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Term Notes Payable - Pharmakon (Details) - Pharmakon Term Notes - USD ($) $ in Thousands	Feb. 13, 2020	Sep. 30, 2022	Feb. 06, 2020
Debt
Aggregate principal amount			$ 200,000
Proceeds from term notes	$ 200,000
Principal repayments
2022		$ 25,000
2023		162,500
2024		183,333
2025		183,333
2026		45,834
Total before unamortized discount and issuance costs		600,000
Less: unamortized discount and issuance costs		(17,075)
Total term notes		$ 582,925