Business Segment Information (Tables)

6 Months Ended

Jun. 30, 2025

Segment Reporting [Abstract]

Schedule of Operating Results for the Business Segments

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						Corporate						Total
Three Months Ended June 30, 2025
Revenues			$	30,780,993					$	49,636,629					$	—					$	80,417,622
Significant segment expenses			26,866,443						40,103,108						10,295,459						77,265,010
Personnel costs			18,645,594						33,145,771						9,268,915						61,060,280
Subcontractor costs			6,593,172						3,220,110						1,026,544						10,839,826
Vehicle costs			1,627,677						3,737,227						—						5,364,904
Other segment items			4,529,904						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 expense			982,108						2,003,258						995,642						3,981,008
Stock compensation			1,340,920						52,939						3,432,274						4,826,133

Total assets			123,778,104						138,287,638						146,198,009						408,263,751
Long-lived assets			39,664,030						69,637,798						12,057,703						121,359,531
Capital expenditures			284,529						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 expenses			68,042,993						40,464,800						8,789,778						117,297,571
Personnel costs			30,871,726						30,490,892						7,316,818						68,679,436
Subcontractor costs			35,007,658						5,478,673						1,472,960						41,959,291
Vehicle costs			2,163,609						4,495,235						—						6,658,844
Other segment items			22,675,092						9,837,552						4,990,352						37,502,996
Income (loss) from operations			26,024,243						(2,094,964)						(13,780,130)						10,149,149
Depreciation and amortization expense			1,183,437						2,143,948						874,273						4,201,658
Stock compensation			1,322,885						55,649						1,233,396						2,611,930

Total assets			378,083,028						66,508,021						43,574,638						488,165,687
Long-lived assets			44,869,140						67,436,529						10,622,310						122,927,979
Capital expenditures			127,595						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						Corporate						Total
Six Months Ended June 30, 2025
Revenues			$	75,990,537					$	100,460,140					$	—					$	176,450,677
Significant segment expenses			64,921,150						79,593,108						22,152,998						166,667,256
Personnel costs			42,381,030						65,507,007						20,002,683						127,890,720
Subcontractor costs			19,991,019						6,576,194						2,150,315						28,717,528
Vehicle costs			2,549,101						7,509,907						—						10,059,008
Other segment items			9,198,865						20,391,907						11,670,331						41,261,103
Income (loss) from operations			1,870,522						475,125						(33,823,329)						(31,477,682)
Depreciation and amortization expense			1,938,480						3,952,084						1,851,835						7,742,399
Stock compensation			2,524,882						110,514						7,021,049						9,656,445

Total assets			123,778,104						138,287,638						146,198,009						408,263,751
Long-lived assets			39,664,030						69,637,798						12,057,703						121,359,531
Capital expenditures			3,013,672						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 expenses			147,475,787						78,635,498						20,317,717						246,429,002
Personnel costs			64,375,090						60,060,312						17,486,295						141,921,697
Subcontractor costs			78,628,693						10,286,786						2,831,422						91,746,901
Vehicle costs			4,472,004						8,288,400						—						12,760,404
Other segment items			54,971,431						18,796,927						10,815,369						84,583,727
Income (loss) from operations			58,236,268						(1,078,666)						(31,133,086)						26,024,516
Depreciation and amortization expense			2,384,079						4,142,403						1,857,957						8,384,439
Stock compensation			3,235,175						194,073						3,171,021						6,600,269

Total assets			378,083,028						66,508,021						43,574,638						488,165,687
Long-lived assets			44,869,140						67,436,529						10,622,310						122,927,979
Capital expenditures			256,785						7,031,028						1,666,525						8,954,338

Schedule of Long-Lived Assets by Geographic Areas

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