Intuitive Surgical (NASDAQ: ISRG) shareholders like myself have gotten spoiled. After some lean years following the onset of the Affordable Care Act and the concurrent tightening of hospitals' budgets, the company has been on a tear: Shares have tripled since early 2014. The main reason is that the daVinci surgical robot is being used in more and more procedures, and that growth showed little signs of slowing down this quarter. Putting it in perspective, here's what this quarter's 15% growth looks like.
Procedure Growth at Intuitive Surgical. Data source: Infogram.
Keep in mind that, when the year began, management was calling for procedure growth of 9% to 12%. That firmly has been blown out of the water. So what else happened of note? Read below to find out.
Intuitive earnings: The raw numbers
Here's how the company performed on the headline numbers.
| Metric | Q3 2017 | Q3 2016 | Growth |
|---|---|---|---|
| Revenue | $806 million | $683 million | 18% |
| Earnings per share | $2.55 | $1.77 | 44% |
Data source: SEC filings.
There are a lot of caveats to this quarter's filing, however. First, the company's revenue was helped along by a $21 million contribution that was one-time in nature. Back when Intuitive came out with its daVinci Xi, it set aside a good chunk of cash for customer trade-ins. When the window for such trade-ins closed, that cash was returned to the income statement. Had it not been for that boost, revenue would have risen 15%, to $785 million.
Additionally, Intuitive Surgical benefited from one-time tax benefits during the third quarter. When you add together the effect of the tax benefit -- an additional $0.46 per share over last year's tax benefit -- and the aforementioned trade-in balance of $0.09 per share, earnings would have come in at a much more modest $2.00 per share. Instead of 44% growth, the company's underlying GAAP earnings growth would have come in at a much more modest 13%.
Image source: Getty Images.
There are a few key reasons why underlying earnings growth was slower than revenue growth: lower sales prices on daVinci Xi systems, higher stock-based compensation, and a jump in operating expenses of 25%. But none of this should be surprising to long-term investors: CEO Dr. Gary Guthart has made it clear that he believes we are still in the early innings of robotic surgery and he's willing to spend big to continue pushing innovation in the field.
Digging deeper: What else happened during the quarter?
Here's a quick rundown of other key information from the quarter:
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The company placed 169 daVinci systems in the quarter, up from 134 the same time last year. Revenue from these systems rose 26%, to $258 million -- though this number was inflated by the end of the trade-in program.
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Service revenue grew 13%, to $147 million.
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Instruments and accessories grew 15%, to $401 million -- the same growth rate of overall procedure growth.