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Financial Royalty Assets - Summary of Financial Royalty Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
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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