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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2017
Income Tax Disclosure [Abstract]  
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Components of income before income taxes consist of the following:
 
 
Year Ended December 31,
 
 
2017
 
2016
 
2015
United States
$
1,964,759

 
$
1,650,959

 
$
1,665,087

Foreign
113,752

 
(321,144
)
 
(439,990
)
 
 
$
2,078,511

 
$
1,329,815

 
$
1,225,097

Schedule of Components of Income Tax Expense (Benefit)
Components of income tax expense consist of the following:
 
 
Year Ended December 31,
 
 
2017
 
2016
 
2015
Current:
 
 
 
 
 
 
Federal
$
560,250

 
$
786,964

 
$
686,561

 
State
(4,086
)
 
8,769

 
28,568

 
Foreign
4,827

 
(1,362
)
 
4,004

 
Total current tax expense
560,991

 
794,371

 
719,133

Deferred:
 
 
 
 
 
 
Federal
317,064

 
(377,368
)
 
(119,849
)
 
State
(1,258
)
 
13,431

 
(3,768
)
 
Foreign
3,203

 
3,859

 
(6,475
)
 
Total deferred tax expense (benefit)
319,009

 
(360,078
)
 
(130,092
)
 
$
880,000

 
$
434,293

 
$
589,041

Schedule of Effective Income Tax Rate Reconciliation
A reconciliation of the U.S. statutory income tax rate to the Company's effective income tax rate is as follows:
 
Year Ended December 31,
 
2017
 
2016
 
2015
U.S. federal statutory tax rate
35.0
 %
 
35.0
 %
 
35.0
 %
Impact of change in U.S. corporate tax rate (the Act)
15.7

 

 

Stock-based compensation
(9.0
)
 
(10.9
)
 

State and local income taxes
0.1

 
1.3

 
0.9

Taxation of non-U.S. operations
0.7

 
8.8

 
12.2

Income tax credits
(1.3
)
 
(1.2
)
 
(1.6
)
Non-deductible Branded Prescription Drug Fee
1.7

 
1.9

 
2.0

Domestic production activities deduction
(2.6
)
 
(2.8
)
 
(3.2
)
Other permanent differences
2.0

 
0.6

 
2.8

Effective income tax rate
42.3
 %
 
32.7
 %
 
48.1
 %
Schedule of Deferred Tax Assets and Liabilities
Significant components of the Company's deferred tax assets and liabilities are as follows:
 
 
As of December 31,
 
 
2017
 
2016
Deferred tax assets:
 
 
 
 
Deferred revenue
 
$
102,441

 
$
214,587

Deferred compensation
 
391,034

 
515,984

Fixed assets and intangible assets
 

 
21,139

Accrued expenses
 
38,312

 
37,188

Other
 
26,387

 
49,100

 
 
558,174

 
837,998

     Valuation allowance
 
(4,187
)
 
(3,420
)
     Total deferred tax assets
 
553,987

 
834,578

 
 
 
 
 
Deferred tax liabilities:
 
 
 
 
Fixed assets and intangible assets
 
(44,629
)
 

Other
 
(3,067
)
 
(9,275
)
Total deferred tax liabilities
 
(47,696
)
 
(9,275
)
Net deferred tax assets
 
$
506,291

 
$
825,303

Schedule Of Unrecognized Tax Benefits Roll Forward
The Company's 2012 through 2016 federal income tax returns remain open to examination by the IRS. The Company's 2012 and 2013 federal income tax returns are currently under audit by the IRS. The Company's state income tax returns from 2013 to 201