Robotic Surgery Operating Lease Revenue is Intuitive's systems revenue recognized from fixed-payment and usage-based operating lease arrangements.
Intuitive reported $874 million of operating lease revenue in 2025, up from $654 million in 2024. Of the 2025 amount, approximately $531 million was variable revenue from usage-based arrangements.
Fixed-payment and usage-based leases behave differently
Fixed-payment operating lease revenue is generally recognized over the lease term, while usage-based operating lease revenue is recognized as procedures are performed. The usage-based structure aligns customer payments more closely with utilization but can make Intuitive's recognized revenue more variable.
Investor caution
Operating lease revenue sits in two analytical views at once: it is classified as systems revenue and included in Intuitive's recurring-revenue operating measure. Usage-based arrangements may also carry utilization risk because Intuitive may not recover the leased system's cost if procedures fall short of expectations.
Source:
Part of the Robotic Surgery Platform Economics
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- ISRGOpen operating-model research →17 of 17 reviewed concepts in Robotic Surgery Platform EconomicsPlacements, financing mix, and system revenue timing6 of 6 bridge concepts supportedContinue through this bridge:da Vinci Placement Growthda Vinci System PlacementsOperating Lease Placement MixSystems RevenueSystems Revenue GrowthRecurring installed-base monetization7 of 7 bridge concepts supportedContinue through this bridge:Instruments and Accessories RevenueInstruments and Accessories Revenue GrowthRecurring RevenueRecurring Revenue MixService RevenueService Revenue Growth
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