INTUITIVE SURGICAL INC quarterly report, Q2 FY2009

Intuitive Surgical, Inc. — Q2 2009 Form 10-Q

Business and period: The company designs, manufactures, and markets da Vinci robotic surgical systems, instruments and accessories, and related services. This unaudited filing covers the quarter and six months ended June 30, 2009; comparisons are with the corresponding 2008 periods unless noted.

Financial performance

Amounts are in millions of dollars except per-share data, percentages, and system counts.

MetricQ2 2009Q2 2008H1 2009H1 2008
Revenue$260.6$219.2$449.0$407.4
Gross profit / margin$190.2 / 73.0%$156.1 / 71.2%$318.9 / 71.0%$285.9 / 70.2%
Operating income / margin$99.5 / 38%$78.2 / 36%$144.6 / 32%$143.1 / 35%
Net income$62.4$51.2$90.5$96.0
Diluted EPS$1.62$1.28$2.32$2.40
Operating cash flow—$173.1$104.2
  • Q2 revenue rose 19%; net income rose 22%. H1 revenue rose 10%, while net income fell 6% and operating income was nearly flat. H1 operating margin declined to 32% from 35%.
  • Q2 recurring revenue grew 33% to $137.1 million, or 53% of revenue; H1 recurring revenue grew to $256.0 million, or 57% of revenue. Service revenue grew 40% in Q2 and 42% in H1.
  • Q2 procedures grew approximately 52%, while 76 systems were sold versus 85 a year earlier. The installed base reached 1,242 systems. H1 system sales were 142 versus 159; system revenue declined to $193.0 million from $215.3 million.
  • Q2 instruments and accessories revenue was $95.8 million, up from $73.6 million. Management said revenue per procedure declined approximately 15%, citing customer efficiency, procedure mix, and fewer initial stocking orders.

Financial position and liquidity

  • At June 30, cash and cash equivalents were $173.4 million; short- and long-term investments were $728.6 million. Combined cash, cash equivalents, and investments totaled $902.1 million, compared with $901.9 million at December 31, 2008.
  • Operating cash flow was $173.1 million for H1. Investing activities used $57.4 million and financing activities used $137.0 million, including a $150 million share repurchase. Cash and cash equivalents ended the period at $173.4 million, down $21.2 million from year-end.
  • Total liabilities were $230.1 million, including $179.0 million current liabilities. The filing text does not provide a clear amount for interest-bearing debt; no debt balance is identified in the presented balance sheet.

Changes, outlook, risks, and unusual items

  • da Vinci Si launch: Q1 upgrade offers led to $20.1 million of deferred revenue. The company recognized $13.8 million in Q2 and expected to recognize the remaining $6.3 million by year-end 2009. Recognition increased Q2 reported revenue and margins; management said the deferral and subsequent recognition had equal impacts on gross profit, operating income, and pretax income because no cost was deferred.
  • Outlook: Management anticipated 2009 procedures to grow more than 45% from approximately 136,000 in 2008. It also expected continued substantial R&D investment and higher R&D expense. No specific revenue or earnings guidance was provided. Management cited recession-related pressure on hospital capital-equipment demand, affecting system sales.
  • Repurchases: A $300 million authorization was approved in March 2009. The company completed a $150 million accelerated share repurchase, receiving and retiring approximately 1.4 million shares; $150 million remained authorized at quarter-end.
  • Investment valuation: Auction-rate securities remained illiquid after failed auctions. The company reported $83.0 million of Level 3 auction-rate securities and a $7.7 million UBS put option at fair value. It considered unrealized investment losses temporary. The UBS right allows sale at par of approximately $71.2 million of securities during June 30, 2010–July 2, 2012, subject to its terms and UBS’s ability to perform.
  • Tax and foreign exchange: H1 effective tax rate was 41.5%, versus 39.0%; gross unrecognized tax benefits increased to approximately $51.0 million. The company began hedging foreign currency exposures, principally euros, and cautioned that hedges may not offset all currency impacts.
  • Legal and other risks: The company reported ordinary-course product liability, patent, contract, and other disputes, but said resolution was not likely to have a material adverse effect based on information available. It identified healthcare reform and reimbursement changes as potential demand risks. No material market-risk changes were reported.

Important facts for investors to verify

  • How much of reported Q2 growth and margin improvement reflects the $13.8 million Si-related revenue recognition, and whether the remaining $6.3 million was recognized by year-end.
  • Whether procedure growth translated into durable recurring revenue and whether the decline in system sales continued amid reduced hospital capital spending.
  • Trends in instruments and accessories revenue per procedure, system placements, and the mix and profitability of Si upgrades.
  • Recoverability and liquidity of auction-rate securities and the terms, timing, and counterparty risk of the UBS put right.
  • Developments in unrecognized tax benefits, foreign-exchange exposures, reimbursement policy, and disclosed litigation.