Assure Hldgs Financials
Assure Hldgs (IONM) reported $255K in revenue for fiscal year 2023, down 45.9% from the prior fiscal year. This page shows its income statement, balance sheet, cash flow statement, and key financial ratios. View 4 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).
Revenue has nearly vanished while fixed overhead and liabilities now dominate the business’s operating mechanics.
Revenue collapse took sales from$29.2M in FY2021 to$471K in FY2022, while SG&A stayed in the low-teens millions; the cost base therefore became disconnected from activity rather than merely squeezing margins. Revenue remained at$255K in FY2023, indicating an operating model still carrying costs far larger than its sales.
The latest net loss was
FY2023’s 0.3x current ratio and liquidity of 0.3 months of reported annual operating outflow describe immediate financial tightness; liabilities also exceeded assets, leaving negative equity and making creditor claims larger than the recorded asset base.
Financial Health Signals
Assure Hldgs does not currently provide enough eligible data for a peer-relative financial health score, so none is published. The signals and metrics below are current.
Assure Hldgs scores -24.42, below the 1.81 distress threshold. The score is driven primarily by a large market capitalization ($150K) relative to total liabilities ($22.8M). This indicates elevated financial distress risk and warrants close attention to liquidity and debt levels.
Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.
Assure Hldgs passes 2 of 9 financial strength tests. 1 of 4 profitability signals pass, no leverage/liquidity signals pass (rising debt, declining liquidity, or share dilution), 1 of 2 efficiency signals pass.
Assure Hldgs reported a net loss of $26.1M while operations used $5.0M of cash. With neither figure positive, the ratio between the two carries no quality signal.
Assure Hldgs reported an operating loss of $20.1M against $1.5M in interest expense. There is no operating profit to cover interest, so interest must be met from cash reserves or from financing rather than from operations.
Key Financial Metrics
Earnings & Revenue
Assure Hldgs generated $255K in revenue in fiscal year 2023. This represents a decrease of 45.9% from the prior year.
Assure Hldgs's EBITDA was -$20.1M in fiscal year 2023, measuring earnings before interest, taxes, depreciation, and amortization. This represents a decrease of 8.9% from the prior year.
Assure Hldgs reported -$26.1M in net income in fiscal year 2023. This represents an increase of 13.4% from the prior year.
Cash & Balance Sheet
Assure Hldgs held $123K in cash against $13.7M in long-term debt as of fiscal year 2023.
Not reported for fiscal year 2023.
Not reported for fiscal year 2023.
Margins & Returns
Not shown for fiscal year 2023: the reported ratio is below -100.0% of revenue, so it does not read as a share of revenue.
Not shown for fiscal year 2023: the reported ratio is below -100.0% of revenue, so it does not read as a share of revenue.
Not shown for fiscal year 2023: the reported ratio is below -100.0% of revenue, so it does not read as a share of revenue.
Not reported for fiscal year 2023.
Capital Allocation
None of these metrics is reported for fiscal year 2023.
IONM Income Statement
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.
| Metric | Q2'24 | Q1'24 | Q4'23 | Q3'23 | Q2'23 | Q1'23 | Q4'22 | Q3'22 |
|---|---|---|---|---|---|---|---|---|
| Revenue | N/A | $9K-64.0% | $25K-47.9% | $48K-28.4% | $67K-41.7% | $115K | N/A | $162K |
| Cost of Revenue | $229K-51.8% | $475K+5.3% | $451K-27.5% | $622K-10.8% | $697K+2.7% | $679K | N/A | $613K |
| Gross Profit | -$228K+51.1% | -$466K-9.4% | -$426K+25.8% | -$574K+8.9% | -$630K-11.7% | -$564K | N/A | -$451K |
| SG&A Expenses | $1.2M-70.3% | $3.9M+9.8% | $3.6M+0.5% | $3.5M+10.5% | $3.2M-0.1% | $3.2M | N/A | $3.3M |
| Operating Income | -$1.4M+66.9% | -$4.2M+49.2% | -$8.3M-96.3% | -$4.2M-9.6% | -$3.8M-1.6% | -$3.8M | N/A | -$3.8M |
| Interest Expense | N/A | $668K+530.2% | $106K-72.7% | $388K-14.7% | $455K-17.3% | $550K | N/A | $324K |
| Income Tax | N/A | N/A | N/A | N/A | $9K+101.1% | -$796K | N/A | -$1.2M |
| Net Income | -$255K+93.2% | -$3.8M+60.2% | -$9.4M-26.9% | -$7.4M-22.9% | -$6.1M-92.5% | -$3.1M | N/A | -$1.4M |
| EPS (Diluted) | -$0.50 | -$0.54+59.1% | -$1.32-7.3% | -$1.23 | -$33.70 | -$2.98+89.2% | -$27.47 | -$1.88 |
Not reported in any period shown, so not listed: R&D Expenses.
IONM Balance Sheet
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.
| Metric | Q2'24 | Q1'24 | Q4'23 | Q3'23 | Q2'23 | Q1'23 | Q4'22 | Q3'22 |
|---|---|---|---|---|---|---|---|---|
| Total Assets | $5.3M+18.8% | $4.4M-40.9% | $7.5M-49.6% | $14.9M-24.9% | $19.9M-6.1% | $21.2M-12.7% | $24.2M-44.4% | $43.6M |
| Current Assets | $4.6M+24.5% | $3.7M-44.5% | $6.7M-51.8% | $14.0M-20.3% | $17.5M-5.7% | $18.6M-20.1% | $23.3M-26.5% | $31.6M |
| Cash & Equivalents | $45K-88.0% | $376K+205.7% | $123K-80.6% | $634K-79.9% | $3.1M+523.6% | $505K-44.2% | $905K-76.2% | $3.8M |
| Accounts Receivable | N/A | N/A | N/A | N/A | $9.1M-29.5% | $12.9M-14.9% | $15.1M-27.4% | $20.9M |
| Goodwill | N/A | N/A | N/A | N/A | $1.0M0.0% | $1.0M0.0% | $1.0M-77.0% | $4.4M |
| Total Liabilities | $23.9M+3.8% | $23.1M+0.9% | $22.8M+10.1% | $20.7M+13.3% | $18.3M-1.4% | $18.6M-1.2% | $18.8M+6.5% | $17.6M |
| Current Liabilities | $23.8M+4.5% | $22.8M+2.4% | $22.2M+131.7% | $9.6M+39.1% | $6.9M-4.2% | $7.2M+44.9% | $5.0M+36.3% | $3.6M |
| Long-Term Debt | $13.6M+0.9% | $13.4M-1.8% | $13.7M+33.7% | $10.2M-3.8% | $10.6M+2.0% | $10.4M-12.2% | $11.9M-6.0% | $12.6M |
| Total Equity | -$18.6M-0.2% | -$18.6M-21.4% | -$15.3M-162.9% | -$5.8M-441.6% | $1.7M-34.6% | $2.6M-52.2% | $5.5M-79.0% | $26.0M |
| Retained Earnings | -$74.2M+0.2% | -$74.4M-5.4% | -$70.6M-15.4% | -$61.2M-13.8% | -$53.8M-12.7% | -$47.7M-7.1% | -$44.6M-93.2% | -$23.1M |
Not reported in any period shown, so not listed: Inventory.
IONM Cash Flow Statement
Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type.
| Metric | Q2'24 | Q1'24 | Q4'23 | Q3'23 | Q2'23 | Q1'23 | Q4'22 | Q3'22 |
|---|---|---|---|---|---|---|---|---|
| Operating Cash Flow | -$97K+93.4% | -$1.5M-559.5% | -$222K+89.5% | -$2.1M+5.1% | -$2.2M-346.5% | -$497K+76.9% | -$2.2M+9.3% | -$2.4M |
| Capital Expenditures | N/A | N/A | N/A | N/A | N/A | N/A | $54K | $0 |
| Free Cash Flow | N/A | N/A | N/A | N/A | N/A | N/A | -$2.2M+7.0% | -$2.4M |
| Investing Cash Flow | $0-100.0% | $2.3M+2171.4% | -$112K+71.7% | -$396K | $0-100.0% | $37K+131.1% | -$119K-105.2% | -$58K |
| Financing Cash Flow | -$234K+61.2% | -$603K-240.7% | -$177K-1261.5% | -$13K-100.3% | $4.9M+8005.0% | $60K+106.7% | -$900K-117.3% | $5.2M |
Not reported in any period shown, so not listed: Dividends Paid, Share Buybacks.
IONM Financial Ratios
Margins and returns are percentages; the remaining ratios are unitless multiples.
| Metric | Q2'24 | Q1'24 | Q4'23 | Q3'23 | Q2'23 | Q1'23 | Q4'22 | Q3'22 |
|---|---|---|---|---|---|---|---|---|
| Gross Margin | N/A | -5177.8% | -1704.0% | -1195.8% | -940.3% | -490.4% | N/A | -278.4% |
| Operating Margin | N/A | -46622.2% | -33040.0% | -8764.6% | -5728.4% | -3284.3% | N/A | -2348.2% |
| Net Margin | N/A | -41788.9% | -37772.0% | -15497.9% | -9032.8% | -2733.9% | N/A | -884.6% |
| Return on Equity | N/A | N/A | N/A | N/A | -354.3%-233.9pp | -120.4% | N/A | -5.5% |
| Return on Assets | -4.8%+79.9pp | -84.7%+41.0pp | -125.7%-75.8pp | -49.9%-19.4pp | -30.5%-15.6pp | -14.8% | N/A | -3.3% |
| Current Ratio | 0.200.0x | 0.16-0.1x | 0.30-1.2x | 1.46-1.1x | 2.540.0x | 2.58-2.1x | 4.68-4.0x | 8.68 |
| Debt-to-Equity | N/A | N/A | N/A | N/A | 6.23+2.2x | 3.99+1.8x | 2.17+1.7x | 0.49 |
| FCF Margin | N/A | N/A | N/A | N/A | N/A | N/A | N/A | -1465.4% |
Reported as filed but not readable as a share of revenue in the periods where the ratio runs further from zero than a revenue base allows; no change figure is given where either compared period is one of those: Gross Margin, Operating Margin, Net Margin, FCF Margin.
Note: Shareholder equity is negative (-$15.3M), which causes debt-to-equity and return on equity ratios to appear negative or not meaningful. This can occur from accumulated losses or large share buyback programs.
Note: The current ratio is below 1.0 (0.30), indicating current liabilities exceed current assets, which may suggest potential short-term liquidity concerns.
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Where Assure Hldgs Ranks
Frequently Asked Questions
What is Assure Hldgs's annual revenue?
Assure Hldgs (IONM) reported $255K in total revenue for fiscal year 2023. This represents a -45.9% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.
How fast is Assure Hldgs's revenue growing?
Assure Hldgs (IONM) revenue declined by 45.9% year-over-year, from $471K to $255K in fiscal year 2023.
Is Assure Hldgs profitable?
No, Assure Hldgs (IONM) reported a net income of -$26.1M in fiscal year 2023.
What is Assure Hldgs's EBITDA?
Assure Hldgs (IONM) had EBITDA of -$20.1M in fiscal year 2023, measuring earnings before interest, taxes, depreciation, and amortization.
How much debt does Assure Hldgs have?
As of fiscal year 2023, Assure Hldgs (IONM) had $123K in cash and equivalents against $13.7M in long-term debt.
What is Assure Hldgs's operating cash flow?
Assure Hldgs (IONM) recorded an outflow of $5.0M in operating cash flow during fiscal year 2023, representing cash used by core business activities.
What are Assure Hldgs's total assets?
Assure Hldgs (IONM) had $7.5M in total assets as of fiscal year 2023, including both current and long-term assets.
What is Assure Hldgs's current ratio?
Assure Hldgs (IONM) had a current ratio of 0.30 as of fiscal year 2023, which is below 1.0, which may suggest potential liquidity concerns.
What is Assure Hldgs's return on assets (ROA)?
Assure Hldgs (IONM) had a return on assets of -347.1% for fiscal year 2023, measuring how efficiently the company uses its assets to generate profit.
How does Assure Hldgs's liquidity compare with its operating cash outflow?
At the end of fiscal year 2023, Assure Hldgs (IONM) held $123K in cash, cash equivalents and investments, and reported an operating cash outflow of $5.0M over that year. Dividing the one by the other, the reported balance equals about 0 months of the outflow reported that year. This is arithmetic over figures already filed, not a projection: it assumes nothing about future spending, financing or operations.
Why is Assure Hldgs's debt-to-equity ratio negative or not reported?
Assure Hldgs (IONM) has negative shareholder equity of -$15.3M as of fiscal year 2023, so no debt-to-equity ratio is reported: dividing debt by equity that is not positive produces a number that cannot be read as leverage. This can occur when accumulated losses exceed invested capital, or after large share buyback programs. Other solvency metrics like the current ratio or interest coverage may be more informative.
What is Assure Hldgs's Altman Z-Score?
Assure Hldgs (IONM) has an Altman Z-Score of -24.42, placing it in the Distress Zone (elevated bankruptcy risk). The Z-Score combines five financial ratios (working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets) to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.
What is Assure Hldgs's Piotroski F-Score?
Assure Hldgs (IONM) has a Piotroski F-Score of 2 out of 9, indicating weak financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.
Are Assure Hldgs's earnings high quality?
Assure Hldgs (IONM) reported a net loss of $26.1M while operations used $5.0M of cash. With neither figure positive, the ratio between the two carries no quality signal. This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.
Can Assure Hldgs cover its interest payments?
Assure Hldgs (IONM) reported an operating loss of $20.1M against $1.5M in interest expense. There is no operating profit to cover interest, so interest must be met from cash reserves or from financing rather than from operations. This ratio divides operating income by interest expense. Ratios above 5x indicate strong debt-servicing ability, while ratios below 2x suggest the company may face difficulty meeting interest payments if earnings decline. Learn more in our complete guide to financial health indicators.