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Business Segment Information (Tables) | 9 Months Ended
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Sep. 30, 2024
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
Three Months Ended September 30, 2024 |  |  |  |  |  |  |
Revenues | $ | 90,663,433 |  |  | $ | 48,021,381 |  |  | $ | — |  |  | $ | 138,684,814 |
Income (loss) from operations | 21,936,967 |  |  | (75,242) |  |  | (11,724,328) |  |  | 10,137,397 |
Total assets | 400,568,190 |  |  | 66,844,610 |  |  | 26,469,739 |  |  | 493,882,539 |
Depreciation and amortization expense | 1,172,458 |  |  | 2,114,380 |  |  | 890,696 |  |  | 4,177,534 |
Stock compensation | 1,237,924 |  |  | 34,123 |  |  | 1,883,139 |  |  | 3,155,186 |
Long-lived assets | 44,590,633 |  |  | 70,488,506 |  |  | 10,159,283 |  |  | 125,238,422 |
Capital expenditures | 640,499 |  |  | 3,054,429 |  |  | 536,262 |  |  | 4,231,190 |
Three Months Ended September 30, 2023 |  |  |  |  |  |  |
Revenues | $ | 139,340,467 |  |  | $ | 47,212,443 |  |  | $ | — |  |  | $ | 186,552,910 |
Income (loss) from operations | 21,109,619 |  |  | 503,687 |  |  | (12,905,351) |  |  | 8,707,955 |
Total assets | 225,084,373 |  |  | 129,796,548 |  |  | 64,903,221 |  |  | 419,784,142 |
Depreciation and amortization expense | 1,193,187 |  |  | 2,333,426 |  |  | 809,654 |  |  | 4,336,267 |
Stock compensation | 274,108 |  |  | 136,472 |  |  | 2,950,129 |  |  | 3,360,709 |
Long-lived assets | 48,554,087 |  |  | 66,160,925 |  |  | 11,305,286 |  |  | 126,020,298 |
Capital expenditures | 1,692,902 |  |  | 3,016,381 |  |  | 783,422 |  |  | 5,492,705 |
| Mobile Health Services |  | Transportation Services |  | Corporate |  | Total
Nine Months Ended September 30, 2024 |  |  |  |  |  |  |
Revenues | $ | 351,346,919 |  |  | $ | 144,375,140 |  |  | $ | — |  |  | $ | 495,722,059 |
Income (loss) from operations | 80,173,235 |  |  | (1,153,908) |  |  | (42,857,414) |  |  | 36,161,913 |
Total assets | 400,568,190 |  |  | 66,844,610 |  |  | 26,469,739 |  |  | 493,882,539 |
Depreciation and amortization expense | 3,556,537 |  |  | 6,256,783 |  |  | 2,748,653 |  |  | 12,561,973 |
Stock compensation | 4,473,099 |  |  | 228,196 |  |  | 5,054,160 |  |  | 9,755,455 |
Long-lived assets | 44,590,633 |  |  | 70,488,506 |  |  | 10,159,283 |  |  | 125,238,422 |
Capital expenditures | 897,284 |  |  | 10,085,457 |  |  | 2,202,787 |  |  | 13,185,528 |
Nine Months Ended September 30, 2023 |  |  |  |  |  |  |
Revenues | $ | 292,351,835 |  |  | $ | 132,690,538 |  |  | $ | — |  |  | $ | 425,042,373 |
Income (loss) from operations | 52,081,169 |  |  | 853,164 |  |  | (49,553,011) |  |  | 3,381,322 |
Total assets | 225,084,373 |  |  | 129,796,548 |  |  | 64,903,221 |  |  | 419,784,142 |
Depreciation and amortization expense | 3,111,497 |  |  | 6,137,364 |  |  | 2,567,796 |  |  | 11,816,657 |
Stock compensation | 573,930 |  |  | 612,077 |  |  | 13,975,840 |  |  | 15,161,847 |
Long-lived assets | 48,554,087 |  |  | 66,160,925 |  |  | 11,305,286 |  |  | 126,020,298 |
Capital expenditures | 28,109,057 |  |  | 16,460,730 |  |  | 3,159,172 |  |  | 47,728,959 |
Schedule of Long-Lived Assets by Geographic Areas | The following table summarizes long-lived assets by geographic location as of September 30, 2024 and December 31, 2023:
| September 30, 2024 |  | December 31, 2023
Primary Geographical Markets |  |  |
United States | $ | 104,965,979 |  |  | $ | 103,779,506 |
United Kingdom | 20,272,443 |  |  | 19,863,289 |
Total long-lived assets | $ | 125,238,422 |  |  | $ | 123,642,795 |

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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 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: 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 3: 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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