. Fourth quarter 2022 revenue was$1.66 billion, an increase of 7%compared with$1.55 billion in thefourth quarter of 2021. It is in fact a physically taxing procedure, as Gary described. And as we've said in the past, if we can bring the right system with the right instruments, the right imaging, and the right usability, the right ease of use, we think that surgeons will care. The next page will display a menu of options. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release. And I guess why won't that continue? Recovery in the U.K. was healthy in the quarter as NHS increased access to surgeries broadly. So I'd encourage those folks on the call, it's likely to be a comparison of ecosystems in delivering the Quad Aim over time. Thoracic Surgery Market: Industry Analysis and Forecast (2021-2029) And finally, we will host a question-and-answer session. These programs together trained over 2,200 care team members in the quarter, showing organizational strength and localizing programs, and responding with agility to pandemic-influenced demand. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this press release and which are based on current expectations and are subject to risks, uncertainties, and assumptions that are difficult to predict, including those risk factors identified under the heading Risk Factors in the Companys Annual Report on Form 10-K for the year ended December31, 2021, and the Companys Quarterly report on Form 10-Q for the quarter ended September 30, 2022, as updated by the Companys other filings with the Securities and Exchange Commission. The compound annual growth rate between the second quarter of 2019 and the second quarter of 2021 was 16.5%. To make the world smarter, happier, and richer. Sales increased 17% to $1.55 billion, just ahead of ISRG stock analysts' projections for . Larry Biegelsen -- Wells Fargo Securities -- Analyst. Gary S. Guthart Chief Executive Officer, Member of the Board of Directors. Can you talk about kind of next steps to the program here, particular geographies you're targeting? Intuitive will hold a teleconference at 1:30 p.m. PST today to discuss the fourth quarter 2021 financial results. . Just anything you could talk to there would be helpful. 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. Our actual tax rate will fluctuate with changes in the geographic mix of income, changes in taxation made by local authorities, and with the impact of one-time items. The adjustments between pro forma and GAAP net income are outlined and quantified on our website. Yeah, sure. 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. From the low-end perspective, the 27% reflected there is greater summer seasonality that reflects the possibility of an impact due to pent-up demand for vacation, especially for healthcare workers that have worked extensively during this period with COVID. INTUITIVE SURGICAL, INC.-14.33%: 79 654: BOSTON . The second quarter of 2020 included $59 million of service credits issued in conjunction with our Customer Relief Program, higher period costs associated with lower production, and higher excess and obsolete inventory charges. 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. On a constant currency basis, fourth quarter 2022 revenue increased 10% compared to the fourth quarter of 2021. I think that's what's been driving our success in the early market. Investors are cautioned not to place undue reliance on such forward-looking statements. There are several models of the da Vinci Surgical System. Women Techmakers Ambassador is responsible for driving diversity and inclusion through organizing local events within the tech community. It's the impact on hospitalizations. And so we have some indications that we saw backlog reflected in the Q2 results. Next, we're going to the line of Rick Wise with Stifel. These non-GAAP financial measures also facilitate managements internal comparisons to its historical performance. - Received full travel grant to attend Google I/O 2019. (2021) Dropped off in 2022. To change your e-mail options at We expanded our installed base of da Vinci Systems over the last year by 10% to approximately 6,335 systems. Most of our offices globally are reopening with this hybrid approach. The Company excludes the excess tax benefits or deficiencies associated with SBC arrangements as well as the tax effects associated with non-cash amortization of deferred tax assets related to intra-entity non-inventory transfers, because the Company does not believe these items correlate with the on-going results of its core operations. Pagination. Copyright 2023 Intuitive Surgical. 10/08/22 - 11:00 AM EDT. 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. The Company shipped 385 da Vinci Surgical Systems in the fourth quarter of 2021, compared with 326 systems in the fourth quarter of 2020. 5001-10,000 Employees. These forward-looking statements are necessarily estimates reflecting the judgment of the Companys management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. We are now slightly increasing our forecast and expect full-year gross profit margin to be between 70.5% and 71.5% of revenue. 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%. There appears to be some. The Motley Fool recommends Johnson & Johnson and recommends the following options: long January 2022 $580 calls on Intuitive . How are you thinking about competition? And so we watch that number because we know it's highly sensitive. Listen to Webcast. . We will now open the call to your questions. I will now turn to our financial outlook for 2021. So I apologize for the short-term-oriented question, but you're the first large-cap company to report here. The next page will display a menu of options. Supporting investors, corporations, start-ups, and academic research labs. 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. Intuitive Announces Fourth Quarter Earnings, Less: net income attributable to noncontrolling interest in joint venture. Actual results may differ materially from those expressed or implied as a result of certain risks and uncertainties. The Company shipped 385 da Vinci Surgical Systems, an increase of 18% compared with 326 in the fourth quarter of 2020. EMCOR Group, Inc. (NYSE:EME) Q4 2022 Earnings Call Transcript In addition to that, we still think this is a great opportunity to continue to invest in the ecosystem of products and capabilities at this point in time before competition really gets any kind of toehold. 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. Investors interested in listening to the conference call may do so by accessing a live and archived webcast of the event at www.neuropace.com, on the Investors page in the News & Events section. In addition, the components of the costs that the Company excludes in its calculation of non-GAAP net income attributable to Intuitive Surgical, Inc. and non-GAAP EPS may differ from the components that its peer companies exclude when they report their results of operations. The Motley Fool has a disclosure policy. The stock split will take place after market close on October 5th, 2021. OUS markets grew 51% year over year or 19% on a two-year compound annual growth rate basis. Intuitive Surgical Inc. (ISRG) Q4 2021 Earnings Call Transcript 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. To choose First cases in our SP colorectal IDE trial were completed in the quarter as we seek to bring SP capability to additional procedures. So it's hard to time it out, and it doesn't time out over one or two quarters, it times out over years. We think there is an opportunity to accelerate learning and to drive increased insight for a surgeon into their own progress. We launched our Force bipolar energy instrument along with our extended use instruments program in Japan, and we launched our SynchroSeal energy instrument and E-100 energy generator in Korea. Intuitive Surgical, Inc. (ISRG) Q1 Earnings and Revenues Beat Estimates Without excluding these tax effects, investors would only see the gross effect that these non-GAAP adjustments had on the Companys operating results. Just so really speaking backward-looking, so far, so good. Intuitive | ISRG Investor events & presentations - Intuitive Surgical And -- but right now, I think that remains to be seen how strong those other systems are. Intuitive Surgical (ISRG) Q2 2021 Earnings Call Transcript China procedure growth remains strong and broad-based as a result of continued expansion of the installed base under the current quota. In the U.S. and Europe, extended use instruments were nearly fully adopted in the second quarter. Later we will have a question-and-answer session. I think what we're seeing is that the longer diagnostic pipelines have had this kind of double effect from the pandemic. Gary, just with you, just thinking through the My Intuitive and what you're doing at the surgeon level. So we're making those investments to move that forward. The non-GAAP* measures are described below and are reconciled to the corresponding GAAP measures at the end of this release. That's great. I'll now turn the time over to Marshall to take you through our financial performance in greater detail. Investor's Business Daily . ET. GAAP net income was $517 million or $4.25 per share for the second quarter of 2021, compared with GAAP net income of $68 million or $0.57 per share for the second quarter of 2020 and GAAP net income of $426 million or $3.51 per share for the last quarter. (6) Diluted net income per share includes the effect of the following items: Gains (losses) on strategic investments, net of tax, Less: net income attributable to noncontrolling interest in joint venture. Obviously, you made some comments about variance and not factoring in kind of an increase. 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. Submit. In Q2, U.S. procedures grew 77% year over year, which equates to 16% on a two-year . Laparoscopy Surgical Robotic System and Consumables Market [2023-2030 NeuroPace Reports Fourth Quarter & Full Year 2022 Financial Results Intuitive Surgical, Inc. - AnnualReports.com INTUITIVE SURGICAL, INC.-13.55%: 80 376: BOSTON SCIENTIFIC CORPORATION: 1.19%: 67 033: SIEMENS . 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. Of those patients, 43% were in the da Vinci robotic cohort, 35% in the laparoscopic cohort, and 22% in the open cohort. Pitching to investors 2023 | GIANT Health London 6th-7th December 2022 Non-GAAP income from operations. That said, other teams are out. Intuitive | ISRG Investor events & presentations Yes. Our SEC filings can be found through our website or at the SEC's website. *Average returns of all recommendations since inception. And then given that it's cancer procedure, in some cases, it's a little bit longer follow-up. For nearly three decades we've created products and services born of inspiration and intelligencefrom robotic-assisted surgical systems to data generation that unlocks the potential to benefit care systems worldwide. Invest better with The Motley Fool. And recently, we've had a series of very encouraging conversations on the adoption of bariatrics, very encouraging. Ladies and gentlemen, thank you for standing by and welcome to the Intuitive Q4 2021 Earnings Release Call. While there is likely some amount of backlog that has not yet been addressed, it is difficult to estimate the extent of the remaining backlog and when it will affect future procedure growth. What was the second part of your question again, Larry? In terms of our underlying numbers, we're growing at a little faster rate in the revision section, sleeves and bypass grow about the same rate. I will describe the highlights of our performance on a non-GAAP or pro forma basis. Jamie will take you through procedure dynamics in more detail later in the call. 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 . For important safety information, indications for use, risks, full cautions, and warnings, please refer to www.intuitive.com/safety. So right now, we talked in the script about adding our work or IDE around colorectal, we're excited about that. any time, re-enter your e-mail address and click Submit, then adjust your form entries. Intuitive Surgical Asensus Surgical . 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. The second reason to invest in Intuitive Surgical is its incredible profitability. One is we are focused on making sure that our ecosystem, our products, our systems, everything goes around it really delivers against the Quadruple Aim all the way through. Investors are cautioned not to place undue reliance on these forward-looking statements, including statements about our results of operations, growth strategy and commercial opportunity. 10 stocks we like better thanIntuitive SurgicalWhen our award-winning analyst team hasa stock tip, it can pay to listen. Add to that, the uncertainty of wave 4, possibility of wave 4 makes it tough to put a number on, Larry. Good afternoon. And I have one follow-up. Product and brand names/logos are trademarks or registered trademarks of Intuitive Surgical or their respective owner. You may automatically receive Intuitive Surgical financial information by e-mail. Total second-quarter revenue was $1.464 billion, representing a 72% increase from last year and a 13% increase from last quarter. With respect to operating expenses, on our last call, we forecast to grow full-year pro forma 2021 operating expenses between 18% and 22% above 2020 levels. Jamie will discuss procedure and clinical highlights and provide an update of our financial outlook. All of that, to me, indicates that the business feels in balance. The Company ended the fourth quarter of 2022 with $6.74 billion in cash, cash equivalents, and investments, a decrease of $651 . (1) Services revenue includes the effect of the following item: (2) Selling, general and administrative includes the effect of the following item: (3) Income from operations includes the effect of the following item: (4) Interest and other income, net includes the effect of the following item: (5) Income tax expense includes the effect of the following items: Excess tax benefits related to share-based compensation arrangements. Tuesday, October 18, 2022 4:30 PM EDT . Fourth quarter 2022 constant currency revenue increased 10% compared to the fourth quarter of 2021. Intuitive Surgical Investor Presentation. Please go ahead. SUNNYVALE, Calif., Jan. 24, 2023 (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, 2022. OK. That's helpful. From a market perspective, about 60%-ish or so are sleeves, about 15% are revisions. And then on a two-year compounded basis, you're kind of where you thought you might be pre pandemic. PROCEPT BioRobotics is a surgical robotics company enabling better patient care by developing transformative solutions in urology. - building a financial model and investor presentation for fundraising . The Company defines non-GAAP net income as net income attributable to Intuitive Surgical, Inc., excluding amortization of intangible assets, SBC and long-term incentive plan expenses, litigation charges and recoveries, a gain on the sale of a business, gains (losses) on strategic investments, adjustments attributable to noncontrolling interest in joint venture, net of the related tax effects, and tax adjustments, including the excess tax benefits or deficiencies associated with SBC arrangements and the net tax effects related to intra-entity transfers of non-inventory assets. Intuitive Surgical Stock Looks Attractive After Its Recent Fall - Forbes We expect our pro forma rate for the last six months of 2021 to be between 21% and 22% versus our previous guidance of 20% to 21%, reflecting a greater proportion of U.S. income for the year. What's the Outlook for Intuitive Surgical? | The Motley Fool The compound annual growth rate between the full year of 2019 and the full year of 2021 was approximately 12%. I would just add, Bob, as you saw the COVID hospitalization rates in the U.S. come down in March and into Q2, that frees hospital resources to increase the level of surgery that we do. OK. And then just one quick follow-up. Procedure growth in the U.S. was led by bariatric cholecystectomy and hernia procedures. Intuitive Announces Preliminary Fourth Quarter and Full Year 2021 Results. 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. And I suspect that's most of what we're seeing, at least in the United States in terms of that. The Company believes that these non-GAAP financial measures provide meaningful supplemental information regarding its performance by excluding items such as intangible asset charges, share-based compensation (SBC) and long-term incentive plan expenses, and other special items. Global Minimally Invasive Prostate Cancer Surgery Market Analysis by To choose During 2021, COVID-19 resurgences continued to impact da Vinci procedure volumes. The Company placed 369 da Vinci Surgical Systems in the fourth quarter of 2022, compared with 385 systems in the fourth quarter of 2021. You've been spending a lot there. Thank you. You may automatically receive Intuitive Surgical financial information by e-mail. any time, re-enter your e-mail address and click Submit, then adjust your form entries. In Europe, procedure growth varied by country based on the relative impact of and recovery from the pandemic. Gary will present the quarter's business and operational highlights. We continue to see significant utilization variance by region due to pandemic differences. The Company believes that both management and investors benefit from referring to these non-GAAP financial measures in assessing its performance and when planning, forecasting, and analyzing future periods. The results of the meta-analysis found that robotic-assisted thoracic surgery compared to VATs was associated with, among others, the following significant findings: 50.4 milliliters lower blood loss, a 50% lower chance of conversion to an open procedure, a 1.1 day shorter stay in the hospital and a 10% less chance of patient experience to postoperative complication. Listen to Webcast. During the second half of 2022, the Company saw COVID-19 resurgences impact da Vinci procedure volumes in China. Those things are ongoing now. The Company excludes a one-time tax benefit from re-measurement of certain deferred tax assets, because it is discrete in nature, and excludes the excess tax benefits or deficiencies associated with SBC arrangements as well as the tax effects associated with non-cash amortization of deferred tax assets related to intra-entity non-inventory transfers, because the Company does not believe these items correlate with the on-going results of its core operations. What we've seen, though, is that what happens in the PowerPoints and what happens a year later is different. Instruments and accessories, training programs, support staff, analytics capability, publication, scientific publications demonstrating what you've done, the analytics, and evidence-based build are all, I think, important. The next page will display a menu of options. Q4 2022 INTUITIVE Earnings Conference Call, INTUITIVE at J.P. Morgan Healthcare Conference, Q3 2022 INTUITIVE Earnings Conference Call, INTUITIVE at 2022 Wells Fargo Healthcare Conference, Q2 2022 INTUITIVE Earnings Conference Call, INTUITIVE at 43rd Annual Goldman Sachs Global Healthcare Conference, INTUITIVE at BofA Securities 2022 Healthcare Conference, Q1 2022 INTUITIVE Earnings Conference Call. The constant currency revenue percentage change is calculated by determining the increase in the current period constant currency revenue over the prior period revenue. COVID-19 has had, and may continue to have, an adverse impact on the Companys procedure volumes. Through ingenuity and intelligent technology, we expand the potential of physicians to heal without constraints. The Company grew its da Vinci Surgical System installed base to 6,730 systems as of, Fourth quarter 2021 GAAP net income attributable to Intuitive was $381million, or, Fourth quarter 2021 non-GAAP* net income attributable to Intuitive was. Maybe just at the beginning of your comments, I was struck that you emphasized that da Vinci utilization rates are, if I understood you correctly, at the high end of historical averages. How close we are to maybe seeing something that you can monetize? What To Expect From Intuitive Surgical's Q3? | Nasdaq any time, re-enter your e-mail address and click Submit, then adjust your form entries. The Motley Fool recommends the following options: long January 2022 $580 calls on Intuitive Surgical and short January 2022 $600 calls on Intuitive Surgical. In addition, the components of the costs that the Company excludes in its calculation of non-GAAP net income attributable to Intuitive Surgical, Inc. and non-GAAP EPS may differ from the components that its peer companies exclude when they report their results of operations. That low end also reflects some impact of a resurgence in the U.S. These forward-looking statements are necessarily estimates reflecting the best judgment of the our management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the forward-looking statements. Non-GAAP income from operations. So I think those are the key kind of procedure highlights. 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. We think we can bring some outstanding imaging capabilities, including florescence imaging into that space. And then has the elasticity relative to the extended use program and the pricing adjustments played out relative to your expectations? Lockdowns decrease patient mobility and willingness to go get their tests and then hospitalization diminishes ICU capacity. Our digital learning programs continue to be an important part of our overall learning initiatives. Please go ahead. The Company's da Vinci Surgical System offers surgeons superior visualization, enhanced dexterity, greater precision and ergonomic comfort for the optimal performance of MIS. And we expect those to come back as COVID goes away and the restrictions on travel and the restrictions on other activities go away. Or any color you can provide on that? Dec 2017 - Aug 20213 years 9 months. And I know case rises have been largely decoupled from hospitalizations. Thoracic Surgery Market was valued at USD 3.1 Billion in 2021, and it is expected to reach a CAGR of 7.18 % . Jamie Samath -- Senior Vice President of Finance. Intuitive Surgical (ticker: ISRG ) reported an adjusted fourth-quarter profit of $1.30 a share, beating forecasts for $1.28 a share, on sales of $1.55 billion, which topped expectations for $1.52 .
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