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Supplemental Cash Flow Information
 9 Months Ended
Sep. 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):
Nine months ended September 30,
20252024
Non-cash investing activity:
Property and equipment, accrued but unpaid$— $— 
Right-of-use assets acquired in exchange for operating lease obligations$340 $1,035 
Sale of equity investments for common stock (1)
$4,448 $— 
Non-cash financing activity:
Increase in fair value of conversion feature on 3.625% Convertible Notes
$— $4,001 
Excise tax on share repurchases
$984 $1,797 
(1)Represents 143,161 shares received in connection with the sale of our minority equity ownership interest in OpenEvidence during the nine months ended September 30, 2025.
Supplemental data (in thousands):
Nine months ended September 30,
20252024
Interest paid$22,675 $16,912 
Income taxes paid, net of refunds$46,067 $49,660