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Income Taxes - Components of Deferred Tax Assets and Liabilities (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Mar. 31, 2023
Dec. 31, 2022
Deferred tax assets:      
Tax credits $ 252.8   $ 112.6
Inventory, other reserves and accruals 203.7   202.8
Intangibles, net 1,153.9   1,370.3
Neurimmune's tax basis in ADUHELM 0.0   470.3
IRC Section 174 capitalized research and development 570.8   271.8
Net operating loss 1,700.4   1,845.9
Share-based compensation 36.1   37.2
Other 293.3   280.7
Valuation allowance (1,278.7) $ (85.0) (2,003.3)
Total deferred tax assets 2,932.3   2,588.3
Deferred tax liabilities:      
Purchased inventory valuation step-up and intangible assets (1,257.4)   (76.1)
Samsung Bioepis investment installments (35.5)   (138.0)
GILTI (1,136.9)   (1,002.0)
Tax credits 0.0   (228.7)
Depreciation, amortization and other (215.7)   (251.8)
Total deferred tax liabilities $ (2,645.5)   $ (1,696.6)