NASDAQ$ISRG

Intuitive Surgical Inc · Q2 2026 earnings

Q2 2026 earnings · · After market close · Investor relations

Briefing

Intuitive Surgical reported 19% revenue growth and 24% GAAP net income growth for Q2 2026 driven by procedure volume increases.

Intuitive Surgical Inc. announced Q2 2026 results with total revenue of $2.89 billion, up 19% year-over-year. GAAP net income reached $818 million ($2.29 diluted EPS) while non-GAAP net income was $1.00 billion ($2.80 diluted EPS). Procedure growth remained strong with worldwide da Vinci and Ion procedures increasing approximately 16%.

  • Worldwide da Vinci and Ion procedures grew 16% year-over-year with da Vinci procedures up 15% and Ion procedures up 36%.
  • Placed 468 da Vinci systems (including 246 da Vinci 5) and 55 Ion systems, growing the da Vinci installed base to 11,710 systems.
  • Revenue increased 19% to $2.89 billion, led by 18% growth in instruments and accessories to $1.73 billion.
  • GAAP operating income rose to $972 million and the company ended the quarter with $8.63 billion in cash, cash equivalents, and investments.

Headline financials

Total Revenue

$2.89B

Previous: $2.44B+18.5%
EPS (adj)

$2.80

Previous: $1.81+54.7%
da Vinci installed base

11.7K

No prior period
da Vinci placements

468

No prior period
da Vinci 5 placements

246

No prior period
Ion procedure growth

36.0%

No prior period
Ion placements

55

No prior period
Ion installed base

1.1K

No prior period
da Vinci procedure growth

15.0%

No prior period
Net Income

$818M

Previous: $658M+24.3%
Operating Income

$972M

Previous: $743M+30.7%

Revenue & EPS history

Intuitive Surgical · Revenue · Quarterly

$2.89B

Q2 2026+18.5%vs Q2 2025
Beat estimate in 14 of 16 quarters(88%)
ActualEstimate

Revenue by segment

Intuitive Surgical · $2.89B total across 3 segments · Q2 2026

  • Instruments and accessories
    $1.73B
  • Systems
    $685M
  • Services
    $472M

Forward guidance

The company expects worldwide da Vinci procedure growth of 13.5% to 15.5% for full year 2026, non-GAAP gross margin of 68.0%-69.0%, and non-GAAP operating expense growth of 11%-13%.

Tailwinds

  • Strong procedure growth outlook supports continued revenue expansion
  • Portfolio strength across da Vinci, Ion, and digital solutions

Headwinds

  • Tariff impacts estimated at 1% of revenue on gross margin
  • Potential material adverse effects if additional tariffs implemented

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 19 quarterly earnings reports

Historical avg

+1.9%

Avg return

Earnings day

+1.3%

Avg return

5 days after

+3.1%

Avg return

30 days after

55%

40 / 73 earnings

Positive

+31.1%

Q4 2008

Best reaction

-16.7%

Q1 2022

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q2 2026
Q1 2026+2.8%-3.5%-9.3%
Q4 2025-3.1%+4.4%-2.8%
Q3 2025-2.3%+19.1%+21.4%
Q2 2025+0.7%+0.7%-5.7%
Q1 2025+1.9%+7.4%+12.7%
Q4 2024-4.0%+4.1%+2.7%
Q3 2024+9.3%+8.6%+10.7%
Q2 2024+6.8%+6.8%+12.4%
Q1 2024-2.1%+0.8%+6.6%
Q4 2023-1.5%+10.6%+17.7%
Q3 2023-3.1%+0.7%+10.8%
Q2 2023-3.7%-5.4%-18.2%
Q1 2023+11.0%+11.7%+16.1%
Q4 2022-4.8%-4.6%-9.6%
Q3 2022+11.1%+14.9%+37.2%
Q2 2022-3.4%-1.1%+2.5%
Q1 2022-16.7%-19.3%-27.7%
Q4 2021-8.2%-6.2%-13.7%
Q3 2021+2.3%+2.8%+8.1%
Q2 2021+1.4%+4.7%+13.2%
Q1 2021+9.9%+7.9%+2.6%
Q4 2020-6.8%-1.3%+2.5%
Q3 2020+0.2%-2.4%+0.3%
Q2 2020+2.1%+1.2%+3.8%
Q1 2020+3.0%-2.8%+1.8%
Q4 2019-3.4%-6.6%+0.5%
Q3 2019+6.8%+1.0%+7.4%
Q2 2019+1.0%+2.7%-5.4%
Q1 2019-6.5%-4.7%-6.6%
Q4 2018-2.8%-6.7%+4.1%
Q3 2018-7.1%-6.6%-4.5%
Q2 2018-2.1%-0.9%-0.6%
Q1 2018+12.6%+9.1%+9.5%
Q4 2017+0.6%-2.2%-2.3%
Q3 2017+4.3%+4.8%+10.8%
Q2 2017-4.1%-2.3%+1.8%
Q1 2017+5.1%+5.9%+11.9%
Q4 2016+6.9%+0.4%+6.5%
Q3 2016-4.0%-4.4%-7.7%
Q2 2016+4.9%+2.8%+2.2%
Q1 2016+2.8%
Q4 2015+2.1%
Q3 2015+4.4%
Q2 2015+10.5%
Q1 2015-6.5%
Q4 2014-0.1%
Q3 2014-0.7%
Q2 2014+18.8%
Q1 2014-9.0%
Q4 2013-6.5%
Q3 2013-6.2%
Q2 2013-5.5%
Q1 2013-4.5%
Q4 2012+11.6%
Q3 2012+3.9%
Q2 2012-9.3%
Q1 2012+8.0%
Q4 2011+0.4%
Q3 2011+9.3%
Q2 2011+10.3%
Q1 2011+2.0%
Q1 2009+1.5%
Q4 2010+1.5%
Q3 2010-7.9%
Q2 2010+7.4%
Q1 2010+0.2%
Q4 2007-1.9%
Q4 2009-1.9%
Q3 2008-3.1%
Q3 2009-3.1%
Q2 2008+31.1%
Q2 2009+31.1%
Q4 2008+31.1%

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