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Income Taxes (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Reconciliation between the U.S. federal statutory tax rate and effective tax rate        
Statutory rate 21.00% 21.00% 21.00% 21.00%
State taxes (1.30%) 1.90% 1.60% 1.10%
Taxes on foreign earnings 2.60% (3.40%) (6.10%) (4.40%)
Credits and net operating loss utilization 24.60% (1.40%) (7.70%) (1.50%)
Purchased intangible assets (2.30%) 0.10% 0.70% 0.20%
GILTI 14.80% 0.80% (1.70%) 0.50%
Sale of Samsung Bioepis 0.00% (0.80%) 0.00% (1.90%)
Litigation settlement agreement 0.00% (1.20%) 0.00% 3.10%
Neurimmune tax impacts (0.001) 0 0 0.028
International reorganization 0.00% 0.00% 0.00% (1.70%)
Other (7.70%) 0.20% 1.40% 0.20%
Effective tax rate 51.60% 17.20% 9.20% 19.40%