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Investments and Fair Value Measurements - Narrative (Details)
$ in Thousands
1 Months Ended 3 Months Ended
Aug. 18, 2021
USD ($)
Apr. 30, 2019
Mar. 31, 2024
USD ($)
fund
Dec. 31, 2023
USD ($)
Apr. 02, 2023
USD ($)
Jan. 01, 2023
USD ($)
Schedule of Investments [Line Items]            
Strategic equity investments, without readily determinable fair values     $ 28,000 $ 28,000    
Total revenue     1,076,000   $ 1,087,000  
Recallable distributions     10,000      
GRAIL Inc            
Schedule of Investments [Line Items]            
Contingent value right, terms (in years) 12 years          
Covered revenues of GRAIL, contingent consideration liability       30,000   $ 23,000
Payment for contingent consideration     284   217  
Contingent consideration liabilities     403,000 387,000    
Contingent consideration, noncurrent     $ 401,000 385,000    
GRAIL Inc | Payment Rights Of One Billion, Each Twelve Years            
Schedule of Investments [Line Items]            
Contingent payment rights (as a percent) 2.50%          
Business acquisition, contingent value rights, revenue threshold $ 1,000,000          
GRAIL Inc | Payment Rights Of Above One Billion, Each Twelve Years            
Schedule of Investments [Line Items]            
Business acquisition, contingent value rights, revenue threshold $ 1,000,000          
Contingent payment rights, second percentage (as a percent) 9.00%          
Helix Holdings I, LLC            
Schedule of Investments [Line Items]            
Contingent value right, terms (in years)   7 years        
Venture Capital Investment Fund (the Fund)            
Schedule of Investments [Line Items]            
Number of venture capital investment funds | fund     2      
Equity method investments     $ 185,000 $ 168,000    
Unrealized (loss) gain on investments     6,000   (12,000)  
Venture Capital Investment Fund (the Fund), One            
Schedule of Investments [Line Items]            
Commitment in new venture capital investment fund     100,000      
Remaining capital commitment     4,000      
Venture Capital Investment Fund (the Fund), Two            
Schedule of Investments [Line Items]            
Commitment in new venture capital investment fund     150,000      
Remaining capital commitment     59,000      
Investee            
Schedule of Investments [Line Items]            
Total revenue     $ 2,000   $ 36,000