Stock Analysis on Net

Intuitive Surgical Inc. (NASDAQ:ISRG)

Return on Capital (ROC)

Microsoft Excel

Return on Invested Capital (ROIC)

Intuitive Surgical Inc., ROIC calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Selected Financial Data (US$ in thousands)
Net operating profit after taxes (NOPAT)1 1,596,933 1,187,823 1,700,018 1,149,207 1,415,357
Invested capital2 7,159,800 5,396,200 4,517,800 4,486,200 3,346,500
Performance Ratio
ROIC3 22.30% 22.01% 37.63% 25.62% 42.29%
Benchmarks
ROIC, Competitors4
Abbott Laboratories 8.87% 10.96% 11.30% 8.01% 6.47%
Cigna Group 5.63% 8.53% 6.88% 9.84% 6.50%
CVS Health Corp. 7.17% 3.13% 7.01% 6.63% 5.97%
Elevance Health Inc. 9.35% 10.17% 11.14% 8.67% 9.75%
Humana Inc. 9.02% 10.50% 10.35% 17.73% 16.04%
Medtronic PLC 5.89% 7.02% 5.59% 6.20% 7.51%
Shockwave Medical Inc. 25.35% 38.37% -4.08% -70.24% -31.36%
UnitedHealth Group Inc. 14.59% 13.68% 13.51% 13.84% 13.91%

Based on: 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), 10-K (reporting date: 2019-12-31).

1 NOPAT. See details »

2 Invested capital. See details »

3 2023 Calculation
ROIC = 100 × NOPAT ÷ Invested capital
= 100 × 1,596,933 ÷ 7,159,800 = 22.30%

4 Click competitor name to see calculations.

Performance ratio Description The company
ROIC A measure of the periodic, after tax, cash-on-cash yield earned in the business. Intuitive Surgical Inc. ROIC deteriorated from 2021 to 2022 but then slightly improved from 2022 to 2023.

Decomposition of ROIC

Intuitive Surgical Inc., decomposition of ROIC

Microsoft Excel
ROIC = OPM1 × TO2 × 1 – CTR3
Dec 31, 2023 22.30% = 28.14% × 1.00 × 79.06%
Dec 31, 2022 22.01% = 26.19% × 1.16 × 72.60%
Dec 31, 2021 37.63% = 33.56% × 1.27 × 88.24%
Dec 31, 2020 25.62% = 28.14% × 0.98 × 93.33%
Dec 31, 2019 42.29% = 34.15% × 1.35 × 91.77%

Based on: 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), 10-K (reporting date: 2019-12-31).

1 Operating profit margin (OPM). See calculations »

2 Turnover of capital (TO). See calculations »

3 Effective cash tax rate (CTR). See calculations »

The primary reason for the increase in return on invested capital (ROIC) over 2023 year is the decrease in effective cash tax rate (CTR).


Operating Profit Margin (OPM)

Intuitive Surgical Inc., OPM calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Selected Financial Data (US$ in thousands)
Net operating profit after taxes (NOPAT)1 1,596,933 1,187,823 1,700,018 1,149,207 1,415,357
Add: Cash operating taxes2 423,020 448,291 226,657 82,150 126,940
Net operating profit before taxes (NOPBT) 2,019,953 1,636,114 1,926,675 1,231,357 1,542,298
 
Revenue 7,124,100 6,222,200 5,710,100 4,358,400 4,478,500
Add: Increase (decrease) in deferred revenue 53,400 24,300 31,700 17,100 37,900
Adjusted revenue 7,177,500 6,246,500 5,741,800 4,375,500 4,516,400
Profitability Ratio
OPM3 28.14% 26.19% 33.56% 28.14% 34.15%
Benchmarks
OPM, Competitors4
Abbott Laboratories 16.84% 20.24% 20.37% 16.05% 14.97%
Cigna Group 3.57% 5.39% 4.69% 7.72% 5.38%
CVS Health Corp. 3.82% 2.45% 4.32% 4.79% 4.69%
Elevance Health Inc. 5.39% 5.61% 6.54% 6.03% 6.47%
Humana Inc. 3.64% 4.33% 4.49% 6.64% 5.73%
Medtronic PLC 19.63% 19.15% 16.48% 17.88% 22.11%
Shockwave Medical Inc. 25.29% 25.51% -2.64% -93.91% -115.00%
UnitedHealth Group Inc. 9.14% 9.13% 8.33% 9.15% 8.41%

Based on: 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), 10-K (reporting date: 2019-12-31).

1 NOPAT. See details »

2 Cash operating taxes. See details »

3 2023 Calculation
OPM = 100 × NOPBT ÷ Adjusted revenue
= 100 × 2,019,953 ÷ 7,177,500 = 28.14%

4 Click competitor name to see calculations.

Profitability ratio Description The company
OPM The operating profit margin (OPM) is the ratio of pretax economic earnings, or NOPBT, to sales. Intuitive Surgical Inc. OPM deteriorated from 2021 to 2022 but then slightly improved from 2022 to 2023.

Turnover of Capital (TO)

Intuitive Surgical Inc., TO calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Selected Financial Data (US$ in thousands)
Revenue 7,124,100 6,222,200 5,710,100 4,358,400 4,478,500
Add: Increase (decrease) in deferred revenue 53,400 24,300 31,700 17,100 37,900
Adjusted revenue 7,177,500 6,246,500 5,741,800 4,375,500 4,516,400
 
Invested capital1 7,159,800 5,396,200 4,517,800 4,486,200 3,346,500
Efficiency Ratio
TO2 1.00 1.16 1.27 0.98 1.35
Benchmarks
TO, Competitors3
Abbott Laboratories 0.67 0.71 0.69 0.57 0.55
Cigna Group 2.26 2.09 1.90 1.70 1.62
CVS Health Corp. 2.64 2.60 2.22 1.96 1.83
Elevance Health Inc. 2.44 2.33 2.14 2.13 1.86
Humana Inc. 3.48 3.18 2.70 3.48 3.41
Medtronic PLC 0.44 0.46 0.42 0.41 0.42
Shockwave Medical Inc. 1.09 1.54 1.36 0.74 0.27
UnitedHealth Group Inc. 2.01 1.95 2.04 1.96 2.05

Based on: 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), 10-K (reporting date: 2019-12-31).

1 Invested capital. See details »

2 2023 Calculation
TO = Adjusted revenue ÷ Invested capital
= 7,177,500 ÷ 7,159,800 = 1.00

3 Click competitor name to see calculations.

Efficiency ratio Description The company
TO The turnover of capital (TO) is the ratio of sales to invested capital. Capital turnover is a function of the efficiency of working capital management and of net fixed assets. Intuitive Surgical Inc. TO deteriorated from 2021 to 2022 and from 2022 to 2023.

Effective Cash Tax Rate (CTR)

Intuitive Surgical Inc., CTR calculation, comparison to benchmarks

Microsoft Excel
Dec 31, 2023 Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019
Selected Financial Data (US$ in thousands)
Net operating profit after taxes (NOPAT)1 1,596,933 1,187,823 1,700,018 1,149,207 1,415,357
Add: Cash operating taxes2 423,020 448,291 226,657 82,150 126,940
Net operating profit before taxes (NOPBT) 2,019,953 1,636,114 1,926,675 1,231,357 1,542,298
Tax Rate
CTR3 20.94% 27.40% 11.76% 6.67% 8.23%
Benchmarks
CTR, Competitors4
Abbott Laboratories 21.67% 23.97% 20.05% 12.92% 21.15%
Cigna Group 30.27% 24.44% 23.01% 24.93% 25.68%
CVS Health Corp. 29.07% 50.90% 27.09% 29.36% 30.33%
Elevance Health Inc. 28.75% 22.11% 20.37% 32.42% 18.95%
Humana Inc. 28.91% 23.74% 14.62% 23.28% 17.80%
Medtronic PLC 32.28% 19.53% 18.59% 14.72% 19.30%
Shockwave Medical Inc. 7.67% 2.32%
UnitedHealth Group Inc. 20.64% 23.25% 20.32% 22.88% 19.29%

Based on: 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), 10-K (reporting date: 2019-12-31).

1 NOPAT. See details »

2 Cash operating taxes. See details »

3 2023 Calculation
CTR = 100 × Cash operating taxes ÷ NOPBT
= 100 × 423,020 ÷ 2,019,953 = 20.94%

4 Click competitor name to see calculations.

Tax rate Description The company
CTR Effective cash tax rate on operating income. Intuitive Surgical Inc. CTR increased from 2021 to 2022 but then slightly decreased from 2022 to 2023.