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INCOME TAXES (Tables)
12 Months Ended
Dec. 31, 2023
Income Tax Disclosure [Abstract]  
Schedule of Components of Pretax Loss from Operations
The components of the pretax loss from operations for the years ended December 31 are as follows (in thousands):
202320222021
U.S. Domestic$(54,784)$(54,099)$(68,131)
Foreign(5,984)(8,471)(9,526)
Net loss before income taxes$(60,768)$(62,570)$(77,657)
Schedule of Components of (Provision) Benefit for Income Taxes
The components of the (provision) benefit for income taxes for the years ended December 31 is presented in the following table:

202320222021
Current:
Federal$— $— $— 
State(54)(19)(18)
Foreign(796)96 (27)
Total benefit (provision)(850)77 (45)
Deferred:
Federal— — — 
State— — — 
Foreign— — — 
Total deferred provision— — — 
Total benefit (provision)$(850)$77 $(45)
Schedule of Deferred Income Tax Components Significant components of the Company’s net deferred income taxes as of December 31 are as follows (in thousands):
20232022
Deferred tax assets:
Net operating loss carryforward$102,687 $94,003 
General business credit18,466 17,293 
Stock options8,246 12,809 
Intangible assets, definite-lived6,775 7,239 
Section 174 research & development9,097 4,840 
Inventory1,943 2,145 
Operating lease liability379 568 
Property & equipment224 137 
Other608 310 
Total deferred tax assets148,425 139,344 
Valuation allowance(140,104)(138,710)
Deferred tax assets$8,321 $634 
Deferred tax liabilities:
Debt amortization$(7,785)$(24)
Right of use asset(416)(527)
Finance lease liability$(120)$(83)
Total deferred tax liabilities$(8,321)$(634)
Net deferred taxes$— $— 
Schedule of Effective Tax Rate
The difference between the U.S. federal statutory income tax rate and the Company’s effective tax rate for years ending December 31 is as follows:

202320222021
U.S. federal statutory income tax rate(21.00)%(21.00)%(21.00)%
State taxes, net of federal tax benefit(2.06)%(2.55)%(4.26)%
Permanent and other differences2.91 %1.74 %(9.01)%
Debt restructuring3.48 %— %(1.31)%
Change in tax rates(0.36)%0.26 %0.02 %
Return to provision adjustments1.50 %— %— %
Tax rate differential(0.65)%(0.52)%2.30 %
Unrecognized tax benefits(0.17)%1.01 %2.64 %
Nondeductible equity and other compensation7.75 %5.44 %1.72 %
Credit for increased research activities(2.75)%(2.80)%(6.19)%
Change in valuation allowance12.75 %18.30 %35.15 %
1.40 %(0.12)%0.06 %
Schedule of Uncertain Tax Positions
The Company's uncertain tax positions at December 31 as follows (in thousands):

202320222021
Balance at beginning of year$13,596 $7,556 $4,866 
Increases for prior positions409 380 2,359 
Decreases for prior positions(5,859)— — 
Increases for current year positions698 5,660 1,746 
Decreases due to settlements— (1,415)
Other increases— — — 
Balance at end of year$8,844 $13,596 $7,556