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Financial Royalty Assets - Summary of Financial Royalty Assets, Net (Details) - USD ($) $ in Thousands	Mar. 31, 2026	Dec. 31, 2025
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	$ 20,043,416	$ 20,460,349
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	(2,516,310)	(3,185,522)
Net Carrying Value	17,527,106	17,274,827
Less: Cumulative allowance for credit losses (Note 9)	(204,909)	(211,959)
Total current and non-current financial royalty assets, net	17,322,197	17,062,868
Cystic fibrosis franchise
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	4,836,196	4,901,121
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	0	0
Net Carrying Value	4,836,196	4,901,121
Evrysdi
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	2,307,411	2,331,262
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	(389,643)	(494,123)
Net Carrying Value	1,917,768	1,837,139
Voranigo
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	979,753	982,802
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	0	0
Net Carrying Value	979,753	982,802
Tysabri
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	1,088,300
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	(143,935)
Net Carrying Value	944,365
Trelegy
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	935,020	993,629
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	0	(17,356)
Net Carrying Value	935,020	976,273
Imdelltra
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	926,780	924,239
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	0	0
Net Carrying Value	926,780	924,239
Tremfya
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value		909,607
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)		0
Net Carrying Value		909,607
Other
Accounts, Notes, Loans and Financing Receivable [Line Items]
Gross Carrying Value	8,969,956	9,417,689
Cumulative Allowance for Changes in Expected Cash Flows (Note 9)	(1,982,732)	(2,674,043)
Net Carrying Value	$ 6,987,224	$ 6,743,646

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