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Shareholders' equity (Tables) | 12 Months Ended
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Dec. 31, 2023
Stockholders' Equity Note [Abstract] |
Components of Changes in Accumulated Other Comprehensive Income (Loss) | The components of and changes in accumulated other comprehensive income (loss) are as follows:
(U.S. Dollars, in thousands) |  | Currency Translation Adjustments |  |  | Neo Medical Convertible Loans |  |  | Other Investments |  |  | Accumulated Other Comprehensive Income (Loss) |
Balance at December 31, 2020 |  | $ | 1,833 |  |  | $ | 1,419 |  |  | $ | — |  |  | $ | 3,252 |
Other comprehensive loss |  |  | (2,544 | ) |  |  | (942 | ) |  |  | — |  |  |  | (3,486 | )
Income taxes |  |  | — |  |  |  | 234 |  |  |  | — |  |  |  | 234 |
Balance at December 31, 2021 |  | $ | (711 | ) |  | $ | 711 |  |  | $ | — |  |  | $ | — |
Other comprehensive income (loss) |  |  | (1,771 | ) |  |  | 294 |  |  |  | 101 |  |  |  | (1,376 | )
Income taxes |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Balance at December 31, 2022 |  | $ | (2,482 | ) |  | $ | 1,005 |  |  | $ | 101 |  |  | $ | (1,376 | )
Other comprehensive income (loss) |  |  | 1,417 |  |  |  | (1,233 | ) |  |  | (101 | ) |  |  | 83 |
Income taxes |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Balance at December 31, 2023 |  | $ | (1,065 | ) |  | $ | (228 | ) |  | $ | — |  |  | $ | (1,293 | )

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