Debt - Narrative (Details)					1 Months Ended		3 Months Ended		12 Months Ended
	Dec. 15, 2022	Aug. 12, 2022 USD ($) $ / shares shares	Jun. 15, 2021 USD ($) shares	Jun. 09, 2021 USD ($)	Aug. 31, 2022 USD ($)	Aug. 31, 2021 USD ($)	Mar. 31, 2023 USD ($) quarterly_installment	Mar. 31, 2022 USD ($)	Dec. 31, 2022 USD ($)
Debt Instrument [Line Items]
Total interest expense							$ 6,858,000	$ 6,995,000
Stock issued during period, reverse stock splits (in shares) | shares		115,000
Stock issued during period, reverse stock splits		$ 700,000
Carrying or outstanding amount of debt							148,621,000		$ 145,962,000
Affiliated Entity | Thrasys
Debt Instrument [Line Items]
Interest expense							3,000	10,000
Accrued interest on debt							0		0
Notes payable to related parties							$ 200,000		300,000
Notes payable to related parties, interest rate							3.50%
Number of quarterly installments | quarterly_installment							8
2026 Notes | Convertible 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							$ 30,000		100,000
Total interest expense							4,300,000	6,000,000
Contractual interest expense							1,800,000	2,500,000
Derivative accretion							2,200,000	3,100,000
Debt issuance costs amortization							300,000	400,000
Gain on fair value of derivative liability							26,000	$ 4,800,000
Repayments of convertible debt		45,000,000
Debt instrument, fact amount, per instrument		$ 2,000,000
Debt repurchase, percentage of principal amount		100.00%
2025 Notes | Convertible 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
Contractual interest expense							2,300,000
Debt issuance costs amortization							200,000
Debt repurchase, percentage of principal amount		105.00%
Gross cash proceeds		$ 22,500,000
Debt issuance costs		$ 1,500,000
Debt instrument, interest rate floor (percent)	12.21%	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%
Interest expense							$ 2,500,000
Effective interest rate							14.03%
2025 Notes | Convertible notes | SOFR
Debt Instrument [Line Items]
Basis spread on variable rate (percent)		9.00%
Seller Notes | Notes payable, other payables
Debt Instrument [Line Items]
Principal amount							$ 0		0
Interest expense							0		500,000
Accrued interest on debt							$ 0		$ 0
Repayments of sellers notes				$ 88,100,000	$ 18,700,000	$ 11,100,000
Payment for accrued interest					$ 1,900,000