To supplement its consolidated financial statements, which are prepared and presented in accordance with accounting principles generally accepted in the United States (GAAP), the Company uses the following non-GAAP financial measures: non-GAAP gross profit, non-GAAP income from operations, non-GAAP net income attributable to Intuitive Surgical, Inc., non-GAAP net income per diluted share attributable to Intuitive Surgical, Inc. (EPS), and non-GAAP diluted shares outstanding. And there's a lot of opportunities for OR efficiencies and standardization, controlling operating costs, controlling consumables costs. We're taking a first-principles approach to return-to-office environments with our team, bringing back face-to-face interactions for those tasks best completed in person while enabling hybrid work environments for tasks that are well accomplished by distributed teams. INTUITIVE SURGICAL, INC.UNAUDITED QUARTERLY CONDENSED CONSOLIDATED STATEMENTS OF INCOME(IN MILLIONS, EXCEPT PER SHARE DATA), INTUITIVE SURGICAL, INC.UNAUDITED TWELVE MONTHS ENDED CONDENSED CONSOLIDATED STATEMENTS OF INCOME(IN MILLIONS, EXCEPT PER SHARE DATA), INTUITIVE SURGICAL, INC.UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS(IN MILLIONS), INTUITIVE SURGICAL, INC.UNAUDITED RECONCILIATION OF GAAP FINANCIAL MEASURES TO NON-GAAP FINANCIAL MEASURES(IN MILLIONS, EXCEPT PER SHARE DATA), Contact: Investor Relations(408) 523-2161. We also find that our economic offerings with da Vinci X and EUP, we have choices that we ourselves can offer our customers. Clinical Specialist - Chicago, IL Job in Chicago, IL at PROCEPT BioRobotics Philip Kim, our head of investor relations, will not be joining on today's call as he's currently on paternity leave following the birth of his daughter. OK, great. And I'm actually curious more what's going on with service and software at the hospitalwide kind of department of surgery level. Ion system placements and procedures are excluded from our overall system and procedure counts. The stock movement pushed Intuitive . The presentation of this financial information is not intended to be considered in isolation or as a substitute for, or superior to, the financial information prepared and presented in accordance with GAAP. Submit. [Operator instructions] As a reminder, this conference is being recorded. Jamie, anything? The compound annual growth rate between the fourth quarter of 2019 and the fourth quarter of 2021 was 10%. 06/14/22 - 1:20 PM PDT. Ladies and gentlemen, thank you for standing by and welcome to the Intuitive Q4 2021 Earnings Release Call. And I know case rises have been largely decoupled from hospitalizations. And then on SG&A, kind of same kind of question. And recently, we've had a series of very encouraging conversations on the adoption of bariatrics, very encouraging. The Company grew its da Vinci Surgical System installed base to 7,544 systems as of, Fourth quarter 2022 GAAP net income attributable to Intuitive was, Fourth quarter 2022 non-GAAP* net income attributable to Intuitive was. Growth in Japan was solid but was impacted by a relatively slow rollout of vaccines and the impact of localized lockdowns as a result of ongoing efforts to prevent resurgences of COVID-19. Leasing and alternative financing arrangements enable customer access to capital. We also note the increasing number of COVID-19 cases in certain geographies associated with the Delta variant. We're clearly seeing that in markets like India, Taiwan, there's been an impact in terms of how they've handled that from a healthcare system perspective and the resulting impact on our procedures. What To Expect From Intuitive Surgical's Q1? - Forbes The painful part is the investment troughs are deep in the early and middle years of those product cycles. A contribution to the Intuitive Foundation reduced fourth quarter 2021 GAAP and non-GAAP* income from operations by $30 million. Ion is Intuitives robotic-assisted platform for minimally invasive biopsy in the lung. Our teams continue to work closely with hospitals, physicians, and care teams in pursuit of what our customers have termed the Quadruple Aim: Better, more predictable patient outcomes, better experiences for patients, better experiences for their care teams, and ultimately, a lower total cost to treat. They're giving their PowerPoints about what they think is going to happen next and some other things. Intuitive Surgical, Inc.Which belongs to the Zacks Medical - Instruments industry, posted revenues of $1.29 billion for the quarter ended March 2021, surpassing the Zacks Consensus Estimate by 16. . I think the product ecosystem with XI with a 60-millimeter stapler is in good shape, and we're getting good feedback from surgeons in that regard. Our second-quarter pro forma net income was $477 million or $3.92 per share, compared with $132 million or $1.11 per share for the second quarter of 2020 and $427 million or $3.52 per share for the last quarter. These non-GAAP financial measures also facilitate managements internal comparisons to its historical performance. Current page 1; Page 2; Page 3; . Investor's Business Daily . So we're excited about that because it gives them fast and easy access. One on procedures, one on competition. Yes. The da Vinci surgical systems are designed to help surgeons perform minimally invasive surgery. I think that when you think about our product cycles, I would just have you look back earlier in the da Vinci experience in that these are long development cycles. These non-GAAP financial measures also facilitate managements internal comparisons to its historical performance. SUNNYVALE, Calif., Jan. 20, 2022 (GLOBE NEWSWIRE) -- Intuitive (the Company) (Nasdaq: ISRG), a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery, today announced financial results for the quarter ended December31, 2021. Q2 2022 INTUITIVE Earnings Conference Call. Copyright 2023 Intuitive Surgical. Intuitive Surgical, Inc. (ISRG) - Yahoo Finance Learn More, Intuitive Surgical(ISRG 2.61%)Q22021 Earnings CallJul 20, 2021, 4:30 p.m. Today's format will consist of providing you with highlights of our second-quarter results as described in our press release announced earlier today followed by a question-and-answer session. The compound annual revenue growth rate between the second quarters of 2019 and 2021 was 15%. Intuitive Surgical Stock Is Getting Close To Fair Value I know last quarter, you kind of brought up the concept of going after thoracic and some additional other areas. In terms of penetration or adoption, we're in the early to mid-innings kind of range is what I'd say in the U.S. market. Lastly, we continue to digitally enhance our ecosystem. So several of those things are in the markets, the very first kind of Gen 1, some of them are on Gen 2. Just to be clear on your answer to Tycho's question. The reason I mentioned it early is I think when we've had pretty strong capital quarters the last few, one of the things we want to look for is, are we building unused capacity into the field that -- where procedures softer that would stall us out. Next, we'll go to Bob Hopkins with Bank of America. Finally, we expect to continue to invest in expanding and accelerating our ecosystem of products and capabilities. your options for e-mail notification, please enter your e-mail address below and click There are no upcoming events available at this time. Bob Hopkins -- Bank of America Merrill Lynch -- Analyst. your options for e-mail notification, please enter your e-mail address below and click Intuitive Surgical Inc. (ISRG) Q4 2021 Earnings Call Transcript Second-quarter 2021 procedures increased approximately 68% compared with the second quarter of 2020 and increased approximately 13% compared with last quarter. Richard Wolf GmbH 10.6 . So here's kind of where we stand with the backlog. Amy C. - Director of Clinical and Commercial Operations - Bertis What To Expect From Intuitive Surgical's Q3? | Nasdaq The year-over-year increase in I&A revenue per procedure reflects increased usage of our advanced instruments, partially offset by the impact of extended use instruments. Accordingly, they are subject to significant volatility based on the performance of these metrics and are not tied to performance of the Companys business within the period. Fourth quarter 2021 GAAP income from operations included share-based compensation expense of $120 million, compared with $104 million in the fourth quarter of 2020. Customer adjustment of buying patterns will reduce I&A revenue per procedure. What's the Outlook for Intuitive Surgical? | The Motley Fool Is Intuitive Surgical Stock Still Worth Buying Hand Over Fist in 2023? In the U.S. and Europe, extended use instruments were nearly fully adopted in the second quarter. The study contains 371 patients that underwent an incisional hernia repair procedure across 17 institutions within the United States between May 2016 and September 2019. Non-GAAP net income attributable to Intuitive Surgical, Inc. and EPS. Instrument and accessory revenue per procedure of $1,940 increased, compared with $1,900 per procedure for the second quarter of last year, and decreased, compared with $1,950 per procedure in the first quarter. We think there is an opportunity to accelerate learning and to drive increased insight for a surgeon into their own progress. Contents: Prepared Remarks; Questions and Answers; Call Participants; Prepared Remarks: Operator. European procedure growth was generally healthy, though varied by country. 2021 : 2022 : 2021 : Revenue $ 12,789 $ 10,997 $ 45,520 $ 45,183 : Cost of goods sold : 3,986 . The fourth quarter 2022 system placements included 154systems placed under operating lease and usage-based arrangements, compared with 143 systems in thefourth quarter of 2021. Phone: 408-523 . Submit. You may automatically receive Intuitive Surgical financial information by e-mail. Both gynecology and urology procedure annualized growth strengthened in the quarter, as pandemic pressures eased in the U.S. Non-GAAP income from operations. At Intuitive, we envision a future of care that is less invasive and profoundly better, where diseases are identified early and treated quickly, so patients can get back to what matters most. Outside the U.S., we placed 115 systems in the second quarter, compared with 72 in the second quarter of 2020 and 108 systems last quarter. The next page will display a menu of options. As the phases of the pandemic evolve, we're supporting our team in addressing the opportunities and challenges posed by the pandemic and the ways we work. It last split in October of 2017. General surgery growth in the U.S. was strong, and in addition to the positive impact from patient backlogs, reflected increasing access for surgeons to our fourth-generation technology. SP procedures grew 133% year over year, with much of that growth coming from the United States. You go from an issue to identification to closure more quickly. And we're building into the broader digital ecosystem for SP. I mean, how do you know there was catch-up from the backlog in Q2? Intuitive will hold a teleconference at 1:30 p.m. PST today to discuss the fourth quarter 2021 financial results. Yes. May 2021 - Present 1 year 10 months. Juliet Chou - Governance Coordinator - Engineers Canada - LinkedIn The increase in cash in the second quarter primarily reflected cash from operations and stock exercises. During 2022, the impact of the COVID-19 pandemic on the Companys business has differed by geography and region. 2021 Intuitive Surgical Inc - - USD 2020 Intuitive Surgical Inc . Sure. And that has implications for the kind of imaging we do, it has implications for task analysis and training, and we're doing those things, and those can be aggregated across a surgical platform. Partly, it's delays in getting in and getting tested and starting the journey and then getting in and having a procedure or treatment, whatever that might be. Thank you for joining us today. It flows from respect for and understanding of patients and care teams, their needs, and their environment. . any time, re-enter your e-mail address and click Submit, then adjust your form entries. Visit www.intuitive.com/en-us/products-and-services/ion. Jamie, in his commentary, said that a lot of those procedures are benign procedures, many of them are shorter duration than longer or more complex disease states. We heard your comments, but just kind of thinking a little bit longer-term than just the next couple of quarters. Q2 2022 INTUITIVE Earnings Conference Call. INTUITIVE at 43rd Annual Goldman Sachs Global Healthcare Conference. You've got COVID. Fourth quarter 2022 GAAP income from operations decreased to $373 million, compared with $450 million in the fourth quarter of 2021. I think the noise levels will go up. Full Time Faculty & Clinical Coordinator, Surgical Technologist Program Ask us about our $5,000 Sign on Bonus Rasmussen University Rasmussen University is seeking an experienced Surgical Technologist passionate about taking their own experience and translating that into helping students succeed in meeting their educational and professional goals. ISRG stock has split before. Newsroom | Intuitive | Robotic Surgery Company - Intuitive Surgical Foreign currency fluctuations had a 3% unfavorable impact on fourth quarter 2022 revenue. While the percentage of systems placed under operating leases fluctuates quarter to quarter, we believe leasing will increase as a percentage of sales over time, which will result in the deferral of otherwise current revenue into future periods. Thanks for taking the question. Susanne Feldt - Founder - Hermaid | LinkedIn The compound annual growth rate between the full year of 2019 and the full year of 2021 was approximately 12%. We are developing and deploying technology-enabled ecosystems to support our customers' pursuit of the Quadruple Aim, better outcomes, better patient experiences, better care team experiences, and lower total cost to treat per patient episode. You may automatically receive Intuitive Surgical financial information by e-mail. Jamie will provide additional procedure commentary later in this call. Fourth quarter 2021 instruments and accessories revenue increased by 13% to $843million, compared with $747million in the fourth quarter of 2020, primarily driven by approximately 19% growth in da Vinci procedure volume, partially offset by stocking orders in the prior year associated with the Companys launch of Extended Use Instruments. We could see one large competitor approved in the second half of this year. This presentation contains forward-looking statements. Another third works closely with customers in the field, and the remaining third have traditionally worked in lab and office environments. Founded in 1993 by brothers Tom and David Gardner, The Motley Fool helps millions of people attain financial freedom through our website, podcasts, books, newspaper column, radio show, and premium investing services. Good afternoon. I think that's what's been driving our success in the early market. We're doing that as a combination of My Intuitive plus some of the simulation work that we do, plus some of the machine learning and video analysis work that we do. And at this time, I would like to turn the conference over to our host, senior director of finance, investor relations for Intuitive, Mr. Calvin Darling. Fourth quarter 2022 instruments and accessories revenue increased by 12% to $941 million, compared with $843 million in the fourth quarter of 2021. Fourth quarter 2022 GAAP income from operations also included litigation charges of $21million. Tuesday, October 18, 2022 4:30 PM EDT . Obviously, you made some comments about variance and not factoring in kind of an increase. However, our expense growth rate was modestly lower than our plan, driven by pandemic-related factors. Let me start with why I think it's adopting, and I'm going to turn to Jamie as to where -- what inning of the baseball game are we in, I'll let Jamie take that. The non-GAAP* measures are described below and are reconciled to the corresponding GAAP measures at the end of this release. So energy and stapling and other things, we think that is possible. So be curious to hear from you on any procedure trends through the quarter in the U.S. and international. While we strive for our Foolish Best, there may be errors, omissions, or inaccuracies in this transcript. We also expect spending to increase as a percentage of revenue as investments in headcount, infrastructure, and other support areas catch up to the growth in the business. INTUITIVE at 2022 Wells Fargo Healthcare Conference. So we don't really call them out as individual revenue lines. Listen to Webcast. Again, if you look across that two-year period, try to look through the pandemic kind of ups and downs, what we're seeing is that procedure demand is there. In Q2, U.S. procedures grew 77% year over year, which equates to 16% on a two-year compound annual growth rate basis. For full-year 2021, Intuitive Surgical revenues are estimated to be north of $5.7 billion, reflecting a 30% y-o-y growth, while the growth rate is expected to slow to low teens next year . Non-GAAP gross profit, non-GAAP income from operations, non-GAAP net income attributable to Intuitive Surgical, Inc., and non-GAAP EPS exclude items such as intangible asset charges, re-measurement of contingent consideration, SBC and long-term incentive plan expenses, excess tax benefits or deficiencies associated with SBC arrangements, and non-cash amortization of deferred tax assets related to intra-entity transfer of non-inventory assets, which are primarily recurring items. On our last call, we forecast our 2021 full-year pro forma gross profit margin to be within 70% and 71% of revenue. any time, re-enter your e-mail address and click Submit, then adjust your form entries. To supplement its consolidated financial statements, which are prepared and presented in accordance with accounting principles generally accepted in the United States (GAAP), the Company uses the following non-GAAP financial measures: constant currency revenue, non-GAAP gross profit, non-GAAP income from operations, non-GAAP net income attributable to Intuitive Surgical, Inc., non-GAAP net income per diluted share attributable to Intuitive Surgical, Inc. (EPS), and non-GAAP diluted shares outstanding. Statements using words such as estimates, projects, believes, anticipates, plans, expects, intends, may, will, could, should, would, targeted, and similar words and expressions are intended to identify forward-looking statements. Trade-in activity can fluctuate and be difficult to predict. Hi, Gary. Next, we will go to Amit Hazan with Goldman Sachs. During the second half of 2022, the Company saw COVID-19 resurgences impact da Vinci procedure volumes in China. Leasing represented 33% of current quarter placements, compared with 29% last year and 43% last quarter. Shares of Intuitive Surgical jumped as much as 9.8% on Wednesday to a record high of $891.15 after the robotic surgery company crushed first quarter earnings. Intuitive Surgical, Inc. (Nasdaq:ISRG), headquartered in Sunnyvale, Calif., is the pioneer and a global technology leader in robotic-assisted, minimally invasive surgery. Our fully integrated advanced instruments portfolio has been a strong addition to our multiport ecosystem, allowing for high-quality tissue interaction controlled from the surgeon's console while optimizing workflow. as can be seen with the more than 29,000 peer-reviewed scientific articles that reference Intuitive technologies. Calvin Darling -- Senior Director of Finance, Investor Relations. Fourth quarter 2021 non-GAAP* net income attributable to Intuitive Surgical, Inc. was $477 million, or $1.30 per diluted share, compared with $434 million, or $1.19 per diluted share, in the fourth quarter of 2020. I will now summarize our GAAP results. First quarter 2022 non-GAAP* net income attributable to Intuitive Surgical, Inc. was $413 million, or $1.13 per diluted share, compared with $427 million, or $1.17 per diluted share, in the first quarter of 2021. Intuitive Surgical's Q1 2021 adjusted earnings per share is expected to be $2.72 per Trefis analysis, over 3% above the consensus estimate of $2.63. Gotcha. The trade-in cycle has been a tailwind to system placements. Current quarter system placements included 63 into Europe, 16 into Japan, and 19 into China, compared with 18 into Europe, 18 into Japan, and 21 into China in the second quarter of 2020. Well, I'll add one bit of color to that. In terms of procedure categories, bariatrics continued the strength that we've seen for some time. Theyjust revealed what they believe are thetenbest stocksfor investors to buy right now and Intuitive Surgicalwasn't one of them! It's taking getting the advanced instruments, put them together as a set, getting our workflows and our clinical pathways right, and I think that's been powerful to date. OK. That's helpful. I'm just curious from what you see out there, is this broadly reflective of what you think is going on in the marketplace for surgical procedures? The Company ended the fourth quarter of 2021 with $8.6 billion in cash, cash equivalents, and investments, an increase of $400million during the quarter, primarily driven by cash generated from operations. In the past 60 days, the Zacks Consensus Estimate for its earnings has moved north by 8.4% to $14.72. These forward-looking statements include, but are not limited to, statements related to the expected impacts of the COVID-19 pandemic on the Companys business, financial condition, and results of operations, future results of operations, future financial position, the Companys financing plans and future capital requirements, the Companys potential tax assets or liabilities, and statements based on current expectations, estimates, forecasts, and projections about the economies and markets in which the Company operates and the Companys beliefs and assumptions regarding these economies and markets. Procedures recovered nicely in Q2. To change your e-mail options at Intuitive Surgical's Q3 2021 adjusted earnings per share (EPS) is expected to be $1.22 per Trefis analysis, slightly above the consensus estimate of $1.17. But at this point, it's just too difficult to estimate and, therefore, kind of give you any additional color on. On a constant currency basis, fourth quarter 2022 revenue increased 10% compared to the fourth quarter of 2021. Additional supplemental financial and procedure information has been posted to the Investor Relations section of the Intuitive website at https://isrg.gcs-web.com/. That's right -- theythink these 10stocks are even better buys. We don't actually know how much backlog was resolved in the quarter, how much backlog is left or the timing of the recovery of that might be. Procedure growth in the U.S. was led by bariatric cholecystectomy and hernia procedures. So it's not a scientific study, just my view. Revenues are anticipated to be about $1.55 . [Operator instructions] And for our first question, we will go to Tycho Peterson. Jamie will take you through procedure dynamics in more detail later in the call. Taken together, this combination of a recovery in procedures and healthy utilization supports our solid capital placement trends and rounds out a healthy commercial recovery year to date. Jamie Samath -- Senior Vice President of Finance. Later we will have a question-and-answer session. Intuitive Surgical's adjusted net . Intuitive Surgical Inc (ISRG) Q2 2021 Earnings Call Transcript However, as the installed base of older-generation product declines, the number of trade-ins will decline over time. Turning to gross profit. In Europe, procedure growth varied by country based on the relative impact of and recovery from the pandemic. Our technologies include the da Vinci surgical system and the Ion endoluminal system. The stock split will take place after market close on October 5th, 2021. The Company ended the first quarter of 2022 with $8 .40 billion in cash, cash equivalents, and investments, a decrease of $218 . Intuitive Surgical Investor Presentation. An investor who was able to pick up $1,000 worth of Intuitive Surgical shares at its IPO price and held on has seen that investment grow to a whopping . And then on a two-year compounded basis, you're kind of where you thought you might be pre pandemic. The difference in the number of subjects reporting the need for prescription pain medication favored the robotic-assisted group in both comparisons." And we think that the extended use instruments lowers barriers for purchases of systems. And that is both painful and an opportunity. Yes, Tycho. And the capital to support that demand has not run ahead of the procedure demand. Our focus is in clinical capability and productivity of the installed base we have. Conversion rates to open surgery were lower in the robotic group compared to the laparoscopic group, 0.6% as compared to 4.9%, and reoperation rates in the 30 days post procedure were comparable between robotic and laparoscopic and lower for robotic as compared to open, 0.6% as compared to 3.1%. We think there's an opportunity to look at correlations between surgeon performance and outcomes. Intuitive Surgical didn't offer an outlook for 2021. Intuitive Surgical (ISRG) Q2 2021 Earnings Call Transcript System placements came in above plan, and system ASP and I&A revenue per procedure tracked slightly above our expectations, together driving revenue of $1.46 billion in Q2. Sales increased 17% to $1.55 billion, just ahead of ISRG stock analysts' projections for . We think we stand up pretty well to those comparisons, and we're ready to help them pursue their aims as the year proceeds.
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