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INCOME TAXES - Schedule of Effective Income Tax Rate Reconciliation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Income Tax Contingency [Line Items]      
Federal statutory income tax rate $ 31,412 $ (15,824) $ (10,289)
State and local taxes (1,017) 509 (3,467)
Orphan Drug & General Business Credit (35,674) (29,363) (44,114)
Stock compensation expense 6,433 7,859 (1,101)
Foreign Source Income Subject to US Tax (5,644) 16,878 6,266
Foreign tax rate differential (4,051) (16,971) (16,238)
Section 162(m) limitation 6,577 6,304 9,571
Tax Reserves 18,043 15,530 2,166
Intra-entity transfer of assets (18,752) (3,920) (852,338)
CARES act carryback claim 0 0 (2,201)
Valuation allowance/deferred benefit 7,851 6,821 6,876
Other 2,837 907 1,843
Effective income tax rate 8,015 (11,270) $ (903,026) [1]
Valuation allowance $ 116,299 109,176  
Dutch      
Income Tax Contingency [Line Items]      
Valuation allowance   $ 9,300  
[1] Certain December 31, 2020 amounts have been corrected for an immaterial error identified in the third quarter of 2022. See Note 1 to these Consolidated Financial Statements for details.