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AMS logoAmerican Shared Hospital Services(AMS)Earnings, Financials & Key Ratios

AMS•AMEX
$1.81
$12M mkt cap·5.5× P/E·Price updated May 6, 2026
SectorHealthcareIndustryHealthcare FacilitiesSub-IndustryHealthcare staffing and facility services
AboutAmerican Shared Hospital Services leases radiosurgery and radiation therapy equipment to health care providers. The company offers radiosurgery equipment for the Gamma Knife stereotactic radiosurgery, a non-invasive procedure to treat malignant and benign brain tumors, and arteriovenous malformations, as well as for trigeminal neuralgia. It also provides financing services for Leksell Gamma Knife units. In addition, the company offers proton beam radiation therapy services in Orlando, Florida and Long Beach, California, as well as offers planning, installation, reimbursement, and marketing support services to its customers. As of December 31, 2021, it had 115 operating Gamma Knife units located in the United States, as well as two in South America in Lima, Peru and Guayaquil, Ecuador. The company also operates one PBRT system. American Shared Hospital Services was founded in 1980 and is based in San Francisco, California.Show more
  • Revenue$28M+32.9%
  • EBITDA$3M-38.0%
  • Net Income$2M+258.4%
  • EPS (Diluted)0.33+245.9%
  • Gross Margin32.41%-26.0%
  • EBITDA Margin11.89%-53.4%
  • Operating Margin-9.9%-881.7%
  • Net Margin7.71%+169.7%
  • ROE7.76%+230.3%
  • ROIC-5.81%-929.3%
  • Debt/Equity0.77+15.2%
  • Interest Coverage-1.87-870.7%
Technical→

AMS Key Insights

American Shared Hospital Services (AMS) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Strong 5Y profit CAGR of 27.1%
  • ✓Trading at only 0.4x book value

✗Weaknesses

  • ✗Negative free cash flow
  • ✗Weak momentum: RS Rating 17 (bottom 17%)
  • ✗Low quality earnings: Net income not backed by cash flow
  • ✗Trading more than 30% below 52-week high

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

AMS Price & Volume

American Shared Hospital Services (AMS) stock price & volume — 10-year historical chart

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AMS Growth Metrics

American Shared Hospital Services (AMS) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years6.28%
5 Years6.58%
3 Years17.15%
TTM17.84%

Profit CAGR

10 Years-
5 Years27.1%
3 Years124.19%
TTM-157.27%

EPS CAGR

10 Years-
5 Years6.58%
3 Years117.66%
TTM-164.3%

Return on Capital

10 Years-1.06%
5 Years-4.07%
3 Years0.16%
Last Year-6.44%

AMS Peer Comparison

American Shared Hospital Services (AMS) competitors in Healthcare staffing and facility services — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
ARAY logoARAYAccuray IncorporatedDirect Competitor58.45M0.49-31.752.68%-10.76%-77.48%2.17
NNOX logoNNOXNano-X Imaging Ltd.Direct Competitor117.04M1.79-1.9713.91%-452.82%-35.55%0.04
BLCO logoBLCOBausch + Lomb CorporationDirect Competitor5.7B16.00-15.696.47%-4.21%-3.37%0.82
IART logoIARTIntegra LifeSciences Holdings CorporationProduct Competitor1.09B14.00-2.081.53%-30.15%-47.65%1.95
NVCR logoNVCRNovoCure LimitedProduct Competitor1.88B16.50-13.528.28%-25.66%-50.82%0.85
GKOS logoGKOSGlaukos CorporationProduct Competitor7.92B135.27-41.2432.33%-34.34%-26.46%0.21
EW logoEWEdwards Lifesciences CorporationSupply Chain47.97B83.2045.4611.55%17.64%10.35%0.07
HAE logoHAEHaemonetics CorporationSupply Chain2.45B52.6415.903.95%13.31%20.26%1.49

Compare AMS vs Peers

American Shared Hospital Services (AMS) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs ARAY

Most directly comparable listed peer for AMS.

Scale Benchmark

vs EW

Larger-name benchmark to compare AMS against a more recognizable public peer.

Peer Set

Compare Top 5

vs ARAY, NNOX, BLCO, IART

AMS Income Statement

American Shared Hospital Services (AMS) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Sales/Revenue18.7M19.56M19.71M20.61M17.84M17.63M19.75M21.32M28.34M29.42M
Revenue Growth %13%4.58%0.81%4.52%-13.43%-1.17%12.02%8%32.9%17.84%
Cost of Goods Sold9.9M10.89M12.23M13.69M13.37M10.9M11.36M11.98M19.16M22.07M
COGS % of Revenue52.97%55.7%62.03%66.42%74.96%61.84%57.55%56.18%67.59%-
Gross Profit
8.79M▲ 0%
8.66M▼ 1.5%
7.49M▼ 13.6%
6.92M▼ 7.6%
4.47M▼ 35.5%
6.73M▲ 50.6%
8.38M▲ 24.6%
9.34M▲ 11.5%
9.19M▼ 1.7%
7.35M▲ 0%
Gross Margin %47.03%44.3%37.97%33.58%25.04%38.16%42.45%43.82%32.41%24.98%
Gross Profit Growth %30.98%-1.5%-13.59%-7.56%-35.46%50.6%24.62%11.48%-1.7%-
Operating Expenses3.8M4.32M3.99M4.06M13.93M5.38M5.95M9.07M11.99M10.97M
OpEx % of Revenue20.33%22.11%20.26%19.7%78.09%30.49%30.14%42.55%42.31%-
Selling, General & Admin3.8M4.32M3.99M4.06M4.61M4.53M5.14M7.02M7.41M6.79M
SG&A % of Revenue20.33%22.11%20.26%19.7%25.83%25.7%26.06%32.93%26.14%-
Research & Development0000000000
R&D % of Revenue----------
Other Operating Expenses15K3K009.32M844K806K2.05M4.58M1.86M
Operating Income
3.29M▲ 0%
2.41M▼ 26.6%
1.86M▼ 22.9%
-4.54M▼ 343.7%
-9.46M▼ 108.7%
1.35M▲ 114.3%
2.43M▲ 79.9%
270K▼ 88.9%
-2.81M▼ 1138.9%
-3.63M▲ 0%
Operating Margin %17.57%12.34%9.44%-22.01%-53.05%7.66%12.31%1.27%-9.9%-12.32%
Operating Income Growth %65.96%-26.57%-22.88%-343.69%-108.67%114.28%79.94%-88.89%-1138.89%-
EBITDA9.61M9.09M8.68M2.88M-2.49M6.63M7.55M5.43M3.37M2.46M
EBITDA Margin %51.41%46.48%44.02%13.96%-13.98%37.62%38.24%25.49%11.89%8.36%
EBITDA Growth %17.66%-5.44%-4.52%-66.86%-186.68%366.02%13.86%-28.02%-38.01%-53.13%
D&A (Non-Cash Add-back)6.33M6.68M6.82M7.41M6.97M5.28M5.12M5.17M6.17M6.08M
EBIT4.99M4.34M3.49M2.86M-8.4M1.69M3.32M1.81M2.74M-2.27M
Net Interest Income-1.69M-1.92M-1.43M-1.3M-1.05M-742K-719K-686K-1.25M-1.54M
Interest Income15K3K198K16K10K087K426K248K145K
Interest Expense1.71M1.93M1.63M1.32M1.06M742K806K1.11M1.5M1.68M
Other Income/Expense-93K-576K220K16K10K-404K87K426K4.04M-332K
Pretax Income
3.19M▲ 0%
1.84M▼ 42.5%
2.08M▲ 13.3%
1.56M▼ 25.1%
-9.45M▼ 706.7%
947K▲ 110.0%
2.52M▲ 165.9%
696K▼ 72.4%
1.24M▲ 77.7%
-3.96M▲ 0%
Pretax Margin %17.07%9.39%10.56%7.56%-53%5.37%12.75%3.26%4.36%-13.45%
Income Tax943K-1.1M451K128K-1.74M269K963K431K-295K-347K
Effective Tax Rate %29.53%-60.04%21.67%8.22%18.38%28.41%38.24%61.93%-23.85%8.77%
Net Income
930K▲ 0%
1.92M▲ 106.8%
1.02M▼ 46.8%
659K▼ 35.6%
-7.06M▼ 1171.0%
194K▲ 102.7%
1.33M▲ 584.5%
610K▼ 54.1%
2.19M▲ 258.4%
-2.25M▲ 0%
Net Margin %4.97%9.83%5.19%3.2%-39.57%1.1%6.73%2.86%7.71%-7.65%
Net Income Growth %161.1%106.77%-46.8%-35.58%-1171.02%102.75%584.54%-54.07%258.36%-157.27%
Net Income (Continuing)2.25M2.94M1.63M1.43M-7.72M678K1.55M265K1.53M-3.61M
Discontinued Operations0000000000
Minority Interest5.68M6.03M5.95M5.78M4.38M4.35M4M3.65M4.84M4.03M
EPS (Diluted)
0.17▲ 0%
0.33▲ 94.1%
0.17▼ 48.5%
0.24▲ 41.2%
-1.14▼ 575.0%
0.03▲ 102.8%
0.21▲ 556.3%
0.10▼ 54.6%
0.33▲ 245.9%
-0.34▲ 0%
EPS Growth %160.71%94.12%-48.48%41.18%-575%102.81%556.25%-54.57%245.91%-164.3%
EPS (Basic)0.170.330.180.24-1.140.030.210.100.34-
Diluted Shares Outstanding5.47M5.83M6.02M5.93M6.18M6.06M6.3M6.39M6.7M6.58M
Basic Shares Outstanding5.47M5.75M5.84M5.92M6.18M6.04M6.3M6.36M6.5M6.58M
Dividend Payout Ratio----------

AMS Balance Sheet

American Shared Hospital Services (AMS) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Total Current Assets8.39M8.89M9.95M10.74M10.85M15.09M18.72M20.46M26.26M20.59M
Cash & Short-Term Investments2.87M2.15M1.44M1.43M3.96M8.14M12.34M13.69M11.03M5.34M
Cash Only2.87M2.15M1.44M1.43M3.96M8.14M12.34M13.69M11.03M5.34M
Short-Term Investments0000000000
Accounts Receivable4.38M5.24M6.88M7.06M4.58M4.82M4.13M4.85M12.66M14.62M
Days Sales Outstanding85.3997.71127.34125.1193.6299.8876.3182.96163.09154.16
Inventory250K350K00000000
Days Inventory Outstanding9.2111.73--------
Other Current Assets250K350K350K350K1.15M944K1.01M644K1.18M586K
Total Non-Current Assets52.21M49.28M47.56M43.04M32.8M30.34M25.23M27.71M33.94M39.04M
Property, Plant & Equipment51.33M48.49M46.69M42.59M31.32M28.93M23.8M25.92M32.16M37.34M
Fixed Asset Turnover0.36x0.40x0.42x0.48x0.57x0.61x0.83x0.82x0.88x0.81x
Goodwill00001.26M1.26M1.26M1.26M1.26M1.26M
Intangible Assets000078K78K78K78K78K78K
Long-Term Investments579K000000000
Other Non-Current Assets300K-2.91B-2.96B-2.51B137K73K87K443K437K1.58M
Total Assets
60.6M▲ 0%
58.18M▼ 4.0%
57.5M▼ 1.2%
53.78M▼ 6.5%
43.65M▼ 18.8%
45.43M▲ 4.1%
43.96M▼ 3.2%
48.16M▲ 9.6%
60.2M▲ 25.0%
59.63M▲ 0%
Asset Turnover0.31x0.34x0.34x0.38x0.41x0.39x0.45x0.44x0.47x0.48x
Asset Growth %11.98%-4%-1.16%-6.47%-18.83%4.07%-3.24%9.57%24.99%49.93%
Total Current Liabilities8.68M9.01M9.47M8.21M12.38M5.89M5.17M10.78M10.4M17.17M
Accounts Payable319K359K435K557K683K318K230K315K1.56M1.11M
Days Payables Outstanding11.7612.0312.9814.8618.6410.657.399.629.7619.45
Short-Term Debt2.21M2.46M2.12M1.53M1.16M2.42M1.76M6.54M4.16M11.68M
Deferred Revenue (Current)610M504M382M286M000000
Other Current Liabilities000-285.87M1.68M1.18M1.09M1.41M2.57M3.79M
Current Ratio0.97x0.99x1.05x1.31x0.88x2.56x3.62x1.90x2.52x2.52x
Quick Ratio0.94x0.95x1.05x1.31x0.88x2.56x3.62x1.90x2.52x2.52x
Cash Conversion Cycle82.8597.41-------134.71
Total Non-Current Liabilities24.74M19.28M16.98M13.76M7.62M15.3M13.16M11.1M19.77M13.86M
Long-Term Debt5.11M3.6M3.33M1.95M3.44M14.32M12.21M11.04M17.34M8.63M
Capital Lease Obligations14.85M12.27M10.31M9M3.56M359K59K01.5M13.11M
Deferred Tax Liabilities4.18M2.91M2.96M2.51M418K478K822K63K924K3.7M
Other Non-Current Liabilities0000000000
Total Liabilities33.42M28.29M26.45M21.97M20M21.19M18.33M21.88M30.17M31.03M
Total Debt27.04M23.14M20.17M16.47M14.4M17.47M14.31M17.64M23.23M24.62M
Net Debt24.16M20.99M18.72M14.69M10.44M9.33M1.98M3.95M12.2M19.27M
Debt / Equity0.82x0.64x0.55x0.44x0.61x0.72x0.56x0.67x0.77x0.77x
Debt / EBITDA2.81x2.55x2.32x5.73x-2.63x1.90x3.25x6.89x10.01x
Net Debt / EBITDA2.51x2.31x2.16x5.11x-1.41x0.26x0.73x3.62x3.62x
Interest Coverage1.93x1.25x1.14x-3.44x-8.95x1.82x3.02x0.24x-1.87x-1.35x
Total Equity
32.85M▲ 0%
35.91M▲ 9.3%
36.99M▲ 3.0%
37.59M▲ 1.6%
23.65M▼ 37.1%
24.24M▲ 2.5%
25.63M▲ 5.7%
26.28M▲ 2.6%
30.03M▲ 14.3%
28.6M▲ 0%
Equity Growth %8.67%9.32%3.01%1.61%-37.08%2.49%5.72%2.55%14.26%4%
Book Value per Share6.016.166.156.343.834.004.074.114.484.35
Total Shareholders' Equity27.17M29.89M31.05M31.81M19.27M19.89M21.63M22.62M25.18M24.57M
Common Stock10.6M10.71M10.71M10.75M10.75M10.76M10.76M10.76M10.76M10.76M
Retained Earnings4.95M6.87M7.9M8.55M1.5M1.69M3.02M3.63M5.82M4.89M
Treasury Stock0000000000
Accumulated OCI-53.55M-51.67M-54.01M0000000
Minority Interest5.68M6.03M5.95M5.78M4.38M4.35M4M3.65M4.84M4.03M

AMS Cash Flow Statement

American Shared Hospital Services (AMS) cash flow — operating, investing & free cash flow history

Line itemDec'16Dec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24TTM
Cash from Operations8.38M7.85M8.06M8.05M9.74M6.27M7.24M5.72M167K167K
Operating CF Margin %44.8%40.16%40.89%39.05%54.63%35.55%36.64%26.81%0.59%-
Operating CF Growth %-1.99%-6.27%2.66%-0.19%21.1%-35.69%15.45%-20.97%-97.08%468.29%
Net Income2.25M2.94M1.63M1.43M-7.72M194K1.55M265K1.53M-2.25M
Depreciation & Amortization6.33M6.68M6.82M7.41M6.97M5.28M4.78M5.17M6.17M6.08M
Stock-Based Compensation215K323K223K230K299K0399K389K373K291K
Deferred Taxes772K-1.27M48K-444K-2.16M60K344K-759K-359K-542K
Other Non-Cash Items526K707K39K361K8.54M1.58M450K952K-607K2.72M
Working Capital Changes-1.71M-1.53M-696K-941K3.82M-853K-296K-294K-6.95M-1.46M
Change in Receivables-1.23M-860K-420K-1.19M2.97M-519K696K-719K-6.94B-4.92M
Change in Inventory0000000000
Change in Payables-199M125M115K28K263K851K608K-79K2.23B-1.2M
Cash from Investing-1.61M-653K-1.53M-990K-2.39M-1.67M-388K-6.27M-7.11M-13.98M
Capital Expenditures-1.61M-803K-1.58M-990K-455K-1.67M-388K-6.27M-7.94M-14.28M
CapEx % of Revenue8.62%4.11%8%4.8%2.55%9.5%1.97%29.42%28.01%-
Acquisitions7K150K00-2.08M00000
Investments----------
Other Investing0150K51K0150K000833K295K
Cash from Financing-6.1M-7.92M-7.25M-7.07M-4.81M-655K-2.66M1.91M4.41M1.18M
Debt Issued (Net)-6M-7.27M-6.56M-6.17M-4.05M255K-2.03M2.12M4.63M1.25M
Equity Issued (Net)220K00005K5K000
Dividends Paid0000000000
Share Repurchases0000000000
Other Financing-692K-551K-690K-897K-761K-915K-630K-211K-221K-80K
Net Change in Cash
662K▲ 0%
-719K▼ 208.6%
-710K▲ 1.3%
-13K▲ 98.2%
2.55M▲ 19684.6%
3.94M▲ 54.7%
4.19M▲ 6.4%
1.35M▼ 67.7%
-2.53M▼ 286.9%
-8.73M▲ 0%
Free Cash Flow
6.77M▲ 0%
7.05M▲ 4.2%
6.49M▼ 8.0%
7.06M▲ 8.8%
9.29M▲ 31.6%
4.59M▼ 50.6%
6.85M▲ 49.1%
-555K▼ 108.1%
-7.77M▼ 1300.2%
-10.2M▲ 0%
FCF Margin %36.18%36.05%32.9%34.25%52.08%26.06%34.68%-2.6%-27.42%-34.67%
FCF Growth %2.02%4.2%-8.01%8.82%31.64%-50.56%49.07%-108.11%-1300.18%-55.95%
FCF per Share1.241.211.081.191.500.761.09-0.09-1.16-1.16
FCF Conversion (FCF/Net Income)9.01x4.08x7.88x12.21x-1.38x32.30x5.45x9.37x0.08x4.53x
Interest Paid2.15M1.57M1.61M1.32M938K0722K1.07M1.4M1.19M
Taxes Paid266K126K459K397K339K0169K297K1.85M434K

AMS Key Ratios

American Shared Hospital Services (AMS) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201620172018201920202021202220232024TTM
Return on Equity (ROE)2.95%5.59%2.81%1.77%-23.05%0.81%5.33%2.35%7.76%-7.87%
Return on Invested Capital (ROIC)4.56%3.18%2.48%-6.28%-16.37%3%5.96%0.7%-5.81%-5.81%
Gross Margin47.03%44.3%37.97%33.58%25.04%38.16%42.45%43.82%32.41%24.98%
Net Margin4.97%9.83%5.19%3.2%-39.57%1.1%6.73%2.86%7.71%-7.65%
Debt / Equity0.82x0.64x0.55x0.44x0.61x0.72x0.56x0.67x0.77x0.77x
Interest Coverage1.93x1.25x1.14x-3.44x-8.95x1.82x3.02x0.24x-1.87x-1.35x
FCF Conversion9.01x4.08x7.88x12.21x-1.38x32.30x5.45x9.37x0.08x4.53x
Revenue Growth13%4.58%0.81%4.52%-13.43%-1.17%12.02%8%32.9%17.84%

AMS Frequently Asked Questions

American Shared Hospital Services (AMS) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

American Shared Hospital Services (AMS) reported $29.4M in revenue for fiscal year 2024. This represents a 14% decrease from $34.1M in 1995.

American Shared Hospital Services (AMS) grew revenue by 32.9% over the past year. This is strong growth.

American Shared Hospital Services (AMS) reported a net loss of $2.3M for fiscal year 2024.

Dividend & Returns

American Shared Hospital Services (AMS) has a return on equity (ROE) of 7.8%. This is below average, suggesting room for improvement.

American Shared Hospital Services (AMS) had negative free cash flow of $10.2M in fiscal year 2024, likely due to heavy capital investments.

Explore More AMS

American Shared Hospital Services (AMS) financial analysis — history, returns, DCA and operating performance tools

Total Return Calculator

Historical returns with dividends reinvested

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DCA Calculator

Dollar cost averaging vs lump sum

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Dividend History

Yield, growth, payout safety & DRIP

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Earnings History

EPS trends, net income & profitability

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Price History

Long-term charts & historical price data

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Revenue History

Sales growth patterns & revenue breakdown

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Financial Ratios

30 years of market, efficiency and balance-sheet ratios

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Valuation

DCF intrinsic value, peer multiples & estimates

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