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Financial Royalty Assets - Summary of Financial Royalty Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2022 | Dec. 31, 2021
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Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | $ 16,776,307 | $ 16,027,541
Cumulative allowance for changes in expected cash flows | (2,476,460) | (1,384,141)
Net carrying value, before cumulative allowance for credit losses | 14,299,847 | 14,643,400
Cumulative allowance for credit losses | (115,422) | (310,804)
Total current and non-current financial royalty assets, net | 14,184,425 | 14,332,596
Cystic fibrosis franchise |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 5,333,535 | 5,335,641
Cumulative allowance for changes in expected cash flows | (10,908) | (48,636)
Net carrying value, before cumulative allowance for credit losses | 5,322,627 | 5,287,005
Tysabri |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,683,441 | 1,846,069
Cumulative allowance for changes in expected cash flows | (212,283) | (16,617)
Net carrying value, before cumulative allowance for credit losses | 1,471,158 | 1,829,452
Trelegy |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,284,054 |
Cumulative allowance for changes in expected cash flows | (24,126) |
Net carrying value, before cumulative allowance for credit losses | 1,259,928 |
Tremfya |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 894,160 | 881,671
Cumulative allowance for changes in expected cash flows | 0 | 0
Net carrying value, before cumulative allowance for credit losses | 894,160 | 881,671
Imbruvica |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,436,969 | 1,438,730
Cumulative allowance for changes in expected cash flows | (660,703) | (236,871)
Net carrying value, before cumulative allowance for credit losses | 776,266 | 1,201,859
Xtandi |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 1,009,168 | 1,100,065
Cumulative allowance for changes in expected cash flows | (235,625) | (172,101)
Net carrying value, before cumulative allowance for credit losses | 773,543 | 927,964
Evrysdi |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value |  | 727,774
Cumulative allowance for changes in expected cash flows |  | 0
Net carrying value, before cumulative allowance for credit losses |  | 727,774
Aggregate royalty amount when patents cease |  | 1,300,000
Other |  |
Accounts, Notes, Loans and Financing Receivable [Line Items] |  |
Gross Carrying Value | 5,134,980 | 4,697,591
Cumulative allowance for changes in expected cash flows | (1,332,815) | (909,916)
Net carrying value, before cumulative allowance for credit losses | $ 3,802,165 | $ 3,787,675

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