Intuitive Surgical, Inc. · ISRG · FY2024 Q4 · Calendar Q1 2025

Intuitive Surgical Maintains Outlook Amid da Vinci 5 Momentum

The supplied analysis supports a constructive but qualified view: da Vinci 5, Ion, SP, digital tools, and expanded indications provide growth drivers, while margin pressure, competition, tariffs, and regional capital constraints temper the outlook.

Reported After market closeNASDAQHealthcare $150.74B market cap
80quality score

Earnings scorecard

Reported versus consensus
Reported EPS — Consensus $1.76
EPS surprise — Reported versus consensus
Reported revenue — Consensus $2.20B
Revenue surprise — Reported versus consensus

Market reaction

event-close to next-session close
Stock move -0.2% Event window
SPY move -0.4% Same window
Abnormal move +0.2% Stock minus SPY
Volume 0.9× Versus trailing sessions
Subsequent drift -1.6% Up to 20 sessions
ISRGSPY benchmark

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Transcript intelligence

What changed

Management’s current analysis shifts the emphasis from the prior quarter’s raised guidance and launch momentum to a maintained 2025 outlook, with expected margin pressure from higher depreciation and product mix. The company also highlighted new manufacturing capacity, additional platform clearances, digital upgrades, and an acquisition of da Vinci operations in Italy, Spain, and Portugal.

Guidance delta

Management maintained its outlook: 2025 procedure growth of 13–16% and pro forma gross margin of 67–68%, with pressure from higher depreciation and product mix.

Key takeaways

  • Full-year 2024 procedure growth was 17%, with record fourth-quarter revenue driven by da Vinci 5 and adoption of Ion and SP.
  • Management expects 13–16% procedure growth in 2025, while projecting 67–68% pro forma gross margin.
  • Capital expenditures are expected to decline after 2025 as new facilities come online.
  • Competition, tariffs, higher depreciation, and regional budget constraints are the main near-term headwinds.

Management priorities

  • Broaden the da Vinci 5 launch and add sequential feature upgrades.
  • Expand digital imaging, augmented-reality, analytics, training, and force-feedback capabilities.
  • Scale manufacturing capacity in California, Germany, and Bulgaria.
  • Pursue additional global clearances for SP and Ion and expand indications.
  • Continue research and development for endoluminal platforms and new indications.

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Earnings History

Estimate Beat Miss Match
ISRG REVENUE earnings history estimate and actual scatter chart 8 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $2B Q4 '23 actual $2B, beat Q1 '24 estimate $2B Q1 '24 actual $2B, beat Q2 '24 estimate $2B Q2 '24 actual $2B, beat Q2 '25 estimate $2B Q2 '25 actual $2B, beat Q3 '25 estimate $2B Q3 '25 actual $3B, beat Q4 '25 estimate $3B Q4 '25 actual $3B, beat Q1 '26 estimate $3B Q1 '26 actual $3B, beat Q2 '26 estimate $3B Q2 '26 actual $3B, beat Q3 '26 estimate $3B Q4 '26 estimate $3B Q1 '27 estimate $3B Q2 '27 estimate $3B

Analyst Consensus ?

ConsensusBuy57 ratings
Bullish4070.2%
Neutral1221.0%
Bearish58.8%

Analyst 52W Price Targets

$426.7Current
$270Low
$476.03Average
$750High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 18, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
BTIG Buy BuyMaintainOct 12, 2026
Oppenheimer Outperform PerformUpgradeAug 12, 2026
HSBC Hold BuyDowngradeJul 30, 2026
Wells Fargo Overweight OverweightMaintainJul 17, 2026
TD Cowen Buy BuyMaintainJul 17, 2026
Show 52 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $426.7. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Mizuho SecuritiesAnalyst unavailable$415$427.64 -2.7%Oct 13, 2026
BTIGAnalyst unavailable$454$425.1 +6.4%Oct 12, 2026
BarclaysAnalyst unavailable$485$404.76 +13.7%Oct 6, 2026
HSBCAnalyst unavailable$391$353.1 -8.4%Jul 30, 2026
UBSPriya Sachdeva$500$356.83 +17.2%Jul 28, 2026
See 108 more

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Company context

Snapshot as of publication

Intuitive Surgical, Inc. is a leading medical technology firm dedicated to advancing patient care by developing, producing, and commercializing sophisticated tools. These innovations empower medical professionals to deliver superior, accessible, and less-invasive treatment options to patients both within the United States and across international markets. Its flagship offering, the da Vinci Surgical System, facilitates intricate operations through a minimally disruptive approach.…

Historical context

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2025-01-14T00:00:50.895859+00:00
  3. Polygon adjusted daily market bars · 2026-10-18T14:50:41.489476+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-18T14:50:41.486652+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-10-18. For educational purposes only; not investment advice.