Dear Reader,
After signing more than 220 Executive Orders… more than any president in American history… Donald Trump is preparing for one final move.
On February 24th — I have every reason to believe he will sign his Final Executive Order.
When I say that it’s his FINAL executive order…
It’s not because he’s leaving office.
It’s not because he’s sick or having any health issues.
It’s not because he’ll be impeached for the Epstein files, or some dark, twisted scandal.
There’s another reason that, despite a long future in front of him, this will be Trump’s very last Executive Order…
Click here or below for this unbelievable story…
Regards,

Ian King
Chief Strategist, Strategic Fortunes
Intuitive Surgical Just Proved the Growth Engine Still Runs
Submitted by Leo Miller. Article Posted: 1/23/2026.
Article Highlights
- Intuitive Surgical’s Q4 2025 results beat on both revenue and EPS, reinforcing confidence in its robotics‑assisted surgery leadership despite a deceleration in procedure growth.
- Guidance for 2026 shows steady procedural demand and gross margins, with investment in R&D and new platforms (Ion, da Vinci SP) supporting long‑term growth prospects.
- Tariff headwinds and a high valuation present near‑term risks, but investor resilience and market trust underpin sustained growth expectations.
Robotic-assisted surgery stalwart Intuitive Surgical (NASDAQ: ISRG) stunned investors with its Q3 2025 earnings report in October 2025. Shares closed up nearly 14% on that news, marking the healthcare stock's largest single-day post-earnings gain in recent memory.
On Jan. 22, the company reported its Q4 2025 results. While they didn't generate the same level of excitement as the prior quarter, the market received the release positively — the stock rose about 1.4% in after-hours trading. Despite a lofty valuation, Intuitive maintains a constructive long-term outlook and appears capable of keeping its growth engine running.
Intuitive Beats on Revenue and EPS By a Solid Margin
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In Q4, Intuitive posted revenue of $2.87 billion, up 19% year over year, comfortably above estimates of $2.72 billion (13% growth). The adjusted earnings per share (EPS) beat was notable as well: adjusted EPS came in at $2.53, up just over 14%, versus analysts' expectations of $2.25 (less than 2% growth).
Growth in da Vinci procedures is a key performance indicator for Intuitive. More procedures performed by doctors typically drive purchases of disposable instruments, which are an important source of recurring revenue and usually account for the majority of total sales.
Da Vinci procedures rose 17% in the quarter, within the company's typical range over the past two years, though slightly below the 19% growth recorded last quarter. For the full year, da Vinci procedures increased by 18%.
Intuitive Provides Solid Guidance, But Growth May Decelerate
Looking to 2026, the company expects da Vinci procedure growth of 14% at the midpoint. Note that Intuitive does not provide an explicit revenue growth forecast, but revenue growth often moves in the same direction as da Vinci procedure growth. Management expects gross margin of 67% to 68% in 2026, roughly in line with 2025's 67.7%.
Intuitive also expects operating expenses to rise slightly faster in 2026 than in 2025, which could compress operating margin if revenue growth slows along with procedure growth. Management attributes the higher expense growth in part to early-stage research and development investments.
While those investments could be dilutive in the near term, they support the company's long-term prospects. Sustained growth will depend on developing new devices and platforms and expanding approvals for current offerings. The company's Ion and da Vinci SP platforms are examples of potential new growth drivers: procedures for those systems increased 78% and 51%, respectively, during the quarter.
Markets Look Past Intuitive's Tariff Guidance, Mitigating a Key Headwind
Importantly, investors appeared unfazed by Intuitive's tariff-related guidance. For 2026, the firm expects tariffs to reduce gross margins by about 1.2%, significantly higher than the roughly 65-basis-point impact in 2025. That shares held up despite this is a positive sign: tariff concerns had weighed on the stock through much of 2025, and clearer disclosure of tariff exposure reduces uncertainty for investors.
Intuitive Surgical is not inexpensive — it trades at a forward price-to-earnings (P/E) ratio near 56x — but it has established a leadership position in robot-assisted surgery and earned trust across the healthcare industry. That trust should help as the company expands into new markets and competes against challengers. Still, management will need to keep innovating and delivering strong procedure growth to justify the current valuation and support further gains in the stock price.
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