COMMITMENTS AND CONTINGENCIES - Fair Value Contingent Consideration (Details) - Contingent Consideration Liability - Fair Value, Inputs, Level 3 - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Derma Sciences | Accrued expenses and other short-term liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance, Beginning of Period	$ 315	$ 0
Additions from acquisition of Derma Sciences		33,707
Transfers from long-term to current portion	1,387	2,193
Payments	(2,000)	(31,346)
Balance, End of Period	0	2,133
Derma Sciences | Accrued expenses and other short-term liabilities | Selling, general and administrative
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
(Gain)/Loss from change in fair value of contingent consideration liabilities	298	(2,421)
Derma Sciences | Other Long-term Liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance, Beginning of Period	1,387	0
Additions from acquisition of Derma Sciences		3,467
Transfers from long-term to current portion	(1,387)	(2,193)
Payments	0	0
Balance, End of Period	230	1,356
Derma Sciences | Other Long-term Liabilities | Selling, general and administrative
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
(Gain)/Loss from change in fair value of contingent consideration liabilities	230	82
Confluent Surgical, Inc. | Accrued expenses and other short-term liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance, Beginning of Period	22,478	0
Additions from acquisition of Derma Sciences		0
Transfers from long-term to current portion	0	21,312
Payments	(19,000)	0
Balance, End of Period	5,000	21,312
Confluent Surgical, Inc. | Accrued expenses and other short-term liabilities | Selling, general and administrative
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
(Gain)/Loss from change in fair value of contingent consideration liabilities	$ 1,522	0
Confluent Surgical, Inc. | Other Long-term Liabilities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance, Beginning of Period		22,036
Additions from acquisition of Derma Sciences		0
Transfers from long-term to current portion		(21,312)
Payments		0
Balance, End of Period		872
Confluent Surgical, Inc. | Other Long-term Liabilities | Selling, general and administrative
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
(Gain)/Loss from change in fair value of contingent consideration liabilities		$ 148