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Condensed Consolidated Statements of Comprehensive Income (Unaudited) - USD ($)
shares in Thousands, $ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Revenue:        
Total revenue $ 852.1 $ 1,098.9 $ 1,951.6 $ 2,072.6
Cost of revenue:        
Total cost of revenue 349.2 339.9 710.5 644.0
Gross profit 502.9 759.0 1,241.1 1,428.6
Operating expenses:        
Selling, general and administrative 279.1 279.2 587.2 552.6
Research and development 143.2 120.8 290.3 264.8
Total operating expenses 422.3 400.0 877.5 817.4
Income from operations 80.6 359.0 363.6 611.2
Interest and other income, net 26.6 32.8 51.7 60.3
Income before taxes 107.2 391.8 415.3 671.5
Income tax expense 37.0 75.4 28.9 51.1
Net income 70.2 316.4 386.4 620.4
Less: net loss attributable to noncontrolling interest in joint venture 2.2 (1.9) 4.9 (4.4)
Net income attributable to Intuitive Surgical, Inc. $ 68.0 $ 318.3 $ 381.5 $ 624.8
Net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in dollars per share) $ 0.58 $ 2.76 $ 3.27 $ 5.42
Diluted (in dollars per share) $ 0.57 $ 2.67 $ 3.19 $ 5.23
Shares used in computing net income per share attributable to Intuitive Surgical, Inc.:        
Basic (in shares) 116,800 115,400 116,600 115,200
Diluted (in shares) 119,700 119,300 119,700 119,400
Total comprehensive income attributable to Intuitive Surgical, Inc. $ 81.4 $ 335.1 $ 391.4 $ 654.2
Product        
Revenue:        
Total revenue 721.8 922.3 1,622.6 1,722.1
Cost of revenue:        
Total cost of revenue 283.8 283.4 580.5 529.8
Service        
Revenue:        
Total revenue 130.3 176.6 329.0 350.5
Cost of revenue:        
Total cost of revenue $ 65.4 $ 56.5 $ 130.0 $ 114.2