AMERICAN SHARED HOSPITAL SERVICES
Business
AMERICAN SHARED HOSPITAL SERVICES provides turn-key technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services. It offers Gamma Knife radiosurgery, linear accelerator (LINAC) treatments, proton beam radiation therapy (PBRT), equipment leasing and related planning, installation, reimbursement and marketing support, plus direct patient services at company-operated clinics. The company operates through two reportable segments — medical equipment leasing (fee-per-use and revenue sharing contracts) and direct patient services (stand‑alone and joint‑venture treatment centers). Its operations serve medical centers and free‑standing cancer clinics in the United States and in Peru, Ecuador and Mexico.
Summary from filing dated 2025-04-04
Financials
Consolidated Statement of Income
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Revenues | 28 | 28 | 21 | 20 | 18 | |
| Maintenance and supplies | 3 | 2 | 2 | 2 | 2 | |
| Depreciation and amortization | 6 | 6 | 5 | 5 | 5 | |
| Other direct operating costs | 14 | 10 | 4 | 4 | 4 | |
| Other direct operating costs, related party | 978,000 | 678,000 | 851,000 | 1 | 759,000 | |
| Cost of Revenue | 23 | 19 | 12 | 11 | 11 | |
| Gross margin | 5 | 9 | 9 | 8 | 7 | |
| Selling and administrative expense | 7 | 7 | 7 | 5 | 5 | |
| Interest expense | 2 | 1 | 1 | 806,000 | 739,000 | |
| Loss on write down of impaired assets | 0 | 3 | 940,000 | 0 | — | |
| Operating loss | −4 | −3 | 270,000 | 2 | 1 | |
| Business Combination, Bargain Purchase, Gain Recognized, Amount | 0 | 4 | 0 | — | — | |
| Interest and other income, net | 368,000 | 248,000 | 426,000 | 87,000 | −3,000 | |
| (Loss) income before income taxes | −3 | 1 | 696,000 | 3 | 947,000 | |
| Income tax benefit | −493,000 | −295,000 | 431,000 | 963,000 | 269,000 | |
| Net (loss) income | −3 | 2 | 265,000 | 2 | 678,000 | |
| (Plus): net loss attributable to non-controlling interests | 1 | 654,000 | 345,000 | −227,000 | −484,000 | |
| Net (loss) income attributable to American Shared Hospital Services | −2 | 2 | 610,000 | 1 | 194,000 | |
| (Loss) earnings per common share - basic (in dollars per share) | −0.23 | 0.34 | 0.1 | 0.21 | 0.03 | |
| (Loss) earnings per common share - diluted (in dollars per share) | −0.23 | 0.33 | 0.1 | 0.21 | 0.03 | |
| Weighted average common shares for basic (loss) earnings per share (in shares) | 7 | 6 | 6 | 6 | 6 | |
| Weighted average common shares for diluted (loss) earnings per share (in shares) | 7 | 7 | 6 | 6 | 6 |
Consolidated Balance Sheet
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Cash and cash equivalents | 3 | 11 | 14 | 12 | 8 | |
| Restricted cash | 250,000 | 250,000 | 118,000 | 118,000 | 118,000 | |
| Accounts receivable, net of allowance for credit losses of $980,000 and $265,000 at December 31, 2025 and December 31, 2024, respectively | 11 | 12 | 4 | 4 | 4 | |
| Tax receivables | 978,000 | 550,000 | 0 | — | — | |
| Other receivables | 1 | 391,000 | 504,000 | 327,000 | 613,000 | |
| VAT credits | 702,000 | 112,000 | — | — | — | |
| Prepaid maintenance | 12,000 | 1 | 1 | 1 | 1 | |
| Prepaid expenses and other current assets | 774,000 | 928,000 | 526,000 | 897,000 | 826,000 | |
| Total current assets | 18 | 26 | 20 | 19 | 15 | |
| PROPERTY AND EQUIPMENT, net | 31 | 31 | 26 | 23 | 28 | |
| LAND | 1 | 19,000 | 19,000 | 19,000 | 19,000 | |
| GOODWILL | 1 | 1 | 1 | 1 | 1 | |
| INTANGIBLE ASSETS | 78,000 | 78,000 | 78,000 | 78,000 | 78,000 | |
| RIGHT OF USE ASSETS, net | 4 | 1 | 57,000 | 317,000 | 654,000 | |
| OTHER ASSETS | 341,000 | 437,000 | 443,000 | 87,000 | 73,000 | |
| TOTAL ASSETS | 55 | 60 | 48 | 44 | 45 | |
| Accounts payable | 607,000 | 2 | 315,000 | 230,000 | 318,000 | |
| Employee compensation and benefits | 2 | 1 | 757,000 | 735,000 | 423,000 | |
| Other accrued liabilities | 2 | 2 | 1 | 2 | 2 | |
| Asset retirement obligations, related party (includes $250,000 and $250,000 non-related party at December 31, 2025 and 2024, respectively) | 1 | 1 | 650,000 | 360,000 | 757,000 | |
| Current portion of lease liabilities | 150,000 | 226,000 | 57,000 | 292,000 | 369,000 | |
| Current portion of long-term debt, net | 17 | 3 | 2 | 1 | 1 | |
| Total current liabilities | 23 | 10 | 11 | 5 | 6 | |
| LONG-TERM LEASE LIABILITIES, less current portion | 4 | 2 | 0 | 59,000 | 359,000 | |
| LONG-TERM DEBT, net, less current portion | 0 | 17 | 11 | 12 | 14 | |
| DEFERRED INCOME TAXES | 115,000 | 924,000 | 63,000 | 822,000 | 478,000 | |
| TOTAL LIABILITIES | 28 | 30 | 22 | 18 | 21 | |
| COMMITMENTS AND CONTINGENCIES (See Note 10) | — | — | — | — | — | |
| Common stock, no par value (10,000,000 authorized shares; Issued and outstanding shares 6,575,000 at December 31, 2025 and 6,420,000 at December 31, 2024) | 11 | 11 | 11 | 11 | 11 | |
| Additional paid-in capital | 9 | 9 | 8 | 8 | 7 | |
| Retained earnings | 4 | 6 | 4 | 3 | 2 | |
| Total equity- American Shared Hospital Services | 24 | 25 | 23 | 22 | 20 | |
| Non-controlling interests in subsidiaries | 4 | 5 | 4 | 4 | 4 | |
| Total shareholders equity | 28 | 30 | 26 | 26 | 24 | |
| TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY | 55 | 60 | 48 | 44 | 45 |
Consolidated Statement of Cash Flows
| Concept | Trend | FY 2025 2025-12-31 | FY 2024 2024-12-31 | FY 2023 2023-12-31 | FY 2022 2022-12-31 | FY 2021 2021-12-31 |
|---|---|---|---|---|---|---|
| Depreciation and amortization | 6 | 6 | 5 | 5 | — | |
| Non cash lease expense | 331,000 | 228,000 | −34,000 | −40,000 | 309,000 | |
| Accretion of deferred issuance costs | 126,000 | 95,000 | 46,000 | 84,000 | 59,000 | |
| Gain on sale of equipment | 0 | −155,000 | 0 | — | — | |
| Deferred income taxes | −809,000 | −359,000 | −759,000 | 344,000 | 60,000 | |
| Accretion of unfavorable lease position | −26,000 | −65,000 | 0 | — | — | |
| Stock-based compensation | 404,000 | 373,000 | 389,000 | 399,000 | 420,000 | |
| Receivables | −559,000 | −7 | −719,000 | 696,000 | −519,000 | |
| Prepaid expenses and other assets | 2 | −513,000 | 21,000 | −111,000 | 14,000 | |
| Asset retirement obligations, related party | 0 | −588,000 | 0 | −397,000 | −618,000 | |
| Related party liabilities | 207,000 | 324,000 | −491,000 | −845,000 | 775,000 | |
| Lease liability | −285,000 | −228,000 | 0 | — | — | |
| Accounts payable and accrued liabilities | −955,000 | 2 | −79,000 | — | — | |
| Income taxes payable | 0 | −1 | 974,000 | 159,000 | −230,000 | |
| Net cash provided by operating activities | 3 | 167,000 | 6 | 7 | 6 | |
| Payment for purchases of property and equipment | −8 | −8 | −6 | −388,000 | −2 | |
| Cash received in excess of cash paid for RI Acquisition | 0 | 538,000 | 0 | — | 0 | |
| Proceeds from sale of equipment | 0 | 295,000 | 0 | — | 0 | |
| Net cash used in investing activities | −8 | −7 | −6 | −388,000 | −2 | |
| Principal payments on long-term debt | −3 | −3 | −2 | −2 | −4 | |
| Principal payments on line of credit | −9 | −13 | −1 | 0 | — | |
| Advances on line of credit | 9 | 11 | 4 | 0 | — | |
| Long-term debt financing on purchase of property and equipment | 0 | 10 | 2 | 0 | 14 | |
| Debt issuance costs long-term debt | 0 | −164,000 | −9,000 | −9,000 | −325,000 | |
| Distributions to non-controlling interests | −21,000 | −95,000 | 0 | −573,000 | −514,000 | |
| Capital contributions from non-controlling interests | 8,000 | 38,000 | 0 | — | — | |
| Net cash (used in) provided by financing activities | −3 | 4 | 2 | −3 | −655,000 | |
| Net change in cash and cash equivalents | −8 | −3 | 1 | 4 | 4 | |
| Cash paid for interest | 1 | 1 | 1 | 722,000 | 680,000 | |
| Cash paid for income taxes | 739,000 | 2 | 297,000 | 169,000 | 712,000 | |
| Equipment included in accounts payable and accrued liabilities | 400,000 | 990,000 | 2 | 0 | 1 | |
| Increase in ARO obligation | 0 | 1 | 290,000 | — | — |
Filings
Material Events
Insiders
Institutional Holders
Frequently asked questions
What is AMERICAN SHARED HOSPITAL SERVICES's CIK number?
AMERICAN SHARED HOSPITAL SERVICES's SEC CIK number is 0000744825 (744825). The CIK (Central Index Key) is the permanent identifier the SEC assigns to every EDGAR filer — unlike a ticker symbol, it never changes.
Where can I find AMERICAN SHARED HOSPITAL SERVICES's SEC filings?
All of AMERICAN SHARED HOSPITAL SERVICES's EDGAR filings — 10-K annual reports, 10-Q quarterly reports, 8-K material events, and insider transactions — are listed on this page, sourced live from SEC EDGAR.
When did AMERICAN SHARED HOSPITAL SERVICES last report earnings?
AMERICAN SHARED HOSPITAL SERVICES (AMS) most recently filed an earnings 8-K with the SEC on May 14, 2026, furnishing its results under Item 2.02 (Results of Operations and Financial Condition). The earnings press release is attached to that filing (accession 0001437749-26-016933). This is AMERICAN SHARED HOSPITAL SERVICES's most recent earnings filing of record — not a forecast of its next earnings date.
What is AMERICAN SHARED HOSPITAL SERVICES's most recent earnings 8-K?
AMERICAN SHARED HOSPITAL SERVICES's latest earnings 8-K (Item 2.02) was filed May 14, 2026 under accession 0001437749-26-016933. It carries the quarterly or annual earnings press release — the earliest official, SEC-filed version of the results.
View AMERICAN SHARED HOSPITAL SERVICES's latest earnings 8-K →
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