How does Intuitive Surgical (ISRG) make money?

Intuitive Surgical (ISRG) generates revenue primarily from Instruments and Accessories, which accounted for 59.9% of total revenue in TTM through Q1 2026. The company reported $10.58B in revenue and converted 28.2% of it into net profit, equivalent to roughly $2.98B in net income — what's left after the cost of revenue, operating expenses, interest, and income taxes.

What is the gross profit margin of Intuitive Surgical (ISRG)?

Intuitive Surgical (ISRG) reported a gross profit margin of 66.3% in TTM through Q1 2026, equivalent to $7.02B in gross profit on $10.58B in revenue. Gross margin measures how much of each dollar of revenue remains after the direct cost of producing or delivering the product — a higher figure typically signals pricing power, scale, or a less capital-intensive business model.

What is the operating profit margin of Intuitive Surgical (ISRG)?

Intuitive Surgical (ISRG) reported an operating profit margin of 30.5% in TTM through Q1 2026, equivalent to $3.22B in operating income. Operating margin captures profitability after research & development, sales & marketing, and general & administrative expenses — but before interest, taxes, and one-off items — and is the cleanest single read on the underlying business's efficiency.

What is the net profit margin of Intuitive Surgical (ISRG)?

Intuitive Surgical (ISRG) reported a net profit margin of 28.2% in TTM through Q1 2026, equivalent to $2.98B in net income. Net margin is the bottom-line share of revenue that survives every expense — operating costs, interest, and income taxes — and is the figure that flows directly into earnings per share.

Is Intuitive Surgical (ISRG) profitable?

Yes. Intuitive Surgical (ISRG) reported $2.98B in net income for TTM through Q1 2026, with a net profit margin of 28.2%. The company earned more from its operations than it paid out in costs, interest, and income taxes, leaving positive earnings on the bottom line.

How much does Intuitive Surgical (ISRG) invest in research and development?

Intuitive Surgical (ISRG) invested $1.36B in research and development during TTM through Q1 2026, roughly 12.8% of total revenue. R&D spending funds the company's future product pipeline and is expensed in full on the income statement rather than capitalised, which makes the operating margin sensitive to how aggressively management chooses to reinvest in innovation.

How much does Intuitive Surgical (ISRG) spend on capital expenditures?

Intuitive Surgical (ISRG) spent $526.50M on capital expenditures (CapEx) during TTM through Q1 2026, roughly 5.0% of total revenue. CapEx represents long-lived investment in property, equipment, data centres, and other physical infrastructure, and is subtracted from operating cash flow to arrive at free cash flow.

How much free cash flow does Intuitive Surgical (ISRG) generate?

Intuitive Surgical (ISRG) generated $2.83B in free cash flow during TTM through Q1 2026, a free-cash-flow margin of 26.8%. Free cash flow is the cash left after capital expenditures and represents the discretionary pool the company can use to pay dividends, repurchase shares, repay debt, or fund acquisitions without raising external capital.

What is the effective tax rate of Intuitive Surgical (ISRG)?

Intuitive Surgical (ISRG) had an effective tax rate of 16.3% in TTM through Q1 2026. The effective rate is the actual share of pre-tax income paid as income taxes and can differ materially from the statutory rate due to foreign earnings mix, tax credits (such as R&D), share-based compensation deductions, and one-off discrete items.

What are the main business segments of Intuitive Surgical (ISRG)?

Intuitive Surgical (ISRG) reports revenue across 3 reportable product segments, led by Instruments and Accessories at 59.9% of total revenue in TTM through Q1 2026. See the revenue-by-segment table on this page for the full breakdown and how each segment feeds into the income-statement waterfall above.

Where does Intuitive Surgical (ISRG) generate most of its revenue?

Geographic Distribution, Domestic is the largest geographic market for Intuitive Surgical (ISRG), accounting for 66.7% of revenue in the most recent annual filing. The complete regional split — including international markets and any Rest-of-World rollup — is shown in the revenue-by-geography table on this page.

How Intuitive Surgical Makes Money: 2026 Visual Revenue Map

Intuitive Surgical (ISRG) Income Statement Flow — TTM through Q1 2026

Calculated from the four most recent reported quarters, ending March 31, 2026 (reported April 22, 2026).

Intuitive Surgical (ISRG) Revenue by Product Segment — TTM through Q1 2026

Aggregated from the four quarterly disclosures behind this TTM. Minor differences vs the company's annual filing can occur if reported segments changed mid-year.

Revenue contribution by product segment for Intuitive Surgical (ISRG) in TTM through Q1 2026.
Segment	Revenue (USD)	% of total
Instruments and Accessories	$6.34B	59.9%
Systems	$2.60B	24.6%
Services	$1.64B	15.5%
Total	$10.58B	100%

Instruments and Accessories$6.34B
Systems$2.60B
Services$1.64B
Total$10.58B

Intuitive Surgical (ISRG) Revenue by Geography — TTM through Q1 2026

Aggregated from the four quarterly disclosures behind this TTM. Minor differences vs the company's annual filing can occur if reported regions changed mid-year.

Revenue contribution by geographic region for Intuitive Surgical (ISRG), TTM through Q1 2026
Region	Revenue (USD)	% of total
Geographic Distribution, Domestic	$7.06B	66.7%
Geographic Distribution, Foreign	$3.52B	33.3%
Total	$10.58B	100%

Geographic Distribution, Domestic
Geographic Distribution, Foreign
Total

Revenue Breakdown — TTM through Q1 2026

In TTM through Q1 2026, Intuitive Surgical (ISRG) reports revenue across 3 operating segments; the largest segment was Instruments and Accessories at 59.9%, followed by Systems (24.6%) and Services (15.5%). Separately, by end-market geography, Geographic Distribution, Domestic accounted for 66.7% of revenue, followed by Geographic Distribution, Foreign (33.3%).

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