Business Combinations - Allocation of Purchase Price (Details) - USD ($) $ in Thousands	3 Months Ended				5 Months Ended	10 Months Ended	11 Months Ended	12 Months Ended	14 Months Ended	16 Months Ended
	Mar. 31, 2022	Dec. 31, 2021	Sep. 30, 2021	Jun. 30, 2021	Jun. 09, 2021	Mar. 31, 2022	Mar. 31, 2022	Mar. 31, 2022	Mar. 31, 2022	Mar. 31, 2022	Apr. 27, 2021	Mar. 26, 2021	Jan. 25, 2021	Nov. 20, 2020
Business Acquisition [Line Items]
Goodwill	$ 284,268	$ 284,268				$ 284,268	$ 284,268	$ 284,268	$ 284,268	$ 284,268
Measurement Period Adjustments
Goodwill	5,494
Thrasys
Business Acquisition [Line Items]
Accounts receivable	3,491					3,491	3,491	3,491	3,491	3,491				$ 3,491
Prepaid expenses and other	3,001					3,001	3,001	3,001	3,001	3,001				3,001
Identifiable intangible assets	27,875					27,875	27,875	27,875	27,875	27,875				27,875
Property and equipment	101					101	101	101	101	101				101
Other assets	19					19	19	19	19	19				19
Goodwill	143,964					143,964	143,964	143,964	143,964	143,964				148,088
Total assets acquired	178,451					178,451	178,451	178,451	178,451	178,451				182,575
Accounts payable	1,779					1,779	1,779	1,779	1,779	1,779				1,779
Accrued expenses and other current liabilities	3,949					3,949	3,949	3,949	3,949	3,949				5,322
Deferred tax liabilities	6,680					6,680	6,680	6,680	6,680	6,680				6,378
Debt	430					430	430	430	430	430				961
Deferred revenue	700					700	700	700	700	700				700
Total liabilities assumed	13,538					13,538	13,538	13,538	13,538	13,538				15,140
Net assets acquired	164,913					164,913	164,913	164,913	164,913	164,913				167,435
Measurement Period Adjustments
Goodwill										(4,124)
Total assets acquired										(4,124)
Accrued expenses and other current liabilities		(1,400)								(1,373)
Deferred tax liability		300								302
Debt										(531)
Total liabilities assumed										(1,602)
Net assets acquired				$ (2,500)						(2,522)
BHS
Business Acquisition [Line Items]
Accounts receivable	1,257					1,257	1,257	1,257	1,257	1,257				1,257
Inventories	100					100	100	100	100	100				100
Prepaid expenses and other	40					40	40	40	40	40				40
Identifiable intangible assets	225					225	225	225	225	225				225
Property and equipment	53					53	53	53	53	53				53
Other assets	4					4	4	4	4	4				4
Deferred tax assets	19					19	19	19	19	19				19
Goodwill	15,443					15,443	15,443	15,443	15,443	15,443				16,106
Total assets acquired	17,141					17,141	17,141	17,141	17,141	17,141				17,804
Accounts payable	374					374	374	374	374	374				374
Accrued expenses and other current liabilities	1,067					1,067	1,067	1,067	1,067	1,067				426
Debt	113					113	113	113	113	113				1,234
Total liabilities assumed	1,554					1,554	1,554	1,554	1,554	1,554				2,034
Net assets acquired	15,587					15,587	15,587	15,587	15,587	15,587				$ 15,770
Measurement Period Adjustments
Goodwill										(663)
Total assets acquired										(663)
Accrued expenses and other current liabilities		200		400						641
Debt		(100)								(1,121)
Total liabilities assumed										(480)
Net assets acquired				(200)						(183)
TTC
Business Acquisition [Line Items]
Accounts receivable	1,311					1,311	1,311	1,311	1,311	1,311			$ 1,773
Prepaid expenses and other	187					187	187	187	187	187			187
Identifiable intangible assets	1,125					1,125	1,125	1,125	1,125	1,125			1,125
Property and equipment	531					531	531	531	531	531			531
Other assets	281					281	281	281	281	281			281
Goodwill	58,354					58,354	58,354	58,354	58,354	58,354			57,574
Total assets acquired	61,789					61,789	61,789	61,789	61,789	61,789			61,471
Accounts payable	625					625	625	625	625	625			625
Accrued expenses and other current liabilities	602					602	602	602	602	602			602
Due to related parties	4,200					4,200	4,200	4,200	4,200	4,200			1,393
Deferred tax liabilities	446					446	446	446	446	446			474
Debt	11,216					11,216	11,216	11,216	11,216	11,216			12,500
Total liabilities assumed	17,089					17,089	17,089	17,089	17,089	17,089			15,594
Net assets acquired	44,700					44,700	44,700	44,700	44,700	44,700			$ 45,877
Measurement Period Adjustments
Accounts receivable, net		(500)							(462)
Goodwill									780
Total assets acquired					$ (1,200)				318
Due to related parties				2,800					2,807
Deferred tax liability									(28)
Debt									(1,284)
Total liabilities assumed									1,495
Net assets acquired									(1,177)
Glocal
Business Acquisition [Line Items]
Accounts receivable	1,350					1,350	1,350	1,350	1,350	1,350		$ 6,461
Inventories	325					325	325	325	325	325		325
Identifiable intangible assets	45,289					45,289	45,289	45,289	45,289	45,289		38,039
Property and equipment	26,767					26,767	26,767	26,767	26,767	26,767		40,726
Other current assets, including short term advances	15					15	15	15	15	15		1,980
Other assets	509					509	509	509	509	509		509
Goodwill	121,913					121,913	121,913	121,913	121,913	121,913		91,871
Total assets acquired	196,168					196,168	196,168	196,168	196,168	196,168		179,911
Accounts payable	579					579	579	579	579	579		579
Accrued expenses and other current liabilities	9,692					9,692	9,692	9,692	9,692	9,692		8,271
Income tax liability	2,420					2,420	2,420	2,420	2,420	2,420		0
Deferred tax liabilities	8,649					8,649	8,649	8,649	8,649	8,649		0
Debt	19,937					19,937	19,937	19,937	19,937	19,937		22,212
Noncontrolling interest	29,278					29,278	29,278	29,278	29,278	29,278		17,389
Total liabilities assumed and noncontrolling interest	70,555					70,555	70,555	70,555	70,555	70,555		48,451
Net assets acquired	125,613					125,613	125,613	125,613	125,613	125,613		$ 131,460
Measurement Period Adjustments
Accounts receivable, net								(5,111)
Identifiable intangible assets	7,300							7,250
Other current assets, including short term advances								(1,965)
Property and equipment	(15,600)							(13,959)
Goodwill								30,042
Total assets acquired								16,257
Accrued expenses and other current liabilities	200	1,200						1,421
Income tax liability								2,420
Deferred tax liability	(2,600)	2,600		9,900				8,649
Debt		(2,300)	$ 11,900					(2,275)
Noncontrolling interest								11,889
Total liabilities assumed and noncontrolling interest								22,104
Net assets acquired				$ (5,800)				(5,847)
Innovations Group
Business Acquisition [Line Items]
Accounts receivable	47					47	47	47	47	47	$ 47
Inventories	2,693					2,693	2,693	2,693	2,693	2,693	2,693
Prepaid expenses and other	530					530	530	530	530	530	530
Identifiable intangible assets	29,115					29,115	29,115	29,115	29,115	29,115	28,325
Property and equipment	3,642					3,642	3,642	3,642	3,642	3,642	7,937
Other assets	0					0	0	0	0	0	22
Goodwill	143,654					143,654	143,654	143,654	143,654	143,654	143,730
Total assets acquired	179,681					179,681	179,681	179,681	179,681	179,681	183,284
Accounts payable	472					472	472	472	472	472	472
Accrued expenses and other current liabilities	772					772	772	772	772	772	780
Deferred tax liabilities	8,017					8,017	8,017	8,017	8,017	8,017	7,837
Debt	0					0	0	0	0	0	4,069
Deferred revenue	302					302	302	302	302	302	302
Noncontrolling interest	0					0	0	0	0	0	0
Total liabilities assumed and noncontrolling interest	9,563					9,563	9,563	9,563	9,563	9,563	13,460
Net assets acquired	170,118					170,118	170,118	170,118	170,118	170,118	$ 169,824
Measurement Period Adjustments
Identifiable intangible assets		800					790
Property and equipment		(4,300)					(4,295)
Other assets		(22)					(22)
Goodwill							(76)
Total assets acquired							(3,603)
Accrued expenses and other current liabilities		(8)					(8)
Deferred tax liability		200					180
Debt		(4,100)					(4,069)
Total liabilities assumed and noncontrolling interest							(3,897)
Net assets acquired							294
Cloudbreak
Business Acquisition [Line Items]
Accounts receivable	5,551				4,810	5,551	5,551	5,551	5,551	5,551
Prepaid expenses and other	921				921	921	921	921	921	921
Identifiable intangible assets	32,475				32,475	32,475	32,475	32,475	32,475	32,475
Property and equipment	7,065				6,882	7,065	7,065	7,065	7,065	7,065
Other assets	631				1,042	631	631	631	631	631
Goodwill	107,310				110,968	107,310	107,310	107,310	107,310	107,310
Total assets acquired	153,953				157,098	153,953	153,953	153,953	153,953	153,953
Accounts payable	2,518				2,518	2,518	2,518	2,518	2,518	2,518
Accrued expenses and other current liabilities	1,267				905	1,267	1,267	1,267	1,267	1,267
Deferred tax liabilities	4,003				7,906	4,003	4,003	4,003	4,003	4,003
Debt	3,752				3,752	3,752	3,752	3,752	3,752	3,752
Deferred revenue	15				15	15	15	15	15	15
Other long-term liabilities	382				0	382	382	382	382	382
Total liabilities assumed	11,937				15,096	11,937	11,937	11,937	11,937	11,937
Net assets acquired	$ 142,016				$ 142,002	142,016	$ 142,016	$ 142,016	$ 142,016	$ 142,016
Measurement Period Adjustments
Accounts receivable, net						741
Property and equipment		200				183
Other assets		(400)				(411)
Goodwill						(3,658)
Total assets acquired						(3,145)
Accrued expenses and other current liabilities		400				362
Deferred tax liability		$ (3,900)				(3,903)
Other long-term liabilities						382
Total liabilities assumed			400			(3,159)
Net assets acquired			$ 14			$ 14