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STOCKHOLDERS' EQUITY - Schedule of Stockholders Equity (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares)     350,000,000.0  
Beginning balance $ 11,959.7 $ 12,082.4 $ 11,112.6 $ 11,951.5
Issuance of common stock through employee stock plans 77.4 82.0 252.2 188.6
Shares withheld related to net share settlement of equity awards (14.8) (8.3) (155.4) (187.3)
Share-based compensation expense related to employee stock plans 158.3 138.1 452.5 385.6
Repurchase and retirement of common stock   (1,000.0) (350.0) (1,606.6)
Net income attributable to Intuitive Surgical, Inc. 415.7 324.0 1,191.8 997.4
Other comprehensive income (loss) 23.1 (44.9) 105.0 (165.5)
Net income attributable to noncontrolling interest in joint venture $ 4.1 0.7 $ 14.8 10.3
Ending balance (in shares) 352,000,000.0   352,000,000.0  
Ending balance $ 12,623.5 11,574.0 $ 12,623.5 11,574.0
Total Intuitive Surgical, Inc. Stockholders’ Equity        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 11,879.1 12,023.0 11,041.9 11,901.1
Issuance of common stock through employee stock plans 77.4 82.0 252.2 188.6
Shares withheld related to net share settlement of equity awards (14.8) (8.3) (155.4) (187.3)
Share-based compensation expense related to employee stock plans 158.3 138.1 452.5 385.6
Repurchase and retirement of common stock   (1,000.0) (350.0) (1,606.6)
Net income attributable to Intuitive Surgical, Inc. 415.7 324.0 1,191.8 997.4
Other comprehensive income (loss) 23.3 (43.4) 106.0 (163.4)
Ending balance $ 12,539.0 $ 11,515.4 $ 12,539.0 $ 11,515.4
Common Stock        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (in shares) 351,300,000 357,100,000 350,000,000.0 357,700,000
Beginning balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Issuance of common stock through employee stock plans (in shares) 700,000 900,000 4,100,000 3,500,000
Shares withheld related to net share settlement of equity awards (in shares)   (100,000) (600,000) (700,000)
Repurchase and retirement of common stock (in shares)   (4,600,000) (1,500,000) (7,200,000)
Ending balance (in shares) 352,000,000.0 353,300,000 352,000,000.0 353,300,000
Ending balance $ 0.4 $ 0.4 $ 0.4 $ 0.4
Additional Paid-In Capital        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 8,150.8 7,484.0 7,703.9 7,164.0
Issuance of common stock through employee stock plans 77.4 82.0 252.2 188.6
Shares withheld related to net share settlement of equity awards (0.6) (0.4) (6.9) (7.1)
Share-based compensation expense related to employee stock plans 158.3 138.1 452.5 385.6
Repurchase and retirement of common stock   (18.9) (15.8) (46.3)
Ending balance 8,385.9 7,684.8 8,385.9 7,684.8
Retained Earnings        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 3,807.7 4,682.8 3,500.1 4,760.9
Shares withheld related to net share settlement of equity awards (14.2) (7.9) (148.5) (180.2)
Repurchase and retirement of common stock   (981.1) (334.2) (1,560.3)
Net income attributable to Intuitive Surgical, Inc. 415.7 324.0 1,191.8 997.4
Ending balance 4,209.2 4,017.8 4,209.2 4,017.8
Accumulated Other Comprehensive Income (Loss)        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance (79.8) (144.2) (162.5) (24.2)
Other comprehensive income (loss) 23.3 (43.4) 106.0 (163.4)
Ending balance (56.5) (187.6) (56.5) (187.6)
Noncontrolling Interest in Joint Venture        
Increase (Decrease) in Stockholders' Equity [Roll Forward]        
Beginning balance 80.6 59.4 70.7 50.4
Other comprehensive income (loss) (0.2) (1.5) (1.0) (2.1)
Net income attributable to noncontrolling interest in joint venture 4.1 0.7 14.8 10.3
Ending balance $ 84.5 $ 58.6 $ 84.5 $ 58.6