Intuitive: Intuitive Surgical : 2024 Intuitive ESG Report

2024 Environmental, Social, and Governance Report Transforming the future of healthcare, together. CONTENTS CEO MESSAGE ABOUT INTUITIVE AWARDS AND RECOGNITION ESG OVERVIEW PATIENTS AND PRODUCTS PEOPLE PRACTICES PLANET CONCLUSION Table of contents CEO message About Intuitive Awards and recognition 7 ESG overview 7 ESG integration ESG governance and leadership Double materiality assessment The Quintuple Aim Patients and products Advancing research and evidence-based care Training Patient safety, reliability, and efficiency Innovating for the future Focus on access to care People Growing a high-performance, fair, and equitable workplace Supporting and rewarding employees Engaging with communities 27 Practices Integrity in business operations Commitment to quality Ensuring data privacy and security Supply chain responsibility Environmental and social risk management 33 Planet Managing natural resources Sustainable growth Business operations Innovative products 39 Conclusion Environmental, Social, and Governance Report 2024 2 CONTENTS CEO MESSAGE ABOUT INTUITIVE AWARDS AND RECOGNITION ESG OVERVIEW PATIENTS AND PRODUCTS PEOPLE PRACTICES PLANET CONCLUSION CEO message I am pleased to introduce Intuitive's 2024 Environmental, Social, and Governance (ESG) Report. At Intuitive, ESG is not an afterthought or a bolt-on department, it is woven into the fabric of our operations. Our efforts reflect our commitment to patients, surgeons, care teams, employees, and the environment. We start with the end in mind - our activities are guided by the value we wish to provide our stakeholders: improved health outcomes for patients, growth opportunities for our employees, and enduring value for the customers, patients, and communities we serve. Since our founding 30 years ago, we have been dedicated to combining innovative technology with clinical expertise to deliver products and services that allow our customers to provide life-enhancing, minimally invasive care. To ensure continued alignment with the patients and healthcare community we serve, we have adopted the Quintuple Aim as our "North Star." We seek to deliver better patient outcomes and improved patient and care team experiences, while lowering treatment costs, reducing the duration of hospital admissions, and enabling access to care. Aligned with our cultural value of humility, our innovation process begins with working alongside, listening to, and learning from our customers and the patients they treat. We ask how we can apply our experience and technology to advance the Quintuple Aim by solving our customers' most relevant clinical and operational problems: from improving patient outcomes to helping address healthcare workforce and productivity challenges. This year, we took several significant steps to advance these aims. Innovation We released our most advanced surgical platform ever, the da Vinci 5 surgical system. This new system helps deliver improved efficiency for customers while providing increased computing power that provides a foundation for a future of impactful digital tools. Da Vinci 5 brings to our customers a host of refinements and some first-of-their-kind technologies that we believe will drive improvements to the Quintuple Aim. Environmental, Social, and Governance Report 2024 3 CONTENTS CEO MESSAGE ABOUT INTUITIVE AWARDS AND RECOGNITION ESG OVERVIEW PATIENTS AND PRODUCTS PEOPLE PRACTICES PLANET CONCLUSION We also continue to invest in technologies and studies that can expand the number of patients who can benefit from our technologies. We do this by increasing the types of procedures that can be performed using our platforms, obtaining regulatory clearances for new indications for use, and bringing these new indications to countries around the globe. Our ecosystem of services and support continues to develop in step with our technology. From remote telementoring capabilities to our Genesis customer consultations, we are empowering healthcare providers with the skills and resources they need to meet their clinical and economic goals. Clinical evidence We are committed to supporting the generation of clinical evidence and peer-reviewed evaluations of our technology and services so that we, our customers, and healthcare systems can objectively evaluate our progress. In this year's report, we highlight the COMPARE Study, one of thousands of publications examining robotic-assisted surgery in 2024. The COMPARE Study demonstrates that our products and services can deliver differentiated results compared to the next-best surgical alternatives, including shorter recovery times and reduced reinterventions. Access to minimally invasive care In 2023, we followed the Institute for Healthcare Improvement 1 in moving from the Quadruple Aim to the Quintuple Aim - which now includes a focus on access to care. In 2024, we established the Health Policy & Patient Access Research Center of Excellence to study the impact of our products and services on access to high-quality, minimally invasive care, leading to peer review and publication of articles that support this work. These studies are expected to start publishing in 2025. We are committed to expanding access to high-quality, minimally invasive care by partnering with hospitals, healthcare systems, and patient advocacy groups to identify and overcome barriers to care. These can include limited provider access across different sites of care or different times of day/days of the week, training, technological availability, and other factors. Together, we are shaping a future where minimally invasive care is the standard, not the exception. We remain steadfast in our purpose, driven by the conviction that minimally invasive care is life-enhancing care. While Intuitive is 30 years old, the opportunity for improvement in the Quintuple Aim is substantial, and we are still in the early stages of realizing the potential that technology-enabled ecosystems like ours can deliver to healthcare. Thank you for your continued support in advancing this vision. Gary Guthart, PhD Chief Executive Officer 1 https://www.ihi.org/resources/publications/quintuple-aim-health-care-improvement-new-imperative-advance-health-equity#:~:text=Home-,The%20Quintuple%20Aim%20for%20Health%20 Care%20Improvement:%20A%20New%20Imperative,that%20includes%20advancing%20health%20equity. Environmental, Social, and Governance Report 2024 4 CONTENTS CEO MESSAGE ABOUT INTUITIVE AWARDS AND RECOGNITIONS ESG OVERVIEW PATIENTS AND PRODUCTS PEOPLE PRACTICES PLANET CONCLUSION About Intuitive We provide systems, learning, and services for the advancement of minimally invasive care. Through ingenuity and intelligent technology, we expand the potential of physicians to heal without constraints. Our numbers Every Intuitive number has a unique story behind it, representing the minimally invasive care we deliver to patients around the world. 30 years 180k+ 800+ 11.75 seconds 43k+ of innovating for Ion procedures performed Ion systems in How often a surgeon peer-reviewed articles minimally invasive care since inception hospitals globally starts a procedure using referencing Intuitive a da Vinci system technologies 16.9M 9.9k 89.5k 15k+ 5.4k procedures performed da Vinci systems in surgeons trained on mission-driven patents issued, with on da Vinci systems hospitals in 72 countries the da Vinci platform employees globally 2.5K patents pending 2 since inception 2 All numbers as of December 31, 2024 2 All numbers as of December 2024 Environmental, Social, and Governance Report 2024 5 CONTENTS CEO MESSAGE ABOUT INTUITIVE AWARDS AND RECOGNITION ESG OVERVIEW PATIENTS AND PRODUCTS PEOPLE PRACTICES PLANET CONCLUSION Awards and recognition Workplace awards Forbes 2024 America's Best-in-State Employer 2024 America's Best Employers for New Grads 2025 America's Dream Employers 3 2025 America's Best Companies 3 Glassdoor 2024 Best-Led Companies Newsweek 2024 America's Most Responsible Companies 2024 America's Greenest Companies 3 Awarded in January 2025 for 2024 performance. BuiltIn 2024 Best Places to Work U.S. News & World Report 2024 Best Companies to Work for 2024 Best Companies to Work for in Healthcare Rally Award 2024 Best Employer Brand Launch - Silver Kununu 2024 Top Company Design awards Australia Good Design Awards 2024 Award of the Year 2024 Medical Product & Scientific - Best in Class 2024 Medical Product & Scientific - Gold Silicon Valley UX Award 2024 First Place - Best Medical User Experience Design 2024 Best Design System Design Management Institute Award 2024 First Place, Design Value Award 2024 Third Place, Design Value Award Core 77 Design Awards 2024 Robotics Winner 2024 Health & Wellness Runner Up Spark Award 2024 Spark Health Platinum Professional AmeriStar Award 2024 Winner for Medical Device - Da Vinci Xi Endoscope Packaging System Environmental, Social, and Governance Report 2024 6 CONTENTS CEO MESSAGE ABOUT INTUITIVE AWARDS AND RECOGNITION ESG OVERVIEW PATIENTS AND PRODUCTS PEOPLE PRACTICES PLANET CONCLUSION ESG overview At Intuitive, we are committed to improving patient care while upholding our responsibility to the environment, our communities, and our governance values. We align our environmental, social, and governance reporting with globally recognized frameworks, including the Task Force on Climate- Related Financial Disclosures (TCFD) and the Carbon Disclosure Project (CDP). 4 This report highlights our 2024 ESG priorities and achievements, offering a comprehensive view of our progress and commitment to sustainable practices. Unless otherwise noted, the data and initiatives shared reflect activities undertaken by Intuitive Surgical, Inc., and its consolidated subsidiaries during the calendar year ending December 31, 2024. ESG governance and leadership Our ESG priorities are embedded in our strategy and operations, with oversight provided by the Board of Directors through three key committees: Governance and Nominating Committee: Oversees corporate governa