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BUSINESS COMBINATIONS AND RELATED ACTIVITY (Details Narrative) - USD ($) $ / shares in Units, $ in Thousands |  |  | 3 Months Ended |
--- | --- | --- | --- | ---
Mar. 31, 2022 | Jan. 20, 2022 | Mar. 31, 2022 | Dec. 31, 2021
Business Acquisition [Line Items] |  |  |  |
Goodwill | $ 570,188 |  | $ 570,188 | $ 513,820
Aidence B.V |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Purchase consideration |  | $ 45,200 |  |
Shares issued (in shares) |  | 1,141,234 |  |
Cash payment to acquire business |  | $ 1,800 |  |
Assumed liabilities |  | 11,900 |  |
Milestone contingent consideration |  | 7,400 |  |
Loans settled |  | 1,500 |  |
Current assets |  | 1,000 |  |
Property, plant, and equipment |  | 200 |  |
Intangible assets |  | 27,500 |  |
Liabilities |  | 3,200 |  |
Goodwill |  | 19,200 |  |
Aidence B.V | Cash Holdback |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Milestone contingent consideration |  | $ 4,500 |  |
Aidence B.V | Certain Seller |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Shares issued (in shares) |  | 23,362 |  |
Equity issued or issuable |  | $ 600 |  |
Aidence B.V | Other Sellers |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Shares issued (in shares) |  | 1,117,872 |  |
Price per share (dollars per share) |  | $ 26.80 |  |
Equity issued or issuable |  | $ 30,000 |  |
Quantib B.V |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Purchase consideration |  | $ 42,300 |  |
Shares issued (in shares) | 113,303 | 965,058 |  |
Price per share (dollars per share) |  | $ 26.80 |  |
Equity issued or issuable | $ 3,000 | $ 25,900 |  |
Cash payment to acquire business |  | 11,800 |  |
Milestone contingent consideration | 501 |  | $ 501 | $ 0
Current assets |  | 2,400 |  |
Property, plant, and equipment |  | 100 |  |
Intangible assets |  | 21,300 |  |
Liabilities |  | 3,700 |  |
Goodwill |  | $ 22,200 |  |
Contingent consideration, liability, period |  | 18 months | 18 months |
Quantib B.V | Cash Holdback |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Milestone contingent consideration | $ 1,600 |  | $ 1,600 |

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