Debt - Narrative (Details) $ / shares in Units, ₨ in Millions					1 Months Ended				3 Months Ended			4 Months Ended	12 Months Ended
	Oct. 01, 2021 USD ($) quarterly_installment	Jun. 15, 2021 USD ($) tradingDay $ / shares shares	Jun. 09, 2021 USD ($) shares	Mar. 23, 2021 USD ($)	Aug. 31, 2021 USD ($)	Mar. 31, 2021 USD ($)	Feb. 28, 2021 USD ($)	Jan. 31, 2021 USD ($)	Mar. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Mar. 31, 2021 USD ($)	Jul. 31, 2020 USD ($)	Dec. 31, 2020 USD ($) loan	Mar. 31, 2022 INR (₨)	Dec. 31, 2021 INR (₨)	Jan. 24, 2021 USD ($)	Jan. 06, 2021 USD ($)	Nov. 30, 2020 USD ($)	Apr. 30, 2020 USD ($) loanAgreement
Debt Instrument [Line Items]
Interest expense									$ 6,995,000		$ 711,000
Aggregate carrying value									182,439,000	$ 182,650,000
Carrying or outstanding amount of debt									123,783,000	120,510,000
Current portion of long-term debt									21,975,000	22,093,000
Thrasys | Affiliated Entity
Debt Instrument [Line Items]
Accrued interest on debt									50,000	39,000
Interest expense									10,000		1,000
Notes payable to related parties	$ 700,000								$ 700,000	700,000
Notes payable to related parties, interest rate									3.50%
Number of quarterly installments | quarterly_installment	8
BHS
Debt Instrument [Line Items]
Note payable																		$ 100,000
Loan Agreement
Debt Instrument [Line Items]
Unamortized debt issuance costs			$ 0
Gain 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									$ 3,100,000	8,000,000
Interest expense									6,000,000
Contractual interest expense									2,500,000
Derivative accretion									3,100,000
Debt issuance costs amortization									400,000
Gain on fair value of derivative liability									4,800,000
Threshold percentage of stock price trigger		130.00%
Threshold trading days | tradingDay		20
Threshold consecutive trading days | tradingDay		30
Threshold average daily trading days | tradingDay		30
Last trading day minimum common stock		$ 2,000,000
Equity offering		$ 35,000,000
Debt instrument, interest rate, increase		1.00%
Aggregate carrying value									160,000,000	160,000,000
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 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 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									3,700,000	3,800,000
Repayments of long-term debt									0
Accrued interest on debt									17,000	23,000
Interest expense									$ 25,000
Debt forgiven										2,300,000
Secured Debt | INR-denominated term loans | Glocal | INR
Debt Instrument [Line Items]
Carrying or outstanding amount of debt | ₨														₨ 283	₨ 286
Secured Debt | INR-denominated term loans | Maximum | Glocal
Debt Instrument [Line Items]
Debt instrument, interest rate									0.1625%					0.1625%
Secured Debt | INR-denominated term loans | Minimum | Glocal
Debt Instrument [Line Items]
Debt instrument, interest rate									11.15%					11.15%
Medium-term Notes | Paycheck Protection Program Loans, CARES Act | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Debt instrument, interest rate																			1.00%
Medium-term Notes | Paycheck Protection Program Loans, CARES Act | TTC | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principle amount																			$ 1,900,000
Debt forgiven						$ 300,000	$ 900,000						$ 700,000
Number of loan agreements | loanAgreement																			5
Number of loans fully forgiven | loan													3
Medium-term Notes | Paycheck Protection Program Loans, CARES Act | Thrasys | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principle amount													$ 500,000
Medium-term Notes | Paycheck Protection Program Loans, CARES Act | BHS | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principle amount																			$ 1,000,000
Unsecured Debt | Provider Relief and EIDL Funds
Debt Instrument [Line Items]
Aggregate carrying value									$ 10,000	123,000
Unsecured Debt | Provider Relief and EIDL Funds | TTC
Debt Instrument [Line Items]
Proceeds from issuance of long-term debt								$ 500,000
Funds used									500,000
Unsecured Debt | Provider Relief and EIDL Funds | BHS
Debt Instrument [Line Items]
Proceeds from issuance of long-term debt												$ 200,000
Funds used									100,000
Current portion of long-term debt									100,000
Notes Payable | Seller notes
Debt Instrument [Line Items]
Principle amount									18,700,000	18,700,000
Aggregate carrying value									18,681,000	18,680,000
Accrued interest on debt									1,200,000	$ 700,000
Interest expense									$ 500,000		$ 400,000
Repayments of notes			88,100,000		$ 11,100,000
Senior notes | Senior financing facility
Debt Instrument [Line Items]
Facility fee			$ 500,000