WallStSmart

Intuitive Surgical Inc (ISRG)vsMilestone Scientific (MLSS)

VS

Smart Verdict

WallStSmart Research — data-driven comparison

Intuitive Surgical Inc generates 117023% more annual revenue ($11.03B vs $9.42M). ISRG leads profitability with a 28.4% profit margin vs -44.0%. ISRG earns a higher WallStSmart Score of 66/100 (B-).

ISRG

Strong Buy

66

out of 100

Grade: B-

Growth: 8.0Profit: 9.0Value: 6.0Quality: 7.8
Piotroski: 4/9Altman Z: 5.95

MLSS

Avoid

21

out of 100

Grade: F

Growth: 5.3Profit: 2.0Value: 6.7Quality: 5.5
Piotroski: 2/9Altman Z: -24.40
IV

Intrinsic Value Comparison

Multi-model valuation · Graham Formula

ISRGUndervalued (+80.6%)

Margin of Safety

+80.6%

Fair Value

$1899.56

Current Price

$369.15

$1530.41 discount

UndervaluedFair: $1899.56Overvalued
MLSSUndervalued (+72.8%)

Margin of Safety

+72.8%

Fair Value

$0.98

Current Price

$0.44

$0.54 discount

UndervaluedFair: $0.98Overvalued

Key Strengths & Concerns

Side-by-side fundamental analysis

Key Strengths

ISRG6 strengths · Avg: 9.0/10
Operating MarginProfitability
33.6%10/10

Strong operational efficiency at 33.6%

Altman Z-ScoreHealth
5.9510/10

Safe zone — low bankruptcy risk

Market CapQuality
$132.26B9/10

Large-cap with strong market position

Profit MarginProfitability
28.4%9/10

Keeps 28 of every $100 in revenue as profit

Revenue GrowthGrowth
18.5%8/10

18.5% revenue growth

EPS GrowthGrowth
26.5%8/10

Earnings expanding 26.5% YoY

MLSS2 strengths · Avg: 8.5/10
Debt/EquityHealth
0.189/10

Conservative balance sheet, low leverage

Revenue GrowthGrowth
22.3%8/10

Revenue surging 22.3% year-over-year

Areas to Watch

ISRG2 concerns · Avg: 3.0/10
PEG RatioValuation
1.684/10

Expensive relative to growth rate

P/E RatioValuation
41.3x2/10

Premium valuation, high expectations priced in

MLSS4 concerns · Avg: 3.5/10
Price/BookValuation
11.1x4/10

Trading at 11.1x book value

EPS GrowthGrowth
0.0%4/10

0.0% earnings growth

Market CapQuality
$41.61M3/10

Smaller company, higher risk/reward

Piotroski F-ScoreQuality
2/93/10

Weak financial health signals

Comparative Analysis Report

WallStSmart Research

Bull Case : ISRG

The strongest argument for ISRG centers on Operating Margin, Altman Z-Score, Market Cap. Profitability is solid with margins at 28.4% and operating margin at 33.6%. Revenue growth of 18.5% demonstrates continued momentum.

Bull Case : MLSS

The strongest argument for MLSS centers on Debt/Equity, Revenue Growth. Revenue growth of 22.3% demonstrates continued momentum.

Bear Case : ISRG

The primary concerns for ISRG are PEG Ratio, P/E Ratio. A P/E of 41.3x leaves little room for execution misses.

Bear Case : MLSS

The primary concerns for MLSS are Price/Book, EPS Growth, Market Cap.

Key Dynamics to Monitor

ISRG carries more volatility with a beta of 1.47 — expect wider price swings.

MLSS is growing revenue faster at 22.3% — sustainability is the question.

ISRG generates stronger free cash flow (948M), providing more financial flexibility.

Monitor MEDICAL INSTRUMENTS & SUPPLIES industry trends, competitive dynamics, and regulatory changes.

Bottom Line

ISRG scores higher overall (66/100 vs 21/100), backed by strong 28.4% margins and 18.5% revenue growth. MLSS offers better value entry with a 72.8% margin of safety. Both earn "Strong Buy" and "Avoid" ratings respectively — the choice depends on your investment horizon and risk tolerance.

This analysis is generated from publicly available financial data. Not financial advice.

Intuitive Surgical Inc

HEALTHCARE · MEDICAL INSTRUMENTS & SUPPLIES · USA

Intuitive Surgical, Inc. is an American corporation 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.

Milestone Scientific

HEALTHCARE · MEDICAL INSTRUMENTS & SUPPLIES · USA

Milestone Scientific, Inc. develops computer-controlled anesthetic delivery devices for the medical and dental markets in the United States, China, and internationally. The company is headquartered in Livingston, New Jersey.

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