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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 6 Months Ended
Jun. 30, 2023
Jun. 30, 2022
Jun. 30, 2023
Jun. 30, 2022
Fair Value, Liabilities Measurement Level 3 reconciliation        
Balance as of beginning of period $ 248,185 $ 39,098 $ 247,309 $ 38,260
Addition 0 2,500 0 2,500
Accretion 2,444 838 4,887 1,676
Payments 0 0 (792) 0
Held for sale reclassification (775) 0 (1,550) 0
Balance as of end of period $ 249,854 $ 42,436 $ 249,854 $ 42,436