Stock Analysis on Net

Intuitive Surgical Inc. (NASDAQ:ISRG)

$24.99

Analysis of Investments

Microsoft Excel

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Adjustment to Net Income (Loss): Mark to Market Available-for-sale Securities

Intuitive Surgical Inc., adjustment to net income attributable to Intuitive Surgical, Inc.

US$ in thousands

Microsoft Excel
12 months ended: Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Net income attributable to Intuitive Surgical, Inc. (as reported)
Add: Net change in available-for-sale securities, net of tax
Net income attributable to Intuitive Surgical, Inc. (adjusted)

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


The financial data reveals the evolution of both reported and adjusted net income attributable to the company over a five-year period from 2020 to 2024. The figures are presented in thousands of U.S. dollars.

Reported Net Income
The reported net income shows an overall upward trajectory during this timeframe. It started at 1,060,600 in 2020 and increased significantly to 1,704,600 in 2021. However, in 2022, there was a notable decline to 1,322,300, indicating a temporary downturn. The trend reversed strongly in the subsequent years, with reported net income rising to 1,798,000 in 2023 and further to 2,322,600 in 2024, marking the highest level in the period under review.
Adjusted Net Income
Adjusted net income follows a similar pattern to reported net income but with slightly different magnitudes. It increased from 1,069,700 in 2020 to 1,659,100 in 2021, showing robust growth. This was followed by a decline in 2022 to 1,184,100, mirroring the drop seen in reported net income, though the decrease was relatively more pronounced. Subsequently, adjusted net income rebounded sharply, rising to 1,922,500 in 2023 and then to 2,337,700 in 2024, achieving the highest value across the period examined.
Comparative Insights
The adjusted net income values are consistently close to the reported net income figures, indicating that adjustments made do not materially alter the overall net income picture but may reflect specific one-time items or accounting adjustments. Both metrics depict a clear recovery and growth trend from 2022 onwards, with 2024 reflecting the strongest financial performance.
Summary of Trends
The net income for the company experienced substantial growth between 2020 and 2021, followed by a decline in 2022. The subsequent years saw a significant and sustained recovery, culminating in the highest earnings recorded in 2024. This pattern suggests resilience and a capacity to overcome the temporary setback in 2022, possibly due to improved operational performance or favorable market conditions in the later years.

Adjusted Profitability Ratios: Mark to Market Available-for-sale Securities (Summary)

Intuitive Surgical Inc., adjusted profitability ratios

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
Net Profit Margin
Reported net profit margin
Adjusted net profit margin
Return on Equity (ROE)
Reported ROE
Adjusted ROE
Return on Assets (ROA)
Reported ROA
Adjusted ROA

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).


Net Profit Margin Trends
The reported net profit margin exhibited fluctuations over the five-year period. It increased from 24.33% in 2020 to a peak of 29.85% in 2021, then declined significantly to 21.25% in 2022 before recovering to 27.81% in 2024. The adjusted net profit margin follows a similar pattern, reaching its highest point in 2021 at 29.06%, then declining to 19.03% in 2022, and subsequently improving to 27.99% in 2024. This suggests some volatility in profitability, with notable recovery in the most recent periods.
Return on Equity (ROE) Patterns
Reported ROE shows an upward trend from 10.9% in 2020 to 14.32% in 2021, followed by a decrease to 11.98% in 2022. It then rises again to 14.13% by 2024. Adjusted ROE mirrors this pattern, peaking at 13.94% in 2021 before declining to 10.72% in 2022, and recovering to 14.23% in 2024. Overall, the ROE demonstrates resilience and a capacity to rebound after a dip.
Return on Assets (ROA) Development
The reported ROA increased steadily from 9.5% in 2020 to 12.58% in 2021, dropped to 10.19% in 2022, then recovered to 12.39% in 2024. Adjusted ROA follows a comparable trajectory, climbing from 9.58% in 2020 to 12.24% in 2021, falling to 9.13% in 2022, before returning to 12.47% by 2024. This indicates a consistent asset profitability recovery after a decline in 2022.
General Observations
Across all metrics—net profit margin, ROE, and ROA—the data reveal a consistent pattern of peak performance in 2021, followed by a pronounced dip in 2022, and subsequent recovery through 2024. Adjusted figures closely track reported numbers, indicating that adjustments did not significantly alter the overall trend. The dip in 2022 suggests a period of increased pressure on profitability and returns, but the recovery phase demonstrates improved operational efficiency or market conditions thereafter.

Intuitive Surgical Inc., Profitability Ratios: Reported vs. Adjusted


Adjusted Net Profit Margin

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc.
Revenue
Profitability Ratio
Net profit margin1
Adjusted: Mark to Market Available-for-sale Securities
Selected Financial Data (US$ in thousands)
Adjusted net income attributable to Intuitive Surgical, Inc.
Revenue
Profitability Ratio
Adjusted net profit margin2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 Net profit margin = 100 × Net income attributable to Intuitive Surgical, Inc. ÷ Revenue
= 100 × ÷ =

2 Adjusted net profit margin = 100 × Adjusted net income attributable to Intuitive Surgical, Inc. ÷ Revenue
= 100 × ÷ =


The data for net income attributable to Intuitive Surgical, Inc. over the five-year period shows notable fluctuations with an overall increasing trend. Reported net income increased from approximately $1,060.6 million in 2020 to $2,322.6 million in 2024. The adjusted net income similarly rose from around $1,069.7 million in 2020 to $2,337.7 million in 2024. Although both reported and adjusted figures demonstrate growth, there is a dip in 2022 followed by recovery and growth in subsequent years.

In 2021, both reported and adjusted net incomes peaked relative to the previous year, reaching approximately $1,704.6 million and $1,659.1 million respectively. However, in 2022, reported net income declined to about $1,322.3 million and adjusted net income to roughly $1,184.1 million, representing a significant decrease compared to 2021. This decline suggests either increased costs, reduced revenues, or extraordinary items impacting that year's profitability.

The years 2023 and 2024 show a recovery and upward growth, with reported net income climbing to about $1,798.0 million in 2023 and $2,322.6 million in 2024, while adjusted net income also increases to approximately $1,922.5 million and $2,337.7 million respectively. By 2024, both income measures reach their highest levels in the five-year span, indicating strong performance improvement.

Regarding profitability as measured by net profit margins, the reported net profit margin started at 24.33% in 2020, rose to a high of 29.85% in 2021, then declined substantially to 21.25% in 2022. It again improved in 2023 to 25.24% and further increased to 27.81% in 2024. Adjusted net profit margins follow a similar pattern, with a peak of 29.06% in 2021, a drop to 19.03% in 2022, and recovery to 26.99% in 2023 and 27.99% in 2024.

The consistent pattern between reported and adjusted net profit margins suggests that adjustments for non-recurring items or other factors have a limited impact on the overall profitability trend. The sharp decline in 2022 margins indicates either increased expenses or decreased revenue efficiencies that year, but the subsequent recovery points to operational improvements or favorable market conditions.

Net Income Trends
Overall increasing trend in both reported and adjusted net income from 2020 to 2024, with a dip observed in 2022 followed by a robust recovery through 2023 and 2024.
Net Profit Margin Trends
Margins rose significantly in 2021, dropped sharply in 2022, and then recovered steadily in 2023 and 2024, closely mirroring income trends.
Insights
The dip in 2022 might reflect operational challenges or market factors, but the strong rebound in subsequent years demonstrates resilience and growth capability. Profitability remains strong overall, with net profit margins consistently above 19% and reaching near 28% by 2024.

Adjusted Return on Equity (ROE)

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc.
Total Intuitive Surgical, Inc. stockholders’ equity
Profitability Ratio
ROE1
Adjusted: Mark to Market Available-for-sale Securities
Selected Financial Data (US$ in thousands)
Adjusted net income attributable to Intuitive Surgical, Inc.
Total Intuitive Surgical, Inc. stockholders’ equity
Profitability Ratio
Adjusted ROE2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 ROE = 100 × Net income attributable to Intuitive Surgical, Inc. ÷ Total Intuitive Surgical, Inc. stockholders’ equity
= 100 × ÷ =

2 Adjusted ROE = 100 × Adjusted net income attributable to Intuitive Surgical, Inc. ÷ Total Intuitive Surgical, Inc. stockholders’ equity
= 100 × ÷ =


The financial data indicates notable fluctuations and overall growth in key income and return metrics over the five-year period ending December 31, 2024.

Net Income Trends
Reported net income exhibited an initial significant increase from approximately $1.06 billion in 2020 to $1.70 billion in 2021, reflecting strong profitability growth. However, this was followed by a decline to around $1.32 billion in 2022, indicating a temporary setback. Subsequently, reported net income rebounded to $1.80 billion in 2023 and further increased to $2.32 billion in 2024, reaching the highest level within the observed period.
Adjusted net income follows a similar pattern, beginning at roughly $1.07 billion in 2020, rising sharply to $1.66 billion in 2021, then falling to approximately $1.18 billion in 2022. However, it recovered more strongly than the reported figure in 2023, reaching $1.92 billion, and continued growth to $2.34 billion in 2024. The adjusted figures consistently exceed the reported amounts except in 2020, signaling the impact of adjustments on profitability assessments.
Return on Equity (ROE) Patterns
Reported ROE improved from 10.9% in 2020 to 14.32% in 2021, reflecting enhanced efficiency in generating returns on shareholders’ equity. This metric declined to 11.98% in 2022, mirroring the net income dip, before rising again to 13.51% in 2023 and slightly increasing to 14.13% in 2024, demonstrating resilience and overall improved equity returns.
Adjusted ROE exhibits a comparable trajectory, starting at 10.99% in 2020, increasing to 13.94% in 2021, decreasing to 10.72% in 2022, then recovering to 14.45% in 2023 and marginally rising to 14.23% in 2024. The adjusted ROE remains closely aligned with reported ROE, though typically showing marginally lower values in the mid-period and marginally higher values towards the later years, reflecting the effect of income adjustments on return metrics.
Overall Insights
The company demonstrated strong growth in net income and returns on equity from 2020 through 2021, followed by a significant contraction in 2022. This decline appears to be temporary, as both income and ROE recovered strongly in 2023 and continued to improve in 2024, reaching record levels. The adjusted financial measures suggest that certain non-recurring or special items influenced profitability, as indicated by the variance between reported and adjusted figures, particularly in 2022 and subsequent years.
The consistency of ROE recovery and the surpassing of previous peak income levels suggest improvements in operational or financial efficiency going forward. These trends provide positive signals regarding the company’s ability to generate shareholder value over the long term despite short-term volatility.

Adjusted Return on Assets (ROA)

Microsoft Excel
Dec 31, 2024 Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020
As Reported
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc.
Total assets
Profitability Ratio
ROA1
Adjusted: Mark to Market Available-for-sale Securities
Selected Financial Data (US$ in thousands)
Adjusted net income attributable to Intuitive Surgical, Inc.
Total assets
Profitability Ratio
Adjusted ROA2

Based on: 10-K (reporting date: 2024-12-31), 10-K (reporting date: 2023-12-31), 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31).

2024 Calculations

1 ROA = 100 × Net income attributable to Intuitive Surgical, Inc. ÷ Total assets
= 100 × ÷ =

2 Adjusted ROA = 100 × Adjusted net income attributable to Intuitive Surgical, Inc. ÷ Total assets
= 100 × ÷ =


The data reveals a generally positive trajectory in both reported and adjusted net income for the specified periods. The reported net income shows a significant increase from 1,060,600 thousand US dollars in 2020 to 2,322,600 thousand US dollars in 2024. Similarly, the adjusted net income experiences growth, rising from 1,069,700 thousand US dollars in 2020 to 2,337,700 thousand US dollars in 2024, albeit with some fluctuations observed in 2022.

Both return on assets (ROA) figures, reported and adjusted, exhibit improvements over time, reflecting enhanced asset efficiency in generating profits. The reported ROA increases from 9.5% in 2020 to 12.39% in 2024, with a dip in 2022 before recovery. Adjusted ROA follows a comparable pattern, starting at 9.58% in 2020, dropping to 9.13% in 2022, then rising to 12.47% by 2024.

Net Income Trends
Reported net income increased by approximately 119% over the four-year span, indicating strong earnings growth. Adjusted net income similarly grew by nearly 118%, suggesting consistent profitability after adjustments. The dip in 2022 net income may indicate external or internal factors affecting that year.
Return on Assets (ROA) Trends
Reported ROA experienced a notable rise, peaking at 12.58% in 2021 before a decline in 2022, then rebounding strongly by 2024. Adjusted ROA follows a similar pattern but with slightly lower values in some years, reflecting the impact of adjustments. The upward trend in ROA towards 2024 indicates improving asset utilization efficiency.
Comparative Insights
The close alignment between reported and adjusted net income figures suggests that adjustments have a moderate effect on profitability metrics. The divergence between reported and adjusted ROA percentages, particularly in 2022 and 2023, may reflect the timing or nature of certain non-recurring or non-operational items.

Overall, the financial data indicates positive growth in profitability alongside improving efficiency metrics, despite a mild setback in 2022. The recovery and acceleration in subsequent periods demonstrate resilience and effective asset management strategies.