[10-Q] INTUITIVE SURGICAL INC Quarterly Earnings Report

Rhea-AI Filing Summary

Intuitive Surgical (ISRG) reported strong Q3 2025 results. Revenue rose to $2,505.1M from $2,038.1M a year ago, led by instruments and accessories $1,518.8M, systems $590.4M, and service $395.9M. Net income was $704.4M with diluted EPS of $1.95 (vs. $1.56), and income from operations reached $759.7M. U.S. revenue was $1,717.6M; outside the U.S. was $787.5M.

Cash and cash equivalents were $2,806.6M and short‑term investments $2,102.2M as of September 30, 2025. Year‑to‑date cash from operations was $2,138.0M. The company repurchased $1,919.6M of stock in Q3 at an average price of $479.60; authorization remaining was about $1.9B. Remaining performance obligations were $2.88B. Intuitive outlined a pending acquisition of da Vinci and Ion distribution businesses in Italy, Spain, Portugal, Malta, and San Marino for EUR 290M upfront plus up to EUR 31M in milestones, subject to approvals and expected in the first half of 2026.

Legal updates included an appeals court affirming a prior judgment in the Rex Medical matter and a trial court ruling in Intuitive’s favor on SIS antitrust claims; a related class action was certified, with no trial date set.

Insights

Medical technology equity analyst

Strong top-line and EPS growth; capital returns stepped up.

ISRG delivered higher revenue at $2,505.1M with broad-based contribution: instruments and accessories $1,518.8M, systems $590.4M, and service $395.9M. Operating income reached $759.7M, and diluted EPS was $1.95. U.S. revenue was $1,717.6M and OUS $787.5M, indicating balanced demand.

Liquidity remained solid with cash and cash equivalents of $2,806.6M and short‑term investments of $2,102.2M. Year‑to‑date operating cash flow was $2,138.0M. Share repurchases totaled $1,919.6M in Q3, with about $1.9B authorization left, while remaining performance obligations stood at $2.88B, supporting future service revenue.

Legal context: the Court of Appeals affirmed the district court’s judgment in the Rex Medical case on October 2, 2025. In the SIS matter, the court found in Intuitive’s favor on antitrust claims; a related class action was certified on March 31, 2025. A brief in the SIS appeal is due October 29, 2025. Actual impact depends on subsequent proceedings and holder decisions.

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2025

OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from             to             

Commission file number 000-30713 

Intuitive Surgical, Inc.

(Exact name of Registrant as specified in its Charter)

Delaware						77-0416458
(State or Other Jurisdiction of Incorporation or Organization)						(I.R.S. Employer Identification No.)

1020 Kifer Road

Sunnyvale, California 94086

(Address of principal executive offices) (Zip Code)

(408) 523-2100

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class			Trading Symbol(s)			Name of each exchange on which registered
Common Stock, par value $0.001 per share			ISRG			The Nasdaq Global Select Market

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes  x    No  ¨

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See definition of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

x

Accelerated filer

¨

Non-accelerated filer

¨

Smaller reporting company

☐

Emerging growth company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ¨  

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ☐    No  x

The Registrant had 354,496,073 shares of Common Stock, $0.001 par value per share, outstanding as of October 16, 2025.

INTUITIVE SURGICAL, INC.

TABLE OF CONTENTS

						Page No.
PART I. FINANCIAL INFORMATION
Item 1.			Financial Statements (unaudited):
			Condensed Consolidated Balance Sheets as of September 30, 2025, and December 31, 2024			3
			Condensed Consolidated Statements of Comprehensive Income for the three and nine months ended September 30, 2025, and 2024			4
			Condensed Consolidated Statements of Cash Flows for the nine months ended September 30, 2025, and 2024			5
			Notes to Condensed Consolidated Financial Statements			6
Item 2.			Management’s Discussion and Analysis of Financial Condition and Results of Operations			25
Item 3.			Quantitative and Qualitative Disclosures About Market Risk			51
Item 4.			Controls and Procedures			51
PART II. OTHER INFORMATION
Item 1.			Legal Proceedings			52
Item 1A.			Risk Factors			52
Item 2.			Unregistered Sales of Equity Securities and Use of Proceeds			52
Item 3.			Defaults Upon Senior Securities			52
Item 4.			Mine Safety Disclosures			52
Item 5.			Other Information			52
Item 6.			Exhibits			53
			Signature			54

2

PART I – FINANCIAL INFORMATION

ITEM 1. FINANCIAL STATEMENTS

INTUITIVE SURGICAL, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

in millions (except par values)			September 30, 2025						December 31, 2024
ASSETS
Current assets:
Cash and cash equivalents			$	2,806.6					$	2,027.4
Short-term investments			2,102.2						1,985.9
Accounts receivable, net			1,259.7						1,225.4
Inventory			1,781.9						1,487.2
Prepaids and other current assets			574.9						385.1
Total current assets			8,525.3						7,111.0
Property, plant, and equipment, net			5,150.9						4,646.6
Long-term investments			3,523.7						4,819.1
Deferred tax assets			978.9						1,045.1
Intangible and other assets, net			824.9						773.9
Goodwill			348.1						347.5
Total assets			$	19,351.8					$	18,743.2
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable			$	291.2					$	193.4
Accrued compensation and employee benefits			455.5						535.6
Deferred revenue			491.1						468.8
Other accrued liabilities			565.4						547.5
Total current liabilities			1,803.2						1,745.3
Other long-term liabilities			506.5						468.3
Total liabilities			2,309.7						2,213.6
Contingencies (Note 8)
Stockholders’ equity:
Preferred stock, 2.5 shares authorized, $0.001 par value, issuable in series; zero shares issued and outstanding as of September 30, 2025, and December 31, 2024			—						—
Common stock, 600.0 shares authorized, $0.001 par value, 354.9 shares and 356.6 shares issued and outstanding as of September 30, 2025, and December 31, 2024, respectively			0.4						0.4
Additional paid-in capital			10,478.8						9,681.3
Retained earnings			6,424.0						6,803.3
Accumulated other comprehensive income (loss)			26.5						(51.3)
Total Intuitive Surgical, Inc. stockholders’ equity			16,929.7						16,433.7
Noncontrolling interest in joint venture			112.4						95.9
Total stockholders’ equity			17,042.1						16,529.6
Total liabilities and stockholders’ equity			$	19,351.8					$	18,743.2

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements (Unaudited).

3

INTUITIVE SURGICAL, INC.
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(UNAUDITED)

			Three Months Ended September 30,												Nine Months Ended September 30,
in millions (except per share amounts)			2025						2024						2025						2024
Revenue:
Product			$	2,109.2					$	1,709.2					$	6,048.4					$	4,978.9
Service			395.9						328.9						1,150.1						959.7
Total revenue			2,505.1						2,038.1						7,198.5						5,938.6
Cost of revenue:
Product			699.4						555.4						2,056.3						1,649.2
Service			143.3						108.8						404.2						297.4
Total cost of revenue			842.7						664.2						2,460.5						1,946.6
Gross profit			1,662.4						1,373.9						4,738.0						3,992.0
Operating expenses:
Selling, general, and administrative			573.3						510.6						1,697.9						1,527.4
Research and development			329.4						286.0						958.9						850.6
Total operating expenses			902.7						796.6						2,656.8						2,378.0
Income from operations			759.7						577.3						2,081.2						1,614.0
Interest and other income, net			95.5						93.7						274.6						250.0
Income before taxes			855.2						671.0						2,355.8						1,864.0
Income tax expense			146.0						100.4						278.7						214.5
Net income			709.2						570.6						2,077.1						1,649.5
Less: net income attributable to noncontrolling interest in joint venture			4.8						5.5						15.9						12.6
Net income attributable to Intuitive Surgical, Inc.			$	704.4					$	565.1					$	2,061.2					$	1,636.9
Net income per share attributable to Intuitive Surgical, Inc.:
Basic			$	1.98					$	1.59					$	5.77					$	4.61
Diluted			$	1.95					$	1.56					$	5.67					$	4.53
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:
Basic			356.6						355.8						357.5						354.8
Diluted			361.8						362.7						363.5						361.4
Other comprehensive income, net of tax:
Unrealized gains (losses) on hedge instruments			$	12.5					$	(15.5)					$	(13.2)					$	(5.1)
Unrealized gains on available-for-sale securities			5.2						59.5						41.7						60.8
Foreign currency translation gains (losses)			5.9						(6.9)						49.5						(30.4)
Employee benefit plan adjustments			0.1						(0.2)						0.4						(0.3)
Other comprehensive income			23.7						36.9						78.4						25.0
Total comprehensive income			732.9						607.5						2,155.5						1,674.5
Less: comprehensive income attributable to noncontrolling interest			5.0						6.0						16.5						12.5
Total comprehensive income attributable to Intuitive Surgical, Inc.			$	727.9					$	601.5					$	2,139.0					$	1,662.0

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements (Unaudited).

4

INTUITIVE SURGICAL, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

			Nine Months Ended September 30,
in millions			2025						2024
Operating activities:
Net income			$	2,077.1					$	1,649.5
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and loss on disposal of property, plant, and equipment			446.3						323.7
Amortization of intangible assets			9.9						13.6
Gain on investments, accretion of discounts, and amortization of premiums on investments, net			(42.3)						(38.2)
Deferred income taxes			58.6						(104.5)
Share-based compensation expense			584.9						499.8
Amortization of contract acquisition assets			27.4						27.0
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable			(34.2)						(21.8)
Inventory			(810.4)						(650.9)
Prepaids and other assets			(248.9)						(79.6)
Accounts payable			97.0						21.2
Accrued compensation and employee benefits			(80.2)						(58.9)
Deferred revenue			47.6						(6.1)
Other liabilities			5.2						17.6
Net cash provided by operating activities			2,138.0						1,592.4
Investing activities:
Purchase of investments			(790.9)						(3,709.6)
Proceeds from sales of investments			249.1						100.2
Proceeds from maturities of investments			1,795.5						2,400.0
Purchase of property, plant, and equipment			(377.3)						(799.2)
Acquisition of businesses, net of cash, and intellectual property and other investing activities			(1.2)						—
Net cash provided by (used in) investing activities			875.2						(2,008.6)
Financing activities:
Proceeds from issuance of common stock relating to employee stock plans			273.7						367.5
Taxes paid related to net share settlement of equity awards			(406.0)						(257.5)
Repurchase of common stock			(2,094.3)						—
Cash dividends paid by joint venture to noncontrolling interest			—						(8.0)
Payment of deferred purchase consideration			—						(0.5)
Net cash provided by (used in) financing activities			(2,226.6)						101.5
Effect of exchange rate changes on cash, cash equivalents, and restricted cash			0.5						(9.1)
Net increase (decrease) in cash, cash equivalents, and restricted cash			787.1						(323.8)
Cash, cash equivalents, and restricted cash, beginning of period			2,062.4						2,770.1
Cash, cash equivalents, and restricted cash, end of period			$	2,849.5					$	2,446.3

The accompanying notes are an integral part of these Condensed Consolidated Financial Statements (Unaudited).

5

INTUITIVE SURGICAL, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(UNAUDITED)

In this report, “Intuitive,” the “Company,” “we,” “us,” and “our” refer to Intuitive Surgical, Inc. and its wholly and majority-owned subsidiaries.

NOTE 1.    DESCRIPTION OF THE BUSINESS

Intuitive develops, manufactures, and markets da Vinci® surgical systems and the Ion® endoluminal system. The Company’s products and related services enable physicians and healthcare providers to improve the quality of and access to minimally invasive care. The da Vinci surgical system is designed to enable surgeons to perform a wide range of surgical procedures within our targeted general surgery, urologic, gynecologic, cardiothoracic, and head and neck specialties and consists of a surgeon console or consoles, a patient-side cart, and a high-performance vision system. The Ion endoluminal system is a flexible, robotic-assisted, catheter-based platform for which the first cleared indication is minimally invasive biopsies in the lung and consists of a system cart, a controller, a catheter, and a vision probe. Both systems use software, instruments, and accessories.

NOTE 2.    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Basis of Presentation

The unaudited Condensed Consolidated Financial Statements (“Financial Statements”) and accompanying notes have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”) and pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) for interim financial reporting. In the opinion of management, the accompanying Financial Statements of Intuitive Surgical, Inc. and its wholly and majority-owned subsidiaries have been prepared on a consistent basis with the audited Consolidated Financial Statements for the fiscal year ended December 31, 2024, and include all adjustments, consisting of only normal, recurring adjustments, necessary to fairly state the information set forth herein.

Certain information and footnote disclosures typically included in the annual consolidated financial statements have been condensed or omitted. Accordingly, these Financial Statements should be read in conjunction with the audited Consolidated Financial Statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024, which was filed with the SEC on January 31, 2025. The results of operations for the first nine months of 2025 are not necessarily indicative of the results to be expected for the entire fiscal year or any future periods.

The Financial Statements include the results and balances of the Company’s majority-owned joint ventures, Intuitive Surgical-Fosun Medical Technology (Shanghai) Co., Ltd. and Intuitive Surgical-Fosun (HongKong) Co., Ltd. (collectively, the “Joint Venture”), with Shanghai Fosun Pharmaceutical (Group) Co., Ltd. (“Fosun Pharma”). The Company holds a controlling financial interest in the Joint Venture, and the noncontrolling interest is reflected as a separate component of the consolidated stockholders’ equity. The noncontrolling interest’s share of the earnings in the Joint Venture is presented separately in the Condensed Consolidated Statements of Comprehensive Income.

Risks and Uncertainties

The Company’s future results of operations and liquidity could be materially adversely affected by uncertainties surrounding macroeconomic and geopolitical factors in both the U.S. and globally. These uncertainties include any introduction or modification of tariffs or trade barriers, inflationary pressures, elevated interest rates, disruptions in commodity markets stemming from conflicts, such as those between Russia and Ukraine and conflicts in the Middle East, and supply chain challenges.

Recent tariff changes imposed by the U.S. and other countries have created increased risks and uncertainties surrounding the Company’s future results of operations. The U.S. import tariffs, along with any reciprocal measures by other countries, are expected to increase the Company’s cost of raw materials and finished goods imported from outside of the U.S. Additionally, the Company anticipates that some of its suppliers will incur incremental tariff-related costs, which may be passed on to the Company. The ultimate impact of changes to tariffs or trade barriers will depend on various factors, including the timing, amount, scope, and nature of any tariffs or trade barriers that are implemented.

Recently Issued Accounting Pronouncements

In December 2023, the Financial Accounting Standards Board (“FASB”) issued Accounting Standard Update (“ASU”) 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which requires enhanced income tax disclosures, including specific categories and disaggregation of information in the effective tax rate reconciliation, disaggregated information related to income taxes paid, income or loss from continuing operations before income tax expense

6

or benefit, and income tax expense or benefit from continuing operations. ASU 2023-09 is effective for annual periods beginning after December 15, 2024, with early adoption permitted. The Company plans to adopt ASU 2023-09 during the fourth quarter of 2025 for its annual report using a prospective transition method and does not expect this standard to have a material impact on its consolidated financial statements.

In November 2024, the FASB issued ASU 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses (“ASU 2024-03”), which requires disclosure about the types of costs and expenses included in certain expense captions presented on the income statement. The new disclosure requirements are effective for the Company’s annual periods beginning after December 15, 2026, and interim periods beginning after December 15, 2027, with early adoption permitted. The Company is currently in the process of evaluating the impact of this pronouncement on its related disclosures.

In September 2025, the FASB issued ASU 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software (“ASU 2025-06”), which modernizes the accounting for internal-use software costs. ASU 2025-06 is effective for annual periods beginning after December 15, 2027, with early adoption permitted as of the beginning of an annual period. The Company is currently in the process of evaluating the impact of this pronouncement on its consolidated financial statements and related disclosures.

In September 2025, the FASB issued ASU 2025-07, Derivatives and Hedging (Topic 815) and Revenue from Contracts with Customers (Topic 606): Derivative Scope Refinements and Scope Clarification for Share-Based Noncash Consideration from a Customer in a Revenue Contract (“ASU 2025-07”), which refines the scope of derivative accounting and clarifies the guidance on share-based payments from a customer in revenue arrangements. ASU 2025-07 is effective for annual periods beginning after December 15, 2026, with early adoption permitted. The Company does not expect this standard to have a material impact on its consolidated financial statements and related disclosures.

The Company continues to monitor new accounting pronouncements issued by the FASB and does not believe any accounting pronouncements issued through the date of this report will have a material impact on the Company’s Financial Statements.

Significant Accounting Policies

There have been no new or material changes to the significant accounting policies discussed in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2024, that are of significance, or potential significance, to the Company.

NOTE 3.    FINANCIAL INSTRUMENTS

Cash, Cash Equivalents, and Investments

The following tables summarize the Company’s cash and available-for-sale debt securities’ amortized cost, gross unrealized gains, gross unrealized losses, allowance for credit loss, and fair value by significant investment category reported as cash and cash equivalents, short-term investments, or long-term investments (in millions):

			As of September 30, 2025
																																	Reported as:
			Amortized Cost						Gross Unrealized Gains						Gross Unrealized Losses						Allowance for Credit Loss						Fair Value						Cash and Cash Equivalents						Short- term Investments						Long- term Investments
Cash			$	572.7					$	—					$	—					$	—					$	572.7					$	572.7					$	—					$	—
Level 1:
Money market funds			1,861.2						—						—						—						1,861.2						1,861.2						—						—
U.S. treasuries			5,510.1						37.1						(3.0)						—						5,544.2						372.7						1,923.0						3,248.5
Subtotal			7,371.3						37.1						(3.0)						—						7,405.4						2,233.9						1,923.0						3,248.5
Level 2:
Corporate debt securities			89.2						—						(1.2)						(0.1)						87.9						—						73.3						14.6
U.S. government agencies			362.9						2.4						(0.2)						—						365.1						—						104.5						260.6
Municipal securities			1.4						—						—						—						1.4						—						1.4						—
Subtotal			453.5						2.4						(1.4)						(0.1)						454.4						—						179.2						275.2
Total assets measured at fair value			$	8,397.5					$	39.5					$	(4.4)					$	(0.1)					$	8,432.5					$	2,806.6					$	2,102.2					$	3,523.7

7

			As of December 31, 2024
																																	Reported as:
			Amortized Cost						Gross Unrealized Gains						Gross Unrealized Losses						Allowance for Credit Loss						Fair Value						Cash and Cash Equivalents						Short- term Investments						Long- term Investments
Cash			$	479.4					$	—					$	—					$	—					$	479.4					$	479.4					$	—					$	—
Level 1:
Money market funds			1,516.1						—						—						—						1,516.1						1,516.1						—						—
U.S. treasuries			6,011.5						13.2						(27.5)						—						5,997.2						31.9						1,637.4						4,327.9
Subtotal			7,527.6						13.2						(27.5)						—						7,513.3						1,548.0						1,637.4						4,327.9
Level 2:
Corporate debt securities			287.5						0.1						(3.7)						(0.1)						283.8						—						189.7						94.1
U.S. government agencies			552.2						1.5						(2.4)						—						551.3						—						154.2						397.1
Municipal securities			4.7						—						(0.1)						—						4.6						—						4.6						—
Subtotal			844.4						1.6						(6.2)						(0.1)						839.7						—						348.5						491.2
Total assets measured at fair value			$	8,851.4					$	14.8					$	(33.7)					$	(0.1)					$	8,832.4					$	2,027.4					$	1,985.9					$	4,819.1

The following table summarizes the contractual maturities of the Company’s cash equivalents and available-for-sale debt securities, excluding money market funds (in millions):

			As of September 30, 2025
			Amortized Cost						Fair Value
Mature in less than one year			$	2,472.4					$	2,474.9
Mature in one to five years			3,491.2						3,523.7
Total			$	5,963.6					$	5,998.6

Actual maturities may differ from contractual maturities, because certain borrowers have the right to call or prepay certain obligations. Gross realized gains and losses recognized on the sale of investments were immaterial for the periods presented.

The following tables present the breakdown of the available-for-sale debt securities with unrealized losses (in millions):

			As of September 30, 2025
			Unrealized losses less than 12 months												Unrealized losses 12 months or greater												Total
			Fair Value						Unrealized Losses						Fair Value						Unrealized Losses						Fair Value						Unrealized Losses
U.S. treasuries			$	405.9					$	(0.7)					$	730.7					$	(2.3)					$	1,136.6					$	(3.0)
Corporate debt securities			—						—						73.1						(1.2)						73.1						(1.2)
U.S. government agencies			—						—						29.0						(0.2)						29.0						(0.2)
Municipal securities			—						—						1.4						—						1.4						—
Total			$	405.9					$	(0.7)					$	834.2					$	(3.7)					$	1,240.1					$	(4.4)

			As of December 31, 2024
			Unrealized losses less than 12 months												Unrealized losses 12 months or greater												Total
			Fair Value						Unrealized Losses						Fair Value						Unrealized Losses						Fair Value						Unrealized Losses
U.S. treasuries			$	2,744.4					$	(23.3)					$	190.1					$	(4.2)					$	2,934.5					$	(27.5)
Corporate debt securities			—						—						218.7						(3.7)						218.7						(3.7)
U.S. government agencies			178.1						(1.2)						106.7						(1.2)						284.8						(2.4)
Municipal securities			—						—						4.6						(0.1)						4.6						(0.1)
Total			$	2,922.5					$	(24.5)					$	520.1					$	(9.2)					$	3,442.6					$	(33.7)

8

The Company’s investments may, at any time, consist of money market funds, U.S. treasury and U.S. government agency securities, high-quality corporate notes and bonds, commercial paper, non-U.S. government agency securities, and taxable and tax-exempt municipal notes. The Company regularly reviews the securities in an unrealized loss position and evaluates the current expected credit loss by considering factors such as historical experience, market data, financial condition and near-term prospects of the investee, the extent of the loss related to the credit of the issuer, and the expected cash flows from the security. The Company segments its portfolio based on the underlying risk profiles of the securities and has a zero-loss expectation for U.S. treasury and U.S. government agency securities. The basis for this assumption is that these securities have consistently high credit ratings by rating agencies, have a long history with no credit losses, are explicitly guaranteed by a sovereign entity, which can print its own currency, and are denominated in a currency that is routinely held by central banks, used in international commerce, and commonly viewed as a reserve currency. Additionally, all of the Company’s investments in corporate debt securities and municipal securities are in securities with high-quality credit ratings, which have historically experienced low rates of default.

The current unrealized losses on the Company’s available-for-sale debt securities were caused by interest rate increases. The contractual terms of those investments do not permit the issuer to settle the securities at a price less than the amortized cost basis of the investments. As of September 30, 2025, the Company does not intend to sell the investments in unrealized loss positions, and it is not more-likely-than-not that the Company will be required to sell any of the investments before recovery of their amortized cost basis, which may be at maturity. Therefore, the Company does not expect to realize any losses on these available-for-sale debt securities. Additional factors considered in determining the treatment of unrealized losses include the financial condition and near-term prospects of the investee, the extent of the loss related to the credit of the issuer, and the expected cash flows from the security.

For the three and nine months ended September 30, 2025, and 2024, credit losses related to available-for-sales debt securities were not material.

Equity Investments

The Company’s equity investments may, at any time, consist of equity investments with and without readily determinable fair values. The Company generally recognizes equity investments that do not have readily determinable fair values at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for the identical or a similar investment of the same issuer.

The following table is a summary of the activity related to equity investments (in millions):

																											Reported as:
			December 31, 2024 Carrying Value						Changes in Fair Value						Purchases / Sales / Other (1)						September 30, 2025 Carrying Value						Prepaids and other current assets						Intangible and other assets, net
Equity investments without readily determinable fair value (Level 2)			$	84.6					$	(6.7)					$	30.6					$	108.5					$	—					$	108.5
(1) Other includes foreign currency translation gains/(losses).

For the nine months ended September 30, 2025, the Company did not hold any equity investments with readily determinable fair values (Level 1).

For the nine months ended September 30, 2025, the Company recognized a net decrease in fair value of $6.7 million, primarily due to impairments, in interest and other income, net.

Foreign Currency Derivatives

The objective of the Company’s hedging program is to mitigate the impact of changes in currency exchange rates on net cash flow from foreign currency-denominated sales, expenses, intercompany balances, and other monetary assets or liabilities denominated in currencies other than the U.S. dollar (“USD”). The terms of the Company’s derivative contracts are generally thirteen months or shorter. The derivative assets and liabilities are measured using Level 2 fair value inputs.

Cash Flow Hedges

The Company enters into currency forward contracts as cash flow hedges to hedge certain forecasted revenue transactions denominated in currencies other than the USD, primarily the Euro (“EUR”), the British Pound (“GBP”), the Japanese Yen (“JPY”), the Korean Won (“KRW”), the New Taiwan Dollar (“TWD”), and the Indian Rupee (“INR”). The Company also enters into currency forward contracts as cash flow hedges to hedge certain forecasted expense transactions denominated in EUR and the Swiss Franc (“CHF”).

9

For these derivatives, the Company reports the unrealized after-tax gain or loss from the hedge as a component of accumulated other comprehensive income (loss) in stockholders’ equity and reclassifies the amount into earnings in the same period in which the hedged transaction affects earnings. The amounts reclassified to revenue and expenses related to the hedged transactions and the ineffective portions of cash flow hedges were not material for the three and nine months ended September 30, 2025, and 2024.

Other Derivatives Not Designated as Hedging Instruments

Other derivatives not designated as hedging instruments consist primarily of forward contracts that the Company uses to hedge intercompany balances and other monetary assets or liabilities denominated in currencies other than the USD, primarily the EUR, GBP, JPY, KRW, CHF, TWD, INR, the Mexican Peso (“MXN”), and the Chinese Yuan (“CNY”).

These derivative instruments are used to hedge against balance sheet foreign currency exposures. The related gains and losses were as follows (in millions):

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Recognized gains (losses) in interest and other income, net			$	13.2					$	(27.3)					$	(22.1)					$	2.8
Foreign exchange gains (losses) related to balance sheet re-measurement			$	(14.3)					$	31.5					$	12.2					$	(1.1)

The notional amounts for derivative instruments provide one measure of the transaction volume. Total gross notional amounts (in USD) for outstanding derivatives and the aggregate gross fair value at the end of each period were as follows (in millions):

			Derivatives Designated as Hedging Instruments												Derivatives Not Designated as Hedging Instruments
			September 30, 2025						December 31, 2024						September 30, 2025						December 31, 2024
Notional amounts:
Forward contracts			$	570.8					$	382.2					$	714.4					$	693.5
Gross fair value recorded in:
Prepaids and other current assets			$	5.4					$	14.9					$	3.3					$	13.0
Other accrued liabilities			$	8.1					$	2.1					$	9.0					$	2.4

NOTE 4.    BALANCE SHEET DETAILS AND OTHER FINANCIAL INFORMATION

Balance Sheet Details

The following tables provide details of selected Condensed Consolidated Balance Sheet line items (in millions):

			As of
Accounts receivable, net			September 30, 2025						December 31, 2024
Trade accounts receivable, net			$	1,120.0					$	1,117.2
Unbilled accounts receivable and other			164.6						138.7
Sales returns and allowances			(24.9)						(30.5)
Total accounts receivable, net			$	1,259.7					$	1,225.4

			As of
Inventory			September 30, 2025						December 31, 2024
Raw materials			$	531.2					$	563.9
Work-in-process			225.2						205.7
Finished goods			1,025.5						717.6
Total inventory			$	1,781.9					$	1,487.2

10

			As of
Prepaids and other current assets			September 30, 2025						December 31, 2024
Net investment in sales-type leases – short-term			$	124.2					$	131.4
Prepaid taxes			168.0						4.9
Other prepaids and other current assets			282.7						248.8
Total prepaids and other current assets			$	574.9					$	385.1

			As of
Other accrued liabilities – short-term			September 30, 2025						December 31, 2024
Income and other taxes payable			$	128.1					$	154.4
Accrued construction-related capital expenditures			71.7						57.2
Other accrued liabilities			365.6						335.9
Total other accrued liabilities – short-term			$	565.4					$	547.5

			As of
Other long-term liabilities			September 30, 2025						December 31, 2024
Income taxes – long-term			$	231.2					$	239.0
Deferred revenue – long-term			79.4						54.1
Other long-term liabilities			195.9						175.2
Total other long-term liabilities			$	506.5					$	468.3

Supplemental Cash Flow Information

The following table provides supplemental non-cash investing and financing activities (in millions):

			Nine Months Ended September 30,
			2025						2024
Equipment transfers, including operating lease assets, from inventory to property, plant, and equipment			$	580.1					$	423.8
Acquisition of property, plant, and equipment in accounts payable and accrued liabilities			$	79.9					$	194.9

Restricted Cash

Amounts included in restricted cash primarily relate to the Company’s insurance programs and certain employee-related benefits. The following table provides details of total cash, cash equivalents, and restricted cash as of the periods presented (in millions):

			As of
			September 30, 2025						December 31, 2024
Cash and cash equivalents			$	2,806.6					$	2,027.4
Restricted cash within other current assets			27.9						20.0
Restricted cash within other assets			15.0						15.0
Total cash, cash equivalents, and restricted cash			$	2,849.5					$	2,062.4

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NOTE 5.    REVENUE

Revenue from external customers is attributed to individual countries based on customer location. The following table presents revenue disaggregated by geography and type (in millions):

			Three Months Ended September 30,												Nine Months Ended September 30,
U.S.			2025						2024						2025						2024
Instruments and accessories			$	1,062.0					$	904.8					$	3,043.1					$	2,618.6
Systems			397.5						265.4						1,087.4						702.2
Service			258.1						209.2						754.7						616.3
Total U.S. revenue			$	1,717.6					$	1,379.4					$	4,885.2					$	3,937.1
Outside of the U.S. (“OUS”)
Instruments and accessories			$	456.8					$	359.4					$	1,317.5					$	1,048.9
Systems			192.9						179.6						600.4						609.2
Service			137.8						119.7						395.4						343.4
Total OUS revenue			$	787.5					$	658.7					$	2,313.3					$	2,001.5
Total
Instruments and accessories			$	1,518.8					$	1,264.2					$	4,360.6					$	3,667.5
Systems			590.4						445.0						1,687.8						1,311.4
Service			395.9						328.9						1,150.1						959.7
Total revenue			$	2,505.1					$	2,038.1					$	7,198.5					$	5,938.6

Remaining Performance Obligations

The transaction price allocated to remaining performance obligations relates to amounts allocated to products and services for which revenue has not yet been recognized. A significant portion of these performance obligations relate to service obligations in the Company’s system sale and lease arrangements that will be satisfied and recognized as revenue in future periods. The transaction price allocated to the remaining performance obligations was $2.88 billion as of September 30, 2025. The remaining performance obligations are expected to be satisfied over the term of the system sale, lease, and service arrangements. Approximately 44% of the remaining performance obligations are expected to be recognized in the next 12 months with the remainder recognized thereafter over the term of the system sale, lease, and service arrangements, which are generally up to 5 years.

Contract Assets and Liabilities

The following information summarizes the Company’s contract assets and liabilities (in millions):

			As of
			September 30, 2025						December 31, 2024
Contract assets			$	18.2					$	13.9
Deferred revenue			$	570.5					$	522.9

Contract assets for the periods presented primarily represent the difference between the revenue that was recognized based on the relative standalone selling price of the related performance obligations satisfied and the contractual billing terms in the arrangements. The Company did not have significant impairment losses on its contract assets for any of the periods presented.

The Company invoices its customers based on the billing schedules in its sales arrangements. Payments are generally due 30 to 60 days from the date of invoice.

Deferred revenue for the periods presented primarily relates to service contracts where the service fees are billed up-front, generally quarterly or annually, prior to those services having been performed. The associated deferred revenue is generally recognized over the term of the service period.

During the three and nine months ended September 30, 2025, the Company recognized $91 million and $415 million of revenue, respectively, that was included in the deferred revenue balance as of December 31, 2024. During the three and nine

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months ended September 30, 2024, the Company recognized $81 million and $388 million of revenue, respectively, that was included in the deferred revenue balance as of December 31, 2023.

Intuitive System Leasing

The following table presents product revenue from Intuitive System Leasing arrangements (in millions):

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Sales-type lease revenue			$	30.9					$	30.2					$	72.5					$	88.6
Operating lease revenue*			$	223.0					$	167.8					$	632.0					$	472.7
*Variable lease revenue within operating lease revenue			$	138.3					$	87.0					$	380.0					$	237.1

Trade Accounts Receivable

The allowance for doubtful accounts is based on the Company’s assessment of the collectibility of customer accounts. The Company regularly reviews the allowance by considering factors such as historical experience, credit quality, age of the accounts receivable balances, and current economic conditions that may affect a customer’s ability to pay. For the three and nine months ended September 30, 2025, and 2024, bad debt expense was not material.

The Company’s exposure to credit losses may increase if its customers are adversely affected by changes in healthcare laws, procedure coverage and reimbursement, economic pressures or uncertainty associated with local or global economic recessions, or other customer-specific factors. Although the Company has historically not experienced significant credit losses, it is possible that there could be a material adverse impact from potential adjustments of the carrying amount of lease and trade receivables as hospital cash flows are impacted by macroeconomic factors, including inflation, tariffs, high interest rates, and staffing shortages.

NOTE 6.    LEASES

Lessor Information related to Intuitive System Leasing

Sales-type Leases. Lease receivables relating to sales-type lease arrangements are presented on the Condensed Consolidated Balance Sheets as follows (in millions):

			As of
			September 30, 2025						December 31, 2024
Gross lease receivables			$	345.2					$	393.4
Unearned income			(14.8)						(13.9)
Subtotal			330.4						379.5
Allowance for credit loss			(2.6)						(2.6)
Net investment in sales-type leases			$	327.8					$	376.9
Reported as:
Prepaids and other current assets			$	124.2					$	131.4
Intangible and other assets, net			203.6						245.5
Net investment in sales-type leases			$	327.8					$	376.9

Contractual maturities of gross lease receivables as of September 30, 2025, are as follows (in millions):

Fiscal Year			Amount
Remainder of 2025			$	24.1
2026			127.9
2027			89.9
2028			56.7
2029			36.0
2030 and thereafter			10.6
Total			$	345.2

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The Company enters into sales-type leases with certain qualified customers to purchase its systems. Sales-type leases have terms that generally range from 24 to 84 months and are usually collateralized by a security interest in the underlying assets. The allowance for loan loss is based on the Company’s assessment of the current expected lifetime loss on lease receivables. The Company regularly reviews the allowance by considering factors such as historical experience, credit quality, age of the lease receivable balances, and current economic conditions that may affect a customer’s ability to pay. Lease receivables are considered past due 90 days after invoice.

The Company manages the credit risk of the net investment in sales-type leases using a number of factors relating to its customers, including, but not limited to, the following: size of operations; profitability, liquidity, and debt ratios; payment history; and past due amounts. The Company also uses credit scores obtained from external providers as a key indicator for the purposes of determining credit quality. The following table summarizes the amortized cost basis by year of origination and by credit quality for the net investment in sales-type leases as of September 30, 2025 (in millions):

			2025						2024						2023						2022						2021						Prior						Net Investment
Credit Rating:
High			$	41.0					$	55.9					$	25.2					$	32.6					$	17.6					$	2.9					$	175.2
Moderate			18.7						70.4						14.2						25.1						14.6						3.7						146.7
Low			—						5.5						0.5						1.5						0.8						0.2						8.5
Total			$	59.7					$	131.8					$	39.9					$	59.2					$	33.0					$	6.8					$	330.4

For the three and nine months ended September 30, 2025, and 2024, credit losses related to the net investment in sales-type leases were not material.

NOTE 7.    GOODWILL AND INTANGIBLE ASSETS

Acquisitions

There were no material acquisitions in the nine months ended September 30, 2025, and 2024.

Pending Acquisitions

On January 21, 2025, Intuitive announced that it has entered into a definitive agreement with the current Intuitive technology distributors ab medica, Abex, Excelencia Robotica, and their affiliates to acquire the da Vinci and Ion distribution businesses in Italy, Spain, Portugal, Malta, and San Marino, and associated territories. The transaction consists of an upfront cash payment of approximately EUR 290 million and up to an additional EUR 31 million in commercial milestone cash payments, subject to certain closing adjustments. The Company expects to complete the transaction in the first half of 2026, subject to applicable regulatory approvals and customary closing conditions.

Goodwill

The following table summarizes the changes in the carrying amount of goodwill (in millions):

			Amount
Balance as of December 31, 2024			$	347.5
Acquisition activity			—
Translation and other			0.6
Balance as of September 30, 2025			$	348.1

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Intangible Assets

The following table summarizes the components of gross intangible assets, accumulated amortization, and net intangible assets balances (in millions):

						As of September 30, 2025																		As of December 31, 2024
						Gross Carrying Amount						Accumulated Amortization						Net Carrying Amount						Gross Carrying Amount						Accumulated Amortization						Net Carrying Amount
Patents and developed technology						$	204.5					$	(192.1)					$	12.4					$	203.3					$	(185.4)					$	17.9
Customer relationships						28.5						(26.4)						2.1						27.3						(22.3)						5.0
Distribution rights and others						—						—						—						1.2						(1.1)						0.1
Total intangible assets						$	233.0					$	(218.5)					$	14.5					$	231.8					$	(208.8)					$	23.0

Amortization expense related to intangible assets was $3.3 million and $3.5 million for the three months ended September 30, 2025, and 2024, respectively. Amortization expense related to intangible assets was $9.9 million and $13.6 million for the nine months ended September 30, 2025, and 2024, respectively.

The estimated future amortization expense related to intangible assets as of September 30, 2025, is as follows (in millions):

Fiscal Year			Amount
Remainder of 2025			$	3.2
2026			5.9
2027			3.0
2028			1.4
2029			0.6
2030 and thereafter			0.4
Total			$	14.5

The preceding expected amortization expense is an estimate. Actual amounts of amortization expense may differ from estimated amounts due to additional intangible asset acquisitions, measurement-period adjustments to intangible assets, changes in foreign currency exchange rates, impairments of intangible assets, accelerated amortization of intangible assets, and other events.

NOTE 8.    CONTINGENCIES

From time to time, the Company is involved in a variety of claims, lawsuits, investigations, and proceedings relating to securities laws, product liability, intellectual property, commercial, insurance, contract disputes, employment, and other matters. Certain of these lawsuits and claims are described in further detail below. It is not possible to predict what the outcome of these matters will be, and the Company cannot guarantee that any resolution will be reached on commercially reasonable terms, if at all.

A liability and related charge to earnings are recorded in the Financial Statements for legal contingencies when the loss is considered probable and the amount can be reasonably estimated. The assessment is re-evaluated each accounting period and is based on all available information, including the impact of negotiations, settlements, rulings, advice of legal counsel, and other information and events pertaining to each case. Nevertheless, it is possible that additional future legal costs (including settlements, judgments, legal fees, and other related defense costs) could have a material adverse effect on the Company’s business, financial condition, or future results of operations.

Product Liability Litigation

The Company is currently named as a defendant in a number of individual product liability lawsuits filed in various state and federal courts. The plaintiffs generally allege that they or a family member underwent surgical procedures that utilized the da Vinci surgical system and sustained a variety of personal injuries and, in some cases, death as a result of such surgery. Several of the filed cases have trial dates in the next 12 months.

The cases raise a variety of allegations including, to varying degrees, that plaintiffs’ injuries resulted from purported defects in the da Vinci surgical system and/or failure on the Company’s part to provide adequate training resources to the healthcare professionals who performed plaintiffs’ surgeries. The cases further allege that the Company failed to adequately disclose and/or misrepresented the potential risks and/or benefits of the da Vinci surgical system. Plaintiffs also assert a variety of causes of action, including, for example, strict liability based on purported design defects, negligence, fraud, breach of

15

express and implied warranties, unjust enrichment, and loss of consortium. Plaintiffs seek recovery for alleged personal injuries and, in many cases, punitive damages. The Company disputes these allegations and is defending against these claims.

The Company’s estimate of the anticipated cost of resolving the pending cases is based on negotiations with attorneys for the claimants. The final outcome of the pending lawsuits and claims, and others that might arise, is dependent on many variables that are difficult to predict, and the ultimate cost associated with these product liability lawsuits and claims may be materially different than the amount of the current estimate and accruals and could have a material adverse effect on the Company’s business, financial condition, or future results of operations. Although there is a reasonable possibility that a loss in excess of the amount recognized exists, the Company is unable to estimate the possible loss or range of loss in excess of the amount recognized at this time.

Patent Litigation

On October 19, 2022, a jury rendered a verdict against the Company awarding $10 million in damages to Rex Medical, L.P. in a patent infringement lawsuit. On September 20, 2023, the court granted the Company’s post-trial motion and reduced the damages to Rex Medical L.P. to nominal damages of $1. On October 18, 2023, Rex Medical filed a notice of appeal to the United States Court of Appeals for the Federal Circuit and, on October 31, 2023, Intuitive filed its notice of cross appeal. On October 2, 2025, the Court of Appeals affirmed the district court’s judgment on all appealed issues. Based on currently available information, the Company does not believe that any losses arising from this matter would be material.

Commercial Litigation

On May 10, 2021, Surgical Instrument Service Company, Inc. (“SIS”) filed a complaint in the Northern District of California Court alleging antitrust claims against the Company relating to EndoWrist service, maintenance, and repair processes. The Court granted in part and denied in part the Company’s Motion to Dismiss, and discovery has commenced. The Company filed an answer denying the antitrust allegations and filed counterclaims against SIS. The counterclaims allege that SIS violated the Federal Lanham Act, California’s Unfair Competition Law, and California’s False Advertising Law and that SIS is also liable to the Company for Unfair Competition and Tortious Interference with Contract. The parties filed summary judgment motions, and the Court held a hearing on these motions on September 7, 2023.

On March 31, 2024, the Court granted-in-part and denied-in-part both Intuitive’s and plaintiff’s motions for summary judgment. Trial in this matter commenced on January 6, 2025. On January 28, 2025, after the close of both plaintiff’s and Intuitive’s cases in chief, the Court found in Intuitive’s favor on all of SIS’s antitrust claims and stayed Intuitive’s counterclaims. On February 27, 2025, SIS filed a Notice of Appeal to the Ninth Circuit Court of Appeals. SIS filed its brief on July 23, 2025. Intuitive’s brief is due October 29, 2025. Based on currently available information, the Company is unable to make a reasonable estimate of loss or range of losses, if any, arising from this matter.

Three class action complaints were filed against the Company in the Northern District of California Court alleging antitrust allegations relating to the service and repair of certain instruments manufactured by the Company. A complaint by Larkin Community Hospital was filed on May 20, 2021, a complaint by Franciscan Alliance, Inc. and King County Public Hospital District No. 1 was filed on July 6, 2021, and a complaint by Kaleida Health was filed on July 8, 2021. The Court has consolidated the Franciscan Alliance, Inc. and King County Public Hospital District No. 1 and Kaleida Health cases with the Larkin Community Hospital case, which is now captioned on the Larkin docket as “In Re: da Vinci Surgical Robot Antitrust Litigation.” A Consolidated Amended Class Action Complaint has been filed on behalf of each plaintiff named in the earlier-filed cases. On January 14, 2022, Kaleida Health voluntarily dismissed itself as a party to this case. On January 18, 2022, the Company filed an answer against the plaintiffs in this matter, and discovery has commenced.

With regard to this class action case, on September 7, 2023, the Court heard argument on the parties’ respective motions for summary judgment and motions related to expert testimony. On March 31, 2024, the Court granted-in-part and denied-in-part plaintiffs’ motion for summary judgment on certain market definition issues and denied Intuitive’s motion on the antitrust claims. In denying Intuitive’s motion, the Court declined to decide whether third-party companies were required to obtain 510(k) clearance for their services with respect to EndoWrist instruments, and in the absence of a formal ruling from the FDA on that question denied Intuitive’s motion for summary judgment challenging plaintiffs’ standing on that ground. There were additional rulings on the expert witness issues as well. In the summary judgment order, the Court ruled with plaintiffs that the da Vinci robot and EndoWrist instruments occupy separate product markets for antitrust purposes. The Court also ruled that there is an antitrust aftermarket for the repair and replacement of EndoWrist instruments, and that Intuitive holds monopoly power in that aftermarket. The Court denied summary judgment for plaintiffs on the issue of whether soft-tissue surgical robots constitute a relevant antitrust market or are part of a larger market that includes laparoscopic and open surgery for antitrust purposes. On July 30, 2024, the Court granted Intuitive’s motion for reconsideration, vacating those portions of the Court’s March 31, 2024 Order granting summary judgment as to the definition of a U.S. market for EndoWrist instrument repair and replacement and Intuitive’s market power in such a market. On March 31, 2025, the Court granted plaintiff’s motion for class certification. No trial date has been scheduled for this matter. Based on currently available information, the Company is unable to make a reasonable estimate of loss or range of losses, if any, arising from this matter.

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On September 18, 2024, Restore Robotics Repairs (“Restore”) filed a complaint in the United States District Court for the Northern District of Florida alleging antitrust claims against the Company relating to the service and replacement of X/Xi EndoWrist instruments for use with the da Vinci X and Xi surgical systems. On December 9, 2024, Intuitive filed a motion to dismiss to which plaintiff responded by amending its complaint. Intuitive filed a motion to dismiss the first amended complaint on January 31, 2025. Plaintiff filed an opposition to Intuitive’s motion to dismiss on February 14, 2025, and Intuitive filed a reply on March 26, 2025. The Court has not yet ruled on that motion. On April 7, 2025, Plaintiff filed a motion for leave to file a second amended complaint. On April 21, 2025, Intuitive filed an opposition to Plaintiff’s motion for leave to file a second amended complaint. Based on currently available information, the Company is unable to make a reasonable estimate of loss or range of losses, if any, arising from this matter.

NOTE 9.    STOCKHOLDERS’ EQUITY

Stockholders’ Equity

The following tables present the changes in stockholders’ equity (in millions):

			Three Months Ended September 30, 2025
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			358.4						$	0.4					$	10,236.8					$	7,605.5					$	3.0					$	17,845.7					$	107.4					$	17,953.1
Issuance of common stock through employee stock plans			0.5						—						90.0						—						—						90.0						—						90.0
Shares withheld related to net share settlement of equity awards			—						—						(0.5)						(19.2)						—						(19.7)						—						(19.7)
Share-based compensation expense related to employee stock plans			—						—						205.4						—						—						205.4						—						205.4
Repurchase and retirement of common stock			(4.0)						—						(52.9)						(1,866.7)						—						(1,919.6)						—						(1,919.6)
Net income attributable to Intuitive Surgical, Inc.			—						—						—						704.4						—						704.4						—						704.4
Other comprehensive income			—						—						—						—						23.5						23.5						0.2						23.7
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						4.8						4.8
Ending balance			354.9						$	0.4					$	10,478.8					$	6,424.0					$	26.5					$	16,929.7					$	112.4					$	17,042.1

			Three Months Ended September 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			355.3						$	0.4					$	9,149.7					$	5,581.7					$	(23.5)					$	14,708.3					$	88.2					$	14,796.5
Issuance of common stock through employee stock plans			1.0						—						115.6						—						—						115.6						—						115.6
Shares withheld related to net share settlement of equity awards			(0.1)						—						(0.4)						(17.0)						—						(17.4)						—						(17.4)
Share-based compensation expense related to employee stock plans			—						—						175.3						—						—						175.3						—						175.3
Net income attributable to Intuitive Surgical, Inc.			—						—						—						565.1						—						565.1						—						565.1
Other comprehensive income			—						—						—						—						36.4						36.4						0.5						36.9
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						5.5						5.5
Ending balance			356.2						$	0.4					$	9,440.2					$	6,129.8					$	12.9					$	15,583.3					$	94.2					$	15,677.5

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			Nine Months Ended September 30, 2025
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			356.6						$	0.4					$	9,681.3					$	6,803.3					$	(51.3)					$	16,433.7					$	95.9					$	16,529.6
Issuance of common stock through employee stock plans			3.4						—						273.7						—						—						273.7						—						273.7
Shares withheld related to net share settlement of equity awards			(0.7)						—						(8.7)						(397.3)						—						(406.0)						—						(406.0)
Share-based compensation expense related to employee stock plans			—						—						589.9						—						—						589.9						—						589.9
Repurchase and retirement of common stock			(4.4)						—						(57.4)						(2,043.2)						—						(2,100.6)						—						(2,100.6)
Net income attributable to Intuitive Surgical, Inc.			—						—						—						2,061.2						—						2,061.2						—						2,061.2
Other comprehensive income			—						—						—						—						77.8						77.8						0.6						78.4
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						15.9						15.9
Ending balance			354.9						$	0.4					$	10,478.8					$	6,424.0					$	26.5					$	16,929.7					$	112.4					$	17,042.1

			Nine Months Ended September 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			352.3						$	0.4					$	8,576.4					$	4,743.0					$	(12.2)					$	13,307.6					$	89.7					$	13,397.3
Issuance of common stock through employee stock plans			4.6						—						367.5						—						—						367.5						—						367.5
Shares withheld related to net share settlement of equity awards			(0.7)						—						(7.4)						(250.1)						—						(257.5)						—						(257.5)
Share-based compensation expense related to employee stock plans			—						—						503.7						—						—						503.7						—						503.7
Net income attributable to Intuitive Surgical, Inc.			—						—						—						1,636.9						—						1,636.9						—						1,636.9
Other comprehensive income (loss)			—						—						—						—						25.1						25.1						(0.1)						25.0
Cash dividends declared and paid by joint venture			—						—						—						—						—						—						(8.0)						(8.0)
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						12.6						12.6
Ending balance			356.2						$	0.4					$	9,440.2					$	6,129.8					$	12.9					$	15,583.3					$	94.2					$	15,677.5

Stock Repurchase Program

The Company’s Board of Directors (the “Board”) has authorized an aggregate of $13.0 billion of funding for the Company’s common stock repurchase program (the “Repurchase Program”) since its establishment in March 2009. The most recent authorization occurred in May 2025, when the Board increased the authorized amount available under the Repurchase Program to $4.0 billion, including amounts remaining under previous authorization. As of September 30, 2025, the remaining amount of share repurchases authorized by the Board under the Repurchase Program was approximately $1.9 billion.

The following table summarizes stock repurchase activities (in millions, except per share amounts):

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Shares repurchased			4.0						—						4.4						—
Average price per share			$	479.60					$	—					$	482.66					$	—
Value of shares repurchased			$	1,919.6					$	—					$	2,100.6					$	—

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Accumulated Other Comprehensive Income (Loss), Net of Tax, Attributable to Intuitive Surgical, Inc.

The components of accumulated other comprehensive income (loss), net of tax, attributable to Intuitive Surgical, Inc. are as follows (in millions):

			Three Months Ended September 30, 2025
			Losses on Hedge Instruments						Unrealized Gains on Available-for-Sale Securities						Foreign Currency Translation Gains						Employee Benefit Plans						Total
Beginning balance			$	(14.7)					$	21.9					$	10.1					$	(14.3)					$	3.0
Other comprehensive income before reclassifications			17.5						5.2						5.7						—						28.4
Amounts reclassified from accumulated other comprehensive income (loss)			(5.0)						—						—						0.1						(4.9)
Net current-period other comprehensive income			12.5						5.2						5.7						0.1						23.5
Ending balance			$	(2.2)					$	27.1					$	15.8					$	(14.2)					$	26.5
			Three Months Ended September 30, 2024
			Gains (Losses) on Hedge Instruments						Unrealized Gains (Losses) on Available-for-Sale Securities						Foreign Currency Translation Losses						Employee Benefit Plans						Total
Beginning balance			$	7.9					$	(28.4)					$	(3.5)					$	0.5					$	(23.5)
Other comprehensive income (loss) before reclassifications			(15.7)						59.5						(7.4)						—						36.4
Amounts reclassified from accumulated other comprehensive income (loss)			0.2						—						—						(0.2)						—
Net current-period other comprehensive income (loss)			(15.5)						59.5						(7.4)						(0.2)						36.4
Ending balance			$	(7.6)					$	31.1					$	(10.9)					$	0.3					$	12.9

			Nine Months Ended September 30, 2025
			Gains (Losses) on Hedge Instruments						Unrealized Gains (Losses) on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	11.0					$	(14.6)					$	(33.1)					$	(14.6)					$	(51.3)
Other comprehensive income (loss) before reclassifications			(10.3)						41.4						48.9						—						80.0
Amounts reclassified from accumulated other comprehensive income (loss)			(2.9)						0.3						—						0.4						(2.2)
Net current-period other comprehensive income (loss)			(13.2)						41.7						48.9						0.4						77.8
Ending balance			$	(2.2)					$	27.1					$	15.8					$	(14.2)					$	26.5

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			Nine Months Ended September 30, 2024
			Losses on Hedge Instruments						Unrealized Gains (Losses) on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	(2.5)					$	(29.7)					$	19.4					$	0.6					$	(12.2)
Other comprehensive income (loss) before reclassifications			(10.5)						60.6						(30.3)						—						19.8
Amounts reclassified from accumulated other comprehensive income (loss)			5.4						0.2						—						(0.3)						5.3
Net current-period other comprehensive income (loss)			(5.1)						60.8						(30.3)						(0.3)						25.1
Ending balance			$	(7.6)					$	31.1					$	(10.9)					$	0.3					$	12.9

The tax impacts for amounts recognized in other comprehensive income before reclassifications and reclassified from accumulated other comprehensive income (loss) relating to hedge instruments, available-for-sale securities, foreign currency translation gains (losses), and employee benefit plans for the three and nine months ended September 30, 2025, and 2024, were not material to the Company’s Financial Statements.

NOTE 10.    SHARE-BASED COMPENSATION

In May 2025, the Company’s shareholders approved an amended and restated 2010 Incentive Award Plan to provide for an increase in the number of shares of common stock reserved for issuance thereunder from 115,350,000 to 120,350,000. As of September 30, 2025, approximately 22.1 million shares were reserved for future issuance under the Company’s stock plans, and a maximum of approximately 9.6 million of these shares can be awarded as restricted stock units (“RSUs”).

Restricted Stock Units

RSU activity under all stock plans for the nine months ended September 30, 2025, was as follows (in millions, except per share amounts):

			Shares						Weighted-Average Grant-Date Fair Value
Unvested balance as of December 31, 2024			5.2						$	314.39
RSUs granted			1.7						$	572.93
RSUs vested			(1.9)						$	295.37
RSUs forfeited			(0.2)						$	365.78
Unvested balance as of September 30, 2025			4.8						$	409.25

Stock Options

Stock option activity under all stock plans for the nine months ended September 30, 2025, was as follows (in millions, except per share amounts):

						Stock Options Outstanding
						Number Outstanding						Weighted-Average Exercise Price Per Share
Balance as of December 31, 2024						7.1						$	192.90
Options granted						—						$	—
Options exercised						(1.1)						$	134.37
Options forfeited or expired						(0.1)						$	244.44
Balance as of September 30, 2025						5.9						$	203.23

As of September 30, 2025, options to purchase an aggregate of 5.4 million shares of common stock were exercisable at a weighted-average price of $197.30 per share.

Performance Stock Units

In 2022, the Company began granting performance stock units (“PSUs”) to officers and other key employees subject to three-year cliff vesting and pre-established, quantitative goals. Whether any PSUs vest, and the amount that do vest, is tied to

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completion of service over three years and the achievement of three equally-weighted, quantitative goals that directly align with or help drive the Company’s strategy and long-term total shareholder return.

For the nine months ended September 30, 2025, the Company had four types of PSU awards: the 2022 PSU awards, the 2023 PSU awards, the 2024 PSU awards, and the 2025 PSU awards. The 2022 PSU grant metrics were focused on relative total shareholder return (“TSR”), year-over-year da Vinci procedure growth for 2023, and two-year compound annual da Vinci procedure growth for 2024. The 2022 PSU awards vested in the first quarter of 2025. The 2023 PSU grant metrics are focused on relative TSR, da Vinci and Ion procedure growth in 2024 compared to 2022, and da Vinci and Ion procedure growth in 2025 compared to 2022. The 2024 PSU grant metrics are focused on relative TSR, da Vinci and Ion procedure growth in 2025 compared to 2023, and da Vinci and Ion procedure growth in 2026 compared to 2023. The 2025 PSU grant metrics are focused on relative adjusted operating margin as compared to selected peers, da Vinci and Ion procedure growth in 2026 compared to 2024, and da Vinci and Ion procedure growth in 2027 compared to 2024.

The TSR metric used in the 2022, 2023, and 2024 PSU awards is considered a market condition, and the expense is determined at the grant date. The procedure growth and relative adjusted operating margin metrics are considered performance conditions, and the expense is recorded based on the forecasted performance, which is reassessed each reporting period based on the probability of achieving the performance conditions. The number of shares earned at the end of the three-year period will vary, based on actual performance, from 0% to 125% of the target number of PSUs granted. PSUs are subject to forfeiture if employment terminates prior to the vesting date. PSUs are not considered issued or outstanding shares of the Company.

The Company calculates the fair value for each component of the PSUs individually. The fair value for the component with the TSR metric was determined using Monte Carlo simulation. The fair value per share for the components with the procedure growth metrics is equal to the closing stock price on the grant date.

PSU activity for the nine months ended September 30, 2025, was as follows (in millions, except per share amounts):

						Shares						Weighted-Average Grant Date Fair Value Per Share
Unvested balance as of December 31, 2024						0.3						$	306.94
Granted						0.1						$	575.73
Vested						(0.1)						$	294.89
Performance change						—						$	268.39
Forfeited						—						$	366.96
Unvested balance as of September 30, 2025						0.3						$	374.67

Employee Stock Purchase Plan

Under the Company’s Employee Stock Purchase Plan (the “ESPP”), employees purchased approximately 0.4 million shares for $129.6 million and approximately 0.6 million shares for $114.9 million during the nine months ended September 30, 2025, and 2024, respectively.

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Share-Based Compensation Expense

The following table summarizes share-based compensation expense (in millions):

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Cost of revenue – product (before capitalization)			$	33.0					$	27.5					$	97.0					$	75.7
Amounts capitalized into inventory			(31.1)						(25.6)						(90.9)						(70.7)
Amounts recognized in income for amounts previously capitalized in inventory			29.6						23.0						85.9						66.2
Cost of revenue – product			$	31.5					$	24.9					$	92.0					$	71.2
Cost of revenue – service			8.8						7.9						25.6						22.5
Total cost of revenue			40.3						32.8						117.6						93.7
Selling, general, and administrative			88.1						77.6						256.7						225.4
Research and development			77.6						65.4						221.3						188.7
Share-based compensation expense before income taxes			206.0						175.8						595.6						507.8
Income tax benefit			42.5						36.9						118.8						105.4
Share-based compensation expense after income taxes			$	163.5					$	138.9					$	476.8					$	402.4

The fair value of each right to acquire stock granted under the ESPP was estimated using the Black-Scholes-Merton option-pricing model with the following weighted-average assumptions:

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
ESPP
Risk-free interest rate			3.8%						4.6%						4.0%						4.6%
Expected term (in years)			1.2						1.2						1.2						1.2
Expected volatility			32%						29%						31%						29%
Fair value at grant date			$142.19						$131.01						$154.69						$130.00

NOTE 11.    INCOME TAXES

Income tax expense for the three months ended September 30, 2025, was $146.0 million, or 17.1% of income before taxes, compared to $100.4 million, or 15.0% of income before taxes, for the three months ended September 30, 2024. Income tax expense for the nine months ended September 30, 2025, was $278.7 million, or 11.8% of income before taxes, compared to $214.5 million, or 11.5% of income before taxes, for the nine months ended September 30, 2024.

The effective tax rate for the three months ended September 30, 2025, differed from the U.S. federal statutory rate of 21% primarily due to the excess tax benefits associated with employee equity plans and benefits from the release of unrecognized tax benefits, partially offset by state income taxes (net of the federal benefit). The effective tax rate for the three months ended September 30, 2024, differed from the U.S. federal statutory rate of 21% primarily due to the excess tax benefits associated with employee equity plans and the federal research and development credit benefit, partially offset by U.S. tax on foreign earnings.

The effective tax rates for the nine months ended September 30, 2025, and 2024, differed from the U.S. federal statutory rate of 21% primarily due to the excess tax benefits associated with employee equity plans and the federal research and development credit benefit, partially offset by state income taxes (net of the federal benefit) and U.S. tax on foreign earnings.

The Company’s provision for income taxes for the three months ended September 30, 2025, and 2024, included excess tax benefits associated with employee equity plans of $24.2 million and $42.2 million, respectively, which reduced the Company’s effective tax rate by 2.8 and 6.3 percentage points, respectively. The provision for income taxes for the nine months ended September 30, 2025, and 2024, included excess tax benefits associated with employee equity plans of $202.5 million and $189.0 million, respectively, which reduced the Company’s effective tax rate by 8.6 and 10.1 percentage points, respectively.

On July 4, 2025, the One Big Beautiful Bill Act (the “OBBB Act”) was enacted, introducing amendments to U.S. tax laws with various effective dates from 2025 to 2027. The changes introduced by the OBBB Act are not expected to have a material impact on the Company’s annual effective tax rate for 2025.

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The Company files federal, state, and foreign income tax returns in many jurisdictions in the U.S. and OUS. Years before 2020 are considered closed for significant jurisdictions. Certain of the Company’s unrecognized tax benefits could change due to activities of various tax authorities, including evolving interpretations of existing tax laws in the jurisdictions in which the Company operates, potential assessment of additional tax, possible settlement of audits, or through normal expiration of various statutes of limitations, which could affect the Company’s effective tax rate in the period in which they change. It is reasonably possible that the Company’s existing unrecognized tax benefits may decrease by up to $32 million as a result of expirations of the statute of limitations and audit conclusions in various jurisdictions within the next 12 months.

The Company is subject to the examination of its income tax returns by the Internal Revenue Service and other tax authorities. The outcome of these audits cannot be predicted with certainty. The Company’s management regularly assesses the likelihood of adverse outcomes resulting from these examinations to determine the adequacy of the Company’s provision for income taxes. If any issues addressed in the Company’s tax audits are resolved in a manner not consistent with management’s expectations, the Company could be required to adjust its provision for income taxes in the period such resolution occurs.

NOTE 12.    NET INCOME PER SHARE

The following table presents the computation of basic and diluted net income per share attributable to Intuitive Surgical, Inc. (in millions, except per share amounts):

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Numerator:
Net income attributable to Intuitive Surgical, Inc.			$	704.4					$	565.1					$	2,061.2					$	1,636.9
Denominator:
Weighted-average shares outstanding used in basic calculation			356.6						355.8						357.5						354.8
Add: dilutive effect of potential common shares			5.2						6.9						6.0						6.6
Weighted-average shares outstanding used in diluted calculation			361.8						362.7						363.5						361.4
Net income per share attributable to Intuitive Surgical, Inc.:
Basic			$	1.98					$	1.59					$	5.77					$	4.61
Diluted			$	1.95					$	1.56					$	5.67					$	4.53

Share-based compensation awards of approximately 1.8 million and 0.0 million shares for the three months ended September 30, 2025, and 2024, respectively, and approximately 1.3 million and 0.3 million shares for the nine months ended September 30, 2025, and 2024, respectively, were outstanding but were not included in the computation of diluted net income per share attributable to Intuitive Surgical, Inc. common stockholders, because the effect of including such shares would have been anti-dilutive in the periods presented.

NOTE 13.     SEGMENT INFORMATION

Intuitive is committed to advancing minimally invasive care through a comprehensive ecosystem of products and services. This connected ecosystem includes systems, instruments and accessories, learning, and services connected by a digital portfolio that enables actionable digital insights across the care continuum. The systems, as well as the instruments and accessories, are primarily developed and manufactured by Intuitive. For the three months ended September 30, 2025, and 2024, U.S. revenue accounted for 69% and 68%, respectively, of total revenue, while OUS revenue accounted for 31% and 32%, respectively, of total revenue. For the nine months ended September 30, 2025, and 2024, U.S. revenue accounted for 68% and 66%, respectively, of total revenue, while OUS revenue accounted for 32% and 34%, respectively, of total revenue. The Company manages the business activities on a consolidated basis and operates in one reportable segment.

Intuitive’s Chief Executive Officer is the Chief Operating Decision Maker (“CODM”). The CODM utilizes the Company’s long-range plan, which includes product development roadmaps and long-range financial models, as a key input to resource allocation. The CODM makes decisions on resource allocation, assesses performance of the business, and monitors budget versus actual results using income from operations. Net income is also a measure that is considered in monitoring budget versus actual results.

Significant expenses within income from operations, as well as within net income, include cost of revenue, research and development, and selling, general, and administrative expenses, which are each separately presented on the Company’s

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Consolidated Statements of Income. Other segment items within net income include interest and other income, net, and income tax expense.

The Company’s long-lived assets consist primarily of property, plant, and equipment, net. As of September 30, 2025, and December 31, 2024, 81% and 83%, respectively, of long-lived assets were in the U.S. As of September 30, 2025, and December 31, 2024, no individual country other than the U.S. accounted for 10% or more of these assets.

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ITEM 2.    MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Management’s discussion and analysis of financial condition as of September 30, 2025, and results of operations for the three and nine months ended September 30, 2025, and 2024, should be read in conjunction with management’s discussion and analysis of financial condition and results of operations included in our Annual Report on Form 10-K for the year ended December 31, 2024.

This report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements relate to expectations concerning matters that are not historical facts. Statements using words such as “estimates,” “projects,” “believes,” “anticipates,” “plans,” “expects,” “intends,” “may,” “will,” “could,” “should,” “would,” “targeted,” and similar words and expressions are intended to identify forward-looking statements. These forward-looking statements include, but are not limited to, statements related to future results of operations, future financial condition, our financing plans and future capital requirements, our potential tax assets or liabilities, and statements based on current expectations, estimates, forecasts, projections, and assumptions about the economies and geographic markets in which we operate and our beliefs and assumptions regarding these economies and markets. These forward-looking statements are necessarily estimates reflecting the judgment of our management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. These forward-looking statements should be considered in light of various important factors, including, but not limited to, the following: the overall macroeconomic environment, which may impact customer spending and our costs, including tariffs, the levels of inflation, and interest rates; the conflict between Ukraine and Russia; conflicts in the Middle East; disruption to our supply chain, including difficulties in obtaining a sufficient supply of materials; curtailed or delayed capital spending by hospitals; the impact of global and regional economic and credit market conditions on healthcare spending; delays in obtaining new product approvals, clearances, or certifications from the Food and Drug Administration (“FDA”), comparable regulatory authorities, or notified bodies; the risk of our inability to comply with complex FDA and other regulations, which may result in significant enforcement actions; regulatory approvals, clearances, certifications, and restrictions or any dispute that may occur with any regulatory body; healthcare reform legislation in the U.S. and its impact on hospital spending, reimbursement, and fees levied on certain medical device revenues; changes in hospital admissions and actions by payers to limit or manage surgical procedures; the timing and success of product development and customer acceptance of developed products; the results of any collaborations, in-licensing arrangements, joint ventures, strategic alliances, or partnerships, including the joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.; our completion of and ability to successfully integrate acquisitions; intellectual property positions and litigation; risks associated with our operations and any expansion outside of the U.S.; unanticipated manufacturing disruptions or the inability to meet demand for products; our reliance on sole- and single-sourced suppliers; the results of legal proceedings to which we are or may become a party; adverse publicity regarding us and the safety of our products and adequacy of training; the impact of changes to tax legislation, guidance, and interpretations; changes in tariffs, trade barriers, and regulatory requirements (including 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, where we currently manufacture a majority of our endoscopes, and China, where we currently import certain materials); and other risks and uncertainties, including those listed under the caption “Risk Factors.” Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this report and which are based on current expectations and are subject to risks, uncertainties, and assumptions that are difficult to predict, including those risk factors described throughout this filing and identified under the heading “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2024, as updated by our other filings with the Securities and Exchange Commission (“SEC”). Our actual results may differ materially and adversely from those expressed in any forward-looking statement, and we undertake no obligation to publicly update or release any revisions to these forward-looking statements, except as required by law.

Product and brand names and logos, including Intuitive, da Vinci, and Ion, are trademarks or registered trademarks of Intuitive Surgical, Inc. or one of its subsidiaries or of their respective owners. Additional information about our trademarks can be found on our website at www.intuitive.com/trademarks. Although we reference our trademarks located on our website, this list of trademarks and any other materials on our corporate website are not incorporated by reference into this Form 10-Q or any of our other filings under the Securities Act of 1933, as amended, or the Exchange Act.

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Overview

As part of our mission, we believe that minimally invasive care is life-enhancing care. Since our founding 30 years ago, we have been delivering on this mission by combining innovative technology with clinical expertise to advance minimally invasive care. We do so by providing a comprehensive ecosystem that includes robotic-assisted systems, instruments and accessories, customer learning, and support services all connected by a digital portfolio that enables actionable insights across the care continuum.

To ensure continued alignment with the patients and healthcare communities we serve, we have adopted the Quintuple Aim as our “north star.” Starting foremost with a focus on patients, we seek to demonstrate that our products can deliver better outcomes that are validated by rigorous peer-reviewed evidence. Second, we aim to work with clinicians and care teams to create better patient experiences that enable patients to more quickly get back to what matters most in their lives, with fewer complications, less pain and discomfort, and greater predictability. Third, we aim to enable the care teams who use our platforms and technology-enabled ecosystem to have better experiences that augment their skills while reducing fatigue and increasing efficiency and reliability. Fourth, we aim to help lower the total cost of care per patient episode when compared with existing treatment alternatives, providing a return on investment for hospitals and healthcare systems and value for payers. Lastly, we aim to expand access to high-quality minimally invasive care by partnering with hospitals, healthcare systems, and patient advocacy groups to address barriers to care.

While surgery and acute interventions have improved significantly in the past few decades, there remains a significant need to improve across all aspects of the Quintuple Aim. Stakeholders continue to expect better clinical outcomes and decreased variability of outcomes across clinicians and care teams. Globally, some healthcare systems continue to be stressed and lacking in critical resources, including the professionals who staff care teams. At the same time, healthcare providers, payers, and governments strain to cover the healthcare needs of their aging populations and demand lower total cost per patient to treat disease. In the face of these challenges, we continue to believe that we are well-positioned to synthesize scientific and technological advances in biology, computing, imaging, algorithms, and robotics to deliver meaningful and measurable value to all of our stakeholders.

Globally, open surgery remains a prevalent form of surgery and is used in almost every area of the body. However, the large incisions required for open surgery create trauma to patients, typically resulting in longer hospitalization and recovery times, increased hospitalization costs, and additional pain and suffering relative to minimally invasive surgery (“MIS”), where MIS is available. For over four decades, MIS has reduced trauma to patients by allowing selected surgeries to be performed through small ports rather than large incisions. MIS has been widely adopted for certain surgical procedures.

Da Vinci surgical systems enable surgeons to extend the benefits of MIS to many patients who would otherwise undergo a more invasive surgery by using computational, robotic, and imaging technologies to overcome many of the limitations of traditional open surgery or conventional MIS. Surgeons using a da Vinci surgical system operate while seated comfortably at a console viewing a 3D, high-definition image of the surgical field. This immersive console connects surgeons to the surgical field and their instruments. While seated at the console, the surgeon manipulates instrument controls in a natural manner, similar to open surgical technique. Our technology is designed to provide surgeons with a range of articulation of the surgical instruments used in the surgical field analogous to the motions of a human wrist, while filtering out the tremor inherent in a surgeon’s hand. In designing our products, we focus on making our technology easy and safe to use.

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, including Firefly fluorescence imaging systems and da Vinci endoscopes. We provide a comprehensive suite of systems, learning, and services offerings. Digitally enabled for nearly three decades, these three offerings aim to decrease variability by providing dependable, consistent functionality and an integrated user experience. Our systems category includes robotic platforms, software, vision, energy, and instruments and accessories. Our learning category includes learning and enabling technology, such as simulation and telepresence, as well as technical training programs and personalized peer-to-peer learning opportunities. We have a global network of field service engineers and distributors through which we deliver a suite of services, including installation, repair, maintenance, around-the-clock technical support, and system monitoring. We also offer customized analytics and consultation to hospitals for program optimization.

We have commercialized the following da Vinci surgical systems: the da Vinci standard surgical system in 1999, the da Vinci S surgical system in 2006, the da Vinci Si surgical system in 2009, the fourth-generation da Vinci Xi surgical system in 2014, and the fifth-generation da Vinci 5 surgical system in 2024. We extended our fourth-generation platform by adding the da Vinci X surgical system, commercialized in 2017 and targeted at more cost-sensitive markets.

In March 2024, we obtained FDA clearance for our da Vinci 5 surgical system, our next-generation multi-port robotic system, for use in all surgical specialties and procedures indicated for da Vinci Xi, except for cardiac and pediatric indications. In October 2024, we obtained regulatory clearance in South Korea for the da Vinci 5 surgical system for use in urologic, general, gynecologic, thoracoscopic, thoracoscopically-assisted cardiotomy, and transoral otolaryngology surgical procedures. In June 2025, we obtained regulatory clearance in Japan for the da Vinci 5 surgical system for use in all surgical specialties and

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procedures indicated for da Vinci Xi, except for cardiac indications. In July 2025, we obtained European certification in accordance with the EU MDR for the da Vinci 5 surgical system for adult and pediatric use in minimally invasive endoscopic procedures across abdominopelvic and thoracoscopic surgical procedures, including urologic, gynecologic, and general laparoscopic procedures, excluding the use of force feedback. We intend to seek European certification for the use of force feedback in the future. In our markets outside of the U.S. (“OUS”), we are in the midst of a phased launch of our da Vinci 5 surgical system, which we expect to extend over several quarters, giving us time to mature our supply and manufacturing processes for the new system. As of September 30, 2025, we have an installed base of 929 da Vinci 5 surgical systems.

Additionally, we extended our fourth-generation platform by adding the da Vinci SP surgical system, commercialized in 2018. The da Vinci SP surgical system accesses the body through a single incision, while the other da Vinci surgical systems access the body through multiple incisions. All da Vinci systems include a surgeon’s console (or consoles), imaging electronics, a patient-side cart, and computational hardware and software.

We are in the early stages of launching our da Vinci SP surgical system and have an installed base of 343 da Vinci SP surgical systems as of September 30, 2025. We have received FDA clearance for the da Vinci SP surgical system for urologic, colorectal, general thoracoscopic, and certain transoral procedures. Additionally, the da Vinci SP surgical system has received regulatory clearance in South Korea for a broad set of procedures. The da Vinci SP surgical system has also received regulatory clearance in Japan for the same set of procedures that are currently allowed with the da Vinci Xi surgical system in Japan. In January 2024, the da Vinci SP surgical system received European certification in accordance with Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices (the “EU MDR”) for use in endoscopic abdominopelvic, thoracoscopic, transoral otolaryngology, transanal colorectal, and breast surgical procedures, and we are commercializing the da Vinci SP surgical system in select major European countries as part of a measured rollout. In August 2024, we obtained regulatory clearance in Taiwan for our da Vinci SP surgical system for use in endoscopic abdominopelvic, thoracoscopic, transoral otolaryngology, transanal colorectal, transanal total mesorectal excision, and breast surgical procedures. We plan to seek FDA clearances for additional indications for the da Vinci SP surgical system and expand the system’s regulatory approvals (including for additional indications) in other OUS markets over time. 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.

We offer approximately 70 different multi-port da Vinci instruments to provide surgeons with flexibility in choosing the types of tools needed to perform a particular surgery. These multi-port instruments are generally robotically controlled and provide end effectors (tips) that are similar to those used in either open or laparoscopic surgery. We offer advanced instrumentation for the da Vinci 5, da Vinci X, and da Vinci Xi surgical systems, including da Vinci energy and da Vinci stapler products, to provide surgeons with sophisticated, computer-aided tools to precisely and efficiently interact with tissue. The da Vinci 5, da Vinci X, and da Vinci Xi surgical systems generally share the same instruments, whereas the da Vinci Si surgical system uses instruments that are not compatible with the da Vinci 5, da Vinci X, and da Vinci Xi systems. Additionally, we have introduced a unique set of force feedback instruments that are only compatible with our da Vinci 5 surgical system. We also currently offer 16 core instruments on our da Vinci SP surgical system. We plan to expand our da Vinci SP instrument offering over time.

Our learning and enabling technology offerings facilitate access to education and training on our products. Our enabling technologies include telepresence and Advanced Insights Suite (which includes Case Insights and Insights Engine), and our learning technology solutions include Intuitive Learning, SimNow, customized training models, remote case observations, and remote proctoring.

In 2019, 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. Our Ion system extends our commercial offering beyond surgery into diagnostic, endoluminal procedures. The system features an ultra-thin, ultra-maneuverable catheter that can articulate 180 degrees in all directions and allows navigation far into the peripheral lung and provides the stability necessary for precision in a biopsy. Many suspicious lesions found in the lung may be small and difficult to access, which can make diagnosis challenging, and Ion helps physicians obtain tissue samples from deep within the lung, which could help enable earlier diagnosis. Our Ion endoluminal system has received FDA clearance, and OUS regulatory clearances include European certification in accordance with the EU MDR, regulatory clearance in South Korea, and National Medical Products Administration (“NMPA”) regulatory clearance in China. We plan to seek additional clearances, approvals, and certifications for our Ion endoluminal system in OUS markets over time.

The success of new product introductions depends on a number of factors including, but not limited to, pricing, competition, geographic market and consumer acceptance, the effective forecasting and management of product demand, inventory levels, the management of manufacturing and supply costs, and the risk that new products may have quality or other defects in the early stages of introduction.

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Trade and Tariffs Update

Beginning in 2025, the U.S. imposed new tariffs on imports from various countries including Mexico, Germany, and China, among others. We currently manufacture a significant majority of our instruments and accessories in Mexicali, Mexico, most of which qualify as originating under the United States-Mexico-Canada Agreement (“USMCA”) and, therefore, have not been subject to recently imposed tariffs. 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. In addition, 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. These imports into the U.S. and China are subject to tariffs, which we expect to have an adverse impact on the product cost of our da Vinci Xi surgical system in China.

Some of our suppliers have also incurred incremental tariffs and have passed or may pass on those additional costs to us. These pass-through tariffs and other specific tariff actions against steel and aluminum, critical minerals, semiconductors, and other products have not had a material direct impact on our operations to date, but the long-term effect of these and other existing and future tariff actions is difficult to predict.

U.S. tariffs have also given rise to trade measures by other countries, including additional restrictions on certain exports. These trade measures could impact the reliability and efficiency of our supply chain if they are imposed on materials important to our production operations. In particular, 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.

During the three and nine months ended September 30, 2025, tariffs and other trade measures have increased our cost of revenues by approximately $22 million and $37 million, respectively. Based on the announced and implemented global tariffs as of the date of this report, and assuming such tariffs remain in place, we expect increases to our cost of revenues driven by tariffs and other trade measures to continue to increase into the fourth quarter of 2025. Future changes to tariff rates and the imposition of new tariffs by the U.S. and/or other countries could result in a material impact to our results of operations. The ultimate impact of changes to tariffs and trade barriers will depend on various factors, including the timing, amount, scope, and nature of any tariffs or trade barriers that are implemented, all of which could have a material adverse effect on our business, financial condition, or results of operations.

Macroeconomic Environment

Our future results of operations and liquidity could be materially adversely affected by uncertainties surrounding macroeconomic and geopolitical factors both in the U.S. and globally. These uncertainties include any introduction or modification of tariffs or trade barriers, supply chain challenges, inflationary pressures, elevated interest rates, and disruptions in commodity markets stemming from conflicts, such as those between Russia and Ukraine and conflicts in the Middle East, including Israel and Iran.

During the third quarter of 2025, we continued to experience isolated stresses to supply, particularly for specific component materials impacted by evolving trade requirements and at certain subcontract suppliers that were operationally challenged to meet our production requirements. These isolated instances did not have a material impact on our business during the third quarter of 2025. As a result of the escalation in tariffs, new country-specific trade requirements, and other trade measures between major economies, we may experience tariff-related inflation in raw materials costs as well as supply shortages as companies seek alternative sources of supply of critical materials and navigate adjustments in logistics and transportation routes.

Elevated interest rates may also impact the ability of certain suppliers to fund necessary investments in capacity and infrastructure. Any insolvency of certain suppliers, including sole- and single-sourced suppliers, may present heightened continuity risks. Additionally, although incidents of cybersecurity breaches have not significantly impacted our supply chain to date, they continue to be actively monitored to protect supply continuity. We are actively engaged in activities that seek to mitigate the impact of any supply chain risks and disruptions on our operations.

Some hospitals continue to experience challenges with staffing and cost pressures that could affect their ability to provide patient care. Additionally, certain hospitals are facing significant financial pressure as supply chain constraints and inflation have driven up operating costs and elevated interest rates have made access to credit more expensive. Hospitals may also be adversely affected by the liquidity concerns as a result of the broader macroeconomic environment. Any or all of these factors could negatively impact the number of da Vinci procedures performed or surgical systems placed and have a material adverse effect on our business, financial condition, or results of operations.

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Remanufactured Instruments

Third parties have offered, and may continue to offer, instruments that have been modified to support the use of some of our limited-use instruments beyond their labeled life. We are aware that the FDA has granted 510(k) clearance for the remanufacturing of certain of these instruments for use with our da Vinci Si, da Vinci X, and da Vinci Xi surgical systems. To date, such offerings have not had a material impact on our revenues, but such activities could result in reduced revenue if these products have broader uptake as well as generate negative publicity for us if these products cause injuries and/or do not function as intended when used. Both of these possibilities could have a material adverse effect on our business, financial condition, or results of operations.

For further details on remanufactured instruments, refer to the “Products & Services – Da Vinci – Instruments” section of our corporate website. The inclusion of a reference to our corporate website in this filing does not include or incorporate by reference the information on our website into this Form 10-Q.

Business Model

Overview

We generate up-front revenue from the placement of da Vinci surgical systems through sales or sales-type lease arrangements and recurring revenue over time through fixed-payment or usage-based operating lease arrangements. We also earn recurring revenue from the sales of instruments, accessories, and services.

The da Vinci surgical system generally sells for between $0.7 million and $3.1 million (generally inclusive of one year of service), depending on the model, configuration, and geography, and represents a significant capital equipment investment for our customers when purchased. Our instruments and accessories have limited lives and will either expire or wear out as they are used in surgery, at which point they need to be replaced. We generally earn between $1,000 and $3,600 of instruments and accessories revenue per surgical procedure performed, depending on the type and complexity of the specific procedures performed and the number and type of instruments used. We typically enter into service contracts at the time systems are sold or leased at an annual fee between $100,000 and $225,000, depending on the configuration of the underlying system and the composition of the services offered under the contract. Our system sale arrangements generally include a five-year period of service, with the first year of service generally included in the selling price of the system. These service contracts have generally been renewed at the end of the initial contractual service periods.

We generate revenue from our Ion endoluminal system in a business model consistent with the da Vinci surgical system model described above. We generate up-front revenue from the placement of Ion systems through sales or sales-type lease arrangements and recurring revenue over time through fixed-payment or usage-based operating lease arrangements. We also earn recurring revenue from the sales of instruments, accessories, and services. The Ion endoluminal system generally sells for between $500,000 and $815,000 (generally inclusive of one year of service). Our instruments and accessories have limited lives and will either expire or wear out as they are used in procedures, at which point they need to be replaced. We typically enter into service contracts at the time systems are sold or leased at an annual fee between $55,000 and $80,000.

Additionally, as part of our ecosystem of products and services, we provide a portfolio of learning offerings and digital solutions. We do not currently generate material revenue from these offerings.

Recurring Revenue

Recurring revenue consists of instruments and accessories revenue, service revenue, and operating lease revenue. Recurring revenue increased to $7.04 billion, or 84% of total revenue in 2024, compared to $5.94 billion, or 83% of total revenue in 2023, and $4.92 billion, or 79% of total revenue in 2022.

Instruments and accessories revenue has grown at a faster rate than systems revenue over time. Instruments and accessories revenue increased to $5.08 billion in 2024, compared to $4.28 billion in 2023 and $3.52 billion in 2022. The increase in instruments and accessories revenue largely reflects continued procedure adoption.

Service revenue was $1.31 billion in 2024, compared to $1.17 billion in 2023 and $1.02 billion in 2022. The increase in service revenue was primarily driven by the growth of the base of installed da Vinci surgical systems producing service revenue. The installed base of da Vinci surgical systems grew 15% to approximately 9,902 as of December 31, 2024; 14% to approximately 8,606 as of December 31, 2023; and 12% to approximately 7,544 as of December 31, 2022.

We use the number of procedures, type of procedures, installed base, number of placements, and utilization of systems as metrics for financial and operational decision-making and as a means to evaluate period-to-period comparisons. Management believes that these metrics provide meaningful supplemental information regarding our performance and certain of these metrics are indicators of the rate of adoption of our robotic-assisted medical procedures, as well as an indicator of future recurring revenue (including revenue from usage-based operating lease arrangements). These metrics facilitate management’s internal comparisons of historical performance, and management believes that both management and investors benefit from

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referring to them in assessing the Company’s performance and when planning, forecasting, and analyzing future periods. Management believes that these metrics are useful to investors, because (1) they allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making, and (2) they are used by institutional investors and the analyst community to help them analyze the performance of our business. The vast majority of our installed systems are connected via the internet. System logs can also be accessed by field engineers for systems that are not connected to the internet. We utilize certain methods that rely on information collected from the installed systems, as well as other information from agreements and discussions with our customers for determining these metrics that involve estimates and judgments, which are, by their nature, subject to substantial uncertainties and assumptions. Estimates and judgments for determining these metrics may be impacted over time by various factors, including system internet connectivity, hospital and distributor reporting behavior, inherent complexities in new agreements, changes in treatment modalities, and hospital and distributor reporting behavior. Such estimates and judgments are also susceptible to algorithmic or other technical errors. The relationship between these metrics and our revenues may fluctuate from period to period, and growth rates for each metric may not correspond to an increase in revenue. These operational metrics supplement our financial results prepared and presented in accordance with U.S. generally accepted accounting principles (“GAAP”) and should be considered alongside, not as a replacement for, revenue and other financial measures.

Intuitive System Leasing

Since 2013, we have entered into sales-type and fixed-payment operating lease arrangements directly with certain qualified customers as a way to offer customers flexibility in how they acquire systems and expand their robotic-assisted programs while leveraging our balance sheet. These leases generally have commercially competitive terms as compared to other third-party entities that offer equipment leasing. We also enter into usage-based operating lease arrangements with qualified customers that have committed da Vinci programs where we charge for the system and service as procedures are performed, offering greater predictability in costs for customers. We believe that all of these alternative financing structures have been effective and well-received, and we are willing to expand the proportion of any of these structures based on customer needs and demand.

We include systems placed under fixed-payment and usage-based operating lease arrangements, as well as sales-type lease arrangements, in our system placement and installed base disclosures. We exclude operating lease-related revenue, including usage-based revenue, and Ion system revenue from our da Vinci surgical system average selling price (“ASP”) computations.

The following table summarizes our system placements under leasing arrangements:

			Year Ended December 31,
			2024						2023						2022
Da Vinci System Placements under Leasing Arrangements
Fixed-payment operating lease arrangements			309						304						276
Usage-based operating lease arrangements			467						355						216
Total da Vinci system placements under operating lease arrangements			776						659						492
% of Total da Vinci system placements			51		%				48		%				39		%
Sales-type lease arrangements			88						45						99
Total da Vinci system placements under leasing arrangements			864						704						591
Ion System Placements under Leasing Arrangements
Fixed-payment operating lease arrangements			85						63						61
Usage-based operating lease arrangements			68						54						40
Total Ion system placements under operating lease arrangements			153						117						101
% of Total Ion system placements			56		%				55		%				53		%
Sales-type lease arrangements			4						5						11
Total Ion system placements under leasing arrangements			157						122						112

Operating lease revenue has grown at a faster rate than overall systems revenue and was $654 million, $501 million, and $377 million for the years ended December 31, 2024, 2023, and 2022, respectively, of which $338 million, $217 million, and $133 million, respectively, was variable lease revenue related to our usage-based operating lease arrangements. Variable lease revenue related to our usage-based operating lease arrangements has been included in our operating lease metrics herein.

Revenue for systems sold or placed under a sales-type lease arrangement is recognized upfront whereas revenue for fixed-payment operating lease arrangements is recognized on a straight-line basis over time. Therefore, in a period when the number of operating lease placements increases as a proportion of total system placements, total systems revenue is reduced, which can

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create volatility in the systems revenue recognized in any given period. We generally set fixed-payment and usage-based operating lease arrangements’ pricing at a modest premium relative to purchased systems reflecting the time value of money and, in the case of usage-based operating lease arrangements, the risk that system utilization may fall short of anticipated levels.

Revenue for usage-based operating lease arrangements is recognized as the system is used to perform procedures. Variable usage-based arrangements create better matching of reimbursements and cost for our customers. They also reduce our customers’ overall risk and need for capital outlay. However, because the number of procedures performed in any given period can vary significantly for many reasons, including but not limited to healthcare emergencies, alternative treatment options, and patient preferences, revenue recognized from these arrangements can be highly volatile.

Customers generally do not have the right to exit or terminate a fixed-payment lease without incurring a penalty. Generally, lease transactions generate similar gross profit margins as our sale transactions. However, because of the variability in revenue recognized for usage-based lease arrangements, including our customers’ ability to exit or cancel those arrangements prior to the end of the lease term, there is no guarantee that we will recuperate the cost of the leased system, which, in turn, could adversely impact our gross profit margins if utilization of those systems are different than our expectations.

The following table summarizes our systems installed at customers under operating leasing arrangements:

			Year Ended December 31,
			2024						2023						2022
Da Vinci System Installed Base under Operating Leasing Arrangements
Fixed-payment operating lease arrangements			1,307						1,204						1,018
Usage-based operating lease arrangements			1,492						1,023						665
Total da Vinci system installed base under operating lease arrangements			2,799						2,227						1,683
Ion System Installed Base under Operating Leasing Arrangements
Fixed-payment operating lease arrangements			126						96						72
Usage-based operating lease arrangements			193						118						60
Total Ion system installed base under operating lease arrangements			319						214						132

Our exposure to the credit risks relating to our lease financing arrangements may increase if our customers are adversely affected by economic pressures or uncertainty, changes in healthcare laws, coverage and reimbursement, or other customer-specific factors. As a result of these macroeconomic factors impacting our customers, we may be exposed to defaults under our lease financing arrangements. Moreover, usage-based operating lease arrangements generally contain no minimum payments; therefore, customers may exit such arrangements without paying a financial penalty to us.

For some operating lease arrangements, our customers are provided with the right to purchase the leased system at certain points during and/or at the end of the lease term. Revenue generated from customer purchases of systems under operating lease arrangements (“Lease Buyouts”) was $109 million, $74 million, and $72 million for the years ended December 31, 2024, 2023, and 2022, respectively. We expect that revenue recognized from customer exercises of buyout options will fluctuate based on the timing of when, and if, customers choose to exercise such buyout options.

Systems Revenue

System placements are driven by procedure growth in most geographic markets. In some markets, system placements are constrained by regulation. In geographies where da Vinci procedure adoption is in an early stage or system placements are constrained by regulation, system sales will precede procedure growth. System placements also vary due to seasonality, largely aligned with hospital budgeting cycles. On an annual basis, we typically place a higher proportion of systems in the fourth quarter and a lower proportion in the first quarter as many customer budgets are reset. Systems revenue is also affected by the proportion of system placements under operating lease arrangements, which can fluctuate period to period depending on customer preference, recurring fixed-payment and usage-based operating lease revenue, Lease Buyouts, product mix, ASPs, trade-in activities, customer mix, and specified-price trade-in rights. We generally do not provide specified-price trade-in rights or upgrade rights at the time of a system purchase; however, as we continue the phased launch of our next-generation da Vinci 5 surgical system, specified-price trade-in rights will continue to be included in certain arrangements. For trade-in activities involving operating lease upgrades, depending on the timing and terms of the upgrade transaction, the amount of revenue generated on the initial and new lease arrangements may not, in the aggregate, generate the same amount of revenue that a traditional sale and trade-in transaction would. Systems revenue increased 17% to $1.97 billion in 2024. Systems revenue remained flat at $1.68 billion in 2023. Systems revenue declined 1% to $1.68 billion in 2022.

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Procedure Mix / Products

Our da Vinci surgical systems are generally used for soft tissue surgery for areas of the body between the pelvis and the neck, primarily in general, gynecologic, urologic, cardiothoracic, and head and neck surgical procedures. Within these categories, procedures range in complexity from cancer and other highly complex procedures to less complex procedures for benign conditions. Cancer and other highly complex procedures tend to be reimbursed at higher rates than less complex procedures for benign conditions. Thus, hospitals are more sensitive to the costs associated with treating less complex, benign conditions. Our strategy is to provide hospitals with attractive clinical and economical solutions across the spectrum of procedure complexity. Our fully featured da Vinci 5 and da Vinci Xi surgical systems with advanced instruments (including da Vinci energy and da Vinci stapler products) and our Integrated Table Motion product target the more complex procedure segment. Our da Vinci X surgical system is targeted toward price-sensitive geographic markets and procedures. Our da Vinci SP surgical system complements the da Vinci 5, da Vinci X, and da Vinci Xi surgical systems by enabling surgeons to access narrow workspaces.

Procedure and Placement Seasonality

For the years ended December 31, 2024, 2023, and 2022, more than half of the da Vinci procedures performed were for benign conditions, most notably hernia repairs, hysterectomies, and cholecystectomies. These benign procedures and other short-term elective procedures tend to be more seasonal than cancer operations and surgeries for other life-threatening conditions. Seasonality in the U.S. for procedures for benign conditions typically results in higher fourth quarter procedure volume when more patients have met annual deductibles and lower first quarter procedure volume when deductibles are reset. Seasonality outside of the U.S. varies and is more pronounced around local holidays and vacation periods, which have lower procedure volume.

In addition, historically, placements of our da Vinci surgical systems have tended to be heavier in the fourth quarter and lighter in the first quarter, as hospital budgets are reset.

Distribution Channels

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. (collectively, the “Joint Venture”), with Fosun Pharma), Japan, South Korea, India, Taiwan, and Canada. In the U.S. (for some government customers), China, and Japan, we also utilize certain distributors in addition to our direct sales organizations. In the remainder of our OUS markets, we provide our products for sale through distributors.

Regulatory Activities

Overview

Our products must meet the requirements of a large and growing body of international regulations and standards that govern the product safety, efficacy, advertising, labeling, safety reporting design, manufacture, materials content and sourcing, testing, certification, packaging, installation, use, and disposal of our products. Examples of such standards include electrical safety standards, such as those of the International Electrotechnical Commission, and composition standards, such as the Reduction of Hazardous Substances and the Waste Electrical and Electronic Equipment Directives in the European Union (“EU”). Failure to meet these standards could limit our ability to market our products in those regions that require compliance with such standards.

Our products and operations are also subject to increasingly stringent medical device, privacy, and other regulations by national, regional, federal, state, and local authorities. After a device is placed on the market, numerous FDA and comparable foreign regulatory requirements continue to apply. These requirements include establishment registration, potential quality system and manufacturing audits and inspections, and device listing with the FDA or other foreign regulatory authorities and compliance with medical device reporting regulations, which require that manufacturers report to the FDA or other foreign regulatory authorities if their device caused or contributed, or may have caused or contributed, to a death or serious injury or malfunctioned in a way that would likely cause or contribute to a death or serious injury if it were to recur.

We anticipate that timelines for the introduction of new products and/or indications may be extended relative to past experience as a result of these regulations. For example, we have seen elongated regulatory approval timelines in the U.S. and Europe.

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Clearances, Approvals, and Certifications

We have generally obtained the regulatory clearances, approvals, and certifications required to market our products for our targeted surgical specialties within the U.S., South Korea, Japan, and the European markets in which we operate. We have obtained regulatory clearances, approvals, and certifications for the following products over the past several years:

Da Vinci Surgical System

Multi-port

•In July 2025, we obtained European certification in accordance with the EU MDR for our da Vinci 5 surgical system, our next-generation multi-port robotic system, for adult and pediatric use in minimally invasive endoscopic procedures across abdominopelvic and thoracoscopic surgical procedures, including urologic, gynecologic, and general laparoscopic procedures, excluding the use of force feedback. We intend to seek European certification for the use of force feedback in the future. In June 2025, we obtained regulatory clearance in Japan for the da Vinci 5 surgical system for use in all surgical specialties and procedures indicated for da Vinci Xi, except for cardiac indications. In October 2024, we obtained regulatory clearance in South Korea for the da Vinci 5 surgical system for use in urologic, general, gynecologic, thoracoscopic, thoracoscopically-assisted cardiotomy, and transoral otolaryngology surgical procedures. In March 2024, we obtained FDA clearance for our da Vinci 5 surgical system for use in all surgical specialties and procedures indicated for da Vinci Xi, except for cardiac and pediatric indications as well as one contraindication related to the use of force feedback in hysterectomy and myomectomy surgical procedures. In our OUS markets, we are early in the launch of our da Vinci 5 surgical system.

•In September 2025, we obtained regulatory clearance in Japan for our Vessel Sealer Curved for use with our da Vinci 5, da Vinci X, and da Vinci Xi surgical systems for grasping and blunt dissection of tissue, as well as bipolar coagulation and mechanical transection of blood vessels (veins and arteries) up to 7mm in diameter, lymphatic vessels, and tissue bundles that fit within the instrument’s jaws. In June 2025, we obtained FDA clearance for the same instrument.

•In December 2024, we obtained European certification in accordance with the EU MDR for our E-200 generator. In July 2023, we received regulatory clearance for our E-200 generator in Japan and South Korea. In November 2022, we obtained FDA clearance for our E-200 generator. The E-200 generator can be used in da Vinci robotic procedures, as well as non-robotic open and laparoscopic procedures, to deliver high-frequency energy for cutting, coagulation, and vessel sealing of tissues. The E-200 generator includes the same advanced energy capability as the E-100 generator and supports the same vessel sealing instruments.

•In September 2024, we obtained FDA clearance for our redesigned 8 mm SureForm 30 stapler and 8 mm SureForm 30 Curved-Tip stapler instruments and reloads for use with our da Vinci 5, da Vinci X, and da Vinci Xi surgical systems in general, thoracic, gynecologic, urologic, and pediatric surgical procedures. In April 2024, we obtained European certification in accordance with the EU MDR for our redesigned 8 mm SureForm 30 stapler and 8 mm SureForm 30 Curved-Tip stapler instruments and reloads for use in general, thoracic, gynecologic, urologic, and pediatric surgical procedures.

•In August 2023, following approval by China’s NMPA for a local version of our da Vinci Xi surgical system in June 2023, our 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.

Single-port

•In June 2025, we obtained regulatory clearances in South Korea and Japan for our SP SureForm 45 stapler and our SP SureForm 45 curved-tip stapler for use with our da Vinci SP surgical system. In March 2025, we obtained FDA clearance for our SP SureForm 45 stapler and our SP SureForm 45 curved-tip stapler for use with our da Vinci SP surgical system, which may be particularly useful in thoracic and colorectal surgical procedures.

•In May 2025, we obtained FDA clearance for the use of our da Vinci SP surgical system in transanal local excision/resection, a form of minimally invasive surgery performed through a natural orifice to avoid abdominal surgical incisions, for select procedures. In December 2024, we obtained FDA clearance for the use of our da Vinci SP surgical system in colorectal surgical procedures. In July 2024, we obtained FDA clearance for the use of our da Vinci SP surgical system in general thoracoscopic surgical procedures. In April 2023, we obtained FDA clearance for the use of our da Vinci SP surgical system in simple prostatectomy procedures. We also obtained FDA clearance for the use of our da Vinci SP surgical system in transvesical approaches to simple and radical prostatectomy.

•In August 2024, we obtained regulatory clearance in Taiwan for our da Vinci SP surgical system for use in endoscopic abdominopelvic, thoracoscopic, transoral otolaryngology, transanal colorectal, transanal total mesorectal excision, and breast surgical procedures. In January 2024, we obtained European certification in accordance with the EU MDR for

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our da Vinci SP surgical system for use in endoscopic abdominopelvic, thoracoscopic, transoral otolaryngology, transanal colorectal, and breast surgical procedures. In September 2022, we obtained regulatory clearance for our da Vinci SP surgical system in Japan for use in general, thoracic (excluding cardiac procedures and intercostal approaches), urologic, gynecologic, and transoral head and neck surgical procedures.

Ion Endoluminal System

•In October 2025, we obtained FDA clearance for software advancements for the Ion endoluminal system. This software release introduces artificial intelligence across Ion’s entire navigational workflow, while also integrating new advanced imaging capabilities to support accurate and efficient lung biopsies.

•In February 2025, we obtained European certification in accordance with the EU MDR to extend the number of uses of our catheter instrument used with our Ion endoluminal system from five to eight uses. In April 2024, we obtained FDA clearance to extend the number of uses of our catheter instrument from five to eight uses.

•In March 2024, we received NMPA regulatory clearance for our Ion endoluminal system in China. We placed our first Ion systems in China during the third quarter of 2024 and will continue our rollout of the Ion system in China in a measured fashion while we optimize training pathways and collect additional clinical data. In September 2023, we received regulatory clearance in South Korea for our Ion endoluminal system. We expect the introduction of the Ion system in South Korea to follow the refinement of our training pathways in the region and the gathering of local clinical and economic data. In March 2023, we obtained European certification in accordance with the EU MDR for our Ion endoluminal system. In Europe, we continued commercialization, with certain system placements focusing on the collection of clinical data in support of our European reimbursement strategy.

Refer to the descriptions of our new products that received regulatory clearances, approvals, or certifications in 2025, 2024, and 2023 in the Recent Product Introductions section below.

In June 2023, the China National Health Commission published the 14th five-year plan quota for major medical equipment to be sold in China on its official website (the “2023 Quota”). Under the original 2023 Quota, the government will allow for the sale of 559 new surgical robots into China, which could include da Vinci surgical systems as well as surgical systems introduced by others. As of September 30, 2025, including systems that were sold in prior quarters, we have placed 146 da Vinci surgical systems under the original 2023 Quota and 5 da Vinci surgical systems under special approvals. Future sales of da Vinci surgical systems under this and any previously published open quotas are uncertain, as they are open to other medical device companies that have introduced robotic-assisted surgical systems and are dependent on hospitals completing a tender process and receiving associated approvals. Our ability to track the number of systems that could be sold under these quotas in the future is limited by provincial and national agencies making such information publicly available.

Since 2022, several provinces in China have implemented significant limits on what hospitals can charge patients for surgeries using robotic surgical technology, including soft tissue surgery. These limits have significantly impacted the number of procedures performed and have impacted our instruments and accessories revenue in those provinces. However, as of the date of this report, these limits have not had a material impact on our business, financial condition, or results of operations, as only a small portion of our installed base in China is currently located in the impacted provinces. Companies providing robotic surgical technology, including our Joint Venture, have been meeting with Chinese government healthcare agencies to discuss these developments and to provide feedback. We cannot assure you that additional provincial or national healthcare agencies and administrations will not impose similar limits, and we expect to continue to face increased pricing pressure, both of which could further impact the number of procedures performed and our instruments and accessories revenue in China.

The Japanese Ministry of Health, Labor, and Welfare (“MHLW”) considers reimbursement for procedures in April of even-numbered years. The process for obtaining reimbursement requires Japanese university hospitals and surgical societies, with our support, to seek reimbursement. There are multiple pathways to obtain reimbursement for procedures, including those that require in-country clinical and economic data. An additional five da Vinci procedures were granted reimbursement in April 2024, including lobectomy for benign conditions. In addition, we received higher reimbursement for certain da Vinci rectal resection procedures, as compared to open procedure reimbursements. The additional reimbursed procedures have varying levels of conventional laparoscopic penetration and will generally be reimbursed at rates equal to the conventional laparoscopic procedures. Given the reimbursement level and laparoscopic penetration for these additional procedures, there can be no assurance that the adoption pace for these procedures will be similar to prostatectomy or partial nephrectomy, given their higher reimbursement, or any other da Vinci procedure.

Field Actions, Recalls, and Corrections

Medical device companies have regulatory obligations to correct or remove medical devices in the field that could pose a risk to health. The definition of “recalls and corrections” is expansive and includes repair, replacement, inspections, relabeling, and issuance of new or additional instructions for use or reinforcement of existing instructions for use and training when such actions are taken for specific reasons of safety or compliance. These field actions require stringent documentation, reporting,

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and monitoring worldwide. There are other actions that a medical device manufacturer may take in the field without reporting including, but not limited to, routine servicing and stock rotations.

As we determine whether a field action is reportable in any regulatory jurisdiction, we prepare and submit notifications to the appropriate regulatory agency for the particular jurisdiction. Regulators can require the expansion, reclassification, or change in scope and language of the field action. In general, upon submitting required notifications to regulators regarding a field action that is a recall or correction, we will notify customers regarding the field action, provide any additional documentation required in their national language, and arrange, as required, the return or replacement of the affected product or a field service visit to perform the correction.

Field actions, as well as certain outcomes from regulatory activities, can result in adverse effects on our business, including damage to our reputation, delays by customers of purchase decisions, reduction or stoppage of the use of installed systems, and reduced revenue as well as increased expenses.

Procedures

We model patient value as equal to procedure efficacy / invasiveness. In this equation, procedure efficacy is defined as a measure of the success of the procedure in resolving the underlying disease, and invasiveness is defined as a measure of patient pain and disruption of regular activities. When the patient value of a robotic-assisted procedure is greater than that of alternative treatment options, patients may benefit from seeking out surgeons or physicians and hospitals that offer robotic-assisted medical procedures, which could potentially result in a local market share shift. Adoption of robotic-assisted procedures occurs by procedure and by market and is driven by the relative patient value and total treatment costs of robotic-assisted procedures as compared to alternative treatment options for the same disease state or condition.

Da Vinci Procedures

The adoption of robotic-assisted surgery using the da Vinci surgical system has the potential to grow for those procedures that offer greater patient value than to non-da Vinci alternatives and competitive total economics for healthcare providers. Our da Vinci surgical systems are used primarily in general, gynecologic, urologic, cardiothoracic, and head and neck surgical procedures. We focus our organization and investments on developing, marketing, and training products and services for procedures in which da Vinci can bring patient value relative to alternative treatment options and/or economic benefit to healthcare providers. Target procedures in general surgery include hernia repair (both ventral and inguinal), colorectal, cholecystectomy, and bariatric procedures. Target procedures in urology include prostatectomy and partial nephrectomy. Target procedures in gynecology include hysterectomy for both cancer and benign conditions and sacrocolpopexy. In cardiothoracic surgery, target procedures include lung resection. In head and neck surgery, target procedures include transoral surgery. Not all indications, procedures, or products described may be available in a given country or region or on all generations of da Vinci surgical systems. Surgeons and their patients need to consult the product labeling in their specific country and for each product in order to determine the cleared uses, as well as important limitations, restrictions, or contraindications.

In 2024, approximately 2,683,000 surgical procedures were performed with da Vinci surgical systems, compared to approximately 2,286,000 and 1,875,000 surgical procedures performed with da Vinci surgical systems in 2023 and 2022, respectively. The increase in our overall procedure volume in 2024 was largely attributable to growth in U.S. general surgery, OUS general surgery (particularly cancer), OUS urologic surgery, and U.S. gynecologic surgery procedures. The overall procedure volume in the 2022 comparative year reflects disruption caused by the COVID-19 pandemic.

U.S. da Vinci Procedures

Overall U.S. procedure volume with da Vinci surgical systems grew to approximately 1,757,000 in 2024, compared to approximately 1,532,000 in 2023 and approximately 1,282,000 in 2022. General surgery was our largest and fastest growing U.S. specialty in 2024 with procedure volume that grew to approximately 1,063,000 in 2024, compared to approximately 896,000 in 2023 and approximately 720,000 in 2022. Gynecology was our second largest U.S. surgical specialty in 2024 with procedure volume that grew to approximately 423,000 in 2024, compared to approximately 390,000 in 2023 and approximately 341,000 in 2022. Urology was our third largest U.S. surgical specialty in 2024 with procedure volume that grew to approximately 186,000 in 2024, compared to approximately 173,000 in 2023 and approximately 162,000 in 2022.

OUS da Vinci Procedures

Overall OUS procedure volume with da Vinci surgical systems grew to approximately 926,000 in 2024, compared to approximately 754,000 in 2023 and approximately 593,000 in 2022. Urology was our largest OUS surgical specialty in 2024 with procedure volume that grew to approximately 435,000 in 2024, compared to approximately 381,000 in 2023 and approximately 316,000 in 2022. General surgery was our second largest and fastest growing OUS specialty in 2024 with procedure volume that grew to approximately 254,000 in 2024, compared to approximately 188,000 in 2023 and approximately 133,000 in 2022. Gynecology was our third largest OUS surgical specialty in 2024 with procedure volume that grew to approximately 142,000 in 2024, compared to approximately 110,000 in 2023 and approximately 86,000 in 2022.

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Ion Procedures

The adoption of robotic-assisted bronchoscopy using the Ion endoluminal system has the potential to grow if it can offer greater patient value than non-Ion alternatives and competitive total economics for healthcare providers.

In 2024, approximately 95,500 biopsy procedures were performed with Ion systems, compared to approximately 53,800 in 2023 and approximately 23,500 in 2022. The increase in our overall procedure volume in 2024 reflects a larger installed base of approximately 805 systems, an increase of 51% compared to the installed base of approximately 534 systems as of 2023. In 2024, 2023, and 2022, the vast majority of Ion biopsy procedures were performed in the U.S.

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Recent Business Events and Trends

Da Vinci Procedures

Overall. Total da Vinci procedures performed by our customers grew approximately 19% for the three months ended September 30, 2025, compared to approximately 18% for the three months ended September 30, 2024. Total da Vinci procedures performed by our customers grew approximately 18% for the nine months ended September 30, 2025, compared to approximately 17% for the nine months ended September 30, 2024. The third quarter 2025 procedure growth was largely attributable to growth in general surgery, OUS urology, and U.S. gynecology procedures.

U.S. Procedures. U.S. da Vinci procedures grew approximately 16% for the three months ended September 30, 2025, compared to approximately 16% for the three months ended September 30, 2024. U.S. da Vinci procedures grew approximately 14% for the nine months ended September 30, 2025, compared to approximately 15% for the nine months ended September 30, 2024. The third quarter 2025 U.S. procedure growth was largely attributable to strong growth in general surgery procedures, most notably cholecystectomy, hernia repair, and appendectomy procedures, as well as growth in gynecological procedures. The number of U.S. da Vinci bariatric procedures performed declined in the high-single digits in the third quarter of 2025 compared to the third quarter of 2024. Da Vinci bariatric procedures comprise approximately 3% of our total da Vinci procedures.

OUS Procedures. OUS da Vinci procedures grew approximately 24% for the three months ended September 30, 2025, compared to approximately 24% for the three months ended September 30, 2024. OUS da Vinci procedures grew approximately 24% for the nine months ended September 30, 2025, compared to approximately 22% for the nine months ended September 30, 2024. The third quarter 2025 OUS procedure growth was largely attributable to growth in general surgery procedures, most notably colorectal and hernia repair procedures, urologic procedures, most notably prostatectomy and partial nephrectomy procedures, and gynecologic procedures, most notably hysterectomy procedures. The third quarter 2025 OUS procedure growth rate reflects continued da Vinci adoption in Asian and European markets. We saw strong procedure growth in India, South Korea, and Brazil during the third quarter of 2025. We believe that growth in these global markets is being driven by increased acceptance among surgeons and health systems, supported by expanded global evidence validating the clinical and economic value of da Vinci procedures as well as increased surgeon training. In South Korea, the doctor strikes that began in the first quarter of 2024 have ended; we saw a recovery in the number of procedures performed in the first nine months of 2025, and the growth rate in South Korea exceeded the overall OUS procedure growth rate.

Ion Procedures

Overall. Total Ion procedures performed by our customers grew approximately 52% for the three months ended September 30, 2025, compared to approximately 73% for the three months ended September 30, 2024. Total Ion procedures performed by our customers grew approximately 54% for the nine months ended September 30, 2025, compared to approximately 81% for the nine months ended September 30, 2024. The third quarter 2025 procedure growth was largely attributable to a larger installed base of Ion systems and the conversion of other lung biopsy modalities.

System Demand

We placed 427 da Vinci surgical systems in the third quarter of 2025, compared to 379 systems in the third quarter of 2024. The increase in system placements reflects continued demand for additional capacity by our customers as a result of procedure growth as well as increased demand for our next-generation da Vinci 5 system, including the impact from customers beginning to trade in fourth-generation da Vinci systems. During the third quarter of 2025, we placed 240 da Vinci 5 systems, compared to 110 systems in the third quarter of 2024.

We placed 50 Ion systems in the third quarter of 2025, compared to 58 systems in the third quarter of 2024. In the U.S., where we estimate that penetration of lung biopsy is approaching the halfway point, our customers’ focus has begun to shift from increasing capacity to increasing utilization of their existing systems.

We continue to see some customers challenged by decreased government funding in healthcare (particularly in Europe and Japan), staffing shortages, and other financial pressures. As a result, we expect some customers to continue to be cautious in their overall capital spending. In addition, system demand in China has been adversely impacted by increasing robotic-assisted surgical system competition from domestic companies and, to a lesser extent, a broader central government focus on systematic governance. Currently, the extent and impact of the competitive dynamics and this campaign in China on our business remains uncertain.

We expect that future placements of da Vinci surgical systems will be impacted by a number of factors: supply chain risks; economic and geopolitical factors; the trade environment; inflationary pressures; high interest rates; hospital staffing shortages; procedure growth rates; evolving system utilization and point-of-care dynamics; capital replacement trends; additional reimbursements in various global markets, such as in Japan; the timing around governmental tenders and authorizations, as well

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as governmental actions impacting the tender process, such as the governance campaign in China; hospitals’ response to the evolving healthcare environment; the timing of when we receive regulatory clearance in our other OUS markets for our da Vinci 5, da Vinci X, da Vinci Xi, and da Vinci SP surgical systems and related instruments; and the market response.

Demand may also be impacted by the competition we currently face, or expect to face, from companies offering products for open or MIS surgeries, companies providing other therapeutic approaches for target clinical conditions, and companies developing diagnostic solutions that could serve as alternatives to current or planned Intuitive offerings. 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.; Distalmotion SA; Harbin Sizhe Rui Intelligent Medical Equipment Co., Ltd.; Johnson & Johnson; Karl Storz SE & Co. KG; Medicaroid Corporation; Medtronic plc; meerecompany Inc.; Noah Medical Corporation; Shandong Weigao Group Medical Polymer Company Ltd.; Shanghai Microport Medbot (Group) Co., Ltd.; Shenzhen Edge Medical Co., Ltd.; and SS Innovations International, Inc.

Many of the above factors will also impact future demand for our Ion endoluminal system, as we extend our commercial offering into diagnostics, along with additional factors associated with a new product introduction, including, but not limited to, our ability to optimize manufacturing and our supply chain, competition, clinical data to demonstrate value, and market acceptance.

Recent Product Introductions

Da Vinci 5. Da Vinci 5 builds on da Vinci Xi’s highly functional design, featuring force feedback technology and instruments that enable surgeons to sense and measure the force exerted on tissue during surgery. It also includes new surgeon controllers, powerful vibration and tremor controls, a next-generation 3D display and image system, and throughput and workflow enhancements, such as an integrated electrosurgical unit and insufflation capabilities technology. Da Vinci 5 has more than 10,000 times the computing power of da Vinci Xi, allowing for innovative new system capabilities and advanced digital experiences, including integration with our My Intuitive app, SimNow (virtual reality simulator), Case Insights (computational observer), and Intuitive Hub (edge computing system). Additionally, the redesigned console provides greater surgeon comfort with customizable positioning, allowing surgeons to find their best fit for surgical viewing and comfort, including the ability to sit completely upright.

E-200 Generator. The E-200 generator is an advanced electrosurgical generator designed to provide high-frequency energy for cutting, coagulation, and vessel sealing of tissues. The E-200 generator is integrated with the da Vinci 5 surgical system, is compatible with the da Vinci X and Xi surgical systems, and can also function as a standalone electrosurgical generator. When connected to a da Vinci system, the E-200 delivers high-frequency energy to da Vinci instruments, with control and status messages communicated through an Ethernet cable. The E-200 generator is also compatible with third-party handheld monopolar and bipolar instruments, as well as fingerswitch-equipped instruments and Intuitive-provided auxiliary footswitches. The E-200 generator includes the same advanced energy capability as the E-100 generator and supports the same vessel sealing instruments.

SureForm 30 Curved-Tip Stapler and Reloads. The 8 mm SureForm 30 curved-tip stapler and reloads (gray, white, and blue) were designed for use with our multi-port da Vinci surgical systems to help surgeons better visualize and reach anatomy through a combination of the 8 mm diameter instrument shaft and jaws, 120-degree cone of wristed articulation, and the curved tip. As it fits through the 8 mm da Vinci surgical system instrument cannula, the stapler allows different angles for surgeons to approach patient anatomy. Consistent with our other SureForm staplers, the 8 mm SureForm 30 curved-tip stapler integrates SmartFire technology, which makes automatic adjustments to the firing process as staples are formed and the transection is made. The technology makes more than 1,000 measurements per second, helping achieve a consistent staple line.

SP SureForm 45 Stapler and SP SureForm 45 Curved-Tip Stapler. The SP SureForm 45 stapler and SP SureForm 45 curved-tip stapler were both designed for use with the da Vinci SP surgical system, providing precision and versatility in minimally invasive procedures. Featuring wristed articulation and a 45 mm staple line, these staplers enhance access to anatomical structures through a single-port approach. Consistent with our multi-port SureForm staplers, these staplers integrate SmartFire technology to monitor tissue compression and make automatic adjustments during firing to optimize staple formation and transection. With real-time monitoring of over 1,000 measurements per second, these staplers help achieve a secure and consistent staple line. The staplers use the same reloads (gray, white, blue, green, and black) as the multi-port SureForm 45 staplers.

Vessel Sealer Curved. The Vessel Sealer Curved is a single-use, fully wristed, advanced bipolar electrosurgical instrument designed for use with our da Vinci 5, da Vinci X, and da Vinci Xi surgical systems. It is intended for grasping and blunt dissection of tissue as well as for bipolar coagulation and mechanical transection of blood vessels (veins and arteries) up to 7 mm in diameter, lymphatic vessels, and tissue bundles that fit within the jaws of the instrument. Vessel Sealer Curved offers enhanced multifunctionality and precision via its slim, curved jaw designed to follow the natural contours of anatomy, helping

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improve visibility and control especially in tight spaces and around critical structures. The Vessel Sealer Curved enables surgeons to seal and cut vessels and tissue using a combination of electrode sealing surfaces and a mechanical cutting blade housed within the instrument jaws.

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Third Quarter 2025 Operational and Financial Highlights

•Total revenue increased by 23% to $2.51 billion for the three months ended September 30, 2025, compared to $2.04 billion for the three months ended September 30, 2024.

•Approximately 797,000 da Vinci procedures were performed during the three months ended September 30, 2025, an increase of 19% compared to approximately 670,000 da Vinci procedures for the three months ended September 30, 2024.

•Approximately 37,900 Ion procedures were performed during the three months ended September 30, 2025, an increase of 52% compared to approximately 24,900 Ion procedures for the three months ended September 30, 2024.

•Instruments and accessories revenue increased by 20% to $1.52 billion for the three months ended September 30, 2025, compared to $1.26 billion for the three months ended September 30, 2024.

•Systems revenue increased by 33% to $590 million for the three months ended September 30, 2025, compared to $445 million during the three months ended September 30, 2024.

•During the three months ended September 30, 2025, we placed 427 da Vinci surgical systems compared to 379 systems during the three months ended September 30, 2024. The third quarter 2025 da Vinci surgical system placements included 240 da Vinci 5 systems compared to 110 systems in the third quarter of 2024.

•As of September 30, 2025, we had a da Vinci surgical system installed base of approximately 10,763 systems, an increase of 13% compared to an installed base of approximately 9,539 systems as of September 30, 2024.

•Utilization of da Vinci surgical systems, measured in terms of procedures per system per year, increased 4% relative to the third quarter of 2024.

•During the three months ended September 30, 2025, we placed 50 Ion systems compared to 58 systems during the three months ended September 30, 2024.

•As of September 30, 2025, we had an Ion system installed base of approximately 954 systems, an increase of 30% compared to an installed base of approximately 736 systems as of September 30, 2024.

•Gross profit as a percentage of revenue was 66.4% for the three months ended September 30, 2025, compared to 67.4% for the three months ended September 30, 2024.

•Operating income increased by 32% to $760 million for the three months ended September 30, 2025, compared to $577 million during the three months ended September 30, 2024. Operating income included $206 million and $176 million of share-based compensation expense related to employee stock plans and $3.9 million and $3.5 million of intangible asset-related charges for the three months ended September 30, 2025, and 2024, respectively.

•During the three months ended September 30, 2025, we repurchased 4.0 million shares of our common stock for $1.92 billion.

•As of September 30, 2025, we had $8.43 billion in cash, cash equivalents, and investments. Cash, cash equivalents, and investments decreased by $0.40 billion, compared to $8.83 billion as of December 31, 2024, primarily as a result of cash used for repurchases of common stock, capital expenditures, and taxes paid related to net share settlements of equity awards, partially offset by cash provided by operating activities and proceeds from stock option exercises and employee stock purchases.

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Results of Operations

The following discussion should be read in conjunction with our unaudited Condensed Consolidated Financial Statements (“Financial Statements”) and Notes thereto.

Certain information from our unaudited Condensed Consolidated Statements of Income has been summarized below (in millions, except percentages):

			Three Months Ended September 30,																								Nine Months Ended September 30,
			2025						% of Total Revenue						2024						% of Total Revenue						2025						% of Total Revenue						2024						% of Total Revenue
Revenue:
Product			$	2,109.2					84		%				$	1,709.2					84		%				$	6,048.4					84		%				$	4,978.9					84		%
Service			395.9						16		%				328.9						16		%				1,150.1						16		%				959.7						16		%
Total revenue			2,505.1						100		%				2,038.1						100		%				7,198.5						100		%				5,938.6						100		%
Cost of revenue:
Product			699.4						28		%				555.4						27		%				2,056.3						29		%				1,649.2						28		%
Service			143.3						6		%				108.8						6		%				404.2						6		%				297.4						5		%
Total cost of revenue			842.7						34		%				664.2						33		%				2,460.5						35		%				1,946.6						33		%
Product gross profit			1,409.8						56		%				1,153.8						57		%				3,992.1						55		%				3,329.7						56		%
Service gross profit			252.6						10		%				220.1						10		%				745.9						10		%				662.3						11		%
Gross profit			1,662.4						66		%				1,373.9						67		%				4,738.0						65		%				3,992.0						67		%
Operating expenses:
Selling, general, and administrative			573.3						23		%				510.6						25		%				1,697.9						24		%				1,527.4						26		%
Research and development			329.4						13		%				286.0						14		%				958.9						13		%				850.6						14		%
Total operating expenses			902.7						36		%				796.6						39		%				2,656.8						37		%				2,378.0						40		%
Income from operations			759.7						30		%				577.3						28		%				2,081.2						28		%				1,614.0						27		%
Interest and other income, net			95.5						4		%				93.7						5		%				274.6						4		%				250.0						4		%
Income before taxes			855.2						34		%				671.0						33		%				2,355.8						32		%				1,864.0						31		%
Income tax expense			146.0						6		%				100.4						5		%				278.7						4		%				214.5						3		%
Net income			709.2						28		%				570.6						28		%				2,077.1						28		%				1,649.5						28		%
Less: net income attributable to noncontrolling interest in joint venture			4.8						—		%				5.5						—		%				15.9						—		%				12.6						—		%
Net income attributable to Intuitive Surgical, Inc.			$	704.4					28		%				$	565.1					28		%				$	2,061.2					28		%				$	1,636.9					28		%

Total Revenue

Total revenue increased by 23% to $2.51 billion for the three months ended September 30, 2025, compared to $2.04 billion for the three months ended September 30, 2024, resulting from 20% higher instruments and accessories revenue, 33% higher systems revenue, and 20% higher service revenue.

Total revenue increased by 21% to $7.20 billion for the nine months ended September 30, 2025, compared to $5.94 billion for the nine months ended September 30, 2024, resulting from 19% higher instruments and accessories revenue, 29% higher systems revenue, and 20% higher service revenue.

We generally sell our products and services in local currencies where we have direct distribution channels. Revenue denominated in foreign currencies as a percentage of total revenue was approximately 24% and 25% for the three and nine months ended September 30, 2025, and 24% and 25% for the three and nine months ended September 30, 2024, respectively. Fluctuations in foreign currency exchange rates had a favorable impact on OUS total revenue of $3 million and $9 million for the three and nine months ended September 30, 2025, respectively. Fluctuations in foreign currency exchange rates had an unfavorable impact on OUS total revenue of $2 million and $29 million for the three and nine months ended September 30, 2024, respectively. The impact of fluctuations in foreign currency exchange rates was determined by comparing current period revenue converted to USD using exchange rates that were effective in the comparable prior year period, net of the impacts from foreign currency hedging.

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Revenue generated in the U.S. accounted for 69% and 68% of total revenue for the three and nine months ended September 30, 2025, respectively, and 68% and 66% of total revenue for the three and nine months ended September 30, 2024, respectively. We believe that U.S. revenue has accounted for the large majority of total revenue due to U.S. patients’ ability to choose their provider and method of treatment, reimbursement structures supportive of innovation and MIS, and our initial investments focused on U.S. infrastructure. We have been investing in our business in OUS markets, and our OUS procedures have grown faster in comparison to U.S. procedures. We expect that our OUS procedures and revenue will make up a greater portion of our business in the long term.

The following table summarizes our revenue and system unit placements (in millions, except percentages and unit placements):

			Three Months Ended September 30,												Nine Months Ended September 30,
			2025						2024						2025						2024
Revenue
Instruments and accessories			$	1,518.8					$	1,264.2					$	4,360.6					$	3,667.5
Systems			590.4						445.0						1,687.8						1,311.4
Total product revenue			2,109.2						1,709.2						6,048.4						4,978.9
Service			395.9						328.9						1,150.1						959.7
Total revenue			$	2,505.1					$	2,038.1					$	7,198.5					$	5,938.6
U.S.			$	1,717.6					$	1,379.4					$	4,885.2					$	3,937.1
OUS			787.5						658.7						2,313.3						2,001.5
Total revenue			$	2,505.1					$	2,038.1					$	7,198.5					$	5,938.6
% of Revenue – U.S.			69%						68%						68%						66%
% of Revenue – OUS			31%						32%						32%						34%
Instruments and accessories			$	1,518.8					$	1,264.2					$	4,360.6					$	3,667.5
Service			395.9						328.9						1,150.1						959.7
Operating lease revenue			223.0						167.8						632.0						472.7
Total recurring revenue			$	2,137.7					$	1,760.9					$	6,142.7					$	5,099.9
% of Total revenue			85%						86%						85%						86%
Da Vinci Surgical System Placements by Region
U.S. unit placements			263						219						683						516
OUS unit placements			164						160						506						517
Total unit placements*			427						379						1,189						1,033
*Systems placed under fixed-payment operating lease arrangements (included in total unit placements)			116						79						276						227
*Systems placed under usage-based operating lease arrangements (included in total unit placements)			115						141						346						327
Da Vinci Surgical System Placements involving Trade-ins or Lease Upgrades
Unit placements involving trade-ins or lease upgrades			141						38						291						88
Unit placements not involving trade-ins or lease upgrades			286						341						898						945
Ion System Placements**			50						58						153						202
**Systems placed under fixed-payment operating lease arrangements (included in total unit placements)			11						19						38						61
**Systems placed under usage-based operating lease arrangements (included in total unit placements)			6						17						42						54

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Product Revenue

Three Months Ended September 30, 2025

Product revenue increased by 23% to $2.11 billion for the three months ended September 30, 2025, compared to $1.71 billion for the three months ended September 30, 2024.

Instruments and accessories revenue increased by 20% to $1.52 billion for the three months ended September 30, 2025, compared to $1.26 billion for the three months ended September 30, 2024. The increase in instruments and accessories revenue was primarily driven by approximately 19% higher da Vinci procedure volume and approximately 52% higher Ion procedure volume. The third quarter 2025 U.S. da Vinci procedure growth was approximately 16%, driven primarily by strong growth in general surgery procedures, most notably cholecystectomy, hernia repair, and appendectomy procedures, as well as growth in gynecological procedures. The number of U.S. da Vinci bariatric procedures performed declined in the high-single digits in the third quarter of 2025 compared to the third quarter of 2024. The third quarter 2025 OUS da Vinci procedure growth was approximately 24%, driven by growth in general surgery procedures, most notably colorectal and hernia repair procedures, urologic procedures, most notably prostatectomy and partial nephrectomy procedures, and gynecologic procedures, most notably hysterectomy procedures. Geographically, the third quarter 2025 OUS da Vinci procedure growth was driven by several markets with particular strength in India, South Korea, and Brazil.

Systems revenue increased by 33% to $590 million for the three months ended September 30, 2025, compared to $445 million for the three months ended September 30, 2024. The higher third quarter 2025 system revenue was primarily driven by an increase in da Vinci system placements, including a decrease in the proportion of da Vinci system placements under operating leases, higher operating lease revenue, and higher ASPs in the third quarter of 2025, driven by an increase in da Vinci 5 system placements.

During the third quarter of 2025, 427 da Vinci surgical systems were placed compared to 379 systems during the third quarter of 2024. By geography, 263 systems were placed in the U.S., 63 in Europe, 60 in Asia, and 41 in other markets during the third quarter of 2025, compared to 219 systems placed in the U.S., 65 in Europe, 74 in Asia, and 21 in other markets during the third quarter of 2024. The increase in system placements was primarily driven by continued demand for additional capacity by our customers as a result of procedure growth as well as increased demand for our next-generation da Vinci 5 system, including the impact from customers beginning to trade in fourth-generation da Vinci systems. As of September 30, 2025, we had a da Vinci surgical system installed base of approximately 10,763 systems, compared to an installed base of approximately 9,539 systems as of September 30, 2024. The incremental system installed base reflects continued procedure growth and further customer validation that robotic-assisted surgery addresses their Quintuple Aim objectives.

The following table summarizes our da Vinci system placements and systems installed at customers under leasing arrangements:

			Three Months Ended September 30,
			2025						2024
Da Vinci System Placements under Leasing Arrangements
Fixed-payment operating lease arrangements			116						79
Usage-based operating lease arrangements			115						141
Total da Vinci system placements under operating lease arrangements			231						220
% of Total da Vinci system placements			54%						58%
Sales-type lease arrangements			12						13
Total da Vinci system placements under leasing arrangements			243						233
Da Vinci System Installed Base under Operating Leasing Arrangements
Fixed-payment operating lease arrangements			1,379						1,289
Usage-based operating lease arrangements			1,736						1,352
Total da Vinci system installed base under operating leasing arrangements			3,115						2,641

Operating lease revenue, including the contribution from Ion systems, was $223 million for the three months ended September 30, 2025, of which $138 million was variable lease revenue related to usage-based arrangements, compared to $168 million for the three months ended September 30, 2024, of which $87 million was variable lease revenue related to usage-based arrangements. Revenue from Lease Buyouts was $22 million for the three months ended September 30, 2025, compared to $24 million for the three months ended September 30, 2024. We expect revenue from Lease Buyouts to fluctuate period to period depending on the timing of when, and if, customers choose to exercise buyout options embedded in their leases.

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The da Vinci surgical system ASP, excluding systems placed under fixed-payment or usage-based operating lease arrangements, Ion systems, and the impact of specified-price trade-in rights, was approximately $1.60 million for the three months ended September 30, 2025, compared to approximately $1.51 million for the three months ended September 30, 2024. The higher third quarter 2025 ASP was largely driven by favorable product mix, including from da Vinci 5 system placements, partially offset by higher pricing discounts and more trade-ins. ASP fluctuates from period to period based on geographic and product mix, product pricing, systems placed involving trade-ins, and changes in foreign exchange rates.

During the third quarter of 2025, 50 Ion systems were placed compared to 58 systems during the third quarter of 2024. By geography, 41 systems were placed in the U.S., 5 in Europe, and 4 in Asia during third quarter of 2025, compared to 53 systems placed in the U.S. and 3 in Europe during the third quarter of 2024. In the U.S., where we estimate that penetration of lung biopsy is approaching the halfway point, our customers’ focus has begun to shift from increasing capacity to increasing utilization of their existing systems. As of September 30, 2025, we had an Ion system installed base of approximately 954 systems, compared to an installed base of approximately 736 systems as of September 30, 2024.

The following table summarizes our Ion system placements and systems installed at customers under leasing arrangements:

			Three Months Ended September 30,
			2025						2024
Ion System Placements under Leasing Arrangements
Fixed-payment operating lease arrangements			11						19
Usage-based operating lease arrangements			6						17
Total Ion system placements under operating lease arrangements			17						36
% of Total Ion system placements			34%						62%
Sales-type lease arrangements			5						2
Total Ion system placements under leasing arrangements			22						38
Ion System Installed Base under Operating Leasing Arrangements
Fixed-payment operating lease arrangements			123						117
Usage-based operating lease arrangements			239						179
Total Ion system installed base under operating leasing arrangements			362						296

Nine Months Ended September 30, 2025

Product revenue increased by 21% to $6.05 billion for the nine months ended September 30, 2025, compared to $4.98 billion for the nine months ended September 30, 2024.

Instruments and accessories revenue increased by 19% to $4.36 billion for the nine months ended September 30, 2025, compared to $3.67 billion for the nine months ended September 30, 2024. The increase in instruments and accessories revenue was primarily driven by approximately 18% higher da Vinci procedure volume and approximately 54% higher Ion procedure volume. The year-to-date 2025 U.S. da Vinci procedure growth was approximately 14%, driven primarily by strong growth in general surgery procedures, most notably cholecystectomy, hernia repair, and appendectomy procedures, as well as growth in gynecological procedures. The number of U.S. da Vinci bariatric procedures continued to decline in the high-single digits in the first nine months of 2025 compared with the first nine months of 2024. The year-to-date 2025 OUS da Vinci procedure growth was approximately 24%, driven by growth in general surgery procedures, most notably colorectal and hernia repair procedures, urologic procedures, most notably prostatectomy and partial nephrectomy procedures, and gynecologic procedures, most notably hysterectomy procedures. Geographically, the year-to-date 2025 OUS da Vinci procedure growth was driven by several markets with particular strength in India and South Korea.

Systems revenue increased by 29% to $1.69 billion for the nine months ended September 30, 2025, compared to $1.31 billion for the nine months ended September 30, 2024. The higher year-to-date 2025 system revenue was primarily driven by an increase in da Vinci system placements, including a decrease in the proportion of da Vinci system placements under operating leases, higher operating lease revenue, and higher year-to-date 2025 ASPs, driven by an increase in da Vinci 5 system placements.

During the nine months ended September 30, 2025, a total of 1,189 da Vinci surgical systems were placed compared to 1,033 systems during the nine months ended September 30, 2024. By geography, 683 systems were placed in the U.S., 224 in Europe, 181 in Asia, and 101 in other OUS markets during the nine months ended September 30, 2025, compared to 516 systems placed in the U.S., 220 in Europe, 225 in Asia, and 72 in other OUS markets during the nine months ended September 30, 2024. The increase in system placements was primarily driven by continued demand for additional capacity by

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our customers as a result of procedure growth as well as increased demand for our next-generation da Vinci 5 system, including the impact from customers beginning to trade in fourth-generation da Vinci systems.

The following table summarizes our da Vinci system placements and systems installed at customers under leasing arrangements:

			Nine Months Ended September 30,
			2025						2024
Da Vinci System Placements under Leasing Arrangements
Fixed-payment operating lease arrangements			276						227
Usage-based operating lease arrangements			346						327
Total da Vinci system placements under operating lease arrangements			622						554
% of Total da Vinci system placements			52%						54%
Sales-type lease arrangements			28						45
Total da Vinci system placements under leasing arrangements			650						599
Da Vinci System Installed Base under Operating Leasing Arrangements
Fixed-payment operating lease arrangements			1,379						1,289
Usage-based operating lease arrangements			1,736						1,352
Total da Vinci system installed base under operating leasing arrangements			3,115						2,641

Operating lease revenue, including the contribution from Ion systems, was $632 million for the nine months ended September 30, 2025, of which $380 million was variable lease revenue related to usage-based arrangements, compared to $473 million for the nine months ended September 30, 2024, of which $237 million was variable lease revenue related to usage-based arrangements. Revenue from Lease Buyouts was $91 million for the nine months ended September 30, 2025, compared to $81 million for the nine months ended September 30, 2024. We expect revenue from Lease Buyouts to fluctuate period to period depending on the timing of when, and if, customers choose to exercise buyout options embedded in their leases.

The da Vinci surgical system ASP, excluding systems placed under fixed-payment or usage-based operating lease arrangements, Ion systems, and the impact of specified-price trade-in rights, was approximately $1.57 million for the nine months ended September 30, 2025, compared to approximately $1.44 million for the nine months ended September 30, 2024. The higher year-to-date 2025 ASP was largely driven by favorable product mix, including from da Vinci 5 system placements, partially offset by more trade-ins. ASP fluctuates from period to period based on geographic and product mix, product pricing, systems placed involving trade-ins, and changes in foreign exchange rates.

During the nine months ended September 30, 2025, 153 Ion systems were placed compared to 202 systems during the nine months ended September 30, 2024. By geography, 133 systems were placed in the U.S., 11 in Europe, 6 in Asia, and 3 in other markets during nine months ended September 30, 2025, compared to 191 systems placed in the U.S. and 9 in Europe during the nine months ended September 30, 2024. In the U.S., where we estimate that penetration of lung biopsy is approaching the halfway point, our customers’ focus has begun to shift from increasing capacity to increasing utilization of their existing systems. As of September 30, 2025, we had an Ion system installed base of approximately 954 systems, compared to an installed base of approximately 736 systems as of September 30, 2024.

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The following table summarizes our Ion system placements and systems installed at customers under leasing arrangements:

			Nine Months Ended September 30,
			2025						2024
Ion System Placements under Leasing Arrangements
Fixed-payment operating lease arrangements			38						61
Usage-based operating lease arrangements			42						54
Total Ion system placements under operating lease arrangements			80						115
% of Total Ion system placements			52%						57%
Sales-type lease arrangements			10						2
Total Ion system placements under leasing arrangements			90						117
Ion System Installed Base under Operating Leasing Arrangements
Fixed-payment operating lease arrangements			123						117
Usage-based operating lease arrangements			239						179
Total Ion system installed base under operating leasing arrangements			362						296

Service Revenue

Service revenue increased by 20% to $396 million for the three months ended September 30, 2025, compared to $329 million for the three months ended September 30, 2024. The increase in service revenue was primarily driven by a larger installed base of systems producing service revenue and favorable product mix, including from da Vinci 5 system placements.

Service revenue increased by 20% to $1.15 billion for the nine months ended September 30, 2025, compared to $0.96 billion for the nine months ended September 30, 2024. The increase in service revenue was primarily driven by a larger installed base of systems producing service revenue and favorable product mix, including from da Vinci 5 system placements.

Gross Profit

Product

Product gross profit for the three months ended September 30, 2025, increased by 22% to $1.41 billion, representing 66.8% of product revenue, compared to $1.15 billion, representing 67.5% of product revenue, for the three months ended September 30, 2024. The lower product gross profit margin for the three months ended September 30, 2025, was primarily driven by the impact of tariffs.

Product gross profit for the nine months ended September 30, 2025, increased by 20% to $3.99 billion, representing 66.0% of product revenue, compared to $3.33 billion, representing 66.9% of product revenue, for the nine months ended September 30, 2024. The lower product gross profit margin for the nine months ended September 30, 2025, was primarily driven by the impact of tariffs, higher costs associated with the phased launch of our da Vinci 5 surgical system, and incremental fixed overhead costs, including depreciation expense, associated with expanded manufacturing capacity in the U.S., partially offset by lower excess and obsolete inventory charges.

Product gross profit for the three and nine months ended September 30, 2025, included share-based compensation expense of $31.5 million and $92.0 million, respectively, compared with $24.9 million and $71.2 million for the three and nine months ended September 30, 2024, respectively. Product gross profit for the three and nine months ended September 30, 2025, included intangible assets amortization expense of $2.2 million and $6.7 million, respectively, compared with $2.2 million and $9.3 million for the three and nine months ended September 30, 2024, respectively.

Compared to historical levels, our capital expenditures increased in 2024 and 2025 as a result of the investments made to build the infrastructure needed to scale our business. Therefore, in 2025, depreciation expense has increased and is expected to continue to increase as additional projects are placed in service, which may impact our future gross profit margin.

Service

Service gross profit for the three months ended September 30, 2025, increased by 15% to $253 million, representing 63.8% of service revenue, compared to $220 million, representing 66.9% of service revenue, for the three months ended September 30, 2024. The higher service gross profit for the three months ended September 30, 2025, was primarily driven by higher service revenue, reflecting a larger installed base of da Vinci surgical systems, partially offset by a lower service gross profit margin. The lower service gross profit margin for the three months ended September 30, 2025, was primarily driven by higher costs associated with the phased launch of our da Vinci 5 surgical system, an unfavorable repair mix, incremental fixed costs,

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including depreciation expense, and the impact of tariffs, partially offset by lower excess and obsolete inventory charges and lower logistics costs.

Service gross profit for the nine months ended September 30, 2025, increased by 13% to $746 million, representing 64.9% of service revenue, compared to $662 million, representing 69.0% of service revenue, for the nine months ended September 30, 2024. The higher service gross profit for the nine months ended September 30, 2025, was primarily driven by higher service revenue, reflecting a larger installed base of da Vinci surgical systems, and a lower service gross profit margin. The lower service gross profit margin for the nine months ended September 30, 2025, was primarily driven by higher costs associated with the phased launch of our da Vinci 5 surgical system, an unfavorable repair mix, incremental fixed costs, including depreciation expense, and the impact of tariffs, partially offset by lower logistics costs and lower excess and obsolete inventory charges.

Service gross profit for the three and nine months ended September 30, 2025, included share-based compensation expense of $8.8 million and $25.6 million, respectively, compared with $7.9 million and $22.5 million for the three and nine months ended September 30, 2024, respectively. Service gross profit for the three and nine months ended September 30, 2025, included intangible assets amortization expense of $0.2 million and $0.6 million, respectively, compared with $0.2 million and $0.6 million for the three and nine months ended September 30, 2024, respectively.

Selling, General, and Administrative Expenses

Selling, general, and administrative expenses include costs for sales, marketing, and administrative personnel, sales and marketing activities, trade show expenses, legal expenses, regulatory fees, and general corporate expenses.

Selling, general, and administrative expenses for the three months ended September 30, 2025, increased by 12% to $573 million, compared to $511 million for the three months ended September 30, 2024. The increase in selling, general, and administrative expenses for the three months ended September 30, 2025, was primarily driven by higher headcount and personnel-related expenses, including variable compensation and share-based compensation expense, and higher litigation charges, partially offset by lower legal expenses.

Selling, general, and administrative expenses for the nine months ended September 30, 2025, increased by 11% to $1.70 billion, compared to $1.53 billion for the nine months ended September 30, 2024. The increase in selling, general, and administrative expenses for the nine months ended September 30, 2025, was primarily driven by higher headcount and personnel-related expenses, including share-based compensation expense and variable compensation, and increased infrastructure costs to support our growth.

Selling, general, and administrative expenses for the three and nine months ended September 30, 2025, included share-based compensation expense of $88.1 million and $256.7 million, respectively, compared with $77.6 million and $225.4 million for the three and nine months ended September 30, 2024, respectively. Selling, general, and administrative expenses for the three and nine months ended September 30, 2025, included intangible assets amortization expense of $0.1 million and $0.7 million, respectively, compared with $0.6 million and $2.2 million for the three and nine months ended September 30, 2024, respectively.

Research and Development Expenses

Research and development costs are expensed as incurred and primarily include costs associated with research and the design, development, testing, and significant enhancement of our products. Our main product development initiatives include multi-port, Ion, and SP platform investments as well as digital products and services and various research projects.

Research and development expenses for the three months ended September 30, 2025, increased by 15% to $329 million, compared to $286 million for the three months ended September 30, 2024. Research and development expenses for the nine months ended September 30, 2025, increased by 13% to $959 million, compared to $851 million for the nine months ended September 30, 2024. The increase in research and development expenses for the three and nine months ended September 30, 2025, was primarily driven by higher headcount and personnel-related expenses, including share-based compensation expense, and other project costs incurred to support a broad set of product development initiatives.

Research and development expenses for the three and nine months ended September 30, 2025, included share-based compensation expense of $77.6 million and $221.3 million, respectively, compared with $65.4 million and $188.7 million for the three and nine months ended September 30, 2024, respectively. Research and development expenses for the three and nine months ended September 30, 2025, included intangible asset-related charges of $1.4 million and $9.2 million, respectively, compared with $0.5 million and $1.7 million for the three and nine months ended September 30, 2024, respectively.

Research and development expenses fluctuate with project timing. Based upon our broader set of product development initiatives and the stage of the underlying projects, we expect to continue to make substantial investments in research and development and anticipate that research and development expenses will continue to increase in the future.

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Interest and Other Income, Net

Interest and other income, net, for the three months ended September 30, 2025, increased by 2% to $95.5 million, compared to $93.7 million for the three months ended September 30, 2024. The increase in interest and other income, net, for the three months ended September 30, 2025, was primarily driven by unrealized gains on strategic investments (compared to unrealized losses during the three months ended September 30, 2024) and higher interest income earned due to higher average cash and investment balances, partially offset by foreign exchange losses, net of the impacts of derivatives and hedging (compared to foreign exchange gains during the three months ended September 30, 2024).

Interest and other income, net, for the nine months ended September 30, 2025, increased by 10% to $275 million, compared to $250 million for nine months ended September 30, 2024. The increase in interest and other income, net, for the nine months ended September 30, 2025, was primarily driven by higher interest income earned due to higher average cash and investment balances and an increase in average interest rates, partially offset by foreign exchange losses, net of the impacts of derivatives and hedging (compared to foreign exchange gains during the nine months ended September 30, 2024), and unrealized losses on strategic investments (compared to unrealized gains during the nine months ended September 30, 2024).

Income Tax Expense

Income tax expense for the three months ended September 30, 2025, was $146.0 million, or 17.1% of income before taxes, compared to $100.4 million, or 15.0% of income before taxes, for the three months ended September 30, 2024. Income tax expense for the nine months ended September 30, 2025, was $278.7 million, or 11.8% of income before taxes, compared to $214.5 million, or 11.5% of income before taxes, for the nine months ended September 30, 2024.

Our higher effective tax rate for the three and nine months ended September 30, 2025, compared to the three and nine months ended September 30, 2024, was primarily due to a lower tax rate benefit from excess tax benefits, as discussed below, and lower federal research and development credit benefits, partially offset by lower U.S. taxes on foreign earnings.

Our provision for income taxes for the three months ended September 30, 2025, and 2024, included excess tax benefits associated with employee equity plans of $24.2 million and $42.2 million, respectively, which reduced our effective tax rate by 2.8 and 6.3 percentage points, respectively. Our provision for income taxes for the nine months ended September 30, 2025, and 2024, included excess tax benefits associated with employee equity plans of $202.5 million and $189.0 million, respectively, which reduced our effective tax rate by 8.6 and 10.1 percentage points, respectively. The amount of excess tax benefits or deficiencies will fluctuate from period to period based on the price of our stock, the volume of share-based awards settled or vested, and the value assigned to employee equity awards under GAAP, which results in increased income tax expense volatility.

On July 4, 2025, the One Big Beautiful Bill Act (the “OBBB Act”) was enacted, introducing amendments to U.S. tax laws with various effective dates from 2025 to 2027. The changes introduced by the OBBB Act are not expected to have a material impact on our annual effective tax rate for 2025.

In 2021, the Organization for Economic Co-operation and Development (“OECD”) established an inclusive framework on base erosion and profit shifting and agreed on a two-pillar solution to global taxation, focusing on global profit allocation and a 15% global minimum effective tax rate (“Pillar Two”). The OECD issued Pillar Two model rules and continues to release guidance on these rules. In January 2025, the OECD released additional guidance, which includes a limitation on certain deferred tax assets recognized after November 2021. Various countries, including Switzerland and EU member states, have enacted or have announced plans to enact new tax laws to implement the global minimum tax. We considered the applicable tax law changes and additional guidance on Pillar Two implementation in the relevant countries, and there is no material impact to our tax provision for the three and nine months ended September 30, 2025. We will continue to evaluate the impact of any additional guidance and tax law changes on future reporting periods.

We file federal, state, and foreign income tax returns in many jurisdictions in the U.S. and OUS. Years before 2020 are considered closed for significant jurisdictions. Certain of our unrecognized tax benefits could change due to activities of various tax authorities, including evolving interpretations of existing tax laws in the jurisdictions in which we operate, potential assessment of additional tax, possible settlement of audits, or through normal expiration of various statutes of limitations, which could affect our effective tax rate in the period in which they change.

We are subject to the examination of our income tax returns by the Internal Revenue Service and other tax authorities. The outcome of these audits cannot be predicted with certainty. Management regularly assesses the likelihood of adverse outcomes resulting from these examinations to determine the adequacy of our provision for income taxes. If any issues addressed in our tax audits are resolved in a manner not consistent with management’s expectations, we could be required to adjust our provision for income taxes in the period such resolution occurs.

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Liquidity and Capital Resources

Sources and Uses of Cash and Cash Equivalents

Our principal source of liquidity is cash provided by our operations. Cash and cash equivalents plus short- and long-term investments decreased by $0.40 billion to $8.43 billion as of September 30, 2025, from $8.83 billion as of December 31, 2024, primarily as a result of cash used for repurchases of common stock, capital expenditures, and taxes paid related to net share settlements of equity awards, partially offset by cash provided by operating activities and proceeds from stock option exercises and employee stock purchases.

Our cash requirements depend on numerous factors, including market acceptance of our products, the resources we devote to developing and supporting our products, and other factors. We expect to continue to devote substantial resources to expand procedure adoption and acceptance of our products. We have made substantial investments in our commercial operations, product development activities, facilities, and intellectual property. Based on our business model, we anticipate that we will continue to be able to fund future growth through cash provided by our operations. We believe that our current cash, cash equivalents, and investment balances, together with income to be derived from our business, will be sufficient to meet our liquidity requirements for the foreseeable future. However, we may experience reduced cash flow from operations as a result of macroeconomic and geopolitical headwinds.

See “Item 7A. Quantitative and Qualitative Disclosures About Market Risk” in our Form 10-K for the fiscal year ended December 31, 2024, for discussion on the impact of interest rate risk and market risk on our investment portfolio.

Condensed Consolidated Cash Flow Data

The following table summarizes our cash flows (in millions):

			Nine Months Ended September 30,
			2025						2024
Net cash provided by (used in):
Operating activities			$	2,138.0					$	1,592.4
Investing activities			875.2						(2,008.6)
Financing activities			(2,226.6)						101.5
Effect of exchange rates on cash, cash equivalents, and restricted cash			0.5						(9.1)
Net increase (decrease) in cash, cash equivalents, and restricted cash			$	787.1					$	(323.8)

Operating Activities

For the nine months ended September 30, 2025, net cash provided by operating activities of $2.14 billion exceeded our net income of $2.08 billion, primarily due to the following factors:

1.Our net income included non-cash charges of $1.08 billion, consisting primarily of share-based compensation of $585 million and depreciation expense and losses on the disposal of property, plant, and equipment of $446 million.

2.Changes in operating assets and liabilities resulted in $1.02 billion of cash used in operating activities during the nine months ended September 30, 2025. Inventory, including the transfer of equipment from inventory to property, plant, and equipment, increased by $810 million, primarily to address the growth in our business, including the expansion of our leasing business, and to mitigate risks of disruption that could arise from global supply chain shortages. Refer to Note 4 to the Financial Statements for further details in the supplemental cash flow information. Prepaids and other assets increased by $249 million, primarily driven by tax payments, an increase in lease incentive assets associated with operating leases, and new and extended facilities leases. Accrued compensation and employee benefits decreased by $80 million, primarily due to payments for 2024 incentive compensation and stock purchases related to our ESPP. The unfavorable impact of these items on cash provided by operating activities was partially offset by an increase in accounts payable of $97 million, primarily due to more inventory purchases, and an increase in deferred revenue of $48 million, primarily due to an increased volume of sales contracts.

Investing Activities

Net cash provided by investing activities for the nine months ended September 30, 2025, consisted primarily of proceeds from maturities and sales of investments, net of purchases of investments of $1.25 billion, partially offset by $377 million paid for the acquisition of property, plant, and equipment. We invest predominantly in high quality, fixed income securities. Our investment portfolio may, at any time, contain investments in money market funds, U.S. treasury and U.S. government agency

49

securities, high-quality corporate notes and bonds, commercial paper, non-U.S. government agency securities, and taxable and tax-exempt municipal notes.

Financing Activities

Net cash used in financing activities for the nine months ended September 30, 2025, consisted primarily of cash used in the repurchase of 4.4 million shares of our common stock for $2.09 billion and cash used for taxes paid on behalf of employees related to net share settlements of vested employee equity awards of $406 million, partially offset by cash proceeds from stock option exercises and employee stock purchases of $274 million.

Capital Expenditures

We expect to continue to invest in infrastructure needed to scale and supply our customers with highly differentiated products manufactured in highly automated factories to facilitate outstanding performance in product quality, availability, and cost. A significant portion of this investment involves the construction of facilities to expand our manufacturing and commercial capabilities. We have also been vertically integrating key technologies to develop a more robust supply chain, enabling us to bring important products to market at attractive price points. These integration efforts include increased ownership of our imaging pipelines and investments in strategic instruments and accessories technologies that allow us to serve our customers better. We expect these capital investments to range between $625 million and $675 million in 2025, the majority of which will be facilities-related investments. We intend to fund these capital investments with cash generated from operations.

Critical Accounting Estimates

The discussion and analysis of our financial condition and results of operations are based upon our Financial Statements, which have been prepared in accordance with GAAP. The preparation of these Financial Statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues, and expenses. On an ongoing basis, we evaluate our critical accounting estimates. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions. There have been no new or material changes to the critical accounting estimates discussed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2024, that are of significance, or potential significance, to the Company.

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ITEM 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

There have been no material changes in our market risk during the nine months ended September 30, 2025, compared to the disclosures in Part II, Item 7A of our Annual Report on Form 10-K for the year ended December 31, 2024.

ITEM 4.    CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our Exchange Act reports is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate, to allow for timely decisions regarding required disclosure.

As required by SEC Rule 13a-15(b), we carried out an evaluation, under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this report. Based on the foregoing, our principal executive officer and principal financial officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective at the reasonable assurance level.

Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the quarter ended September 30, 2025, that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

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PART II – OTHER INFORMATION

ITEM 1.    LEGAL PROCEEDINGS

The information included in Note 8 to the Condensed Consolidated Financial Statements (Unaudited) included in Part I, Item 1 of this Quarterly Report is incorporated herein by reference.

ITEM 1A.    RISK FACTORS

You should carefully consider the factors discussed in Part I, “Item 1A. Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2024, which could materially affect our business, financial position, or future results of operations. The risks described in our Annual Report on Form 10-K for the fiscal year ended December 31, 2024, are not the only risks we face. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial position, or future results of operations.

ITEM 2.    UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

There were no unregistered sales of equity securities during the period covered by this report.

(c) Issuer Purchases of Equity Securities

The table below summarizes our stock repurchase activity for the quarter ended September 30, 2025:

Fiscal Period			Total Number of Shares Repurchased						Average Price Paid Per Share						Total Number of Shares Purchased As Part of a Publicly Announced Program						Approximate Dollar Amount of Shares That May Yet be Purchased Under the Program (1)
July 1 to July 31, 2025			985,341						$	499.13					985,341						$	3.3	billion
August 1 to August 31, 2025			2,019,119						$	478.18					2,019,119						$	2.4	billion
September 1 to September 30, 2025			998,096						$	463.21					998,096						$	1.9	billion
Total during quarter ended September 30, 2025			4,002,556						$	479.60					4,002,556

(1) Represents the cumulative amount remaining for stock repurchases under the Board-authorized Repurchase Program established in March 2009 (the “Repurchase Program”). In May 2025, the Board increased the aggregate amount authorized under the Repurchase Program to $4.0 billion. Authorizations under the Repurchase Program do not expire.

ITEM 3.    DEFAULTS UPON SENIOR SECURITIES

None.

ITEM 4.    MINE SAFETY DISCLOSURES

Not applicable.

ITEM 5.    OTHER INFORMATION

Rule 10b5-1 Plans

On July 29, 2025, Myriam J. Curet, M.D., F.A.C.S., the Company’s Chief Medical Officer, adopted a Rule 10b5-1 trading plan. Dr. Curet’s trading plan provides for the potential sale of up to 24,003 shares of the Company’s common stock, including the potential exercise and sale of up to 9,131 shares of the Company’s common stock subject to stock options, until July 29, 2026. This trading plan was entered into during an open insider trading window and is intended to satisfy the affirmative defense of Rule 10b5-1(c) under the Exchange Act and the Company’s policies regarding transactions in the Company’s securities.

On September 12, 2025, Mark P. Brosius, the Company’s Chief Manufacturing and Supply Chain Officer, adopted a Rule 10b5-1 trading plan. Mr. Brosius’s trading plan provides for the potential sale of up to 19,730 shares of the Company’s common stock, including the potential exercise and sale of up to 9,000 shares of the Company’s common stock subject to stock options, until February 14, 2027. This trading plan was entered into during an open insider trading window and is intended to satisfy the affirmative defense of Rule 10b5-1(c) under the Exchange Act and the Company’s policies regarding transactions in the Company’s securities.

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ITEM 6.    EXHIBITS

Incorporated by Reference

Exhibit Number

Exhibit Description

Form

File No.

Exhibit

Filing Date

3.1

Amended and Restated Certificate of Incorporation of the Company, as Amended.

10-Q

000-30713

3.1

7/23/2020

3.2

Amendment to Amended and Restated Certificate of Incorporation of the Company.

10-Q

000-30713

3.1

10/20/2021

3.3

Amended and Restated Bylaws of the Company.

8-K

000-30713

3.1

2/1/2021

31.1*

Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2*

Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1**

Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

32.2**

Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS*

Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File, because its XBRL tags are embedded within the Inline XBRL document.

101.SCH*

Inline XBRL Taxonomy Extension Schema.

101.CAL*

Inline XBRL Taxonomy Extension Calculation Linkbase.

101.DEF*

Inline XBRL Taxonomy Extension Definition Linkbase.

101.LAB*

Inline XBRL Taxonomy Extension Label Linkbase.

101.PRE*

Inline XBRL Taxonomy Extension Presentation Linkbase.

104*

Cover Page Interactive Data File – the cover page XBRL tags are embedded within the Inline XBRL document (included in Exhibit 101).

* Filed herewith.

** Furnished herewith.

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SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

INTUITIVE SURGICAL, INC.
By:						/s/ JAMIE E. SAMATH
						Jamie E. Samath
						Executive Vice President and Chief Financial Officer
						(Principal Financial Officer and duly authorized signatory)

Date: October 22, 2025

54

FAQ

How did Intuitive Surgical (ISRG) perform in Q3 2025?

Total revenue was $2,505.1M (vs. $2,038.1M a year ago). Diluted EPS was $1.95 (vs. $1.56). Income from operations was $759.7M.

What were ISRG’s revenue drivers in Q3 2025?

Instruments and accessories were $1,518.8M, systems $590.4M, and service $395.9M.

What is ISRG’s cash and investment position?

As of September 30, 2025, cash and cash equivalents were $2,806.6M and short‑term investments were $2,102.2M.

How much stock did ISRG repurchase?

Q3 repurchases totaled $1,919.6M at an average price of $479.60. About $1.9B remained authorized.

What are ISRG’s remaining performance obligations (RPO)?

RPO were $2.88B, with approximately 44% expected to be recognized in the next 12 months.

Any notable legal or acquisition updates for ISRG?

The appeals court affirmed the Rex Medical judgment. In the SIS matter, the court found in ISRG’s favor; a related class action was certified. ISRG also agreed to acquire certain EU distribution businesses for EUR 290M upfront plus up to EUR 31M in milestones, subject to approvals.