Intuitive Surgical, Inc. (ISRG) FY2026 Q1 Statement of Cash Flows

Statement of Cash Flows

2026-01-01 to 2026-03-31

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Intuitive Surgical, Inc. cash flow reconciliation, Jan 1, 2026 through Mar 31, 2026One connected Sankey reconciles operating, investing and financing net cash flows through a shared cash pool, from beginning cash to ending cash. Ribbons flow left to right on one dollar scale. Activity totals are dark gray; beginning and ending cash are blue. Cash basis for beginning and ending balances and net cash change: Cash, cash equivalents, and restricted cash. Intermediate calculation bars are lighter gray. Net income is green for profit and red for loss. Identified asset purchases, sales and maturities are blue in either cash direction. Orange marks positive customer-advance and deferred-revenue changes that add to operating cash in the reconciliation. These are net changes, not gross customer receipts. Negative changes are neutral reconciliation adjustments; they do not by themselves identify cash payments. Purple identifies capital transactions such as borrowing, repayments, share issuance and dividends. Free cash flow is a separate comparison, not an added cash flow. Read chart description and values below for full signed amounts, including zero items.Net income → Net cash from operating activities: $826,000,000.00Deferred income taxes → Operating adjustments reconciliation: $339,300,000.00Share-based compensation expense → Operating adjustments reconciliation: $209,500,000.00Depreciation and loss on disposal of property, plant, and equipment → Operating adjustments reconciliation: $178,900,000.00Accounts payable → Operating adjustments reconciliation: $73,900,000.00Deferred revenue → Operating adjustments reconciliation: $46,100,000.00Other liabilities → Operating adjustments reconciliation: $30,700,000.00Accounts receivable → Operating adjustments reconciliation: $25,100,000.00Amortization of intangible and other assets → Operating adjustments reconciliation: $21,100,000.00Operating adjustments reconciliation → Net cash from operating activities: $85,900,000.00Operating adjustments reconciliation → Accrued compensation and employee benefits: $284,700,000.00Operating adjustments reconciliation → Prepaids and other assets: $269,300,000.00Operating adjustments reconciliation → Inventory: $266,600,000.00Operating adjustments reconciliation → Accretion of discounts, amortization of premiums, and (gains) losses on investments, net: $10,200,000.00Operating adjustments reconciliation → Gain on sale of business and assets: $7,900,000.00Proceeds from maturities of investments → investing reconciliation: $582,300,000.00Proceeds from sale of assets → investing reconciliation: $46,000,000.00investing reconciliation → Purchase of investments: $911,300,000.00investing reconciliation → Acquisition of business, net of cash, and intellectual property and other investing activities: $528,200,000.00investing reconciliation → Purchase of property, plant, and equipment: $103,300,000.00Net cash used in financing activities → financing reconciliation: $1,353,700,000.00Proceeds from issuance of common stock relating to employee stock plans → financing reconciliation: $121,800,000.00financing reconciliation → Repurchase of common stock: $1,123,200,000.00financing reconciliation → Taxes paid related to net share settlement of equity awards: $352,300,000.00Net cash used in investing activities → investing reconciliation: $914,500,000.00Exchange-rate effect → Cash sources and uses: $1,000,000.00Beginning cash: Cash, cash equivalents, and restricted cash → Cash sources and uses: $3,407,400,000.00Net cash from operating activities → Cash sources and uses: $911,900,000.00Cash sources and uses → Ending cash: Cash, cash equivalents, and restricted cash: $2,052,100,000.00Cash sources and uses → Net cash used in investing activities: $914,500,000.00Cash sources and uses → Net cash used in financing activities: $1,353,700,000.00Net income: $826,000,000.00Net income+$826.00 MDepreciation and loss on disposal of property, plant, and equipment: $178,900,000.00Depreciation & disposal loss+$178.90 MAmortization of intangible and other assets: $21,100,000.00Intangible & other amort.+$21.10 MAccretion of discounts, amortization of premiums, and (gains) losses on investments, net: -$10,200,000.00Investment discount & premium−$10.20 MDeferred income taxes: $339,300,000.00Deferred tax balances+$339.30 MShare-based compensation expense: $209,500,000.00Stock-based compensation+$209.50 MAccounts receivable: $25,100,000.00Accounts receivable+$25.10 MInventory: -$266,600,000.00Inventories−$266.60 MPrepaids and other assets: -$269,300,000.00Prepaid & other assets−$269.30 MAccounts payable: $73,900,000.00Accounts payable+$73.90 MAccrued compensation and employee benefits: -$284,700,000.00Accrued compensation−$284.70 MDeferred revenue: $46,100,000.00Unearned revenue+$46.10 MOther liabilities: $30,700,000.00Other operating liabilities+$30.70 MGain on sale of business and assets: -$7,900,000.00Business sale gain & loss−$7.90 MNet cash from operating activities: $911,900,000.00Operating cash+$911.90 MOperating adjustments reconciliation: $924,600,000.00Proceeds from issuance of common stock relating to employee stock plans: $121,800,000.00Stock plan proceeds+$121.80 MTaxes paid related to net share settlement of equity awards: -$352,300,000.00Stock-award tax withholding−$352.30 MRepurchase of common stock: -$1,123,200,000.00Common stock repurchases−$1.12 BNet cash used in financing activities: -$1,353,700,000.00. Cash required to fund net payments.Financing cash−$1.35 Bfinancing reconciliation: $1,475,500,000.00Purchase of investments: -$911,300,000.00Marketable securities purchases−$911.30 MProceeds from maturities of investments: $582,300,000.00AFS securities maturities+$582.30 MPurchase of property, plant, and equipment: -$103,300,000.00Capital expenditures−$103.30 MAcquisition of business, net of cash, and intellectual property and other investing activities: -$528,200,000.00Acquisitions, net of cash−$528.20 MProceeds from sale of assets: $46,000,000.00Other asset sales+$46.00 MNet cash used in investing activities: -$914,500,000.00. Cash required to fund net payments.Investing cash−$914.50 Minvesting reconciliation: $1,542,800,000.00Cash sources and uses: $4,320,300,000.00Beginning cash: Cash, cash equivalents, and restricted cash: $3,407,400,000.00Beginning cash$3.41 BEnding cash: Cash, cash equivalents, and restricted cash: $2,052,100,000.00Ending cash$2.05 BExchange-rate effect: $1,000,000.00FX effect+$1.00 MCASH RECONCILIATIONOperatingflowsInvestingflowsFinancingflowsFree cash flow$808.60 MOperating cash − cash spent on productive assetsCash flow / Net income1.104×Operating cash flow ÷ net incomeNet cash change−$1.36 BEnding cash − beginning cash
Chart details

Intuitive Surgical, Inc. cash flow reconciliation, Jan 1, 2026 through Mar 31, 2026

Cash flows for Jan 1, 2026 through Mar 31, 2026. Cash basis: Cash, cash equivalents, and restricted cash. Beginning cash: Dec 31, 2025. Ending cash: Mar 31, 2026. Beginning and ending cash are dated balances. Positive cash flows add cash; negative cash flows reduce it.

Beginning cash on Dec 31, 2025
3,407,400,000 US dollars. Beginning cash: Cash, cash equivalents, and restricted cash
Operating activities
911,900,000 US dollars. Net cash provided.
Net income
826,000,000 US dollars
Depreciation and loss on disposal of property, plant, and equipment
178,900,000 US dollars
Amortization of intangible and other assets
21,100,000 US dollars
Accretion of discounts, amortization of premiums, and (gains) losses on investments, net
negative 10,200,000 US dollars
Deferred income taxes
339,300,000 US dollars
Share-based compensation expense
209,500,000 US dollars
Accounts receivable
25,100,000 US dollars
Inventory
negative 266,600,000 US dollars
Prepaids and other assets
negative 269,300,000 US dollars
Accounts payable
73,900,000 US dollars
Accrued compensation and employee benefits
negative 284,700,000 US dollars
Deferred revenue
46,100,000 US dollars
Other liabilities
30,700,000 US dollars
Gain on sale of business and assets
negative 7,900,000 US dollars
Investing activities
negative 914,500,000 US dollars. Net cash used.
Purchase of investments
negative 911,300,000 US dollars
Proceeds from maturities of investments
582,300,000 US dollars
Purchase of property, plant, and equipment
negative 103,300,000 US dollars
Acquisition of business, net of cash, and intellectual property and other investing activities
negative 528,200,000 US dollars
Proceeds from sale of assets
46,000,000 US dollars
Financing activities
negative 1,353,700,000 US dollars. Net cash used.
Proceeds from issuance of common stock relating to employee stock plans
121,800,000 US dollars
Taxes paid related to net share settlement of equity awards
negative 352,300,000 US dollars
Repurchase of common stock
negative 1,123,200,000 US dollars
Operating adjustment reconciliation
924,600,000 US dollars. Intermediate calculation joining the operating reconciliation branches. Its gross amount includes any portion of net income routed through this junction. It is not an additional cash source or use.
financing gross reconciliation
1,475,500,000 US dollars. Gross amount at the activity's junction before offsetting its receipts and deductions. It is not an additional cash source or use.
investing gross reconciliation
1,542,800,000 US dollars. Gross amount at the activity's junction before offsetting its receipts and deductions. It is not an additional cash source or use.
Exchange-rate effect
1,000,000 US dollars
Ending cash on Mar 31, 2026
2,052,100,000 US dollars. Ending cash: Cash, cash equivalents, and restricted cash
Cash sources and uses
4,320,300,000 US dollars. Opening cash plus net sources, equal to net uses plus ending cash.
Net cash change
negative 1,355,300,000 US dollars. Ending cash minus beginning cash.
Cash flow / Net income
1.104×. Operating cash flow divided by reconciliation net income for the same period. Black from 0.90× through 1.10×; green above 1.10×; red below 0.90×. Color uses the unrounded ratio.
Operating cash flow
911,900,000 US dollars. Operating cash flow used in the free cash flow calculation.
cash spent on productive assets
103,300,000 US dollars. These cash purchases are already included in investing activities above.
Free cash flow
808,600,000 US dollars. A supplemental measure; finance-lease payments are excluded from this definition.

Chart connections

  • Beginning cash plus operating, investing and financing cash flows plus the exchange-rate effect equals ending cash. Negative amounts reduce cash.
  • Financing contributions meet at a reconciliation junction before connecting to the net cash total.
  • Investing contributions meet at a reconciliation junction before connecting to the net cash total.
  • Operating reconciliation adjustments are not all independent cash receipts.
  • Net income enters operating cash directly in the reconciliation. The adjustment junction contributes the remaining $85.90M after reconciling the other positive and negative adjustments. These connections depict an accounting reconciliation, not traced cash receipts.
  • Each activity has one net cash bar connected to the shared cash pool. Positive activity totals enter the pool; negative activity totals leave the pool to fund that activity's net payments. The central pool does not assign a particular funding source to a particular payment.
  • The intermediate calculation bars include both sides of the displayed activity breakdowns; they are not additional cash flows.
  • Operating cash flow minus cash spent on productive assets equals free cash flow: 911,900,000 US dollars minus 103,300,000 US dollars equals 808,600,000 US dollars.
Intuitive Surgical, Inc. (ISRG) FY2026 Q1 Statement of Cash Flows Sankey chart
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