Revenue and Growth - First quarter 2025 revenue was 2.25billion,anincreaseof191.89 billion in the first quarter of 2024[5] - Instruments and accessories revenue increased by 18% to 1.37billion,drivenbyapproximately172,253.4 million, a decrease of 6.6% from 2,413.5millioninthepreviousquarterandanincreaseof19.21,890.6 million in the same quarter last year[28] Surgical Systems and Procedures - The company placed 367 da Vinci surgical systems in Q1 2025, compared to 313 in Q1 2024, including 147 da Vinci 5 systems[7] - The installed base of da Vinci surgical systems grew to 10,189 systems as of March 31, 2025, an increase of 15% compared to 8,887 systems as of March 31, 2024[11] Income and Profitability - GAAP net income attributable to Intuitive Surgical, Inc. was 698million,or1.92 per diluted share, compared to 545million,or1.51 per diluted share, in Q1 2024[9] - Non-GAAP net income attributable to Intuitive Surgical, Inc. was 662million,or1.81 per diluted share, compared to 541million,or1.50 per diluted share, in Q1 2024[10] - Net income attributable to Intuitive Surgical, Inc. for Q1 2025 was 698.4million,comparedto685.7 million in Q4 2024 and 544.9millioninQ12024,reflectingayear−over−yearincreaseof28.21.92 for Q1 2025, compared to 1.88inQ42024and1.51 in Q1 2024, representing a year-over-year increase of 27.1%[31] Cash and Assets - The company ended Q1 2025 with 9.10billionincash,cashequivalents,andinvestments,anincreaseof269 million during the quarter[12] - Cash, cash equivalents, and investments increased to 9,101.2millionasofMarch31,2025,upfrom8,832.4 million at the end of 2024[30] - Total assets rose to 19,220.4millionasofMarch31,2025,comparedto18,743.2 million at the end of the previous quarter[30] - Total liabilities decreased to 2,012.7millionfrom2,213.6 million quarter-over-quarter[30] Expenses - Non-GAAP gross profit margin is expected to be within a range of 65% and 66.5% of revenue in 2025, compared to 69.1% in 2024[19] - Non-GAAP operating expense growth is projected to be 10% to 14% in 2025, compared to 10% in 2024[19] - The company reported a significant increase in research and development expenses, totaling 316.2millionforQ12025,comparedto294.7 million in Q4 2024 and 284.5millioninQ12024[28]−Thecompanycontinuestofacesignificantrecurringexpensesrelatedtoshare−basedcompensation,whichamountedto36.2 million in Q1 2025[31]