Intuitive Surgical (ISRG) FY2025 10-K Annual Report

Filed: Feb 3, 2026
Health Care
Orthopedic, Prosthetic & Surgical Appliances & SuppliesSEC EDGAR

Intuitive Surgical (ISRG) 10-K annual report for fiscal year 2025, filed with SEC EDGAR on Feb 3, 2026. This page provides AI-powered analysis including business overview, management discussion & analysis (MD&A), risk factors, and key financial data such as revenue, net income, gross margin, operating margin, and return on equity (ROE) extracted from XBRL.

Intuitive Surgical FY2025 10-K Analysis

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

Intuitive Surgical FY2025 Key Financial Metrics
XBRL

Revenue

$10.1B

+20.5% YoY

Net Income

$2.9B

+23.0% YoY

Gross Margin

66.0%

-146bp YoY

Operating Margin

29.3%

+114bp YoY

Net Margin

28.4%

+57bp YoY

ROE

16.0%

+189bp YoY

Total Assets

$20.5B

+9.2% YoY

EPS (Diluted)

$7.87

+22.6% YoY

Operating Cash Flow

$3.0B

+25.5% YoY

Source: XBRL data from Intuitive Surgical FY2025 10-K filing on SEC EDGAR. All figures in USD.

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