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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2022
Income Tax Disclosure [Abstract]  
Components of Income Tax Benefit (Provision) The benefit (provision) for incomes taxes consists of the following:
 For the years ended December 31,
(In thousands)202220212020
Current
Federal$— $— $(234)
State(394)(2,536)351 
Foreign(10,512)(2,794)(2,094)
(10,906)(5,330)(1,977)
Deferred
Federal40,750 (10,901)(254)
State12,078 1,280 933 
Foreign21,577 (538)(16,319)
74,405 (10,159)(15,640)
Total, net$63,499 $(15,489)$(17,617)
Components of Deferred Income Tax Assets and Liabilities
Deferred income tax assets and liabilities as of December 31, 2022 and 2021 are comprised of the following:
(In thousands)December 31, 2022December 31, 2021
Deferred income tax assets:
Federal net operating loss$68,022 $76,646 
State net operating loss55,134 56,583 
Foreign net operating loss16,947 17,106 
Research and development expense14,349 290 
Tax credits22,488 22,938 
Stock options33,558 30,324 
Accruals2,724 10,692 
Equity investments20,968 15,735 
Bad debts265 265 
Lease liability1,842 1,091 
Foreign credits9,629 9,829 
Available-for-sale securities2,649 2,582 
Operating lease asset10,919 14,554 
Other5,263 6,493 
Deferred income tax assets264,757 265,128 
Deferred income tax liabilities:
Intangible assets(94,856)(80,230)
Convertible debt— (6,286)
Operating lease liability(10,675)(14,554)
Investment in subsidiaries— (42,140)
Fixed assets(180)(2,592)
Other(3,097)(1,638)
Deferred income tax liabilities(108,808)(147,440)
Net deferred income tax assets (liabilities)155,949 117,688 
Valuation allowance(279,212)(260,397)
Net deferred income tax liabilities$(123,263)$(142,709)
Note: Net deferred income tax liability balances at December 31, 2022 and 2021 include $3.2 million and $5.8 million, respectively, recorded to Other assets on the Consolidated Balance Sheets.
Change in Gross Unrecognized Income
The following summarizes the changes in our gross unrecognized income tax benefits.
 For the years ended December 31,
(In thousands)20222021
Unrecognized tax benefits at beginning of period$11,497 $13,954 
Gross increases – tax positions in current period3,713 166 
Gross decreases – tax positions in prior period(271)(575)
Gross decreases – settlements with taxing authorities— (1,952)
Lapse of Statute of Limitations(96)(96)
Unrecognized tax benefits at end of period$14,843 $11,497 
Schedule of Difference in Federal and Effective Tax Rate The significant elements contributing to the difference between the federal statutory tax rate and the effective tax rate are as follows:
 For the years ended December 31,
 202220212020
Federal statutory rate21.0 %21.0 %21.0 %
State income taxes, net of federal benefit4.0 %(7.9)%17.4 %
Foreign income tax(2.0)%21.6 %53.7 %
Income Tax Refunds— %6.1 %(0.6)%
Research and development tax credits0.2 %2.3 %(1.0)%
GeneDx Disposition0.8 %— %— %
Valuation allowance(6.3)%235.4 %227.7 %
Rate change effect5.2 %(40.5)%11.4 %
Non-deductible items0.6 %(67.0)%5.2 %
Unrecognized tax benefits(0.7)%11.3 %(5.0)%
GILTI(4.9)%— %— %
IPR&D benefit— %— %(309.6)%
Stock options excess tax benefit(0.3)%(3.8)%10.6 %
Imputed interest(0.4)%(6.3)%2.5 %
Investment in subsidiaries— %(287.6)%— %
Other(1.0)%9.7 %3.2 %
Total16.2 %(105.7)%36.5 %
Reconciliation Losses Before Tax, US and Foreign Jurisdictions
The following table reconciles our income (loss) before income taxes between U.S. and foreign jurisdictions:
  
For the years ended December 31,
(In thousands)202220212020
Pre-tax income (loss):
U.S.$(389,439)$(2,965)$81,734 
Foreign(2,465)(11,689)(33,531)
Total$(391,904)$(14,654)$48,203