Intuitive Surgical (ISRG) Net Cash Flow (2009 - 2026)

Intuitive Surgical (ISRG) recorded quarterly Net Cash Flow of -$1.4 billion in Q1 2026, down 348.59% quarter-over-quarter from $545.6 million in Q4 2025, and down 342.5% on a YoY basis from $559.3 million in Q1 2025.

Intuitive Surgical (ISRG) Net Cash Flow (2009 - 2026) Analysis & Trends

Intuitive Surgical's Net Cash Flow history runs 18 years deep, the most recent figure standing at -$1.4 billion for Q1 2026.

  • In Q1 2026, Net Cash Flow fell 342.5% year-over-year to -$1.4 billion; the TTM figure through Mar 2026 stood at -$583.4 million (down 145.33% YoY), while the FY2025 annual figure was $1.3 billion, up 288.46% from the prior year.
  • Net Cash Flow was -$1.4 billion for Q1 2026 at Intuitive Surgical, down from $545.6 million in the prior quarter.
  • In the past five years, Net Cash Flow ranged from a high of $1.3 billion in Q2 2023 to a low of -$1.4 billion in Q1 2026.
  • Historically, Net Cash Flow has averaged $42.6 million across 5 years, with a median of $90.2 million in 2024.
  • Biggest YoY gain for Net Cash Flow was 18077.78% in 2023; the steepest drop was 1822.36% in 2023.
  • A 5-year view of Net Cash Flow shows it stood at $49.2 million in 2022, then slumped by 1822.36% to -$847.4 million in 2023, then surged by 53.72% to -$392.2 million in 2024, then jumped by 239.11% to $545.6 million in 2025, then sank by 348.59% to -$1.4 billion in 2026.
  • The last three Net Cash Flow figures came in at -$1.4 billion (Q1 2026), $545.6 million (Q4 2025), and -$601.0 million (Q3 2025), per Business Quant data.

Peer Comparison

# Company Market Cap Enterprise Value Gross Profit (Qtr) Net Cash Flow (Qtr)
1 Intuitive Surgical 148.09 Bn 143.69 Bn 1.83 Bn -1.36 Bn
2 Becton Dickinson 41.00 Bn 39.99 Bn 2.15 Bn 118.00 Mn
3 Medline 30.38 Bn 36.22 Bn 1.84 Bn 303.00 Mn
4 Resmed 28.22 Bn 26.56 Bn 890.98 Mn 240.86 Mn
5 West Pharmaceutical Services 23.72 Bn 23.19 Bn 296.40 Mn -261.50 Mn
6 Solventum 13.33 Bn 13.33 Bn 1.10 Bn -316.00 Mn
7 Cooper Companies 13.12 Bn 12.99 Bn 735.40 Mn 17.00 Mn
8 Align Technology 12.86 Bn 11.80 Bn 736.59 Mn -28.67 Mn
9 Baxter International 10.51 Bn 8.47 Bn 891.00 Mn 69.00 Mn
10 Aptargroup 7.72 Bn 7.52 Bn 351.91 Mn -176.75 Mn

Historic Data

Download Data
DateValue
Mar 31, 2026 -1.36 Bn
Mar 31, 2026 -1.36 Bn
Dec 31, 2025 545.60 Mn
Dec 31, 2025 545.60 Mn
Sep 30, 2025 -601.00 Mn
Sep 30, 2025 -601.00 Mn
Jun 30, 2025 828.30 Mn
Jun 30, 2025 828.30 Mn
Mar 31, 2025 559.30 Mn
Mar 31, 2025 559.30 Mn
Dec 31, 2024 -392.20 Mn
Dec 31, 2024 -392.20 Mn
Sep 30, 2024 -608.30 Mn
Sep 30, 2024 -608.30 Mn
Jun 30, 2024 203.40 Mn
Jun 30, 2024 203.40 Mn
Mar 31, 2024 90.20 Mn
Mar 31, 2024 90.20 Mn
Dec 31, 2023 -847.40 Mn
Dec 31, 2023 -847.40 Mn