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Related Party Transactions (Details) - USD ($)
 12 Months Ended
Apr. 16, 2021
Dec. 08, 2017
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Mar. 31, 2020
Related Party Transaction [Line Items]            
Total distribution payable to non-controlling interest     $ 107,934,000 $ 126,366,000    
Investments in non-consolidated affiliates     435,394,000 454,936,000    
Financial royalty asset, net     14,332,596,000 12,955,277,000    
Treasury interests         $ 4,266,000  
Treasury Stock            
Related Party Transaction [Line Items]            
Treasury interests         4,266,000  
Agreement with MSCI            
Related Party Transaction [Line Items]            
Initial term 7 years          
Amounts due from related parties     $ 0      
The Manager | Operating and Personnel Payments            
Related Party Transaction [Line Items]            
Quarterly payments to affiliates, percent of adjusted cash receipts (as a percent)     6.50%      
Quarterly payments to affiliates, percent of security investment (as a percent)     0.25%      
Amount calculated for operating and personal payment     $ 1,000,000      
Percent for calculating operating and personal payment     0.3125%      
The Manager | Former Operating and Personnel Payments            
Related Party Transaction [Line Items]            
Increase in quarterly installment payments (as a percent)     5.00%      
Operating and personnel payments incurred     $ 145,200,000 112,500,000 $ 60,000,000  
Affiliated Entity | Royalty Distribution Payable to Legacy Investors Partnerships            
Related Party Transaction [Line Items]            
Total distribution payable to non-controlling interest     92,608,000 100,047,000    
Affiliated Entity | Royalty Distribution Payable to RP Select Finance Trust            
Related Party Transaction [Line Items]            
Total distribution payable to non-controlling interest     15,326,000 26,319,000    
Affiliated Entity | Assignment Agreement - Benefit of Payment Stream | Bristol-Myers Squibb            
Related Party Transaction [Line Items]            
Related party, rate (as a percent)   50.00%        
Affiliated Entity | Assignment Agreement - Funding Obligations | Bristol-Myers Squibb            
Related Party Transaction [Line Items]            
Related party, rate (as a percent)   50.00%        
Cumulative funding amount           $ 162,400,000
Financial royalty asset, net     $ 130,900,000 150,600,000    
Affiliated Entity | Acquisition Of Limited Partnership Interests In Affiliate            
Related Party Transaction [Line Items]            
Number of limited partnership interest acquired (in shares)     27,210      
Affiliated Entity | Acquisition Of Limited Partnership Interests In Affiliate | Treasury Stock            
Related Party Transaction [Line Items]            
Treasury interests     $ (4,300,000)      
Affiliated Entity | Acquisition Of Limited Partnership Interests In Affiliate | Non-Controlling Interest            
Related Party Transaction [Line Items]            
Treasury interests     $ (1,600,000) (1,900,000)    
Pablo Legorreta | Purchasing And Donating Ventilators            
Related Party Transaction [Line Items]            
Amount paid to CEO       $ 1,000,000