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Supplemental Cash Flow Information (Tables)
 9 Months Ended
Sep. 30, 2025
Supplemental Cash Flow Elements [Abstract]  
Schedule of Other Significant Noncash Transactions
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.
Other Supplemental Data
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