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INCOME TAXES - Narrative (Details) - USD ($) | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Operating Loss Carryforwards [Line Items] |  |  |
Income tax benefit (expense) | $ (2,403,000) | $ 9,064,000 | $ 246,881,000
Deferred tax asset valuation allowance | 465,832,000 | 419,356,000 |
Deferred tax liability | 17,289,000 | 19,713,000 |
Increase (decrease) in valuation allowance | $ 46,500,000 | $ 157,100,000 |
Effective tax rate | (1.20%) | 1.30% | 29.30%
Unrecognized tax benefit that would impact effective tax rate | $ 36,400,000 | $ 28,300,000 | $ 21,800,000
Accrued interest or penalties | 0 | 0 | 0
Recognized interest or penalties | 0 | 0 | 0
Deferred tax asset |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Valuation allowances established | 44,759,000 | 159,919,000 | 206,574,000
Acquisition and purchase accounting | (475,000) | $ 21,000 | 239,233,000
Deferred tax asset | Thrive |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Acquisition and purchase accounting | 239,200,000 |  |
Deferred tax asset | Genomic Health Inc |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Acquisition and purchase accounting |  |  | $ 239,200,000
Federal |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Operating loss carryforwards | 402,900,000 |  |
Operating loss carryforwards with no expiration date | 278,500,000 |  |
Operating loss carryforwards with expiration date | 124,400,000 |  |
Federal | Research |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Tax credit carryforwards | 70,900,000 |  |
State |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Operating loss carryforwards | 66,000,000 |  |
State | Research |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Tax credit carryforwards | 33,000,000 |  |
State | Research | California |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Tax credit carryforwards | 19,700,000 |  |
Foreign |  |  |
Operating Loss Carryforwards [Line Items] |  |  |
Operating loss carryforwards | $ 10,400,000 |  |

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