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Business Segment Information (Tables) | 12 Months Ended
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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 |

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- Definition Tabular disclosure of long-lived assets, excluding financial instruments, long-term customer relationships of a financial institution, mortgage rights, deferred policy acquisition costs, and deferred tax assets, by geographic areas located in the entity's country of domicile and foreign countries in which the entity holds assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Subparagraph b -SubTopic 10 -Topic 280 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-41 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482573/350-20-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-25 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-30 + Details
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