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Income Taxes - Narrative (Details)
€ in Millions
12 Months Ended 24 Months Ended
Jan. 20, 2022
USD ($)
Oct. 05, 2021
USD ($)
Oct. 05, 2021
EUR (€)
Sep. 29, 2021
EUR (€)
Jan. 13, 2021
USD ($)
Dec. 19, 2020
USD ($)
May 15, 2020
USD ($)
Aug. 15, 2017
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2012
USD ($)
Dec. 31, 2011
USD ($)
Dec. 31, 2010
USD ($)
Dec. 31, 2009
USD ($)
Dec. 31, 2020
USD ($)
Jul. 09, 2021
EUR (€)
Dec. 29, 2020
USD ($)
Dec. 31, 2019
USD ($)
Aug. 22, 2019
USD ($)
Apr. 26, 2019
USD ($)
Nov. 29, 2018
EUR (€)
Operating Loss Carryforwards [Line Items]                                          
Undistributed foreign earnings                 $ 42,500,000                        
Undistributed foreign earnings of subsidiaries                 500,000                        
Outside basis difference in foreign business held for sale                 20,100,000                        
Undistributed earnings of foreign subsidiaries indefinitely reinvested                 9,200,000                        
Undistributed earnings of foreign subsidiaries                 1,200,000                        
Increase (decrease) in valuation allowance                 (35,900,000)                        
Release deferred tax assets                 51,500,000                        
Unrecognized tax benefits liability, interest and penalties accrued                 105,100,000 $ 108,900,000         $ 108,900,000     $ 98,100,000      
Unrecognized tax benefits that would impact effective tax rate                 240,100,000 250,200,000         250,200,000     $ 204,600,000      
Income tax examination, penalties and interest expense               $ 134,100,000     $ 24,700,000 $ 40,100,000 $ 41,800,000 $ 27,500,000              
Cumulative deferred charge related to tax litigation                 $ 111,600,000                        
Royalty conceded on all omeprazole sales as a percent of refund claims (percent)                 5.24%                        
IRS Notice of Proposed Audit Adjustment from 2013, 2014 and 2015         $ 141,600,000                                
IRS Notice of Proposed Audit Adjustment for ANDA from 2013, 2014, and 2015                 $ 21,900,000                        
Income tax examination, debts subject to limit of deductibility of interest expense                                     $ 7,500,000,000    
Interest rate cap on debts for U.S. tax purposes, as percent of applicable Federal rate             130.00%                            
Income tax examination, reduction in blended interest rate due to cap for U.S. Federal tax purposes             4.00%                            
IRS notice of proposed audit adjustment to reduce deductible interest expense for fiscal years 2014 and 2015             $ 414,700,000                            
IRS notice of proposed audit adjustment, increase to gross sales revenue           $ 99,500,000                              
IRS notice of proposed audit adjustment from 2011, 2012, and 2013 audit of Athena, including penalty                                       $ 843,000,000  
IRS notice of proposed adjustment, penalty (percent)                                       40.00%  
Payment of assessment due before final determination of tax case and appeal                 0                        
Unrecognized tax benefits, period decrease                 38,300,000                        
Reduction of income tax expense due to enactment of the CARES Act                             $ 36,600,000            
Reduction of income tax expense due to change In IRS regulations                   $ 8,900,000                      
Irish Revenue                                          
Operating Loss Carryforwards [Line Items]                                          
Irish revenue, potential reduction in tax assessment | €                               € 660.0          
Expire Through Tax Year 2040                                          
Operating Loss Carryforwards [Line Items]                                          
Tax credit carryforwards                 43,600,000                        
Net operating loss carryforwards                 367,200,000                        
No Expiration                                          
Operating Loss Carryforwards [Line Items]                                          
State tax credit carryforwards                 9,000,000                        
U.S. interest carryforward                 28,100,000                        
No Expiration | U.S. Federal and Non-U.S.                                          
Operating Loss Carryforwards [Line Items]                                          
Net operating loss carryforwards                 1,200,000,000                        
Tax Year 2021                                          
Operating Loss Carryforwards [Line Items]                                          
Income tax examination, estimate of additional tax                 7,000,000                        
Subsequent Event                                          
Operating Loss Carryforwards [Line Items]                                          
Blended interest rate proposed 4.36%                                        
Blended interest rate in RAR 2.57%                                        
Stated blended interest rate on debt 6.80%                                        
Income tax examination, estimated increase to tax expense from audit adjustment to fiscal years 2014 and 2015, excluding interest and penalties $ 72,900,000                                        
Income tax examination, estimate of additional tax 58,500,000                                        
Subsequent Event | Tax Years 2013-2015                                          
Operating Loss Carryforwards [Line Items]                                          
Income tax examination, estimate of additional tax $ 18,000,000                                        
Minimum                                          
Operating Loss Carryforwards [Line Items]                                          
Income tax examination, estimate of additional tax         24,000,000                                
Maximum                                          
Operating Loss Carryforwards [Line Items]                                          
Income tax examination, estimate of additional tax         $ 112,000,000                                
Irish Revenue                                          
Operating Loss Carryforwards [Line Items]                                          
Notice of unsettled assessed audit liability, amount | €                                         € 1,643.0
Unsettled audit assessment from income tax examination | €                                         € 1,636.0
Settlement amount | €       € 297.0                                  
Taxes paid   $ 307,500,000 € 266.1                                    
Israel Tax Authority                                          
Operating Loss Carryforwards [Line Items]                                          
Unsettled audit assessment from income tax examination                                 $ 63,800,000        
Required payment from ITA                 19,000,000                        
Offset of refunds, amount                 17,200,000                        
Decrease in tax liability due to payment                 $ 12,500,000