Sales up 20.5%, free cash flow up to $2.5B
The latest figures
All key numbers (39) From EDGAR
| EPS (ttm) | 8.27 | Sales (ttm) | 11.6B | Net income (ttm) | 3.0B | Sales growth | +20.5% | EPS growth | +22.6% | Sales Q/Q | +21.7% |
| Free cash flow | 3.6B | Gross margin | 67.2% | Oper. margin | 28.4% | Net margin | 25.5% | FCF margin | 31.1% | ROE | 18.5% |
| ROA | 15.3% | R&D / sales | 13.0% | Dividend | - | Debt/Eq | - | Curr. ratio | 3.33 | Cash | 3.0B |
| Op. cash flow (ttm) | 4.1B | EBITDA | 3.5B | EBITDA margin | 35.2% | Quick ratio | 2.60 | ROIC | 16.0% | Tax rate | 13.1% |
| Stock pay / sales | 7.8% | Shares out. | 346.6M | Shares Y/Y | +0.2% | Book / share | 46.12 | Cash / share | 8.59 | Sales / share | 33.40 |
| Asset turnover | 0.60 | Inventory turns | 1.86 | Days sales out. | 55 | Sales 3Y CAGR | +17.4% | Sales 5Y CAGR | +18.2% | EPS 3Y CAGR | +29.2% |
| EPS 5Y CAGR | +21.8% | Employees | 17,021 | Sales / employee | 680K |
Hover or tap a number to see the XBRL line item and filing it comes from; click it to open that filing at SEC. What each number means. Looks wrong? Tell us.
Changes in the numbers
FY2025 against FY2024-
Free cash flow rose 91%$1.3B → $2.5B · Cash from operations − capital expenditure · 10-K ↗
ISRG against Health care peers
Ten years, side by side → · All 60 →Each side 0 to 100, ranked against every company we cover: relative position on reported figures, not a buy score. How
Every dot is one of the 60 companies, the better end on the right. Hover a dot for the company.
| Company | Revenue (ttm) | Sales growth | Gross margin | Net margin | ROE | FCF margin | Debt / equity |
|---|---|---|---|---|---|---|---|
| ISRG Intuitive Surgical | $11.6B | +20.5% | 67.2% | 25.5% | 18.5% | 31.1% | - |
| VRTX Vertex Pharmaceuticals | $13.0B | +8.9% | 85.5% | 30.7% | 19.0% | 24.7% | 0.22 |
| DGX Quest Diagnostics | $11.8B | +11.8% | 33.1% | 9.5% | 14.8% | 11.6% | 0.73 |
| BAX Baxter International | $11.6B | +5.7% | 30.1% | -6.2% | -11.1% | 9.7% | 1.45 |
| BIIB Biogen | $10.3B | +2.2% | 74.0% | 3.4% | 1.8% | 20.1% | 0.39 |
| ZTS Zoetis | $9.5B | +2.3% | 71.6% | 26.4% | 75.9% | 23.5% | 2.74 |
From $5.7B of sales to $1.7B of profit
FY2021, from the 10-K income statementSwipe sideways for the whole flow →
From $6.2B of sales to $1.3B of profit
FY2022, from the 10-K income statement and revenue by productSwipe sideways for the whole flow →
From $7.1B of sales to $1.8B of profit
FY2023, from the 10-K income statement and revenue by productSwipe sideways for the whole flow →
From $8.4B of sales to $2.3B of profit
FY2024, from the 10-K income statement and revenue by productSwipe sideways for the whole flow →
From $10.1B of sales to $2.9B of profit
FY2025, from the 10-K income statement and revenue by productSwipe sideways for the whole flow →
Where each $100 of sales went
- Cost of revenue
- R&D
- Sales, admin & other
- Tax, less other income
- Net profit
Band widths are the money. Gross profit is revenue less cost of revenue; operating expenses are gross profit less operating profit; R&D is from the income statement and the rest of the operating expenses is everything else; tax includes interest and other items when they are small. Y/Y is the change from the fiscal year before. Revenue by part only for the years in the last two 10-Ks' segment tables. The full income statement →
Profitability
4 of 4- ✓Net margin above the peer median25.5% vs 9.6%
- ✓Gross margin up over 5 years65.6% → 66.0%
- ✓Return on equity above 15%18.5%
- ✓A profit in every one of 10 years
Cash and shareholders
2 of 3- ✓Free cash flow positive in every one of 10 years$2.5B last year
- !Share count up over 5 years+0.5%
- ✓Cash from operations above net income$3.0B vs $2.9B
Each tick is a fact with a fixed rule (on /methodology), not a score or advice. A check without the numbers it needs is left out.
Revenue and net income, FY2016 to FY2025
Revenue 10.1B Net income 2.9BFrom XBRL in each 10-K. Hover a bar for the line item and filing. Full financials →
Income statement, balance sheet and cash flow
ISRG's income statement, balance sheet and cash flow as reported to the SEC in XBRL, one column per fiscal year. Hover a number to see the line item and filing it comes from. Where a company changed how it tags a line, the first tag it reported for that period is used. A number looks wrong? Tell us.
Revenue by product or service
year to Dec 31, 2025| Revenue | Share | vs year before | |
|---|---|---|---|
| Instruments and accessories | 6.0B | 59.8% | +18.5% |
| Systems | 2.5B | 24.6% | +25.8% |
| Services | 1.6B | 15.6% | +20.3% |
10-K 0001035267-26-000010, segment and revenue notes (XBRL).
Income statement
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | 2.7B | 3.1B | 3.7B | 4.5B | 4.4B | 5.7B | 6.2B | 7.1B | 8.4B | 10.1B |
| Cost of revenue | 814.3M | 934.8M | 1.1B | 1.4B | 1.5B | 1.8B | 2.0B | 2.4B | 2.7B | 3.4B |
| Gross profit | 1.9B | 2.2B | 2.6B | 3.1B | 2.9B | 4.0B | 4.2B | 4.7B | 5.6B | 6.6B |
| R&D | 239.6M | 328.6M | 418.1M | 557.3M | 595.1M | 671.0M | 879.0M | 998.8M | 1.1B | 1.3B |
| SG&A | 703.6M | 810.5M | 986.6M | 1.2B | 1.2B | 1.5B | 1.7B | 2.0B | 2.1B | 2.4B |
| Operating income | 949.7M | 1.1B | 1.2B | 1.4B | 1.0B | 1.8B | 1.6B | 1.8B | 2.3B | 2.9B |
| Pretax income | 985.3M | 1.1B | 1.3B | 1.5B | 1.2B | 1.9B | 1.6B | 2.0B | 2.7B | 3.3B |
| Income tax | 247.0M | 433.9M | 154.5M | 120.4M | 140.2M | 162.2M | 262.4M | 141.6M | 336.3M | 434.8M |
| Net income | 738.3M | 670.9M | 1.1B | 1.4B | 1.1B | 1.7B | 1.3B | 1.8B | 2.3B | 2.9B |
| EPS (diluted) | 2.09 | 1.92 | 3.16 | 3.85 | 2.94 | 4.66 | 3.65 | 5.03 | 6.42 | 7.87 |
| Diluted shares | 353.7M | 348.9M | 356.4M | 358.4M | 361.0M | 365.8M | 362.0M | 357.4M | 362.0M | 362.7M |
| Depreciation & amortization | 70.7M | 82.1M | 105.9M | 157.0M | 221.0M | 280.0M | 326.0M | 382.0M | 439.0M | 600.0M |
| EBITDA | 1.0B | 1.1B | 1.3B | 1.5B | 1.3B | 2.1B | 1.9B | 2.1B | 2.8B | 3.5B |
| Gross margin | 69.9% | 70.2% | 69.9% | 69.4% | 65.6% | 69.3% | 67.4% | 66.4% | 67.5% | 66.0% |
| Operating margin | 35.1% | 33.9% | 32.2% | 30.7% | 24.1% | 31.9% | 25.3% | 24.8% | 28.1% | 29.3% |
| Net margin | 27.3% | 21.4% | 30.3% | 30.8% | 24.3% | 29.9% | 21.3% | 25.2% | 27.8% | 28.4% |
| Revenue growth | - | +16.0% | +18.7% | +20.3% | -2.7% | +31.0% | +9.0% | +14.5% | +17.2% | +20.5% |
| EPS growth | - | -7.8% | +64.5% | +21.7% | -23.6% | +58.5% | -21.7% | +37.8% | +27.6% | +22.6% |
Balance sheet
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Cash | 1.0B | 648.2M | 857.9M | 1.2B | 1.6B | 1.3B | 1.6B | 2.8B | 2.0B | 3.4B |
| Short-term investments | 1.5B | 1.3B | 2.2B | 2.1B | 3.5B | 2.9B | 2.5B | 2.5B | 2.0B | 2.6B |
| Receivables | 430.2M | 507.9M | 682.3M | 645.2M | 645.5M | 782.7M | 942.1M | 1.1B | 1.2B | 1.5B |
| Inventory | 182.3M | 241.2M | 409.0M | 595.5M | 601.5M | 587.1M | 893.2M | 1.2B | 1.5B | 1.8B |
| Current assets | 3.3B | 2.8B | 4.3B | 4.7B | 6.6B | 5.8B | 6.3B | 7.9B | 7.1B | 9.8B |
| Property & equipment | 458.4M | 613.1M | 812.0M | 1.3B | 1.6B | 1.9B | 2.4B | 3.5B | 4.6B | 5.3B |
| Goodwill | 201.1M | 201.1M | 240.6M | 307.2M | 336.7M | 343.6M | 348.5M | 348.7M | 347.5M | 370.3M |
| Total assets | 6.5B | 5.8B | 7.8B | 9.7B | 11.2B | 13.6B | 13.0B | 15.4B | 18.7B | 20.5B |
| Accounts payable | 68.5M | 82.5M | 100.7M | 123.5M | 81.6M | 121.2M | 147.0M | 188.7M | 193.4M | 255.1M |
| Current liabilities | 596.5M | 662.8M | 820.6M | 1.0B | 965.2M | 1.1B | 1.4B | 1.7B | 1.7B | 2.0B |
| Total liabilities | 709.1M | 996.4M | 1.2B | 1.4B | 1.4B | 1.6B | 1.9B | 2.0B | 2.2B | 2.5B |
| Shareholders' equity | 5.8B | 4.8B | 6.7B | 8.3B | 9.7B | 11.9B | 11.0B | 13.3B | 16.4B | 17.8B |
| Retained earnings | 1.6B | 115.0M | 1.5B | 2.5B | 3.3B | 4.8B | 3.5B | 4.7B | 6.8B | 7.0B |
Cash flow
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Operating cash flow | 1.1B | 1.1B | 1.2B | 1.6B | 1.5B | 2.1B | 1.5B | 1.8B | 2.4B | 3.0B |
| Capital spending | 53.9M | 190.7M | 187.4M | 425.6M | 341.5M | 339.5M | 532.4M | 1.1B | 1.1B | 539.8M |
| Free cash flow | 1.0B | 953.2M | 982.2M | 1.2B | 1.1B | 1.7B | 958.4M | 749.6M | 1.3B | 2.5B |
| Stock-based pay (added back) | 177.6M | 209.1M | 261.2M | 335.8M | 395.4M | 449.2M | 513.2M | 592.8M | 676.8M | 788.2M |
| Buybacks | 42.5M | 2.3B | 0 | 269.5M | 134.3M | 0 | 2.6B | 416.3M | 0 | 2.3B |
| Acquisitions | 0 | 0 | 87.9M | 59.7M | 37.7M | 22.7M | 12.8M | 8.9M | 1.0M | 13.9M |
| Investing cash flow | -1.3B | 378.7M | -1.0B | -1.2B | -940.6M | -2.5B | 1.4B | -360.1M | -3.3B | 665.8M |
| Financing cash flow | 514.4M | -1.9B | 126.3M | -168.4M | -85.7M | 43.0M | -2.6B | -287.6M | 150.9M | -2.4B |
Stock-based pay and leases
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Stock-based pay (expense) | 177.6M | 209.1M | 261.2M | 335.8M | 395.4M | 449.2M | 513.2M | 592.8M | 676.8M | 788.2M |
| Stock-based pay / revenue | 6.6% | 6.7% | 7.0% | 7.5% | 9.1% | 7.9% | 8.2% | 8.3% | 8.1% | 7.8% |
| Operating lease cash paid | - | - | - | 18.8M | 11.0M | 23.2M | 33.8M | 30.2M | 33.2M | 40.6M |
| Right-of-use assets | - | - | - | 74.4M | 63.9M | 74.4M | 82.2M | 79.3M | 136.4M | 150.8M |
| Operating lease liabilities | - | - | - | 76.4M | 79.9M | 87.0M | 93.8M | 89.8M | 146.0M | 170.9M |
From SEC's XBRL company facts (data.sec.gov). EBITDA = operating income + depreciation and amortization; free cash flow = operating cash flow - capital spending; total debt = long-term debt (with its current part) + short-term borrowings. Stock-based pay and leases are shown as the company reports them; Tickdelta does not take them out of earnings or add leases to debt. Click a number to open the filing in SEC's Inline XBRL viewer, where you can click the same number to see how it is tagged. Values a company later revised show as revised; the Revised numbers tab lists the changes.