Intuitive Surgical Shares Drop Following Q1 Earnings, Company Anticipates Profit Margin Impact From Tariffs

Intuitive Surgical Inc ISRG reported first-quarter financial results Tuesday after the bell. Here’s a rundown of the report.

Q1 Earnings: Intuitive Surgical reported first-quarter revenue of $2.25 billion, beating analyst estimates of $2.19 billion, according to Benzinga Pro.

The robotic-assisted surgery company reported first-quarter adjusted earnings of $1.81 per share, beating analyst estimates of $1.72 per share.

Total revenue was up 19% year-over-year as Worldwide da Vinci procedures increased approximately 17%. The company said it placed 367 da Vinci surgical systems in the quarter, versus 313 in the prior year’s quarter. Intuitive Surgical’s da Vinci surgical system installed base grew to 10,189 systems as of March 31, up 15% year-over-year.

Intuitive Surgical ended the quarter with $9.1 billion in cash, cash equivalents and investments, up $269 million from the fourth quarter.

“Core measures of our business were healthy this quarter, and we are pleased by continued customer adoption of our platforms, including da Vinci 5. As we look ahead, we remain focused on enabling our customers to deliver on their goals: better patient outcomes, improved patient and care team experiences, lower total cost to treat, and increased access to care,” said Gary Guthart, CEO of Intuitive Surgical.

Guidance: Intuitive Surgical expects full-year 2025 worldwide da Vinci procedures to increase approximately 15% to 17%. The company expects gross profit margin to be between 65% and 66.5% of revenue in 2025, which includes an estimated 1.7% impact from tariffs.

A conference call featuring additional commentary from executives started at 4:30 p.m. ET.

ISRG Price Action: Intuitive Surgical shares were down 0.99% after-hours, trading at $474 at the time of publication Tuesday, per data from Benzinga Pro.

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