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Indirect Cash Flow
12 Months Ended
Dec. 31, 2021
Supplemental Cash Flow Elements [Abstract]  
Indirect Cash Flow Indirect Cash Flow
Adjustments to reconcile consolidated net income to net cash provided by operating activities are summarized below (in thousands).
Years Ended December 31,
202120202019
Cash flow from operating activities:
Consolidated net income$1,241,201 $1,701,954 $2,461,419 
Adjustments to reconcile consolidated net income to net cash provided by operating activities:
Income from financial royalty assets(2,065,083)(1,959,975)(1,648,837)
Provision for changes in expected cash flows from financial royalty assets452,842 230,839 (1,019,321)
Amortization of intangible assets22,996 23,058 23,924 
Amortization of debt discount and issuance costs20,162 11,715 12,790 
Losses on derivative financial instruments21,532 42,076 39,138 
Losses/(gains) on equity securities48,066 (247,073)(155,749)
Equity in losses/(earnings) of non-consolidated affiliates19,490 (44,459)32,517 
Distributions from non-consolidated affiliates34,384 42,334 14,059 
Loss on extinguishment of debt358 30,272 — 
Share-based compensation2,443 5,428 — 
Interest income accretion(50,896)(20,551)— 
Unrealized gains on available for sale debt securities(17,859)(18,600)— 
Impairment charge— 65,053 — 
Termination of derivative financial instruments(16,093)(34,952)— 
Other4,461 9,621 (2,122)
Decrease/(increase) in operating assets:
Cash collected on financial royalty assets2,315,854 2,121,923 1,934,092 
Available for sale debt securities— — (150,000)
Accrued royalty receivable(20,131)370 2,471 
Other receivables— — 150,000 
Other royalty income receivable(9,012)(770)7,390 
Other current assets and other assets1,857 34,986 (41,028)
(Decrease)/increase in operating liabilities:
Accounts payable and accrued expenses(4,586)(766)6,496 
Interest payable15,550 42,146 — 
Net cash provided by operating activities$2,017,536 $2,034,629 $1,667,239 

Non-cash investing and financing activities are summarized below (in thousands).
Years Ended December 31,
Supplemental Schedule of Non-cash Investing/Financing Activities:202120202019
Receipt of contribution of investment in Legacy Investors Partnerships (Note 9)$— $303,679 $— 
Settlement of Epizyme forward purchase contract— 5,700 — 
Accrued purchase obligation - Tazverik (Note 17)— 110,000 — 
Repayments of long-term debt by contributions from non-controlling interest (1)— 1,103,774 — 
Milestone payable - Erleada (2)— 18,600 — 
(1) Related to the pro rata portion of RPIFT’s outstanding debt repaid by the Legacy Investors Partnerships.
(2) Related to the achievement of a sales-based milestone that was not paid as of December 31, 2020 as recorded within Other current liabilities on the consolidated balance sheet.