Intuitive Surgical, Inc.

Intuitive Surgical, Inc.

ISRG

$399.52

Updated: 25/09/2026, 10:36:04

Market Cap
$141.14B
Sector
Healthcare
Industry
Medical - Instruments & Supplies
Country
US
Stock valuation chart
One-year closing share-price history for ISRG
Company Profile

Intuitive Surgical, Inc. is a leading medical technology firm dedicated to advancing patient care by developing, producing, and commercializing sophisticated tools. These innovations empower medical professionals to deliver superior, accessible, and less-invasive treatment options to patients both within the United States and across international markets. Its flagship offering, the da Vinci Surgical System, facilitates intricate operations through a minimally disruptive approach. Expanding beyond surgical applications, the company also provides the Ion endoluminal system, designed for diagnostic interventions like minimally invasive lung biopsies. Complementing its primary systems, Intuitive Surgical supplies a comprehensive array of instruments, including stapling tools, energy devices, and essential core components. Furthermore, it offers structured training programs to ensure proficient use of its technology, alongside extensive customer support services encompassing installation, repairs, and ongoing maintenance. The firm also integrates digital capabilities to deliver unified, connected solutions that optimize hospital performance through actionable insights. Established in 1995, Intuitive Surgical maintains its corporate headquarters in Sunnyvale, California.

USD
NASDAQ
CEO: David J. Rosa
Employees: 17,021
https://www.intuitive.com
Asset Summaries
Latest generated summaries for ISRG

No summaries found.

Detailed business
Evidence-backed facts extracted from the latest official annual filing.
ISRG-10-k-fy2025.html2.7 MBtext/htmlENFiled 03/02/2026Period ended 31/12/2025

Business monitoring

Reported and calculated KPIs plus operational exposure disclosed in the FY 2025 filing.

Evidence-backed · 54 KPI observations

Revenue

$10.1B

FY 2025 · Reported

Net income

$2.9B

FY 2025 · Reported

Gross margin

66.0%

FY 2025 · Calculated

Free cash flow

N/A

FY — · Reported

R&D intensity

13.0%

FY 2025 · Calculated

Share repurchases

$2.3B

FY 2025 · Reported

Earnings and cash generation
USD billions, directly sourced from inline XBRL; free cash flow is operating cash flow less capex.
Profitability and reinvestment
Margins and R&D as a percentage of revenue.
Top products and services
Products and services mentioned in the filing; a quantitative sales breakdown was not disclosed.

Other offerings mentioned without separate sales

Da Vinci product categories
Ion endoluminal system
Product portfolio tiering
Digital products disclosed: Onsite, Telepresence, Case Insights

Area-level product sales are displayed only when the filing reports a product × geography breakdown. Regional totals are not allocated across products by estimation.

Geographic footprint
What the filing identifies, separated by location role so partner manufacturing is not presented as Apple-owned factories.
1 named headquarters
0 manufacturing countries
0 individually named factories

Map layer

Pins show disclosed operations. The heatmap colors the filing’s reported geographies; regional figures shade the region and are not estimates for each country.

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Named headquarters Manufacturing partner country

Only locations and quantities explicitly supported by the filing are displayed. A country-level manufacturing percentage or product allocation is shown only when the source discloses it; materiality scores are never presented as production shares.

How the business makes money

Core business: robotic-assisted surgery

Developer of da Vinci surgical systems and Ion endoluminal systems for robotic-assisted medical procedures

98%
Source evidence
“Robotic-assisted medical procedures with a da Vinci surgical system or Ion endoluminal system are technologies that compete with established and emerging treatment options”

Da Vinci procedure mix

Procedure business split into cancer and benign; da Vinci 5/Xi target complex, X targets price-sensitive, SP for narrow workspaces

95%
Source evidence
“Our da Vinci procedure business is broadly split into two categories: (1) cancer procedures and (2) procedures for benign conditions.”

Intuitive-Fosun Pharma JV in China

Joint Venture owned 60% Intuitive / 40% Fosun Pharma manufactures da Vinci Xi in China

98%
Source evidence
“The Company’s Joint Venture is owned 60% by us and 40% by Fosun Pharma and is located in China.”

Clinical application areas

Thoracic procedures and transoral head & neck surgery; EndoWrist 30 and SureForm 30 staplers noted for thoracic utility

85%
Source evidence
“Surgeons have reported that the use of robotic-assisted surgery with a da Vinci surgical system in thoracic surgery has enabled them to offer MIS approaches to a broader range of thoracic surgery patients”

Customer structure

Hospital accounts include individual hospitals, healthcare facilities, and IDN groups; lengthy capital sales cycles

90%
Source evidence
“Our hospital accounts include both individual hospitals and healthcare facilities as well as hospitals and healthcare facilities that are part of an integrated delivery network ("IDN groups").”

Direct sales vs distributors by geography

Direct sales in US, Europe (excl. Italy/Spain/Portugal/Greece/Eastern Europe), China (JV with Fosun Pharma), Japan, South Korea, India, Taiwan, Canada; distributors in remainder of OUS markets

95%
Source evidence
“We sell our products and services through direct sales organizations in the U.S., Europe (excluding Italy, Spain, Portugal, Greece, and Eastern European countries), China (through our majority-owned joint ventures, Intuitive Surgical-Fosun Medical Technology (Shanghai) Co., Ltd. and Intuitive Surgical-Fosun (HongKong) Co. Ltd. ... with Fosun Pharma)”

Distributors used in certain countries

Uses distributors for a portion of sales and service in certain countries

93%
Source evidence
“We utilize distributors for a portion of our sales and service of our products in certain countries, which subjects us to a number of risks”

Da Vinci product categories

Da Vinci products fall into five categories: surgical systems, instruments & accessories, stapling, energy, vision

98%
Source evidence
“Our da Vinci products fall into five broad categories: da Vinci surgical systems, da Vinci instruments and accessories, da Vinci stapling, da Vinci energy, and da Vinci vision.”

Ion endoluminal system

Ion endoluminal system extends offering into diagnostic endoluminal procedures (lung biopsy)

97%
Source evidence
“we commercialized our Ion endoluminal system, which is a flexible, robotic-assisted, catheter-based platform that utilizes instruments and accessories for which the first cleared indication is minimally invasive biopsies in the lung”

Product portfolio tiering

da Vinci 5/Xi (complex), da Vinci X (price-sensitive), da Vinci SP (single-port), Ion endoluminal, staplers, energy, Integrated Table Motion

95%
Source evidence
“Our fully featured da Vinci 5 and da Vinci Xi surgical systems ... Our da Vinci X surgical system is targeted toward price-sensitive customers ... Our da Vinci SP surgical system complements our da Vinci 5, da Vinci X, and Xi surgical systems by enabling surgeons to access narrow workspaces.”

Digital products disclosed: Onsite, Telepresence, Case Insights

Digital products named in the filing: Onsite, Telepresence, and Case Insights.

85%
Source evidence
“customers’ appetite for our digital products including Onsite, Telepresence, and Case Insights may become impacted in the future.”

Domestic vs OUS revenue split

Domestic revenue 68% (2025), 67% (2024), 66% (2023); OUS 32%, 33%, 34% of total revenue

95%
Source evidence
“domestic revenue accounted for 68%, 67%, and 66%, respectively, of total revenue, while revenue from our OUS markets accounted for 32%, 33%, and 34%, respectively, of total revenue.”

Operations and dependencies

Mexico manufacturing of instruments and accessories

Significant majority of instruments and accessories manufactured in Mexico

97%
Source evidence
“changes to tariffs imposed by the U.S. on imports from various countries, including Mexico, where we currently manufacture a significant majority of our instruments and accessories”

Germany manufacturing of endoscopes

Majority of endoscopes manufactured in Germany

96%
Source evidence
“Germany, where we currently manufacture a majority of our endoscopes”

Global manufacturing footprint

Systems: Sunnyvale CA, Peachtree Corners GA, Shanghai (JV); Instruments: Sunnyvale CA, Mexicali Mexico; Ion: Blacksburg VA; Endoscopes: Parvomay Bulgaria and Germany

95%
Source evidence
“We manufacture our systems at our facilities in Sunnyvale, California, and Peachtree Corners, Georgia, as well as at our Joint Venture's facility in Shanghai, China.”

Manufacturing footprint: Mexicali instruments, German endoscopes

Most instruments/accessories made in Mexicali, Mexico; most endoscopes made in Germany

97%
Source evidence
“We currently manufacture a significant majority of our instruments and accessories in Mexicali, Mexico. Most of these products qualify as originating under the USMCA and, therefore, have not been subject to U.S. import tariffs to date.”

Sole- and single-sourced supplier reliance

Some components from sole-/single-sourced suppliers; majority of components purchased via POs, not long-term supply agreements

95%
Source evidence
“Some of the components necessary for the assembly of our products are currently provided to us by sole-sourced suppliers ... or single-sourced suppliers ... We purchase the majority of our components and major assemblies through purchase orders rather than long-term supply agreements”

Positioning and strategy

Joint venture with Shanghai Fosun Pharmaceutical

Joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.

94%
Source evidence
“including the joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.”

Vertical integration and manufacturing capex

Capex $540M (2025), $1.11B (2024), $1.06B (2023) focused on manufacturing scale-up and vertical integration

93%
Source evidence
“We have also been vertically integrating key technologies to develop a more robust supply chain and bring important products to market at attractive price points. These investments include increased ownership of our imaging pipelines”

Named robotic surgery competitors

14 named competitors in robotic-assisted surgery including Medtronic, J&J, CMR Surgical, Medicaroid, Microport Medbot

98%
Source evidence
“Companies that have introduced products in the field of robotic-assisted medical procedures, or have made explicit statements about their efforts to enter the field, include, but are not limited to, the following: Beijing Surgerii Robotics Company Limited; CMR Surgical Ltd.”

Named competitors in robotic-assisted surgery

Competitors include J&J, Medtronic, CMR Surgical, Medicaroid, Microport Medbot, and others; also competes with open surgery, laparoscopy, drugs, radiation

95%
Source evidence
“Companies that have introduced products in the field of robotic-assisted medical procedures, or have made explicit statements about their efforts to enter the field, include ... Johnson & Johnson ... Medtronic plc”

Procedure volume mix drives economics

More than half of da Vinci procedures are for benign conditions; cancer/complex procedures reimbursed at higher rates

90%
Source evidence
“More than half of da Vinci procedures performed are for benign conditions.”

R&D focus and collaboration

R&D focused on innovation for minimally invasive care; Integrated Table Motion developed with Hillrom (Baxter)

85%
Source evidence
“In certain instances, we complement our research and development effort through collaborations with other companies, such as our Integrated Table Motion product offering developed with Hillrom (now a part of Baxter International Inc.).”

Risks, financing, and outlook

2025 tariff impact on cost of revenues

Tariffs and trade measures increased 2025 cost of revenues by ~$63.0 million; expected to increase in 2026

98%
Source evidence
“In 2025, tariffs and other trade measures have increased our cost of revenues by approximately $63.0 million.”

Liquidity position

Cash + investments $9.03B at Dec 31, 2025 ($8.83B in 2024); $1.06B held by foreign subsidiaries

97%
Source evidence
“Cash and cash equivalents plus short- and long-term investments increased by $0.20 billion to $9.03 billion as of December 31, 2025”

2025 share repurchases

Repurchased 4.8M shares for $2.3B in 2025

97%
Source evidence
“cash used in the repurchase of 4.8 million shares of our common stock for $2.3 billion”

Intuitive Ventures funds

Fund I ($100M, $70M invested) and Fund II ($150M, $30M invested) as of Dec 31, 2025

95%
Source evidence
“In 2020, we launched Intuitive Ventures Fund I, an inaugural $100 million fund... As of December 31, 2025, we have invested $70 million of the $100 million.”

US HIPAA and FTC privacy exposure

HIPAA imposes privacy, security, and breach notification obligations; FTC may treat privacy failures as unfair/deceptive practices under Section 5(a) of the FTC Act; violations can bring civil, criminal, and administrative fines.

95%
Source evidence
“Entities that are found to be in violation of HIPAA, as a result of a breach of unsecured protected health information, a complaint about privacy practices, or an audit by the U.S. Department of Health and Human Services (“HHS”), may be subject to significant civil, criminal, and administrative fines and penalties”

US state privacy laws (CCPA/CPRA)

The CCPA gives California residents expanded rights and allows for significant fines by the California attorney general as well as a private right of action from individuals in relation to certain security breaches; a growing number of state laws increase compliance obligations and risk.

95%
Source evidence
“The CCPA allows for significant fines by the California attorney general as well as a private right of action from individuals in relation to certain security breaches.”

EU GDPR exposure

GDPR imposes comprehensive data privacy compliance obligations including regulating cross-border transfers of personal data out of the EEA and the UK; non-compliance may result in significant fines, regulatory investigations, and civil claims including class actions.

95%
Source evidence
“The GDPR imposes comprehensive data privacy compliance obligations in relation to our collection and use of personal data, including a principle of accountability and the obligation to demonstrate compliance through policies, procedures, training, and audit, as well as regulating cross-border transfers of personal data out of the EEA and the UK.”

China rare earth export restriction risk

China rare earth/critical mineral export restrictions could materially adversely affect the business

96%
Source evidence
“restrictions on the export of rare earth elements, including magnets, and critical minerals from China could potentially restrict access to components used in many of our products and could have a material adverse effect on our business, financial condition, or results of operations.”

Tariff exposure on imports from Mexico, Germany, China

During 2025, U.S. imposed new tariffs on imports from Mexico, Germany, China; tariffs raise product costs and hurt gross margins

96%
Source evidence
“during 2025, the U.S. federal government imposed new tariffs on imports from various countries including Mexico, Germany, and China, among others.”

Global data privacy compliance risk

Numerous global privacy laws governing personal data necessitate significant expenditures; violations may result in 'penalties, fines, restrictions on processing personal information, and/or reputational harm for a data breach or failure to comply with such legal requirements.'

95%
Source evidence
“There are numerous laws and regulations that govern the personal data Intuitive generates, collects, shares, and processes on behalf of itself and/or its customers.”

Sole- and single-sourced supplier dependency

Reliance on sole- and single-sourced suppliers could harm ability to meet product demand

95%
Source evidence
“Our reliance on sole- and single-sourced suppliers and ability to purchase at acceptable prices a sufficient supply of materials could harm our ability to meet product demand in a timely manner or within budget.”

Usage-based arrangements increase credit and revenue risk

Usage-based arrangements (alternative capital acquisition) expose company to revenue loss risk and increased credit risk

92%
Source evidence
“We offer usage-based arrangements, including alternative capital acquisition approaches; as a result, we are exposed to an increased risk of losses of revenue and increased credit risk”

China data regime may impact digital products demand

China's data compliance regime (Cybersecurity Law, Data Security Law, PIPL) and possible more stringent medical data transfer rules may impact customer demand for digital products Onsite, Telepresence, and Case Insights.

90%
Source evidence
“With the possibility of more stringent medical data transfer rules in China, customers’ appetite for our digital products including Onsite, Telepresence, and Case Insights may become impacted in the future.”

AI incorporation risks

Incorporating AI into products, services, and operations may create legal and regulatory risks

90%
Source evidence
“Incorporating artificial intelligence technologies into our products, services, and operations may result in legal and regulatory risks or have other adverse consequences”

Vendor data compliance risk

Any failure, or perceived failure, by us or our vendors to comply with privacy, data-retention, or data-protection laws could result in governmental proceedings, loss of customer confidence, brand/reputation damage, and loss of customers.

90%
Source evidence
“Any failure, or perceived failure, by us or our vendors to comply with or make effective modifications to our policies or to comply with any federal, state, or international privacy, data-retention, or data-protection-related laws, regulations, orders, or industry self-regulatory principles could result in proceedings or actions against us by governmental entities or others, a loss of customer confidence, damage to our brand and reputation, and a loss of customers”

Cross-border data transfer mechanism uncertainty

The GDPR regulates transfers of personal data to third countries without adequate protection, including the United States, and 'the efficacy and longevity of current transfer mechanisms between the EEA and the United States remains uncertain.'

90%
Source evidence
“the efficacy and longevity of current transfer mechanisms between the EEA and the United States remains uncertain.”

Rising competition and pricing pressure including China

Expect increasing competition within China; revenues may be reduced due to pricing pressure if competitors develop more effective or less expensive products

90%
Source evidence
“we expect increasing competition within China for robotic-assisted systems. Our revenues may be reduced due to pricing pressure”

Material exposure graph

da Vinci 5 surgical system
Demand Driver

Fifth-generation da Vinci 5 (FDA cleared March 2024; Korea, Japan, EU MDR clearances) drives installed base growth with 1,231 systems and phased OUS launch.

Relevance 90·Dependency 70·Confidence 95
Source evidence
“As of December 31, 2025, we have an installed base of 1,231 da Vinci 5 surgical systems.”
tariffs
Regulatory Exposure

US tariffs on Mexican, German, and Chinese imports raise component and product costs, compressing gross margins and potentially reducing competitiveness

Relevance 90·Dependency 65·Confidence 95
Source evidence
“Tariffs increase the cost of our products and the components and raw materials that go into making them. These increased costs adversely impact the gross margin that we earn on our products.”
Tariffs
Cost Driver

2025 tariffs raised cost of revenues ~$63.0M and are expected to increase further in 2026.

Relevance 90·Dependency 60·Confidence 97
Source evidence
“we expect our cost of revenues driven by tariffs and other trade measures to continue to increase in 2026.”
Mexicali, Mexico
Supplier Dependency

Significant majority of instruments and accessories manufactured in Mexicali; USMCA origin shields them from U.S. tariffs to date.

Relevance 88·Dependency 80·Confidence 96
Source evidence
“We currently manufacture a significant majority of our instruments and accessories in Mexicali, Mexico.”
Hospitals and IDN groups
Demand Driver

System placements depend on hospital capital budgets and lengthy sales cycles affected by macro factors and budgeting cycles.

Relevance 85·Dependency 70·Confidence 90
Source evidence
“typically has a lengthy sales cycle that can be affected by macroeconomic factors, capital spending prioritization, the timing of budgeting cycles”
United States
Revenue Exposure

Domestic revenue was 68% of total revenue in 2025 (67% in 2024, 66% in 2023), making the US the dominant revenue geography.

Relevance 85·Dependency 68·Confidence 95
Source evidence
“domestic revenue accounted for 68%, 67%, and 66%, respectively, of total revenue”
China
Geopolitical Exposure

China exposure spans raw material imports, sub-assemblies for local Xi manufacturing, U.S.-made Xi sales into China (tariff-impacted), and the Fosun JV.

Relevance 85·Dependency 55·Confidence 93
Source evidence
“our operations involve importing certain raw materials from China, importing sub-assemblies to support our local da Vinci Xi surgical system manufacturing in China, and selling U.S.-manufactured da Vinci Xi surgical systems into China”
Rare earth elements
Supplier Dependency

China export restrictions on rare earths/magnets and critical minerals could restrict access to components used in many products.

Relevance 82·Dependency 65·Confidence 94
Source evidence
“restrictions on the export of rare earth elements, including magnets, and critical minerals from China could potentially restrict access to components used in many of our products”
da Vinci SP surgical system
Revenue Exposure

SP growth depends on clinical outcomes and additional regulatory clearances; 377-system installed base and measured European rollout.

Relevance 80·Dependency 55·Confidence 92
Source evidence
“The success of the da Vinci SP surgical system is dependent on positive experiences and improved clinical outcomes for the procedures for which it has been cleared as well as securing additional clinical clearances.”
Medtronic plc / Johnson & Johnson
Competitive Exposure

As Intuitive adds stapling and energy products, it faces greater competition from larger established companies J&J and Medtronic.

Relevance 80·Dependency 40·Confidence 90
Source evidence
“we face greater competition from larger and well-established companies, such as Johnson & Johnson and Medtronic plc.”
Intuitive-Fosun Pharma Joint Venture
Revenue Exposure

60/40 JV manufactures da Vinci Xi locally for China customers under an August 2023 manufacturing license following June 2023 NMPA approval.

Relevance 78·Dependency 50·Confidence 95
Source evidence
“our Intuitive-Fosun Pharma Joint Venture received a manufacturing license that permits the Joint Venture to manufacture our da Vinci Xi surgical system for sale to customers in China.”
Sole-/single-sourced components
Supplier Dependency

Some components come from sole- or single-sourced suppliers, and purchases rely on purchase orders rather than long-term agreements.

Relevance 75·Dependency 60·Confidence 90
Source evidence
“Some of the components necessary for the assembly of our products are currently provided to us by sole-sourced suppliers ... or single-sourced suppliers”
China
Competitive Exposure

Intuitive expects increasing robotic-assisted system competition within China, where it sells via the Fosun JV.

Relevance 75·Dependency 45·Confidence 90
Source evidence
“we expect increasing competition within China for robotic-assisted systems.”
sole- and single-sourced suppliers
Supplier Dependency

Reliance on sole- and single-sourced suppliers risks inability to meet product demand on time or within budget

Relevance 70·Dependency 60·Confidence 95
Source evidence
“disruption to our supply chain, including difficulties in obtaining a sufficient supply of materials”
Germany
Manufacturing Dependency

Majority of endoscopes manufactured in Germany, exposing endoscope supply to tariffs and trade disruptions

Relevance 70·Dependency 60·Confidence 94
Source evidence
“Germany, where we currently manufacture a majority of our endoscopes”
GDPR
Regulatory Exposure

GDPR compliance obligations and potential fines, investigations, and class actions directly affect Intuitive's operations and costs in EU/EEA/UK markets.

Relevance 70·Dependency 55·Confidence 95
Source evidence
“Failure to comply with the requirements of the GDPR and the applicable EEA member state laws may result in significant fines, regulatory investigations, reputational damage, orders to cease/change our data processing activities”
Medtronic plc
Competitive Exposure

Medtronic is one of 14 named competitors entering robotic-assisted surgery; competitive entry creates pricing pressure risk

Relevance 70·Dependency 50·Confidence 95
Source evidence
“Medtronic plc; meerecompany Inc.; Noah Medical Corporation”
Germany
Cost Driver

Majority of endoscopes manufactured in Germany and imported into the U.S., subject to tariffs.

Relevance 70·Dependency 45·Confidence 93
Source evidence
“we also import certain raw materials and finished goods from outside of the U.S. that are subject to tariffs, including our endoscopes, a majority of which are manufactured in Germany”
China Cybersecurity Law / Data Security Law / PIPL
Regulatory Exposure

Stricter Chinese medical data transfer rules could reduce customer demand for Intuitive's digital products (Onsite, Telepresence, Case Insights), affecting revenue in China.

Relevance 65·Dependency 50·Confidence 90
Source evidence
“With the possibility of more stringent medical data transfer rules in China, customers’ appetite for our digital products including Onsite, Telepresence, and Case Insights may become impacted in the future.”
HIPAA / FTC Act
Regulatory Exposure

HIPAA and FTC privacy/security obligations in the US expose Intuitive to civil, criminal, and administrative fines and additional oversight obligations.

Relevance 60·Dependency 45·Confidence 90
Source evidence
“may be subject to significant civil, criminal, and administrative fines and penalties and/or additional reporting and oversight obligations”
Fosun Pharma JV (Intuitive Surgical-Fosun)
Customer Exposure

China sales run through majority-owned joint ventures with Fosun Pharma, tying China revenue to the JV structure.

Relevance 55·Dependency 40·Confidence 85
Source evidence
“China (through our majority-owned joint ventures, Intuitive Surgical-Fosun Medical Technology (Shanghai) Co., Ltd. and Intuitive Surgical-Fosun (HongKong) Co. Ltd.”
CCPA/CPRA
Regulatory Exposure

California and other state consumer privacy laws create fines, private rights of action, and rising compliance obligations and litigation risk.

Relevance 50·Dependency 40·Confidence 90
Source evidence
“These developments are increasing our compliance obligations and risk, including risks of regulatory fines, litigation, and associated reputational harm.”
Full company information
Latest profile, trading, valuation, and identifier data stored for ISRG.
Share price
$399.52
Market cap
$141.14B
Exchange
NASDAQ
Currency
USD
CEO
David J. Rosa
Employees
17,021
IPO date
16/06/2000
Beta
1.465
Last dividend
$0.00
Day range
$395.18 – $404.19
52-week range
$328.57 – $603.88
1-day performance
0.31%
1-year performance
21.59%
Current drawdown (1Y)
-33.84%
CIK
0001035267
CUSIP
46120E602
ISIN
US46120E6023
Created
07/12/2025, 04:47:14
Last update
25/09/2026, 10:36:04

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