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Intangible Assets and Goodwill - Intangible Assets (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value $ 213,603 $ 213,603
Accumulated Amortization (114,487) (105,476)
Total 99,116 108,127
Developed product rights for Auryxia    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value 213,603 213,603
Accumulated Amortization (114,487) (105,476)
Total $ 99,116 $ 108,127
Finite-Lived Intangible Asset, Useful Life 6 years