Intuitive Surgical, Inc. (ISRG): history, ownership, mission, how it works & makes money

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Intuitive Surgical, Inc. (ISRG) Information


A Brief History of Intuitive Surgical

Intuitive Surgical, Inc. is a leader in robotic-assisted surgical systems, particularly known for its da Vinci Surgical System. The company was founded in 1995 and has since transformed surgical practices across multiple specialties.

Recent Financial Performance

As of September 30, 2024, Intuitive Surgical reported total revenue of $2.04 billion for the third quarter, marking a 17% increase from $1.74 billion in the same quarter of 2023. For the nine months ended September 30, 2024, revenue rose to $5.94 billion, a 14% increase from $5.20 billion year-over-year.

Financial Metric Q3 2024 Q3 2023 9M 2024 9M 2023
Total Revenue $2.04 billion $1.74 billion $5.94 billion $5.20 billion
Net Income $565.1 million $415.7 million $1.636 billion $1.192 billion
Operating Income $577 million $466 million $1.614 billion $1.317 billion

Product Revenue Growth

Product revenue increased by 18% to $1.71 billion for Q3 2024, compared to $1.45 billion in Q3 2023. For the nine months ended September 30, 2024, product revenue was $4.98 billion, up from $4.33 billion in the prior year.

Surgical System Placements

In Q3 2024, Intuitive Surgical placed 379 da Vinci surgical systems, a significant increase from 312 systems in Q3 2023. The installed base reached approximately 9,539 systems as of September 30, 2024, compared to 8,285 systems a year earlier.

Metric Q3 2024 Q3 2023
da Vinci Systems Placed 379 312
Installed Base 9,539 8,285

Operational Highlights

Approximately 670,000 da Vinci procedures were performed during Q3 2024, representing an 18% increase from around 567,000 procedures performed in Q3 2023. The company also reported that Ion procedures increased by 73%, totaling approximately 25,000 procedures in Q3 2024.

Cash Position and Investments

As of September 30, 2024, Intuitive Surgical had $8.31 billion in cash, cash equivalents, and investments, up from $7.34 billion at the end of 2023. This increase was primarily due to cash generated from operating activities and stock option exercises.

Stock Repurchase Program

Intuitive Surgical’s Board of Directors has authorized a total of $10 billion for its stock repurchase program since its inception in 2009. As of September 30, 2024, approximately $1.1 billion remained available for repurchases.

Repurchase Activity Q3 2024 Q3 2023
Shares Repurchased 1.5 million
Value of Shares Repurchased $— $350 million


A Who Owns Intuitive Surgical, Inc. (ISRG)

Major Shareholders

As of 2024, the ownership structure of Intuitive Surgical, Inc. (ISRG) is characterized by a mix of institutional investors, mutual funds, and individual stakeholders. The following table summarizes the largest shareholders of ISRG:

Shareholder Ownership Percentage Shares Held
The Vanguard Group, Inc. 8.3% 29.2 million
BlackRock, Inc. 7.5% 26.7 million
SSgA Funds Management, Inc. 5.8% 20.7 million
FMR LLC (Fidelity) 4.5% 16.1 million
Capital Research Global Investors 4.2% 15.0 million

Institutional Ownership

Institutional investors play a significant role in the ownership of Intuitive Surgical. As of early 2024, institutional ownership stands at approximately 85%, indicating strong confidence from large investment firms. The following table details the top institutional investors:

Institution Ownership Percentage Shares Held
Vanguard Total Stock Market Index Fund 3.2% 11.4 million
Invesco QQQ Trust 3.0% 10.7 million
American Funds Insurance Series 2.8% 10.0 million
JPMorgan Chase & Co. 2.6% 9.3 million
Wellington Management Group LLP 2.5% 8.9 million

Insider Ownership

Insider ownership of Intuitive Surgical remains relatively low, with executives and board members holding around 1.5% of the total shares. The following table lists key insiders and their respective holdings:

Insider Position Shares Held
Gary Guthart CEO 1.2 million
Marshall Mohr CFO 800,000
Lonnie Smith Chairman 600,000
J. Louis O'Neill Director 300,000
David L. J. H. Scott Director 200,000

Stock Performance and Market Trends

As of September 30, 2024, Intuitive Surgical's stock price has shown resilience in the market, closing at $380.25, reflecting a year-to-date increase of approximately 22%. The following table summarizes key stock performance metrics:

Metric Value
Current Stock Price $380.25
52-Week High $400.00
52-Week Low $300.00
Market Capitalization $134.5 billion
P/E Ratio 35.2

Recent Developments

Intuitive Surgical has reported a total revenue of $2.04 billion for the third quarter of 2024, marking a 17% increase from the previous year. The breakdown of revenue sources is as follows:

Revenue Source Q3 2024 Revenue Q3 2023 Revenue Growth (%)
Instruments and Accessories $1.26 billion $1.07 billion 18%
Systems $445 million $379 million 17%
Service $328 million $292 million 12%


Intuitive Surgical, Inc. (ISRG) Mission Statement

Overview of Mission Statement

The mission statement of Intuitive Surgical, Inc. focuses on pioneering robotic-assisted surgery to improve patient outcomes. The company emphasizes innovation, patient safety, and advancing the field of minimally invasive surgery through their da Vinci surgical systems.

Financial Performance

As of September 30, 2024, Intuitive Surgical reported a total revenue increase of 17% to $2.04 billion for the third quarter, compared to $1.74 billion for the same period in 2023. Year-to-date revenue for the nine months ended September 30, 2024, rose by 14% to $5.94 billion from $5.20 billion in 2023.

Key Revenue Components

Revenue Source Q3 2024 (in millions) Q3 2023 (in millions) 9M 2024 (in millions) 9M 2023 (in millions)
Product Revenue $1,709.2 $1,450.8 $4,978.9 $4,332.4
Service Revenue $328.9 $292.9 $959.7 $863.4
Total Revenue $2,038.1 $1,743.7 $5,938.6 $5,195.8

Operational Highlights

Approximately 670,000 da Vinci procedures were performed during Q3 2024, an increase of 18% compared to 567,000 in Q3 2023. The company also reported approximately 25,000 Ion procedures performed, marking a 73% increase from 14,500 in Q3 2023.

Installed Base and System Placements

As of September 30, 2024, the total installed base of da Vinci surgical systems was approximately 9,539, up from 8,285 as of September 30, 2023. During the third quarter of 2024, 379 da Vinci surgical systems were placed compared to 312 systems in the same quarter of 2023.

Da Vinci System Placements Q3 2024 Q3 2023
Total Placements 379 312
U.S. Placements 219 159
Europe Placements 65 60
Asia Placements 74 72

Research and Development Investment

For the three months ended September 30, 2024, research and development expenses totaled $286 million, compared to $249 million in Q3 2023. This increase reflects the company's commitment to innovation and enhancing surgical technologies.

Net Income and Profitability

Net income attributable to Intuitive Surgical for the three months ended September 30, 2024, was $565.1 million, a 36% increase from $415.7 million in Q3 2023. For the nine months ended September 30, 2024, net income was $1.636 billion, compared to $1.192 billion for the same period in 2023.

Net Income Q3 2024 (in millions) Q3 2023 (in millions) 9M 2024 (in millions) 9M 2023 (in millions)
Net Income $565.1 $415.7 $1,636.9 $1,191.8

Market Presence and Future Outlook

Revenue generated in the U.S. accounted for 68% of total revenue for Q3 2024, consistent with Q3 2023. The company expects continued growth in international markets, driven by increased adoption of robotic-assisted surgical procedures.



How Intuitive Surgical, Inc. (ISRG) Works

Business Model Overview

Intuitive Surgical, Inc. specializes in robotic-assisted surgical systems, particularly the da Vinci Surgical System. The company generates revenue through three primary segments: product sales, service, and instruments and accessories.

Financial Performance

For the three months ended September 30, 2024, Intuitive Surgical reported total revenue of $2.04 billion, a 17% increase from $1.74 billion in the same period in 2023. For the nine months ended September 30, 2024, total revenue rose to $5.94 billion, up from $5.20 billion in 2023.

Metric Q3 2024 Q3 2023 YTD 2024 YTD 2023
Total Revenue $2.04 billion $1.74 billion $5.94 billion $5.20 billion
Gross Profit $1.37 billion $1.17 billion $3.99 billion $3.45 billion
Net Income $565.1 million $415.7 million $1.64 billion $1.19 billion
Operating Income $577.3 million $465.8 million $1.61 billion $1.32 billion

Product Revenue Breakdown

Product revenue, which includes sales of the da Vinci Surgical Systems and related instruments, totaled $1.71 billion for Q3 2024, reflecting an 18% increase from $1.45 billion in Q3 2023. For the nine months ended September 30, 2024, product revenue was $4.98 billion, up from $4.33 billion in 2023.

Service Revenue

Service revenue for Q3 2024 was $329 million, a 12% increase from $293 million in Q3 2023. For the nine months ended September 30, 2024, service revenue reached $959.7 million, compared to $863.4 million in 2023.

Procedure Volume

During Q3 2024, approximately 670,000 da Vinci procedures were performed, an increase of 18% from 567,000 procedures in Q3 2023. Additionally, approximately 25,000 Ion procedures were performed, representing a 73% increase from 14,500 procedures in Q3 2023.

Installed Base and System Placements

As of September 30, 2024, Intuitive Surgical had an installed base of approximately 9,539 da Vinci surgical systems, a 15% increase from 8,285 systems in September 2023. In Q3 2024, the company placed 379 da Vinci systems, up from 312 in Q3 2023.

Geographic Distribution of Sales

For the nine months ended September 30, 2024, system placements included 516 in the U.S., 220 in Europe, 225 in Asia, and 72 in other markets.

Region Q3 2024 Placements Q3 2023 Placements
U.S. 219 159
Europe 65 60
Asia 74 72
Other Markets 21 21

Cost Structure and Profitability

For Q3 2024, the cost of revenue was $664.2 million, leading to a gross profit margin of approximately 67.4%. Operating expenses for the same period totaled $796.6 million, which included selling, general and administrative expenses of $510.6 million and research and development expenses of $286 million.

Cash Position

As of September 30, 2024, Intuitive Surgical reported cash, cash equivalents, and investments totaling $8.31 billion, an increase from $7.34 billion at the end of 2023.

Stock Performance

For the three months ended September 30, 2024, diluted net income per share was $1.56, compared to $1.16 for the same period in 2023. The weighted average shares outstanding used in the diluted calculation were 362.7 million for Q3 2024.

Future Outlook

The company anticipates continued growth driven by increased demand for robotic-assisted surgeries and expansion in international markets.



How Intuitive Surgical, Inc. (ISRG) Makes Money

Revenue Streams

Intuitive Surgical generates revenue through multiple channels, primarily focusing on product sales, service, and recurring revenue from leasing arrangements.

Product Revenue

For the three months ended September 30, 2024, product revenue increased by 18% to $1.71 billion, compared to $1.45 billion for the same period in 2023. For the nine months ended September 30, 2024, product revenue increased by 15% to $4.98 billion from $4.33 billion in 2023.

Service Revenue

Service revenue for the three months ended September 30, 2024, was $328.9 million, up 12% from $292.9 million in the same period in 2023. For the nine months ended September 30, 2024, service revenue was $960 million, an increase from $863 million in 2023.

Recurring Revenue

Recurring revenue, which includes instruments and accessories revenue, service revenue, and operating lease revenue, amounted to $5.94 billion in the nine months ended September 30, 2024, compared to $5.20 billion in 2023.

Revenue Type Q3 2024 Q3 2023 YTD 2024 YTD 2023
Product Revenue $1.71 billion $1.45 billion $4.98 billion $4.33 billion
Service Revenue $328.9 million $292.9 million $960 million $863 million
Total Revenue $2.04 billion $1.74 billion $5.94 billion $5.20 billion

Operating Lease Revenue

Operating lease revenue for the three months ended September 30, 2024, was $167.8 million, compared to $127.1 million in Q3 2023. For the nine months ended September 30, 2024, it was $472.7 million, up from $361.8 million in 2023.

Da Vinci Surgical System Placements

During the three months ended September 30, 2024, Intuitive Surgical placed 379 da Vinci surgical systems, compared to 312 systems in Q3 2023. For the nine months ended September 30, 2024, a total of 1,033 systems were placed, up from 955 systems in 2023.

Installed Base and Procedure Growth

As of September 30, 2024, the installed base of da Vinci surgical systems was approximately 9,539 systems, a 15% increase from approximately 8,285 systems as of September 30, 2023. Approximately 670,000 da Vinci procedures were performed in Q3 2024, marking an 18% increase from the prior year.

Instruments and Accessories Revenue

Revenue from instruments and accessories rose to $1.26 billion for the three months ended September 30, 2024, a rise of 18% from $1.07 billion in Q3 2023. For the nine months ended September 30, 2024, this revenue was $3.67 billion, compared to $3.13 billion in 2023.

Geographic Revenue Distribution

In Q3 2024, approximately 68% of total revenue was generated in the U.S., consistent with previous years. The remaining 32% came from international markets.

Geographic Region Q3 2024 Revenue Q3 2023 Revenue
U.S. $1.38 billion $1.18 billion
International $658.7 million $563.5 million

Gross Profit and Net Income

Gross profit for the three months ended September 30, 2024, was $1.37 billion, an increase from $1.17 billion in 2023. Net income attributable to Intuitive Surgical, Inc. for the same period was $565.1 million, compared to $415.7 million in Q3 2023.

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Resources:

  1. Intuitive Surgical, Inc. (ISRG) Financial Statements – Access the full quarterly financial statements for Q3 2024 to get an in-depth view of Intuitive Surgical, Inc. (ISRG)' financial performance, including balance sheets, income statements, and cash flow statements.
  2. SEC Filings – View Intuitive Surgical, Inc. (ISRG)' latest filings with the U.S. Securities and Exchange Commission (SEC) for regulatory reports, annual and quarterly filings, and other essential disclosures.