8. Income Taxes

Domestic and foreign pre-tax income (loss) is as follows (in thousands):

 

 

Years Ended December 31,

 

 

 

2025

 

 

2024

 

 

2023

 

Domestic

 

$

72,159

 

 

$

95,845

 

 

$

(100,215

)

Foreign

 

 

66,745

 

 

 

162,230

 

 

 

49,179

 

 

 

$

138,904

 

 

$

258,075

 

 

$

(51,036

)

 

The income tax provision consists of the following (in thousands):

 

 

Years Ended December 31,

 

 

 

2025

 

 

2024

 

 

2023

 

Current provision:

 

 

 

 

 

 

 

 

 

Federal

 

$

(4,804

)

 

$

19,542

 

 

$

5,440

 

State

 

 

2,819

 

 

 

12,064

 

 

 

4,805

 

Foreign

 

 

213

 

 

 

18

 

 

 

5

 

Total current provision

 

 

(1,772

)

 

 

31,624

 

 

 

10,250

 

 

 

 

 

 

 

 

 

 

 

Deferred provision:

 

 

 

 

 

 

 

 

 

Federal

 

$

(212,448

)

 

$

 

 

$

 

State

 

 

(26,663

)

 

 

 

 

 

 

Foreign

 

 

(11,213

)

 

 

 

 

 

 

Total deferred provision

 

 

(250,324

)

 

 

 

 

 

 

Total income tax provision

 

$

(252,096

)

 

$

31,624

 

 

$

10,250

 

At December 31, 2025, the Company had federal, state, and foreign net operating losses (NOL) carryforwards of approximately $111.4 million, $453.0 million, and $271.0 million, respectively. Utilization of the domestic NOL and research and development (R&D) credit carryforwards may be subject to a substantial annual limitation due to ownership change limitations that have occurred or that could occur in the future, as required by Section 382 of the Code, as well as similar state and foreign provisions. These ownership changes may limit the amount of NOL and R&D credit carryforwards that can be utilized annually to offset future taxable income and tax, respectively. In general, an “ownership change” as defined by Section 382 of the Code results from a transaction or series of transactions over a three-year period resulting in an ownership change of more than 50 percentage points of the outstanding stock of a company by certain stockholders or public groups.

The Company previously completed a study to assess whether an ownership change, as defined by Section 382 of the Code, had occurred from the Company’s formation through December 31, 2013. Based upon this study, the Company determined that several ownership changes had occurred. Accordingly, the Company reduced its deferred tax assets related to the federal NOL carryforwards and the federal R&D credit carryforwards that are anticipated to expire unused as a result of these ownership changes. These tax attributes were excluded from deferred tax assets with a corresponding reduction of the valuation allowance with no net effect on income tax expense or the effective tax rate. The Company completed a study through December 31, 2024 and concluded no additional ownership changes occurred. Future ownership changes may further limit the Company’s ability to utilize its remaining tax attributes.

The Company has federal and state NOL carryforwards of $2.4 million and $453.0 million that will begin to expire in 2037 and 2026, respectively, unless utilized. The remaining federal and state NOL carryforwards of $109.0 million and $1.6 million, respectively, will carry forward indefinitely. At December 31, 2025, the Company had federal and state charitable contribution carryforwards of $141.0 million which will begin to expire in 2026. At December 31, 2025, the Company had $64.0 million of federal R&D credit carryforwards, of which $1.0 million will expire in 2026 unless utilized, and the remaining federal R&D credit carryforwards will begin to expire beginning in 2027. At December 31, 2025, the Company had state R&D credit carryforwards of approximately $1.9 million that will begin to expire in 2026 and $22.8 million that have no expiration date. At December 31, 2025, the Company had Switzerland NOL carryforwards of $253.9 million, of which, $108.0 million will expire in 2026 unless utilized. At December 31, 2025, the Company had other foreign NOL carryforwards of $17.1 million which do not expire. The Company continues to record the deferred tax assets related to these attributes, subject to valuation allowance, until expiration occurs.

The components of the deferred tax assets are as follows (in thousands):

 

 

December 31,

 

 

 

2025

 

 

2024

 

Deferred tax assets

 

 

 

 

 

 

NOL carryforwards

 

$

77,118

 

 

$

117,052

 

R&D credit carryforwards

 

 

52,481

 

 

 

27,543

 

Capitalized R&D

 

 

92,957

 

 

 

110,848

 

Stock-based compensation

 

 

37,994

 

 

 

51,438

 

Charitable contributions

 

 

33,765

 

 

 

40,008

 

Lease liabilities

 

 

12,334

 

 

 

12,753

 

Intangibles

 

 

47,320

 

 

 

50,431

 

Accrued rebates

 

 

 

 

 

35,186

 

Other

 

 

21,675

 

 

 

21,130

 

Total deferred tax assets

 

 

375,644

 

 

 

466,389

 

Valuation allowance

 

 

(114,603

)

 

 

(454,966

)

Deferred tax liabilities

 

 

 

 

 

 

Right-of-use assets

 

 

(11,162

)

 

 

(11,423

)

Total deferred tax liabilities

 

 

(11,162

)

 

 

(11,423

)

Total net deferred tax assets

 

$

249,879

 

 

$

 

The Company recognized a valuation allowance of $114.6 million and $455.0 million as of December 31, 2025 and 2024, respectively, against the net deferred tax assets as realization of such assets is uncertain.

Realization of deferred tax assets is dependent upon future earnings, if any, the timing and amount of which are uncertain. As of each reporting date, management considers new evidence, both positive and negative, that could affect its view of the future realization of its deferred tax assets. As of December 31, 2024, management determined none of their deferred tax assets were realizable. As of December 31, 2025, in part because in the current year the Company achieved three years of cumulative pretax income, management determined that there is sufficient positive evidence to conclude that it is more likely than not that deferred taxes of $249.9 million are realizable. Accordingly, the valuation allowance was reduced by $340.4 million.

The amount of the deferred tax asset considered realizable could be further adjusted if estimates of the future taxable income during the carryforward period are increased, or if objective negative evidence in the form of cumulative losses is no longer present and additional weight is given to subjective evidence such as the Company’s projections for future growth.

An accounting policy may be selected to either (i) treat taxes due on future U.S. inclusions in taxable income related to global intangible low-taxed income (GILTI) as a current-period expense when incurred or (ii) factor such amounts into a company’s measurement of its deferred taxes. The Company has elected to account for GILTI as a period cost.

The Company adopted ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures on a prospective basis. As a result, the rate reconciliation for 2025 is presented in accordance with the new disclosure requirements, while the reconciliation for 2024 and 2023 continues to be presented under disclosure requirements in effect for those periods.

A reconciliation of the provision for income taxes to the amount computed by applying the statutory federal income tax rate to the net loss is summarized as follows (in thousands):

 

 

Year Ended December 31, 2025

 

 

 

Amount

 

 

Percent

 

U.S. federal statutory tax rate

 

$

29,308

 

 

 

21.10

%

State and local income taxes, net of federal income tax effect (1)

 

 

(24,819

)

 

 

-17.87

%

Foreign tax effects

 

 

 

 

 

 

Switzerland

 

 

 

 

 

 

Foreign rate differential

 

 

(9,579

)

 

 

-6.90

%

Change in valuation allowance

 

 

(16,416

)

 

 

-11.82

%

Other

 

 

196

 

 

 

0.14

%

Other foreign jurisdictions

 

 

 

 

 

 

Other

 

 

749

 

 

 

0.55

%

Effects of cross-border tax laws

 

 

 

 

 

 

GILTI

 

 

1,904

 

 

 

1.37

%

Federal R&D tax credits

 

 

(10,600

)

 

 

-7.63

%

Change in valuation allowance

 

 

(247,298

)

 

 

-178.03

%

Non-deductible items

 

 

 

 

 

 

Stock compensation

 

 

17,185

 

 

 

12.37

%

IP R&D write-off

 

 

1,892

 

 

 

1.36

%

BPD fees

 

 

1,862

 

 

 

1.34

%

Other

 

 

1,916

 

 

 

1.38

%

Changes in unrecognized tax benefits

 

 

1,450

 

 

 

1.04

%

Other adjustments

 

 

 

 

 

 

Other

 

 

154

 

 

 

0.11

%

Income tax expense (benefit)

 

$

(252,096

)

 

 

-181.48

%

__________________________________________

(1) During the year ended December 31, 2025, state taxes in Tennessee and Kentucky comprised greater than 50% of the tax effect in this category.

Below is a rate reconciliation of income taxes to the amount computed by applying the statutory federal income tax rate to the pretax income (loss) is summarized as follows (in thousands):

 

 

Years Ended December 31,

 

 

 

2024

 

 

2023

 

Amounts computed at statutory federal rate

 

$

54,196

 

 

$

(10,718

)

Stock-based compensation and other permanent differences

 

 

9,986

 

 

 

7,865

 

Branded pharmaceutical drug fee

 

 

2,122

 

 

 

1,848

 

Write-off of IP R&D

 

 

1,260

 

 

 

 

Other permanent differences

 

 

1,008

 

 

 

593

 

R&D credits

 

 

(18,406

)

 

 

(5,827

)

Change in valuation allowance

 

 

(27,013

)

 

 

1,100

 

State taxes

 

 

3,050

 

 

 

(977

)

Contingencies

 

 

5,960

 

 

 

(2,071

)

Foreign rate differential

 

 

(13,715

)

 

 

(5,076

)

Deferred adjustments for limits on executive compensation

 

 

2,375

 

 

 

2,112

 

Deferred rate adjustment

 

 

(528

)

 

 

(438

)

Expiration of attributes

 

 

3,264

 

 

 

17,225

 

GILTI

 

 

8,215

 

 

 

7,665

 

Other

 

 

(150

)

 

 

(3,051

)

Income tax expense

 

$

31,624

 

 

$

10,250

 

 

The tax years 2003 – 2025 remain open to examination by the major taxing jurisdictions to which the Company is subject.

The Company recognizes a tax benefit from an uncertain tax position when it is more likely than not that the position will be sustained upon examination. The Company recorded an uncertain tax position reserve of $3.2 million, $1.3 million and $18.0 million for the years ended December 31, 2025, 2024, and 2023, respectively. Due to the partial valuation allowance recorded against the Companys deferred tax assets, approximately $39.4 million and $8.7 million of the total unrecognized tax benefits as of December 31, 2025 and 2024, respectively, would reduce the annual effective tax rate if recognized. The Company’s practice is to recognize interest and/or penalties related to uncertain income tax positions in income tax expense. The Company had immaterial interest and/or penalties accrued on the Company’s consolidated balance sheets at December 31, 2025 or 2024, respectively. Further, the Company recognized an insignificant amount of interest and/or penalties in the statement of operations for the years ended December 31, 2025, 2024 and 2023, respectively, related to uncertain tax positions.

The following table provides a reconciliation of changes in unrecognized tax benefits (in thousands):

 

 

Years Ended December 31,

 

 

 

2025

 

 

2024

 

 

2023

 

Balance at beginning of period

 

$

38,375

 

 

$

37,112

 

 

$

19,064

 

Additions related to current period tax positions

 

 

3,102

 

 

 

6,337

 

 

 

5,304

 

Additions related to prior period tax positions

 

 

2,149

 

 

 

 

 

 

12,956

 

Reductions related to prior period tax positions

 

 

(2,048

)

 

 

(5,074

)

 

 

(212

)

Balance at end of period

 

$

41,578

 

 

$

38,375

 

 

$

37,112

 

The Company asserts that any foreign earnings will be indefinitely reinvested, and accordingly, the Company has not recorded a liability for taxes associated with these undistributed earnings. If the Company determines that all or a portion of such foreign earnings are no longer indefinitely reinvested, the Company may be subject to additional foreign withholding taxes and U.S. state income taxes.

 

 

Years Ended December 31, 2025

 

 

 

Income Taxes Paid (Net of Refunds)

 

US federal

 

$

12,700

 

US state and local

 

 

 

Kentucky

 

 

2,100

 

Tennessee

 

 

7,472

 

Other

 

 

1,767

 

Foreign

 

 

 

Total income taxes paid (net of refunds)

 

$

24,039

 

Historical Timeline

Fiscal YearFiled
2025Feb 26, 2026Showing above
2024Feb 27, 2025
2023Feb 28, 2024
2022Feb 28, 2023
2021Mar 1, 2022
2020Feb 25, 2021
2017Feb 27, 2018

About Income Taxes Disclosures

The income tax disclosure reveals how much a company actually pays in taxes versus what the statutory rate would predict. Analysts focus on the effective tax rate (ETR) reconciliation, which breaks down every item driving the gap between the 21% federal rate and the company's reported ETR — including R&D credits, foreign rate differentials, and state taxes. Deferred tax assets (DTAs) and their valuation allowances signal management's confidence in future profitability: a rising allowance suggests the company doubts it can use accumulated tax benefits. Uncertain tax benefit (UTB) reserves quantify exposure to IRS challenges on aggressive positions.

Key signals to watch: sudden ETR drops without clear operational reasons, large increases in valuation allowances, growing UTB balances, and significant unremitted foreign earnings. Post-TCJA, pay attention to GILTI and BEAT provisions that affect multinational tax structures. Compare the cash taxes paid (from the cash flow statement) against the income tax provision to gauge earnings quality.