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Cumulative Allowance and the Provision for Changes in Expected Cash Flows from Financial Royalty Assets - Schedule of Cumulative Allowance for Changes in Expected Cash Flows (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Financing Receivable, Allowance for Credit Loss [Line Items]      
Beginning balance $ (1,694,945) $ (1,263,824) $ (868,418)
Increases to the cumulative allowance for changes in expected cash flows from financial royalty assets (1,394,679) (912,710) (645,612)
Decreases to the cumulative allowance for changes in expected cash flows from financial royalty assets 296,637 446,955 570,959
Write-off of cumulative allowance 5,723 21,721 2,964
Write-off of credit loss allowance 1,584   25,174
Provision for credit losses, net 193,798 12,913 (156,186)
Ending balance $ (2,591,882) $ (1,694,945) (1,263,824)
Writeoff related to financial royalty asset     90,200
Cumulative Effect, Period of Adoption, Adjustment      
Financing Receivable, Allowance for Credit Loss [Line Items]      
Beginning balance     $ (192,705)