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Intuitive Surgical’s procedure-led, recurring-revenue model keeps strengthening as da Vinci 5 rolls out.
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Amazon’s multiple profit engines — AWS, retail, and advertising — continue to scale together.
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Both businesses are investing aggressively today to unlock years of compounding ahead.
Investors searching for long-duration compounders don’t need to overcomplicate things. One approach is to look for market-leading, platform-like business models with recurring economics and management teams investing for the next era of growth. Two standouts fit that bill today: minimally invasive robotic surgery specialist Intuitive Surgical (NASDAQ: ISRG) and cloud-computing and online retailer juggernaut Amazon.com (NASDAQ: AMZN).
Intuitive’s latest quarterly update reinforced the strength of its model, while Amazon’s second‑quarter numbers highlighted a business that keeps scaling across multiple profit engines. Neither is cheap, but the durability of their growth stories makes them worthy buy‑and‑hold candidates for decades. And if you’re looking for something you can hold onto for the long haul, quality (which rarely trades at cheap valuations) is arguably more important than your entry points anyway.
Intuitive posted a strong Q2, with revenue up 21% year over year to $2.44 billion and non‑GAAP diluted earnings per share (EPS) of $2.19 — up 23%. Growth was broad-based across its different key sales drivers — instruments, accessories, and systems placements. This momentum reflects rising procedure volume and continued adoption of the company’s latest minimally invasive surgical platform: the da Vinci 5.
The lifeblood of Intuitive Surgical‘s business has always been procedure growth — a key performance indicator that is looking outstanding lately. Management now expects worldwide da Vinci procedure expansion of about 15.5% to 17% for 2025, essentially tracking last year’s robust pace. Importantly, Intuitive placed 395 da Vinci systems in Q2, including 180 da Vinci 5 units, expanding the installed base that fuels high‑margin recurring revenue on instruments and accessories. That mix supports a compounding engine that is difficult for rivals to disrupt.
Profitability is holding up even as the company rolls out new platforms and navigates tariff headwinds. Intuitive guided to a 2025 non-GAAP gross margin of 66% to 67% (a figure that management says includes the estimated impact of tariffs) and continues to generate substantial cash, giving it ample flexibility to invest, expand indications, and support customers through usage-based models. The outcome is a virtuous cycle: A larger installed base begets more procedures, which funds more innovation, which then drives more placements — and so on.