A Business at a Glance
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AMERICAN SHARED HOSPITAL SERVICES
AMS
$10M
Mkt Cap
$1.46
+2.10%
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a 5-year average return on invested capital (ROIC) of 2.3%. This is below average and may indicate limited pricing power.
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a market capitalization of $10M. It is classified as a small-cap stock.
AMERICAN SHARED HOSPITAL SERVICES (AMS) does not currently pay a regular dividend.
AMERICAN SHARED HOSPITAL SERVICES (AMS) operates in the Services-Medical Laboratories industry, within the Healthcare sector.
AMERICAN SHARED HOSPITAL SERVICES (AMS) reported annual revenue of $28 million in its most recent fiscal year, based on SEC EDGAR filings.
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a net profit margin of -5.5%. The company is currently unprofitable.
AMERICAN SHARED HOSPITAL SERVICES (AMS) generated $-5 million in free cash flow in its most recent fiscal year. Negative free cash flow may indicate heavy investment or operational challenges.
American Shared Hospital Services (“ASHS” and, together with its subsidiaries, the “Company”) is a leading provider of turn-key technology solutions for stereotactic radiosurgery and advanced radiation therapy equipment and services. The main drivers of the Company’s revenue are numbers of sites, procedure volume, and reimbursement. The Company delivers radiation therapy through medical equipment leasing and direct patient services, its two reportable segments. The medical equipment leasing segment, which we also refer to as the Company’s leasing segment, operates by fee-per-use contracts or revenue sharing contracts where the Company shares in the revenue and operating costs of the equipment. The Company’s facilities in Rhode Island, Peru, Ecuador, and Mexico are considered direct patient services, which we also refer to as the Company’s retail segment, where a contract exists between the Company’s facilities and the individual treated at the facility.
| Metric | TTM | FY2025 | FY2024 | FY2023 | FY2022 | FY2021 |
|---|---|---|---|---|---|---|
| Revenue | 28M | 28M | 28M | 21M | 20M | 18M |
| Net Income | -1.6M | -1.6M | 2.2M | 610K | 1.3M | 194K |
| EPS | $-0.23 | $-0.23 | $0.33 | $0.10 | $0.21 | $0.03 |
| Free Cash Flow | -4.5M | -4.5M | -7.8M | -555K | 6.8M | 4.6M |
| ROIC | -6.7% | -4.7% | 5.7% | 0.7% | 5.9% | 4.0% |
| Gross Margin | 18.0% | 18.0% | 32.4% | 43.8% | 42.4% | 38.2% |
| Debt/Equity | 0.90 | 0.90 | 0.87 | 0.59 | 0.64 | 0.83 |
| Dividends/Share | $0.00 | $0.00 | - | - | - | - |
| Operating Income | -3.6M | -3.6M | -2.8M | 270K | 2.4M | 1.4M |
| Operating Margin | -12.8% | -12.8% | -9.9% | 1.3% | 12.3% | 7.7% |
| ROE | -6.5% | -6.3% | 9.1% | 2.8% | 6.4% | 1.0% |
| Shares Outstanding | 7M | 7M | 7M | 6M | 6M | 6M |
| Metric | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Income Statement | |||||||||||||
| Revenue | 15M | 17M | 19M | 20M | 20M | 21M | 18M | 18M | 20M | 21M | 28M | 28M | 28M |
| Gross Margin | 34.2% | 40.6% | 47.0% | 44.3% | 38.0% | 33.6% | 25.0% | 38.2% | 42.4% | 43.8% | 32.4% | 18.0% | 18.0% |
| R&D | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| SG&A | 3.6M | 3.5M | 3.8M | 4.3M | 4.0M | 4.1M | 4.6M | 4.5M | 5.1M | 7.0M | 7.4M | 7.1M | 7.1M |
| EBIT | -50K | 2.0M | 3.3M | 2.4M | 1.9M | 1.5M | -9.5M | 1.4M | 2.4M | 270K | -2.8M | -3.6M | -3.6M |
| Op. Margin | -0.3% | 12.0% | 17.6% | 12.3% | 9.4% | 7.5% | -53.1% | 7.7% | 12.3% | 1.3% | -9.9% | -12.8% | -12.8% |
| Net Income | -952K | -1.5M | 930K | 1.9M | 1.0M | 659K | -7.1M | 194K | 1.3M | 610K | 2.2M | -1.6M | -1.6M |
| Net Margin | -6.2% | -9.2% | 5.0% | 9.8% | 5.2% | 3.2% | -39.6% | 1.1% | 6.7% | 2.9% | 7.7% | -5.5% | -5.5% |
| Non-Recurring | 1K | 2.1M | 0 | 564K | 0 | 0 | 8.2M | 105K | 0 | 940K | 3.2M | 0 | 0 |
| Returns on Capital | |||||||||||||
| ROIC | -0.1% | 6.8% | 8.7% | 9.0% | 5.1% | 4.9% | -27.8% | 4.0% | 5.9% | 0.7% | 5.7% | -4.7% | -6.7% |
| ROE | -4.6% | -7.3% | 4.5% | 8.5% | 4.2% | 2.6% | -31.2% | 1.0% | 6.4% | 2.8% | 9.1% | -6.3% | -6.5% |
| ROA | -1.4% | -2.5% | 1.6% | 3.2% | 1.8% | 1.2% | -14.5% | 0.4% | 3.0% | 1.3% | 4.0% | -2.7% | -2.8% |
| Cash Flow | |||||||||||||
| Op. Cash Flow | 6.8M | 8.5M | 8.4M | 7.9M | 8.1M | 8.0M | 9.7M | 6.3M | 7.2M | 5.7M | 167K | 3.1M | 3.1M |
| Free Cash Flow | 1.6M | 7.6M | 7.3M | 7.0M | 6.5M | 7.1M | 9.3M | 4.6M | 6.8M | -555K | -7.8M | -4.5M | -4.5M |
| Owner Earnings | 252K | 2.1M | 1.8M | 853K | 1.0M | 406K | 2.5M | 875K | 2.1M | 164K | -6.4M | -3.0M | -3.0M |
| CapEx | 5.2M | 900K | 1.0M | 803K | 1.6M | 990K | 455K | 1.7M | 388K | 6.3M | 7.9M | 7.6M | 7.6M |
| Maint. CapEx | 6.4M | 6.2M | 6.3M | 6.7M | 6.8M | 7.4M | 7.0M | 5.0M | 4.8M | 5.2M | 6.2M | 5.7M | 5.7M |
| Growth CapEx | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1.1M | 1.8M | 1.9M | 1.9M |
| D&A | 6.4M | 6.2M | 6.3M | 6.7M | 6.8M | 7.4M | 7.0M | 5.0M | 4.8M | 5.2M | 6.2M | 5.7M | 5.7M |
| CapEx/OCF | 77.0% | 22.4% | 12.4% | 10.2% | 19.6% | 12.3% | 4.7% | 26.7% | 5.4% | 109.7% | 4753.3% | N/A | 246.4% |
| Capital Allocation | |||||||||||||
| Dividends Paid | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Dividend Yield | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| Share Buybacks | 2K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Buyback Yield | 0.0% | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.0% | 0.0% |
| Stock-Based Comp | 138K | 226K | 215K | 323K | 223K | 230K | 299K | 420K | 399K | 389K | 373K | 404K | 404K |
| Debt Repayment | 3.3M | 2.1M | 3.0M | 2.3M | 2.5M | 2.0M | 1.7M | 3.9M | 2.0M | 2.1M | 2.7M | 3.0M | 3.0M |
| Balance Sheet | |||||||||||||
| Net Debt | 9.5M | 7.4M | 4.4M | 3.9M | 4.0M | 3.2M | 1.2M | 8.5M | 1.5M | -306K | 11M | 18M | 18M |
| Cash & Equiv. | 1.1M | 2.2M | 2.9M | 2.2M | 1.4M | 1.4M | 4.0M | 8.1M | 12M | 14M | 11M | 3.5M | 3.5M |
| Long-Term Debt | 8.6M | 6.9M | 5.1M | 3.6M | 3.3M | 2.0M | 3.4M | 14M | 12M | 11M | 17M | 0 | N/A |
| Debt/Equity | 0.49 | 0.48 | 0.34 | 0.25 | 0.22 | 0.18 | 0.27 | 0.83 | 0.64 | 0.59 | 0.87 | 0.90 | 0.90 |
| Interest Coverage | -0.0 | 1.6 | 1.9 | 1.3 | 1.1 | 1.2 | -9.0 | 1.8 | 3.0 | 0.2 | -1.9 | -2.3 | -2.3 |
| Equity | 21M | 20M | 21M | 24M | 25M | 26M | 19M | 20M | 22M | 23M | 25M | 24M | 24M |
| Total Assets | 68M | 54M | 61M | 58M | 58M | 54M | 44M | 45M | 44M | 48M | 60M | 55M | 55M |
| Total Liabilities | 19M | 29M | 33M | 28M | 26M | 22M | 20M | 21M | 18M | 22M | 30M | 28M | 28M |
| Intangibles | N/A | N/A | N/A | N/A | N/A | 0 | 78K | 78K | 78K | 78K | 78K | 78K | 78K |
| Retained Earnings | 5.5M | 4.0M | 5.0M | 6.9M | 7.9M | 8.6M | 1.5M | 1.7M | 3.0M | 3.6M | 5.8M | 4.3M | 4.3M |
| Working Capital | -2.0M | -2.7M | -815K | -114K | 472K | 2.5M | -1.5M | 9.2M | 14M | 9.7M | 16M | -5.7M | -5.7M |
| Current Assets | 14M | 6.0M | 7.9M | 8.9M | 9.9M | 11M | 11M | 15M | 19M | 20M | 26M | 18M | 18M |
| Current Liabilities | 16M | 8.7M | 8.7M | 9.0M | 9.5M | 8.2M | 12M | 5.9M | 5.2M | 11M | 10M | 23M | 23M |
| Per Share Data | |||||||||||||
| EPS | -0.19 | -0.28 | 0.17 | 0.33 | 0.17 | 0.11 | -1.14 | 0.03 | 0.21 | 0.10 | 0.33 | -0.23 | -0.23 |
| Owner EPS | 0.05 | 0.39 | 0.34 | 0.15 | 0.17 | 0.07 | 0.40 | 0.14 | 0.32 | 0.03 | -0.96 | -0.45 | -0.45 |
| Book Value | 4.28 | 3.70 | 3.93 | 4.09 | 4.17 | 4.35 | 3.11 | 3.08 | 3.42 | 3.71 | 3.80 | 3.56 | 3.56 |
| Cash Flow/Share | 1.35 | 1.57 | 1.53 | 1.35 | 1.34 | 1.34 | 1.57 | 0.97 | 1.14 | 0.94 | 0.03 | 0.46 | 0.62 |
| Dividends/Share | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 0.00 | 0.00 |
| Shares Out. | 5.0M | 5.4M | 5.5M | 5.8M | 6.0M | 6.0M | 6.2M | 6.5M | 6.3M | 6.1M | 6.6M | 6.8M | 6.8M |
| Valuation | |||||||||||||
| P/E Ratio | N/A | N/A | 19.4 | 7.8 | 13.7 | 23.3 | N/A | 77.7 | 13.0 | 23.5 | 9.7 | N/A | -6.3 |
| P/FCF | 8.1 | 1.1 | 2.5 | 2.1 | 2.2 | 2.2 | 1.4 | 3.3 | 2.5 | N/A | N/A | N/A | N/A |
| EV/EBIT | N/A | 8.1 | 6.8 | 7.8 | 9.7 | 11.3 | N/A | 16.5 | 7.6 | 51.0 | N/A | N/A | N/A |
| Price/Book | 0.6 | 0.4 | 0.8 | 0.6 | 0.6 | 0.6 | 0.7 | 0.8 | 0.8 | 0.6 | 0.8 | N/A | 0.4 |
| Price/Sales | 0.9 | 0.8 | 0.7 | 1.1 | 0.9 | 0.8 | 0.7 | 1.0 | 0.8 | 0.8 | 0.7 | N/A | 0.4 |
| FCF Yield | 12.4% | 87.9% | 40.6% | 47.3% | 46.3% | 46.0% | 70.1% | 30.5% | 39.5% | -3.9% | -36.8% | N/A | -46.0% |
| Market Cap | 13M | 8.7M | 18M | 15M | 14M | 15M | 13M | 15M | 17M | 14M | 21M | 0 | 9.9M |
| Avg. Price | 2.66 | 2.32 | 2.39 | 3.60 | 2.79 | 2.67 | 1.99 | 2.70 | 2.48 | 2.71 | 3.03 | 0.00 | 1.46 |
| Year-End Price | 2.51 | 1.60 | 3.30 | 2.56 | 2.33 | 2.56 | 2.14 | 2.33 | 2.74 | 2.35 | 3.19 | 0.00 | 1.46 |
AMERICAN SHARED HOSPITAL SERVICES passes 1 of 9 quality checks, indicating weak fundamentals.
The company's 5-year average ROIC is 2.3% with a gross margin of 35.0%. At current prices, the estimated annualized return to fair value is -11.5%.
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a debt-to-equity ratio of 0.90. This indicates moderate leverage.
AMERICAN SHARED HOSPITAL SERVICES (AMS) reported earnings per share (EPS) of $-0.23 in its most recent fiscal year.
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a return on equity (ROE) of -6.3%. A negative ROE may indicate losses or negative equity.
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a 5-year average gross margin of 35.0%. This indicates decent pricing power.
The Ledger Terminal provides 17 years of financial data for AMERICAN SHARED HOSPITAL SERVICES (AMS), sourced directly from SEC EDGAR filings. This includes income statements, balance sheets, cash flow statements, and key financial ratios.
AMERICAN SHARED HOSPITAL SERVICES (AMS) has a book value per share of $3.56, based on its most recent annual SEC filing.
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