Verdict: Side-by-side breakdown using the Bull Rankings model. MEDP scored 76.6, ISRG scored 75.1 — MEDP leads.
Compare another set
MEDP
Medpace Holdings, Inc.
Diagnostics & Research · Quality-Growth
76.6
$612.05 · $17.1B
fundamentals as of
Score gap
1.5
MEDP leads
ISRG
Intuitive Surgical, Inc.
Medical Instruments & Supplies · Quality-Growth
75.1
$423.96 · $149.8B
fundamentals as of
At a glance · who leads each dimension, on the model's own rules
CheapestMEDP35.9x
Fastest growthMEDP+24.7%
Strongest balance sheetISRG0.00
Highest qualityMEDP87 / 100
Side by side · every name on one set of axes
Growth against the P/E multiple. Up and to the right is cheaper and faster — the quality-growth idea in one picture. Points beyond the axis are pinned to the edge and marked off-scale rather than allowed to compress everything else.
The model, pillar by pillar (0–100 each)
MEDP
stronger →← stronger
ISRG
87
Qualityreturns · margins · balance sheet
85
88
Growthrevenue & earnings expansion
90
58
Valuevaluation vs sector peers
55
MEDP is stronger on 2 of 3 pillars.
Fundamentals, head-to-head
MEDP
ISRG
$707mC+
FCF
$3.2bB
+24.7%A-
Rev
+20.5%A-
0.33B
D/E
0.00A
35.9xC+
P/E
48.6xC
2.87C
PEG
1.93C+
Winner per row is the stronger grade; where grades tie, the better figure breaks it. A true tie or a missing value shows no highlight.
Valuation · DCF cross-check
MEDP
ISRG
26% above
Price vs fair valuelower is cheaper
215% above
~20%/yr
Growth the price impliesyr-1 FCF growth, fading to 4% · lower = less priced in
~44%/yr
-37%
1-yr DCF upside
-73%
-21%
5-yr DCF upside
-68%
+10%
10-yr DCF upside
-59%
The DCF is a cross-check on intrinsic value, separate from the quality-growth score above.
Model signals
MEDP
Why this score
Durable high returns
ISRG
No notable signals flagged.
The companies
MEDPMedpace Holdings, Inc.
Diagnostics & Research · $612.05 · beta 1.18
Why now
Diagnostics & Research · market cap $17.1b. 10% off the 52-week high of $677.90. Revenue growing +25%, comfortably above the S&P median. 13 sell-side analysts rate this a Hold with a mean 1-yr target of $595.92 (implying -3% upside).
Moat
Net margin 18% beats the market median by a meaningful margin — the company is keeping more of every revenue dollar than the average S&P constituent. FCF converts 144% of net income, helped by cash released from working capital ($120m) that doesn't repeat every year.
Risk
Trailing P/E 36x sits well above the S&P median (~20x) — multiple compression is a real risk if revenue growth decelerates.
ISRGIntuitive Surgical, Inc.
Medical Instruments & Supplies · $423.96 · beta 1.46
Why now
Medical Instruments & Supplies · market cap $149.8b. Down 30% from 52-week high of $603.88 — deep drawdown territory. Revenue growing +21%, comfortably above the S&P median. 30 sell-side analysts rate this a Buy with a mean 1-yr target of $477.47 (implying +13% upside).
Moat
Net margin 28% sits well above the S&P median (~11%) — suggests structural pricing advantage or cost discipline competitors can't quickly close. ROE 17% is above 15% — the equity base is compounding at a rate the market struggles to discount accurately. FCF converts 103% of net income — earnings translate cleanly into cash.
Risk
Beta 1.46 implies above-market volatility — position-size to the drawdowns this name will produce in a market correction, not to its bull-case return. Trailing P/E 49x sits well above the S&P median (~20x) — multiple compression is a real risk if revenue growth decelerates. P/S 13.6x embeds aggressive forward growth — disappointing top-line guidance would compress the multiple hard.
Verdict — model-derived comparison
Generating verdict… typically 5–10 seconds
Not investment advice. The Bull Rankings publishes a quantitative ranking model and accompanying analysis for general informational purposes only. Nothing on this page is a recommendation to buy, sell, or hold any security; nothing is personalized to your circumstances, risk tolerance, or tax situation. Investing carries the risk of loss — invest at your own risk and consider consulting a licensed financial professional before acting on anything you read here. See terms and methodology for full disclosures.
Where MEDP and ISRG diverge
On the headline score the gap is 1.5 points in favor of MEDP. The widest single difference is Value, where MEDP leads by 3.0 points.
ValueMEDP 58.4 · ISRG 55.4MEDP +3.0
QualityMEDP 87.4 · ISRG 84.9level
GrowthMEDP 88.3 · ISRG 90.1level
Pillars run 0–100. Value is judged against each company's own sector, so a Value score is a statement about a company relative to its own industry rather than to the other name here. A wide Value gap usually means the market already prices the difference in quality or growth — which is the trade-off this comparison comes down to.
Common questions
Is MEDP or ISRG the better stock?
MEDP scores higher: MEDP 76.6, ISRG 75.1 out of 100 on the Bull Rankings quality-growth score, which blends business quality, growth and valuation into one number. A higher score means a stronger business at a more reasonable price — it is not a price target or a recommendation.
Where do MEDP and ISRG differ most?
The widest gap is value, where MEDP leads by 3 points on the 0–100 pillar scale. The other two pillars are close enough to call level, so this is the one place they genuinely separate.
How are MEDP and ISRG scored?
Each carries the same 0–100 quality-growth score used everywhere on the site, built from three pillars — quality (profitability and returns on capital), growth (revenue and earnings), and value (what you pay for them) — combined as a geometric mean, so a weak pillar cannot be papered over by a strong one.
How current is this comparison?
The whole universe is re-scored every trading day after the US market close, so the scores and fundamentals here reflect the latest published edition.