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American Shared Hospital Services (AMS) earnings and revenue breakdown

Latest: Q2 2026 · 10-Q filed Aug 13, 2026 · American Shared Hospital Services (AMS) Q2 2026 earnings results →

Q2 2026 Revenue up 19% year over year to $8.4M · 12¢ of every $1 of revenue lost · operating margin -10.8%

American Shared Hospital Services made $8.4M in Q2 2026 (+19% Y/Y): Patient Income $4.9M, Rental Income from Medical Services $3.5M. Operating margin -10.8%, net loss $998K. See where every dollar goes — costs, profit and cash — as a Sankey from the 10-Q filed Aug 13, 2026.

Revenue$8.4M
Year over year+19%
Operating margin-10.8%
Net earnings−$998K
Operating cash flow$2.2M

Drawing the Sankey…

Open the interactive Sankey → click any line for what the company wrote about it, compare Y/Y and Q/Q, export as PNG or PDF

What changed this quarter

Revenue was $8.4M in Q2 2026, up 19% year over year and up 19% from the previous quarter. Patient Income was the largest line at 58% of revenue. Patient Income added $1.4M year over year (up 40%), 102% of the total change. Rental Income from Medical Services declined 1%.

Gross margin was 17.0%, down 6.1 points from Q2 2025. Operating costs exceeded revenue by $910K, an operating margin of -10.8%. Operating expenses grew 8% against revenue growth of 19%. The fastest-growing cost line was SG&A (+17%). The quarter ended with a net loss of $1.0M, wider than the previous quarter's $1.0M loss. Minority interests bore $484K of it: to shareholders the quarter was a loss of $514K.

Operating cash flow was $2.2M. Non-cash charges added back $1.3M of depreciation and amortization and $102K of share-based compensation. Working capital and other items added $1.8M. Capital expenditures of $58K left free cash flow of $2.2M.

Quarterly history

American Shared Hospital Services revenue by quarterAmerican Shared Hospital Services revenue by quarter$9.1MQ4 2024$6.1MQ1 2025$7.1MQ2 2025$7.2MQ3 2025$7.7MQ4 2025$7.1MQ1 2026$8.4MQ2 2026
American Shared Hospital Services net earnings by quarterAmerican Shared Hospital Services net earnings by quarter−$1.9MQ4 2024−$912KQ1 2025−$478KQ2 2025−$329KQ3 2025−$1.0MQ4 2025−$962KQ1 2026−$998KQ2 2026
QuarterFormFiledRevenueY/YOp. marginNet earningsOp. cash flow
Q2 202610-QAug 13, 2026$8.4M+19%-10.8%−$998K$2.2M
Q1 202610-QMay 14, 2026$7.1M+16%-13.0%−$962K$2.1M
Q4 202510-KMar 31, 2026$7.7M-15%-18.1%−$1.0M−$704K
Q3 202510-QNov 14, 2025$7.2M+2%-4.8%−$329K$1.7M
Q2 202510-QAug 13, 2025$7.1M+0.2%-7.7%−$478K−$372K
Q1 202510-QMay 15, 2025$6.1M+17%-21.3%−$912K$2.5M
Q4 202410-KApr 4, 2025$9.1M+59%-20.2%−$1.9M$274K

Charts

American Shared Hospital Services: revenue growth, year over year and quarter over quarterAmerican Shared Hospital Services: revenue growth, year over year and quarter over quarterY/YQ/Q+59%Q4 2024+17%-33%Q1 2025+0%+16%Q2 2025+2%+1%Q3 2025-15%+8%Q4 2025+16%-8%Q1 2026+19%+19%Q2 2026
Latest (Q2 2026): Y/Y +19%, Q/Q +19%.
American Shared Hospital Services: where the cash came from (+) and went (−), TTM to Q2 2026American Shared Hospital Services: where the cash came from (+) and went (−), TTM to Q2 2026Net borrowing (+) / repaid (−)−$8.0MOperating cash flow$5.4MCash drawn (+) / kept (−)$4.6MCapital spending−$1.8MPartners−$146K
From the cash-flow statement as filed (SEC XBRL). Cash is fungible: the bars do not say which dollar paid for what.
American Shared Hospital Services: profit against cash, quarter by quarterAmerican Shared Hospital Services: profit against cash, quarter by quarterNet incomeOperating cash flow−$410K$472KQ3 2024−$1.9M$274KQ4 2024−$912K$2.5MQ1 2025−$478K−$372KQ2 2025−$329K$1.7MQ3 2025−$1.0M−$704KQ4 2025−$962K$2.1MQ1 2026−$998K$2.2MQ2 2026
Latest (Q2 2026): Net income −$998K, Operating cash flow $2.2M.
American Shared Hospital Services: diluted shares by fiscal yearAmerican Shared Hospital Services: diluted shares by fiscal year6MFY20206MFY20216MFY20226MFY20237MFY20247MFY2025
+7.0% since FY2020: more shares outstanding (issuance, stock pay).
American Shared Hospital Services: long-term debt falling due (FY2025)American Shared Hospital Services: long-term debt falling due (FY2025)$9.3M2026$2.1M2027$1.5M2028$4.5M2029
Cash $3.5M, short-term investments —, long-term debt $17.4M at 2025-12-31.
American Shared Hospital Services in its industry: growth against margin (22 companies, SIC 8071)American Shared Hospital Services in its industry: growth against margin (22 companies, SIC 8071)revenue growth, year over year →↑ operating marginmedian +24%median -3%LHDGXNTRAFTRERDNTGHCAILMRIVCYTCDNABLLNCSTLFLGTCFORGRALPSNLBDSXXGNBGLCSERAACONAMS (+19%, -11%)
Services-Medical Laboratories; dot size is quarterly revenue; dashed lines are the industry's medians.

Interactive views

The same charts as the app — open one to draw it.

💵Where each $1 goesinteractive

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🌏Named in Asian annual reportsinteractive

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🔄Rotation against the market and its industry (RRG)interactive

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🔍Earnings qualityinteractive

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⚖️Fair value by methodinteractive

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🔭Outlook & guidanceinteractive

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📈Investments: gains and what it boughtinteractive

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🏭Its industry’s money flow (input-output)interactive

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About American Shared Hospital Services

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.

In its own words, from its 10-K, filed Mar 31, 2026.

American Shared Hospital Services against its Services-Medical Laboratories peers

The largest companies of the same SEC industry, each at its latest quarter. Revenue growth: +19% against the peers' median +19%. Operating margin: -10.8% against the peers' median 6.3%.

CompanyQuarterRevenueY/YOp. margin
AMS American Shared Hospital ServicesQ2 2026$8.4M+19%-10.8%
LH Labcorp HoldingsQ3 2026$3.8B+7%10.6%
DGX Quest DiagnosticsQ3 2026$3.1B+10%15.5%
NTRA NateraQ3 2026$794M+34%-8.6%
FTRE Fortrea HoldingsQ3 2026$692M-1%2.2%
RDNT RadNetQ2 2026$623M+25%6.3%
GH Guardant HealthQ3 2026$361M+36%-36.8%
CAI Caris Life SciencesQ3 2026$275M+27%7.0%
LMRI Lumexa Imaging HoldingsQ2 2026$264M+5%8.7%

Source: American Shared Hospital Services 10-Q on SEC EDGAR · CIK 744825 · Services-Medical Laboratories

13F: who owns AMS and who is buying

Largest holders of AMS (13F)Largest holders of AMS (13F)Vanguard Group$382KDimensional Fund Advisors LP$161KLPL Financial LLC$129KRenaissance Technologies LLC$91KVanguard Capital Management LLC$88KNewEdge Advisors, LLC$47KBridgeway Capital Management, LLC$46KJames Investment Research$42KGeode Capital Management, LLC$42KVanguard Fiduciary Trust$40K
Funds' net buying of AMS by quarter (13F)Funds' net buying of AMS by quarter (13F)$36K2024-09$12K2024-12−$462K2025-03−$104K2025-06$1.1M2025-09−$392K2025-12−$91K2026-03−$769K2026-06
Value of shares 13F filers added minus the value they sold, each quarter (quarters with most filings in).

More on AMS

History

Every quarter: Q2 2026 results · Q1 2026 results · Q4 2025 results · Q3 2025 results · Q2 2025 results · Q1 2025 results · Q4 2024 results

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