Intuitive Surgical, Inc. (NASDAQ:ISRG) Q1 2024 Earnings Call Transcript

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Gary Guthart: I’ll jump in and then Jamie take it. I think that in the prepared remarks, we had said you had a nice capital placement year and we had a bolus of post-COVID comeback into Q1. I think the uncertainty part of this is really just going to be what the inpatient volumes look like in the next quarters of 2024. In other words, just the patient census as it comes through. But you’re right, I think that it’s an indicator of capacity. So depending what that patient census looks like, that’ll determine the high end and the low end of utilization growth in terms of how many procedures people want to put on those systems. Sorry Jamie, go ahead, you might discuss the modeling there.

Jamie Samath: I would just say that if you look at Q1 utilization over an extended period, look at what the CAGR is versus the year-over-year comparison, you see that stuff to be in a more normal range of 3% to 4%. I do think that in the year ago quarter, you had a number of institutions that actually stepped themselves up to do sprints with respect to their ability to treat patients. And so I do think that was elevated and at that level of utilization growth of 13%, it wasn’t particularly sustainable. So as I look forward to the rest of the year, I’d expect some levels of utilization growth that let’s say are closer to our long-term averages. There’s still some patient backlog benefit in the year-ago quarters, even in Q2 and Q3. So it’s not perfectly matched, but I think there’s room for normalization over time.

Operator: And we will go to the next question from the line of Jayson Bedford to Raymond James. Please go ahead.

Jayson Bedford: Good afternoon. Thanks for taking the question. Just maybe Ion in China, obviously a large opportunity there. Just a couple questions, and I apologize if I missed this, but does Ion fall within the existing robotics quota? And then for Ion, you mentioned clearance is the first step? Can you just talk through the other steps to commercialization and associated timing of those steps? Thanks.

Jamie Samath: Yes, we have some work to put eye on at a point where it’s actually available to sell, so that will take us some time. We’re not expecting to have commercialization really until the back half of 2024. And China is a market where, like many cases, when we launch a new product in a market, we do that progressively as we kind of build our infrastructure in terms of training capabilities and engage with customers. So I’d say back up at ‘24 is when you start to see the potential for Ion placements in China.

Jayson Bedford: On the issue of is it competing for the same quota, Jamie?

Jamie Samath: Oh, sorry. Yes, our understanding is it is not in the quota given the price.

Jayson Bedford: Thank you.

Gary Guthart: And Jason, if you have one more follow-up, that will wrap it up for us.

Jayson Bedford: No, that’s fine. Thank you.

Gary Guthart: Okay, that was our last question. In closing, we continue to believe there’s a substantial and durable opportunity to fundamentally improve surgery and acute interventions. Our teams continue to work closely with hospitals, physicians, and care teams in pursuit of what our customers have termed the quadruple aim. Better, more predictable patient outcomes, better experiences for patients, better experiences for their care teams, and ultimately a lower total cost of care. We believe value creation in surgery and acute care is foundationally human. It flows from respect for and understanding of patients and care teams, their needs and their environment. At Intuitive, we envision a future of care that is less invasive and profoundly better, where diseases are identified earlier and treated quickly, so patients can get back to what matters most. Thank you for your support on this extraordinary journey. We look forward to talking with you again in three months.

Operator: And thank you everyone for joining today’s conference call. That does indeed conclude your conference call. You may now disconnect. Have a good day.

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