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Intangible Assets and Goodwill - Intangible Assets (Details) - USD ($)
$ in Thousands
Sep. 30, 2022
Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value $ 213,603 $ 213,603
Accumulated Amortization (132,508) (105,476)
Total 81,095 108,127
Developed product rights for Auryxia    
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Value 213,603 213,603
Accumulated Amortization (132,508) (105,476)
Total $ 81,095 $ 108,127