Supplemental Cash Flows Information

6 Months Ended

Jun. 30, 2026

Supplemental Cash Flow Elements [Abstract]

The below supplemental cash flows information is presented in thousands:


	Six Months Ended June 30,
	2026		2025
Cash paid for interest on long-term debt	$	1,131	$	1,209
Cash paid for interest on finance leases	10,553		10,445
Cash paid for operating leases	2,153		1,875
Cash paid for income taxes	29,450		50,845
Non-cash investing and financing activities:
Financed capital expenditures	—		114
Acquisition of financing leases	3,576		15,498


Debt converted to common stock	—		477




Common stock issued for Employee Stock Purchase Plan	294		105


Net reversal of financing lease due to acquisition of lessor	—		(15,008)

Adjustments to reconcile net income to net cash from operating activities for the six months ended June 30, 2026 include the non-cash effect of change in estimate of $52.3 million related to the HaloMD contract amendment and CMS fee reduction. See Note 3 — Revenue.