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Liability Related to Sale of Future Royalties (Details) - USD ($)
$ in Thousands
1 Months Ended 9 Months Ended 12 Months Ended
Jan. 31, 2019
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2015
Liability Related to Sale of Future Royalties        
Non-cash royalty revenue related to the sale of future royalties   $ 8,494 $ 9,027  
Change in liability related to sale of future royalties        
Liability related to sale of future royalties, net - beginning balance   32,108    
KADCYLA royalty payments received and paid   (8,907)    
Non-cash interest expense recognized   2,691    
Liability related to sale of future royalties, net - ending balance   25,892    
Kadcyla        
Liability Related to Sale of Future Royalties        
Percentage of royalty payments if applicable threshold is met       85.00%
IRH | Kadcyla        
Liability Related to Sale of Future Royalties        
Percentage of royalty payments       100.00%
Percentage of royalty payments if applicable threshold is met       15.00%
Transaction costs for royalty agreements       $ 5,900
Change in liability related to sale of future royalties        
Proceeds from sale of future royalties, net   $ 200,000   200,000
Effective annual interest rate   10.50%    
Current effective interest rate   12.2    
IRH | Kadcyla | Maximum        
Liability Related to Sale of Future Royalties        
Royalties threshold       260,000
IRH | Kadcyla | Minimum        
Liability Related to Sale of Future Royalties        
Royalties threshold       $ 235,000
OMERS | Kadcyla        
Liability Related to Sale of Future Royalties        
Percentage of royalty payments 100.00%      
Non-cash royalty revenue related to the sale of future royalties $ 65,200   12,500  
Contingent broker fees 1,500      
Net proceeds from sale of residual rights to receive royalty payments $ 65,200 $ 9,400    
Roche        
Liability Related to Sale of Future Royalties        
Period in arrears to receive royalty reports and payments related to sales of kadcyla   3 months    
Roche | Kadcyla        
Liability Related to Sale of Future Royalties        
Non-cash royalty revenue related to the sale of future royalties   $ 17,900 $ 21,500