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Supplemental Cash Flow Information
6 Months Ended
Jun. 30, 2025
Supplemental Cash Flow Elements [Abstract]  
Supplemental Cash Flow Information Supplemental Cash Flow Information
Non-cash investing and financing activities were as follows (in thousands):
Six months ended June 30,
20252024
Non-cash investing activity:
Sale of equity investments for common stock (1)
$4,448 $— 
Non-cash financing activity:
Excise tax on share repurchases
$431 $— 
(1)Represents 143,161 shares received in connection with the sale of our minority equity ownership interest in OpenEvidence during the three months ended June 30, 2025.

Supplemental data (in thousands):
Six months ended June 30,
20252024
Interest paid$17,905 $15,451 
Income taxes paid, net of refunds$39,823 $35,337