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. "Royalty Pharma," the "Company," "we," "us" and "our"
refer to Royalty Pharma plc and its subsidiaries on a consolidated basis.

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 35 commercial products, including Vertex's
Trikafta, Kalydeco, Orkambi and Symdeko, Biogen's Tysabri, AbbVie and Johnson &
Johnson's Imbruvica, Astellas and Pfizer's Xtandi, GSK's Trelegy, Novartis'
Promacta, Biohaven and Pfizer's Nurtec ODT, Johnson & Johnson's Tremfya, Roche's
Evrysdi, Gilead's Trodelvy, and 11 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 2021, we have deployed $15.0
billion of cash to acquire royalties on approved products. From 2012 through
2021, we have acquired $10.2 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 2021, we have deployed $7.8 billion to acquire royalties on development-stage product candidates.



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.

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We acquire product royalties in ways that can be tailored to the needs of our partners through a variety of structures:

•Third-party Royalties - Existing royalties on approved or late-stage development therapies with high commercial potential. 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 Royalties/R&D Funding - Newly-created royalties on approved or late-stage development therapies with strong proof of concept and high commercial potential. 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. A synthetic royalty may also include contingent milestone payments. We also fund ongoing research and development ("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.



•Launch and Development Capital - Tailored supplemental funding solutions,
generally included as a component within a transaction, increasing the scale of
our capital. Launch and development capital is generally provided in exchange
for a long-term stream of fixed payments with a predetermined schedule around
the launch of a drug. Launch and development capital may also include a direct
investment in the public equity of a company.

•Mergers and Acquisitions ("M&A") Related - 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.

Additionally, we may identify additional opportunities, platforms or technologies that leverage our capabilities. One example is our strategic alliance with MSCI Inc. ("MSCI") to develop thematic life sciences indices.

Background and Format of Presentation



We consummated an exchange offer on February 11, 2020 to facilitate our IPO.
Through the exchange offer, investors which represented 82% of the aggregate
limited partnership in the various partnerships (the "Legacy Investors
Partnerships") that owned Royalty Pharma Investments, an Irish unit trust ("Old
RPI"), 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 senior credit facilities 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."

We control Royalty Pharma Holdings Ltd ("RP Holdings") through our ownership of
RP Holdings' Class A ordinary shares and RP Holdings' Class B ordinary shares
(the "RP Holdings Class B Interests"). 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, and is the successor to Old RPI.

As a result of the Exchange Offer Transactions, we own indirectly an 82%
economic interest in Old RPI through our subsidiary RPI 2019 Intermediate
Finance Trust, a Delaware statutory trust ("RPI Intermediate FT"). 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.


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Understanding Our Financial Reporting



Most of the royalties we acquire are treated as investments in cash flow streams
and are classified as financial assets measured under the effective interest
method in accordance with generally accepted accounting principles in the United
States ("GAAP"). 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 measurement of income from our financial royalty assets requires significant
judgments and estimates, 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 sales estimates for each of the products in which we own
royalties. We then calculate our expected royalty cash flows using these
consensus sales forecasts. In any given reporting period, any decline or
increase in the expected future cash flows associated with a financial royalty
asset is recognized in our income statement as non-cash provision expense or
provision income, respectively.

As a result of the non-cash charges associated with applying the effective
interest method accounting methodology, our income statement activity can be
volatile and unpredictable. Small declines in sell-side equity research
analysts' consensus sales forecasts over a long term horizon can result in an
immediate non-cash income statement expense recognition which generates a
corresponding cumulative allowance that reduces the gross asset balance, 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 and 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 expense. Over the course of 10 quarters, we recognized non-cash
provision expense 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 sales forecasts increased to reflect the larger addressable market and
the extension of the expected duration of the Trikafta royalty. While small
reductions in the cumulative allowance for the cystic fibrosis franchise were
recognized as provision income over the course of 2017 and 2018, there remained
a $1.10 billion cumulative allowance that was fully reduced by recognizing
provision income of $1.10 billion in 2019 as a result of an increase in
sell-side equity research analysts' consensus sales forecasts associated with
the Trikafta approval. This example illustrates the volatility caused by our
accounting model.

In addition, due to the nature of our effective interest methodology, there is
no direct correlation between our income from financial royalty assets and our
royalty receipts. 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. Given the
importance of cash flows and their predictability to management's operation of
the business, 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 consolidated statements 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 equity method investees.

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 our strength 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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Portfolio Overview



Our portfolio consists of royalties on more than 35 marketed therapies and 11
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 receipts for the three
and six months ended June 30, 2022 and 2021 by product in order of contribution
to royalty receipts for the six months ended June 30, 2022 (in thousands).
                                                                                                          For the Three Months Ended June
                                                                                                                        30,                          

For the Six Months Ended June 30,


           Royalties                            Marketer(s)                    Therapeutic Area               2022                2021                   2022                    2021
Cystic fibrosis franchise (1)         Vertex                                Rare disease                  $  181,968          $ 156,023          $         383,851          $   322,832
Tysabri                               Biogen                                Neurology                         93,128             92,070                    190,567              178,991
Imbruvica                             AbbVie, Johnson & Johnson             Cancer                            80,381             87,289                    167,552              176,424
Xtandi                                Pfizer, Astellas                      Cancer                            51,988             35,767                     95,383               76,812
Promacta                              Novartis                              Hematology                        34,715             32,341                     82,612               76,466
Januvia, Janumet, Other DPP-IVs
(2)                                   Merck & Co., others                   Diabetes                          35,695             39,438                     71,377               75,200

Tremfya                               Johnson & Johnson                     Immunology                        18,428                  -                     46,653                    -
Nurtec ODT/Biohaven payment (3)       Biohaven, Pfizer                      Neurology                         18,715             16,721                     39,090               33,222
Cabometyx/Cometriq                    Exelixis, Ipsen, Takeda               Cancer                            13,055             10,129                     25,911               10,129
Farxiga/Onglyza                       AstraZeneca                           Diabetes                          11,346              9,113                     20,815               17,675
Evrysdi                               Roche                                 Rare disease                       8,134              2,971                     17,331                4,648
Prevymis                              Merck & Co.                           Infectious disease                 9,997              8,772                     14,123               17,402
Trodelvy                              Gilead                                Cancer                             6,040              2,992                     10,932                5,597
Erleada                               Johnson & Johnson                     Cancer                             4,834              3,116                      9,720                6,220
Crysvita                              Ultragenyx, Kyowa Kirin               Rare disease                       4,933              3,929                      9,645                7,516
Orladeyo                              BioCryst                              Rare disease                       4,765                957                      9,191                  969
Emgality                              Lilly                                 Neurology                          4,425              3,550                      9,188                6,814

Oxlumo                                Alnylam                               Rare disease                         583                  -                      1,349                    -
Other products (4)                                                                                            50,038             82,502                    138,909              220,241
Total royalty receipts                                                                                    $  633,168          $ 587,680          $     

1,344,199 $ 1,237,158




(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:
Onglyza, Kombiglyze, Galvus, Eucreas and Nesina. The Other DPP-IVs are marketed
by AstraZeneca, Novartis and Takeda.
(3)We have received quarterly redemption payments of $15.6 million beginning in
the first quarter of 2021 related to the Series A Biohaven Preferred Shares
(presented as Proceeds from available for sale debt securities on the statements
of cash flows). The remaining cash receipts related to royalty receipts from
Nurtec ODT.
(4)Other products primarily include royalty receipts on the following products:
Bosulif (a product co-developed by our joint venture investee, Avillion I, for
which receipts are presented as Distributions from equity method investees on
the statements of cash flows), Cimzia, Entyvio, HIV franchise, IDHIFA, Letairis,
Lexiscan, Mircera, Myozyme, Nesina, Soliqua, Tazverik and contributions from the
Legacy SLP Interest (defined below).

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Financial Overview

Financial Highlights



•Net cash provided by operating activities totaled $1.0 billion and $1.1 billion
for the six months ended June 30, 2022 and 2021, 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 $1.1 billion and
$999.0 million for the six months ended June 30, 2022 and 2021, respectively.
•Adjusted EBITDA (a non-GAAP metric) totaled $1.0 billion and $917.2 million for
the six months ended June 30, 2022 and 2021, respectively.
•Adjusted Cash Flow (a non-GAAP metric) totaled $848.6 million and
$838.0 million for the six months ended June 30, 2022 and 2021, respectively.

Understanding Our Results of Operations

We report non-controlling interests related to the portion of ownership interests of consolidated subsidiaries not owned by us which are attributable to:



1.   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 RP Holdings Class B Interests held indirectly by the Continuing
Investors Partnerships, which represent an approximate 28% ownership interest in
RP Holdings as of June 30, 2022 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 conduct exchanges
for our Class A ordinary shares.

3. 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 royalty assets owned by RPCT expire and is expected to be substantially eliminated by the end of 2022.



4.   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 RP
Management, LLC (the "Manager"). Income will not be allocated to this
non-controlling interest until certain conditions are met.

All of the results of operations of RP Holdings, Old RPI and RPCT are consolidated into our financial statements.

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. The Equity Performance Awards will be
payable in RP Holdings Class B Interests that will be exchanged upon issuance
for Class A ordinary shares. We do not currently expect any material Equity
Performance Awards to be payable until certain performance conditions are met,
which we do not expect to occur 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 generally arising from successful commercialization of
products developed through R&D funding arrangements. Most of our royalties on
both approved products and development-stage product candidates that are not
accounted for as R&D funding expense are classified as financial assets as our
ownership rights are generally passive in nature. In instances in which we
acquire a royalty that does include more substantial rights or ownership of the
underlying intellectual property, we classify such royalties as intangible
assets.

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We recognize interest income related to our financial royalty assets. Royalty
revenue relates solely to revenue from our DPP-IV products for which the patent
rights have been licensed to various counterparties. For the three and six
months ended June 30, 2022 and 2021, the royalty payors accounting for greater
than 10% of our total income and other revenues in any one period are shown in
the table below:

                                                                For the Three Months Ended June         For the Six Months Ended June 30,
                                                                              30,
   Royalty Payor                    Royalties                       2022                2021                 2022                2021
Vertex                    Cystic fibrosis franchise                     38  %               33  %                36  %               33  %
AbbVie                    Imbruvica                                     15  %               17  %                15  %               17  %

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 sales estimates are
updated on a quarterly basis, the effective rate of return changes. For example,
if sell-side equity research analysts' consensus sales 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 sales 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) changes in amounts and timing of projected royalty
receipts and milestone payments. 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 sales of Januvia, Janumet
and other DPP-IV products by our licensees. Our royalties on Januvia and Janumet
expired in the three months ended March 31, 2022. Our royalties on other DPP-IVs
have also substantially ended and we do not expect any material revenue from our
DPP-IV in the future periods.

Other royalty income



Other royalty income primarily includes income from financial royalty assets
that have been fully amortized by the expected expiration date 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 duration
by which the financial asset was fully amortized. In each scenario where a
financial royalty asset has been fully amortized, income from such royalty is
recognized as Other royalty income. Other royalty income also includes income
from royalties that are recorded at fair value on our condensed consolidated
balance sheets.

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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:



•expense or income related to the current period activity resulting from
adjustments to the cumulative allowance for changes in expected cash flows; and
•expense or income related to the provision for current expected credit losses,
which reflects the activity for the period, primarily due to new financial
royalty assets with limited protective rights and changes to cash flow estimates
for financial royalty assets with limited protective rights.

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 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 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 provision income (i.e., a credit to the provision).

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 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 sales 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) changes in
amounts and timing of projected royalty receipts and milestone payments.

R&D funding expense



R&D funding expense consists of payments that we have made to counterparties to
acquire royalties or milestones on product candidates, and includes
development-stage funding payments that are made upfront or upon pre-approval
milestones, and development-stage funding payments that are made over time as
the related product candidates undergo clinical trials with our counterparties.

General and administrative expenses



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

Under the management agreements (collectively, 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 cash receipts from
royalty investments for such quarter and 0.25% of the value of our security
investments under GAAP as of the end of such 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 G&A expenses, are 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) during the previous twelve calendar months.

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Equity in earnings of equity method investees

Equity in earnings of equity method investees primarily includes the results of our share of income or loss from the following non-consolidated affiliates:



1. Legacy SLP Interest. In connection with the Exchange Offer Transactions, we
acquired an 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. As the Legacy Investors Partnerships no longer participate in investment
opportunities, the value of the Legacy SLP Interest is expected to decline over
time.

2. The Avillion Entities. The Avillion Entities (as defined below) partner with
global biopharmaceutical companies to perform R&D in exchange for success-based
milestones and royalties if products are commercialized. Our investments in
Avillion Financing I, LP ("Avillion I") and BAv Financing II, LP ("Avillion II",
or, together with Avillion I, the "Avillion Entities") are accounted for using
the equity method.

Other income, net

Other income, net primarily includes the change in fair market value of our equity securities, the unrealized gains or losses on derivative instruments and available for sale debt securities, including related forwards and funding commitments, and interest income.

Net income attributable to non-controlling interests



The net income attributable to non-controlling interests 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.

Net income attributable to non-controlling interests includes the RP Holdings
Class B Interests held by the Continuing Investors Partnerships and will include
net income attributable to the RP Holdings Class C Special Interest held by EPA
Holdings once certain conditions have been met. Future 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 conduct exchanges
for our Class A ordinary shares.

Net income attributable to non-controlling interests also includes 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 royalty assets owned by RPCT expire and to be substantially
eliminated by the end of 2022.

Net income attributable to non-controlling interests above can fluctuate significantly from period to period, primarily driven by volatility in the income statement activity of the respective underlying entity as a result of the non-cash charges associated with applying the effective interest accounting methodology as described in section titled "Understanding Our Financial Reporting."


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Results of Operations

For the Three and Six Months Ended June 30, 2022 and 2021

The comparison of our historical results of operations for the three and six months ended June 30, 2022 and 2021 is as follows:



                                        For the Three Months Ended June
(in thousands)                                        30,                                   Change                        For the Six Months Ended June 30,                        Change
                                            2022                2021                 $                  %                     2022                    2021                  $                  %
Income and other revenues:
Income from financial royalty assets    $  515,350          $ 503,414          $   11,936                2.4  %       $       1,026,873          $ 1,033,039          $   (6,166)              (0.6) %
Revenue from intangible royalty assets       2,537             40,127             (37,590)             (93.7) %                  36,123               76,188             (40,065)             (52.6) %
Other royalty income                        18,068             11,422               6,646               58.2  %                  35,008               18,763              16,245               86.6  %
Total income and other revenues            535,955            554,963             (19,008)              (3.4) %               1,098,004            1,127,990             (29,986)              (2.7) %
Operating expenses:
Provision for changes in expected cash
flows from financial royalty assets        105,714           (243,762)            349,476             (143.4) %                 290,335               48,499             241,836                     *
Research and development funding
expense                                        606              3,122              (2,516)             (80.6) %                 101,106                5,763              95,343                     *
Amortization of intangible assets                -              5,733              (5,733)            (100.0) %                   5,670               11,404              (5,734)             (50.3) %
General and administrative expenses         51,843             44,921               6,922               15.4  %                 103,383               88,077              15,306               17.4  %

Total operating expenses/(income), net     158,163           (189,986)            348,149             (183.2) %                 500,494              153,743             346,751              225.5  %
Operating income                           377,792            744,949            (367,157)             (49.3) %                 597,510              974,247            (376,737)             (38.7) %
Other (income)/expense:
Equity in earnings of equity method
investees                                     (737)           (17,701)             16,964              (95.8) %                  (1,134)             (15,783)             14,649              (92.8) %
Interest expense                            46,966             37,426               9,540               25.5  %                  94,029               74,841              19,188               25.6  %

Other income, net                         (160,034)           (81,531)            (78,503)              96.3  %                (115,065)             (50,545)            (64,520)             127.6  %
Total other (income)/expenses, net        (113,805)           (61,806)            (51,999)              84.1  %                 (22,170)               8,513             (30,683)            (360.4) %
Consolidated net income                    491,597            806,755            (315,158)             (39.1) %                 619,680              965,734            (346,054)             (35.8) %
Net income attributable to
non-controlling interests                  187,093            365,979            (178,886)             (48.9) %                 263,415              455,839            (192,424)             (42.2) %
Net income attributable to Royalty
Pharma plc                              $  304,504          $ 440,776          $ (136,272)             (30.9) %       $         356,265          $   509,895          $ (153,630)             (30.1) %

*Percentage change is not meaningful.


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Total income and other revenues

Income from financial royalty assets

Income from financial royalty assets by top products for the three and six months ended June 30, 2022 and 2021 is as follows, in order of contribution to income for the six months ended June 30, 2022:



(in thousands)              For the Three Months Ended June                                               For the Six Months Ended June 30,
                                          30,                                 Change                                                                             Change
                                2022                2021                $                %                    2022                    2021                 $                %

Cystic fibrosis franchise $ 201,664 $ 185,597 $ 16,067

              8.7  %       $         396,121          $   370,413          $ 25,708              6.9  %
Imbruvica                       80,638             96,315           (15,677)           (16.3) %                 168,265              195,430           (27,165)           (13.9) %
Tysabri                         51,403             50,650               753              1.5  %                 103,924              101,749             2,175              2.1  %
Xtandi                          24,021             25,738            (1,717)            (6.7) %                  48,939               52,718            (3,779)            (7.2) %
Promacta                        23,786             19,680             4,106             20.9  %                  44,590               35,964             8,626             24.0  %
Tremfya                         25,666                  -            25,666                -  %                  41,816                    -            41,816                -  %
Other                          108,172            125,434           (17,262)           (13.8) %                 223,218              276,765           (53,547)           (19.3) %
Total income from financial
royalty assets              $  515,350          $ 503,414          $ 11,936              2.4  %       $       1,026,873          $ 1,033,039          $ (6,166)            (0.6) %


Three months ended June 30, 2022 and 2021



Income from financial royalty assets increased by $11.9 million, or 2.4%, in the
three months ended June 30, 2022 compared to the three months ended June 30,
2021, primarily driven by income related to newly acquired assets, primarily
Tremfya, for which there was no comparable activity in the three months ended
June 30, 2021, and the performance of the cystic fibrosis franchise. The
increase was partially offset by the maturity of our royalties from the HIV
franchise and declines in sell-side equity research analysts' consensus sales
forecasts for Imbruvica.

Six Months Ended June 30, 2022 and 2021



Income from financial royalty assets decreased by $6.2 million, or 0.6%, in the
six months ended June 30, 2022 compared to the six months ended June 30, 2021,
primarily driven by the maturity of our royalties from the HIV franchise and
declines in sell-side equity research analysts' consensus sales forecasts for
Imbruvica. The decrease in income was partially offset by income from newly
acquired assets, primarily Tremfya, for which there was no comparable activity
in the six months ended June 30, 2021, and the performance of the cystic
fibrosis franchise and Promacta.

Revenue from intangible royalty assets

Three months ended June 30, 2022 and 2021



Revenue from intangible royalty assets decreased by $37.6 million, or 93.7%, in
the three months ended June 30, 2022 compared to the three months ended June 30,
2021, primarily driven by the maturity of our royalties on Januvia and Janumet
in the three months ended March 31, 2022.

Six Months Ended June 30, 2022 and 2021



Revenue from intangible royalty assets decreased by $40.1 million, or 52.6%, in
the six months ended June 30, 2022 compared to the six months ended June 30,
2021, primarily driven by the maturity of our royalties on Januvia and Janumet
in the three months ended March 31, 2022.

                                       39
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Other royalty income

Three months ended June 30, 2022 and 2021



Other royalty income increased by $6.6 million, or 58.2%, in the three months
ended June 30, 2022 compared to the three months ended June 30, 2021, primarily
related to growth in the ongoing product launches of Trodelvy and Nurtec ODT
that arose from our R&D funding agreements with Immunomedics and Biohaven,
respectively.

Six Months Ended June 30, 2022 and 2021



Other royalty income increased by $16.2 million, or 86.6%, in the six months
ended June 30, 2022 compared to the six months ended June 30, 2021, primarily
related to income from Trodelvy and Nurtec ODT.

Provision for changes in expected cash flows from financial royalty assets



The breakdown of our provision for changes in expected future cash flows
includes the following:
•expense or income related to the current period activity resulting from
adjustments to the cumulative allowance for changes in expected cash flows; and
•expense or income related to the provision for current expected credit losses.

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

(in thousands)
                                           For the Three                                                   For the Three
              Royalty                       Months Ended                      Royalty                       Months Ended
                                           June 30, 2022                                                   June 30, 2021
Imbruvica                                 $      71,385          Tysabri                                  $    (114,354)
Cystic fibrosis franchise                        54,609          Xtandi                                        (101,172)
Promacta                                         29,295          Cystic fibrosis franchise                      (53,092)
Tysabri                                         (30,613)         Lexiscan                                       (34,286)
Xtandi                                          (43,804)         Imbruvica                                       46,378
Other                                            38,220          Other                                           13,473
Total provision, exclusive of                   119,092          Total provision, exclusive of                 (243,053)
provision for credit losses                                      provision for credit losses
Provision for current expected                  (13,378)         Provision for current expected                    (709)
credit losses                                                    credit losses
Total provision                           $     105,714          Total provision                          $    (243,762)



(in thousands)
                                            For the Six                                                     For the Six
              Product                       Months Ended                      Product                       Months Ended
                                           June 30, 2022                                                   June 30, 2021
Imbruvica                                 $     180,294          Imbruvica                                $     109,792
Tazverik                                         78,171          Tazverik                                        61,391
IDHIFA                                           38,112          Emgality                                        55,253
Promacta                                         29,295          Xtandi                                         (58,320)
Emgality                                         27,843          Tysabri                                       (112,720)
Other                                              (421)         Other                                          (42,129)
Total provision, exclusive of                   353,294          Total provision, exclusive of                   13,267
provision for credit losses                                      provision for credit losses
Provision for current expected                  (62,959)         Provision for current expected                  35,232
credit losses                                                    credit losses
Total provision expense                   $     290,335          Total provision                          $      48,499


                                       40

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Three months ended June 30, 2022 and 2021



In the three months ended June 30, 2022, we recorded provision expense of
$105.7 million, comprised of $119.1 million in provision expense for changes in
expected cash flows and $13.4 million in provision income for current expected
credit losses. We recorded provision expense for changes in expected cash flows
for Imbruvica and the cystic fibrosis franchise primarily due to significant
declines in sell-side equity research analysts' consensus sales forecasts, which
was partially offset by provision income for Xtandi and Tysabri due to a
significant increase in sell-side equity research analysts' consensus sales
forecasts. The provision income for credit losses was primarily driven by a
decrease in current expected credit losses related to Tazverik as a result of
the corresponding decline in the financial asset value.

In the three months ended June 30, 2021, we recorded provision income of
$243.8 million, of which $243.1 million and $0.7 million related to provision
income for changes in expected cash flows and current expected credit losses,
respectively. We recorded provision income primarily due to increases in
sell-side equity research analysts' consensus sales forecasts for Tysabri,
Xtandi and the cystic fibrosis franchise. Offsetting the provision income was
provision expense related to Imbruvica, primarily due to declines in sell-side
equity research analysts' consensus forecasts.

Six Months Ended June 30, 2022 and 2021



In the six months ended June 30, 2022, we recorded provision expense of
$290.3 million, comprised of $353.3 million in provision expense for changes in
expected cash flows and $63.0 million in provision income for current expected
credit losses. We recorded provision expense for changes in expected cash flows
for Imbruvica and Tazverik, primarily due to declines in sell-side equity
research analysts' consensus sales forecasts. The provision income for credit
losses was primarily 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 six months ended June 30, 2021, we recorded provision expense of $48.5
million, of which $13.3 million and $35.2 million related to provision expense
for changes in expected cash flows and current expected credit losses,
respectively. We recorded provision expense for Imbruvica, primarily due to
declines in sell-side equity research analysts' consensus sales forecasts, and
for Tazverik as a result of a slower than expected product launch. Offsetting
the provision expense was provision income from a significant increase in
sell-side equity research analysts' consensus forecasts for Tysabri and Xtandi.
During the six months ended June 30, 2021, the provision expense for current
expected credit losses was primarily driven by certain additions 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.

R&D funding expense

Three months ended June 30, 2022 and 2021

R&D funding expense was relatively flat in the three months ended June 30, 2022 as compared to the three months ended June 30, 2021.

Six Months Ended June 30, 2022 and 2021



R&D funding expense increased by $95.3 million, for the six months ended June
30, 2022 as compared to the six months ended June 30, 2021, primarily driven by
upfront and milestone development-stage funding payments of $100.0 million to
Cytokinetics to acquire a royalty on a development-stage product in the three
months ended March 31, 2022.

G&A expenses

Three months ended June 30, 2022 and 2021



G&A expenses increased by $6.9 million, or 15.4%, in the three months ended June
30, 2022 compared to the three months ended June 30, 2021, primarily driven by
higher Operating and Personnel Payments due to increased cash receipts from
royalty investments.

                                       41
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Six Months Ended June 30, 2022 and 2021



G&A expenses increased by $15.3 million, or 17.4%, in the six months ended June
30, 2022 compared to the six months ended June 30, 2021, primarily driven by
higher Operating and Personnel Payments due to increased cash receipts from
royalty investments.

Equity in earnings of equity method investees

Three months ended June 30, 2022 and 2021



Equity in earnings of equity method investees decreased by $17.0 million, or
95.8%, in the three months ended June 30, 2022 compared to the three months
ended June 30, 2021, primarily driven by a $20.9 million decrease in equity in
earnings from the Legacy SLP Interest.

Six Months Ended June 30, 2022 and 2021



Equity in earnings of equity method investees decreased by $14.6 million, or
92.8%, in the six months ended June 30, 2022 compared to the six months ended
June 30, 2021, primarily driven by a $21.5 million decrease in equity in
earnings from the Legacy SLP Interest.

Interest expense

Three months ended June 30, 2022 and 2021



Interest expense increased by $9.5 million, or 25.5%, in the three months ended
June 30, 2022 as compared to the three months ended June 30, 2021, primarily
driven by the issuance of $1.3 billion senior unsecured notes in July 2021
("2021 Notes"). The weighted average coupon rate was 2.245% and 2.125% in the
three months ended June 30, 2022 and 2021, respectively.

Six Months Ended June 30, 2022 and 2021



Interest expense increased by $19.2 million, or 25.6% in the six months ended
June 30, 2022 compared to the six months ended June 30, 2021, primarily driven
by the issuance of the 2021 Notes. The weighted average coupon rate was 2.245%
and 2.125% in the six months ended June 30, 2022 and 2021, respectively.

Refer to the "Liquidity and Capital Resources" section for additional discussion of the Notes.



Other income, net

Three months ended June 30, 2022 and 2021



Other income, net increased by $78.5 million, or 96.3%, in the three months
ended June 30, 2022 compared to the three months ended June 30, 2021, primarily
driven by gains on derivative instruments of $71.8 million and higher gains on
available for sale debt securities in the three months ended June 30, 2022
partially offset by lower gains on equity securities. The gains on derivative
instruments and higher gains on available for sale debt securities are primarily
driven by an estimated high probability of a change of control event for
Biohaven within the next year.

Six Months Ended June 30, 2022 and 2021



Other income, net increased by $64.5 million, or 127.6%, in the six months ended
June 30, 2022 compared to the six months ended June 30, 2021, primarily driven
by gains on derivative instruments of $71.8 million and higher gains on
available for sale debt securities partially offset by losses on equity
securities of $28.1 million and lower interest income in the six months ended
June 30, 2022. The gains on derivative instruments and higher gains on available
for sale debt securities are primarily driven by an estimated high probability
of a change of control event for Biohaven within the next year.
                                       42
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Net income attributable to non-controlling interests

Three months ended June 30, 2022 and 2021



Net income attributable to the Legacy Investors Partnerships decreased by
$72.1 million in the three months ended June 30, 2022 as compared to the three
months ended June 30, 2021, primarily driven by lower net income attributable to
Old RPI.

Net income attributable to the Continuing Investors Partnerships decreased by
$93.7 million in the three months ended June 30, 2022 as compared to the three
months ended June 30, 2021, primarily driven by lower net income attributable to
RP Holdings in the three months ended June 30, 2022. Exchanges by investors in
the Continuing Investors Partnerships who indirectly own the RP Holdings Class B
Interests for our Class A ordinary shares resulted in a decline in the
Continuing Investors Partnerships' ownership of RP Holdings.

Net income attributable to RPSFT decreased by $13.0 million in the three months
ended June 30, 2022 as compared to the three months ended June 30, 2021. We
expect net income attributable to RPSFT to continue to decline as the assets
held by RPCT mature.

Six Months Ended June 30, 2022 and 2021

Net income attributable to the Legacy Investors Partnerships decreased by $57.8 million in the six months ended June 30, 2022 as compared to the six months ended June 30, 2021, primarily driven by lower net income attributable to Old RPI.



Net income attributable to the Continuing Investors Partnerships decreased by
$111.6 million in the six months ended June 30, 2022 as compared to the six
months ended June 30, 2021, primarily driven by lower net income attributable to
RP Holdings in the six months ended June 30, 2022. Exchanges by investors in the
Continuing Investors Partnerships who indirectly own the RP Holdings Class B
Interests for our Class A ordinary shares resulted in a decline in the
Continuing Investors Partnerships' ownership of RP Holdings.

Net income attributable to RPSFT decreased by $23.0 million in the six months
ended June 30, 2022 as compared to the six months ended June 30, 2021. We expect
net income attributable to RPSFT to continue to decline as the assets held by
RPCT mature.

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 April 2021, Vertex announced European Commission
("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 U.S. Food and Drug Administration ("FDA")
approved Trikafta for the treatment of children with cystic fibrosis ages 6
through 11 who have at least one F508del mutation or have certain mutations that
are responsive to Trikafta based on in vitro data.

In January 2022, Vertex announced that the EC granted approval for the label
expansion of Kaftrio in combination with ivacaftor for the treatment of cystic
fibrosis in patients ages 6 through 11 years old who have at least one F508del
mutation in the cystic fibrosis transmembrane conductance regulator gene.

•Tysabri. 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 from the FDA for its supplemental biologics license application for subcutaneous Tysabri. The complete response letter indicated that the FDA was unable to approve Biogen's filing as submitted.


                                       43
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In August 2021, Biogen announced results from Phase 3b NOVA study evaluation
every six-week dosing with Tysabri intravenous administration in
relapsing-remitting multiple sclerosis. Results show that every six-week Tysabri
intravenous 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 June 2021, Johnson and Johnson announced Phase 3 GLOW study
results for Imbruvica in combination with Venetoclax for the treatment of
first-line chronic lymphocytic leukemia and small lymphocytic lymphoma
demonstrated superior progression-free survival versus chlorambucil plus
obinutuzumab as a first-line treatment of chronic lymphocytic leukemia. The
study also showed improved duration of remission and significantly improved
depth of remission. Johnson & Johnson had 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.

In June 2022, Johnson & Johnson announced primary results from the Phase 3 SHINE
study, which demonstrated that the combination of once-daily oral Imbruvica plus
bendamustine-rituximab (BR) and rituximab maintenance significantly reduced the
risk of disease progression or death by 25% compared to patients who received
placebo plus BR and rituximab maintenance in patients aged 65 years or older
with newly diagnosed mantle cell lymphoma. With a median follow-up of 84.7
months, the Imbruvica plus BR and rituximab maintenance combination showed a
statistically significant and clinically meaningful 2.3 year improvement in
median progression-free survival (6.7 years) vs. BR (4.4 years). The safety
profile of the Imbruvica plus BR regimen was consistent with the known safety
profiles of Imbruvica as well as BR.

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



In September 2021, Astellas and Pfizer announced that Xtandi plus androgen
deprivation therapy reduced the risk of death by 34% compared to placebo plus
androgen deprivation therapy in the Phase 3 ARCHES study in men with metastatic
hormone-sensitive prostate cancer. The primary results from the ARCHES trial
were published in 2019.

In July 2022, Pfizer indicated that there could be a potential readout of the
Phase 3 EMBARK trial for high-risk non-metastatic prostate cancer in the second
half of 2022.

•Nurtec ODT. 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 April 2022, Pfizer and Biohaven announced that the EC has granted marketing
authorization for Vydura (rimegepant) for both the acute treatment of migraine
with or without aura, and prophylaxis of episodic migraine in adults who have at
least four migraine attacks per month.

In May 2022, Pfizer and Biohaven announced that they entered into a definitive
agreement under which Pfizer will acquire Biohaven. Pfizer will acquire all
outstanding shares of Biohaven not already owned by Pfizer for $148.50 per share
in cash for a total of approximately $11.6 billion. Pfizer will also make
payments at closing to settle Biohaven's third-party debt and for the redemption
of all outstanding shares of Biohaven's redeemable preferred stock. The
transaction is expected to close by early 2023.

•Trodelvy. In April 2021, Gilead announced the FDA granted full approval to
Trodelvy for adult patients with unresectable locally advanced or metastatic
triple-negative breast cancer (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.
                                       44
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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 or a programmed
death-ligand 1 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 TNBC in the Phase 3 ASCENT study. Trodelvy
more than doubled overall survival as a second-line treatment in the new ASCENT
subgroup analysis.

In October 2021, Gilead announced a collaboration with Merck & Co. to investigate Trodelvy in combination with Keytruda as a first-line treatment for people with locally advanced or metastatic TNBC.



In November 2021, Gilead announced that the EC granted marketing authorization
for Trodelvy as a monotherapy indicated for the treatment of 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 EC's decision is
supported by results from the Phase 3 ASCENT study where Trodelvy reduced the
risk of death by 49% and improved median overall survival to 11.8 months versus
6.9 months with physician's choice of chemotherapy.

In January 2022, Gilead announced it has entered into two clinical trial
collaboration and supply agreements with Merck & Co. to evaluate the combination
of Trodelvy and Merck & Co.'s anti-PD-1 therapy Keytruda in first-line
metastatic non-small cell lung cancer (NSCLC). As part of the collaboration,
Merck & Co. will sponsor a global Phase 3 clinical trial of Trodelvy in
combination with Keytruda as a first-line treatment of patients with metastatic
NSCLC.

Additionally, Gilead and Merck & Co. established an agreement where Gilead will sponsor a Phase 2 signal-seeking study evaluating combinations that include pembrolizumab in first-line NSCLC.



In June 2022, Gilead announced results from the primary analysis of the Phase 3
TROPiCS-02 study of Trodelvy versus physicians' choice of chemotherapy in
heavily pre-treated HR+/HER2- metastatic breast cancer patients who received
prior endocrine therapy, CDK4/6 inhibitors and two to four lines of
chemotherapy. The study met its primary endpoint of progression-free survival
with a statistically significant and clinically meaningful 34% reduction in the
risk of disease progression or death. The first interim analysis of the key
secondary endpoint of overall survival demonstrated a trend in improvement.
Patients will be followed for a subsequent overall survival analysis. The safety
profile for Trodelvy was consistent with prior studies.

•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 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.

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 castration-resistant prostate cancer, which included
patients with metastatic castration-resistant prostate cancer who had been
previously treated with novel hormone therapies enzalutamide or abiraterone
acetate used along with prednisone. Following discussions with FDA, Exelixis
announced that it will not pursue a regulatory submission for the combination
regimen based on cohort 6 of COSMIC-021. Exelixis believes that CONTACT-02, a
global Phase 3 pivotal trial that initiated enrollment in June 2020 may serve as
a basis for future regulatory applications.

                                       45
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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.

In March 2022, Exelixis announced results from the final analysis of the second
primary endpoint of overall survival from the Phase 3 COSMIC-312 trial, which
evaluated cabozantinib in combination with atezolizumab versus sorafenib in
patients with previously untreated advanced hepatocellular carcinoma. The final
analysis showed neither improvement nor detriment in overall survival for
cabozantinib in combination with atezolizumab versus sorafenib.

In May 2022, Ipsen announced that it received approval from the EC for Cabometyx
as a monotherapy for the treatment of adult patients with locally advanced or
metastatic differentiated thyroid carcinoma, refractory or not eligible to
radioactive iodine who have progressed during or after prior systemic therapy.

In July 2022, Exelixis announced that COSMIC-313, an ongoing Phase 3 trial
evaluating Cabometyx, nivolumab and ipilimumab versus the combination of
nivolumab and ipilimumab in patients with previously untreated advanced
intermediate- or poor-risk RCC, met its primary endpoint, demonstrating
significant improvement in progression-free survival at the primary analysis. At
a prespecified interim analysis for the secondary endpoint of overall survival,
the combination of Cabometyx, nivolumab and ipilimumab did not demonstrate a
significant benefit. The trial will continue to the next analysis of overall
survival. Exelixis intends to discuss the results with the FDA to determine next
steps toward a potential regulatory submission.

Exelixis has indicated it expects initial Phase 3 data in the second half of 2022 from CONTACT-01 in metastatic NSCLC and CONTACT-03 in advanced or metastatic RCC.



•Evrysdi. In March 2021, Roche announced that the EC approved Evrysdi for the
treatment of spinal muscular atrophy (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 copies.

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



In May 2022, Roche announced that the FDA has approved a label extension for
Evrysdi to include infants under two months old with SMA. The approval is based
on the interim efficacy and safety data from the RAINBOWFISH study in newborns,
which showed that the majority of pre-symptomatic infants treated with Evrysdi
achieved key milestones such as sitting and standing with half walking after 12
months of treatment.

•Orladeyo. In January 2021, Orladeyo was approved in Japan, becoming the first
and only prophylactic hereditary angioedema (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.



•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 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 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 and injection site reactions as the
most common adverse event.

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In March 2022, the FDA accepted Alnylam's supplemental New Drug Application
("NDA") for lumasiran for the reduction of plasma oxalate in the treatment of
patients with advanced primary hyperoxaluria type 1. The FDA has set an action
date for October 6, 2022. Additionally, a Type II Variation for lumasiran to
amend the label in patients with advanced primary hyperoxaluria Type 1 was
submitted and validated by the European Medicines Agency ("EMA") in December
2021.

•Tremfya. In February 2022, Johnson & Johnson announced results from the Phase
2a VEGA proof-of-concept study. Results showed that the combination of Tremfya
and golimumab, a tumor necrosis factor-alpha antagonist, induced higher rates of
clinical response, clinical remission, endoscopic improvement and a composite
histologic-endoscopic endpoint at 12 weeks than either treatment alone in adults
with moderately to severely active ulcerative colitis. Rates of adverse events
were comparable among treatment groups.

In February 2022, Johnson & Johnson announced results from the Phase 2b QUASAR
Induction Study 1. Results showed that a significantly greater proportion of
adults with moderately to severely active ulcerative colitis who previously had
an inadequate response or intolerance to conventional therapies or selected
advanced therapies and were treated with Tremfya achieved clinical response at
week 12 (Tremfya 200 mg: 61.4% and Tremfya 400 mg: 60.7%), the study's primary
endpoint compared with placebo (27.6%). Safety data at week 12 was consistent
with the safety profile for Tremfya in approved indications.

•Tazverik: In June 2022, Ipsen and Epizyme announced that they had entered into
a definitive merger agreement under which Ipsen will acquire Epizyme. Ipsen
intends to initiate a tender offer to acquire all outstanding shares of Epizyme
at a price of $1.45 per share in cash at the closing of the transaction for an
initial estimated aggregate consideration of $247 million plus a contingent
value right of $1 per share. The transaction is anticipated to close by the end
of the third quarter of 2022.

Development-Stage Product Candidates

•Aficamten. In December 2021, Cytokinetics announced the FDA granted breakthrough therapy designation for aficamten for the treatment of symptomatic obstructive hypertrophic cardiomyopathy (oHCM) based on results from REDWOOD-HCM.



In February 2022, Cytokinetics announced positive topline results from Cohort 3
of the REDWOOD-HCM Phase 2 trial. Results from Cohort 3 showed that substantial
reductions in the average resting left ventricular outflow tract pressure
gradient (LVOT-G) as well as the post-Valsalva LVOT-G were achieved for patients
with oHCM and a resting or post-Valsalva LVOT-G of greater than 50 mmHg whose
background therapy included disopyramide and in the majority a beta-adrenergic
blocker. The safety and tolerability of aficamten were consistent with prior
experience in REDWOOD-HCM with no treatment interruptions and no serious adverse
events attributed to treatment reported by the investigators.

•BCX9930. In April 2022, BioCryst announced that it is pausing enrollment in
clinical trials with BCX9930, while BioCryst investigates elevated serum
creatinine levels seen in some patients. BioCryst will not enroll new patients
in the REDEEM-1, REDEEM-2 or RENEW clinical trials during the investigation.
Patients currently enrolled in the trials are expected to continue on the study
drug.

In May 2022, BioCryst announced that it plans to discuss with regulators whether
clinical trials with amended protocols could resume using stepped dosing to 400
milligrams twice-daily of BCX9930 by the end of the third quarter of 2022.

•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.

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In March 2022, Roche announced a new Phase 3 Alzheimer's disease prevention
trial (SKYLINE). Roche has stated that it intends to enter into a collaboration
agreement with Banner Alzheimer's Institute's Alzheimer's Prevention Initiative,
Massachusetts General Hospital and the University of Southern California
Alzheimer's Therapeutic Research Institute to further exchange scientific
insights and advance the trial goals. SKYLINE aims to evaluate the potential of
gantenerumab to slow disease progression in people with the earliest biologic
signs of Alzheimer's disease and who show no signs of cognitive impairment.

Roche has indicated it expects Phase 3 data from the GRADUATE 1/2 trial in Alzheimer's disease in the fourth quarter of 2022.



•Omecamtiv mecarbil. In February 2022, Cytokinetics announced that FDA has
accepted and filed its NDA for omecamtiv mecarbil. The FDA assigned the NDA a
standard review with a PDUFA date of November 30, 2022. The FDA also indicated
that it is currently not planning to hold an advisory committee meeting to
discuss the application. The submission is supported by 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.

In February 2022, Cytokinetics announced results from METEORIC-HF, a Phase 3
trial evaluating the effect of treatment with omecamtiv mecarbil compared to
placebo on exercise capacity in patients with heart failure with reduced
ejection fraction. After 20 weeks of treatment, there was no change in peak
oxygen uptake in patients treated with omecamtiv mecarbil versus placebo.

In June 2022, Cytokinetics announced that the FDA had informed the company that
the Cardiovascular and Renal Drugs Advisory Committee will review its NDA on
December 13, 2022. Additionally, the FDA has assigned the NDA a PDUFA date of
February 28, 2023.

•Otilimab. GlaxoSmithKline has indicated it expects Phase 3 data from the contRast trials in rheumatoid arthritis in the second half of 2022.



•Pelabresib. In December 2021, MorphoSys presented the latest data from the
Phase 2 MANIFEST study evaluating pelabresib in the treatment of myelofibrosis.
As of September 10, 2021, the data cut-off, a total of 84 JAK inhibitor-naive
patients were enrolled and received the first-line combination of pelabresib and
ruxolitinib. The data showed 68% (n=57) of patients treated with the combination
achieved a greater than or equal to 35% reduction in spleen volume from baseline
at week 24 and 60% (n=47) maintained a greater than or equal to 35% reduction in
spleen volume at week 48. Most patients also saw their symptoms reduced with 56%
(n=46) achieving greater than or equal to 50% reduction in total symptom score
from baseline at week 24.

•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.

In May 2022, Avillion LLP, a drug development company focused on the
co-development and financing of pharmaceutical candidates from proof-of-concept
through to regulatory approval, announced that FDA accepted for filing the NDA
for AstraZeneca's PT027. The proposed indication is for the as-needed treatment
or prevention of bronchoconstriction and for the prevention of exacerbation of
asthma. The co-development partnership between AstraZeneca and Avillion also
recently expanded to include the BATURA study, a randomized Phase 3b
decentralized trial to further assess the role of PT027 in preventing asthma
exacerbations.

                                       48
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•Zavegepant. 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 total zavegepant funding to $250 million.

In December 2021, Biohaven announced positive topline results from the second
pivotal clinical trial evaluating the safety and efficacy of intranasal
zavegepant for the acute treatment of migraine in adults. The Phase 3 study
achieved its co-primary regulatory endpoints of pain freedom and freedom of most
bothersome symptom at two hours and showed broad efficacy by demonstrating
statistically significant superiority to placebo across a total of 15
prespecified primary and secondary outcome measures.

In May 2022, Biohaven announced that the FDA accepted for review a NDA for zavegepant nasal spray for the acute treatment of migraine in adults. The PDUFA date is in the first quarter of 2023.

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
statements 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 equity method
investees, plus (2) Proceeds from available for sale debt securities; less (1)
Distributions to non-controlling interests, which represent contractual
distributions of royalty receipts and proceeds from available for sale debt
securities to our historical non-controlling interests related to the Legacy
Investors Partnerships and RPSFT. 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
under the Credit Agreement 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 statements of cash flows.

Adjusted Cash Flow is defined as Adjusted EBITDA less (1) Development-stage
funding payments - ongoing, (2) Development-stage funding payments - upfront and
milestone, (3) Interest paid, net of Interest received, (4) Investments in
equity method investees and (5) Other (including Derivative collateral posted,
net of Derivative collateral received, and Termination payments on derivative
instruments) plus (1) Contributions from non-controlling interests- R&D, all
directly reconcilable to the statements of cash flows.

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.

                                       49
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The table below includes the royalty receipts and non-GAAP financial results for
the six months ended June 30, 2022 and 2021 by product in order of contribution
to royalty receipts for the six months ended June 30, 2022 (in thousands).

                                             For the Three Months Ended 

June


                                                           30,                          For the Six Months Ended June 30,             Six Months

Year-to-Date Change


              Royalties                          2022                2021                   2022                    2021                   $            

%


Cystic fibrosis franchise (1)                $  181,968          $ 156,023          $         383,851          $   322,832          $      61,019               18.9  %
Tysabri                                          93,128             92,070                    190,567              178,991                 11,576                6.5  %
Imbruvica                                        80,381             87,289                    167,552              176,424                 (8,872)              (5.0) %
Xtandi                                           51,988             35,767                     95,383               76,812                 18,571               24.2  %
Promacta                                         34,715             32,341                     82,612               76,466                  6,146                8.0  %
Januvia, Janumet, Other DPP-IVs (2)              35,695             39,438                     71,377               75,200                 (3,823)              (5.1) %

Tremfya                                          18,428                  -                     46,653                    -                 46,653                  -  %
Nurtec ODT/Biohaven payment (3)                  18,715             16,721                     39,090               33,222                  5,868               17.7  %
Cabometyx/Cometriq                               13,055             10,129                     25,911               10,129                 15,782              155.8  %
Farxiga/Onglyza                                  11,346              9,113                     20,815               17,675                  3,140               17.8  %
Evrysdi                                           8,134              2,971                     17,331                4,648                 12,683              272.9  %
Prevymis                                          9,997              8,772                     14,123               17,402                 (3,279)             (18.8) %
Trodelvy                                          6,040              2,992                     10,932                5,597                  5,335               95.3  %
Erleada                                           4,834              3,116                      9,720                6,220                  3,500               56.3  %
Crysvita                                          4,933              3,929                      9,645                7,516                  2,129               28.3  %
Orladeyo                                          4,765                957                      9,191                  969                  8,222                     *
Emgality                                          4,425              3,550                      9,188                6,814                  2,374               34.8  %

Oxlumo                                              583                  -                      1,349                    -                  1,349                  -  %
Other products (4)                               50,038             82,502                    138,909              220,241                (81,332)             (36.9) %
Total royalty receipts                       $  633,168          $ 587,680          $       1,344,199          $ 1,237,158          $     107,041                8.7  %
Distributions to non-controlling                                                                                                                                (9.5) %
interests                                      (109,158)          (112,476)                  (215,543)            (238,197)                22,654
Adjusted Cash Receipts (non-GAAP)            $  524,010          $ 475,204          $       1,128,656          $   998,961          $     129,695               13.0  %
Payments for operating and                                                                                                                                      13.7  %
professional costs                              (44,101)           (39,604)                   (93,003)             (81,764)               (11,239)
Adjusted EBITDA (non-GAAP)                   $  479,909          $ 435,600          $       1,035,653          $   917,197          $     118,456               12.9  %
Development-stage funding payments -                                                                                                                           (80.8) %
ongoing                                            (606)            (3,122)                    (1,106)              (5,763)                 4,657
Development-stage funding payments -
upfront and milestone                                 -                  -                   (100,000)                   -               (100,000)                 -  %
Interest received/(paid), net                     2,116                784                    (83,618)             (62,168)               (21,450)              34.5  %
Investments in equity method investees                -             (8,713)                    (3,050)             (17,427)                14,377       

(82.5) %



Contributions from non-controlling                                                                                                                             (82.1) %
interests- R&D                                      107              2,083                        731                4,080                 (3,349)
Other                                                 -              2,130                          -                2,130                 (2,130)            (100.0) %
Adjusted Cash Flow (non-GAAP)                $  481,526          $ 428,762          $         848,610          $   838,049          $      10,561                1.3  %

Weighted average Class A ordinary
shares outstanding - diluted                       607,214            607,163                    607,207              607,151


*Percentage change is not meaningful.



(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:
Onglyza, Kombiglyze, Galvus, Eucreas and Nesina. The Other DPP-IVs are marketed
by AstraZeneca, Novartis and Takeda.
(3)We have received quarterly redemption payments of $15.6 million beginning in
the first quarter of 2021 related to the Series A Biohaven Preferred Shares
(presented as Proceeds from available for sale debt securities on the statements
of cash flows). The remaining cash receipts related to royalty receipts from
Nurtec ODT.
(4)Other products primarily include royalty receipts on the following products:
Bosulif (a product co-developed by our joint venture investee, Avillion I, for
which receipts are presented as Distributions from equity method investees on
the statements of cash flows), Cimzia, Entyvio, HIV franchise, IDHIFA, Letairis,
Lexiscan, Mircera, Myozyme, Nesina, Soliqua, Tazverik and contributions from the
Legacy SLP Interest.




                                       50

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Adjusted Cash Receipts (non-GAAP)

Six Months Ended June 30, 2022 and 2021



Adjusted Cash Receipts increased by $129.7 million to $1.1 billion in the six
months ended June 30, 2022 compared to the six months ended June 30, 2021,
primarily driven by an increase in royalty receipts from the cystic fibrosis
franchise and newly acquired royalties, which was partially offset by a decline
in royalty receipts from matured royalties, primarily the HIV franchise, and
unfavorable foreign exchange movements. The increase in Adjusted Cash Receipts
also reflects a decline in distributions to non-controlling interests due to
maturing royalties jointly owned by the Legacy Investors Partnerships and RPSFT.

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, which are marketed by Vertex for patients with certain
mutations causing cystic fibrosis, increased by $61.0 million in the six months
ended June 30, 2022 compared to the six months ended June 30, 2021. The increase
was primarily driven by the launch of Kaftrio in additional countries outside
the United States and the performance of Trikafta in the United States,
including its uptake in children 6 through 11 years old.

•Tysabri - Royalty receipts from Tysabri, which is marketed by Biogen for the
treatment of multiple sclerosis, increased by $11.6 million in the six months
ended June 30, 2022 compared to the six months ended June 30, 2021, primarily
driven by continued global patient growth and positive channel dynamics in the
United States.

•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, decreased by $8.9 million in the six months ended June 30, 2022
compared to the six months ended June 30, 2021. The decrease was largely due to
a slower-than-anticipated recovery of the chronic lymphocytic leukemia market
from COVID-19 and increased competition from newer therapies in the United
States.

•Xtandi - Royalty receipts from Xtandi, which is marketed by Pfizer and Astellas for the treatment of prostate cancer, increased by $18.6 million in the six months ended June 30, 2022 compared to the six months ended June 30, 2021, primarily due to a true-up of royalties from prior periods.



•Promacta - Royalty receipts from Promacta, which is marketed by Novartis for
the treatment of chronic immune thrombocytopenia purpura (ITP) and aplastic
anemia, increased by $6.1 million in the six months ended June 30, 2022 compared
to the six months ended June 30, 2021. This growth was primarily driven by
increased use in ITP and further uptake as first-line treatment for severe
aplastic anemia in the United States.

•Januvia, Janumet, Other DPP-IVs - Royalty receipts from the DPP-IVs for type 2
diabetes, which includes Januvia and Janumet, both marketed by Merck & Co.,
decreased by $3.8 million in the six months ended June 30, 2022 compared to the
six months ended June 30, 2021.

•Tremfya - Royalty receipts from Tremfya, which is marketed by Johnson & Johnson for the treatment of plaque psoriasis and active psoriatic arthritis, were $46.7 million in the six months ended June 30, 2022 primarily driven by continued market share gains. We acquired the Tremfya royalty in July 2021.



•Nurtec ODT/Biohaven payment - Royalty receipts from Nurtec ODT, marketed by
Biohaven and Pfizer for the acute and preventative treatment of migraine,
increased by $5.9 million in the six months ended June 30, 2022 compared to the
six months ended June 30, 2021, primarily driven by prescription volume growth.
In addition, we received $31.3 million in fixed payments from Biohaven related
to the Series A Biohaven Preferred Shares during each of the six months ended
June 30, 2022 and 2021.

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•Cabometyx/Cometriq - Royalty receipts from Cabometyx/Cometriq, which is
marketed by Exelixis, Ipsen and Takeda, were $25.9 million in the six months
ended June 30, 2022, primarily driven by uptake of Cabometyx in combination with
Opdivo as a first-line treatment for patients with advanced renal cell
carcinoma. We acquired the Cabometyx/Cometriq royalty in March 2021.

Distributions to Non-Controlling Interests

Distributions to non-controlling interests decreased by $22.7 million to $215.5 million in the six months ended June 30, 2022 compared to the six months ended June 30, 2021, which positively impacted Adjusted Cash Receipts. The decrease in distributions to non-controlling interests is primarily due to maturing royalties jointly owned by the Legacy Investors Partnerships and RPSFT.

Adjusted EBITDA (non-GAAP)

Six Months Ended June 30, 2022 and 2021



Adjusted EBITDA increased by $118.5 million to $1.0 billion in the six months
ended June 30, 2022 compared to the six months ended June 30, 2021 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 the six months ended June 30, 2022
compared to the six months ended June 30, 2021, primarily driven by higher
Operating and Personnel Payments from increased cash receipts from royalty
investments.

Adjusted Cash Flow (non-GAAP)

Six Months Ended June 30, 2022 and 2021



Adjusted Cash Flow increased by $10.6 million to $848.6 million in the six
months ended June 30, 2022 compared to the six months ended June 30, 2021,
primarily driven by the factors noted above in "Adjusted Cash Receipts
(non-GAAP)" and "Adjusted EBITDA (non-GAAP)." The increase was partially offset
by upfront and milestone development-stage funding payments of $100.0 million to
Cytokinetics to acquire a royalty on a development-stage product candidate and a
$21.5 million increase in net interest paid in the six months ended June 30,
2022 due to the first interest payment on the 2021 Notes.

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.

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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 our performance, 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 our
ability to generate cash from operations. Both measures are an indication of our
strength 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 our credit agreement. Noncompliance with the interest coverage
ratio and leverage ratio covenants under the credit agreement could result in
our lenders requiring us 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 our 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.

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
statements 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 equity method investees which are
classified as cash inflows from 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 interests, which represents distributions to our historical
non-controlling interests related to the Legacy Investors Partnerships and
RPSFT, 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 statements of cash flows:
to add back (1) Proceeds from available for sale debt securities (redemption of
Biohaven Preferred Shares), (2) Distributions from equity method investees which
are classified as cash inflows from investing activities, (3) Interest paid, net
of Interest received, (4) Development-stage funding payments and (5) Termination
payments on derivative instruments, and to deduct (1) Distributions to
non-controlling interests 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 statements of cash flows:
to add back (1) Proceeds from available for sale debt securities (redemption of
Biohaven Preferred Shares), (2) Distributions from equity method investees
classified as cash inflows from investing activities and (3) Contributions from
non-controlling interests-R&D, and to deduct (1) Distributions to
non-controlling interests and (2) Investments in equity method investees. 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.

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(in thousands)                                    For the Three Months Ended June
                                                                30,                          For the Six Months Ended June 30,
                                                      2022                2021                   2022                    2021

Net cash provided by operating activities (GAAP) $ 574,952 $ 531,720 $ 1,035,222 $ 1,057,820 Adjustments: Proceeds from available for sale debt securities 15,625

             15,625                     31,250               31,250
(1), (2)
Distributions from equity method investees -               -                523                          -                  523
investing (2)
Interest (received)/paid, net (2)                     (2,116)              (784)                    83,618               62,168
Development-stage funding payments - ongoing (3)         606              3,122                      1,106                5,763
Development-stage funding payments - upfront and           -                  -                    100,000                    -
milestone (3)
Payments for operating and professional costs         44,101             39,604                     93,003               81,764

Distributions to non-controlling interests (2) (109,158) (112,476)

                  (215,543)            (238,197)
Derivative collateral received, net (2)                    -             (2,130)                         -               (2,130)
Adjusted Cash Receipts (non-GAAP)                 $  524,010          $ 

475,204 $ 1,128,656 $ 998,961

Net cash provided by operating activities (GAAP) $ 574,952 $ 531,720 $ 1,035,222 $ 1,057,820 Adjustments: Proceeds from available for sale debt securities 15,625

             15,625                     31,250               31,250
(1), (2)
Distributions from equity method investees -               -                523                          -                  523
investing (2)
Interest (received)/paid, net (2)                     (2,116)              (784)                    83,618               62,168
Development-stage funding payments - ongoing (3)         606              3,122                      1,106                5,763
Development-stage funding payments - upfront and           -                  -                    100,000                    -

milestone (3)

Distributions to non-controlling interests (2) (109,158) (112,476)

                  (215,543)            (238,197)
Derivative collateral received, net (2)                    -             (2,130)                         -               (2,130)
Adjusted EBITDA (non-GAAP)                        $  479,909          $ 

435,600 $ 1,035,653 $ 917,197

Net cash provided by operating activities (GAAP) $ 574,952 $ 531,720 $ 1,035,222 $ 1,057,820 Adjustments: Proceeds from available for sale debt securities 15,625

             15,625                     31,250               31,250
(1), (2)
Distributions from equity method investees -               -                523                          -                  523

investing (2)



Contributions from non-controlling interests-R&D         107              2,083                        731                4,080

(2)

Distributions to non-controlling interests (2) (109,158) (112,476)

                  (215,543)            (238,197)
Investments in equity method investees (2), (4)            -             (8,713)                    (3,050)             (17,427)
Adjusted Cash Flow (non-GAAP)                     $  481,526          $ 

428,762 $ 848,610 $ 838,049




(1)Receipts from the quarterly redemption of the Series A Biohaven Preferred
Shares are presented as Proceeds from available for sale debt securities on the
statements of cash flows.
(2)The table below shows the line item for each adjustment and the direct
location for such line item on the statements of cash flows.

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