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Business Segment Information
 12 Months Ended
Dec. 31, 2023
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 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.

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
Services		Transportation
Services		CorporateTotal
Year Ended December 31, 2023
Revenues$442,793,537 $181,495,105 $— $624,288,642 
Income (loss) from operations80,362,820 3,541,377 (68,849,217)15,054,980 
Total assets280,646,925 132,178,214 77,626,818 490,451,957 
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 
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 
Year Ended December 31, 2022
Revenues$325,891,440 $114,624,306 $— $440,515,746 
Income (loss) from operations92,710,163 (14,546,171)(56,332,364)21,831,628 
Total assets116,821,500 118,627,613 157,828,515 393,277,628 
Depreciation and amortization expense1,685,114 6,050,265 2,830,199 10,565,578 
Stock compensation1,425,299 1,415,670 5,213,602 8,054,571 
Long-lived assets33,181,594 65,580,291 2,479,889 101,241,774 
Capital expenditures39,569,802 52,105,196 2,542,854 94,217,852 
Year Ended December 31, 2021
Revenues$234,449,763 $84,268,817 $— $318,718,580 
Income (loss) from operations59,605,712 (20,983,766)(23,264,648)15,357,298 
Total assets61,503,278 59,299,426 188,799,948 309,602,652 
Depreciation and amortization expense(888,355)6,458,218 1,941,716 7,511,579 
Stock compensation536,910 479,542 359,901 1,376,353 
Long-lived assets4,382,704 38,370,683 2,848,312 45,601,699 
Capital expenditures4,180,004 10,636,454 3,766,289 18,582,747 
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, 2023, 2022, and 2021:
December 31,
2023		December 31,
2022		December 31,
2021
Primary Geographical Markets
United States$103,779,506 $83,145,362 $42,166,999 
United Kingdom19,863,289 18,096,412 3,434,700 
Total Long-Lived Assets$123,642,795 $101,241,774 $45,601,699 
Revenues by geographic location are included in Note 2.