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The Five Biggest Stealth Costs in Retirement for Intuitive Surgical Employees

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'Intuitive Surgical employees must remain vigilant about hidden costs in retirement, as unexpected expenses like health care, taxes, and inflation can have a real impact on their long-term financial well-being. Proactive planning and budgeting for these stealth expenses can provide much-needed peace of mind as they enter retirement.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'Intuitive Surgical retirees often underestimate the impact of inflation and unexpected medical costs on their retirement savings. By planning for these stealth expenses and adjusting their budgets accordingly, they may avoid unnecessary financial strain and maintain a comfortable lifestyle throughout retirement.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The five most common stealth expenses in retirement, including health care, taxes, emergencies, family-related expenses, and inflation.

  2. The impact of inflation and unexpected costs on Intuitive Surgical retirees.

  3. Strategies to reduce the burden of stealth expenses through proactive planning and saving.

Many Intuitive Surgical employees concentrate on budgeting and income management while making retirement plans. While this is crucial, planning for hidden or stealth costs—unexpected expenses that can occur and negatively impact finances—is often overlooked. Even with a well-thought-out budget, retirees may find themselves caught off guard by these expenses, leading to unnecessary stress.

Unexpected expenses are a significant factor in 43% of retirees feeling more financially worried than before retirement, according to a recent study by TheSeniorList.com. 1  Many Intuitive Surgical retirees realize that they are unprepared for the hidden costs that emerge once they leave employment, despite saving substantial amounts for retirement. While $1.26 million is considered an ideal amount to retire comfortably, 2  many Intuitive Surgical employees haven’t reached this target, making them vulnerable to unanticipated costs that could derail their financial plans.

“Intuitive Surgical retirees and pre-retirees recognize the imperative to plan for unforeseen financial events, but they often struggle to put aside sufficient funds to do so,” says Paul Bergeron, a representative of The Retirement Group, a division of Wealth Enhancement. The current high rate of inflation is making it more challenging for investments and savings to keep up with rising prices, exacerbating the issue. Notably, 20% of retirees and 35% of pre-retirees say they experienced a financial shock that caused them to lose more than 25% of their assets, according to the Retirement Risk Survey conducted by the Society of Actuaries (SOA) Research Institute. 3  This underscores the importance of addressing hidden expenses in retirement.

To help prevent financial strain, Intuitive Surgical retirees should prepare for and anticipate the five most common stealth expenses listed below.

Health Care Expenses

Intuitive Surgical retirees are often surprised by the full cost of health care, despite it being a known expense. Unexpected medical expenses, especially for serious or chronic conditions, can become a significant financial burden. 'Putting numbers around the potential cost of unexpected medical crisis is notoriously challenging, and even chronic health issues are hard to estimate, especially if they last longer than expected,' says Patrick Ray, a financial advisor at The Retirement Group, a division of Wealth Enhancement. The price of medical care might vary greatly. A hospital stay of two nights could cost about $20,000, but a longer stay or a serious illness could easily exceed $100,000. 4

Even for those with insurance, medical bills are a common source of hidden costs. Intuitive Surgical retirees may need to cover a significant portion of medical expenses due to escalating insurance premiums, co-pays, and deductibles. By confirming they have adequate insurance coverage, including supplemental insurance for unforeseen medical costs, retirees can manage these expenses more effectively. Home insurance can also provide additional financial support for unexpected costs, such as an injury on the property.

Taxes

Taxes do not disappear in retirement, despite what many retirees may assume. Many Intuitive Surgical retirees believe they won’t need to pay taxes once they stop working. However, this is rarely the case, especially for those with multiple income sources. 'Although many retirees no longer earn a salary, they still receive income from an array of sources, such as employer-sponsored plans, savings and investments, and Social Security,' says Kevin Won, a financial advisor with The Retirement Group.

Depending on its source, retirement income may be taxed differently. For example, distributions from retirement accounts like IRAs and 401ks are taxable, and Social Security benefits may be taxed if a retiree's income surpasses certain thresholds. Taxes on investment income can complicate retirement planning. Intuitive Surgical retirees can save on taxes by using strategic asset placement and planning. 

Emergencies

Emergencies are an inevitable aspect of life, and their unpredictability makes them especially challenging to prepare for. These emergencies can include anything from car repairs and home maintenance to unanticipated legal or family medical expenses. Neva Bradley, a financial advisor at The Retirement Group, emphasizes the importance of putting money aside for these situations. On a fixed income, she explains, 'retirees who don't put funds aside for emergencies risk facing unexpected expenses that could reduce  their monthly income, making it harder to cover necessary costs.'

Intuitive Surgical retirees can manage these unexpected costs by maintaining a separate emergency savings fund. It is important to set aside a percentage of funds specifically for emergencies, so retirees can cover expenses without having to dip into their primary retirement savings or return to work.

Family Emergencies

Financial emergencies involving family members can also be a significant hidden expense in retirement. Many retirees, including those at Intuitive Surgical, want to help their adult children or grandchildren during difficult times. Helping adult children in a crisis or contributing to grandchildren’s college tuition could cost up to $20,000 per year or more for tuition alone.

Major family events, such as the death of a spouse, can also create high expenses. For instance, typical funerals cost between $7,000 and $12,000, 5  and there may also be legal fees to settle the estate, which can range from $5,000 to $10,000 or more. 6  Financial advisor Kevin Won stresses the importance of planning for these expenses. “Retirees who want to help family members through tough times should think through how they plan to cover those costs,” he says.

Costs Associated with Inflation

Inflation is one of the most common and unpredictable expenses in retirement. Many Intuitive Surgical retirees aren’t prepared for their purchasing power to slowly decrease. Inflation can significantly erode the value of retirement funds, making it harder to maintain your desired lifestyle. 'Inflation isn't something you can control, but it is something you can plan for,' says Kevin Won. This begins by understanding how inflation could erode your purchasing power over time. For instance, investments of $50,000 annually today would notionally need to grow to $90,000 in 20 years to maintain the same purchasing power.

Inflation impacts every aspect of life, from housing and health care to food and transportation. Inflation and the cost of living were cited by 28% of retirees as the most unexpected aspect of their retirement planning, slightly surpassing the 27% who mentioned medical and health care costs, according to the SeniorList survey. Intuitive Surgical retirees living in older homes or regions susceptible to natural disasters may also face additional costs for repairs or insurance.

Three Strategies to Reduce Retirement Stealth Expenses

Fortunately, Intuitive Surgical retirees can take steps to prepare for and reduce the burden of these hidden costs.

Create a 'Stealth' Annual Budget

One practical approach is to create an annual budget specifically for stealth expenses. By planning in advance, Intuitive Surgical retirees can minimize the stress of dealing with unforeseen bills, which many mistakenly treat as emergencies. Neva Bradley advises, 'Budget for these expenses annually.' Regular retirement budgeting should include costs such as car updates or appliance replacements.

Delay Retirement

Delaying retirement by even a few months or years can help enhance a retiree's financial situation. Continuing to work allows retirees to save more, avoid early withdrawals from retirement accounts, and let investments grow. Neva Bradley recommends that Intuitive Surgical retirees 'push back retirement for as long as practical' to strengthen their financial position.

Put the Money Away Early

One of the most effective ways to prepare for unforeseen expenses is to start saving for retirement as early as possible. Paul Bergeron from The Retirement Group suggests using health savings accounts (HSAs) to save for future medical costs. 'Health care costs are on the rise and often exceed what retirees anticipate. An HSA can help,' he notes. Even without an HSA, Intuitive Surgical retirees should prioritize saving for medical expenses to cover co-pays, co-insurance, and uncovered health care costs that can quickly add up.

In Conclusion

Hidden costs, such as health care, taxes, emergencies, family-related expenses, and inflation, can significantly affect Intuitive Surgical retirees’ financial well-being. While these expenses are often unforeseen, retirees can take proactive steps to plan for them. By budgeting for unexpected costs annually, delaying retirement, and saving strategically, Intuitive Surgical retirees can alleviate the financial strain brought on by stealth expenses and craft a comfortable retirement.

The soaring expense of long-term care, often not fully covered by health insurance, is a major concern for retirees. Those who are currently 65 have almost a 70% chance of needing some type of long-term care services in the future. 7  Planning ahead for these costs, whether through insurance or savings, is crucial for safeguarding retirement income.

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Sources:

1. TheSeniorList. ' Surprise Retirement Costs: What Seniors Need to Know To Protect Their Savings ,' by Amie Clark. 8 Oct. 2024.

2. CNBC. ' The 'magic number' to retire comfortably fell to $1.26 million--but people are less confident they can reach it ,' by Jessica Dickler. 21 Apr. 2025. 

3. Society of Actuaries. “ Retirement Risk Survey Finds Financial Shocks .” Society of Actuaries, 19 Dec. 2024.

4. International Citizens Insurance. ' How Must Does Healthcare Cost in the U.S.? ' 2025.

5. Trust & Will. ' Funeral Costs 101 .' 2025.

6. Trustate. ' Estate Expenses - Who Pays What? ' 2025.

7. Administration for Community Living. ' How Much Care Will You Need? ' 18 Feb. 2020.

Other Resources:

Kiplinger. “The Five Biggest Stealth Costs in Retirement.” Kiplinger, 26 May 2025.

What type of retirement savings plan does Intuitive Surgical offer to its employees?

Intuitive Surgical offers a 401(k) retirement savings plan to help employees save for their future.

Is there a company match for contributions to the 401(k) plan at Intuitive Surgical?

Yes, Intuitive Surgical provides a company match for employee contributions to the 401(k) plan, subject to specific terms and conditions.

How can I enroll in the 401(k) plan at Intuitive Surgical?

Employees can enroll in the 401(k) plan at Intuitive Surgical by completing the enrollment process through the company’s benefits portal or contacting HR for assistance.

What is the eligibility requirement for participating in Intuitive Surgical's 401(k) plan?

To participate in Intuitive Surgical's 401(k) plan, employees typically need to meet certain eligibility requirements, such as being a full-time employee and completing a specified period of service.

Can I change my contribution amount to the 401(k) plan at Intuitive Surgical?

Yes, employees at Intuitive Surgical can change their contribution amounts to the 401(k) plan at any time, subject to the plan's guidelines.

What investment options are available in Intuitive Surgical's 401(k) plan?

Intuitive Surgical's 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to suit different risk tolerances.

When can I access my 401(k) funds after leaving Intuitive Surgical?

After leaving Intuitive Surgical, employees can access their 401(k) funds according to the plan's distribution rules, which may include options like rollovers or cash withdrawals.

Does Intuitive Surgical offer financial advice for 401(k) participants?

Yes, Intuitive Surgical may provide access to financial advisors or resources to help employees make informed decisions about their 401(k) investments.

Are there any fees associated with Intuitive Surgical's 401(k) plan?

Yes, there may be fees associated with Intuitive Surgical's 401(k) plan, which can include administrative fees and investment-related fees, as outlined in the plan documents.

How often can I review my 401(k) account at Intuitive Surgical?

Employees can review their 401(k) account at Intuitive Surgical as often as they like, typically through the online benefits portal.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Intuitive Surgical offers a comprehensive 401(k) plan known as the "Intuitive Surgical, Inc. 401(k) Plan." This is a defined contribution plan, meaning that employees can contribute a portion of their salary into the plan, and Intuitive Surgical may also contribute, particularly through profit-sharing based on the company’s earnings. The 401(k) plan allows participants to direct the investment of their accounts, with options including default investments for those who do not make specific selections. This plan was established to help employees save for retirement, and it provides flexibility in how funds can be managed and withdrawn, particularly in situations requiring a Qualified Domestic Relations Order (QDRO). The company also provides life and disability insurance at no cost to the employees and a stock purchase plan, allowing employees to buy Intuitive Surgical stock at a discounted rate. The 401(k) plan is administered by Intuitive Surgical itself, with the headquarters located in Sunnyvale, California. For years of service and age qualification for the 401(k) plan, the company follows standard practices where employees become eligible to participate upon meeting certain age and service requirements, though specific details on this aspect are typically found in the plan's summary documents.
In 2023 and 2024, Intuitive Surgical has experienced financial restructuring driven by the evolving economic environment. They have not announced large-scale layoffs, but there has been a steady focus on cost optimization​ (Intuitive Surgical)​ (Intuitive Surgical). The company has also revised long-term incentive plans and stock-based compensation, including phantom share awards for employees in China. These changes are tied to strategic performance metrics, which could impact the company’s workforce and benefits as it aligns with its financial goals​ (Intuitive Surgical).
Intuitive Surgical (ISRG) offers stock options and Restricted Stock Units (RSUs) through its 2010 Incentive Award Plan. Eligible employees, particularly in leadership and key roles, receive annual grants of stock options and RSUs. In 2022, RSUs with a target value of $1.5 million were granted to senior executives, aligning compensation with company performance. For 2023 and 2024, the company continues to offer RSUs and stock options to incentivize long-term retention, primarily to executives and employees in strategic roles.
Health Insurance and Healthcare Navigation: Intuitive provides comprehensive health, dental, and vision insurance, including telehealth services. Employees have access to Accolade, a healthcare navigator, which helps them manage medical inquiries and navigate the complexities of the healthcare system​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Mental Health and Emotional Support: Employees and their families can access mental health services through Lyra, which offers 12 free sessions per year. The platform is designed to streamline the process of finding the right therapist based on individual preferences​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Family Planning and Fertility Services: Intuitive offers fertility support through Progyny and Maven, providing in-vitro fertilization (IVF), surrogacy support, and postpartum care. These services include access to a network of fertility specialists and comprehensive pregnancy support​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Cancer and Chronic Disease Support: Employees benefit from specialized support services for cancer and chronic diseases like diabetes and obesity. They have access to second opinions and personalized treatment plans, along with concierge support for navigating complex care​ (Intuitive Surgical Careers)​ (Intuitive Surgical Careers). Other Notable Benefits: Intuitive provides gender-affirming care, virtual physical therapy, weight management programs, and services for caregivers. Employees also receive 8 weeks of paid parental leave, flexible time off, and coverage for surrogacy up to $20,000
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For more information you can reach the plan administrator for Intuitive Surgical at , ; or by calling them at .

https://investor.intuitivesurgical.com/news-releases/news-release-details/intuitive-announces-fourth-quarter-earnings-3 https://www.mddionline.com/robotics/intuitive-surgical-s-latest-acquisition-is-just-one-piece-of-a-much-bigger-puzzle https://wraltechwire.com/2023/08/03/robotic-surgery-manufacturer-closing-durham-operation-91-face-layoffs/ https://www.massdevice.com/johnson-johnson-cuts-nearly-350-surgical-robotics-jobs/ https://www.milliman.com/en/insight/interest-rates-pension-plans-implement-liability-driven-investment-strategy https://www.daypitney.com/insights/publications/2023/11/3-irs-publishes-2024-pension-plan-limitations/ https://valueyourpension.com/pbgc-vs-irc-vs-gatt-interest-rates-and-present-value-calculation-methods/ https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://www.milliman.com/en/ https://isrg.intuitive.com/node/19916/html https://careers.intuitive.com/en/employee-stories/benefits/five-intuitive-benefits-that-help-employees-thrive/ https://isrg.intuitive.com/investors-calculator https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://creativeplanning.com/insights/financial-planning/how-to-use-the-net-unrealized-appreciation-nua-strategy-in-your-401k/ https://carlsoncap.com/articles/nua-net-unrealized-appreciation/ https://www.stordahlcap.com/insights/understanding-net-unrealized-appreciation-nua-and-its-tax-benefits https://qdro.com/retirement-qdro/INTUITIVE-SURGICAL-INCORPORATED-401K-PLAN/ https://simpleqdro.com/retirement-plans/INTUITIVE-SURGICAL-INCORPORATED-401K-PLAN/ https://investor.intuitivesurgical.com/sec-filings/sec-filing/10-k/0001035267-23-000019

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