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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Millions, $ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Revenue:        
Total revenue $ 1,128.2 $ 920.9 $ 3,200.8 $ 2,677.7
Cost of revenue:        
Total cost of revenue 342.6 278.6 986.6 809.3
Gross profit 785.6 642.3 2,214.2 1,868.4
Operating expenses:        
Selling, general and administrative 284.0 221.4 836.6 702.8
Research and development 135.9 107.6 400.7 298.2
Total operating expenses 419.9 329.0 1,237.3 1,001.0
Income from operations 365.7 313.3 976.9 867.4
Interest and other income, net 33.3 21.9 93.6 53.3
Income before taxes 399.0 335.2 1,070.5 920.7
Income tax expense 0.3 43.4 51.4 87.0
Net income 398.7 291.8 1,019.1 833.7
Less: net loss attributable to noncontrolling interest in joint venture 1.9 (0.7) (2.5) (1.7)
Net income attributable to Intuitive Surgical, Inc. $ 396.8 $ 292.5 $ 1,021.6 $ 835.4
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 3.44 $ 2.57 $ 8.86 $ 7.37
Diluted (in dollars per share) $ 3.33 $ 2.45 $ 8.56 $ 7.04
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 115.4 114.0 115.3 113.4
Diluted (in shares) 119.3 119.2 119.4 118.6
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 398.5 $ 292.2 $ 1,052.7 $ 834.2
Product        
Revenue:        
Total revenue 944.8 760.9 2,666.9 2,209.2
Cost of revenue:        
Total cost of revenue 277.3 225.1 807.1 654.7
Service        
Revenue:        
Total revenue 183.4 160.0 533.9 468.5
Cost of revenue:        
Total cost of revenue $ 65.3 $ 53.5 $ 179.5 $ 154.6