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Royalty Monetizations - Schedule of Royalty Financing Obligations (Details) - USD ($) $ in Thousands | 3 Months Ended
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Sep. 30, 2023 | Jun. 30, 2023 | Mar. 31, 2023
Royalty Montizations [Roll Forward] |  |  |
Balance | $ 526,121 | $ 514,411 | $ 501,655
Non-cash Interest expense on Royalty financing obligations | 17,272 | 19,486 | 19,318
Royalty revenues paid and payable | (8,207) | (7,776) | (6,562)
Balance | 535,186 | 526,121 | 514,411
2020 RPI Royalty Agreement |  |  |
Royalty Montizations [Roll Forward] |  |  |
Balance | 170,649 | 168,252 | 164,981
Non-cash Interest expense on Royalty financing obligations | 9,647 | 9,552 | 9,309
Royalty revenues paid and payable | (7,553) | (7,155) | (6,038)
Balance | $ 172,743 | $ 170,649 | 168,252
Effective interest rate | 22.10% | 22.20% |
2021 RPI Royalty Agreement |  |  |
Royalty Montizations [Roll Forward] |  |  |
Balance | $ 183,626 | $ 178,807 | 173,651
Non-cash Interest expense on Royalty financing obligations | 3,068 | 5,440 | 5,680
Royalty revenues paid and payable | (654) | (621) | (524)
Balance | $ 186,040 | $ 183,626 | 178,807
Effective interest rate | 0.00% | 10.00% |
OMERS Royalty Agreement |  |  |
Royalty Montizations [Roll Forward] |  |  |
Balance | $ 171,846 | $ 167,352 | 163,023
Non-cash Interest expense on Royalty financing obligations | 4,557 | 4,494 | 4,329
Royalty revenues paid and payable | 0 | 0 | 0
Balance | $ 176,403 | $ 171,846 | $ 167,352
Effective interest rate | 10.20% | 10.60% |

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