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Debt Obligations - 2027 Term Loans Interest Expense Components (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Debt Instrument [Line Items]      
Amortization of debt discount and debt issuance costs $ 2,407 $ 6,431 $ 4,257
2027 Term Loans | BioPharma Credit Investments V GP LLC      
Debt Instrument [Line Items]      
Contractual interest 34,289 20,243  
Amortization of debt discount and debt issuance costs 1,094 4,550  
Total Interest expense $ 35,383 $ 24,793