10-K annual report · filed Feb 3, 2026

Intuitive Surgical (ISRG) FY2025 10-K Annual Report

Short answer

Intuitive Surgical (ISRG) filed its fiscal 2025 10-K annual report with the SEC on Feb 3, 2026. It reported revenue of $10.1B (+20.5% year over year) and net income of $2.9B.

  • Top risk flagged: UK medical device regulatory changes, new post-market rules effective June 16, 2025, with additional rules expected in 2026 potentially delaying UK market approval

FY2025 key financial metrics · XBRL

Revenue
$10.1B
+20.5% YoY
Net income
$2.9B
+23.0% YoY
Operating margin
29.3%
+1.1 pp YoY
Gross margin
66.0%
−1.5 pp YoY
EPS (diluted)
$7.87
+22.6% YoY
ROE
16.0%
+1.9 pp YoY
Operating cash flow
$3.0B
+25.5% YoY

Source: XBRL data from the Intuitive Surgical (ISRG) FY2025 10-K on SEC EDGAR. USD.

Intuitive Surgical FY2025 10-K analysis

AI summary of each section, grounded in the filing text

Business Overview

  • Core business: robotic-assisted minimally invasive surgical systems with integrated instruments, accessories, learning, and digital solutions
  • New product emphasis: launched da Vinci 5 system with force feedback, 10,000x computing power of Xi, and My Intuitive+ digital subscription package
  • Strategic shift: expanded digital ecosystem with My Intuitive app, SimNow VR simulator, Case Insights analytics, and Intuitive Hub edge computing
  • Quantitative metric: da Vinci 5 features integrated electrosurgical unit, Integrated Table Motion; new 8mm SureForm 30 Curved-Tip stapler introduced
  • Noteworthy fact: first commercial adoption of augmented reality 3D modeling service for pre-operative planning in kidney, prostate, lung, rectal procedures

Management Discussion & Analysis

  • Tariffs increased cost of revenues by $63.0M in 2025; ongoing tariff impact expected to rise in 2026
  • Installed base: 1,231 da Vinci 5 systems, 377 da Vinci SP systems as of Dec 31, 2025
  • Numerous regulatory clearances in 2024-2026 including FDA approvals for da Vinci 5 multi-port & SP systems for expanded procedures
  • Supply chain stress noted in Q4 2025 did not materially impact operations; elevated interest rates and tariff inflation are risks
  • Expansion in China constrained by government quotas and provincial pricing limits; pricing pressure and procedural volume impact possible

Risk Factors

  • UK medical device regulatory changes, new post-market rules effective June 16, 2025, with additional rules expected in 2026 potentially delaying UK market approval
  • China anti-corruption campaign in healthcare since July 2023 causing tender cancellations, reducing system placements in 2025 versus expectations
  • Tariffs on imports from Mexico (manufacturing base for majority of instruments) imposed in 2025 increasing product costs and reducing gross margins
  • Competition from Medtronic plc and Johnson & Johnson focusing on robotic-assisted surgical systems and alternative therapies reducing market share
  • Exposure to US Foreign Corrupt Practices Act, UK Bribery Act compliance risks in OUS operations with increasing business in China and complex local laws

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