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Indirect Cash Flow (Details) - USD ($) $ in Thousands | 6 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2020 | Jun. 17, 2020 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020
Supplemental Cash Flow Elements [Abstract] |  |  |  |  |
Net income | $ 1,077,069 | $ 624,885 | $ 230,064 | $ 1,241,201 | $ 1,701,954
Adjustments to reconcile consolidated net income to net cash provided by operating activities: |  |  |  |  |
Income from financial royalty assets |  |  | (2,125,096) | (2,065,083) | (1,959,975)
Provision for changes in expected cash flows from financial royalty assets |  |  | 904,244 | 452,842 | 230,839
Amortization of intangible assets |  |  | 5,670 | 22,996 | 23,058
Amortization of debt discount and issuance costs |  |  | 21,356 | 20,162 | 11,715
(Gains)/losses on derivative financial instruments |  |  | (96,610) | 21,532 | 42,076
Losses/(gains) on equity securities |  |  | 33,442 | 48,066 | (247,073)
Equity in losses/(earnings) of equity method investees |  |  | 8,973 | 19,490 | (44,459)
Distributions from equity method investees |  |  | 39,142 | 34,384 | 42,334
Loss on extinguishment of debt |  |  | 419 | 358 | 30,272
Share-based compensation |  |  | 2,170 | 2,443 | 5,428
Interest income accretion |  |  | (53,432) | (50,896) | (20,551)
Losses/(gains) on available for sale debt securities |  |  | 6,815 | (17,859) | (18,600)
Financial royalty asset impairment |  |  | 615,827 | 0 | 65,053
Termination of derivative financial instruments |  |  | 0 | (16,093) | (34,952)
Other |  |  | 11,098 | 4,461 | 9,621
Decrease/(increase) in operating assets: |  |  |  |  |
Cash collected on financial royalty assets |  |  | 2,507,236 | 2,315,854 | 2,121,923
Accrued royalty receivable |  |  | 36,456 | (20,131) | 370
Other royalty income receivable |  |  | (4,744) | (9,012) | (770)
Other current assets |  |  | 2,198 | 1,857 | 34,986
Increase/(decrease) in operating liabilities: |  |  |  |  |
Accounts payable and accrued expenses |  |  | 2,286 | (4,586) | (766)
Interest payable |  |  | (3,534) | 15,550 | 42,146
Net cash provided by operating activities |  |  | 2,143,980 | 2,017,536 | 2,034,629
Supplemental Schedule of Non-cash Investing/Financing Activities: |  |  |  |  |
Receipt of contribution of investments in Legacy Investors Partnerships |  |  | 0 | 0 | 303,679
Settlement of Epizyme forward purchase contract (Note 4) |  |  | 0 | 0 | 5,700
Accrued purchase obligation - Tazverik |  |  | 0 | 0 | 110,000
Repayments of long-term debt by contributions from non-controlling interest |  |  | 0 | 0 | 1,103,774
Milestone payable - Erleada |  |  | $ 12,400 | $ 0 | $ 18,600

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