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 maker, the Company’s Chief Executive Officer and Chief Financial Officer, in deciding how to allocate resources and assessing performance. Prior to 2023, the Company reported in two segments because the Company’s entities have two main revenue streams. Beginning with the first quarter of 2023, the Company began reporting in three operating segments, adding a Corporate segment to allow for analysis of shared services and personnel that support both the Transportation Services and Mobile Health Services segments. Previously, these costs had been allocated almost entirely to the Transportation Services segment. All of the Company’s revenues and costs of revenues continue to be reported within the Transportation Services and Mobile Health Services segments. The Corporate segment contains operating expenses such as information technology costs, certain insurance costs and the compensation costs of senior and executive leadership. The segment reporting for the prior-year period has been adjusted to conform to the new methodology, for the purposes of allowing a clearer analysis of year-over-year performance. The Company’s Chief Executive Officer and Chief Financial Officer evaluate the Company’s financial information and resources and assesses 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 maker. The Company has also disclosed an amount for other segment items, which are amounts included in income (loss) from operations that are not regularly provided to the chief operating decision maker. 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 are as follows: Mobile Health Transportation Corporate Total Year Ended December 31, 2024 Revenues $ 423,126,040 $ 193,429,092 $ — $ 616,555,132 Significant Segment Expenses 248,887,401 157,386,875 38,938,940 445,213,216 Personnel costs 115,480,700 120,548,486 34,009,595 270,038,781 Subcontractor costs 125,495,305 19,463,199 4,929,345 149,887,849 Vehicle costs 7,911,396 17,375,190 — 25,286,586 Other segment items 80,212,789 38,087,398 24,353,003 142,653,190 Income (loss) from operations 94,025,850 (2,045,181) (63,291,943) 28,688,726 Depreciation and amortization expense 4,770,367 8,305,049 2,809,482 15,884,898 Stock compensation 6,033,516 274,207 7,326,363 13,634,086 Finite-lived intangible asset impairment 8,306,591 — — 8,306,591 Change in fair value of contingent consideration (9,392,133) — — (9,392,133) Total assets 208,739,901 134,169,086 112,712,145 455,621,132 Long-lived assets 36,515,356 68,846,225 9,977,190 115,338,771 Capital expenditures 2,815,218 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 Expenses 283,980,203 146,950,131 44,139,528 475,069,862 Personnel costs 122,233,677 116,689,011 40,156,572 279,079,260 Subcontractor costs 155,134,128 15,380,523 3,982,956 174,497,607 Vehicle costs 6,612,398 14,880,597 — 21,492,995 Other segment items 78,450,514 31,003,597 24,709,689 134,163,800 Income (loss) from operations 80,362,820 3,541,377 (68,849,217) 15,054,980 Depreciation and amortization expense 4,226,657 9,393,895 2,811,340 16,431,892 Stock compensation 1,698,350 1,434,505 17,836,319 20,969,174 Finite-lived intangible asset impairment — — — — Change in fair value of contingent consideration (1,437,525) — — (1,437,525) Total assets 280,646,925 132,178,214 77,626,818 490,451,957 Long-lived assets 32,841,680 78,848,587 11,952,528 123,642,795 Capital expenditures 30,163,882 20,254,373 597,283 51,015,538 Year Ended December 31, 2022 Revenues $ 325,891,440 $ 114,624,306 $ — $ 440,515,746 Significant Segment Expenses 189,978,467 102,697,543 33,409,491 326,085,501 Personnel costs 95,636,747 81,851,310 31,055,130 208,543,187 Subcontractor costs 83,158,899 8,236,644 2,354,361 93,749,904 Vehicle costs 11,182,821 12,609,589 — 23,792,410 Other segment items 43,202,810 26,472,934 22,922,873 92,598,617 Income (loss) from operations 92,710,163 (14,546,171) (56,332,364) 21,831,628 Depreciation and amortization expense 1,685,114 6,050,265 2,830,199 10,565,578 Stock compensation 1,425,299 1,415,670 5,213,602 8,054,571 Finite-lived intangible asset impairment — — — — Change in fair value of contingent consideration — — — — Total assets 116,821,500 118,627,613 157,828,515 393,277,628 Long-lived assets 33,181,594 65,580,291 2,479,889 101,241,774 Capital expenditures 39,569,802 52,105,196 2,542,854 94,217,852 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 for the years ended December 31, 2024, 2023, and 2022: December 31, 2024 2023 2022 Primary Geographical Markets U.S. $ 96,380,597 $ 103,779,506 $ 83,145,362 U.K. 18,958,174 19,863,289 18,096,412 Total long-lived assets $ 115,338,771 $ 123,642,795 $ 101,241,774 Revenues by geographic location are included in Note 2. |