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Segment Revenues (Details) - USD ($) | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2018 | Dec. 31, 2017
Total Revenues | $ 31,130,000 | $ 34,731,000 | $ 39,751,000 | $ 31,709,000 | $ 30,171,000 | $ 33,785,000 | $ 38,849,000 | $ 27,745,000 | $ 137,321,395 | $ 130,550,349
United States |  |  |  |  |  |  |  |  |  |
Total Revenues |  |  |  |  |  |  |  |  | 120,993,000 | 115,407,000
Canada |  |  |  |  |  |  |  |  |  |
Total Revenues |  |  |  |  |  |  |  |  | 7,040,000 | 6,935,000
Europe |  |  |  |  |  |  |  |  |  |
Total Revenues |  |  |  |  |  |  |  |  | 9,288,000 | 8,208,000
Other International |  |  |  |  |  |  |  |  |  |
Total Revenues |  |  |  |  |  |  |  |  | 1,420,000 | 1,176,000
Total International |  |  |  |  |  |  |  |  |  |
Total Revenues |  |  |  |  |  |  |  |  | $ 17,748,000 | $ 16,319,000

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