Intuitive Surgical, Inc.

NasdaqGS-ISRG

Operating Activities	Jun '25	Dec '24	Jun '24	Dec '23	Jun '23	Dec '22
Net Income	1,367.9	1,258.6	1,078.9	1,030.5	786.8	661.4
Net Income
Depreciation & Amortization	314	261	238.7	249.9	204.9	209
Depreciation and Loss on Disposal of Property, Plant, and Equipment
Amortization of Intangible Assets
Amortization of Contract Acquisition Assets
Stock Based Compensation	381.4	349.9	326.9	306.5	286.3	265.7
Share-Based Compensation Expense
Other Adjustments	-56.8	-114	-65.7	-270.2	-3.3	-130
Gain on Sale of Business
Gain on Investments, Accretion of Discounts, and Amortization of Premiums on Investments, Net
Deferred Income Taxes
Income Tax Benefits from Employee Stock Plans
Changes in Trade Receivables	-44.1	-116.9	21	-225.6	39.3	-103.3
Accounts Receivable
Changes in Inventories	-494.2	-440.6	-389.4	-423.9	-288.6	-301.1
Inventory
Changes in Accounts Payable	72.4	1.2	-1.6	5.2	36.5	8.9
Accounts Payable
Changes in Accrued Expenses	-114.9	214.4	-115.1	89.8	-55	123
Accrued Compensation and Employee Benefits
Changes in Unearned Revenue	48.8	45.5	-14.3	41.2	12.2	24.6
Deferred Revenue
Changes in Other Operating Activities	-177.5	70	-193.5	-26.7	18	62.9
Prepaids and Other Assets
Other Liabilities
Cash from Operating Activities	1,297	1,529.1	885.9	776.7	1,037.1	821.1
Net Cash Provided by Operating Activities

Investing Activities	Jun '25	Dec '24	Jun '24	Dec '23	Jun '23	Dec '22
Capital Expenditure	-271.9	-559.9	-551.3	-691.8	-372.4	-308.3
Purchase of Property, Plant, and Equipment
Purchases of Investments	-691.8	-3,350.2	-1,789.4	-2,193.4	-14	-23.3
Purchase of Investments
Proceeds from Sale of Investments	1,439.1	1,233.9	1,745.1	1,396	1,524.4	1,450.4
Proceeds from Sales of Investments
Proceeds from Maturities of Investments
Other Investing Activities	-1.2	-1	—	-1.6	-7.3	0.5
Acquisition of Businesses, Net of Cash, and Other Investing Activities
Acquisition of Businesses, Net of Cash, and Intellectual Property and Other Investing Activities
Cash from Investing Activities	474.2	-2,677.2	-595.6	-1,490.8	1,130.7	1,119.3
Net Cash Provided by Investing Activities

Financing Activities	Jun '25	Dec '24	Jun '24	Dec '23	Jun '23	Dec '22
Issuance of Common Shares	183.7	177.5	251.9	121.5	174.8	127.2
Proceeds from Issuance of Common Stock Relating to Employee Stock Plans
Repurchases of Common Shares	-181	—	—	-66.3	-350	-2,000.8
Repurchase of Common Stock
Net Issuance / (Repurchases) of Common Shares	2.7	177.5	251.9	55.2	-175.2	-1,873.6
Other Financing Activities	-386.3	-29.9	-248.6	-24.9	-142.7	-16.7
Taxes Paid Related to Net Share Settlement of Equity Awards
Capital Contribution from Noncontrolling Interest
Cash Dividends Paid by Joint Venture to Noncontrolling Interest
Payment of Deferred Purchase Consideration
Cash from Financing Activities	-383.6	147.6	3.3	30.3	-317.9	-1,890.3
Net Cash Provided by Financing Activities