Summary of Significant Accounting Policies - Narrative (Details) - USD ($)				1 Months Ended	3 Months Ended						12 Months Ended
	Dec. 31, 2023	Feb. 26, 2023	Dec. 31, 2022	Apr. 30, 2022	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022	Sep. 30, 2022	Mar. 31, 2022	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Restricted cash	$ 0		$ 0					$ 0			$ 0	$ 0
Allowance for doubtful accounts	400,000		16,200,000					16,200,000			400,000	16,200,000
Inventory balance	0										0
Impairment of intangible assets											$ 4,203,000	17,627,000
Impairment charge												17,600,000
Impairment, Long-Lived Asset, Held-for-Use, Statement of Income or Comprehensive Income [Extensible Enumeration]											Goodwill, Intangible Asset And Other Long Lived Asset Impairment
Impairment, long-lived asset, held-for-use											$ 2,800,000	4,000,000
Impairment charge for goodwill									$ 89,100,000		42,924,000	94,643,000
Goodwill										$ 5,500,000		5,403,000
Payments for repurchase of stock											0	18,521,000
Research and development											4,367,000	7,888,000
Advertising expense											1,300,000	2,900,000
Integrated Care Management
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Impairment of intangible assets											4,200,000	16,800,000
Impairment, long-lived asset, held-for-use											2,800,000
Impairment charge for goodwill					$ 34,600,000						34,600,000	87,500,000
Services
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Impairment of intangible assets												800,000
Impairment charge for goodwill											6,400,000	1,600,000
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Innovations Group
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Total loss on disposal group held for sale						$ 1,400,000					1,900,000
Disposal Group, Held-for-sale, Not Discontinued Operations | Innovations Group
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Total loss on disposal group held for sale		$ 1,800,000					$ 500,000	1,800,000				1,791,000
SaaS And Hosting
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Allowance for doubtful accounts	0		15,600,000					15,600,000			0	15,600,000
Subscription Based Services
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Allowance for doubtful accounts	400,000		600,000					600,000			400,000	600,000
Digital Pharmacy Services
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Allowance for doubtful accounts	$ 0		$ 0					$ 0			$ 0	$ 0
KAF | Forward Share Purchase Agreement
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Effects of Changes, Net [Line Items]
Escrow deposit													$ 18,100,000
Number of shares repurchased (in shares)	170,000		170,000	170,000
Payments for repurchase of stock				$ 18,100,000
Payments for interest				$ 400,000