Intuitive Surgical

ISRG Q4 2025 Earnings

Reported Jan 22, 2026 at 4:05 PM ET · SEC Source

Q4 25 EPS

$2.53

BEAT +11.95%

Est. $2.26

Q4 25 Revenue

$2.87B

BEAT +4.14%

Est. $2.75B

vs S&P Since Q4 25

-19.5%

TRAILING MARKET

ISRG -15.0% vs S&P +4.6%

Full Year 2025 Results

FY 25 EPS

$8.93

BEAT +3.01%

Est. $8.67

FY 25 Revenue

$10.06B

BEAT +1.14%

Est. $9.95B

Market Reaction

Did ISRG Beat Earnings? Q4 2025 Results

Intuitive Surgical capped a landmark year with a standout fourth quarter, posting non-GAAP EPS of $2.53 against a consensus estimate of $2.26, a beat of nearly 12%, while revenue of $2.87 billion topped expectations by 4.14% and climbed 18.8% year-ov… Read more Intuitive Surgical capped a landmark year with a standout fourth quarter, posting non-GAAP EPS of $2.53 against a consensus estimate of $2.26, a beat of nearly 12%, while revenue of $2.87 billion topped expectations by 4.14% and climbed 18.8% year-over-year. The primary engine behind the quarter was accelerating adoption of the da Vinci 5 surgical system, with 303 placements of the next-generation platform during the period compared to just 174 a year earlier, helping drive worldwide procedure volumes roughly 18% higher and pushing instruments and accessories revenue, the company's highest-margin recurring stream, up 17% to $1.66 billion. The results also carried the full-year top line past $10 billion for the first time, with 2025 revenue reaching $10.06 billion and non-GAAP EPS finishing at $8.93. Looking ahead, management guided for 2026 da Vinci procedure growth of 13% to 15%, a modest deceleration from 2025's pace, and flagged tariff exposure as a meaningful risk given manufacturing concentrated in Mexico and Germany, estimating roughly 1.2% of revenue in tariff headwinds within its 67% to 68% non-GAAP gross margin outlook.

Key Takeaways

  • Worldwide procedure growth of approximately 18% YoY (da Vinci ~17%, Ion ~44%)
  • 532 da Vinci system placements including 303 da Vinci 5 systems, up from 493 total and 174 da Vinci 5 in Q4 2024
  • 12% growth in da Vinci installed base to 11,106 systems
  • 24% growth in Ion installed base to 995 systems
  • Higher da Vinci system average selling prices
  • Higher lease installed base driving recurring revenue
24/7 Wall St

ISRG YoY Financials

Q4 2025 vs Q4 2024, source: SEC Filings

24/7 Wall St

ISRG Revenue by Segment

With YoY comparisons, source: SEC Filings

Q1 25 Q1 26