Intuitive Surgical Inc (NASDAQ:ISRG) reported financial results for the fourth quarter after the market close on Thursday. Here’s a rundown of the report.
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Intuitive Surgical Tops Q4 Estimates
Intuitive Surgical reported revenue of $2.87 billion for the fourth quarter, beating analyst estimates of $2.75 billion, according to Benzinga Pro. The robotic-assisted surgery company reported fourth-quarter adjusted earnings of $2.53 per share, beating analyst estimates of $2.26 per share.
Total revenue in the fourth quarter was up 19% year-over-year, driven by growth in procedure volume, higher da Vinci system placements and an increase in the installed base of systems.
Worldwide da Vinci procedures grew by approximately 18% year-over-year. Intuitive Surgical said it placed 532 da Vinci surgical systems in the quarter, versus 493 in the prior year’s quarter. The company’s da Vinci surgical system installed base grew to 11,106 systems as of Dec. 31, 2025, up 12% year-over-year.
Intuitive Surgical ended the period with $9.03 billion in cash, cash equivalents and investments, up $600 million during the quarter.
Intuitive Surgical Sees da Vinci Procedure Growth Ahead
Intuitive Surgical expects full-year 2026 worldwide da Vinci procedures to increase approximately 13% to 15%, compared to 18% in 2025. The company expects gross profit margin to be between 67% and 68% of revenue in 2026, compared to 67.6% in 2025.
Intuitive Surgical executives will further discuss the quarter on an earnings call that kicks off at 4:30 p.m. ET.
ISRG Shares Climb/Fall After The Close
ISRG Price Action: Intuitive Surgical shares were up 3.04% in after-hours, trading at $541.78 at the time of publication on Thursday, per Benzinga Pro.
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