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. Thank you. COVID-19 has had, and will likely continue to have, an adverse impact on the Companys procedure volumes. China continued the strength that we've seen over the last couple of quarters. The Companys calculated non-GAAP effective tax rate is generally higher than its GAAP effective tax rate. All Rights Reserved. We think we stand up pretty well to those comparisons, and we're ready to help them pursue their aims as the year proceeds. Four of the systems placed in the first quarter were SP Systems, reflecting continued measured rollout of SP. Non-GAAP gross profit. Intuitive Surgical Asensus Surgical . The adjustments between pro forma and GAAP net income are outlined and quantified on our website. But at this point, it's just too difficult to estimate and, therefore, kind of give you any additional color on. Investors have assigned a high trading . To choose Compound annual growth between the second quarters of 2019 and 2021 was 16.5%. And so we'll spend there. Jamie Samath -- Senior Vice President of Finance. Listen to Webcast. For the first three quarters of 2021, it reported $1.4 billion in operating income on $4.2 billion in revenues. Supporting investors, corporations, start-ups, and academic research labs. 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. Intuitive | ISRG in the News We kind of outlined what was assumed in the high end of the procedure guidance. And I know case rises have been largely decoupled from hospitalizations. Fourth quarter 2022 constant currency revenue increased 10% compared to the fourth quarter of 2021. It affirms that "RAS devices have been cleared for use in certain types of surgical procedures commonly performed in patients with cancer, such as hysterectomy, prostatectomy and colectomy. Revenues are anticipated to be about $1.55 . I think there's elements of our spend that have been restrained because of -- restricted because of COVID and its impact. Fourth quarter 2021 systems revenue increased by 28% to $470million, compared with $367million in the fourth quarter of 2020. Extended use instruments were introduced into the U.S. and Europe in the fourth quarter, in most other markets in the first six months of this year, except China due to regulatory timelines. All Rights Reserved. Data Provided by Refinitiv. In the United States, procedure growth was strong in the quarter, driven by growth in bariatric surgery, hernia repair, and cholecystectomy. Intuitive will hold a teleconference at 1:30 p.m. PST today to discuss the fourth quarter 2021 financial results. Lastly, we continue to digitally enhance our ecosystem. Just anything you could talk to there would be helpful. 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. 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. Foreign currency fluctuations had a 3% unfavorable impact on fourth quarter 2022 revenue. Fourth quarter 2021 GAAP income from operations increased to $450million, compared with $416million in the fourth quarter of 2020. Gotcha. Marshall, the operating margin coming in at the 43%, I'm just wondering how much we can extrapolate here? Fourth quarter 2021 GAAP net income attributable to Intuitive Surgical, Inc. included excess tax benefits of $27 million, or $0.07 per share, compared with $21 million, or $0.06 per share, in the fourth quarter of 2020. Over 5 years of experience in working with experienced consultants in the banking and high-tech sectors to drive projects and initiatives in a cross-cultural environment. Ladies and gentlemen, thank you for standing by, and welcome to the Intuitive Q2 2021 earnings conference call. 2 Reasons to Avoid a Roth 401(k) for Your Retirement Savings, Warren Buffett's Latest $2.9 Billion Buy Brings His Total Investment in This Stock to $66 Billion in 4 Years, Want $1 Million in Retirement? The system features an ultra-thin, ultra-maneuverable catheter that allows navigation far into the peripheral lung and provides the unprecedented stability necessary for precision in biopsy. Affiliated with the world's largest international neurotechnology community, NeurotechX, with 18,000+ members . Total second-quarter revenue was $1.464 billion, representing a 72% increase from last year and a 13% increase from last quarter. Submit. Yes. 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. 10/08/22 - 11:00 AM EDT. You may automatically receive Intuitive Surgical financial information by e-mail. Intuitive Surgical -Export management Iqm selezione - 07.2021 . And so we have some catch-up to do in terms of infrastructure and support necessary to support the overall business. Long-term incentive plan expense relates to phantom share awards granted in China by the Companys joint venture, Shanghai Fosun Pharmaceutical (Group) Co., Ltd., to its employees that vest over four years and can remain outstanding for seven to ten years. There are a number of limitations related to the use of non-GAAP measures versus measures calculated in accordance with GAAP. So first question for me is just trying to dissect your procedure results a little bit more because some really interesting comments, that you saw strength in benign cases, some catch-up cases. Leasing represented 33% of current quarter placements, compared with 29% last year and 43% last quarter. 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 . Utilization of clinical systems in the field, measured by procedures per system, increased approximately 55% compared with last year and increased 11% compared with last quarter. Intuitive Announces Fourth Quarter Earnings, www.intuitive.com/en-us/products-and-services/ion, Less: net income (loss) attributable to noncontrolling interest in joint venture. *Average returns of all recommendations since inception. 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. Learn More, Intuitive Surgical(ISRG 2.61%)Q22021 Earnings CallJul 20, 2021, 4:30 p.m. 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. 2021 Proxy Statement - Special Meeting 224.6 KB. Minimally Invasive Care | About Us | Intuitive - Intuitive Surgical As customers continue to upgrade to fourth-generation capabilities, the population of installed SIs is decreasing, particularly in the U.S. were 110 trade-ins were completed in the second quarter, leaving an installed base of SIs of approximately 500 systems. Intuitive Surgical jumps past $100 billion market value as 1st-quarter So it's not a scientific study, just my view. Submit. 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. So that's a multi-quarter conversation. So from a core demand point of view or disease state, that's clearly out there and accumulating, and it has to get processed through. It last split in October of 2017. While this did not have a material impact to our operating results in Q2, the outlook we are providing does not reflect any potential significant disruption or additional costs related to supply constraints. Yeah. Field and marketing costs will tick up if the pandemic wanes. Fourth quarter 2022 systems revenue decreased by 4% to $451 million, compared with $470 million in the fourth quarter of 2021. And we've received feedback -- positive feedback from surgeons who have indicated that system access has been a key driver for increased procedures. In the second quarter, we modified the useful life of a deferred-tax asset, which resulted in a current charge to pro forma income. Our focus is in clinical capability and productivity of the installed base we have. What was the second part of your question again, Larry? 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. Phone: 408-523-2161 Intuitive brings more than two decades of leadership in robotic-assisted surgical technology and solutions to its offerings and develops, manufactures, and markets the da Vinci Surgical System and the Ion endoluminal system. In the U.S., procedures that are dependent on diagnostic pipelines also grew, albeit at lower rates as compared to benign procedures. OUS markets grew 51% year over year or 19% on a two-year compound annual growth rate basis. As part of our mission, we believe that minimally invasive care is life-enhancing care. Contact Information. I will also summarize our GAAP performance later in my prepared remarks. These forward-looking statements should be considered in light of various important factors, including, but not limited to, the following: the overall macroeconomic environment, which impacts customer spending and the Companys costs, including increased inflation and interest rates, the conflict in Ukraine, disruption to the Companys supply chain, including increased difficulties in obtaining a sufficient supply of materials in the semiconductor and other markets, the risk that the COVID-19 pandemic could lead to material delays and cancellations of, or reduced demand for, procedures; curtailed or delayed capital spending by hospitals; closures of the Companys facilities; delays in surgeon training; delays in gathering clinical evidence; delays in obtaining new product approvals, clearances, or certifications from the U.S. Food and Drug Administration (FDA), comparable regulatory authorities, or notified bodies; diversion of resources to respond to COVID-19 outbreaks; the impact of global and regional economic and credit market conditions on healthcare spending; the risk of the Companys inability to comply with complex FDA and other regulations, which may result in significant enforcement actions; regulatory approvals, clearances, certifications, and restrictions or any dispute that may occur with any regulatory body; guidelines and recommendations in the healthcare and patient communities; healthcare reform legislation in the U.S. and its impact on hospital spending, reimbursement, and fees levied on certain medical device revenues; changes in hospital admissions and actions by payers to limit or manage surgical procedures; the timing and success of product development and market acceptance of developed products; the results of any collaborations, in-licensing arrangements, joint ventures, strategic alliances, or partnerships, including the joint venture with Shanghai Fosun Pharmaceutical (Group) Co., Ltd.; the Companys completion of and ability to successfully integrate acquisitions, including Opheus Medical; procedure counts; intellectual property positions and litigation; competition in the medical device industry and in the specific markets of surgery in which the Company operates; risks associated with the Companys operations and any expansion outside of the United States; unanticipated manufacturing disruptions or the inability to meet demand for products; the Companys reliance on sole and single source suppliers; the results of legal proceedings to which we are or may become a party, including but not limited to product liability claims; adverse publicity regarding us and the safety of the Companys products and adequacy of training; the impact of changes to tax legislation, guidance, and interpretations; changes in tariffs, trade barriers, and regulatory requirements; and other risks and uncertainties. We expect pro forma other income, which is comprised mostly of interest income, to total between $50 million and $55 million in 2021. ET. Fourth quarter 2021 non-GAAP* income from operations increased to $588 million, compared with $535 million in the fourth quarter of 2020. Second-quarter OUS procedure volume grew approximately 51%, compared with a 7% decline for the second quarter of 2020 and 23% growth last quarter. . 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. And as competition progresses in various markets, we will likely experience longer selling cycles and price pressures. EMCOR Group, Inc. (NYSE:EME) Q4 2022 Earnings Call Transcript The Company believes that these non-GAAP financial measures provide meaningful supplemental information regarding its performance by excluding items such as amortization of intangible assets, share-based compensation (SBC) and long-term incentive plan expenses, and other special items. And Jamie, as to kind of where we are. I think our customers will take their time to evaluate new things as they go. You may automatically receive Intuitive Surgical financial information by e-mail. The stock split will take place after market close on October 5th, 2021. Looking forward, we see the following capital revenue dynamics. We continue to operate in a challenging supply chain environment and have experienced longer lead times and delayed deliveries from our suppliers. 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. To understand our system placement and capital performance over this period, we look to annual system utilization trends, which have recovered to utilization rates at the high end of our historical averages. OK. That's helpful. 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. Procedure growth in the U.S. was led by bariatric cholecystectomy and hernia procedures. Some of them are included in our service contracts, some of them are on a per-use basis. To choose 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. The Motley Fool has a disclosure policy. 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. 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. Intuitive Surgical Is Falling After Earnings. This Analyst Thinks It's J Global Clinical Engineering, Special Issue 4, 2021 - Proceedings IV ICEHTMC 2021 - ISSN 2578 2762 1 dicembre 2021 . And the capital to support that demand has not run ahead of the procedure demand. We are refining our estimate and expect our full-year pro forma operating expense growth to be between 17% and 21%. The non-GAAP* measures are described below and are reconciled to the corresponding GAAP measures at the end of this release. Fourth-quarter revenue was in line with Intuitive Surgical's positive preannouncement earlier this month. But can you maybe just talk through the thought process there and how you're thinking about any potential risks in the back half of the year from the variant cases? Our overall second-quarter procedure growth was 68%, compared to a decline of 19% during the second quarter of 2020, which reflected a significant adverse impact from the COVID-19 pandemic. A couple of things. INTUITIVE at 43rd Annual Goldman Sachs Global Healthcare Conference. Second-quarter system placements of 328 systems increased 84%, compared with 178 systems for the second quarter of 2020, and increased 10%, compared with 298 systems last quarter. The compound annual growth rate between the second quarter of 2019 and the second quarter of 2021 was 16.5%. We have a broad range of estimates. 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. OpenText Collaborates with Bayer to Simplify Digital Operations There are no upcoming events available at this time. 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. We think about digital as enabling and accelerating a lot of different parts of the ecosystem. In the past 60 days, the Zacks Consensus Estimate for its earnings has moved north by 8.4% to $14.72. In terms of procedure categories, bariatrics continued the strength that we've seen for some time. The tax effects of the non-GAAP items are determined by applying a calculated non-GAAP effective tax rate, which is commonly referred to as the with-and-without method. (4) Income tax expense includes the effect of the following items: One-time tax benefit from re-measurement of certain deferred tax assets, Discrete tax expense arising from the conclusion of a tax matter, Accounts payable and other accrued liabilities, Total liabilities and stockholders equity, Adjustments attributable to noncontrolling interest in joint venture. Montreal, Quebec, Canada. These non-GAAP financial measures also facilitate managements internal comparisons to its historical performance. The Motley Fool owns shares of and recommends Intuitive Surgical. OK. And last one on SP. On our last call, we forecast our 2021 full-year pro forma gross profit margin to be within 70% and 71% of revenue. It's the impact on hospitalizations. 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. And finally, expanding our clinical, economic, and analytical evidence base for key procedures and countries. Product and research reports and data presentation to medical specialists, sales force, new channels, investors. To change your e-mail options at I'll maybe start with Marshall on the first one and then go to Gary for the second one. Google's Women Techmakers program provides visibility, community, and resources for women in technology. Third, driving depth and excellence in regional performance, particularly in Europe and Asia. 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. Anna Stefani - HES Project Manager - Alira Health | LinkedIn Product and brand names/logos are trademarks or registered trademarks of Intuitive Surgical or their respective owner. And there's a lot of opportunities for OR efficiencies and standardization, controlling operating costs, controlling consumables costs. And recently, we've had a series of very encouraging conversations on the adoption of bariatrics, very encouraging. Listen to Webcast. First cases in our SP colorectal IDE trial were completed in the quarter as we seek to bring SP capability to additional procedures. Please note that this conference call will be available for audio replay on our website at intuitive.com on the latest Events section under our Investor Relations page. 07/21/22 - 1:30 PM PDT. 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. And I'd just be curious to -- since you all are calling it out repeatedly as an important incremental growth driver, where are we now, in your view, in that, I'm sure, multiyear, long-term adoption process? On the benign side, often the diagnostic pipelines are shorter. Thirty-eight percent of systems placed in the second quarter involved trade-ins, which is lower than the 40% last year and the 44% last quarter. We expect spending on activities restricted by COVID to increase as the impacts of the pandemic decline. 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 . Jamie will provide spend guidance later in this call. Those things are ongoing now. INTUITIVE at 2022 Wells Fargo Healthcare Conference. 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. But as you heard in our prepared comments, a significant increase in hospitalization is not reflected in the guidance range. ISRG stock analysts called for adjusted profit of $13.40 per share and $5.33 billion in sales. Women Techmakers Ambassador is responsible for driving diversity and inclusion through organizing local events within the tech community. For more information, please visit the Companys website at www.intuitive.com. 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. Capital placements for the first six months of 2021 were in line with procedure and utilization growth. What's left to do from maybe a product or procedure or instrument point of view? Without excluding these tax effects, investors would only see the gross effect that these non-GAAP adjustments had on the Companys operating results. What's the Outlook for Intuitive Surgical? | The Motley Fool In addition, COVID delayed some R&D work, resulting in underspend on prototypes. And so we watch that number because we know it's highly sensitive. SP procedures grew 133% year over year, with much of that growth coming from the United States. It's physically demanding. Marshall L. Mohr Executive Vice President and Chief Financial Officer. Just so really speaking backward-looking, so far, so good. Hong Kong. I'm just curious what the net effect there is from the savings and expense perspective and R&D, whether this is maybe the beginning of you starting to see some leverage off of the 10% you've been at for the last couple of years. 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. Long-term incentive plan expense relates to phantom share awards granted in China by the Companys Intuitive-Fosun joint venture to its employees that vest over four years and can remain outstanding for seven to ten years. Jamie, anything? Product and customer mix fluctuate quarter to quarter, which can cause fluctuations in gross margins. Intuitive Surgical (ISRG-0.90%) investors who weren't expecting it to perform a three-for-one stock split recently woke up to what looked like an overnight loss of more than 60%. 2021 Intuitive Surgical Inc - - USD 2020 Intuitive Surgical Inc . So I think those are the key kind of procedure highlights. 2021 Intuitive Sustainability Report 7.8 MB. 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. You may automatically receive Intuitive Surgical financial information by e-mail. Before we begin, I would like to inform you that comments mentioned on today's call may be deemed to contain forward-looking statements. These risks and uncertainties are described in detail in our Securities and Exchange Commission filings, including our most recent Form 10-K filed on February 10, 2021; and Form 10-Q filed on April 21, 2021. And U.S. general surgery, in particular, performed well. The Motley Fool owns shares of and recommends Intuitive Surgical. . Corporate Governance Guidelines 384.4 KB. Sales increased 17% to $1.55 billion, just ahead of ISRG stock analysts' projections for . The Company undertakes no obligation to publicly update or release any revisions to these forward-looking statements, except as required by law. However, our expense growth rate was modestly lower than our plan, driven by pandemic-related factors. Or any color you can provide on that? The compound annual revenue growth rate between the second quarters of 2019 and 2021 was 15%. So energy and stapling and other things, we think that is possible. Intuitive Surgical Stock Is Getting Close To Fair Value (USD millions), considering 2021 as the base year . The webcast replay of the call will be made available on our website at www.intuitive.com within 24 hours after the end of the live teleconference and will be accessible for at least 30 days. In the quarter, strong trade-ins of older-generation systems for our fourth-generation products and strength in multi-system deals continue to support our thesis that customers that know us best continue to invest with us going forward. your options for e-mail notification, please enter your e-mail address below and click 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. We look forward to talking with you again in three months. 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. I hear your question is asking us how much is left, how much of the catch-up is left. Thanks. China procedure growth remains strong and broad-based as a result of continued expansion of the installed base under the current quota. 3 min read. We also -- the business came back faster than we had anticipated. Intuitive Surgical Inc. (ISRG) Q1 2021 Earnings Call Transcript 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. And that is both painful and an opportunity. Second-quarter spending was below our expectations due to activities restricted by COVID, including clinical development, marketing events, and travel costs. Second-quarter 2021 OUS procedure growth was driven by growth in prostatectomy procedures and earlier-stage growth in kidney cancer procedures, general surgery, gynecology, and thoracic. 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.