v3.22.4
Income Taxes - Reconciliation Between Statutory Tax Rate and Effective Tax Rate (Detail)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Income Tax Disclosure [Abstract]      
Federal tax at statutory rate 21.00% 21.00% 21.00%
State taxes 4.80% 2.30% 2.60%
Change in valuation allowance 1.00% (0.10%) (3.50%)
Research and development credit (25.90%) (6.50%) (5.40%)
Orphan drug credit (0.90%) (0.10%) (1.30%)
Section 162(m) limitation 9.40% 2.60% 1.70%
Other tax rate changes 1.70% (0.20%) 0.20%
Uncertain tax positions 24.50% 4.00% 4.70%
Stock-based compensation 5.80% (1.80%) 5.10%
Settlements 2.60% 0.00% 0.00%
Other items 0.50% 0.50% 1.20%
Effective tax rate 44.50% 21.70% 26.30%