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Segments (Tables)
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Revenue and Gross Profit from Segments [Table Text Block] Revenue and gross profit of the Company’s segments were as follows (in thousands):
 
Year Ended December 31,
 
2018
 
2017
 
2016
Revenue:
 
 
 
 
 
Subscription business
$
263,738

 
$
218,354

 
$
173,356

Other business
40,218

 
24,313

 
14,874

 
303,956

 
242,667

 
188,230

Veterinary invoice expense:
 
 
 
 
 
Subscription business
191,051

 
155,554

 
124,636

Other business
23,488

 
14,568

 
8,898

 
214,539

 
170,122

 
133,534

Other cost of revenue:
 
 
 
 
 
Subscription business
24,941

 
21,329

 
16,685

Other business
13,110

 
8,166

 
4,723

 
38,051

 
29,495

 
21,408

Gross profit:
 
 
 
 
 
Subscription business
47,746

 
41,471

 
32,035

Other business
3,620

 
1,579

 
1,253

 
51,366

 
43,050

 
33,288

 
 
 
 
 
 
Technology and development
9,248

 
9,768

 
9,534

General and administrative
18,164

 
16,820

 
15,205

Sales and marketing:
 
 
 
 
 
Subscription business
24,622

 
18,886

 
15,029

Other business
377

 
218

 
218

 
24,999

 
19,104

 
15,247

Operating loss
$
(1,045
)
 
$
(2,642
)
 
$
(6,698
)
Revenue from External Customers by Geographic Areas [Table Text Block] The following table presents the Company’s revenue by geographic region of the member (in thousands): 
 
Year Ended December 31,
 
2018
 
2017
 
2016
United States
$
246,280

 
$
195,297

 
$
151,361

Canada
57,676

 
47,370

 
36,869

Total revenue
$
303,956

 
$
242,667

 
$
188,230