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Inventory - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2021
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Inventory [Line Items]        
Write-down of inventory   $ 15,618 $ 20,072 $ 7,112
Receipts related to inventory $ 12,500      
Keryx Biopharmaceuticals, Inc.        
Inventory [Line Items]        
Inventory step-up charges   $ 8,700 $ 11,400 $ 17,100