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Cumulative Allowance and the Provision for Changes in Expected Cash Flows from Financial Royalty Assets - Narrative (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Financing Receivable, Allowance for Credit Loss [Line Items]
Cumulative adjustment to retained earnings	$ (10,248,545)	$ (9,895,815)	$ (6,141,438)	$ (4,552,079)
Retained Earnings
Financing Receivable, Allowance for Credit Loss [Line Items]
Cumulative adjustment to retained earnings	$ (2,255,179)	$ (1,920,635)	(2,825,212)	$ (1,215,953)
Cumulative Effect, Period of Adoption, Adjustment
Financing Receivable, Allowance for Credit Loss [Line Items]
Cumulative adjustment to retained earnings			192,705
Cumulative Effect, Period of Adoption, Adjustment | Retained Earnings
Financing Receivable, Allowance for Credit Loss [Line Items]
Cumulative adjustment to retained earnings			$ 192,705

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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Amount of stockholders' equity (deficit), net of receivables from officers, directors, owners, and affiliates of the entity, attributable to both the parent and noncontrolling interests. Amount excludes temporary equity. Alternate caption for the concept is permanent equity.

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