NASDAQ$ISRG

Intuitive Surgical Inc · Q4 2024 earnings

Q4 2024 earnings · · After market close · Investor relations

Briefing

Intuitive Surgical's Q4 2024 earnings reflected strong growth in revenue and system placements.

Intuitive Surgical announced strong financial results for the fourth quarter of 2024, with revenue increasing by 25% compared to the fourth quarter of 2023. The company placed 493 da Vinci surgical systems during the quarter, including 174 da Vinci 5 systems. GAAP net income attributable to Intuitive Surgical was $686 million, or $1.88 per diluted share, while non-GAAP net income was $805 million, or $2.21 per diluted share.

  • Worldwide da Vinci procedures grew approximately 18% compared with the fourth quarter of 2023.
  • The Company placed 493 da Vinci surgical systems, compared with 415 in the fourth quarter of 2023.
  • Fourth quarter 2024 revenue of $2.41 billion increased 25% compared with $1.93 billion in the fourth quarter of 2023.
  • Fourth quarter 2024 GAAP net income attributable to Intuitive Surgical, Inc. was $686 million, or $1.88 per diluted share.

Headline financials

Total Revenue

$2.41B

Previous: $1.93B+25.2%
EPS (adj)

$2.21

Previous: $1.60+38.1%
Da Vinci systems installed base

9.9K

Previous: 8.6K+15.1%
Total da Vinci system placements

493

Previous: 415+18.8%
Da Vinci 5 system placements

174

No prior period
Ion endoluminal system placements

69

No prior period
Ion endoluminal system installed base

805

No prior period
Capital Expenditures

-$312M

No prior period
Net Income

$686M

Previous: $606M+13.2%
Operating Income

$735M

Previous: $450M+63.3%
Gross Profit

$1.64B

Previous: $1.28B+28.6%
R&D Expense

$295M

Previous: $260M+13.3%
Stock-Based Comp

$177M

Previous: $150M+17.7%

Revenue & EPS history

Intuitive Surgical · Revenue · Quarterly

$2.41B

Q4 2024+25.2%vs Q4 2023
Beat estimate in 13 of 15 quarters(87%)
ActualEstimate

Revenue by segment

Intuitive Surgical · $1.74B total across 3 segments · Q3 2023

  • Instruments and accessories
    $1.07B+22.9%
  • Systems
    $379M-10.9%
  • Services
    $293M+12.7%

Forward guidance

The Company expects worldwide da Vinci procedures to increase approximately 13% to 16% in 2025 as compared to 2024. The Company expects non-GAAP gross profit margin to be within a range of 67% and 68% of net revenue in 2025, compared to 69.1% in 2024. The Company expects non-GAAP operating expense growth to be within a range of 10% to 15% in 2025, compared to 10% in 2024.

Tailwinds

  • Worldwide da Vinci procedures to increase approximately 13% to 16% in 2025
  • Strong revenue growth driven by da Vinci procedure volume
  • Increase in the installed base of systems
  • Continued innovation with da Vinci 5 systems
  • Expected non-GAAP gross profit margin between 67% and 68%

Headwinds

  • Potential impact of new tariffs on business
  • Macroeconomic environment may impact customer spending
  • Disruptions to the Company’s supply chain
  • Delays in obtaining new product approvals
  • Changes in hospital admissions and actions by payers

Historical earnings impact

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

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2024

Historical avgQ4 2024

+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%

Q2 2009

Best reaction

-16.7%

Q1 2022

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
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%
Q4 2010+1.5%
Q1 2009+1.5%
Q3 2010-7.9%
Q2 2010+7.4%
Q1 2010+0.2%
Q4 2007-1.9%
Q4 2009-1.9%
Q3 2009-3.1%
Q3 2008-3.1%
Q2 2008+31.1%
Q4 2008+31.1%
Q2 2009+31.1%

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