Adjusted Financial Ratios (Summary)
Adjusted Total Asset Turnover
Adjusted Current Ratio
Adjusted Debt to Equity
Adjusted Debt to Capital
Adjusted Financial Leverage
Adjusted Net Profit Margin
Adjusted Return on Equity (ROE)
Adjusted Return on Assets (ROA)

Intuitive Surgical Inc., adjusted financial ratios

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Activity Ratio
Total Asset Turnover
Reported	0.46	0.48	0.42	0.39	0.46
Adjusted	0.49	0.51	0.44	0.40	0.48
Liquidity Ratio
Current Ratio
Reported	4.76	4.40	5.08	6.86	4.53
Adjusted	6.53	6.12	7.59	10.80	6.75
Solvency Ratios
Debt to Equity
Reported	0.00	0.00	0.00	0.00	0.00
Adjusted	0.01	0.01	0.01	0.01	0.01
Debt to Capital
Reported	0.00	0.00	0.00	0.00	0.00
Adjusted	0.01	0.01	0.01	0.01	0.01
Financial Leverage
Reported	1.16	1.17	1.14	1.15	1.18
Adjusted	1.12	1.13	1.10	1.10	1.13
Profitability Ratios
Net Profit Margin
Reported	25.24%	21.25%	29.85%	24.33%	30.80%
Adjusted	24.30%	16.71%	28.70%	26.61%	31.87%
Return on Equity (ROE)
Reported	13.51%	11.98%	14.32%	10.90%	16.69%
Adjusted	13.41%	9.57%	13.80%	11.89%	17.48%
Return on Assets (ROA)
Reported	11.64%	10.19%	12.58%	9.50%	14.17%
Adjusted	11.98%	8.46%	12.55%	10.76%	15.45%

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).

Financial ratio	Description	The company
Adjusted total asset turnover	An activity ratio calculated as total revenue divided by adjusted total assets.	Intuitive Surgical Inc. adjusted total asset turnover ratio improved from 2021 to 2022 but then slightly deteriorated from 2022 to 2023.
Adjusted current ratio	A liquidity ratio calculated as adjusted current assets divided by adjusted current liabilities.	Intuitive Surgical Inc. adjusted current ratio deteriorated from 2021 to 2022 but then slightly improved from 2022 to 2023.
Adjusted debt-to-equity ratio	A solvency ratio calculated as adjusted total debt divided by adjusted total equity.	Intuitive Surgical Inc. adjusted debt-to-equity ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 exceeding 2021 level.
Adjusted debt-to-capital ratio	A solvency ratio calculated as adjusted total debt divided by adjusted total debt plus adjusted total equity.	Intuitive Surgical Inc. adjusted debt-to-capital ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 exceeding 2021 level.
Adjusted financial leverage	A measure of financial leverage calculated as adjusted total assets divided by adjusted total equity. Financial leverage is the extent to which a company can effect, through the use of debt, a proportional change in the return on common equity that is greater than a given proportional change in operating income.	Intuitive Surgical Inc. adjusted financial leverage ratio increased from 2021 to 2022 but then slightly decreased from 2022 to 2023.
Adjusted net profit margin	An indicator of profitability, calculated as adjusted net income divided by total revenue.	Intuitive Surgical Inc. adjusted net profit margin ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.
Adjusted ROE	A profitability ratio calculated as adjusted net income divided by adjusted total equity.	Intuitive Surgical Inc. adjusted ROE deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.
Adjusted ROA	A profitability ratio calculated as adjusted net income divided by adjusted total assets.	Intuitive Surgical Inc. adjusted ROA deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.

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

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	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Revenue	7,124,100)	6,222,200)	5,710,100)	4,358,400)	4,478,500)
Total assets	15,441,500)	12,974,000)	13,555,000)	11,168,900)	9,733,200)
Activity Ratio
Total asset turnover¹	0.46	0.48	0.42	0.39	0.46
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted revenue²	7,177,500)	6,246,500)	5,741,800)	4,375,500)	4,516,400)
Adjusted total assets³	14,558,100)	12,331,800)	13,133,800)	10,818,900)	9,315,900)
Activity Ratio
Adjusted total asset turnover⁴	0.49	0.51	0.44	0.40	0.48

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 2023 Calculation
Total asset turnover = Revenue ÷ Total assets
= 7,124,100 ÷ 15,441,500 = 0.46

² Adjusted revenue. See details »

³ Adjusted total assets. See details »

⁴ 2023 Calculation
Adjusted total asset turnover = Adjusted revenue ÷ Adjusted total assets
= 7,177,500 ÷ 14,558,100 = 0.49

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Activity ratio	Description	The company
Adjusted total asset turnover	An activity ratio calculated as total revenue divided by adjusted total assets.	Intuitive Surgical Inc. adjusted total asset turnover ratio improved from 2021 to 2022 but then slightly deteriorated from 2022 to 2023.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Current assets	7,888,000)	6,253,000)	5,844,900)	6,625,900)	4,662,600)
Current liabilities	1,658,700)	1,422,100)	1,149,800)	965,200)	1,030,200)
Liquidity Ratio
Current ratio¹	4.76	4.40	5.08	6.86	4.53
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted current assets²	7,915,100)	6,275,400)	5,865,100)	6,643,600)	4,670,900)
Adjusted current liabilities³	1,212,600)	1,024,800)	772,600)	614,900)	692,400)
Liquidity Ratio
Adjusted current ratio⁴	6.53	6.12	7.59	10.80	6.75

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 2023 Calculation
Current ratio = Current assets ÷ Current liabilities
= 7,888,000 ÷ 1,658,700 = 4.76

² Adjusted current assets. See details »

³ Adjusted current liabilities. See details »

⁴ 2023 Calculation
Adjusted current ratio = Adjusted current assets ÷ Adjusted current liabilities
= 7,915,100 ÷ 1,212,600 = 6.53

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Liquidity ratio	Description	The company
Adjusted current ratio	A liquidity ratio calculated as adjusted current assets divided by adjusted current liabilities.	Intuitive Surgical Inc. adjusted current ratio deteriorated from 2021 to 2022 but then slightly improved from 2022 to 2023.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Total debt	—)	—)	—)	—)	—)
Total Intuitive Surgical, Inc. stockholders’ equity	13,307,600)	11,041,900)	11,901,100)	9,731,500)	8,263,800)
Solvency Ratio
Debt to equity¹	0.00	0.00	0.00	0.00	0.00
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted total debt²	89,800)	93,800)	87,000)	79,900)	76,400)
Adjusted total stockholders’ equity³	13,005,600)	10,908,800)	11,944,900)	9,795,100)	8,232,600)
Solvency Ratio
Adjusted debt to equity⁴	0.01	0.01	0.01	0.01	0.01

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 2023 Calculation
Debt to equity = Total debt ÷ Total Intuitive Surgical, Inc. stockholders’ equity
= 0 ÷ 13,307,600 = 0.00

² Adjusted total debt. See details »

³ Adjusted total stockholders’ equity. See details »

⁴ 2023 Calculation
Adjusted debt to equity = Adjusted total debt ÷ Adjusted total stockholders’ equity
= 89,800 ÷ 13,005,600 = 0.01

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Solvency ratio	Description	The company
Adjusted debt-to-equity ratio	A solvency ratio calculated as adjusted total debt divided by adjusted total equity.	Intuitive Surgical Inc. adjusted debt-to-equity ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 exceeding 2021 level.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Total debt	—)	—)	—)	—)	—)
Total capital	13,307,600)	11,041,900)	11,901,100)	9,731,500)	8,263,800)
Solvency Ratio
Debt to capital¹	0.00	0.00	0.00	0.00	0.00
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted total debt²	89,800)	93,800)	87,000)	79,900)	76,400)
Adjusted total capital³	13,095,400)	11,002,600)	12,031,900)	9,875,000)	8,309,000)
Solvency Ratio
Adjusted debt to capital⁴	0.01	0.01	0.01	0.01	0.01

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 2023 Calculation
Debt to capital = Total debt ÷ Total capital
= 0 ÷ 13,307,600 = 0.00

² Adjusted total debt. See details »

³ Adjusted total capital. See details »

⁴ 2023 Calculation
Adjusted debt to capital = Adjusted total debt ÷ Adjusted total capital
= 89,800 ÷ 13,095,400 = 0.01

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Solvency ratio	Description	The company
Adjusted debt-to-capital ratio	A solvency ratio calculated as adjusted total debt divided by adjusted total debt plus adjusted total equity.	Intuitive Surgical Inc. adjusted debt-to-capital ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 exceeding 2021 level.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Total assets	15,441,500)	12,974,000)	13,555,000)	11,168,900)	9,733,200)
Total Intuitive Surgical, Inc. stockholders’ equity	13,307,600)	11,041,900)	11,901,100)	9,731,500)	8,263,800)
Solvency Ratio
Financial leverage¹	1.16	1.17	1.14	1.15	1.18
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted total assets²	14,558,100)	12,331,800)	13,133,800)	10,818,900)	9,315,900)
Adjusted total stockholders’ equity³	13,005,600)	10,908,800)	11,944,900)	9,795,100)	8,232,600)
Solvency Ratio
Adjusted financial leverage⁴	1.12	1.13	1.10	1.10	1.13

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 2023 Calculation
Financial leverage = Total assets ÷ Total Intuitive Surgical, Inc. stockholders’ equity
= 15,441,500 ÷ 13,307,600 = 1.16

² Adjusted total assets. See details »

³ Adjusted total stockholders’ equity. See details »

⁴ 2023 Calculation
Adjusted financial leverage = Adjusted total assets ÷ Adjusted total stockholders’ equity
= 14,558,100 ÷ 13,005,600 = 1.12

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Solvency ratio	Description	The company
Adjusted financial leverage	A measure of financial leverage calculated as adjusted total assets divided by adjusted total equity. Financial leverage is the extent to which a company can effect, through the use of debt, a proportional change in the return on common equity that is greater than a given proportional change in operating income.	Intuitive Surgical Inc. adjusted financial leverage ratio increased from 2021 to 2022 but then slightly decreased from 2022 to 2023.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc.	1,798,000)	1,322,300)	1,704,600)	1,060,600)	1,379,300)
Revenue	7,124,100)	6,222,200)	5,710,100)	4,358,400)	4,478,500)
Profitability Ratio
Net profit margin¹	25.24%	21.25%	29.85%	24.33%	30.80%
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted net income²	1,744,300)	1,043,700)	1,647,800)	1,164,400)	1,439,400)
Adjusted revenue³	7,177,500)	6,246,500)	5,741,800)	4,375,500)	4,516,400)
Profitability Ratio
Adjusted net profit margin⁴	24.30%	16.71%	28.70%	26.61%	31.87%

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 2023 Calculation
Net profit margin = 100 × Net income attributable to Intuitive Surgical, Inc. ÷ Revenue
= 100 × 1,798,000 ÷ 7,124,100 = 25.24%

² Adjusted net income. See details »

³ Adjusted revenue. See details »

⁴ 2023 Calculation
Adjusted net profit margin = 100 × Adjusted net income ÷ Adjusted revenue
= 100 × 1,744,300 ÷ 7,177,500 = 24.30%

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Profitability ratio	Description	The company
Adjusted net profit margin	An indicator of profitability, calculated as adjusted net income divided by total revenue.	Intuitive Surgical Inc. adjusted net profit margin ratio deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc.	1,798,000)	1,322,300)	1,704,600)	1,060,600)	1,379,300)
Total Intuitive Surgical, Inc. stockholders’ equity	13,307,600)	11,041,900)	11,901,100)	9,731,500)	8,263,800)
Profitability Ratio
ROE¹	13.51%	11.98%	14.32%	10.90%	16.69%
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted net income²	1,744,300)	1,043,700)	1,647,800)	1,164,400)	1,439,400)
Adjusted total stockholders’ equity³	13,005,600)	10,908,800)	11,944,900)	9,795,100)	8,232,600)
Profitability Ratio
Adjusted ROE⁴	13.41%	9.57%	13.80%	11.89%	17.48%

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 2023 Calculation
ROE = 100 × Net income attributable to Intuitive Surgical, Inc. ÷ Total Intuitive Surgical, Inc. stockholders’ equity
= 100 × 1,798,000 ÷ 13,307,600 = 13.51%

² Adjusted net income. See details »

³ Adjusted total stockholders’ equity. See details »

⁴ 2023 Calculation
Adjusted ROE = 100 × Adjusted net income ÷ Adjusted total stockholders’ equity
= 100 × 1,744,300 ÷ 13,005,600 = 13.41%

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Profitability ratio	Description	The company
Adjusted ROE	A profitability ratio calculated as adjusted net income divided by adjusted total equity.	Intuitive Surgical Inc. adjusted ROE deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.

	Dec 31, 2023	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019
Reported
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc.	1,798,000)	1,322,300)	1,704,600)	1,060,600)	1,379,300)
Total assets	15,441,500)	12,974,000)	13,555,000)	11,168,900)	9,733,200)
Profitability Ratio
ROA¹	11.64%	10.19%	12.58%	9.50%	14.17%
Adjusted
Selected Financial Data (US$ in thousands)
Adjusted net income²	1,744,300)	1,043,700)	1,647,800)	1,164,400)	1,439,400)
Adjusted total assets³	14,558,100)	12,331,800)	13,133,800)	10,818,900)	9,315,900)
Profitability Ratio
Adjusted ROA⁴	11.98%	8.46%	12.55%	10.76%	15.45%

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 2023 Calculation
ROA = 100 × Net income attributable to Intuitive Surgical, Inc. ÷ Total assets
= 100 × 1,798,000 ÷ 15,441,500 = 11.64%

² Adjusted net income. See details »

³ Adjusted total assets. See details »

⁴ 2023 Calculation
Adjusted ROA = 100 × Adjusted net income ÷ Adjusted total assets
= 100 × 1,744,300 ÷ 14,558,100 = 11.98%

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Profitability ratio	Description	The company
Adjusted ROA	A profitability ratio calculated as adjusted net income divided by adjusted total assets.	Intuitive Surgical Inc. adjusted ROA deteriorated from 2021 to 2022 but then improved from 2022 to 2023 not reaching 2021 level.

Intuitive Surgical Inc. (NASDAQ:ISRG)

Adjusted Financial Ratios

Adjusted Financial Ratios (Summary)

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

Adjusted Total Asset Turnover

Adjusted Current Ratio

Adjusted Debt to Equity

Adjusted Debt to Capital

Adjusted Financial Leverage

Adjusted Net Profit Margin

Adjusted Return on Equity (ROE)

Adjusted Return on Assets (ROA)