grepcent / static financial knowledge base

TRUPANION, INC. (TRUP)

CIK: 0001371285. SIC: 6324 Hospital & Medical Service Plans. Latest 10-K as of: 2026-02-13.

SIC breadcrumb: Finance, Insurance, And Real Estate > Insurance Carriers > SIC 6324 Hospital & Medical Service Plans

SEC company page: https://www.sec.gov/edgar/browse/?CIK=1371285. Latest filing source: 0001371285-26-000018.

Informational only - descriptive public-record data, not investment advice.

Business

Read TRUP's verbatim Item 1 Business section from its latest 10-K: Business.

Risk Factors

Read TRUP's verbatim Item 1A Risk Factors from its latest 10-K: Risk Factors.

Selected Fundamentals

MetricValueUnitFYFiled
Revenue1,439,305,000USD20252026-02-13
Net income19,433,000USD20252026-02-13
Assets915,044,000USD20252026-02-13

Financials

Annual standardized facts from SEC companyfacts as of latest extracted filing date 2026-02-13. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001371285.json. Derived margins, ratios, and free cash flow are computed from the extracted annual SEC facts.

Download these verified figures (annual + quarterly, with per-value filing provenance): JSON · CSV

Flow metrics use full-year FY periods from 10-K/10-K/A filings; balance-sheet metrics use FY-end instants. Free cash flow = operating cash flow - capital expenditures. Missing metrics are omitted rather than fabricated.

Metric2016201720182019202020212022202320242025
Revenue188,230,000242,667,000303,956,000383,936,000502,028,000698,991,000905,179,0001,108,605,0001,285,684,0001,439,305,000
Net income-6,896,000-1,503,000-927,000-1,809,000-5,840,000-35,530,000-44,672,000-44,693,000-9,633,00019,433,000
Operating income-6,698,000-2,642,000-1,045,000-1,920,000-4,927,000-35,196,000-43,001,000-40,659,000-9,514,00013,837,000
Diluted EPS-0.16-0.89-1.10-1.08-0.230.45
Operating cash flow5,006,0009,666,00012,680,00016,157,00021,544,0007,458,000-8,000,00018,638,00048,287,00089,488,000
Capital expenditures1,941,0003,131,00056,936,0005,373,0007,451,00012,355,00017,088,00018,280,0009,716,00014,129,000
Share buybacks0.005,755,0000.000.00
Assets82,345,000105,859,000207,510,000257,200,000498,250,000562,582,000671,627,000782,948,000806,853,000915,044,000
Liabilities37,630,00057,425,00078,337,000120,440,000158,311,000230,382,000366,330,000479,226,000483,585,000531,108,000
Stockholders' equity44,715,00048,434,000129,173,000136,760,000339,939,000332,200,000305,297,000303,722,000323,268,000383,936,000
Cash and cash equivalents23,637,00025,706,00026,552,00029,168,000139,878,00087,400,00065,605,000147,501,000160,295,000138,024,000
Free cash flow3,065,0006,535,000-44,256,00010,784,00014,093,000-4,897,000-25,088,000358,00038,571,00075,359,000

Ratios

ROE and ROA use period-end equity/assets. Liabilities / equity uses total liabilities divided by stockholders' equity. Current ratio uses current assets divided by current liabilities when both are reported.

Metric2016201720182019202020212022202320242025
Net margin-3.66%-0.62%-0.30%-0.47%-1.16%-5.08%-4.94%-4.03%-0.75%1.35%
Operating margin-3.56%-1.09%-0.34%-0.50%-0.98%-5.04%-4.75%-3.67%-0.74%0.96%
Return on equity-15.42%-3.10%-0.72%-1.32%-1.72%-10.70%-14.63%-14.72%-2.98%5.06%
Return on assets-8.37%-1.42%-0.45%-0.70%-1.17%-6.32%-6.65%-5.71%-1.19%2.12%
Liabilities / equity0.841.190.610.880.470.691.201.581.501.38
Current ratio2.151.891.871.732.241.751.621.631.711.69

Industry Peer Context

Each number-line places TRUP against the min, median, and max of latest reported values among companies in the same SIC industry when at least three peers report that ratio.

Net margin peer context

TRUP Net margin versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.TRUP Net margin versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.10 SIC peersMin -4.4%Median 1.0%Max 2.8%TRUP 1.4%

Operating margin peer context

TRUP Operating margin versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.TRUP Operating margin versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.10 SIC peersMin -4.4%Median 1.3%Max 4.2%TRUP 1.0%

ROE peer context

TRUP ROE versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.TRUP ROE versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.10 SIC peersMin -45.3%Median 5.9%Max 14.3%TRUP 5.1%

ROA peer context

TRUP ROA versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.TRUP ROA versus SIC peer range. Source: grepcent computed from latest SEC companyfacts ratios for SIC industry 6324; peer count 10.10 SIC peersMin -15.8%Median 2.3%Max 4.7%TRUP 2.1%

Financial Bridges

Waterfall figures reconcile reported SEC companyfacts components. Missing bridges are omitted when required components are not present for the same fiscal year.

Free cash flow = operating cash flow - capital expenditures

TRUP FY2025 free cash flow bridge from reported figures.TRUP FY2025 free cash flow bridge from reported figures.TRUP free cash flow bridgeFY2025: operating cash flow less capital expendituresSource: SEC companyfacts FY2025.Free cash flow bridgeReported amount$0.0B$125.0M$250.0M$89.5MOperating cash flow-$14.1MCapex$75.4MFree cash flow

Figure provenance: SEC companyfacts FY 2025. Operating cash flow: accession 0001371285-26-000018; concept NetCashProvidedByUsedInOperatingActivities; source concepts us-gaap:NetCashProvidedByUsedInOperatingActivities | Capital expenditures: accession 0001371285-26-000018; concept PaymentsToAcquirePropertyPlantAndEquipment; source concepts us-gaap:PaymentsToAcquirePropertyPlantAndEquipment | Free cash flow: accession 0001371285-26-000018; concept NetCashProvidedByUsedInOperatingActivities - PaymentsToAcquirePropertyPlantAndEquipment; source concepts us-gaap:NetCashProvidedByUsedInOperatingActivities; us-gaap:PaymentsToAcquirePropertyPlantAndEquipment

Financial Charts

TRUP revenue, last 5 periods. Source: SEC companyfacts FY2025.TRUP revenue, last 5 periods. Source: SEC companyfacts FY2025.TRUP RevenueLatest point: FY2025 = $1.4BSource: SEC companyfacts FY2025.Fiscal yearReported revenue$0.0B$1.0B$2.0BFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: Revenues. Source concepts: us-gaap:Revenues.

TRUP net income, last 5 periods. Source: SEC companyfacts FY2025.TRUP net income, last 5 periods. Source: SEC companyfacts FY2025.TRUP Net incomeLatest point: FY2025 = $19.4MSource: SEC companyfacts FY2025.Fiscal yearNet income-$250.0M$0.0B$250.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: NetIncomeLossAvailableToCommonStockholdersBasic. Source concepts: us-gaap:NetIncomeLossAvailableToCommonStockholdersBasic.

TRUP operating income, last 5 periods. Source: SEC companyfacts FY2025.TRUP operating income, last 5 periods. Source: SEC companyfacts FY2025.TRUP Operating incomeLatest point: FY2025 = $13.8MSource: SEC companyfacts FY2025.Fiscal yearOperating income-$250.0M$0.0B$250.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: OperatingIncomeLoss. Source concepts: us-gaap:OperatingIncomeLoss.

TRUP diluted eps, last 5 periods. Source: SEC companyfacts FY2025.TRUP diluted eps, last 5 periods. Source: SEC companyfacts FY2025.TRUP Diluted EPSLatest point: FY2025 = $0.45/shareSource: SEC companyfacts FY2025.Fiscal yearDiluted EPS (USD/share)-$1.50/share$0.00/share$1.00/shareFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: EarningsPerShareDiluted. Source concepts: us-gaap:EarningsPerShareDiluted.

TRUP operating cash flow, last 5 periods. Source: SEC companyfacts FY2025.TRUP operating cash flow, last 5 periods. Source: SEC companyfacts FY2025.TRUP Operating cash flowLatest point: FY2025 = $89.5MSource: SEC companyfacts FY2025.Fiscal yearOperating cash flow-$250.0M$0.0B$250.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: NetCashProvidedByUsedInOperatingActivities. Source concepts: us-gaap:NetCashProvidedByUsedInOperatingActivities.

TRUP capital expenditures, last 5 periods. Source: SEC companyfacts FY2025.TRUP capital expenditures, last 5 periods. Source: SEC companyfacts FY2025.TRUP Capital expendituresLatest point: FY2025 = $14.1MSource: SEC companyfacts FY2025.Fiscal yearCapital expenditures$0.0B$125.0M$250.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: PaymentsToAcquirePropertyPlantAndEquipment. Source concepts: us-gaap:PaymentsToAcquirePropertyPlantAndEquipment.

TRUP share buybacks, last 4 periods. Source: SEC companyfacts FY2024.TRUP share buybacks, last 4 periods. Source: SEC companyfacts FY2024.TRUP Share buybacksLatest point: FY2024 = $0.0BSource: SEC companyfacts FY2024.Fiscal yearShare buybacks$0.0B$125.0M$250.0MFY2021FY2022FY2023FY2024

Figure provenance: SEC companyfacts. Latest point: FY 2024 ended 2024-12-31; accession 0001371285-25-000052; filed 2025-02-27. Concept: PaymentsForRepurchaseOfCommonStock. Source concepts: us-gaap:PaymentsForRepurchaseOfCommonStock.

TRUP assets, last 5 periods. Source: SEC companyfacts FY2025.TRUP assets, last 5 periods. Source: SEC companyfacts FY2025.TRUP AssetsLatest point: FY2025 = $915.0MSource: SEC companyfacts FY2025.Fiscal yearAssets$0.0B$500.0M$1.0BFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: Assets. Source concepts: us-gaap:Assets.

TRUP liabilities, last 5 periods. Source: SEC companyfacts FY2025.TRUP liabilities, last 5 periods. Source: SEC companyfacts FY2025.TRUP LiabilitiesLatest point: FY2025 = $531.1MSource: SEC companyfacts FY2025.Fiscal yearLiabilities$0.0B$375.0M$750.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: Liabilities. Source concepts: us-gaap:Liabilities.

TRUP stockholders' equity, last 5 periods. Source: SEC companyfacts FY2025.TRUP stockholders' equity, last 5 periods. Source: SEC companyfacts FY2025.TRUP Stockholders' equityLatest point: FY2025 = $383.9MSource: SEC companyfacts FY2025.Fiscal yearStockholders' equity$0.0B$250.0M$500.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: StockholdersEquity. Source concepts: us-gaap:StockholdersEquity.

TRUP cash and cash equivalents, last 5 periods. Source: SEC companyfacts FY2025.TRUP cash and cash equivalents, last 5 periods. Source: SEC companyfacts FY2025.TRUP Cash and cash equivalentsLatest point: FY2025 = $138.0MSource: SEC companyfacts FY2025.Fiscal yearCash and cash equivalents$0.0B$125.0M$250.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: CashAndCashEquivalentsAtCarryingValue. Source concepts: us-gaap:CashAndCashEquivalentsAtCarryingValue.

TRUP free cash flow, last 5 periods. Source: SEC companyfacts FY2025.TRUP free cash flow, last 5 periods. Source: SEC companyfacts FY2025.TRUP Free cash flowLatest point: FY2025 = $75.4MSource: SEC companyfacts FY2025.Fiscal yearFree cash flow-$250.0M$0.0B$250.0MFY2021FY2022FY2023FY2024FY2025

Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001371285-26-000018; filed 2026-02-13. Concept: NetCashProvidedByUsedInOperatingActivities - PaymentsToAcquirePropertyPlantAndEquipment. Source concepts: us-gaap:NetCashProvidedByUsedInOperatingActivities; us-gaap:PaymentsToAcquirePropertyPlantAndEquipment.

Quarterly

Quarterly standardized facts from SEC companyfacts as of latest extracted filing date 2026-04-30. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001371285.json.

Flow metrics use discrete quarter-length periods from 10-Q/10-Q/A filings. Q4 revenue and net income are derived only when annual FY and nine-month YTD facts exist for the same fiscal year; derived Q4 values are labeled. EPS Q4 is not derived.

QuarterEnd DateRevenueNet IncomeDiluted EPSMethod
2022-Q22022-06-30-0.33reported discrete quarter
2022-Q32022-09-30-0.32reported discrete quarter
2023-Q12023-03-31-0.60reported discrete quarter
2023-Q22023-06-30270,566,000-13,714,000-0.33reported discrete quarter
2023-Q32023-09-30285,853,000-4,036,000-0.10reported discrete quarter
2023-Q42023-12-31295,857,000-2,163,000derived Q4 = FY annual - nine-month YTD
2024-Q12024-03-31306,121,000-6,852,000-0.16reported discrete quarter
2024-Q22024-06-30314,800,000-5,862,000-0.14reported discrete quarter
2024-Q32024-09-30327,456,0001,425,0000.03reported discrete quarter
2024-Q42024-12-31337,307,0001,656,000derived Q4 = FY annual - nine-month YTD
2025-Q12025-03-31341,975,000-1,483,000-0.03reported discrete quarter
2025-Q22025-06-30353,557,0009,413,0000.22reported discrete quarter
2025-Q32025-09-30366,920,0005,873,0000.13reported discrete quarter
2025-Q42025-12-31376,853,0005,630,000derived Q4 = FY annual - nine-month YTD
2026-Q12026-03-31384,049,0004,880,0000.11reported discrete quarter

Quarterly Charts

TRUP quarterly revenue, last 12 periods. Source: SEC companyfacts 2026-Q1.TRUP quarterly revenue, last 12 periods. Source: SEC companyfacts 2026-Q1.TRUP Quarterly RevenueLatest point: 2026-Q1 = $384.0MSource: SEC companyfacts 2026-Q1.Fiscal quarterQuarterly Revenue$0.0B$250.0M$500.0M2023-Q22023-Q32023-Q42024-Q12024-Q22024-Q32024-Q42025-Q12025-Q22025-Q32025-Q42026-Q1

Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001371285-26-000096; filed 2026-04-30. Concept: Revenues. Source concepts: us-gaap:Revenues.

TRUP quarterly net income, last 12 periods. Source: SEC companyfacts 2026-Q1.TRUP quarterly net income, last 12 periods. Source: SEC companyfacts 2026-Q1.TRUP Quarterly Net incomeLatest point: 2026-Q1 = $4.9MSource: SEC companyfacts 2026-Q1.Fiscal quarterQuarterly Net income-$250.0M$0.0B$250.0M2023-Q22023-Q32023-Q42024-Q12024-Q22024-Q32024-Q42025-Q12025-Q22025-Q32025-Q42026-Q1

Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001371285-26-000096; filed 2026-04-30. Concept: NetIncomeLossAvailableToCommonStockholdersBasic. Source concepts: us-gaap:NetIncomeLossAvailableToCommonStockholdersBasic.

TRUP quarterly diluted eps, last 12 periods. Source: SEC companyfacts 2026-Q1.TRUP quarterly diluted eps, last 12 periods. Source: SEC companyfacts 2026-Q1.TRUP Quarterly Diluted EPSLatest point: 2026-Q1 = $0.11/shareSource: SEC companyfacts 2026-Q1.Fiscal quarterQuarterly Diluted EPS (USD/share)-$1.00/share$0.00/share$0.50/share2022-Q22022-Q32023-Q12023-Q22023-Q32024-Q12024-Q22024-Q32025-Q12025-Q22025-Q32026-Q1

Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001371285-26-000096; filed 2026-04-30. Concept: EarningsPerShareDiluted. Source concepts: us-gaap:EarningsPerShareDiluted.

Macro Cross-References

Latest quarter (10-Q)

Latest 10-Q source: 0001371285-26-000096.

Extracted structurally from real Item 2 body heading to real Item 3/4 boundary. Confidence: high. Filing date: 2026-04-30. Report date: 2026-03-31.

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

We provide medical insurance for cats and dogs in the United States, Canada, and certain countries in Continental Europe. Through our data-driven, vertically-integrated approach, we develop and offer high-value medical insurance products, priced to take into account each pet’s unique characteristics and coverage level. Our growing and loyal membership base provides us with highly predictable and recurring revenue.

We operate in two reporting segments: subscription business and other business. We generate revenue in our subscription business segment primarily through insurance premiums, which we refer to as subscription payments from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our new pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also provide "Powered by Trupanion" pet insurance product offerings marketed by third parties, low and medium average revenue per pet products marketed under the brand names Furkin and PHI Direct in Canada, and a Trupanion branded product in Germany and Switzerland. We either directly underwrite or assume full insurance risk for these products through reinsurance arrangements. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within this segment, we also offer products in certain countries in Continental Europe, which are currently underwritten by third parties who pay us commissions that we recognize as revenue.

We generate leads for our subscription business segment from a diverse set of member acquisition channels, which we then seek to convert into members through our contact center, website and other direct-to-consumer activities. These channels include referrals from third-parties such as veterinarians and existing members. Veterinary hospitals represent our largest referral source. Our “Territory Partners” create relationships with veterinary hospital teams through face-to-face visits. Territory Partners are dedicated to cultivating direct veterinary relationships and helping those veterinarians understand the benefits of high-quality medical insurance. Veterinarians then educate pet parents, who visit our website or call our contact center to learn more about, and potentially enroll in, a Trupanion product. We also receive a significant number of new leads from existing members adding pets and referring their friends and family members. Our direct-to-consumer acquisition channels serve as important resources for pet parent education and drive new member leads and conversion. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Our other business segment generates revenue from other product offerings, primarily by underwriting policies on behalf of third parties with whom we generally have a business-to-business relationship. This business segment has, and targets, a significantly lower margin profile than our subscription business segment and is not part of our core business strategy. The largest source of revenue within this segment is from our long-standing contractual relationship as an underwriter for Pets Best, a third-party insurance provider we have worked with since 2015. We expect that enrollment from Pets Best will continue to decline as it engages other third-party underwriters. Additional products in this segment include the U.S. Department of Veterans Affairs program and employer-sponsored programs, primarily for companies with animal health related operations.

18

Key Operating Metrics

The following table sets forth total enrolled pets in our subscription and our other business segment and key operating metrics for our subscription business for each of the last eight fiscal quarters.

Three Months Ended
Mar. 31, 2026Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024
Total Business:
Total pets enrolled (at period end)1,637,6651,647,5651,654,4141,660,4551,667,6371,677,5701,688,9031,699,643
Subscription Business:
Total subscription pets enrolled (at period end)1,105,7831,096,1731,082,4121,066,3541,052,8451,041,2121,032,0421,020,934
Monthly average revenue per pet$85.79$83.56$82.01$79.93$77.53$76.02$74.27$71.72
Average pet acquisition cost (PAC)$315$320$290$276$267$261$243$231
Average monthly retention98.35%98.34%98.33%98.29%98.28%98.25%98.29%98.34%

Total pets enrolled and total subscription pets enrolled include certain pet enrollments in European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker. Per pet metrics, however, exclude these European policies, as their revenue is currently earned from commissions, as opposed to the subscription payments earned by the remainder of our subscription business.

Total pets enrolled. Total pets enrolled reflects the number of pets enrolled in one of the insurance products offered in our subscription business segment or our other business segment at the end of each period presented. We monitor total pets enrolled because it provides an indication of the growth of our consolidated business.

Total subscription pets enrolled. Total subscription pets enrolled reflects the number of pets enrolled in one of the insurance products offered in our subscription business segment at the end of each period presented. We monitor total subscription pets enrolled because it provides an indication of the growth of our subscription business. Because our subscription business has a significantly higher margin profile than our other business, changes in the rate of growth of our subscription pet enrollment tend to have a greater impact on our consolidated performance.

Monthly average revenue per pet. Monthly average revenue per pet is calculated as amounts billed in a given period for subscriptions divided by the total number of subscription pet months in the period. Total subscription pet months in a period represents the sum of all subscription pets enrolled for each month during the period. We monitor monthly average revenue per pet because it is an indicator of the per pet unit economics of our subscription business.

Average pet acquisition cost. Average pet acquisition cost ("PAC") is calculated as net acquisition cost divided by the total number of new subscription pets enrolled in that period. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to some new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because that does not relate to subscription enrollments. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Average monthly retention. Average monthly retention is measured as the monthly retention rate of enrolled subscription pets for each applicable period averaged over the 12 months prior to the period end date. As such, our average monthly retention rate as of March 31, 2026 is an average of each month’s retention from April 1, 2025 through March 31, 2026. We calculate monthly retention as the number of pets that remain after subtracting all pets that cancel during a month, including pets that enroll and cancel within that month, divided by the total pets enrolled at the beginning of that month. We monitor average monthly retention because it provides a measure of member satisfaction and allows us to calculate the implied average subscriber life in months.

19

Non-GAAP Financial Measures

In addition to our results determined in accordance with U.S. GAAP, we believe the following non-GAAP financial measures are useful in evaluating our operating performance. We use the following non-GAAP financial information to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that these non-GAAP financial measures, when taken collectively, may be helpful to investors in providing consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation, or as a substitute for, the directly comparable financial measures prepared in accordance with GAAP.

We calculate these non-GAAP financial measures by excluding certain non-cash or non-recurring expenses. We exclude non-recurring transactions and restructuring expenses as they are not indicative of our operating performance. We exclude stock-based compensation as it is non-cash in nature. Although stock-based compensation expenses are expected to remain recurring expenses for the foreseeable future, we believe excluding them allows investors to make meaningful comparisons between our recurring core business operating results and those of other companies. We define non-GAAP development expenses as operating expenses incurred to develop new products and offerings that are pre-revenue. We define non-GAAP fixed expenses as the total of technology and development expense and general and administrative expense, less stock-based compensation expense, non-recurring transaction and restructuring expense, and development expenses related to exploring and developing new products and offerings that generally are in the pre-revenue stage or not at scale.

20

The following table presents the reconciliation of our non-GAAP financial measures from corresponding GAAP measures for each of the last eight fiscal quarters (in thousands):

[[GREPCENT_TABLE]]
[["","","Three Months Ended"],["","","Mar. 31, 2026","","Dec. 31, 2025","","Sep. 30, 2025","","Jun. 30, 2025","","Mar. 31, 2025","","Dec. 31, 2024","","Sep. 30, 2024","","Jun. 30, 2024"],["Veterinary invoice expense","","$","281,436","","","$","262,818","","","$","263,127","","","$","255,580","","","$","247,450","","","$","245,663","","","$","238,814","","","$","231,102"],["Less:"],["Stock-based compensation expense(1)","","(552)","","","(614)","","","(666)","","","(758)","","","(763)","","","(800)","","","(830)","","","(843)"],["Other business cost of paying veterinary invoices(2)","","(90,022)","","","(81,452)","","","(85,394)","","","(82,706)","","","(79,269)","","","(85,378)","","","(82,507)","","","(75,622)"],["Subscription cost of paying veterinary invoices (non-GAAP)","","$","190,862","","","$","180,752","","","$","177,067","","","$","172,116","","","$","167,418","","","$","159,485","","","$","155,477","","","$","154,637"],["% of subscription revenue","","70.8","%","","69.1","%","","70.1","%

[Excerpt truncated for page length; source filing is linked above.]

Latest 10-K MD&A

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2026-02-13. Report date: 2025-12-31.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Please read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial statements and related notes included under Part II, Item 8 of this Annual Report on Form 10-K.

This section of this Form 10-K generally discusses 2025 and 2024 items and year-to-year comparisons between 2025 and 2024. Discussions of 2023 items and year-to-year comparisons between 2024 and 2023 that are not included in this Form 10-K can be found in "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 of the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2024.

Overview

We provide medical insurance for cats and dogs in the United States, Canada, and certain countries in Continental Europe. Through our data-driven, vertically-integrated approach, we develop and offer high-value medical insurance products, priced to take into account each pet’s unique characteristics and coverage level. Our growing and loyal membership base provides us with highly predictable and recurring revenue.

We operate in two reporting segments: subscription business and other business. We generate revenue in our subscription business segment primarily through insurance premiums, which we refer to as subscription payments from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our new pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also provide "Powered by Trupanion" pet insurance product offerings marketed by third parties, low and medium average revenue per pet products marketed under the brand names Furkin and PHI Direct in Canada, and a Trupanion branded product in Germany and Switzerland. We either directly underwrite or assume full insurance risk for these products through reinsurance arrangements. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within this segment, we also offer products in certain countries in Continental Europe, which are currently underwritten by third parties who pay us commissions that we recognize as revenue.

We generate leads for our subscription business segment from a diverse set of member acquisition channels, which we then seek to convert into members through our contact center, website and other direct-to-consumer activities. These channels include referrals from third-parties such as veterinarians and existing members. Veterinary hospitals represent our largest referral source. Our “Territory Partners” create relationships with veterinary hospital teams through face-to-face visits. Territory Partners are dedicated to cultivating direct veterinary relationships and helping those veterinarians understand the benefits of high-quality medical insurance. Veterinarians then educate pet parents, who visit our website or call our contact center to learn more about, and potentially enroll in, a Trupanion product. We also receive a significant number of new leads from existing members adding pets and referring their friends and family members. Our direct-to-consumer acquisition channels serve as important resources for pet parent education and drive new member leads and conversion. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Our other business segment generates revenue from other product offerings, primarily by underwriting policies on behalf of third parties with whom we generally have a business-to-business relationship. This business segment has, and targets, a significantly lower margin profile than our subscription business segment and is not part of our core business strategy. The largest source of revenue within this segment is from our long-standing contractual relationship as an underwriter for Pets Best, a third-party insurance provider we have worked with since 2015. We expect that enrollment from Pets Best will continue to decline as it engages other third-party underwriters. Additional products in this segment include the U.S. Department of Veterans Affairs program and employer-sponsored programs, primarily for companies with animal health related operations.

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Key Operating Metrics

The following tables set forth total enrolled pets in our subscription and our other business segment and key operating metrics for our subscription business for the years ended December 31, 2025, 2024 and 2023, and for each of the last eight fiscal quarters.

Year Ended December 31,
202520242023
Total Business:
Total pets enrolled (at period end)1,647,5651,677,5701,714,473
Subscription Business:
Total subscription pets enrolled (at period end)1,096,1731,041,212991,426
Monthly average revenue per pet$80.79$72.98$65.26
Average pet acquisition cost (PAC)$288$235$228
Average monthly retention98.34%98.25%98.49%
Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
Total Business:
Total pets enrolled (at period end)1,647,5651,654,4141,660,4551,667,6371,677,5701,688,9031,699,6431,708,017
Subscription Business:
Total subscription pets enrolled (at period end)1,096,1731,082,4121,066,3541,052,8451,041,2121,032,0421,020,9341,006,168
Monthly average revenue per pet$83.56$82.01$79.93$77.53$76.02$74.27$71.72$69.79
Average pet acquisition cost (PAC)$320$290$276$267$261$243$231$207
Average monthly retention98.34%98.33%98.29%98.28%98.25%98.29%98.34%98.41%

Total pets enrolled and total subscription pets enrolled include certain pet enrollments in European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker. Per pet metrics, however, exclude these European policies, as their revenue is currently earned from commissions, as opposed to the subscription payments earned by the remainder of our subscription business.

Total pets enrolled. Total pets enrolled reflects the number of pets enrolled in one of the insurance products offered in our subscription business segment or our other business segment at the end of each period presented. We monitor total pets enrolled because it provides an indication of the growth of our consolidated business.

Total subscription pets enrolled. Total subscription pets enrolled reflects the number of pets enrolled in one of the insurance products offered in our subscription business segment at the end of each period presented. We monitor total subscription pets enrolled because it provides an indication of the growth of our subscription business. Because our subscription business has a significantly higher margin profile than our other business, changes in the rate of growth of our subscription pet enrollment tend to have a greater impact on our consolidated performance.

Monthly average revenue per pet. Monthly average revenue per pet is calculated as amounts billed in a given period for subscriptions divided by the total number of subscription pet months in the period. Total subscription pet months in a period represents the sum of all subscription pets enrolled for each month during the period. We monitor monthly average revenue per pet because it is an indicator of the per pet unit economics of our subscription business.

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Average pet acquisition cost. Average pet acquisition cost ("PAC") is calculated as net acquisition cost divided by the total number of new subscription pets enrolled in that period. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to some new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because that does not relate to subscription enrollments. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Average monthly retention. Average monthly retention is measured as the monthly retention rate of enrolled subscription pets for each applicable period averaged over the 12 months prior to the period end date. As such, our average monthly retention rate as of December 31, 2025 is an average of each month’s retention from January 1, 2025 through December 31, 2025. We calculate monthly retention as the number of pets that remain after subtracting all pets that cancel during a month, including pets that enroll and cancel within that month, divided by the total pets enrolled at the beginning of that month. We monitor average monthly retention because it provides a measure of member satisfaction and allows us to calculate the implied average subscriber life in months.

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Non-GAAP Financial Measures

In addition to our results determined in accordance with U.S. GAAP, we believe the following non-GAAP financial measures are useful in evaluating our operating performance. We use the following non-GAAP financial information to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that these non-GAAP financial measures, when taken collectively, may be helpful to investors in providing consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation, or as a substitute for, the directly comparable financial measures prepared in accordance with GAAP.

We calculate these non-GAAP financial measures by excluding certain non-cash or non-recurring expenses. We exclude non-recurring transactions and restructuring expenses as they are not indicative of our operating performance. We exclude stock-based compensation as it is non-cash in nature. Although stock-based compensation expenses are expected to remain recurring expenses for the foreseeable future, we believe excluding them allows investors to make meaningful comparisons between our recurring core business operating results and those of other companies. We define non-GAAP development expenses as operating expenses incurred to develop new products and offerings that are pre-revenue. We define non-GAAP fixed expenses as the total of technology and development expense and general and administrative expense, less stock-based compensation expense, non-recurring transaction and restructuring expense, and development expenses related to exploring and developing new products and offerings that generally are in the pre-revenue stage or not at scale.

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The following tables present the reconciliation of our non-GAAP financial measures from corresponding GAAP measures for years ended December 31, 2025, 2024 and 2023, and for each of the last eight fiscal quarters (in thousands, except percentages).

Year Ended December 31,
202520242023
Veterinary invoice expense$1,028,975$949,148$831,055
Less:
Stock-based compensation expense(1)(2,802)(3,335)(3,450)
Other business cost of paying veterinary invoices(2)(328,821)(324,720)(287,858)
Subscription cost of paying veterinary invoices (non-GAAP)$697,352$621,093$539,747
% of subscription revenue70.5%72.5%75.7%
Other cost of revenue$179,319$157,738$146,534
Less:
Stock-based compensation expense(1)(2,260)(1,955)(1,544)
Other business variable expenses(2)(88,558)(75,050)(75,756)
Subscription variable expenses (non-GAAP)$88,501$80,733$69,234
% of subscription revenue8.9%9.4%9.7%
Technology and development expense$37,848$31,255$21,403
General and administrative expense76,64863,73160,207
Less:
Stock-based compensation expense(1)(24,958)(19,742)(19,869)
Non-recurring transaction or restructuring expenses (3)(4,175)
Development expenses(4)(5,349)(5,624)(5,100)
Fixed expenses (non-GAAP)$84,189$69,620$52,466
% of total revenue5.8%5.4%4.7%
New pet acquisition expense$85,408$71,379$77,372
Less:
Stock-based compensation expense(1)(7,446)(6,908)(7,000)
Other business pet acquisition expense(2)(90)(39)(200)
Subscription acquisition cost (non-GAAP)$77,872$64,432$70,172
% of subscription revenue7.9%7.5%9.8%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.8 million, $1.5 million and $1.3 million for the years ended December 31, 2025, 2024 and 2023, respectively.
(2)Excludes the portion of stock-based compensation expense attributable to the other business segment.
(3)Consists of business acquisition transaction expenses, severance and legal costs due to certain executive departures, and a $3.8 million non-recurring settlement of accounts receivable in 2023 related to uncollected premiums in connection with the transition of underwriting a third-party business to other insurers.
(4)Consists of costs related to product exploration and development that are pre-revenue and historically have been insignificant

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Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
Veterinary invoice expense$262,818$263,127$255,580$247,450$245,663$238,814$231,102$233,569
Less:
Stock-based compensation expense(1)(614)(666)(758)(763)(800)(830)(843)(862)
Other business cost of paying veterinary invoices(2)(81,452)(85,394)(82,706)(79,269)(85,378)(82,507)(75,622)(81,213)
Subscription cost of paying veterinary invoices (non-GAAP)$180,752$177,067$172,116$167,418$159,485$155,477$154,637$151,494
% of subscription revenue69.1%70.1%71.1%71.8%70.0%71.0%74.1%75.3%
Other cost of revenue$49,008$43,739$43,150$43,422$38,721$39,263$43,429$36,325
Less:
Stock-based compensation expense(1)(600)(579)(601)(482)(476)(536)(523)(420)
Other business variable expenses(2)(25,589)(20,702)(20,531)(21,736)(17,336)(18,126)(23,091)(16,498)
Subscription variable expenses (non-GAAP)$22,819$22,458$22,018$21,204$20,909$20,601$19,815$19,407
% of subscription revenue8.7%8.9%9.1%9.1%9.2%9.4%9.5%9.6%
Technology and development expense$11,303$9,887$8,586$8,072$8,172$7,933$8,190$6,960
General and administrative expense18,32318,31120,12219,89216,82816,97715,25314,673
Less:
Stock-based compensation expense(1)(6,617)(6,551)(6,393)(5,396)(5,277)(5,258)(4,949)(4,258)
Development expenses(3)(1,798)(1,199)(946)(1,406)(1,322)(1,474)(1,655)(1,178)
Fixed expenses (non-GAAP)$21,211$20,448$21,369$21,162$18,401$18,178$16,839$16,197
% of total revenue5.6%5.6%6.0%6.2%5.5%5.6%5.3%5.3%
New pet acquisition expense$23,103$21,946$19,843$20,516$18,354$18,308$17,874$16,843
Less:
Stock-based compensation expense(1)(1,530)(1,527)(1,516)(2,873)(1,482)(1,503)(2,066)(1,857)
Other business pet acquisition expense(2)(8)(5)(74)(3)(8)(8)(10)(13)
Subscription acquisition cost (non-GAAP)$21,565$20,414$18,253$17,640$16,864$16,797$15,798$14,973
% of subscription revenue8.2%8.1%7.5%7.6%7.4%7.7%7.6%7.4%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.2 million, $0.3 million and $0.7 million for the three months ended December 31, 2025, 2024 and 2023, respectively. (2)Excludes the portion of stock-based compensation expense attributable to the other business segment (3)Consists of costs related to product exploration and development that are pre-revenue and historically have been insignificant

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When determining our PAC, we calculate net acquisition cost for a more comparable metric across periods. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as GAAP new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, and pet acquisition expense for commission-based policies, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on the number of awards issued and market-based valuation inputs. We exclude other business segment pet acquisition expense because it does not relate to subscription enrollments. We exclude pet acquisition expense for commission-based policies because the revenue of these products is earned from commissions from a third-party underwriter, as opposed to the subscription payments earned by the remainder of our subscription business. We offset sign-up fee revenue because it is a one-time charge to some new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses.

The following tables reconcile GAAP new pet acquisition expense to non-GAAP net acquisition cost (in thousands) for the years ended December 31, 2025, 2024, and 2023, and for each of the last eight fiscal quarters:

Year Ended December 31,
202520242023
New pet acquisition expense$85,408$71,379$77,372
Net of sign-up fee revenue(4,307)(4,061)(4,527)
Excluding:
Stock-based compensation expense(1)(7,446)(6,908)(7,000)
Other business pet acquisition expense(90)(39)(200)
Pet acquisition expense for commission-based policies(3,184)(3,345)(3,443)
Net acquisition cost$70,381$57,026$62,202
Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
New pet acquisition expense$23,103$21,946$19,843$20,516$18,354$18,308$17,874$16,843
Net of sign-up fee revenue(1,049)(1,157)(1,061)(1,040)(906)(1,100)(1,036)(1,019)
Excluding:
Stock-based compensation expense(1)(1,530)(1,527)(1,516)(2,873)(1,482)(1,503)(2,066)(1,857)
Other business pet acquisition expense(8)(5)(74)(3)(8)(8)(10)(13)
Pet acquisition expense for commission-based policies(869)(790)(927)(598)(1,125)(634)(754)(832)
Net acquisition cost$19,647$18,467$16,265$16,002$14,833$15,063$14,008$13,122

Components of Operating Results

General

We operate in two reporting segments: subscription business and other business. We generate revenue in our subscription business segment primarily by subscription payments from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also currently provide "Powered by Trupanion" pet insurance product offerings marketed by third parties, low and medium average revenue per pet products marketed under the brand names Furkin and PHI Direct in Canada, and a Trupanion branded product in Germany and Switzerland. We either directly underwrite or assume full insurance risk for these products through reinsurance arrangements. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within this segment we also offer products in certain countries in Continental Europe, which are currently underwritten by third parties who pay us commissions that we recognize as revenue.

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Our other business segment generates revenue from other product offerings, primarily by underwriting policies on behalf of third parties with whom we generally have a business-to-business relationship. This business segment has and targets, a significantly lower margin profile than our subscription business and is not part of our core business strategy. The largest source of revenue within this segment is from our long-standing contractual relationship with Pets Best, a third party insurance provider we have worked with since 2015. Additional products in this segment include the U.S. Department of Veterans Affairs program and employer-sponsored programs, primarily for companies with animal health related operations.

Revenue

We generate revenue in our subscription business segment primarily from subscription payments for our pet medical insurance. Subscription payments are paid at the beginning of each subscription period. In most cases, our members authorize us to directly charge their credit card, debit card or bank account through automatic funds transfer. Subscription revenue is recognized on a pro rata basis over the policy term. Membership may be canceled at any time without penalty, and we issue a refund for the unused portion of the canceled membership. In addition to subscription payments, we generate a small amount of revenue from charging a one-time sign-up fee collected at the time of new enrollment to partially offset initial setup costs. Sign-up fees are related to Trupanion’s obligation to provide insurance coverage and are recognized over the policy term. We also generate a portion of our subscription business segment revenue through commissions earned in certain European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker.

We generate revenue in our other business segment primarily from writing policies on behalf of third parties where we do not undertake direct consumer marketing. This segment also includes revenue from other pet insurance products that have a significantly lower margin profile from our subscription business.

Cost of Revenue

Cost of revenue in each of our segments is comprised of the following:

Veterinary invoice expense

Veterinary invoice expense includes our costs to review and pay veterinary invoices, administer the payments, and provide member services, and other operating expenses directly or indirectly related to this process. We also accrue for veterinary invoices that have been incurred but not yet received and for the estimated internal costs of processing those invoices. This also includes amounts paid by unaffiliated general agents on our behalf, and an estimate of amounts incurred and not yet paid for our other business segment.

Other cost of revenue

Other cost of revenue for the subscription business segment includes direct and indirect member service expenses, Territory Partner commissions per member renewal, payment processing fees and premium tax expenses. Other cost of revenue for the other business segment includes the commissions we pay to unaffiliated general agents, costs to administer the programs in the other business segment and premium taxes on the sales in this segment.

Operating Expenses

Our operating expenses are classified into five categories: technology and development, general and administrative, new pet acquisition expense, goodwill impairment charges, and depreciation and amortization. For each category, except goodwill impairment charges and depreciation and amortization, the largest component is personnel costs, which include salaries, employee benefit costs, bonuses and stock-based compensation expense.

Technology and development

Technology and development expenses primarily consist of personnel costs and related expenses for our technology staff, which includes information technology development, security, infrastructure support, and third-party services. It also includes expenses associated with development in new geographies and new products and offerings.

General and administrative

General and administrative expenses consist primarily of personnel costs and related expenses for our finance, actuarial, human resources, regulatory, legal and general management functions, as well as facilities and professional services.

New pet acquisition expense

New pet acquisition expenses primarily consist of costs to acquire a pet (including costs associated directly to supporting the first year of a member), personnel costs, costs to educate veterinarians and consumers about the benefits of Trupanion, costs to generate leads and to convert leads into enrolled pets, as well as print, online and promotional advertising costs.

Goodwill impairment charges

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Goodwill impairment charges consist of impairment charges taken on goodwill balances arising from acquisitions. For further details on goodwill impairment charges refer to Note 4, Goodwill and Intangible Assets, included in Item 8 of this report.

Depreciation and amortization

Depreciation and amortization expenses consist of depreciation of property, equipment, and software developed for internal use, as well as amortization of finite-lived intangible assets.

Gain (loss) from investment in joint venture

Gain (loss) from investment in joint venture consists of the share of income and losses from our equity method investment in a joint venture in Australia, as well as income and expenses associated with administrative services provided to the joint venture. In March 2025, we restructured this relationship from a joint venture to a brand license and services arrangement.

Stock-based compensation

Stock-based compensation is included in the cost and expense line items above. Stock-based compensation will vary depending on corporate performance and terms of the awards under our equity incentive plan. For example, when we have delivered strong performance, stock-based compensation may increase as a result of incentive-based awards under our equity incentive plan.

Factors Affecting Our Performance

Average monthly retention. Our performance depends on our ability to continue to retain our existing and newly enrolled pets and is impacted by our ability to provide a best-in-class value and member experience. Our ability to retain enrolled pets depends on a number of factors, including the actual and perceived value of our services and the quality of our member experience, the ease and transparency of the process for reviewing and paying veterinary invoices for our members, the rate of veterinary inflation and of our pricing adjustments, and the competitive environment. In addition, other initiatives across our business may temporarily impact retention and make it difficult for us to improve or maintain this metric. For example, if the number of new pets enrolled increases at a faster rate than our historical experience, our average monthly retention rate could be adversely impacted, as our retention rate is generally lower during the first year of member enrollment.

Investment in pet acquisition. We have made and may continue to make significant investments to grow our member base. Our pet acquisition cost and the number of new members we enroll depends on a number of factors, including the amount we have available and we elect to invest in pet acquisition activities in any particular period in the aggregate and by channel, the frequency of existing members adding a pet or referring their friends or family, the effectiveness of our sales execution and marketing initiatives, changes in costs of media, the mix of our pet acquisition expenditures and the competitive environment. Our average pet acquisition cost has in the past significantly varied, and in the future may significantly vary, from period to period based upon specific marketing initiatives and estimated rates of return on pet acquisition spend. We also regularly test new member acquisition channels and marketing initiatives, which may be more expensive than our traditional marketing channels and may increase our average pet acquisition costs. We continually assess our pet acquisition activities by monitoring the estimated return on PAC spend both on a detailed level by acquisition channel and in the aggregate.

Timing of price adjustments. Our subscription business’s cost-plus model depends on our ability to estimate our operating costs and expenses, including veterinary invoice expenses, and to adjust our pricing to achieve our target margins. We regularly reevaluate and adjust the price of our subscriptions, with a goal of achieving our targeted payout ratio, subject to the review and approval of regulators where applicable. This makes it important for us to accurately estimate our costs and to promptly implement pricing adjustments, which generally roll onto our book of insured pets over the succeeding twelve months following any applicable regulatory approval. As a result, we may have timing mismatches during which our pricing does not reflect our current expense profile. In periods of rapid increases in veterinary invoice expenses, including periods of significant inflation, this timing mismatch may have a significant impact on our margin profile.

Timing of initiatives. Over time, we plan to implement new initiatives to improve our member experience, make modifications to our subscription plan, introduce new coverage plans, pursue pet food or other adjacent opportunities, improve our technology, increase the number of veterinary hospitals using our patented direct pay software, and find other ways to maintain a strong value proposition for our members. The implementation of such initiatives could impact our expense profile and result in us incurring expenses that may not always directly coincide with revenue increases, resulting in fluctuations in revenue and profitability in our subscription business segment.

Mix of sales. The relative mix of our business by geography, pet age, species, breed, and other factors impacts the monthly average revenue per pet we receive. For example, prices from our plans could vary depending on the relative cost of veterinary care in different countries or areas or whether the pet is a dog or a cat. As our mix of business between products and geographies changes, our metrics, such as our monthly average revenue per pet, and our exposure to foreign exchange

fluctuations will be impacted. We expect our international business, additional product offerings and "Powered by Trupanion" plans to grow and, in turn, we expect these effects to increase.

Other business segment. Our other business segment primarily includes other product offerings that are materially different from those in our subscription business segment. In addition, we expect the growth rate and margin profile of this segment to be significantly different from our subscription business segment. We do not undertake marketing efforts for and are not the primary interface with the customers of the third parties for whom we underwrite other business segment policies. Our relationships in our other business segment are generally subject to termination provisions and are non-exclusive, including our contractual relationship with Pets Best. Accordingly, we have limited influence on the volume of business of this segment. Loss of an entire program via contract termination could result in the associated policies and revenue being lost over a period of 12 to 18 months, which could have a material impact on our results of operations. In some cases, we have structured exclusive relationships, but those relationships have been and may continue to be subject to limitations on the number of enrolled pets as to which we will write policies for the third party. We may enter into additional relationships in this segment in the future, if we believe they will be beneficial, which could impact our operating results.

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Results of Operations

The following tables set forth our results of operations for the periods presented both in absolute dollars and as a percentage of total revenue for those periods. The period-to-period comparison of financial results is not necessarily indicative of future results.

Year Ended December 31,
202520242023
(in thousands)
Revenue:
Subscription business$989,338$856,521$712,906
Other business449,967429,163395,699
Total revenue1,439,3051,285,6841,108,605
Cost of revenue:
Subscription business790,880706,851613,686
Other business417,414400,035363,903
Total cost of revenue(1)1,208,2941,106,886977,589
Operating expenses:
Technology and development(1)37,84831,25521,403
General and administrative(1)76,64863,73160,207
New pet acquisition expense(1)85,40871,37977,372
Goodwill impairment charges1,1295,299
Depreciation and amortization15,83616,46612,474
Total operating expenses216,869188,130171,456
Loss from investment in joint venture(305)(182)(219)
Operating income (loss)13,837(9,514)(40,659)
Interest expense13,75914,49812,077
Other (income), net(21,916)(14,374)(7,701)
Income (loss) before income taxes21,994(9,638)(45,035)
Income tax expense (benefit)2,561(5)(342)
Net income (loss)$19,433$(9,633)$(44,693)

(1) Includes stock-based compensation expense as follows:

Year Ended December 31,
202520242023
(in thousands)
Veterinary invoice expense(2)$2,841$3,460$3,667
Other cost of revenue(2)2,2842,0631,612
Technology and development6,0364,9342,846
General and administrative19,57115,69617,717
New pet acquisition expense7,5807,2797,319
Total stock-based compensation expense$38,312$33,432$33,161

(2) Veterinary invoice expense and Other cost of revenue together comprise stock-based compensation expense included within Total cost of revenue.

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Year Ended December 31,
202520242023
(as a percentage of revenue)
Revenue100%100%100%
Cost of revenue848688
Operating expenses:
Technology and development322
General and administrative555
New pet acquisition expense667
Goodwill impairment charges
Depreciation and amortization111
Total operating expenses151415
Loss from investment in joint venture
Operating income (loss)1(1)(4)
Interest expense(1)11
Other expense (income), net2(1)(1)
Income (loss) before income taxes2(1)(4)
Income tax expense (benefit)
Net income (loss)2%(1)%(4)%
Stock-based compensation expense:Year Ended December 31,
202520242023
(as a percentage of revenue)
Cost of revenue%%%
Technology and development
General and administrative112
New pet acquisition expense111
Total stock-based compensation expense2%2%3%
Year Ended December 31,
202520242023
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%
Subscription business cost of revenue808386

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Comparison of the years ended December 31, 2025, 2024, and 2023

Revenue

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except percentages, pet and per pet data)
Revenue:
Subscription business$989,338$856,521$712,90616%20%
Other business449,967429,163395,69958
Total revenue$1,439,305$1,285,684$1,108,6051216
Percentage of Revenue by Segment:
Subscription business69%67%64%
Other business313336
Total revenue100%100%100%
Total pets enrolled (at period end)1,647,5651,677,5701,714,473(2)(2)
Total subscription pets enrolled (at period end)1,096,1731,041,212991,42655
Monthly average revenue per pet$80.79$72.98$65.261112
Average monthly retention98.34%98.25%98.49%

Year ended December 31, 2025 compared to year ended December 31, 2024. Total revenue increased by $153.6 million, or 12%, to $1,439.3 million for the twelve months ended December 31, 2025. Revenue from our subscription business segment increased by $132.8 million, or 16%, to $989.3 million for the twelve months ended December 31, 2025. This increase was primarily due to an 11% increase in monthly average revenue per pet and an increase in subscription pet months (the sum of pets enrolled for each month during a period) for policies underwritten by Trupanion. Our subscription pets enrolled increased by 54,961 pets, or 5%, to 1,096,137 for the twelve months ended at December 31, 2025, which was consistent with the growth rate of pets enrolled in the prior year period. Revenue from our other business segment increased by $20.8 million, or 5%, to $450 million for the twelve months ended December 31, 2025. This increase was primarily driven by a 20% increase in monthly average revenue per pet in this segment, partially offset by a decrease in pet months primarily reflecting the expected run-off of pets we historically insured for Pets Best.

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Cost of Revenue

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except percentages, pet and per pet data)
Cost of Revenue:
Subscription business:
Veterinary invoice expense$700,154$624,428$543,19612%15%
Other cost of revenue90,72682,42370,4901017
Total cost of revenue$790,880$706,851$613,6861215
Other business:
Veterinary invoice expense$328,821$324,720$287,859113
Other cost of revenue88,59375,31576,04418(1)
Total cost of revenue$417,414$400,035$363,903410
Percentage of Revenue by Segment:
Subscription business:
Veterinary invoice expense71%73%76%
Other cost of revenue91010
Total cost of revenue808386
Other business:
Veterinary invoice expense737673
Other cost of revenue201819
Total cost of revenue939492
Total pets enrolled (at period end)1,647,5651,677,5701,714,473(2)(2)
Total subscription pets enrolled (at period end)1,096,1731,041,212991,42655
Monthly average revenue per pet$80.79$72.98$65.261112

Year ended December 31, 2025 compared to year ended December 31, 2024. Total cost of revenue for our subscription business segment increased by $84.0 million, or 12%, to $790.9 million, for the twelve months ended December 31, 2025. This increase was driven by a $75.7 million, or 12%, increase in veterinary invoice expense and an $8.3 million, or 10%, increase in other cost of revenue. The 12% increase in veterinary invoice expense was primarily driven by an 8% increase in veterinary invoice expense per pet and an increase in total subscription pet months for policies underwritten by Trupanion. The 10% increase in other cost of revenue was primarily due to general increases in costs attributable to growth in our membership and subscription revenue. Subscription business total cost of revenue decreased from 83% to 80% of revenue year-over-year primarily due to growth in subscription revenue outpacing growth in subscription veterinary invoice expense.

Total cost of revenue for our other business segment increased by $17.4 million, or 4%, to $417.4 million for the twelve months ended December 31, 2025. This increase was driven by a $4.1 million, or 1%, increase in veterinary invoice expense and a $13.3 million, or 18% increase in other cost of revenue. The 1% increase in veterinary invoice expense was primarily driven by a 16% increase in veterinary invoice expense per pet, partially offset by a decrease in pet months in this segment primarily reflecting the expected run-off of pets we historically insured for Pets Best. Within our other business segment, fluctuations in other cost of revenue are largely driven by trends in revenue and veterinary invoice expense. Total cost of revenue for the other business segment decreased from 94% to 93% of revenue year-over-year.

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Technology and Development Expenses

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except percentages)
Technology and development$37,848$31,255$21,40321%46%
Percentage of total revenue3%2%2%

Year ended December 31, 2025 compared to year ended December 31, 2024. Technology and development expenses increased by $6.6 million, or 21%, to $37.8 million for the twelve months ended December 31, 2025. This increase was primarily due to a $4.7 million increase in general compensation and other employee-related expenses, a $1.3 million reduction in capitalized expenditures related to internally developed software projects, and a $0.7 million increase in new product exploration and development expenses. Technology and development expenses increased from 2% to 3% of total revenue year-over-year.

General and Administrative Expenses

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except percentages)
General and administrative$76,648$63,731$60,20720%6%
Percentage of total revenue5%5%5%

Year ended December 31, 2025 compared to year ended December 31, 2024. General and administrative expenses increased by $12.9 million, or 20%, to $76.6 million for the twelve months ended December 31, 2025. This increase was driven by increases of $12.1 million in general compensation and other employee-related expenses and $1.9 million in underwriting fees related to our Canadian business, partially offset by a $0.8 million decrease in professional services and a $0.3 million decrease in other miscellaneous expenses. General and administrative expenses remained constant at 5% of total revenue year-over-year.

New Pet Acquisition Expense

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except pet and per pet data)
New pet acquisition expense$85,408$71,379$77,37220%(8)%
Percentage of total revenue6%6%7%
Subscription Business:
Total subscription pets enrolled (at period end)1,096,1731,041,212991,42655
Average pet acquisition cost (PAC)$288$235$228233

Year ended December 31, 2025 compared to year ended December 31, 2024. New pet acquisition expenses increased by $14.0 million, or 20%, to $85.4 million for the twelve months ended December 31, 2025. This increase was primarily driven by increased marketing spend as we have begun deploying more capital to acquire new pets in a disciplined manner. New pet acquisition expense as a percentage of revenue remained constant at 6% as we were able to stay disciplined with our discretionary pet acquisition spend.

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Depreciation and Amortization

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except percentages)
Depreciation and amortization$15,836$16,466$12,474(4)%32%
Percentage of total revenue1%1%1%

Year ended December 31, 2025 compared to year ended December 31, 2024. Depreciation and amortization expense decreased by $0.6 million, or 4%, to $15.8 million for the twelve months ended December 31, 2025, primarily driven by fewer internally developed software projects placed in-service during the period.

Total Other Expense (Income), Net

Year Ended December 31,% Change
2025202420232025 vs. 20242024 vs. 2023
(in thousands, except percentages)
Interest expense$13,759$14,498$12,077(5)%20%
Other (income), net(21,916)(14,374)(7,701)5287
Total other (income) expense, net$(8,157)$124$4,376(6,678)%(97)%
Percentage of total revenue1%%%

Year ended December 31, 2025 compared to year ended December 31, 2024. Total other (income) expense, net increased by $8.3 million from expense of $0.1 million to income of $8.2 million for the twelve months ended December 31, 2025, primarily due to a $7.8 million realized gain on the nonmonetary exchange of our Baystride preferred stock investment for intellectual property developed by Baystride and a $0.7 million decrease in interest expense.

Income Tax Expense (Benefit)

Year ended December 31, 2025 compared to year ended December 31, 2024. Income tax expense (benefit) increased by $2.6 million from a benefit of less than $0.1 million to expense of $2.6 million for the twelve months ended December 31 2025, primarily due to the transfer of our Canadian insurance business to GPIC, resulting in an increase in taxable income in Canada where it is unable to be offset by historical U.S. losses.

Stock-Based Compensation

Year ended December 31, 2025 compared to year ended December 31, 2024. Stock-based compensation is included in the cost and expense line items in the consolidated statements of operations, discussed above. Stock-based compensation expense increased from $33.4 million to $38.3 million for the twelve months ended December 31, 2025. The amount of stock-based compensation recognized largely reflects the timing and vesting of our annual performance grants, calculated according to our equity incentive plan.

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Quarterly Results of Operations

The following tables contain selected quarterly financial information for the years ended December 31, 2025 and 2024. The unaudited quarterly information has been prepared on a basis consistent with the audited consolidated financial statements and includes all adjustments that we consider necessary for a fair presentation of the information shown. These quarterly operating results for any fiscal quarter are not necessarily indicative of the operating results for any full fiscal year or future period.

Consolidated Statements of Operations Data:Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
(in thousands)
Revenue:
Subscription business$261,422$252,697$242,156$233,064$227,783$218,986$208,618$201,134
Other business115,431114,223111,401108,911109,524108,470106,182104,987
Total revenue376,853366,920353,557341,975337,307327,456314,800306,121
Cost of revenue:
Subscription business204,782200,766195,488189,845181,614177,365175,740172,132
Other business107,044106,100103,242101,027102,770100,71298,79197,762
Total cost of revenue(1)311,826306,866298,730290,872284,384278,077274,531269,894
Operating expenses:
Technology and development(1)11,3039,8878,5868,0728,1727,9338,1906,960
General and administrative(1)18,32318,31120,12219,89216,82816,97715,25314,673
New pet acquisition expense(1)23,10321,94619,84320,51618,35418,30817,87416,843
Goodwill impairment charges1,1295,299
Depreciation and amortization4,0324,0513,9623,7913,9244,3814,3763,785
Total operating expenses57,89054,19552,51352,27152,57747,59945,69342,261
Gain (loss) from investment in joint venture(305)2(34)(47)(103)
Operating income (loss)7,1375,8592,314(1,473)3481,746(5,471)(6,137)
Interest expense4,0762,7903,6823,2113,4273,8203,6553,596
Other (income), net(3,232)(3,530)(11,914)(3,240)(4,773)(3,538)(3,220)(2,843)
Income (loss) before income taxes6,2936,59910,546(1,444)1,6941,464(5,906)(6,890)
Income tax expense (benefit)6637261,133393839(44)(38)
Net income (loss)$5,630$5,873$9,413$(1,483)$1,656$1,425$(5,862)$(6,852)

(1) Includes stock-based compensation expense as follows (in thousands):

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Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
(in thousands)
Veterinary invoice expense(2)$620$677$774$770$835$847$854$924
Other cost of revenue(2)605585605489502554541466
Technology and development1,7101,7051,4701,1511,1601,2591,2611,254
General and administrative5,0254,9715,0474,5284,2614,1253,8613,449
New pet acquisition expense1,5671,5611,5602,8921,5361,5552,1292,059
Total stock-based compensation expense$9,527$9,499$9,456$9,830$8,294$8,340$8,646$8,152

(2) Veterinary invoice expense and Other cost of revenue together comprise stock-based compensation expense included within Total cost of revenue (in thousands).

Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
(as a percentage of revenue)
Revenue100%100%100%100%100%100%100%100%
Cost of revenue8384848584858788
Operating expenses:
Technology and development33222232
General and administrative55665555
New pet acquisition expense66665666
Goodwill impairment charges2
Depreciation and amortization11111111
Total operating expenses1515151515141514
Gain (loss) from investment in joint venture
Operating income (loss)2211(2)(2)
Interest expense(1)(1)(1)11111
Other (income), net113(1)(1)(1)(1)(1)
Income (loss) before income taxes2231(2)(2)
Income tax expense (benefit)
Net income (loss)2%2%3%%%%(2)%(2)%
Three Months Ended
Dec. 31, 2025Sep. 30, 2025Jun. 30, 2025Mar. 31, 2025Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%100%100%100%100%100%
Subscription business cost of revenue7879818180818486

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Liquidity and Capital Resources

The following table summarizes our cash flows for the periods indicated (in thousands):

Year Ended December 31,
202520242023
Net cash provided by operating activities$89,488$48,287$18,638
Net cash provided by (used in) investing activities(95,887)(13,457)7,639
Net cash provided by (used in) financing activities(22,862)(3,957)59,126
Effect of foreign exchange rates on cash, cash equivalents, and restricted cash, net1,189(1,877)424
Net change in cash, cash equivalents, and restricted cash$(28,072)$28,996$85,827

Our primary requirements for liquidity are paying veterinary invoices, funding and growing our operations, funding our capital requirements, investing in new member acquisition, investing in enhancements to our member experience, and servicing debt. We have certain contractual obligations in the normal course of business, including obligations and commitments relating to our credit arrangements, non-cancellable vendor purchase agreements, as well as future payments of veterinary invoices. Refer to Note 9, Reserve for Veterinary Invoices, included in Item 8 of Part II of this 10-K, for further details on anticipated cash outflows.

Most recently, our primary source of liquidity has been cash provided by our operations. We believe our operating cash flow is sufficient to fund our operations and capital requirements for the next 12 months. As we continue to grow and consider strategic opportunities, however, we may explore additional financing to fund our operations and growth or for strategic purposes. Financing could include equity, equity-linked, or debt financing. Additional financing may not be available to us on acceptable terms, or at all. If our capital surplus grows relative to the rate of growth of our business, we may also generate cash for operations and growth, via dividends or other methods, from one or more of our underwriting entities.

As of December 31, 2025, we had $370.7 million in cash, cash equivalents and short-term investments, of which $320.7 million was held by our insurance entities. Outside of insurance entities, we held $50.0 million in cash, cash equivalents and short-term investments with an additional $5.0 million available under our PNC Facility.

In April 2021, our board of directors approved a share repurchase program, pursuant to which we may, between May 2021 and May 2026, repurchase outstanding shares of our common stock. While our board of directors has approved the program, any repurchase activity is subject to quarterly assessment and board approval, based on various factors including available cash, our stock price relative to our estimated intrinsic value, forecasted operating results, and available opportunities to deploy capital. We repurchased no shares under this program during the year ended December 31, 2025.

Operating Cash Flows

Net cash provided by operating activities was $89.5 million for the year ended December 31, 2025, compared to $48.3 million for the year ended December 31, 2024. This increase was primarily driven by improved operating results largely driven by higher revenue and improved Subscription Business margins and timing differences in other working capital activities. Changes in accounts receivable and deferred revenue were primarily related to annual policies with annual payment terms within our Other Business segment. Changes in our reserve for veterinary invoices are driven by multiple factors, including ongoing analysis of claims frequency and severity. Additionally, changes in our accounts payable, accrued liabilities, and other liabilities are primarily due to differences in timing of payments.

Investing Cash Flows

Net cash used in investing activities was $95.9 million for the year ended December 31, 2025, primarily consisting of purchases of investment securities of $256.0 million as well as $14.1 million of capital expenditures primarily related to the development of internal-use software focused on member experience, claims processing and internal policy management improvements, partially offset by $172.6 million in sales and maturities of investment securities. Net cash used in investing activities was $13.5 million for the year ended December 31, 2024, primarily consisting of purchases of investment securities of $133.5 million as well as $9.7 million of capital expenditures primarily related to the development of internal-use software focused on member experience, claims processing, and internal policy management improvements, partially offset by $127.7 million in sales and maturities of investment securities.

Financing Cash Flows

Net cash used in financing activities was $22.9 million for the year ended December 31, 2025, primarily consisting of $131.9 million of repayments on the Prior Credit Facility and $2.5 million of repayments on the PNC Facility as well as $3.7 million in shares withheld to satisfy tax withholdings, partially offset by $114.2 million in proceeds from debt financing, net of financing fees. Net cash used in financing activities was $4.0 million for the year ended December 31, 2024, primarily consisting of $2.5 million in shares withheld to satisfy tax withholdings and $1.4 million in repayments on the Prior Credit Facility.

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Long-Term Debt

Prior Credit Facility

Our Prior Credit Facility provided us with up to $150.0 million of credit, and we had outstanding term loans totaling $116.2 million prior to repayment. In November 2025, we repaid all amounts under the Prior Credit Facility utilizing proceeds from our new PNC facility.

PNC Facility

In November 2025, we entered into a credit agreement (the "PNC Agreement") with PNC Bank, National Association, as the administrative agent. The PNC Agreement provides for a term loan facility of $100.0 million and a revolving credit facility of $20.0 million (collectively, the "PNC Facility"). The PNC Facility matures in November 2028.

Loans under the PNC Facility bear interest at a reference rate plus an applicable margin, which will generally be the SOFR reference rate plus 2.75% per annum. The Company will make quarterly principal payments of $2.5 million on the term loan facility. The Company may voluntarily prepay loans or reduce revolving commitments under the PNC Facility at any time without premium or penalty.

The loans under the PNC Agreement are secured by substantially all of our assets. The PNC Agreement contains financial and other covenants, including quarterly financial ratios, and it includes limitations on, among other things, indebtedness, liens, investments, and mergers or similar transactions.

Regulation

The majority of our investments are held by our insurance entities to satisfy risk-based capital requirements (also referred to as minimum capital requirements) of applicable state and federal regulators. These regulatory requirements provide a method for analyzing the minimum amount of capital (statutory capital and surplus plus other adjustments) appropriate for an insurance company to support its overall business operations, taking into account the risk characteristics of the company’s assets, liabilities and certain other items. An insurance entity cannot use this capital for general operating expenses without regulatory approval. An insurance company found to have insufficient statutory capital based on its risk-based or minimum capital test requirements or otherwise fails to satisfy other applicable statutory requirements may be subject to varying levels of additional regulatory oversight.

As of December 31, 2025, our insurance entities collectively held $88.1 million in cash and cash equivalents, to be used for operating expenses of our insurance entities, $232.6 million in short-term investments and $299.6 million in other current assets. In addition to minimum capital requirements the majority of assets in our insurance entities are subject to dividend rules and regulations prescribed by jurisdictions in which they are authorized to operate.

We are subject to comprehensive regulation and supervision in the jurisdictions where we conduct business, including requirements regarding our capital structure, ownership, financial condition, general business operations, transactions between affiliated entities and payment of dividends from our insurance subsidiaries. We are also subject to market conduct examinations of our management and operations.

The National Association of Insurance Commissioners ("NAIC") has approved a series of uniform statutory accounting principles applicable in some form in all states. Developed to ensure insurance companies maintain sufficient capital to pay claims and remain solvent, these principles conservatively value assets and liabilities and usually result in differences from financial statements prepared in accordance with U.S. GAAP. The NAIC has also adopted risk-based capital requirements for life, health and property and casualty insurance companies, which require APIC and ZPIC to maintain certain levels of surplus to support our overall business operations in consideration of our size and risk profile. If we fail to maintain the amount of risk-based capital required, we will be subject to additional regulatory oversight. To comply with these regulations, we may be required to maintain capital that we would otherwise invest in our growth and operations.

NAIC also has adopted a pet insurance model act to establish regulatory standards for the pet insurance industry, related to how insurers enforce waiting periods, certain policy conditions, and the sale of pet insurance in general. As of January 2026, approximately 17 states have either adopted these NAIC standards or have enacted their own versions.

Although U.S. federal law generally does not directly regulate the insurance industry, various federal regulatory and legislative changes have been proposed in the past and could be proposed in the future, including proposed federal regulation that could supplement or replace the current system of state regulation of insurers. It is not possible to predict whether any of these proposals might be adopted, or the effect federal involvement in insurance may have on us.

American Pet Insurance Company ("APIC")

APIC, our wholly-owned insurance subsidiary domiciled in New York, underwrites all of our policies in the U.S. As our business in the U.S. grows, the amount of capital we are required to maintain to satisfy our risk-based capital requirements will also increase, though risk-based capital requirements also take our overall rate of growth into consideration. Recently, our other business segment growth has slowed and, we currently expect that to continue, which would reduce capital requirements. In May 2025 and February 2026, APIC distributed extraordinary dividends of $26.0 million and $14.9 million to Trupanion, Inc, respectively. APIC's primary regulator is the New York Department of Financial Services ("NY DFS").

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ZPIC Insurance Company ("ZPIC")

ZPIC, our wholly-owned insurance subsidiary domiciled in Missouri, has not yet begun underwriting activity, but we have funded its required statutory capital. We formed this insurance subsidiary to provide us flexibility as to the insurance entity we use to market and write policies in the United States. ZPIC's primary regulator is the Missouri Department of Commerce and Insurance ("MODCI").

GPIC Insurance Company ("GPIC")

GPIC, our wholly-owned insurance subsidiary domiciled in Canada underwrites the majority of our policies in Canada. We are continuing to transition the remaining portion of our insurance activity in Canada to GPIC from a fronting arrangement with Accelerant Insurance Company of Canada (formerly Omega General Insurance Company) ("Accelerant"). Pursuant to the Canadian Office of the Superintendent of Financial Institutions ("OSFI") regulations, we have contributed CAD $29.5 million to GPIC as the required statutory capital for this subsidiary. The capital we maintain at GPIC is, and may continue to be for the foreseeable future, more than the amount that we historically held subject to our fronting arrangement with Accelerant.

Under the terms of our agreements with Accelerant, we retain any financial risk associated with our Canadian business, Accelerant's Canadian insurance operations are supervised and regulated by Canadian federal, provincial and territorial governments and Accelerant is a fully licensed insurer in all of the Canadian provinces and territories in which we do business. As we transition more of the business to GPIC, the amount we are required to fund in the Canadian trust account will be reduced. As of December 31, 2025, the account held CAD $8.7 million.

Wyndham Insurance Company (SAC) Limited ("WICL") Segregated Account AX, Wyndham Insurance Company (SAC) Limited Segregated Account Trupanion Germany, and Wyndham Insurance Company (SAC) Limited Segregated Account Trupanion Switzerland

WICL is domiciled in Bermuda and regulated by the Bermuda Monetary Authority ("BMA"). WICL Segregated Account AX was established by WICL, with Trupanion, Inc. as the shareholder, to enter into a reinsurance agreement with Accelerant for our business activity in Canada. All of the assets and liabilities of WICL Segregated Account AX are legally segregated from other assets and liabilities within WICL, and all shares of the segregated account are owned by Trupanion, Inc. Trupanion, Inc. received dividends of $15.6 million, $7.0 million, and $5.3 million from WICL Segregated Account AX in March, July, and November 2025, respectively, as permitted under our agreements with WICL. As required by OSFI regulations related to our reinsurance agreement with Accelerant, we are required to maintain a Canadian Reinsurance Trust account with the greater of CAD $2.0 million or 120% of unearned Canadian premium plus 20% of outstanding Canadian claims, including all incurred but not reported claims. As of December 31, 2025, the account held CAD $8.7 million which we expect will continue to decrease as we rollover our Canadian book of business to GPIC.

WICL Segregated Account Trupanion Germany and WICL Segregated Account Trupanion Switzerland were established in the third quarter of 2024 by WICL, with Trupanion, Inc. as the shareholder, for purposes of entering into reinsurance agreements with underwriters in Germany and Switzerland, respectively. All of the assets and liabilities of WICL Segregated Account Trupanion Germany and WICL Segregated Account Trupanion Switzerland are legally segregated from other assets and liabilities within WICL, and all shares of the segregated accounts are owned by Trupanion, Inc.

Though we are not directly regulated by the BMA, WICL's regulation and compliance impacts us as it could have an adverse impact on our ability to secure dividends from our WICL segregated accounts. WICL is regulated by the BMA under the Insurance Act of 1978 ("Insurance Act") and the Segregated Accounts Company Act of 2000. The Insurance Act imposes on Bermuda insurance companies, solvency and liquidity standards, certain restrictions on the declaration and payment of dividends and distributions, certain restrictions on the reduction of statutory capital, and auditing and reporting requirements, and grants the BMA powers to supervise and, in certain circumstances, to investigate and intervene in the affairs of insurance companies. Under the Insurance Act, WICL, as a class 3 insurer, is required to maintain available statutory capital and surplus at a level equal to or in excess of a prescribed minimum established by reference to net written premiums and loss reserves.

Under the Bermuda Companies Act 1981, as amended, a Bermuda company may not declare or pay a dividend or make a distribution out of contributed surplus if there are reasonable grounds for believing that: (a) the company is, or would after the payment be, unable to pay its liabilities as they become due; or (b) the realizable value of the company’s assets would thereby be less than its liabilities. The Segregated Accounts Company Act of 2000 further requires that dividends out of a segregated account can only be paid to the extent that the account remains solvent and the value of its assets remain greater than the aggregate of its liabilities and its issued share capital and share premium accounts.

Contractual Obligations

We enter into long-term contractual obligations and commitments in the normal course of business, consisting primarily of debt obligations and non-cancellable vendor service agreements. In November 2025, we entered into the PNC Agreement, which provides up to $120.0 million of credit, including $100.0 million term loan and $20.0 million revolving loan facility. We used the proceeds under the PNC Agreement to repay all amounts due and outstanding under our Prior Credit Facility. The PNC

56

Agreement will require us to repay the underlying obligations over a three-year term at SOFR plus a margin. Refer to Note 11, Debt, included in Item 8 of Part II of this report for further details regarding the credit agreements, including interest and future principal repayments.

Critical Accounting Policies and Significant Estimates

Our discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the consolidated financial statements, as well as the reported revenue and expenses during the reporting periods.

Critical accounting policies and estimates are those that we consider the most important to the portrayal of our financial condition and results of operations because they require our most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Generally, we base our estimates on historical experience and on various other factors that we believe to be reasonable under the circumstances. Actual results may differ from these estimates.

Reserve for Veterinary Invoices

The reserve for veterinary invoices represents our estimate of future amounts we will pay for veterinary claims that have been incurred but not yet paid as of the reporting date. The reserve also includes our best estimate of related internal processing costs. We use the paid development method and other commonly used actuarial methods to estimate reserves for veterinary invoices for our subscription business and for the majority of our other business segment. Paid loss development factors measure the pattern of veterinary invoice payments over time and are used to estimate ultimate loss incurred. These factors are derived from historical paid loss triangles and reflect observed claim settlement patterns and any operational or external changes affecting claim payments including, but not limited to:

•the number of veterinary invoices we expect to receive,

•the average cost of those veterinary invoices,

•the time elapsed between the date of loss and the date of payment,

•the members chosen deductible,

•the appropriate segmentation between product lines or claim processing method, and

•the expected cost to process and administer claim payments

As of each reporting date, we also utilize subsequent claims payment activities to monitor and reevaluate previously established reserves. If estimates are determined to be materially different than originally reported, we record “development” in the results of operations in the period the estimates are changed. Development is unfavorable when losses ultimately settle for more than the amount reserved or subsequent estimates indicate a basis for reserve increases on unresolved claims. Development is favorable when losses ultimately settle for less than the amount reserved, or subsequent estimates indicate a basis for reducing loss reserves on unresolved claims.

As of December 31, 2025, our reserve for veterinary invoices was $55.9 million, consisting of $53.4 million for the amount we expect to pay in the future for veterinary invoices dated between January 1, 2025 and December 31, 2025, inclusive of related processing costs, and a reserve of $2.5 million for invoices dated prior to January 1, 2025. We believe the reserve amount as of December 31, 2025 is adequate, and we do not believe that there are any reasonably likely changes in the facts or circumstances underlying key assumptions that would result in the reserve balance being insufficient in an amount that would have a material impact on our reported results, financial position or liquidity. The ultimate liability, however, may be in excess of or less than the amount we have reserved.

For the year ended December 31, 2025, we paid $46.6 million for veterinary invoices dated on or before December 31, 2024, including related processing costs. Our reserve estimate for these expenses was $51.6 million as of December 31, 2024. As of December 31, 2025, we had a favorable development on veterinary invoice reserves of $2.5 million for the year ended December 31, 2024. Refer to Note 9, Reserve for Veterinary Invoices, in Item 8 of Part II of this report, for further details.

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Income Taxes

We determine our deferred tax assets and liabilities based on the differences between the financial reporting and tax basis of assets and liabilities. The deferred tax assets and liabilities are measured using the enacted tax rates that will be in effect when the differences are expected to reverse. A valuation allowance is recorded when it is more likely than not that the deferred tax asset will not be recovered. We apply judgment in the determination of the consolidated financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Although we believe our assumptions, judgments and estimates are reasonable, changes in tax laws or our interpretation of tax laws and the resolution of any tax audits could significantly impact the amounts provided for income taxes in our consolidated financial statements.

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MD&A history

Prior-year 10-K MD&A spans are extracted from SEC filings with the same bounded parser used for the latest filing. The latest 10-K appears above; prior years are below.

FY 2024 10-K MD&A

SEC filing source: 0001371285-25-000052.

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2025-02-27. Report date: 2024-12-31.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Please read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial statements and related notes included under Part II, Item 8 of this Annual Report on Form 10-K.

This section of this Form 10-K generally discusses 2024 and 2023 items and year-to-year comparisons between 2024 and 2023. Discussions of 2022 items and year-to-year comparisons between 2023 and 2022 that are not included in this Form 10-K can be found in "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 of the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2023.

Overview

We provide medical insurance for cats and dogs in the United States, Canada, certain countries in Continental Europe, and Australia. Through our data-driven, vertically-integrated approach, we develop and offer high value medical insurance products, priced specifically for each pet’s unique characteristics and coverage level. Our growing and loyal membership base provides us with highly predictable and recurring revenue.

We operate in two reporting segments: subscription business and other business. We generate revenue in our subscription business segment primarily through insurance premiums, which we refer to as subscription payments from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our new pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also provide "Powered by Trupanion" pet insurance product offerings marketed by third parties, low and medium average revenue per pet products marketed under the brand names Furkin and PHI Direct in Canada, and a Trupanion branded product in Germany and Switzerland. We either directly underwrite or assume full insurance risk for these products through reinsurance arrangements. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within this segment, we also offer products in certain countries in Continental Europe, which are currently underwritten by third parties who pay us commissions that we recognize as revenue. Going forward our intent is to assume full insurance risk for these products, either through direct underwriting or reinsurance arrangements.

We generate leads for our subscription business segment from a diverse set of member acquisition channels, which we then seek to convert into members through our contact center, website and other direct-to-consumer activities. These channels include leads from third-parties such as veterinarians and referrals from existing members. Veterinary hospitals represent our largest referral source. Our “Territory Partners” travel through their territories to have face-to-face visits with veterinarians and their staff. Territory Partners are dedicated to cultivating direct veterinary relationships and helping those veterinarians understand the benefits of high-quality medical insurance. Veterinarians then educate pet parents, who visit our website or call our contact center to learn more about, and potentially enroll in, a Trupanion product. We also receive a significant number of new leads from existing members adding pets and referring their friends and family members. Our direct-to-consumer acquisition channels serve as important resources for pet owner education and drive new member leads and conversion. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Our other business segment is comprised of revenue from other product offerings, with third parties with whom we generally have a business-to-business relationship. This business segment has, and targets, a lower margin profile than our subscription segment and is not part of our core business strategy. The largest source of revenue within this segment is from our long-standing contractual relationship with Pets Best, a third-party partner we have worked with since 2015.

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Key Operating Metrics

The following tables set forth total enrolled pets in our subscription and our other business segment and key operating metrics for our subscription business for the years ended December 31, 2024, 2023 and 2022, and for each of the last eight fiscal quarters.

Year Ended December 31,
202420232022
Total Business:
Total pets enrolled (at period end)1,677,5701,714,4731,537,573
Subscription Business:
Total subscription pets enrolled (at period end)1,041,212991,426869,862
Monthly average revenue per pet$72.98$65.26$63.82
Average pet acquisition cost (PAC)$235$228$289
Average monthly retention98.25%98.49%98.69%
Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
Total Business:
Total pets enrolled (at period end)1,677,5701,688,9031,699,6431,708,0171,714,4731,712,1771,679,6591,616,865
Subscription Business:
Total subscription pets enrolled (at period end)1,041,2121,032,0421,020,9341,006,168991,426969,322943,958906,369
Monthly average revenue per pet$76.02$74.27$71.72$69.79$67.07$65.82$64.41$63.58
Average pet acquisition cost (PAC)$261$243$231$207$217$212$236$247
Average monthly retention98.25%98.29%98.34%98.41%98.49%98.55%98.61%98.65%

Total pets enrolled and total subscription pets enrolled include certain pet enrollments in European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker. Per pet metrics, however, exclude these European policies, as their revenue is currently earned from commissions, as opposed to the subscription payments earned by the remainder of our subscription business.

Total pets enrolled. Total pets enrolled reflects the number of pets enrolled in one of the insurance products offered in our subscription business segment and our other business segment at the end of each period presented. We monitor total pets enrolled because it provides an indication of the growth of our consolidated business.

Total subscription pets enrolled. Total subscription pets enrolled reflects the number of pets in active memberships at the end of each period presented. We monitor total subscription pets enrolled because it provides an indication of the growth of our subscription business.

Monthly average revenue per pet. Monthly average revenue per pet is calculated as amounts billed in a given period for subscriptions divided by the total number of subscription pet months in the period. Total subscription pet months in a period represents the sum of all subscription pets enrolled for each month during the period. We monitor monthly average revenue per pet because it is an indicator of the per pet unit economics of our subscription business.

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Average pet acquisition cost. Average pet acquisition cost ("PAC") is calculated as net acquisition cost divided by the total number of new subscription pets enrolled in that period. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because that does not relate to subscription enrollments. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Average monthly retention. Average monthly retention is measured as the monthly retention rate of enrolled subscription pets for each applicable period averaged over the 12 months prior to the period end date. As such, our average monthly retention rate as of December 31, 2024 is an average of each month’s retention from January 1, 2024 through December 31, 2024. We calculate monthly retention as the number of pets that remain after subtracting all pets that cancel during a month, including pets that enroll and cancel within that month, divided by the total pets enrolled at the beginning of that month. We monitor average monthly retention because it provides a measure of member satisfaction and allows us to calculate the implied average subscriber life in months.

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Non-GAAP Financial Measures

In addition to our results determined in accordance with U.S. GAAP, we believe the following non-GAAP financial measures are useful in evaluating our operating performance. We use the following non-GAAP financial information to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that these non-GAAP financial measures, when taken collectively, may be helpful to investors in providing consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation, or as a substitute for, the directly comparable financial measures prepared in accordance with GAAP.

We calculate these non-GAAP financial measures by excluding certain non-cash or non-recurring expenses. We exclude non-recurring transactions and restructuring expenses as they are not indicative of our operating performance. We exclude stock-based compensation as it is non-cash in nature. Although stock-based compensation expenses are expected to remain recurring expenses for the foreseeable future, we believe excluding them allows investors to make meaningful comparisons between our recurring core business operating results and those of other companies. We define non-GAAP development expenses as operating expenses incurred to develop new products and offerings that are pre-revenue. We define non-GAAP fixed expenses as the total of technology and development expense and general and administrative expense, less stock-based compensation expense, non-recurring transaction and restructuring expense, and development expenses related to exploring and developing new products and offerings that generally are in the pre-revenue stage or not at scale.

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The following tables present the reconciliation of our non-GAAP financial measures from corresponding GAAP measures for the periods presented (in thousands):

Year Ended December 31,
202420232022
Veterinary invoice expense$949,148$831,055$649,737
Less:
Stock-based compensation expense(1)(3,335)(3,450)(4,054)
Other business cost of paying veterinary invoices(4)(324,720)(287,858)(212,857)
Subscription cost of paying veterinary invoices (non-GAAP)$621,093$539,747$432,826
% of subscription revenue72.5%75.7%72.5%
Other cost of revenue$157,738$146,534$133,257
Less:
Stock-based compensation expense(1)(1,955)(1,544)(2,232)
Other business variable expenses(4)(75,050)(75,756)(72,453)
Subscription variable expenses (non-GAAP)$80,733$69,234$58,572
% of subscription revenue9.4%9.7%9.8%
Technology and development expense$31,255$21,403$25,133
General and administrative expense63,73160,20739,379
Less:
Stock-based compensation expense(1)(19,742)(19,869)(17,135)
Non-recurring transaction or restructuring expenses (2)(4,175)(372)
Development expenses(3)(5,624)(5,100)(7,789)
Fixed expenses (non-GAAP)$69,620$52,466$39,216
% of total revenue5.4%4.7%4.3%
New pet acquisition expense$71,379$77,372$89,500
Less:
Stock-based compensation expense(1)(6,908)(7,000)(9,116)
Other business pet acquisition expense(4)(39)(200)(541)
Subscription acquisition cost (non-GAAP)$64,432$70,172$79,843
% of subscription revenue7.5%9.8%13.3%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $1.5 million and $1.3 million for the years ended December 31, 2024 and 2023, respectively. (2)Consists of business acquisition transaction expenses, severance and legal costs due to certain executive departures, and a $3.8 million non-recurring settlement of accounts receivable in the first quarter of 2023 related to uncollected premiums in connection with the transition of underwriting a third-party business to other insurers.
(3)Consists of costs related to product exploration and development that are pre-revenue and historically have been insignificant.
(4)Excludes the portion of stock-based compensation expense attributable to the other business segment.

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Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
Veterinary invoice expense$245,663$238,814$231,102$233,569$217,739$212,441$206,738$194,137
Less:
Stock-based compensation expense(1)(800)(830)(843)(862)(885)(870)(856)(839)
Other business cost of paying veterinary invoices(4)(85,378)(82,507)(75,622)(81,213)(77,572)(72,694)(72,443)(65,149)
Subscription cost of paying veterinary invoices (non-GAAP)$159,485$155,477$154,637$151,494$139,282$138,877$133,439$128,149
% of subscription revenue70.0%71.0%74.1%75.3%72.7%75.9%77.0%77.6%
Other cost of revenue$38,721$39,263$43,429$36,325$38,054$38,179$34,455$35,846
Less:
Stock-based compensation expense(1)(476)(536)(523)(420)(386)(282)(428)(448)
Other business variable expenses(4)(17,336)(18,126)(23,091)(16,498)(19,301)(20,482)(17,230)(18,743)
Subscription variable expenses (non-GAAP)$20,909$20,601$19,815$19,407$18,367$17,415$16,797$16,655
% of subscription revenue9.2%9.4%9.5%9.6%9.6%9.5%9.7%10.1%
Technology and development expense$8,172$7,933$8,190$6,960$5,969$5,302$5,232$4,900
General and administrative expense16,82816,97715,25314,67313,39012,66413,13621,017
Less:
Stock-based compensation expense(1)(5,277)(5,258)(4,949)(4,258)(3,797)(3,754)(3,497)(8,821)
Non-recurring transaction or restructuring expenses (2)(8)(65)(4,102)
Development expenses(3)(1,322)(1,474)(1,655)(1,178)(1,683)(1,594)(925)(898)
Fixed expenses (non-GAAP)$18,401$18,178$16,839$16,197$13,879$12,610$13,881$12,096
% of total revenue5.5%5.6%5.3%5.3%4.7%4.4%5.1%4.7%
New pet acquisition expense$18,354$18,308$17,874$16,843$17,189$17,772$20,769$21,642
Less:
Stock-based compensation expense(1)(1,482)(1,503)(2,066)(1,857)(1,567)(1,679)(1,722)(2,032)
Other business pet acquisition expense(4)(8)(8)(10)(13)(77)(10)(62)(51)
Subscription acquisition cost (non-GAAP)$16,864$16,797$15,798$14,973$15,545$16,083$18,985$19,559
% of subscription revenue7.4%7.7%7.6%7.4%8.1%8.8%11.0%11.8%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.3 million and $0.7 million for the three months ended December 31, 2024 and 2023, respectively.(2)Consists of business acquisition transaction expenses, severance and legal costs due to certain executive departures, and a $3.8 million non-recurring settlement of accounts receivable in the first quarter of 2023 related to uncollected premiums in connection with the transition of underwriting a third-party business to other insurers. (3)Consists of costs related to product exploration and development that are pre-revenue and historically have been insignificant (4)Excludes the portion of stock-based compensation expense attributable to the other business segment

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When determining our PAC, we calculate net acquisition cost for a more comparable metric across periods. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as GAAP new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, and pet acquisition expense for commission-based policies, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on the number of awards issued and market-based valuation inputs. We exclude other business segment pet acquisition expense because it does not relate to subscription enrollments. We exclude pet acquisition expense for commission-based policies because the revenue of these products is earned from commissions from a third-party underwriter, as opposed to the subscription payments earned by the remainder of our subscription business. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses.

The following tables reconcile GAAP new pet acquisition expense to non-GAAP net acquisition cost (in thousands) for the years ended December 31, 2024, 2023, and 2022, and for each of the last eight fiscal quarters:

Year Ended December 31,
202420232022
New pet acquisition expense$71,379$77,372$89,500
Net of sign-up fee revenue(4,061)(4,527)(4,984)
Excluding:
Stock-based compensation expense(6,908)(7,000)(9,116)
Other business pet acquisition expense(39)(200)(541)
Pet acquisition expense for commission-based policies(3,345)(3,443)(443)
Net acquisition cost$57,026$62,202$74,416
Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
New pet acquisition expense$18,354$18,308$17,874$16,843$17,189$17,772$20,769$21,642
Net of sign-up fee revenue(906)(1,100)(1,036)(1,019)(1,035)(1,084)(1,189)(1,219)
Excluding:
Stock-based compensation expense(1,482)(1,503)(2,066)(1,857)(1,567)(1,679)(1,722)(2,032)
Other business pet acquisition expense(8)(8)(10)(13)(77)(10)(62)(51)
Pet acquisition expense for commission-based policies(1,125)(634)(754)(832)(802)(826)(888)(927)
Net acquisition cost$14,833$15,063$14,008$13,122$13,708$14,173$16,908$17,413

Components of Operating Results

General

We operate in two reporting segments: subscription business and other business. We generate revenue in our subscription business segment primarily by subscription payments from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also provide "Powered by Trupanion" pet insurance product offerings marketed by third parties, low and medium average revenue per pet products marketed under the brand names Furkin and PHI Direct in Canada, and a Trupanion branded product in Germany and Switzerland. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within our subscription business segment we also offer products in certain countries in Continental Europe, which are underwritten by third parties who pay us commissions that we recognize as revenue.

Our other business segment is comprised of revenue from other product offerings with third parties with whom we generally have a business-to-business relationship. This business segment has, and targets, a different margin profile than our subscription business segment and includes revenue from writing policies on behalf of third parties and revenue from other pet insurance

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products. The largest source of revenue within this segment is from our long-standing contractual relationship with Pets Best, a third-partner we have worked with since 2015. Additional products in this segment include the U.S. Department of Veterans Affairs program and employer-sponsored programs.

Revenue

We generate revenue in our subscription business segment primarily from subscription payments for our pet medical insurance. Subscription payments are paid at the beginning of each subscription period. In most cases, our members authorize us to directly charge their credit card, debit card or bank account through automatic funds transfer. Subscription revenue is recognized on a pro rata basis over the policy term. Membership may be canceled at any time without penalty, and we issue a refund for the unused portion of the canceled membership. In addition to subscription payments, we generate a small amount of revenue from charging a one-time sign-up fee to new members collected at the time of enrollment to partially offset initial setup costs. Sign-up fees are related to Trupanion’s obligation to provide insurance coverage and are recognized over the policy term. We also generate a portion of our subscription business segment revenue through commissions earned in our European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker.

We generate revenue in our other business segment primarily from writing policies on behalf of third parties where we do not undertake the direct consumer marketing. This segment also includes revenue from other pet insurance products that have a different margin profile from our subscription business.

Cost of Revenue

Cost of revenue in each of our segments is comprised of the following:

Veterinary invoice expense

Veterinary invoice expense includes our costs to review and pay veterinary invoices, administer the payments, and provide member services, and other operating expenses directly or indirectly related to the claims process. We also accrue for veterinary invoices that have been incurred but not yet received and for the estimated internal costs of processing those invoices. This also includes amounts paid by unaffiliated general agents on our behalf, and an estimate of amounts incurred and not yet paid for our other business segment.

Other cost of revenue

Other cost of revenue for the subscription business segment includes direct and indirect member service expenses, Territory Partner fees upon policy renewals, payment processing fees and premium tax expenses. Other cost of revenue for the other business segment includes the commissions we pay to unaffiliated general agents, costs to administer the programs in the other business segment and premium taxes on the sales in this segment.

Operating Expenses

Our operating expenses are classified into five categories: technology and development, general and administrative, new pet acquisition expense, goodwill impairment charges, and depreciation and amortization. For each category, except goodwill impairment charges and depreciation and amortization, the largest component is personnel costs, which include salaries, employee benefit costs, bonuses and stock-based compensation expense.

Technology and development

Technology and development expenses primarily consist of personnel costs and related expenses for our technology staff, which includes information technology development and infrastructure support, including third-party services. It also includes expenses associated with development in new geographies and new products and offerings.

General and administrative

General and administrative expenses consist primarily of personnel costs and related expenses for our finance, actuarial, human resources, regulatory, legal and general management functions, as well as facilities and professional services.

New pet acquisition expense

New pet acquisition expenses primarily consist of costs, including personnel costs, to educate veterinarians and consumers about the benefits of Trupanion, to generate leads and to convert leads into enrolled pets, as well as print, online and promotional advertising costs.

Goodwill impairment charges

Goodwill impairment charges consist of impairment charges taken on goodwill balances arising from acquisitions. For further details on goodwill impairment charges refer to Note 4, Goodwill and Intangible Assets, included in Item 8 of this report.

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Depreciation and amortization

Depreciation and amortization expenses consist of depreciation of property, equipment, and software developed for internal use, as well as amortization of finite-lived intangible assets.

Gain (loss) from investment in joint venture

Gain (loss) from investment in joint venture consists of the share of income and losses from our equity method investment in a joint venture, as well as income and expenses associated with administrative services provided to the joint venture.

Stock-based compensation

Stock-based compensation is included in the cost and expense line items above. Stock-based compensation will vary depending on corporate performance and terms of the awards under our equity incentive plan. For example, when we have delivered strong performance, stock-based compensation may increase as a result of incentive-based awards under our equity incentive plan.

Factors Affecting Our Performance

Average monthly retention. Our performance depends on our ability to continue to retain our existing and newly enrolled pets and is impacted by our ability to provide a best-in-class value and member experience. Our ability to retain enrolled pets depends on a number of factors, including the actual and perceived value of our services and the quality of our member experience, the ease and transparency of the process for reviewing and paying veterinary invoices for our members, the rate of veterinary inflation and of our pricing adjustments, and the competitive environment. In addition, other initiatives across our business may temporarily impact retention and make it difficult for us to improve or maintain this metric. For example, if the number of new pets enrolled increases at a faster rate than our historical experience, our average monthly retention rate could be adversely impacted, as our retention rate is generally lower during the first year of member enrollment.

Investment in pet acquisition. We have made and may continue to make significant investments to grow our member base. Our pet acquisition cost and the number of new members we enroll depends on a number of factors, including the amount we have available and we elect to invest in pet acquisition activities in any particular period in the aggregate and by channel, the frequency of existing members adding a pet or referring their friends or family, the effectiveness of our sales execution and marketing initiatives, changes in costs of media, the mix of our pet acquisition expenditures and the competitive environment. Our average pet acquisition cost has in the past significantly varied, and in the future may significantly vary, from period to period based upon specific marketing initiatives and estimated rates of return on pet acquisition spend. We also regularly test new member acquisition channels and marketing initiatives, which may be more expensive than our traditional marketing channels and may increase our average pet acquisition costs. We continually assess our pet acquisition activities by monitoring the estimated return on PAC spend both on a detailed level by acquisition channel and in the aggregate.

Timing of price adjustments. Our subscription business’s cost-plus model depends on our ability to estimate our operating costs and expenses, including veterinary invoice expenses, and to adjust our pricing to achieve our target margins. We regularly reevaluate and adjust the price of our subscriptions, with a goal of achieving our targeted payout ratio, subject to the review and approval of regulators where applicable. This makes it important for us to accurately estimate our costs and to promptly implement pricing adjustments, which generally roll onto our book of insured pets over the succeeding twelve months following any applicable regulatory approval. As a result, we may have timing mismatches during which our pricing does not reflect our current expense profile. In periods of rapid increases in veterinary invoice expenses, including periods of significant inflation, this timing mismatch may have a significant impact on our margin profile.

Timing of initiatives. Over time, we plan to implement new initiatives to improve our member experience, make modifications to our subscription plan, introduce new coverage plans, pursue pet food or other adjacent opportunities, improve our technology, increase the number of veterinary hospitals using our patented direct pay software, and find other ways to maintain a strong value proposition for our members. The implementation of such initiatives could impact our expense profile and result in us incurring expenses that may not always directly coincide with revenue increases, resulting in fluctuations in revenue and profitability in our subscription business segment.

Mix of sales. The relative mix of our business by geography, pet age, species, breed, and other factors impacts the monthly average revenue per pet we receive. For example, prices from our plans could vary depending on the relative cost of veterinary care in different countries or areas or whether the pet is a dog or a cat. As our mix of business between products and geographies changes, our metrics, such as our monthly average revenue per pet, and our exposure to foreign exchange fluctuations will be impacted. We expect our international business, additional product offerings and "Powered by Trupanion" plans to grow and, in turn, we expect these effects to increase.

Other business segment. Our other business segment primarily includes other product offerings that are materially different from those in our subscription business segment. In addition, we expect the growth rate and margin profile of this segment to be significantly different from our subscription business segment. We do not undertake marketing efforts for and are not the primary interface with the customers of the third parties for whom we underwrite other business segment policies. Our relationships in our other business segment are generally subject to termination provisions and are non-exclusive, including our contractual relationship with Pets Best. Accordingly, we have limited influence on the volume of business of this segment. Loss of an entire program via contract termination could result in the associated policies and revenue being lost over a period of 12 to 18 months, which could have a material impact on our results of operations. In some cases, we have structured exclusive relationships, but those relationships have been and may continue to be subject to limitations on the number of enrolled pets as to which we will write policies for the third party. We may enter into additional relationships in this segment in the future, if we believe they will be beneficial, which could impact our operating results.

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Results of Operations

The following tables set forth our results of operations for the periods presented both in absolute dollars and as a percentage of total revenue for those periods. The period-to-period comparison of financial results is not necessarily indicative of future results.

Year Ended December 31,
202420232022
(in thousands)
Revenue:
Subscription business$856,521$712,906$596,610
Other business429,163395,699308,569
Total revenue1,285,6841,108,605905,179
Cost of revenue:
Subscription business706,851613,686497,684
Other business400,035363,903285,310
Total cost of revenue(1)1,106,886977,589782,994
Operating expenses:
Technology and development(1)31,25521,40325,133
General and administrative(1)63,73160,20739,379
New pet acquisition expense(1)71,37977,37289,500
Goodwill impairment charges5,299
Depreciation and amortization16,46612,47410,921
Total operating expenses188,130171,456164,933
Gain (loss) from investment in joint venture(182)(219)(253)
Operating loss(9,514)(40,659)(43,001)
Interest expense14,49812,0774,267
Other expense (income), net(14,374)(7,701)(3,072)
Loss before income taxes(9,638)(45,035)(44,196)
Income tax expense (benefit)(5)(342)476
Net loss$(9,633)$(44,693)$(44,672)

(1) Includes stock-based compensation expense as follows:

Year Ended December 31,
202420232022
(in thousands)
Cost of revenue$5,523$5,279$6,484
Technology and development4,9342,8464,742
General and administrative15,69617,71712,831
New pet acquisition expense7,2797,3199,336
Total stock-based compensation expense$33,432$33,161$33,393

47

Year Ended December 31,
202420232022
(as a percentage of revenue)
Revenue100%100%100%
Cost of revenue868887
Operating expenses:
Technology and development223
General and administrative554
New pet acquisition expense6710
Goodwill impairment charges
Depreciation and amortization111
Total operating expenses141518
Gain (loss) from investment in joint venture
Operating loss(1)(4)(5)
Interest expense11
Other expense (income), net(1)(1)
Loss before income taxes(1)(4)(5)
Income tax expense (benefit)
Net loss(1)%(4)%(5)%
Stock-based compensation expense:Year Ended December 31,
202420232022
(as a percentage of revenue)
Cost of revenue%%1%
Technology and development%1
General and administrative12%1
New pet acquisition expense11%1
Total stock-based compensation expense2%3%4%
Year Ended December 31,
202420232022
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%
Subscription business cost of revenue838683

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Comparison of the years ended December 31, 2024, 2023, and 2022

Revenue

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except percentages, pet and per pet data)
Revenue:
Subscription business$856,521$712,906$596,61020%19%
Other business429,163395,699308,569828
Total revenue$1,285,684$1,108,605$905,1791622
Percentage of Revenue by Segment:
Subscription business67%64%66%
Other business333634
Total revenue100%100%100%
Total pets enrolled (at period end)1,677,5701,714,4731,537,573(2)12
Total subscription pets enrolled (at period end)1,041,212991,426869,862514
Monthly average revenue per pet$72.98$65.26$63.82122
Average monthly retention98.25%98.49%98.69%

Year ended December 31, 2024 compared to year ended December 31, 2023. Total revenue increased by $177.1 million, or 16%, to $1,285.7 million for the year ended December 31, 2024. Revenue from our subscription business segment increased by $143.6 million, or 20%, to $856.5 million for the year ended December 31, 2024. This increase was primarily due to a 12% increase in monthly average revenue per pet and an increase in subscription pet months (the sum of pets enrolled for each month during a period) for policies underwritten by Trupanion. Revenue from our other business segment increased by $33.5 million, or 8%, to $429.2 million for the year ended December 31, 2024. This increase was primarily driven by a 17% increase in monthly average revenue per pet in this segment, partially offset by a decrease in pet months in this segment primarily reflecting the expected run off of pets we historically insured for a third-party.

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Cost of Revenue

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except percentages, pet and per pet data)
Cost of Revenue:
Subscription business:
Veterinary invoice expense$624,428$543,196$436,88015%24%
Other cost of revenue82,42370,49060,8041716
Total cost of revenue$706,851$613,686$497,6841523
Other business:
Veterinary invoice expense$324,720$287,859$212,8571335
Other cost of revenue75,31576,04472,453(1)5
Total cost of revenue$400,035$363,903$285,3101028
Percentage of Revenue by Segment:
Subscription business:
Veterinary invoice expense73%76%73%
Other cost of revenue101010
Total cost of revenue838683
Other business:
Veterinary invoice expense767369
Other cost of revenue181923
Total cost of revenue949292
Total pets enrolled (at period end)1,677,5701,714,4731,537,573(2)12
Total subscription pets enrolled (at period end)1,041,212991,426869,862514
Monthly average revenue per pet$72.98$65.26$63.82122

Year ended December 31, 2024 compared to year ended December 31, 2023. Total cost of revenue for our subscription business segment increased $93.2 million, or 15%, to $706.9 million for the year ended December 31, 2024. This increase was driven by a $81.2 million, or 15%, increase in veterinary invoice expense and a $11.9 million, or 17%, increase in other cost of revenue. The 15% increase in veterinary invoice expense was driven by an increase in total subscription pet months for policies underwritten by Trupanion and a 7% increase in veterinary invoice expense per pet. The 17% increase in other cost of revenue was primarily driven by general increases in costs attributable to growth in our membership and subscription revenue. Subscription business cost of revenue decreased from 86% to 83% of revenue year-over-year. The primary drivers of this margin improvement were our ongoing pricing actions and continued efficiency gain in our cost of processing claims.

Total cost of revenue for our other business segment increased by $36.1 million, or 10%, to $400.0 million for the year ended December 31, 2024. The increase was primarily driven by a $36.9 million, or 13%, increase in veterinary invoice expense, partially offset by a $0.7 million, or 1%, decrease in other cost of revenue. The 13% increase in veterinary invoice expense was primarily driven by a 21% increase in veterinary invoice expense per pet, offset by a decrease in pet months in this segment primarily reflecting the expected run off of pets we historically insured for a third-party. The 1% decrease in other cost of revenue was primarily driven by decreases in premium-based expenses. Cost of revenue for the other business segment increased from 92% to 93% of revenue year-over-year.

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Technology and Development Expenses

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except percentages)
Technology and development$31,255$21,403$25,13346%(15)%
Percentage of total revenue2%2%3%

Year ended December 31, 2024 compared to year ended December 31, 2023. Technology and development expenses increased by $9.9 million, or 46%, to $31.3 million for the year ended December 31, 2024. This increase was primarily due a $6.8 million reduction in capitalized expenditures related to internally-developed software projects launched in early 2024, a $1.0 million increase in general compensation and other employee-related expenses, a $1.3 million increase in infrastructure-related expenses, and an increase of $0.8 million in development expense. Technology and development expenses remained constant at 2% of total revenue year over year.

General and Administrative Expenses

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except percentages)
General and administrative$63,731$60,207$39,3796%53%
Percentage of total revenue5%5%4%

Year ended December 31, 2024 compared to year ended December 31, 2023. General and administrative expenses increased by $3.5 million, or 6%, to $63.7 million for the year ended December 31, 2024. This increase was driven by increases of $6.6 million in general compensation and other employee-related expenses, $2.7 million in professional services, and $2.3 million in underwriting fees related to our Canadian business. These increases were offset by two charges that were recorded during the first quarter of 2023 that led to a decrease in expense when comparing periods, a $4.8 million stock-based compensation charge following certain executive departures and a $3.8 million charge related to a negotiated settlement of uncollected premiums in connection with the transition of underwriting a third-party business to other insurers. General and administrative expense remained constant at 5% of total revenue year-over-year.

New Pet Acquisition Expense

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except pet and per pet data)
New pet acquisition expense$71,379$77,372$89,500(8)%(14)%
Percentage of total revenue6%7%10%
Subscription Business:
Total subscription pets enrolled (at period end)1,041,212991,426869,862514
Average pet acquisition cost (PAC)$235$228$2893(21)

Year ended December 31, 2024 compared to year ended December 31, 2023. New pet acquisition expense decreased by $6.0 million, or 8%, to $71.4 million for the year ended December 31, 2024. This decrease was primarily due to a decrease in expenses related to generating leads and driving conversion, particularly in the first half of 2024, as we focused on growth in our more efficient channels. New pet acquisition expense as a percentage of revenue was 6% for the year ended December 31, 2024 compared to 7% in the same period last year, as we were able to stay disciplined with our discretionary pet acquisition spend, while still managing to grow total enrolled subscription pets, excluding those related to managing general agent policies, by 5%.

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Depreciation and Amortization

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except percentages)
Depreciation and amortization$16,466$12,474$10,92132%14%
Percentage of total revenue1%1%1%

Year ended December 31, 2024 compared to year ended December 31, 2023. Depreciation and amortization expense increased by $4.0 million, or 32%, to $16.5 million for the year ended December 31, 2024 primarily driven by an increase in in-service internally developed software projects during the period.

Total Other Expense (Income), Net

Year Ended December 31,% Change
2024202320222024 vs. 20232023 vs. 2022
(in thousands, except percentages)
Interest expense$14,498$12,077$4,26720%183%
Other expense (income), net(14,374)(7,701)(3,072)87151
Total other (income) expense, net$124$4,376$1,195(97)%266%
Percentage of total revenue%%%

Year ended December 31, 2024 compared to year ended December 31, 2023. Total other expense decreased by $4.3 million to $0.1 million for the year ended December 31, 2024 primarily due to an increase in interest income from our investments partially offset by an increase in interest expense. Additionally, in 2023 total other expense included a credit loss of $1.7 million related to our preferred stock investment in Baystride, Inc. This loss was subsequently determined to be recovered, and was reversed through other expense during the year ended December 31, 2024.

Stock-Based Compensation

Year ended December 31, 2024 compared to year ended December 31, 2023. Stock-based compensation is included in the cost and expense line items in the consolidated statements of operations, discussed above. Stock-based compensation expense in total was $33.4 million for the year ended December 31, 2024, an increase from $33.2 million in the prior year period. The amount of stock-based compensation recognized largely reflects the timing and vesting of our annual performance grants, calculated according to our equity incentive plan. Additionally, the year ended December 31, 2023, included $4.8 million in stock-based compensation as a result of charges taken after certain executive departures.

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Quarterly Results of Operations

The following tables contain selected quarterly financial information for the years ended December 31, 2024 and 2023. The unaudited quarterly information has been prepared on a basis consistent with the audited consolidated financial statements and includes all adjustments that we consider necessary for a fair presentation of the information shown. These quarterly operating results for any fiscal quarter are not necessarily indicative of the operating results for any full fiscal year or future period.

Consolidated Statements of Operations Data:Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
(in thousands)
Revenue:
Subscription business$227,783$218,986$208,618$201,134$191,537$182,906$173,253$165,210
Other business109,524108,470106,182104,987104,320102,94797,31391,119
Total revenue337,307327,456314,800306,121295,857285,853270,566256,329
Cost of revenue:
Subscription business181,614177,365175,740172,132158,631157,444151,520146,091
Other business102,770100,71298,79197,76297,16293,17689,67383,892
Total cost of revenue(1)284,384278,077274,531269,894255,793250,620241,193229,983
Operating expenses:
Technology and development(1)8,1727,9338,1906,9605,9695,3025,2324,900
General and administrative(1)16,82816,97715,25314,67313,39012,66413,13621,017
New pet acquisition expense(1)18,35418,30817,87416,84317,18917,77220,76921,642
Goodwill impairment charges5,299
Depreciation and amortization3,9244,3814,3763,7853,0292,9903,2533,202
Total operating expenses52,57747,59945,69342,26139,57738,72842,39050,761
Gain (loss) from investment in joint venture2(34)(47)(103)(79)4(73)(71)
Operating income (loss)3481,746(5,471)(6,137)408(3,491)(13,090)(24,486)
Interest expense3,4273,8203,6553,5963,6973,0532,9402,387
Other expense (income), net(4,773)(3,538)(3,220)(2,843)(1,256)(2,465)(2,078)(1,902)
Income (loss) before income taxes1,6941,464(5,906)(6,890)(2,033)(4,079)(13,952)(24,971)
Income tax expense (benefit)3839(44)(38)130(43)(238)(191)
Net income (loss)$1,656$1,425$(5,862)$(6,852)$(2,163)$(4,036)$(13,714)$(24,780)

(1) Includes stock-based compensation expense as follows (in thousands):

Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
(in thousands)
Cost of revenue$1,337$1,401$1,395$1,390$1,478$1,176$1,307$1,318
Technology and development1,1601,2591,2611,254861650627708
General and administrative4,2614,1253,8613,4493,2693,2812,9488,219
New pet acquisition expense1,5361,5552,1292,0591,6931,7851,7552,086
Total stock-based compensation expense$8,294$8,340$8,646$8,152$7,301$6,892$6,637$12,331

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Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
Other Financial and Operational Data:
Total Business:
Total pets enrolled (at period end)1,677,5701,688,9031,699,6431,708,0171,714,4731,712,1771,679,6591,616,865
Subscription Business:
Total subscription pets enrolled (at period end)1,041,2121,032,0421,020,9341,006,168991,426969,322943,958906,369
Monthly average revenue per pet$76.02$74.27$71.72$69.79$67.07$65.82$64.41$63.58
Average pet acquisition cost (PAC)$261$243$231$207$217$212$236$247
Average monthly retention98.25%98.29%98.34%98.41%98.49%98.55%98.61%98.65%
Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
(as a percentage of revenue)
Revenue100%100%100%100%100%100%100%100%
Cost of revenue8485878886888990
Operating expenses:
Technology and development22322222
General and administrative55555458
New pet acquisition expense56666688
Goodwill impairment charges2
Depreciation and amortization11111111
Total operating expenses1514151414131619
Gain (loss) from investment in joint venture
Operating income (loss)1(2)(2)(1)(5)(10)
Interest expense11111111
Other expense (income), net(1)(1)(1)(1)(1)(1)(1)
Income (loss) before income taxes1(2)(2)(1)(1)(5)(10)
Income tax expense (benefit)
Net income (loss)%%(2)%(2)%(1)%(1)%(5)%(10)%
Three Months Ended
Dec. 31, 2024Sep. 30, 2024Jun. 30, 2024Mar. 31, 2024Dec. 31, 2023Sep. 30, 2023Jun. 30, 2023Mar. 31, 2023
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%100%100%100%100%100%
Subscription business cost of revenue8081848683868788

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Liquidity and Capital Resources

The following table summarizes our cash flows for the periods indicated (in thousands):

Year Ended December 31,
202420232022
Net cash provided by (used in) operating activities$48,287$18,638$(8,000)
Net cash provided by (used in) investing activities(13,457)7,639(67,516)
Net cash provided by (used in) financing activities(3,957)59,12660,743
Effect of foreign exchange rates on cash, cash equivalents, and restricted cash, net(1,877)424(1,459)
Net change in cash, cash equivalents, and restricted cash$28,996$85,827$(16,232)

Our primary requirements for liquidity are paying veterinary invoices, funding and growing our operations, funding our capital requirements, investing in new member acquisition, investing in enhancements to our member experience, and servicing debt. We have certain contractual obligations in the normal course of business, including obligations and commitments relating to our Credit Facility, non-cancellable vendor purchase agreements, as well as future payments of veterinary invoices. Refer to Note 9, Reserve for Veterinary Invoices, included in Item 8 of Part II of this 10-K, for further details on anticipated cash outflows.

Most recently, our primary sources of liquidity have been cash provided by operations and available borrowings from our Credit Facility. We believe these sources are sufficient to fund our operations and capital requirements for the next 12 months. As we continue to grow and consider strategic opportunities, however, we may explore additional financing to fund our operations and growth or for strategic purposes. Financing could include equity, equity-linked, or debt financing. Additional financing may not be available to us on acceptable terms, or at all. If our capital surplus grows relative to the rate of growth of our business, we may also generate cash for operations and growth, via dividends or other methods, from one or more of our underwriting entities.

As of December 31, 2024, we had $307.4 million in cash, cash equivalents and short-term investments, of which $272.0 million was held by our insurance entities. Outside of insurance entities, we held $35.4 million in cash, cash equivalents and short-term investments with an additional $15.0 million available under our Credit Facility. Our insurance entities maintained $288.0 million of capital surplus. The ability to distribute any portion of this capital surplus to our parent company, and the timing of any distribution, may be subject to regulatory limitations and may be delayed or limited from time to time.

In April 2021, our board of directors approved a share repurchase program, pursuant to which we may, between May 2021 and May 2026, repurchase outstanding shares of our common stock. While our board of directors has approved the program, any repurchase activity is subject to quarterly assessment and board approval, based on various factors including available cash, our stock price relative to our estimated intrinsic value, forecasted operating results, and available opportunities to deploy capital. We repurchased no shares under this program during the year ended December 31, 2024.

Operating Cash Flows

Net cash provided by operating activities was $48.3 million for the year ended December 31, 2024, compared to $18.6 million net cash provided by operating activities for the year ended December 31, 2023. This increase was primarily driven by improved operating results largely driven by higher revenue and improved Subscription Business margins, offset by timing differences in other working capital activities. Changes in accounts receivable and deferred revenue were primarily related to annual policies with annual payment terms within our other business segment. Changes in our reserve for veterinary invoices are driven by multiple factors, including ongoing analysis of claims frequency and severity as well as changes in claims inventory at period end.

Investing Cash Flows

Net cash used by investing activities was $13.5 million for the year ended December 31, 2024, primarily consisting of $9.7 million of capital expenditures primarily related to the development of internal-use software focused on member experience, claims processing, and internal policy management improvements and $5.8 million in purchases, net of sales and maturities, of investment securities. Net cash provided by investing activities was $7.6 million for the year ended December 31, 2023, primarily consisting of $24.3 million in sales and maturities of investment securities, net of purchases, offset by $18.3 million of capital expenditures primarily related to the development of internal-use software focused on member experience, claims processing, and internal policy management improvements.

Financing Cash Flows

Net cash used by financing activities was $4.0 million for the year ended December 31, 2024, primarily consisting of $2.5 million in shares withheld to satisfy tax withholdings and $1.4 million in repayments on the Credit Facility. Net cash provided by financing activities was $59.1 million for the year ended December 31, 2023, primarily consisting of $60.1 million in proceeds from the Credit Facility, partially offset by $1.7 million in debt repayments.

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Long-Term Debt

Our Credit Facility provides us with up to $150.0 million of credit. As of December 31, 2024, we issued term loans totaling $135.0 million under the Credit Facility. The Credit Facility is secured by substantially all of our assets and those of our subsidiaries. Refer to Note 10, Debt, included in Item 8 of this report, for further details.

Regulation

As of December 31, 2024, our insurance entities collectively held $125.5 million in cash and cash equivalents, to be used for operating expenses of our insurance entities, $146.4 million in short-term investments and $270.2 million in other current assets. Most of the assets in our insurance entities are subject to certain capital and dividend rules and regulations prescribed by jurisdictions in which they are authorized to operate.

American Pet Insurance Company ("APIC")

The majority of our investments are held by our insurance entities to satisfy risk-based capital requirements of our regulators based on requirements published by the National Association of Insurance Commissioners ("NAIC"). The NAIC requirements provide a method for analyzing the minimum amount of risk-based capital (statutory capital and surplus plus other adjustments) appropriate for an insurance company to support its overall business operations, taking into account the risk characteristics of the company’s assets, liabilities and certain other items. An insurance company found to have insufficient statutory capital based on its risk-based capital ratio may be subject to varying levels of additional regulatory oversight depending on the level of capital inadequacy. APIC must hold certain capital amounts in order to comply with the statutory regulations and, therefore, we cannot use these amounts for general operating purposes without regulatory approval. As our business grows, the amount of capital we are required to maintain to satisfy our risk-based capital requirements will also increase, though risk-based capital requirements also take our overall rate of growth into consideration. Recently, our other business segment growth has slowed and, currently, we expect that to continue, which would reduce capital requirements. APIC maintained $245.5 million and $199.6 million of capital surplus as of December 31, 2024 and 2023, respectively. In July 2024, APIC distributed an ordinary dividend of $4.2 million to Trupanion, Inc.

ZPIC Insurance Company ("ZPIC"), QPIC Insurance Company ("QPIC"), and GPIC Insurance Company ("GPIC")

In 2021, we established two new wholly-owned U.S. insurance subsidiaries, ZPIC and QPIC, domiciled in Missouri and Nebraska, respectively, and in 2022 we established a new wholly-owned insurance subsidiary, GPIC, domiciled in Canada. We formed these insurance subsidiaries to provide us flexibility as to the insurance entity we use to market and write policies. We have funded the required statutory capital to each of these new subsidiaries. Due to anticipated lack of use, during the year ended December 31, 2024, we fully dissolved QPIC, which included a distribution of $7.0 million of previously required capital to Trupanion, Inc.

Wyndham Insurance Company (SAC) Limited ("WICL") Segregated Account AX, Wyndham Insurance Company (SAC) Limited Segregated Account Trupanion Germany, and Wyndham Insurance Company (SAC) Limited Segregated Account Trupanion Switzerland

WICL is domiciled in Bermuda and regulated by the Bermuda Monetary Authority ("BMA"). WICL Segregated Account AX was established by WICL, with Trupanion, Inc. as the shareholder, to enter into a reinsurance agreement with Accelerant Insurance Company of Canada, formerly known as Omega General Insurance Company. All of the assets and liabilities of WICL Segregated Account AX are legally segregated from other assets and liabilities within WICL, and all shares of the segregated account are owned by Trupanion, Inc. In April 2024, our parent company received a dividend of $8.6 million from WICL Segregated Account AX as permitted under our agreements with WICL. As required by the Office of the Superintendent of Financial Institutions regulations related to our reinsurance agreement with Accelerant Insurance Company of Canada, we are required to maintain a Canadian Trust account with the greater of CAD $2.0 million or 120% of unearned Canadian premium plus 20% of outstanding Canadian claims, including all incurred but not reported claims. As of December 31, 2024, the account held CAD $19.9 million.

WICL Segregated Account Trupanion Germany and WICL Segregated Account Trupanion Switzerland were established in the third quarter of 2024 by WICL, with Trupanion, Inc. as the shareholder, for purposes of entering into reinsurance agreements with underwriters in Germany and Switzerland, respectively. All of the assets and liabilities of WICL Segregated Account Trupanion Germany and WICL Segregated Account Trupanion Switzerland are legally segregated from other assets and liabilities within WICL, and all shares of the segregated accounts are owned by Trupanion, Inc.

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Though we are not directly regulated by the BMA, WICL's regulation and compliance impacts us as it could have an adverse impact on our ability to secure dividends from our WICL segregated accounts. WICL is regulated by the BMA under the Insurance Act of 1978 ("Insurance Act") and the Segregated Accounts Company Act of 2000. The Insurance Act imposes on Bermuda insurance companies, solvency and liquidity standards, certain restrictions on the declaration and payment of dividends and distributions, certain restrictions on the reduction of statutory capital, and auditing and reporting requirements, and grants the BMA powers to supervise and, in certain circumstances, to investigate and intervene in the affairs of insurance companies. Under the Insurance Act, WICL, as a class 3 insurer, is required to maintain available statutory capital and surplus at a level equal to or in excess of a prescribed minimum established by reference to net written premiums and loss reserves.

Under the Bermuda Companies Act 1981, as amended, a Bermuda company may not declare or pay a dividend or make a distribution out of contributed surplus if there are reasonable grounds for believing that: (a) the company is, or would after the payment be, unable to pay its liabilities as they become due; or (b) the realizable value of the company’s assets would thereby be less than its liabilities. The Segregated Accounts Company Act of 2000 further requires that dividends out of a segregated account can only be paid to the extent that the account remains solvent and the value of its assets remain greater than the aggregate of its liabilities and its issued share capital and share premium accounts.

Contractual Obligations

We enter into long-term contractual obligations and commitments in the normal course of business, consisting primarily of debt obligations and non-cancellable vendor service agreements. In March 2022, we entered into a credit agreement that provides us with up to $150.0 million of credit, including a $60.0 million initial term loan that was funded at closing and an aggregate $75.0 million of delayed draw term loans funded between December 2022 and September 2023. Refer to Note 10, Debt, included in Item 8 of Part II of this report, for further details, including interest and future principal repayments.

Critical Accounting Policies and Significant Estimates

Our discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the consolidated financial statements, as well as the reported revenue and expenses during the reporting periods.

Critical accounting policies and estimates are those that we consider the most important to the portrayal of our financial condition and results of operations because they require our most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Generally, we base our estimates on historical experience and on various other factors that we believe to be reasonable under the circumstances. Actual results may differ from these estimates.

Reserve for Veterinary Invoices

The reserve for veterinary invoices represents our estimate of future amounts we will pay for veterinary claims that have been incurred but not yet paid as of the reporting date. The reserve also includes our best estimate of related internal processing costs. We use the paid development method and other commonly used actuarial methods to estimate reserves for veterinary invoices for our subscription business and for the majority of our other business segment. Paid loss development factors measure the pattern of veterinary invoice payments over time and are used to estimate ultimate loss incurred. These factors are derived from historical paid loss triangles and reflect observed claim settlement patterns and any operational or external changes affecting claim payments including, but not limited to:

•the number of veterinary invoices we expect to receive,

•the average cost of those veterinary invoices,

•the time elapsed between the date of loss and the date of payment,

•the appropriate segmentation between product lines or claim processing method, and

•the expected cost to process and administer claim payments

As of each reporting date, we also utilize subsequent claims payment activities to monitor and reevaluate previously established reserves. If estimates are determined to be materially different than originally reported, we record “development” in the results of operations in the period the estimates are changed. Development is unfavorable when losses ultimately settle for more than the amount reserved or subsequent estimates indicate a basis for reserve increases on unresolved claims. Development is favorable when losses ultimately settle for less than the amount reserved, or subsequent estimates indicate a basis for reducing loss reserves on unresolved claims.

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As of December 31, 2024, our reserve for veterinary invoices was $51.6 million, consisting of $49.3 million for the amount we expect to pay in the future for veterinary invoices dated between January 1, 2024 and December 31, 2024, inclusive of related processing costs, and a reserve of $2.3 million for invoices dated prior to January 1, 2024. We believe the reserve amount as of December 31, 2024 is adequate, and we do not believe that there are any reasonably likely changes in the facts or circumstances underlying key assumptions that would result in the reserve balance being insufficient in an amount that would have a material impact on our reported results, financial position or liquidity. The ultimate liability, however, may be in excess of or less than the amount we have reserved.

For the year ended December 31, 2024, we paid $60.1 million for veterinary invoices dated on or before December 31, 2023, including related processing costs. Our reserve estimate for these expenses was $63.2 million as of December 31, 2023. As of December 31, 2024, we had unfavorable development on veterinary invoice reserves of $0.8 million for the year ended December 31, 2023. Refer to Note 9, Reserve for Veterinary Invoices, in Item 8 of Part II of this report, for further details.

Income Taxes

We determine our deferred tax assets and liabilities based on the differences between the financial reporting and tax basis of assets and liabilities. The deferred tax assets and liabilities are measured using the enacted tax rates that will be in effect when the differences are expected to reverse. A valuation allowance is recorded when it is more likely than not that the deferred tax asset will not be recovered. We apply judgment in the determination of the consolidated financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Although we believe our assumptions, judgments and estimates are reasonable, changes in tax laws or our interpretation of tax laws and the resolution of any tax audits could significantly impact the amounts provided for income taxes in our consolidated financial statements.

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FY 2023 10-K MD&A

SEC filing source: 0001371285-24-000029.

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2024-02-27. Report date: 2023-12-31.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Please read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial statements and related notes included under Part II, Item 8 of this Annual Report on Form 10-K.

This section of this Form 10-K generally discusses 2023 and 2022 items and year-to-year comparisons between 2023 and 2022. Discussions of 2021 items and year-to-year comparisons between 2022 and 2021 that are not included in this Form 10-K can be found in "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 of the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2022.

Overview

We provide medical insurance for cats and dogs in the United States, Canada, Continental Europe, and Australia. Through our data-driven, vertically-integrated approach, we develop and offer high value medical insurance products, priced specifically for each pet’s unique characteristics and coverage level. Our growing and loyal membership base provides us with highly predictable and recurring revenue.

We operate in two business segments: subscription business and other business. We generate revenue in our subscription business segment primarily by subscription fees from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our new pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also provide "Powered by Trupanion" pet insurance product offerings marketed by third parties, and, in Canada, low and medium ARPU products marketed under the brand names Furkin and PHI Direct. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within our subscription business segment we also offer products in Continental Europe, which are currently underwritten using third-party underwriters.

Our other business segment is comprised of revenue from other product offerings, with third parties with whom we generally have a business-to-business relationship. This business segment has a different margin profile than our subscription segment and includes revenue from writing policies on behalf of third parties and revenue from other products and insurance software solutions. This segment of our business is not part of our core business strategy and generally has a lower margin. Over time it is reasonable to expect changes to this segment which may impact the revenue contribution due to a partner or partners rolling off to new underwriters.

We generate leads for our subscription business segment from a diverse set of member acquisition channels, which we then convert into members through our contact center, website and other direct-to-consumer activities. These channels include leads from third-parties such as veterinarians and referrals from existing members. Veterinary hospitals represent our largest referral source. We engage our “Territory Partners” to have face-to-face visits with veterinarians and their staff. Territory Partners are dedicated to cultivating direct veterinary relationships and building awareness of the benefits of high quality medical insurance to veterinarians and their clients. Veterinarians then educate pet owners, who visit our website or call our contact center to learn more about, and potentially enroll in, Trupanion. We also receive a significant number of new leads from existing members adding pets and referring their friends and family members. Our direct-to-consumer acquisition channels serve as important resources for pet owner education and drive new member leads and conversion. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

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Key Operating Metrics

The following tables set forth total pets enrolled and key operating metrics for our subscription business for the years ended December 31, 2023, 2022 and 2021, and for each of the last eight fiscal quarters.

Year Ended December 31,
202320222021
Total Business:
Total pets enrolled (at period end)1,714,4731,537,5731,176,778
Subscription Business:
Total subscription pets enrolled (at period end)991,426869,862704,333
Monthly average revenue per pet$65.26$63.82$63.56
Lifetime value of a pet, including fixed expenses$419$641$717
Average pet acquisition cost (PAC)$228$289$287
Average monthly retention98.49%98.69%98.74%
Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
Total Business:
Total pets enrolled (at period end)1,714,4731,712,1771,679,6591,616,8651,537,5731,439,6051,348,1451,267,253
Subscription Business:
Total subscription pets enrolled (at period end)991,426969,322943,958906,369869,862808,077770,318736,691
Monthly average revenue per pet$67.07$65.82$64.41$63.58$63.11$63.80$64.26$64.21
Lifetime value of a pet, including fixed expenses$419$428$470$541$641$673$713$730
Average pet acquisition cost (PAC)$217$212$236$247$283$268$309$301
Average monthly retention98.49%98.55%98.61%98.65%98.69%98.71%98.74%98.75%

Total pets enrolled and total subscription pets enrolled include pet enrollments in European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker. Per pet metrics, however, exclude these European policies, as their revenue is currently earned from commissions, as opposed to the gross underwriting premiums earned by the remainder of our subscription business.

Total pets enrolled. Total pets enrolled reflects the number of subscription pets or pets enrolled in one of the insurance products offered in our other business segment at the end of each period presented. We monitor total pets enrolled because it provides an indication of the growth of our consolidated business.

Total subscription pets enrolled. Total subscription pets enrolled reflects the number of pets in active memberships at the end of each period presented. We monitor total subscription pets enrolled because it provides an indication of the growth of our subscription business.

Monthly average revenue per pet. Monthly average revenue per pet is calculated as amounts billed in a given period for subscriptions divided by the total number of subscription pet months in the period. Total subscription pet months in a period represents the sum of all subscription pets enrolled for each month during the period. We monitor monthly average revenue per pet because it is an indicator of the per pet unit economics of our subscription business.

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Lifetime value of a pet, including fixed expenses. Lifetime value of a pet, including fixed expenses, is calculated based on subscription revenue less cost of revenue from our subscription business segment for the 12 months prior to the period end date excluding stock-based compensation expense related to cost of revenue from our subscription business segment, sign-up fee revenue and the change in deferred revenue between periods. This amount is also reduced by the fixed expenses related to our subscription business, which are the pro-rata portion of general and administrative and technology and development expenses, less stock-based compensation, based on revenues. This amount, on a per pet basis, is multiplied by the implied average subscriber life in months. Implied average subscriber life in months is calculated as the quotient obtained by dividing one by one minus the average monthly retention rate. We monitor lifetime value of a pet, including fixed expenses, to estimate the value we might expect from new pets over their implied average subscriber life in months, if they behave like the average pet in that respective period. When evaluating the amount of pet acquisition expenses we may want to incur to attract new pet enrollments, we refer to the lifetime value of a pet, including fixed expenses, as well as our estimated internal rate of return calculation for an average pet, which also includes an estimated surplus capital charge, to inform the amount of acquisition spend in relation to the estimated payback period.

Average pet acquisition cost. Average pet acquisition cost (PAC) is calculated as net acquisition cost divided by the total number of new subscription pets enrolled in that period. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because that does not relate to subscription enrollments. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Average monthly retention. Average monthly retention is measured as the monthly retention rate of enrolled subscription pets for each applicable period averaged over the 12 months prior to the period end date. As such, our average monthly retention rate as of December 31, 2023 is an average of each month’s retention from January 1, 2023 through December 31, 2023. We calculate monthly retention as the number of pets that remain after subtracting all pets that cancel during a month, including pets that enroll and cancel within that month, divided by the total pets enrolled at the beginning of that month. We monitor average monthly retention because it provides a measure of member satisfaction and allows us to calculate the implied average subscriber life in months.

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Non-GAAP Financial Measures

In addition to our results determined in accordance with U.S. GAAP, we believe the following non-GAAP financial measures are useful in evaluating our operating performance. We use the following non-GAAP financial information to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that these non-GAAP financial measures, when taken collectively, may be helpful to investors in providing consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation, or as a substitute for, the directly comparable financial measures prepared in accordance with GAAP.

We calculate these non-GAAP financial measures by excluding certain non-cash or non-recurring expenses. We exclude non-recurring transactions and restructuring expenses as they are not indicative of our operating performance. We exclude stock-based compensation as it is non-cash in nature. Although stock-based compensation expenses are expected to remain recurring expenses for the foreseeable future, we believe excluding them allows investors to make meaningful comparisons between our recurring core business operating results and those of other companies. We define non-GAAP development expenses as operating expenses incurred to develop new products and offerings that are pre-revenue. We define non-GAAP fixed expenses as the total of technology and development expense and general and administrative expense, less stock-based compensation expense, non-recurring transaction and restructuring expense, and development expenses related to exploring and developing new products and offerings that generally are in the pre-revenue stage or not at scale.

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The following tables present the reconciliation of our non-GAAP financial measures from corresponding GAAP measures for the periods presented (in thousands):

Year Ended December 31,
202320222021
Veterinary invoice expense$831,055$649,737$486,062
Less:
Stock-based compensation expense(1)(3,450)(4,054)(4,538)
Other business cost of paying veterinary invoices(287,858)(212,857)(129,614)
Subscription cost of paying veterinary invoices (non-GAAP)$539,747$432,826$351,910
% of subscription revenue75.7%72.5%71.1%
Other cost of revenue$146,534$133,257$108,583
Less:
Stock-based compensation expense(1)(1,544)(2,232)(2,610)
Other business variable expenses(75,756)(72,453)(57,367)
Subscription variable expenses (non-GAAP)$69,234$58,572$48,606
% of subscription revenue9.7%9.8%9.8%
Technology and development expense$21,403$25,133$16,866
General and administrative expense60,20739,37931,893
Less:
Stock-based compensation expense(1)(19,869)(17,135)(11,918)
Non-recurring transaction or restructuring expenses (2)(4,175)(372)(82)
Development expenses(3)(5,100)(7,789)(3,719)
Fixed expenses (non-GAAP)$52,466$39,216$33,040
% of total revenue4.7%4.3%4.7%
New pet acquisition expense$77,372$89,500$78,647
Less:
Stock-based compensation expense(1)(7,000)(9,116)(9,160)
Other business pet acquisition expense(200)(541)(499)
Subscription acquisition cost (non-GAAP)$70,172$79,843$68,988
% of subscription revenue9.8%13.3%13.9%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $1.3 million for the year ended December 31, 2023. (2)Consists of business acquisition transaction expenses, severance and legal costs due to certain executive departures, and a $3.8 million non-recurring settlement of accounts receivable in the first quarter of 2023 related to uncollected premiums in connection with the transition of underwriting a third-party business to other insurers.
(3)As we enter the next phase of our growth, we expect to invest in initiatives that are pre-revenue, including adding new products and international expansion. These development expenses are costs related to product exploration and development that are pre-revenue and historically have been insignificant.

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Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
Veterinary invoice expense$217,739$212,441$206,738$194,137$176,083$171,112$157,616$144,926
Less:
Stock-based compensation expense(1)(885)(870)(856)(839)(899)(960)(1,022)(1,173)
Other business cost of paying veterinary invoices(77,572)(72,694)(72,443)(65,149)(59,946)(58,197)(50,378)(44,336)
Subscription cost of paying veterinary invoices (non-GAAP)$139,282$138,877$133,439$128,149$115,238$111,955$106,216$99,417
% of subscription revenue72.7%75.9%77.0%77.6%72.7%73.5%72.8%71.1%
Other cost of revenue$38,054$38,179$34,455$35,846$36,277$32,589$33,212$31,179
Less:
Stock-based compensation expense(1)(386)(282)(428)(448)(414)(433)(754)(631)
Other business variable expenses(19,301)(20,482)(17,230)(18,743)(20,591)(17,346)(18,010)(16,506)
Subscription variable expenses (non-GAAP)$18,367$17,415$16,797$16,655$15,272$14,810$14,448$14,042
% of subscription revenue9.6%9.5%9.7%10.1%9.6%9.7%9.9%10.0%
Technology and development expense$5,969$5,302$5,232$4,900$6,955$6,553$6,396$5,229
General and administrative expense13,39012,66413,13621,01710,47210,3149,2279,366
Less:
Stock-based compensation expense(1)(3,797)(3,754)(3,497)(8,821)(5,019)(4,805)(4,085)(3,226)
Non-recurring transaction or restructuring expenses (2)(8)(65)(4,102)(193)(179)
Development expenses(3)(1,683)(1,594)(925)(898)(2,084)(2,435)(2,012)(1,258)
Fixed expenses (non-GAAP)$13,879$12,610$13,881$12,096$10,131$9,448$9,526$10,111
% of total revenue4.7%4.4%5.1%4.7%4.1%4.0%4.3%4.9%
New pet acquisition expense$17,189$17,772$20,769$21,642$22,457$22,434$22,982$21,627
Less:
Stock-based compensation expense(1)(1,567)(1,679)(1,722)(2,032)(2,079)(2,108)(2,601)(2,328)
Other business pet acquisition expense(77)(10)(62)(51)(65)(181)(186)(109)
Subscription acquisition cost (non-GAAP)$15,545$16,083$18,985$19,559$20,313$20,145$20,195$19,190
% of subscription revenue8.1%8.8%11.0%11.8%12.5%13.2%13.9%13.7%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.7 million for the three months ended December 31, 2023. (2)Consists of business acquisition transaction expenses, severance and legal costs due to certain executive departures, and a $3.8 million non-recurring settlement of accounts receivable in the first quarter of 2023 related to uncollected premiums in connection with the transition of underwriting a third-party business to other insurers.
(3)As we enter the next phase of our growth, we expect to invest in initiatives that are pre-revenue, including adding new products and international expansion. These development expenses are costs related to product exploration and development that are pre-revenue and historically have been insignificant.

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When determining our PAC, we calculate net acquisition cost for a more comparable metric across periods. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as GAAP new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, and pet acquisition expense for commission-based policies, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on the number of awards issued and market-based valuation inputs. We exclude other business segment pet acquisition expense because it does not relate to subscription enrollments. We exclude pet acquisition expense for commission-based policies because the revenue of these products is earned from commissions from a third party underwriter, as opposed to the gross underwriting premiums earned by the remainder of our subscription business. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses.

The following tables reconcile GAAP new pet acquisition expense to non-GAAP net acquisition cost (in thousands) for the years ended December 31, 2023, 2022, and 2021, and for each of the last eight fiscal quarters:

Year Ended December 31,
202320222021
New pet acquisition expense$77,372$89,500$78,647
Net of sign-up fee revenue(4,527)(4,984)(4,954)
Excluding:
Stock-based compensation expense(7,000)(9,116)(9,160)
Other business pet acquisition expense(200)(541)(499)
Pet acquisition expense for commission-based policies(3,443)(443)
Net acquisition cost$62,202$74,416$64,034
Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
New pet acquisition expense$17,189$17,772$20,769$21,642$22,457$22,434$22,982$21,627
Net of sign-up fee revenue(1,035)(1,084)(1,189)(1,219)(1,191)(1,339)(1,252)(1,202)
Excluding:
Stock-based compensation expense(1,567)(1,679)(1,722)(2,032)(2,079)(2,108)(2,601)(2,328)
Other business pet acquisition expense(77)(10)(62)(51)(65)(181)(186)(109)
Pet acquisition expense for commission-based policies(802)(826)(888)(927)(443)
Net acquisition cost$13,708$14,173$16,908$17,413$18,679$18,806$18,943$17,988

Components of Operating Results

General

We operate in two business segments: subscription business and other business. We generate revenue in our subscription business segment primarily by subscription fees from direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. Within our subscription business, we also provide "Powered by Trupanion" pet insurance product offerings marketed by third parties and, in Canada, low and medium ARPU products marketed under the brand names Furkin and PHI Direct. We provide a full suite of services and support for these products and they are designed to align with the target margin profile of our subscription business segment. Within our subscription business segment we also offer products in Continental Europe, which are currently underwritten using third-party underwriters.

Our other business segment is comprised of revenue from other product offerings with third parties with whom we generally have a business-to-business relationship. This business segment has different margin profile than our subscription segment and includes revenue from writing policies on behalf of third parties and revenue from other products and insurance software solutions.

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Revenue

We generate revenue in our subscription business segment primarily from subscription fees for our pet medical insurance. Fees are paid at the beginning of each subscription period. In most cases, our members authorize us to directly charge their credit card, debit card or bank account through automatic funds transfer. Subscription revenue is recognized on a pro rata basis over the enrollment term. Membership may be canceled at any time without penalty, and we issue a refund for the unused portion of the canceled membership. We also generate a portion of our subscription business segment revenue through commissions earned in our European markets, where policies are currently underwritten by third parties and Trupanion is acting as an insurance broker.

We generate revenue in our other business segment primarily from writing policies on behalf of third parties where we do not undertake the direct consumer marketing. This segment also includes revenue from other products and insurance software solutions that have a different margin profile from our subscription business.

Cost of Revenue

Cost of revenue in each of our segments is comprised of the following:

Veterinary invoice expense

Veterinary invoice expense includes our costs to review and pay veterinary invoices, administer the payments, and provide member services, and other operating expenses directly or indirectly related to this process. We also accrue for veterinary invoices that have been incurred but not yet received and for the estimated internal costs of processing those invoices. This also includes amounts paid by unaffiliated general agents on our behalf, and an estimate of amounts incurred and not yet paid for our other business segment.

Other cost of revenue

Other cost of revenue for the subscription business segment includes direct and indirect member service expenses, Territory Partner renewal fees, payment processing fees and premium tax expenses. Other cost of revenue for the other business segment includes the commissions we pay to unaffiliated general agents, costs to administer the programs in the other business segment and premium taxes on the sales in this segment.

Operating Expenses

Our operating expenses are classified into four categories: technology and development, general and administrative, new pet acquisition expense, and depreciation and amortization. For each category, except depreciation and amortization, the largest component is personnel costs, which include salaries, employee benefit costs, bonuses and stock-based compensation expense.

Technology and development

Technology and development expenses primarily consist of personnel costs and related expenses for our technology staff, which includes information technology development and infrastructure support, including third-party services. It also includes expenses associated with development in new geographies and new products and offerings.

General and administrative

General and administrative expenses consist primarily of personnel costs and related expenses for our finance, actuarial, human resources, regulatory, legal and general management functions, as well as facilities and professional services.

New pet acquisition expense

New pet acquisition expenses primarily consist of costs, including personnel costs, to educate veterinarians and consumers about the benefits of Trupanion, to generate leads and to convert leads into enrolled pets, as well as print, online and promotional advertising costs.

Depreciation and amortization

Depreciation and amortization expenses consist of depreciation of property, equipment, and software developed for internal use, as well as amortization of finite-lived intangible assets.

Gain (loss) from investment in joint venture

Gain (loss) from investment in joint venture consists of the share of income and losses from our equity method investment in a joint venture, as well as income and expenses associated with administrative services provided to the joint venture.

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Stock-based compensation

Stock-based compensation is included in the cost and expense line items above. Stock-based compensation will vary depending on corporate performance and terms of the awards under our equity incentive plan. For example, when we have delivered strong performance, stock-based compensation may increase as a result of incentive-based awards under our equity incentive plan.

Factors Affecting Our Performance

Average monthly retention. Our performance depends on our ability to continue to retain our existing and newly enrolled pets and is impacted by our ability to provide a best-in-class value and member experience. Our ability to retain enrolled pets depends on a number of factors, including the actual and perceived value of our services and the quality of our member experience, the ease and transparency of the process for reviewing and paying veterinary invoices for our members, the rate of veterinary inflation and of our pricing adjustments, and the competitive environment. In addition, other initiatives across our business may temporarily impact retention and make it difficult for us to improve or maintain this metric. For example, if the number of new pets enrolled increases at a faster rate than our historical experience, our average monthly retention rate could be adversely impacted, as our retention rate is generally lower during the first year of member enrollment.

Investment in pet acquisition. We have made and may continue to make significant investments to grow our member base. Our net acquisition cost and the number of new members we enroll depends on a number of factors, including the amount we have available and we elect to invest in pet acquisition activities in any particular period in the aggregate and by channel, the frequency of existing members adding a pet or referring their friends or family, the effectiveness of our sales execution and marketing initiatives, changes in costs of media, the mix of our pet acquisition expenditures and the competitive environment. Our average pet acquisition cost has in the past significantly varied, and in the future may significantly vary, from period to period based upon specific marketing initiatives and estimated rates of return on pet acquisition spend. We also regularly test new member acquisition channels and marketing initiatives, which may be more expensive than our traditional marketing channels and may increase our average acquisition costs. We continually assess our pet acquisition activities by monitoring the estimated return on PAC spend both on a detailed level by acquisition channel and in the aggregate.

Timing of price adjustments. Our subscription business’s cost-plus model depends on our ability to estimate our operating costs and expenses, including veterinary invoice expenses, and to adjust our pricing to achieve our target returns. We regularly reevaluate and adjust the price of our subscriptions, with a goal of achieving our targeted payout ratio, subject to the review and approval of regulators where applicable. This makes it important for us to accurately estimate our costs and to promptly implement pricing adjustments, which generally roll onto our book of insured pets over the succeeding twelve months following any applicable regulatory approval. As a result, we may have timing mismatches during which our pricing does not reflect our current expense profile. In periods of rapid increases in veterinary invoice expenses, including periods of significant inflation, this timing mismatch may have a significant impact on our margin profile.

Timing of initiatives. Over time, we plan to implement new initiatives to improve our member experience, make modifications to our subscription plan, introduce new coverage plans, pursue pet food or other adjacent opportunities, improve our technology, increase the number of veterinary hospitals using our patented direct pay software, and find other ways to maintain a strong value proposition for our members. The implementation of such initiatives could impact our expense profile and result in us incurring expenses that may not always directly coincide with revenue increases, resulting in fluctuations in revenue and profitability in our subscription business segment.

Mix of sales. The relative mix of our business by geography, pet age, species, breed, and other factors impacts the monthly average revenue per pet we receive. For example, prices from our plans could vary depending on the relative cost of veterinary care in different countries or areas or whether the pet is a dog or a cat. As our mix of business between products and geographies changes, our metrics, such as our monthly average revenue per pet, and our exposure to foreign exchange fluctuations will be impacted. We expect our international business, additional product offerings and "Powered by Trupanion" plans to grow and, in turn, we expect these effects to increase.

Other business segment. Our other business segment primarily includes other product offerings that have been, materially different from those in our subscription business segment. We expect this difference to continue. In addition, we expect the growth rate of this segment to be materially different from our subscription business segment. We do not undertake marketing efforts for and are not the primary interface with the customers of the third parties for whom we write other business segment policies. Our relationships in our other business segment are generally subject to termination provisions and are non-exclusive. Accordingly, we have limited influence on the volume of business of this segment. Loss of an entire program via contract termination could result in the associated policies and revenue being lost over a period of 12 to 18 months, which could have a material impact on our results of operations. In some cases, we have structured exclusive relationships, but those relationships have been and may continue to be subject to limitations on the number of enrolled pets as to which we will write policies for the third party. We may enter into additional relationships in this segment in the future, if we believe they will be beneficial, which could impact our operating results.

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Results of Operations

The following tables set forth our results of operations for the periods presented both in absolute dollars and as a percentage of total revenue for those periods. The period-to-period comparison of financial results is not necessarily indicative of future results.

Year Ended December 31,
202320222021
(in thousands)
Revenue:
Subscription business$712,906$596,610$494,862
Other business395,699308,569204,129
Total revenue1,108,605905,179698,991
Cost of revenue:
Subscription business(1)613,686497,684407,664
Other business363,903285,310186,981
Total cost of revenue977,589782,994594,645
Operating expenses:
Technology and development(1)21,40325,13316,866
General and administrative(1)60,20739,37931,893
New pet acquisition expense(1)77,37289,50078,647
Depreciation and amortization12,47410,92111,965
Total operating expenses171,456164,933139,371
Gain (loss) from investment in joint venture(219)(253)(171)
Operating loss(40,659)(43,001)(35,196)
Interest expense12,0774,26710
Other expense (income), net(7,701)(3,072)14
Loss before income taxes(45,035)(44,196)(35,220)
Income tax expense (benefit)(342)476310
Net loss$(44,693)$(44,672)$(35,530)

(1) Includes stock-based compensation expense as follows:

Year Ended December 31,
202320222021
(in thousands)
Cost of revenue$5,279$6,484$7,148
Technology and development2,8464,7423,056
General and administrative17,71712,8318,862
New pet acquisition expense7,3199,3369,160
Total stock-based compensation expense$33,161$33,393$28,226

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Year Ended December 31,
202320222021
(as a percentage of revenue)
Revenue100%100%100%
Cost of revenue888785
Operating expenses:
Technology and development232
General and administrative545
New pet acquisition expense71011
Depreciation and amortization112
Total operating expenses151820
Gain (loss) from investment in joint venture
Operating loss(4)(5)(5)
Interest expense1
Other expense (income), net(1)
Loss before income taxes(4)(5)(5)
Income tax expense (benefit)
Net loss(4)%(5)%(5)%
Stock-based compensation expense:Year Ended December 31,
202320222021
(as a percentage of revenue)
Cost of revenue%1%1%
Technology and development1
General and administrative211
New pet acquisition expense111
Total stock-based compensation expense3%4%4%
Year Ended December 31,
202320222021
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%
Subscription business cost of revenue868382

49

Comparison of the years ended December 31, 2023, 2022, and 2021

Revenue

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except percentages, pet and per pet data)
Revenue:
Subscription business$712,906$596,610$494,86219%21%
Other business395,699308,569204,1292851
Total revenue$1,108,605$905,179$698,9912229
Percentage of Revenue by Segment:
Subscription business64%66%71%
Other business363429
Total revenue100%100%100%
Total pets enrolled (at period end)1,714,4731,537,5731,176,7781231
Total subscription pets enrolled (at period end)991,426869,862704,3331424
Monthly average revenue per pet$65.26$63.82$63.562
Average monthly retention98.49%98.69%98.74%

Year ended December 31, 2023 compared to year ended December 31, 2022. Total revenue increased by $203.4 million, or 22%, to $1,108.6 million for the year ended December 31, 2023. Revenue from our subscription business segment increased by $116.3 million, or 19%, to $712.9 million for the year ended December 31, 2023. This increase was primarily driven by a 17% increase in total subscription pet months (the sum of pets enrolled for each month during a period) for policies underwritten by Trupanion and a 2% increase in monthly average revenue per pet. Revenue from our other business segment increased by $87.1 million to $395.7 million, or 28%, for the year ended December 31, 2023. This increase was primarily driven by a 24% increase in pet months and a 5% increase in monthly average revenue per pet in this segment.

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Cost of Revenue

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except percentages, pet and per pet data)
Cost of Revenue:
Subscription business:
Veterinary invoice expense$543,196$436,880$356,44824%23%
Other cost of revenue70,49060,80451,2161619
Total cost of revenue613,686497,684407,6642322
Other business:
Veterinary invoice expense287,859212,857129,6143564
Other cost of revenue76,04472,45357,367526
Total cost of revenue363,903285,310186,9812853
Percentage of Revenue by Segment:
Subscription business:
Veterinary invoice expense76%73%72%
Other cost of revenue101010
Total cost of revenue868382
Other business:
Veterinary invoice expense736963
Other cost of revenue192328
Total cost of revenue929292
Total pets enrolled (at period end)1,714,4731,537,5731,176,7781231
Total subscription pets enrolled (at period end)991,426869,862704,3331424
Monthly average revenue per pet$65.26$63.82$63.562

Year ended December 31, 2023 compared to year ended December 31, 2022. Total cost of revenue for our subscription business segment increased $116.0 million, or 23%, to $613.7 million for the year ended December 31, 2023.

This increase was driven by a $106.3 million, or 24%, increase in veterinary invoice expense and a $9.7 million, or 16%, increase in other cost of revenue. The 24% increase in veterinary invoice expense was driven by a 17% increase in total subscription pet months for policies underwritten by Trupanion and a 7% increase in veterinary invoice expense per pet. The 16% increase in other cost of revenue was primarily driven by general increases in costs attributable to growth in our membership, in line with revenue growth in this segment. Subscription business cost of revenue increased from 83% to 86% of revenue year-over-year.

Total cost of revenue for our other business segment increased by $78.6 million, or 28%, to $363.9 million for the year ended December 31, 2023. The increase was primarily driven by a $75.0 million, or 35%, increase in veterinary invoice expense and a $3.6 million, or 5%, increase in other cost of revenue. The 35% increase in veterinary invoice expense was primarily driven by a 24% increase in pet months in this segment and a 9% increase in veterinary invoice expense per pet. The 5% increase in other cost of revenue was primarily driven by general increases in premium-based expenses. Cost of revenue for the other business segment remained at a constant 92% of revenue year-over-year.

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Technology and Development Expenses

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except percentages)
Technology and development$21,403$25,133$16,866(15)%49%
Percentage of total revenue2%3%2%

Year ended December 31, 2023 compared to year ended December 31, 2022. Technology and development expenses decreased by $3.7 million, or 15%, to $21.4 million for the year ended December 31, 2023. This decrease was primarily due to a decrease of $5.0 million in development expense as several initiatives that were pre-revenue in the prior year were launched and have begun generating revenue. Expenses associated with these initiatives are now recorded within the income statement based on the underlying nature of the expense. This decrease was partially offset by a $1.1 million increase in general compensation and other employee-related expenses and a $0.9 million increase in IT system hosting expenses. Technology and development expenses decreased from 3% to 2% of total revenue year over year

General and Administrative Expenses

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except percentages)
General and administrative$60,207$39,379$31,89353%23%
Percentage of total revenue5%4%5%

Year ended December 31, 2023 compared to year ended December 31, 2022. General and administrative expenses increased by $20.8 million, or 53%, to $60.2 million for the year ended December 31, 2023. The increase in expense was primarily due to a $4.8 million increase in stock-based compensation related to charges after certain executive departures and a $3.8 million increase related to the negotiated settlement of uncollected premiums in connection with the transition of underwriting a third-party business to other insurers. Additionally, there was a $6.4 million increase in general compensation and other employee-related expenses, a $2.2 million increase in professional services and consulting expenses, a $1.4 million increase in year-over-year expenses related to a full year of Smart Paws and Pet Expert operations in 2023, and a $0.9 million increase in licensing and regulatory fees. General and administrative expenses increased from 4% to 5% of total revenue year over year, partially due to certain non-recurring expenses.

New Pet Acquisition Expense

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except pet and per pet data)
New pet acquisition expense$77,372$89,500$78,647(14)%14%
Percentage of total revenue7%10%11%
Subscription Business:
Total subscription pets enrolled (at period end)991,426869,862704,3331424
Average pet acquisition cost (PAC)$228$289$287(21)1

Year ended December 31, 2023 compared to year ended December 31, 2022. New pet acquisition expense decreased by $12.1 million, or 14%, to $77.4 million for the year ended December 31, 2023. This decrease was attributable to a decrease in expenses to generate leads and conversion, as we focused on growth in our more efficient channels. New pet acquisition expense as a percentage of revenue was 7% for the year ended December 31, 2023 compared to 10% in the same period last year, as we were able to stay disciplined with our discretionary pet acquisition spend, while still managing to grow total enrolled subscription pets, excluding those related to managing general agent policies, by 13%.

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Depreciation and Amortization

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except percentages)
Depreciation and amortization$12,474$10,921$11,96514%(9)%
Percentage of total revenue1%1%2%

Year ended December 31, 2023 compared to year ended December 31, 2022. Depreciation and amortization expense increased by $1.6 million, or 14%, to $12.5 million for the year ended December 31, 2023 primarily driven by the amortization of acquired intangibles.

Total Other Expense (Income), Net

Year Ended December 31,% Change
2023202220212023 vs. 20222022 vs. 2021
(in thousands, except percentages)
Interest expense$12,077$4,267$10183%42,570%
Other expense (income), net(7,701)(3,072)14151(22,043)
Total other (income) expense, net$4,376$1,195$24266%4,879%
Percentage of total revenue%%%

Year ended December 31, 2023 compared to year ended December 31, 2022. Total other expense (income), net increased by $3.2 million to $4.4 million for the year ended December 31, 2023 primarily due to an increase in interest expense incurred on the Credit Facility, which was partially offset by an increase in interest earned on our investment portfolio.

Stock-Based Compensation

Year ended December 31, 2023 compared to year ended December 31, 2022. Stock-based compensation is included in the cost and expense line items in the consolidated statements of operations, discussed above. Stock-based compensation expense in total was $33.2 million for the year ended December 31, 2023, down from $33.4 million in the prior year period. The amount of stock-based compensation recognized largely reflects the timing and vesting of our annual performance grants, calculated according to our equity incentive plan.

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Quarterly Results of Operations

The following tables contain selected quarterly financial information for the years ended December 31, 2023 and 2022. The unaudited quarterly information has been prepared on a basis consistent with the audited consolidated financial statements and includes all adjustments that we consider necessary for a fair presentation of the information shown. These quarterly operating results for any fiscal quarter are not necessarily indicative of the operating results for any full fiscal year or future period.

Consolidated Statements of Operations Data:Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
(in thousands)
Revenue:
Subscription business$191,537$182,906$173,253$165,210$158,562$152,401$145,808$139,839
Other business104,320102,94797,31391,11987,44781,35973,60366,160
Total revenue295,857285,853270,566256,329246,009233,760219,411205,999
Cost of revenue:
Subscription business(1)158,631157,444151,520146,091131,823128,158122,440115,263
Other business97,16293,17689,67383,89280,53775,54368,38860,842
Total cost of revenue255,793250,620241,193229,983212,360203,701190,828176,105
Operating expenses:
Technology and development(1)5,9695,3025,2324,9006,9556,5536,3965,229
General and administrative(1)13,39012,66413,13621,01710,47210,3149,2279,366
New pet acquisition expense(1)17,18917,77220,76921,64222,45722,43422,98221,627
Depreciation and amortization3,0292,9903,2533,2022,8972,6002,7072,717
Total operating expenses39,57738,72842,39050,76142,78141,90141,31238,939
Gain (loss) from investment in joint venture(79)4(73)(71)(85)(57)(42)(69)
Operating income (loss)408(3,491)(13,090)(24,486)(9,217)(11,899)(12,771)(9,114)
Interest expense3,6973,0532,9402,3871,5871,4081,19379
Other expense (income), net(1,256)(2,465)(2,078)(1,902)(1,504)(889)(365)(314)
Income (loss) before income taxes(2,033)(4,079)(13,952)(24,971)(9,300)(12,418)(13,599)(8,879)
Income tax expense (benefit)130(43)(238)(191)(15)49619(24)
Net income (loss)$(2,163)$(4,036)$(13,714)$(24,780)$(9,285)$(12,914)$(13,618)$(8,855)

(1) Includes stock-based compensation expense as follows (in thousands):

Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
(in thousands)
Cost of revenue$1,478$1,176$1,307$1,318$1,346$1,472$1,830$1,836
Technology and development8616506277081,5491,1841,101908
General and administrative3,2693,2812,9488,2193,5503,7923,0662,423
New pet acquisition expense1,6931,7851,7552,0862,1222,1952,6372,382
Total stock-based compensation expense$7,301$6,892$6,637$12,331$8,567$8,643$8,634$7,549

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Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
Other Financial and Operational Data:
Total Business:
Total pets enrolled (at period end)1,714,4731,712,1771,679,6591,616,8651,537,5731,439,6051,348,1451,267,253
Subscription Business:
Total subscription pets enrolled (at period end)991,426969,322943,958906,369869,862808,077770,318736,691
Monthly average revenue per pet$67.07$65.82$64.41$63.58$63.11$63.80$64.26$64.21
Lifetime value of a pet, including fixed expenses$419$428$470$541$641$673$713$730
Average pet acquisition cost (PAC)$217$212$236$247$283$268$309$301
Average monthly retention98.49%98.55%98.61%98.65%98.69%98.71%98.74%98.75%
Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
(as a percentage of revenue)
Revenue100%100%100%100%100%100%100%100%
Cost of revenue8688899086878785
Operating expenses:
Technology and development22223333
General and administrative54584447
New pet acquisition expense66889101010
Depreciation and amortization11111111
Total operating expenses1314162017181919
Gain (loss) from investment in joint venture
Operating income (loss)(1)(5)(10)(4)(5)(6)(4)
Interest expense1111111
Other expense (income), net(1)(1)(1)(1)
Income (loss) before income taxes(1)(1)(5)(10)(4)(5)(6)(4)
Income tax expense (benefit)
Net income (loss)(1)%(1)%(5)%(10)%(4)%(6)%(6)%(4)%
Three Months Ended
Dec. 31, 2023Sept. 30, 2023Jun. 30, 2023Mar. 31, 2023Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%100%100%100%100%100%
Subscription business cost of revenue8386878883848482

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Liquidity and Capital Resources

The following table summarizes our cash flows for the periods indicated (in thousands):

Year Ended December 31,
202320222021
Net cash provided by (used in) operating activities$18,638$(8,000)$7,458
Net cash provided by (used in) investing activities7,639(67,516)(51,913)
Net cash provided by (used in) financing activities59,12660,743(1,125)
Effect of foreign exchange rates on cash, cash equivalents, and restricted cash, net424(1,459)252
Net change in cash, cash equivalents, and restricted cash$85,827$(16,232)$(45,328)

Our primary requirements for liquidity are paying veterinary invoices, funding operations and capital requirements, investing in new member acquisition, investing in enhancements to our member experience, and servicing debt. We have certain contractual obligations in the normal course of business, including obligations and commitments relating to our Credit Facility, non-cancellable vendor purchase agreements, as well as future payments of veterinary invoices. Refer to Note 10, Reserve for Veterinary Invoices, included in Item 8 of Part II of this 10-K, for further details on anticipated cash outflows.

Most recently, our primary sources of liquidity have been cash provided by operations and available borrowings from our Credit Facility. We believe these sources are sufficient to fund our operations and capital requirements for the next 12 months. As we continue to grow and consider strategic opportunities, however, we may explore additional financing to fund our operations and growth or to meet capital requirements. Financing could include equity, equity-linked, or debt financing. Additional financing may not be available to us on acceptable terms, or at all. As our capital surplus grows relative to the rate of growth of our business, we may also generate cash, via dividends or other methods, from one or more of our underwriting entities.

As of December 31, 2023, we had $277.2 million in cash, cash equivalents and short-term investments, of which $230.6 million was held by our insurance entities. Outside of insurance entities, we held $46.6 million in cash, cash equivalents and short-term investments with an additional $15.0 million available under our Credit Facility. Our insurance entities maintained $241.3 million of capital surplus, which was $64.1 million in excess of the estimated risk-based capital requirement of $177.2 million. The ability to distribute any portion of this estimated $64.1 million excess to our parent company, and the timing of any distribution, may be subject to regulatory limitations.

In April 2021, our board of directors approved a share repurchase program, pursuant to which we may, between May 2021 and May 2026, repurchase outstanding shares of our common stock. While our board of directors has approved the program, any repurchase activity is subject to quarterly assessment and board approval, based on various factors including available cash, our stock price relative to our estimated intrinsic value, forecasted operating results, and available opportunities to deploy capital. We repurchased no shares under this program during the year ended December 31, 2023.

Operating Cash Flows

Net cash provided by operating activities was $18.6 million for the year ended December 31, 2023 compared to $8.0 million net cash used by operating activities for the year ended December 31, 2022. This increase was primarily driven by an increase in cash collections from members, a decrease in acquisition costs, and timing differences in other working capital activities. Cash increases from working-capital were primarily driven by an increase in our reserve for veterinary invoices. Changes in accounts receivable and deferred revenue were primarily related to annual policies with monthly payment terms within our other business segment.

Investing Cash Flows

Net cash provided by investing activities was $7.6 million for the year ended December 31, 2023, primarily consisting of $24.3 million in sales and maturities of investment securities, net of purchases, offset by $18.3 million of capital expenditures primarily related to the development of internal-use software focused on member experience, claims processing, and internal policy management improvements. Net cash used by investing activities was $67.5 million for the year ended December 31, 2022, primarily consisting of $33.8 million in purchases of investment securities, net of sales and maturities, $17.1 million of capital expenditures primarily related to the development of internal-use software, and $15.0 million in net cash paid for business acquisitions.

Financing Cash Flows

Net cash provided by financing activities was $59.1 million for the year ended December 31, 2023, primarily consisting of $60.1 million in proceeds from the Credit Facility, partially offset by $1.7 million in repayments on the Credit Facility. Net cash provided by financing activities was $60.7 million for the year ended December 31, 2022, primarily consisting of $69.1 million in proceeds from the Credit Facility, partially offset by $5.8 million in repurchases of common stock.

56

Long-Term Debt

Our Credit Facility provides us with up to $150.0 million of credit. As of December 31, 2023, we issued term loans totaling $135.0 million under the Credit Facility. The Credit Facility is secured by substantially all of our assets and those of our subsidiaries. Refer to Note 11, Debt, included in Item 8 of this report, for further details.

Regulation

As of December 31, 2023, our insurance entities collectively held $101.0 million in cash and cash equivalents, to be used for operating expenses of our insurance entities, $129.6 million in short-term investments and $268.0 million in other current assets. Most of the assets in our insurance entities are subject to certain capital and dividend rules and regulations prescribed by jurisdictions in which they are authorized to operate.

American Pet Insurance Company (APIC)

The majority of our investments are held by our insurance entities to satisfy risk-based capital requirements of the National Association of Insurance Commissioners (NAIC). The NAIC requirements provide a method for analyzing the minimum amount of risk-based capital (statutory capital and surplus plus other adjustments) appropriate for an insurance company to support its overall business operations, taking into account the risk characteristics of the company’s assets, liabilities and certain other items. An insurance company found to have insufficient statutory capital based on its risk-based capital ratio may be subject to varying levels of additional regulatory oversight depending on the level of capital inadequacy. APIC must hold certain capital amounts in order to comply with the statutory regulations and, therefore, we cannot use these amounts for general operating purposes without regulatory approval. As our business grows, the amount of capital we are required to maintain to satisfy our risk-based capital requirements also generally will increase, though risk-based capital requirements also take our overall rate of growth into consideration. Recently, our other business segment growth has slowed and, currently, we expect that to continue, which would reduce our capital requirements. APIC was required to maintain at least $137.6 million and $142.4 million of risk-based capital as of December 31, 2023 and 2022, respectively. APIC maintained $199.6 million and $162.2 million of risk-based capital surplus as of December 31, 2023 and 2022, respectively. The increase of capital surplus at APIC during the year was primarily due to retained earnings from APIC's underwriting profit and a capital contribution of $3.8 million, partially offset by an ordinary dividend of $7.6 million distributed to the parent entity in December 2023.

ZPIC Insurance Company (ZPIC), QPIC Insurance Company (QPIC), and GPIC Insurance Company (GPIC)

In 2021, we established two new wholly-owned insurance subsidiaries, ZPIC and QPIC, domiciled in Missouri and Nebraska, respectively, and in 2023 we established a new wholly-owned insurance subsidiary, GPIC, domiciled in Canada. We have funded required statutory capital to each of these new subsidiaries. As of December 31, 2023, neither ZPIC, QPIC nor GPIC have begun underwriting any insurance policies, accordingly, each of these entities are currently overcapitalized relative to traditional risk-based capital requirements. We formed these insurance subsidiaries to provide us flexibility as to the insurance entity we use to market and write policies.

Wyndham Insurance Company (SAC) Limited (WICL) Segregated Account AX

WICL Segregated Account AX was established by WICL, with Trupanion, Inc. as the shareholder, to enter into a reinsurance agreement with Omega General Insurance Company. All of the assets and liabilities of WICL Segregated Account AX are legally segregated from other assets and liabilities within WICL, and all shares of the segregated account are owned by Trupanion, Inc. In February 2023, our parent entity received a dividend of $7.3 million from WICL Segregated Account AX as allowed under our agreements with WICL. As required by the Office of the Superintendent of Financial Institutions regulations related to our reinsurance agreement with Omega General Insurance Company, we are required to maintain a Canadian Trust account with the greater of CAD $2.0 million or 120% of unearned Canadian premium plus 20% of outstanding Canadian claims, including all incurred but not reported claims. As of December 31, 2023, the account held CAD $15.7 million.

Though we are not directly regulated by the Bermuda Monetary Authority (BMA), WICL's regulation and compliance impacts us as it could have an adverse impact on the ability of WICL Segregated Account AX to pay dividends. WICL is regulated by the BMA under the Insurance Act of 1978 (Insurance Act) and the Segregated Accounts Company Act of 2000. The Insurance Act imposes on Bermuda insurance companies, solvency and liquidity standards, certain restrictions on the declaration and payment of dividends and distributions, certain restrictions on the reduction of statutory capital, and auditing and reporting requirements, and grants the BMA powers to supervise and, in certain circumstances, to investigate and intervene in the affairs of insurance companies. Under the Insurance Act, WICL, as a class 3 insurer, is required to maintain available statutory capital and surplus at a level equal to or in excess of a prescribed minimum established by reference to net written premiums and loss reserves.

57

Under the Bermuda Companies Act 1981, as amended, a Bermuda company may not declare or pay a dividend or make a distribution out of contributed surplus if there are reasonable grounds for believing that: (a) the company is, or would after the payment be, unable to pay its liabilities as they become due; or (b) the realizable value of the company’s assets would thereby be less than its liabilities. The Segregated Accounts Company Act of 2000 further requires that dividends out of a segregated account can only be paid to the extent that the cell remains solvent and the value of its assets remain greater than the aggregate of its liabilities and its issued share capital and share premium accounts.

Critical Accounting Policies and Significant Estimates

Our discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the consolidated financial statements, as well as the reported revenue and expenses during the reporting periods.

Critical accounting policies and estimates are those that we consider the most important to the portrayal of our financial condition and results of operations because they require our most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Generally, we base our estimates on historical experience and on various other factors that we believe to be reasonable under the circumstances. Actual results may differ from these estimates.

Reserve for Veterinary Invoices

We use the chain-ladder method and other actuarial methods to estimate reserves for veterinary invoices for our subscription business and for the majority of our other business segment. Paid loss development factors are estimated based on historical paid loss triangles. The reserve represents our estimate of the future amount we will pay for veterinary invoices that are dated as of, or prior to, our balance sheet date. The reserve also includes our estimate of related internal processing costs. To determine the accrual, we make assumptions based on our historical experience, including the number of veterinary invoices we expect to receive, the average cost of those veterinary invoices, the length of time between the date of the veterinary invoice and the date we receive it, and our expected cost to process and administer the payments. As of each balance sheet date, we reevaluate our reserve and adjust the estimate for new information.

As of December 31, 2023, our reserve for veterinary invoices was $63.2 million, consisting of $61.0 million for the amount we expect to pay in the future for veterinary invoices dated between January 1, 2023 and December 31, 2023, inclusive of related processing costs, and a reserve of $2.2 million for invoices dated prior to January 1, 2023. We believe the reserve amount as of December 31, 2023 is adequate, and we do not believe that there are any reasonably likely changes in the facts or circumstances underlying key assumptions that would result in the reserve balance being insufficient in an amount that would have a material impact on our reported results, financial position or liquidity. The ultimate liability, however, may be in excess of or less than the amount we have reserved.

For the year ended December 31, 2023, we paid $44.7 million for veterinary invoices dated on or before December 31, 2022, including related processing costs. Our reserve estimate for these expenses was $43.7 million as of December 31, 2022. As of December 31, 2023, we had unfavorable development on veterinary invoice reserves of $3.3 million for the year ended December 31, 2022.

Income Taxes

We determine our deferred tax assets and liabilities based on the differences between the financial reporting and tax basis of assets and liabilities. The deferred tax assets and liabilities are measured using the enacted tax rates that will be in effect when the differences are expected to reverse. A valuation allowance is recorded when it is more likely than not that the deferred tax asset will not be recovered. We apply judgment in the determination of the consolidated financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Although we believe our assumptions, judgments and estimates are reasonable, changes in tax laws or our interpretation of tax laws and the resolution of any tax audits could significantly impact the amounts provided for income taxes in our consolidated financial statements.

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FY 2022 10-K MD&A

SEC filing source: 0001371285-23-000047.

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2023-02-16. Report date: 2022-12-31.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Please read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial statements and related notes included under Part II, Item 8 of this Annual Report on Form 10-K.

This section of this Form 10-K generally discusses 2022 and 2021 items and year-to-year comparisons between 2022 and 2021. Discussions of 2020 items and year-to-year comparisons between 2021 and 2020 that are not included in this Form 10-K can be found in "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 of the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2021.

Overview

We provide medical insurance for cats and dogs throughout the United States, Canada, Europe, Puerto Rico, and Australia. Through our data-driven, vertically-integrated approach, we develop and offer high value medical insurance products, priced specifically for each pet’s unique characteristics and coverage level. Our growing and loyal membership base provides us with highly predictable and recurring revenue.

We operate in two business segments: subscription business and other business. We generate revenue in our subscription business segment primarily by subscription fees from our direct-to-consumer products. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our new pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return. We generate revenue in our other business segment primarily by underwriting policies on behalf of third parties that do not carry reference to the Trupanion brand. We do not undertake the marketing efforts for these policies and have a business-to-business relationship with these third parties. Our other business segment also includes revenue from other products and software solutions that have a different margin profile from our subscription business.

We generate leads for our subscription business segment from a diverse set of member acquisition channels, which we then convert into members through our contact center, website and other direct-to-consumer activities. These channels include leads from third-parties such as veterinarians and referrals from existing members. Veterinary hospitals represent our largest referral source. We engage our “Territory Partners” to have face-to-face visits with veterinarians and their staff. Territory Partners are dedicated to cultivating direct veterinary relationships and building awareness of the benefits of high quality medical insurance to veterinarians and their clients. Veterinarians then educate pet owners, who visit our website or call our contact center to learn more about, and potentially enroll in, Trupanion. We also receive a significant number of new leads from existing members adding pets and referring their friends and family members. Our direct-to-consumer acquisition channels serve as important resources for pet owner education and drive new member leads and conversion. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Our Response to the COVID-19 Pandemic

We have not experienced a material adverse impact on our business due to COVID-19, but we continue to monitor conditions closely and adapt our operations to meet federal, state and local guidance. Our focus remains on promoting employee health and safety, serving our members and ensuring business continuity. Our Seattle headquarters is now open for those who want to work in that office, in compliance with applicable regulations and guidance.

The impacts of COVID-19 and related economic conditions on our results are highly uncertain and in many ways outside of our control. The scope, duration and magnitude of the direct and indirect effects of COVID-19 are evolving rapidly and in ways that are difficult, if possible, to anticipate. For additional details, see the section titled "Risk Factors."

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Key Operating Metrics

The following tables set forth total pets enrolled and key operating metrics for our subscription business for the years ended December 31, 2022, 2021 and 2020, and for each of the last eight fiscal quarters.

Year Ended December 31,
202220212020
Total Business:
Total pets enrolled (at period end)1,537,5731,176,778862,928
Subscription Business:
Total subscription pets enrolled (at period end)869,862704,333577,957
Monthly average revenue per pet$63.82$63.56$60.37
Lifetime value of a pet, including fixed expenses$641$717$653
Average pet acquisition cost (PAC)$289$287$247
Average monthly retention98.69%98.74%98.71%
Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
Total Business:
Total pets enrolled (at period end)1,537,5731,439,6051,348,1451,267,2531,176,7781,104,3761,024,226943,854
Subscription Business:
Total subscription pets enrolled (at period end)869,862808,077770,318736,691704,333676,463643,395609,835
Monthly average revenue per pet$63.11$63.80$64.26$64.21$63.89$63.60$63.69$62.97
Lifetime value of a pet, including fixed expenses$641$673$713$730$717$697$681$684
Average pet acquisition cost (PAC)$283$268$309$301$306$280$284$279
Average monthly retention98.69%98.71%98.74%98.75%98.74%98.72%98.72%98.73%

Total pets enrolled.* Total pets enrolled reflects the number of subscription pets or pets enrolled in one of the insurance products offered in our other business segment at the end of each period presented. We monitor total pets enrolled because it provides an indication of the growth of our consolidated business.

Total subscription pets enrolled.* Total subscription pets enrolled reflects the number of pets in active memberships at the end of each period presented. We monitor total subscription pets enrolled because it provides an indication of the growth of our subscription business.

Monthly average revenue per pet.† Monthly average revenue per pet is calculated as amounts billed in a given period for subscriptions divided by the total number of subscription pet months in the period. Total subscription pet months in a period represents the sum of all subscription pets enrolled for each month during the period. We exclude revenue from our managing general agent product lines because their ARPU is representative of commission earnings versus underwriting premiums. We monitor monthly average revenue per pet because it is an indicator of the per pet unit economics of our subscription business.

*Total pets enrolled and total subscription pets enrolled metrics include managing general agent pets acquired.

† Excluding activity relating to managing general agent policies.

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Lifetime value of a pet, including fixed expenses.† Lifetime value of a pet, including fixed expenses, is calculated based on subscription revenue less cost of revenue from our subscription business segment for the 12 months prior to the period end date excluding stock-based compensation expense related to cost of revenue from our subscription business segment, sign-up fee revenue and the change in deferred revenue between periods. This amount is also reduced by the fixed expenses related to our subscription business, which are the pro-rata portion of general and administrative and technology and development expenses, less stock-based compensation, based on revenues. This amount, on a per pet basis, is multiplied by the implied average subscriber life in months. Implied average subscriber life in months is calculated as the quotient obtained by dividing one by one minus the average monthly retention rate. We monitor lifetime value of a pet, including fixed expenses, to estimate the value we might expect from new pets over their implied average subscriber life in months, if they behave like the average pet in that respective period. When evaluating the amount of pet acquisition expenses we may want to incur to attract new pet enrollments, we refer to the lifetime value of a pet, including fixed expenses, as well as our estimated internal rate of return calculation for an average pet, which also includes an estimated surplus capital charge, to inform the amount of acquisition spend in relation to the estimated payback period.

Average pet acquisition cost.† Average pet acquisition cost (PAC) is calculated as net acquisition cost divided by the total number of new subscription pets enrolled in that period. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as new pet acquisition expense, excluding stock-based compensation expense, other business segment expense and managing general agent expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because that does not relate to subscription enrollments. We exclude managing general agent pet acquisition expense because the ARPU of these products is representative of commission earnings versus underwriting premiums. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Average monthly retention.† Average monthly retention is measured as the monthly retention rate of enrolled subscription pets for each applicable period averaged over the 12 months prior to the period end date. As such, our average monthly retention rate as of December 31, 2022 is an average of each month’s retention from January 1, 2022 through December 31, 2022. We calculate monthly retention as the number of pets that remain after subtracting all pets that cancel during a month, including pets that enroll and cancel within that month, divided by the total pets enrolled at the beginning of that month. We monitor average monthly retention because it provides a measure of member satisfaction and allows us to calculate the implied average subscriber life in months.

† Excluding activity relating to managing general agent policies.

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Non-GAAP Financial Measures

In addition to our results determined in accordance with U.S. GAAP, we believe the following non-GAAP financial measures are useful in evaluating our operating performance. We use the following non-GAAP financial information to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that these non-GAAP financial measures, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation, or as a substitute for, the directly comparable financial measures prepared in accordance with GAAP.

We calculate these non-GAAP financial measures by excluding certain non-cash or non-recurring expenses. We exclude business combination transaction cost as it is non-recurring and not indicative of our operating performance. We exclude stock-based compensation as it is non-cash in nature. Although stock-based compensation expenses are expected to remain recurring expenses for the foreseeable future, we believe excluding them allows investors to make meaningful comparisons between our recurring core business operating results and those of other companies. We define non-GAAP development expenses as operating expenses incurred to develop new products and offerings that are pre-revenue. We define non-GAAP fixed expenses as the total of technology and development expense and general and administrative expense, less stock-based compensation expense, business combination transaction cost, and development expenses related to exploring and developing new products and offerings that are in the pre-revenue stage.

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The following tables present the reconciliation of our non-GAAP financial measures from corresponding GAAP measures for the periods presented (in thousands):

Year Ended December 31,
202220212020
Veterinary invoice expense$649,737$486,062$351,124
Less:
Stock-based compensation expense(1)(4,054)(4,538)(1,118)
Other business cost of paying veterinary invoices(212,857)(129,614)(72,119)
Subscription cost of paying veterinary invoices (non-GAAP)$432,826$351,910$277,887
% of subscription revenue72.5%71.1%71.7%
Other cost of revenue$133,257$108,583$69,003
Less:
Stock-based compensation expense(1)(2,232)(2,610)(468)
Other business variable expenses(72,453)(57,367)(33,133)
Subscription variable expenses (non-GAAP)$58,572$48,606$35,402
% of subscription revenue9.8%9.8%9.1%
Technology and development expense$25,133$16,866$9,947
General and administrative expense39,37931,89321,847
Less:
Stock-based compensation expense(1)(17,135)(11,918)(4,553)
Business combination transaction costs(372)(82)(522)
Development expenses(7,789)(3,719)(339)
Fixed expenses (non-GAAP)$39,216$33,040$26,380
% of total revenue4.3%4.7%5.3%
New pet acquisition expense$89,500$78,647$47,837
Less:
Stock-based compensation expense(1)(9,116)(9,160)(2,773)
Other business pet acquisition expense(541)(499)(820)
Subscription acquisition cost (non-GAAP)$79,843$68,988$44,244
% of subscription revenue13.3%13.9%11.4%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.9 million for the year ended December 31, 2022.

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Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
Veterinary invoice expense$176,083$171,112$157,616$144,926$132,852$125,058$118,282$109,870
Less:
Stock-based compensation expense(1)(899)(960)(1,022)(1,173)(798)(769)(672)(2,299)
Other business cost of paying veterinary invoices(59,946)(58,197)(50,378)(44,336)(38,009)(34,432)(31,029)(26,144)
Subscription cost of paying veterinary invoices (non-GAAP)$115,238$111,955$106,216$99,417$94,045$89,857$86,581$81,427
% of subscription revenue72.7%73.5%72.8%71.1%70.1%70.7%71.9%71.9%
Other cost of revenue$36,277$32,589$33,212$31,179$30,992$28,443$25,433$23,715
Less:
Stock-based compensation expense(1)(414)(433)(754)(631)(581)(542)(552)(935)
Other business variable expenses(20,591)(17,346)(18,010)(16,506)(17,208)(15,315)(12,940)(11,904)
Subscription variable expenses (non-GAAP)$15,272$14,810$14,448$14,042$13,203$12,586$11,941$10,876
% of subscription revenue9.6%9.7%9.9%10.0%9.8%9.9%9.9%9.6%
Technology and development expense$6,955$6,553$6,396$5,229$4,665$4,391$4,079$3,731
General and administrative expense10,47210,3149,2279,3668,9968,2467,4357,216
Less:
Stock-based compensation expense(1)(5,019)(4,805)(4,085)(3,226)(3,293)(3,020)(3,122)(2,483)
Business combination transaction costs(193)(179)(82)
Development expenses(2,084)(2,435)(2,012)(1,258)(858)(919)(1,121)(821)
Fixed expenses (non-GAAP)$10,131$9,448$9,526$10,111$9,510$8,698$7,271$7,561
% of total revenue4.1%4.0%4.3%4.9%4.9%4.8%4.3%4.9%
New pet acquisition expense$22,457$22,434$22,982$21,627$19,845$19,708$19,390$19,704
Less:
Stock-based compensation expense(1)(2,079)(2,108)(2,601)(2,328)(2,136)(2,112)(2,181)(2,731)
Other business pet acquisition expense(65)(181)(186)(109)(76)(134)(118)(171)
Subscription acquisition cost (non-GAAP)$20,313$20,145$20,195$19,190$17,633$17,462$17,091$16,802
% of subscription revenue12.5%13.2%13.9%13.7%13.1%13.7%14.2%14.8%
(1)Trupanion employees may elect to take restricted stock units in lieu of cash payment for their bonuses. We account for such expense as stock-based compensation in accordance with GAAP, but we do not include it in any non-GAAP adjustments. Stock-based compensation associated with bonuses was approximately $0.2 million for the three months ended December 31, 2022.

When determining our PAC, we calculate net acquisition cost for a more comparable metric across periods. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as GAAP new pet acquisition expense, excluding stock-based compensation expense, other business segment expense, and managing general agent expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on the number of awards issued and market-based valuation inputs. We exclude other business segment pet acquisition expense because it does not relate to subscription enrollments. We exclude managing general agent pet acquisition expense because the ARPU of these products is representative of commission earnings versus underwriting premiums. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses.

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The following tables reconcile GAAP new pet acquisition expense to non-GAAP net acquisition cost (in thousands) for the years ended December 31, 2022, 2021, and 2020, and for each of the last eight fiscal quarters:

Year Ended December 31,
202220212020
New pet acquisition expense$89,500$78,647$47,837
Net of sign-up fee revenue(4,984)(4,954)(3,292)
Excluding:
Stock-based compensation expense(9,116)(9,160)(2,773)
Other business pet acquisition expense(541)(499)(820)
Pet acquisition expense for managing general agent policies(443)
Net acquisition cost$74,416$64,034$40,952
Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
New pet acquisition expense$22,457$22,434$22,982$21,627$19,845$19,708$19,390$19,704
Net of sign-up fee revenue(1,191)(1,339)(1,252)(1,202)(1,162)(1,268)(1,260)(1,264)
Excluding:
Stock-based compensation expense(2,079)(2,108)(2,601)(2,328)(2,136)(2,112)(2,181)(2,731)
Other business pet acquisition expense(65)(181)(186)(109)(76)(134)(118)(171)
Pet acquisition expense for managing general agent policies(443)
Net acquisition cost$18,679$18,806$18,943$17,988$16,471$16,194$15,831$15,538

Components of Operating Results

General

We operate in two business segments: subscription business and other business. Our subscription business segment primarily relates to subscription fees from our direct-to-consumer products. Our other business segment includes revenue from other product offerings that generally have a business-to-business relationship and different margin profiles than our subscription business segment, including revenue from writing policies on behalf of third parties and revenue from other products and software solutions.

Revenue

We generate revenue in our subscription business segment primarily from subscription fees for our pet medical insurance. Fees are paid at the beginning of each subscription period. In most cases, our members authorize us to directly charge their credit card, debit card or bank account through automatic funds transfer. Subscription revenue is recognized on a pro rata basis over the enrollment term. Membership may be canceled at any time without penalty, and we issue a refund for the unused portion of the canceled membership.

We generate revenue in our other business segment primarily from writing policies on behalf of third parties where we do not undertake the direct consumer marketing. This segment also includes revenue from other products and software solutions that have a different margin profile from our subscription business.

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Cost of Revenue

Cost of revenue in each of our segments is comprised of the following:

Veterinary invoice expense

Veterinary invoice expense includes our costs to review veterinary invoices, administer the payments, and provide member services, and other operating expenses directly or indirectly related to this process. We also accrue for veterinary invoices that have been incurred but not yet received. This also includes amounts paid by unaffiliated general agents, and an estimate of amounts incurred and not yet paid for our other business segment.

Other cost of revenue

Other cost of revenue for the subscription business segment includes direct and indirect member service expenses, Territory Partner renewal fees, credit card transaction fees and premium tax expenses. Other cost of revenue for the other business segment includes the commissions we pay to unaffiliated general agents, costs to administer the programs in the other business segment and premium taxes on the sales in this segment.

Operating Expenses

Our operating expenses are classified into four categories: technology and development, general and administrative, new pet acquisition expense, and depreciation and amortization. For each category, except depreciation and amortization, the largest component is personnel costs, which include salaries, employee benefit costs, bonuses and stock-based compensation expense.

Technology and development

Technology and development expenses primarily consist of personnel costs and related expenses for our technology staff, which includes information technology development and infrastructure support, including third-party services. It also includes expenses associated with development of new products and offerings.

General and administrative

General and administrative expenses consist primarily of personnel costs and related expenses for our finance, actuarial, human resources, regulatory, legal and general management functions, as well as facilities and professional services.

New pet acquisition expense

New pet acquisition expenses primarily consist of costs, including employee compensation, to educate veterinarians and consumers about the benefits of Trupanion, to generate leads and to convert leads into enrolled pets, as well as print, online and promotional advertising costs. New pet acquisition expense was previously termed “sales and marketing” on the consolidated statement of operations. This update represents a change in name only. It does not denote a change in method of accounting.

Depreciation and amortization

Depreciation and amortization expenses consist of depreciation of property, equipment, and software developed for internal use, as well as amortization of finite-lived intangible assets.

Gain (loss) from investment in joint venture

Gain (loss) from investment in joint venture consists of the share of income and losses from our equity method investment in a joint venture, as well as income and expenses associated with administrative services provided to the joint venture.

Stock-based compensation

Stock-based compensation is included in the cost and expense line items above. Stock-based compensation will vary depending on corporate performance and terms of the awards under our equity incentive plan. For example, when we have delivered strong performance, stock-based compensation may increase as a result of incentive-based awards under our equity incentive plan.

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Factors Affecting Our Performance

Average monthly retention. Our performance depends on our ability to continue to retain our existing and newly enrolled pets and is impacted by our ability to provide a best-in-class value and member experience. Our ability to retain enrolled pets depends on a number of factors, including the actual and perceived value of our services and the quality of our member experience, the ease and transparency of the process for reviewing and paying veterinary invoices for our members, and the competitive environment. In addition, other initiatives across our business may temporarily impact retention and make it difficult for us to improve or maintain this metric. For example, if the number of new pets enrolled increases at a faster rate than our historical experience, our average monthly retention rate could be adversely impacted, as our retention rate is generally lower during the first year of member enrollment.

Investment in pet acquisition. We have made and plan to continue to make significant investments to grow our member base. Our net acquisition cost and the number of new members we enroll depends on a number of factors, including the amount we elect to invest in pet acquisition activities in any particular period in the aggregate and by channel, the frequency of existing members adding a pet or referring their friends or family, the effectiveness of our sales execution and marketing initiatives, changes in costs of media, the mix of our pet acquisition expenditures and the competitive environment. Our average pet acquisition cost has in the past significantly varied, and in the future may significantly vary, from period to period based upon specific marketing initiatives and estimated rates of return on pet acquisition spend. We also regularly test new member acquisition channels and marketing initiatives, which may be more expensive than our traditional marketing channels and may increase our average acquisition costs. We continually assess our pet acquisition activities by monitoring the estimated return on PAC spend both on a detailed level by acquisition channel and in the aggregate.

Timing of price adjustments. Our subscription business’s cost-plus model depends on our ability to estimate our operating costs and expenses, including veterinary invoice expenses, and to adjust our pricing to achieve our target returns. We regularly reevaluate and adjust the price of our subscriptions, with a goal of achieving our targeted payout ratio, subject to the review and approval of applicable state regulators. This makes it important for us to accurately estimate our costs and to promptly pursue regulatory approval of pricing adjustments. We may, though, have timing mismatches during which our pricing does not reflect our current expense profile.

Timing of initiatives. Over time we plan to implement new initiatives to improve our member experience, make modifications to our subscription plan, introduce new coverage plans, pursue pet food or other adjacent opportunities, improve our technology, increase the number of veterinary hospitals using our direct pay software, and find other ways to maintain a strong value proposition for our members. These initiatives will sometimes be accompanied by price adjustments, in order to compensate for an increase in benefits received by our members. The implementation of such initiatives may not always coincide with the timing of price adjustments, resulting in fluctuations in revenue and profitability in our subscription business segment.

Geographic mix of sales. The relative mix of our business between the United States, Canada, and other jurisdictions, and between areas within those geographies, impacts the monthly average revenue per pet we receive. For example, prices from our plans could vary depending on the relative cost of veterinary care in different countries or areas. As our mix of business between geographies changes, our metrics, such as our monthly average revenue per pet, and our exposure to foreign exchange fluctuations will be impacted. As we expand into international markets and continue to explore other opportunities, we expect these effects to increase.

Other business segment. Our other business segment primarily includes other product offerings that generally have a business-to-business relationship. These products have been, and we expect will be in the future, materially different from our subscription business segment. Our relationships in our other business segment are generally subject to termination provisions and are non-exclusive. Accordingly, we cannot control the volume of business, even if a contract is not terminated. Loss of an entire program via contract termination could result in the associated policies and revenue being lost over a period of 12 to 18 months, which could have a material impact on our results of operations. We may enter into additional relationships in the future to the extent we believe they will be profitable to us, which could also impact our operating results.

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Results of Operations

The following tables set forth our results of operations for the periods presented both in absolute dollars and as a percentage of total revenue for those periods. The period-to-period comparison of financial results is not necessarily indicative of future results.

Year Ended December 31,
202220212020
(in thousands)
Revenue:
Subscription business$596,610$494,862$387,732
Other business308,569204,129114,296
Total revenue905,179698,991502,028
Cost of revenue:
Subscription business(1)497,684407,664314,875
Other business285,310186,981105,252
Total cost of revenue782,994594,645420,127
Operating expenses:
Technology and development(1)25,13316,8669,947
General and administrative(1)39,37931,89321,847
New pet acquisition expense(1)89,50078,64747,837
Depreciation and amortization10,92111,9657,071
Total operating expenses164,933139,37186,702
Loss from investment in joint venture(253)(171)(126)
Operating loss(43,001)(35,196)(4,927)
Interest expense4,267101,381
Other expense (income), net(3,072)14(581)
Loss before income taxes(44,196)(35,220)(5,727)
Income tax expense476310113
Net loss$(44,672)$(35,530)$(5,840)

(1) Includes stock-based compensation expense as follows:

Year Ended December 31,
202220212020
(in thousands)
Cost of revenue$6,484$7,148$1,586
Technology and development4,7423,056758
General and administrative12,8318,8623,795
New pet acquisition expense9,3369,1602,773
Total stock-based compensation expense$33,393$28,226$8,912

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Year Ended December 31,
202220212020
(as a percentage of revenue)
Revenue100%100%100%
Cost of revenue878584
Operating expenses:
Technology and development322
General and administrative454
New pet acquisition expense101110
Depreciation and amortization121
Total operating expenses182017
Loss from investment in joint venture
Operating loss(5)(5)(1)
Interest expense
Other expense (income), net
Loss before income taxes(5)(5)(1)
Income tax expense
Net loss(5)%(5)%(1)%
Stock-based compensation expense:Year Ended December 31,
202220212020
(as a percentage of revenue)
Cost of revenue1%1%%
Technology and development111
General and administrative1
New pet acquisition expense111
Total stock-based compensation expense4%4%2%
Year Ended December 31,
202220212020
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%
Subscription business cost of revenue838281

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Comparison of the years ended December 31, 2022, 2021, and 2020

Revenue

Year Ended December 31,% Change
2022202120202022 vs. 20212021 vs. 2020
(in thousands, except percentages, pet and per pet data)
Revenue:
Subscription business$596,610$494,862$387,73221%28%
Other business308,569204,129114,2965179
Total revenue$905,179$698,991$502,0282939
Percentage of Revenue by Segment:
Subscription business66%71%77%
Other business342923
Total revenue100%100%100%
Total pets enrolled (at period end)1,537,5731,176,778862,9283136
Total subscription pets enrolled (at period end)869,862704,333577,9572422
Monthly average revenue per pet$63.82$63.56$60.375
Average monthly retention98.69%98.74%98.71%

Year ended December 31, 2022 compared to year ended December 31, 2021. Total revenue increased by $206.2 million to $905.2 million for the year ended December 31, 2022, or 29%. Revenue from our subscription business segment increased by $101.7 million to $596.6 million for the year ended December 31, 2022, or 21%. This increase was primarily due to a 19% increase in total subscription pets enrolled as of December 31, 2022 compared to a year ago, excluding pets acquired as part of business combinations in 2022. Average revenue per pet increased by 0.4% year over year, or 1.3% on a constant currency basis. Revenue from our other business segment increased by $104.4 million to $308.6 million, or 51%, for the year ended December 31, 2022, primarily due to a 41% increase in enrolled pets in this segment.

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Cost of Revenue

Year Ended December 31,% Change
2022202120202022 vs. 20212021 vs. 2020
(in thousands, except percentages, pet and per pet data)
Cost of Revenue:
Subscription business:
Veterinary invoice expense$436,880$356,448$279,00523%28%
Other cost of revenue60,80451,21635,8701943
Total cost of revenue497,684407,664314,8752229
Other business:
Veterinary invoice expense212,857129,61472,1196480
Other cost of revenue72,45357,36733,1332673
Total cost of revenue285,310186,981105,2525378
Percentage of Revenue by Segment:
Subscription business:
Veterinary invoice expense73%72%72%
Other cost of revenue10109
Total cost of revenue838281
Other business:
Veterinary invoice expense696363
Other cost of revenue232829
Total cost of revenue929292
Total pets enrolled (at period end)1,537,5731,176,778862,9283136
Total subscription pets enrolled (at period end)869,862704,333577,9572422
Monthly average revenue per pet$63.82$63.56$60.375

Year ended December 31, 2022 compared to year ended December 31, 2021. Cost of revenue for our subscription business segment was $497.7 million, or 83% of revenue, for the year ended December 31, 2022, compared to $407.7 million, or 82%, of revenue, for the year ended December 31, 2021. This increase of 22% in subscription cost of revenue was primarily the result of a 19% increase in subscription pets enrolled, excluding pets acquired as part of business combinations, and a 2.5% increase in veterinary invoice expense per pet, or 2.9% on a constant currency basis. This was attributable to both increased cost and utilization of veterinary care. Cost of revenue for our other business segment increased by $98.3 million, or 53%, to $285.3 million for the year ended December 31, 2022, primarily due to the increase in enrolled pets in this segment.

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Technology and Development Expenses

Year Ended December 31,% Change
2022202120202022 vs. 20212021 vs. 2020
(in thousands, except percentages)
Technology and development$25,133$16,866$9,94749%70%
Percentage of total revenue3%2%2%

Year ended December 31, 2022 compared to year ended December 31, 2021. Technology and development expenses increased by $8.3 million, or 49%, to $25.1 million for the year ended December 31, 2022. The increase was primarily due to increased headcount and $1.7 million increase in associated stock-based compensation. Additionally, development expense, which totaled $7.8 million or 1% of total revenue, increased $4.1 million year over year as a result of investments in several pre-revenue initiatives. Technology and development expenses increased from 2% to 3% of total revenue year over year.

General and Administrative Expenses

Year Ended December 31,% Change
2022202120202022 vs. 20212021 vs. 2020
(in thousands, except percentages)
General and administrative$39,379$31,893$21,84723%46%
Percentage of total revenue4%5%4%

Year ended December 31, 2022 compared to year ended December 31, 2021. General and administrative expenses increased by $7.5 million, or 23%, to $39.4 million for the year ended December 31, 2022. The increase was primarily due to a $4.0 million increase in stock-based compensation and a $3.1 million increase in compensation expense. General and administrative expenses decreased from 5% to 4% of total revenue year over year.

New Pet Acquisition Expense

Year Ended December 31,% Change
2022202120202022 vs. 20212021 vs. 2020
(in thousands, except pet and per pet data)
New pet acquisition expense$89,500$78,647$47,83714%64%
Percentage of total revenue10%11%10%
Subscription Business:
Total subscription pets enrolled (at period end)869,862704,333577,9572422
Average pet acquisition cost (PAC)$289$287$247116

Year ended December 31, 2022 compared to year ended December 31, 2021. New pet acquisition expense increased by $10.9 million, or 14%, to $89.5 million, for the year ended December 31, 2022. This $10.9 million increase was attributable to expenses to generate leads and increase conversion rates. Specifically, total subscription pets enrolled increased 19%, excluding pets acquired through business combinations, between compared periods. New pet acquisition expenses as a percentage of revenue was 10% for the year ended December 31, 2022, compared to 11% in the same period last year.

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Depreciation and Amortization

Year Ended December 31,% Change
2022202120202022 vs. 20212021 vs. 2020
(in thousands, except percentages)
Depreciation and amortization$10,921$11,965$7,071(9)%69%
Percentage of total revenue1%1%1%

Year ended December 31, 2022 compared to year ended December 31, 2021. Depreciation and amortization expense decreased by $1.0 million, or 9%, to $10.9 million for the year ended December 31, 2022.

Stock-Based Compensation

Year ended December 31, 2022 compared to year ended December 31, 2021. Stock-based compensation is included in the cost and expense line items in the consolidated statements of operations, discussed above. Stock-based compensation expense in total was $33.4 million for the year ended December 31, 2022, up from $28.2 million in the prior year period. The amount of stock-based compensation recognized largely reflects the timing and vesting of our annual performance grants, calculated according to our equity incentive plan.

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Quarterly Results of Operations

The following tables contain selected quarterly financial information for the years ended December 31, 2022 and 2021. The unaudited quarterly information has been prepared on a basis consistent with the audited consolidated financial statements and includes all adjustments that we consider necessary for a fair presentation of the information shown. These quarterly operating results for any fiscal quarter are not necessarily indicative of the operating results for any full fiscal year or future period.

Consolidated Statements of Operations Data:Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
(in thousands)
Revenue:
Subscription business$158,562$152,401$145,808$139,839$134,120$127,077$120,373$113,292
Other business87,44781,35973,60366,16060,25954,59047,88741,393
Total revenue246,009233,760219,411205,999194,379181,667168,260154,685
Cost of revenue:
Subscription business(1)131,823128,158122,440115,263108,627103,75499,74695,537
Other business80,53775,54368,38860,84255,21749,74743,96938,048
Total cost of revenue212,360203,701190,828176,105163,844153,501143,715133,585
Operating expenses:
Technology and development(1)6,9556,5536,3965,2294,6654,3914,0793,731
General and administrative(1)10,47210,3149,2279,3668,9968,2467,4357,216
New pet acquisition expense(1)22,45722,43422,98221,62719,84519,70819,39019,704
Depreciation and amortization2,8972,6002,7072,7172,7702,9443,1583,093
Total operating expenses42,78141,90141,31238,93936,27635,28934,06233,744
Gain (loss) from investment in joint venture(85)(57)(42)(69)(22)(69)5(85)
Operating income (loss)(9,217)(11,899)(12,771)(9,114)(5,763)(7,192)(9,512)(12,729)
Interest expense1,5871,4081,1937993(2)
Other expense (income), net(1,504)(889)(365)(314)236(61)(99)(62)
Income (loss) before income taxes(9,300)(12,418)(13,599)(8,879)(6,008)(7,131)(9,416)(12,665)
Income tax expense (benefit)(15)49619(24)1,034(312)(195)(217)
Net income (loss)$(9,285)$(12,914)$(13,618)$(8,855)$(7,042)$(6,819)$(9,221)$(12,448)

(1) Includes stock-based compensation expense as follows (in thousands):

Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
(in thousands)
Cost of revenue$1,346$1,472$1,830$1,836$1,379$1,311$1,224$3,234
Technology and development1,5491,1841,101908843749800664
General and administrative3,5503,7923,0662,4232,4502,2712,3221,819
New pet acquisition expense2,1222,1952,6372,3822,1362,1122,1812,731
Total stock-based compensation expense$8,567$8,643$8,634$7,549$6,808$6,443$6,527$8,448

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Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
Other Financial and Operational Data:
Total Business:
Total pets enrolled (at period end)1,537,5731,439,6051,348,1451,267,2531,176,7781,104,3761,024,226943,854
Subscription Business:
Total subscription pets enrolled (at period end)869,862808,077770,318736,691704,333676,463643,395609,835
Monthly average revenue per pet$63.11$63.80$64.26$64.21$63.89$63.60$63.69$62.97
Lifetime value of a pet, including fixed expenses$641$673$713$730$717$697$681$684
Average pet acquisition cost (PAC)$283$268$309$301$306$280$284$279
Average monthly retention98.69%98.71%98.74%98.75%98.74%98.72%98.72%98.73%
Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
(as a percentage of revenue)
Revenue100%100%100%100%100%100%100%100%
Cost of revenue8687878584848586
Operating expenses:
Technology and development33332222
General and administrative44475547
New pet acquisition expense910101010111213
Depreciation and amortization11111222
Total operating expenses1718191919192022
Gain (loss) from investment in joint venture
Operating income (loss)(4)(5)(6)(4)(3)(4)(6)(8)
Interest expense111
Other expense (income), net(1)
Income (loss) before income taxes(4)(5)(6)(4)(3)(4)(6)(8)
Income tax expense (benefit)1
Net income (loss)(4)%(6)%(6)%(4)%(4)%(4)%(5)%(8)%
Three Months Ended
Dec. 31, 2022Sept. 30, 2022Jun. 30, 2022Mar. 31, 2022Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%100%100%100%100%100%
Subscription business cost of revenue8384848281828384

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Liquidity and Capital Resources

The following table summarizes our cash flows for the periods indicated (in thousands):

Year Ended December 31,
202220212020
Net cash (used in) provided by operating activities$(8,000)$7,458$21,544
Net cash used in investing activities(67,516)(51,913)(76,747)
Net cash (used in) provided by financing activities60,743(1,125)170,848
Effect of foreign exchange rates on cash, cash equivalents, and restricted cash, net(1,459)252(16)
Net change in cash, cash equivalents, and restricted cash$(16,232)$(45,328)$115,629

Our primary requirements for liquidity are paying veterinary invoices, funding operations and capital requirements, investing in new member acquisition, investing in enhancements to our member experience, and servicing debt. We have certain contractual obligations in the normal course of business, including obligations and commitments relating to our Credit Facility, non-cancellable vendor purchase agreements, as well as future payments of veterinary invoice claims. Refer to Note 10, Reserve for Veterinary Invoices, included in Item 8 of Part II of this 10-K, for further details on anticipated cash outflows.

Our primary sources of liquidity are cash provided by operations and available borrowings from our Credit Facility, under which we have $75.0 million remaining credit as of December 31, 2022. We believe these sources are sufficient to fund our operations and capital requirements for the next 12 months. As we continue to grow and consider strategic opportunities, however, we may explore additional financing to fund our operations and growth or to meet capital requirements. Financing could include equity, equity-linked, or debt financing. Additional financing may not be available to us on acceptable terms, or at all.

As of December 31, 2022, we had $222.4 million in cash, cash equivalents and short-term investments and $75.0 million available under our Credit Facility. The Credit Facility is secured by substantially all of our assets and those of our subsidiaries. In addition, most of the assets in our insurance subsidiaries are subject to certain capital and dividend rules and regulations prescribed by jurisdictions in which they are authorized to operate. As of December 31, 2022, total assets and liabilities held outside of our insurance entities were $211.0 million and $103.9 million, respectively, including $7.2 million of cash and cash equivalents that were segregated from other operating funds and held in trust for the payment of veterinary invoices on behalf of our insurance subsidiaries. For further information, refer to "—Regulation".

In April 2021, our board of directors approved a share repurchase program, pursuant to which we may, between May 2021 and May 2026, repurchase outstanding shares of our common stock. While our board of directors has approved the program, any repurchase activity is subject to quarterly assessment and board approval, based on various factors including available cash, stock price relative to our estimated intrinsic value, forecasted operating results, and available opportunities to otherwise deploy capital for business expansion. We repurchased 95,021 shares under this program during the year ended December 31, 2022.

Operating Cash Flows

We derive operating cash flows primarily from the sale of our subscription plans, which is used to pay veterinary invoices and other cost of revenue. Additionally, cash is used to support the growth of our business by reinvesting to acquire new pet enrollments, develop new product offerings and to fund projects that improve our members' experience. Net cash used by operating activities was $8.0 million for the year ended December 31, 2022, compared to $7.5 million net cash provided by operating activities for the year ended December 31, 2021. The change was primarily driven by increased pet acquisition spend during the current period to drive new pet enrollments and future growth and faster payment of veterinary invoices. Changes in accounts receivable and deferred revenue were primarily related to annual policies with monthly payment terms within our other business segment.

Investing Cash Flows

Net cash used in investing activities was $67.5 million for the year ended December 31, 2022, compared to $51.9 million for the year ended December 31, 2021. The change was primarily related to cash paid for business acquisitions as well as purchases of property, equipment and intangible assets, primarily related to development of internal use software focused on new product initiatives and member experience improvements.

Financing Cash Flows

Net cash provided by financing activities was $60.7 million for the year ended December 31, 2022, compared to $1.1 million net cash used by financing activities during the same period in the prior year, primarily due to net proceeds from the term loans under the new Credit Facility which closed in March 2022, partially offset by $5.8 million used for the repurchase of shares of our common stock during the period.

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Long-Term Debt

Our Credit Facility provides us with up to $150.0 million of credit. As of December 31, 2022, we issued term loans totaling $75.0 million under the Credit Facility. Refer to Note 11, Debt, included in Item 8 of this report, for further details.

Critical Accounting Policies and Significant Estimates

Our discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the consolidated financial statements, as well as the reported revenue and expenses during the reporting periods.

Critical accounting policies and estimates are those that we consider the most important to the portrayal of our financial condition and results of operations because they require our most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Generally, we base our estimates on historical experience and on various other factors that we believe to be reasonable under the circumstances. Actual results may differ from these estimates.

Reserve for Veterinary Invoices

We use the paid loss development method (chain-ladder method) to estimate reserves for veterinary invoices for our subscription and for the majority of our other business segment. Paid loss development factors are estimated based on historical paid loss triangles. The reserve represents our estimate of the future amount we will pay for veterinary invoices that are dated as of, or prior to, our balance sheet date. The reserve also includes our estimate of related internal processing costs. To determine the accrual, we make assumptions based on our historical experience, including the number of veterinary invoices we expect to receive, the average cost of those veterinary invoices, the length of time between the date of the veterinary invoice and the date we receive it, and our expected cost to process and administer the payments. As of each balance sheet date, we reevaluate our reserve and may adjust the estimate for new information.

As of December 31, 2022, our reserve for veterinary invoices was $43.7 million, consisting of $42.4 million for the amount we expect to pay in the future for veterinary invoices dated between January 1, 2022 and December 31, 2022, inclusive of related processing costs, and a reserve of $1.3 million for invoices dated prior to January 1, 2022. We believe the reserve amount as of December 31, 2022 is adequate, and we do not believe that there are any reasonably likely changes in the facts or circumstances underlying key assumptions that would result in the reserve balance being insufficient in an amount that would have a material impact on our reported results, financial position or liquidity. The ultimate liability, however, may be in excess of or less than the amount we have reserved.

For the year ended December 31, 2022, we paid $36.6 million for veterinary invoices dated on or before December 31, 2021, including related processing costs. Our reserve estimate for these expenses was $39.7 million as of December 31, 2021. As of December 31, 2022, we reevaluated the remaining reserve for those periods prior to December 31, 2021 and recorded an adjustment to our income statement to decrease it by $1.7 million.

Income Taxes

We determine our deferred tax assets and liabilities based on the differences between the financial reporting and tax basis of assets and liabilities. The deferred tax assets and liabilities are measured using the enacted tax rates that will be in effect when the differences are expected to reverse. A valuation allowance is recorded when it is more likely than not that the deferred tax asset will not be recovered. We apply judgment in the determination of the consolidated financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Although we believe our assumptions, judgments and estimates are reasonable, changes in tax laws or our interpretation of tax laws and the resolution of any tax audits could significantly impact the amounts provided for income taxes in our consolidated financial statements.

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FY 2021 10-K MD&A

SEC filing source: 0001371285-22-000048.

Extracted structurally from real Item 7 body heading to real Item 7A/8 boundary. Confidence: high. Filing date: 2022-02-17. Report date: 2021-12-31.

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Please read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial statements and related notes included under Part II, Item 8 of this Annual Report on Form 10-K.

This section of this Form 10-K generally discusses 2021 and 2020 items and year-to-year comparisons between 2021 and 2020. Discussions of 2019 items and year-to-year comparisons between 2020 and 2019 that are not included in this Form 10-K can be found in "Management's Discussion and Analysis of Financial Condition and Results of Operations" in Part II, Item 7 of the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2020.

Overview

We provide medical insurance for cats and dogs throughout the United States, Canada, Puerto Rico, and Australia. Our data-driven, vertically-integrated approach enables us to provide pet owners with products that offer what we believe is the highest value medical insurance, priced specifically for each pet’s unique characteristics and coverage level. Our growing and loyal membership base provides us with highly predictable and recurring revenue. We operate our subscription business segment similar to other subscription-based businesses, with a focus on achieving a target margin prior to our pet acquisition expense and acquiring as many pets as possible at our targeted average estimated internal rate of return.

We operate in two business segments: subscription business and other business. We generate revenue in our subscription business segment primarily by subscription fees from our “Trupanion” branded products. Fees are paid at the beginning of each subscription period, which automatically renews on a monthly basis. We generate revenue in our other business segment primarily by writing policies on behalf of third parties. We do not undertake the marketing efforts for these policies and have a business-to-business relationship with these third parties. Our other business segment also includes revenue from other products and software solutions that have a different margin profile from our subscription business.

We generate leads for our subscription business segment from a diverse set of member acquisition channels, which we then convert into members through our contact center, website and other direct-to-consumer activities. These channels include leads from third-parties such as veterinarians and referrals from existing members. Veterinary hospitals represent our largest referral source. We engage our “Territory Partners” to have face-to-face visits with veterinarians and their staff. Territory Partners are dedicated to cultivating direct veterinary relationships and building awareness of the benefits of high quality medical insurance to veterinarians and their clients. Veterinarians then educate pet owners, who visit our website or call our contact center to learn more about, and potentially enroll in, Trupanion. We also receive a significant number of new leads from existing members adding pets and referring their friends and family members. Our direct-to-consumer acquisition channels serve as important resources for pet owner education and drive new member leads and conversion. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Our Response to the COVID-19 Pandemic

We have not experienced a material adverse impact on our business due to COVID-19, but we continue to monitor conditions closely and adapt our operations to meet federal, state and local guidance. Our focus remains on promoting employee health and safety, serving our members and ensuring business continuity. Our Seattle headquarters is now open for those who want to work in that office, in compliance with applicable regulations and guidance.

The impacts of COVID-19 and related economic conditions on our results are highly uncertain and in many ways outside of our control. The scope, duration and magnitude of the direct and indirect effects of COVID-19 are evolving rapidly and in ways that are difficult, if possible, to anticipate. For additional details, see the section titled "Risk Factors."

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Key Operating Metrics

The following tables set forth total pets enrolled and key operating metrics for our subscription business for the years ended December 31, 2021, 2020 and 2019, and for each of the last eight fiscal quarters.

Year Ended December 31,
202120202019
Total Business:
Total pets enrolled (at period end)1,176,778862,928646,728
Subscription Business:
Total subscription pets enrolled (at period end)704,333577,957494,026
Monthly average revenue per pet$63.56$60.37$57.52
Lifetime value of a pet, including fixed expenses$717$653$523
Average pet acquisition cost (PAC)$287$247$212
Average monthly retention98.74%98.71%98.58%
Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
Total Business:
Total pets enrolled (at period end)1,176,7781,104,3761,024,226943,854862,928804,251744,727687,435
Subscription Business:
Total subscription pets enrolled (at period end)704,333676,463643,395609,835577,957552,909529,400508,480
Monthly average revenue per pet$63.89$63.60$63.69$62.97$62.03$60.87$59.40$58.96
Lifetime value of a pet, including fixed expenses$717$697$681$684$653$615$597$535
Average pet acquisition cost (PAC)$306$280$284$279$272$261$199$247
Average monthly retention98.74%98.72%98.72%98.73%98.71%98.69%98.66%98.59%

Total pets enrolled. Total pets enrolled reflects the number of subscription pets or pets enrolled in one of the insurance products offered in our other business segment at the end of each period presented. We monitor total pets enrolled because it provides an indication of the growth of our consolidated business.

Total subscription pets enrolled. Total subscription pets enrolled reflects the number of pets in active memberships at the end of each period presented. We monitor total subscription pets enrolled because it provides an indication of the growth of our subscription business.

Monthly average revenue per pet. Monthly average revenue per pet is calculated as amounts billed in a given period for subscriptions divided by the total number of subscription pet months in the period. Total subscription pet months in a period represents the sum of all subscription pets enrolled for each month during the period. We monitor monthly average revenue per pet because it is an indicator of the per pet unit economics of our subscription business.

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Lifetime value of a pet, including fixed expenses. Lifetime value of a pet, including fixed expenses, is calculated based on subscription revenue less cost of revenue from our subscription business segment for the 12 months prior to the period end date excluding stock-based compensation expense related to cost of revenue from our subscription business segment, sign-up fee revenue and the change in deferred revenue between periods. This amount is also reduced by the fixed expenses related to our subscription business, which are the pro-rata portion of general and administrative and technology and development expenses, less stock-based compensation, based on revenues. This amount, on a per pet basis, is multiplied by the implied average subscriber life in months. Implied average subscriber life in months is calculated as the quotient obtained by dividing one by one minus the average monthly retention rate. We monitor lifetime value of a pet, including fixed expenses, to estimate the value we might expect from new pets over their implied average subscriber life in months, if they behave like the average pet in that respective period. When evaluating the amount of pet acquisition expenses we may want to incur to attract new pet enrollments, we refer to the lifetime value of a pet, including fixed expenses, as well as our estimated internal rate of return calculation for an average pet, which also includes an estimated surplus capital charge, to inform the amount of acquisition spend in relation to the estimated payback period.

Average pet acquisition cost. Average pet acquisition cost (PAC) is calculated as net acquisition cost divided by the total number of new subscription pets enrolled in that period. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as new pet acquisition expense, excluding stock-based compensation expense and other business segment expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because that does not relate to subscription enrollments. We monitor average pet acquisition cost to evaluate the efficiency in acquiring new members and measure effectiveness based on our targeted return on investment.

Average monthly retention. Average monthly retention is measured as the monthly retention rate of enrolled subscription pets for each applicable period averaged over the 12 months prior to the period end date. As such, our average monthly retention rate as of December 31, 2021 is an average of each month’s retention from January 1, 2021 through December 31, 2021. We calculate monthly retention as the number of pets that remain after subtracting all pets that cancel during a month, including pets that enroll and cancel within that month, divided by the total pets enrolled at the beginning of that month. We monitor average monthly retention because it provides a measure of member satisfaction and allows us to calculate the implied average subscriber life in months.

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Non-GAAP Financial Measures

In addition to our results determined in accordance with U.S. GAAP, we believe the following non-GAAP financial measures are useful in evaluating our operating performance. We use the following non-GAAP financial information to evaluate our ongoing operations and for internal planning and forecasting purposes. We believe that these non-GAAP financial measures, when taken collectively, may be helpful to investors because it provides consistency and comparability with past financial performance. However, non-GAAP financial information is presented for supplemental informational purposes only, has limitations as an analytical tool, and should not be considered in isolation, or as a substitute for, the directly comparable financial measures prepared in accordance with GAAP.

We calculate these non-GAAP financial measures by excluding certain non-cash or non-recurring expenses. We exclude business combination transaction cost as it is non-recurring and not indicative of our operating performance. We exclude stock-based compensation as it is non-cash in nature. Although stock-based compensation expenses are expected to remain recurring expenses for the foreseeable future, we believe excluding them allows investors to make meaningful comparisons between our recurring core business operating results and those of other companies. We define non-GAAP development expenses as operating expenses incurred to develop new products and offerings that are pre-revenue. We define non-GAAP fixed expenses as the total of Technology and Development expense and General and Administrative expense, less stock-based compensation expense, business combination transaction cost, and non-GAAP development expenses.

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The following tables present the reconciliation of our non-GAAP financial measures from corresponding GAAP measures for the periods presented:

Year Ended December 31,
202120202019
Veterinary invoice expense$486,062$351,124$270,947
Less:
Stock-based compensation expense(4,538)(1,118)(697)
Other business cost of paying veterinary invoices(129,614)(72,119)(38,532)
Subscription cost of paying veterinary invoices (non-GAAP)$351,910$277,887$231,718
% of subscription revenue71.1%71.7%72.1%
Other cost of revenue$108,583$69,003$48,065
Less:
Stock-based compensation expense(2,610)(468)(353)
Other business variable expenses(57,367)(33,133)(18,341)
Subscription variable expenses (non-GAAP)$48,606$35,402$29,371
% of subscription revenue9.8%9.1%9.1%
Technology and development expense$16,866$9,947$7,025
General and administrative expense31,89321,84718,384
Less:
Stock-based compensation expense(11,918)(4,553)(3,676)
Business combination transaction costs(82)(522)
Development expenses (non-GAAP)(3,719)(339)
Fixed expenses (non-GAAP)$33,040$26,380$21,733
% of total revenue4.7%5.3%5.7%
New pet acquisition expense$78,647$47,837$35,451
Less:
Stock-based compensation expense(9,160)(2,773)(2,120)
Other business pet acquisition expense(499)(820)(414)
Subscription acquisition cost (non-GAAP)$68,988$44,244$32,917
% of subscription revenue13.9%11.4%10.2%
Technology and development expense$16,866$9,947$7,025
General and administrative expense31,89321,84718,384
Less:
Stock-based compensation expense(11,918)(4,553)(3,676)
Business combination transaction costs(82)(522)
Fixed expenses (non-GAAP)(33,040)(26,380)(21,733)
Development expenses (non-GAAP)$3,719$339$
% of total revenue0.5%0.1%%

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Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
Veterinary invoice expense$132,852$125,058$118,282$109,870$98,169$91,266$82,049$79,640
Less:
Stock-based compensation expense(798)(769)(672)(2,299)(358)(337)(245)(178)
Other business cost of paying veterinary invoices(38,009)(34,432)(31,029)(26,144)(22,254)(19,394)(16,019)(14,452)
Subscription cost of paying veterinary invoices (non-GAAP)$94,045$89,857$86,581$81,427$75,557$71,535$65,785$65,010
% of subscription revenue70.1%70.7%71.9%71.9%71.0%72.0%71.2%72.6%
Other cost of revenue$30,992$28,443$25,433$23,715$20,925$18,265$16,004$13,809
Less:
Stock-based compensation expense(581)(542)(552)(935)(168)(111)(99)(90)
Other business variable expenses(17,208)(15,315)(12,940)(11,904)(11,079)(9,039)(7,440)(5,575)
Subscription variable expenses (non-GAAP)$13,203$12,586$11,941$10,876$9,678$9,115$8,465$8,144
% of subscription revenue9.8%9.9%9.9%9.6%9.1%9.2%9.2%9.1%
Technology and development expense$4,665$4,391$4,079$3,731$3,108$2,426$2,293$2,120
General and administrative expense8,9968,2467,4357,2166,5025,4125,0734,860
Less:
Stock-based compensation expense(3,293)(3,020)(3,122)(2,483)(1,275)(1,241)(1,208)(829)
Business combination transaction costs(82)(522)
Development expenses (non-GAAP)(858)(919)(1,121)(821)(339)
Fixed expenses (non-GAAP)$9,510$8,698$7,271$7,561$7,474$6,597$6,158$6,151
% of total revenue4.9%4.8%4.3%4.9%5.2%5.1%5.2%5.5%
New pet acquisition expense$19,845$19,708$19,390$19,704$14,809$13,344$9,242$10,442
Less:
Stock-based compensation expense(2,136)(2,112)(2,181)(2,731)(801)(741)(675)(556)
Other business pet acquisition expense(76)(134)(118)(171)(201)(265)(191)(163)
Subscription acquisition cost (non-GAAP)$17,633$17,462$17,091$16,802$13,807$12,338$8,376$9,723
% of subscription revenue13.1%13.7%14.2%14.8%13.0%12.4%9.1%10.9%
Technology and development expense$4,665$4,391$4,079$3,731$3,108$2,426$2,293$2,120
General and administrative expense8,9968,2467,4357,2166,5025,4125,0734,860
Less:
Stock-based compensation expense(3,293)(3,020)(3,122)(2,483)(1,275)(1,241)(1,208)(829)
Business combination transaction costs(82)(522)
Fixed expenses (non-GAAP)(9,510)(8,698)(7,271)(7,561)(7,474)(6,597)(6,158)(6,151)
Development expenses (non-GAAP)$858$919$1,121$821$339$$$
% of total revenue0.4%0.5%0.7%0.5%0.2%%%%

43

When determining our PAC, we calculate net acquisition cost for a more comparable metric across periods. Net acquisition cost, a non-GAAP financial measure, is calculated in a reporting period as GAAP new pet acquisition expense, excluding stock-based compensation expense and other business segment expense, offset by sign-up fee revenue. We exclude stock-based compensation expense because the amount varies from period to period based on the number of awards issued and market-based valuation inputs. We offset sign-up fee revenue because it is a one-time charge to new members collected at the time of enrollment used to partially offset initial setup costs, which are included in new pet acquisition expenses. We exclude other business segment pet acquisition expense because it does not relate to subscription enrollments.

The following tables reconcile GAAP new pet acquisition expense to non-GAAP net acquisition cost (in thousands) for the years ended December 31, 2021, 2020, and 2019, and for each of the last eight fiscal quarters:

Year Ended December 31,
202120202019
New pet acquisition expense$78,647$47,837$35,451
Net of sign-up fee revenue(4,954)(3,292)(2,957)
Excluding:
Stock-based compensation expense(9,160)(2,773)(2,120)
Other business segment pet acquisition expense(499)(820)(414)
Net acquisition cost$64,034$40,952$29,960
Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
New pet acquisition expense$19,845$19,708$19,390$19,704$14,809$13,344$9,242$10,442
Net of sign-up fee revenue(1,162)(1,268)(1,260)(1,264)(919)(827)(781)(765)
Excluding:
Stock-based compensation expense(2,136)(2,112)(2,181)(2,731)(801)(741)(675)(556)
Other business segment pet acquisition expense(76)(134)(118)(171)(201)(265)(191)(163)
Net acquisition cost$16,471$16,194$15,831$15,538$12,888$11,511$7,595$8,958

Components of Operating Results

General

We operate in two business segments: subscription business and other business. Our subscription business segment primarily relates to subscription fees from our “Trupanion” branded products. Our other business segment includes revenue from other product offerings that generally have a business-to-business relationship and different margin profiles than our subscription segment, including revenue from writing policies on behalf of third parties and revenue from other products and software solutions.

Revenue

We generate revenue in our subscription business segment primarily from subscription fees for our pet medical insurance. Fees are paid at the beginning of each subscription period, which automatically renews on a monthly basis. In most cases, our members authorize us to directly charge their credit card, debit card or bank account through automatic funds transfer. Subscription revenue is recognized on a pro rata basis over the monthly enrollment term. Membership may be canceled at any time without penalty, and we issue a refund for the unused portion of the canceled membership.

We generate revenue in our other business segment primarily from writing policies on behalf of third parties where we do not undertake the direct consumer marketing. This segment also includes revenue from other products and software solutions that have a different margin profile from our subscription business.

44

Cost of Revenue

Cost of revenue in each of our segments is comprised of the following:

Veterinary invoice expense

Veterinary invoice expense includes our costs to review veterinary invoices, administer the payments, and provide member services, and other operating expenses directly or indirectly related to this process. We also accrue for veterinary invoices that have been incurred but not yet received. This also includes amounts paid by unaffiliated general agents, and an estimate of amounts incurred and not yet paid for our other business segment.

Other cost of revenue

Other cost of revenue for the subscription business segment includes direct and indirect member service expenses, Territory Partner renewal fees, credit card transaction fees and premium tax expenses. Other cost of revenue for the other business segment includes the commissions we pay to unaffiliated general agents, costs to administer the programs in the other business segment and premium taxes on the sales in this segment.

Operating Expenses

Our operating expenses are classified into four categories: technology and development, general and administrative, new pet acquisition expense, and depreciation and amortization. For each category, excluding depreciation and amortization, the largest component is personnel costs, which include salaries, employee benefit costs, bonuses and stock-based compensation expense.

Technology and development

Technology and development expenses primarily consist of personnel costs and related expenses for our technology staff, which includes information technology development and infrastructure support, including third-party services. It also includes expenses associated with development of new products and offerings.

General and administrative

General and administrative expenses consist primarily of personnel costs and related expenses for our finance, actuarial, human resources, regulatory, legal and general management functions, as well as facilities and professional services.

New pet acquisition expense

New pet acquisition expenses primarily consist of costs, including employee compensation, to educate veterinarians and consumers about the benefits of Trupanion, to generate leads and to convert leads into enrolled pets, as well as print, online and promotional advertising costs. New pet acquisition expense was previously termed “sales and marketing” on the consolidated statement of operations. This update represents a change in name only. It does not denote a change in method of accounting.

Depreciation and amortization

Depreciation and amortization expenses consist of depreciation of property, equipment, and software developed for internal use, as well as amortization of finite-lived intangible assets.

Gain (loss) from investment in joint venture

Gain (loss) from investment in joint venture consists of the share of income and losses from our equity method investment in a joint venture, as well as income and expenses associated with administrative services provided to the joint venture.

Stock-based compensation

Stock-based compensation is included in the cost and expense line items above. Stock-based compensation will vary depending on corporate performance pursuant to our pre-approved equity incentive plan. For example, when we have delivered strong performance, stock-based compensation may increase as a result of incentive-based awards under our equity incentive plan.

45

Factors Affecting Our Performance

Average monthly retention. Our performance depends on our ability to continue to retain our existing and newly enrolled pets and is impacted by our ability to provide a best-in-class value and member experience. Our ability to retain enrolled pets depends on a number of factors, including the actual and perceived value of our services and the quality of our member experience, the ease and transparency of the process for reviewing and paying veterinary invoices for our members, and the competitive environment. In addition, other initiatives across our business may temporarily impact retention and make it difficult for us to improve or maintain this metric. For example, if the number of new pets enrolled increases at a faster rate than our historical experience, our average monthly retention rate could be adversely impacted, as our retention rate is generally lower during the first year of member enrollment.

Investment in pet acquisition. We have made and plan to continue to make significant investments to grow our member base. Our net acquisition cost and the number of new members we enroll depends on a number of factors, including the amount we elect to invest in pet acquisition activities in any particular period in the aggregate and by channel, the frequency of existing members adding a pet or referring their friends or family, the effectiveness of our sales execution and marketing initiatives, changes in costs of media, the mix of our pet acquisition expenditures and the competitive environment. Our average pet acquisition cost has in the past significantly varied, and in the future may significantly vary, from period to period based upon specific marketing initiatives and estimated rates of return on pet acquisition spend. We also regularly test new member acquisition channels and marketing initiatives, which may be more expensive than our traditional marketing channels and may increase our average acquisition costs. We continually assess our pet acquisition activities by monitoring the estimated return on PAC spend both on a detailed level by acquisition channel and in the aggregate.

Timing of initiatives. Over time we plan to implement new initiatives to improve our member experience, make modifications to our subscription plan, introduce new coverage plans, pursue pet food or other adjacent opportunities, improve our technology, increase the number of veterinary hospitals using our direct pay software, and find other ways to maintain a strong value proposition for our members. These initiatives will sometimes be accompanied by price adjustments, in order to compensate for an increase in benefits received by our members. The implementation of such initiatives may not always coincide with the timing of price adjustments, resulting in fluctuations in revenue and profitability in our subscription business segment.

Geographic mix of sales. The relative mix of our business between the United States and Canada impacts the monthly average revenue per pet we receive. Prices for our plan in Canada are generally higher than in the United States (in local currencies), which is consistent with the relative cost of veterinary care in each country. As our mix of business between the United States and Canada changes, our metrics, such as our monthly average revenue per pet, and our exposure to foreign exchange fluctuations will be impacted. Any expansion into other international markets could have similar effects.

Other business segment. Our other business segment primarily includes other product offerings that generally have a business-to-business relationship. These products have been in the past, and may be in the future, materially different from our subscription segment. Our relationships in our other business segment are generally subject to termination provisions and are non-exclusive. Accordingly, we cannot control the volume of business, even if a contract is not terminated. Loss of an entire program via contract termination could result in the associated policies and revenue being lost over a period of 12 to 18 months, which could have a material impact on our results of operations. We may enter into additional relationships in the future to the extent we believe they will be profitable to us, which could also impact our operating results.

46

Results of Operations

The following tables set forth our results of operations for the periods presented both in absolute dollars and as a percentage of total revenue for those periods. The period-to-period comparison of financial results is not necessarily indicative of future results.

Year Ended December 31,
202120202019
(in thousands)
Revenue:
Subscription business$494,862$387,732$321,163
Other business204,129114,29662,773
Total revenue698,991502,028383,936
Cost of revenue:
Subscription business(1)407,664314,875262,139
Other business186,981105,25256,873
Total cost of revenue594,645420,127319,012
Operating expenses:
Technology and development(1)16,8669,9477,025
General and administrative(1)31,89321,84718,384
New pet acquisition expense(1)78,64747,83735,451
Depreciation and amortization11,9657,0715,632
Total operating expenses139,37186,70266,492
Loss from investment in joint venture(171)(126)(352)
Operating loss(35,196)(4,927)(1,920)
Interest expense101,3811,349
Other expense (income), net14(581)(1,629)
Loss before income taxes(35,220)(5,727)(1,640)
Income tax expense310113169
Net loss$(35,530)$(5,840)$(1,809)

(1) Includes stock-based compensation expense as follows:

Year Ended December 31,
202120202019
(in thousands)
Cost of revenue$7,148$1,586$1,050
Technology and development3,056758364
General and administrative8,8623,7953,312
New pet acquisition expense9,1602,7732,120
Total stock-based compensation expense$28,226$8,912$6,846

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Year Ended December 31,
202120202019
(as a percentage of revenue)
Revenue100%100%100%
Cost of revenue858483
Operating expenses:
Technology and development222
General and administrative545
New pet acquisition expense11109
Depreciation and amortization211
Total operating expenses201717
Loss from investment in joint venture
Operating loss(5)(1)(1)
Interest expense
Other expense (income), net
Loss before income taxes(5)(1)
Income tax expense
Net loss(5)%(1)%%
Stock-based compensation expense:Year Ended December 31,
202120202019
(as a percentage of revenue)
Cost of revenue1%%%
Technology and development111
General and administrative
New pet acquisition expense111
Total stock-based compensation expense4%2%2%
Year Ended December 31,
202120202019
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%
Subscription business cost of revenue828182

48

Comparison of the years ended December 31, 2021, 2020, and 2019

Revenue

Year Ended December 31,% Change
2021202020192021 vs. 20202020 vs. 2019
(in thousands, except percentages, pet and per pet data)
Revenue:
Subscription business$494,862$387,732$321,16328%21%
Other business204,129114,29662,7737982
Total revenue$698,991$502,028$383,9363931
Percentage of Revenue by Segment:
Subscription business71%77%84%
Other business292316
Total revenue100%100%100%
Total pets enrolled (at period end)1,176,778862,928646,7283633
Total subscription pets enrolled (at period end)704,333577,957494,0262217
Monthly average revenue per pet$63.56$60.37$57.5255
Average monthly retention98.74%98.71%98.58%

Year ended December 31, 2021 compared to year ended December 31, 2020. Total revenue increased by $197.0 million to $699.0 million for the year ended December 31, 2021, or 39%. Revenue from our subscription business segment increased by $107.1 million to $494.9 million for the year ended December 31, 2021, or 28%. This increase was primarily due to a 22% increase in total subscription pets enrolled as of December 31, 2021 compared to December 31, 2020 and increased average revenue per pet of 5% for the same period. Increases in pricing were due to the increased cost and utilization of veterinary care. Revenue from our other business segment increased by $89.8 million to $204.1 million for the year ended December 31, 2021, or 79%, primarily due to a 66% increase in enrolled pets in this segment.

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Cost of Revenue

Year Ended December 31,% Change
2021202020192021 vs. 20202020 vs. 2019
(in thousands, except percentages, pet and per pet data)
Cost of Revenue:
Subscription business:
Veterinary invoice expense$356,448$279,005$232,41528%20%
Other cost of revenue51,21635,87029,7244321
Total cost of revenue407,664314,875262,1392920
Other business:
Veterinary invoice expense129,61472,11938,5328087
Other cost of revenue57,36733,13318,3417381
Total cost of revenue186,981105,25256,8737885
Percentage of Revenue by Segment:
Subscription business:
Veterinary invoice expense72%72%72%
Other cost of revenue1099
Total cost of revenue828182
Other business:
Veterinary invoice expense636361
Other cost of revenue282929
Total cost of revenue929291
Total pets enrolled (at period end)1,176,778862,928646,7283633
Total subscription pets enrolled (at period end)704,333577,957494,0262217
Monthly average revenue per pet$63.56$60.37$57.5255

Year ended December 31, 2021 compared to year ended December 31, 2020. Cost of revenue for our subscription business segment was $407.7 million, or 82% of revenue, for the year ended December 31, 2021, compared to $314.9 million, or 81%, of revenue for the year ended December 31, 2020. This increase of 29% in subscription cost of revenue was primarily the result of a 22% increase in subscription pets enrolled and an increase of 5% in veterinary invoice expense per pet due to increases in the cost and utilization of veterinary care. Additionally, stock-based compensation expense increased $5.6 million during the period due to new performance grants in the first quarter of this year, including the full impact of one-time team grants in the first quarter of $2.3 million. Cost of revenue for our other business segment increased by $81.7 million, or 78%, to $187.0 million for the year ended December 31, 2021, primarily due to the increase in enrolled pets in this segment.

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Technology and Development Expenses

Year Ended December 31,% Change
2021202020192021 vs. 20202020 vs. 2019
(in thousands, except percentages)
Technology and development$16,866$9,947$7,02570%42%
Percentage of total revenue2%2%2%

Year ended December 31, 2021 compared to year ended December 31, 2020. Technology and development expenses increased by $6.9 million, or 70%, to $16.9 million for the year ended December 31, 2021. Technology expense increased by $3.9 million year over year, primarily due to $2.3 million of increased stock-based compensation during the period due to new performance grants in the first quarter of this year, as well as $1.6 million increase in general technology expense to support the business growth.

Development expense associated with developing new products and offerings was $3.7 million, or 0.5% of our total revenue, for the twelve months ended December 31, 2021. It increased by $3.0 million year over year, as a result of expenditures and investment in several pre-revenue initiatives.

Excluding stock-based compensation, technology and development expenses in total remained consistent at approximately 2% as a percentage of revenue year over year.

General and Administrative Expenses

Year Ended December 31,% Change
2021202020192021 vs. 20202020 vs. 2019
(in thousands, except percentages)
General and administrative$31,893$21,847$18,38446%19%
Percentage of total revenue5%4%5%

Year ended December 31, 2021 compared to year ended December 31, 2020. General and administrative expenses increased by $10.1 million, or 46%, to $31.9 million for the year ended December 31, 2021. The increase in expense was primarily due to a $5.1 million increase in stock-based compensation, a $2.6 million increase in compensation expense related primarily to increased headcount, a $1.2 million increase in facilities-related expenses, and a $1.0 million increase in legal, tax and other professional service fees. Excluding stock-based compensation, general and administrative expenses were 3.3% of revenue, compared to 3.6% of revenue in the prior year.

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New Pet Acquisition Expense

Year Ended December 31,% Change
2021202020192021 vs. 20202020 vs. 2019
(in thousands, except pet and per pet data)
New pet acquisition expense$78,647$47,837$35,45164%35%
Percentage of total revenue11%10%9%
Subscription Business:
Total subscription pets enrolled (at period end)704,333577,957494,0262217
Average pet acquisition cost (PAC)$287$247$2121617

Year ended December 31, 2021 compared to year ended December 31, 2020. New pet acquisition expense increased by $30.8 million, or 64%, to $78.6 million, for the year ended December 31, 2021. The increase was primarily attributable to a $13.7 million increase in expenses to generate leads and increase conversion rates and a $10.3 million increase in compensation expenses primarily related to headcount increases. Additionally, stock-based compensation expense increased $6.4 million during the period due to new performance grants in the first quarter of this year.

Depreciation and Amortization

Year Ended December 31,% Change
2021202020192021 vs. 20202020 vs. 2019
(in thousands, except percentages)
Depreciation and amortization$11,965$7,071$5,63269%26%
Percentage of total revenue2%1%1%

Depreciation and amortization expenses have been reclassified as a separate line item in the consolidated statement of operations since 2020 and prior period amounts have been reclassified from their original presentation to conform to the current period presentation. We elected to present depreciation and amortization expenses as a separate line to better align with management's view of our operating results.

Year ended December 31, 2021 compared to year ended December 31, 2020. Depreciation and amortization expense increased by $4.9 million, or 69%, to $12.0 million for the year ended December 31, 2021. The increase was primarily due to a $4.1 million incremental amortization in 2021 as a result of acquired intangible assets in the fourth quarter of 2020, as well as increased depreciation in line with business growth.

Stock-Based Compensation

Year ended December 31, 2021 compared to year ended December 31, 2020. Stock-based compensation is included in the cost and expense line items in the consolidated statements of operations, discussed above. Stock-based compensation expense in total was $28.2 million for the year ended December 31, 2021, up from $8.9 million in the prior year period. The amount of stock-based compensation recognized largely reflects the timing and vesting of our annual performance grants, including grants in the first quarter of this year for the strong 2020 performance, calculated according to our equity incentive plan.

52

Quarterly Results of Operations

The following tables contain selected quarterly financial information for the years ended December 31, 2021 and 2020. The unaudited quarterly information has been prepared on a basis consistent with the audited consolidated financial statements and includes all adjustments that we consider necessary for a fair presentation of the information shown. These quarterly operating results for any fiscal quarter are not necessarily indicative of the operating results for any full fiscal year or future period.

Consolidated Statements of Operations Data:Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
(in thousands)
Revenue:
Subscription business$134,120$127,077$120,373$113,292$106,416$99,379$92,453$89,484
Other business60,25954,59047,88741,39336,27130,74125,46721,817
Total revenue194,379181,667168,260154,685142,687130,120117,920111,301
Cost of revenue:
Subscription business(1)108,627103,75499,74695,53785,76181,09874,59473,422
Other business55,21749,74743,96938,04833,33328,43323,45920,027
Total cost of revenue163,844153,501143,715133,585119,094109,53198,05393,449
Operating expenses:
Technology and development(1)4,6654,3914,0793,7313,1082,4262,2932,120
General and administrative(1)8,9968,2467,4357,2166,5025,4125,0734,860
New pet acquisition expense(1)19,84519,70819,39019,70414,80913,3449,24210,442
Depreciation and amortization2,7702,9443,1583,0932,3011,6661,7231,381
Total operating expenses36,27635,28934,06233,74426,72022,84818,33118,803
Gain (loss) from investment in joint venture(22)(69)5(85)(42)2(27)(59)
Operating income (loss)(5,763)(7,192)(9,512)(12,729)(3,169)(2,257)1,509(1,010)
Interest expense93(2)337324341379
Other expense (income), net236(61)(99)(62)(48)(49)(202)(282)
Income (loss) before income taxes(6,008)(7,131)(9,416)(12,665)(3,458)(2,532)1,370(1,107)
Income tax expense (benefit)1,034(312)(195)(217)44261726
Net income (loss)$(7,042)$(6,819)$(9,221)$(12,448)$(3,502)$(2,558)$1,353$(1,133)

(1) Includes stock-based compensation expense as follows (in thousands):

Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
(in thousands)
Cost of revenue$1,379$1,311$1,224$3,234$526$448$344$268
Technology and development843749800664392133133100
General and administrative2,4502,2712,3221,8198831,1081,075729
New pet acquisition expense2,1362,1122,1812,731801741675556
Total stock-based compensation expense$6,808$6,443$6,527$8,448$2,602$2,430$2,227$1,653

53

Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
Other Financial and Operational Data:
Total Business:
Total pets enrolled (at period end)1,176,7781,104,3761,024,226943,854862,928804,251744,727687,435
Subscription Business:
Total subscription pets enrolled (at period end)704,333676,463643,395609,835577,957552,909529,400508,480
Monthly average revenue per pet$63.89$63.6$63.69$62.97$62.03$60.87$59.40$58.96
Lifetime value of a pet, including fixed expenses$717$697$681$684$653$615$597$535
Average pet acquisition cost (PAC)$306$280$284$279$272$261$199$247
Average monthly retention98.74%98.72%98.72%98.73%98.71%98.69%98.66%98.59%
Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
(as a percentage of revenue)
Revenue100%100%100%100%100%100%100%100%
Cost of revenue8484858683848384
Operating expenses:
Technology and development22222222
General and administrative55475444
New pet acquisition expense10111213101088
Depreciation and amortization12222111
Total operating expenses1919202219181617
Gain (loss) from investment in joint venture
Operating income (loss)(3)(4)(6)(8)(2)(2)1(3)
Interest expense
Other expense (income), net
Income (loss) before income taxes(3)(4)(6)(8)(2)(2)1(1)
Income tax expense (benefit)1
Net income (loss)(4)%(4)%(5)%(8)%(2)%(2)%1%(1)%
Three Months Ended
Dec. 31, 2021Sept. 30, 2021Jun. 30, 2021Mar. 31, 2021Dec. 31, 2020Sept. 30, 2020Jun. 30, 2020Mar. 31, 2020
(as a percentage of subscription revenue)
Subscription business revenue100%100%100%100%100%100%100%100%
Subscription business cost of revenue8182838481828182

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Liquidity and Capital Resources

The following table summarizes our cash flows for the periods indicated (in thousands):

Year Ended December 31,
202120202019
Net cash provided by operating activities$7,458$21,544$16,157
Net cash used in investing activities(51,913)(76,747)(28,008)
Net cash (used in) provided by financing activities(1,125)170,84814,044
Effect of exchange rates on cash and cash equivalents252(16)423
Net change in cash, cash equivalents, and restricted cash$(45,328)$115,629$2,616

As of December 31, 2021, we had $213.4 million in cash, cash equivalents and short-term investments. Most of the assets in our insurance subsidiaries are subject to certain capital and dividend rules and regulations prescribed by jurisdictions in which they are authorized to operate. As of December 31, 2021, total assets and liabilities held outside of our insurance entities were $210.8 million and $31.6 million, respectively, including $8.0 million of cash and cash equivalents that were segregated from other operating funds and held in trust for the payment of veterinary invoices on behalf of our insurance subsidiaries. For further information, refer to "—Regulation".

Our primary sources of liquidity are our existing cash, cash equivalents, and short-term investments, as well as cash provided by operations. We believe these sources are sufficient to fund our operations and capital requirements for the next 12 months. As we continue to grow and consider strategic opportunities, however, we may explore additional financing to fund our operations and growth or to meet capital requirements. Financing could include equity, equity-linked, or debt financing. Additional financing may not be available to us on acceptable terms, or at all.

Our primary requirements for liquidity are paying veterinary invoices, funding operations and capital requirements, investing in new member acquisition, and investing in enhancements to our member experience. In December 2020, we elected to terminate our line of credit facility and repaid all then outstanding obligations. We have certain contractual obligations in the normal course of business, including obligations and commitments relating to non-cancellable vendor purchase agreements, as well as future payments of veterinary invoice claims. Refer to Note 10, Reserve for Veterinary Invoices, included in Item 8 of Part II of this 10-K, for further details on anticipated cash outflows.

In April 2021, our board of directors approved a share repurchase program, pursuant to which the Company may, between May 2021 and May 2026, repurchase outstanding shares of our common stock. While our board of directors has approved the program, any repurchase will be subject to quarterly assessments based on parameters we set. We cannot predict the timing or extent of any repurchases of shares of common stock, as such repurchases will depend on a number of factors, some of which are beyond our control. These include uses of capital in a given quarter, available cash, our stock price relative to our estimated intrinsic value, and general market conditions. We have not repurchased any shares under this program.

Operating Cash Flows

We derive operating cash flows primarily from the sale of our subscription plans, which is used to pay veterinary invoices and other cost of revenue. Additionally, cash is used to support the growth of our business by reinvesting to acquire new pet enrollments and to fund projects that improve our members' experience. Net cash provided by operating activities was $7.5 million for the year ended December 31, 2021, compared to $21.5 million net cash provided by operating activities for the year ended December 31, 2020. The change was primarily driven by increased pet acquisition spend during the current period to drive new pet enrollments and future growth, faster payment of veterinary invoices as a result of increased utilization of claims automation, as well as timing differences between collections from members and payments of veterinary invoices and payments to vendors. Changes in accounts receivable and deferred revenue were primarily related to annual policies with monthly payment terms within our other business segment.

Investing Cash Flows

Net cash used in investing activities was $51.9 million for the year ended December 31, 2021, primarily related to net purchase of investments to increase our statutory capital, as well as purchases of property, equipment and intangible assets, primarily related to development of internal use software focused on new product initiatives and member experience improvements.

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Financing Cash Flows

Net cash used in financing activities was $1.1 million for the year ended December 31, 2021, compared to $170.8 million net cash provided by financing activities in the prior year. In October 2020, we entered into a Strategic Alliance Agreement, Shareholder Agreement, and a Stock Purchase Agreement with Aflac Incorporated (Aflac). To drive long-term alignment, Aflac invested $200.0 million cash in exchange for 3,636,364 newly issued shares of our common stock at a price of $55 per share, subject to a minimum holding period of three years. The financing cash flow change year over year was primarily due to net proceeds of $192.3 million received from the sale of common stock to Aflac, partially offset by repayment and termination of the line of credit facility in 2020.

Critical Accounting Policies and Significant Estimates

Our discussion and analysis of our financial condition and results of operations is based upon our consolidated financial statements, which have been prepared in accordance with GAAP. The preparation of these consolidated financial statements requires us to make estimates and judgments that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities as of the date of the consolidated financial statements, as well as the reported revenue and expenses during the reporting periods.

Critical accounting policies and estimates are those that we consider the most important to the portrayal of our financial condition and results of operations because they require our most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain. Generally, we base our estimates on historical experience and on various other factors that we believe to be reasonable under the circumstances. Actual results may differ from these estimates.

Reserve for Veterinary Invoices

We use the paid loss development method (chain-ladder method) to estimate reserves for veterinary invoices for our subscription and for the majority of our other business segment. Paid loss development factors are estimated based on historical paid loss triangles. The reserve represents our estimate of the future amount we will pay for veterinary invoices that are dated as of, or prior to, our balance sheet date. The reserve also includes our estimate of related internal processing costs. To determine the accrual, we make assumptions based on our historical experience, including the number of veterinary invoices we expect to receive, the average cost of those veterinary invoices, the length of time between the date of the veterinary invoice and the date we receive it, and our expected cost to process and administer the payments. As of each balance sheet date, we reevaluate our reserve and may adjust the estimate for new information.

As of December 31, 2021, our reserve for veterinary invoices was $39.7 million, consisting of $37.3 million for the amount we expect to pay in the future for veterinary invoices dated between January 1, 2021 and December 31, 2021, inclusive of related processing costs, and a reserve of $2.4 million for invoices dated prior to January 1, 2021. We believe the reserve amount as of December 31, 2021 is adequate, and we do not believe that there are any reasonably likely changes in the facts or circumstances underlying key assumptions that would result in the reserve balance being insufficient in an amount that would have a material impact on our reported results, financial position or liquidity. The ultimate liability, however, may be in excess of or less than the amount we have reserved.

For the year ended December 31, 2021, we paid $24.9 million for veterinary invoices dated on or before December 31, 2020, including related processing costs. Our reserve estimate for these expenses was $28.9 million as of December 31, 2020. As of December 31, 2021, we reevaluated the remaining reserve for those periods prior to December 31, 2020 and recorded an adjustment to our income statement to decrease it by $1.6 million.

Accounting for Business Acquisition

As discussed in Item 8, Note 3—Business Combination, we acquired 100% of the equity of Aquarium Software Limited (Aquarium) for total consideration of approximately $48.3 million in net cash on October 30, 2020. Accounting for this business acquisition requires us to make certain estimates and assumptions, especially at the acquisition date with respect to tangible and intangible assets acquired and liabilities assumed. We used our best estimates and assumptions to accurately assign fair value to the tangible and intangible assets acquired and liabilities assumed at the acquisition date as well as the useful lives of those acquired intangible assets. We used a discounted cash flow model to measure the acquired intangible assets. The key assumptions used to estimate the fair value of the intangible assets included discount rates and certain assumptions that form the basis of the forecasted results. These key assumptions are forward looking and could be affected by future economic and market conditions. Unanticipated events and circumstances may occur that may affect the accuracy or validity of such assumptions, estimates or actual results.

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Income Taxes

We determine our deferred tax assets and liabilities based on the differences between the financial reporting and tax basis of assets and liabilities. The deferred tax assets and liabilities are measured using the enacted tax rates that will be in effect when the differences are expected to reverse. A valuation allowance is recorded when it is more likely than not that the deferred tax asset will not be recovered. We apply judgment in the determination of the consolidated financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Although we believe our assumptions, judgments and estimates are reasonable, changes in tax laws or our interpretation of tax laws and the resolution of any tax audits could significantly impact the amounts provided for income taxes in our consolidated financial statements.

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