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Business Segment Information
 3 Months Ended
Mar. 31, 2026
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 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 March 31, 2026 and March 31, 2025 are as follows:
Mobile Health
Services		Transportation
Services		CorporateTotal
Three Months Ended March 31, 2026
Revenues$23,625,247 $51,925,237 $— $75,550,484 
Significant segment expenses22,704,203 41,745,745 8,648,022 73,097,970 
   Personnel costs15,792,130 34,940,446 7,841,522 58,574,098 
   Subcontractor costs6,615,958 2,510,136 806,500 9,932,594 
   Vehicle costs296,115 4,295,163 — 4,591,278 
Other segment items4,645,369 10,420,247 6,097,989 21,163,605 
Loss from operations(3,724,325)(240,755)(14,746,011)(18,711,091)
Depreciation and amortization expense384,180 2,148,650 114,277 2,647,107 
Stock compensation605,767 6,650 2,612,350 3,224,767 
Change in fair value of contingent consideration2,760,000 — — 2,760,000 
Total assets71,077,623 99,687,721 38,461,519 209,226,863 
Long-lived assets4,753,598 34,588,454 3,308,773 42,650,825 
Capital expenditures13,926 2,298,847 635,269 2,948,042 
Three Months Ended March 31, 2025
Revenues$45,209,544 $50,823,511 $— $96,033,055 
Significant segment expenses38,054,707 39,490,000 11,857,539 89,402,246 
Personnel costs23,735,436 32,361,236 10,733,768 66,830,440 
Subcontractor costs13,397,847 3,356,084 1,123,771 17,877,702 
Vehicle costs921,424 3,772,680 — 4,694,104 
Other segment items4,668,961 10,142,144 5,817,142 20,628,247 
Income (loss) from operations2,485,876 1,191,367 (17,674,681)(13,997,438)
Depreciation and amortization expense956,372 1,948,826 856,193 3,761,391 
Stock compensation1,183,962 57,575 3,588,775 4,830,312 
Total assets181,461,175 135,607,214 113,724,609 430,792,998 
Long-lived assets40,118,664 70,142,787 12,510,940 122,772,391 
Capital expenditures2,729,143 3,811,562 3,388,251 9,928,956 
Long-lived assets include property and equipment, 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 March 31, 2026 and March 31, 2025:
March 31,
2026		March 31,
2025
Primary Geographical Markets
U.S.$34,851,203 $104,072,534 
U.K.7,799,622 18,699,857 
Total long-lived assets$42,650,825 $122,772,391 
Revenues by geographic location are included in Note 2.