10-K Filing

INTUITIVE SURGICAL INC CIK: 1035267 FY 2023

Filing Information

Form Type	10-K
Accession Number	`0001035267-24-000021`
Period End Date	20231231
Filing Date	20240131
Fiscal Year	2023
Fiscal Period	FY
XBRL Instance	isrg-20231231_htm.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 80 Income Statement 51 Cash Flow Statement 95 Stockholders Equity 32 Comprehensive Income 45

Balance Sheet 80 line items

Line Item	Tag	Value	Unit	Period
Accounts receivable, allowance for credit loss, current	`AllowanceForDoubtfulAccountsReceivableCurrent`	$27.10M	USD	Point-in-time
Accounts receivable, allowance for credit loss, current	`AllowanceForDoubtfulAccountsReceivableCurrent`	$22.40M	USD	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	2.50M	shares	Point-in-time
Preferred stock, shares authorized (in shares)	`PreferredStockSharesAuthorized`	2.50M	shares	Point-in-time
Preferred stock, par value (usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Preferred stock, par value (usd per share)	`PreferredStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$2.75B	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$1.58B	USD	Point-in-time
Short-term investments	`MarketableSecuritiesCurrent`	$2.47B	USD	Point-in-time
Short-term investments	`MarketableSecuritiesCurrent`	$2.54B	USD	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Preferred stock, shares issued (in shares)	`PreferredStockSharesIssued`	0.00	shares	Point-in-time
Accounts receivable, net of allowances of $27.1 and $22.4 as of December 31, 2023, and 2022, respectively	`AccountsReceivableNetCurrent`	$942.10M	USD	Point-in-time
Accounts receivable, net of allowances of $27.1 and $22.4 as of December 31, 2023, and 2022, respectively	`AccountsReceivableNetCurrent`	$1.13B	USD	Point-in-time
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Preferred stock, shares outstanding (in shares)	`PreferredStockSharesOutstanding`	0.00	shares	Point-in-time
Inventory	`InventoryNet`	$1.22B	USD	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	600.00M	shares	Point-in-time
Common stock, shares authorized (in shares)	`CommonStockSharesAuthorized`	600.00M	shares	Point-in-time
Inventory	`InventoryNet`	$893.20M	USD	Point-in-time
Common stock, par value (usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Prepaids and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$299.80M	USD	Point-in-time
Common stock, par value (usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Prepaids and other current assets	`PrepaidExpenseAndOtherAssetsCurrent`	$314.00M	USD	Point-in-time
Common stock, par value (usd per share)	`CommonStockParOrStatedValuePerShare`	$0.00	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	350.00M	shares	Point-in-time
Total current assets	`AssetsCurrent`	$6.25B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$7.89B	USD	Point-in-time
Common stock, shares issued (in shares)	`CommonStockSharesIssued`	352.30M	shares	Point-in-time
Property, plant, and equipment, net	`PropertyPlantAndEquipmentNet`	$2.37B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	350.00M	shares	Point-in-time
Property, plant, and equipment, net	`PropertyPlantAndEquipmentNet`	$3.54B	USD	Point-in-time
Common stock, shares outstanding (in shares)	`CommonStockSharesOutstanding`	352.30M	shares	Point-in-time
Long-term investments	`MarketableSecuritiesNoncurrent`	$2.62B	USD	Point-in-time
Long-term investments	`MarketableSecuritiesNoncurrent`	$2.12B	USD	Point-in-time
Deferred tax assets	`DeferredIncomeTaxAssetsNet`	$664.60M	USD	Point-in-time
Deferred tax assets	`DeferredIncomeTaxAssetsNet`	$910.50M	USD	Point-in-time
Intangible and other assets, net	`IntangibleAndOtherAssets`	$710.10M	USD	Point-in-time
Intangible and other assets, net	`IntangibleAndOtherAssets`	$636.70M	USD	Point-in-time
Goodwill	`Goodwill`	$343.60M	USD	Point-in-time
Goodwill	`Goodwill`	$348.50M	USD	Point-in-time
Goodwill	`Goodwill`	$348.70M	USD	Point-in-time
Total assets	`Assets`	$15.44B	USD	Point-in-time
Total assets	`Assets`	$12.97B	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$147.00M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$188.70M	USD	Point-in-time
Accrued compensation and employee benefits	`EmployeeRelatedLiabilitiesCurrent`	$436.40M	USD	Point-in-time
Accrued compensation and employee benefits	`EmployeeRelatedLiabilitiesCurrent`	$401.60M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$446.10M	USD	Point-in-time
Deferred revenue	`DeferredRevenueCurrent`	$397.30M	USD	Point-in-time
Other accrued liabilities	`OtherLiabilitiesCurrent`	$476.20M	USD	Point-in-time
Other accrued liabilities	`OtherLiabilitiesCurrent`	$587.50M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$1.66B	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$1.42B	USD	Point-in-time
Other long-term liabilities	`LiabilitiesOtherThanLongtermDebtNoncurrent`	$439.30M	USD	Point-in-time
Other long-term liabilities	`LiabilitiesOtherThanLongtermDebtNoncurrent`	$385.50M	USD	Point-in-time
Total liabilities	`Liabilities`	$1.86B	USD	Point-in-time
Total liabilities	`Liabilities`	$2.04B	USD	Point-in-time
Commitments and contingencies (Note 8)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 8)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Preferred stock, 2.5 shares authorized, $0.001 par value, issuable in series; zero shares issued and outstanding as of December 31, 2023, and 2022	`PreferredStockValue`	-	USD	Point-in-time
Preferred stock, 2.5 shares authorized, $0.001 par value, issuable in series; zero shares issued and outstanding as of December 31, 2023, and 2022	`PreferredStockValue`	-	USD	Point-in-time
Common stock, 600.0 shares authorized, $0.001 par value, 352.3 shares and 350.0 shares issued and outstanding as of December 31, 2023, and 2022, respectively	`CommonStockValue`	$400.00K	USD	Point-in-time
Common stock, 600.0 shares authorized, $0.001 par value, 352.3 shares and 350.0 shares issued and outstanding as of December 31, 2023, and 2022, respectively	`CommonStockValue`	$400.00K	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$7.70B	USD	Point-in-time
Additional paid-in capital	`AdditionalPaidInCapitalCommonStock`	$8.58B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$3.50B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$4.74B	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-12.20M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-162.50M	USD	Point-in-time
Total Intuitive Surgical, Inc. stockholders equity	`StockholdersEquity`	$11.04B	USD	Point-in-time
Total Intuitive Surgical, Inc. stockholders equity	`StockholdersEquity`	$13.31B	USD	Point-in-time
Noncontrolling interest in joint venture	`MinorityInterest`	$89.70M	USD	Point-in-time
Noncontrolling interest in joint venture	`MinorityInterest`	$70.70M	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$13.40B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$9.76B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.95B	USD	Point-in-time
Total stockholders equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.11B	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$12.97B	USD	Point-in-time
Total liabilities and stockholders equity	`LiabilitiesAndStockholdersEquity`	$15.44B	USD	Point-in-time

Income Statement 51 line items

Line Item	Tag	Value	Unit	Period
Total revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$5.71B	USD	Annual
Total revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$7.12B	USD	Annual
Total revenue	`RevenueFromContractWithCustomerExcludingAssessedTax`	$6.22B	USD	Annual
Total cost of revenue	`CostOfGoodsAndServicesSold`	$2.39B	USD	Annual
Total cost of revenue	`CostOfGoodsAndServicesSold`	$2.03B	USD	Annual
Total cost of revenue	`CostOfGoodsAndServicesSold`	$1.75B	USD	Annual
Gross profit	`GrossProfit`	$4.20B	USD	Annual
Gross profit	`GrossProfit`	$4.73B	USD	Annual
Gross profit	`GrossProfit`	$3.96B	USD	Annual
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$1.47B	USD	Annual
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$1.74B	USD	Annual
Selling, general and administrative	`SellingGeneralAndAdministrativeExpense`	$1.96B	USD	Annual
Research and development	`ResearchAndDevelopmentExpense`	$671.00M	USD	Annual
Research and development	`ResearchAndDevelopmentExpense`	$998.80M	USD	Annual
Research and development	`ResearchAndDevelopmentExpense`	$879.00M	USD	Annual
Total operating expenses	`OperatingExpenses`	$2.96B	USD	Annual
Total operating expenses	`OperatingExpenses`	$2.14B	USD	Annual
Total operating expenses	`OperatingExpenses`	$2.62B	USD	Annual
Income from operations	`OperatingIncomeLoss`	$1.82B	USD	Annual
Income from operations	`OperatingIncomeLoss`	$1.58B	USD	Annual
Income from operations	`OperatingIncomeLoss`	$1.77B	USD	Annual
Interest and other income, net	`NonoperatingIncomeExpense`	$29.70M	USD	Annual
Interest and other income, net	`NonoperatingIncomeExpense`	$69.30M	USD	Annual
Interest and other income, net	`NonoperatingIncomeExpense`	$192.10M	USD	Annual
Income before taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.89B	USD	Annual
Income before taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.96B	USD	Annual
Income before taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest`	$1.61B	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$262.40M	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$141.60M	USD	Annual
Income tax expense	`IncomeTaxExpenseBenefit`	$162.20M	USD	Annual
Net income	`ProfitLoss`	$1.34B	USD	Annual
Net income	`ProfitLoss`	$1.73B	USD	Annual
Net income	`ProfitLoss`	$1.82B	USD	Annual
Less: net income attributable to noncontrolling interest in joint venture	`NetIncomeLossAttributableToNoncontrollingInterest`	$19.30M	USD	Annual
Less: net income attributable to noncontrolling interest in joint venture	`NetIncomeLossAttributableToNoncontrollingInterest`	$23.50M	USD	Annual
Less: net income attributable to noncontrolling interest in joint venture	`NetIncomeLossAttributableToNoncontrollingInterest`	$22.10M	USD	Annual
Net income attributable to Intuitive Surgical, Inc.	`NetIncomeLoss`	$1.80B	USD	Annual
Net income attributable to Intuitive Surgical, Inc.	`NetIncomeLoss`	$1.32B	USD	Annual
Net income attributable to Intuitive Surgical, Inc.	`NetIncomeLoss`	$1.70B	USD	Annual
Basic (usd per share)	`EarningsPerShareBasic`	$5.12	USD	Annual
Basic (usd per share)	`EarningsPerShareBasic`	$4.79	USD	Annual
Basic (usd per share)	`EarningsPerShareBasic`	$3.72	USD	Annual
Diluted (usd per share)	`EarningsPerShareDiluted`	$5.03	USD	Annual
Diluted (usd per share)	`EarningsPerShareDiluted`	$4.66	USD	Annual
Diluted (usd per share)	`EarningsPerShareDiluted`	$3.65	USD	Annual
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	355.70M	shares	Annual
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	356.10M	shares	Annual
Basic (shares)	`WeightedAverageNumberOfSharesOutstandingBasic`	351.20M	shares	Annual
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	365.80M	shares	Annual
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	362.00M	shares	Annual
Diluted (shares)	`WeightedAverageNumberOfDilutedSharesOutstanding`	357.40M	shares	Annual

Cash Flow Statement 95 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$1.34B	USD	Annual
Net income	`ProfitLoss`	$1.73B	USD	Annual
Net income	`ProfitLoss`	$1.82B	USD	Annual
Depreciation and loss on disposal of property, plant, and equipment, net	`DepreciationandGainLossonDispositionofPropertyPlantEquipment`	$401.60M	USD	Annual
Depreciation and loss on disposal of property, plant, and equipment, net	`DepreciationandGainLossonDispositionofPropertyPlantEquipment`	$282.80M	USD	Annual
Depreciation and loss on disposal of property, plant, and equipment, net	`DepreciationandGainLossonDispositionofPropertyPlantEquipment`	$338.00M	USD	Annual
Amortization of intangible assets	`AmortizationOfIntangibleAssets`	$27.40M	USD	Annual
Amortization of intangible assets	`AmortizationOfIntangibleAssets`	$20.20M	USD	Annual
Amortization of intangible assets	`AmortizationOfIntangibleAssets`	$27.80M	USD	Annual
Gain on sale of business	`GainLossOnSaleOfBusiness`	$3.80M	USD	Annual
Gain on sale of business	`GainLossOnSaleOfBusiness`	-	USD	Annual
Gain on sale of business	`GainLossOnSaleOfBusiness`	-	USD	Annual
Loss on investments, accretion of discounts, and amortization of premiums on investments, net	`AccretionAmortizationOfDiscountsAndPremiumsInvestments`	$-49.00M	USD	Annual
Loss on investments, accretion of discounts, and amortization of premiums on investments, net	`AccretionAmortizationOfDiscountsAndPremiumsInvestments`	$-10.60M	USD	Annual
Loss on investments, accretion of discounts, and amortization of premiums on investments, net	`AccretionAmortizationOfDiscountsAndPremiumsInvestments`	$-7.30M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInDeferredIncomeTaxes`	$185.30M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInDeferredIncomeTaxes`	$280.80M	USD	Annual
Deferred income taxes	`IncreaseDecreaseInDeferredIncomeTaxes`	$62.60M	USD	Annual
Share-based compensation expense	`ShareBasedCompensation`	$592.80M	USD	Annual
Share-based compensation expense	`ShareBasedCompensation`	$449.20M	USD	Annual
Share-based compensation expense	`ShareBasedCompensation`	$513.20M	USD	Annual
Amortization of contract acquisition assets	`CapitalizedContractCostAmortization`	$33.00M	USD	Annual
Amortization of contract acquisition assets	`CapitalizedContractCostAmortization`	$26.60M	USD	Annual
Amortization of contract acquisition assets	`CapitalizedContractCostAmortization`	$22.00M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$186.30M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$142.30M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$159.30M	USD	Annual
Inventory	`IncreaseDecreaseInInventories`	$712.50M	USD	Annual
Inventory	`IncreaseDecreaseInInventories`	$256.00M	USD	Annual
Inventory	`IncreaseDecreaseInInventories`	$546.60M	USD	Annual
Prepaids and other assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$129.20M	USD	Annual
Prepaids and other assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$-24.20M	USD	Annual
Prepaids and other assets	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$204.90M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$41.70M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$36.00M	USD	Annual
Accounts payable	`IncreaseDecreaseInAccountsPayable`	$21.30M	USD	Annual
Accrued compensation and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$115.10M	USD	Annual
Accrued compensation and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$34.80M	USD	Annual
Accrued compensation and employee benefits	`IncreaseDecreaseInEmployeeRelatedLiabilities`	$51.50M	USD	Annual
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$32.60M	USD	Annual
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$53.40M	USD	Annual
Deferred revenue	`IncreaseDecreaseInDeferredRevenue`	$21.50M	USD	Annual
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$51.40M	USD	Annual
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$-32.90M	USD	Annual
Other liabilities	`IncreaseDecreaseInOtherOperatingLiabilities`	$121.70M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$1.49B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$2.09B	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$1.81B	USD	Annual
Purchase of investments	`PaymentsToAcquireMarketableSecurities`	$6.45B	USD	Annual
Purchase of investments	`PaymentsToAcquireMarketableSecurities`	$2.21B	USD	Annual
Purchase of investments	`PaymentsToAcquireMarketableSecurities`	$1.40B	USD	Annual
Proceeds from sales of investments	`ProceedsFromSaleOfAvailableForSaleSecuritiesDebt`	$84.90M	USD	Annual
Proceeds from sales of investments	`ProceedsFromSaleOfAvailableForSaleSecuritiesDebt`	$61.10M	USD	Annual
Proceeds from sales of investments	`ProceedsFromSaleOfAvailableForSaleSecuritiesDebt`	$230.30M	USD	Annual
Proceeds from maturities of investments	`ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities`	$2.69B	USD	Annual
Proceeds from maturities of investments	`ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities`	$3.25B	USD	Annual
Proceeds from maturities of investments	`ProceedsFromMaturitiesPrepaymentsAndCallsOfAvailableForSaleSecurities`	$4.27B	USD	Annual
Purchase of property, plant, and equipment	`PaymentsToAcquireProductiveAssets`	$339.50M	USD	Annual
Purchase of property, plant, and equipment	`PaymentsToAcquireProductiveAssets`	$1.06B	USD	Annual
Purchase of property, plant, and equipment	`PaymentsToAcquireProductiveAssets`	$532.40M	USD	Annual
Acquisition of businesses, net of cash, and intellectual property and other investing activities	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$8.90M	USD	Annual
Acquisition of businesses, net of cash, and intellectual property and other investing activities	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$12.80M	USD	Annual
Acquisition of businesses, net of cash, and intellectual property and other investing activities	`PaymentsToAcquireBusinessesNetOfCashAcquired`	$22.70M	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.46B	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$1.37B	USD	Annual
Net cash provided by (used in) investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-360.10M	USD	Annual
Proceeds from issuance of common stock relating to employee stock plans	`ProceedsFromStockPlans`	$276.50M	USD	Annual
Proceeds from issuance of common stock relating to employee stock plans	`ProceedsFromStockPlans`	$296.30M	USD	Annual
Proceeds from issuance of common stock relating to employee stock plans	`ProceedsFromStockPlans`	$233.80M	USD	Annual
Taxes paid related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$211.60M	USD	Annual
Taxes paid related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$194.20M	USD	Annual
Taxes paid related to net share settlement of equity awards	`PaymentsRelatedToTaxWithholdingForShareBasedCompensation`	$164.70M	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	-	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$416.30M	USD	Annual
Repurchase of common stock	`PaymentsForRepurchaseOfCommonStock`	$2.61B	USD	Annual
Payment of deferred purchase consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$21.90M	USD	Annual
Payment of deferred purchase consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$2.90M	USD	Annual
Payment of deferred purchase consideration	`PaymentForContingentConsiderationLiabilityFinancingActivities`	$4.50M	USD	Annual
Net cash provided by (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-287.60M	USD	Annual
Net cash provided by (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-2.57B	USD	Annual
Net cash provided by (used in) financing activities	`NetCashProvidedByUsedInFinancingActivities`	$43.00M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$3.30M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$-3.40M	USD	Annual
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	`EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$5.40M	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$294.70M	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$-332.50M	USD	Annual
Net increase (decrease) in cash, cash equivalents, and restricted cash	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect`	$1.17B	USD	Annual
Cash, cash equivalents, and restricted cash, beginning of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$2.77B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, beginning of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.64B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, beginning of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.60B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, beginning of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.31B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, end of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.60B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, end of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.31B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, end of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$1.64B	USD	Point-in-time
Cash, cash equivalents, and restricted cash, end of year	`CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents`	$2.77B	USD	Point-in-time

Stockholders Equity 32 line items

Line Item	Tag	Value	Unit	Period
Beginning balance (shares)	`CommonStockSharesOutstanding`	350.00M	shares	Point-in-time
Beginning balance (shares)	`CommonStockSharesOutstanding`	352.30M	shares	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$13.40B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$9.76B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.95B	USD	Point-in-time
Beginning balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.11B	USD	Point-in-time
Issuance of common stock through employee stock plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$276.50M	USD	Annual
Issuance of common stock through employee stock plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$233.80M	USD	Annual
Issuance of common stock through employee stock plans	`StockIssuedDuringPeriodValueShareBasedCompensation`	$296.30M	USD	Annual
Shares withheld related to net share settlement of equity awards	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$194.20M	USD	Annual
Shares withheld related to net share settlement of equity awards	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$164.70M	USD	Annual
Shares withheld related to net share settlement of equity awards	`AdjustmentsRelatedToTaxWithholdingForShareBasedCompensation`	$211.60M	USD	Annual
Share-based compensation expense related to employee stock plans	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$449.20M	USD	Annual
Share-based compensation expense related to employee stock plans	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$602.10M	USD	Annual
Share-based compensation expense related to employee stock plans	`AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue`	$524.60M	USD	Annual
Repurchase and retirement of common stock	`StockRepurchasedAndRetiredDuringPeriodValue`	$2.61B	USD	Annual
Repurchase and retirement of common stock	`StockRepurchasedAndRetiredDuringPeriodValue`	$416.30M	USD	Annual
Net income attributable to Intuitive Surgical, Inc.	`NetIncomeLoss`	$1.70B	USD	Annual
Net income attributable to Intuitive Surgical, Inc.	`NetIncomeLoss`	$1.80B	USD	Annual
Net income attributable to Intuitive Surgical, Inc.	`NetIncomeLoss`	$1.32B	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$150.00M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-140.10M	USD	Annual
Other comprehensive income (loss)	`OtherComprehensiveIncomeLossNetOfTax`	$-49.80M	USD	Annual
Net income attributable to noncontrolling interest in joint venture	`NetIncomeLossAttributableToNoncontrollingInterest`	$19.30M	USD	Annual
Net income attributable to noncontrolling interest in joint venture	`NetIncomeLossAttributableToNoncontrollingInterest`	$23.50M	USD	Annual
Net income attributable to noncontrolling interest in joint venture	`NetIncomeLossAttributableToNoncontrollingInterest`	$22.10M	USD	Annual
Ending balance (shares)	`CommonStockSharesOutstanding`	350.00M	shares	Point-in-time
Ending balance (shares)	`CommonStockSharesOutstanding`	352.30M	shares	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$13.40B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$9.76B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.95B	USD	Point-in-time
Ending balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$11.11B	USD	Point-in-time

Comprehensive Income 45 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$1.34B	USD	Annual
Net income	`ProfitLoss`	$1.73B	USD	Annual
Net income	`ProfitLoss`	$1.82B	USD	Annual
Change in foreign currency translation gains (losses)	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$25.70M	USD	Annual
Change in foreign currency translation gains (losses)	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-500.00K	USD	Annual
Change in foreign currency translation gains (losses)	`OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax`	$-13.30M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-45.50M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$-138.20M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodNetOfTax`	$124.60M	USD	Annual
Less: Reclassification adjustment for gains on securities	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	-	USD	Annual
Less: Reclassification adjustment for gains on securities	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	-	USD	Annual
Less: Reclassification adjustment for gains on securities	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIForSaleOfSecuritiesNetOfTax`	$100.00K	USD	Annual
Net change	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax`	$-138.20M	USD	Annual
Net change	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax`	$124.50M	USD	Annual
Net change	`OtherComprehensiveIncomeLossAvailableForSaleSecuritiesAdjustmentNetOfTax`	$-45.50M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationAfterTax`	$12.30M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationAfterTax`	$-6.60M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossBeforeReclassificationAfterTax`	$-35.00M	USD	Annual
Less: Reclassification adjustment for (gains) losses on hedge instruments	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossReclassificationAfterTax`	$4.90M	USD	Annual
Less: Reclassification adjustment for (gains) losses on hedge instruments	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossReclassificationAfterTax`	$-7.00M	USD	Annual
Less: Reclassification adjustment for (gains) losses on hedge instruments	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossReclassificationAfterTax`	$-27.60M	USD	Annual
Net change	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$7.40M	USD	Annual
Net change	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$400.00K	USD	Annual
Net change	`OtherComprehensiveIncomeLossCashFlowHedgeGainLossAfterReclassificationAndTax`	$-7.40M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeReclassificationAdjustmentsNetOfTax`	$-5.80M	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeReclassificationAdjustmentsNetOfTax`	$600.00K	USD	Annual
Change in unrealized gains (losses)	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeReclassificationAdjustmentsNetOfTax`	$-100.00K	USD	Annual
Less: Reclassification adjustment for losses on employee benefit plans	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIPensionAndOtherPostretirementBenefitPlansForNetGainLossNetOfTax`	$-1.50M	USD	Annual
Less: Reclassification adjustment for losses on employee benefit plans	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIPensionAndOtherPostretirementBenefitPlansForNetGainLossNetOfTax`	$-200.00K	USD	Annual
Less: Reclassification adjustment for losses on employee benefit plans	`OtherComprehensiveIncomeLossReclassificationAdjustmentFromAOCIPensionAndOtherPostretirementBenefitPlansForNetGainLossNetOfTax`	-	USD	Annual
Net change	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentNetOfTax`	$600.00K	USD	Annual
Net change	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentNetOfTax`	$-6.00M	USD	Annual
Net change	`OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentNetOfTax`	$-1.60M	USD	Annual
Other comprehensive income (loss), net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-49.80M	USD	Annual
Other comprehensive income (loss), net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$150.00M	USD	Annual
Other comprehensive income (loss), net of tax	`OtherComprehensiveIncomeLossNetOfTax`	$-140.10M	USD	Annual
Total comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.97B	USD	Annual
Total comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.20B	USD	Annual
Total comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$1.68B	USD	Annual
Less: comprehensive income attributable to noncontrolling interest	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToNoncontrollingInterest`	$19.00M	USD	Annual
Less: comprehensive income attributable to noncontrolling interest	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToNoncontrollingInterest`	$20.30M	USD	Annual
Less: comprehensive income attributable to noncontrolling interest	`OtherComprehensiveIncomeLossNetOfTaxPortionAttributableToNoncontrollingInterest`	$22.80M	USD	Annual
Total comprehensive income attributable to Intuitive Surgical, Inc.	`ComprehensiveIncomeNetOfTax`	$1.95B	USD	Annual
Total comprehensive income attributable to Intuitive Surgical, Inc.	`ComprehensiveIncomeNetOfTax`	$1.66B	USD	Annual
Total comprehensive income attributable to Intuitive Surgical, Inc.	`ComprehensiveIncomeNetOfTax`	$1.18B	USD	Annual

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.