ISRG vs. ZBH: Intuitive Surgical vs. Zimmer Biomet Stock Comparison

November 11, 2026

How do Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH) 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

Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH) are both classified in the Health Care Equipment sub-industry within the broader Health Care Equipment & Supplies industry, placing them in the closest GICS peer bucket.

Company profile comparison for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Profile Item	ISRG	ZBH
Name	Intuitive Surgical Inc.	Zimmer Biomet Holdings 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 Equipment & Supplies	Health Care Equipment & Supplies
GICS Sub-Industry	Health Care Equipment	Health Care Equipment
Market Capitalization	159.96 billion USD	19.98 billion USD
Currency	USD	USD
Exchange	Nasdaq	NYSE
Listing Date	June 16, 2000	July 25, 2001
Security Type	Common Stock	Common Stock

Price Performance

Cumulative Growth

ISRG

ZBH

GSPC

Intuitive Surgical (ISRG) vs. Zimmer Biomet (ZBH), 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 Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH). Returns over one year are annualized.

Calendar-Year Returns

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Calendar-year total returns for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH). Each bar is that year's total return, measured year-end to year-end.

Performance Metrics

Price performance metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
Total Return (1Y)	-17.61%	24.04%
Total Return (3Y, Annualized)	19.20%	2.38%
Total Return (5Y, Annualized)	4.85%	-2.74%

Risk Profile

Drawdown History

ISRG

ZBH

GSPC

Intuitive Surgical (ISRG) vs. Zimmer Biomet (ZBH), 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 Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH). Each bar is the share of months whose return fell in that 5% bucket.

Risk Metrics

Intuitive Surgical (ISRG) has an aggressive beta of 1.41, indicating higher sensitivity to broad-market moves, while Zimmer Biomet (ZBH) is defensive at 0.42 and tends to be less market-sensitive — they sit on opposite ends of the beta spectrum.

Risk profile metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
Volatility (1Y, Annualized)	35.53%	32.39%
Beta (5Y)	1.41	0.42
Max Drawdown (5Y)	-49.88%	-43.94%
Avg. Volume (3M)	2.43M	2.09M

Risk-Adjusted Performance

Risk-Return Positioning

ISRG and ZBH 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 Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
Sharpe Ratio (1Y)	-0.62	0.61
Sortino Ratio (1Y)	-0.83	0.93

Profitability

ROE (TTM)

Intuitive Surgical (ISRG) at 17.93% sits in the top ROE quartile, while Zimmer Biomet (ZBH) at 6.03% is closer to the peer norm — stronger capital efficiency for ISRG.

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%

ZBH

Health Care Equipment & Services industry group

6.03%

Max: 47.61%
Q3: 14.36%
ZBH: 6.03%
Median: 5.45%
Q1: -10.67%
Min: -47.01%

Intuitive Surgical (ISRG) vs. Zimmer Biomet (ZBH): 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 Zimmer Biomet (ZBH) at 8.95%, which keeps about the industry-typical share.

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%

ZBH

Health Care Equipment & Services industry group

8.95%

Max: 29.35%
Q3: 9.33%
ZBH: 8.95%
Median: 2.18%
Q1: -6.29%
Min: -28.46%

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

Operating Margin (TTM)

Both Intuitive Surgical (ISRG) at 33.29% and Zimmer Biomet (ZBH) at 17.35% convert sales into operating profit at a top-quartile rate, pointing to tighter cost discipline before financing and tax.

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%

ZBH

Health Care Equipment & Services industry group

17.35%

Max: 35.43%
ZBH: 17.35%
Q3: 14.14%
Median: 6.81%
Q1: -0.28%
Min: -16.29%

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

Profitability Metrics

Profitability metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
ROE (TTM)	17.93%	6.03%
ROA (TTM)	11.86%	3.81%
Net Margin (TTM)	25.54%	8.95%
Operating Margin (TTM)	33.29%	17.35%
Gross Margin (TTM)	66.64%	69.33%

Growth

Revenue Growth

Intuitive Surgical (ISRG) at 20.51% sits in the top revenue growth quartile, while Zimmer Biomet (ZBH) at 7.20% is closer to the peer norm — faster top-line expansion for ISRG.

Intuitive Surgical (ISRG) vs. Zimmer Biomet (ZBH): A comparison of their Revenue Growth across different time periods.

EPS Growth

Both Intuitive Surgical (ISRG) at 22.59% and Zimmer Biomet (ZBH) at -19.86% land near their industries' usual EPS growth ranges, so bottom-line momentum looks broadly in line with peers on both sides.

Intuitive Surgical (ISRG) vs. Zimmer Biomet (ZBH): A comparison of their EPS Growth across different time periods.

Growth Metrics

Growth metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
Revenue Growth (YoY)	20.51%	7.20%
Revenue Growth (3Y CAGR)	17.39%	5.85%
EPS Growth (YoY)	22.59%	-19.86%
EPS Growth (3Y CAGR)	29.19%	47.78%

Financial Strength

Current Ratio (MRQ)

Both Intuitive Surgical (ISRG) at 3.33 and Zimmer Biomet (ZBH) at 1.46 carry current ratio within their industries’ typical mid-ranges, suggesting balanced short-term liquidity relative to peers.

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

ZBH

Health Care Equipment & Services industry group

1.46

Max: 7.59
Q3: 4.00
Median: 1.98
ZBH: 1.46
Q1: 1.37
Min: 0.30

Intuitive Surgical (ISRG) vs. Zimmer Biomet (ZBH): 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: Zimmer Biomet (ZBH) carries debt-to-equity ratio of 0.60 against its industry range, while Intuitive Surgical (ISRG) reports no figure this period.

ISRG

Health Care Equipment & Services industry group

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

ZBH

Health Care Equipment & Services industry group

0.60

Max: 1.88
Q3: 0.91
ZBH: 0.60
Median: 0.58
Q1: 0.16
Min: 0.00

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

Financial Strength Metrics

Financial strength metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
Current Ratio (MRQ)	3.33	1.46
Debt / Equity (MRQ)	--	0.60
Net Debt / EBITDA	-0.90	2.85

Dividends

Dividend Yield (TTM)

Intuitive Surgical (ISRG) pays no dividend (yield 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Zimmer Biomet (ZBH) reports a yield of 0.90%, ranking against industry peers normally.

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%

ZBH

Health Care Equipment & Services industry group

0.90%

ZBH: 0.90%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Payout Ratio (TTM)

Intuitive Surgical (ISRG) pays no dividend (payout 0.00%) — it may be reinvesting, using buybacks, or simply not returning cash through dividends. Meanwhile Zimmer Biomet (ZBH) reports a payout of 24.24%, ranking against industry peers normally.

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%

ZBH

Health Care Equipment & Services industry group

24.24%

ZBH: 24.24%
Max: 0.00%
Q3: 0.00%
Median: 0.00%
Q1: 0.00%
Min: 0.00%

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

Dividend Metrics

Dividend metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
Dividend Yield (TTM)	0.00%	0.90%
Dividend Payout Ratio (TTM)	0.00%	24.24%

Valuation

P/E Ratio (TTM)

Zimmer Biomet (ZBH) at 26.66 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.

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

ZBH

Health Care Equipment & Services industry group

26.66

Max: 80.41
Q3: 47.62
Median: 29.93
ZBH: 26.66
Q1: 21.19
Min: 4.21

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

P/S Ratio (TTM)

Zimmer Biomet (ZBH) at 2.33 prices around its industry’s typical P/S ratio, while Intuitive Surgical (ISRG) at 13.82 clears its benchmark range — ISRG looks notably rich on sales.

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

ZBH

Health Care Equipment & Services industry group

2.33

Max: 8.80
Q3: 4.32
ZBH: 2.33
Median: 2.13
Q1: 1.10
Min: 0.03

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

P/B Ratio (MRQ)

Zimmer Biomet (ZBH) at 1.58 looks cheap against book in the lower P/B ratio quartile, while Intuitive Surgical (ISRG) at 9.82 carries a premium in the upper quartile — a clear price-to-book gap.

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

ZBH

Health Care Equipment & Services industry group

1.58

Max: 11.68
Q3: 6.12
Median: 3.00
Q1: 1.73
ZBH: 1.58
Min: -1.31

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

Valuation Metrics

Valuation metrics for Intuitive Surgical (ISRG) and Zimmer Biomet (ZBH)
Metric	ISRG	ZBH
P/E Ratio (TTM)	54.75	26.66
P/S Ratio (TTM)	13.82	2.33
P/B Ratio (MRQ)	9.82	1.58
Free Cash Flow Yield (TTM)	2.15%	7.22%