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Intangible Assets and Goodwill - Additional Information (Details)
3 Months Ended 9 Months Ended
Dec. 12, 2018
Sep. 30, 2021
USD ($)
Sep. 30, 2020
USD ($)
Sep. 30, 2021
USD ($)
segment
Sep. 30, 2020
USD ($)
Dec. 31, 2020
USD ($)
Finite-Lived Intangible Assets [Line Items]            
Amortization expense   $ 9,000,000 $ 6,100,000 $ 27,032,000 $ 24,307,000  
Goodwill   55,053,000   $ 55,053,000   $ 55,053,000
Number of operating segments | segment       1    
Goodwill impairment   $ 0 $ 0 $ 0 $ 0  
Developed product rights for Auryxia            
Finite-Lived Intangible Assets [Line Items]            
Intangible assets, estimated useful life 6 years