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STOCKHOLDERS' EQUITY (Tables)

9 Months Ended

Sep. 30, 2024

Equity [Abstract]

Schedule of Stockholders Equity

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

			Three Months Ended September 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			355.3						$	0.4					$	9,149.7					$	5,581.7					$	(23.5)					$	14,708.3					$	88.2					$	14,796.5
Issuance of common stock through employee stock plans			1.0						—						115.6						—						—						115.6						—						115.6
Shares withheld related to net share settlement of equity awards			(0.1)						—						(0.4)						(17.0)						—						(17.4)						—						(17.4)
Share-based compensation expense related to employee stock plans			—						—						175.3						—						—						175.3						—						175.3
Net income attributable to Intuitive Surgical, Inc.			—						—						—						565.1						—						565.1						—						565.1
Other comprehensive income			—						—						—						—						36.4						36.4						0.5						36.9
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						5.5						5.5
Ending balance			356.2						$	0.4					$	9,440.2					$	6,129.8					$	12.9					$	15,583.3					$	94.2					$	15,677.5

			Three Months Ended September 30, 2023
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (Loss)						Total Intuitive Surgical, Inc. Stockholders’ Equity						Noncontrolling Interest in Joint Venture						Total Stockholders’ Equity
			Shares						Amount
Beginning balance			351.3						$	0.4					$	8,150.8					$	3,807.7					$	(79.8)					$	11,879.1					$	80.6					$	11,959.7
Issuance of common stock through employee stock plans			0.7						—						77.4						—						—						77.4						—						77.4
Shares withheld related to net share settlement of equity awards			—						—						(0.6)						(14.2)						—						(14.8)						—						(14.8)
Share-based compensation expense related to employee stock plans			—						—						158.3						—						—						158.3						—						158.3
Net income attributable to Intuitive Surgical, Inc.			—						—						—						415.7						—						415.7						—						415.7
Other comprehensive income (loss)			—						—						—						—						23.3						23.3						(0.2)						23.1
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						4.1						4.1
Ending balance			352.0						$	0.4					$	8,385.9					$	4,209.2					$	(56.5)					$	12,539.0					$	84.5					$	12,623.5

			Nine Months Ended September 30, 2024
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (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			4.6						—						367.5						—						—						367.5						—						367.5
Shares withheld related to net share settlement of equity awards			(0.7)						—						(7.4)						(250.1)						—						(257.5)						—						(257.5)
Share-based compensation expense related to employee stock plans			—						—						503.7						—						—						503.7						—						503.7
Net income attributable to Intuitive Surgical, Inc.			—						—						—						1,636.9						—						1,636.9						—						1,636.9
Other comprehensive income (loss)			—						—						—						—						25.1						25.1						(0.1)						25.0
Cash dividends declared and paid by joint venture			—						—						—						—						—						—						(8.0)						(8.0)
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						12.6						12.6
Ending balance			356.2						$	0.4					$	9,440.2					$	6,129.8					$	12.9					$	15,583.3					$	94.2					$	15,677.5

			Nine Months Ended September 30, 2023
			Common Stock												Additional Paid-In Capital						Retained Earnings						Accumulated Other Comprehensive Income (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			4.1						—						252.2						—						—						252.2						—						252.2
Shares withheld related to net share settlement of equity awards			(0.6)						—						(6.9)						(148.5)						—						(155.4)						—						(155.4)
Share-based compensation expense related to employee stock plans			—						—						452.5						—						—						452.5						—						452.5
Repurchase and retirement of common stock			(1.5)						—						(15.8)						(334.2)						—						(350.0)						—						(350.0)
Net income attributable to Intuitive Surgical, Inc.			—						—						—						1,191.8						—						1,191.8						—						1,191.8
Other comprehensive income (loss)			—						—						—						—						106.0						106.0						(1.0)						105.0
Net income attributable to noncontrolling interest in joint venture			—						—						—						—						—						—						14.8						14.8
Ending balance			352.0						$	0.4					$	8,385.9					$	4,209.2					$	(56.5)					$	12,539.0					$	84.5					$	12,623.5

Schedule of Share Repurchase Activities

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

			Three Months Ended September 30,												Nine Months Ended September 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 income (loss), net of tax, attributable to Intuitive Surgical, Inc. are as follows (in millions):

			Three Months Ended September 30, 2024
			Gains (Losses) on Hedge Instruments						Unrealized Gains (Losses) on Available-for-Sale Securities						Foreign Currency Translation Losses						Employee Benefit Plans						Total
Beginning balance			$	7.9					$	(28.4)					$	(3.5)					$	0.5					$	(23.5)
Other comprehensive income (loss) before reclassifications			(15.7)						59.5						(7.4)						—						36.4
Amounts reclassified from accumulated other comprehensive income (loss)			0.2						—						—						(0.2)						—
Net current-period other comprehensive income (loss)			(15.5)						59.5						(7.4)						(0.2)						36.4
Ending balance			$	(7.6)					$	31.1					$	(10.9)					$	0.3					$	12.9
			Three Months Ended September 30, 2023
			Gains on Hedge Instruments						Unrealized Losses on Available-for-Sale Securities						Foreign Currency Translation Gains						Employee Benefit Plans						Total
Beginning balance			$	5.6					$	(103.5)					$	16.9					$	1.2					$	(79.8)
Other comprehensive income (loss) before reclassifications			2.0						25.6						(6.6)						—						21.0
Amounts reclassified from accumulated other comprehensive income			2.3						—						—						—						2.3
Net current-period other comprehensive income (loss)			4.3						25.6						(6.6)						—						23.3
Ending balance			$	9.9					$	(77.9)					$	10.3					$	1.2					$	(56.5)

			Nine Months Ended September 30, 2024
			Losses on Hedge Instruments						Unrealized Gains (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			(10.5)						60.6						(30.3)						—						19.8
Amounts reclassified from accumulated other comprehensive income (loss)			5.4						0.2						—						(0.3)						5.3
Net current-period other comprehensive income (loss)			(5.1)						60.8						(30.3)						(0.3)						25.1
Ending balance			$	(7.6)					$	31.1					$	(10.9)					$	0.3					$	12.9

			Nine Months Ended September 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			12.6						76.5						16.9						—						106.0
Amounts reclassified from accumulated other comprehensive income (loss)			0.2						(0.2)						—						—						—
Net current-period other comprehensive income			12.8						76.3						16.9						—						106.0
Ending balance			$	9.9					$	(77.9)					$	10.3					$	1.2					$	(56.5)

Schedule of Amounts Recognized in Other Comprehensive Income (Loss)

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

			Three Months Ended September 30,												Nine Months Ended September 30,
Available-for-sale securities			2024						2023						2024						2023
Income tax benefit (expense) for net gains (losses) recorded in other comprehensive income			$	(17.5)					$	(7.4)					$	(17.8)					$	(22.0)

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