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Business Segment Information | 9 Months Ended
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Sep. 30, 2024
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 makers, 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 Mobile Health Services and Transportation Services segments. Previously, these costs had been allocated almost entirely to the Transportation Services segment. All of the Company’s revenues and cost 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 assess 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
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 |
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 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 |
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/exampleRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 48 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482785/280-10-55-48 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards 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