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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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