Accrued Expenses and Other Current Liabilities (Details) - USD ($) $ in Thousands	Sep. 30, 2022	Dec. 31, 2021
Accrued Expenses and Other Current Liabilities
Professional fees	$ 13,424	$ 7,124
Consulting fees/provider fees	17,243	19,010
Client performance guarantees	4,896	3,034
Interest payable	5,810	1,480
Income tax payable	4,511	3,098
Insurance	8,568	3,884
Marketing	39,075	2,958
Operating lease liabilities - current	12,864	12,687
Acquisition & Integration	11,454	9,965
Device replacement cost	5,925	6,263
Accrued rebates	12,581	4,619
Staff augmentation	7,582	1,858
Other	33,178	26,953
Total	$ 177,111	$ 102,933