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Fair Value - Change in Carrying Value Associated with Contingent Payment Arrangements Level 3 Instruments (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Fair Value, Liabilities Measurement Level 3 reconciliation        
Balance as of beginning of period $ 42,436 $ 37,184 $ 38,260 $ 27,750
Addition 227,071 0 229,571 7,800
Accretion 3,638 839 5,314 2,473
Change in estimates 0 0 0 0
Payments 0 0 0 0
Balance as of end of period $ 273,145 $ 38,023 $ 273,145 $ 38,023