CONSOLIDATED STATEMENT OF CASH FLOWS - USD ($)	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Operating activities:
Net loss	$ (222,935,000)	$ (340,897,000)
Adjustments to reconcile net loss to net cash used in operating activities:
Depreciation and amortization	21,800,000	16,768,000
Amortization of debt issuance costs and discount on convertible debt	12,789,000	8,882,000
Stock-based compensation	6,464,000	1,048,000
Impairment of property, plant and equipment, intangible assets and goodwill	116,164,000	297,930,000
Provision for bad debt expense	1,336,000	18,617,000
Loss (gain) on extinguishment of debt	14,610,000	(151,000)
Loss from equity investment	0	561,000
Gain on consolidation of equity investment	0	(640,000)
Loss on deconsolidation of subsidiary	37,708,000	0
Gain on fair value of warrant liabilities	(242,000)	(1,595,000)
Gain on fair value of derivative liability	(7,529,000)	(53,846,000)
Loss on disposal of property and equipment	0	876,000
Deferred income taxes	(9,543,000)	(2,502,000)
Non-cash impact of operating lease right-of-use assets	4,031,000	0
Other	(9,000)	0
Changes in operating assets and liabilities, net of effects of acquisitions:
Accounts receivable	(5,839,000)	(26,747,000)
Inventories	417,000	200,000
Prepaid expenses and other current assets	(100,000)	(6,909,000)
Accounts payable and accrued expenses	13,148,000	23,019,000
Operating lease liabilities	(4,003,000)	0
Income taxes payable	(599,000)	65,000
Deferred revenue	954,000	1,942,000
Due to related parties	(478,000)	1,000
Other current liabilities	(585,000)	561,000
Net cash used in operating activities	(22,441,000)	(62,817,000)
Investing activities:
Purchases of property and equipment and capitalized software development costs	(6,836,000)	(3,723,000)
Due to related parties	(14,000)	497,000
Deconsolidated Glocal cash	(8,743,000)	0
Net cash acquired in acquisition of businesses	0	3,969,000
Net cash provided by (used in) investing activities	(15,593,000)	743,000
Financing activities:
Proceeds from merger and recapitalization transaction	0	83,909,000
Proceeds from debt	67,500,000	164,500,000
Repayments of debt	(48,234,000)	(42,645,000)
Proceeds from Provider Relief Funds	0	506,000
Payments of debt issuance costs	(1,475,000)	(8,100,000)
Repayment of forward share purchase	(18,521,000)	0
Repayments of seller notes	(18,680,000)	(99,207,000)
Payments of finance and capital lease obligations	(3,106,000)
Payments of finance and capital lease obligations		(2,173,000)
Proceeds from equity offering	0	42,962,000
Proceeds from stock option exercises	0	319,000
Payments for taxes related to net settlement of equity awards	(95,000)	0
Distribution to noncontrolling interest	(139,000)	0
Payment of amount due to member	0	(4,200,000)
Net cash provided by (used in) financing activities	(22,750,000)	135,871,000
Effect of exchange rate changes on cash, cash equivalents, and restricted cash	(460,000)	635,000
Increase (decrease) in cash, cash equivalents, and restricted cash	(61,244,000)	74,432,000
Cash, cash equivalents, and restricted cash, beginning of period	76,801,000	2,369,000
Cash, cash equivalents, and restricted cash, end of period	15,557,000	76,801,000
Supplemental cash flow information:
Cash paid for interest	10,711,000	9,799,000
Cash paid for income taxes	521,000	0
Property, plant and equipment reclassed from other assets	3,751,000	0
Property and equipment acquired through capital lease and vendor financing arrangements	4,110,000	3,469,000
Right of use assets obtained in exchange for new operating lease liabilities	12,549,000	0
Issuance of common stock for debt conversion	0	1,879,000
Shares withheld for tax remittance	1,200,000	0
Issuance of common stock for debt issuance costs	713,000	0
Write-off of Glocal opening cash balance	3,010,000	0
Reconciliation of cash, cash equivalents, and restricted cash:
Cash and cash equivalents	15,557,000	58,192,000
Restricted cash	0	18,609,000
Total cash, cash equivalents, and restricted cash	15,557,000	76,801,000
TTC
Issuance of common stock and promissory note to consummate business combination	0	48,233,000
Glocal
Issuance of common stock and promissory note to consummate business combination	0	132,122,000
Cloudbreak
Issuance of common stock and promissory note to consummate business combination	0	106,298,000
Innovations Group
Issuance of common stock and promissory note to consummate business combination	$ 0	$ 170,378,000