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Shareholder's equity | 12 Months Ended
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Dec. 31, 2023
Stockholders' Equity Note [Abstract] |
Shareholders' equity | 14. Shareholders’ equity Dividends The Company has not historically paid dividends to holders of its common stock. Certain subsidiaries of the Company have restrictions on their ability to pay dividends in certain circumstances pursuant to the Financing Agreement. In the event that the Company decides to pay a dividend to holders of its common stock in the future with dividends received from its subsidiaries, the Company may, based on prevailing rates of taxation, be required to pay additional withholding and income tax on such amounts received from its subsidiaries. Accumulated Other Comprehensive Income (Loss) Accumulated other comprehensive income (loss) is comprised of foreign currency translation adjustments and unrealized gains (losses) on available for sale debt securities. The Company’s policy is to release income tax effects related to items recognized within accumulated other comprehensive income (loss) using a portfolio approach. 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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