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Income Taxes (Details 2) (USD $)
3 Months Ended 12 Months Ended
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Tax Carryforwards                      
Federal statutory income tax rate (percent)                 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate 35.00%us-gaap_EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
Reconciliation of Income Tax Expense:                      
(Loss) income from continuing operations before provision for (benefit from) income taxes $ (178,594,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (166,577,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (158,396,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (231,308,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (19,568,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (118,900,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (53,793,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (433,783,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (734,875,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ (626,044,000)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments $ 31,996,000us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
Expected tax provision (benefit)                 (257,206,000)us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate (219,115,000)us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate 11,199,000us-gaap_IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate
State taxes, net of federal benefit                 1,124,000us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes 3,844,000us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes 1,693,000us-gaap_IncomeTaxReconciliationStateAndLocalIncomeTaxes
Foreign rate differential                 39,335,000us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential 79,799,000us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential 46,168,000us-gaap_IncomeTaxReconciliationForeignIncomeTaxRateDifferential
Tax credits                 (33,788,000)us-gaap_IncomeTaxReconciliationTaxCredits (16,775,000)us-gaap_IncomeTaxReconciliationTaxCredits (1,791,000)us-gaap_IncomeTaxReconciliationTaxCredits
Unbenefitted operating losses                 241,037,000vrtx_IncomeTaxReconciliationUnbenefitedOperatingLosses (29,900,000)vrtx_IncomeTaxReconciliationUnbenefitedOperatingLosses (63,189,000)vrtx_IncomeTaxReconciliationUnbenefitedOperatingLosses
Non-deductible expenses                 18,756,000us-gaap_IncomeTaxReconciliationNondeductibleExpense 9,614,000us-gaap_IncomeTaxReconciliationNondeductibleExpense 3,084,000us-gaap_IncomeTaxReconciliationNondeductibleExpense
Rate change                 (1,826,000)us-gaap_IncomeTaxReconciliationChangeInEnactedTaxRate 50,076,000us-gaap_IncomeTaxReconciliationChangeInEnactedTaxRate 3,275,000us-gaap_IncomeTaxReconciliationChangeInEnactedTaxRate
Other                 (474,000)us-gaap_IncomeTaxReconciliationOtherAdjustments 35,000us-gaap_IncomeTaxReconciliationOtherAdjustments (714,000)us-gaap_IncomeTaxReconciliationOtherAdjustments
Provision for (benefit from) income taxes 2,043,000us-gaap_IncomeTaxExpenseBenefit 3,419,000us-gaap_IncomeTaxExpenseBenefit 693,000us-gaap_IncomeTaxExpenseBenefit 803,000us-gaap_IncomeTaxExpenseBenefit 1,352,000us-gaap_IncomeTaxExpenseBenefit 2,555,000us-gaap_IncomeTaxExpenseBenefit 558,000us-gaap_IncomeTaxExpenseBenefit (126,887,000)us-gaap_IncomeTaxExpenseBenefit 6,958,000us-gaap_IncomeTaxExpenseBenefit (122,422,000)us-gaap_IncomeTaxExpenseBenefit (275,000)us-gaap_IncomeTaxExpenseBenefit
Deferred tax assets:                      
Net operating loss 996,172,000us-gaap_DeferredTaxAssetsOperatingLossCarryforwards       850,946,000us-gaap_DeferredTaxAssetsOperatingLossCarryforwards       996,172,000us-gaap_DeferredTaxAssetsOperatingLossCarryforwards 850,946,000us-gaap_DeferredTaxAssetsOperatingLossCarryforwards  
Tax credit carryforwards 265,339,000us-gaap_DeferredTaxAssetsTaxCreditCarryforwards       180,380,000us-gaap_DeferredTaxAssetsTaxCreditCarryforwards       265,339,000us-gaap_DeferredTaxAssetsTaxCreditCarryforwards 180,380,000us-gaap_DeferredTaxAssetsTaxCreditCarryforwards  
Intangible assets 3,174,000vrtx_DeferredTaxAssetsIntangibles       26,105,000vrtx_DeferredTaxAssetsIntangibles       3,174,000vrtx_DeferredTaxAssetsIntangibles 26,105,000vrtx_DeferredTaxAssetsIntangibles  
Deferred revenues 15,771,000us-gaap_DeferredTaxAssetsDeferredIncome       25,158,000us-gaap_DeferredTaxAssetsDeferredIncome       15,771,000us-gaap_DeferredTaxAssetsDeferredIncome 25,158,000us-gaap_DeferredTaxAssetsDeferredIncome  
Stock-based compensation 61,527,000us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost       63,521,000us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost       61,527,000us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost 63,521,000us-gaap_DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost  
Inventories 13,395,000us-gaap_DeferredTaxAssetsInventory       26,278,000us-gaap_DeferredTaxAssetsInventory       13,395,000us-gaap_DeferredTaxAssetsInventory 26,278,000us-gaap_DeferredTaxAssetsInventory  
Accrued expenses 37,699,000vrtx_DeferredTaxAssetsAccruedExpensesAndOther       52,470,000vrtx_DeferredTaxAssetsAccruedExpensesAndOther       37,699,000vrtx_DeferredTaxAssetsAccruedExpensesAndOther 52,470,000vrtx_DeferredTaxAssetsAccruedExpensesAndOther  
Currency translation adjustment 0us-gaap_DeferredTaxAssetsUnrealizedCurrencyLosses       217,000us-gaap_DeferredTaxAssetsUnrealizedCurrencyLosses       0us-gaap_DeferredTaxAssetsUnrealizedCurrencyLosses 217,000us-gaap_DeferredTaxAssetsUnrealizedCurrencyLosses  
Construction financing lease obligation 175,853,000vrtx_DeferredTaxAssetsDisregardedEntityDeferrals       152,688,000vrtx_DeferredTaxAssetsDisregardedEntityDeferrals       175,853,000vrtx_DeferredTaxAssetsDisregardedEntityDeferrals 152,688,000vrtx_DeferredTaxAssetsDisregardedEntityDeferrals  
Gross deferred tax assets 1,568,930,000us-gaap_DeferredTaxAssetsGross       1,377,763,000us-gaap_DeferredTaxAssetsGross       1,568,930,000us-gaap_DeferredTaxAssetsGross 1,377,763,000us-gaap_DeferredTaxAssetsGross  
Valuation allowance (1,409,936,000)us-gaap_DeferredTaxAssetsValuationAllowance       (1,243,664,000)us-gaap_DeferredTaxAssetsValuationAllowance       (1,409,936,000)us-gaap_DeferredTaxAssetsValuationAllowance (1,243,664,000)us-gaap_DeferredTaxAssetsValuationAllowance  
Total deferred tax assets 158,994,000us-gaap_DeferredTaxAssetsNet       134,099,000us-gaap_DeferredTaxAssetsNet       158,994,000us-gaap_DeferredTaxAssetsNet 134,099,000us-gaap_DeferredTaxAssetsNet  
Deferred tax liabilities:                      
Property and equipment (158,994,000)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment       (134,099,000)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment       (158,994,000)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment (134,099,000)us-gaap_DeferredTaxLiabilitiesPropertyPlantAndEquipment  
Acquired intangibles (11,544,000)us-gaap_DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets       0us-gaap_DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets       (11,544,000)us-gaap_DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets 0us-gaap_DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets  
Net deferred tax liabilities (11,544,000)us-gaap_DeferredTaxLiabilities       0us-gaap_DeferredTaxLiabilities       (11,544,000)us-gaap_DeferredTaxLiabilities 0us-gaap_DeferredTaxLiabilities  
Deferred tax assets recognized in prepaid expenses and other current assets 3,500,000us-gaap_DeferredTaxAssetsNetCurrent       0us-gaap_DeferredTaxAssetsNetCurrent       3,500,000us-gaap_DeferredTaxAssetsNetCurrent 0us-gaap_DeferredTaxAssetsNetCurrent  
Deferred tax liabilities recognized in other liabilities, excluding current portion 15,044,000us-gaap_DeferredTaxLiabilitiesNoncurrent       0us-gaap_DeferredTaxLiabilitiesNoncurrent       15,044,000us-gaap_DeferredTaxLiabilitiesNoncurrent 0us-gaap_DeferredTaxLiabilitiesNoncurrent  
Reconciliation of unrecognized tax benefits                      
Unrecognized tax benefits beginning of year       2,024,000us-gaap_UnrecognizedTaxBenefits       4,106,000us-gaap_UnrecognizedTaxBenefits 2,024,000us-gaap_UnrecognizedTaxBenefits 4,106,000us-gaap_UnrecognizedTaxBenefits  
Gross change for current year positions                 0vrtx_UnrecognizedTaxBenefitsGrossChangeFromCurrentPeriodTaxPositions 1,325,000vrtx_UnrecognizedTaxBenefitsGrossChangeFromCurrentPeriodTaxPositions  
Decrease for prior period positions                 (27,000)us-gaap_UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions (290,000)us-gaap_UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions  
Decrease due to settlements and payments                 (1,117,000)us-gaap_UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities 0us-gaap_UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities  
Decrease due to statute limitations                 0us-gaap_UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations (185,000)us-gaap_UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations  
Deconsolidation of Alios                 0vrtx_UnrecognizedTaxBenefitsDecreaseResultingfromDeconsolidation (2,932,000)vrtx_UnrecognizedTaxBenefitsDecreaseResultingfromDeconsolidation  
Unrecognized tax benefits end of year 880,000us-gaap_UnrecognizedTaxBenefits       2,024,000us-gaap_UnrecognizedTaxBenefits       880,000us-gaap_UnrecognizedTaxBenefits 2,024,000us-gaap_UnrecognizedTaxBenefits 4,106,000us-gaap_UnrecognizedTaxBenefits
Decreased in valuation allowance                 (166,300,000)us-gaap_IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance    
Estimated reduction in unrecognized tax benefits in next fiscal year 500,000vrtx_UnrecognizedTaxBenefitsReductionResultingfromLapseofApplicableStatuteofLimitationsandSettlementswithTaxingAuthoritiesEstimatedinNextFiscalYear               500,000vrtx_UnrecognizedTaxBenefitsReductionResultingfromLapseofApplicableStatuteofLimitationsandSettlementswithTaxingAuthoritiesEstimatedinNextFiscalYear    
Federal                      
Deferred tax liabilities:                      
Operating loss carryforwards 3,600,000,000us-gaap_OperatingLossCarryforwards
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_InternalRevenueServiceIRSMember
              3,600,000,000us-gaap_OperatingLossCarryforwards
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_InternalRevenueServiceIRSMember
   
Tax credit carryforwards 172,400,000us-gaap_TaxCreditCarryforwardAmount
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_InternalRevenueServiceIRSMember
              172,400,000us-gaap_TaxCreditCarryforwardAmount
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_InternalRevenueServiceIRSMember
   
Operating loss carryforwards that will increase APIC when used to reduce income taxes payable 908,500,000vrtx_OperatingLossCarryforwardsThatWillIncreaseAdditionalPaidInCapitalWhenUsed
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_InternalRevenueServiceIRSMember
              908,500,000vrtx_OperatingLossCarryforwardsThatWillIncreaseAdditionalPaidInCapitalWhenUsed
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_InternalRevenueServiceIRSMember
   
State                      
Deferred tax liabilities:                      
Operating loss carryforwards 750,800,000us-gaap_OperatingLossCarryforwards
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_StateAndLocalJurisdictionMember
              750,800,000us-gaap_OperatingLossCarryforwards
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_StateAndLocalJurisdictionMember
   
Tax credit carryforwards 95,900,000us-gaap_TaxCreditCarryforwardAmount
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_StateAndLocalJurisdictionMember
              95,900,000us-gaap_TaxCreditCarryforwardAmount
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_StateAndLocalJurisdictionMember
   
Reconciliation of unrecognized tax benefits                      
Unrecognized tax benefits end of year 98,400,000us-gaap_UnrecognizedTaxBenefits
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_StateAndLocalJurisdictionMember
              98,400,000us-gaap_UnrecognizedTaxBenefits
/ vrtx_OperatingLossAndTaxCreditCarryforwardsAxis
= us-gaap_StateAndLocalJurisdictionMember
   
BioAxone Biosciences, Inc                      
Deferred tax liabilities:                      
Deferred tax liabilities recognized in other liabilities, excluding current portion $ 11,500,000us-gaap_DeferredTaxLiabilitiesNoncurrent
/ vrtx_CollaborativeArrangementsByAgreementAxis
= vrtx_BioAxoneBiosciencesIncMember
              $ 11,500,000us-gaap_DeferredTaxLiabilitiesNoncurrent
/ vrtx_CollaborativeArrangementsByAgreementAxis
= vrtx_BioAxoneBiosciencesIncMember