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Business Segment Information | 12 Months Ended
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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 |  | 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 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 Kingdom | 19,863,289 |  |  | 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.

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 15 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-15 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 31 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-31 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-42 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-40 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//280/tableOfContent Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 26 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-26 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 34 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-34 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-41 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 21 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-21 Reference 14: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-32 + Details
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