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Stock Analysis on Net

Intuitive Surgical Inc. (NASDAQ:ISRG)

Analysis of Profitability Ratios
Quarterly Data

Microsoft Excel

Profitability Ratios (Summary)

Return on Sales

Return on Investment

Intuitive Surgical Inc., profitability ratios (quarterly data)

Microsoft Excel
Sep 30, 2026 Jun 30, 2026 Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022
Return on Sales
Gross profit margin 67.19% 66.68% 66.29% 66.00% 66.38% 66.61% 67.09% 67.46% 66.98% 66.86% 66.43% 66.39% 66.61% 66.74% 66.86% 67.44% 67.77% 68.16% 68.84%
Operating profit margin 28.37% 31.28% 30.45% 29.27% 29.30% 28.80% 28.20% 28.12% 26.24% 25.79% 25.26% 24.80% 24.66% 24.34% 24.21% 25.35% 27.05% 28.48% 30.69%
Net profit margin 25.54% 28.45% 28.15% 28.38% 28.58% 28.51% 28.41% 27.81% 28.51% 27.65% 27.16% 25.24% 22.14% 21.38% 20.40% 21.25% 22.52% 24.05% 27.84%
Return on Investment
Return on equity (ROE) 18.50% 17.28% 17.05% 16.02% 16.23% 14.61% 14.47% 14.13% 14.39% 14.23% 14.24% 13.51% 12.10% 12.00% 11.70% 11.98% 11.97% 11.93% 13.58%
Return on assets (ROA) 15.28% 15.04% 14.81% 13.96% 14.19% 12.93% 12.88% 12.39% 12.64% 12.57% 12.56% 11.64% 10.31% 10.25% 10.05% 10.19% 10.39% 10.47% 12.02%

Based on: 10-Q (reporting date: 2026-09-30), 10-Q (reporting date: 2026-06-30), 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31).


The financial performance exhibits a period of margin compression followed by a sustained recovery in operational efficiency and an upward trajectory in returns on invested capital.

Profitability Margins
Gross profit margins remained relatively stable throughout the period, fluctuating within a narrow range between 66.00% and 68.84%. A gradual decline was observed from March 2022 through December 2023, after which the margin stabilized and showed a slight recovery toward 67.19% by September 2026. In contrast, operating and net profit margins experienced more significant volatility. Operating profit margins declined from 30.69% in March 2022 to a low of 24.21% in March 2023, followed by a consistent recovery that peaked at 31.28% in June 2026 before retreating to 28.37% in the final quarter. Net profit margins mirrored this trend, dropping to a low of 20.40% in March 2023 and subsequently recovering to reach a peak of 28.58% in September 2025.
Returns on Investment
Return on Equity (ROE) and Return on Assets (ROA) demonstrate a strong and consistent growth pattern starting in late 2023. ROE remained stagnant between 11.70% and 13.58% during 2022 and early 2023, but then entered a period of steady expansion, reaching 18.50% by September 2026. Similarly, ROA climbed from a low of 10.05% in March 2023 to a high of 15.28% by September 2026. This synchronized growth in both ROE and ROA suggests a significant improvement in asset utilization and overall capital efficiency over the latter half of the analyzed period.

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Gross Profit Margin

Intuitive Surgical Inc., gross profit margin calculation (quarterly data)

Microsoft Excel
Sep 30, 2026 Jun 30, 2026 Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022
Selected Financial Data (US$ in thousands)
Gross profit 2,084,300 1,960,400 1,830,500 1,904,300 1,662,400 1,617,900 1,457,700 1,642,200 1,373,900 1,372,700 1,245,400 1,277,400 1,167,200 1,171,900 1,113,000 1,110,900 1,052,100 1,023,300 1,009,700
Revenue 3,048,700 2,892,300 2,770,800 2,866,200 2,505,100 2,440,000 2,253,400 2,413,500 2,038,100 2,009,900 1,890,600 1,928,300 1,743,700 1,755,900 1,696,200 1,655,000 1,557,400 1,522,100 1,487,700
Profitability Ratio
Gross profit margin1 67.19% 66.68% 66.29% 66.00% 66.38% 66.61% 67.09% 67.46% 66.98% 66.86% 66.43% 66.39% 66.61% 66.74% 66.86% 67.44% 67.77% 68.16% 68.84%
Benchmarks
Gross Profit Margin, Competitors2
Abbott Laboratories — 52.49% 52.53% 52.62% 51.96% 51.90% 51.50% 50.93% 50.96% 50.53% 50.27% 50.28% 49.97% 50.23% 50.66% 51.54% 52.60% 53.54% 52.44%
Elevance Health Inc. 14.30% 14.10% 14.18% 14.26% 14.45% 14.93% 15.66% 15.92% 16.62% 17.16% 16.92% 16.79% 16.86% 16.89% 16.90% 16.79% 16.85% 16.79% 16.89%
Medtronic PLC 64.86% 65.51% 65.29% 65.32% 65.27% 65.04% 65.16% 65.34% 65.50% 65.40% 65.68% 65.67% 66.43% 67.21% 67.61% 67.98% 67.89% 67.39% 66.53%
UnitedHealth Group Inc. — 18.77% 18.07% 17.81% 18.80% 19.83% 20.98% 21.31% 21.91% 22.63% 23.18% 23.64% 24.16% 24.08% 24.20% 24.09% 23.74% 23.51% 23.31%

Based on: 10-Q (reporting date: 2026-09-30), 10-Q (reporting date: 2026-06-30), 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31).

1 Q3 2026 Calculation
Gross profit margin = 100 × (Gross profitQ3 2026 + Gross profitQ2 2026 + Gross profitQ1 2026 + Gross profitQ4 2025) ÷ (RevenueQ3 2026 + RevenueQ2 2026 + RevenueQ1 2026 + RevenueQ4 2025)
= 100 × (2,084,300 + 1,960,400 + 1,830,500 + 1,904,300) ÷ (3,048,700 + 2,892,300 + 2,770,800 + 2,866,200) = 67.19%

2 Click competitor name to see calculations.


The financial results demonstrate a consistent expansion in both total revenue and absolute gross profit over the analyzed period. Revenue increased from 1.487 billion USD in March 2022 to 3.048 billion USD by September 2026, while gross profit grew from 1.009 billion USD to 2.084 billion USD. This indicates a strong upward trajectory in top-line growth and a corresponding increase in absolute profitability.

Gross Profit Margin Contraction
A gradual downward trend in the gross profit margin was observed throughout the first two years of the period, declining from a peak of 68.84% in March 2022 to 66.39% by December 2023. This suggests that during this phase, the cost of goods sold grew at a slightly faster rate than revenue.
Margin Stabilization and Periodicity
Following the initial decline, the margin entered a phase of volatility with intermittent recoveries. A recovery peak was reached in December 2024 at 67.46%, followed by a subsequent dip that brought the margin to 66.00% by December 2025. These fluctuations point to periodic shifts in production costs or changes in the underlying product mix.
Recent Margin Recovery
The data for 2026 indicates a sustained recovery in profitability ratios. The gross profit margin rose consecutively from 66.29% in March 2026 to 67.19% by September 2026, signaling improved operational efficiency or pricing power toward the end of the observed timeframe.

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Operating Profit Margin

Intuitive Surgical Inc., operating profit margin calculation (quarterly data)

Microsoft Excel
Sep 30, 2026 Jun 30, 2026 Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022
Selected Financial Data (US$ in thousands)
Income from operations 592,600 971,900 855,300 864,300 759,700 743,400 578,100 734,900 577,300 567,300 469,400 450,200 465,800 463,200 387,600 372,500 398,900 397,600 408,100
Revenue 3,048,700 2,892,300 2,770,800 2,866,200 2,505,100 2,440,000 2,253,400 2,413,500 2,038,100 2,009,900 1,890,600 1,928,300 1,743,700 1,755,900 1,696,200 1,655,000 1,557,400 1,522,100 1,487,700
Profitability Ratio
Operating profit margin1 28.37% 31.28% 30.45% 29.27% 29.30% 28.80% 28.20% 28.12% 26.24% 25.79% 25.26% 24.80% 24.66% 24.34% 24.21% 25.35% 27.05% 28.48% 30.69%
Benchmarks
Operating Profit Margin, Competitors2
Abbott Laboratories — 15.77% 17.07% 18.17% 17.59% 17.43% 16.84% 16.27% 16.24% 15.92% 15.76% 16.15% 15.02% 15.23% 16.77% 19.16% 20.95% 22.42% 20.73%
Elevance Health Inc. 2.48% 2.47% 2.79% 3.33% 3.58% 3.76% 4.07% 4.16% 4.55% 4.76% 4.64% 4.47% 4.58% 4.96% 4.99% 4.94% 5.01% 5.07% 5.10%
Medtronic PLC 17.00% 17.88% 17.90% 17.76% 16.78% 16.39% 15.82% 15.89% 17.50% 17.41% 17.83% 17.56% 18.17% 19.02% 19.37% 18.15% 17.89% 16.68% 14.78%
UnitedHealth Group Inc. — 4.86% 4.23% 4.27% 6.12% 7.37% 8.27% 8.17% 8.28% 8.40% 8.58% 8.80% 8.86% 8.83% 8.87% 8.83% 8.65% 8.32% 8.19%

Based on: 10-Q (reporting date: 2026-09-30), 10-Q (reporting date: 2026-06-30), 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31).

1 Q3 2026 Calculation
Operating profit margin = 100 × (Income from operationsQ3 2026 + Income from operationsQ2 2026 + Income from operationsQ1 2026 + Income from operationsQ4 2025) ÷ (RevenueQ3 2026 + RevenueQ2 2026 + RevenueQ1 2026 + RevenueQ4 2025)
= 100 × (592,600 + 971,900 + 855,300 + 864,300) ÷ (3,048,700 + 2,892,300 + 2,770,800 + 2,866,200) = 28.37%

2 Click competitor name to see calculations.


The operational profitability of the organization exhibits a cyclical trend over the analyzed period, characterized by a significant initial contraction, a sustained multi-year recovery, and a recent decline in the final quarter.

Initial Margin Contraction (March 2022 – March 2023)
A consistent decline in the operating profit margin is observed during the first year of the data set. The margin decreased from 30.69% in March 2022 to a period low of 24.21% by March 2023. Despite a steady increase in revenue from 1.48 billion to 1.69 billion during this window, income from operations failed to keep pace, indicating an increase in operating expenses relative to top-line growth.
Sustained Expansion Phase (June 2023 – June 2026)
Starting in June 2023, the operating profit margin entered a period of prolonged recovery and expansion. The margin rose incrementally from 24.34% to a peak of 31.28% in June 2026. This growth was supported by a substantial increase in operating income, which climbed from 463.2 million in June 2023 to 971.9 million in June 2026. This trend suggests improved operational efficiency and the successful scaling of the business model as revenue grew from 1.75 billion to 2.89 billion.
Recent Operational Correction (September 2026)
The final period shows a sharp divergence between revenue and operating profit. While revenue continued its upward trajectory to 3.04 billion, income from operations experienced a significant drop to 592.6 million. This resulted in the operating profit margin falling to 28.37%, marking the first substantial decline in profitability since early 2023.

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Net Profit Margin

Intuitive Surgical Inc., net profit margin calculation (quarterly data)

Microsoft Excel
Sep 30, 2026 Jun 30, 2026 Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc. 522,800 818,100 821,500 794,800 704,400 658,400 698,400 685,700 565,100 526,900 544,900 606,200 415,700 420,800 355,300 324,900 324,000 307,800 365,600
Revenue 3,048,700 2,892,300 2,770,800 2,866,200 2,505,100 2,440,000 2,253,400 2,413,500 2,038,100 2,009,900 1,890,600 1,928,300 1,743,700 1,755,900 1,696,200 1,655,000 1,557,400 1,522,100 1,487,700
Profitability Ratio
Net profit margin1 25.54% 28.45% 28.15% 28.38% 28.58% 28.51% 28.41% 27.81% 28.51% 27.65% 27.16% 25.24% 22.14% 21.38% 20.40% 21.25% 22.52% 24.05% 27.84%
Benchmarks
Net Profit Margin, Competitors2
Abbott Laboratories — 11.65% 13.91% 14.72% 31.88% 32.43% 31.89% 31.95% 13.99% 13.65% 13.96% 14.27% 12.92% 12.83% 13.98% 15.88% 17.52% 18.78% 17.35%
Elevance Health Inc. 2.58% 2.50% 2.64% 2.87% 2.86% 2.85% 3.26% 3.41% 3.72% 3.93% 3.66% 3.52% 3.63% 3.89% 3.89% 3.87% 4.09% 4.13% 4.37%
Medtronic PLC 13.00% 13.71% 13.63% 13.90% 12.83% 13.00% 12.05% 11.36% 13.00% 12.84% 11.47% 12.03% 13.20% 14.03% 16.75% 15.90% 15.46% 14.79% 12.29%
UnitedHealth Group Inc. — 3.17% 2.70% 2.72% 4.09% 5.10% 5.46% 3.65% 3.68% 3.70% 4.09% 6.09% 6.09% 6.11% 6.21% 6.25% 6.21% 5.99% 5.91%

Based on: 10-Q (reporting date: 2026-09-30), 10-Q (reporting date: 2026-06-30), 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31).

1 Q3 2026 Calculation
Net profit margin = 100 × (Net income attributable to Intuitive Surgical, Inc.Q3 2026 + Net income attributable to Intuitive Surgical, Inc.Q2 2026 + Net income attributable to Intuitive Surgical, Inc.Q1 2026 + Net income attributable to Intuitive Surgical, Inc.Q4 2025) ÷ (RevenueQ3 2026 + RevenueQ2 2026 + RevenueQ1 2026 + RevenueQ4 2025)
= 100 × (522,800 + 818,100 + 821,500 + 794,800) ÷ (3,048,700 + 2,892,300 + 2,770,800 + 2,866,200) = 25.54%

2 Click competitor name to see calculations.


An analysis of the net profit margin reveals a distinct U-shaped trajectory between March 2022 and September 2025, followed by a sharp contraction in the final reported quarter. The company experienced an initial period of margin erosion, a sustained recovery toward historical peaks, and a recent divergence where revenue growth failed to translate into proportional net income gains.

Initial Margin Contraction (March 2022 – March 2023)
A consistent downward trend in profitability is observed during the first year of the analyzed period. The net profit margin declined from 27.84% in March 2022 to a trough of 20.40% by March 2023. This compression occurred despite a moderate increase in quarterly revenue, indicating that operating expenses or costs of goods sold grew at a faster rate than top-line earnings during this window.
Recovery and Stabilization Phase (June 2023 – September 2025)
Following the March 2023 low, a period of steady margin expansion is evident. Profitability recovered to 25.24% by December 2023 and continued to climb, eventually stabilizing in the 27% to 28% range throughout 2024 and early 2025. The net profit margin reached its peak of 28.58% in September 2025. This phase demonstrates strong operational leverage, as net income grew from approximately $355 million in March 2023 to over $700 million by September 2025, while revenue scaled from $1.7 billion to $2.5 billion.
Recent Profitability Divergence (December 2025 – September 2026)
While revenue continued its upward trajectory, reaching a period high of $3.05 billion in September 2026, the net profit margin exhibited a significant decline in the final quarter. After maintaining levels above 28% for several quarters, the margin dropped to 25.54% by September 30, 2026. This decline is particularly notable as net income fell to $522.8 million from a previous high of $821.5 million in March 2026, suggesting a substantial increase in quarterly expenditures or non-recurring costs that offset the gains from record-high revenues.

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Return on Equity (ROE)

Intuitive Surgical Inc., ROE calculation (quarterly data)

Microsoft Excel
Sep 30, 2026 Jun 30, 2026 Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc. 522,800 818,100 821,500 794,800 704,400 658,400 698,400 685,700 565,100 526,900 544,900 606,200 415,700 420,800 355,300 324,900 324,000 307,800 365,600
Total Intuitive Surgical, Inc. stockholders’ equity 15,986,200 18,168,400 17,474,500 17,824,000 16,929,700 17,845,700 17,106,400 16,433,700 15,583,300 14,708,300 13,962,600 13,307,600 12,539,000 11,879,100 11,217,700 11,041,900 11,515,400 12,023,000 12,102,300
Profitability Ratio
ROE1 18.50% 17.28% 17.05% 16.02% 16.23% 14.61% 14.47% 14.13% 14.39% 14.23% 14.24% 13.51% 12.10% 12.00% 11.70% 11.98% 11.97% 11.93% 13.58%
Benchmarks
ROE, Competitors2
Abbott Laboratories — 10.61% 12.06% 12.51% 27.43% 27.65% 27.66% 28.12% 14.49% 14.13% 14.51% 14.83% 13.77% 13.88% 15.68% 18.90% 22.11% 23.44% 21.82%
Elevance Health Inc. 11.50% 11.06% 11.94% 12.90% 12.59% 12.26% 13.92% 14.47% 14.66% 15.86% 15.38% 15.23% 15.82% 16.78% 16.62% 16.59% 17.26% 17.04% 17.36%
Medtronic PLC 9.42% 9.79% 9.73% 9.71% 8.63% 8.84% 8.19% 7.32% 8.11% 7.97% 7.07% 7.30% 7.90% 8.33% 9.88% 9.59% 9.35% 9.05% 7.54%
UnitedHealth Group Inc. — 14.34% 12.30% 12.81% 18.36% 22.48% 23.26% 15.55% 15.14% 15.78% 17.72% 25.22% 25.67% 25.63% 25.46% 25.87% 26.03% 25.07% 23.98%

Based on: 10-Q (reporting date: 2026-09-30), 10-Q (reporting date: 2026-06-30), 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31).

1 Q3 2026 Calculation
ROE = 100 × (Net income attributable to Intuitive Surgical, Inc.Q3 2026 + Net income attributable to Intuitive Surgical, Inc.Q2 2026 + Net income attributable to Intuitive Surgical, Inc.Q1 2026 + Net income attributable to Intuitive Surgical, Inc.Q4 2025) ÷ Total Intuitive Surgical, Inc. stockholders’ equity
= 100 × (522,800 + 818,100 + 821,500 + 794,800) ÷ 15,986,200 = 18.50%

2 Click competitor name to see calculations.


The financial trajectory from March 2022 through September 2026 reflects a period of substantial growth in profitability and capital efficiency. While the initial phase was characterized by volatility and a slight contraction in return on equity, the latter half of the period shows a consistent upward trend in the ability to generate profit from shareholders' equity.

Return on Equity (ROE) Evolution
ROE exhibited a recovery and subsequent expansion. After starting at 13.58% in March 2022, the ratio declined to a trough of 11.70% by March 2023. Following this period, a sustained increase is observed, with the ratio surpassing 14% in early 2024 and accelerating to a peak of 18.50% by September 2026. This indicates an improving efficiency in utilizing equity to drive net earnings.
Net Income Performance
Earnings attributable to the company showed significant growth over the analyzed timeframe. Quarterly net income rose from 365.6 million USD in March 2022 to a peak of 821.5 million USD in March 2026. This strong earnings growth acted as the primary catalyst for the expansion of the ROE, particularly during the 2025 and 2026 periods where income levels remained consistently high.
Equity Base Dynamics
Total stockholders' equity grew from 12.1 billion USD in March 2022 to 18.1 billion USD in June 2026. Typically, an increasing equity base can dilute ROE; however, the concurrent growth in net income outpaced the expansion of the equity base. This suggests that the increase in ROE was driven by operational profitability.

The final quarter of the analysis, ending September 2026, shows a simultaneous decrease in both net income and total equity. Despite these decreases, the ROE reached its highest point of 18.50%, suggesting that the reduction in the equity base occurred more rapidly than the decline in net income, thereby mathematically augmenting the return percentage.

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Return on Assets (ROA)

Intuitive Surgical Inc., ROA calculation (quarterly data)

Microsoft Excel
Sep 30, 2026 Jun 30, 2026 Mar 31, 2026 Dec 31, 2025 Sep 30, 2025 Jun 30, 2025 Mar 31, 2025 Dec 31, 2024 Sep 30, 2024 Jun 30, 2024 Mar 31, 2024 Dec 31, 2023 Sep 30, 2023 Jun 30, 2023 Mar 31, 2023 Dec 31, 2022 Sep 30, 2022 Jun 30, 2022 Mar 31, 2022
Selected Financial Data (US$ in thousands)
Net income attributable to Intuitive Surgical, Inc. 522,800 818,100 821,500 794,800 704,400 658,400 698,400 685,700 565,100 526,900 544,900 606,200 415,700 420,800 355,300 324,900 324,000 307,800 365,600
Total assets 19,349,100 20,876,600 20,111,000 20,458,700 19,351,800 20,163,200 19,220,400 18,743,200 17,743,400 16,649,900 15,828,000 15,441,500 14,712,700 13,903,300 13,053,200 12,974,000 13,260,800 13,705,200 13,678,400
Profitability Ratio
ROA1 15.28% 15.04% 14.81% 13.96% 14.19% 12.93% 12.88% 12.39% 12.64% 12.57% 12.56% 11.64% 10.31% 10.25% 10.05% 10.19% 10.39% 10.47% 12.02%
Benchmarks
ROA, Competitors2
Abbott Laboratories — 4.97% 5.68% 7.52% 16.60% 16.64% 16.58% 16.46% 7.76% 7.61% 7.77% 7.82% 7.16% 7.04% 7.87% 9.31% 10.84% 11.53% 10.44%
Elevance Health Inc. 4.02% 3.93% 4.17% 4.66% 4.51% 4.40% 4.94% 5.12% 5.51% 5.92% 5.58% 5.50% 5.50% 5.87% 5.69% 5.86% 6.03% 6.05% 6.21%
Medtronic PLC 5.04% 5.22% 5.12% 5.09% 4.73% 4.76% 4.38% 4.09% 4.63% 4.55% 3.99% 4.13% 4.32% 4.63% 5.79% 5.54% 5.35% 5.13% 4.23%
UnitedHealth Group Inc. — 4.56% 3.85% 3.89% 5.58% 6.90% 7.14% 4.83% 4.78% 4.93% 5.40% 8.18% 7.69% 7.53% 7.30% 8.19% 7.99% 7.93% 7.89%

Based on: 10-Q (reporting date: 2026-09-30), 10-Q (reporting date: 2026-06-30), 10-Q (reporting date: 2026-03-31), 10-K (reporting date: 2025-12-31), 10-Q (reporting date: 2025-09-30), 10-Q (reporting date: 2025-06-30), 10-Q (reporting date: 2025-03-31), 10-K (reporting date: 2024-12-31), 10-Q (reporting date: 2024-09-30), 10-Q (reporting date: 2024-06-30), 10-Q (reporting date: 2024-03-31), 10-K (reporting date: 2023-12-31), 10-Q (reporting date: 2023-09-30), 10-Q (reporting date: 2023-06-30), 10-Q (reporting date: 2023-03-31), 10-K (reporting date: 2022-12-31), 10-Q (reporting date: 2022-09-30), 10-Q (reporting date: 2022-06-30), 10-Q (reporting date: 2022-03-31).

1 Q3 2026 Calculation
ROA = 100 × (Net income attributable to Intuitive Surgical, Inc.Q3 2026 + Net income attributable to Intuitive Surgical, Inc.Q2 2026 + Net income attributable to Intuitive Surgical, Inc.Q1 2026 + Net income attributable to Intuitive Surgical, Inc.Q4 2025) ÷ Total assets
= 100 × (522,800 + 818,100 + 821,500 + 794,800) ÷ 19,349,100 = 15.28%

2 Click competitor name to see calculations.


The financial trajectory demonstrates a transition from initial margin compression to a period of sustained efficiency gains. After a gradual decline throughout 2022 and early 2023, the Return on Assets (ROA) exhibited a consistent upward trend, indicating an improved capacity to generate profit from the asset base.

Return on Assets (ROA) Trend Analysis
The ROA began at 12.02% in March 2022 and experienced a steady contraction, reaching a trough of 10.05% by March 2023. This downward trend reversed in the second quarter of 2023, initiating a period of growth that saw the ratio surpass its initial 2022 levels by March 2024. The ratio continued to climb, ultimately peaking at 15.28% by September 2026.
Net Income and Asset Base Correlation
Total assets grew substantially over the analyzed period, increasing from 13.68 billion in March 2022 to a high of 20.88 billion in June 2026. Parallel to this expansion, net income attributable to the company rose from 365.6 million to a peak of 821.5 million in March 2026. The expansion of the ROA from 10.05% in early 2023 to 15.28% in late 2026 indicates that net income growth accelerated at a faster rate than asset accumulation.
Profitability Acceleration
A notable acceleration in profitability is observable starting in 2024. The ROA maintained a stable range around 12.5% during the first half of 2024 before entering a more aggressive growth phase. This is particularly evident between December 2024 (12.39%) and September 2026 (15.28%), signaling enhanced operational efficiency and optimized utilization of resources.

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