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Indirect Cash Flow (Tables)
12 Months Ended
Dec. 31, 2022
Supplemental Cash Flow Elements [Abstract]  
Schedule of Cash Flow, Supplemental Disclosures
Adjustments to reconcile consolidated net income to net cash provided by operating activities are summarized below (in thousands).
Years Ended December 31,
202220212020
Cash flow from operating activities:
Consolidated net income$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 assets904,244 452,842 230,839 
Amortization of intangible assets5,670 22,996 23,058 
Amortization of debt discount and issuance costs21,356 20,162 11,715 
(Gains)/losses on derivative financial instruments(96,610)21,532 42,076 
Losses/(gains) on equity securities33,442 48,066 (247,073)
Equity in losses/(earnings) of equity method investees8,973 19,490 (44,459)
Distributions from equity method investees39,142 34,384 42,334 
Loss on extinguishment of debt419 358 30,272 
Share-based compensation2,170 2,443 5,428 
Interest income accretion(53,432)(50,896)(20,551)
Losses/(gains) on available for sale debt securities6,815 (17,859)(18,600)
Financial royalty asset impairment615,827 — 65,053 
Termination of derivative financial instruments— (16,093)(34,952)
Other11,098 4,461 9,621 
Decrease/(increase) in operating assets:
Cash collected on financial royalty assets2,507,236 2,315,854 2,121,923 
Accrued royalty receivable36,456 (20,131)370 
Other royalty income receivable(4,744)(9,012)(770)
Other current assets2,198 1,857 34,986 
Increase/(decrease) in operating liabilities:
Accounts payable and accrued expenses2,286 (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 

Non-cash investing and financing activities are summarized below (in thousands).
Years Ended December 31,
Supplemental Schedule of Non-cash Investing/Financing Activities:202220212020
Receipt of contribution of investment in Legacy Investors Partnerships (Note 9)$— $— $303,679 
Settlement of Epizyme forward purchase contract (Note 4)— — 5,700 
Accrued purchase obligation - Tazverik (1)— — 110,000 
Repayments of long-term debt by contributions from non-controlling interests (2)— — 1,103,774 
Milestone payable - Erleada (3)12,400 — 18,600 
(1)Related to our obligation under our agreement with Eisai to fund the final tranche of the Tazverik royalty for $110.0 million following the June 2020 FDA approval of additional indications of Tazverik.
(2)Related to the pro rata portion of RPIFT’s outstanding debt repaid by the Legacy Investors Partnerships.
(3)Related to the achievement of sales-based milestones that were not paid as of December 31, 2022 and 2020.