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Business Segment Information - Schedule of Operating Results for the Business Segments (Details) - USD ($)
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Segment Reporting Information [Line Items]      
Revenues $ 624,288,642 $ 440,515,746 $ 318,718,580
Income (loss) from operations 15,054,980 21,831,628 15,357,298
Total assets 490,451,957 393,277,628 309,602,652
Depreciation and amortization expense 16,431,892 10,565,578 7,511,579
Stock compensation 20,969,174 8,054,571 1,376,353
Long-lived assets 123,642,795 101,241,774 45,601,699
Capital expenditures 51,015,538 94,217,852 18,582,747
Mobile Health Services      
Segment Reporting Information [Line Items]      
Revenues 442,793,537 325,891,440 234,449,763
Income (loss) from operations 80,362,820 92,710,163 59,605,712
Total assets 280,646,925 116,821,500 61,503,278
Depreciation and amortization expense 4,226,657 1,685,114 (888,355)
Stock compensation 1,698,350 1,425,299 536,910
Long-lived assets 32,841,680 33,181,594 4,382,704
Capital expenditures 30,163,882 39,569,802 4,180,004
Transportation Services      
Segment Reporting Information [Line Items]      
Revenues 181,495,105 114,624,306 84,268,817
Income (loss) from operations 3,541,377 (14,546,171) (20,983,766)
Total assets 132,178,214 118,627,613 59,299,426
Depreciation and amortization expense 9,393,895 6,050,265 6,458,218
Stock compensation 1,434,505 1,415,670 479,542
Long-lived assets 78,848,587 65,580,291 38,370,683
Capital expenditures 20,254,373 52,105,196 10,636,454
Corporate      
Segment Reporting Information [Line Items]      
Revenues 0 0 0
Income (loss) from operations (68,849,217) (56,332,364) (23,264,648)
Total assets 77,626,818 157,828,515 188,799,948
Depreciation and amortization expense 2,811,340 2,830,199 1,941,716
Stock compensation 17,836,319 5,213,602 359,901
Long-lived assets 11,952,528 2,479,889 2,848,312
Capital expenditures $ 597,283 $ 2,542,854 $ 3,766,289