Intuitive Surgical Inc (ISRG) — Cash Flow Quality Index

Latest as of June 2026: 1.29x

Intuitive Surgical Inc (ISRG) has a Cash Flow Quality Index of 1.29x as of June 2026. Operating cash flow of $1.06 Billion exceeds net income of $823.20 Million, indicating high earnings quality where cash backs reported profits. Explore Intuitive Surgical Inc (ISRG) cash flow to debt to assess how comfortably operating cash covers total debt obligations.

Cash Flow Quality Index

1.29x
Operating CF / Net Income

Operating Cash Flow

$1.06 Billion
USD

Net Income

$823.20 Million
USD

Data as of

Jun 2026
Most recent filing

Intuitive Surgical Inc Cash Flow Quality Index (2004–2025)

Historical Cash Flow Quality Index for Intuitive Surgical Inc across 22 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see Intuitive Surgical Inc operating cash flow efficiency.

Annual Cash Flow Quality Index for Intuitive Surgical Inc (2004–2025)

Year-by-year earnings quality comparison for Intuitive Surgical Inc.

Year Quality Index Operating CF (USD) Net Income YoY Change
2025 1.05x $3.03 Billion $2.88 Billion ▲ +2.0%
2024 1.03x $2.42 Billion $2.34 Billion ▲ +3.5%
2023 1.00x $1.81 Billion $1.82 Billion ▼ -10.0%
2022 1.11x $1.49 Billion $1.34 Billion ▼ -8.3%
2021 1.21x $2.09 Billion $1.73 Billion ▼ -13.1%
2020 1.39x $1.48 Billion $1.07 Billion ▲ +20.3%
2019 1.16x $1.60 Billion $1.38 Billion ▲ +11.3%
2018 1.04x $1.17 Billion $1.12 Billion ▼ -40.0%
2017 1.73x $1.14 Billion $660.00 Million ▲ +22.3%
2016 1.42x $1.04 Billion $735.90 Million ▲ +8.1%
2015 1.31x $771.90 Million $588.80 Million ▼ -17.5%
2014 1.59x $665.10 Million $418.80 Million ▲ +21.1%
2013 1.31x $880.00 Million $671.00 Million ▲ +5.8%
2012 1.24x $814.20 Million $656.60 Million ▼ -9.4%
2011 1.37x $677.60 Million $495.10 Million ▼ -1.0%
2010 1.38x $528.00 Million $381.80 Million ▼ -16.5%
2009 1.66x $385.06 Million $232.61 Million ▲ +21.6%
2008 1.36x $278.24 Million $204.31 Million ▼ -4.3%
2007 1.42x $205.69 Million $144.54 Million ▲ +2.7%
2006 1.39x $99.84 Million $72.04 Million ▲ +84.3%
2005 0.75x $70.79 Million $94.13 Million ▼ -41.8%
2004 1.29x $30.32 Million $23.48 Million
Cash Flow Quality Index = Operating Cash Flow / Net Income. Ratios above 1.0x indicate cash-backed earnings.