v3.25.3
Fair Value Measurements - Narrative (Details)
 1 Months Ended 3 Months Ended 9 Months Ended
Aug. 04, 2021
shares
Aug. 31, 2024
shares
Aug. 31, 2023
shares
Aug. 31, 2022
shares
Aug. 31, 2021
sale
Sep. 30, 2025
USD ($)
shares
Sep. 30, 2021
shares
Sep. 30, 2025
USD ($)
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Purchase of marketable securities | $               $ (2,092,014,000) $ (999,782,000)  
Maturities of marketable securities | $               1,654,000,000 $ 300,000,000  
Marketable securities | $           $ 1,345,222,000   1,345,222,000   $ 878,796,000
Current contingent consideration | $           42,500,000   42,500,000   24,700,000
Contingent consideration | $           $ 259,600,000   $ 259,600,000   144,200,000
Probabilities of success                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Measurement input           0.39   0.39    
Motus                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued in acquisition (in shares) | shares 2,889,367 182,182 177,203 171,427     3,420,149      
Remaining deferred consideration | $                   $ 0
Shares issued upon milestone achievements (in shares) | shares 5,348,572                  
Motus | Level 3                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Current contingent consideration | $           $ 42,500,000   $ 42,500,000    
Contingent consideration | $           $ 259,600,000   $ 259,600,000    
Motus | Development Milestone                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued in acquisition (in shares) | shares           364,566        
Motus | Development and regulatory milestones                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued upon milestone achievements (in shares) | shares 4,979,705                  
Proceeds of sale of priority review voucher obligated to pay to equity holders, percentage         50.00%          
Average sales prices of publicly disclosed priority review voucher sales obligated to pay equity holders, percentage         50.00%          
Number of publicly disclosed sales used to determine average sales price owed to equity holders | sale         3          
Motus | First Anniversary of Closing Date                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued in acquisition (in shares) | shares 184,433                  
Motus | Second Anniversary of Closing Date                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued in acquisition (in shares) | shares 184,433                  
Motus | Third Anniversary of Closing Date                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued in acquisition (in shares) | shares 184,433                  
AlgaeneX                    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]                    
Shares issued upon milestone achievements (in shares) | shares 368,867