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STOCKHOLDERS' EQUITY (Tables)

6 Months Ended

Jun. 30, 2024

Equity [Abstract]

Schedule of Stockholders Equity

The following tables present the changes in stockholders’ equity (in millions):

			Three Months Ended June 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Loss						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			354.7						$	0.4					$	8,903.0					$	5,067.9					$	(8.7)					$	13,962.6					$	83.8					$	14,046.4
Issuance of common stock through employee stock plans			0.6						—						71.5						—						—						71.5						—						71.5
Shares withheld related to net share settlement of equity awards			—						—						(0.4)						(13.1)						—						(13.5)						—						(13.5)
Share-based compensation expense related to employee stock plans			—						—						175.6						—						—						175.6						—						175.6
Net income attributable to Intuitive Surgical, Inc.			—						—						—						526.9						—						526.9						—						526.9
Other comprehensive income (loss)			—						—						—						—						(14.8)						(14.8)						(0.2)						(15.0)
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						4.6						4.6
Ending balance			355.3						$	0.4					$	9,149.7					$	5,581.7					$	(23.5)					$	14,708.3					$	88.2					$	14,796.5

			Three Months Ended June 30, 2023
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Loss						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			350.4						$	0.4					$	7,928.4					$	3,397.4					$	(108.5)					$	11,217.7					$	76.5					$	11,294.2
Issuance of common stock through employee stock plans			1.0						—						74.6						—						—						74.6						—						74.6
Shares withheld related to net share settlement of equity awards			(0.1)						—						(0.4)						(10.5)						—						(10.9)						—						(10.9)
Share-based compensation expense related to employee stock plans			—						—						148.2						—						—						148.2						—						148.2
Net income attributable to Intuitive Surgical, Inc.			—						—						—						420.8						—						420.8						—						420.8
Other comprehensive income (loss)			—						—						—						—						28.7						28.7						(1.1)						27.6
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						5.2						5.2
Ending balance			351.3						$	0.4					$	8,150.8					$	3,807.7					$	(79.8)					$	11,879.1					$	80.6					$	11,959.7

			Six Months Ended June 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Loss						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			352.3						$	0.4					$	8,576.4					$	4,743.0					$	(12.2)					$	13,307.6					$	89.7					$	13,397.3
Issuance of common stock through employee stock plans			3.6						—						251.9						—						—						251.9						—						251.9
Shares withheld related to net share settlement of equity awards			(0.6)						—						(7.0)						(233.1)						—						(240.1)						—						(240.1)
Share-based compensation expense related to employee stock plans			—						—						328.4						—						—						328.4						—						328.4
Net income attributable to Intuitive Surgical, Inc.			—						—						—						1,071.8						—						1,071.8						—						1,071.8
Other comprehensive income (loss)			—						—						—						—						(11.3)						(11.3)						(0.6)						(11.9)
Cash dividends declared and paid by joint venture			—						—						—						—						—						—						(8.0)						(8.0)
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						7.1						7.1
Ending balance			355.3						$	0.4					$	9,149.7					$	5,581.7					$	(23.5)					$	14,708.3					$	88.2					$	14,796.5

			Six Months Ended June 30, 2023
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Loss						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			350.0						$	0.4					$	7,703.9					$	3,500.1					$	(162.5)					$	11,041.9					$	70.7					$	11,112.6
Issuance of common stock through employee stock plans			3.4						—						174.8						—						—						174.8						—						174.8
Shares withheld related to net share settlement of equity awards			(0.6)						—						(6.3)						(134.3)						—						(140.6)						—						(140.6)
Share-based compensation expense related to employee stock plans			—						—						294.2						—						—						294.2						—						294.2
Repurchase and retirement of common stock			(1.5)						—						(15.8)						(334.2)						—						(350.0)						—						(350.0)
Net income attributable to Intuitive Surgical, Inc.			—						—						—						776.1						—						776.1						—						776.1
Other comprehensive income (loss)			—						—						—						—						82.7						82.7						(0.8)						81.9
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						10.7						10.7
Ending balance			351.3						$	0.4					$	8,150.8					$	3,807.7					$	(79.8)					$	11,879.1					$	80.6					$	11,959.7

Schedule of Share Repurchase Activities

The following table summarizes stock repurchase activities (in millions, except per share amounts):

			Three Months Ended June 30,												Six Months Ended June 30,
			2024						2023						2024						2023
Shares repurchased			—						—						—						1.5
Average price per share			$	—					$	—					$	—					$	238.1
Value of shares repurchased			$	—					$	—					$	—					$	350.0

Components of Accumulated Other Comprehensive Income, Net of Tax

The components of accumulated other comprehensive loss, net of tax, attributable to Intuitive Surgical, Inc. are as follows (in millions):

			Three Months Ended June 30, 2024
			Gains on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	3.1					$	(33.9)					$	21.6					$	0.5					$	(8.7)
Other comprehensive income (loss) before reclassifications			1.1						5.4						(25.1)						—						(18.6)
Amounts reclassified from accumulated other comprehensive income			3.7						0.1						—						—						3.8
Net current-period other comprehensive income (loss)			4.8						5.5						(25.1)						—						(14.8)
Ending balance			$	7.9					$	(28.4)					$	(3.5)					$	0.5					$	(23.5)
			Three Months Ended June 30, 2023
			Gains (Losses) on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains						Employee Benefit Plans						Total
Beginning balance			$	(0.4)					$	(116.6)					$	7.3					$	1.2					$	(108.5)
Other comprehensive income before reclassifications			6.9						13.1						9.6						—						29.6
Amounts reclassified from accumulated other comprehensive income (loss)			(0.9)						—						—						—						(0.9)
Net current-period other comprehensive income			6.0						13.1						9.6						—						28.7
Ending balance			$	5.6					$	(103.5)					$	16.9					$	1.2					$	(79.8)

			Six Months Ended June 30, 2024
			Gains (Losses) on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	(2.5)					$	(29.7)					$	19.4					$	0.6					$	(12.2)
Other comprehensive income (loss) before reclassifications			5.2						1.1						(22.9)						—						(16.6)
Amounts reclassified from accumulated other comprehensive income (loss)			5.2						0.2						—						(0.1)						5.3
Net current-period other comprehensive income (loss)			10.4						1.3						(22.9)						(0.1)						(11.3)
Ending balance			$	7.9					$	(28.4)					$	(3.5)					$	0.5					$	(23.5)
			Six Months Ended June 30, 2023
			Gains (Losses) on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains (Losses)						Employee Benefit Plans						Total
Beginning balance			$	(2.9)					$	(154.2)					$	(6.6)					$	1.2					$	(162.5)
Other comprehensive income before reclassifications			10.6						50.9						23.5						—						85.0
Amounts reclassified from accumulated other comprehensive income (loss)			(2.1)						(0.2)						—						—						(2.3)
Net current-period other comprehensive income			8.5						50.7						23.5						—						82.7
Ending balance			$	5.6					$	(103.5)					$	16.9					$	1.2					$	(79.8)

Schedule of Amounts Recognized in Other Comprehensive Income (Loss)

The tax impacts for amounts recognized in other comprehensive income (loss) before reclassifications were as follows (in millions):

			Three Months Ended June 30,												Six Months Ended June 30,
Available-for-sale securities			2024						2023						2024						2023
Income tax benefit (expense) for net gains (losses) recorded in other comprehensive income (loss)			$	(1.6)					$	(3.7)					$	(0.3)					$	(14.6)

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