The company's financial position appears increasingly vulnerable, as evidenced by a debt-to-equity ratio that has risen to 0.79 alongside a current ratio decline to 0.77 as of 2026Q1.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Total Current Assets | 18.27M | 17.72M | 26.26M | 20.46M | 18.72M | 15.09M | 10.85M | 10.74M | 9.95M | 8.89M | 8.39M | 6.01M | 14.25M | 7.71M | 15.96M | 17.61M | 15.07M | 14.47M | 15.46M | 14.85M | 11.13M | 10.71M | 12.67M | 13.3M | 13.42M | 14.79M | 15.25M | 14.7M | 14.96M | 8.51M | 7.8M |
| Cash & Short-Term Investments | 5.22M | 3.46M | 11.03M | 13.69M | 12.34M | 8.14M | 3.96M | 1.43M | 1.44M | 2.15M | 2.87M | 2.21M | 1.06M | 1.91M | 1.56M | 2.58M | 1.44M | 833K | 10.29M | 8.95M | 5.53M | 5.83M | 9.08M | 10.31M | 9.92M | 11.58M | 12.42M | 12.9M | 11.11M | 17K | 400K |
| Cash Only | 5.22M | 3.46M | 11.03M | 13.69M | 12.34M | 8.14M | 3.96M | 1.43M | 1.44M | 2.15M | 2.87M | 2.21M | 1.06M | 1.91M | 1.56M | 2.58M | 1.44M | 833K | 10.29M | 6.34M | 3.95M | 1.3M | 8.12M | 10.31M | 9.92M | 11.58M | 12.42M | 12.9M | 11.11M | 17K | 400K |
| Short-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2.6M | 1.57M | 4.54M | 957K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accounts Receivable | 12.22M | 13.22M | 12.66M | 4.85M | 4.13M | 4.82M | 4.58M | 7.06M | 6.88M | 5.24M | 4.38M | 3.15M | 3.32M | 4.67M | 4.11M | 4.76M | 3.8M | 3.88M | 4.45M | 5.14M | 4.35M | 4.02M | 2.95M | 2.47M | 2.57M | 2.37M | 2.21M | 1.23M | 1.3M | 7.13M | 6.5M |
| Days Sales Outstanding | 163.16 | 171.85 | 163.09 | 82.96 | 76.31 | 99.88 | 93.62 | 125.11 | 127.34 | 97.71 | 85.39 | 69.37 | 78.67 | 96.83 | 87.93 | 78.22 | 83.2 | 84.39 | 85.04 | 82.87 | 77.89 | 80.46 | 65.7 | 55.66 | 70.21 | 73.54 | 86.28 | 62.53 | 13.49 | 70.01 | 64.12 |
| Inventory | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 350K | 250K | 50K | 9.42M | 392K | 9.36M | 1.27M | 836K | -3.88M | 0 | 0 | 0 | 514K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 651K | 0 |
| Days Inventory Outstanding | - | - | - | - | - | - | - | - | - | 11.73 | 9.21 | 1.86 | 339.04 | 13.45 | 337.66 | 32.67 | 32.24 | - | - | - | - | 51.02 | - | - | - | - | - | - | - | 11.51 | - |
| Other Current Assets | 830K | 1.02M | 1.18M | 644K | 1.01M | 944K | 1.15M | 350K | 350K | 350K | 250K | 50K | 865K | 1.13M | 360K | 1.27M | 9.36M | 9.27M | 296K | 351K | 651K | 341K | 311K | 50K | 50K | 50K | 50K | 50K | 2.31M | 651K | 900K |
| Total Non-Current Assets | 36.45M | 37.76M | 33.94M | 27.71M | 25.23M | 30.34M | 32.8M | 43.04M | 47.56M | 49.28M | 52.21M | 48.11M | 53.28M | 64.04M | 57.37M | 56.92M | 50.27M | 46.15M | 46.73M | 48.2M | 39.78M | 37.96M | 34.43M | 33M | 31.41M | 27.6M | 24.96M | 22.29M | 11.96M | 21.7M | 25.2M |
| Property, Plant & Equipment | 34.78M | 36.08M | 32.16M | 25.92M | 23.8M | 28.93M | 31.32M | 42.59M | 46.69M | 48.49M | 51.33M | 47.12M | 50.04M | 51.38M | 53.68M | 53.27M | 47.36M | 43.29M | 43.86M | 44.23M | 34.17M | 34.99M | 34.27M | 32.83M | 31.18M | 27.35M | 24.75M | 22.06M | 11.76M | 20.1M | 23.4M |
| Fixed Asset Turnover | 0.80x | 0.78x | 0.88x | 0.82x | 0.83x | 0.61x | 0.57x | 0.48x | 0.42x | 0.40x | 0.36x | 0.35x | 0.31x | 0.34x | 0.32x | 0.42x | 0.35x | 0.39x | 0.44x | 0.51x | 0.60x | 0.52x | 0.48x | 0.49x | 0.43x | 0.43x | 0.38x | 0.32x | 2.99x | 1.85x | 1.58x |
| Goodwill | 1.26M | 1.26M | 1.26M | 1.26M | 1.26M | 1.26M | 1.26M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Intangible Assets | 78K | 78K | 78K | 78K | 78K | 78K | 78K | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 20K | 1.04M | 1.2M |
| Long-Term Investments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 579K | 579K | 2.71M | 2.7M | 2.69M | 2.66M | 2.62M | 2.62M | 2.62M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Other Non-Current Assets | 326K | 341K | 437K | 443K | 87K | 73K | 137K | -2.51B | -2.96B | -2.91B | 300K | 405K | 536K | 954K | 1M | 997K | 288K | 43.53M | 254K | -297.03M | -595.39M | -338.03M | -365.84M | -1.1B | -589.77M | 243K | 209K | 235K | 183K | 563K | 600K |
| Total Assets | 54.73M | 55.48M | 60.2M | 48.16M | 43.96M | 45.43M | 43.65M | 53.78M | 57.5M | 58.18M | 60.6M | 54.11M | 67.53M | 71.74M | 73.32M | 74.53M | 65.34M | 60.62M | 62.2M | 63.04M | 50.91M | 48.67M | 47.11M | 46.3M | 44.83M | 42.38M | 40.21M | 36.99M | 26.92M | 30.21M | 33M |
| Asset Turnover | 0.50x | 0.51x | 0.47x | 0.44x | 0.45x | 0.39x | 0.41x | 0.38x | 0.34x | 0.34x | 0.31x | 0.31x | 0.23x | 0.25x | 0.23x | 0.30x | 0.26x | 0.28x | 0.31x | 0.36x | 0.40x | 0.37x | 0.35x | 0.35x | 0.30x | 0.28x | 0.23x | 0.19x | 1.31x | 1.23x | 1.12x |
| Asset Growth % | -22.76% | -7.84% | 24.99% | 9.57% | -3.24% | 4.07% | -18.83% | -6.47% | -1.16% | -4% | 11.98% | -19.86% | -5.87% | -2.16% | -1.63% | 14.07% | 7.78% | -2.53% | -1.35% | 23.85% | 4.6% | 3.32% | 1.73% | 3.29% | 5.77% | 5.41% | 8.71% | 37.4% | -10.89% | -8.46% | 5.43% |
| Total Current Liabilities | 23.72M | 23.44M | 10.4M | 10.78M | 5.17M | 5.89M | 12.38M | 8.21M | 9.47M | 9.01M | 8.68M | 8.7M | 16.25M | 11.79M | 9.65M | 9.94M | 7.44M | 7.98M | 15.67M | 14.1M | 11.67M | 8.29M | 7.96M | 8.03M | 6.25M | 5.44M | 5.1M | 3.57M | 5.87M | 16.55M | 18.7M |
| Accounts Payable | 1.08M | 607K | 1.56M | 315K | 230K | 318K | 683K | 557K | 435K | 359K | 319K | 375K | 421K | 572K | 263K | 278K | 337K | 318K | 262K | 795K | 340K | 555K | 282K | 371K | 145K | 412K | 81K | 101K | 300K | 3.69M | 3.7M |
| Days Payables Outstanding | 13.88 | 9.62 | 29.76 | 9.6 | 7.39 | 10.65 | 18.64 | 14.86 | 12.98 | 12.03 | 11.76 | 13.92 | 15.16 | 19.62 | 9.49 | 7.13 | 12.99 | 11.87 | 8.79 | 21.73 | 27.58 | 55.09 | 33.36 | 42.65 | 27.46 | 111.06 | 25.33 | 67.15 | 5.4 | 65.29 | 64 |
| Short-Term Debt | 17M | 18.23M | 4.16M | 6.54M | 1.76M | 2.42M | 1.16M | 1.53M | 2.12M | 2.46M | 2.21M | 2.67M | 10.79M | 4.8M | 3.93M | 3.94M | 3.47M | 4.89M | 12.84M | 12.37M | 9.88M | 6.38M | 6.56M | 6.8M | 5.49M | 4.3M | 4.13M | 2.54M | 1.89M | 10.93M | 13.2M |
| Deferred Revenue (Current) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 286M | 382M | 504M | 610M | 719M | 874M | 0 | 0 | 0 | 0 | 0 | 0 | 793K | 1.33M | 1.23M | 1.02M | 734K | 485K | 505K | 699K | 837K | 573K | 873K | 0 |
| Other Current Liabilities | 4.38M | 2.7M | 2.57M | 1.41M | 1.09M | 1.18M | 1.68M | -285.87M | 0 | 0 | 0 | 0 | 0 | 0 | 1.55M | 1.79M | 823K | 755K | 950K | 793K | 1.33M | 1.23M | 1.02M | 126K | 126K | 215K | 190K | 87K | 3.11M | 1.05M | 1.8M |
| Current Ratio | 0.77x | 0.76x | 2.52x | 1.90x | 3.62x | 2.56x | 0.88x | 1.31x | 1.05x | 0.99x | 0.97x | 0.69x | 0.88x | 0.65x | 1.65x | 1.77x | 2.03x | 1.81x | 0.99x | 1.05x | 0.95x | 1.29x | 1.59x | 1.66x | 2.15x | 2.72x | 2.99x | 4.12x | 2.55x | 0.51x | 0.42x |
| Quick Ratio | 0.77x | 0.76x | 2.52x | 1.90x | 3.62x | 2.56x | 0.88x | 1.31x | 1.05x | 0.95x | 0.94x | 0.68x | 0.30x | 0.62x | 0.68x | 1.64x | 1.91x | 2.30x | 0.99x | 1.05x | 0.95x | 1.23x | 1.59x | 1.66x | 2.15x | 2.72x | 2.99x | 4.12x | 2.55x | 0.47x | 0.42x |
| Cash Conversion Cycle | 149.28 | - | - | - | - | - | - | - | - | 97.41 | 82.85 | 57.31 | 402.56 | 90.66 | 416.1 | 103.75 | 102.44 | - | - | - | - | 76.39 | - | - | - | - | - | - | - | 16.23 | - |
| Total Non-Current Liabilities | 4.3M | 4.34M | 19.77M | 11.1M | 13.16M | 15.3M | 7.62M | 13.76M | 16.98M | 19.28M | 24.74M | 20.24M | 25.12M | 35.9M | 38.84M | 39.42M | 34.85M | 29.89M | 23.59M | 26.25M | 17.18M | 19.53M | 19.29M | 21.21M | 22.6M | 22M | 20.3M | 19.89M | 9.22M | 22.03M | 24.2M |
| Long-Term Debt | 0 | 0 | 17.34M | 11.04M | 12.21M | 14.32M | 3.44M | 1.95M | 3.33M | 3.6M | 5.11M | 6.92M | 8.59M | 19.58M | 22.39M | 19.28M | 17.3M | 19.74M | 16.39M | 21.29M | 11.38M | 15.25M | 18.92M | 20.11M | 22.01M | 21.61M | 20.3M | 19.89M | 8.8M | 11.94M | 23.9M |
| Capital Lease Obligations | 16.36M | 4.23M | 1.5M | 0 | 59K | 359K | 3.56M | 9M | 10.31M | 12.27M | 14.85M | 9.19M | 12.19M | 12.95M | 13.17M | 16.71M | 14.37M | 7.23M | 4.67M | 2.72M | 3.81M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 31K | 9.63M | 0 |
| Deferred Tax Liabilities | 2.08M | 115K | 924K | 63K | 822K | 478K | 418K | 2.51M | 2.96M | 2.91M | 4.18M | 3.4M | 3.47M | 3.37M | 3.28M | 3.44M | 3.18M | 2.92M | 2.54M | 2.25M | 2M | 828K | 366K | 1.1M | 590K | 383K | 0 | 0 | 0 | 164K | 200K |
| Other Non-Current Liabilities | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3.45M | -261K | 0 | 0 | 0 | 0 | 0 | 392K | 296K | 100K |
| Total Liabilities | 28.02M | 27.79M | 30.17M | 21.88M | 18.33M | 21.19M | 20M | 21.97M | 26.45M | 28.29M | 33.42M | 28.93M | 41.37M | 47.69M | 48.49M | 49.36M | 42.3M | 37.87M | 39.26M | 40.35M | 28.85M | 27.82M | 27.25M | 29.24M | 28.84M | 27.43M | 25.4M | 23.46M | 15.09M | 38.57M | 42.9M |
| Total Debt | 21.19M | 22.61M | 23.23M | 17.64M | 14.31M | 17.47M | 14.4M | 16.47M | 20.17M | 23.14M | 27.04M | 23.12M | 35.66M | 41.3M | 43.23M | 35.75M | 29.24M | 33.67M | 35.19M | 36.38M | 25.07M | 25.08M | 25.49M | 26.92M | 27.5M | 25.92M | 24.43M | 22.43M | 10.71M | 32.5M | 37.1M |
| Net Debt | 15.96M | 19.15M | 12.2M | 3.95M | 1.98M | 9.33M | 10.44M | 14.69M | 18.72M | 20.99M | 24.16M | 20.91M | 34.6M | 39.39M | 41.67M | 33.17M | 27.8M | 32.84M | 24.9M | 30.04M | 21.11M | 23.78M | 17.36M | 16.61M | 17.57M | 14.34M | 12.01M | 9.53M | -406K | 32.48M | 36.7M |
| Debt / Equity | 0.79x | 0.82x | 0.77x | 0.67x | 0.56x | 0.72x | 0.61x | 0.44x | 0.55x | 0.64x | 0.82x | 0.76x | 1.15x | 1.45x | 1.74x | 1.42x | 1.27x | 1.29x | 1.53x | 1.60x | 1.14x | 1.20x | 1.28x | 1.58x | 1.72x | 1.73x | 1.65x | 1.66x | 0.91x | - | - |
| Debt / EBITDA | 5.59x | 6.11x | 6.89x | 3.25x | 1.90x | 2.63x | - | 5.73x | 2.32x | 2.55x | 2.81x | 2.83x | 5.63x | 5.48x | 6.33x | 4.55x | 4.26x | 4.71x | 4.30x | 4.14x | 2.55x | 2.80x | 3.12x | 3.69x | 4.79x | 3.58x | 4.36x | 4.66x | 1.04x | 2.96x | 3.50x |
| Net Debt / EBITDA | 4.21x | 5.18x | 3.62x | 0.73x | 0.26x | 1.41x | - | 5.11x | 2.16x | 2.31x | 2.51x | 2.56x | 5.46x | 5.23x | 6.10x | 4.22x | 4.05x | 4.60x | 3.05x | 3.42x | 2.15x | 2.65x | 2.13x | 2.28x | 3.06x | 1.98x | 2.14x | 1.98x | -0.04x | 2.96x | 3.46x |
| Interest Coverage | -1.23x | -1.28x | 1.83x | 1.63x | 4.12x | 2.27x | -7.94x | 2.17x | 2.14x | 2.25x | 2.93x | 2.60x | 0.75x | 1.62x | 1.43x | 1.72x | 1.46x | 1.35x | 1.77x | 1.38x | 4.50x | 1.67x | 1.45x | 1.17x | 0.91x | 1.72x | 1.53x | - | 1.35x | - | 0.86x |
| Total Equity | 26.7M | 27.69M | 30.03M | 26.28M | 25.63M | 24.24M | 23.65M | 37.59M | 36.99M | 35.91M | 32.85M | 30.23M | 30.88M | 28.49M | 24.83M | 25.17M | 23.04M | 26.11M | 22.94M | 22.69M | 22.05M | 20.85M | 19.86M | 17.06M | 15.99M | 14.95M | 14.81M | 13.53M | 11.83M | -8.37M | -9.9M |
| Equity Growth % | -37.34% | -7.78% | 14.26% | 2.55% | 5.72% | 2.49% | -37.08% | 1.61% | 3.01% | 9.32% | 8.67% | -2.11% | 8.4% | 14.74% | -1.35% | 9.23% | -11.73% | 13.81% | 1.08% | 2.9% | 5.78% | 4.97% | 16.42% | 6.71% | 6.94% | 0.92% | 9.49% | 14.39% | 241.39% | 15.51% | 4.81% |
| Book Value per Share | 3.97 | 4.19 | 4.48 | 4.11 | 4.07 | 4.00 | 3.83 | 6.34 | 6.15 | 6.16 | 6.01 | 5.56 | 6.16 | 6.39 | 5.38 | 5.45 | 5.00 | 5.55 | 4.59 | 4.53 | 4.39 | 4.13 | 3.90 | 3.55 | 3.29 | 4.20 | 3.84 | 3.41 | 2.48 | -1.33 | -1.98 |
| Total Shareholders' Equity | 23.52M | 24.03M | 25.18M | 22.62M | 21.63M | 19.89M | 19.27M | 31.81M | 31.05M | 29.89M | 27.17M | 25.18M | 26.15M | 24.05M | 19.93M | 20.2M | 19.57M | 22.75M | 19.73M | 19.54M | 19.01M | 18.32M | 17.55M | 15.33M | 14.54M | 13.79M | 13.66M | 12.64M | 11.1M | -8.95M | -10.5M |
| Common Stock | 10.76M | 10.76M | 10.76M | 10.76M | 10.76M | 10.76M | 10.75M | 10.75M | 10.71M | 10.71M | 10.6M | 10.38M | 10.38M | 8.58M | 8.58M | 0 | 0 | 0 | 8.88B | 0 | 0 | 9.31M | 9.24M | 9.2M | 9.17M | 9.24M | 9.75M | 10.04M | 11.09M | 11.09M | 0 |
| Retained Earnings | 3.65M | 4.26M | 5.82M | 3.63M | 3.02M | 1.69M | 1.5M | 8.55M | 7.9M | 6.87M | 4.95M | 4.02M | 5.54M | 6.49M | 6.81M | 6.77M | 6.26M | 6.21M | 6.39M | 5.92M | 5.44M | 4.74M | 3.9M | 2.67M | 2.06M | 1.39M | 684K | -628K | -3.33M | -23.39M | -24.9M |
| Treasury Stock | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Accumulated OCI | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -54.01M | -51.67M | -53.55M | -47.66M | 0 | -442K | -357K | -35.34M | -36.66M | -36.9M | -33.9M | -31.98M | -31.31M | -25.41M | -20M | -15.14M | -10.86M | 2.41M | 2.41M | 2.41M | 2.41M | 2.41M | -18.5M |
| Minority Interest | 3.18M | 3.66M | 4.84M | 3.65M | 4M | 4.35M | 4.38M | 5.78M | 5.95M | 6.03M | 5.68M | 5.05M | 4.73M | 4.43M | 4.9M | 4.97M | 3.47M | 3.35M | 3.21M | 3.15M | 3.04M | 2.53M | 2.31M | 1.73M | 1.45M | 1.17M | 1.16M | 890K | 731K | 588K | 600K |
Liquidity and capital intensity
As reported in recent quarterly filings, AMS has seen its total assets contract from $63.5M in 2025Q2 to $54.7M in 2026Q1, a trend that suggests the company is struggling to maintain its asset base while navigating persistent operational headwinds and declining cash reserves.
The contraction in total assets, coupled with a simultaneous rise in debt levels, indicates a weakening financial position that may limit future strategic flexibility. Investors should monitor whether this trajectory reflects a deliberate downsizing of the fleet or an inability to replace aging equipment effectively.
Based on the latest balance sheet data, the company's current ratio has deteriorated sharply from 2.52 in 2024Q4 to 0.77 in 2026Q1, signaling that current assets are no longer sufficient to cover short-term obligations without potential reliance on external financing or further asset liquidation.
This rapid decline in liquidity suggests that the company's cash runway is narrowing, which may force management to prioritize debt service over growth-oriented capital expenditures. The current ratio falling below unity warrants close investigation into the company's ability to manage near-term working capital requirements.
According to the provided financial statements, the debt-to-equity ratio has climbed from 0.66 in 2024Q2 to 0.79 in 2026Q1, reflecting a shift toward higher leverage at a time when the company's underlying profitability remains under significant pressure.
While the absolute debt level remains manageable, the upward trend in leverage during a period of negative net margins suggests that debt is being used to fund operations rather than growth. This reliance on debt to bridge the cash flow gap may increase the company's sensitivity to interest rate fluctuations.
As indicated by the quarterly balance sheet, net property, plant, and equipment (PPE) has fluctuated significantly, reaching $34.8M in 2026Q1, which highlights the company's heavy reliance on aging medical hardware that requires constant, capital-intensive maintenance to remain clinically viable.
The high concentration of assets in medical equipment suggests that the company's value is tied to the technological relevance of its fleet. If utilization rates do not improve, the carrying value of these assets may be subject to future impairment risks, further pressuring the equity base.
Quick answers to the most common questions about buying AMS stock.
As of 2025, American Shared Hospital Services (AMS) had total assets of $55.5M including $17.7M in current assets.
American Shared Hospital Services (AMS) carries total debt of $22.6M, offset by $3.5M in cash and short-term investments. Comparing total debt to cash helps evaluate the company's debt burden and net leverage.
American Shared Hospital Services (AMS) has total shareholders' equity (book value) of $24.0M ($4.19 book value per share). Book value represents the net worth of the company belonging to common stock holders.
American Shared Hospital Services (AMS) reported a current ratio of 0.76x. A current ratio above 1.0x indicates that the company has more current assets than current liabilities, suggesting sufficient short-term liquidity.