Dividend Yield (TTM)

Neither BrightSpring Health Services (BTSG) nor Intuitive Surgical (ISRG) pays a dividend this period — they may reinvest, use buybacks, or simply not return cash through dividends.

BTSG

Health Care Equipment & Services industry group

0.00%

BTSG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

ISRG

Health Care Equipment & Services industry group

0.00%

ISRG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their dividend yield against the Health Care Equipment & Services industry group benchmark.

Dividend Payout Ratio (TTM)

Neither BrightSpring Health Services (BTSG) nor Intuitive Surgical (ISRG) pays a dividend this period — they may reinvest, use buybacks, or simply not return cash through dividends.

BTSG

Health Care Equipment & Services industry group

0.00%

BTSG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

ISRG

Health Care Equipment & Services industry group

0.00%

ISRG: 0.00%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their payout ratio against the Health Care Equipment & Services industry group benchmark.

Dividend Metrics

Dividend metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
Dividend Yield (TTM)	0.00%	0.00%
Dividend Payout Ratio (TTM)	0.00%	0.00%

Valuation

P/E Ratio (TTM)

BrightSpring Health Services (BTSG) at 47.62 is near its industry’s usual P/E ratio, while Intuitive Surgical (ISRG) at 54.75 sits in the richer quartile — ISRG needs stronger growth or earnings quality to justify the premium.

BTSG

Health Care Equipment & Services industry group

47.62

Max: 80.41
BTSG: 47.62
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

ISRG

Health Care Equipment & Services industry group

54.75

Max: 80.41
ISRG: 54.75
Q3: 47.62
Median: 29.93
Q1: 21.19
Min: 4.21

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their P/E ratio against the Health Care Equipment & Services industry group benchmark.

P/S Ratio (TTM)

BrightSpring Health Services (BTSG) at 0.88 sits in the cheaper P/S ratio quartile while Intuitive Surgical (ISRG) at 13.82 prices above its industry range — a wide gap in sales valuation between them.

BTSG

Health Care Equipment & Services industry group

0.88

Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
BTSG: 0.88
Min: 0.03

ISRG

Health Care Equipment & Services industry group

13.82

ISRG: 13.82
Max: 8.80
Q3: 4.32
Median: 2.13
Q1: 1.10
Min: 0.03

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their P/S ratio against the Health Care Equipment & Services industry group benchmark.

P/B Ratio (MRQ)

Both BrightSpring Health Services (BTSG) at 6.39 and Intuitive Surgical (ISRG) at 9.82 carry a premium to book value versus peers, sitting in the upper P/B ratio quartile of their industries.

BTSG

Health Care Equipment & Services industry group

6.39

Max: 11.68
BTSG: 6.39
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

ISRG

Health Care Equipment & Services industry group

9.82

Max: 11.68
ISRG: 9.82
Q3: 6.12
Median: 3.00
Q1: 1.73
Min: -1.31

BrightSpring Health Services (BTSG) vs. Intuitive Surgical (ISRG): A comparison of their P/B ratio against the Health Care Equipment & Services industry group benchmark.

Valuation Metrics

Valuation metrics for BrightSpring Health Services (BTSG) and Intuitive Surgical (ISRG)
Metric	BTSG	ISRG
P/E Ratio (TTM)	47.62	54.75
P/S Ratio (TTM)	0.88	13.82
P/B Ratio (MRQ)	6.39	9.82
Free Cash Flow Yield (TTM)	8.30%	2.15%