TAXES - Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Deferred Tax Assets:
Net operating loss carry forward	$ 12,247	$ 13,997
General business credits	4,173	4,078
Accrued compensation	1,545	5,921
Stock-based compensation	2,132	1,870
Foreign tax credit	0	268
Deferred revenue	66	260
Allowance for refunds, claim denials and returns	20	171
Accrued liabilities	2,153	1,707
Intangible assets	603	648
Deferred rent	239	367
Accrued Taxes	2,654	3,264
Interest expense	4,186	0
Tenant Improvement Allowance	1,225	1,431
Uniform Capitalization	110	532
Director and officer prior act liability insurance policy	1,790	0
Other	266	121
Total deferred tax assets, net	33,409	34,635
Deferred tax liabilities:
Identifiable Intangible assets	(47,660)	(50,827)
Property and equipment	(5,382)	(5,687)
Software development costs	(2,984)	(1,669)
Change in Fair Value on Contingent liability	(3,018)	(3,013)
Prepaids	(357)	0
Total deferred tax liabilities	(59,401)	(61,196)
Net deferred tax liability	$ (25,992)	$ (26,561)