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Financial Royalty Assets, Net - Summary of Financial Royalty Assets, Net (Details) - USD ($) $ in Thousands | Dec. 31, 2021 | Dec. 31, 2020
--- | --- | ---
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | $ 16,027,541 | $ 14,219,101
Cumulative allowance for changes in expected cash flows | (1,384,141) | (940,107)
Net carrying value, before cumulative allowance for credit losses | 14,643,400 | 13,278,994
Cumulative allowance for credit losses | (310,804) | (323,717)
Net carrying value | 14,332,596 | 12,955,277
Cystic fibrosis franchise |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 5,335,641 | 5,274,896
Cumulative allowance for changes in expected cash flows | (48,636) | 0
Net carrying value, before cumulative allowance for credit losses | 5,287,005 | 5,274,896
Tysabri |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,846,069 | 2,003,797
Cumulative allowance for changes in expected cash flows | (16,617) | (112,720)
Net carrying value, before cumulative allowance for credit losses | 1,829,452 | 1,891,077
Imbruvica |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,438,730 | 1,406,291
Cumulative allowance for changes in expected cash flows | (236,871) | (46,872)
Net carrying value, before cumulative allowance for credit losses | 1,201,859 | 1,359,419
Xtandi |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,100,065 | 1,150,335
Cumulative allowance for changes in expected cash flows | (172,101) | (145,565)
Net carrying value, before cumulative allowance for credit losses | 927,964 | 1,004,770
Tremfya |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 881,671 |
Cumulative allowance for changes in expected cash flows | 0 |
Net carrying value, before cumulative allowance for credit losses | 881,671 |
Evrysdi |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 727,774 | 675,440
Cumulative allowance for changes in expected cash flows | 0 | 0
Net carrying value, before cumulative allowance for credit losses | 727,774 | 675,440
Aggregate royalty amount when patents cease | 1,300,000 | 1,300,000
Promacta |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value |  | 686,129
Cumulative allowance for changes in expected cash flows |  | 0
Net carrying value, before cumulative allowance for credit losses |  | 686,129
Other |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 4,697,591 | 3,022,213
Cumulative allowance for changes in expected cash flows | (909,916) | (634,950)
Net carrying value, before cumulative allowance for credit losses | $ 3,787,675 | $ 2,387,263

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