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Business Combinations - Narrative (Details) - USD ($) $ in Thousands |  |  |  | 3 Months Ended
--- | --- | --- | --- | ---
Sep. 01, 2020 | Jul. 31, 2020 | Feb. 21, 2020 | Mar. 31, 2021 | Mar. 31, 2020
Business Acquisition [Line Items] |  |  |  |  |
Acquisition of business, net of cash acquired |  |  |  | $ 0 | $ 15,249
Able Health Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Consideration |  |  | $ 21,500 |  |
Acquisition of business, net of cash acquired |  |  | 15,200 |  |
Common shares issued in acquisition, at fair value |  |  | 3,300 |  |
Contingent consideration liabilities |  |  | $ 3,000 |  |
Interest acquired |  |  | 100.00% |  |
Able Health Inc | Restricted shares |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of restricted shares issued (in shares) |  |  | 179,392 |  |
RSUs granted (in shares) |  |  | 60,000 |  |
Service period (in years) |  |  | 1 year |  |
Cliff vesting period |  |  | 1 year |  |
Able Health Inc | Restricted Shares Pursuant To Acquisition Agreement |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Vesting period |  |  | 2 years |  |
Able Health Inc | Vest in year one | Restricted Shares Pursuant To Acquisition Agreement |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Service period (in years) |  |  | 1 year |  |
Vesting percent |  |  | 50.00% |  |
Healthfinch Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Consideration |  | $ 50,500 |  |  |
Acquisition of business, net of cash acquired |  | 16,900 |  |  |
Common shares issued in acquisition, at fair value |  | 27,800 |  |  |
Contingent consideration liabilities |  | $ 5,800 |  |  |
Interest acquired |  | 100.00% |  |  |
Vitalware L L C |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Consideration | $ 119,200 |  |  |  |
Acquisition of business, net of cash acquired | 69,600 |  |  |  |
Common shares issued in acquisition, at fair value | 41,300 |  |  |  |
Contingent consideration liabilities | $ 8,300 |  |  |  |
Interest acquired | 100.00% |  |  |  |
Number of restricted shares issued (in shares) | 203,997 |  |  |  |
Vitalware L L C | Restricted shares |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of restricted shares issued (in shares) | 203,997 |  |  |  |
Vesting percent | 25.00% |  |  |  |
Cliff vesting period | 1 year |  |  |  |
Vitalware L L C | Vest in year one | Restricted shares |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Vesting percent | 75.00% |  |  |  |
Share-based payment award, expiration period | 12 months |  |  |  |
Cliff vesting period | 1 year |  |  |  |
Developed technologies | Maximum |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  |  | 10 years |
Developed technologies | Minimum |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  |  | 3 years |
Developed technologies | Able Health Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  | 3 years |  |
Developed technologies | Healthfinch Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  | 3 years |  |  |
Developed technologies | Vitalware L L C |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life | 4 years |  |  |  |
Customer relationships | Able Health Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  | 6 years |  |
Customer relationships | Healthfinch Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  | 7 years |  |  |
Customer relationships | Vitalware L L C |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life | 7 years |  |  |  |
Trademarks | Maximum |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  |  | 5 years |
Trademarks | Minimum |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  |  | 2 years |
Trademarks | Able Health Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  |  | 2 years |  |
Trademarks | Healthfinch Inc |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life |  | 2 years |  |  |
Trademarks | Vitalware L L C | Maximum |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life | 5 years |  |  |  |
Trademarks | Vitalware L L C | Minimum |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life | 2 years |  |  |  |
Contract Backlogs | Vitalware L L C |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Estimated useful life | 2 years |  |  |  |

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