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INCOME TAXES - EFFECTIVE INCOME TAX RECONCILIATION (Details)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Income Tax Contingency [Line Items]      
Statutory federal tax rate 21.00% 21.00% 21.00%
State income taxes, net of federal benefit 3.00% (4.00%) 9.00%
Foreign income inclusion 0.00% (12.00%) 0.00%
Non-temporary stock option benefit 49.00% 6.00% (48.00%)
Meals and entertainment permanent difference 0.00% 0.00% (2.00%)
GILTI permanent difference 0 0 0.02
Other permanent differences 0.00% 1.00% (1.00%)
Foreign tax rate differences 10.00% 2.00% 6.00%
Change in tax rate 8.00% 1.00% (6.00%)
Change in valuation allowance 88.00% (4.00%) (17.00%)
Other deferred differences (25.00%) (2.00%) (9.00%)
Transaction costs (4.00%) (6.00%) (6.00%)
Executive compensation limitation (65.00%) (6.00%) (7.00%)
Research & development credit (1.00%) 2.00% 20.00%
Equity Investment (8.00%) (4.00%) 0.00%
Change in uncertain tax benefits 11.00% 3.00% 0.00%
Contingent Consideration 10.00% 0.00% 0.00%
Other Foreign Income Taxes Due (2.00%) 0.00% 0.00%
Other 1.00% (1.00%) 0.00%
Effective income tax rate 104.00% (2.00%) 56.00%
Optomed      
Income Tax Contingency [Line Items]      
Non-consolidated Investment Income 8.00% 1.00% (2.00%)