intuitive surgical investor presentation 2021

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intuitive surgical investor presentation 2021

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. The non-GAAP* measures are described below and are reconciled to the corresponding GAAP measures at the end of this release. Annualized U.S. procedure growth rates are returning to historical levels for procedures with longer diagnostic pipelines as patients have started returning to screening and diagnostic testing. 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. My Intuitive allows surgeons and care team members to access their data, to manage their profile, their learning, and otherwise interact with Intuitive through an easy-to-use mobile app in the palm of their hand. The Company defines non-GAAP gross profit as gross profit, excluding intangible asset charges and SBC and long-term incentive plan expenses. Copyright 2023 Intuitive Surgical. Product and customer mix fluctuate quarter to quarter, which can cause fluctuations in gross margins. In addition, the components of the costs that the Company excludes in its calculation of non-GAAP net income attributable to Intuitive Surgical, Inc. and non-GAAP EPS may differ from the components that its peer companies exclude when they report their results of operations. Procedure growth in the U.S. was led by bariatric cholecystectomy and hernia procedures. Well, I'll add one bit of color to that. Intuitive develops, manufactures and markets the da Vinci surgical system. We launched our Force bipolar energy instrument along with our extended use instruments program in Japan, and we launched our SynchroSeal energy instrument and E-100 energy generator in Korea. Copyright 2023 Intuitive Surgical. I will now turn to our financial outlook for 2021. To choose 07/21/22 - 1:30 PM PDT. The Company ended the first quarter of 2022 with $8 .40 billion in cash, cash equivalents, and investments, a decrease of $218 . The next page will display a menu of options. 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. COVID has delayed some work in R&D and clinical trials, leading to some underspend in programs, prototypes, and some delay in hiring. Clinical trial sites completed enrollment for our PRECIsE clinical trial. Leasing and alternative financing arrangements enable customer access to capital. All of that, to me, indicates that the business feels in balance. To the extent that hospitalizations expand significantly due to COVID and its variants, like currently being experienced in parts of the world, it could negatively impact da Vinci procedures. And with that, I'd like to turn it over to Jamie. Our digital learning programs continue to be an important part of our overall learning initiatives. Yes. Hospitalizations of patients due to COVID have negatively impacted da Vinci procedures. Pagination. The Company placed 369 da Vinci Surgical Systems, a decrease of 4% compared with 385 in the fourth quarter of 2021. The Motley Fool owns shares of and recommends Intuitive Surgical. (USD millions), considering 2021 as the base year . The Company placed 369 da Vinci Surgical Systems in the fourth quarter of 2022, compared with 385 systems in the fourth quarter of 2021. Our focus right now is not rapid expansion of the installed base. INTUITIVE SURGICAL, INC.UNAUDITED QUARTERLY CONDENSED CONSOLIDATED STATEMENTS OF INCOME(IN MILLIONS, EXCEPT PER SHARE DATA), INTUITIVE SURGICAL, INC.UNAUDITED TWELVE MONTHS ENDED CONDENSED CONSOLIDATED STATEMENTS OF INCOME(IN MILLIONS, EXCEPT PER SHARE DATA), INTUITIVE SURGICAL, INC.UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS(IN MILLIONS), INTUITIVE SURGICAL, INC.UNAUDITED RECONCILIATION OF GAAP FINANCIAL MEASURES TO NON-GAAP FINANCIAL MEASURES(IN MILLIONS, EXCEPT PER SHARE DATA), Contact: Investor Relations(408) 523-2161. In terms of penetration or adoption, we're in the early to mid-innings kind of range is what I'd say in the U.S. market. Four of the systems placed in the first quarter were SP Systems, reflecting continued measured rollout of SP. Are we starting to see leverage potentially that could enable a little bit better margins as we think about next year, year after? We also saw an increase in our IDN customers opening new da Vinci and Ion programs in hospitals within their network that did not previously have an Intuitive robotics program, indicating their interest in diversifying access to Intuitive programs across their networks. 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. Moving on to gross margin and operating expenses. Da Vinci systems offer surgeons high-definition 3D vision, a magnified view, and robotic and computer assistance. The supply issues we called out in the first quarter did not impact Ion placements and procedures in this quarter. We think we can bring some outstanding imaging capabilities, including florescence imaging into that space. Listen to Webcast. Our technologies include the da Vinci surgical system and the Ion endoluminal system. I think that's what's been driving our success in the early market. We think about digital as enabling and accelerating a lot of different parts of the ecosystem. Become a Motley Fool member today to get instant access to our top analyst recommendations, in-depth research, investing resources, and more. It's a short period, but we believe that there is elasticity, and we've seen elasticity in markets where reimbursements are very low. It's taking getting the advanced instruments, put them together as a set, getting our workflows and our clinical pathways right, and I think that's been powerful to date. Some of them are fully included because we feel like they make us more efficient and to make them more efficient. Field and marketing costs will tick up if the pandemic wanes. We work closely and collaboratively . Total second-quarter revenue was $1.464 billion, representing a 72% increase from last year and a 13% increase from last quarter. The Zacks . And we're early in the Ion product cycle, and we're early in the SP or early mid in SP. Additionally, constant currency revenue growth is reported on a non-GAAP* basis. Thank you for your support on this extraordinary journey. We continue to see significant utilization variance by region due to pandemic differences. Just so really speaking backward-looking, so far, so good. There are a number of limitations related to the use of non-GAAP measures versus measures calculated in accordance with GAAP. Intuitive Surgical's Q3 2021 adjusted earnings per share (EPS) is expected to be $1.22 per Trefis analysis, slightly above the consensus estimate of $1.17. Health . In the U.S., Q2 procedure results were positively impacted by a continuing recovery from COVID-19, including, we believe, a number of procedures that had been previously deferred. General surgery growth in the U.S. was strong, and in addition to the positive impact from patient backlogs, reflected increasing access for surgeons to our fourth-generation technology. Consistent with the last quarter's forecast, we expect our noncash stock compensation expense to range between $450 million and $470 million in 2021. Bob Hopkins -- Bank of America Merrill Lynch -- Analyst. Foreign currency fluctuations had a 3% unfavorable impact on fourth quarter 2022 revenue. A couple of things I'd say. So I wouldn't start building lots of leverage into your models. [Operator Instructions] As a reminder, today's call is being recorded. And as competition progresses in various markets, we will likely experience longer selling cycles and price pressures. Submit. In reporting the results, adjusted using a propensity weighted approach, the authors noted that during the two- to four-week standard of care visit period, fewer patients report the need to take prescription pain medication for the robotic cohort as compared to the laparoscopic and open cohorts: 65.2% for the robotic cohort as compared to 78.8% for the laparoscopic cohort, compared to 79.8% for the open cohort. 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. 2021 Intuitive Sustainability Report 7.8 MB. Additional revenue statistics and trends are as follows. 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. Jamie will provide additional procedure commentary later in this call. We believe value creation in surgery and acute care is foundationally human. However, as the installed base of older-generation product declines, the number of trade-ins will decline over time. Invest better with The Motley Fool. 06/14/22 - 1:20 PM PDT. So we're excited about that because it gives them fast and easy access. You may automatically receive Intuitive Surgical financial information by e-mail. And so we'll see over time, we'll be able to measure a little bit better over time, and we'll monitor it. From a U.S. perspective, I think it's early, and I think we're simply acknowledging the risk. It also reflects lower diagnostic pipelines and perhaps some reluctance for patients to visit hospitals. Key business metrics for the second quarter were as follows. You've been spending a lot there. Obviously, you made some comments about variance and not factoring in kind of an increase. I think we're going to have to let it play for another few quarters to see. your options for e-mail notification, please enter your e-mail address below and click Pro forma operating expenses increased 24% compared with the second quarter of 2020 and increased 5% compared with last quarter. Turning to our innovation and commercialization efforts. In Europe, the impact of COVID in the second quarter of 2021 varied regionally with slower recovery in Italy and France, while we saw early stages of a recovery in the U.K. With respect to operating expenses, on our last call, we forecast to grow full-year pro forma 2021 operating expenses between 18% and 22% above 2020 levels. OK, great. 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. Unrealized gain (loss) - net of tax expense (recovery) effect of $347 and $37 for the three months ended December 31, 2022 and 2021, respectively; ($859) and $(354) for the six months ended . You're developing, trying to increase efficiency, decrease costs, that kind of thing. We've seen that in some OUS markets. 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. Lockdowns decrease patient mobility and willingness to go get their tests and then hospitalization diminishes ICU capacity. Last quarter, we forecast 2021 procedure growth of 22% to 26%. Customer adjustment of buying patterns will reduce I&A revenue per procedure. Actual results may differ materially from those expressed or implied as a result of certain risks and uncertainties. Fourth quarter 2022 instruments and accessories revenue increased by 12% to $941 million, compared with $843 million in the fourth quarter of 2021. Are you seeing any impact thus far? INTUITIVE at 43rd Annual Goldman Sachs Global Healthcare Conference. These system-controlled staplers, vessel sealers, and energy instruments support a range of procedures from bariatrics to colorectal procedures, to thoracic and gynecologic applications. They're giving their PowerPoints about what they think is going to happen next and some other things. We will now open the call to your questions. The stock split will take place after market close on October 5th, 2021. Finally, we expect to continue to invest in expanding and accelerating our ecosystem of products and capabilities. COVID has impacted global supplies of semiconductors and other materials used in our products, while we carry safety stocks of critical components and are otherwise working to secure supply necessary to ensure fulfillment of customer demand, global shortages could result in higher production costs and production development and regulatory delays. The call will be webcast by Nasdaq OMX and can be accessed on Intuitives website at www.intuitive.com or by dialing (844) 867-6169 using the access code 525958. any time, re-enter your e-mail address and click Submit, then adjust your form entries. So right now, we talked in the script about adding our work or IDE around colorectal, we're excited about that. Intuitive Surgical, Inc. engages in the development, manufacture, and marketing of da Vinci Surgical Systems, and related instruments and accessories for . Good afternoon, everybody. The Company excludes the excess tax benefits or deficiencies associated with SBC arrangements as well as the tax effects associated with non-cash amortization of deferred tax assets related to intra-entity non-inventory transfers, because the Company does not believe these items correlate with the on-going results of its core operations. Jan 2023 - Present3 months. System placements in the quarter reflected procedure growth and hospitals upgrading to -- in order to access or standardize on fourth-generation capabilities. And we've received feedback -- positive feedback from surgeons who have indicated that system access has been a key driver for increased procedures. Intuitive Surgical, Inc.Which belongs to the Zacks Medical - Instruments industry, posted revenues of $1.29 billion for the quarter ended March 2021, surpassing the Zacks Consensus Estimate by 16. . The pandemic has reordered the quarter in which procedures were performed, and we believe it has delayed some procedures that are likely to return in the future and may cause a small number of patients to permanently forgo surgery.

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