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Royalty Financing Obligations (Tables)
 3 Months Ended
Mar. 31, 2024
Advance Royalties [Abstract]  
Schedule of Royalty Financing Obligations
The following table shows the royalty financing obligations activity for the three months ended March 31, 2024 (in thousands) as well as the effective interest rate as of March 31, 2024:
2020 RPI
Royalty
Agreement		2021 RPI
Royalty
Agreement		OMERS
Royalty
Agreement		Total
Balance as of December 31, 2023$174,480 $185,345 $171,774 $531,599 
Non-cash Interest expense on Royalty financing obligations9,916 — 4,271 14,187 
Royalty revenues paid and payable(7,842)(679)(6,691)(15,212)
Balance as of March 31, 2024$176,554 $184,666 $169,354 $530,574 
Effective interest rate22.3 %— %9.8 %