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Income Taxes (Narrative) (Details) - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Investments, Owned, Federal Income Tax Note [Line Items]      
Effective income tax rate 28.00%   (3.00%)
Net deferred tax liability $ 23,185,000 $ 26,442,000  
Valuation allowances against deferred tax assets 17,942,000 13,282,000  
Federal net operating loss carryforwards related to the acquisitions of Cardiogenesis and Hemosphere 1,600,000    
State net operating loss carryforwards 2,500,000    
Foreign net operating loss carryforwards 5,600,000    
Research and development tax credit carryforwards 483,000    
Other tax credit 93,000    
Excess interest carryforward 5,559,000 3,547,000  
Interest deduction limit 8,100,000 11,700,000  
Income tax benefit (4,208,000) (7,000) $ 492,000
Non-current liabilities recorded related to interest and penalties on uncertain tax positions 358,000 220,000  
Penalties and interest income (expense) 145,000 (35,000) 180,000
Total uncertain tax liability including interest and penalties 4,900,000 4,300,000  
Uncertain tax liability recorded as reduction to deferred tax assets 100,000 300,000  
Uncertain tax liability recorded to non-current liability 4,800,000 4,000,000  
Approximate amount that would affect tax rate 3,600,000 $ 3,200,000 $ 2,600,000
Approximate amount of uncertain tax liability to be recognized 112,000    
Correction In Calculation Of Valuation Allowance And Uncertain Tax Position      
Investments, Owned, Federal Income Tax Note [Line Items]      
Income tax benefit 2,100,000    
Foreign Authority      
Investments, Owned, Federal Income Tax Note [Line Items]      
Net deferred tax liability $ 0