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COMMITMENTS AND CONTINGENCIES (Tables) | 12 Months Ended
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Dec. 31, 2022
Commitments and Contingencies Disclosure [Abstract] |
Schedule of Contingent Consideration | A reconciliation of the opening balances to the closing balances of these Level 3 measurements for the years ended December 31, 2022 and 2021 is as follows (in thousands):
Year ended December 31, 2022 |  | Contingent Consideration Liability Related to Acquisition of: |  |
| Arkis (See Note 4) |  | Location in Financial Statements |  | Derma Sciences |  | ACell Inc. (See Note 4) | SIA |  | Location in Financial Statements
|  | Short-term |  | Long-term |  |  |  | Long-term |  | Short-term |  | Long-term | Long-term |  |
Balance as of January 1, 2022 |  | $ | 3,691 |  |  | $ | 11,408 |  |  |  |  | $ | 230 |  |  | $ | — |  |  | $ | 21,800 |  | $ | — |  |  |
Additions |  | — |  |  | — |  |  |  |  | — |  |  |  |  | — |  | 57,607 |  |  |
Transfers from long-term to current portion |  | — |  |  | — |  |  |  |  | — |  |  | 4,885 |  |  | (4,885) |  | — |  |  |
Change in fair value of contingent consideration liabilities |  | (846) |  |  | (1,358) |  |  | Research and development |  | — |  |  | (4,885) |  |  | (13,215) |  | — |  |  | Selling, general and administrative
Balance as of December 31, 2022 |  | $ | 2,845 |  |  | $ | 10,050 |  |  |  |  | $ | 230 |  |  | $ | — |  |  | $ | 3,700 |  | $ | 57,607 |  | $ | — |  |
Year ended December 31, 2021 |  | Contingent Consideration Liability Related to Acquisition of: |  |
| Arkis (See Note 4) |  | Location in Financial Statements |  | Derma Sciences |  |  |  | ACell Inc. (See Note 4) |  | Location in Financial Statements
|  | Short-term |  | Long-term |  |  |  | Long-term |  |  |  | Long-term |  |
Balance as of January 1, 2021 |  | $ | 3,415 |  |  | $ | 11,746 |  |  |  |  | $ | 230 |  |  |  |  | $ | — |  |  |
Additions |  | — |  |  | — |  |  |  |  | — |  |  |  |  | 23,900 |  |  |
Transfers from long-term to current portion |  | 276 |  |  | (276) |  |  |  |  | — |  |  |  |  | — |  |  |
Change in fair value of contingent consideration liabilities |  | — |  |  | $ | (62) |  |  | Research and development |  | — |  |  |  |  | (2,100) |  |  | Selling, general and administrative
Balance as of December 31, 2021 |  | $ | 3,691 |  |  | $ | 11,408 |  |  |  |  | $ | 230 |  |  |  |  | $ | 21,800 |  |  |

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- Definition Tabular disclosure of the fair value measurement of liabilities using significant unobservable inputs (Level 3), a reconciliation of the beginning and ending balances, separately presenting changes attributable to the following: (1) total gains or losses for the period (realized and unrealized), segregating those gains or losses included in earnings (or changes in net assets), and gains or losses recognized in other comprehensive income (loss) and a description of where those gains or losses included in earnings (or changes in net assets) are reported in the statement of income (or activities); (2) purchases, sales, issues, and settlements (each type disclosed separately); and (3) transfers in and transfers out of Level 3 (for example, transfers due to changes in the observability of significant inputs) by class of liability. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 820 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (c) -URI https://asc.fasb.org/extlink&oid=126976982&loc=d3e19207-110258 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 820 -SubTopic 10 -Section 50 -Paragraph 3 -URI https://asc.fasb.org/extlink&oid=126976982&loc=d3e19279-110258 + Details
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