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Income Taxes - Tax Rate (Details)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Income Tax Disclosure [Abstract]      
Statutory rate 21.00% 21.00% 21.00%
State taxes 1.10% 1.10% 0.80%
Taxes on foreign earnings (5.90%) (4.90%) (10.50%)
Tax credits (7.30%) (1.70%) (3.80%)
Purchased inventory valuation step-up and intangible assets 0.70% 0.30% (1.60%)
GILTI (0.60%) 0.70% 1.30%
Sale of Samsung Bioepis 0.00% (1.60%) 0.00%
Litigation settlement agreement 0.00% 2.60% 0.00%
Neurimmune tax impacts 0.00% 2.30% (5.30%)
Internal reorganization (0.10%) (1.40%) 0.00%
Other, including permanent items 1.50% (0.80%) 1.10%
Effective tax rate 10.40% 17.60% 3.00%