Intuitive discloses CEO pay with Dave Rosa at the helm

Intuitive CEO Dave Rosa [Photo courtesy of Intuitive]

Intuitive Surgical has disclosed the pay package for its recently promoted CEO in a new filing with the U.S. Securities and Exchange Commission.

The surgical robotics developer also disclosed pay packages for other executives, reported higher pay for its median worker, and said one of the device company’s top leaders will soon be promoted.

Intuitive was the world’s 17th-largest medical device company on our latest Medtech Big 100 ranking by revenue. Intuitive might move up that list in our next ranking after reporting nearly $10.1 billion in revenue for 2025, up 21% from the year before.

Recruiting and retaining top talent — both at the executive and engineering level — is crucial in the medtech industry, but employee compensation is kept secret in most cases. Medical Design & Outsourcing tracks and analyzes these pay figures when disclosed by major device developers and manufacturers.

Learn more about Intuitive and dozens of other surgical robotics developers in the 2026 MassDevice Surgical Robotics Special Report

Intuitive’s CEO change was one of the biggest medtech industry personnel moves of 2025. Intuitive President Dave Rosa was promoted to CEO in July 2025. He succeeded Gary Guthart, who became executive chair of the Intuitive Board of Directors.

A portrait of Intuitive Surgical Executive Chair Gary Guthart.

Intuitive Surgical Executive Chair Gary Guthart [Photo courtesy of Intuitive Surgical]

In his first letter to shareholders as executive chair in March 2026, Guthart called the leadership switch a “purposeful change [following] a disciplined and robust succession planning process, with the objective of honoring the mission and culture of the company while continuing to support long-term value creation for all of our stakeholders, from healthcare providers and the patients they serve, to our employees, our shareholders, and the communities in which we live and work.”

He later continued, “As CEO, Dave Rosa brings unparalleled skill and experience with all aspects of Intuitive’s business and culture, built on his first-hand connection with our products and the physicians who use them to treat their patients. I can think of no one better to lead us as we move ahead.”

Exclusive to MDO: Dave Rosa on innovation in healthcare

Intuitive Surgical executive pay

Intuitive Surgical CFO Jamie Samath was the surgical robotics company’s third-highest paid executive in 2025. [Photo courtesy of Intuitive Surgical]

Intuitive CEO Dave Rosa was paid $21 million in 2025, up 53% from the year before. His compensation included salary pay of $858,750, $18.7 million in stock awards and a $1.4 million cash performance bonus. Rosa’s compensation also included $89,999 related to personal and residential security services and $2,000 for 401(k) plan contribution matching.

Rosa’s annual base salary is $925,000, and he received long-term stock incentives with a target value of $8 million that “function as multi-year retention vehicles and reinforce alignment with our mission to advance minimally invasive care for healthcare teams and their patients worldwide,” the Intuitive Board of Directors Compensation Committee said in the securities filing.

Intuitive said it started covering security services for executives in 2025 “to facilitate our executive officers’ and their families’ safety.”

Intuitive Executive Chair Gary Guthart was paid $18.1 million in 2025, down less than 1% from the year before. Guthart’s compensation included salary pay of $866,250 worth of salary, $16 million in stock awards and a $886,156 cash performance bonus. Guthart’s compensation also included $387,869 related to personal and residential security services and $2,000 for 401(k) plan contribution matching.

Intuitive SVP, CFO and Enterprise Technology Leader Jamie Samath was paid $8.4 million in 2025, up 19% from the year before.

Samath’s compensation included a $683,000 salary, $6.9 million in stock awards and a $786,816 cash performance bonus. Samath’s compensation also included $10,000 for residential security services and $2,000 for 401(k) plan contribution matching.

A photo of Intuitive EVP and Chief Commercial and Marketing Officer Henry Charlton.

Intuitive EVP and Chief Commercial and Marketing Officer Henry Charlton [Photo courtesy of Intuitive Surgical]

Intuitive EVP and Chief Commercial and Marketing Officer Henry Charlton was paid $6.2 million in 2025, down almost 4% from the year before.

Charlton’s compensation included a $670,000 salary, $4.8 million in stock awards and a $771,840 cash performance bonus. Charlton’s compensation also included $10,000 for residential security services and $2,000 for 401(k) plan contribution matching.

Intuitive EVP and Chief Legal and Compliance Officer Gary Loeb was paid $5.59 million in 2025. His prior-year compensation was not disclosed.

A photo of Intuitive EVP and Chief Legal and Compliance Officer Gary Loeb.

Intuitive EVP and Chief Legal and Compliance Officer Gary Loeb [Photo courtesy of Intuitive Surgical]

Loeb’s compensation included a $615,000 salary, $4.3 million in stock awards and a $708,480 cash performance bonus. Loeb’s compensation also included $10,000 for residential security services and $2,000 for 401(k) plan contribution matching.

Intuitive SVP and Chief Manufacturing and Supply Chain Officer Mark Brosius was paid $5.54 million in 2025. His prior-year compensation was not disclosed.

Brosius’s compensation included a $534,350 salary, $4.5 million in stock awards and a $462,243 cash performance bonus. Brosius’s compensation also included $20,000 for residential security services and $2,000 for 401(k) plan contribution matching.

A photo of Intuitive SVP and Chief Manufacturing and Supply Chain Officer Mark Brosius.

Intuitive SVP and Chief Manufacturing and Supply Chain Officer Mark Brosius [Photo courtesy of Intuitive Surgical]

According to the filing, Brosius has been promoted from SVP to EVP effective March 23.

“The primary objective of our executive compensation program is to attract and retain a passionate team of executives who drive innovation that enables physicians and healthcare providers to improve the quality of and access to minimally invasive care,” the Intuitive Board of Directors Compensation Committee said in the filing. “We seek to accomplish this goal in a way that is aligned with the long-term interests of our stockholders. Our strategy has been to provide a level of fairness within our programs to drive alignment of all employees, including our [named executive officers, or NEOs]. This approach recognizes that, as a company, we are all one team with one mission. We believe our executive compensation program effectively aligns the interests of our NEOs with our objective of creating sustainable long-term value for our stockholders.”

Intuitive Surgical’s median worker pay and CEO pay ratio

The U.S. Securities and Exchange Commission requires publicly traded companies to calculate the gap between CEO compensation and pay for its median employee.

Intuitive used Guthart’s pay package for 2025, but added in the value of his CEO salary and other compensation that he missed out on in the latter half of the year, bringing the total pay package to nearly $18.3 million.

Intuitive Surgical used the same median employee as last year, saying their annual compensation increased to $124,131, up 5% from $118,680 the year before. But the company’s median employee’s pay was still down compared to $127,948 in 2022 as the company ramped up manufacturing operations.

The latest median employee pay figure put Intuitive’s CEO pay at 147 times more than its median employee’s pay in 2025. That pay gap narrowed from 153:1 the year before, but was still up compared to 111:1 in 2023 and 81:1 in 2022.

The company said it included all global employees as of the end of 2024, but did not identify the median employee by location or job title. At other medtech companies that offer more details about their median workers than required by the SEC pay disclosure rules, those median medtech workers often hold technical roles such as device design or engineering.

Intuitive Surgical investors will cast advisory “say-on-pay” votes on the company’s executive compensation practices at the April 30 annual meeting. Shareholders overwhelmingly voted in support of the company’s executive pay the year before.