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Align Technology vs Intuitive Surgical: revenue, profit, margins and growth compared

Align Technology brought in $4B of revenue in fiscal 2025, Intuitive Surgical $10.1B in fiscal 2025. Revenue changed by +0.9% at Align Technology and +20.5% at Intuitive Surgical on the year before, so Intuitive Surgical grew faster. Align Technology kept 10.2% of its revenue as net profit, Intuitive Surgical 28.4%. Free cash flow was $490.8M at Align Technology and $2.5B at Intuitive Surgical.

Side by side, latest fiscal year

ALGNISRG
Fiscal year endedFY2025 (December 31, 2025)FY2025 (December 31, 2025)
Revenue$4B$10.1B
Revenue growth+0.9%+20.5%
Net income$410.4M$2.9B
Net margin10.2%28.4%
Free cash flow$490.8M$2.5B
Free cash flow margin12.2%24.7%
Earnings per share (diluted)$5.65$7.87
Cash$1.1B$3.4B
Debtn/an/a
Price to earnings26.051.5
Market value$10.4B$143.1B
Dividend yieldn/an/a
Rank by revenue in sector#71 of 523 · Health care#46 of 523 · Health care

Over the years

Revenue
ALGN FY2018: $2BALGN FY2019: $2.4BALGN FY2020: $2.5BALGN FY2021: $4BALGN FY2022: $3.7BALGN FY2023: $3.9BALGN FY2024: $4BALGN FY2025: $4BISRG FY2018: $3.7BISRG FY2019: $4.5BISRG FY2020: $4.4BISRG FY2021: $5.7BISRG FY2022: $6.2BISRG FY2023: $7.1BISRG FY2024: $8.4BISRG FY2025: $10.1BFY18FY19FY20FY21FY22FY23FY24FY25
ALGN $4BISRG $10.1B
Net income
ALGN FY2018: $400.2MALGN FY2019: $442.8MALGN FY2020: $1.8BALGN FY2021: $772MALGN FY2022: $361.6MALGN FY2023: $445.1MALGN FY2024: $421.4MALGN FY2025: $410.4MISRG FY2018: $1.1BISRG FY2019: $1.4BISRG FY2020: $1.1BISRG FY2021: $1.7BISRG FY2022: $1.3BISRG FY2023: $1.8BISRG FY2024: $2.3BISRG FY2025: $2.9BFY18FY19FY20FY21FY22FY23FY24FY25
ALGN $410.4MISRG $2.9B
Net margin
ALGN FY2018: 20.4%ALGN FY2019: 18.4%ALGN FY2020: 71.8%ALGN FY2021: 19.5%ALGN FY2022: 9.7%ALGN FY2023: 11.5%ALGN FY2024: 10.5%ALGN FY2025: 10.2%ISRG FY2018: 30.3%ISRG FY2019: 30.8%ISRG FY2020: 24.3%ISRG FY2021: 29.9%ISRG FY2022: 21.3%ISRG FY2023: 25.2%ISRG FY2024: 27.8%ISRG FY2025: 28.4%FY18FY19FY20FY21FY22FY23FY24FY25
ALGN 10.2%ISRG 28.4%
Revenue growth
ALGN FY2019: +22.4%ALGN FY2020: +2.7%ALGN FY2021: +59.9%ALGN FY2022: -5.5%ALGN FY2023: +3.4%ALGN FY2024: +3.5%ALGN FY2025: +0.9%ISRG FY2019: +20.3%ISRG FY2020: -2.7%ISRG FY2021: +31.0%ISRG FY2022: +9.0%ISRG FY2023: +14.5%ISRG FY2024: +17.2%ISRG FY2025: +20.5%FY19FY20FY21FY22FY23FY24FY25
ALGN +0.9%ISRG +20.5%
Free cash flow
ALGN FY2018: $331.4MALGN FY2019: $597.6MALGN FY2020: $507.3MALGN FY2021: $771.4MALGN FY2022: $276.8MALGN FY2023: $608.1MALGN FY2024: $622.7MALGN FY2025: $490.8MISRG FY2018: $982.2MISRG FY2019: $1.2BISRG FY2020: $1.1BISRG FY2021: $1.7BISRG FY2022: $958.4MISRG FY2023: $749.6MISRG FY2024: $1.3BISRG FY2025: $2.5BFY18FY19FY20FY21FY22FY23FY24FY25
ALGN $490.8MISRG $2.5B

Fiscal years as each company reports them; the two may end in different months.

Questions about Align Technology and Intuitive Surgical

Which is bigger by revenue, Align Technology or Intuitive Surgical?

Intuitive Surgical is bigger by revenue: $10.1B in fiscal 2025, against $4B for Align Technology in fiscal 2025.

Which keeps more of its revenue as profit, Align Technology or Intuitive Surgical?

Align Technology had a net margin of 10.2% in fiscal 2025; Intuitive Surgical had 28.4% in fiscal 2025.

Which grew revenue faster, Align Technology or Intuitive Surgical?

In their latest fiscal years revenue changed by +0.9% at Align Technology and +20.5% at Intuitive Surgical.

Where do these numbers come from?

From the annual reports each company files with the SEC (10-K, or 20-F and 40-F for foreign companies), read from their XBRL data. Margins and growth are simple arithmetic on those figures. Nothing here is a recommendation.

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