Annual report pursuant to Section 13 and 15(d)

Intangible Assets and Goodwill - Changes In Goodwill and Intangible Assets (Details)

v3.22.4
Intangible Assets and Goodwill - Changes In Goodwill and Intangible Assets (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Goodwill [Roll Forward]      
Goodwill, cost, beginning balance $ 67,361 $ 17,776  
Acquisitions through business combinations 0 49,585  
Additions 0 0  
Transferred to assets held for sale (32,444)    
Effect of movements in foreign exchange 0 0  
Goodwill, cost, ending balance 34,917 67,361  
Finite-Lived Intangible Assets [Roll Forward]      
Intangible assets, cost, beginning balance 37,340 7,900  
Acquisitions through business combinations 0 29,440  
Additions 0 0  
Transferred to assets held for sale (33,073)    
Effect of movements in foreign exchange 0 0  
Intangible assets, cost, ending balance 4,267 37,340  
Finite-Lived Intangible Assets, Amortization [Roll Forward]      
Intangible assets, amortization, beginning balance 8,566 966  
Amortization for the year 4,465 7,600  
Transferred to assets held for sale (13,031)    
Effect of movements in foreign exchange 0    
Intangible assets, amortization, ending balance 0 8,566  
Goodwill, Impairment [Roll Forward]      
Goodwill, accumulated impairment, beginning balance 0 0  
Impairment 34,917 0  
Effect of movements in foreign exchange 0 0  
Goodwill, accumulated impairment, ending balance 34,917 0  
Finite-Lived Intangible Assets, Impairment [Roll Forward]      
Finite-lived intangible assets, accumulated impairment, beginning balance 0 0  
Impairment $ 4,267 0  
Impairment, Intangible Asset, Finite-Lived, Statement of Income or Comprehensive Income [Extensible Enumeration] Impairment expense    
Effect of movements in foreign exchange $ 0 0  
Finite-lived intangible assets, accumulated impairment, ending balance 4,267 0  
Goodwill 0 67,361 $ 17,776
Intangible assets 0 28,774 6,934
Development costs      
Finite-Lived Intangible Assets [Roll Forward]      
Intangible assets, cost, beginning balance 6,000 0  
Acquisitions through business combinations 0 6,000  
Additions 0 0  
Transferred to assets held for sale (3,721)    
Effect of movements in foreign exchange 0 0  
Intangible assets, cost, ending balance 2,279 6,000  
Finite-Lived Intangible Assets, Amortization [Roll Forward]      
Intangible assets, amortization, beginning balance 0 0  
Amortization for the year 703 0  
Transferred to assets held for sale (703)    
Effect of movements in foreign exchange 0    
Intangible assets, amortization, ending balance 0 0  
Finite-Lived Intangible Assets, Impairment [Roll Forward]      
Finite-lived intangible assets, accumulated impairment, beginning balance 0 0  
Impairment 2,279 0  
Effect of movements in foreign exchange 0 0  
Finite-lived intangible assets, accumulated impairment, ending balance 2,279 0  
Intangible assets 0 6,000 0
Customer relationships      
Finite-Lived Intangible Assets [Roll Forward]      
Intangible assets, cost, beginning balance 14,700 3,100  
Acquisitions through business combinations 0 11,600  
Additions 0 0  
Transferred to assets held for sale (14,700)    
Effect of movements in foreign exchange 0 0  
Intangible assets, cost, ending balance 0 14,700  
Finite-Lived Intangible Assets, Amortization [Roll Forward]      
Intangible assets, amortization, beginning balance 3,680 845  
Amortization for the year 650 2,835  
Transferred to assets held for sale (4,330)    
Effect of movements in foreign exchange 0    
Intangible assets, amortization, ending balance 0 3,680  
Finite-Lived Intangible Assets, Impairment [Roll Forward]      
Finite-lived intangible assets, accumulated impairment, beginning balance 0 0  
Impairment 0 0  
Effect of movements in foreign exchange 0 0  
Finite-lived intangible assets, accumulated impairment, ending balance 0 0  
Intangible assets 0 11,020 2,255
Trademarks      
Finite-Lived Intangible Assets [Roll Forward]      
Intangible assets, cost, beginning balance 8,350 3,300  
Acquisitions through business combinations 0 5,050  
Additions 0 0  
Transferred to assets held for sale (7,190)    
Effect of movements in foreign exchange 0 0  
Intangible assets, cost, ending balance 1,160 8,350  
Finite-Lived Intangible Assets, Amortization [Roll Forward]      
Intangible assets, amortization, beginning balance 3,430 83  
Amortization for the year 660 3,347  
Transferred to assets held for sale (4,090)    
Effect of movements in foreign exchange 0    
Intangible assets, amortization, ending balance 0 3,430  
Finite-Lived Intangible Assets, Impairment [Roll Forward]      
Finite-lived intangible assets, accumulated impairment, beginning balance 0 0  
Impairment 1,160 0  
Effect of movements in foreign exchange 0 0  
Finite-lived intangible assets, accumulated impairment, ending balance 1,160 0  
Intangible assets 0 4,920 3,217
Physician network      
Finite-Lived Intangible Assets [Roll Forward]      
Intangible assets, cost, beginning balance 5,000 1,500  
Acquisitions through business combinations 0 3,500  
Additions 0 0  
Transferred to assets held for sale (5,000)    
Effect of movements in foreign exchange 0 0  
Intangible assets, cost, ending balance 0 5,000  
Finite-Lived Intangible Assets, Amortization [Roll Forward]      
Intangible assets, amortization, beginning balance 1,063 38  
Amortization for the year 988 1,025  
Transferred to assets held for sale (2,051)    
Effect of movements in foreign exchange 0    
Intangible assets, amortization, ending balance 0 1,063  
Finite-Lived Intangible Assets, Impairment [Roll Forward]      
Finite-lived intangible assets, accumulated impairment, beginning balance 0 0  
Impairment 0 0  
Effect of movements in foreign exchange 0 0  
Finite-lived intangible assets, accumulated impairment, ending balance 0 0  
Intangible assets 0 3,937 1,462
Licenses      
Finite-Lived Intangible Assets [Roll Forward]      
Intangible assets, cost, beginning balance 3,290 0  
Acquisitions through business combinations 0 3,290  
Additions 0 0  
Transferred to assets held for sale (2,462)    
Effect of movements in foreign exchange 0 0  
Intangible assets, cost, ending balance 828 3,290  
Finite-Lived Intangible Assets, Amortization [Roll Forward]      
Intangible assets, amortization, beginning balance 393 0  
Amortization for the year 1,464 393  
Transferred to assets held for sale (1,857)    
Effect of movements in foreign exchange 0    
Intangible assets, amortization, ending balance 0 393  
Finite-Lived Intangible Assets, Impairment [Roll Forward]      
Finite-lived intangible assets, accumulated impairment, beginning balance 0 0  
Impairment 828 0  
Effect of movements in foreign exchange 0 0  
Finite-lived intangible assets, accumulated impairment, ending balance 828 0  
Intangible assets $ 0 $ 2,897 $ 0