v3.25.2
Business Segment Information
 6 Months Ended
Jun. 30, 2025
Segment Reporting [Abstract]  
Business Segment Information Business Segment Information
The Company conducts business in three operating segments: Mobile Health Services, Transportation Services, and Corporate. In accordance with ASC 280, Segment Reporting, operating segments are components of an enterprise for which separate financial information is evaluated regularly by the chief operating decision makers, the Company’s Chief Executive Officer and Chief Financial Officer, in deciding how to allocate resources and assessing performance. All of the Company’s revenues and costs of revenues are reported within the Transportation Services and Mobile Health Services segments. The Corporate segment relates to shared services and personnel that support both the Mobile Health Services and Transportation Services segments and contains operating expenses such as information technology costs, certain insurance costs and the compensation costs of senior and executive leadership. The Company’s Chief Executive Officer and Chief Financial Officer evaluate the Company’s financial information and resources and assess the performance of these resources by revenue stream and by operating income or loss performance.

In accordance with ASU 2023-07, the Company has also included disclosure in the tables below about the significant expense categories that are regularly provided to the chief operating decision makers. The Company has also disclosed an amount for other segment items, which are amounts included in (loss) income from operations that are not regularly provided to the chief operating decision makers. Other segment items primarily consist of technology and development expenses, legal and professional fees, medical supplies, and other general and administrative expenses such as management fees, occupancy expense, and insurance costs.

The accounting policies of the segments are the same as the accounting policies of the Company as a whole. The Company evaluates the performance of its Mobile Health Services, Transportation Services, and Corporate segments based primarily on results of operations.
Operating results for the business segments of the Company as of and for the three months ended June 30, 2025 and June 30, 2024 are as follows:
Mobile Health
Services		Transportation
Services		CorporateTotal
Three Months Ended June 30, 2025
Revenues$30,780,993 $49,636,629 $— $80,417,622 
Significant segment expenses26,866,443 40,103,108 10,295,459 77,265,010 
   Personnel costs18,645,594 33,145,771 9,268,915 61,060,280 
   Subcontractor costs6,593,172 3,220,110 1,026,544 10,839,826 
   Vehicle costs1,627,677 3,737,227 — 5,364,904 
Other segment items4,529,904 10,249,763 5,853,189 20,632,856 
(Loss) income from operations(615,354)(716,242)(16,148,648)(17,480,244)
Depreciation and amortization expense982,108 2,003,258 995,642 3,981,008 
Stock compensation1,340,920 52,939 3,432,274 4,826,133 
Total assets123,778,104 138,287,638 146,198,009 408,263,751 
Long-lived assets39,664,030 69,637,798 12,057,703 121,359,531 
Capital expenditures284,529 2,089,796 786,348 3,160,673 
Three Months Ended June 30, 2024
Revenues$116,742,328 $48,207,388 $— $164,949,716 
Significant segment expenses68,042,993 40,464,800 8,789,778 117,297,571 
Personnel costs30,871,726 30,490,892 7,316,818 68,679,436 
Subcontractor costs35,007,658 5,478,673 1,472,960 41,959,291 
Vehicle costs2,163,609 4,495,235 — 6,658,844 
Other segment items22,675,092 9,837,552 4,990,352 37,502,996 
Income (loss) from operations26,024,243 (2,094,964)(13,780,130)10,149,149 
Depreciation and amortization expense1,183,437 2,143,948 874,273 4,201,658 
Stock compensation1,322,885 55,649 1,233,396 2,611,930 
Total assets378,083,028 66,508,021 43,574,638 488,165,687 
Long-lived assets44,869,140 67,436,529 10,622,310 122,927,979 
Capital expenditures127,595 3,822,946 868,312 4,818,853 
Operating results for the business segments of the Company as of and for the six months ended June 30, 2025 and June 30, 2024 are as follows:
Mobile Health
Services		Transportation
Services		CorporateTotal
Six Months Ended June 30, 2025
Revenues$75,990,537 $100,460,140 $— $176,450,677 
Significant segment expenses64,921,150 79,593,108 22,152,998 166,667,256 
   Personnel costs42,381,030 65,507,007 20,002,683 127,890,720 
   Subcontractor costs19,991,019 6,576,194 2,150,315 28,717,528 
   Vehicle costs2,549,101 7,509,907 — 10,059,008 
Other segment items9,198,865 20,391,907 11,670,331 41,261,103 
Income (loss) from operations1,870,522 475,125 (33,823,329)(31,477,682)
Depreciation and amortization expense1,938,480 3,952,084 1,851,835 7,742,399 
Stock compensation2,524,882 110,514 7,021,049 9,656,445 
Total assets123,778,104 138,287,638 146,198,009 408,263,751 
Long-lived assets39,664,030 69,637,798 12,057,703 121,359,531 
Capital expenditures3,013,672 5,901,358 4,174,599 13,089,629 
Six Months Ended June 30, 2024
Revenues$260,683,486 $96,353,759 $— $357,037,245 
Significant segment expenses147,475,787 78,635,498 20,317,717 246,429,002 
Personnel costs64,375,090 60,060,312 17,486,295 141,921,697 
Subcontractor costs78,628,693 10,286,786 2,831,422 91,746,901 
Vehicle costs4,472,004 8,288,400 — 12,760,404 
Other segment items54,971,431 18,796,927 10,815,369 84,583,727 
Income (loss) from operations58,236,268 (1,078,666)(31,133,086)26,024,516 
Depreciation and amortization expense2,384,079 4,142,403 1,857,957 8,384,439 
Stock compensation3,235,175 194,073 3,171,021 6,600,269 
Total assets378,083,028 66,508,021 43,574,638 488,165,687 
Long-lived assets44,869,140 67,436,529 10,622,310 122,927,979 
Capital expenditures256,785 7,031,028 1,666,525 8,954,338 
Long-lived assets include property and equipment, goodwill, intangible assets, operating lease right-of-use assets and finance lease right-of-use assets.
Geographic Information
The following table summarizes long-lived assets by geographic location as of June 30, 2025 and December 31, 2024:
June 30,
2025		December 31,
2024
Primary Geographical Markets
U.S.$102,543,049 $96,380,597 
U.K.18,816,482 18,958,174 
Total long-lived assets$121,359,531 $115,338,771 
Revenues by geographic location are included in Note 2.