Compare Stocks › ISRG vs LLY

Intuitive Surgical, Inc. (ISRG) vs Eli Lilly and Company (LLY): Which Is the Better Buy in 2026?

As of 2026-11-01, ISRG is overvalued at $432, with a DCF intrinsic value of $259 and a margin of safety of -67%. LLY is fairly valued at $1418, with an intrinsic value of $1710 and a margin of safety of 17%. Of the two, LLY has the wider margin of safety.

ISRG
Intuitive Surgical, Inc.
$432.01
VS
LLY
Eli Lilly and Company
$1417.54

Rewards

ISRG
  • ★Gross margin of 66.6% indicates strong pricing power — typical of businesses with significant intellectual property or brand strength.
  • ★Intuitive Surgical, Inc. scores 89/100 on the Economic Moat Score (Wide Moat), with revenue predictability as the strongest competitive dimension.
  • ★Free cash flow has grown at a 37.5% CAGR over the past 4 years, demonstrating strong earnings power growth.
LLY
  • ★Eli Lilly and Company has maintained ROIC above 15% for 4 consecutive years, indicating a durable competitive advantage.
  • ★Gross margin of 83.6% indicates strong pricing power — typical of businesses with significant intellectual property or brand strength.
  • ★Eli Lilly and Company scores 73/100 on the Economic Moat Score (Wide Moat), with roic consistency as the strongest competitive dimension.

Risks

ISRG
  • ⚠FCF yield of 2.3% is below 3%, meaning the market is pricing in substantial future growth to justify the current price.
  • ⚠11 insider sales totaling $3.8M with no purchases in the past 3 months — insiders are reducing their exposure.
LLY
  • ⚠FCF yield of 0.7% is below 3%, meaning the market is pricing in substantial future growth to justify the current price.
  • ⚠Insiders have sold $10.0M worth of stock in the past 3 months — significant insider liquidation.

Key Valuation Metrics

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ISRG
LLY
Valuation
$3.43B
Free Cash Flow
$9.34B
2.25%
FCF Yield
0.74%
52.24
Trailing P/E
46.01
34.69
Forward P/E
28.66
Quality & Moat
N/A
ROIC
40.83%
17.93%
ROE
86.02%
66.64%
Gross Margin
83.63%
2.00
PEG Ratio
1.36
Balance Sheet Safety
N/A
Net Debt / Equity
1.11
No debt
Interest Coverage
N/A
-0.90
Net Debt / EBITDA
0.96
0.00%
Dividend Yield
0.49%
ISRG: 2LLY: 7
ISRGLLY

Historical Fundamentals

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ISRG

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

LLY

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

$1 Retained Earnings Test

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ISRG
Not enough historical data to compute the retained earnings test.
LLY
$27.49
created per $1 retained over 3 years
Exceptional Value Creator
Σ Retained
$22.34B
Δ Market Cap
+$614.01B
Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

Discounted Cash Flow (DCF) Analysis

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ISRG
66.9% Overvalued
Price is 66.9% above estimated fair value
Current Price: $432.01
Fair Value: $258.87
Strongly undervalued
Undervalued
Fairly valued
Overvalued
Strongly overvalued
LLY
17.1% Margin of Safety
Price is 17.1% below estimated fair value
Current Price: $1417.54
Fair Value: $1709.89
Strongly undervalued
Undervalued
Fairly valued
Overvalued
Strongly overvalued

Reverse DCF — Market-Implied Growth

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ISRG

What growth rate is the market pricing in at $432?

+18.2%
Market-Implied FCF Growth Rate

Market below historical growth — potential opportunity.

LLY

What growth rate is the market pricing in at $1418?

+23.5%
Market-Implied Owner Earnings Growth
Standard FCF implies +34.7%

The market implies +23.5% Owner Earnings growth, below historical trends — potential opportunity.

Standard FCF implies a more demanding +34.7%, reflecting heavy growth investment expected to generate future returns.

Economic Moat Score

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ISRG
89/100
Wide Moat
70+ Wide · 40-69 Narrow · <40 None

Wide moat with strength across all dimensions. Revenue Predictability is the standout factor.

Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 5 years of fundamental data.
LLY
73/100
Wide Moat
70+ Wide · 40-69 Narrow · <40 None

Wide moat driven primarily by roic consistency. Reinvestment Efficiency is the area most vulnerable to competitive pressure.

Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 5 years of fundamental data.

Forensic Accounting

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ISRG

Insufficient data for Beneish M-Score calculation (requires 2+ years).

LLY
-1.83
Possible Manipulator
Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

M-Score Trend

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

Ownership Breakdown

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ISRG
Insiders 0.5%Institutions 91.4%Retail & Other 8.1%
No. of Institutional Holders3,136
High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.
LLY
Insiders 0.2%Institutions 85.5%Retail & Other 14.4%
No. of Institutional Holders5,906
High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.

High insider ownership aligns management incentives with shareholders. Institutional concentration can indicate smart-money conviction but also crowding risk.

Insider Buying Activity

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ISRG
0
Buys (3M)
0
Buys (12M)
No open market insider purchases found.
Open market purchases · includes direct & indirect ownership · excludes option exercises
LLY
0
Buys (3M)
0
Buys (12M)
MONTARCE LUCAS E
Chief Financial Officer
$494,627
@ $691.79 · 2025-08-15
ALVAREZ RALPH
Director
$500,473
@ $660.25 · 2025-08-13
VAN NAARDEN JACOB S.
Officer
$647,360
@ $647.36 · 2025-08-13
SULZBERGER GABRIELLE
Director
$75,018
@ $641.18 · 2025-08-12
Open market purchases · includes direct & indirect ownership · excludes option exercises

Open market purchases · includes direct & indirect ownership · excludes option exercises.

Insider Selling Activity

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ISRG
11
Sells (3M)
39
Sells (12M)
Total value (12M): $40.13M
BROSIUS MARK PRESTON
Officer
$82,044
@ $448.33 · 2026-10-28
WIDMAN FREDRIK
Officer
$1.83M
@ $453.21 · 2026-10-23
WADORS PATRICIA L.
Officer
$478,416
@ $443.80 · 2026-10-23
BARRATT CRAIG H
Director
$510,370
@ $443.80 · 2026-10-23
WIDMAN FREDRIK
Officer
$407,765
@ $374.44 · 2026-09-15
BROSIUS MARK PRESTON
Officer
$17,141
@ $357.10 · 2026-09-11
BROSIUS MARK PRESTON
Officer
$24,671
@ $357.55 · 2026-09-09
BROSIUS MARK PRESTON
Officer
$59,439
@ $385.97 · 2026-08-21
BROSIUS MARK PRESTON
Officer
$90,778
@ $392.98 · 2026-08-19
LADD AMY L
Director
$179,903
@ $381.15 · 2026-08-11
LOEB GARY
Officer
$151,600
@ $379.00 · 2026-08-10
BROSIUS MARK PRESTON
Officer
$19,539
@ $348.91 · 2026-07-31
BROSIUS MARK PRESTON
Officer
$29,954
@ $356.60 · 2026-07-29
BROSIUS MARK PRESTON
Officer
$19,833
@ $413.19 · 2026-06-12
BROSIUS MARK PRESTON
Officer
$29,104
@ $421.80 · 2026-06-10
LOEB GARY
Officer
$169,656
@ $424.14 · 2026-06-10
JEDDI IMAN
Officer
$2.37M
@ $420.55 · 2026-06-01
BROSIUS MARK PRESTON
Officer
$15,945
@ $442.92 · 2026-05-22
BROSIUS MARK PRESTON
Officer
$23,464
@ $434.52 · 2026-05-20
LOEB GARY
Officer
$178,780
@ $446.95 · 2026-05-11
LADD AMY L
Director
$291,886
@ $471.54 · 2026-04-29
CURET MCADAMS MYRIAM J
Officer
$51,865
@ $493.95 · 2026-03-10
BROSIUS MARK PRESTON
Officer
$630,475
@ $487.61 · 2026-03-09
BROSIUS MARK PRESTON
Officer
$1.82M
@ $496.19 · 2026-03-05
WIDMAN FREDRIK
Officer
$181,915
@ $495.68 · 2026-03-03
WADORS PATRICIA L.
Officer
$109,936
@ $499.71 · 2026-02-27
WIDMAN FREDRIK
Officer
$65,830
@ $494.96 · 2026-02-11
CURET MCADAMS MYRIAM J
Officer
$65,523
@ $520.02 · 2026-01-29
CURET MCADAMS MYRIAM J
Officer
$122,500
@ $532.61 · 2026-01-27
BROSIUS MARK PRESTON
Officer
$2.72M
@ $547.47 · 2025-12-15
BROSIUS MARK PRESTON
Officer
$2.63M
@ $547.36 · 2025-12-12
CURET MCADAMS MYRIAM J
Officer
$58,230
@ $559.90 · 2025-12-10
CURET MCADAMS MYRIAM J
Officer
$71,124
@ $568.99 · 2025-12-01
GUTHART GARY S
Officer and Director
$13.02M
@ $570.89 · 2025-12-01
CHARLTON HENRY L
Officer
$7.96M
@ $580.00 · 2025-11-12
BARRATT CRAIG H
Director
$435,000
@ $580.00 · 2025-11-12
MILLER BRIAN EDWARD
Officer
$2.01M
@ $575.00 · 2025-11-10
CURET MCADAMS MYRIAM J
Officer
$58,800
@ $560.00 · 2025-11-10
WIDMAN FREDRIK
Officer
$1.14M
@ $550.00 · 2025-11-05
CURET MCADAMS MYRIAM J
Officer
$4.22M
@ $548.34 · 2025-10-29
ROSA DAVID J
Chief Executive Officer
$13.41M
@ $547.55 · 2025-10-24
BARRATT CRAIG H
Director
$1.20M
@ $548.01 · 2025-10-24
LADD AMY L
Director
$305,588
@ $455.42 · 2025-09-04
GUTHART GARY S
Officer and Director
$13.87M
@ $472.49 · 2025-08-29
CURET MCADAMS MYRIAM J
Officer
$2.22M
@ $492.48 · 2025-07-25
BROSIUS MARK PRESTON
Officer
$242,182
@ $561.91 · 2025-06-06
BROSIUS MARK PRESTON
Officer
$355,139
@ $550.60 · 2025-06-04
BROSIUS MARK PRESTON
Officer
$23,596
@ $561.81 · 2025-05-16
BROSIUS MARK PRESTON
Officer
$36,886
@ $558.88 · 2025-05-14
SAMATH JAMIE E.
Chief Financial Officer
$483,074
@ $527.95 · 2025-05-02
NACHTSHEIM JAMI DOVER K
Director
$1.25M
@ $520.00 · 2025-05-01
LADD AMY L
Director
$4.44M
@ $505.55 · 2025-04-30
DESANTIS ROBERT
Officer
$508,509
@ $513.65 · 2025-04-29
CURET MCADAMS MYRIAM J
Officer
$2.05M
@ $513.18 · 2025-04-25
LOEB GARY
Officer
$872,406
@ $513.18 · 2025-04-25
Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives
LLY
2
Sells (3M)
27
Sells (12M)
Total value (12M): $2.40B
JONSSON PATRIK
Officer
$7.64M
@ $1175.10 · 2026-08-17
ZAKROWSKI DONALD A
Officer
$2.37M
@ $1185.01 · 2026-08-10
YUFFA ILYA
Officer
$2.88M
@ $1150.77 · 2026-06-10
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$15.75M
@ $995.36 · 2026-05-06
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$322.38M
@ $1103.48 · 2026-01-07
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$1.51M
@ $1085.01 · 2026-01-05
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$3.90M
@ $1085.04 · 2025-12-29
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$2.85M
@ $1085.17 · 2025-12-24
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$260,409
@ $1085.04 · 2025-12-23
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$161.08M
@ $1095.35 · 2025-11-25
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$17.34M
@ $1109.30 · 2025-11-25
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$152.06M
@ $1068.52 · 2025-11-24
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$111.50M
@ $1058.66 · 2025-11-21
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$39.07M
@ $1051.66 · 2025-11-20
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$176.10M
@ $1051.17 · 2025-11-19
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$62.31M
@ $1034.78 · 2025-11-18
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$10.19M
@ $1030.68 · 2025-11-17
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$183.80M
@ $1030.87 · 2025-11-14
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$48.02M
@ $1030.26 · 2025-11-13
ZAKROWSKI DONALD A
Officer
$1.01M
@ $1010.50 · 2025-11-13
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$308.41M
@ $1011.18 · 2025-11-12
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$279.35M
@ $986.64 · 2025-11-11
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$16.41M
@ $972.52 · 2025-11-10
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$38.47M
@ $951.56 · 2025-11-05
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$167.09M
@ $933.26 · 2025-11-05
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$479,038
@ $910.72 · 2025-11-04
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$266.65M
@ $888.83 · 2025-11-03
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$260.17M
@ $863.35 · 2025-10-31
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$3.16M
@ $863.24 · 2025-10-10
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$9.04M
@ $852.49 · 2025-10-09
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$86.23M
@ $850.27 · 2025-10-08
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$22.72M
@ $848.01 · 2025-10-07
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$137.04M
@ $850.22 · 2025-10-06
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$161.22M
@ $837.93 · 2025-10-03
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$92.50M
@ $821.55 · 2025-10-02
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$107.36M
@ $794.15 · 2025-10-01
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$177.29M
@ $821.47 · 2025-10-01
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$86.79M
@ $763.39 · 2025-09-30
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$18.06M
@ $763.09 · 2025-09-19
LILLY ENDOWMENT, INC.
Beneficial Owner of more than 10% of a Class of Security
$81.53M
@ $764.65 · 2025-09-18
ZAKROWSKI DONALD A
Officer
$734,930
@ $734.93 · 2025-08-28
Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives

Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives.

🎭 Mr. Market's Mood

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ISRG
FearGreed
😐Neutral(46/100)

"Market is pricing this stock without strong emotion in either direction"

Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.
LLY
FearGreed
😏Greed(73/100)

"Market is optimistic — be cautious and ensure you have a margin of safety"

Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

Composite sentiment score based on market signals. Inspired by Buffett’s "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

⚖️ Buffett Signal

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ISRG
⚪Awaiting DCF Data

The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

DCF Margin of Safety: N/AMr. Market's Mood: Neutral (46)
LLY
⚪Awaiting DCF Data

The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

DCF Margin of Safety: N/AMr. Market's Mood: Greed (73)
View ISRG Full AnalysisView LLY Full Analysis

Frequently Asked Questions: ISRG vs LLY

Is Intuitive Surgical, Inc. or Eli Lilly and Company more undervalued in 2026?▼

Based on our discounted cash flow model, LLY trades at a 17.1% margin of safety (intrinsic value $1710 vs. price $1418), compared to ISRG's -66.9% margin of safety (intrinsic $259 vs. $432).

Which stock has a wider economic moat, Intuitive Surgical, Inc. or Eli Lilly and Company?▼

ISRG scores 89/100 (Wide moat), while LLY scores 73/100 (Wide moat). The moat score measures competitive advantage durability across ROIC consistency, margin stability, revenue predictability, and reinvestment efficiency.

Which company has better free cash flow, Intuitive Surgical, Inc. or Eli Lilly and Company?▼

Intuitive Surgical, Inc. (ISRG) generates a 2.3% free cash flow yield, compared to Eli Lilly and Company's 0.7%. A higher FCF yield means the business converts more of its market value into cash that can be returned to shareholders or reinvested.

ISRG vs LLY: Which Is the Better Buy in 2026? | SafetyMargin.io