Business Segment Information (Tables)

12 Months Ended

Dec. 31, 2023

Segment Reporting [Abstract]

Schedule of operating results for the business segments

Operating results for the business segments of the Company are as follows:

	Mobile Health Services		Transportation Services		Corporate		Total
Year Ended December 31, 2023
Revenues	$	442,793,537	$	181,495,105	$	—	$	624,288,642
Income (loss) from operations	80,362,820		3,541,377		(68,849,217)		15,054,980
Total assets	280,646,925		132,178,214		77,626,818		490,451,957
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
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
Income (loss) from operations	92,710,163		(14,546,171)		(56,332,364)		21,831,628
Total assets	116,821,500		118,627,613		157,828,515		393,277,628
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
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
Year Ended December 31, 2021
Revenues	$	234,449,763	$	84,268,817	$	—	$	318,718,580
Income (loss) from operations	59,605,712		(20,983,766)		(23,264,648)		15,357,298
Total assets	61,503,278		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 compensation	536,910		479,542		359,901		1,376,353
Long-lived assets	4,382,704		38,370,683		2,848,312		45,601,699
Capital expenditures	4,180,004		10,636,454		3,766,289		18,582,747

Long-Lived Assets by Geographic Areas

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 Kingdom	19,863,289		18,096,412		3,434,700
Total Long-Lived Assets	$	123,642,795	$	101,241,774	$	45,601,699