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Income Taxes (Narrative) (Details) - USD ($)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Effective income tax rate   (3.00%) (5.00%)
Federal statutory income tax rate 21.00%    
Valuation allowances against deferred tax assets $ 13,282,000 $ 7,170,000  
Net deferred tax liability 26,442,000 33,266,000  
Income tax expense 7,000 (492,000) $ (76,000)
Federal net operating loss carryforwards related to the acquisitions of Cardiogenesis and Hemosphere 2,000,000.0    
State net operating loss carryforwards 3,000,000.0    
Foreign net operating loss carryforwards 1,800,000    
Research and development tax credit carryforwards 500,000    
Other tax credit $ 110,000    
Other tax credit expiration date Dec. 31, 2027    
Tax credit carryforwards expiration date Dec. 31, 2030    
Excess interest carryforward $ 3,547,000 2,660,000  
Non-current liabilities recorded related to interest and penalties on uncertain tax positions 220,000 261,000  
Penalties and interest income (expense) 35,000 180,000 (27,000)
Total uncertain tax liability including interest and penalties 4,300,000 2,800,000  
Uncertain tax liability recorded as reduction to deferred tax assets 300,000 300,000  
Uncertain tax liability recorded to non-current liability 4,000,000.0 2,500,000  
Approximate amount of uncertain tax liability to be recognized 185,000    
Approximate amount that would affect tax rate 3,200,000 2,600,000 $ 3,500,000
Interest deduction limit 11,700,000 $ 15,800,000  
Correction In Calculation Of Valuation Allowance And Uncertain Tax Position [Member]      
Income tax expense $ 2,100,000    
State [Member]      
Operating loss carryforwards expiration date Dec. 31, 2022    
Foreign Authority [Member]      
Net deferred tax liability $ 175,000    
Operating loss carryforwards expiration date Dec. 31, 2025