Debt - Narrative (Details) $ / shares in Units, ₨ in Millions						1 Months Ended					3 Months Ended				4 Months Ended	6 Months Ended	9 Months Ended		12 Months Ended
	Dec. 15, 2022	Aug. 12, 2022 USD ($) $ / shares shares	Jun. 15, 2021 USD ($) shares	Jun. 09, 2021 USD ($) shares	Mar. 23, 2021 USD ($)	Aug. 31, 2022 USD ($)	Aug. 31, 2021 USD ($)	Mar. 31, 2021 USD ($)	Feb. 28, 2021 USD ($)	Jan. 31, 2021 USD ($)	Sep. 30, 2022 USD ($)	Jun. 30, 2022 USD ($)	Dec. 31, 2021 USD ($)	Sep. 30, 2021 USD ($)	Jul. 31, 2020 USD ($)	Jun. 30, 2022 USD ($)	Sep. 30, 2022 USD ($) quarterly_installment	Sep. 30, 2021 USD ($)	Dec. 31, 2020 USD ($) loan	Dec. 29, 2022	Mar. 31, 2022 USD ($)	Dec. 31, 2021 INR (₨)	Jan. 24, 2021 USD ($)	Jan. 06, 2021 USD ($)	Apr. 30, 2020 USD ($) loan_agreement
Debt Instrument [Line Items]
Total interest expense											$ 6,708,000			$ 8,145,000			$ 20,306,000	$ 13,760,000
Payments of debt issuance costs																	1,475,000	8,100,000
Stock issued during period, reverse stock splits (in shares) | shares		115,000
Stock issued during period, reverse stock splits		$ 700,000
Gain (loss) on extinguishment of debt											(14,610,000)			0			(14,610,000)	151,000
Aggregate carrying value											182,510,000		$ 182,650,000				182,510,000
Carrying or outstanding amount of debt											143,313,000		120,510,000				143,313,000
Current portion of long-term debt											10,000		22,093,000				10,000
Repayments of notes																	18,680,000	99,207,000
Thrasys | Affiliated Entity
Debt Instrument [Line Items]
Interest expense											12,000			12,000			34,000	20,000
Accrued interest on debt											100,000		39,000				100,000
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
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]
Principal amount		$ 3,000,000	$ 160,000,000
Debt instrument, interest rate			6.25%
Convertible, shares issuable (in shares) | shares		1,079,812	1,502,347
Conversion price (in dollars per share) | $ / shares		$ 106.50
Proceeds from issuance of long-term debt			$ 151,900,000
Debt issuance costs		$ 2,200,000	$ 8,100,000
Fair value of derivative liability											700,000		8,000,000				$ 700,000
Total interest expense											5,300,000			1,400,000			17,200,000	1,400,000
Derivative accretion											2,700,000			700,000			8,900,000	700,000
Contractual interest expense											2,200,000			600,000			7,200,000	600,000
Debt issuance costs amortization											400,000			100,000			1,200,000	100,000
Gain on fair value of derivative liability											200,000						6,900,000
Repayments of convertible debt		45,000,000
Debt instrument, fact amount, per instrument		$ 2,000,000
Debt repurchase, percentage of principal amount		100.00%
Loss on repurchase of debt instrument											14,600,000						14,600,000
Aggregate carrying value											115,000,000		160,000,000				115,000,000
Convertible notes | 2025 Notes
Debt Instrument [Line Items]
Principal amount		$ 67,500,000
Convertible, shares issuable (in shares) | shares		3,857,142
Conversion price (in dollars per share) | $ / shares		$ 17.50
Interest expense											1,100,000						1,100,000
Contractual interest expense											1,000,000						1,000,000
Debt issuance costs amortization											100,000						100,000
Debt repurchase, percentage of principal amount		105.00%
Proceeds from debt		$ 22,500,000
Payments of debt issuance costs		$ 1,500,000
Debt instrument, interest rate floor (percent)		10.50%
Debt redemption, repurchase increment		$ 1,000
Sale of assets, net proceeds threshold for repurchase		$ 15,000,000
Sale of assets, cash repurchase price as a percentage of net proceeds		20.00%
Sale of assets, net proceeds threshold, redemption price percentage		100.00%
Aggregate carrying value											$ 67,500,000		0				$ 67,500,000
Convertible notes | 2025 Notes | SOFR
Debt Instrument [Line Items]
Basis spread on variable rate (percent)		9.00%
Convertible notes | 2025 Notes | Subsequent Event
Debt Instrument [Line Items]
Debt instrument, interest rate floor (percent)	12.21%
Effective interest rate																				13.53%
Convertible notes | 2021 Note
Debt Instrument [Line Items]
Principal 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
Payments of debt issuance costs				100,000
Gain (loss) on extinguishment of debt				31,000
Repayments of long-term debt				3,600,000
Converted amount				$ 500,000	$ 500,000
Debt conversion, shares issued (in shares) | shares				5,000
Write off of debt issuance costs				$ 500,000
Convertible notes | 2026 5% Note
Debt Instrument [Line Items]
Principal 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				15,036
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]
Principal amount																							$ 10,800,000
Secured Debt | INR-denominated term loans | Glocal
Debt Instrument [Line Items]
Aggregate carrying value													700,000
Repayments of long-term debt												$ 100,000				$ 100,000
Accrued interest on debt													23,000
Debt forgiven													2,300,000
Secured Debt | INR-denominated term loans | Glocal | INR
Debt Instrument [Line Items]
Carrying or outstanding amount of debt | ₨																						₨ 54
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]
Principal amount																									$ 1,900,000
Debt forgiven								$ 300,000	$ 900,000										$ 700,000
Number of loan agreements | loan_agreement																									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]
Principal amount																			$ 500,000						$ 500,000
Medium-term Notes | Paycheck Protection Program Loans, CARES Act | BHS | Paycheck Protection Program, CARES Act
Debt Instrument [Line Items]
Principal amount																									$ 1,000,000
Unsecured Debt | Provider Relief and EIDL Funds
Debt Instrument [Line Items]
Aggregate carrying value											$ 10,000		123,000				$ 10,000
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]
Interest expense											300,000			$ 300,000			1,200,000	$ 1,100,000
Aggregate carrying value											0		18,680,000				0
Accrued interest on debt											$ 0		$ 700,000				$ 0
Repayments of notes				$ 88,100,000		$ 18,700,000	$ 11,100,000
Payment for accrued interest						$ 1,900,000