Debt - Narrative (Details) $ / shares in Units, ₨ in Billions									1 Months Ended							3 Months Ended			4 Months Ended	9 Months Ended		24 Months Ended
	Apr. 09, 2024	Oct. 09, 2023	Apr. 09, 2023	Oct. 09, 2022	Sep. 30, 2021 USD ($)	Jun. 15, 2021 USD ($) tradingDay consecutiveTradingDay $ / shares shares	Jun. 09, 2021 USD ($) shares	Mar. 23, 2021 USD ($)	Oct. 31, 2021 USD ($)	Aug. 31, 2021 USD ($)	Mar. 31, 2021 USD ($)	Feb. 28, 2021 USD ($)	Jan. 31, 2021 USD ($)	Mar. 31, 2020 USD ($)	Mar. 31, 2018 USD ($)	Sep. 30, 2021 USD ($)	Mar. 31, 2021 USD ($)	Sep. 30, 2020 USD ($)	Jul. 31, 2020 USD ($)	Sep. 30, 2021 USD ($)	Sep. 30, 2020 USD ($)	Sep. 30, 2024 USD ($) quarterlyInstallment	Sep. 30, 2021 INR (₨)	Jan. 24, 2021 USD ($)	Jan. 06, 2021 USD ($)	Dec. 31, 2020 USD ($) loan	Nov. 30, 2020 USD ($)	Apr. 30, 2020 USD ($) loanAgreement
Debt Instrument [Line Items]
Derivative liability, current					$ 1,633,000											$ 1,633,000				$ 1,633,000						$ 0
Derivative liability, noncurrent					10,305,000											10,305,000				10,305,000						0
Interest expense																8,145,000		$ 0		13,760,000	$ 0
Gain (loss) on extinguishment of debt																0		$ 0		151,000	0
Aggregate carrying value					208,553,000											208,553,000				208,553,000						22,875,000
Carrying or outstanding amount of debt					142,928,000											142,928,000				142,928,000						22,875,000
Payments of debt issuance costs																				8,100,000	0
Current portion of long-term debt					43,849,000											43,849,000				43,849,000						22,531,000
Repayments of notes to related parties																				4,271,000	0
Repayments of notes																				99,207,000
Public Offering and Over-Allotment Option | Subsequent Event
Debt Instrument [Line Items]
Purchase price received on transaction									$ 46,300,000
Placement fee costs									$ 3,300,000
Thrasys | Affiliated Entity
Debt Instrument [Line Items]
Accrued interest on debt					29,000											29,000				29,000						9,000
Notes payable to related parties					700,000											700,000				$ 700,000						400,000
Notes payable to related parties, interest rate																				3.50%
Repayments of notes to related parties					39,000
Thrasys | Forecast | Affiliated Entity
Debt Instrument [Line Items]
Repayments of notes to related parties																						$ 600,000
Number of quarterly installments | quarterlyInstallment																						8
BHS
Debt Instrument [Line Items]
Note payable																											$ 100,000
Loan Agreement
Debt Instrument [Line Items]
Unamortized debt issuance costs							$ 0
Gain (loss) on extinguishment of debt							0
Convertible notes | 2026 Notes
Debt Instrument [Line Items]
Principle amount						$ 160,000,000
Debt instrument, interest rate						6.25%
Convertible, shares issuable (in shares) | shares						15,023,475
Conversion price (in dollars per share) | $ / shares						$ 10.65
Proceeds from issuance of long-term debt						$ 151,900,000
Debt issuance costs						$ 8,100,000
Fair value of derivative liability					11,900,000											11,900,000				$ 11,900,000
Derivative liability, current					1,600,000											1,600,000				1,600,000
Derivative liability, noncurrent					10,300,000											10,300,000				10,300,000
Interest expense																6,000,000				7,400,000
Contractual interest expense																2,500,000				3,100,000
Derivative accretion																3,100,000				3,800,000
Debt issuance costs amortization																400,000				500,000
Gain on fair value of derivative liability																49,900,000				49,900,000
Threshold percentage of stock price trigger						130.00%
Threshold trading days | tradingDay						20
Threshold consecutive trading days | consecutiveTradingDay						30
Threshold average daily trading days | tradingDay						30
Last trading day minimum common stock						$ 2,000,000
Equity offering						$ 35,000,000
Aggregate carrying value					160,000,000											160,000,000				160,000,000						0
Convertible notes | 2026 Notes | Forecast
Debt Instrument [Line Items]
Debt instrument, interest rate, increase	1.00%	1.00%	1.00%	1.00%
Convertible notes | 2026 Notes | Maximum
Debt Instrument [Line Items]
Debt instrument, interest rate						10.25%
Convertible notes | 2021 Note
Debt Instrument [Line Items]
Principle amount								$ 4,100,000
Debt instrument, interest rate								15.00%
Proceeds from issuance of long-term debt								$ 3,000,000
Debt issuance costs								1,000,000
Gain (loss) on extinguishment of debt							(31,000)
Repayments of long-term debt							3,600,000
Converted amount							500,000	$ 500,000
Payments of debt issuance costs							$ 100,000
Debt conversion, shares issued (in shares) | shares							50,000
Write off of debt issuance costs							$ 500,000
Convertible notes | 2026 5% Note
Debt Instrument [Line Items]
Principle amount																									$ 1,500,000
Debt instrument, interest rate																									5.00%
Gain (loss) on extinguishment of debt							100,000
Carrying or outstanding amount of debt							1,500,000
Accrued interest on debt							$ 30,000
Debt conversion, shares issued (in shares) | shares							150,367
Line of Credit | Loan Agreement | Revolving Credit Facility
Debt Instrument [Line Items]
Debt paid off							$ 1,800,000
Line of Credit | Loan Agreement | Revolving Credit Facility | TTC
Debt Instrument [Line Items]
Maximum borrowings																								$ 1,800,000
Term Loan | Loan Agreement
Debt Instrument [Line Items]
Debt paid off							9,100,000
Term Loan | Loan Agreement | TTC
Debt Instrument [Line Items]
Principle amount																								$ 10,800,000
Secured Debt | INR-denominated term loans | Glocal
Debt Instrument [Line Items]
Aggregate carrying value					25,100,000											25,100,000				25,100,000
Repayments of long-term debt																6,000,000
Accrued interest on debt					$ 5,400,000											5,400,000				5,400,000
Interest expense																$ 1,100,000				$ 1,800,000
Secured Debt | INR-denominated term loans | Glocal | INR
Debt Instrument [Line Items]
Carrying or outstanding amount of debt | ₨																							₨ 1.9
Secured Debt | INR-denominated term loans | Maximum | Glocal
Debt Instrument [Line Items]
Debt instrument, interest rate					0.1625%											0.1625%				0.1625%			0.1625%
Secured Debt | INR-denominated term loans | Minimum | Glocal
Debt Instrument [Line Items]
Debt instrument, interest rate					11.15%											11.15%				11.15%			11.15%
Real estate loan | VIE
Debt Instrument [Line Items]
Accrued interest on debt					$ 6,000											$ 6,000				$ 6,000
Interest expense																49,000				83,000
Real estate loan | Real estate loan one | VIE
Debt Instrument [Line Items]
Debt instrument, interest rate															5.12%
Proceeds from issuance of long-term debt															$ 3,400,000
Carrying or outstanding amount of debt					900,000											900,000				900,000
Debt instrument, term (in years)															15 years
Monthly principal and interest payments															$ 20,000
Lump sum payment															$ 1,900,000
Real estate loan | Real estate loan two | VIE
Debt Instrument [Line Items]
Debt instrument, interest rate														3.09%
Proceeds from issuance of long-term debt														$ 900,000
Carrying or outstanding amount of debt					3,200,000											3,200,000				3,200,000
Debt instrument, term (in years)														10 years
Monthly principal and interest payments														$ 5,000
Lump sum payment														$ 500,000
Medium-term Notes | Paycheck Protection Program loans
Debt Instrument [Line Items]
Aggregate carrying value					0											0				0						$ 1,545,000
Medium-term Notes | Paycheck Protection Program loans | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Debt instrument, interest rate																												1.00%
Medium-term Notes | Paycheck Protection Program loans | TTC | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principle amount																												$ 1,900,000
Number of loan agreements | loanAgreement																												5
Number of loans fully forgiven | loan																										3
Debt forgiven											$ 300,000	$ 900,000					$ 700,000
Medium-term Notes | Paycheck Protection Program loans | Thrasys | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principle amount																												$ 500,000
Medium-term Notes | Paycheck Protection Program loans | BHS | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principle amount																												$ 1,000,000
Unsecured Debt | Provider Relief Funds
Debt Instrument [Line Items]
Aggregate carrying value					745,000											745,000				745,000						$ 230,000
Unsecured Debt | Provider Relief Funds | TTC
Debt Instrument [Line Items]
Proceeds from issuance of long-term debt													$ 500,000
Current portion of long-term debt					500,000											500,000				500,000
Unsecured Debt | Provider Relief Funds | BHS
Debt Instrument [Line Items]
Proceeds from issuance of long-term debt																			$ 200,000
Current portion of long-term debt					200,000											200,000				200,000
Notes Payable | Seller notes
Debt Instrument [Line Items]
Principle amount					18,700,000											18,700,000				18,700,000						21,100,000
Aggregate carrying value					18,680,000											18,680,000				18,680,000						21,100,000
Accrued interest on debt					$ 300,000											300,000				300,000						$ 100,000
Interest expense																$ 300,000				$ 1,100,000
Repayments of notes							88,100,000			$ 11,100,000
Senior notes | Senior financing facility
Debt Instrument [Line Items]
Facility fee							$ 500,000