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Side-by-side financial comparison of Intuitive Surgical (ISRG) and Norfolk Southern (NSC). Click either name above to swap in a different company.

Norfolk Southern is the larger business by last-quarter revenue ($3.0B vs $2.8B, roughly 1.1× Intuitive Surgical). Intuitive Surgical runs the higher net margin — 29.8% vs 21.7%, a 8.2% gap on every dollar of revenue. On growth, Intuitive Surgical posted the faster year-over-year revenue change (23.0% vs -1.7%). Over the past eight quarters, Intuitive Surgical's revenue compounded faster (17.4% CAGR vs -0.5%).

Intuitive Surgical, Inc. is an American biotechnology company that develops, manufactures, and markets robotic products designed to improve clinical outcomes of patients through minimally invasive surgery, most notably with the da Vinci Surgical System. The company is part of the Nasdaq-100, S&P 100 and S&P 500. As of 31 December 2021, Intuitive Surgical had an installed base of 6,730 da Vinci Surgical Systems, including 4,139 in the U.S.

The Norfolk Southern Railway is a Class I freight railroad operating in the Eastern United States. Headquartered in Atlanta, the company was formed in 1982 with the merger of the Norfolk and Western Railway and Southern Railway. The company operates 19,420 route miles (31,250 km) in 22 eastern states and the District of Columbia, and has rights in Canada over the Albany to Montreal route of the Canadian Pacific Kansas City.

ISRG vs NSC — Head-to-Head

Bigger by revenue
NSC
NSC
1.1× larger
NSC
$3.0B
$2.8B
ISRG
Growing faster (revenue YoY)
ISRG
ISRG
+24.6% gap
ISRG
23.0%
-1.7%
NSC
Higher net margin
ISRG
ISRG
8.2% more per $
ISRG
29.8%
21.7%
NSC
Faster 2-yr revenue CAGR
ISRG
ISRG
Annualised
ISRG
17.4%
-0.5%
NSC

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
ISRG
ISRG
NSC
NSC
Revenue
$2.8B
$3.0B
Net Profit
$826.0M
$644.0M
Gross Margin
66.1%
Operating Margin
64.8%
31.5%
Net Margin
29.8%
21.7%
Revenue YoY
23.0%
-1.7%
Net Profit YoY
17.4%
-12.1%
EPS (diluted)
$2.28
$2.87

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ISRG
ISRG
NSC
NSC
Q1 26
$2.8B
Q4 25
$2.9B
$3.0B
Q3 25
$2.5B
$3.1B
Q2 25
$2.4B
$3.1B
Q1 25
$2.3B
$3.0B
Q4 24
$2.4B
$3.0B
Q3 24
$2.0B
$3.1B
Q2 24
$2.0B
$3.0B
Net Profit
ISRG
ISRG
NSC
NSC
Q1 26
$826.0M
Q4 25
$794.8M
$644.0M
Q3 25
$704.4M
$711.0M
Q2 25
$658.4M
$768.0M
Q1 25
$698.4M
$750.0M
Q4 24
$685.7M
$733.0M
Q3 24
$565.1M
$1.1B
Q2 24
$526.9M
$737.0M
Gross Margin
ISRG
ISRG
NSC
NSC
Q1 26
66.1%
Q4 25
66.4%
Q3 25
66.4%
Q2 25
66.3%
Q1 25
64.7%
Q4 24
68.0%
Q3 24
67.4%
Q2 24
68.3%
Operating Margin
ISRG
ISRG
NSC
NSC
Q1 26
64.8%
Q4 25
30.2%
31.5%
Q3 25
30.3%
35.4%
Q2 25
30.5%
37.8%
Q1 25
25.7%
38.3%
Q4 24
30.4%
37.4%
Q3 24
28.3%
52.3%
Q2 24
28.2%
37.2%
Net Margin
ISRG
ISRG
NSC
NSC
Q1 26
29.8%
Q4 25
27.7%
21.7%
Q3 25
28.1%
22.9%
Q2 25
27.0%
24.7%
Q1 25
31.0%
25.1%
Q4 24
28.4%
24.2%
Q3 24
27.7%
36.0%
Q2 24
26.2%
24.2%
EPS (diluted)
ISRG
ISRG
NSC
NSC
Q1 26
$2.28
Q4 25
$2.19
$2.87
Q3 25
$1.95
$3.16
Q2 25
$1.81
$3.41
Q1 25
$1.92
$3.31
Q4 24
$1.89
$3.24
Q3 24
$1.56
$4.85
Q2 24
$1.46
$3.25

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ISRG
ISRG
NSC
NSC
Cash + ST InvestmentsLiquidity on hand
$1.5B
Total DebtLower is stronger
$16.5B
Stockholders' EquityBook value
$17.6B
$15.5B
Total Assets
$20.1B
$45.2B
Debt / EquityLower = less leverage
1.06×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
$5.9B
$1.5B
Q3 25
$4.9B
$1.4B
Q2 25
$5.3B
$1.3B
Q1 25
$4.5B
$1.0B
Q4 24
$4.0B
$1.6B
Q3 24
$4.2B
$975.0M
Q2 24
$4.8B
$659.0M
Total Debt
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
$16.5B
Q3 25
$16.5B
Q2 25
$16.5B
Q1 25
$16.7B
Q4 24
$16.7B
Q3 24
$16.6B
Q2 24
$16.9B
Stockholders' Equity
ISRG
ISRG
NSC
NSC
Q1 26
$17.6B
Q4 25
$17.8B
$15.5B
Q3 25
$16.9B
$15.1B
Q2 25
$17.8B
$14.8B
Q1 25
$17.1B
$14.5B
Q4 24
$16.4B
$14.3B
Q3 24
$15.6B
$13.8B
Q2 24
$14.7B
$13.0B
Total Assets
ISRG
ISRG
NSC
NSC
Q1 26
$20.1B
Q4 25
$20.5B
$45.2B
Q3 25
$19.4B
$44.6B
Q2 25
$20.2B
$44.2B
Q1 25
$19.2B
$43.8B
Q4 24
$18.7B
$43.7B
Q3 24
$17.7B
$43.3B
Q2 24
$16.6B
$42.6B
Debt / Equity
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
1.06×
Q3 25
1.09×
Q2 25
1.11×
Q1 25
1.15×
Q4 24
1.16×
Q3 24
1.21×
Q2 24
1.30×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ISRG
ISRG
NSC
NSC
Operating Cash FlowLast quarter
$1.1B
Free Cash FlowOCF − Capex
$334.0M
FCF MarginFCF / Revenue
11.2%
Capex IntensityCapex / Revenue
24.5%
Cash ConversionOCF / Net Profit
1.65×
TTM Free Cash FlowTrailing 4 quarters
$2.2B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
$892.5M
$1.1B
Q3 25
$841.0M
$1.3B
Q2 25
$715.4M
$1.1B
Q1 25
$581.6M
$950.0M
Q4 24
$822.6M
$951.0M
Q3 24
$706.5M
$1.2B
Q2 24
$620.5M
$1.0B
Free Cash Flow
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
$730.0M
$334.0M
Q3 25
$735.6M
$720.0M
Q2 25
$560.1M
$602.0M
Q1 25
$465.0M
$501.0M
Q4 24
$510.6M
$276.0M
Q3 24
$458.6M
$645.0M
Q2 24
$311.1M
$468.0M
FCF Margin
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
25.5%
11.2%
Q3 25
29.4%
23.2%
Q2 25
23.0%
19.4%
Q1 25
20.6%
16.7%
Q4 24
21.2%
9.1%
Q3 24
22.5%
21.1%
Q2 24
15.5%
15.4%
Capex Intensity
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
5.7%
24.5%
Q3 25
4.2%
17.8%
Q2 25
6.4%
15.3%
Q1 25
5.2%
15.0%
Q4 24
12.9%
22.3%
Q3 24
12.2%
19.0%
Q2 24
15.4%
18.7%
Cash Conversion
ISRG
ISRG
NSC
NSC
Q1 26
Q4 25
1.12×
1.65×
Q3 25
1.19×
1.79×
Q2 25
1.09×
1.40×
Q1 25
0.83×
1.27×
Q4 24
1.20×
1.30×
Q3 24
1.25×
1.12×
Q2 24
1.18×
1.41×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ISRG
ISRG

Instruments and accessories$1.7B61%
Systems$650.7M23%
Services$433.7M16%

NSC
NSC

Railway Operating Revenues Market Group Merchandise$1.9B63%
Metals And Construction$404.0M14%
Railway Operating Revenues Market Group Coal$347.0M12%
Automotive$293.0M10%

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