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Fair value measurements and investments (Tables) | 12 Months Ended
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Dec. 31, 2024
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |
Schedule of Financial Assets and Liabilities Recorded at Fair Value on Recurring Basis | The Company’s available for sale debt securities, equity securities, contingent consideration, and deferred compensation plan liabilities are, or in some cases, were the only financial instruments recorded at fair value on a recurring basis as follows:
(U.S. Dollars, in thousands) |  | Level 1 |  |  | Level 2 |  |  | Level 3 |  |  | Balance December 31, 2024 |
Assets |  |  |  |  |  |  |  |  |  |  |  |
Neo Medical convertible loan agreement |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |
Neo Medical preferred equity securities |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Other investments |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Total |  | $ | — |  |  | $ | — |  |  | $ | — |  |  | $ | — |
Liabilities |  |  |  |  |  |  |  |  |  |  |  |
Lattus contingent consideration |  | $ | — |  |  | $ | — |  |  | $ | (15,400 | ) |  | $ | (15,400 | )
Deferred compensation plan |  |  | — |  |  |  | (1,703 | ) |  |  | — |  |  |  | (1,703 | )
Total |  | $ | — |  |  | $ | (1,703 | ) |  | $ | (15,400 | ) |  | $ | (17,103 | )
(U.S. Dollars, in thousands) |  | Level 1 |  |  | Level 2 |  |  | Level 3 |  |  | Balance December 31, 2023 |
Assets |  |  |  |  |  |  |  |  |  |  |  |
Neo Medical convertible loan agreement |  | $ | — |  |  | $ | — |  |  | $ | 6,760 |  |  | $ | 6,760 |
Neo Medical preferred equity securities |  |  | — |  |  |  | 4,951 |  |  |  | — |  |  |  | 4,951 |
Bone Biologics equity securities |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |
Other investments |  |  | — |  |  |  | — |  |  |  | 1,309 |  |  |  | 1,309 |
Total |  | $ | — |  |  | $ | 4,951 |  |  | $ | 8,069 |  |  | $ | 13,020 |
Liabilities |  |  |  |  |  |  |  |  |  |  |  |
Lattus contingent consideration |  | $ | — |  |  | $ | — |  |  | $ | (8,500 | ) |  | $ | (8,500 | )
Deferred compensation plan |  |  | — |  |  |  | (1,674 | ) |  |  | — |  |  |  | (1,674 | )
Total |  | $ | — |  |  | $ | (1,674 | ) |  | $ | (8,500 | ) |  | $ | (10,174 | )
Schedule of Reconciliation of Carrying Value of Investments in Equity Securities | The table below presents a reconciliation of the carrying value of the Company’s investment in Neo Medical preferred equity securities for the years ended December 31, 2024, and 2023:
(U.S. Dollars, in thousands) |  | 2024 |  |  | 2023 |
Fair value of Neo Medical preferred equity securities at January 1 |  | $ | 4,951 |  |  | $ | 6,084 |
Conversion of loan into preferred equity securities |  |  | 8,224 |  |  |  | — |
Foreign currency remeasurement recognized in other income, net |  |  | — |  |  |  | 388 |
Unrealized loss recognized in other expense, net |  |  | — |  |  |  | (1,521 | )
Sale of preferred equity securities |  |  | (7,396 | ) |  |  | — |
Realized loss recognized in other expense, net |  |  | (5,779 | ) |  |  | — |
Fair value of Neo Medical preferred equity securities at December 31 |  | $ | — |  |  | $ | 4,951 |
Cumulative unrealized gain (loss) on Neo Medical preferred equity securities |  | $ | — |  |  | $ | (720 | )
Schedule of Reconciliation For Contingent Consideration Measured At Fair Value Using Significant Unobservable Inputs | The following table provides a reconciliation of the beginning and ending balances for the Lattus contingent consideration measured at estimated fair value using significant unobservable inputs (Level 3):
(U.S. Dollars, in thousands) |  | 2024 |  |  | 2023 |
Lattus contingent consideration estimated fair value at January 1 |  | $ | 8,500 |  |  | $ | 11,200 |
Change in fair value recognized in acquisition-related amortization and remeasurement |  |  | 6,900 |  |  |  | (2,700 | )
Lattus contingent consideration estimated fair value at December 31 |  | $ | 15,400 |  |  | $ | 8,500 |
Schedule of Changes in Valuation of Securities | The following table presents the changes in fair value recognized for each of the years ended December 31, 2024, 2023, and 2022:
(U.S. Dollars, in thousands) |  | 2024 |  |  | 2023 |  |  | 2022 |
Bone Biologics equity securities at January 1 |  | $ | — |  |  | $ | — |  |  | $ | 309 |
Fair value adjustments and impairments recognized in other expense, net |  |  | — |  |  |  | — |  |  |  | (183 | )
Proceeds from the disposition of equity securities |  |  | — |  |  |  | — |  |  |  | (126 | )
Bone Biologics equity securities at December 31 |  | $ | — |  |  | $ | — |  |  | $ | — |
The following table provides quantitative information related to certain key assumptions utilized within the valuation as of December 31, 2024:
(U.S. Dollars, in thousands) |  | Fair Value as of December 31, 2024 |  |  | Unobservable inputs |  | Estimate |
Lattus Contingent Consideration |  | $ | 15,400 |  |  | Counterparty discount rate |  |  | 10.9 | %
|  |  |  |  | Revenue risk-adjusted discount rate |  | 7.6% - 7.8% |
Fair Value, Inputs, Level 3 [Member] |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] |
Schedule of Reconciliation For Convertible Loans Measured At Fair Value Using Significant Unobservable Inputs | The following table provides a reconciliation of the beginning and ending balances of the Convertible Loan, measured at fair value using significant unobservable inputs (Level 3):
(U.S. Dollars, in thousands) |  | 2024 |  |  | 2023 |
Fair value of Neo Medical Convertible Loans at January 1 |  | $ | 6,760 |  |  | $ | 7,140 |
Gains (losses) recognized in other comprehensive income (loss) |  |  | 1,671 |  |  |  | (1,233 | )
Interest recognized in interest income, net |  |  | 162 |  |  |  | 496 |
Foreign currency remeasurement recognized in other income (expense), net |  |  | (629 | ) |  |  | 617 |
Expected credit loss recognized in other income (expense), net |  |  | 260 |  |  |  | (260 | )
Conversion into preferred equity securities |  |  | (8,224 | ) |  |  | — |
Fair value of Neo Medical Convertible Loans at December 31 |  | $ | — |  |  | $ | 6,760 |
Contractual value of Neo Medical Convertible Loans at December 31 |  | $ | — |  |  | $ | 7,020 |
Allowance for credit loss recognized in other expense, net |  |  | — |  |  |  | (260 | )
Amortized cost basis of Neo Medical Convertible Loans at December 31 |  | $ | — |  |  | $ | 6,760 |

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- Definition Tabular disclosure of assets and liabilities, including [financial] instruments measured at fair value that are classified in stockholders' equity, if any, that are measured at fair value on a recurring basis. The disclosures contemplated herein include the fair value measurements at the reporting date by the level within the fair value hierarchy in which the fair value measurements in their entirety fall, segregating fair value measurements using quoted prices in active markets for identical assets (Level 1), significant other observable inputs (Level 2), and significant unobservable inputs (Level 3). + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 820 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 2 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482106/820-10-50-2 + Details
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