The following Management's Discussion and Analysis of Financial Condition and
Results of Operations ("MD&A") is intended to help the reader understand our
results of operations and financial condition, cash flows and other changes in
financial condition. MD&A is provided as a supplement to, and should be read in
conjunction with, our audited consolidated financial statements and the
accompanying notes to our consolidated financial statements included in our
Annual Report on Form 10-K. This discussion may contain forward-looking
statements based upon current expectations that involve risks and uncertainties.
Our actual results may differ materially from those anticipated in these
forward-looking statements as a result of various factors, including those set
forth in Special Note Regarding Forward-Looking Statements included elsewhere in
this Quarterly Report on Form 10-Q and in Part I, Item 1A. Risk Factors in our
Annual Report on Form 10-K.

Royalty Pharma plc is an English public limited company incorporated under the
laws of England and Wales that was created for the purpose of consolidating our
predecessor entities and facilitating the initial public offering ("IPO") of our
Class A ordinary shares that was completed in June 2020. "Royalty Pharma," the
"Company," "we," "us" and "our" refer to Royalty Pharma plc and its subsidiaries
on a consolidated basis. After the consummation of the Exchange Offer
Transactions (as defined below) and execution of the Management Agreement (as
defined below) (collectively, the "Reorganization Transactions") in February
2020 and before the consummation of the IPO, "Royalty Pharma," the "Company,"
"we," "us" and "our" refer to Royalty Pharma Investments 2019 ICAV ("RPI 2019
ICAV"). Prior to the Reorganization Transactions, "Royalty Pharma," the
"Company," "we," "us" and "our" refer to Royalty Pharma Investments, an Irish
unit trust ("Old RPI").

Business Overview

We are the largest buyer of biopharmaceutical royalties and a leading funder of
innovation across the biopharmaceutical industry. Since our founding in 1996, we
have been pioneers in the royalty market, collaborating with innovators from
academic institutions, research hospitals and not-for-profits through small and
mid-cap biotechnology companies to leading global pharmaceutical companies. We
have assembled a portfolio of royalties which entitles us to payments based
directly on the top-line sales of many of the industry's leading therapies,
which includes royalties on more than 45 commercial products, including AbbVie
and Johnson & Johnson's Imbruvica, Astellas and Pfizer's Xtandi, Biogen's
Tysabri, Gilead's Trodelvy, Merck's Januvia, Novartis' Promacta, Vertex's
Kalydeco, Orkambi, Symdeko/Symkevi and Trikafta/Kaftrio, and nine
development-stage product candidates. We fund innovation in the
biopharmaceutical industry both directly and indirectly - directly when we
partner with companies to co-fund late-stage clinical trials and new product
launches in exchange for future royalties, and indirectly when we acquire
existing royalties from the original innovators.

Our capital-efficient business model enables us to benefit from many of the most
attractive characteristics of the biopharmaceutical industry, including long
product life cycles, significant barriers to entry and noncyclical revenues, but
with substantially reduced exposure to many common industry challenges such as
early stage development risk, therapeutic area constraints, high research and
development costs, and high fixed manufacturing and marketing costs. We have a
highly flexible approach that is agnostic to both therapeutic area and treatment
modality, allowing us to acquire royalties on the most attractive therapies
across the biopharmaceutical industry.

We classify our royalty acquisitions by the approval status of the therapy at the time of acquisition:



•Approved Products - We acquire royalties in approved products that generate
predictable cash flows and may offer upside potential from unapproved
indications. Since inception in 1996 through 2020, we have deployed $13.2
billion of cash to acquire royalties on approved products. From 2012 through
2020, we have acquired $8.4 billion of royalties on approved products.

•Development-Stage Product Candidates - We acquire royalties on development-stage product candidates that have demonstrated strong clinical proof of concept. From 2012, when we began acquiring royalties on development-stage product candidates, through 2020, we have deployed $7.0 billion to acquire royalties on development-stage product candidates.


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            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



While we classify our acquisitions in these two broad categories, several of our
acquisitions of royalties on approved products were driven by the long-term
potential of these products in other, unapproved indications. Similarly, some of
our royalty acquisitions in development-stage product candidates are for
products that are approved in other indications.

We acquire product royalties in a variety of ways that can be tailored to the
needs of our partners. We classify our product royalty acquisitions according to
the following structures:

•Third-party Royalties - A royalty is the contractual right to a percentage of
top-line sales from a licensee's use of a product, technology or intellectual
property. The majority of our current portfolio consists of third-party
royalties.

•Synthetic / Hybrid Royalties - A synthetic royalty is the contractual right to
a percentage of top-line sales created by the developer and/or marketer of a
therapy in exchange for funding. In many of our synthetic royalties, we also
make investments in the public equity of the company, where the main value
driver of the company is the product on which we concurrently acquired a
royalty.

•Research & Development ("R&D") Funding - We fund R&D, typically for large
biopharmaceutical companies, in exchange for future royalties and/or milestones
if the product or indication we are funding is approved.

•Mergers and Acquisitions ("M&A") - We acquire royalties in connection with M&A
transactions, often from the buyers of biopharmaceutical companies when they
dispose of the non-strategic assets of the target company following the closing
of the acquisition. We also seek to partner with companies to acquire other
biopharmaceutical companies that own significant royalties. We may also seek to
acquire biopharmaceutical companies that have significant royalties or where we
can create royalties in subsequent transactions.

Background and Format of Presentation



In connection with our IPO, we consummated an exchange offer on February 11,
2020 (the "Exchange Date"). Through the exchange offer, investors representing
82% of the aggregate limited partnership in the various partnerships owned by
Old RPI (the "Legacy Investors Partnerships"), exchanged their limited
partnership interests in the Legacy Investors Partnerships for limited
partnership interests in RPI US Partners 2019, LP, a Delaware limited
partnership or RPI International Holdings 2019, LP, a Cayman Islands exempted
limited partnership (together, the "Continuing Investors Partnerships"). The
exchange offer transaction together with (i) the concurrent incurrence of
indebtedness under a new credit facility and (ii) the issuance of additional
interests in Continuing Investors Partnerships to satisfy performance payments
payable in respect of assets acquired prior to the date of the IPO are referred
to as the "Exchange Offer Transactions."

Following our IPO, we operate and control the business affairs of Royalty Pharma
Holdings Ltd, ("RP Holdings") through our controlling ownership of RP Holdings'
Class A ordinary shares (the "RP Holdings Class A Interests") and RP Holdings'
Class B ordinary shares (the "RP Holdings Class B Interests"). We include RP
Holdings and its subsidiaries in our consolidated financial statements. RP
Holdings is the sole owner of RPI 2019 ICAV, which is an Irish collective asset
management entity formed to facilitate our Exchange Offer Transactions.

As a result of the Exchange Offer Transactions, we own, through our subsidiary
RPI 2019 Intermediate Finance Trust, a Delaware statutory trust ("RPI
Intermediate FT"), an 82% economic interest in Old RPI. Through our 82% indirect
ownership of Old RPI, we are legally entitled to 82% of the economics of Old
RPI's wholly-owned subsidiaries, RPI Finance Trust, a Delaware statutory trust
("RPIFT") and RPI Acquisitions (Ireland), Limited ("RPI Acquisitions"), an Irish
private limited company, and 66% of Royalty Pharma Collection Trust, a Delaware
statutory trust ("RPCT").

The remaining 34% of RPCT is owned by the Legacy Investors Partnerships and
Royalty Pharma Select Finance Trust, a Delaware statutory trust ("RPSFT"), which
is wholly owned by Royalty Pharma Select, an Irish unit trust. From the Exchange
Date until the expiration of the Legacy Investors Partnerships' investment
period on June 30, 2020 (the "Legacy Date"), the Legacy Investors Partnerships
had the option to participate proportionately in any investment made by Old RPI.
Following the Legacy Date, Old RPI ceased making new investments and each of Old
RPI and the Legacy Investors Partnerships became legacy entities. Following the
Legacy Date, we have made and plan to make new investments solely through our
subsidiaries, including RPI Intermediate FT.

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            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Following management's determination that a high degree of common ownership
exists in Royalty Pharma both before and after the Exchange Date, Royalty Pharma
recognized Old RPI's assets and liabilities at the carrying value reflected on
Old RPI's balance sheet as of the Exchange Date. Old RPI is our predecessor for
financial reporting purposes. The results of operations in the following
discussion is comprised of the financial results of Old RPI prior to the
Reorganization Transactions, RPI 2019 ICAV subsequent to the Reorganization
Transactions and before the consummation of the IPO, and Royalty Pharma plc
subsequent to the consummation of the IPO.

Understanding Our Financial Reporting



In accordance with generally accepted accounting principles in the United States
("GAAP"), most of the royalties we acquire are treated as investments in cash
flow streams and are thus classified as financial assets. These investments have
yield components that most closely resemble loans measured at amortized cost
under the effective interest accounting methodology. Under this accounting
methodology, we calculate the effective interest rate on each financial royalty
asset using a forecast of the expected cash flows to be received over the life
of the financial royalty asset relative to the initial acquisition price. The
yield, which is calculated at the end of each reporting period and applied
prospectively, is then recognized via accretion into our income at the effective
rate of return over the expected life of the financial royalty asset.

The preparation of our financial statements in this manner requires the use of
estimates, judgments and assumptions that affect both our reported assets and
liabilities and our income and revenue and expenses. The most significant
judgments and estimates applied by management are associated with the
measurement of income derived from our financial royalty assets, including
management's judgment in forecasting the expected future cash flows of the
underlying royalties and the expected duration of the financial royalty asset.
Our cash flow forecasts are generated and updated each reporting period by
manually compiling sell-side equity research analysts' consensus estimates for
each of the products in which we own royalties. We then calculate our expected
royalty cash flows using these consensus forecasts. In any given reporting
period, any decline in the expected future cash flows associated with a
financial royalty asset is recognized as a provision which is expensed through
our income statement as a non-cash charge.

As a result of the non-cash charges associated with applying the effective
interest method accounting methodology, our income statement activity in respect
of many of our royalties can be volatile and unpredictable. Small declines in
sell-side equity research analysts' consensus forecasts over a long time horizon
can result in an immediate non-cash income statement expense recognition, even
though the applicable cash inflows will not be realized for many years into the
future. For example, in late 2014 we acquired the cystic fibrosis franchise
royalty, which is classified as a financial royalty asset. Beginning in the
second quarter of 2015, declines in near-term sales forecasts of sell-side
equity research analysts caused us to recognize non-cash provision expenses to
the income statement and build up a corresponding cumulative allowance which
reduced the gross balance for this financial royalty asset. Over the course of
10 quarters, we recognized non-cash provision expenses as a result of these
changes in forecasts including non-cash provision expense of $743.2 million in
2016, ultimately reaching a peak cumulative allowance of $1.30 billion by
September 30, 2017 related to this financial royalty asset. With the approval of
the Vertex triple combination therapy, Trikafta, in October 2019, sell-side
equity research analysts' consensus forecasts increased to reflect the larger
addressable market and the increase in the expected duration of the Trikafta
royalty. While small reductions in the cumulative allowance for the cystic
fibrosis franchise were recognized as provision income in 2017 and 2018, there
remained a $1.10 billion cumulative allowance that was fully reduced by $1.10
billion in 2019 as a result of an increase in sell-side equity research
analysts' consensus forecasts associated with the Trikafta approval. This
example illustrates the volatility caused by our accounting model. Therefore,
management believes investors should not look to income from royalties and the
associated provision for changes in future cash flows as a measure of our
near-term financial performance or as a source for predicting future income or
growth trends.

Our operations have historically been financed primarily with cash flows
generated by our royalties. Due to the nature of our accounting methodology for
our financial royalty assets, there is no direct correlation between our income
from royalties and our royalty receipts. As noted above, income from such
royalties is measured at amortized cost under the effective interest method
accounting methodology. Given the importance of cash flows to management's
operation of the business and their predictability, management uses royalty
receipts as the primary measure of our operating performance. Royalty receipts
refer to the summation of the following line items from our GAAP Statement of
Cash Flows: Cash collections from financial royalty assets, Cash collections
from intangible royalty assets, Other royalty cash collections, Proceeds from
available for sale debt securities, and Distributions from non-consolidated
affiliates.

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            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



In addition to analyzing our results on a GAAP basis, management also reviews
our results on a non-GAAP basis. The closest comparable GAAP measure to each of
the non-GAAP measures that management review is Net cash provided by operating
activities. The key non-GAAP metrics we focus on are Adjusted Cash Receipts,
Adjusted EBITDA and Adjusted Cash Flow, each of which is further discussed in
the section titled "Non-GAAP Financial Results."

Adjusted Cash Receipts and Adjusted Cash Flow are used by management as key
liquidity measures in the evaluation of our ability to generate cash from
operations. Both measures are an indication of the strength of the Company and
the performance of the business. Management uses Adjusted Cash Flow to compare
its performance against non-GAAP adjusted net income used by companies in the
biopharmaceutical industry. Adjusted EBITDA, which is derived from Adjusted Cash
Receipts, is used by our lenders to assess our ability to meet our financial
covenants.

Refer to the section titled "Non-GAAP Reconciliations" for additional discussion of management's use of non-GAAP measures as supplemental financial measures.


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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)




Portfolio Overview

Our portfolio consists of royalties on more than 45 marketed therapies and nine
development-stage product candidates. The therapies in our portfolio address
therapeutic areas such as rare disease, cancer, neurology, infectious disease,
hematology and diabetes, and are delivered to patients across both primary and
specialty care settings. The table below includes royalty cash receipts for the
three and nine months ended September 30, 2021 and 2020 in order of contribution
to income for the nine months ended September 30, 2021.
                                                                                                         Three Months Ended                       Nine Months Ended
(in thousands)                                                                                              September 30,                           September 30,
                                            Marketer                     Therapeutic area              2021               2020                2021                 2020
Products
Cystic fibrosis franchise (1)    Vertex                               Rare disease                 $ 182,876          $ 156,952          $   505,708          $   392,474
Tysabri                          Biogen                               Neurology                       95,805             76,617              274,796              252,941
Imbruvica                        AbbVie/Johnson & Johnson             Cancer                          87,924             77,816              264,348              237,038
Promacta                         Novartis                             Hematology                      48,151             39,734              124,617              102,135
Xtandi                           Pfizer, Astellas                     Cancer                          40,237             38,498              117,049              107,406
Januvia, Janumet, Other DPP-IVs
(2)                              Merck, others                        Diabetes                        37,934             34,485              113,133              104,132
HIV franchise (3)                Gilead, others                       Infectious disease               1,858             66,869               76,981              215,448
Nurtec ODT/Biohaven payment (4)  Biohaven                             Neurology                       17,948                227               51,170                  227
Prevymis                         Merck                                Infectious disease               9,929              6,786               27,331               13,199
Farxiga/Onglyza                  AstraZeneca                          Diabetes                         9,321              8,290               26,996               16,547
Cabometyx/Cometriq               Exelixis, Ipsen, Takeda              Cancer                          12,038                  -               22,167                    -
Tremfya                          Johnson & Johnson                    Immunology                      16,610                  -               16,610                    -
Crysvita                         Ultragenyx, Kyowa Kirin              Rare disease                     4,576              3,384               12,092                6,004
Emgality                         Lilly                                Neurology                        4,542              2,598               11,356                6,811
Evrysdi                          Roche                                Rare disease                     5,897                  -               10,546                    -
Erleada                          Johnson & Johnson                    Cancer                           3,736              2,104                9,957                5,314
IDHIFA                           Bristol Myers Squibb                 Cancer                           3,079              3,282                8,568                3,282
Trodelvy                         Gilead                               Cancer                           2,521                833                8,118                  833
Orladeyo                         BioCryst                             Rare disease                     2,502                  -                3,471                    -
Tazverik                         Epizyme                              Cancer                             958                166                2,165                  262
Other products (5)                                                                                   123,761             69,819              262,181    

253,028


Total royalty receipts                                                                             $ 712,203          $ 588,460          $ 1,949,360

$ 1,717,081




(1) The cystic fibrosis franchise includes the following approved products:
Kalydeco, Orkambi, Symdeko/Symkevi, and Trikafta/Kaftrio.
(2) Januvia, Janumet, Other DPP-IVs include the following approved products:
Tradjenta, Onglyza, Kombiglyze, Galvus, Eucreas and Nesina. The Other DPP-IVs
are marketed by Boehringer Ingelheim, AstraZeneca, Novartis and Takeda.
(3) The HIV franchise includes the following approved products: Atripla,
Truvada, Emtriva, Complera, Stribild, Genvoya, Descovy, Odefsey, Symtuza and
Biktarvy. Royalties are received on the emtricitabine portion of sales only.
(4) Includes royalty receipts for Nurtec ODT of $2.3 million and $4.3 million
for the three and nine months ended September 30, 2021, respectively, and
quarterly redemptions of $15.6 million of the Series A Biohaven Preferred Shares
(presented as Proceeds from available for sale debt securities on the Statement
of Cash Flows) in 2021.
(5) Other products primarily include royalties on the following products:
Bosulif (a product co-developed by our joint venture investee, Avillion, for
which receipts are presented as Distributions from non-consolidated affiliates
on the Statement of Cash Flows), Letairis, Lyrica, Cimzia, Entyvio, Lexiscan,
Mircera, Myozyme, Nesina, Soliqua and a one-time $21.3 million distribution from
Avillion in respect of the Merck KGaA Asset (defined below) in the three months
ended June 30, 2020, for which the receipt is presented as Distributions
received from non-consolidated affiliates in both the operating and investing
section of the Statement of Cash Flows. In the three months ended September 30,
2021, we collected a one-time $45.0 million milestone payment on Soliqua.
Subsequent to the Exchange Offer Transactions, other products also includes
contributions from the Legacy SLP Interest (defined below).

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Financial Overview

Financial highlights

•Net cash provided by operating activities totaled $1.5 billion and $1.5 billion
for the nine months ended September 30, 2021 and 2020, respectively. Net cash
provided by operating activities is the closest comparable GAAP financial
measure to the supplemental non-GAAP liquidity measures that follow.
•Adjusted Cash Receipts (a non-GAAP metric) totaled $1.6 billion and
$1.3 billion for the nine months ended September 30, 2021 and 2020,
respectively.
•Adjusted EBITDA (a non-GAAP metric) totaled $1.5 billion and $1.2 billion for
the nine months ended September 30, 2021 and 2020, respectively.
•Adjusted Cash Flow (a non-GAAP metric) totaled $1.3 billion and $1.1 billion
for the nine months ended September 30, 2021 and 2020, respectively.

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


Understanding Our Results of Operations



In connection with our IPO, Royalty Pharma plc became a holding company whose
principal asset is a controlling equity interest in RP Holdings, which is the
sole equity owner of RPI 2019 ICAV, an entity that is included in our condensed
consolidated financial statements. We report non-controlling interest related to
four minority interests in our subsidiaries held by third parties.

1. The first minority interest is attributable to the Legacy Investors Partnerships' 18% ownership interest in Old RPI. The value of this non-controlling interest will decline over time as the assets in Old RPI expire.



2.   The second minority interest is attributable to the RP Holdings' Class C
ordinary share (the "RP Holdings Class C Special Interest") held by RPI EPA
Holdings, LP ("EPA Holdings"), an affiliate of the Manager. Income will not be
allocated to this non-controlling interest until certain conditions are met,
which we do not expect to occur for several years.

3.   The third minority interest is attributable to the RP Holdings Class B
Interests held indirectly by the Continuing Investors Partnerships, which
represent an approximate 29% ownership interest in RP Holdings as of September
30, 2021 and are exchangeable for our Class A ordinary shares. The value of this
non-controlling interest will decline over time if the investors who indirectly
own the RP Holdings Class B Interests exchange those shares for our Class A
ordinary shares. During the three and nine months ended September 30, 2021,
2,503 thousand and 41,313 thousand RP Holdings Class B Interests were exchanged
for our Class A ordinary shares, respectively.

4.   The fourth minority interest is attributable to a de minimis interest in
RPCT held by RPSFT as a result of a 2011 reorganization transaction. The value
of this non-controlling interest will decline over time as the assets in RPCT
expire and is expected to be substantially eliminated by the end of 2022.

The fourth non-controlling interest related to ownership in RPCT held by RPSFT,
is the only non-controlling interest that existed prior to the Exchange Offer
Transactions. The non-controlling interest related to the Legacy Investors
Partnerships' 18% ownership interest in Old RPI is reflected in our financial
statements from and after the Exchange Date. The other two non-controlling
interests are reflected in our financial statements from and after the date of
our IPO. All of the results of operations of RP Holdings, Old RPI and RPCT are
consolidated into our financial statements.

Following the IPO, EPA Holdings is entitled to receive Equity Performance Awards
through its RP Holdings Class C Special Interest. Equity Performance Awards owed
to EPA Holdings will be recognized as an equity transaction when the obligation
becomes due and will impact the income allocated to non-controlling interest
related to the RP Holdings Class C Special Interest at that time. We do not
currently expect any material Equity Performance Awards to be payable until the
mid-2020s.

Total income and other revenues



Total income and other revenues is primarily comprised of income from our
financial royalty assets, royalty revenue from our intangible royalty assets,
and royalty income arising from successful commercialization of products
developed through joint R&D funding arrangements. Most of our royalties on both
approved products and development-stage product candidates are classified as
financial assets as our ownership rights are generally passive in nature. In
instances in which we acquire a royalty asset that does include more substantial
rights or ownership of the underlying intellectual property, we classify such
royalty assets as intangible assets.
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



We recognize interest income related to our financial royalty assets. Royalty
revenue relates solely to revenue from our DPP-IV patent estate for which the
patent rights have been licensed to various counterparties. For the three and
nine months ended September 30, 2021 and 2020, the royalty payors accounting for
10% or more of our total income and other revenues in any one period are shown
in the table below:

                                                                 Three Months Ended September 30,          Nine Months Ended September 30,
     Royalty payor                      Royalty asset                2021                 2020                 2021                 2020
Vertex                        Cystic fibrosis franchise                   33  %              27  %                  33  %              28  %
AbbVie                        Imbruvica                                   16  %              19  %                  17  %              19  %
                              HIV franchise, Letairis,                        *              14  %                      *              15  %
Gilead                        Lexiscan, Trodelvy (1)
Biogen                        Tysabri                                         *              10  %                      *              11  %


(1) We began recognizing income related to Trodelvy in the three months ended
June 30, 2020.
* Represents less than 10%.

Income from financial royalty assets



Our financial royalty assets represent investments in cash flow streams with
yield components that most closely resemble loans measured at amortized cost
under the effective interest method. We calculate the effective interest rate
using forecasted expected cash flows to be received over the life of the royalty
asset relative to the initial acquisition price. Interest income is recognized
at the effective rate of return over the expected life of the asset, which is
calculated at the end of each reporting period and applied prospectively. As
changes in sell-side equity research analysts' consensus estimates are updated
on a quarterly basis, the effective rate of return changes. For example, if
sell-side equity research analysts' consensus forecasts increase, the yield to
derive income on a financial royalty asset will increase and result in higher
income for subsequent periods.

Variables affecting the recognition of interest income from financial royalty
assets on individual products under the prospective effective interest method
include any one of the following: (1) additional acquisitions, (2) changes in
expected cash flows of the underlying pharmaceutical products, derived primarily
from sell-side equity research analysts' consensus forecasts, (3) regulatory
approval of additional indications which leads to new cash flow streams, (4)
changes to the estimated duration of the royalty (i.e., patent expiration date)
and (5) amounts and timing of royalty receipts. Our financial royalty assets are
directly linked to sales of underlying pharmaceutical products whose life cycle
typically peaks at a point in time, followed frequently by declining sales
trends due to the entry of generic competition, resulting in natural declines in
the asset balance and periodic interest income over the life of our royalties.
The recognition of interest income from royalties requires management to make
estimates and assumptions around many factors, including those impacting the
variables noted above.

Revenue from intangible royalty assets

Revenue from intangible royalty assets is derived from our Januvia, Janumet and other DPP-IV patents classified as intangible royalty assets.

Other royalty income



Other royalty income primarily includes income from former royalties for which
the asset balances have been fully amortized and royalty income from synthetic
royalties arising out of R&D funding arrangements. Occasionally, a royalty asset
may be amortized on an accelerated basis due to collectability concerns, which,
if resolved, may result in future cash collections when no financial royalty
asset remains. Similarly, we may continue to collect royalties on a financial
royalty asset beyond the estimated patent expiration date by which the financial
asset was amortized in full. In each scenario where a financial royalty asset
has been fully amortized, income from such royalty is recognized as Other
royalty income.

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


Provision for changes in expected cash flows from financial royalty assets

The provision for changes in expected future cash flows from financial royalty assets includes the following:



•the movement in the cumulative allowance for changes in expected future cash
flows, and
•expense or income related to the provision for current expected credit losses
subsequent to adoption of ASU 2016-13 on January 1, 2020.

The provision for changes in expected cash flows is the current period activity
resulting from adjustments to the cumulative allowance for changes in expected
cash flows, which is netted against the Financial royalty assets, net balance on
the condensed consolidated balance sheets. As discussed above, income is
accreted on our financial royalty assets using the effective interest method. As
we update our forecasted cash flows on a periodic basis and recalculate the
present value of the remaining future cash flows, any shortfall when compared to
the carrying value of the financial royalty asset is recorded directly to the
income statement through the line item Provision for changes in expected future
cash flows from financial royalty assets. If, in a subsequent period, there is
an increase in expected cash flows or if actual cash flows are significantly
greater than cash flows previously expected, we reduce the cumulative allowance
previously established for a financial royalty asset for the incremental
increase in the present value of cash flows expected to be collected. This
results in a credit to provision expense.

Most of the same variables and management's estimates affecting the recognition
of interest income on our financial royalty assets also impact the provision. In
any period, we will recognize provision income (i.e., a credit to the provision)
or expense as a result of the following factors: (1) changes in expected cash
flows of the underlying pharmaceutical products, derived primarily from
sell-side equity research analysts' consensus forecasts, (2) regulatory approval
of additional indications which leads to new cash flow streams, (3) changes to
the estimated duration of the royalty (i.e., patent expiration date) and (4)
amounts and timing of royalty receipts.

Upon the adoption on January 1, 2020 of ASU 2016-13, Financial
Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial
Instruments ("ASU 2016-13"), we recorded a cumulative adjustment to Retained
earnings of $192.7 million to recognize an allowance for current expected credit
losses on our portfolio of financial royalty assets. The Provision for changes
in expected cash flows from financial royalty assets reflects the activity for
the period that relates to the change in estimates applied to calculate the
allowance for current expected credit losses, namely any new financial royalty
assets with limited protective rights and changes in the underlying cash flow
forecasts used in the effective interest model to measure income from our
financial royalty assets.

R&D funding expense



R&D funding expense consists of (1) upfront R&D payments we have made to
counterparties to acquire royalties on development-stage product candidates and
(2) ongoing R&D expense to fund development-stage product candidates undergoing
clinical trials with our partners in exchange for royalties if the products are
successfully developed and commercialized. These expenditures relate to the
activities performed by our counterparties to develop and test new products, to
test existing products for treatment in new indications, and to ensure product
efficacy and regulatory compliance prior to launch.

General and administrative expenses

General and administrative ("G&A") expenses primarily include Operating and Personnel Payments (defined below), legal expenses, other expenses for professional services and share-based compensation.


                                       42
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)




Beginning in 2020, the Operating and Personnel Payments paid to our Manager were
significantly higher than they were in historical periods. Prior to the
Reorganization Transactions, the operating and personnel payments were fixed,
growing at 5% annually and not linked to any financial line item. Under the
management agreement which is effective from the Exchange Date (the "Management
Agreement"), we pay quarterly operating and personnel expenses to the Manager or
its affiliates ("Operating and Personnel Payments") equal to 6.5% of the
Adjusted Cash Receipts for each quarter and 0.25% of the GAAP value of our
security investments as of the end of each quarter. The operating and personnel
payments for Old RPI, an obligation of the Legacy Investors Partnerships as a
non-controlling interest in Old RPI and for which the expense is reflected in
our net income, is payable in equal quarterly installments and is calculated as
the greater of $1 million per quarter and 0.3125% of royalties from Royalty
Investments (as defined in the limited partnership agreements of the Legacy
Investors Partnerships). The expenses incurred in respect of Operating and
Personnel Payments are expected to comprise the most significant component of
G&A expenses on an ongoing basis.

Equity in (earnings)/loss of non-consolidated affiliates

Legacy SLP Interest



In connection with the Exchange Offer Transactions, we acquired a new equity
method investment from the Continuing Investors Partnerships in the form of a
special limited partnership interest in the Legacy Investors Partnerships (the
"Legacy SLP Interest") in exchange for issuing shares in our subsidiary. The
Legacy SLP Interest entitles us to the equivalent of performance distribution
payments that would have been paid to the general partner of the Legacy
Investors Partnerships and a performance income allocation on a similar basis.
The performance income allocation attributable to us is equal to the general
partner's former contractual rights to the income of the Legacy Investors
Partnerships.

As the Legacy Investors Partnerships no longer participates in investment
opportunities, the value of the Legacy SLP Interest is expected to decline over
time. Our equity method investee, the Legacy Investors Partnerships, also owns a
non-controlling interest in Old RPI.

The Avillion Entities



During 2014, we entered into an agreement with our equity method investee
Avillion Financing I, LP ("Avillion I") to invest up to $46.0 million over three
years to fund a portion of the costs of a pivotal Phase 3 study for Pfizer's
Bosulif to expand its label into front-line chronic myeloid leukemia. The U.S.
Food and Drug Administration ("FDA") approved a supplemental New Drug
Application ("sNDA") for Pfizer's Bosulif in December 2017, which triggered a
series of contractual fixed payments from Pfizer to Avillion I over a 10-year
period, which we recognize through receipt of Distributions from
non-consolidated affiliates on the Statement of Cash Flows.

In March 2017, we entered into an agreement with BAv Financing II, LP ("Avillion
II", or, together with Avillion I, the "Avillion Entities"), which was amended
in 2019, to invest approximately $19.0 million to fund approximately 50% of the
costs of a Phase 2 clinical trial for the use of Merck KGaA's anti-IL 17
nanobody M1095 (the "Merck KGaA Asset") for the treatment of psoriasis in
exchange for certain milestone and royalty payments. Our involvement in the
development for the Merck KGaA Asset ceased during the three months ended June
30, 2020 and we do not expect to record significant earnings or losses in the
future related to this investment.

In 2018, we entered into an agreement with Avillion II, which was amended in
July 2021, to fund up to approximately $122.5 million over multiple years to
fund a portion of the costs for Phase 2 and 3 clinical trials of Avillion II,
who simultaneously entered into a co-development agreement with AstraZeneca to
advance PT027 (the "AZ Asset") through a global clinical development program for
the treatment of asthma in exchange for royalties, a series of success-based
milestones and other potential payments.

The business model of the Avillion Entities includes partnering with global biopharmaceutical companies to perform R&D in exchange for success-based milestones and/or royalties once products are commercialized.


                                       43
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Other (income)/expense, net

Other (income)/expense, net primarily includes the change in fair market value
of our equity securities, the unrealized losses/(gains) on our available for
sale debt securities, including related forwards and derivatives. Other
(income)/expense, net also includes losses on extinguishment of debt and
interest income.

Net income attributable to non-controlling interest



Prior to the Exchange Date, the net income attributable to non-controlling
interest relates to RPSFT's 20% share of earnings in RPCT, which is a
consolidated subsidiary of Old RPI. We expect net income attributable to this
non-controlling interest to decline over time as the assets in RPCT expire and
to be substantially eliminated by the end of 2022.

As of and following the Exchange Date, the net income attributable to
non-controlling interest also includes the Legacy Investors Partnerships'
approximately 18% share of earnings in Old RPI. As the Legacy Investors
Partnerships no longer participate in investment opportunities, the related net
income attributable to this non-controlling interest is expected to decline over
time.

In periods subsequent to our IPO, this line item also includes net income
attributable to the RP Holdings Class B Interests held by the Continuing
Investors Partnerships, and will include net income attributable to the Class C
Special Interest held by EPA Holdings once certain conditions have been met. Net
income attributable to the non-controlling interest related to the RP Holdings
Class B Interests held by the Continuing Investors Partnerships will decline
over time if the investors who indirectly own the RP Holdings Class B Interests
exchange those shares for our Class A ordinary shares.
                                       44
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Results of Operations

For the three and nine months ended September 30, 2021 and 2020

The comparison of our historical results of operations for the three and nine months ended September 30, 2021 and 2020 is as follows:



                                              Three Months Ended
(in thousands)                                   September 30,                             Change                          Nine Months Ended September 30,                         Change
                                            2021               2020                 $                   %                     2021                    2020                  $                  %
Income and other revenues:
Income from financial royalty assets    $ 505,832          $ 498,515          $    7,317                 1.5  %       $       1,538,871          $ 1,435,536          $  103,335                7.2  %
Revenue from intangible royalty assets     63,406             34,550              28,856                83.5  %                 139,594              102,978              36,616               35.6  %
Other royalty income                       16,535              5,334              11,201               210.0  %                  35,298               11,696              23,602              201.8  %
Total income and other revenues           585,773            538,399              47,374                 8.8  %               1,713,763            1,550,210             163,553               10.6  %
Operating expenses:
Provision for changes in expected cash
flows from financial royalty assets       137,837            (33,792)            171,629              (507.9) %                 186,337              101,498              84,839               83.6  %
Research and development funding
expense                                    90,500              5,096              85,404             1,675.9  %                  96,263               18,510              77,753              420.1  %
Amortization of intangible royalty
assets                                      5,796              5,796                   -                   -  %                  17,200               17,262                 (62)              (0.4) %
General and administrative expenses        48,588             50,732              (2,144)               (4.2) %                 136,665              131,596               5,069                3.9  %

Total operating expenses, net             282,721             27,832             254,889               915.8  %                 436,465              268,866             167,599               62.3  %
Operating income                          303,052            510,567            (207,515)              (40.6) %               1,277,298            1,281,344              (4,046)              (0.3) %
Other (income)/expense
Equity in earnings of non-consolidated
affiliates                                 (2,749)           (13,743)             10,994               (80.0) %                 (18,532)             (33,961)             15,429              (45.4) %
Interest expense                           44,327             31,444              12,883                41.0  %                 119,168              119,217                 (49)                 -  %

Other expense/(income), net                39,678           (131,388)            171,066              (130.2) %                 (10,868)            (139,238)            128,370              (92.2) %
Total other expense/(income), net          81,256           (113,687)            194,943              (171.5) %                  89,768              (53,982)            143,750             (266.3) %
Consolidated net income                   221,796            624,254            (402,458)              (64.5) %               1,187,530            1,335,326            (147,796)             (11.1) %
Net income attributable to
non-controlling interest                  119,867            333,622            (213,755)              (64.1) %                 575,706              531,380              44,326                8.3  %
Net income attributable to controlling
interest                                $ 101,929          $ 290,632          $ (188,703)              (64.9) %       $         611,824          $   803,946          $ (192,122)             (23.9) %



                                       45

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Total income and revenues

Income from financial royalty assets



Income from financial royalty assets by product for our top products for the
three and nine months ended September 30, 2021 and 2020 is as follows, in order
of contribution to income for the nine months ended September 30, 2021:

(in thousands)                Three Months Ended September 30,                                                    Nine Months Ended
                                                                                Change                              September 30,                             Change
                                  2021                2020                $                 %                 2021                 2020                 $                 %
Cystic fibrosis franchise     $  192,832          $ 147,924          $ 44,908              30.4  %       $   563,245          $   436,968          $ 126,277            28.9  %
Imbruvica                         94,626             99,709            (5,083)             (5.1) %           290,056              295,176             (5,120)           (1.7) %
Tysabri                           54,335             56,111            (1,776)             (3.2) %           156,083              166,341            (10,258)           (6.2) %
Xtandi                            28,527             26,217             2,310               8.8  %            81,245               75,453              5,792             7.7  %
HIV franchise                          -             59,338           (59,338)           (100.0) %            67,802              188,840           (121,038)          (64.1) %
Tazverik                          18,818             19,196              (378)             (2.0) %            56,833               35,748             21,085            59.0  %
Other                            116,694             90,020            26,674              29.6  %           323,607              237,010             86,597            36.5  %
Total income from financial
royalty assets                $  505,832          $ 498,515          $  7,317               1.5  %       $ 1,538,871          $ 1,435,536          $ 103,335             7.2  %


Three months ended September 30, 2021 and 2020



Income from financial royalty assets increased by $7.3 million, or 1.5%, in the
three months ended September 30, 2021 compared to the three months ended
September 30, 2020, primarily driven by the performance of the cystic fibrosis
franchise, including additional interest income attributable to the residual
royalty interest that we acquired in October 2020. We also recorded
$26.2 million in income in the three months ended September 30, 2021 related to
new assets acquired subsequent to the three months ended September 30, 2020,
primarily Cabomeytx/Cometriq, Tremfya and Orladeyo. The increase in income was
partially offset by the maturity of our royalties from the HIV franchise in the
three months ended September 30, 2021.

Nine Months Ended September 30, 2021 and 2020



Income from financial royalty assets increased by $103.3 million, or 7.2%, in
the nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020, primarily driven by strong performance from the cystic
fibrosis franchise. Additionally, we recorded $49.7 million of income from
financial royalty assets in the nine months ended September 30, 2021 related to
new assets acquired subsequent to the nine months ended September 30, 2020,
primarily Cabomeytx/Cometriq, Orladeyo, Oxlumo and Tremfya. The increase in
income was partially offset by declines from maturing assets, mainly the
maturity of our royalties from the HIV franchise.

Revenue from intangible royalty assets

Three months ended September 30, 2021 and 2020



Revenue from intangible royalty interests increased by $28.9 million, or 83.5%,
in the three months ended September 30, 2021 compared to the three months ended
September 30, 2020, primarily related to the expected recovery of underpaid
royalties on Tradjenta of approximately $21.7 million based on a legal judgement
received in a litigation with Boehringer Ingelheim.

Nine Months Ended September 30, 2021 and 2020



Revenue from intangible royalty interests increased by $36.6 million, or 35.6%,
in the nine months ended September 30, 2021 compared to the nine months ended
September 30, 2020, primarily related to the expected recovery of underpaid
royalties on Tradjenta of approximately $21.7 million based on a legal judgement
received in a litigation with Boehringer Ingelheim.

                                       46
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Other royalty income

Three months ended September 30, 2021 and 2020



Other royalty income increased by $11.2 million, or 210.0%, in the three months
ended September 30, 2021 compared to the three months ended September 30, 2020,
primarily related to income from Letairis and the HIV franchise, financial
royalty assets that were fully amortized by June 30, 2021, but for which we
still expect minimal residual royalty income. Other royalty income also includes
income from Nurtec ODT and Trodelvy that arose from our R&D funding agreements
with Biohaven and Immunomedics, respectively.

Nine Months Ended September 30, 2021 and 2020



Other royalty income increased by $23.6 million, or 201.8%, in the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020,
primarily related to income from Trodelvy, Letairis, Nurtec ODT and the HIV
franchise.

Provision for changes in expected cash flows from financial royalty assets



The breakdown of our provision for changes in expected cash flows includes the
•the movement in the cumulative allowance for changes in expected future cash
flows, and
•expense or income related to the provision for current expected credit losses
subsequent to the adoption of ASU 2016-13 on January 1, 2020.

As the former activity is a combination of income and expense items, the
provision breakdown by product, exclusive of the provision for current expected
credit losses, is as follows, based on the largest contributors to each period's
income or expense:

(in thousands)                             Three Months Ended                                             Three Months Ended
                                             September 30,                                                  September 30,
              Product                             2021                          Product                          2020
Tazverik                                   $       115,546          Cystic fibrosis franchise             $       (98,381)
Xtandi                                              58,917          Xtandi                                        (53,142)
Cabometyx/Cometriq                                  12,022          Crysvita                                      (44,263)
Promacta                                             9,682          Nesina                                        (19,900)
Nesina                                               2,506          Tysabri                                       127,241
Other                                               (2,261)         Other                                          24,589
Total provision, exclusive of                      196,412          Total provision, exclusive of                 (63,856)
provision for credit losses                                         provision for credit losses
Provision for current expected                     (58,575)         Provision for current expected                 30,064
credit losses                                                       credit losses
Total provision                            $       137,837          Total provision                       $       (33,792)



(in thousands)                             Nine Months Ended                                              Nine Months Ended
                                             September 30,                                                  September 30,
              Product                             2021                          Product                          2020
Tazverik                                   $       176,937          Tysabri                               $        89,805
Imbruvica                                          107,542          Imbruvica                                      34,664
Emgality                                            54,902          Soliqua                                        25,977
Cabometyx/Cometriq                                  40,499          Xtandi                                       (166,361)
Tysabri                                           (112,720)         Nesina                                        (25,593)
Other                                              (57,480)         Other                                           4,259
Total provision, exclusive of                      209,680          Total provision, exclusive of                 (37,249)
provision for credit losses                                         provision for credit losses
Provision for current expected                     (23,343)         Provision for current expected                138,747
credit losses                                                       credit losses
Total provision                            $       186,337          Total provision                       $       101,498


                                       47

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


Three months ended September 30, 2021 and 2020



In the three months ended September 30, 2021, we recorded provision expense of
$137.8 million, of which $196.4 million and $58.6 million related to provision
expense for changes in expected cash flows and provision income for current
expected credit losses, respectively. We recorded provision expense for Tazverik
and Xtandi, primarily due to significant declines in sell-side equity research
analysts' consensus forecasts. During the three months ended September 30, 2021,
the provision income for credit losses was driven by a significant decrease in
current expected credit losses related to Tazverik as a result of the
corresponding significant decline in the financial asset value.

In the three months ended September 30, 2020, we recorded provision income of
$33.8 million, of which $63.9 million and $30.1 million related to provision
income for changes in expected cash flows and provision expense for current
expected credit losses, respectively. We recorded provision income for the
cystic fibrosis franchise, Xtandi and Crysvita primarily due to increases in
sell-side equity research analysts' consensus forecasts. Offsetting the
provision income was provision expense recorded for Tysabri, primarily driven by
declines in sell-side equity research analysts' consensus forecasts. During the
three months ended September 30, 2020, the provision expense for current
expected credit losses was primarily driven by increases to our portfolio of
financial royalty assets, including Nurtec ODT.

Nine Months Ended September 30, 2021 and 2020



In the nine months ended September 30, 2021, we recorded provision expense of
$186.3 million, of which $209.7 million and $23.3 million related to provision
expense for changes in expected cash flows and provision income for current
expected credit losses, respectively. We recorded provision expense for
Tazverik, Imbruvica and Emgality, primarily due to declines in sell-side equity
research analysts' consensus forecasts. Offsetting the provision expense was
provision income from a significant increase in sell-side equity research
analysts' consensus forecasts for Tysabri. During the nine months ended
September 30, 2021, the provision income for credit losses was driven by a
significant decrease in current expected credit losses related to Tazverik. The
provision income for credit losses was partially offset by provision expense for
credit losses recognized as a result of the increases to our portfolio of
financial royalty assets, including the incremental $100.0 million financial
royalty asset related to the start of the oral zavegepant Phase 3 program and a
new royalty interest in Cabometyx/Cometriq.

In the nine months ended September 30, 2020, we recorded provision expense of
$101.5 million, of which $37.2 million and $138.7 million related to provision
income for changes in expected cash flows and provision expense for current
expected credit losses, respectively. We recorded provision expense for Tysabri
and Imbruvica, primarily due to declines in sell-side equity research analysts'
consensus forecasts. Offsetting the provision expense was provision income for
increases in sell-side equity research analysts' consensus forecasts for Xtandi
and Nesina. During the nine months ended September 30, 2020, we recognized
provision expense for current expected credit losses, primarily driven by
increases to our portfolio of financial royalty assets, including the final two
$110.0 million tranches of Tazverik, and Nurtec ODT.

R&D funding expense

Three months ended September 30, 2021 and 2020

R&D funding expense increased by $85.4 million for the three months ended September 30, 2021 as compared to the three months ended September 30, 2020, primarily due to the upfront R&D funding of $90.0 million related to two development-stage products, paid on the closing of our strategic funding partnership with MorphoSys in July 2021.

Nine Months Ended September 30, 2021 and 2020

R&D funding expense increased by $77.8 million, or 420.1%, for the nine months ended September 30, 2021 as compared to the nine months ended September 30, 2020, primarily driven by the upfront R&D funding partially offset by lower expenses under our R&D agreement with Sanofi as development nears completion.


                                       48
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)




G&A expenses

Three months ended September 30, 2021 and 2020

G&A expenses were relatively flat in the three months ended September 30, 2021 compared to the three months ended September 30, 2020.

Nine Months Ended September 30, 2021 and 2020

G&A expenses were relatively flat in the nine months ended September 30, 2021 compared to the nine months ended September 30, 2020.

Equity in earnings of non-consolidated affiliates

Three months ended September 30, 2021 and 2020



Equity in earnings of non-consolidated affiliates decreased $11.0 million, or
80.0%, in the three months ended September 30, 2021 compared to the three months
ended September 30, 2020.

Equity in earnings from the Legacy SLP Interest was $11.2 million and
$24.2 million, in the three months ended September 30, 2021 and 2020,
respectively. The decrease in equity in earnings of the Legacy SLP Interest was
primarily driven by lower net income attributable to Old RPI in the three months
ended September 30, 2021.

Equity in losses of the Avillion entities was relatively flat in the three months ended September 30, 2021 compared to the three months ended September 30, 2020.

Nine Months Ended September 30, 2021 and 2020



Equity in earnings of non-consolidated affiliates decreased $15.4 million, or
45.4%, in the nine months ended September 30, 2021 compared to the nine months
ended September 30, 2020.

Equity in earnings from the Legacy SLP Interest was $41.9 million and
$47.6 million in the nine months ended September 30, 2021 and 2020,
respectively. The equity in earnings of the Legacy SLP Interest reflects a
partial period of equity in earnings subsequent to the Exchange Date in the nine
months ended September 30, 2020. The decrease in equity in earnings of the
Legacy SLP Interest was primarily driven by lower net income attributable to Old
RPI in the three months ended September 30, 2021.

Equity in losses of the Avillion Entities was $23.4 million and $13.6 million
for the nine months ended September 30, 2021 and 2020, respectively. In the nine
months ended September 30, 2020, the equity in losses was smaller due to a
one-time gain we recognized related to the cessation of our involvement in the
development of the Merck KGaA Asset.

Interest expense

Three months ended September 30, 2021 and 2020



Interest expense increased by $12.9 million, or 41.0%, in the three months ended
September 30, 2021 as compared to the three months ended September 30, 2020,
primarily driven by interest expense related to the $1.3 billion senior
unsecured notes issued in July 2021 ("2021 Notes").

                                       49
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


Nine Months Ended September 30, 2021 and 2020



Interest expense was relatively flat in the nine months ended September 30, 2021
compared to the nine months ended September 30, 2020. The increase in interest
expense related to the 2021 Notes was offset by the lower interest expense
related to the $6.0 billion senior unsecured notes issued in September 2020 (the
"2020 Notes"), which had a lower weighted average interest rate compared to the
senior secured credit facilities that were in place during the nine months ended
September 30, 2020.

Refer to the "Liquidity and Capital Resources" section for additional discussion of the Notes and our debt refinancings in 2020.

Other expense/(income), net

Three months ended September 30, 2021 and 2020

Other expense, net of $39.7 million in the three months ended September 30, 2021, was primarily comprised of losses on equity securities of $19.3 million driven by a net decrease in the share price of our investees and a loss on derivative financial instruments of $17.0 million due to the change in fair value of the treasury lock contracts.



Other income, net was $131.4 million in the three months ended September 30,
2020, primarily comprised of gains on equity securities of $160.2 million driven
by an increase in the share price of our investment in Immunomedics common stock
following the announcement of the acquisition of Immunomedics by Gilead.
Partially offsetting these gains was a loss on debt extinguishment of
$25.1 million recorded in the three months ended September 30, 2020, which
primarily consisted of unamortized loan issuance costs and original issue
discount related to our senior secured credit facilities that were written off
as a result of the refinancing completed in September 2020.

Nine Months Ended September 30, 2021 and 2020



Other income, net was $10.9 million in the nine months ended September 30, 2021,
primarily comprised of interest income of $40.5 million related to our Series A
Biohaven Preferred Shares. We also recognized losses of $21.4 million related to
decreases in the fair market value of our derivative financial instruments and
losses of $18.0 million related to equity securities due to a net decrease in
the share price of our investees.

Other income, net was $139.2 million in the nine months ended September 30,
2020, primarily comprised of gains on equity securities of $201.0 million,
primarily due to an increase in the share price of Immunomedics common stock,
which was partially offset by a decrease in share price of our investment in
Epizyme common stock. The gains were partially offset by losses on derivative
financial instruments of $39.9 million primarily related to a decrease in fair
value of our Epizyme warrant and losses on our interest rate swaps due to
adverse movements in the LIBOR curve prior to the termination of interest rate
swaps in February 2020. Additionally, we recorded a loss on debt extinguishment
of $30.5 million in the nine months ended September 30, 2020 related to the debt
refinancings completed in 2020.

Net income attributable to non-controlling interest

Three months ended September 30, 2021 and 2020



Net income attributable to the Legacy Investors Partnerships, which arose in
February 2020 in connection with the Exchange Offer Transactions, was
$63.4 million in the three months ended September 30, 2021, a decrease of
$62.0 million, compared to the three months ended September 30, 2020, primarily
driven by lower net income attributable to Old RPI in the three months ended
September 30, 2021.

Net income attributable to the Continuing Investors Partnerships, which arose in
connection with the IPO, was $42.6 million in the three months ended September
30, 2021, a decrease of $143.7 million compared to the three months ended
September 30, 2020, primarily driven by lower net income attributable to RP
Holdings in the three months ended September 30, 2021.

Net income attributable to RPSFT was $13.9 million and $21.9 million in the three months ended September 30, 2021 and 2020, respectively. We expect net income attributable to RPSFT to continue to decline as the assets held by RPCT mature.


                                       50
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)


Nine Months Ended September 30, 2021 and 2020



Net income attributable to the Legacy Investors Partnerships was $233.4 million
and $246.1 million in the nine months ended September 30, 2021 and 2020,
respectively. The net income attributable to the Legacy Investors Partnerships
reflects a partial period of net income subsequent to the Exchange Date in the
nine months ended September 30, 2020. The decrease in net income attributable to
the Legacy Investors Partnerships was primarily driven by lower net income
attributable to Old RPI in the nine months ended September 30, 2021.

Net income attributable to the Continuing Investors Partnerships was
$294.1 million and $217.9 million, in the nine months ended September 30, 2021
and 2020, respectively. The net income attributable to the Continuing Investors
Partnerships reflects a partial period of net income subsequent to the IPO in
the nine months ended September 30, 2020.

Net income attributable to RPSFT was $48.2 million and $67.5 million in the nine months ended September 30, 2021 and 2020, respectively.

Key developments and upcoming events relating to our portfolio

The key developments impacting our cash receipts and income and revenue from our royalty interests are discussed below:

Commercial Products



•Cystic fibrosis franchise. In August 2020, Vertex announced that the European
Commission (EC) had granted marketing authorization of Kaftrio in a combination
regimen with ivacaftor for the treatment of patients with cystic fibrosis ages
12 years and older with one F508del mutation and one minimal function mutation,
or two F508del mutations in the CFTR gene.

In December 2020, the FDA expanded the eligibility for Trikafta to include people with cystic fibrosis ages 12 and older with certain mutations that are responsive to Trikafta based on in vitro data.

In April 2021, Vertex announced EC approval for Kaftrio in combination with Ivacaftor for the treatment of patients with cystic fibrosis ages 12 and older who have at least one F508del mutation.



In June 2021, Vertex announced that the FDA approved Trikafta for the treatment
of children with cystic fibrosis ages 6 to 11 who have at least one F508del
mutation or have certain mutations that are responsive to Trikafta based on in
vitro data. Vertex has also filed a regulatory submission for the use of Kaftrio
in children ages 6 to 11 to the European Medicines Agency (EMA).

•Tysabri. In June 2020, Biogen submitted a supplemental Biologics License
Application (sBLA) for a subcutaneous formulation of Tysabri to the FDA. This
followed a regulatory submission for a subcutaneous formulation of Tysabri to
the EMA in March 2020. In April 2021 Biogen announced that the EC granted
marketing authorization for a subcutaneous injection of Tysabri to treat
relapsing-remitting multiple sclerosis. Biogen also announced that it had
received a Complete Response Letter (CRL) from the FDA for its sBLA for
subcutaneous Tysabri. The CRL indicates that the FDA is unable to approve
Biogen's filing as submitted. Biogen announced that it is evaluating the CRL and
will determine next steps in the United States.

In August 2021, Biogen announced results from Phase 3b NOVA study evaluation
every six-week dosing with Tysabri IV administration in relapsing-remitting
multiple sclerosis. Results show that every six-week Tysabri IV administration
provides a high level of efficacy in controlling multiple sclerosis disease
activity in patients who switched from the approved every four-week dosing
regimen.

•Imbruvica. In April 2020, Imbruvica received FDA approval for use in combination with rituximab for the treatment of previously untreated patients with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).



In August 2020, the EC granted marketing authorization for Imbruvica in
combination with rituximab for the treatment of adult patients with previously
untreated CLL. This milestone marked the 11th FDA approval for Imbruvica since
it was first approved in 2013 and sixth in CLL.
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)




In June 2021, Phase 3 GLOW study results were announced for Imbruvica in
combination with Venetoclax for the treatment of first-line CLL and SLL
demonstrated superior progression-free survival versus chlorambucil plus
obinutuzumab as a first-line treatment of CLL. The study also showed improved
duration of remission and significantly improved depth of remission. AbbVie has
indicated that approval could occur in 2022.

In August 2021, AbbVie announced that the U.S. District Court for the District
of Delaware had issued a decision holding patent rights relating to Imbruvica
were valid and infringed by a generic product from Alvogen and Natco. The
decision, which is subject to appeal, prohibits regulatory approval of that
generic product until the last AbbVie patent expires. Previously, AbbVie entered
into several settlement and license agreements with other generic companies.
Consequently, Abbvie does not expect any generic product entry prior to March
30, 2032, assuming pediatric exclusivity is granted.

•Xtandi. Astellas and Pfizer have indicated that there could be a potential
readout of the Phase 3 EMBARK trial for high-risk non-metastatic prostate cancer
in 2022, with a primary trial completion date anticipated in 2023.

In May 2021, Astellas and Pfizer announced that the EC approved Xtandi for the treatment of patients with metastatic hormone-sensitive prostate cancer (mHSPC).



In September 2021, Astellas Pharma and Pfizer announced that Xtandi plus
androgen deprivation therapy (ADT) reduced the risk of death by 34% compared to
placebo plus ADT in the Phase 3 ARCHES study in men with mHSPC. Overall survival
was a key secondary endpoint in the study.

•Trodelvy. In April 2020, Immunomedics announced that the FDA granted accelerated approval of Trodelvy for the treatment of patients with metastatic triple-negative breast cancer (TNBC) who have received at least two prior therapies for metastatic disease.



In September 2020, Gilead and Immunomedics announced that Gilead would acquire
Immunomedics for approximately $21 billion in cash and the transaction closed in
October 2020. In 2018, we entered into a partnership with Immunomedics whereby
we acquired a tiered sales-based royalty on Trodelvy for $175.0 million and
acquired 4,373,178 shares of Immunomedics common stock for $75.0 million.
Gilead's acquisition of Immunomedics closed in October 2020, resulting in gross
cash proceeds upon redemption of our Immunomedics common stock of approximately
$385 million.

In April 2021, Gilead announced the FDA granted full approval to Trodelvy for
adult patients with unresectable locally advanced or metastatic TNBC who have
received two or more prior systemic therapies, at least one of them for
metastatic disease. The approval is supported by data from the Phase 3 ASCENT
study.

In April 2021, Gilead announced that the FDA granted an accelerated approval of
Trodelvy for use in adult patients with locally advanced or metastatic
urothelial cancer who have previously received a platinum-containing
chemotherapy and either a programmed death receptor-1 (PD-1) or a programmed
death-ligand 1 (PD-L1) inhibitor. The accelerated approval was based on data
from the international Phase 2, single-arm TROPHY study.

In June 2021, Gilead announced superior outcomes to standard of care in second-line treatment of metastatic triple-negative breast cancer in Phase 3 ASCENT study. Trodelvy more than doubled overall survival as second-line treatment in new ASCENT subgroup analysis.



In October 2021, Gilead announced that the EMA adopted a positive opinion for
Trodelvy as a monotherapy indicated for adult patients with unresectable or
metastatic TNBC who have received two or more prior systemic therapies, at least
one of them for advanced disease. The final EC decision on the MAA for Trodelvy
is anticipated later in 2021.

In October 2021, Gilead announced that progression-free survival data from the
Phase 3 TROPiCS-02 trial testing Trodelvy versus physician's choice in hormone
receptor positive/human epidermal growth factor receptor 2 negative metastatic
breast cancer who have previously failed at least two, and no more than four,
prior chemotherapy regimens for metastatic disease was expected in the first
quarter of 2022.

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



•Nurtec ODT. In February 2020, Biohaven announced that the FDA approved Nurtec
ODT for the acute treatment of migraine in adults. The FDA approval of Nurtec
ODT triggered a redemption provision related to our investment in the Series A
Biohaven Preferred Shares, which entitles us to receive a fixed payment amount
of $250.0 million payable in equal quarterly payments from March 31, 2021
through December 31, 2024.

In October 2020, Biohaven announced that the FDA had filed and accepted for
review its recently submitted sNDA for Nurtec ODT for the preventive treatment
of migraine. The Prescription Drug User Fee Act target date for completion of
the FDA review of the preventive application for Nurtec ODT was the second
quarter of 2021.

In March 2021, Biohaven announced that its filing for rimegepant was submitted
and accepted for review by the EMA for the treatment of migraine, inclusive of
both acute and preventive treatment.

In May 2021, Biohaven announced that the FDA approved Nurtec ODT for the preventative treatment of migraine, indicated for adult patients with episodic migraine who experience less than 15 headache days per month.



In November 2021, Biohaven announced a strategic collaboration with Pfizer for
the commercialization of rimegepant outside the United States. Pfizer also gains
rights outside the United States to zavegepant, which is being studied in an
intranasal delivery and an oral formulation in Phase 3 clinical trials for
migraine indications. Royalty Pharma is entitled to royalties on annual
worldwide net sales of rimegepant (commercialized as Nurtec ODT in the United
States) and zavegepant.

•Evrysdi. In August 2020, the FDA approved Evrysdi, the first at-home, orally
administered treatment for spinal muscular atrophy (SMA) in adults and children
ages 2 months and older.

In March 2021, Roche announced that the EC approved Evrysdi for the treatment of
SMA in patients two months of age and older, with a clinical diagnosis of SMA
Type 1, Type 2 or Type 3 or with one to four splicing modifier of motor neuron 2
(SMN2) copies.

In June 2021, Evrysdi was approved in Japan for the treatment of SMA.



•Orladeyo. In December 2020, BioCryst announced that Orladeyo was approved by
the FDA for prophylaxis to prevent attacks of hereditary angioedema (HAE) in
patients ages 12 years and older.

In January 2021, Orladeyo was approved in Japan, becoming the first and only prophylactic HAE medication approved in the region.

In April 2021, BioCryst announced that the EC approved Orladeyo for the prevention of recurrent HAE attacks in patients 12 years and older.

In April 2021, BioCryst announced approval of Japanese National Health Insurance System price listing of Orladeyo for prophylactic treatment of HAE.



•Cabometyx. In January 2021, Exelixis announced that the FDA approved Cabometyx
for patients with advanced renal cell carcinoma (RCC) as a first-line treatment
in combination with Bristol Myers Squibb's Opdivo. The approval was based on the
Phase 3 CheckMate -9ER trial, in which the combination of Cabometyx and Opdivo
significantly improved overall survival while doubling progression-free survival
and objective response rate versus sunitinib as a first-line treatment for
patients with advanced RCC.

In March 2021, Ipsen announced that the EC approved the combination of Cabometyx and Opdivo for the first-line treatment of advanced RCC.



In May 2021, Exelixis announced results from cohort six of COSMIC-021, a Phase
1b trial evaluating Cabometyx in combination with atezolizumab in patients with
locally advanced or metastatic solid tumors, including patients with metastatic
castration-resistant prostate cancer (CRPC). In high-risk patients, the
combination of Cabometyx and atezolizumab resulted in objective response rates
of 27% and 18% per investigator assessment and Blinded Independent Radiology
Committee, respectively.

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



In June 2021, Exelixis and Ipsen announced that COSMIC-312, a Phase 3 trial
evaluating Cabometyx in combination with atezolizumab versus sorafenib in
patients with previously untreated advanced hepatocellular carcinoma (HCC). The
trial met one of its primary endpoints by demonstrating significant improvement
in progression-free survival at the planned primary analysis. However, a
prespecified interim analysis was not statistically significant for the second
primary endpoint of overall survival. Based on the preliminary overall survival
data, Exelixis anticipates that the probability of reaching statistical
significance at the time of the final analysis is low. Exelixis announced that
it plans to present these results at a future medical meeting. Based on recent
feedback from the FDA, Exelixis plans to file an sNDA in early 2022 once final
OS data is available.

In August 2021, Exelixis announced that their partners Takeda and Ono received
approval in Japan for Cabometyx in combination with Opdivo for the treatment of
unresectable or metastatic RCC. Approval is based on the CheckMate -9ER trial of
Cabometyx in combination with Opdivo, which demonstrated superior overall
survival and doubled mean progression-free survival and objective response rate
versus sunitinib, with a favorable safety profile.

In September 2021, Exelixis announced detailed results from the expanded Cohort
6 of the Phase 1b COSMIC-021 trial of Cabometyx in combination with atezolizumab
in patients with metastatic CRPC, which included patients with metastatic CRPC
who had been previously treated with novel hormone therapies enzalutamide and/or
abiraterone acetate used along with prednisone. Following discussions with FDA,
Exelixis will not pursue a regulatory submission for the combination regimen
based on cohort 6 of COSMIC-021. CONTACT-02, a global Phase 3 pivotal trial that
initiated enrollment in June 2020 may serve as a basis for future regulatory
applications.

In September 2021, Exelixis announced FDA approved Cabometyx for patients with
previously treated radioactive iodine-refractory differentiated thyroid cancer.
The approval was based on the Phase 3 COSMIC-311 pivotal trial.

Development-Stage Product Candidates



•Gantenerumab: In October 2021, Roche announced that gantenerumab, an
anti-amyloid beta antibody developed for subcutaneous administration, has been
granted Breakthrough Therapy Designation by the FDA for the treatment of people
living with Alzheimer's disease. This designation is based on data showing that
gantenerumab significantly reduced brain amyloid plaque, a pathological hallmark
of Alzheimer's disease, in the ongoing SCarlet RoAD and Marguerite RoAD
open-label extension trials, as well as other studies.

•PT027: In September 2021, AstraZeneca and Avillion announced positive results
from MANDALA and DENALI, two Phase 3 trials evaluating PT027
(albuterol/budesonide) in patients with asthma. PT027 is a potential
first-in-class inhaled, fixed-dose combination of albuterol, a short-acting
beta2-agonist, and budesonide, an inhaled corticosteroid. In MANDALA, PT027
demonstrated a statistically significant and clinically meaningful reduction in
the risk of severe exacerbations compared to albuterol, when used as a rescue
medicine in response to symptoms. In DENALI, PT027 showed a statistically
significant improvement in lung function measured by forced expiratory volume in
one second, compared to the individual components albuterol and budesonide, and
compared to placebo. The safety and tolerability of PT027 in both trials was
consistent with the known profiles of the components.

•Oxlumo. In July 2021, Alnylam announced results from ILLUMINATE-C, a phase 3
open-label study of lumasiran in patients of all ages with advanced primary
hyperoxaluria type 1 (PH1) associated with progressive decline in renal
function. Results from the primary analysis at six months demonstrated a
substantial reduction in plasma oxalate from baseline in patients (n=21) with
advanced disease, including those on hemodialysis. The safety and tolerability
profile of lumasiran following six months of treatment was encouraging across
all ages, with no drug related serious adverse events (SAEs) and injection site
reactions (ISRs) as the most common adverse event (AE). Based on these results,
Alnylam announced that it plans to submit a sNDA for lumasiran with the FDA and
a Type II Variation with the EMA in late 2021.

•Zavegepant. In October 2020, Biohaven began a one-year long-term safety trial
of zavegepant. Biohaven expects a potential NDA filing by end of 2021 if the
pivotal acute trial proves to be positive.

In March 2021, Biohaven announced that it enrolled the first patient in a Phase
2/3 clinical trial of oral zavegepant for the preventive treatment of migraine.
Accordingly, per the agreement with Biohaven announced in August 2020, Royalty
Pharma paid $100 million to Biohaven for the achievement of this milestone,
bringing the total zavegepant funding to $250 million.
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)




•Omecamtiv mecarbil. In November 2020, Amgen, Cytokinetics and Servier presented
the results of GALACTIC-HF study, a Phase 3 trial of omecamtiv mecarbil in
patients with heart failure, at the American Heart Association Scientific
Sessions. The trial met the primary composite endpoint of reduction in
cardiovascular death or heart failure events, but did not meet the secondary
endpoint of reduction in cardiovascular death. Cytokinetics subsequently
regained global rights to develop and commercialize omecamtiv mercarbil when
Amgen and Servier elected to terminate their collaboration agreement effective,
May 2021. Following the Phase 3 results and termination of the collaboration, we
recorded a $90 million write-off in December 2020 to the royalty investment
given the uncertainty around the future of omecamtiv.

In the second quarter of 2021, Cytokinetics announced that it has engaged with
the FDA in both a Type C meeting and a pre-NDA meeting to inform its plans to
submit NDA for omecamtiv mecarbil in the fourth quarter of 2021. The submission
will be based on GALACTIC-HF which demonstrated a positive effect on the primary
composite endpoint of cardiovascular death or heart failure events in patients
with heart failure and reduced ejection fraction who were receiving standard of
care plus omecamtiv mecarbil.

•Ibrance. In May 2020, Pfizer reported that the independent data monitoring
committee for the PALLAS trial had concluded after the interim analysis that the
PALLAS trial was "unlikely to show a statistically significant improvement in
the primary endpoint of invasive disease-free survival." In October 2020, Pfizer
announced that the Phase 3 PENELOPE-B trial did not meet the primary endpoint of
improved invasive disease-free survival in women with hormone receptor-positive,
human epidermal growth factor-negative early breast cancer who have residual
invasive disease after completing neoadjuvant chemotherapy. As a result, we will
not be entitled to any royalties or milestone payments from this R&D funding
arrangement.


Non-GAAP Financial Results

In addition to analyzing our results on a GAAP basis, management also reviews
our results on a non-GAAP basis. There is no direct correlation between income
from financial royalty assets and royalty receipts due to the nature of the
accounting methodology applied for financial royalty assets. Further, income
from financial royalty assets and the provision for changes in expected cash
flows related to these financial royalty assets can be volatile and
unpredictable. As a result, management places importance on royalty receipts as
they are predictable and we use them as a measure of our operating performance.
Refer to section titled "Non-GAAP Reconciliations" for additional discussion of
management's use of non-GAAP measures as supplemental financial measures and
reconciliations from the most directly GAAP comparable measures of Net cash
provided by operating activities.

Adjusted Cash Receipts is a measure calculated with inputs directly from the
Statement of Cash Flows and includes (1) royalty receipts by product: (i) Cash
collections from royalty assets (financial assets and intangible assets), (ii)
Other royalty cash collections, (iii) Distributions from non-consolidated
affiliates, plus (2) Proceeds from available for sale debt securities and less
(3) Distributions to non-controlling interest, which represents contractual
distributions of royalty receipts and proceeds from available for sale debt
securities to our historical non-controlling interest attributable to a de
minimis interest in RPCT held by certain legacy investors and to a new
non-controlling interest that was created as a result of the Exchange Offer
Transactions in February 2020 related to the Legacy Investors Partnerships'
ownership of approximately 18% in Old RPI. Adjusted Cash Receipts is most
directly comparable to the GAAP measure of Net cash provided by operating
activities.

Adjusted EBITDA and Adjusted Cash Flow are similar non-GAAP liquidity measures
that are both most closely comparable to the GAAP measure, Net cash provided by
operating activities. Adjusted EBITDA is important to our lenders and is defined
as Adjusted Cash Receipts less Payments for operating and professional costs.
Payments for operating and professional costs are comprised of Payments for
operating and professional costs and Payments for rebates from the Statement of
Cash Flows.

Adjusted Cash Flow is defined as Adjusted EBITDA less (1) Ongoing
development-stage funding payments, (2) Interest paid, net of interest received,
(3) Other (including Derivative collateral posted, net of Derivative collateral
received and Termination payments on derivative instruments), and (4)
Investments in non-consolidated affiliates, and plus (1) Contributions from
non-controlling interest- R&D, all directly reconcilable to the Statement of
Cash Flows.

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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Adjusted Cash Receipts and Adjusted Cash Flow are used by management as key
liquidity measures in the evaluation of our ability to generate cash from
operations. Both measures are an indication of the strength of the Company and
the performance of the business. Management also uses Adjusted Cash Flow to
compare its performance against non-GAAP adjusted net income used by companies
in the biopharmaceutical industry. Adjusted EBITDA, as derived from Adjusted
Cash Receipts, is used by our lenders to assess our ability to meet our
financial covenants.

The table below includes the royalty receipts and non-GAAP financial results for
the three and nine months ended September 30, 2021 and 2020 by product in order
of contribution to income for the nine months ended September 30, 2021.

                                            Three Months Ended                       Nine Months Ended                           Nine-Months
(in thousands)                                 September 30,                           September 30,                         Year-to-date Change
                                          2021               2020                2021                 2020                   $                   %

Products


Cystic fibrosis franchise (1)         $ 182,876          $ 156,952          $   505,708          $   392,474          $    113,234               28.9  %
Tysabri                                  95,805             76,617              274,796              252,941                21,855                8.6  %
Imbruvica                                87,924             77,816              264,348              237,038                27,310               11.5  %
Promacta                                 48,151             39,734              124,617              102,135                22,482               22.0  %
Xtandi                                   40,237             38,498              117,049              107,406                 9,643                9.0  %
Januvia, Janumet, Other DPP-IVs (2)      37,934             34,485              113,133              104,132                 9,001                8.6  %
HIV franchise (3)                         1,858             66,869               76,981              215,448              (138,467)             (64.3) %
Nurtec ODT/Biohaven payment (4)          17,948                227               51,170                  227                50,943                     *
Prevymis                                  9,929              6,786               27,331               13,199                14,132              107.1  %
Farxiga/Onglyza                           9,321              8,290               26,996               16,547                10,449               63.1  %
Cabometyx/Cometriq                       12,038                  -               22,167                    -                22,167                  -  %
Tremfya                                  16,610                  -               16,610                    -                16,610                  -  %
Crysvita                                  4,576              3,384               12,092                6,004                 6,088              101.4  %
Emgality                                  4,542              2,598               11,356                6,811                 4,545               66.7  %
Evrysdi                                   5,897                  -               10,546                    -                10,546                  -  %
Erleada                                   3,736              2,104                9,957                5,314                 4,643               87.4  %
IDHIFA                                    3,079              3,282                8,568                3,282                 5,286              161.1  %
Trodelvy                                  2,521                833                8,118                  833                 7,285              874.5  %
Orladeyo                                  2,502                  -                3,471                    -                 3,471                  -  %
Tazverik                                    958                166                2,165                  262                 1,903              726.3  %
Other products (5)                      123,761             69,819              262,181              253,028                 9,153                3.6  %
Total royalty receipts                $ 712,203          $ 588,460          $ 1,949,360          $ 1,717,081          $    232,279               13.5  %
Distributions to non-controlling
interest                               (125,427)          (116,347)            (363,624)            (400,893)               37,269               (9.3) %

Adjusted Cash Receipts (non-GAAP) $ 586,776 $ 472,113 $ 1,585,736 $ 1,316,188 $ 269,548

               20.5  %
Payments for operating and
professional costs                      (53,509)           (59,398)            (135,272)            (129,382)               (5,890)               4.6  %
Adjusted EBITDA (non-GAAP)            $ 533,267          $ 412,715          $ 1,450,464          $ 1,186,806          $    263,658               22.2  %
Interest paid, net                      (64,587)           (15,119)            (126,755)             (94,953)              (31,802)              33.5  %
Investments in non-consolidated
affiliates                              (10,893)                 -              (28,320)             (29,262)                  942               (3.2) %
Ongoing development-stage funding
payments                              $    (500)         $  (5,095)         $    (6,263)         $   (18,510)         $     12,247              (66.2) %
Other                                   (18,223)                 -              (16,093)               9,804               (25,897)            (264.1) %

Contributions from non-controlling
interest- R&D                             2,003              1,107                6,083                6,221                  (138)              (2.2) %

Adjusted Cash Flow (non-GAAP) $ 441,067 $ 393,608 $ 1,279,116 $ 1,060,106 $ 219,010

               20.7  %

Weighted average Class A ordinary
shares outstanding - diluted               607,174                 **              607,152                   **


*Percentage change is not meaningful.
** Prior year figures are not meaningful for comparison purposes.
                                       56
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



(1) The cystic fibrosis franchise includes the following approved products:
Kalydeco, Orkambi, Symdeko/Symkevi and Trikafta/Kaftrio.
(2) Januvia, Janumet, Other DPP-IVs include the following approved products:
Tradjenta, Onglyza, Kombiglyze, Galvus, Eucreas and Nesina. The Other DPP-IVs
are marketed by Boehringer Ingelheim, AstraZeneca, Novartis and Takeda.
(3) The HIV franchise includes the following approved products: Atripla,
Truvada, Emtriva, Complera, Stribild, Genvoya, Descovy, Odefsey, Symtuza and
Biktarvy. Royalties are received on the emtricitabine portion of sales only.
(4) Includes royalty receipts for Nurtec ODT of $2.3 million and $4.3 million
for the three and nine months ended September 30, 2021, respectively, and
quarterly redemptions of $15.6 million of the Series A Biohaven Preferred Shares
(presented as Proceeds from available for sale debt securities on the Statement
of Cash Flows) in 2021.
(5) Other products primarily include royalties on the following products:
Bosulif (a product co-developed by our joint venture investee, Avillion, for
which receipts are presented as Distributions from non-consolidated affiliates
on the Statement of Cash Flows), Letairis, Lyrica, Cimzia, Entyvio, Lexiscan,
Mircera, Myozyme, Nesina, Soliqua and a one-time $21.3 million distribution from
Avillion in respect of the Merck KGaA Asset in the three months ended June 30,
2020, for which the receipt is presented as Distributions received from
non-consolidated affiliates in both the operating and investing section of the
Statement of Cash Flows. In the three months ended September 30, 2021, we
collected a one-time $45.0 million milestone payment on Soliqua. Subsequent to
the Exchange Offer Transactions, other products also includes contributions from
the Legacy SLP Interest.

Adjusted Cash Receipts (non-GAAP)

Nine Months Ended September 30, 2021 and 2020



Adjusted Cash Receipts increased by $269.5 million to $1.6 billion in the nine
months ended September 30, 2021 compared to the nine months ended September 30,
2020, primarily driven by an increase in royalty receipts from the cystic
fibrosis franchise, including royalty receipts related to the residual interest
in the cystic fibrosis franchise that we acquired in October 2020, fixed
payments from Biohaven on the Series A Biohaven Preferred Shares and new assets
acquired subsequent to the nine months ended September 30, 2020. Offsetting the
increase in royalty receipts is a decline in royalty receipts from maturing
assets, primarily the HIV franchise, Lyrica and Letairis. Additionally, we
received one-time payments of $45.0 million related to a commercial milestone
for Soliqua and $21.3 million from Avillion II in connection with the cessation
of our involvement in the Merck KGaA Asset development in the nine months ended
September 30, 2021 and 2020, respectively. The increase in Adjusted Cash
Receipts is further driven by a decrease in distributions to non-controlling
interest, primarily due to a non-recurring distribution to the Legacy Investors
Partnerships in connection with the Exchange Offer Transactions that occurred in
the three months ended March 31, 2020.

Below we discuss the key drivers of royalty receipts.

Royalty Receipts



•Cystic fibrosis franchise - Royalty receipts from the cystic fibrosis
franchise, which includes Kalydeco, Orkambi, Symdeko/Symkevi and
Trikafta/Kaftrio, all approved for patients with certain mutations causing
cystic fibrosis, increased by $113.2 million in the nine months ended September
30, 2021 compared to the nine months ended September 30, 2020. The increase was
driven by a clawback adjustment related to Vertex's agreement with French
authorities around reimbursement for Orkambi that reduced royalty receipts in
the three months ended March 31, 2020, as well as growth in sales for the
overall cystic fibrosis franchise resulting from continued uptake of Trikafta in
the United States and Kaftrio in Europe. Following our acquisition of the
residual interest from the Cystic Fibrosis Foundation in the three months ended
December 31, 2020, we are entitled to all royalty receipts on annual worldwide
net sales above $5.8 billion and received royalty receipts related to the
residual interest in the cystic fibrosis franchise in the nine months ended
September 30, 2021.

•Tysabri - Royalty receipts from Tysabri, which is marketed by Biogen for the
treatment of multiple sclerosis, increased by $21.9 million in the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020,
driven by continued patient growth.

•Imbruvica - Royalty receipts from Imbruvica, which is marketed by AbbVie and
Johnson & Johnson for the treatment of blood cancers and chronic graft versus
host disease, increased by $27.3 million in the nine months ended September 30,
2021 compared to the nine months ended September 30, 2020, driven by continued
global penetration in patients with chronic lymphocytic leukemia and favorable
pricing. This increase was partially offset by modest market share losses in the
United States, lower new patient starts due to the COVID-19 pandemic as well as
the impact of a COVID-19 inventory stocking benefit in the nine months ended
September 30, 2020.

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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



•Promacta - Royalty receipts from Promacta, which is marketed by Novartis for
the treatment of chronic immune thrombocytopenia and aplastic anemia, increased
by $22.5 million in the nine months ended September 30, 2021 compared to the
nine months ended September 30, 2020. This growth was driven by increased use in
immune thrombocytopenia and as first-line treatment for severe aplastic anemia
in the United States.

•Xtandi - Royalty receipts from Xtandi, which is marketed by Pfizer and Astellas
for the treatment of prostate cancer, increased by $9.6 million in the nine
months ended September 30, 2021 compared to the nine months ended September 30,
2020, driven by demand across various prostate cancer indications.

•Januvia, Janumet, Other DPP-IVs - Royalty receipts from the DPP-IVs for type 2
diabetes, which includes Januvia and Janumet, both marketed by Merck, increased
by $9.0 million in nine months ended September 30, 2021 compared to the nine
months ended September 30, 2020.

•Nurtec ODT - Royalty receipts from Nurtec ODT, marketed by Biohaven for the
acute treatment of migraine, were $4.3 million in the nine months ended
September 30, 2021. In addition, as a result of the approval of Nurtec ODT in
February 2020, we received $46.9 million in fixed payments from Biohaven during
the nine months ended September 30, 2021, which represent the first three of 16
consecutive quarterly payments to be received from Biohaven relating to the
Series A Biohaven Preferred Shares.

•Cabometyx/Cometriq - Royalty receipts from Cabometyx/Cometriq, which is
marketed by Exelixis, Ipsen and Takeda, were $22.2 million in the nine months
ended September 30, 2021. We acquired the Cabometyx/Cometriq royalty in March
2021.

•Tremfya - Royalty receipts from Tremfya, which is marketed by Johnson & Johnson, were $16.6 million in the nine months ended September 30, 2021. We acquired the Tremfya royalty in July 2021.



•HIV franchise - Royalty receipts from the HIV franchise, which is based on
products marketed by Gilead that contain emtricitabine, including Biktarvy,
Genvoya and Truvada, among others, decreased by $138.5 million in the nine
months ended September 30, 2021 compared to the nine months ended September 30,
2020. This decrease was driven by the maturity of our royalties from the HIV
franchise in the nine months ended September 30, 2021.

Distributions to Non-Controlling Interest



Distributions to non-controlling interest decreased by $37.3 million to
$363.6 million in the nine months ended September 30, 2021 compared to the nine
months ended September 30, 2020, which positively impacted Adjusted Cash
Receipts. The decrease in distributions to non-controlling interest is primarily
due to a non-recurring distribution to the Legacy Investors Partnerships in
connection with the Exchange Offer Transactions that occurred in the three
months ended March 31, 2020. Partially offsetting the decrease was a one-time
distribution to non-controlling interest of $7.9 million related to the one-time
$45.0 million milestone payment on Soliqua.

Adjusted EBITDA (non-GAAP)

Nine Months Ended September 30, 2021 and 2020



Adjusted EBITDA increased by $263.7 million to $1.5 billion in the nine months
ended September 30, 2021 compared to the nine months ended September 30, 2020 as
a result of the factors noted above in "Adjusted Cash Receipts (Non-GAAP)".
Payments for operating and professional costs, the only adjustment between
Adjusted Cash Receipts and Adjusted EBITDA, increased in 2021 as a result of
higher costs for Operating and Personnel Payments under the terms of our
Management Agreement offset by a decrease in non-recurring professional services
fees, restructuring fees and refinancing fees incurred in the nine months ended
September 30, 2020 in connection with the Exchange Offer Transactions and the
IPO.

                                       58
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ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



Adjusted Cash Flow (non-GAAP)

Nine Months Ended September 30, 2021 and 2020



Adjusted Cash Flow increased by $219.0 million to $1.3 billion in the nine
months ended September 30, 2021 compared to the nine months ended September 30,
2020 primarily for the same reasons noted above in "Adjusted Cash Receipts
(Non-GAAP)." The increase in Adjusted Cash Flow was offset by a $31.8 million
increase in net interest paid in the nine months ended September 30, 2021 due to
a shift to semi-annual interest payments on the 2020 Notes and a $16.1 million
one-time payment related to the settlement of treasury rate lock contracts in
connection with the 2021 Notes issuance. Further, the increase in Adjusted Cash
Flow was attributed to the lower ongoing development-stage funding requirements
under our co-funding agreement with Sanofi and the lower funding requirements by
the Avillion entities following the cessation of our involvement in the Merck
KGaA Asset development in 2020.

Non-GAAP Reconciliations



Adjusted Cash Receipts, Adjusted EBITDA and Adjusted Cash Flow are non-GAAP
measures presented as supplemental measures to our GAAP financial performance.
These non-GAAP financial measures exclude the impact of certain items and
therefore have not been calculated in accordance with GAAP. In each case,
because our operating performance is a function of our liquidity, the non-GAAP
measures used by management are presented and defined as supplemental liquidity
measures. We caution readers that amounts presented in accordance with our
definitions of Adjusted Cash Receipts, Adjusted EBITDA, and Adjusted Cash Flow
may not be the same as similar measures used by other companies. Not all
companies and analysts calculate the non-GAAP measures we use in the same
manner. We compensate for these limitations by using non-GAAP financial measures
as supplements to GAAP financial measures and by presenting the reconciliations
of the non-GAAP financial measures to their most comparable GAAP financial
measures, in each case being Net cash provided by operating activities.

We believe that Adjusted Cash Receipts and Adjusted Cash Flow provide meaningful
information about our operating performance because the business is heavily
reliant on its ability to generate consistent cash flows and these measures
reflect the core cash collections and cash charges comprising our operating
results. Management strongly believes that our significant operating cash flow
is one of the attributes that attracts potential investors to our business.

In addition, we believe that Adjusted Cash Receipts and Adjusted Cash Flow help
identify underlying trends in the business and permit investors to more fully
understand how management assesses the performance of the Company, including
planning and forecasting for future periods. Adjusted Cash Receipts and Adjusted
Cash Flow are used by management as key liquidity measures in the evaluation of
the Company's ability to generate cash from operations. Both measures are an
indication of the strength of the Company and the performance of the business.
Management uses Adjusted Cash Receipts and Adjusted Cash Flow when considering
available cash, including for decision-making purposes related to funding of
acquisitions, voluntary debt repayments, dividends and other discretionary
investments. Further, these non-GAAP financial measures help management, the
audit committee and investors evaluate our ability to generate liquidity from
operating activities.

Management believes that Adjusted EBITDA is an important non-GAAP measure in
analyzing our liquidity and is a key component of certain material covenants
contained within the Company's credit agreement. Noncompliance with the interest
coverage ratio and leverage ratio covenants under the credit agreement could
result in our lenders requiring the Company to immediately repay all amounts
borrowed. If we cannot satisfy these financial covenants, we would be prohibited
under our credit agreement from engaging in certain activities, such as
incurring additional indebtedness, paying dividends, making certain payments,
and acquiring and disposing of assets. Consequently, Adjusted EBITDA is critical
to the assessment of our liquidity.

Management uses Adjusted Cash Flow to evaluate its ability to generate cash and
performance of the business and to evaluate the Company's performance as
compared to its peer group. Management also uses Adjusted Cash Flow to compare
its performance against non-GAAP adjusted net income measures used by many
companies in the biopharmaceutical industry, even though each company may
customize its own calculation and therefore one company's metric may not be
directly comparable to another's. We believe that non-GAAP financial measures,
including Adjusted Cash Flow, are frequently used by securities analysts,
investors, and other interested parties to evaluate companies in our industry.

                                       59
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



The non-GAAP financial measures used in this Quarterly Report on Form 10-Q have
limitations as analytical tools, and you should not consider them in isolation
or as a substitute for the analysis of our results as reported under GAAP. We
have provided a reconciliation of each non-GAAP financial measure to the most
directly comparable GAAP financial measure, in each case being Net cash provided
by operating activities below.

To arrive at Adjusted Cash Receipts, we start with the GAAP line item, Net cash
provided by operating activities, and adjust for the following items from the
Statement of Cash Flows: to add back (1) Proceeds from available for sale debt
securities (redemption of Biohaven Preferred Shares), which are cash inflows
that management believes are derived from royalties and form part of our core
business strategy, (2) Distributions from non-consolidated affiliates classified
as Cash used in investing activities, (3) Interest paid, net of Interest
received, (4) Development-stage funding payments, (5) Payments for operating and
professional costs, (6) Payments for rebates, and (7) Termination payments on
derivative instruments, and to deduct (1) Distributions to non-controlling
interest, which represents distributions to our historical non-controlling
interest attributable to a de minimis interest in RPCT held by certain legacy
investors and to a new non-controlling interest that was created as a result of
the Exchange Offer Transactions in February 2020 related to the Legacy Investors
Partnerships' ownership of approximately 18% in Old RPI, and (2) Derivative
collateral posted or (received), net, both of which are excluded when management
assesses its operating performance through cash collections, or, Adjusted Cash
Receipts.

To arrive at Adjusted EBITDA, we start with Net cash provided by operating
activities and adjust for the following items from the Statement of Cash Flows:
to add back (1) Proceeds from available for sale debt securities (redemption of
Biohaven Preferred Shares), (2) Distributions from non-consolidated affiliates
classified as Cash used in investing activities, (3) Interest paid, net of
Interest received and (4) Development-stage funding payments and (5) Termination
payments on derivative instruments, and to deduct (1) Distributions to
non-controlling interest and (2) Derivative collateral posted or (received),
net.

To arrive at Adjusted Cash Flow, we start with Net cash provided by operating
activities and adjust for the following items from the Statement of Cash Flows:
to add back (1) Proceeds from available for sale debt securities (redemption of
Biohaven Preferred Shares), (2) Distributions from non-consolidated affiliates
classified as Cash used in investing activities, (3) Upfront development-stage
funding payments, and (4) Contributions from non-controlling interest-R&D, and
to deduct (1) Distributions to non-controlling interest and (2) Investments in
non-consolidated affiliates. This is intended to present an Adjusted Cash Flow
measure that is representative of cash generated from the broader business
strategy of acquiring royalty-generating assets that are available for
reinvestment and for discretionary purposes.

                                       60
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                               ROYALTY PHARMA PLC
            NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (UNAUDITED)



(in thousands)                                     For the three months ended                  For the nine months ended
                                                         September 30,                               September 30,
                                                    2021                  2020                 2021                   2020
Net cash provided by operating activities     $      469,759          $ 508,848          $    1,527,579          $ 1,468,956
(GAAP)
Adjustments:
Proceeds from available for sale debt                 15,625                  -                  46,875                    -
securities (1), (2)
Distributions from non-consolidated                        -                  -                     523               15,084
affiliates - investing (2)
Interest paid, net (2)                                64,587             15,119                 126,755               94,953
Ongoing development-stage funding payments               500              5,095                   6,263               18,510

(3)


Upfront development-stage funding payments            90,000                  -                  90,000                    -

(3)


Payments for operating and professional costs         53,509             59,398                 135,272              129,382
Termination payments on derivative                    16,093                  -                  16,093               35,448

instruments

Distributions to non-controlling interest (2) (125,427) (116,347)

               (363,624)            (400,893)
Derivative collateral received, net (2)                2,130                  -                       -              (45,252)
Adjusted Cash Receipts (non-GAAP)             $      586,776          $ 

472,113 $ 1,585,736 $ 1,316,188



Net cash provided by operating activities     $      469,759          $ 508,848          $    1,527,579          $ 1,468,956
(GAAP)
Adjustments:
Proceeds from available for sale debt                 15,625                  -                  46,875                    -
securities (1), (2)
Distributions from non-consolidated                        -                  -                     523               15,084
affiliates - investing (2)
Interest paid, net (2)                                64,587             15,119                 126,755               94,953
Ongoing development-stage funding payments               500              5,095                   6,263               18,510

(3)


Upfront development-stage funding payments            90,000                  -                  90,000                    -

(3)


Termination payments on derivative                    16,093                  -                  16,093               35,448

instruments

Distributions to non-controlling interest (2) (125,427) (116,347)

               (363,624)            (400,893)
Derivative collateral received, net (2)                2,130                  -                       -              (45,252)
Adjusted EBITDA (non-GAAP)                    $      533,267          $ 

412,715 $ 1,450,464 $ 1,186,806



Net cash provided by operating activities     $      469,759          $ 508,848          $    1,527,579          $ 1,468,956
(GAAP)
Adjustments:
Proceeds from available for sale debt                 15,625                  -                  46,875                    -
securities (1), (2)
Distributions from non-consolidated                        -                  -                     523               15,084
affiliates - investing (2)
Upfront development-stage funding payments            90,000                  -                  90,000                    -

(3)

Distributions to non-controlling interest (2) (125,427) (116,347)

               (363,624)            (400,893)
Investments in non-consolidated affiliates           (10,893)                 -                 (28,320)             (29,262)
(2), (4)
Contributions from non-controlling                     2,003              1,107                   6,083                6,221
interests-R&D (2)
Adjusted Cash Flow (non-GAAP)                 $      441,067          $ 393,608          $    1,279,116          $ 1,060,106



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