Annual report pursuant to Section 13 and 15(d)

Loans and Borrowings - Narrative (Details)

v3.22.4
Loans and Borrowings - Narrative (Details)
12 Months Ended
Nov. 04, 2022
USD ($)
May 04, 2022
USD ($)
Mar. 31, 2022
USD ($)
shares
Nov. 04, 2021
USD ($)
medicaid_life
$ / shares
shares
Oct. 08, 2021
USD ($)
shares
Aug. 18, 2021
USD ($)
Jun. 30, 2021
shares
Dec. 31, 2022
USD ($)
shares
Dec. 31, 2021
USD ($)
Dec. 23, 2021
USD ($)
Jul. 15, 2021
USD ($)
Dec. 16, 2020
USD ($)
Nov. 12, 2020
USD ($)
Debt Instrument [Line Items]                          
Number of shares called by warrants | shares               35,000          
Interest payable               $ 3,900,000 $ 2,500,000        
Interest paid               10,500,000 1,400,000        
Additional AlbaCore Warrants                          
Debt Instrument [Line Items]                          
Number of shares called by warrants | shares     35,150                    
AlbaCore Warrants                          
Debt Instrument [Line Items]                          
Number of shares called by warrants | shares         70,299                
Cash redemption payment, maximum amount per share called by each warrant (in dollars per share) | $ / shares       $ 375.00                  
Number of shares called by each warrant | shares       1                  
Loans Payable                          
Debt Instrument [Line Items]                          
Non-cash conversion of loan notes to bonds               0 0        
Note Subscription Agreement | Loans Payable                          
Debt Instrument [Line Items]                          
Debt instrument, face amount         $ 200,000,000                
Proceeds from issuance of long-term debt       $ 200,000,000                  
Percentage of discount on debt instrument       95.50%                  
Basis spread on interest rate       0.065%                  
Target number of medicaid lives added to contracts to not trigger interest rate step margin | medicaid_life       100,000                  
Period after closing date where interest payment is due       6 months                  
Percentage of interest payable eligible to be consolidated into future debt issuances       50.00%                  
Debt instrument term       5 years                  
Debt instrument redemption price percentage at maturity       100.00%                  
Capitalized debt issuance costs       $ 3,400,000                  
Period after closing date where second interest payment is due       1 year                  
Interest payable $ 12,200,000 $ 8,800,000                      
Interest paid 6,100,000 4,400,000                      
Interest payable eligible to be consolidated into future debt issuances $ 6,100,000 $ 4,400,000                      
Note Subscription Agreement | Loans Payable | Debt Instrument, Redemption, Period One                          
Debt Instrument [Line Items]                          
Debt instrument redemption price, trigger period end after closing date       1 year                  
Debt instrument redemption price percentage       104.00%                  
Note Subscription Agreement | Loans Payable | Debt Instrument, Redemption, Period Two                          
Debt Instrument [Line Items]                          
Debt instrument redemption price, trigger period end after closing date       2 years                  
Debt instrument redemption price percentage       104.00%                  
Debt instrument redemption price, trigger period start after closing date       1 year                  
Note Subscription Agreement | Loans Payable | Debt Instrument, Redemption, Period Three                          
Debt Instrument [Line Items]                          
Debt instrument redemption price percentage       107.00%                  
Debt instrument redemption price, trigger period start after closing date       2 years                  
Note Subscription Agreement | Loans Payable | Debt Instrument, Interest Rate, One                          
Debt Instrument [Line Items]                          
Stated interest rate on debt instrument       8.00%                  
Stated interest rate on debt instrument, trigger period end after closing date       2 years                  
Period after closing date where interest payment is due       6 months                  
Note Subscription Agreement | Loans Payable | Debt Instrument, Interest Rate, Two                          
Debt Instrument [Line Items]                          
Stated interest rate on debt instrument       10.00%                  
Stated interest rate on debt instrument, trigger period end after closing date       3 years                  
Stated interest rate on debt instrument, trigger period start after closing date       2 years                  
Note Subscription Agreement | Loans Payable | Debt Instrument, Interest Rate, Three                          
Debt Instrument [Line Items]                          
Stated interest rate on debt instrument       12.00%                  
Stated interest rate on debt instrument, trigger period start after closing date       3 years                  
Second Note Subscription Agreement | Loans Payable                          
Debt Instrument [Line Items]                          
Debt instrument, face amount     $ 100,000,000             $ 75,000,000      
Percentage of interest payable eligible to be consolidated into future debt issuances     50.00%                    
Capitalized debt issuance costs     $ 4,000,000                    
Additional borrowing capacity on debt instrument                   $ 100,000,000      
Debt instrument, face amount, percentage issued     $ 1                    
VNV Loan Notes | Loans Payable                          
Debt Instrument [Line Items]                          
Debt instrument, face amount                     $ 15,000,000    
Stated interest rate on debt instrument                     14.00%    
Non-cash conversion of loan notes to bonds           $ 8,000,000   0 8,000,000        
Payment for debt extinguishment           7,200,000              
Unsecured Bonds | Loans Payable                          
Debt Instrument [Line Items]                          
Debt instrument, face amount           $ 50,000,000              
Percentage of discount on debt instrument           4.00%              
Stated interest rate on debt instrument           10.00%              
Debt instrument term           1 year              
Non-cash conversion of loan notes to bonds               0 (8,000,000)        
Debt instrument, face amount net of discounts, repayments and expenses           $ 32,100,000              
Convertible Loan Notes | Loans Payable                          
Debt Instrument [Line Items]                          
Non-cash conversion of loan notes to bonds               $ 0 $ 0        
Convertible Loan Notes | Loans Payable | Line of Credit                          
Debt Instrument [Line Items]                          
Maximum borrowing capacity on line of credit facility                         $ 200,000,000
Nominal amount on debt instrument                         1,000
Number of shares converted into from debt conversion | shares             41,012,358            
Convertible Loan Notes | Loans Payable | Line of Credit | Global Health Equity (Cyprus) Ltd                          
Debt Instrument [Line Items]                          
Debt instrument, face amount                       $ 70,000,000 $ 30,000,000
Stated interest rate on debt instrument                         11.00%