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, impairment expenses 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 years ended December 31, 2025, 2024 and 2023 are as follows:
Mobile Health
Services
Transportation
Services
CorporateTotal
Year Ended December 31, 2025
Revenues$121,430,392 $200,765,608 $— $322,196,000 
Significant Segment Expenses111,778,346 161,902,590 41,522,269 315,203,205 
Personnel costs74,288,366 136,751,010 37,470,607 248,509,983 
Subcontractor costs31,898,007 11,922,006 4,051,662 47,871,675 
Vehicle costs5,591,973 13,229,574 — 18,821,547 
Other segment items64,005,268 81,191,551 39,829,476 185,026,295 
Loss from operations(54,353,222)(42,328,533)(81,351,745)(178,033,500)
Depreciation and amortization expense3,618,079 8,131,242 3,912,544 15,661,865 
Stock compensation4,951,476 162,641 12,327,901 17,442,018 
Intangible asset impairment20,278,880 10,941,800 (572,435)30,648,245 
Loss on change in fair value of contingent consideration2,056,112 — — 2,056,112 
Goodwill impairment24,865,586 24,720,320 8,642,190 58,228,096 
Equity investment impairment— — 5,000,000 5,000,000 
Total assets67,687,015 95,912,459 53,503,538 217,103,012 
Long-lived assets5,265,507 35,225,491 3,008,634 43,499,632 
Capital expenditures8,237,279 10,630,035 5,745,661 24,612,975 
Year Ended December 31, 2024
Revenues$423,126,040 $193,429,092 $— $616,555,132 
Significant Segment Expenses248,887,401 157,386,875 38,938,940 445,213,216 
Personnel costs115,480,700 120,548,486 34,009,595 270,038,781 
Subcontractor costs125,495,305 19,463,199 4,929,345 149,887,849 
Vehicle costs7,911,396 17,375,190 — 25,286,586 
Other segment items80,212,789 38,087,398 24,353,003 142,653,190 
Income (loss) from operations94,025,850 (2,045,181)(63,291,943)28,688,726 
Depreciation and amortization expense4,770,367 8,305,049 2,809,482 15,884,898 
Stock compensation6,033,516 274,207 7,326,363 13,634,086 
Finite-lived intangible asset impairment8,306,591 — — 8,306,591 
Gain on change in fair value of contingent consideration(9,392,133)— — (9,392,133)
Total assets208,739,901 134,169,086 112,712,145 455,621,132 
Long-lived assets36,515,356 68,846,225 9,977,190 115,338,771 
Capital expenditures2,815,218 9,324,171 2,179,585 14,318,974 
Year Ended December 31, 2023
Revenues$442,793,537 $181,495,105 $— $624,288,642 
Significant Segment Expenses283,980,203 146,950,131 44,139,528 475,069,862 
Personnel costs122,233,677 116,689,011 40,156,572 279,079,260 
Subcontractor costs155,134,128 15,380,523 3,982,956 174,497,607 
Vehicle costs6,612,398 14,880,597 — 21,492,995 
Other segment items78,450,514 31,003,597 24,709,689 134,163,800 
Income (loss) from operations80,362,820 3,541,377 (68,849,217)15,054,980 
Depreciation and amortization expense4,226,657 9,393,895 2,811,340 16,431,892 
Stock compensation1,698,350 1,434,505 17,836,319 20,969,174 
Gain on change in fair value of contingent consideration(1,437,525)— — (1,437,525)
Total assets280,646,925 132,178,214 77,626,818 490,451,957 
Long-lived assets32,841,680 78,848,587 11,952,528 123,642,795 
Capital expenditures30,163,882 20,254,373 597,283 51,015,538 
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 December 31, 2025, 2024 and 2023:
December 31,
202520242023
Primary Geographical Markets
U.S.$35,052,182 $96,380,597 $103,779,506 
U.K.8,447,450 18,958,174 19,863,289 
Total long-lived assets$43,499,632 $115,338,771 $123,642,795 
Revenues by geographic location are included in Note 2.

Historical Timeline

Fiscal YearFiled
2025Mar 16, 2026Showing above
2024Feb 27, 2025
2023Feb 28, 2024
2022Mar 14, 2023
2021Mar 15, 2022

About Segments Disclosures

Segment disclosures break a company into its reportable operating units, revealing revenue, profit, and asset allocation that consolidated financial statements obscure. Under ASC 280, segments must match how the chief operating decision maker views the business, providing a window into internal management structure and resource allocation priorities.

Key signals: compare segment margins to identify which units drive profitability and which destroy value. Watch for changes in the number of reportable segments — segment aggregation or disaggregation often coincides with strategic shifts or attempts to obscure declining performance. Intersegment elimination patterns reveal internal pricing practices. The reconciliation between segment totals and consolidated figures exposes corporate overhead allocation and unallocated items. Geographic revenue concentration highlights regulatory and currency exposure. Compare segment-level capital expenditure against segment revenue to assess where management is investing for future growth versus harvesting existing assets.